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This is VAERS ID 487130

History of Changes from the VAERS Wayback Machine

First Appeared on 7/7/2013

VAERS ID: 487130
VAERS Form:
Age:
Sex:Female
Location:Foreign
Vaccinated:2011-09-01
Onset:0000-00-00
Submitted:2013-03-18
Entered:2013-03-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV2: HPV (CERVARIX) / GLAXOSMITHKLINE BIOLOGICALS - / - LA / IM

Administered by: Other      Purchased by: Other
Symptoms: Completed suicide

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Unknown
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type': B0875158A

Write-up: This case was reported by a physician and described the occurrence of suicide in a female subject of unspecified age who was vaccinated with CERVARIX (GlaxoSmithKline). In September 2011, the subject received an unspecified dose of CERVARIX (intramuscular, unknown injection site, batch number not provided). At an unspecified time after vaccination with CERVARIX, the subject committed suicide. The suicide was accomplished. It was unknown whether an autopsy was performed. No further information could be obtained. Case was closed.


Changed on 9/14/2017

VAERS ID: 487130 Before After
VAERS Form:(blank) 1
Age:
Sex:Female
Location:Foreign
Vaccinated:2011-09-01
Onset:0000-00-00
Submitted:2013-03-18
Entered:2013-03-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV2: HPV (CERVARIX) / GLAXOSMITHKLINE BIOLOGICALS - / - UNK LA / IM

Administered by: Other      Purchased by: Other
Symptoms: Completed suicide

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Unknown
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type': B0875158A

Write-up: This case was reported by a physician and described the occurrence of suicide in a female subject of unspecified age who was vaccinated with CERVARIX (GlaxoSmithKline). In September 2011, the subject received an unspecified dose of CERVARIX (intramuscular, unknown injection site, batch number not provided). At an unspecified time after vaccination with CERVARIX, the subject committed suicide. The suicide was accomplished. It was unknown whether an autopsy was performed. No further information could be obtained. Case was closed.


Changed on 2/14/2018

VAERS ID: 487130 Before After
VAERS Form:1
Age:
Sex:Female
Location:Foreign
Vaccinated:2011-09-01
Onset:0000-00-00
Submitted:2013-03-18
Entered:2013-03-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV2: HPV (CERVARIX) / GLAXOSMITHKLINE BIOLOGICALS - / UNK LA / IM

Administered by: Other      Purchased by: Other
Symptoms: Completed suicide

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Unknown
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type': B0875158A

Write-up: This case was reported by a physician and described the occurrence of suicide in a female subject of unspecified age who was vaccinated with CERVARIX (GlaxoSmithKline). In September 2011, the subject received an unspecified dose of CERVARIX (intramuscular, unknown injection site, batch number not provided). At an unspecified time after vaccination with CERVARIX, the subject committed suicide. The suicide was accomplished. It was unknown whether an autopsy was performed. No further information could be obtained. Case was closed.


Changed on 6/14/2018

VAERS ID: 487130 Before After
VAERS Form:1
Age:
Sex:Female
Location:Foreign
Vaccinated:2011-09-01
Onset:0000-00-00
Submitted:2013-03-18
Entered:2013-03-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV2: HPV (CERVARIX) / GLAXOSMITHKLINE BIOLOGICALS - / UNK LA / IM

Administered by: Other      Purchased by: Other
Symptoms: Completed suicide

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Unknown
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type': B0875158A

Write-up: This case was reported by a physician and described the occurrence of suicide in a female subject of unspecified age who was vaccinated with CERVARIX (GlaxoSmithKline). In September 2011, the subject received an unspecified dose of CERVARIX (intramuscular, unknown injection site, batch number not provided). At an unspecified time after vaccination with CERVARIX, the subject committed suicide. The suicide was accomplished. It was unknown whether an autopsy was performed. No further information could be obtained. Case was closed.


Changed on 8/14/2018

VAERS ID: 487130 Before After
VAERS Form:1
Age:
Sex:Female
Location:Foreign
Vaccinated:2011-09-01
Onset:0000-00-00
Submitted:2013-03-18
Entered:2013-03-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV2: HPV (CERVARIX) / GLAXOSMITHKLINE BIOLOGICALS - / UNK LA / IM

Administered by: Other      Purchased by: Other
Symptoms: Completed suicide

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Unknown
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type': B0875158A

Write-up: This case was reported by a physician and described the occurrence of suicide in a female subject of unspecified age who was vaccinated with CERVARIX (GlaxoSmithKline). In September 2011, the subject received an unspecified dose of CERVARIX (intramuscular, unknown injection site, batch number not provided). At an unspecified time after vaccination with CERVARIX, the subject committed suicide. The suicide was accomplished. It was unknown whether an autopsy was performed. No further information could be obtained. Case was closed.


Changed on 9/14/2018

VAERS ID: 487130 Before After
VAERS Form:1
Age:
Sex:Female
Location:Foreign
Vaccinated:2011-09-01
Onset:0000-00-00
Submitted:2013-03-18
Entered:2013-03-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV2: HPV (CERVARIX) / GLAXOSMITHKLINE BIOLOGICALS - / UNK LA / IM

Administered by: Other      Purchased by: Other
Symptoms: Completed suicide

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Unknown
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type': B0875158A

Write-up: This case was reported by a physician and described the occurrence of suicide in a female subject of unspecified age who was vaccinated with CERVARIX (GlaxoSmithKline). In September 2011, the subject received an unspecified dose of CERVARIX (intramuscular, unknown injection site, batch number not provided). At an unspecified time after vaccination with CERVARIX, the subject committed suicide. The suicide was accomplished. It was unknown whether an autopsy was performed. No further information could be obtained. Case was closed.


Changed on 10/14/2018

VAERS ID: 487130 Before After
VAERS Form:1
Age:
Sex:Female
Location:Foreign
Vaccinated:2011-09-01
Onset:0000-00-00
Submitted:2013-03-18
Entered:2013-03-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV2: HPV (CERVARIX) / GLAXOSMITHKLINE BIOLOGICALS - / UNK LA / IM

Administered by: Other      Purchased by: Other
Symptoms: Completed suicide

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Unknown
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type': B0875158A

Write-up: This case was reported by a physician and described the occurrence of suicide in a female subject of unspecified age who was vaccinated with CERVARIX (GlaxoSmithKline). In September 2011, the subject received an unspecified dose of CERVARIX (intramuscular, unknown injection site, batch number not provided). At an unspecified time after vaccination with CERVARIX, the subject committed suicide. The suicide was accomplished. It was unknown whether an autopsy was performed. No further information could be obtained. Case was closed.

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