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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||- / -|
Administered by: Unknown Purchased by: ??
Symptoms: Death, Syncope
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': CO0095075131909COL010979
Write-up: fainting; This spontaneous report as received from a regulatory authority on 20-SEP-2019, concerning a "16" (units not reported) old female patient. The patient''s concurrent conditions, medical history and concomitant medications was not provided. On an unknown date, the patient was vaccinated with quadrivalent human papillomavirus (types 6,11,16,18) recomb. Vaccine (QUADRIVALENT HUMAN PAPILLOMAVIRUS (TYPES 6,11,16,18) RECOMB.VACC) (manufacturer unknown) (dose, dose number, route of administration, anatomical location, lot # and expiration date were not reported) for prophylaxis. On an unknown date, the patient experienced fainting which resulted in the patient''s death. The agency considered the event of fainting to be possibly related to quadrivalent human papillomavirus (types 6,
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