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This is VAERS ID 867218

Case Details

VAERS ID: 867218 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Unknown  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 0000-00-00
Entered: 2020-04-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / UNK - / -

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:
Allergies:
Diagnostic Lab Data:
CDC Split Type: US0095075131912USA012728

Write-up: HPV vaccine used for hands warts; Literature Report:. 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 patient''s immune status was reported as none. The patient was followed up for treatment for 2 months. 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. Follow-up information was received via telephone call on 02-APR-2020. A request was made for patient identifiers, events experienced and causal relationships.; Sender''s Comments: US-009507513-1912USA001729:


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