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This is VAERS ID 260308

History of Changes from the VAERS Wayback Machine

First Appeared on 12/30/2006

VAERS ID: 260308
VAERS Form:
Age:18.0
Gender:Male
Location:New Jersey
Vaccinated:2006-06-20
Onset:2006-06-28
Submitted:2006-07-16
Entered:2006-07-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
TDAP: TDAP (BOOSTRIX) / GLAXOSMITHKLINE 006BA / 0 - / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Thrombocytopenic purpura

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Developed Idiopathic thrombocytopenic purpura.


Changed on 12/8/2009

VAERS ID: 260308 Before After
VAERS Form:
Age:18.0
Gender:Male
Location:New Jersey
Vaccinated:2006-06-20
Onset:2006-06-28
Submitted:2006-07-16
Entered:2006-07-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
TDAP: TDAP (BOOSTRIX) / GLAXOSMITHKLINE GLAXOSMITHKLINE BIOLOGICALS 006BA / 0 - / IM

Administered by: Private      Purchased by: Unknown Private
Symptoms: Thrombocytopenic purpura

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Developed Idiopathic thrombocytopenic purpura.


Changed on 9/14/2017

VAERS ID: 260308 Before After
VAERS Form:(blank) 1
Age:18.0
Gender:Male
Location:New Jersey
Vaccinated:2006-06-20
Onset:2006-06-28
Submitted:2006-07-16
Entered:2006-07-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
TDAP: TDAP (BOOSTRIX) / GLAXOSMITHKLINE BIOLOGICALS 006BA / 0 1 - / IM

Administered by: Private      Purchased by: Private
Symptoms: Thrombocytopenic purpura

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Developed Idiopathic thrombocytopenic purpura.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=260308&WAYBACKHISTORY=ON


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