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This is VAERS ID 704312

History of Changes from the VAERS Wayback Machine

First Appeared on 11/14/2017

VAERS ID: 704312
VAERS Form:2
Age:
Sex:Female
Location:Foreign
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:0000-00-00
Entered:2017-07-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / UNK - / UN

Administered by: Unknown      Purchased by: ??
Symptoms: Death

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': IL0095075131707ISR006967

Write-up: This spontaneous report as received from a consumer refers to a female patient of unknown age. On an unknown date the patient was vaccinated with GARDASIL (vaccination date, dose, lot#, route not provided) for prophylaxis. On an unknown date the patient died hours after receiving GARDASIL. It was unknown if autopsy was done. The causality was unknown. Upon internal review, death was considered as medically significant.


Changed on 2/14/2018

VAERS ID: 704312 Before After
VAERS Form:2
Age:
Sex:Female
Location:Foreign
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:0000-00-00
Entered:2017-07-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / UNK - / UN

Administered by: Unknown      Purchased by: ??
Symptoms: Death

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': IL0095075131707ISR006967

Write-up: This spontaneous report as received from a consumer refers to a female patient of unknown age. On an unknown date the patient was vaccinated with GARDASIL (vaccination date, dose, lot#, route not provided) for prophylaxis. On an unknown date the patient died hours after receiving GARDASIL. It was unknown if autopsy was done. The causality was unknown. Upon internal review, death was considered as medically significant.


Changed on 6/14/2018

VAERS ID: 704312 Before After
VAERS Form:2
Age:
Sex:Female
Location:Foreign
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:0000-00-00
Entered:2017-07-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / UNK - / UN

Administered by: Unknown      Purchased by: ??
Symptoms: Death

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': IL0095075131707ISR006967

Write-up: This spontaneous report as received from a consumer refers to a female patient of unknown age. On an unknown date the patient was vaccinated with GARDASIL (vaccination date, dose, lot#, route not provided) for prophylaxis. On an unknown date the patient died hours after receiving GARDASIL. It was unknown if autopsy was done. The causality was unknown. Upon internal review, death was considered as medically significant.


Changed on 8/14/2018

VAERS ID: 704312 Before After
VAERS Form:2
Age:
Sex:Female
Location:Foreign
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:0000-00-00
Entered:2017-07-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / UNK - / UN

Administered by: Unknown      Purchased by: ??
Symptoms: Death

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': IL0095075131707ISR006967

Write-up: This spontaneous report as received from a consumer refers to a female patient of unknown age. On an unknown date the patient was vaccinated with GARDASIL (vaccination date, dose, lot#, route not provided) for prophylaxis. On an unknown date the patient died hours after receiving GARDASIL. It was unknown if autopsy was done. The causality was unknown. Upon internal review, death was considered as medically significant.


Changed on 9/14/2018

VAERS ID: 704312 Before After
VAERS Form:2
Age:
Sex:Female
Location:Foreign
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:0000-00-00
Entered:2017-07-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / UNK - / UN

Administered by: Unknown      Purchased by: ??
Symptoms: Death

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': IL0095075131707ISR006967

Write-up: This spontaneous report as received from a consumer refers to a female patient of unknown age. On an unknown date the patient was vaccinated with GARDASIL (vaccination date, dose, lot#, route not provided) for prophylaxis. On an unknown date the patient died hours after receiving GARDASIL. It was unknown if autopsy was done. The causality was unknown. Upon internal review, death was considered as medically significant.


Changed on 10/14/2018

VAERS ID: 704312 Before After
VAERS Form:2
Age:
Sex:Female
Location:Foreign
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:0000-00-00
Entered:2017-07-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / UNK - / UN

Administered by: Unknown      Purchased by: ??
Symptoms: Death

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': IL0095075131707ISR006967

Write-up: This spontaneous report as received from a consumer refers to a female patient of unknown age. On an unknown date the patient was vaccinated with GARDASIL (vaccination date, dose, lot#, route not provided) for prophylaxis. On an unknown date the patient died hours after receiving GARDASIL. It was unknown if autopsy was done. The causality was unknown. Upon internal review, death was considered as medically significant.


Changed on 12/24/2020

VAERS ID: 704312 Before After
VAERS Form:2
Age:
Sex:Female
Location:Foreign
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:0000-00-00
Entered:2017-07-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / UNK - / UN

Administered by: Unknown      Purchased by: ??
Symptoms: Death

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': IL0095075131707ISR006967

Write-up: This spontaneous report as received from a consumer refers to a female patient of unknown age. On an unknown date the patient was vaccinated with GARDASIL (vaccination date, dose, lot#, route not provided) for prophylaxis. On an unknown date the patient died hours after receiving GARDASIL. It was unknown if autopsy was done. The causality was unknown. Upon internal review, death was considered as medically significant.


Changed on 12/30/2020

VAERS ID: 704312 Before After
VAERS Form:2
Age:
Sex:Female
Location:Foreign
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:0000-00-00
Entered:2017-07-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / UNK - / UN

Administered by: Unknown      Purchased by: ??
Symptoms: Death

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': IL0095075131707ISR006967

Write-up: This spontaneous report as received from a consumer refers to a female patient of unknown age. On an unknown date the patient was vaccinated with GARDASIL (vaccination date, dose, lot#, route not provided) for prophylaxis. On an unknown date the patient died hours after receiving GARDASIL. It was unknown if autopsy was done. The causality was unknown. Upon internal review, death was considered as medically significant.

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https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=704312&WAYBACKHISTORY=ON


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