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This is VAERS ID 863282

Case Details

VAERS ID: 863282 (history)  
Form: Version 2.0  
Sex: Male  
Location: Unknown  
Submitted: 0000-00-00
Entered: 2020-02-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Unknown       Purchased by: ?
Symptoms: Death, Product use in unapproved indication
SMQs:, Medication errors (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Wart
Preexisting Conditions: This report does not have medical codes at this time
Allergies: This report does not have medical codes at this time
Diagnostic Lab Data: This report does not have medical codes at this time
CDC Split Type: US0095075131912USA012728

Write-up: HPV vaccine used for hands warts; This literature marketed report has been received from the authors of the published article, titled as stated above concerning a 50 year old male patient. The patient''s pertinent medical history included therapy with liquid nitrogen, curettage and topical fluoracil (reported as 5-FU). The patient''s current conditions and concomitant medications were not reported. On an unspecified date, the patient was vaccinated with quadrivalent human papillomavirus (types 6,11,16,18) recomb. vaccine (manufacturer unknown) for hands warts (product use in unapproved indication) (strength, dose, frequency, route of administration, lot number and expiration date were not reported). The authors informed that on an unspecified date, the patient died due to natural causes. A copy of the published article is attached as further documentation of the patient''s experience. This is one of several reports received from the same literature. Sender''s Comments: US-009507513-1912USA001729:

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