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This is VAERS ID 525311

Case Details

VAERS ID: 525311 (history)  
Form: Version 1.0  
Age:   
Sex: Unknown  
Location: Pennsylvania  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 2014-03-10
Entered: 2014-03-10
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: WAES1403USA003155

Write-up: This spontaneous report as received from CDC (Centers for Disease Control) via company representative refers to 53 patients of unknown age and gender. On an unknown date these patients was vaccinated with GARDASIL (lot#, expiration date, dose, route not reported). These patients died after receipt of the vaccine. The causes of death were unknown. Additional information has been requested.


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