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This is VAERS ID 525311

History of Changes from the VAERS Wayback Machine

First Appeared on 3/14/2014

VAERS ID: 525311
VAERS Form:
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. - / - UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Death

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: 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.


Changed on 6/14/2014

VAERS ID: 525311 Before After
VAERS Form:
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. - / - UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Death

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: 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.


Changed on 3/14/2015

VAERS ID: 525311 Before After
VAERS Form:
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. - / - UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Death

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: 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.


Changed on 9/14/2017

VAERS ID: 525311 Before After
VAERS Form:(blank) 1
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

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: 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.


Changed on 2/14/2018

VAERS ID: 525311 Before After
VAERS Form:1
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

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: 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.


Changed on 6/14/2018

VAERS ID: 525311 Before After
VAERS Form:1
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

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: 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.


Changed on 8/14/2018

VAERS ID: 525311 Before After
VAERS Form:1
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

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: 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.


Changed on 9/14/2018

VAERS ID: 525311 Before After
VAERS Form:1
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

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: 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.


Changed on 10/14/2018

VAERS ID: 525311 Before After
VAERS Form:1
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

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: 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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https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=525311&WAYBACKHISTORY=ON


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