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This is VAERS ID 281960

(NOTE: This result is from the 6/14/2014 version of the VAERS database)

Case Details

VAERS ID: 281960 (history)  
Form: Version .0  
Age: 13.0  
Gender: Female  
Location: Mississippi  
   Days after vaccination:4
Submitted: 2007-06-15
   Days after onset:12
Entered: 2007-06-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Unknown       Purchased by: Unknown
Symptoms: Computerised tomogram normal, Contraception, Convulsion, Drug screen negative, Full blood count normal, Laboratory test normal, Loss of consciousness, Mood swings, Pain, Pollakiuria, Pregnancy test urine negative, Respiratory arrest, Urinary incontinence, Urine analysis normal
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dementia (broad), Convulsions (narrow), Acute central respiratory depression (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Depression (excl suicide and self injury) (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (narrow), Hypersensitivity (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? No
Previous Vaccinations:
Other Medications:
Current Illness: none
Preexisting Conditions: ADHD
Diagnostic Lab Data: CT head negative. CBC, serum chemistries all normal. Urinalysis, urine drug screen, and urine pregnancy test all negative.
CDC Split Type:

Write-up: Patient had presumed seizure activity on 6/3/2007, 4 days after vaccine administration. Patient found unconscious by father -- not breathing and incontinent of urine. Event lasted approximately 2-3 minutes. Patient taken to ER by ambulance. 1/11/2010 In October of 2007 she started having severe frequent urination-all other possibilities eliminated through blood work, urninalysis, diabetes checks, MRIs completed on spine to insure for absence of cysts and/or tumors. She was having to urinate 15-20 times in a 10-15 hour period. Finally sent her to OBGYN. They put her on birth control to try to help. Severe mood swings and pain. Could be part of her body or adjusting to her cycle however, this was one year past when she started her menstration cycle. Hormones have balanced things out; however she still hs frequent urnination just not as bad-"could be related to vaccine"-who knows.

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