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This is VAERS ID 716526

History of Changes from the VAERS Wayback Machine

First Appeared on 10/14/2017

VAERS ID: 716526
VAERS Form:2
Age:
Sex:Unknown
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:0000-00-00
Entered:2017-10-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / UNK UN / UN

Administered by: Unknown      Purchased by: ??
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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': US0095075131710USA001469

Write-up: This spontaneous report as received from social media via other and refers to a patient of unknown age and gender. The patient''s medical history, concurrent conditions and concomitant medications were not reported. On an unknown date, the patient was vaccinated with GARDASIL (lot#, expiry date and dosing details were not reported) for prophylaxis. Later, on an unknown date, the patient died and the cause of death was unknown. It was unknown if an autopsy was performed. It was reported that, 63 reports on GARDASIL lot recalled, including one death (product quality issue). And the reports in vax from same lot given after recall. Causality assessment was not provided. Upon internal review, death was determined to be medically significant.; Reported Cause(s) of Death: unknown cause of death.


Changed on 2/14/2018

VAERS ID: 716526 Before After
VAERS Form:2
Age:
Sex:Unknown
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:0000-00-00
Entered:2017-10-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / UNK UN / UN

Administered by: Unknown      Purchased by: ??
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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': US0095075131710USA001469

Write-up: This spontaneous report as received from social media via other and refers to a patient of unknown age and gender. The patient''s medical history, concurrent conditions and concomitant medications were not reported. On an unknown date, the patient was vaccinated with GARDASIL (lot#, expiry date and dosing details were not reported) for prophylaxis. Later, on an unknown date, the patient died and the cause of death was unknown. It was unknown if an autopsy was performed. It was reported that, 63 reports on GARDASIL lot recalled, including one death (product quality issue). And the reports in vax from same lot given after recall. Causality assessment was not provided. Upon internal review, death was determined to be medically significant.; Reported Cause(s) of Death: unknown cause of death.


Changed on 6/14/2018

VAERS ID: 716526 Before After
VAERS Form:2
Age:
Sex:Unknown
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:0000-00-00
Entered:2017-10-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / UNK UN / UN

Administered by: Unknown      Purchased by: ??
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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': US0095075131710USA001469

Write-up: This spontaneous report as received from social media via other and refers to a patient of unknown age and gender. The patient''s medical history, concurrent conditions and concomitant medications were not reported. On an unknown date, the patient was vaccinated with GARDASIL (lot#, expiry date and dosing details were not reported) for prophylaxis. Later, on an unknown date, the patient died and the cause of death was unknown. It was unknown if an autopsy was performed. It was reported that, 63 reports on GARDASIL lot recalled, including one death (product quality issue). And the reports in vax from same lot given after recall. Causality assessment was not provided. Upon internal review, death was determined to be medically significant.; Reported Cause(s) of Death: unknown cause of death.


Changed on 8/14/2018

VAERS ID: 716526 Before After
VAERS Form:2
Age:
Sex:Unknown
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:0000-00-00
Entered:2017-10-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / UNK UN / UN

Administered by: Unknown      Purchased by: ??
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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': US0095075131710USA001469

Write-up: This spontaneous report as received from social media via other and refers to a patient of unknown age and gender. The patient''s medical history, concurrent conditions and concomitant medications were not reported. On an unknown date, the patient was vaccinated with GARDASIL (lot#, expiry date and dosing details were not reported) for prophylaxis. Later, on an unknown date, the patient died and the cause of death was unknown. It was unknown if an autopsy was performed. It was reported that, 63 reports on GARDASIL lot recalled, including one death (product quality issue). And the reports in vax from same lot given after recall. Causality assessment was not provided. Upon internal review, death was determined to be medically significant.; Reported Cause(s) of Death: unknown cause of death.


Changed on 9/14/2018

VAERS ID: 716526 Before After
VAERS Form:2
Age:
Sex:Unknown
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:0000-00-00
Entered:2017-10-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / UNK UN / UN

Administered by: Unknown      Purchased by: ??
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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': US0095075131710USA001469

Write-up: This spontaneous report as received from social media via other and refers to a patient of unknown age and gender. The patient''s medical history, concurrent conditions and concomitant medications were not reported. On an unknown date, the patient was vaccinated with GARDASIL (lot#, expiry date and dosing details were not reported) for prophylaxis. Later, on an unknown date, the patient died and the cause of death was unknown. It was unknown if an autopsy was performed. It was reported that, 63 reports on GARDASIL lot recalled, including one death (product quality issue). And the reports in vax from same lot given after recall. Causality assessment was not provided. Upon internal review, death was determined to be medically significant.; Reported Cause(s) of Death: unknown cause of death.


Changed on 10/14/2018

VAERS ID: 716526 Before After
VAERS Form:2
Age:
Sex:Unknown
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:0000-00-00
Entered:2017-10-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / UNK UN / UN

Administered by: Unknown      Purchased by: ??
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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': US0095075131710USA001469

Write-up: This spontaneous report as received from social media via other and refers to a patient of unknown age and gender. The patient''s medical history, concurrent conditions and concomitant medications were not reported. On an unknown date, the patient was vaccinated with GARDASIL (lot#, expiry date and dosing details were not reported) for prophylaxis. Later, on an unknown date, the patient died and the cause of death was unknown. It was unknown if an autopsy was performed. It was reported that, 63 reports on GARDASIL lot recalled, including one death (product quality issue). And the reports in vax from same lot given after recall. Causality assessment was not provided. Upon internal review, death was determined to be medically significant.; Reported Cause(s) of Death: unknown cause of death.

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https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=716526&WAYBACKHISTORY=ON


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