National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 843109

History of Changes from the VAERS Wayback Machine

First Appeared on 11/14/2019

VAERS ID: 843109
VAERS Form:2
Age:
Sex:Female
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:0000-00-00
Entered:2019-10-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / UNK - / -

Administered by: Unknown      Purchased by: ??
Symptoms: Death, Injury

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': US0095075131910USA014612

Write-up: dies from Gardasil vaccine injuries; 3 years of suffering; This information was obtained from a website and refers to a female patient of unknown age. No information regarding the patient''s pertinent medical history, concomitant medications, drug reactions and allergies was provided. On an unknown date, the patient was vaccinated with a dose of quadrivalent human papillomavirus (types 6,11,16,18) recomb. vaccine (GARDASIL) injection (dose, route of administration, lot number and expiration date were not provided). On an unknown date, the patient experienced unspecified injuries. On an unknown date, the patient experienced an unspecified adverse event, which caused suffering lasting 3 years. On an unknown date, at the age of 19 years, the patient died of the unspecified injuries. It was unknown if the autopsy was performed. The outcome of the unspecified adverse event was unknown. The reporter considered the event of unspecified injuries to be related to quadrivalent human papillomavirus (types 6,11,16,18) recomb. vaccine (GARDASIL). The relatedness between the unspecified adverse event and quadrivalent human papillomavirus (types 6,11,16,18) recomb. vaccine (GARDASIL) was not provided.; Sender''s Comments: US-009507513-1910USA012728:

New Search

Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=843109&WAYBACKHISTORY=ON


Copyright © 2020 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166