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This is VAERS ID 424378

Case Details

VAERS ID: 424378 (history)  
Form: Version 1.0  
Age: 12.0  
Gender: Female  
Location: Foreign  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 2011-05-31
Entered: 2011-06-01
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / UNK UN / UN

Administered by: Unknown       Purchased by: Unknown
Symptoms: Death
SMQs:

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 0000-00-00
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: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC Split Type: WAES1105USA03486

Write-up: Case reported by a consumer and retrieved from a website by a healthcare professional (specialist) who transmitted to agency on 18-May-2011. This case was not medically confirmed. The consumer published an open letter about vaccination on the website, a citizen''s association. This open letter was addressed to an Agency. A 12-year-old female patient was vaccinated with a dose of GARDASIL ( lot and batch number not reported) on a recent date in. It was reported that the patient deceased 2 days after the vaccination. Medical history: It was reported that the patient was in excellent condition before the vaccination. Following to the reporter, the GP had told the parents that the vaccine was very safe but that, unfortunately, the patient had reacted to it. Until now, no other source confirmed the case. The healthcare professional (specialist) wrote to the consumer for more information. Other business partner included E2011-03076. No further information is available.


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