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This is VAERS ID 391339

(NOTE: This result is from the 6/14/2014 version of the VAERS database)

Case Details

VAERS ID: 391339 (history)  
Form: Version .0  
Age: 16.0  
Sex: Female  
Location: Foreign  
Submitted: 2010-06-23
Entered: 2010-06-24
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Unknown       Purchased by: Unknown
Symptoms: Death, Ovarian cancer
SMQs:, Malignant tumours (narrow), Ovarian malignant tumours (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 0000-00-00
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC Split Type: WAES1006USA03011

Write-up: Information has been received from a physician via CSL as part of a business agreement (manufacturer control # 20100617KC1) concerning a 16 year old female who on an unspecified date was vaccinated with a dose of GARDASIL (lot # not reported). After the GARDASIL vaccination, 3 months later, the patient died of ovarian cancer. The patient was treated at a women''s hospital. The physician stated that there was no causal relationship between the vaccine and death. Additional information has been requested.

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