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This is VAERS ID 608029

Case Details

VAERS ID: 608029 (history)  
Form: Version 1.0  
Age:   
Sex: Female  
Location: Foreign  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 2015-08-26
Entered: 2015-08-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / UNK UN / UN

Administered by: Other       Purchased by: Other
Symptoms: Adverse event, 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: WAES1508COL009556

Write-up: This spontaneous report was received from a journalist in an article published in a local newspaper regarding a female patient of unknown age. The patient''s concurrent conditions and medical history were not reported. On an unknown date, the patient was vaccinated with GARDASIL (strength, dose, frequency and route were not reported). Concomitant medications were not reported. On an unknown date, the patient experienced adverse events (not reported) associated with vaccine administration, which lead to the death of the patient. The outcome of adverse event was reported as fatal. The reporter did not provide the causality between the event and the suspect therapy. Additional information is not expected as there are no contact details available for further follow-up.


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