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This is VAERS ID 619116

(NOTE: This result is from the 2/14/2016 version of the VAERS database)

Case Details

VAERS ID: 619116 (history)  
Form: Version .0  
Age:   
Sex: Male  
Location: Unknown  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 2016-01-15
Entered: 2016-01-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / UN

Administered by: Other       Purchased by: Other
Symptoms: Bone cancer, Death, Incorrect route of drug administration
SMQs:, 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: No other medications
Current Illness: Unknown
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: WAES1601USA004692

Write-up: Information has been received from a physician via company representative referring to a male patient of unknown age. The patient''s pertinent medical history and drug allergies were not reported. On an unknown date the patient was vaccinated with a dose of GARDASIL (lot#, dose and strength unknown) subdermally. Later the patient died from bone cancer on an unknown date. It was unknown if autopsy was done. Causality was not provided. Additional information has been requested.


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Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?SNAPSHOT=20160214&IDNUMBER=619116


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