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This is VAERS ID 276629

Case Details

VAERS ID: 276629 (history)  
Age: 12.0  
Gender: Female  
Location: Maine  
Vaccinated:2007-01-17
Onset:2007-02-12
   Days after vaccination:26
Submitted: 2007-04-17
   Days after onset:63
Entered: 2007-04-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0954F / 1 LA / IM

Administered by: Private       Purchased by: Private
Symptoms: Anaemia haemolytic autoimmune
SMQs:, Haemolytic disorders (narrow)

Life Threatening? Yes
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: Migraine Records received 4/24/07-PMH: meconium aspiration ventilated for 10 days, full term. Several episodes of dehydration as a toddler required ER visits and IV hydration.
Diagnostic Lab Data: Available Records received 4/24/07-hemoglobin 5.4 and hematocrit 17. WBC 3.6. Platelets 211,000. LDH 493. Total Bilirubin 3.8. DAT Coombs found to have IgG anti-e antibody. Retic count elevated.
CDC Split Type:

Write-up: Acute onset Autoimmune hemolytic anemia requiring IV steroids and hospitalization.Records received 4/24/07-from facility for DOS 02/13-02/15/07- DC DX: warm agglutinin autoimmune hemolytic anemia. Found at routine visit to be anemic by PCP. RX with high dose steroids. Two week HX of fatigue pallor, nauseated. 4-6 weeks prior had URI .


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