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This is VAERS ID 741946

History of Changes from the VAERS Wayback Machine

First Appeared on 7/14/2018

VAERS ID: 741946
VAERS Form:2
Age:
Sex:Female
Location:Foreign
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:0000-00-00
Entered:2018-03-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 2 - / -

Administered by: Unknown      Purchased by: ??
Symptoms: Arthralgia, Death, Fatigue, Headache, Stress

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Human papilloma virus immunisation
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': CA0095075131803CAN009699

Write-up: This spontaneous report as received from a consumer (Mother of patient) through Social media via company representative refers to a 17-year-old female patient. Information on patient''s pertinent medical history, drug reactions/allergies and concomitant medications were not reported. On an unknown date, the patient was vaccinated with first dose of GARDASIL (strength, dose, lot number and expiry date not reported) to prevent HPV infection. On an unknown date, she received the second shot of GARDASIL. On an unknown date in 2008, after the second shot, she was complaining of headaches, a pain in the lower left back of her head, and felt really tired, her joints ached. They took her back to the family doctor who told them that it was just stress and suggested TYLENOL. On an unknown date in 2008, 40 hours after receiving the third dose of GARDASIL, the patient died. The cause of death was unknown. It was unknown if autopsy was performed. The outcome of the headache, stress, arthralgia and fatigue was not reported. The reporter considered the events to be related to GARDASIL.


Changed on 8/14/2018

VAERS ID: 741946 Before After
VAERS Form:2
Age:
Sex:Female
Location:Foreign
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:0000-00-00
Entered:2018-03-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 2 - / -

Administered by: Unknown      Purchased by: ??
Symptoms: Arthralgia, Death, Fatigue, Headache, Stress

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Human papilloma virus immunisation
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': CA0095075131803CAN009699

Write-up: This spontaneous report as received from a consumer (Mother of patient) through Social media via company representative refers to a 17-year-old female patient. Information on patient''s pertinent medical history, drug reactions/allergies and concomitant medications were not reported. On an unknown date, the patient was vaccinated with first dose of GARDASIL (strength, dose, lot number and expiry date not reported) to prevent HPV infection. On an unknown date, she received the second shot of GARDASIL. On an unknown date in 2008, after the second shot, she was complaining of headaches, a pain in the lower left back of her head, and felt really tired, her joints ached. They took her back to the family doctor who told them that it was just stress and suggested TYLENOL. On an unknown date in 2008, 40 hours after receiving the third dose of GARDASIL, the patient died. The cause of death was unknown. It was unknown if autopsy was performed. The outcome of the headache, stress, arthralgia and fatigue was not reported. The reporter considered the events to be related to GARDASIL.


Changed on 9/14/2018

VAERS ID: 741946 Before After
VAERS Form:2
Age:
Sex:Female
Location:Foreign
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:0000-00-00
Entered:2018-03-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 2 - / -

Administered by: Unknown      Purchased by: ??
Symptoms: Arthralgia, Death, Fatigue, Headache, Stress

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Human papilloma virus immunisation
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': CA0095075131803CAN009699

Write-up: This spontaneous report as received from a consumer (Mother of patient) through Social media via company representative refers to a 17-year-old female patient. Information on patient''s pertinent medical history, drug reactions/allergies and concomitant medications were not reported. On an unknown date, the patient was vaccinated with first dose of GARDASIL (strength, dose, lot number and expiry date not reported) to prevent HPV infection. On an unknown date, she received the second shot of GARDASIL. On an unknown date in 2008, after the second shot, she was complaining of headaches, a pain in the lower left back of her head, and felt really tired, her joints ached. They took her back to the family doctor who told them that it was just stress and suggested TYLENOL. On an unknown date in 2008, 40 hours after receiving the third dose of GARDASIL, the patient died. The cause of death was unknown. It was unknown if autopsy was performed. The outcome of the headache, stress, arthralgia and fatigue was not reported. The reporter considered the events to be related to GARDASIL.


Changed on 10/14/2018

VAERS ID: 741946 Before After
VAERS Form:2
Age:
Sex:Female
Location:Foreign
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:0000-00-00
Entered:2018-03-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 2 - / -

Administered by: Unknown      Purchased by: ??
Symptoms: Arthralgia, Death, Fatigue, Headache, Stress

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Human papilloma virus immunisation
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': CA0095075131803CAN009699

Write-up: This spontaneous report as received from a consumer (Mother of patient) through Social media via company representative refers to a 17-year-old female patient. Information on patient''s pertinent medical history, drug reactions/allergies and concomitant medications were not reported. On an unknown date, the patient was vaccinated with first dose of GARDASIL (strength, dose, lot number and expiry date not reported) to prevent HPV infection. On an unknown date, she received the second shot of GARDASIL. On an unknown date in 2008, after the second shot, she was complaining of headaches, a pain in the lower left back of her head, and felt really tired, her joints ached. They took her back to the family doctor who told them that it was just stress and suggested TYLENOL. On an unknown date in 2008, 40 hours after receiving the third dose of GARDASIL, the patient died. The cause of death was unknown. It was unknown if autopsy was performed. The outcome of the headache, stress, arthralgia and fatigue was not reported. The reporter considered the events to be related to GARDASIL.


Changed on 12/24/2020

VAERS ID: 741946 Before After
VAERS Form:2
Age:
Sex:Female
Location:Foreign
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:0000-00-00
Entered:2018-03-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 2 - / -

Administered by: Unknown      Purchased by: ??
Symptoms: Arthralgia, Death, Fatigue, Headache, Stress

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Human papilloma virus immunisation
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': CA0095075131803CAN009699

Write-up: This spontaneous report as received from a consumer (Mother of patient) through Social media via company representative refers to a 17-year-old female patient. Information on patient''s pertinent medical history, drug reactions/allergies and concomitant medications were not reported. On an unknown date, the patient was vaccinated with first dose of GARDASIL (strength, dose, lot number and expiry date not reported) to prevent HPV infection. On an unknown date, she received the second shot of GARDASIL. On an unknown date in 2008, after the second shot, she was complaining of headaches, a pain in the lower left back of her head, and felt really tired, her joints ached. They took her back to the family doctor who told them that it was just stress and suggested TYLENOL. On an unknown date in 2008, 40 hours after receiving the third dose of GARDASIL, the patient died. The cause of death was unknown. It was unknown if autopsy was performed. The outcome of the headache, stress, arthralgia and fatigue was not reported. The reporter considered the events to be related to GARDASIL.


Changed on 12/30/2020

VAERS ID: 741946 Before After
VAERS Form:2
Age:
Sex:Female
Location:Foreign
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:0000-00-00
Entered:2018-03-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 2 - / -

Administered by: Unknown      Purchased by: ??
Symptoms: Arthralgia, Death, Fatigue, Headache, Stress

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Human papilloma virus immunisation
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': CA0095075131803CAN009699

Write-up: This spontaneous report as received from a consumer (Mother of patient) through Social media via company representative refers to a 17-year-old female patient. Information on patient''s pertinent medical history, drug reactions/allergies and concomitant medications were not reported. On an unknown date, the patient was vaccinated with first dose of GARDASIL (strength, dose, lot number and expiry date not reported) to prevent HPV infection. On an unknown date, she received the second shot of GARDASIL. On an unknown date in 2008, after the second shot, she was complaining of headaches, a pain in the lower left back of her head, and felt really tired, her joints ached. They took her back to the family doctor who told them that it was just stress and suggested TYLENOL. On an unknown date in 2008, 40 hours after receiving the third dose of GARDASIL, the patient died. The cause of death was unknown. It was unknown if autopsy was performed. The outcome of the headache, stress, arthralgia and fatigue was not reported. The reporter considered the events to be related to GARDASIL.

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