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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||- / 2||- / -|
Administered by: Unknown Purchased by: ??
Symptoms: Death, Autoimmune nephritis
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': CO0095075131909COL011757
Write-up: Autoimmune nephritis; Information has been received from the Agency on 24-SEP-2019. This spontaneous report has been received from regulatory authority referring to a female patient, age reported as "16". Information regarding the patient''s medical history, drug reactions or allergies, concurrent conditions and concomitant medications was not provided. On an unknown date, the patient was vaccinated with quadrivalent human papillomavirus (types 6,11,16,18) recomb. vaccine(manufacturer unknown) dose 2 (strength, frequency, route, anatomical location, lot # and expiration date were not provided) for prophylaxis. On an unknown date, the patient experienced autoimmune nephritis (death and medically significant), subsequently, on an unknown date, the patient died. It was not known if an autopsy was performed. The reporter considered autoimmune nephritis to be related to Quadrivalent Human Papillomavirus (Types 6,
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