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From the 1/14/2022 release of VAERS data:

This is VAERS ID 150622

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Case Details

VAERS ID: 150622 (history)  
Form: Version 1.0  
Age: 13.0  
Sex: Female  
Location: Kansas  
Vaccinated:2000-01-24
Onset:2000-01-24
   Days after vaccination:0
Submitted: 2000-01-28
   Days after onset:4
Entered: 2000-03-31
   Days after submission:63
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM 576B9 / 1 LA / IM
TD: TD ADSORBED (NO BRAND NAME) / CONNAUGHT LABORATORIES 0950740 / UNK RA / IM

Administered by: Public       Purchased by: Public
Symptoms: Aggression, Belligerence, Convulsion, Disorientation, Fall, Headache, Heart rate increased, Hypertension, Intracranial pressure increased, Muscle rigidity, Muscle twitching, Syncope, Tremor, Vomiting
SMQs:, Torsade de pointes/QT prolongation (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dementia (broad), Convulsions (narrow), Dyskinesia (broad), Dystonia (broad), Parkinson-like events (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Accidents and injuries (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hostility/aggression (narrow), Hypertension (narrow), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (narrow), Hypoglycaemia (broad), Dehydration (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC Split Type: KS200005

Write-up: Before leaving the clinic, the pt fainted and collapsed, falling backwards onto the floor. The pt was lying on the floor with symptoms of a seizure. Trembling and twitching were occurring of the hands and neck. The pt''s face was rigid and both eyes were open. The duration of this episode was approximately 1 minute. Subsequently, the pt became combative (kept trying to get up), belligerent, and displayed disorientation as she did not recall getting vaccinations or where she was. Blood pressure was 130/80, pulse 100 and regular, pupils equal, and skin was warm and dry. Pt had a complaint of a headache. The pt was detained for approximately 15 minutes until symptoms improved. The pt left will all symptoms gone except the belligerent attitude. The parent was compliant with referral to the hospital emergency room so the pt may be examined by a physician. Following the exam the pt was sent home. The pt was doing well until about 10:00 PM when she started vomiting and had a complaint of a headache. She was taken back to the ER assessed and transported to a hospital in another city. It was reported she had surgery to relieve inter-cranial pressure. On 1/25/00, the pts father reported she was doing "OK" since the surgery.


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