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This is VAERS ID 495312

History of Changes from the VAERS Wayback Machine

First Appeared on 7/7/2013

495312
VAERS Form:
Age:14.0
Gender:Female
Location:Texas
Vaccinated:2012-05-18
Onset:2012-09-01
Submitted:2013-06-27
Entered:2013-06-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0131AE / 1 RA / IM

Administered by: Unknown      Purchased by: Private
Symptoms: Aplastic anaemia, Biopsy bone marrow normal, Dizziness, Dyspnoea, Full blood count normal, Headache, Pallor, Petechiae, Presyncope, Contusion, Cytogenetic analysis normal, Flow cytometry

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? Yes, days: 8     Extended hospital stay? Yes
Previous Vaccinations:
Other Medications: None
Current Illness: No
Preexisting Conditions: None
Allergies:
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.


Changed on 9/17/2013

495312 Before After
VAERS Form:
Age:14.0
Gender:Female
Location:Texas
Vaccinated:2012-05-18
Onset:2012-09-01
Submitted:2013-06-27
Entered:2013-06-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0131AE / 1 RA / IM

Administered by: Unknown      Purchased by: Private
Symptoms: Anisocytosis, Aplastic anaemia, Biopsy bone marrow abnormal, Biopsy bone marrow normal, Blood bilirubin increased, Blood magnesium decreased, Dizziness, Dyspnoea, Fatigue, Full blood count normal, Haematocrit decreased, Haemoglobin decreased, Headache, Hypertension, Mean cell haemoglobin increased, Mean cell volume increased, Nausea, Neutrophil count decreased, Pallor, Pancytopenia, Petechiae, Platelet count decreased, Platelet transfusion, Polychromasia, Presyncope, Pruritus, Red blood cell count decreased, Urticaria, Vomiting, White blood cell count decreased, Contusion, Lymphocyte percentage increased, Red cell distribution width increased, Cytogenetic analysis normal, Reticulocyte percentage increased, Red blood cell morphology abnormal, Flow cytometry, Immunoglobulin therapy, Transfusion related complication

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? Yes, days: 8     Extended hospital stay? Yes
Previous Vaccinations:
Other Medications: None
Current Illness: No
Preexisting Conditions: None The following information was obtained through follow-up and/or provided by the government. 7/1/13 PMH: Repair of nasal septum, septoplasty, "mrgt aspir & eustachion tube nfltj".
Allergies:
Diagnostic Lab Data: CBC; Bone marrow biopsy; numerous genetic tests (all negative for congenital associations/causes); Flow Cytometry The following information was obtained through follow-up and/or provided by the government. 7/1/13 Labs and Diagnostics: Bone Marrow Biopsy - Abnormal. CHEM - Magnesium 1.4 mg/dl (L) Bilirubin Total 0.32 mg/dl (H). CBC - Reticulocyte 4.0% (H) RBC 2.61 m/mm3 (L) HGB 9.0 g/dl (L) HCT 26.3% (L) MCV 100.8 fl (H) MCH 34.5 pg (H) RDW 20.2% (H) Lymphocytes 47.7% (H) Platelets 18 Th/mm3 (L), Anisocytosis 2+, Polychromasia 1+, Tear Drop 1+, Toxic Granulation few, Schistocyte 1+. 7/23/13 Labs and Diagnostics: CBC - WBC 2.4 K/CUMM (L) RBC 2.04 M/CUMM (L) HGB 7.3 G/DL (L) HCT 21.5% (L) MCV 10g FL (H) MCH 35.6 UUG (H) RDW 19.3% (H) Neut 13
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. The following information was obtained through follow-up and/or provided by the government. 7/1/13 Hospital records and discharge summary received. Service dates 3/7/13 to 3/8/13, 5/13/13 to 5/18/13. Diagnosis: Severe Aplastic Anemia. Patient with severe aplastic anemia admitted for immunosuppressive therapy. Previously hospitalized for pancytopenia with worsening fatigue and bruising due to aplastic anemia. Scattered lower extremity bruises, petechia to chest. Cyclosporine, prednisone, ATG administered with expected complications of mild nausea/vomiting and hypertension. Developed severe hives and itching following platelet transfusion. Discharged to home, stable, restricted activity due to pancytopenia. 7/23/13 Hematology consultant records received. Service dates 3/17/13. Additional information abstracted: Diagnosis: Aplastic Anemia. Patient presented with worsening fatigue with dizzy spells and was found to have pancytopenia without circulating blasts. 7/23/13 PCP medical records received. Service dates 3/9/12 to 3/5/13.


Changed on 3/14/2015

495312 Before After
VAERS Form:
Age:14.0
Gender:Female
Location:Texas
Vaccinated:2012-05-18
Onset:2012-09-01
Submitted:2013-06-27
Entered:2013-06-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0131AE / 1 RA / IM

Administered by: Unknown      Purchased by: Private
Symptoms: Anisocytosis, Aplastic anaemia, Biopsy bone marrow abnormal, Biopsy bone marrow normal, Blood bilirubin increased, Blood magnesium decreased, Dizziness, Dyspnoea, Fatigue, Full blood count normal, Haematocrit decreased, Haemoglobin decreased, Headache, Hypertension, Mean cell haemoglobin increased, Mean cell volume increased, Nausea, Neutrophil count decreased, Pallor, Pancytopenia, Petechiae, Platelet count decreased, Platelet transfusion, Polychromasia, Presyncope, Pruritus, Red blood cell count decreased, Urticaria, Vomiting, White blood cell count decreased, Contusion, Lymphocyte percentage increased, Red cell distribution width increased, Cytogenetic analysis normal, Reticulocyte percentage increased, Red blood cell morphology abnormal, Flow cytometry, Immunoglobulin therapy, Transfusion related complication

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? Yes, days: 8     Extended hospital stay? Yes
Previous Vaccinations:
Other Medications: None
Current Illness: No
Preexisting Conditions: None The following information was obtained through follow-up and/or provided by the government. 7/1/13 PMH: Repair of nasal septum, septoplasty, "mrgt aspir & eustachion tube nfltj".
Allergies:
Diagnostic Lab Data: CBC; Bone marrow biopsy; numerous genetic tests (all negative for congenital associations/causes); Flow Cytometry The following information was obtained through follow-up and/or provided by the government. 7/1/13 Labs and Diagnostics: Bone Marrow Biopsy - Abnormal. CHEM - Magnesium 1.4 mg/dl (L) Bilirubin Total 0.32 mg/dl (H). CBC - Reticulocyte 4.0% (H) RBC 2.61 m/mm3 (L) HGB 9.0 g/dl (L) HCT 26.3% (L) MCV 100.8 fl (H) MCH 34.5 pg (H) RDW 20.2% (H) Lymphocytes 47.7% (H) Platelets 18 Th/mm3 (L), Anisocytosis 2+, Polychromasia 1+, Tear Drop 1+, Toxic Granulation few, Schistocyte 1+. 7/23/13 Labs and Diagnostics: CBC - WBC 2.4 K/CUMM (L) RBC 2.04 M/CUMM (L) HGB 7.3 G/DL (L) HCT 21.5% (L) MCV 10g FL (H) MCH 35.6 UUG (H) RDW 19.3% (H) Neut 13
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. The following information was obtained through follow-up and/or provided by the government. 7/1/13 Hospital records and discharge summary received. Service dates 3/7/13 to 3/8/13, 5/13/13 to 5/18/13. Diagnosis: Severe Aplastic Anemia. Patient with severe aplastic anemia admitted for immunosuppressive therapy. Previously hospitalized for pancytopenia with worsening fatigue and bruising due to aplastic anemia. Scattered lower extremity bruises, petechia to chest. Cyclosporine, prednisone, ATG administered with expected complications of mild nausea/vomiting and hypertension. Developed severe hives and itching following platelet transfusion. Discharged to home, stable, restricted activity due to pancytopenia. 7/23/13 Hematology consultant records received. Service dates 3/17/13. Additional information abstracted: Diagnosis: Aplastic Anemia. Patient presented with worsening fatigue with dizzy spells and was found to have pancytopenia without circulating blasts. 7/23/13 PCP medical records received. Service dates 3/9/12 to 3/5/13.


Changed on 9/14/2017

495312 Before After
VAERS Form:(blank) 1
Age:14.0
Gender:Female
Location:Texas
Vaccinated:2012-05-18
Onset:2012-09-01
Submitted:2013-06-27
Entered:2013-06-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0131AE / 1 2 RA / IM

Administered by: Unknown      Purchased by: Private
Symptoms: Aplastic anaemia, Biopsy bone marrow normal, Dizziness, Dyspnoea, Full blood count normal, Headache, Pallor, Petechiae, Presyncope, Contusion, Cytogenetic analysis normal, Flow cytometry

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? Yes, days: 8     Extended hospital stay? Yes
Previous Vaccinations:
Other Medications: None
Current Illness: No
Preexisting Conditions: None
Allergies:
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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