National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 835954

History of Changes from the VAERS Wayback Machine

First Appeared on 2/14/2020

VAERS ID: 835954
VAERS Form:2
Age:
Sex:Female
Location:Foreign
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:0000-00-00
Entered:2019-09-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPVX: HPV (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Unknown      Purchased by: ??
Symptoms: Death, Skin depigmentation

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': CO0095075131909COL010677

Write-up: DEPIGMENTATION OF THE SKIN; This spontaneous report was received from the Agency (HA ref # 2019PVCL1500) and refers to a 9 (age units not reported) female patient. There was no information about the patient''s concurrent conditions, concomitant therapies, drug reactions, allergies or medical history provided. On an unknown date, the patient was vaccinated with quadrivalent human papillomavirus (types 6,11,16,18) recomb. vaccine (manufacturer unknown) dose reported as 200 milligram (strength, frequency, route of administration, anatomical location, lot # and expiration date were not reported) for prophylaxis. On an unknown date, the patient experienced depigmentation of the skin due to which she died on an unknown date. It was unknown if the autopsy was done. The Agency considered the event of depigmentation of the skin to be possibly related to quadrivalent human papillomavirus (types 6,11,16,18) recomb. vaccine (manufacturer unknown).; Reported Cause(s) of Death: DEPIGMENTATION OF THE SKIN

New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=835954&WAYBACKHISTORY=ON


Copyright © 2020 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166