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This is VAERS ID 277385

Case Details

VAERS ID: 277385 (history)  
Age: 13.0  
Gender: Female  
Location: California  
Vaccinated:2007-03-20
Onset:2007-04-06
   Days after vaccination:17
Submitted: 2007-04-25
   Days after onset:19
Entered: 2007-04-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM AHAVB129AA / 1 LA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 00114 / 0 LA / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR 42159AA / 0 RA / IM

Administered by: Unknown       Purchased by: Unknown
Symptoms: Haematuria, Henoch-Schonlein purpura
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Vasculitis (narrow), Hypersensitivity (narrow), Tubulointerstitial diseases (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? Yes, 1 days
   Extended hospital stay? No
Previous Vaccinations: n/a~ ()~~0.00~In Patient
Other Medications:
Current Illness: none
Preexisting Conditions: none
Diagnostic Lab Data: Had mild hematuria which has now resolved
CDC Split Type:

Write-up: Developed Henoch-Schonlein-Purpura 4/6/07. Received Hepatitis A vaccine, HPV, & MVC-4 vaccine on 3/20/07. 05/15/07-records received for DOS 4/14/17-Henoch-Schonlein purpura. Myalgia in calves painful with palpation. Mild edema around joints. No fever no signs of DIC. 4+ hemoglobin in urine. PMH: PPD positive. 9/04/-07 progress note received DX Henoch-Schonlein purpura


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