National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 743431

History of Changes from the VAERS Wayback Machine

First Appeared on 4/14/2018

VAERS ID: 743431
VAERS Form:2
Age:
Sex:Female
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:0000-00-00
Entered:2018-04-06
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': US0095075131804USA001041

Write-up: This spontaneous report was received from a non-healthcare professional via Pfizer refers to a 17 years old female patient. Patient''s medical history and concomitant medications were not reported. On an unknown date, the patient was vaccinated with GARDASIL (dosing information was not provided) for prophylaxis. On an unknown date, the patient died. It was unknown if the autopsy was performed. The cause of death was unknown. Reporter considered the event to be related to GARDASIL. Upon internal review, death was determined to be medically significant. This is one of the two reports received from the same reporter.; Reported Cause(s) of Death: unknown cause of death.


Changed on 6/14/2018

VAERS ID: 743431 Before After
VAERS Form:2
Age:
Sex:Female
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:0000-00-00
Entered:2018-04-06
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': US0095075131804USA001041

Write-up: This spontaneous report was received from a non-healthcare professional via Pfizer refers to a 17 years old female patient. Patient''s medical history and concomitant medications were not reported. On an unknown date, the patient was vaccinated with GARDASIL (dosing information was not provided) for prophylaxis. On an unknown date, the patient died. It was unknown if the autopsy was performed. The cause of death was unknown. Reporter considered the event to be related to GARDASIL. Upon internal review, death was determined to be medically significant. This is one of the two reports received from the same reporter.; Reported Cause(s) of Death: unknown cause of death.


Changed on 8/14/2018

VAERS ID: 743431 Before After
VAERS Form:2
Age:
Sex:Female
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:0000-00-00
Entered:2018-04-06
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': US0095075131804USA001041

Write-up: This spontaneous report was received from a non-healthcare professional via Pfizer refers to a 17 years old female patient. Patient''s medical history and concomitant medications were not reported. On an unknown date, the patient was vaccinated with GARDASIL (dosing information was not provided) for prophylaxis. On an unknown date, the patient died. It was unknown if the autopsy was performed. The cause of death was unknown. Reporter considered the event to be related to GARDASIL. Upon internal review, death was determined to be medically significant. This is one of the two reports received from the same reporter.; Reported Cause(s) of Death: unknown cause of death.


Changed on 9/14/2018

VAERS ID: 743431 Before After
VAERS Form:2
Age:
Sex:Female
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:0000-00-00
Entered:2018-04-06
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': US0095075131804USA001041

Write-up: This spontaneous report was received from a non-healthcare professional via Pfizer refers to a 17 years old female patient. Patient''s medical history and concomitant medications were not reported. On an unknown date, the patient was vaccinated with GARDASIL (dosing information was not provided) for prophylaxis. On an unknown date, the patient died. It was unknown if the autopsy was performed. The cause of death was unknown. Reporter considered the event to be related to GARDASIL. Upon internal review, death was determined to be medically significant. This is one of the two reports received from the same reporter.; Reported Cause(s) of Death: unknown cause of death.


Changed on 10/14/2018

VAERS ID: 743431 Before After
VAERS Form:2
Age:
Sex:Female
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:0000-00-00
Entered:2018-04-06
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': US0095075131804USA001041

Write-up: This spontaneous report was received from a non-healthcare professional via Pfizer refers to a 17 years old female patient. Patient''s medical history and concomitant medications were not reported. On an unknown date, the patient was vaccinated with GARDASIL (dosing information was not provided) for prophylaxis. On an unknown date, the patient died. It was unknown if the autopsy was performed. The cause of death was unknown. Reporter considered the event to be related to GARDASIL. Upon internal review, death was determined to be medically significant. This is one of the two reports received from the same reporter.; Reported Cause(s) of Death: unknown cause of death.

New Search

Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=743431&WAYBACKHISTORY=ON


Copyright © 2019 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166