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This is VAERS ID 613330

History of Changes from the VAERS Wayback Machine

First Appeared on 12/14/2015

VAERS ID: 613330
VAERS Form:
Age:18.0
Sex:Unknown
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2015-12-07
Entered:2015-12-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / SYR

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': WAES1512USA001558

Write-up: This spontaneous report was received from a non-healthcare professional via Twitter website as part of market research and refers to 32 patients at the age of 18 years old of unknown gender. No information regarding the patients'' medical history, concurrent conditions and concomitant therapies was provided. On an unknown date, the patients were vaccinated with a dose of GARDASIL (lot #, expiration date, exact doses and route of administration were not provided). On unknown dates, reported as 2 to 405 days after the last GARDASIL injection, the patients died. The cause of death was not reported. The reporter considered the event to be related to GARDASIL. Additional information has been requested.


Changed on 9/14/2017

VAERS ID: 613330 Before After
VAERS Form:(blank) 1
Age:18.0
Sex:Unknown
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2015-12-07
Entered:2015-12-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UNK UN / SYR

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': WAES1512USA001558

Write-up: This spontaneous report was received from a non-healthcare professional via Twitter website as part of market research and refers to 32 patients at the age of 18 years old of unknown gender. No information regarding the patients'' medical history, concurrent conditions and concomitant therapies was provided. On an unknown date, the patients were vaccinated with a dose of GARDASIL (lot #, expiration date, exact doses and route of administration were not provided). On unknown dates, reported as 2 to 405 days after the last GARDASIL injection, the patients died. The cause of death was not reported. The reporter considered the event to be related to GARDASIL. Additional information has been requested.


Changed on 2/14/2018

VAERS ID: 613330 Before After
VAERS Form:1
Age:18.0
Sex:Unknown
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2015-12-07
Entered:2015-12-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / UNK UN / SYR

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': WAES1512USA001558

Write-up: This spontaneous report was received from a non-healthcare professional via Twitter website as part of market research and refers to 32 patients at the age of 18 years old of unknown gender. No information regarding the patients'' medical history, concurrent conditions and concomitant therapies was provided. On an unknown date, the patients were vaccinated with a dose of GARDASIL (lot #, expiration date, exact doses and route of administration were not provided). On unknown dates, reported as 2 to 405 days after the last GARDASIL injection, the patients died. The cause of death was not reported. The reporter considered the event to be related to GARDASIL. Additional information has been requested.


Changed on 6/14/2018

VAERS ID: 613330 Before After
VAERS Form:1
Age:18.0
Sex:Unknown
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2015-12-07
Entered:2015-12-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / UNK UN / SYR

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': WAES1512USA001558

Write-up: This spontaneous report was received from a non-healthcare professional via Twitter website as part of market research and refers to 32 patients at the age of 18 years old of unknown gender. No information regarding the patients'' medical history, concurrent conditions and concomitant therapies was provided. On an unknown date, the patients were vaccinated with a dose of GARDASIL (lot #, expiration date, exact doses and route of administration were not provided). On unknown dates, reported as 2 to 405 days after the last GARDASIL injection, the patients died. The cause of death was not reported. The reporter considered the event to be related to GARDASIL. Additional information has been requested.


Changed on 8/14/2018

VAERS ID: 613330 Before After
VAERS Form:1
Age:18.0
Sex:Unknown
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2015-12-07
Entered:2015-12-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / UNK UN / SYR

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': WAES1512USA001558

Write-up: This spontaneous report was received from a non-healthcare professional via Twitter website as part of market research and refers to 32 patients at the age of 18 years old of unknown gender. No information regarding the patients'' medical history, concurrent conditions and concomitant therapies was provided. On an unknown date, the patients were vaccinated with a dose of GARDASIL (lot #, expiration date, exact doses and route of administration were not provided). On unknown dates, reported as 2 to 405 days after the last GARDASIL injection, the patients died. The cause of death was not reported. The reporter considered the event to be related to GARDASIL. Additional information has been requested.


Changed on 9/14/2018

VAERS ID: 613330 Before After
VAERS Form:1
Age:18.0
Sex:Unknown
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2015-12-07
Entered:2015-12-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / UNK UN / SYR

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': WAES1512USA001558

Write-up: This spontaneous report was received from a non-healthcare professional via Twitter website as part of market research and refers to 32 patients at the age of 18 years old of unknown gender. No information regarding the patients'' medical history, concurrent conditions and concomitant therapies was provided. On an unknown date, the patients were vaccinated with a dose of GARDASIL (lot #, expiration date, exact doses and route of administration were not provided). On unknown dates, reported as 2 to 405 days after the last GARDASIL injection, the patients died. The cause of death was not reported. The reporter considered the event to be related to GARDASIL. Additional information has been requested.


Changed on 10/14/2018

VAERS ID: 613330 Before After
VAERS Form:1
Age:18.0
Sex:Unknown
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2015-12-07
Entered:2015-12-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / UNK UN / SYR

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': WAES1512USA001558

Write-up: This spontaneous report was received from a non-healthcare professional via Twitter website as part of market research and refers to 32 patients at the age of 18 years old of unknown gender. No information regarding the patients'' medical history, concurrent conditions and concomitant therapies was provided. On an unknown date, the patients were vaccinated with a dose of GARDASIL (lot #, expiration date, exact doses and route of administration were not provided). On unknown dates, reported as 2 to 405 days after the last GARDASIL injection, the patients died. The cause of death was not reported. The reporter considered the event to be related to GARDASIL. Additional information has been requested.

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https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=613330&WAYBACKHISTORY=ON


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