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This is VAERS ID 523277

Case Details

VAERS ID: 523277 (history)  
Form: Version 1.0  
Age:   
Sex: Female  
Location: Unknown  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 2014-02-21
Entered: 2014-02-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 3 UN / UN

Administered by: Other       Purchased by: Other
Symptoms: Death, Neoplasm malignant
SMQs:, Non-haematological malignant tumours (narrow)

Life Threatening? No
Birth Defect? No
Died? No
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: WAES1402USA009584

Write-up: This spontaneous report as received from a Physician''s Assistant via Field Representative refers to a female patient of unknown age. On an unknown date a mother stated that "one of her seven daughters" received the full series of GARDASIL (lot number, strength, dose, frequency were not reported). On an unknown date the patient died. According to the mother, her daughter had a type of gynecological cancer that was caused by the GARDASIL. Upon internal review the event of "a type of gynecological cancer" was determined to be medically significant. Additional information has been requested. ***03/24/2014: Merck rep misunderstood report. Provider told story about someone else (not pt. in office) and death not involved".


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