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This is VAERS ID 271092

Case Details

VAERS ID: 271092 (history)  
Form: Version 1.0  
Age: 18.0  
Gender: Female  
Location: Massachusetts  
   Days after vaccination:0
Submitted: 2007-01-24
   Days after onset:9
Entered: 2007-01-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Private       Purchased by: Private
Symptoms: Loss of consciousness, Road traffic accident
SMQs:, Torsade de pointes/QT prolongation (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Accidents and injuries (narrow), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Hypoglycaemia (broad)

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? No
Previous Vaccinations:
Other Medications:
Current Illness: H/X nasal congestion
Preexisting Conditions: Depression, 1x syncope 06/06 migraines
Diagnostic Lab Data: NONE CT cervical spine:minor scoliosis convex left. 24 hour ambulatory EEG:No epileptiform activity or persistent focal asymmetries occurred.
CDC Split Type:

Write-up: About 1-2 hrs after vaccination, while driving, lost consciousness, crashing into a car and mailboxes before regaining consciousness. 01/31/07-records received and reviewed. Neuro consult 1/17/07. Assessment:episodes of loss of consciousness. Differential diagnoses could include Juvenile Myoclonic Epilepsy, complicated migraine or cardiac arrhythmia. Holter monitor to evaluate for dysrhythmia. Psychotherapy with respect to her depression and medical management. PMH:This past summer had an episode where she suddenly got dizzy with the onset of sharp headache and then lost consciousness. She go back up and then blacked out again. No tongue biting or urinary incontinence. Disorientation lasted few minutes. Felt tired and achy but no further dizziness. In October 2006, episode of dizziness without loss of consciousness. Lips turned blue and whole body numb and tingling, greater on right side than left side. Head injury in October with concussion, confusion and dazed afterwards. EEG in October 2002 normal, MRI in March 2003 normal. On 1/15/07 while driving she was unaware that she had hit two mailboxes and a car. Half hour before accident she received HPV and noted swelling and throbbing at injection site. Experienced headache with this. Reports some occasional body jerks, especially noted at night when she is tired. PMH: depression, migraines which started in middle school, eczema, asthma and chicken pox.

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