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This is VAERS ID 778079

History of Changes from the VAERS Wayback Machine

First Appeared on 11/14/2018

VAERS ID: 778079
VAERS Form:2
Age:
Sex:Male
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:0000-00-00
Entered:2018-10-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / UNK UN / UN
HPV9: HPV (GARDASIL 9) / MERCK & CO. INC. - / UNK UN / UN

Administered by: Unknown      Purchased by: ??
Symptoms: Arrhythmia, Dizziness, Fatigue, Headache, Hypoaesthesia, Infection, Injury, Nausea, Neck pain, Paralysis, Rash, Rheumatoid arthritis, Sinus congestion, Syncope, Inflammation, Autoimmune disorder

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': US0095075131810USA005156

Write-up: This spontaneous report was received from a physician via social media refers to a male patient of unknown age. The patient''s pertinent medical history, concurrent conditions and concomitant medications were unknown. On an unknown date, the patient was vaccinated with GARDASIL (lot#, expiry frequency, route and dose of administration unknown) for prophylaxis. Other suspect therapies included GARDASIL 9 (lot#, expiry frequency, route and dose of administration unknown) for prophylaxis. On an unknown date, the patient experienced auto immune disease (autoimmune disorder), side effect (adverse event), inflammation, neck pain, nausea, neck pain, rheumatoid arthritis, infection, injury, paralysis, tiredness (fatigue), rash, dizziness, arrhythmia, headache, fainting (syncope), numbness (hypoesthesia), and sinus congestion. The patient died on an unknown date.The outcome of arrhythmia, syncope, headache, dizziness, nausea, fatigue, inflammation, neck pain, adverse event, infection, injury, rash, hypoesthesia, sinus congestion, paralysis and rheumatoid arthritis was unknown. The causality of all the events were not reported. Upon internal review the events death, arrhythmia, autoimmune disorder, paralysis, and rheumatoid arthritis were considered to be medically significant.; Sender''s Comments: US-009507513-1810USA005156:

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https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=778079&WAYBACKHISTORY=ON


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