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Found 963 cases where Symptom is Idiopathic t hrombocytopenic purpura or Thrombocytopenia or Th rombocytopenic purpura and Vaccination Date on/after '2006-06-01'

Case Details

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VAERS ID: 331936 (history)  
Form: Version 1.0  
Age: 3.0  
Gender: Male  
Location: Maryland  
Vaccinated:2008-10-29
Onset:2008-11-01
   Days after vaccination:3
Submitted: 2008-11-11
   Days after onset:10
Entered: 2008-11-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR U2804AA / 1 RA / IM

Administered by: Unknown       Purchased by: Unknown
Symptoms: Biopsy bone marrow, Blood blister, Blood product transfusion, Epistaxis, Gingival bleeding, Idiopathic thrombocytopenic purpura, Petechiae, Platelet count decreased, Purpura
SMQs:, Haematopoietic thrombocytopenia (narrow), Haemorrhage terms (excl laboratory terms) (narrow), Systemic lupus erythematosus (broad), Gingival disorders (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 5 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: No illness
Preexisting Conditions: No pre existing condition PMH: cold s/s 2 wks prior to admit.
Allergies:
Diagnostic Lab Data: Before Flu shot on 10/29/2008 platelet counts were 187000 and after flu shot on saturday 11/1/2008 platelet counts were 1000 LABS: CBC WNL on 10/29, plts 187K. Rapid strep test neg. Repeat CBC on 11/1: WBC 11.8, lymphs 55.8%(H), plts 1.0K
CDC Split Type:

Write-up: My son is 3 years and 10 months old born on 12/27/2004. He has been a healthy child till 11/1/08. On 10/29/08 he had his first Flu Shot. Before giving the shot his blood test was done and everything was found to be normal. On 11/1/08 when he woke up in the morning his nose was bleeding and i noticed some blood blisters inside his cheeks while brushing. We took him to our primary care physician there they did his blood test and found his platelets to be as low as 1 K . They asked us to take him to emergency. In Hospital he was diagnosed ITP (Idiopathic Thrombocytopenic Purpura) . On Admission he was presented with epistaxis, gingival bleeding and petechia (right side of neck and L upper arm). He was hemodynamically stable without active bleeding and was treated with WinRho 75mcg/kg x 1. on HD#2, his plt count droppeded from 5,000 to 3,000 and he had several purpuric lesions around lips, and multiple petichea on distal tongue, posterior pharynx, anterior neck, and proximal to L PIV. He had no change of MS. On HD#3,(11/03), Prednisone therapy was started at 2mg/kg PO x 1, followed by 1mg/kg PO BID On HD#4,(11/04), platelets were unchanged at 3,000. Doctor discharged him and asked to come back on Friday (11/07). He is advised to take orapred (15mg/5ml), 5ml PO BID for 7 days, on friday his platelets count didnot go up still showing 3000 he was admitted again on saturday but before giving any other treatment they did blood test again and it raised to 9000 Platelets, on saturday doctor gave hin IVIG and they suggested that they will do Bone marrow test as they suspect something else might have caused may not be ITP could be lukemia, they didi blood test on sunday and stared giving IVIG second dose his platelets were up by 19000 and on monday it reached to 66000, bone marrow result were negative they found nothing in that and discharged us on Monday. and asked us to come for regular checkup. 12/31/08 Reviewed hospital medical records of 11/8-11/10/2008. FINAL DX: acute idiopathic thrombocytopenia purpura Records reveal patient experienced epistaxis, gingival bleeding, petechiae, oral intake reduced, UO decreased. Seen by PCP & plts count 1. Admitted & Heme/onc consult done. Tx w/IVF, steroids & WinRho. Improved & d/c to home on tapering steroids & heme/onc clinic f/u. 11/14/08 Reviewed PCP medical records of 10/29-11/01/2008. FINAL DX: thrombocytopenia Records reveal patient experienced bilateral tender enlarged cervical lymph nodes & reduced oral intake. Dx w/lymphadenopathy. RTC 11/1 w/nosebleed & bruise on inside cheeks. Had recent URI. Fever, skin rash, lethargic, vomiting. Exam revealed petechiae on palate, inflammed nasal mucosa w/bloody drainage, cracked lips, petechiae on neck, ears & upper back. Referred to hospital for admit.


VAERS ID: 331963 (history)  
Form: Version 1.0  
Age: 3.0  
Gender: Female  
Location: Arkansas  
Vaccinated:2008-11-03
Onset:2008-11-08
   Days after vaccination:5
Submitted: 2008-11-11
   Days after onset:3
Entered: 2008-11-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUN3: INFLUENZA (SEASONAL) (FLUMIST) / MEDIMMUNE VACCINES, INC. 500553P / 1 NS / IN

Administered by: Private       Purchased by: Public
Symptoms: Blood product transfusion, Lymphocyte percentage increased, Mean cell volume decreased, Mean platelet volume decreased, Neutrophil count decreased, Platelet count decreased, Thrombocytopenia, White blood cell count increased
SMQs:, Haematopoietic leukopenia (narrow), Haematopoietic thrombocytopenia (narrow), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Myelodysplastic syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None PMH: HA, had been on periactin up until 2 mo prior. 36 wk preemie emergency c-section for fetal distress. NICU x 3 weeks w/feeding tube. Mom w/pre-eclampsia
Allergies:
Diagnostic Lab Data: Monomac, 16.2; WBC, 19.9; Hgb, 10.6; HCT, 31.5: MPV, 4.2; Neutroph, 12.5; Lymphocytes, 70.2; MCV, 75.3; Platelets, 2 LABS: WBC 17.20(H), H/H 10.7/32.4(L)plts 4,000(L). LDH 1455(H), AST 104(H), ALT 118(H), Total bili ,0.1(L). EBV IgM & IgG(H). Blood c/s neg
CDC Split Type:

Write-up: Thrombocytopenia, petechia. Tx - IV Immune globulin. 2/9/09 Received hospital medical records of 11/8-11/9/2008 FINAL DX: thrombocytopenia Records reveal patient experienced mild abdominal pain x 1 week, bleeding gums & petechial rash x 1 day. Saw PCP & labs revealed dx. Tx w/IVIG. Improved & d/c to home w/serial labs.


VAERS ID: 332473 (history)  
Form: Version 1.0  
Age: 1.0  
Gender: Male  
Location: Virginia  
Vaccinated:2008-10-20
Onset:2008-11-13
   Days after vaccination:24
Submitted: 2008-11-14
   Days after onset:1
Entered: 2008-11-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR U2755AA / 1 LL / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1011X / 1 LA / SC
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 1013X / 1 RA / SC

Administered by: Private       Purchased by: Private
Symptoms: Idiopathic thrombocytopenic purpura, Platelet count decreased
SMQs:, Haematopoietic thrombocytopenia (narrow), Haemorrhage terms (excl laboratory terms) (narrow), Systemic lupus erythematosus (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 6 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: Gastroenteritis 2 weeks earlier
Preexisting Conditions: None PMH: c-section, FT, shoulder dystocia, hyperbilirubinemia, phototherapy.
Allergies:
Diagnostic Lab Data: Platelet count=1000; petechiae on exam LABS: plts 46K at d/c.
CDC Split Type:

Write-up: Idiopathic thrombocytopenia Purpura 12/2/08 Reviewed hospital medical records of 11/13-11/15/2008 & 11/17-11/19/2008. FINAL DX: idiopathic thrombocytopenic purpura Records reveal patient experienced bruising & full body petechiae. Har URI s/s x 2 days & gastroenteritis 10 days prior. Seen by PCP, CBC revealed thrombocytopenia & admitted. Tx w/Win Rho. Improved & d/c to home w/serial labs by PCP. Seen in Heme/Onc clinic 11/17 & readmitted for plts 15K. Tx w/IVIG x 2. Plts improved to 46K & d/c to home w/clinic f/u.


VAERS ID: 332668 (history)  
Form: Version 1.0  
Age: 40.0  
Gender: Female  
Location: Mississippi  
Vaccinated:2008-10-17
Onset:0000-00-00
Submitted: 2008-11-17
Entered: 2008-11-18
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN) / NOVARTIS VACCINES AND DIAGNOSTICS 89989 / UNK LA / IM

Administered by: Other       Purchased by: Private
Symptoms: Idiopathic thrombocytopenic purpura
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Hypersensitivity (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 10 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None. PMH: Anxiety d/o.
Allergies:
Diagnostic Lab Data: get records from hospital. Labs and Diagnostics: Platelets 2-54K. LD 993. Glucose increased throughout stay.
CDC Split Type:

Write-up: Notified by hospital of admission due to ITP - possibly related to flu vaccine. 12/22/2008 MR received for DOS 11/6-16/2008 with D/C DX: ITP-platelet count now 54K. Anemia, probable acute blood loss anemia-hematocrit stable at 31. Admitted with heavy menstual bleeding and mucosal/skin bleeding and petechiae-rsolved (2'' to #1). HTN-probably 2'' to steroids-stable on Norvasc. Mild hyperglycemia 2'' to steroids. Anxiety d/o. Pt presented with heavy menstual bleeding, bleeding spots on shins and thighs and oral mucosal bleeding. Platelet ct on admission = 7K. Admitted for thrombocytopenia and started on steroids. Required several platelet transfusions. Platelets took 9-10 days to increase to 54K. D/C for outpt f/u.


VAERS ID: 333709 (history)  
Form: Version 1.0  
Age: 13.0  
Gender: Male  
Location: Indiana  
Vaccinated:2008-11-08
Onset:2008-11-15
   Days after vaccination:7
Submitted: 2008-11-20
   Days after onset:5
Entered: 2008-12-03
   Days after submission:13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN) / NOVARTIS VACCINES AND DIAGNOSTICS 881293P / 1 LA / UN

Administered by: Other       Purchased by: Private
Symptoms: Full blood count, Idiopathic thrombocytopenic purpura, Petechiae, Platelet count decreased
SMQs:, Haematopoietic thrombocytopenia (narrow), Haemorrhage terms (excl laboratory terms) (narrow), Systemic lupus erythematosus (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 1 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness:
Preexisting Conditions: None. PMH: none noted
Allergies:
Diagnostic Lab Data: Will need monthly CBC until platelets WNL. Labs and diagnostics: CBC with platelet count of 2.0 on admission.
CDC Split Type:

Write-up: Petechial rash started 7 days after flu shot. Dx with ITP. 12/17/2008 MR received for DOS 11/17-18/2008 with DX: ITP. Pt presented several day hx of rash and bleeding lesions. Petechial rash and bruising noted on lower extremities, small sclera bleed, and lip bleeding on PE. Treated with WinRho and developed vomiting H/A and chills which resolved. D/C to f/u as outpt.


VAERS ID: 339766 (history)  
Form: Version 1.0  
Age: 1.0  
Gender: Female  
Location: Washington  
Vaccinated:2009-01-08
Onset:2009-01-30
   Days after vaccination:22
Submitted: 2009-02-05
   Days after onset:6
Entered: 2009-02-18
   Days after submission:13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1120X / 1 RL / SC
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH C83143 / 4 LL / IM

Administered by: Private       Purchased by: Public
Symptoms: Blood product transfusion, Full blood count, Idiopathic thrombocytopenic purpura, Petechiae
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Hypersensitivity (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: No
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: See above. CBC otherwise normal. 2/27/09 records received-Platelet count 5000 and other cell lines normal.
CDC Split Type:

Write-up: Developed petechiae 1/30/09. Diagnosed with I.T.P. 2/1/09 (Platelets 5,000). Responded to I.V.I.G. - Platelets 95,000, on 2/2. Platelets 205,000 on 2/4/09. 2/27/09-records recived for DOS 1/30-2/1/09-DC DX: Thrombocytopenia. Presented to ED with scattered petechiae on face, arms and bruise on right ear. Treated with IVIG.


VAERS ID: 340882 (history)  
Form: Version 1.0  
Age: 17.0  
Gender: Female  
Location: Nevada  
Vaccinated:2007-03-13
Onset:2007-03-13
   Days after vaccination:0
Submitted: 2009-02-28
   Days after onset:718
Entered: 2009-02-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0263U / 3 LA / IM

Administered by: Unknown       Purchased by: Unknown
Symptoms: Abdominal discomfort, Abdominal distension, Abdominal pain upper, Agitation, Alopecia, Alpha-1 anti-trypsin normal, Amenorrhoea, Anaemia, Arrhythmia, Arthralgia, Asthenia, Autoimmune disorder, Body temperature decreased, C-reactive protein normal, Cardiovascular insufficiency, Computerised tomogram abdomen normal, Computerised tomogram thorax normal, Cyanosis, Dizziness, Dyspepsia, Dysphagia, Epstein-Barr virus infection, Epstein-Barr virus test negative, Fatigue, Feeling cold, Furuncle, Gait disturbance, Gout, Haematocrit normal, Haemoglobin normal, Headache, Heart rate decreased, Hepatitis C, Hepatitis C antibody positive, Hormone level abnormal, Hypoaesthesia, Hypoglycaemia, Hypotension, Hypothyroidism, Irritability, Lymphadenopathy, Melanosis coli, Movement disorder, Muscle fatigue, Muscle spasms, Muscular weakness, Musculoskeletal stiffness, Nausea, Orthopnoea, Pain, Pain in extremity, Pallor, Pancreatitis, Pancytopenia, Platelet count decreased, Pulse abnormal, Skin discolouration, Somnolence, Speech disorder, Spleen disorder, Swelling face, Synovial cyst, Tachycardia, Thrombocytopenia, Tinnitus, Urinary tract infection, Vaccine positive rechallenge
SMQs:, Rhabdomyolysis/myopathy (broad), Cardiac failure (broad), Liver infections (narrow), Anaphylactic reaction (narrow), Acute pancreatitis (narrow), Agranulocytosis (narrow), Angioedema (narrow), Haematopoietic cytopenias affecting more than one type of blood cell (narrow), Haematopoietic erythropenia (broad), Haematopoietic thrombocytopenia (narrow), Peripheral neuropathy (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (narrow), Arrhythmia related investigations, signs and symptoms (broad), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (narrow), Dementia (broad), Akathisia (broad), Dyskinesia (broad), Dystonia (broad), Parkinson-like events (broad), Gastrointestinal perforation, ulcer, haemorrhage, obstruction non-specific findings/procedures (broad), Acute central respiratory depression (broad), Psychosis and psychotic disorders (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific dysfunction (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hostility/aggression (broad), Cardiomyopathy (broad), Hypothyroidism (narrow), Cardiac arrhythmia terms, nonspecific (narrow), Hearing impairment (narrow), Vestibular disorders (broad), Fertility disorders (broad), Hypotonic-hyporesponsive episode (broad), Hypersensitivity (narrow), Arthritis (narrow), Myelodysplastic syndrome (broad), Respiratory failure (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (narrow), Hypoglycaemia (narrow)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 9 days
   Extended hospital stay? Yes
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: none 3/18/09-records received-Recurrent sinusitis, status post rhinoseptoplasty. hepatitis C. Questionalbe history of Epstein-Barr virus infection. Gastroesophageal reflux disease.
Allergies:
Diagnostic Lab Data: Diagnosed with: Thrombocytopenia, Pancytopenia, Ammenorrhea, Hypothyroidism, Anemia, low blood pressure, Autoimmune Disorder, partial organ failure, digestive disorder, Epstein Barre, Orthopnoea, hormonal imbalance, urinary tract infection, Gout, Pancreatitis, alarmingly low heart rate (34 pbm). 3/18/09-records received-CT chest negative. CT abdomen and pelvis normal, large amount of stool noted borderline splenomegaly otherwise unremarkable. Echocardiogram pending. White count 3.5, hemoglobin 11.6, hematocrit 34.7 and platelets 78,000. EBV negative. CRP 0.6. Hepatitis C antibody positive. Alpha-1antitrypsin 136. Reticulocyte count normal.
CDC Split Type:

Write-up: AFTER FIRST GARDASIL VACCINE (administered 9/13/06): experienced dizziness, light-headed, nauseous, headaches, leg cramps, and shooting leg pain. AFTER SECOND GARDASIL VACCINE (administered 11/13/06): experienced same symptoms after first dose plus hair loss, abdominal bloating, menstrual cycle stopped, weakness, poor circulation. AFTER THIRD GARDASIL VACCINE (administered 3/13/07): experienced all symptoms listed above plus excessive hair loss, pale/purple skin, always cold, loud ringing in ears, extreme digestive problems, stomach pain, gastrointestinal discomfort, chronic constipation, joint pain, facial swelling, chronic fatigue, irritability, easily agitated, extreme weakness and all-over muscle fatigue (with difficulty in walking, talking, moving, etc.). TREATMENT: had to seek alternative medicine doctors to receive nutritional supplementation because other doctors could do nothing for me. Recently have been referred to a clinic. (scheduled appt. for 3/30/09). 3/18/09-records received for DOS 5/18-5/20/08-DC DX: Chronic constipation. Exercise induced asthma. Cyanosis. Pancytopenia. Presented to ED with increased generalized weakness and constipation since 2/08.Taking a Chinese herbal formula for chronic fatigue astra lsatis. Possibility of viral syndrome secondary to hepatitis C. PE: differential in pulses bilaterally, cyanotic in extremities pulse ox O2 saturation 87% at exercise but increased at rest. Follow-up: Leg pain, numbness, stiffness, partial organ failure, anemia low platelets, cardiac arrhythmia, low body temperature, EBV onset, Hep C onset, UTIs, pancreatitis, amenorrhea, melanosis coli, gout, boils, Baker''s cyst, swollen glands hypothyroidism, hypoglycemia, chronic somnolence episode tachycardia, dysphagia, orthopnea, thrombocytopenia.


VAERS ID: 341632 (history)  
Form: Version 1.0  
Age: 1.0  
Gender: Female  
Location: California  
Vaccinated:2009-02-24
Onset:2009-03-10
   Days after vaccination:14
Submitted: 2009-03-12
   Days after onset:2
Entered: 2009-03-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1582X / 1 LA / SC
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 1755X / 1 RA / SC

Administered by: Unknown       Purchased by: Unknown
Symptoms: Activated partial thromboplastin time, Blood product transfusion, Epistaxis, Full blood count, Idiopathic thrombocytopenic purpura, Platelet count decreased, Prothrombin time, Red blood cell sedimentation rate, Rhinorrhoea
SMQs:, Haematopoietic thrombocytopenia (narrow), Haemorrhage terms (excl laboratory terms) (narrow), Systemic lupus erythematosus (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: UPPER RESPIRATORY INFECTION
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: CBC, SED RATE, PT AND PTT - OF SIGNIFICANCE WAS A PLATELET COUNT OF 6,000. LABS: plt ct 6K.
CDC Split Type:

Write-up: ON 2/24/09, AN MMR AND A VARIVAX WERE ADMINISTERED TO THIS PATIENT BY THE OFFICE MEDICAL ASSISTANT. ON MARCH 10, MOM CALLED AND STATED THAT THE CHILD HAD A DRY NASAL DISCHARGE AND A RASH ON HER FACE "LIKE BROKEN BLOOD VESSELS". OUR TRIAGE NURSE GAVE CHILD AN APPT FOR THE SAME DAY WITH HER PCP. DAD BROUGHT CHILD IN AND STATED CHILD HAD BLOODY MUCUS IN THE NOSE AND RED SPOTS ALL OVER HER BODY WHICH DR. DIAGNOSED AS PETICHIAE. DR.ORDERED BLOOD WORK AND IT WAS DISCOVERED THAT HER PLATELET COUNT WAS 6,000. HE HAD THE CHILD SEE A PEDIATRIC HEMATOLOGIST ON THE SAME DAY AND DR. ADMITTED THE CHILD INTO MEDICAL CENTER ON MARCH 10, 2009 WITH A DIAGNOSIS OF ITP. SHE WAS TREATED WITH INTERVENOUS IMMUNOGLOBULINS. SHE WAS DISCHARGED HOME IN STABLE CONDITION ON MARCH 12, 2009. 5/4/09 Received hospital medical records of 3/11-3/12/2009. FINAL DX: idiopathic thrombocytopenia purpura Records reveal patient experienced injection site bruising, nosebleed, irritability, decreased appetite, purple spots on lips & cheek then developed petechiae all over body. Saw PCP who did labs & plt ct of 6. Referred to Heme clinic who admitted. Tx w/IVIG & plt ct increased to 36. D/C to home w/Heme clinic f/u for serial labs.


VAERS ID: 342600 (history)  
Form: Version 1.0  
Age: 59.0  
Gender: Female  
Location: Arkansas  
Vaccinated:2007-11-08
Onset:2007-11-20
   Days after vaccination:12
Submitted: 0000-00-00
Entered: 2009-03-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR U2514AA / UNK LA / IM

Administered by: Public       Purchased by: Public
Symptoms: Contusion, Guillain-Barre syndrome, Idiopathic thrombocytopenic purpura
SMQs:, Peripheral neuropathy (narrow), Haemorrhage terms (excl laboratory terms) (narrow), Guillain-Barre syndrome (narrow), Accidents and injuries (narrow), Demyelination (narrow), Hypersensitivity (narrow)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 32 days
   Extended hospital stay? Yes
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None PMH: migraine, hysterectomy with bladder suspension. Allergy to sulfa and antihistamines.
Allergies:
Diagnostic Lab Data: Labs and Diagnostics: US spleen WNL. Bone marrow bx c/w platelet destruction. Flow cytometry with non-specific findings. Chromosome analysis-normal XX. Platelets 7K on admission up to 47K by d/c. CT brain & cervical spine WNL. MRI brain WNL except sinusitis. EMG c/w acute motor axonal neuropathy EMG/NCS c/w GBS. RBC, Hgb & Hct remained low from 5/12/08-d/c. BS consistantly high. BUN up to 30. Creatine low 0.3-0.4. CSF cx (-). Campylobacter jejuni Ab (+). Lyme (-). CXR (+) for atelectasis, cardiomegaly.
CDC Split Type: AR0909

Write-up: 4-20-07 - onset "bruising" dx: ITP. 4-25-08 - GUILLAIN-BARRE Syndrome - hosp 32 days. 4/1/09 MR received for 4 DOS- 11/27-29/07 with DX: Thrombocytopenia, 12/3-9/07 with DX: ITP, 12/14-19/07 with dx ITP and 4/25-5/27/2008 with D/C DX: Guillain-Barre Syndrome which is slightly improved. Pt initially presented to PCP''s office for c/o bruising on hands and buttocks and blood blisters in the mouth. Platelet count found to be 7K and pt referred for admission. Reports recent dizziness and near syncope. Tx with platelet transfusions and steroids with platelet count 47K by d/c. Readmitted 12/3/07 for dropping platelet count (5K) with bruising and bleeding. Started on IVIG with count up to 128K by 12/8/07. D/C to f/u as outpt. Pt returned 4/25/08 with c/o diffuse weakness, decreased grip strength. Reflexes were initially intact but lost in several days with progressive weakness. Tx with IVIG and steroids with little improvement, then plasmapheresis. Recovery was very slow and pt d/c to rehab 5/27/08.


VAERS ID: 343050 (history)  
Form: Version 1.0  
Age: 44.0  
Gender: Male  
Location: Oklahoma  
Vaccinated:2008-01-30
Onset:2008-04-01
   Days after vaccination:62
Submitted: 2009-03-24
   Days after onset:357
Entered: 2009-03-31
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / GLAXOSMITHKLINE BIOLOGICALS AHAVB195AB / 1 UN / UN
IPV: POLIO VIRUS, INACT. (IPOL) / SANOFI PASTEUR Z0873-2 / 1 UN / UN
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0413U / 1 UN / UN
TDAP: TDAP (ADACEL) / SANOFI PASTEUR C2759AA / 1 UN / UN
TYP: TYPHOID VI POLYSACCHARIDE (TYPHIM VI) / SANOFI PASTEUR A0522-2- / 1 UN / UN

Administered by: Public       Purchased by: Private
Symptoms: Contusion, Idiopathic thrombocytopenic purpura, Petechiae
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Accidents and injuries (narrow), Hypersensitivity (narrow)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 6 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: PMH: borderline HTN.
Allergies:
Diagnostic Lab Data: Misdiagnosed as foot fungus in May 2008. Misdiagnosed in Oct. 2008. Diagnosed ITP in Feb. 2009. Labs: Platelets 2-54K. Retic count 33.4 (WNL)
CDC Split Type:

Write-up: Signs of bruising and petechiae in April/May 2008. Petechiae on lower legs and feet. 4/24/2009 MR received for DOS 2/17-19/2009 WITH D/c dx: Immune Thrombocytopenia. Pt presented with several month hx of diffuse petechiae. Platelet counts were low (1,000 range) and pt dx with ITP. Treated as outpt with oral steroids with increase in platelets to 78K. Pt currently presents with bleeding from the mouth and petechiae. Platelet count 0 on admission for severe thrombocytopenia 2'' to ITP. PE (+) for purpuric oral lesions, petechiae and epistaxis. Tx with dexamethasone and Rituximab and d/c for further outpt tx.


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