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This is VAERS ID 263569

Case Details

VAERS ID: 263569 (history)  
Form: Version 1.0  
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 / 1 RL / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0489R / 1 RL / SC
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0947R / 1 LL / SC

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

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, 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
Allergies:
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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