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Report #2854732

Received Aug 19, 2025

Office visit
A note on interpretation. VAERS reports are unverified and may be incomplete or coincidental. A report does not establish that a vaccine caused an event, and counts should not be used to calculate incidence or infer causation. Full disclaimer

Overview

Sex
Female
Age
11 yrs
State
RI
Recovered
Recovered
Vaccinated
Sep 14, 2024
Onset
Nov 18, 2024
Days to onset
65
Hospital days
—

Vaccines (2)

TypeNameManufacturerDoseLotRoute / Site
TDAPTDAP (BOOSTRIX)GLAXOSMITHKLINE BIOLOGICALS1X357EIM / LA
UNKVACCINE NOT SPECIFIED (NO BRAND NAME)UNKNOWN MANUFACTURER1Y000205IM / LA

Symptoms (20)

Activated partial thromboplastin timeAlpha-1 anti-trypsinBilirubin conjugatedCulture urineCytomegalovirus testDifferential white blood cell count abnormalEpstein-Barr virus antibodyFull blood count abnormalGamma-glutamyltransferase abnormalGastrointestinal pathogen panelHepatitisHepatitis viral testMetabolic function testOcular icterusProthrombin timeRespiratory pathogen panelReticulocyte countStool analysisUltrasound abdomenUrine analysis

Symptom narrative

subsequent viral hepatitis diagnosed on 11/18/24, patient was evaluated on 11/18/24 for yellow tinge to sclera bilaterally. The treating provider ordered labs. PCP spoke to GI on-call fellow who recommended a repeat set of labs in 2 days and also added more lab orders The initial Liver panel and CBC came back with abnormal results. Pt was referred to local hospital for a GI consult, and an abdominal ultrasound was ordered. The GI Provider diagnosed her with Hepatitis on 11/21/24, she recovered at home.

Current illness

Abscess of right external ear - H60.01, Anal itching - L29.0

Medical history

L20.84 Intrinsic eczema, J30.2 Seasonal allergies, E27.0 Premature adrenarche, K90.49 Food intolerance

Other medications

Zyrtec 10 mg chewable by mouth once daily

Allergies

NKDA, seasonal environmental allergies

Lab data

11/18/24 - CBC w/reflex to manual diff, GGTP, Liver Panel, Reticulocyte Count, RPP, U/A and Urine Culture, and an abdominal ultrasound.