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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, Cardiopulmonary failure
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': CO0095075131909COL010185
Write-up: Cardiorespiratory failure; This spontaneous report was received from Health authority referring to a female patient. Age was reported as 16(units not reported). The patient''s concurrent condition, medical history and concomitant therapy details were not 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 1(units not reported) (strength, route, lot# and expiry date were not reported) for prophylaxis. On an unknown date, the patient experienced cardiorespiratory failure (cardiopulmonary failure). The outcome of cardiopulmonary failure was reported as fatal. The cause of death was unknown. It was unknown if autopsy was performed. The Agency considered cardiopulmonary failure to be possibly related to quadrivalent human papillomavirus (types 6,11,16,18) recomb. vaccine (manufacturer unknown).; Reported Cause(s) of Death: unknown cause of death
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