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This is VAERS ID 764583

History of Changes from the VAERS Wayback Machine

First Appeared on 12/14/2018

VAERS ID: 764583
VAERS Form:2
Age:
Sex:Female
Location:Foreign
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:0000-00-00
Entered:2018-08-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / UNK - / IM

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': JP0095075131808JPN000572J

Write-up: This spontaneous report was received from an other health professional. Information has been received from an other health professional concerning 20-40 years old female patient. The patient was vaccinated with GARDASIL (AQUEOUS SUSPENSION FOR INTRAMUSCULAR INJECTION SYRINGE), intramuscular (start date and dose not reported). No concomitant medications were reported. Adverse experience (term as stated by respondent): Died. Concomitant therapy (include dose, indication, etc.), concurrent conditions, medical history, diagnostic tests carried out to diagnose AE: N/A. On an unknown date, the patient was dead. The cause of death and an autopsy were not reported. Reporter''s comment: The AE case was acknowledged via News within the recent two years, in which the news reported that two women died in a few months after receiving HPV vaccine. Reporter did not capture any screenshots from the news website. Reporter was unable to provide any details on the brand of the vaccine. Upon internal review, death was considered to be serious (other medically significant). Reported Cause(s) of Death: Death.


Changed on 12/24/2020

VAERS ID: 764583 Before After
VAERS Form:2
Age:
Sex:Female
Location:Foreign
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:0000-00-00
Entered:2018-08-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / UNK - / IM

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': JP0095075131808JPN000572J

Write-up: This spontaneous report was received from an other health professional. Information has been received from an other health professional concerning 20-40 years old female patient. The patient was vaccinated with GARDASIL (AQUEOUS SUSPENSION FOR INTRAMUSCULAR INJECTION SYRINGE), intramuscular (start date and dose not reported). No concomitant medications were reported. Adverse experience (term as stated by respondent): Died. Concomitant therapy (include dose, indication, etc.), concurrent conditions, medical history, diagnostic tests carried out to diagnose AE: N/A. On an unknown date, the patient was dead. The cause of death and an autopsy were not reported. Reporter''s comment: The AE case was acknowledged via News within the recent two years, in which the news reported that two women died in a few months after receiving HPV vaccine. Reporter did not capture any screenshots from the news website. Reporter was unable to provide any details on the brand of the vaccine. Upon internal review, death was considered to be serious (other medically significant). Reported Cause(s) of Death: Death.


Changed on 12/30/2020

VAERS ID: 764583 Before After
VAERS Form:2
Age:
Sex:Female
Location:Foreign
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:0000-00-00
Entered:2018-08-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / UNK - / IM

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': JP0095075131808JPN000572J

Write-up: This spontaneous report was received from an other health professional. Information has been received from an other health professional concerning 20-40 years old female patient. The patient was vaccinated with GARDASIL (AQUEOUS SUSPENSION FOR INTRAMUSCULAR INJECTION SYRINGE), intramuscular (start date and dose not reported). No concomitant medications were reported. Adverse experience (term as stated by respondent): Died. Concomitant therapy (include dose, indication, etc.), concurrent conditions, medical history, diagnostic tests carried out to diagnose AE: N/A. On an unknown date, the patient was dead. The cause of death and an autopsy were not reported. Reporter''s comment: The AE case was acknowledged via News within the recent two years, in which the news reported that two women died in a few months after receiving HPV vaccine. Reporter did not capture any screenshots from the news website. Reporter was unable to provide any details on the brand of the vaccine. Upon internal review, death was considered to be serious (other medically significant). Reported Cause(s) of Death: Death.

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