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This is VAERS ID 651556

History of Changes from the VAERS Wayback Machine

First Appeared on 10/14/2016

VAERS ID: 651556
VAERS Form:
Age:
Sex:Unknown
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2016-09-09
Entered:2016-09-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Unevaluable event

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': WAES1609USA002304

Write-up: Information has been received from an unspecified person via a company employee referring to unknown number of patients of unknown age and gender. the patients'' medical histories, concurrent conditions and concomitant therapies were not reported. On unknown dates, the patients were vaccinated with GARDASIL (dose, lot #, expiration date and route not reported). the reporter stated that on unknown dates, the patients experienced pain and injury which caused by GARDASIL. Some patients also died due to the vaccine. the reporter stated that so many patient''s lives had been literally stolen from them due to GARDASIL. They could no longer play sports, dance, have fun and act like kids. the outcome of the events was unknown. the reporter considered the GARDASIL was related to the events. Upon internal review, the event of death was considered to be medically significant. This is one of several reports received from the same reporter. Additional information has been requested.


Changed on 9/14/2017

VAERS ID: 651556 Before After
VAERS Form:(blank) 1
Age:
Sex:Unknown
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2016-09-09
Entered:2016-09-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UNK UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Unevaluable event

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': WAES1609USA002304

Write-up: Information has been received from an unspecified person via a company employee referring to unknown number of patients of unknown age and gender. the patients'' medical histories, concurrent conditions and concomitant therapies were not reported. On unknown dates, the patients were vaccinated with GARDASIL (dose, lot #, expiration date and route not reported). the reporter stated that on unknown dates, the patients experienced pain and injury which caused by GARDASIL. Some patients also died due to the vaccine. the reporter stated that so many patient''s lives had been literally stolen from them due to GARDASIL. They could no longer play sports, dance, have fun and act like kids. the outcome of the events was unknown. the reporter considered the GARDASIL was related to the events. Upon internal review, the event of death was considered to be medically significant. This is one of several reports received from the same reporter. Additional information has been requested.


Changed on 2/14/2018

VAERS ID: 651556 Before After
VAERS Form:1
Age:
Sex:Unknown
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2016-09-09
Entered:2016-09-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / UNK UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Unevaluable event

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': WAES1609USA002304

Write-up: Information has been received from an unspecified person via a company employee referring to unknown number of patients of unknown age and gender. the patients'' medical histories, concurrent conditions and concomitant therapies were not reported. On unknown dates, the patients were vaccinated with GARDASIL (dose, lot #, expiration date and route not reported). the reporter stated that on unknown dates, the patients experienced pain and injury which caused by GARDASIL. Some patients also died due to the vaccine. the reporter stated that so many patient''s lives had been literally stolen from them due to GARDASIL. They could no longer play sports, dance, have fun and act like kids. the outcome of the events was unknown. the reporter considered the GARDASIL was related to the events. Upon internal review, the event of death was considered to be medically significant. This is one of several reports received from the same reporter. Additional information has been requested.


Changed on 6/14/2018

VAERS ID: 651556 Before After
VAERS Form:1
Age:
Sex:Unknown
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2016-09-09
Entered:2016-09-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / UNK UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Unevaluable event

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': WAES1609USA002304

Write-up: Information has been received from an unspecified person via a company employee referring to unknown number of patients of unknown age and gender. the patients'' medical histories, concurrent conditions and concomitant therapies were not reported. On unknown dates, the patients were vaccinated with GARDASIL (dose, lot #, expiration date and route not reported). the reporter stated that on unknown dates, the patients experienced pain and injury which caused by GARDASIL. Some patients also died due to the vaccine. the reporter stated that so many patient''s lives had been literally stolen from them due to GARDASIL. They could no longer play sports, dance, have fun and act like kids. the outcome of the events was unknown. the reporter considered the GARDASIL was related to the events. Upon internal review, the event of death was considered to be medically significant. This is one of several reports received from the same reporter. Additional information has been requested.


Changed on 8/14/2018

VAERS ID: 651556 Before After
VAERS Form:1
Age:
Sex:Unknown
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2016-09-09
Entered:2016-09-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / UNK UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Unevaluable event

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': WAES1609USA002304

Write-up: Information has been received from an unspecified person via a company employee referring to unknown number of patients of unknown age and gender. the patients'' medical histories, concurrent conditions and concomitant therapies were not reported. On unknown dates, the patients were vaccinated with GARDASIL (dose, lot #, expiration date and route not reported). the reporter stated that on unknown dates, the patients experienced pain and injury which caused by GARDASIL. Some patients also died due to the vaccine. the reporter stated that so many patient''s lives had been literally stolen from them due to GARDASIL. They could no longer play sports, dance, have fun and act like kids. the outcome of the events was unknown. the reporter considered the GARDASIL was related to the events. Upon internal review, the event of death was considered to be medically significant. This is one of several reports received from the same reporter. Additional information has been requested.


Changed on 9/14/2018

VAERS ID: 651556 Before After
VAERS Form:1
Age:
Sex:Unknown
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2016-09-09
Entered:2016-09-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / UNK UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Unevaluable event

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': WAES1609USA002304

Write-up: Information has been received from an unspecified person via a company employee referring to unknown number of patients of unknown age and gender. the patients'' medical histories, concurrent conditions and concomitant therapies were not reported. On unknown dates, the patients were vaccinated with GARDASIL (dose, lot #, expiration date and route not reported). the reporter stated that on unknown dates, the patients experienced pain and injury which caused by GARDASIL. Some patients also died due to the vaccine. the reporter stated that so many patient''s lives had been literally stolen from them due to GARDASIL. They could no longer play sports, dance, have fun and act like kids. the outcome of the events was unknown. the reporter considered the GARDASIL was related to the events. Upon internal review, the event of death was considered to be medically significant. This is one of several reports received from the same reporter. Additional information has been requested.


Changed on 10/14/2018

VAERS ID: 651556 Before After
VAERS Form:1
Age:
Sex:Unknown
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2016-09-09
Entered:2016-09-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / UNK UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Unevaluable event

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': WAES1609USA002304

Write-up: Information has been received from an unspecified person via a company employee referring to unknown number of patients of unknown age and gender. the patients'' medical histories, concurrent conditions and concomitant therapies were not reported. On unknown dates, the patients were vaccinated with GARDASIL (dose, lot #, expiration date and route not reported). the reporter stated that on unknown dates, the patients experienced pain and injury which caused by GARDASIL. Some patients also died due to the vaccine. the reporter stated that so many patient''s lives had been literally stolen from them due to GARDASIL. They could no longer play sports, dance, have fun and act like kids. the outcome of the events was unknown. the reporter considered the GARDASIL was related to the events. Upon internal review, the event of death was considered to be medically significant. This is one of several reports received from the same reporter. Additional information has been requested.

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https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=651556&WAYBACKHISTORY=ON


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