Found 51 events with Sex is Female and Vaccine is HPV4 and Patient Died

VAERS ID: 275428   Vaccination Date: 2007-03-01 Age: 12.0   Onset Date: 2007-03-07   Days later: 6 Gender: Female   Submitted: 2007-04-02 State: New York   Entered: 2007-04-02	Life Threatening Illness? No Died? Yes (date died: 2007-03-08) Disability? No Recovered? No ER or Doctor Visit? No Hospitalized? No Current Illness: none Diagnostic Lab Data: ER LABS of 3/8/07: ABG pH 7.23, po2 62. Serum glucose 353, Creat 1.7, albumin 2.6, total protein 4.9, SGPT 62, SGOT 359. Blood c/s was neg. 2005 Cardiology LABS: echocardiogram revealed mild mitral valve & aortic valve insufficiency. Mi Previous Vaccinations: Other Medications: Preexisting Conditions: aortic and mitral valve insufficiency, unknown aetiology CDC 'Split Type':
Vaccination Manufacturer Lot Dose Route Site HEPA MERCK & CO. INC. 1280F 1 IM RA HPV4 MERCK & CO. INC. 0263U 0 IM LA VARCEL MERCK & CO. INC. 0943R 1 SC RA
Administered by: Unknown     Purchased by: Unknown Symptoms: Abdominal pain, Acidosis, Alanine aminotransferase increased, Aspartate aminotransferase increased, Autopsy, Blood albumin decreased, Blood creatinine increased, Blood culture negative, Blood gases abnormal, Blood glucose increased, Cardiomegaly, Chest X-ray abnormal, Cough, Echocardiogram abnormal, Gastroenteritis, Mitral valve incompetence, Myocarditis, Nervousness, Oxygen saturation decreased, Palpitations, Protein total decreased, Pyrexia, Rhinorrhoea, Ventricular tachycardia, Viral myocarditis Write-up: presented to ED with Ventricular tachycardia. Preliminary autopsy finding of myocarditis. 4/3/07 Spoke w/ME who stated prelim COD as acute myocarditis, presumably viral. States patient had PMH of heart murmur which was evaluated by ped cardiologist who found mild aortic & mitral valve insufficiency & regurgitation. ME states did not see evidence of that on autopsy but did find cardiomegaly. Also states patient had been taken to ER on day of death for abdominal pain w/fever & was dx w/gastroenteritis. CXR at that time revealed cardiomegaly. No EKG or cultures were done. Was d/c to home & continued to not feel well. Parent found patient in bathroom unresponsive at approx 2AM & was transported to a second ER where she expired. ME states patient had approx 2 week hx of cough & runny nose prior to death. 6/12/07 Received final Autopsy Report which reveals COD as acute probable viral etiology myocarditis & manner of death as natural. 6/29/07 Received ER records from hospital where patient expired which reveal patient was in respiratory arrest & had been intubated by EMS. ACLS measures were unsuccessful & patient pronounced. 8/24/07 Received cardiology consult which reveals patient evaluated for heart murmur in 2005 which had been diagnosed for long time but never evaluated. Patient admitted to palpitations & nervousness. Patient history did not reveal any evidence of rheumatic fever. Antibiotic endocarditis prophylaxis recommended prior to dental & surgical procedures. Patient was to f/u w/cardiology in 2-3 yearrs to document progress of valvular insufficiency. FINAL Cardiology DX: Aortic & mitral valve insufficiency of unknown etiology.
VAERS ID: 275438   Vaccination Date: 2007-03-12 Age: 19.0   Onset Date: 2007-03-26   Days later: 14 Gender: Female   Submitted: 2007-04-02 State: California   Entered: 2007-04-02	Life Threatening Illness? No Died? Yes (date died: 2007-03-26) Disability? No Recovered? No ER or Doctor Visit? Yes Hospitalized? No Current Illness: None Diagnostic Lab Data: echocardiogram, 03/26?/07, very enlarged right ventricle and small left ventricle as well as large blood clots (see narrative) Previous Vaccinations: Other Medications: Yasmin birth control pills; hormal contraceptives Preexisting Conditions: None PMH: contraception; Non-smoker CDC 'Split Type': WAES0705USA05011
Vaccination Manufacturer Lot Dose Route Site HPV4 MERCK & CO. INC. 0263U 0 IM LA
Administered by: Other     Purchased by: Other Symptoms: Convulsion, Cor pulmonale, Coronary artery thrombosis, Echocardiogram abnormal, Pulmonary congestion, Pulmonary embolism, Pulmonary oedema, Sudden cardiac death, Thrombosis Write-up: Given Gardasil vaccine dose #1 3/12/07. No adverse reaction reported. Collapsed and died on 3/26/07 secondary emboli (records unavailable). 4/3/07 Spoke w/investigating deputy who stated autopsy done at Medical Center. T/C to physician at Medical Center who is actually a cardiologist, not pathologist, who had responded to the code & pronounced. Spoke w/secretary who states from Death Certificate COD is sudden cardiac death and pulmonary embolism. Echocardiogram revealed very enlarged right ventricle & small left ventricle as well as large blood clots within both the right atrium & right ventricle. 6/25/07 Received Autopsy Report which reveals following anatomic diagnosis: 1. Pulmonary embolism, occlusive a. pulmonary trunk, left hilar & peripheral vessels b. acute cor pulmonale (by echocardiogram) 2. Pulmonary congestion & edema, bilatera a. no evidence of anomalous coronary artery distribution b. no evidence of ventricular dysplasia This is in follow-up to report(s) previously submitted on 6/11/2007. Information has been received on request from the FDA under the Freedom of Information Act and from a physician who presented at the "Global Advisory Committee on Vaccine Safety World Health Organizaqtion" concerning a 19 year female nonsmoker with no history who on 12-MAR-2007 was vaccinated IM into the left arm with a first dose of GARDASIL lot #655849/0263U). Concomitant therapy included oral contraceptives. There was no adverse reaction reported. Subsequently on 26-MAR-2007 the patient, while exercising on a field collapsed, began convulsing and died secondary to emboli. An autopsy was done and on the death certificate the following is documented "sudden cardiac death and pulmonary embolisem." An Echocardiogram revealed a very enlarged right ventricle and small left ventricle as well as large blood clots within both the right atrium and right ventricle. Coronary artery thrombosis and thrombosis were alsor reported. Upon internal review convulsing was considered an other important medica
VAERS ID: 275990   Vaccination Date: 0000-00-00 Age:    Onset Date: 0000-00-00   Days later: Gender: Female   Submitted: 2007-04-10 State: Unknown   Entered: 2007-04-11	Life Threatening Illness? No Died? Yes (date died: 0000-00-00) Disability? No Recovered? No ER or Doctor Visit? Yes Hospitalized? No Current Illness: Diagnostic Lab Data: Unknown Previous Vaccinations: Other Medications: Unknown Preexisting Conditions: Unknown CDC 'Split Type': WAES0704USA00721
Vaccination Manufacturer Lot Dose Route Site HPV4 MERCK & CO. INC.       UN
Administered by: Other     Purchased by: Other Symptoms: Death, Thrombosis Write-up: Information has been received from a physician's assistant (PA), via a company representative, concerning a female patient who was vaccinated (date unspecified) with a dose of Gardasil the PA reported that "the patient died of a blood clot 3 hours after getting the Gardasil vaccine." The PA clarified that the patient was not vaccinated at her office. Additional information has been requested.
VAERS ID: 278865   Vaccination Date: 2007-03-02 Age: 15.0   Onset Date: 2007-03-01   Days later: -1 Gender: Female   Submitted: 2007-05-17 State: Arizona   Entered: 2007-05-17	Life Threatening Illness? Yes Died? Yes (date died: 2007-03-16) Disability? No Recovered? No ER or Doctor Visit? Yes Hospitalized? Yes, 10 days     Extended hospital stay? No Current Illness: Diagnostic Lab Data: Influenza B isolated by viral culture. Specimen sent to CDC for antigenic characterization. LABS: Throat & urine c/s neg. Blood & endotrachael c/s + for MRSA. Nasal swab + for influ B virus. Lymph node c/s were neg. from PCP office, St Previous Vaccinations: Other Medications: Topamax Preexisting Conditions: PMH: migraine headaches. Family HX: younger sister also w/strep neg sore throat. Letter from school that group A strep infections present. CDC 'Split Type':
Vaccination Manufacturer Lot Dose Route Site HPV4 MERCK & CO. INC. 1424F 1 IM LA
Administered by: Unknown     Purchased by: Unknown Symptoms: Acute respiratory distress syndrome, Blood culture positive, Chest pain, Cough, Culture throat negative, Culture urine negative, Influenza, Mechanical ventilation, Multi-organ failure, Myalgia, Nasal congestion, Pharyngolaryngeal pain, Pneumonia staphylococcal, Pyrexia, Respiratory failure, Rhinorrhoea, Sepsis, Staphylococcal infection, Streptococcal identification test, Viral test Write-up: Onset of symptoms on 3/1/07: fever, sore throat, cough, and myalgia. Respiratory failure on 3/6/07. 6/1/07 Received Death Certificate from epidemiologist which reveals COD asmultiorgan system failure and influenza B viral sepsis with contributing cause of staphyloccoccal secondary infection. Medical records included w/death certificate indicate patient was transferred to higher level of care on 3/6, was intubated & in PICU w/pneumonia & ARDS. Reportedly had been in good health until 3/1/07 when she developed sore throat, nasal congestion, rhinnorhea & low grade fever. COntinued to worsen & developed myalgias, chest pain & nonproductive cough w/higher fever. Seen by PCP on 3/5 & rapid strep was neg & dx was probable influenza. Sent home & developed nausea, vomiting & diarrhea as well as petechial rash over abdomen. Taken to outlying ER on 3/6 & found to be in respiratory failure, intubated & transferred to higher level of care. Respiratory status declined further & was placed on oscillator & ECMO. Peds ID consult done. Consult states had HPV vax at PCP on 3/2 & no other recent vaccines. 6/1/07 Received fax medical & vaccine records from CDC who had contacted provider. Reveals that on 1/2/07, patient received TDaP & HPV. On 3/2/07 received HPV #2. VAERS database updated w/same. On day of vax patient also dx w/right CTS, migraine HA, scoliosis. She was referred to Neuro & PT for the CTS & HA.
VAERS ID: 279592   Vaccination Date: 0000-00-00 Age:    Onset Date: 0000-00-00   Days later: Gender: Female   Submitted: 2007-05-24 State: Unknown   Entered: 2007-05-24	Life Threatening Illness? Yes Died? Yes (date died: 0000-00-00) Disability? Yes Recovered? No ER or Doctor Visit? Yes Hospitalized? No Current Illness: Diagnostic Lab Data: Previous Vaccinations: Other Medications: Unknown Preexisting Conditions: Unknown CDC 'Split Type': WAES0705USA01964
Vaccination Manufacturer Lot Dose Route Site HPV4 MERCK & CO. INC.     UN UN
Administered by: Other     Purchased by: Other Symptoms: Death, Thrombosis Write-up: Information has been received from a licensed visiting nurse via a nurse practitioner. The nurse practitioner was told by a friend that a female patient was vaccinated with Gardasil and two weeks alter developed a blood clot. Subsequently the patient died. The cause of death was from the blood clot. The reporting licensed visiting nurse considered the blood clot to be immediately life-threatening and disabling. Additional information has been requested.
VAERS ID: 280163   Vaccination Date: 2007-05-01 Age: 11.0   Onset Date: 2007-05-04   Days later: 3 Gender: Female   Submitted: 2007-05-31 State: Unknown   Entered: 2007-06-01	Life Threatening Illness? Yes Died? Yes (date died: 0000-00-00) Disability? No Recovered? No ER or Doctor Visit? Yes Hospitalized? No Current Illness: Diagnostic Lab Data: Previous Vaccinations: Other Medications: Unknown Preexisting Conditions: Unknown CDC 'Split Type': WAES0705USA04839
Vaccination Manufacturer Lot Dose Route Site HPV4 MERCK & CO. INC.   0 UN UN
Administered by: Other     Purchased by: Other Symptoms: Anaphylactic reaction, Cardiac arrest, Death Write-up: Information has been received from a nurse practitioner who heard from an emergency room (ER) nurse that an 11 year old female was vaccinated "within in the past month" in approximately May 2007 with a first dose of Gardasil. Subsequently, 3 days after vaccination the patient presented to an ER. She experienced cardiac arrest, required lung bypass (ECMO) and "may not have expired." It was also reported by the same nurse that the physician from the hospital said that "the death was due to an anaphylactic reaction to Gardasil." The anaphylactic reaction and cardiac arrest were considered to be life threatening by the reporter. Additional information has been requested.
VAERS ID: 287888   Vaccination Date: 2007-05-21 Age: 22.0   Onset Date: 2007-05-23   Days later: 2 Gender: Female   Submitted: 2007-08-10 State: Unknown   Entered: 2007-08-13	Life Threatening Illness? No Died? Yes (date died: 2007-05-23) Disability? No Recovered? No ER or Doctor Visit? Yes Hospitalized? No Current Illness: Diagnostic Lab Data: autopsy - no findings Previous Vaccinations: Other Medications: hormonal contraceptives Preexisting Conditions: None 7/2/08-records received-HX of heroin and prescription drug abuse. CDC 'Split Type': WAES0708USA00407
Vaccination Manufacturer Lot Dose Route Site HPV4 MERCK & CO. INC. 0389U   IM UN
Administered by: Other     Purchased by: Other Symptoms: Adverse drug reaction, Autopsy, Death, Drug screen positive Write-up: Information has been received from a nurse practitioner concerning a 22 year old female patient with no pertinent medical history or drug allergies who on 21-MAY-2007, was vaccinated IM with a 0.5ml dose of Gardasil (Lot# 657736/0389U). Concomitant therapy included hormonal contraceptives (unspecified) ("MERCET"). On 23-MAY-2007, the patient died suddenly. The cause of death was unknown. Unspecified medical attention was sought. Laboratory diagnostic studies included an autopsy which showed no findings. No product quality complaint was involved. The reporter stated that Gardasil did not cause the patient's death. Additional information is not expected. 7/2/08-records received-Adverse effect of drugs.Toxicology survey findings:urine positive for methadone, benzodiazepines, benzoylecgonine (from cocaine), cannabinoids, nicotine, diphenhydramine and naproxen.
VAERS ID: 291804   Vaccination Date: 2007-07-13 Age: 17.0   Onset Date: 2007-09-01   Days later: 50 Gender: Female   Submitted: 2007-10-01 State: Ohio   Entered: 2007-10-02	Life Threatening Illness? No Died? Yes (date died: 2007-09-19) Disability? No Recovered? No ER or Doctor Visit? No Hospitalized? No Current Illness: IDDM, uncontrolled. Smoker. anemia. Diagnostic Lab Data: Unknown Vitreous glucose 667 (H). Previous Vaccinations: Other Medications: Unknown Preexisting Conditions: Unknown PMH: IDDM, uncontrolled. Smoker. Right buttock abscess 8/31/07. Anemia. Father w/diabetes. ALLERGIES: PCN, cipro, ultram (hives). CDC 'Split Type': WAES0709USA04400
Vaccination Manufacturer Lot Dose Route Site HPV4 MERCK & CO. INC. 1427F 1 UN LA
Administered by: Other     Purchased by: Other Symptoms: Blood glucose increased, Death, Diabetic ketoacidosis, Pulse absent, Resuscitation, Unresponsive to stimuli, Vomiting Write-up: Information has been received from a physician concerning a female who on an unknown date was vaccinated with the first dose of Gardasil (yeast, unknown lot number) and in July 2007, was vaccinated with the second dose of Gardasil. In September 2007, the patient died. No further details or symptoms were known regarding the patient's death. The physician mentioned that an autopsy would be done however, had not received the results yet. The reporting physician felt that the patient's death was not related to therapy with Gardasil. Additional information has been requested. 10/11/2007 Patient demographics provided by CDC. 10/15/07 Received vax record from pcp. VAERS database updated w/same. 10/15/07 Received pcp & hospital medical records from CDC which reveal patient experienced vomiting with elevated blood sugars who became unresponsive & pulseless. CPR started & taken to ER on 9/19/07. Resuscitation was unsuccessful & patient pronounced 9/19/07. 10/26/07 Reviewed autopsy report which reveals COD as diabetic ketoacidosis & manner of death as natural. Patient had been found by parent unresponsive at home. History of severe diabetes mellitus. Vitreous glucose 667 (H).
VAERS ID: 293388   Vaccination Date: 2007-06-13 Age: 18.0   Onset Date: 2007-10-06   Days later: 115 Gender: Female   Submitted: 2007-10-12 State: New York   Entered: 2007-10-17	Life Threatening Illness? No Died? Yes (date died: 2007-10-08) Disability? No Recovered? No ER or Doctor Visit? No Hospitalized? No Current Illness: Diagnostic Lab Data: 07/Oct/2007: Brain CT showed meningococcal disease ER LABS: CT scan & CXR WNL. WBC 14.9 (H), Neutros 87.2 (H), lymphs 6.4 (L). Creatinine 1.2 (H), ALT 27 (L). CSF WBC 4455 (H), RBC 171 (H), neutros 100% (H), glucose 29 (L), protein 371 Previous Vaccinations: Other Medications: Preexisting Conditions: Medical history and concomitant medications not reported; it was unknown if the patient was ill at time of vaccination. CDC 'Split Type': 200703414
Vaccination Manufacturer Lot Dose Route Site HPV4 MERCK & CO. INC. 0389U 1 UN RA
Administered by: Other     Purchased by: Other Symptoms: Alanine aminotransferase decreased, Back pain, Blood creatinine increased, Blood culture negative, Brain death, Brain herniation, Brain oedema, Bronchoscopy, C-reactive protein increased, CSF culture positive, CSF glucose decreased, CSF neutrophil count increased, CSF pressure increased, CSF protein increased, CSF white blood cell count increased, Chest X-ray normal, Chills, Computerised tomogram abnormal, Culture urine negative, Death, Echocardiogram normal, Encephalitis, Headache, Intubation, Lumbar puncture, Lymphocyte count decreased, Malaise, Meningitis meningococcal, Mydriasis, Nausea, Neck pain, Neutrophil count increased, Pallor, Photophobia, Posturing, Pupil fixed, Pyrexia, Red blood cells CSF positive, White blood cell count increased Write-up: This case was received from a health care professional on 10 October 2007. Additional information was received from a newspaper article. An 18-year-old female patient received a meningococcal vaccine (name, manufacturer, and lot number not reported) on an unspecified date. The patient, who was a college freshman, travelled on 05 October 2007 to visit her family for the weekend. She reportedly felt "slightly ill" upon her arrival, and subsequently took an aspirin and went to bed, awakening at 1:30pm the following afternoon 'appearing refreshed". She became feverish again that night, and awoke at 1:00am the morning of 07 October 2007 with chills and a severe headache, complaining that "my head is about to explode". She was taken to a local hospital, where a CAT scan of the brain revealed meningococcal disease in her brain and brain stem. She was immediately transferred to another hospital, and died that evening of 07 October 2007 due to complications of meningitis. The health department noted that "lab tests have not yet confirmed the strain of meningitis" but that it was "likely the type not prevented by the vaccination". Past medical history and concomitant medications were unknown: it was not known if the patient was ill at the time of vaccination. 10/18/07 Patient name received from FDA. 10/18/07 Received death certificate from funeral home which states COD as brain death due to cerebral herniation and meningoencephalitis. 10/26/07 Received vax record from pcp which indicates patient received HPV & Menactra on 5/10/2007. VAERS database updated w/same. Vax record indicates patient also received 2nd dose of HPV 6/13/2007, Lot # 0523U, left arm. 11/27/07 Reviewed hospital medical records which reveal patient experienced HA, fever & neck pain x 1 day. Had come home from college 10/5 & developed chills next day. Seen in outlying ER where LP showed high pressure, grossly purulent CSF growing meningococcus. Intubated & IV antibiotics started & transferred to higher level of care. Neurosurgery & ID consults don
VAERS ID: 297528   Vaccination Date: 2007-09-15 Age: 12.0   Onset Date: 2007-10-06   Days later: 21 Gender: Female   Submitted: 2007-11-20 State: Unknown   Entered: 2007-11-23	Life Threatening Illness? Yes Died? Yes (date died: 2007-10-06) Disability? No Recovered? No ER or Doctor Visit? No Hospitalized? No Current Illness: Diagnostic Lab Data: Unknown Previous Vaccinations: Other Medications: Unknown Preexisting Conditions: Unknown CDC 'Split Type': WAES0711USA02619
Vaccination Manufacturer Lot Dose Route Site HPV4 MERCK & CO. INC.     UN UN
Administered by: Unknown     Purchased by: Unknown Symptoms: Death Write-up: Information has been received from a physician's assistant concerning a 12 year old female with no reported medical history who on approximately 15-SEP-2007 was vaccinated with Gardasil. It was noted that this was not where the vaccine was administered, rather they were the patient's family physician. On 06-OCT-2007 the patient died in her sleep. No further information was provided. No lot number was given. Additional information has been requested.
VAERS ID: 300066   Vaccination Date: 2007-11-12 Age: 26.0   Onset Date: 0000-00-00   Days later: Gender: Female   Submitted: 2007-12-14 State: Texas   Entered: 2007-12-17	Life Threatening Illness? No Died? Yes (date died: 2007-11-25) Disability? No Recovered? No ER or Doctor Visit? No Hospitalized? No Current Illness: Obesity Diagnostic Lab Data: Unknown Previous Vaccinations: Other Medications: Unknown Preexisting Conditions: Asthma, morbid obesity, smoker, occasional ETOH. OCP unknown CDC 'Split Type': WAES0712USA02658
Vaccination Manufacturer Lot Dose Route Site HPV4 MERCK & CO. INC. 0106U 1 UN UN
Administered by: Other     Purchased by: Other Symptoms: Death, Deep vein thrombosis, Obesity, Pulmonary embolism Write-up: Information has been received from a physician concerning a large female who received one dose of Gardasil. Subsequently, the patient was found dead in her truck from a blood clot that traveled from her legs to her lungs. The cause of death was reported to be a blood clot. Additional information has been requested. 3/5/08 Autopsy states COD as pulmonary thromboembolus w/deep vein thrombosis of right leg & obesity as contributing factor.
VAERS ID: 305606   Vaccination Date: 2008-02-20 Age: 17.0   Onset Date: 2008-02-22   Days later: 2 Gender: Female   Submitted: 2008-02-25 State: New York   Entered: 2008-02-25	Life Threatening Illness? No Died? Yes (date died: 2008-02-22) Disability? No Recovered? No ER or Doctor Visit? No Hospitalized? No Current Illness: Diagnostic Lab Data: Previous Vaccinations: Other Medications: Yasmin daily birth control Preexisting Conditions: No known drug allergies CDC 'Split Type':
Vaccination Manufacturer Lot Dose Route Site HPV4 MERCK & CO. INC. 1968U 2 IM LA
Administered by: Private     Purchased by: Other Symptoms: Arrhythmia, Electrocardiogram QT prolonged, Fall, Laceration, Sudden death Write-up: Sudden unattended death. Autopsy results pending (inconclusive 2/25/08). 2/26/08 Reviewed pcp medical records & vax records which reveal patient received HPV#1 0469U 7/16/07 & HPV#2 09300 9/17/07. In 11/20/07, noted to have left sided head pain intermittently along with lightheadedness; dx w/tension HA. HPV#3 was scheduled for 1/16/2008 but postponed due to no parental signature. Returned to office 1/24/08 for left wrist pain from cheerleading injury s/p ER vs for same on 1/19/08. Patient last seen in office by nurse only on 2/20 for HPV #3, no notes for visit. PMH: kicked in face by horse in past (undated) & had contusion on cheek; acne vulgaris, started Yasmin & topicals 4/07 w/improvement after multiple other drug failures; 1/19/08 wrist contusion from cheerleading. 5/2/08 Autopsy report states COD as undetermined. Autopsy states patient had intermittent HAs x 2 mo & had been on BCP x 1 year for acne. Found w/small facial laceration from striking flower pot when fell. The autopsy was neg for all findings. Scene indicated sudden death from collapse & fall. Suspected long QT interval syndrome w/fatal arrhythmia rather than new onset seizure in patient w/no history of either. Suggested testing family members.
VAERS ID: 307394   Vaccination Date: 2007-03-01 Age: 13.0   Onset Date: 2007-05-25   Days later: 85 Gender: Female   Submitted: 2008-03-19 State: California   Entered: 2008-03-19	Life Threatening Illness? Yes Died? Yes (date died: 2009-03-15) Disability? Yes Recovered? No ER or Doctor Visit? Yes Hospitalized? Yes, 24 days     Extended hospital stay? Yes Current Illness: none Diagnostic Lab Data: EMG and nerve conduction studies suggest motor neuronopathy vs neuropathy 4/8/09-records received- EEG normal. MRI brain showed slightly prominent cerebellar fissures but otherwise normal. MRI spine normal. West Nile, hepatitis B were nega Previous Vaccinations: Other Medications: none Preexisting Conditions: none 4/8/08-recor ds received-PMH: attention deficit hyperactivity disorder and congenital strabismus. Migraines. Cognitive delay, developmental delay and motor delay. Allergies:strawberries cause an itch. In May sustained injury with pain in leg which improved but never returned completely to normal. 4/16/08-records received-PMH: Pityriasis lichennoides. Allergy to strawberries CDC 'Split Type':
Vaccination Manufacturer Lot Dose Route Site HPV4 MERCK & CO. INC. 0187U 2
Administered by: Unknown     Purchased by: Unknown Symptoms: Activities of daily living impaired, Asthenia, Blood creatine phosphokinase increased, Blood immunoglobulin M increased, Blood product transfusion, Blood triglycerides increased, Bronchopneumonia, CSF lymphocyte count increased, CSF monocyte count decreased, CSF protein increased, Convulsion, Demyelination, Dyspnoea, Dysstasia, Electroencephalogram normal, Electromyogram abnormal, Gait disturbance, Gastrostomy tube insertion, Headache, Hepatic steatosis, Hepatitis B antibody negative, Hypercalcaemia, Hypoxia, Limb injury, Lower motor neurone lesion, Mechanical ventilation, Motor neurone disease, Muscle atrophy, Muscular weakness, Nausea, Nerve conduction studies abnormal, Neuropathy, Nuclear magnetic resonance imaging brain abnormal, Paralysis flaccid, Plasmapheresis, Postictal state, Respiratory failure, Sleep apnoea syndrome, Tremor, Urinary incontinence, Urine analysis abnormal, Urine lactic acid increased Write-up: progressive muscle weakness resulting in flaccid paresis of all 4 extremities, respiratory insufficiency 4/8/08-records received for DOS 2/4-2/17/08-DC DX: autoimmune motor neuropathy, provisional. Possible motor neuron disease. Admission 3/14-3/25/08-DC DX: Muscular weakness. Seizures. Received IVIG, treated with plasmapheresis.Admitted with C/O progressive muscular weakness over the 3 weeks prior to admission increased immunomodulation. Seizure after completion of solumedrol. Remained post ictal for several hours. No diagnosis made during this admission.Genetic evaluation for mitrochondrial disease sent to include evaluation for Pompe disease. In May sustained injury with pain in leg which improved but never returned completely to normal. Developed worsening limping and loss of strength in distal left lower extremity. Between August and October of 2007 developed symptoms in right arm. Received IVIG at that time and again January 2008 with improvement in right handed tremor but worsening function status especially in ambulation, stair climbing and standing from seated position. Feb 4-17 2008 hospitalized received plasmapheresis with improved ability to stand for short periods. C/O headaches and nausea. She may have chronic inflammatory demyelinating myopathy versus a multifocal motor neuropathy. After discharge to follow up with specialist in ALS. 4/16/08-records received-for DOS 1/2-1/3/08-DC DX: Multifocal neuropathy versus chronic demyelinating polyneuropathy. LP: mildly elevated protein of 46 with normal glucose. Unable to perform activities of daily living. IVIG treatment. PE: left lower and right upper extremity weakness and atrophy with some mild weakness of right lower extremity. 4/16/08-clinical consult case review template received: CPK increased of 313 and slightly elevated anticardiolipin IgM of 20.3. DX: chronic inflammatory demyelinating polyneuropathy. 1/2/08-urinary incontinence may have been due to her reduced ability to mobilize given her leg weakness. Plasmapheresis. 3/14/08-admitted for
VAERS ID: 309233   Vaccination Date: 2007-04-27 Age: 12.0   Onset Date: 2007-06-22   Days later: 56 Gender: Female   Submitted: 2008-04-09 State: Unknown   Entered: 2008-04-10	Life Threatening Illness? No Died? Yes (date died: 2007-06-29) Disability? No Recovered? No ER or Doctor Visit? No Hospitalized? Yes, days     Extended hospital stay? No Current Illness: Diagnostic Lab Data: electrocardiogram Previous Vaccinations: Other Medications: LAMICTAL; KEPPRA; vitamins (unspecified) Preexisting Conditions: Convulsion; Arrhythmia CDC 'Split Type': WAES0804USA00429
Vaccination Manufacturer Lot Dose Route Site HEPA MERCK & CO. INC. 0250U 1   LA HPV4 MERCK & CO. INC. 0384U 1 UN LA
Administered by: Other     Purchased by: Other Symptoms: Arrhythmia, Brain death, Brugada syndrome, Convulsion, Death, Electrocardiogram, Electrocardiogram QT prolonged, Headache, Life support, Rash Write-up: Information has been received from a consumer concerning her 12 year old daughter with a history of seizures and heart arrhythmias, who on 25-JAN-2007 was vaccinated with a first dose of Gardasil. On 27-APRIL-2007 the patient was vaccinated with a second dose of Gardasil. Concomitant therapy included LAMICTAL, vitamins (unspecified) and KEPPRA. Subsequently, the patient began to have seizures, developed a rash on her arm, and was complaining about headaches. On 22-JUN-2007 the patient experienced a heart arrhythmia and was hospitalized. Due to the arrhythmia the patient was placed on life support and died on 29-JUN-2007. The patient's mother reported that the patient had an electrocardiogram (EKG) about 5 years ago to test for prolonged QT syndrome. The test came back normal. It was reported that at that time the patient was in and out of the emergency room due to having seizures periodically. The patient had been seeing a neurologist and had not had any seizures for about two years until she received the second dose of Gardasil. The patient's mother reported after her daughter's death and burial she had received copies of her daughter's medical records. Throughout the reports it showed that for the past five years the patient had prolonged QT syndrome, and proguda syndrome "which causes seizures and heart arrythmias." The patient's cause of death was prolonged QT syndrome, brain death, and proguda syndrome. No product quality complaint was involved. The seizures, rash, headaches, heart arrythmias, prolonged QT syndrome, brain death, and proguda syndrome were considered to be other important medical events. Additional information is not available.
VAERS ID: 310262   Vaccination Date: 2008-04-01 Age: 20.0   Onset Date: 2008-04-05   Days later: 4 Gender: Female   Submitted: 2008-04-17 State: North Carolina   Entered: 2008-04-21	Life Threatening Illness? No Died? Yes (date died: 2008-04-05) Disability? No Recovered? No ER or Doctor Visit? No Hospitalized? No Current Illness: Diagnostic Lab Data: autopsy, 04/??/08, ruled out suicide or anything suspicious; diagnostic laboratory, 04/??/08, toxicology results unknown. 7/16/09 Pathology report received Receipt 02/23/09 Sign-out 07/06/09. Single focus of mononuclear inflammation of th Previous Vaccinations: Other Medications: Unknown Preexisting Conditions: None CDC 'Split Type': WAES0804USA02336
Vaccination Manufacturer Lot Dose Route Site HPV4 MERCK & CO. INC. 1978U   UN UN
Administered by: Other     Purchased by: Other Symptoms: Autopsy, Biopsy heart abnormal, Biopsy liver abnormal, Biopsy lung abnormal, Death, Focal nodular hyperplasia, Hyperplasia, Inflammation, Polymerase chain reaction, Pulmonary congestion, Toxicologic test normal, Viral test negative Write-up: Information has been received from a physician concerning a 20 year old female with no medical history reported, who on 01-APR-2008 was vaccinated with a dose of Gardasil. On 05-APR-2008, the patient died four days after receiving Gardasil. The patient sought unspecified medical attention. An autopsy was performed which ruled out suicide and anything suspicious. The cause of death is currently unknown and they are performing toxicology tests to try to determine the cause. No product quality complaint was involved. The reportable physician considered death to be immediately life-threatening and disabling. Additional information has been requested.7/14/08-autopsy report received-COD:Undetermined. Died unexpectedly while working as a health aid. Postmortem examination reveals focal nodular hyperplasia in liver; this finding though significant, cannot accoutn for sudden death. There is no evidence of pregnancy. Toxicology analysis negative. Based on history, autopys, and toxicological examination, cause of death is undetermined.
VAERS ID: 316983   Vaccination Date: 2008-05-28 Age: 17.0   Onset Date: 2008-06-12   Days later: 15 Gender: Female   Submitted: 2008-06-16 State: New Hampshire   Entered: 2008-06-23	Life Threatening Illness? No Died? Yes (date died: 2008-06-12) Disability? No Recovered? No ER or Doctor Visit? No Hospitalized? No Current Illness: Diagnostic Lab Data: Previous Vaccinations: Other Medications: Preexisting Conditions: Seizures PMH: 'problems w/alcohol'. CDC 'Split Type':
Vaccination Manufacturer Lot Dose Route Site HPV4 MERCK & CO. INC. 0928U 0 UN LA
Administered by: Private     Purchased by: Other Symptoms: Convulsion, Cyanosis, Death, Mydriasis, Pallor, Pulmonary oedema, Pupil fixed, Unresponsive to stimuli, Urinary incontinence Write-up: Death 9/9/08 Death certificate states COD as idiopathic seizure disorder. 8/5/08 Reviewed ER medical records of 6/12/2008. Records reveal patient found unresponsive, prone on her bed when parent went to awake for school. Last seen at bedtime. Pupils fixed & dilated, cyanotic & pale, incontinent of urine, developed pulmonary edema during resuscitation. Unable to resuscitate.
VAERS ID: 317757   Vaccination Date: 2008-06-13 Age: 15.0   Onset Date: 2008-06-15   Days later: 2 Gender: Female   Submitted: 2008-06-27 State: Indiana   Entered: 2008-06-27	Life Threatening Illness? No Died? Yes (date died: 2008-06-15) Disability? No Recovered? No ER or Doctor Visit? No Hospitalized? No Current Illness: none Diagnostic Lab Data: toxicology and other test came back negative expect trace amount of nicotine (father heavy smoker) Previous Vaccinations: Other Medications: none Preexisting Conditions: overweight PMH: recurrent colds/sore throat, neg strep. CDC 'Split Type':
Vaccination Manufacturer Lot Dose Route Site HPV4 MERCK & CO. INC. 1447U 0 UN LA
Administered by: Unknown     Purchased by: Unknown Symptoms: Arrhythmia, Cardiomegaly, Cardiomyopathy, Cyanosis, Death, Left ventricular hypertrophy, Muscle rigidity, Obesity, Passive smoking, Pulmonary oedema, Splenomegaly, Toxicologic test normal, Unresponsive to stimuli Write-up: Death -coroner says enlarged heart & enlarge spleen 7/4/08 Reviewed PCP medical records of 1999-6/2008 which included vax record. In 8/2007, c/o of tiredness & loss of appetite. Monospot (-). On day of vax, patient was well, weight noted as 237, otherwise no complaints. 7/8/08 Autopsy report states COD as arrhythmia due to cardiomyopathy.States anatomic findings of obesity, pulmonary edema, mild & left ventricular hypertrophy w/myocardial nuclear enlargement. Patient had been found non-responsive by family. EMS found patient cyanotic w/rigor & no further resuscitation was performed. Family reported patient had been well earlier in the evening. Albuterol inhaler was found at scene but no suspicious features at scene.
VAERS ID: 318491   Vaccination Date: 0000-00-00 Age:    Onset Date: 0000-00-00   Days later: Gender: Female   Submitted: 2008-07-07 State: Unknown   Entered: 2008-07-08	Life Threatening Illness? Yes Died? Yes (date died: 0000-00-00) Disability? No Recovered? No ER or Doctor Visit? No Hospitalized? No Current Illness: Sulfonamide allergy Diagnostic Lab Data: Unknown Previous Vaccinations: Other Medications: Unknown Preexisting Conditions: CDC 'Split Type': WAES0806USA08737
Vaccination Manufacturer Lot Dose Route Site HPV4 MERCK & CO. INC.   1 UN UN
Administered by: Other     Purchased by: Other Symptoms: Death, Hypersensitivity Write-up: Information has been received from a physician who was told by a patient's mother that a female patient with a sulfa allergy who on an unspecified date was vaccinated with a first dose of GARDASIL (lot number, injection site and route not reported), which was well tolerated. On an unspecified date, the patient was vaccinated with a second dose of GARDASIL (lot number, injection site and route not reported). Subsequently the patient died. The cause of death was reported as allergic reaction to GARDASIL. The physician stated that the patient who died was not her patient and she knew no further details. Follow-up information was received from the physician who reported that a other of one of her patients had said to her, that she "thought" she read this report on the internet. The physician asked the patient's mother to find out where she read the report. The patient's mother could not find the report and did not know where to locate the source information. Additional information has been requested.
VAERS ID: 319533   Vaccination Date: 2008-06-03 Age: 21.0   Onset Date: 2008-06-20   Days later: 17 Gender: Female   Submitted: 2008-07-17 State: Maryland   Entered: 2008-07-17	Life Threatening Illness? No Died? Yes (date died: 2008-06-20) Disability? No Recovered? No ER or Doctor Visit? No Hospitalized? No Current Illness: none Diagnostic Lab Data: none - apparently healthy young woman 8/22/08-records received-cardiac blood neg for ethanol; urine (+) for ethanol=16 mg/dl; liver (+) for acetaldehyde (incidental finding). 3/5/09-records received-pap smear normal. 2/4/09-records recei Previous Vaccinations: Other Medications: none Preexisting Conditions: reported allergy to penicillin and cephid 3/5/09-records received-Allergic to penicillin. CDC 'Split Type':
Vaccination Manufacturer Lot Dose Route Site HPV4 MERCK & CO. INC. 0053X 2 IM LA
Administered by: Unknown     Purchased by: Unknown Symptoms: Autopsy, Cardiac arrest, Cardiac enzymes normal, Death, Echocardiogram, Electrocardiogram abnormal, Full blood count normal, Heart rate irregular, Laboratory test normal, Physical examination normal, Pulmonary haemorrhage, Pulmonary oedema, Smear cervix normal, Spleen disorder, Splenomegaly, Supraventricular extrasystoles, Urine alcohol test positive Write-up: Pt received her 3rd and final dose of HPV vaccine on 6/3/08. Per mother patient was found dead, in bed on 6/22/08, in her dorm room at an out-of-state college. According to the autopsy the patient had been dead for about 48 hours. According to mother autopsy was negative except for splenic inflammation. 8/22/08 Autopsy report also states Final Diagnoses: Cardiac arrest, cause undetermined w/recent history of PAC w/otherwise normal EKG; normal echocardiogram 2/08; no evidence of myocarditis; acute pulmonary edema; slight splenomegaly; cardiac blood neg for ethanol; urine (+) for ethanol=16 mg/dl; liver (+) for acetaldehyde (incidental finding). 3/5/09-records received for DOS 8/22/07-seen for routine visit and first annual pap test..PE normal. First HPV vaccine administered. 2/4/09-records received for DOS 11/20/07-C/O chronic PAC and irregular heart beat.
VAERS ID: 319810   Vaccination Date: 2007-08-06 Age: 15.0   Onset Date: 2007-09-20   Days later: 45 Gender: Female   Submitted: 2008-07-18 State: Illinois   Entered: 2008-07-21	Life Threatening Illness? Yes Died? Yes (date died: 2007-09-20) Disability? Yes Recovered? No ER or Doctor Visit? Yes Hospitalized? No Current Illness: Diagnostic Lab Data: Unknown. Labs and Diagnostics: Tox screen (-). Previous Vaccinations: Other Medications: Unknown Preexisting Conditions: Unknown. PMH: 1 prior seizure 8/2007. 4/28/09 Additional records received from PCP at CDC's request. Pt in for OV 1/30/07 with c/o allergy sx and requesting HPV#1-given 0012U. Returned 3/22/07 for HPV#2-given 1427F with Boostrix AC52B012AA. Mild URI 4/25/07. OV 6/12/07 in F/U to ER visit for seizure on 6/11/07. Syncope noted. Sent for tests. OV 6/28/07 Echo and blood work repor CDC 'Split Type': WAES0807USA02139
Vaccination Manufacturer Lot Dose Route Site HPV4 MERCK & CO. INC. 0012U 2 UN UN
Administered by: Other     Purchased by: Other Symptoms: Cardiac arrest, Convulsion, Death, Fall, Mydriasis, Pulmonary congestion, Pulmonary oedema, Pulse absent, Pupil fixed, Respiration abnormal, Syncope, Toxicologic test normal, Unresponsive to stimuli, Ventricular fibrillation, Visceral congestion Write-up: Information has been received from a certified medical assistant concerning a 14 year old female who was vaccinated with a first dose of GARDASIL and experienced syncope. She was taken to an emergency room and released. The patient was vaccinated with a second dose of GARDASIL (unspecified time). Subsequently, the patient experienced her first seizure (unspecified time) and was taken to the emergency room (no further details provided). The patient was vaccinated with a third dose of GARDASIL at 15 years old. Approximately 27-JUN-2008, two weeks after the third dose, the patient developed a complication. She was taken to the hospital by ambulance but passed away during the transport from an unknown cause. The physician has asked the mother for the autopsy report. The reporting medical assistant considered the syncope, seizure and "a complication" were considered to be immediately life-threatening and disabling. Additional information has been requested. 2/13/09 Autopsy report received. COD: Seizure Disorder. Summary Diagnoses: Clinical history of seizure disorder. Pulmonary congestion and edema. Passive visceral congestion. 2/20/2009 ER received from CDC. Pt presented to ER via EMS following witnessed seizure activity with fall from standing. Upon EMS arrival pt had agonal respirations and was pulseless in V-fib at 650. Upon arrival in ER unresponsive, pupils fixed and dilated, no cardiac activity. Resuscitation unsuccessful and pt expired.