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This is VAERS ID 741832

History of Changes from the VAERS Wayback Machine

First Appeared on 7/14/2018

VAERS ID: 741832
VAERS Form:2
Age:
Sex:Female
Location:Foreign
Vaccinated:2018-03-15
Onset:2018-03-16
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

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2018-03-19
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? 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.


Changed on 8/14/2018

VAERS ID: 741832 Before After
VAERS Form:2
Age:
Sex:Female
Location:Foreign
Vaccinated:2018-03-15
Onset:2018-03-16
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

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2018-03-19
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? 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.


Changed on 9/14/2018

VAERS ID: 741832 Before After
VAERS Form:2
Age:
Sex:Female
Location:Foreign
Vaccinated:2018-03-15
Onset:2018-03-16
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

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2018-03-19
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? 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.


Changed on 10/14/2018

VAERS ID: 741832 Before After
VAERS Form:2
Age:
Sex:Female
Location:Foreign
Vaccinated:2018-03-15
Onset:2018-03-16
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

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2018-03-19
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? 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.


Changed on 12/24/2020

VAERS ID: 741832 Before After
VAERS Form:2
Age:
Sex:Female
Location:Foreign
Vaccinated:2018-03-15
Onset:2018-03-16
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

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2018-03-19
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? 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.


Changed on 12/30/2020

VAERS ID: 741832 Before After
VAERS Form:2
Age:
Sex:Female
Location:Foreign
Vaccinated:2018-03-15
Onset:2018-03-16
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

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2018-03-19
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? 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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