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This is VAERS ID 836100

Case Details

VAERS ID: 836100 (history)  
Form: Version 2.0  
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 - / -
HPVX: HPV (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Amaurosis fugax, Death
SMQs:, Ischaemic central nervous system vascular conditions (narrow), Embolic and thrombotic events, arterial (narrow), Glaucoma (broad), Optic nerve disorders (broad), Retinal disorders (narrow)

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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: CO0095075131909COL011520

Write-up: transitional blindness; This spontaneous report was received from the Regulatory Authority, concerning a female patient. The patient''s age was reported as 9 (age units were not reported). The patient''s medical history, concurrent conditions and concomitant medications were not reported. On an unknown date, the patient was vaccinated with an unspecified human papilloma virus vaccine (manufacturer unknown), dose reported as 6 "I", for prophylaxis (route of adminstration, lot number and expiration date were not reported). On an unknown date, the patient experienced transitional blindness. On an unknown date, she died due to the event. It was not reported if an autopsy was performed. The agency considered transitional blindness to be serious (medically significant) and possibly related to human papilloma virus vaccine (manufacturer unknown).; Reported Cause(s) of Death: transitional blindness


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