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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: ??
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': CO0095075131909COL010629
Write-up: DEATH; This spontaneous report was received from a regulatory authority refers to a female patient of unknown age. The patient''s pertinent medical history, concurrent conditions and concomitant medications were unknown. On an unknown date, the patient was vaccinated with quadrivalent human papillomavirus (types 6,11,16,18) recomb. vaccine (manufacturer unknown) 160 milligram (strength, route of administration, lot/batch # and expiration date were not reported) for prophylaxis. On an unknown date, the patient died. The cause of death was not reported (outcome was reported as not recovered/not resolved). It was unknown if autopsy was performed or not. Causality assessment between the suspect product and the event was not reported.; Reported Cause(s) of Death: unknown cause of death
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