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This is VAERS ID 30955

Case Details

VAERS ID: 30955 (history)  
Form: Version 1.0  
Age: 2.0  
Sex: Female  
Location: Colorado  
Vaccinated:1991-04-30
Onset:1991-05-01
   Days after vaccination:1
Submitted: 1991-05-23
   Days after onset:22
Entered: 1991-06-03
   Days after submission:11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 0789S / 2 - / -
TYP: TYPHOID VI POLYSACCHARIDE (NO BRAND NAME) / PFIZER/WYETH 490840 / 2 - / -

Administered by: Private       Purchased by: Private
Symptoms: Otitis media, Pneumonia, Purpura, Pyrexia, Thrombocytopenia
SMQs:, Haematopoietic thrombocytopenia (narrow), Haemorrhage terms (excl laboratory terms) (narrow), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Eosinophilic pneumonia (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (narrow), Infective pneumonia (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Ceclor
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: 10MAY platelet coutn 73,000; 12MAY platelet 111,000, 14MAY palte 127,000
CDC Split Type:

Write-up: 1MAY mom noted inc bruising; given Ceclor for otitis; t102, platelets dec est 73,000, 12MAY platelet 111,000; 14-15MAY hospitalized for pneumonia;


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