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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||- / 4||- / -|
Administered by: Unknown Purchased by: ??
Symptoms: Death, Polyneuropathy
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': CO0095075131910COL001082
Write-up: polyneuropathy; Information has been received from Health Authority on 20-SEP-2019. This spontaneous report has been received from a regulatory authority referring to a female patient of unknown age. No information was provided regarding the patient''s medical history, concurrent conditions, drug and allergy history or concomitant medications. On an unknown date, the patient was vaccinated with the fourth dose of human papillomavirus vaccine, unspecified 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) (strength, frequency, route of administration, lot# and expiration date were not provided)for prophylaxis. On an unknown date, the patient experienced polyneuropathy. The outcome of polyneuropathy was reported as fatal. No information was provided regarding the patient''s autopsy or the cause of death. At the reporting time, the causal relationship between the event and the suspect therapy was not reported. Upon internal review, the event polyneuropathy was determined to be medically significant.
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