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This is VAERS ID 582524

Case Details

VAERS ID: 582524 (history)  
Age: 13.0  
Gender: Male  
Location: Rhode Island  
Vaccinated:2015-03-23
Onset:2015-04-02
   Days after vaccination:10
Submitted: 2015-06-20
   Days after onset:79
Entered: 2015-06-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / GLAXOSMITHKLINE BIOLOGICALS C7392 / - UN / UN
HPV4: HPV (GARDASIL) / MERCK & CO. INC. K007828 / 0 UN / UN

Administered by: Private       Purchased by: Other
Symptoms: Contusion, Malaise, Petechiae
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Accidents and injuries (narrow)

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 1 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Doxcycline for acne
Current Illness: There were no illness at time of vaccine
Preexisting Conditions: None
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient was going to Dr. as he had not been feeling well. When we got there, he was covered in bruising and petechia.


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