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This is VAERS ID 844239

History of Changes from the VAERS Wayback Machine

First Appeared on 11/14/2019

VAERS ID: 844239
VAERS Form:2
Age:21.0
Sex:Female
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:0000-00-00
Entered:2019-10-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / UNK - / -

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': US0095075131910USA013063

Write-up: Died unexpectedly in 2008, shortly after receiving the Gardasil human papillomavirus (HPV) vaccine; This spontaneous report was received from a lawyer via social media referring to a 21 years old female patient. Information about medical history, concurrent conditions, drug reactions/allergies and concomitant therapies was not provided. On an unknown date in 2008, the patient was vaccinated with quadrivalent human papillomavirus (types 6,11,16,18) recomb. vaccine (GARDASIL) (vaccine dosage detail, route of administration, lot# and expiration date were not reported) for prophylaxis. The patient died unexpectedly shortly after receiving quadrivalent human papillomavirus (types 6,11,16,18) recomb. vaccine (GARDASIL). The reporter considered death unexpectedly to be related to quadrivalent human papillomavirus (types 6,11,16,18) recomb. vaccine (GARDASIL).

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