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The following is all the information available on report# VAERS_ID: 753384
Vaccine(s) were received on 02/09/2016
Patient sex : F
Reaction was life threatening?: N
Patient eventually recovered from reaction ?: U
Patient eventually died?: N

The following Data for this patients ALLERGIES is available: [ ]

Description of adverse reaction: This spontaneous report was received from a physician and refers to a female patient of unknown age. Concurrent conditions, medical history, historical and concomitant medications were not reported. The reporting physician informed that on 21-JUL-2015, 22-SEP2015 and 09-FEB-2016, the patient was vaccinated with the first, second and third doses respectively, of GARDASIL 9 Injection, for prophylaxis (strength, dose, route and anatomical location were not reported). The lot numbers and expiration dates of the first and second doses were not reported, while the lot number of the third dose was L045711, and the expiration date was 08-MAY-2017. The physician stated that the doses may had been improperly stored, but the temperatures of storage, time frames and previous temperature excursions were unknown at the time of this report. No adverse events were reported.


Vaccine(s) associated with report# 753384

TypeNameManufacturerVaccine LOT #Dose SeriesROUTESite
HPV9HPV (GARDASIL 9) MERCK & CO. INC.L0457113SYRUN

Symptoms(s) associated with report# 753384

No adverse event
Product storage error