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This is VAERS ID 37460

Case Details

VAERS ID: 37460 (history)  
Form: Version 1.0  
Age: 1.3  
Sex: Male  
Location: North Dakota  
Vaccinated:1988-05-12
Onset:1988-06-28
   Days after vaccination:47
Submitted: 0000-00-00
Entered: 1992-06-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / 1 - / -
OPV: POLIO VIRUS, ORAL (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Private       Purchased by: Other
Symptoms: Thrombocytopenia, Thrombocytopenic purpura
SMQs:, Haematopoietic thrombocytopenia (narrow), Haemorrhage terms (excl laboratory terms) (narrow), Systemic lupus erythematosus (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: 1988 Platelet count-17,000; platelet count-22,000; bone marrow exam-ITP;
CDC Split Type: WAES91071456

Write-up: pt recvd MMR/DTP/OPV on 12MAY88 & on 28JUN88 pt devel thrombocytopenia & was hospitalized; bone marrow exam was diagnostic for idiopathic thrombocytopenic purpura; pt recovered following tx w/steroids; MD did not feel pts exp was due to vax


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