| Days after vaccination:||9
|Vaccination / Manufacturer
||Lot / Dose
||Site / Route|
|HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC.
||46846 / UNK
||- / -
Administered by: Private Purchased by: Unknown
Red blood cell sedimentation rate increased,
SMQs:, Haematopoietic leukopenia (narrow), Haematopoietic thrombocytopenia (narrow), Haemorrhage terms (excl laboratory terms) (narrow), Systemic lupus erythematosus (broad), Tubulointerstitial diseases (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Life Threatening? No
Birth Defect? No
Permanent Disability? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 4 days
Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Pen VK
Preexisting Conditions: Kidney calculus; Biopsy, breast; Mitral valve prolapse.
Diagnostic Lab Data: Monospot NOV90 - Positive; Hemoglobin 24NOV90 14.4; Hematocrit 40.5; Grnaulocytes 86.0; Lymphocytes 14.0; Prothrombin time 11.3; PTT 30 SEC; ESR 35.0 MM/HR; Urine RBC 4-10; Platelet count 7,000-342,000.
CDC Split Type: WAES90111193
Write-up: Pt vaccinated with Recombivax HB c/o symptoms of a cold. Developed petechiae on his upper & lower extremities. PE revealed buccal ecchymoses. Lab revealed thrombocytopenia & positive monospot. Dx immune thrombocytopenia.