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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, 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
Diagnostic Lab Data:
CDC 'Split Type': CO0095075131910COL000905
Write-up: LUPUS ERITEMATOSO SYNDROME; Information has been received from the Agency on 24-SEP-2019, concerning to a female patient with age reported as 16 (units not provided). The patient''s concurrent conditions, medical history and concomitant medications were not reported. On an unspecified date, the patient was vaccinated with quadrivalent human papillomavirus (types 6,11,16,18) recomb. vaccine (manufacturer unknown), dose reported as 4 (units not reported) (strength, frequency, route of administration, anatomical location, lot #, expiration date were not provided) as prophylaxis. On an unspecified date, the patient experienced lupus erythematous syndrome (systemic lupus erythematosus) and the outcome was fatal. It was unknown if an autopsy was performed, and the cause of death was not reported. The causal relationship between therapy with quadrivalent human papillomavirus (types 6,
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