National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 721865

History of Changes from the VAERS Wayback Machine

First Appeared on 2/14/2018

VAERS ID: 721865
VAERS Form:2
Age:15.0
Sex:Female
Location:Foreign
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:0000-00-00
Entered:2017-10-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 2 UN / UN

Administered by: Unknown      Purchased by: ??
Symptoms: Completed suicide, Death, Depression, Headache, Lethargy, Photophobia, Tinnitus, Mobility decreased

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00
Permanent Disability? Yes
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': PH0095075131710PHL008472

Write-up: This spontaneous report was received from a consumer, via an Internet journal, and refers to a 15 year old female patient. The patient''s concurrent conditions, medical history and concomitant therapies were not reported. It was reported that prior to the vaccine, she was healthy and active, and rarely missed a day of school. On an unknown date, the patient was vaccinated with the second dose of GARDASIL prophylaxis (strength, dose, route, frequency, lot/batch # and expiration date were not reported) by doctor''s recommendation. On an unknown date, after received the second dose of GARDASIL, she became very lethargic and could hardly get out of bed, suffering from horrible headaches. They had to black out the light in her room because of the pain it caused, and she did not leave her bed for days; the family had to hire a teacher to teach her sophomore year of high school since she could not leave her home (unspecified dates). After starting a very strict diet that an alternative health practitioner recommended, the family had some hope that she could recover, but she battled depression, and it was learned from her journals, after her death, that she had a constant buzzing sound in her head. She had tried every anti-depressant drug on the market without success. On an unknown date, the patient committed suicide (completed suicide), cause of death was commits suicide, it was unknown if an autopsy was performed. The outcome of disability, headache, tinnitus, depression, photophobia and lethargy was not reported. The causality between committed suicide, disability, headache, tinnitus, depression, photophobia and lethargy with GARDASIL was not reported. Upon internal review, committed suicide and disability was determined to be medically significant events.; Reported Cause(s) of Death: Commits suicide.


Changed on 6/14/2018

VAERS ID: 721865 Before After
VAERS Form:2
Age:15.0
Sex:Female
Location:Foreign
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:0000-00-00
Entered:2017-10-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 2 UN / UN

Administered by: Unknown      Purchased by: ??
Symptoms: Completed suicide, Death, Depression, Headache, Lethargy, Photophobia, Tinnitus, Mobility decreased

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00
Permanent Disability? Yes
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': PH0095075131710PHL008472

Write-up: This spontaneous report was received from a consumer, via an Internet journal, and refers to a 15 year old female patient. The patient''s concurrent conditions, medical history and concomitant therapies were not reported. It was reported that prior to the vaccine, she was healthy and active, and rarely missed a day of school. On an unknown date, the patient was vaccinated with the second dose of GARDASIL prophylaxis (strength, dose, route, frequency, lot/batch # and expiration date were not reported) by doctor''s recommendation. On an unknown date, after received the second dose of GARDASIL, she became very lethargic and could hardly get out of bed, suffering from horrible headaches. They had to black out the light in her room because of the pain it caused, and she did not leave her bed for days; the family had to hire a teacher to teach her sophomore year of high school since she could not leave her home (unspecified dates). After starting a very strict diet that an alternative health practitioner recommended, the family had some hope that she could recover, but she battled depression, and it was learned from her journals, after her death, that she had a constant buzzing sound in her head. She had tried every anti-depressant drug on the market without success. On an unknown date, the patient committed suicide (completed suicide), cause of death was commits suicide, it was unknown if an autopsy was performed. The outcome of disability, headache, tinnitus, depression, photophobia and lethargy was not reported. The causality between committed suicide, disability, headache, tinnitus, depression, photophobia and lethargy with GARDASIL was not reported. Upon internal review, committed suicide and disability was determined to be medically significant events.; Reported Cause(s) of Death: Commits suicide.


Changed on 8/14/2018

VAERS ID: 721865 Before After
VAERS Form:2
Age:15.0
Sex:Female
Location:Foreign
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:0000-00-00
Entered:2017-10-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 2 UN / UN

Administered by: Unknown      Purchased by: ??
Symptoms: Completed suicide, Death, Depression, Headache, Lethargy, Photophobia, Tinnitus, Mobility decreased

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00
Permanent Disability? Yes
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': PH0095075131710PHL008472

Write-up: This spontaneous report was received from a consumer, via an Internet journal, and refers to a 15 year old female patient. The patient''s concurrent conditions, medical history and concomitant therapies were not reported. It was reported that prior to the vaccine, she was healthy and active, and rarely missed a day of school. On an unknown date, the patient was vaccinated with the second dose of GARDASIL prophylaxis (strength, dose, route, frequency, lot/batch # and expiration date were not reported) by doctor''s recommendation. On an unknown date, after received the second dose of GARDASIL, she became very lethargic and could hardly get out of bed, suffering from horrible headaches. They had to black out the light in her room because of the pain it caused, and she did not leave her bed for days; the family had to hire a teacher to teach her sophomore year of high school since she could not leave her home (unspecified dates). After starting a very strict diet that an alternative health practitioner recommended, the family had some hope that she could recover, but she battled depression, and it was learned from her journals, after her death, that she had a constant buzzing sound in her head. She had tried every anti-depressant drug on the market without success. On an unknown date, the patient committed suicide (completed suicide), cause of death was commits suicide, it was unknown if an autopsy was performed. The outcome of disability, headache, tinnitus, depression, photophobia and lethargy was not reported. The causality between committed suicide, disability, headache, tinnitus, depression, photophobia and lethargy with GARDASIL was not reported. Upon internal review, committed suicide and disability was determined to be medically significant events.; Reported Cause(s) of Death: Commits suicide.


Changed on 9/14/2018

VAERS ID: 721865 Before After
VAERS Form:2
Age:15.0
Sex:Female
Location:Foreign
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:0000-00-00
Entered:2017-10-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 2 UN / UN

Administered by: Unknown      Purchased by: ??
Symptoms: Completed suicide, Death, Depression, Headache, Lethargy, Photophobia, Tinnitus, Mobility decreased

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00
Permanent Disability? Yes
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': PH0095075131710PHL008472

Write-up: This spontaneous report was received from a consumer, via an Internet journal, and refers to a 15 year old female patient. The patient''s concurrent conditions, medical history and concomitant therapies were not reported. It was reported that prior to the vaccine, she was healthy and active, and rarely missed a day of school. On an unknown date, the patient was vaccinated with the second dose of GARDASIL prophylaxis (strength, dose, route, frequency, lot/batch # and expiration date were not reported) by doctor''s recommendation. On an unknown date, after received the second dose of GARDASIL, she became very lethargic and could hardly get out of bed, suffering from horrible headaches. They had to black out the light in her room because of the pain it caused, and she did not leave her bed for days; the family had to hire a teacher to teach her sophomore year of high school since she could not leave her home (unspecified dates). After starting a very strict diet that an alternative health practitioner recommended, the family had some hope that she could recover, but she battled depression, and it was learned from her journals, after her death, that she had a constant buzzing sound in her head. She had tried every anti-depressant drug on the market without success. On an unknown date, the patient committed suicide (completed suicide), cause of death was commits suicide, it was unknown if an autopsy was performed. The outcome of disability, headache, tinnitus, depression, photophobia and lethargy was not reported. The causality between committed suicide, disability, headache, tinnitus, depression, photophobia and lethargy with GARDASIL was not reported. Upon internal review, committed suicide and disability was determined to be medically significant events.; Reported Cause(s) of Death: Commits suicide.


Changed on 10/14/2018

VAERS ID: 721865 Before After
VAERS Form:2
Age:15.0
Sex:Female
Location:Foreign
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:0000-00-00
Entered:2017-10-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 2 UN / UN

Administered by: Unknown      Purchased by: ??
Symptoms: Completed suicide, Death, Depression, Headache, Lethargy, Photophobia, Tinnitus, Mobility decreased

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00
Permanent Disability? Yes
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': PH0095075131710PHL008472

Write-up: This spontaneous report was received from a consumer, via an Internet journal, and refers to a 15 year old female patient. The patient''s concurrent conditions, medical history and concomitant therapies were not reported. It was reported that prior to the vaccine, she was healthy and active, and rarely missed a day of school. On an unknown date, the patient was vaccinated with the second dose of GARDASIL prophylaxis (strength, dose, route, frequency, lot/batch # and expiration date were not reported) by doctor''s recommendation. On an unknown date, after received the second dose of GARDASIL, she became very lethargic and could hardly get out of bed, suffering from horrible headaches. They had to black out the light in her room because of the pain it caused, and she did not leave her bed for days; the family had to hire a teacher to teach her sophomore year of high school since she could not leave her home (unspecified dates). After starting a very strict diet that an alternative health practitioner recommended, the family had some hope that she could recover, but she battled depression, and it was learned from her journals, after her death, that she had a constant buzzing sound in her head. She had tried every anti-depressant drug on the market without success. On an unknown date, the patient committed suicide (completed suicide), cause of death was commits suicide, it was unknown if an autopsy was performed. The outcome of disability, headache, tinnitus, depression, photophobia and lethargy was not reported. The causality between committed suicide, disability, headache, tinnitus, depression, photophobia and lethargy with GARDASIL was not reported. Upon internal review, committed suicide and disability was determined to be medically significant events.; Reported Cause(s) of Death: Commits suicide.


Changed on 12/24/2020

VAERS ID: 721865 Before After
VAERS Form:2
Age:15.0
Sex:Female
Location:Foreign
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:0000-00-00
Entered:2017-10-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 2 UN / UN

Administered by: Unknown      Purchased by: ??
Symptoms: Completed suicide, Death, Depression, Headache, Lethargy, Photophobia, Tinnitus, Mobility decreased

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00
Permanent Disability? Yes
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': PH0095075131710PHL008472

Write-up: This spontaneous report was received from a consumer, via an Internet journal, and refers to a 15 year old female patient. The patient''s concurrent conditions, medical history and concomitant therapies were not reported. It was reported that prior to the vaccine, she was healthy and active, and rarely missed a day of school. On an unknown date, the patient was vaccinated with the second dose of GARDASIL prophylaxis (strength, dose, route, frequency, lot/batch # and expiration date were not reported) by doctor''s recommendation. On an unknown date, after received the second dose of GARDASIL, she became very lethargic and could hardly get out of bed, suffering from horrible headaches. They had to black out the light in her room because of the pain it caused, and she did not leave her bed for days; the family had to hire a teacher to teach her sophomore year of high school since she could not leave her home (unspecified dates). After starting a very strict diet that an alternative health practitioner recommended, the family had some hope that she could recover, but she battled depression, and it was learned from her journals, after her death, that she had a constant buzzing sound in her head. She had tried every anti-depressant drug on the market without success. On an unknown date, the patient committed suicide (completed suicide), cause of death was commits suicide, it was unknown if an autopsy was performed. The outcome of disability, headache, tinnitus, depression, photophobia and lethargy was not reported. The causality between committed suicide, disability, headache, tinnitus, depression, photophobia and lethargy with GARDASIL was not reported. Upon internal review, committed suicide and disability was determined to be medically significant events.; Reported Cause(s) of Death: Commits suicide.


Changed on 12/30/2020

VAERS ID: 721865 Before After
VAERS Form:2
Age:15.0
Sex:Female
Location:Foreign
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:0000-00-00
Entered:2017-10-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 2 UN / UN

Administered by: Unknown      Purchased by: ??
Symptoms: Completed suicide, Death, Depression, Headache, Lethargy, Photophobia, Tinnitus, Mobility decreased

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00
Permanent Disability? Yes
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': PH0095075131710PHL008472

Write-up: This spontaneous report was received from a consumer, via an Internet journal, and refers to a 15 year old female patient. The patient''s concurrent conditions, medical history and concomitant therapies were not reported. It was reported that prior to the vaccine, she was healthy and active, and rarely missed a day of school. On an unknown date, the patient was vaccinated with the second dose of GARDASIL prophylaxis (strength, dose, route, frequency, lot/batch # and expiration date were not reported) by doctor''s recommendation. On an unknown date, after received the second dose of GARDASIL, she became very lethargic and could hardly get out of bed, suffering from horrible headaches. They had to black out the light in her room because of the pain it caused, and she did not leave her bed for days; the family had to hire a teacher to teach her sophomore year of high school since she could not leave her home (unspecified dates). After starting a very strict diet that an alternative health practitioner recommended, the family had some hope that she could recover, but she battled depression, and it was learned from her journals, after her death, that she had a constant buzzing sound in her head. She had tried every anti-depressant drug on the market without success. On an unknown date, the patient committed suicide (completed suicide), cause of death was commits suicide, it was unknown if an autopsy was performed. The outcome of disability, headache, tinnitus, depression, photophobia and lethargy was not reported. The causality between committed suicide, disability, headache, tinnitus, depression, photophobia and lethargy with GARDASIL was not reported. Upon internal review, committed suicide and disability was determined to be medically significant events.; Reported Cause(s) of Death: Commits suicide.

New Search

Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=721865&WAYBACKHISTORY=ON


Copyright © 2021 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166