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This is VAERS ID 265275

Case Details

VAERS ID: 265275 (history)  
Form: Version 1.0  
Age: 12.0  
Gender: Male  
Location: Washington  
Vaccinated:2006-09-22
Onset:2006-10-11
   Days after vaccination:19
Submitted: 2006-10-24
   Days after onset:13
Entered: 2006-10-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0832R / 2 RA / SC
TDAP: TDAP (BOOSTRIX) / GLAXOSMITHKLINE BIOLOGICALS AC528009 / 1 LA / IM

Administered by: Private       Purchased by: Public
Symptoms: Activated partial thromboplastin time normal, Blood urine present, Computerised tomogram normal, Contusion, Ecchymosis, Full blood count normal, Haematocrit normal, Haemoglobin normal, Headache, Idiopathic thrombocytopenic purpura, Immunoglobulin therapy, International normalised ratio normal, Petechiae, Photophobia, Platelet count decreased, Prothrombin time prolonged, Purpura, Thrombocytopenia, Urine analysis abnormal, White blood cell count increased
SMQs:, Liver-related coagulation and bleeding disturbances (narrow), Haematopoietic thrombocytopenia (narrow), Haemorrhage terms (excl laboratory terms) (narrow), Haemorrhage laboratory terms (narrow), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Noninfectious meningitis (narrow), Accidents and injuries (narrow), Glaucoma (broad), Corneal disorders (broad), Retinal disorders (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: As above, CBC only, rest of CBC normal, head CT scan normal. PT/PTT normal. Labs: INR 1.06, PT 12.7, partial thromboplastin time 28. WBC 9600, H/H 13.9/40.2. platelets 10,000. UA trace blood.Plates increased to 22K, then 148K by 10/15/06. Platelets decreased to 24K on 10/23/06. CT head WNL. CBC INR 1.11, PTT 26.2, PT 11.4, WBC 14.7, Hematocrit 41.3, platelets 81,000.
CDC Split Type:

Write-up: 2 1/2 weeks after immunization, pt developed petechiae and large bruises. He was seen in office on 10/12/06. Platelet count 10K. Admitted to hospital, given IVIG. . 10/12/06-seen in ER with bruising and petechia on his trunk and extremities but none on the head. Large bruise on right forearm, ecchymotic and petichia areas on the forearms. DX:idiopathic thrombocytopenic purpura. Returned to ED 12 hours after DC on 10/14/06-C/O headache. Platelets at time of DC 22,000. Gradually headache seems to be behind eyes, light bothering his eyes. Multiple ecchymoses. Alert oriented. Observed in ER and DC home. Impression: headache, no evidence of bleeding in CT. Improving thrombocytopenia. Returned to hospital 10/27/06-After first hospitalization and treatment with IV Ig, platelets improved to 148,000, ecchymoses went away. No complaints of headaches. Over last few days developing more petechiae and few purpura. Platelets 13,000. Reamitted for IV Ig therapy. Impression idiopathic thrombocytopenia. Follow-up: Platelets increase to 22k, then 148K by 10/15/06. Platelets decrease to 24K on 10/23/06. 1/4/10 Patient stil has intermittent Thrombocytopemia requiring oral steroid therapy. 4/1/10 Patient still has cycles of thrombocytopenia. has been treated with NIG and oral steroids. Platelets drop to <20,000 about every 2 months.


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