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This is VAERS ID 279329

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 279329
Age:15.0
Gender:Female
Location:Unknown
Vaccinated:2007-01-03
Onset:2007-02-01
Submitted:2007-05-22
Entered:2007-05-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / UN

Administered by: Other      Purchased by: Unknown
Symptoms: Blood culture negative, Autoimmune thrombocytopenia, Contusion, Antinuclear antibody positive, Complement factor decreased

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? Yes, days: 4     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: None
Diagnostic Lab Data: Unknown
CDC 'Split Type':

Write-up:Information has been received from a physician concerning a 15 year old female with no pertinent medical history or known drug reactions or allergies who on 03-JAN-2007 was vaccinated with Gardasil 0.5 ml injection. In February 2007, the patient experienc"ed heavy menstrual bleeding, nose bleeds and eye problems and was hospitalized for four days (admittance and discharge dates not reported), and while hospitalized was diagnosed with Evans syndrome. The patient needed a blood transfusion. The patient''''s Ev


Changed on 12/8/2009

VAERS ID: 279329 Before After
Age:15.0
Gender:Female
Location:Unknown
Vaccinated:2007-01-03
Onset:2007-02-01
Submitted:2007-05-22
Entered:2007-05-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / UN

Administered by: Other      Purchased by: Unknown Other
Symptoms: Blood culture negative, Coombs direct test positive, Epistaxis, Eye disorder, Fall, Fatigue, Hypogammaglobulinaemia, Idiopathic thrombocytopenic purpura, Menorrhagia, Pancytopenia, Petechiae, Syncope, Autoimmune thrombocytopenia, Contusion, Cytomegalovirus test negative, Evans syndrome, Enterovirus serology test negative, Antinuclear antibody positive, Complement factor decreased, Transfusion

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No No
ER or Doctor Visit? Yes
Hospitalized? Yes, days: 4     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: None records received 6/6/07-nosebleeds
Diagnostic Lab Data: Unknown Unknown. records received 6/6/07-On admission platelets 4, smear showed no blasts, large in size. Reticulocyte mild hypogammaglobulinemia and positive direct Coombs. Trasnfusions of platelets. Bone marrow results were within normal limits w
CDC 'Split Type': (blank) WAES0705USA02428

Write-up:Information has been received from a physician concerning a 15 year old female with no pertinent medical history or known drug reactions or allergies who on 03-JAN-2007 was vaccinated with Gardasil 0.5 ml injection. In February 2007, the patient experienc"ed experienced heavy menstrual bleeding, nose bleeds and eye problems and was hospitalized for four days (admittance and discharge dates not reported), and while hospitalized was diagnosed with Evans syndrome. The patient needed a blood transfusion. The patient''''s Ev patient''s Evans syndrome persisted. There was no product quality complaint. Additional information has been requested. 06/06/07-records received from facility for DOS 5/7-5/10/07. DC DX: Evan''s Syndrome, immune thrombocytopenia and anemia. Prolonged episode of epistaxis. HX: Nosebleeds frequently since age of 3 or 4. In last 4 weeks have increased in frequency 6-7 times per day, harder to stop. Prior to admission nosebleed from 21:30 through 9:30 with nausea and bloody emeses. HX of bruising easily. Menses 3 days longer in duration and heavier with clotting and clumps. Petechia on lower extremities, more tired or fatigued. Feels faints if she stands up too quickly. Black out this morning. Fell. Follow up visits 5/17/07: Impression Evan''s Syndrome, Strong family history of autoimmunity. Abnormal labs including positive ANA, low complement.


Changed on 7/31/2010

VAERS ID: 279329 Before After
Age:15.0
Gender:Female
Location:Unknown
Vaccinated:2007-01-03
Onset:2007-02-01
Submitted:2007-05-22
Entered:2007-05-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Blood culture negative, Coombs direct test positive, Epistaxis, Eye disorder, Fall, Fatigue, Hypogammaglobulinaemia, Idiopathic thrombocytopenic purpura, Menorrhagia, Pancytopenia, Petechiae, Syncope, Autoimmune thrombocytopenia, Contusion, Cytomegalovirus test negative, Evans syndrome, Enterovirus serology test negative, Antinuclear antibody positive, Complement factor decreased, Transfusion

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? Yes, days: 4     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: None records received 6/6/07-nosebleeds
Diagnostic Lab Data: Unknown. records received 6/6/07-On admission platelets 4, smear showed no blasts, large in size. Reticulocyte mild hypogammaglobulinemia and positive direct Coombs. Trasnfusions of platelets. Bone marrow results were within normal limits w
CDC 'Split Type': WAES0705USA02428

Write-up:Information has been received from a physician concerning a 15 year old female with no pertinent medical history or known drug reactions or allergies who on 03-JAN-2007 was vaccinated with Gardasil 0.5 ml injection. In February 2007, the patient experienced heavy menstrual bleeding, nose bleeds and eye problems and was hospitalized for four days (admittance and discharge dates not reported), and while hospitalized was diagnosed with Evans syndrome. The patient needed a blood transfusion. The patient''s Evans syndrome persisted. There was no product quality complaint. Additional information has been requested. 06/06/07-records received from facility for DOS 5/7-5/10/07. DC DX: Evan''s Syndrome, immune thrombocytopenia and anemia. Prolonged episode of epistaxis. HX: Nosebleeds frequently since age of 3 or 4. In last 4 weeks have increased in frequency 6-7 times per day, harder to stop. Prior to admission nosebleed from 21:30 through 9:30 with nausea and bloody emeses. HX of bruising easily. Menses 3 days longer in duration and heavier with clotting and clumps. Petechia on lower extremities, more tired or fatigued. Feels faints if she stands up too quickly. Black out this morning. Fell. Follow up visits 5/17/07: Impression Evan''s Syndrome, Strong family history of autoimmunity. Abnormal labs including positive ANA, low complement.


Changed on 1/4/2011

VAERS ID: 279329 Before After
Age:15.0
Gender:Female
Location:Unknown
Vaccinated:2007-01-03
Onset:2007-02-01
Submitted:2007-05-22
Entered:2007-05-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Epistaxis, Eye disorder, Idiopathic thrombocytopenic purpura, Menorrhagia, Evans syndrome, Transfusion

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? Yes, days: 4     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: None records received 6/6/07-nosebleeds
Diagnostic Lab Data: Unknown. records received 6/6/07-On admission platelets 4, smear showed no blasts, large in size. Reticulocyte mild hypogammaglobulinemia and positive direct Coombs. Trasnfusions of platelets. Bone marrow results were within normal limits w with no blasts. Treated with IVIG. Blood cultures no growth. Positive ANA. CMV, Enterovirus, HSV/VZV cultures negative.
CDC 'Split Type': WAES0705USA02428

Write-up:Information has been received from a physician concerning a 15 year old female with no pertinent medical history or known drug reactions or allergies who on 03-JAN-2007 was vaccinated with Gardasil 0.5 ml injection. In February 2007, the patient experienced heavy menstrual bleeding, nose bleeds and eye problems and was hospitalized for four days (admittance and discharge dates not reported), and while hospitalized was diagnosed with Evans syndrome. The patient needed a blood transfusion. The patient''s Evans syndrome persisted. There was no product quality complaint. Additional information has been requested. 06/06/07-records received from facility for DOS 5/7-5/10/07. DC DX: Evan''s Syndrome, immune thrombocytopenia and anemia. Prolonged episode of epistaxis. HX: Nosebleeds frequently since age of 3 or 4. In last 4 weeks have increased in frequency 6-7 times per day, harder to stop. Prior to admission nosebleed from 21:30 through 9:30 with nausea and bloody emeses. HX of bruising easily. Menses 3 days longer in duration and heavier with clotting and clumps. Petechia on lower extremities, more tired or fatigued. Feels faints if she stands up too quickly. Black out this morning. Fell. Follow up visits 5/17/07: Impression Evan''s Syndrome, Strong family history of autoimmunity. Abnormal labs including positive ANA, low complement.


Changed on 4/13/2011

VAERS ID: 279329 Before After
Age:15.0
Gender:Female
Location:Unknown
Vaccinated:2007-01-03
Onset:2007-02-01
Submitted:2007-05-22
Entered:2007-05-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Blood culture negative, Coombs direct test positive, Epistaxis, Eye disorder, Fall, Fatigue, Hypogammaglobulinaemia, Idiopathic thrombocytopenic purpura, Menorrhagia, Pancytopenia, Petechiae, Syncope, Autoimmune thrombocytopenia, Contusion, Cytomegalovirus test negative, Evans syndrome, Enterovirus serology test negative, Antinuclear antibody positive, Complement factor decreased, Transfusion

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? Yes, days: 4     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: None records received 6/6/07-nosebleeds
Diagnostic Lab Data: Unknown. records received 6/6/07-On admission platelets 4, smear showed no blasts, large in size. Reticulocyte mild hypogammaglobulinemia and positive direct Coombs. Trasnfusions of platelets. Bone marrow results were within normal limits with no blasts. Treated with IVIG. Blood cultures no growth. Positive ANA. CMV, Enterovirus, HSV/VZV cultures negative.
CDC 'Split Type': WAES0705USA02428

Write-up:Information has been received from a physician concerning a 15 year old female with no pertinent medical history or known drug reactions or allergies who on 03-JAN-2007 was vaccinated with Gardasil 0.5 ml injection. In February 2007, the patient experienced heavy menstrual bleeding, nose bleeds and eye problems and was hospitalized for four days (admittance and discharge dates not reported), and while hospitalized was diagnosed with Evans syndrome. The patient needed a blood transfusion. The patient''s Evans syndrome persisted. There was no product quality complaint. Additional information has been requested. 06/06/07-records received from facility for DOS 5/7-5/10/07. DC DX: Evan''s Syndrome, immune thrombocytopenia and anemia. Prolonged episode of epistaxis. HX: Nosebleeds frequently since age of 3 or 4. In last 4 weeks have increased in frequency 6-7 times per day, harder to stop. Prior to admission nosebleed from 21:30 through 9:30 with nausea and bloody emeses. HX of bruising easily. Menses 3 days longer in duration and heavier with clotting and clumps. Petechia on lower extremities, more tired or fatigued. Feels faints if she stands up too quickly. Black out this morning. Fell. Follow up visits 5/17/07: Impression Evan''s Syndrome, Strong family history of autoimmunity. Abnormal labs including positive ANA, low complement.


Changed on 5/13/2011

VAERS ID: 279329 Before After
Age:15.0
Gender:Female
Location:Unknown
Vaccinated:2007-01-03
Onset:2007-02-01
Submitted:2007-05-22
Entered:2007-05-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Blood culture negative, Coombs direct test positive, Epistaxis, Eye disorder, Fall, Fatigue, Hypogammaglobulinaemia, Idiopathic thrombocytopenic purpura, Menorrhagia, Pancytopenia, Petechiae, Syncope, Autoimmune thrombocytopenia, Contusion, Cytomegalovirus test negative, Evans syndrome, Enterovirus serology test negative, Antinuclear antibody positive, Complement factor decreased, Transfusion

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? Yes, days: 4     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: None records received 6/6/07-nosebleeds
Diagnostic Lab Data: Unknown. records received 6/6/07-On admission platelets 4, smear showed no blasts, large in size. Reticulocyte mild hypogammaglobulinemia and positive direct Coombs. Trasnfusions of platelets. Bone marrow results were within normal limits with no blasts. Treated with IVIG. Blood cultures no growth. Positive ANA. CMV, Enterovirus, HSV/VZV cultures negative.
CDC 'Split Type': WAES0705USA02428

Write-up:Information has been received from a physician concerning a 15 year old female with no pertinent medical history or known drug reactions or allergies who on 03-JAN-2007 was vaccinated with Gardasil 0.5 ml injection. In February 2007, the patient experienced heavy menstrual bleeding, nose bleeds and eye problems and was hospitalized for four days (admittance and discharge dates not reported), and while hospitalized was diagnosed with Evans syndrome. The patient needed a blood transfusion. The patient''s Evans syndrome persisted. There was no product quality complaint. Additional information has been requested. 06/06/07-records received from facility for DOS 5/7-5/10/07. DC DX: Evan''s Syndrome, immune thrombocytopenia and anemia. Prolonged episode of epistaxis. HX: Nosebleeds frequently since age of 3 or 4. In last 4 weeks have increased in frequency 6-7 times per day, harder to stop. Prior to admission nosebleed from 21:30 through 9:30 with nausea and bloody emeses. HX of bruising easily. Menses 3 days longer in duration and heavier with clotting and clumps. Petechia on lower extremities, more tired or fatigued. Feels faints if she stands up too quickly. Black out this morning. Fell. Follow up visits 5/17/07: Impression Evan''s Syndrome, Strong family history of autoimmunity. Abnormal labs including positive ANA, low complement.


Changed on 6/11/2011

VAERS ID: 279329 Before After
Age:15.0
Gender:Female
Location:Unknown
Vaccinated:2007-01-03
Onset:2007-02-01
Submitted:2007-05-22
Entered:2007-05-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Blood culture negative, Coombs direct test positive, Epistaxis, Eye disorder, Fall, Fatigue, Hypogammaglobulinaemia, Idiopathic thrombocytopenic purpura, Menorrhagia, Pancytopenia, Petechiae, Syncope, Autoimmune thrombocytopenia, Contusion, Cytomegalovirus test negative, Evans syndrome, Enterovirus serology test negative, Antinuclear antibody positive, Complement factor decreased, Transfusion

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? Yes, days: 4     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: None records received 6/6/07-nosebleeds
Diagnostic Lab Data: Unknown. records received 6/6/07-On admission platelets 4, smear showed no blasts, large in size. Reticulocyte mild hypogammaglobulinemia and positive direct Coombs. Trasnfusions of platelets. Bone marrow results were within normal limits with no blasts. Treated with IVIG. Blood cultures no growth. Positive ANA. CMV, Enterovirus, HSV/VZV cultures negative.
CDC 'Split Type': WAES0705USA02428

Write-up:Information has been received from a physician concerning a 15 year old female with no pertinent medical history or known drug reactions or allergies who on 03-JAN-2007 was vaccinated with Gardasil 0.5 ml injection. In February 2007, the patient experienced heavy menstrual bleeding, nose bleeds and eye problems and was hospitalized for four days (admittance and discharge dates not reported), and while hospitalized was diagnosed with Evans syndrome. The patient needed a blood transfusion. The patient''s Evans syndrome persisted. There was no product quality complaint. Additional information has been requested. 06/06/07-records received from facility for DOS 5/7-5/10/07. DC DX: Evan''s Syndrome, immune thrombocytopenia and anemia. Prolonged episode of epistaxis. HX: Nosebleeds frequently since age of 3 or 4. In last 4 weeks have increased in frequency 6-7 times per day, harder to stop. Prior to admission nosebleed from 21:30 through 9:30 with nausea and bloody emeses. HX of bruising easily. Menses 3 days longer in duration and heavier with clotting and clumps. Petechia on lower extremities, more tired or fatigued. Feels faints if she stands up too quickly. Black out this morning. Fell. Follow up visits 5/17/07: Impression Evan''s Syndrome, Strong family history of autoimmunity. Abnormal labs including positive ANA, low complement.


Changed on 6/14/2014

VAERS ID: 279329 Before After
Age:15.0
Gender:Female
Location:Unknown
Vaccinated:2007-01-03
Onset:2007-02-01
Submitted:2007-05-22
Entered:2007-05-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Blood culture negative, Coombs direct test positive, Epistaxis, Eye disorder, Fall, Fatigue, Hypogammaglobulinaemia, Idiopathic thrombocytopenic purpura, Menorrhagia, Pancytopenia, Petechiae, Syncope, Autoimmune thrombocytopenia, Contusion, Cytomegalovirus test negative, Evans syndrome, Enterovirus serology test negative, Antinuclear antibody positive, Complement factor decreased, Transfusion

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? Yes, days: 4     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: None records received 6/6/07-nosebleeds
Diagnostic Lab Data: Unknown. records received 6/6/07-On admission platelets 4, smear showed no blasts, large in size. Reticulocyte mild hypogammaglobulinemia and positive direct Coombs. Trasnfusions of platelets. Bone marrow results were within normal limits with no blasts. Treated with IVIG. Blood cultures no growth. Positive ANA. CMV, Enterovirus, HSV/VZV cultures negative.
CDC 'Split Type': WAES0705USA02428

Write-up:Information has been received from a physician concerning a 15 year old female with no pertinent medical history or known drug reactions or allergies who on 03-JAN-2007 was vaccinated with Gardasil 0.5 ml injection. In February 2007, the patient experienced heavy menstrual bleeding, nose bleeds and eye problems and was hospitalized for four days (admittance and discharge dates not reported), and while hospitalized was diagnosed with Evans syndrome. The patient needed a blood transfusion. The patient''s Evans syndrome persisted. There was no product quality complaint. Additional information has been requested. 06/06/07-records received from facility for DOS 5/7-5/10/07. DC DX: Evan''s Syndrome, immune thrombocytopenia and anemia. Prolonged episode of epistaxis. HX: Nosebleeds frequently since age of 3 or 4. In last 4 weeks have increased in frequency 6-7 times per day, harder to stop. Prior to admission nosebleed from 21:30 through 9:30 with nausea and bloody emeses. HX of bruising easily. Menses 3 days longer in duration and heavier with clotting and clumps. Petechia on lower extremities, more tired or fatigued. Feels faints if she stands up too quickly. Black out this morning. Fell. Follow up visits 5/17/07: Impression Evan''s Syndrome, Strong family history of autoimmunity. Abnormal labs including positive ANA, low complement.


Changed on 3/14/2015

VAERS ID: 279329 Before After
Age:15.0
Gender:Female
Location:Unknown
Vaccinated:2007-01-03
Onset:2007-02-01
Submitted:2007-05-22
Entered:2007-05-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Blood culture negative, Coombs direct test positive, Epistaxis, Eye disorder, Fall, Fatigue, Hypogammaglobulinaemia, Idiopathic thrombocytopenic purpura, Menorrhagia, Pancytopenia, Petechiae, Syncope, Autoimmune thrombocytopenia, Contusion, Cytomegalovirus test negative, Evans syndrome, Enterovirus serology test negative, Antinuclear antibody positive, Complement factor decreased, Transfusion

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? Yes, days: 4     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: None records received 6/6/07-nosebleeds
Diagnostic Lab Data: Unknown. records received 6/6/07-On admission platelets 4, smear showed no blasts, large in size. Reticulocyte mild hypogammaglobulinemia and positive direct Coombs. Trasnfusions of platelets. Bone marrow results were within normal limits with no blasts. Treated with IVIG. Blood cultures no growth. Positive ANA. CMV, Enterovirus, HSV/VZV cultures negative.
CDC 'Split Type': WAES0705USA02428

Write-up:Information has been received from a physician concerning a 15 year old female with no pertinent medical history or known drug reactions or allergies who on 03-JAN-2007 was vaccinated with Gardasil 0.5 ml injection. In February 2007, the patient experienced heavy menstrual bleeding, nose bleeds and eye problems and was hospitalized for four days (admittance and discharge dates not reported), and while hospitalized was diagnosed with Evans syndrome. The patient needed a blood transfusion. The patient''s Evans syndrome persisted. There was no product quality complaint. Additional information has been requested. 06/06/07-records received from facility for DOS 5/7-5/10/07. DC DX: Evan''s Syndrome, immune thrombocytopenia and anemia. Prolonged episode of epistaxis. HX: Nosebleeds frequently since age of 3 or 4. In last 4 weeks have increased in frequency 6-7 times per day, harder to stop. Prior to admission nosebleed from 21:30 through 9:30 with nausea and bloody emeses. HX of bruising easily. Menses 3 days longer in duration and heavier with clotting and clumps. Petechia on lower extremities, more tired or fatigued. Feels faints if she stands up too quickly. Black out this morning. Fell. Follow up visits 5/17/07: Impression Evan''s Syndrome, Strong family history of autoimmunity. Abnormal labs including positive ANA, low complement.


Changed on 5/14/2017

VAERS ID: 279329 Before After
Age:15.0
Gender:Female
Location:Unknown
Vaccinated:2007-01-03
Onset:2007-02-01
Submitted:2007-05-22
Entered:2007-05-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Blood culture negative, Coombs direct test positive, Epistaxis, Eye disorder, Fall, Fatigue, Hypogammaglobulinaemia, Idiopathic thrombocytopenic purpura, Menorrhagia, Pancytopenia, Petechiae, Syncope, Autoimmune thrombocytopenia, Contusion, Cytomegalovirus test negative, Evans syndrome, Enterovirus serology test negative, Antinuclear antibody positive, Complement factor decreased, Transfusion

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? Yes, days: 4     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: None records received 6/6/07-nosebleeds
Diagnostic Lab Data: Unknown. records received 6/6/07-On admission platelets 4, smear showed no blasts, large in size. Reticulocyte mild hypogammaglobulinemia and positive direct Coombs. Trasnfusions of platelets. Bone marrow results were within normal limits with no blasts. Treated with IVIG. Blood cultures no growth. Positive ANA. CMV, Enterovirus, HSV/VZV cultures negative.
CDC 'Split Type': WAES0705USA02428

Write-up:Information has been received from a physician concerning a 15 year old female with no pertinent medical history or known drug reactions or allergies who on 03-JAN-2007 was vaccinated with Gardasil 0.5 ml injection. In February 2007, the patient experienced heavy menstrual bleeding, nose bleeds and eye problems and was hospitalized for four days (admittance and discharge dates not reported), and while hospitalized was diagnosed with Evans syndrome. The patient needed a blood transfusion. The patient''s Evans syndrome persisted. There was no product quality complaint. Additional information has been requested. 06/06/07-records received from facility for DOS 5/7-5/10/07. DC DX: Evan''s Syndrome, immune thrombocytopenia and anemia. Prolonged episode of epistaxis. HX: Nosebleeds frequently since age of 3 or 4. In last 4 weeks have increased in frequency 6-7 times per day, harder to stop. Prior to admission nosebleed from 21:30 through 9:30 with nausea and bloody emeses. HX of bruising easily. Menses 3 days longer in duration and heavier with clotting and clumps. Petechia on lower extremities, more tired or fatigued. Feels faints if she stands up too quickly. Black out this morning. Fell. Follow up visits 5/17/07: Impression Evan''s Syndrome, Strong family history of autoimmunity. Abnormal labs including positive ANA, low complement.


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