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This is VAERS ID 49288

Case Details

VAERS ID: 49288 (history)  
Form: Version 1.0  
Age: 37.0  
Sex: Male  
Location: Tennessee  
Vaccinated:1992-11-04
Onset:1992-11-25
   Days after vaccination:21
Submitted: 1993-01-12
   Days after onset:48
Entered: 1993-01-22
   Days after submission:10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4928166 / UNK LA / IM

Administered by: Other       Purchased by: Other
Symptoms: Epistaxis, Gingival bleeding, Petechiae, Purpura, Thrombocytopenia, Thrombocytopenic purpura
SMQs:, Haematopoietic thrombocytopenia (narrow), Haemorrhage terms (excl laboratory terms) (narrow), Systemic lupus erythematosus (broad), Gingival disorders (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Immune-mediated/autoimmune disorders (narrow)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: allergy-poison ivy, medical condition-vitiligo
Allergies:
Diagnostic Lab Data: platelet count 10 27NOV92; bone marrow biopsy; liver/spleen scan-nl; bleed time-failed;
CDC Split Type:

Write-up: 25NOV92 sx purpura, petechiae, epistaxis, bleeding gingivae 27NOV-30NOV testing, dx immune (idiopathic) thrombocytopenic purpura (ITP); tx Pred appears non-responsive;


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