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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: Condition aggravated, Death, Systemic lupus erythematosus
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
Current Illness: Lupus erythematosus
Diagnostic Lab Data:
CDC 'Split Type': CO0095075131909COL010776
Write-up: This spontaneous report was received from a Regulatory Authority and refers to a female patient of age 16 (units not reported). The patient''s concurrent condition included lupus erythematosus. No information regarding the patient''s medical history and concomitant medications were provided. On an unknown date, the patient was vaccinated with quadrivalent human papillomavirus (Types 6,11,16,18) recomb. vaccine (manufacturer unknown) for prophylaxis (dose reported as 1 with units unspecified; strength, route, anatomical location, lot # and expiration date were not reported). On an unknown date, the patient experienced eritematosus lupus empeoring (systemic lupus erythematosus). On an unknown date, the patient died. The cause of death was unknown. It was also unknown if autopsy was performed. No diagnostic results were reported. The Agency considered event systemic lupus erythematosus to be serious and 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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