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This is VAERS ID 265275

History of Changes from the VAERS Wayback Machine

First Appeared on 12/30/2006

VAERS ID: 265275
VAERS Form:
Age:12.0
Gender:Male
Location:Washington
Vaccinated:2006-09-22
Onset:2006-10-11
Submitted:2006-10-24
Entered:2006-10-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0832R / 1 RA / SC
TDAP: TDAP (BOOSTRIX) / GLAXOSMITHKLINE AC528009 / 0 LA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Petechiae, Platelet count decreased, Thrombocytopenic purpura, Contusion

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? Yes, days: 2     Extended hospital stay? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: As above, CBC only, rest of CBC normal, head CT scan normal. PT/PTT normal.
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. Plates increased to 22K, then 148K by 10/15/06. Platelets decreased to 24K on 10/23/06. ITP.


Changed on 12/8/2009

VAERS ID: 265275 Before After
VAERS Form:
Age:12.0
Gender:Male
Location:Washington
Vaccinated:2006-09-22
Onset:2006-10-11
Submitted:2006-10-24
Entered:2006-10-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0832R / 1 RA / SC
TDAP: TDAP (BOOSTRIX) / GLAXOSMITHKLINE GLAXOSMITHKLINE BIOLOGICALS AC528009 / 0 LA / IM

Administered by: Private      Purchased by: Unknown Public
Symptoms: Activated partial thromboplastin time, Blood product transfusion, Computerised tomogram normal, Ecchymosis, Full blood count normal, Haematocrit normal, Haemoglobin normal, Headache, Idiopathic thrombocytopenic purpura, International normalised ratio normal, Petechiae, Photophobia, Platelet count decreased, Prothrombin time prolonged, Purpura, Thrombocytopenic purpura, Urine analysis, White blood cell count increased, Contusion, Urine analysis abnormal

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? Yes, days: 2     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.
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. Plates increased . 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 22K, 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 decreased decrease to 24K on 10/23/06. ITP. 1/4/10 Patient stil has intermittent Thrombocytopemia requiring oral steroid therapy.


Changed on 3/2/2010

VAERS ID: 265275 Before After
VAERS Form:
Age:12.0
Gender:Male
Location:Washington
Vaccinated:2006-09-22
Onset:2006-10-11
Submitted:2006-10-24
Entered:2006-10-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0832R / 1 RA / SC
TDAP: TDAP (BOOSTRIX) / GLAXOSMITHKLINE BIOLOGICALS AC528009 / 0 LA / IM

Administered by: Private      Purchased by: Public
Symptoms: Activated partial thromboplastin time, Blood product transfusion, Computerised tomogram normal, Ecchymosis, Full blood count normal, Haematocrit normal, Haemoglobin normal, Headache, Idiopathic thrombocytopenic purpura, International normalised ratio normal, Petechiae, Photophobia, Platelet count decreased, Prothrombin time prolonged, Purpura, Urine analysis, White blood cell count increased, Contusion, Urine analysis abnormal

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? Yes, days: 2     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.
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.


Changed on 4/7/2010

VAERS ID: 265275 Before After
VAERS Form:
Age:12.0
Gender:Male
Location:Washington
Vaccinated:2006-09-22
Onset:2006-10-11
Submitted:2006-10-24
Entered:2006-10-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0832R / 1 RA / SC
TDAP: TDAP (BOOSTRIX) / GLAXOSMITHKLINE BIOLOGICALS AC528009 / 0 LA / IM

Administered by: Private      Purchased by: Public
Symptoms: Petechiae, Platelet count decreased, Contusion

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? Yes, days: 2     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.
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.


Changed on 7/31/2010

VAERS ID: 265275 Before After
VAERS Form:
Age:12.0
Gender:Male
Location:Washington
Vaccinated:2006-09-22
Onset:2006-10-11
Submitted:2006-10-24
Entered:2006-10-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0832R / 1 RA / SC
TDAP: TDAP (BOOSTRIX) / GLAXOSMITHKLINE BIOLOGICALS AC528009 / 0 LA / IM

Administered by: Private      Purchased by: Public
Symptoms: Activated partial thromboplastin time normal, Computerised tomogram normal, Ecchymosis, Full blood count normal, Haematocrit normal, Blood urine present, Haemoglobin normal, Headache, Idiopathic thrombocytopenic purpura, International normalised ratio normal, Petechiae, Photophobia, Platelet count decreased, Prothrombin time prolonged, Purpura, Thrombocytopenia, White blood cell count increased, Contusion, Urine analysis abnormal, Immunoglobulin therapy

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? Yes, days: 2     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.
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.


Changed on 12/7/2010

VAERS ID: 265275 Before After
VAERS Form:
Age:12.0
Gender:Male
Location:Washington
Vaccinated:2006-09-22
Onset:2006-10-11
Submitted:2006-10-24
Entered:2006-10-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0832R / 1 RA / SC
TDAP: TDAP (BOOSTRIX) / GLAXOSMITHKLINE BIOLOGICALS AC528009 / 0 LA / IM

Administered by: Private      Purchased by: Public
Symptoms: Activated partial thromboplastin time normal, Computerised tomogram normal, Ecchymosis, Full blood count normal, Haematocrit normal, Blood urine present, Haemoglobin normal, Headache, Idiopathic thrombocytopenic purpura, International normalised ratio normal, Petechiae, Photophobia, Platelet count decreased, Prothrombin time prolonged, Purpura, Thrombocytopenia, White blood cell count increased, Contusion, Urine analysis abnormal, Immunoglobulin therapy

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? Yes, days: 2     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.


Changed on 6/14/2014

VAERS ID: 265275 Before After
VAERS Form:
Age:12.0
Gender:Male
Location:Washington
Vaccinated:2006-09-22
Onset:2006-10-11
Submitted:2006-10-24
Entered:2006-10-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0832R / 1 RA / SC
TDAP: TDAP (BOOSTRIX) / GLAXOSMITHKLINE BIOLOGICALS AC528009 / 0 LA / IM

Administered by: Private      Purchased by: Public
Symptoms: Activated partial thromboplastin time normal, Computerised tomogram normal, Ecchymosis, Full blood count normal, Haematocrit normal, Blood urine present, Haemoglobin normal, Headache, Idiopathic thrombocytopenic purpura, International normalised ratio normal, Petechiae, Photophobia, Platelet count decreased, Prothrombin time prolonged, Purpura, Thrombocytopenia, White blood cell count increased, Contusion, Urine analysis abnormal, Immunoglobulin therapy

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? Yes, days: 2     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.


Changed on 5/14/2017

VAERS ID: 265275 Before After
VAERS Form:
Age:12.0
Gender:Male
Location:Washington
Vaccinated:2006-09-22
Onset:2006-10-11
Submitted:2006-10-24
Entered:2006-10-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0832R / 1 RA / SC
TDAP: TDAP (BOOSTRIX) / GLAXOSMITHKLINE BIOLOGICALS AC528009 / 0 LA / IM

Administered by: Private      Purchased by: Public
Symptoms: Activated partial thromboplastin time normal, Computerised tomogram normal, Ecchymosis, Full blood count normal, Haematocrit normal, Blood urine present, Haemoglobin normal, Headache, Idiopathic thrombocytopenic purpura, International normalised ratio normal, Petechiae, Photophobia, Platelet count decreased, Prothrombin time prolonged, Purpura, Thrombocytopenia, White blood cell count increased, Contusion, Urine analysis abnormal, Immunoglobulin therapy

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? Yes, days: 2     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.


Changed on 9/14/2017

VAERS ID: 265275 Before After
VAERS Form:(blank) 1
Age:12.0
Gender:Male
Location:Washington
Vaccinated:2006-09-22
Onset:2006-10-11
Submitted:2006-10-24
Entered:2006-10-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0832R / 1 2 RA / SC
TDAP: TDAP (BOOSTRIX) / GLAXOSMITHKLINE BIOLOGICALS AC528009 / 0 1 LA / IM

Administered by: Private      Purchased by: Public
Symptoms: Activated partial thromboplastin time normal, Computerised tomogram normal, Ecchymosis, Full blood count normal, Haematocrit normal, Blood urine present, Haemoglobin normal, Headache, Idiopathic thrombocytopenic purpura, International normalised ratio normal, Petechiae, Photophobia, Platelet count decreased, Prothrombin time prolonged, Purpura, Thrombocytopenia, White blood cell count increased, Contusion, Urine analysis abnormal, Immunoglobulin therapy

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? Yes, days: 2     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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