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This is VAERS ID 276629

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 276629
Age:12.0
Gender:Female
Location:Maine
Vaccinated:2007-01-17
Onset:2007-02-12
Submitted:2007-04-17
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: Unknown
Symptoms: Anaemia haemolytic autoimmune, Blood bilirubin increased, Blood immunoglobulin G, Blood lactate dehydrogenase increased, Coombs direct test positive

Life Threatening? Yes
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? Yes, days: 2     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 .


Changed on 12/8/2009

VAERS ID: 276629 Before After
Age:12.0
Gender:Female
Location:Maine
Vaccinated:2007-01-17
Onset:2007-02-12
Submitted:2007-04-17
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: Unknown Private
Symptoms: Anaemia haemolytic autoimmune, Blood bilirubin increased, Blood immunoglobulin G, Blood lactate dehydrogenase increased, Coombs direct test positive, Fatigue, Haematocrit decreased, Haemoglobin decreased, Pallor, Reticulocyte count increased, White blood cell count decreased

Life Threatening? Yes
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? Yes, days: 2     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 high dose steroids. Two week HX of fatigue pallor, nauseated. 4-6 weeks prior had URI .


Changed on 5/14/2017

VAERS ID: 276629 Before After
Age:12.0
Gender:Female
Location:Maine
Vaccinated:2007-01-17
Onset:2007-02-12
Submitted:2007-04-17
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, Blood bilirubin increased, Blood immunoglobulin G, Blood lactate dehydrogenase increased, Coombs direct test positive, Fatigue, Haematocrit decreased, Haemoglobin decreased, Pallor, Reticulocyte count increased, White blood cell count decreased

Life Threatening? Yes
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? Yes, days: 2     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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