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This is VAERS ID 344440

Case Details

VAERS ID: 344440 (history)  
Form: Version 1.0  
Age: 12.0  
Gender: Female  
Location: Wisconsin  
Vaccinated:2007-08-23
Onset:2007-09-01
   Days after vaccination:9
Submitted: 2009-04-20
   Days after onset:597
Entered: 2009-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0012U / 1 UN / IM
VARCEL: VARICELLA (NO BRAND NAME) / UNKNOWN MANUFACTURER 0780U / 2 UN / UN

Administered by: Unknown       Purchased by: Unknown
Symptoms: Colectomy, Colitis ulcerative, Cough, Diarrhoea, Rectal haemorrhage, Transfusion
SMQs:, Anaphylactic reaction (broad), Haemorrhage terms (excl laboratory terms) (narrow), Pseudomembranous colitis (broad), Malignancy related therapeutic and diagnostic procedures (narrow), Gastrointestinal ulceration (narrow), Gastrointestinal haemorrhage (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Ischaemic colitis (broad), Noninfectious diarrhoea (narrow)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 36 days
   Extended hospital stay? Yes
Previous Vaccinations:
Other Medications:
Current Illness: none
Preexisting Conditions: none PMH: Env allergies. PCN. Tonsillectomy.
Allergies:
Diagnostic Lab Data: Labs: Hgb 9.7. KUB WNL. WBC 19.8. ESR and CRP elevated. Platelets 583. CT (+) for bowel obstruction. US GB (+) for thickening. Pancreatic enzymes increased. LDH 540 (H). Lipase 1279-8249 (H).
CDC Split Type:

Write-up: After recieving vaccine, Mariah started having bouts of rectal bleeding and diareah. In additin to this she had a very loud barking "chronic" cough. Months and months of her PMD telling us not to worry, she finally diagnosed with Ulcerative Colitis. She has had to have a total colectomy resulting with an ostomy and several blood transfusions. 4/28/09 Extensive MR received for multiple hospital admissions and ER visits from 5/2008-4/2009 with the following D/C DX: DOS: 10/3-5/2008- Inflammatory Bowel Disease. Anemia s/p PRBC transfusions DOS: 10/8-31/2008- Ulcerative Colitis. Pancreatitis. S/P Lap Colectomy with Ileostomy. Ex lap, ahesiolysis, wash out. DOS 1/5-8/2009- Ulcerative Colitis s/p Colectomy. Acute pancreatitis. Pancreas divisum. UTI. DOS 2/16-22/2009- Lap Cholecystectomy. Lap-assisted J-pouch ileorectal anastomosis. Anorectal pull through. Loop ileostomy. DOS 4/3-6/2009- Ulcerative Colitis, Pancreatitis. Bowel Obstruction. Multiple ER visits with DX: 4/25/08 Cough. hematochezia 5/4/08 GI bleed. Abdominal cramping 5/22/08 Crohn''s exacerbation 6/8/08 Rectal bleeding. 7/26/08, 7/27/08, 9/8/08 Crohn''s Flare. 10/8/08 IBD and drug induced pancreatitis. 11/17/08 Gastroenteritis as well as multiple episodes of abdominal pain. Otolaryngology consult 9/8/08 for 9 month hx of chronic cough. Seen in Pulmonary Clinic 3/26/09 for f/u of chronic cough 2'' to ulcerative colitis.` Pt initially presented 4/25/08 with c/o 4 wk hx of chronic cough, sore throat and 2 week hx of rectal bleeding. PE WNL. Returned 5/2/08 with c/o rectal bleeding and abdominal pain-frank blood and diarrhea. Frequent hospitalizations and Er visits as above continue to present with multiple surgeries and procedures (above).


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