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This is VAERS ID 261319

Case Details

VAERS ID: 261319 (history)  
Form: Version 1.0  
Age: 0.19  
Gender: Female  
Location: Nebraska  
Vaccinated:2006-07-14
Onset:2006-07-29
   Days after vaccination:15
Submitted: 2006-08-09
   Days after onset:11
Entered: 2006-08-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (DAPTACEL) / SANOFI PASTEUR C2407AA / 1 RL / -
HBHEPB: HIB + HEP B (COMVAX) / MERCK & CO. INC. 1193R / 1 RL / -
IPV: POLIO VIRUS, INACT. (IPOL) / SANOFI PASTEUR Y1068 / 1 LL / -
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH B08651E / 1 LL / -
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0389F / 1 MO / PO

Administered by: Private       Purchased by: Other
Symptoms: Neutropenia, Petechiae, Platelet count decreased, Rash, Skin ulcer, Thrombocytopenic purpura
SMQs:, Anaphylactic reaction (broad), Haematopoietic leukopenia (narrow), 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, 4 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: WBC 7/27 8160 7/30 6820 7/31 8390 8/1 11290 8/8 13946, ANC 7/29 1305 7/30 205 7/31 75 8/1 340 8/8 2342, PLTS 7/29 7000 7/30 21000 7/31 40000 8/01 76000 8/8 698000 9/13/06 plts 335
CDC Split Type:

Write-up: Platelet count at MD''s office was 7000 on 7/27. Admitted to hospital. IVIG given, 5 gram dose. Small petechia lesions spread all over body. 9/22/06 Received medical records from hospital which reveal patient was admitted on 7/29/06 with small erythematous petechia like rash on face for 2 days which began under the eyelids then progressed over the entire body & inside the throat. No ill family members. Dx: panthrombocytopenia, most likely idiopathic thrombocytopanic purpura. Received IVIG. Patient only seen in heme/onc clinic for labs, no consult available./ss


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