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This is VAERS ID 320909

(NOTE: This result is from the 12/31/2008 version of the VAERS database)

Case Details

VAERS ID: 320909 (history)  
Form: Version .0  
Age: 21.0  
Sex: Female  
Location: Unknown  
Submitted: 2008-07-30
Entered: 2008-07-31
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Other       Purchased by: Unknown
Symptoms: Death, Fatigue, Injection site pain, Viral infection
SMQs:, Extravasation events (injections, infusions and implants) (broad)

Life Threatening? Yes
Birth Defect? No
Died? Yes
   Date died: 0000-00-00
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC Split Type:

Write-up: Information has been received from a physician concerning a 22 year old female who on an unspecified date was vaccinated with her third dose of GARDASIL. Subsequently the patient experienced soreness at the injection site and fatigue. The outcome of soren"ess at the injection site and fatigue was not reported. Two months after receiving her third dose of GARDASIL, the patient died. The cause of death was /"viral insult to the heart/". Unspecified medical attention was sought. Follow-up information was rece

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