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This is VAERS ID 405381

(NOTE: This result is from the 9/14/2018 version of the VAERS database)

Case Details

VAERS ID: 405381 (history)  
Form: Version 1.0  
Age:   
Sex: Unknown  
Location: Foreign  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 2010-10-25
Entered: 2010-10-26
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / UNK UN / IM

Administered by: Unknown       Purchased by: Unknown
Symptoms: Death
SMQs:

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: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC Split Type: WAES1010PHL00038

Write-up: Information has been received from a physician concerning a friend of her patient who was vaccinated with GARDASIL. Subsequently the patient''s friend died. The cause of death was not reported. The patient decided to discontinue vaccination due to the incident. No further information is available. Attempts to confirm an identifiable patient had been unsuccessful.


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Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?SNAPSHOT=20180914&IDNUMBER=405381


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