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From the 4/23/2021 release of VAERS data:

This is VAERS ID 741832



Case Details

VAERS ID: 741832 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Foreign  
Vaccinated:2018-03-15
Onset:2018-03-16
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2018-03-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / UNK UN / UN

Administered by: Unknown       Purchased by: ?
Symptoms: Death, Pyrexia, Vomiting
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2018-03-19
   Days after onset: 3
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: PH0095075131803PHL009601

Write-up: This spontaneous report has been received from a nurse coordinator, concerning a female patient of unknown age. The patient''s medical history, concurrent conditions and concomiotantn medications were not provided. On 15-MAR-2018 (Thrusday), the patient was vaccinated with GARDASIL for prophylaxis (dose, frequency, route, lot number and expiration date were not provided. On 16-MAR-2018 (Friday), the patient experienced vomiting, fever and was hospitalized. On 19-MAR-2018 (Monday), the patient died for unknown cause of death. It was unknown if autopsy was performed. The outcome of vomiting and fever was unknown. The causal relationship between the adverse events and GARDASIL was not assessed.; Reported Cause(s) of Death: patient died.


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