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This is VAERS ID 505364

Case Details

VAERS ID: 505364 (history)  
Form: Version 1.0  
Age:   
Sex: Female  
Location: Unknown  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 2013-10-02
Entered: 2013-10-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / UNK UN / UN

Administered by: Other       Purchased by: Other
Symptoms: Death
SMQs:

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 0000-00-00
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: No other medications
Current Illness: Unknown
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: WAES1310USA000562

Write-up: Information has been received from a consumer via a website concerning a female patient of unknown age. On an unknown date, the patient was vaccinated with GARDASIL (lot#, dose, and route not provided). On unknown date, the patient died in her bath. The patient had been so healthy prior to the vaccination. The post mortem result stated a cause of death unknown. Additional information has been requested.


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