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This is VAERS ID 811493

History of Changes from the VAERS Wayback Machine

First Appeared on 5/14/2019

VAERS ID: 811493
VAERS Form:2
Age:
Sex:Female
Location:Unknown
Vaccinated:0000-00-00
Onset:2013-10-12
Submitted:0000-00-00
Entered:2019-04-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / UNK UN / UN

Administered by: Unknown      Purchased by: ??
Symptoms: Anxiety, Arthralgia, Back pain, Hypokinesia, Nausea, Pain, Paraesthesia, Sudden death, Brain oedema

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2013-10-12
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': US0095075131904USA009465

Write-up: This spontaneous report was received from social media "Revolution For Choice", via a vendor regarding a 16 year old female patient. The patient''s medical history, concurrent condition and concomitant medications were not reported. On an unknown date, the patient was vaccinated with GARDASIL (dose, frequency, route of administration, lot # and date of expiry were unknown) for prophylaxis. On an unknown date, the patient experienced swollen brain (brain oedema), anxiety, no movement (hypokinesia), tingliness (paraesthesia), pain/extreme pain/body pain, constant nausea, worst start to hurt her knees and back (back pain and arthralgia. The outcome of anxiety, back pain, body pain, arthralgia, nausea, pain, paraesthesia, hypokinesia and brain oedema was unknown. On 12-OCT-2013, the patient had died suddenly on bed. The cause of death was not reported. It was not reported if autopsy was performed. The causality assessment was not reported. Upon internal review, event of brain oedema was considered to be medically significant. This is one of the several reports.; Reported Cause(s) of Death: sudden death.

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https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=811493&WAYBACKHISTORY=ON


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