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This is VAERS ID 310262

Case Details

VAERS ID: 310262 (history)  
Form: Version 1.0  
Age: 20.0  
Gender: Female  
Location: North Carolina  
Vaccinated:2008-04-01
Onset:2008-04-05
   Days after vaccination:4
Submitted: 2008-04-17
   Days after onset:12
Entered: 2008-04-21
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1978U / UNK UN / UN

Administered by: Other       Purchased by: Other
Symptoms: Autopsy, Death
SMQs:

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2008-04-05
   Days after onset: 0
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: autopsy, 04/??/08, ruled out suicide or anything suspicious; diagnostic laboratory, 04/??/08, toxicology results unknown. 7/16/09 Pathology report received Receipt 02/23/09 Sign-out 07/06/09. Single focus of mononuclear inflammation of the epicardium. No molecular evidence of infection with enteroviruses or adenoviruses. Liver shows focal nodular hyperplasia. Lung is congested. Enterovirus group RT-PCR (-) Adenovirus group PCR (-).
CDC Split Type: WAES0804USA02336

Write-up: Information has been received from a physician concerning a 20 year old female with no medical history reported, who on 01-APR-2008 was vaccinated with a dose of Gardasil. On 05-APR-2008, the patient died four days after receiving Gardasil. The patient sought unspecified medical attention. An autopsy was performed which ruled out suicide and anything suspicious. The cause of death is currently unknown and they are performing toxicology tests to try to determine the cause. No product quality complaint was involved. The reportable physician considered death to be immediately life-threatening and disabling. Additional information has been requested.7/14/08-autopsy report received-COD:Undetermined. Died unexpectedly while working as a health aid. Postmortem examination reveals focal nodular hyperplasia in liver; this finding though significant, cannot accoutn for sudden death. There is no evidence of pregnancy. Toxicology analysis negative. Based on history, autopys, and toxicological examination, cause of death is undetermined.


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