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This is VAERS ID 262819

Case Details

VAERS ID: 262819 (history)  
Form: Version 1.0  
Age: 1.41  
Gender: Female  
Location: Texas  
Vaccinated:2006-06-07
Onset:2006-07-13
   Days after vaccination:36
Submitted: 2006-09-01
   Days after onset:50
Entered: 2006-09-11
   Days after submission:10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
IPV: POLIO VIRUS, INACT. (IPOL) / SANOFI PASTEUR Y1050 / 3 RL / IM
MMRV: MEASLES + MUMPS + RUBELLA + VARICELLA (PROQUAD) / MERCK & CO. INC. 0956R / 1 LL / SC

Administered by: Private       Purchased by: Private
Symptoms: Platelet count decreased, Thrombocytopenic purpura
SMQs:, Haematopoietic thrombocytopenia (narrow), Haemorrhage terms (excl laboratory terms) (narrow), Systemic lupus erythematosus (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? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: CBC 7/13/06 Platelet count 34,000
CDC Split Type:

Write-up: Thrombocytopenic purpura


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