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From the 10/8/2021 release of VAERS data:

This is VAERS ID 456608

Case Details

VAERS ID: 456608 (history)  
Form: Version 1.0  
Age: 13.0  
Sex: Female  
Location: Foreign  
   Days after vaccination:14
Submitted: 2012-05-31
   Days after onset:273
Entered: 2012-05-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Other       Purchased by: Other
Symptoms: Completed suicide, Death, Musculoskeletal stiffness
SMQs:, Suicide/self-injury (narrow), Dystonia (broad), Parkinson-like events (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Arthritis (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2011-09-01
   Days after onset: 0
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Carbocisteine; Fexofenadine hydrochloride; Pranlukast
Current Illness: Allergic rhinitis; Congenital heart disease
Preexisting Conditions:
Diagnostic Lab Data: UNK
CDC Split Type: B0804493A

Write-up: This case was reported by a physician and described the occurrence of suicide in a 13-year-old female subject who was vaccinated with CERVARIX (GlaxoSmithKline). Concurrent medical conditions included allergic rhinitis and congenital heart disease. Concurrent medications included MUCODYNE, ALLEGRA and ONON. On 18 August 2011, the subject received unspecified dose of CERVARIX (0.5 ml, intramuscular, left deltoid). On an unspecified date, as the subject had muscle stiffness, Kakkonto 2.5g twice a day for 3 days and LOXONIN for 6 doses were prescribed. On 1 September 2011, 14 days after vaccination with CERVARIX, the subject committed suicide. The subject died on 1 September 2011 from accomplished suicide. It was unknown whether an autopsy was performed.

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