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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, Bacterial infection
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': CO0095075131909COL011454
Write-up: BACTERIAL INFECTION; Information has been received from the Regulatory Authority on 20-SEP-2019, regarding a female patient of unknown age. The patient''s pertinent past medical history, concurrent conditions, concomitant therapies, drug reactions or allergies were not provided. On an unspecified date, the patient was vaccinated with quadrivalent human papillomavirus (types 6,11,16,18) recomb. vaccine (manufacturer unknown), or hpv rl1 6 11 16 18 31 33 45 52 58 vlp vaccine (yeast) (manufacturer unknown), the dose was reported as 10 milligram as prophylaxis. (strength, frequency, route, anatomical location of administration, lot number and expiration date were not provided). On an unspecified date, the patient experienced bacterial infection. On an unspecified date, the patient died of unknown cause. It was unknown if an autopsy was performed. The causality assessment between HPV rL1 6 11 16 18 31 33 45 52 58 VLP vaccine (yeast) (manufacturer unknown) and Quadrivalent Human Papillomavirus (Types 6,11,16,18) Recomb. Vaccine (manufacturer unknown) and bacterial infection was not provided by the Health Authority.; Reported Cause(s) of Death: unknown cause of death
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