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This is VAERS ID 836445

History of Changes from the VAERS Wayback Machine

First Appeared on 2/14/2020

VAERS ID: 836445
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: Death, Gait inability

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': CO0095075131909COL012260

Write-up: UNABLE TO WALK; Information was received from the Health Authority concerning a female patient. Her age was reported as 20 (units were not provided). No concurrent condition, medical history, or concomitant therapy was reported. On an unknown date, the patient was vaccinated with quadrivalent human papillomavirus (types 6,11,16,18) recomb. Vaccine (manufacturer unknown) (dose reported as "0 ml"; strength, frequency, route, indication and lot# were not reported). On an unknown date, the patient was unable to walk. The outcome of the event was reported as fatal. The date of the patient''s death was unknown. It was not provided if the autopsy was performed or not. The action taken with suspect therapy regarding the event was not reported. The event was considered to be serious by the agency. The reporter considered the event to be possibly related to Quadrivalent Human Papillomavirus (Types 6,11,16,18) Recomb. Vaccine (manufacturer unknown).; Reported Cause(s) of Death: Unable to walk

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