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This is VAERS ID 495312

Case Details

VAERS ID: 495312 (history)  
Form: Version 1.0  
Age: 14.0  
Sex: Female  
Location: Texas  
   Days after vaccination:106
Submitted: 2013-06-27
   Days after onset:299
Entered: 2013-06-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Unknown       Purchased by: Private
Symptoms: Aplastic anaemia, Biopsy bone marrow normal, Contusion, Cytogenetic analysis normal, Dizziness, Dyspnoea, Flow cytometry, Full blood count normal, Headache, Pallor, Petechiae, Presyncope
SMQs:, Anaphylactic reaction (broad), Agranulocytosis (narrow), Haematopoietic cytopenias affecting more than one type of blood cell (narrow), Haematopoietic erythropenia (narrow), Haemorrhage terms (excl laboratory terms) (narrow), Anticholinergic syndrome (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Accidents and injuries (narrow), Cardiomyopathy (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Myelodysplastic syndrome (broad), Hypoglycaemia (broad)

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, 8 days
   Extended hospital stay? Yes
Previous Vaccinations:
Other Medications: None
Current Illness: No
Preexisting Conditions: None
Diagnostic Lab Data: CBC; Bone marrow biopsy; numerous genetic tests (all negative for congenital associations/causes); Flow Cytometry
CDC Split Type:

Write-up: Shortness of breath. Pale skin. Bruising. Petechia. Headache. Light headedness. ventually, diagnosis of aplastic anemia. Began insidiously, became progressively worse until diagnosis due to almost passing out during exercise in late February of 2013. Hospitalized March 6, 2013.

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