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This is VAERS ID 263569

Case Details

VAERS ID: 263569 (history)  
Age: 1.0  
Gender: Female  
Location: North Carolina  
Vaccinated:2006-06-22
Onset:2006-06-29
   Days after vaccination:7
Submitted: 2006-09-21
   Days after onset:84
Entered: 2006-09-26
   Days after submission:5
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / GLAXOSMITHKLINE BIOLOGICALS AHABV093BA / 0 RL / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0489R / 0 RL / SC
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0947R / 0 LL / SC

Administered by: Private       Purchased by: Public
Symptoms: Laboratory test abnormal, Thrombocytopenic purpura
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: on AUGMENTIN, ALBUTEROL, Pulmicort since 6/19/06 for CM, reactive airway disease
Diagnostic Lab Data: Hemoglobin 12.3, hematocrit 34, white blood count 2600, platelet count 10,000 increased from 3000 approximately 12 hours prior, 49% segs, 38% lymphs, 12% monos, MCV 83. No abnormal cells seen on differential. Lactic acid 3, uric acid 2.8, LDH 317.
CDC Split Type: NC06087

Write-up: Idiopathic thrombocytopenic purpura and platelet count decrease to 1000.


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