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This is VAERS ID 278865
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| VAERS ID: | 278865 | Vaccinated: | 2007-03-02 | | Age: | 15.0 | Onset: | 2007-03-01, Days after vaccination: -1 | | Gender: | Female | Submitted: | 2007-05-17, Days after onset: 76 | | Location: | Arizona | Entered: | 2007-05-17, Days after submission: 0 | |
| Life Threatening Illness? Yes |
Died? Yes
Date died: 2007-03-16
Days after onset: 14 |
| Disability? No |
| Recovered? No | | ER or Doctor Visit? Yes |
| Hospitalized? Yes, 10 days | | Extended hospital stay? No |
| Current Illness: | | Diagnostic Lab Data: Influenza B isolated by viral culture. Specimen sent to CDC for antigenic characterization. LABS: Throat & urine c/s neg. Blood & endotrachael c/s + for MRSA. Nasal swab + for influ B virus. Lymph node c/s were neg. from PCP office, St | | Previous Vaccinations: | | Other Medications: Topamax | | Preexisting Conditions: PMH: migraine headaches. Family HX: younger sister also w/strep neg sore throat. Letter from school that group A strep infections present. | | CDC 'Split Type': | |
| Vaccination | Manufacturer | Lot | Dose | Route | Site | | HPV4 | MERCK & CO. INC. | 1424F | 1 | IM | LA | |
| Administered by: Unknown Purchased by: Unknown | | Symptoms: Acute respiratory distress syndrome, Blood culture positive, Chest pain, Cough, Culture throat negative, Culture urine negative, Influenza, Mechanical ventilation, Multi-organ failure, Myalgia, Nasal congestion, Pharyngolaryngeal pain, Pneumonia staphylococcal, Pyrexia, Respiratory failure, Rhinorrhoea, Sepsis, Staphylococcal infection, Streptococcus identification test, Viral test | | Write-up: Onset of symptoms on 3/1/07: fever, sore throat, cough, and myalgia. Respiratory failure on 3/6/07. 6/1/07 Received Death Certificate from epidemiologist which reveals COD asmultiorgan system failure and influenza B viral sepsis with contributing cause of staphyloccoccal secondary infection. Medical records included w/death certificate indicate patient was transferred to higher level of care on 3/6, was intubated & in PICU w/pneumonia & ARDS. Reportedly had been in good health until 3/1/07 when she developed sore throat, nasal congestion, rhinnorhea & low grade fever. COntinued to worsen & developed myalgias, chest pain & nonproductive cough w/higher fever. Seen by PCP on 3/5 & rapid strep was neg & dx was probable influenza. Sent home & developed nausea, vomiting & diarrhea as well as petechial rash over abdomen. Taken to outlying ER on 3/6 & found to be in respiratory failure, intubated & transferred to higher level of care. Respiratory status declined further & was placed on oscillator & ECMO. Peds ID consult done. Consult states had HPV vax at PCP on 3/2 & no other recent vaccines. 6/1/07 Received fax medical & vaccine records from CDC who had contacted provider. Reveals that on 1/2/07, patient received TDaP & HPV. On 3/2/07 received HPV #2. VAERS database updated w/same. On day of vax patient also dx w/right CTS, migraine HA, scoliosis. She was referred to Neuro & PT for the CTS & HA. |
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Link To This Search Result:
http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=278865
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