National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 261319

History of Changes from the VAERS Wayback Machine

First Appeared on 12/30/2006

VAERS ID: 261319
Age:0.2
Gender:Female
Location:Nebraska
Vaccinated:2006-07-14
Onset:2006-07-29
Submitted:2006-08-09
Entered:2006-08-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (DAPTACEL) / AVENTIS PASTEUR, INC. C2407AA / 0 RL / -
HBHEPB: HIB + HEP B (COMVAX) / MERCK & CO. INC. 1193R / 0 RL / -
IPV: POLIO VIRUS, INACT. (IPOL) / AVENTIS PASTEUR, INC. Y1068 / 0 LL / -
PNC: PNEUMO, 7-VALENT (PREVNAR) / LEDERLE LABORATORIES B08651E / 0 LL / -
ROTHB5: ROTAVIRUS VACCINE, LIVE, ORAL, PENTAVALENT (ROTATEQ) / MERCK & CO. INC. 0389F / 0 - / PO

Administered by: Private      Purchased by: Unknown
Symptoms: Neutropenia, Petechiae, Platelet count decreased, Rash, Skin ulcer

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? Yes, days: 4     Extended hospital stay? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions:
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
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.


Changed on 12/8/2009

VAERS ID: 261319 Before After
Age:0.2
Gender:Female
Location:Nebraska
Vaccinated:2006-07-14
Onset:2006-07-29
Submitted:2006-08-09
Entered:2006-08-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (DAPTACEL) / AVENTIS PASTEUR, INC. AVENTIS PASTEUR C2407AA / 0 RL / -
HBHEPB: HIB + HEP B (COMVAX) / MERCK & CO. INC. 1193R / 0 RL / -
IPV: POLIO VIRUS, INACT. (IPOL) / AVENTIS PASTEUR, INC. AVENTIS PASTEUR Y1068 / 0 LL / -
PNC: PNEUMO, 7-VALENT (PREVNAR) PNEUMO (PREVNAR) / LEDERLE LABORATORIES B08651E / 0 LL / -
ROTHB5: ROTAVIRUS VACCINE, LIVE, ORAL, PENTAVALENT (ROTATEQ) ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0389F / 0 - / PO

Administered by: Private      Purchased by: Unknown Other
Symptoms: Neutropenia, Petechiae, Platelet count decreased, Rash, Skin ulcer, Thrombocytopenic purpura

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? Yes, days: 4     Extended hospital stay? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions:
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 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


Changed on 3/2/2010

VAERS ID: 261319 Before After
Age:0.2
Gender:Female
Location:Nebraska
Vaccinated:2006-07-14
Onset:2006-07-29
Submitted:2006-08-09
Entered:2006-08-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (DAPTACEL) / AVENTIS PASTEUR C2407AA / 0 RL / -
HBHEPB: HIB + HEP B (COMVAX) / MERCK & CO. INC. 1193R / 0 RL / -
IPV: POLIO VIRUS, INACT. (IPOL) / AVENTIS PASTEUR Y1068 / 0 LL / -
PNC: PNEUMO (PREVNAR) PNEUMO (PREVNAR7) / LEDERLE LABORATORIES B08651E / 0 LL / -
ROTHB5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0389F / 0 - / PO

Administered by: Private      Purchased by: Other
Symptoms: Neutropenia, Petechiae, Platelet count decreased, Rash, Skin ulcer, Thrombocytopenic purpura

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? Yes, days: 4     Extended hospital stay? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions:
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


Changed on 4/7/2010

VAERS ID: 261319 Before After
Age:0.2
Gender:Female
Location:Nebraska
Vaccinated:2006-07-14
Onset:2006-07-29
Submitted:2006-08-09
Entered:2006-08-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (DAPTACEL) / AVENTIS PASTEUR C2407AA / 0 RL / -
HBHEPB: HIB + HEP B (COMVAX) / MERCK & CO. INC. 1193R / 0 RL / -
IPV: POLIO VIRUS, INACT. (IPOL) / AVENTIS PASTEUR Y1068 / 0 LL / -
PNC: PNEUMO (PREVNAR7) PNEUMO (PREVNAR) / LEDERLE LABORATORIES B08651E / 0 LL / -
ROTHB5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0389F / 0 - / PO

Administered by: Private      Purchased by: Other
Symptoms: Neutropenia, Petechiae, Platelet count decreased, Rash, Skin ulcer, Thrombocytopenic purpura

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? Yes, days: 4     Extended hospital stay? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions:
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


Changed on 5/13/2013

VAERS ID: 261319 Before After
Age:0.2
Gender:Female
Location:Nebraska
Vaccinated:2006-07-14
Onset:2006-07-29
Submitted:2006-08-09
Entered:2006-08-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (DAPTACEL) / AVENTIS PASTEUR C2407AA / 0 RL / -
HBHEPB: HIB + HEP B (COMVAX) / MERCK & CO. INC. 1193R / 0 RL / -
IPV: POLIO VIRUS, INACT. (IPOL) / AVENTIS PASTEUR Y1068 / 0 LL / -
PNC: PNEUMO (PREVNAR) / LEDERLE LABORATORIES B08651E / 0 LL / -
ROTHB5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0389F / 0 - / PO
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0389F / 0 - / PO

Administered by: Private      Purchased by: Other
Symptoms: Neutropenia, Petechiae, Platelet count decreased, Rash, Skin ulcer, Thrombocytopenic purpura

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? Yes, days: 4     Extended hospital stay? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions:
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


Changed on 2/14/2017

VAERS ID: 261319 Before After
Age:0.2 0.19
Gender:Female
Location:Nebraska
Vaccinated:2006-07-14
Onset:2006-07-29
Submitted:2006-08-09
Entered:2006-08-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (DAPTACEL) / AVENTIS PASTEUR SANOFI PASTEUR C2407AA / 0 RL / -
HBHEPB: HIB + HEP B (COMVAX) / MERCK & CO. INC. 1193R / 0 RL / -
IPV: POLIO VIRUS, INACT. (IPOL) / AVENTIS PASTEUR SANOFI PASTEUR Y1068 / 0 LL / -
PNC: PNEUMO (PREVNAR) / LEDERLE LABORATORIES PFIZER/WYETH B08651E / 0 LL / -
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0389F / 0 - / PO

Administered by: Private      Purchased by: Other
Symptoms: Neutropenia, Petechiae, Platelet count decreased, Rash, Skin ulcer, Thrombocytopenic purpura

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? Yes, days: 4     Extended hospital stay? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions:
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


New Search

Link To This Search Result:

http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=261319&WAYBACKHISTORY=ON


Copyright © 2017 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166