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This is VAERS ID 437735

History of Changes from the VAERS Wayback Machine

First Appeared on 10/11/2011

VAERS ID: 437735
VAERS Form:
Age:18.0
Sex:Female
Location:Massachusetts
Vaccinated:2011-01-07
Onset:2011-04-01
Submitted:2011-10-11
Entered:2011-10-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 - / IM

Administered by: Unknown      Purchased by: Other
Symptoms: Condition aggravated, Death, Differential white blood cell count normal, Ecchymosis, Haematocrit normal, Haemoglobin normal, Haemorrhage intracranial, Idiopathic thrombocytopenic purpura, Mean cell volume normal, Petechiae, Platelet count decreased, White blood cell count normal, Red blood cell morphology normal

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2011-07-06
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness:
Preexisting Conditions: Immune thrombocytopenic purpura, diagnosed in 1995 and in remission from 2004 to 2011 following treatment with Rituximab in 2004.
Allergies:
Diagnostic Lab Data: Petechiae and ecchymoses noted by patient and family in early April (exact date not known). CBC on 04/26/2011 included platelet count 5000; WBC 5.4 with normal differential, Hgb 12.8, Hct 37.2, MCV 87.9; normal RBC morphology.
CDC 'Split Type':

Write-up: Relapse of ITP: 18 year-old female with immune thrombocytopenic purpura, diagnosed in 1995 and in remission from 2004 to 2011 following treatment with Rituximab. Relapse in early April, 2011, followed administration of Gardasil vaccine on 10-26-10 and 1-7-11. Relapse of ITP led eventually to death from intracranial hemorrhage on 07/06/2011.


Changed on 6/14/2014

VAERS ID: 437735 Before After
VAERS Form:
Age:18.0
Sex:Female
Location:Massachusetts
Vaccinated:2011-01-07
Onset:2011-04-01
Submitted:2011-10-11
Entered:2011-10-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 - / IM

Administered by: Unknown      Purchased by: Other
Symptoms: Condition aggravated, Death, Differential white blood cell count normal, Ecchymosis, Haematocrit normal, Haemoglobin normal, Haemorrhage intracranial, Idiopathic thrombocytopenic purpura, Mean cell volume normal, Petechiae, Platelet count decreased, White blood cell count normal, Red blood cell morphology normal

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2011-07-06
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness:
Preexisting Conditions: Immune thrombocytopenic purpura, diagnosed in 1995 and in remission from 2004 to 2011 following treatment with Rituximab in 2004.
Allergies:
Diagnostic Lab Data: Petechiae and ecchymoses noted by patient and family in early April (exact date not known). CBC on 04/26/2011 included platelet count 5000; WBC 5.4 with normal differential, Hgb 12.8, Hct 37.2, MCV 87.9; normal RBC morphology.
CDC 'Split Type':

Write-up: Relapse of ITP: 18 year-old female with immune thrombocytopenic purpura, diagnosed in 1995 and in remission from 2004 to 2011 following treatment with Rituximab. Relapse in early April, 2011, followed administration of Gardasil vaccine on 10-26-10 and 1-7-11. Relapse of ITP led eventually to death from intracranial hemorrhage on 07/06/2011.


Changed on 4/14/2017

VAERS ID: 437735 Before After
VAERS Form:
Age:18.0
Sex:Female
Location:Massachusetts
Vaccinated:2011-01-07
Onset:2011-04-01
Submitted:2011-10-11
Entered:2011-10-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 - / IM

Administered by: Unknown      Purchased by: Other
Symptoms: Condition aggravated, Death, Differential white blood cell count normal, Ecchymosis, Haematocrit normal, Haemoglobin normal, Haemorrhage intracranial, Idiopathic thrombocytopenic purpura, Mean cell volume normal, Petechiae, Platelet count decreased, White blood cell count normal, Red blood cell morphology normal

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2011-07-06
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness:
Preexisting Conditions: Immune thrombocytopenic purpura, diagnosed in 1995 and in remission from 2004 to 2011 following treatment with Rituximab in 2004.
Allergies:
Diagnostic Lab Data: Petechiae and ecchymoses noted by patient and family in early April (exact date not known). CBC on 04/26/2011 included platelet count 5000; WBC 5.4 with normal differential, Hgb 12.8, Hct 37.2, MCV 87.9; normal RBC morphology.
CDC 'Split Type':

Write-up: Relapse of ITP: 18 year-old female with immune thrombocytopenic purpura, diagnosed in 1995 and in remission from 2004 to 2011 following treatment with Rituximab. Relapse in early April, 2011, followed administration of Gardasil vaccine on 10-26-10 and 1-7-11. Relapse of ITP led eventually to death from intracranial hemorrhage on 07/06/2011.


Changed on 9/14/2017

VAERS ID: 437735 Before After
VAERS Form:(blank) 1
Age:18.0
Sex:Female
Location:Massachusetts
Vaccinated:2011-01-07
Onset:2011-04-01
Submitted:2011-10-11
Entered:2011-10-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 2 - / IM

Administered by: Unknown      Purchased by: Other
Symptoms: Condition aggravated, Death, Differential white blood cell count normal, Ecchymosis, Haematocrit normal, Haemoglobin normal, Haemorrhage intracranial, Idiopathic thrombocytopenic purpura, Mean cell volume normal, Petechiae, Platelet count decreased, White blood cell count normal, Red blood cell morphology normal

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2011-07-06
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness:
Preexisting Conditions: Immune thrombocytopenic purpura, diagnosed in 1995 and in remission from 2004 to 2011 following treatment with Rituximab in 2004.
Allergies:
Diagnostic Lab Data: Petechiae and ecchymoses noted by patient and family in early April (exact date not known). CBC on 04/26/2011 included platelet count 5000; WBC 5.4 with normal differential, Hgb 12.8, Hct 37.2, MCV 87.9; normal RBC morphology.
CDC 'Split Type':

Write-up: Relapse of ITP: 18 year-old female with immune thrombocytopenic purpura, diagnosed in 1995 and in remission from 2004 to 2011 following treatment with Rituximab. Relapse in early April, 2011, followed administration of Gardasil vaccine on 10-26-10 and 1-7-11. Relapse of ITP led eventually to death from intracranial hemorrhage on 07/06/2011.


Changed on 2/14/2018

VAERS ID: 437735 Before After
VAERS Form:1
Age:18.0
Sex:Female
Location:Massachusetts
Vaccinated:2011-01-07
Onset:2011-04-01
Submitted:2011-10-11
Entered:2011-10-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 2 - / IM

Administered by: Unknown      Purchased by: Other
Symptoms: Condition aggravated, Death, Differential white blood cell count normal, Ecchymosis, Haematocrit normal, Haemoglobin normal, Haemorrhage intracranial, Idiopathic thrombocytopenic purpura, Mean cell volume normal, Petechiae, Platelet count decreased, White blood cell count normal, Red blood cell morphology normal

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2011-07-06
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness:
Preexisting Conditions: Immune thrombocytopenic purpura, diagnosed in 1995 and in remission from 2004 to 2011 following treatment with Rituximab in 2004.
Allergies:
Diagnostic Lab Data: Petechiae and ecchymoses noted by patient and family in early April (exact date not known). CBC on 04/26/2011 included platelet count 5000; WBC 5.4 with normal differential, Hgb 12.8, Hct 37.2, MCV 87.9; normal RBC morphology.
CDC 'Split Type':

Write-up: Relapse of ITP: 18 year-old female with immune thrombocytopenic purpura, diagnosed in 1995 and in remission from 2004 to 2011 following treatment with Rituximab. Relapse in early April, 2011, followed administration of Gardasil vaccine on 10-26-10 and 1-7-11. Relapse of ITP led eventually to death from intracranial hemorrhage on 07/06/2011.


Changed on 6/14/2018

VAERS ID: 437735 Before After
VAERS Form:1
Age:18.0
Sex:Female
Location:Massachusetts
Vaccinated:2011-01-07
Onset:2011-04-01
Submitted:2011-10-11
Entered:2011-10-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 2 - / IM

Administered by: Unknown      Purchased by: Other
Symptoms: Condition aggravated, Death, Differential white blood cell count normal, Ecchymosis, Haematocrit normal, Haemoglobin normal, Haemorrhage intracranial, Idiopathic thrombocytopenic purpura, Mean cell volume normal, Petechiae, Platelet count decreased, White blood cell count normal, Red blood cell morphology normal

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2011-07-06
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness:
Preexisting Conditions: Immune thrombocytopenic purpura, diagnosed in 1995 and in remission from 2004 to 2011 following treatment with Rituximab in 2004.
Allergies:
Diagnostic Lab Data: Petechiae and ecchymoses noted by patient and family in early April (exact date not known). CBC on 04/26/2011 included platelet count 5000; WBC 5.4 with normal differential, Hgb 12.8, Hct 37.2, MCV 87.9; normal RBC morphology.
CDC 'Split Type':

Write-up: Relapse of ITP: 18 year-old female with immune thrombocytopenic purpura, diagnosed in 1995 and in remission from 2004 to 2011 following treatment with Rituximab. Relapse in early April, 2011, followed administration of Gardasil vaccine on 10-26-10 and 1-7-11. Relapse of ITP led eventually to death from intracranial hemorrhage on 07/06/2011.


Changed on 8/14/2018

VAERS ID: 437735 Before After
VAERS Form:1
Age:18.0
Sex:Female
Location:Massachusetts
Vaccinated:2011-01-07
Onset:2011-04-01
Submitted:2011-10-11
Entered:2011-10-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 2 - / IM

Administered by: Unknown      Purchased by: Other
Symptoms: Condition aggravated, Death, Differential white blood cell count normal, Ecchymosis, Haematocrit normal, Haemoglobin normal, Haemorrhage intracranial, Idiopathic thrombocytopenic purpura, Mean cell volume normal, Petechiae, Platelet count decreased, White blood cell count normal, Red blood cell morphology normal

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2011-07-06
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness:
Preexisting Conditions: Immune thrombocytopenic purpura, diagnosed in 1995 and in remission from 2004 to 2011 following treatment with Rituximab in 2004.
Allergies:
Diagnostic Lab Data: Petechiae and ecchymoses noted by patient and family in early April (exact date not known). CBC on 04/26/2011 included platelet count 5000; WBC 5.4 with normal differential, Hgb 12.8, Hct 37.2, MCV 87.9; normal RBC morphology.
CDC 'Split Type':

Write-up: Relapse of ITP: 18 year-old female with immune thrombocytopenic purpura, diagnosed in 1995 and in remission from 2004 to 2011 following treatment with Rituximab. Relapse in early April, 2011, followed administration of Gardasil vaccine on 10-26-10 and 1-7-11. Relapse of ITP led eventually to death from intracranial hemorrhage on 07/06/2011.


Changed on 9/14/2018

VAERS ID: 437735 Before After
VAERS Form:1
Age:18.0
Sex:Female
Location:Massachusetts
Vaccinated:2011-01-07
Onset:2011-04-01
Submitted:2011-10-11
Entered:2011-10-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 2 - / IM

Administered by: Unknown      Purchased by: Other
Symptoms: Condition aggravated, Death, Differential white blood cell count normal, Ecchymosis, Haematocrit normal, Haemoglobin normal, Haemorrhage intracranial, Idiopathic thrombocytopenic purpura, Mean cell volume normal, Petechiae, Platelet count decreased, White blood cell count normal, Red blood cell morphology normal

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2011-07-06
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness:
Preexisting Conditions: Immune thrombocytopenic purpura, diagnosed in 1995 and in remission from 2004 to 2011 following treatment with Rituximab in 2004.
Allergies:
Diagnostic Lab Data: Petechiae and ecchymoses noted by patient and family in early April (exact date not known). CBC on 04/26/2011 included platelet count 5000; WBC 5.4 with normal differential, Hgb 12.8, Hct 37.2, MCV 87.9; normal RBC morphology.
CDC 'Split Type':

Write-up: Relapse of ITP: 18 year-old female with immune thrombocytopenic purpura, diagnosed in 1995 and in remission from 2004 to 2011 following treatment with Rituximab. Relapse in early April, 2011, followed administration of Gardasil vaccine on 10-26-10 and 1-7-11. Relapse of ITP led eventually to death from intracranial hemorrhage on 07/06/2011.


Changed on 10/14/2018

VAERS ID: 437735 Before After
VAERS Form:1
Age:18.0
Sex:Female
Location:Massachusetts
Vaccinated:2011-01-07
Onset:2011-04-01
Submitted:2011-10-11
Entered:2011-10-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 2 - / IM

Administered by: Unknown      Purchased by: Other
Symptoms: Condition aggravated, Death, Differential white blood cell count normal, Ecchymosis, Haematocrit normal, Haemoglobin normal, Haemorrhage intracranial, Idiopathic thrombocytopenic purpura, Mean cell volume normal, Petechiae, Platelet count decreased, White blood cell count normal, Red blood cell morphology normal

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2011-07-06
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness:
Preexisting Conditions: Immune thrombocytopenic purpura, diagnosed in 1995 and in remission from 2004 to 2011 following treatment with Rituximab in 2004.
Allergies:
Diagnostic Lab Data: Petechiae and ecchymoses noted by patient and family in early April (exact date not known). CBC on 04/26/2011 included platelet count 5000; WBC 5.4 with normal differential, Hgb 12.8, Hct 37.2, MCV 87.9; normal RBC morphology.
CDC 'Split Type':

Write-up: Relapse of ITP: 18 year-old female with immune thrombocytopenic purpura, diagnosed in 1995 and in remission from 2004 to 2011 following treatment with Rituximab. Relapse in early April, 2011, followed administration of Gardasil vaccine on 10-26-10 and 1-7-11. Relapse of ITP led eventually to death from intracranial hemorrhage on 07/06/2011.

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