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|History of Changes from the VAERS Wayback Machine|
|Vaccination / Manufacturer||Lot / Dose||Site / Route|
|HPVX: HPV (NO BRAND NAME) / UNKNOWN MANUFACTURER||- / UNK||- / OT|
Administered by: Unknown Purchased by: ??
Symptoms: Death, Scleroderma
Life Threatening? No
Birth Defect? No
Permanent Disability? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Diagnostic Lab Data:
CDC 'Split Type': CO0095075131909COL010273
Write-up: SCLERODERMIA; This spontaneous report was received from agency on 20-SEP-2019, referring to a 16 unit unknown female patient. The patient''s medical history, concurrent condition and concomitant medication were unknown. On an unknown date the patient was vaccinated with quadrivalent human papillomavirus (types 6,11,16,18) recomb. vaccine (manufacturer unknown) (0 ml, frequency, route, batch/lot number and expiration date were not reported) or hpv rl1 6 11 16 18 31 33 45 52 58 vlp vaccine (yeast) (manufacturer unknown) (0 ml, frequency, route, batch/lot number and expiration date were not reported) for prophylaxis. On an unknown date the patient experienced scleroderma. The event was attributed to vaccination or immunization. On an unknown date the patient died due to the event. It was unknown if an autopsy was performed. The agency considered the event of scleroderma to be possibly related to Quadrivalent Human Papillomavirus (Types 6,11,16,18) Recomb. Vaccine (manufacturer unknown) or HPV rL1 6 11 16 18 31 33 45 52 58 VLP vaccine (yeast) (manufacturer unknown).; Reported Cause(s) of Death: SCLERODERMIA
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