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This is VAERS ID 836316

Case Details

VAERS ID: 836316 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Foreign  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 0000-00-00
Entered: 2019-09-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPVX: HPV (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Death, Transient ischaemic attack
SMQs:, Ischaemic central nervous system vascular conditions (narrow), Embolic and thrombotic events, arterial (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: CO0095075131909COL010976

Write-up: Transitional ischemical accident; Information has been received from the Health Authority on 20-SEP-2019, referring to a female patient of unknown age. No information was provided regarding the patient''s medical history, concurrent conditions, drug reactions or allergies and concomitant medication. On an unknown date, the patient was vaccinated with human papillomavirus ((manufacturer unknown), at a dose of 10 milligram for prophylaxis (dose, route of administration, anatomical location, lot number and expiration date were not reported). On an unknown date, the patient experienced transitional ischemic accident (transient ischemic attack) and died due to the event on an unspecified date. It was unknown whether an autopsy was performed. The reporter did not provide causality assessment between the event and vaccination with human papillomavirus ((manufacturer unknown). Upon internal review, transient ischemic attack was determined to be a medically significant event.


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