National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 28417

(NOTE: This result is from the 12/31/2003 version of the VAERS database)

Case Details

VAERS ID: 28417 (history)  
Form: Version .0  
Age: 1.3  
Sex: Female  
Location: Georgia  
Vaccinated:1991-01-28
Onset:1991-02-03
   Days after vaccination:6
Submitted: 1991-02-19
   Days after onset:16
Entered: 1991-02-28
   Days after submission:9
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: UNK. HAEMOPHILUS B / UNCLASSIFIED 0C21132 / 0 - / -
MMR: MMR II / MSD 0560S / 0 - / -

Administered by: Private       Purchased by: Unknown
Symptoms: ERYTHEMA MULT, FEVER, LACRIMATION DIS, PETECHIA, PURPURA
SMQs:

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 4 days
   Extended hospital stay? No
Previous Vaccinations: none
Other Medications:
Current Illness: otitis media(?)
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data: platelet count low 55,000
CDC Split Type: none

Write-up: Petechiae-$gpurpura, DX: Idiopathic thrombocytopenic purpura or erthema multiforme, had T of 101-102, runny eyes, measles type rash starting 1FEb con''t into above symptoms 2Feb /w purpura on 3Feb.


New Search

Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?SNAPSHOT=20031231&IDNUMBER=28417


Copyright © 2019 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166