National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 281114

Case Details

VAERS ID: 281114 (history)  
Age: 18.0  
Gender: Female  
Location: New York  
Vaccinated:2007-04-24
Onset:2007-05-03
   Days after vaccination:9
Submitted: 2007-06-05
   Days after onset:33
Entered: 2007-06-11
   Days after submission:6
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0384U / 1 RA / IM
TDAP: TDAP (ADACEL) / SANOFI PASTEUR C2644AA / 0 LA / IM

Administered by: Private       Purchased by: Private
Symptoms: Anaemia, C-reactive protein increased, Complement factor C3, Full blood count, Headache, Hypoaesthesia, Joint swelling, Laboratory test, Red blood cell sedimentation rate increased, Rheumatoid factor, Ultrasound Doppler
SMQs:, Haematopoietic erythropenia (broad), Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Arthritis (broad), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Minocycline
Current Illness: None
Preexisting Conditions: none
Diagnostic Lab Data: CBC (anemia), CBP (elevated), Sed rate, C3, Cy Total Complemax, Lupus panel (abnormal), Rheum factor ANA, Doppler studies x2 of lower extremities negative for clots. records received 6/27/07-Increased ESR and CRP and normocytic anemia. Increased PT, PTT and decreased INR. Lyme disease negative. X-ray feet negative. Lower extremity Duplex scan negative.
CDC Split Type:

Write-up: Patient present to office for eval of swollen ankles beginning 5/3/07. Bloodwork showed mild anemia and abnormal coagulation panel. Patient further complained of swelling, numbness to Right feet and daily headaches. Negative Doppler studies x2 for clots in legs. Patient received Garadasil #2 & Tdap vaccine 4/24/07. Patient had normal CBC in 2/07. Patient now seeing hematogolist. 6/27/07-records received for DOS 4/23-5/21/07-Bilateral ankle edema, foot pain headaches. HX running track. On 5/21/07-Edema resolved. Residual right foot numbness. No fever or swelling for 3 days. Antiphospholid syndrome. To see hem/onc for anemia.


New Search

Link To This Search Result:

http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=281114


Copyright © 2017 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166