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This is VAERS ID 464953

Case Details

VAERS ID: 464953 (history)  
Form: Version 1.0  
Age: 19.0  
Gender: Female  
Location: Unknown  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 2012-09-13
Entered: 2012-09-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 UN / SYR

Administered by: Military       Purchased by: Other
Symptoms: Central nervous system infection, 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: No other medications
Current Illness: Unknown
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: WAES1209USA003315

Write-up: Information has been received from a receptionist of the registered nurse, concerning rumor going around that a 19 years old girl who on an unspecified date received the first shot of GARDASIL (dose, route and lot # not reported), developed a brain infection, and passed away. The patient died this summer, June/July 2012. The reporter was not even 100% sure if the patient had had the GARDASIL shot because the nurses found that there was no record of the patient in local registry for GARDASIL patients. They were assuming that she was vaccinated out of state because she had joined the military (unspecified). The patient might have gotten vaccinated by the military. Another part of the rumor that was going around was that "the girl was fine one day, not the next, and it must be the GARDASIL shot that did this". The time from receiving the GARDASIL shot to the time of her death was unknown. It was unknown if she had any adverse experience from the GARDASIL or if it caused the brain infection. Additional information has been requested.


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