National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 836243

Case Details

VAERS ID: 836243 (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 - / OT
HPVX: HPV (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Death
SMQs:

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: CO0095075131909COL011561

Write-up: Death; This spontaneous report was received the Regulatory Authority referring to a female patient of unknown age. The patient''s pertinent medical history, concurrent conditions, concomitant therapies,and past drug allergies/reactions were not reported. On an unknown date, the patient was vaccinated with a dose of quadrivalent human papillomavirus (types 6,11,16,18) recomb. vaccine, 500 milligram (strength, route, anatomical location, Lot # an d expiration date were not reported) for prophylaxis or a dose of hpv rl1 6 11 16 18 31 33 45 52 58 vlp vaccine (yeast). On an unknown date, the patient died, however, the outcome of death was reported as recovered (discrepant information). It was unknown wether an autopsy was performed or not. The Regulatory Authority did not assess a causal relationship between the patient''s death and quadrivalent human papillomavirus (types 6,11,16,18) recomb. vaccine or hpv rl1 6 11 16 18 31 33 45 52 58 vlp vaccine (yeast).


New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=836243


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