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This is VAERS ID 263569

History of Changes from the VAERS Wayback Machine

First Appeared on 12/30/2006

VAERS ID: 263569
VAERS Form:
Age:1.0
Gender:Female
Location:North Carolina
Vaccinated:2006-06-22
Onset:2006-06-29
Submitted:2006-09-21
Entered:2006-09-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / GLAXOSMITHKLINE 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: Unknown
Symptoms: Laboratory test abnormal, Thrombocytopenic purpura

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? Yes, days: 3     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,
CDC 'Split Type':

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


Changed on 12/8/2009

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

Administered by: Private      Purchased by: Unknown Public
Symptoms: Laboratory test abnormal, Thrombocytopenic purpura

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? Yes, days: 3     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,
CDC 'Split Type': (blank) NC06087

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


Changed on 5/14/2017

VAERS ID: 263569 Before After
VAERS Form:
Age:1.0
Gender:Female
Location:North Carolina
Vaccinated:2006-06-22
Onset:2006-06-29
Submitted:2006-09-21
Entered:2006-09-26
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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? Yes, days: 3     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.


Changed on 9/14/2017

VAERS ID: 263569 Before After
VAERS Form:(blank) 1
Age:1.0
Gender:Female
Location:North Carolina
Vaccinated:2006-06-22
Onset:2006-06-29
Submitted:2006-09-21
Entered:2006-09-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / GLAXOSMITHKLINE BIOLOGICALS AHABV093BA / 0 1 RL / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0489R / 0 1 RL / SC
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0947R / 0 1 LL / SC

Administered by: Private      Purchased by: Public
Symptoms: Laboratory test abnormal, Thrombocytopenic purpura

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? Yes, days: 3     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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