National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 523277

History of Changes from the VAERS Wayback Machine

First Appeared on 3/14/2014

VAERS ID: 523277
VAERS Form:
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. - / 2 UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Death, Neoplasm malignant

Life Threatening? No
Birth Defect? No
Died? No
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: 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”.


Changed on 6/14/2014

VAERS ID: 523277 Before After
VAERS Form:
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. - / 2 UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Death, Neoplasm malignant

Life Threatening? No
Birth Defect? No
Died? No
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: 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”.


Changed on 3/14/2015

VAERS ID: 523277 Before After
VAERS Form:
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. - / 2 UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Death, Neoplasm malignant

Life Threatening? No
Birth Defect? No
Died? No
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: 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”.


Changed on 9/14/2017

VAERS ID: 523277 Before After
VAERS Form:(blank) 1
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. - / 2 3 UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Death, Neoplasm malignant

Life Threatening? No
Birth Defect? No
Died? No
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: 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”.


Changed on 12/14/2017

VAERS ID: 523277 Before After
VAERS Form:1
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

Life Threatening? No
Birth Defect? No
Died? No
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: 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”. involved".


Changed on 2/14/2018

VAERS ID: 523277 Before After
VAERS Form:1
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

Life Threatening? No
Birth Defect? No
Died? No
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: 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".


Changed on 6/14/2018

VAERS ID: 523277 Before After
VAERS Form:1
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

Life Threatening? No
Birth Defect? No
Died? No
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: 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".


Changed on 8/14/2018

VAERS ID: 523277 Before After
VAERS Form:1
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

Life Threatening? No
Birth Defect? No
Died? No
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: 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".


Changed on 9/14/2018

VAERS ID: 523277 Before After
VAERS Form:1
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

Life Threatening? No
Birth Defect? No
Died? No
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: 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".


Changed on 10/14/2018

VAERS ID: 523277 Before After
VAERS Form:1
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

Life Threatening? No
Birth Defect? No
Died? No
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: 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".

New Search

Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=523277&WAYBACKHISTORY=ON


Copyright © 2019 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166