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This is VAERS ID 280485

Case Details

VAERS ID: 280485 (history)  
Form: Version 1.0  
Age: 11.0  
Gender: Female  
Location: Texas  
Vaccinated:2007-04-15
Onset:2007-05-01
   Days after vaccination:16
Submitted: 2007-06-05
   Days after onset:35
Entered: 2007-06-06
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / UNK - / -

Administered by: Other       Purchased by: Other
Symptoms: Aplastic anaemia, Aspiration bone marrow, Biopsy bone marrow, Contusion, Fatigue, Full blood count, Headache, Impaired healing, Menorrhagia, Pancytopenia, Viral test
SMQs:, Agranulocytosis (narrow), Haematopoietic cytopenias affecting more than one type of blood cell (narrow), Haematopoietic erythropenia (narrow), Haemorrhage terms (excl laboratory terms) (narrow), Accidents and injuries (narrow), Myelodysplastic syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 4 days
   Extended hospital stay? Yes
Previous Vaccinations:
Other Medications:
Current Illness: none
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data: CBC, Bone marrow aspirate & biopsy, Viral serologies records received 6/21/07-Bone marrow aspirate and biopsy showed absence of megakaryocytes and decreased erythroid and meyloid precursors. Presented with hemoglobin 4.9, WBC 3 and platelet count of 7 and ANC 200. PMH menorrhagia but no active bleeding at the time she was admitted. Parvovirus, EBV, DNA PCR, CMV are negative, Hepatitis core and Hepatitis A and B pending.
CDC Split Type:

Write-up: In early May, increased bruising, slower wound healing, severe bleeding with menstruation, intermittent headaches, fatigue. Admitted to medical center on 06/01/07 following referred from primary pediatrician with pancytopenia. Diagnosed with aplastic anemia. Treatment to be determined. 6/21/07-records received for DOS 6/1-6/5/07-DC DX: Severe pancytopenia. status post transfusion of RBC times 2 and platelets times 1. Seen in ER on 6/1/07 for increased bruising and pancytopenia on her blood smear. No evidence of ITP. Severe aplastic anemia.


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