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This is VAERS ID 836356

History of Changes from the VAERS Wayback Machine

First Appeared on 2/14/2020

VAERS ID: 836356
VAERS Form:2
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: Arthralgia, 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': CO0095075131909COL013030

Write-up: ARTHRALGIA; This spontaneous report as received from a regulatory authority refers to a female patient of unknown age (age reported as 9, no units provided).There was no information about the patient''s concurrent conditions, concomitant therapies or medical history provided. On an unknown date the patient was vaccinated with quadrivalent human papillomavirus (types 6,11,16,18) recomb. vaccine(manufacturer unknown) dose 1000 mg (route, Lot# were not reported.) On an unknown date the patient experienced arthralgia. The patient died on an unknown date. The outcome of arthralgia was fatal. The Agency considered arthralgia to be related to Quadrivalent Human Papillomavirus (Types 6,11,16,18) Recomb. Vaccine(manufacturer unknown).; Reported Cause(s) of Death: ARTHRALGIA

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