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This is VAERS ID 523901

Case Details

VAERS ID: 523901 (history)  
Form: Version 1.0  
Age: 13.0  
Gender: Female  
Location: Wisconsin  
Vaccinated:2009-08-11
Onset:2013-02-26
   Days after vaccination:1295
Submitted: 2014-02-25
   Days after onset:364
Entered: 2014-02-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0651X / 3 UN / UN

Administered by: Public       Purchased by: Private
Symptoms: Idiopathic thrombocytopenic purpura
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Hypersensitivity (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 1 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: IDIOPATHIC THROMBOCYTOPENIC PURPURA.


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