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This is VAERS ID 836100

History of Changes from the VAERS Wayback Machine

First Appeared on 2/14/2020

VAERS ID: 836100
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: Amaurosis fugax, Death

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': 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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