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This is VAERS ID 277385

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 277385
Age:13.0
Gender:Female
Location:California
Vaccinated:2007-03-20
Onset:2007-04-06
Submitted:2007-04-25
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 (MENACTRA) / SANOFI PASTEUR 42159AA / 0 RA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Haematuria, Henoch-Schonlein purpura, Myalgia, Oedema

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

Write-up:Developed Henoch-Schonlein-Purpura 4/6/07. Received Hepatitis A vaccine, HPV, & MVC-4 vaccine on 3/20/07.


Changed on 12/8/2009

VAERS ID: 277385 Before After
Age:13.0
Gender:Female
Location:California
Vaccinated:2007-03-20
Onset:2007-04-06
Submitted:2007-04-25
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 (MENACTRA) / SANOFI PASTEUR 42159AA / 0 RA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Haematuria, Henoch-Schonlein purpura, Myalgia, Oedema

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? Yes, days: 1     Extended hospital stay? No
Previous Vaccinations: n/a~~NULL~~In n/a~ ()~~0~In Patient
Other Medications:
Current Illness: none
Preexisting Conditions: none
Diagnostic Lab Data: Had mild hematuria which has now resolved
CDC 'Split Type': none (blank)

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


Changed on 4/7/2010

VAERS ID: 277385 Before After
Age:13.0
Gender:Female
Location:California
Vaccinated:2007-03-20
Onset:2007-04-06
Submitted:2007-04-25
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 (MENACTRA) MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR 42159AA / 0 RA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Haematuria, Henoch-Schonlein purpura, Myalgia, Oedema

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? Yes, days: 1     Extended hospital stay? No
Previous Vaccinations: n/a~ ()~~0~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


Changed on 5/14/2017

VAERS ID: 277385 Before After
Age:13.0
Gender:Female
Location:California
Vaccinated:2007-03-20
Onset:2007-04-06
Submitted:2007-04-25
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, Myalgia, Oedema

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? Yes, days: 1     Extended hospital stay? No
Previous Vaccinations: n/a~ ()~~0~In ()~~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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