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This is VAERS ID 607719

History of Changes from the VAERS Wayback Machine

First Appeared on 10/14/2017

VAERS ID: 607719
VAERS Form:1
Age:
Sex:Unknown
Location:Foreign
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2015-08-21
Entered:2015-08-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / UNK UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Death, Wrong drug administered

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': WAES1508NZL009160

Write-up: This spontaneous report was received from a Regulatory Authority regarding a baby of unknown age and gender. The patient''s medical history and concurrent conditions were not reported. On an unknown date the patient was vaccinated with GARDASIL dose, route unknown. Concomitant medications were not reported. On an unknown date the GARDASIL was administered to a baby which was a medication error. The baby died after two years of the medication error. The reporter considered death to be not related to GARDASIL. This is one of several reports received from the same reporter. Additional information is not expected from the Agency as follow up information cannot be obtained.


Changed on 2/14/2018

VAERS ID: 607719 Before After
VAERS Form:1
Age:
Sex:Unknown
Location:Foreign
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2015-08-21
Entered:2015-08-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / UNK UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Death, Wrong drug administered

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': WAES1508NZL009160

Write-up: This spontaneous report was received from a Regulatory Authority regarding a baby of unknown age and gender. The patient''s medical history and concurrent conditions were not reported. On an unknown date the patient was vaccinated with GARDASIL dose, route unknown. Concomitant medications were not reported. On an unknown date the GARDASIL was administered to a baby which was a medication error. The baby died after two years of the medication error. The reporter considered death to be not related to GARDASIL. This is one of several reports received from the same reporter. Additional information is not expected from the Agency as follow up information cannot be obtained.


Changed on 6/14/2018

VAERS ID: 607719 Before After
VAERS Form:1
Age:
Sex:Unknown
Location:Foreign
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2015-08-21
Entered:2015-08-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / UNK UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Death, Wrong drug administered

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': WAES1508NZL009160

Write-up: This spontaneous report was received from a Regulatory Authority regarding a baby of unknown age and gender. The patient''s medical history and concurrent conditions were not reported. On an unknown date the patient was vaccinated with GARDASIL dose, route unknown. Concomitant medications were not reported. On an unknown date the GARDASIL was administered to a baby which was a medication error. The baby died after two years of the medication error. The reporter considered death to be not related to GARDASIL. This is one of several reports received from the same reporter. Additional information is not expected from the Agency as follow up information cannot be obtained.


Changed on 8/14/2018

VAERS ID: 607719 Before After
VAERS Form:1
Age:
Sex:Unknown
Location:Foreign
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2015-08-21
Entered:2015-08-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / UNK UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Death, Wrong drug administered

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': WAES1508NZL009160

Write-up: This spontaneous report was received from a Regulatory Authority regarding a baby of unknown age and gender. The patient''s medical history and concurrent conditions were not reported. On an unknown date the patient was vaccinated with GARDASIL dose, route unknown. Concomitant medications were not reported. On an unknown date the GARDASIL was administered to a baby which was a medication error. The baby died after two years of the medication error. The reporter considered death to be not related to GARDASIL. This is one of several reports received from the same reporter. Additional information is not expected from the Agency as follow up information cannot be obtained.


Changed on 9/14/2018

VAERS ID: 607719 Before After
VAERS Form:1
Age:
Sex:Unknown
Location:Foreign
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2015-08-21
Entered:2015-08-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / UNK UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Death, Wrong drug administered

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': WAES1508NZL009160

Write-up: This spontaneous report was received from a Regulatory Authority regarding a baby of unknown age and gender. The patient''s medical history and concurrent conditions were not reported. On an unknown date the patient was vaccinated with GARDASIL dose, route unknown. Concomitant medications were not reported. On an unknown date the GARDASIL was administered to a baby which was a medication error. The baby died after two years of the medication error. The reporter considered death to be not related to GARDASIL. This is one of several reports received from the same reporter. Additional information is not expected from the Agency as follow up information cannot be obtained.


Changed on 10/14/2018

VAERS ID: 607719 Before After
VAERS Form:1
Age:
Sex:Unknown
Location:Foreign
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2015-08-21
Entered:2015-08-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / UNK UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Death, Wrong drug administered

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': WAES1508NZL009160

Write-up: This spontaneous report was received from a Regulatory Authority regarding a baby of unknown age and gender. The patient''s medical history and concurrent conditions were not reported. On an unknown date the patient was vaccinated with GARDASIL dose, route unknown. Concomitant medications were not reported. On an unknown date the GARDASIL was administered to a baby which was a medication error. The baby died after two years of the medication error. The reporter considered death to be not related to GARDASIL. This is one of several reports received from the same reporter. Additional information is not expected from the Agency as follow up information cannot be obtained.

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https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=607719&WAYBACKHISTORY=ON


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