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This is VAERS ID 646617

Case Details

VAERS ID: 646617 (history)  
Age: 13.0  
Gender: Female  
Location: Colorado  
Vaccinated:2014-08-12
Onset:2015-03-01
   Days after vaccination:201
Submitted: 2016-08-05
   Days after onset:522
Entered: 2016-08-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. H021346 / 0 LA / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENVEO) / NOVARTIS VACCINES AND DIAGNOSTICS M12122 / 0 RA / IM
TDAP: TDAP (BOOSTRIX) / GLAXOSMITHKLINE BIOLOGICALS AC52B092FA / 0 LA / IM

Administered by: Public       Purchased by: Public
Symptoms: Asthenia, Fatigue, Headache, Immune thrombocytopenic purpura, Laboratory test abnormal
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Guillain-Barre syndrome (broad), Hypersensitivity (narrow)

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: Abnormal
CDC Split Type:

Write-up: C/O headache increased fatigue, weakness. Developed Idiopathic thrombocytopenic purpura (ITP).


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