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This is VAERS ID 283115

Case Details

VAERS ID: 283115 (history)  
Form: Version 1.0  
Age: 16.0  
Gender: Female  
Location: California  
   Days after vaccination:0
Submitted: 2007-06-28
   Days after onset:1
Entered: 2007-06-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Unknown       Purchased by: Unknown
Symptoms: Computerised tomogram normal, Dizziness, Head injury, Headache, Loss of consciousness, Syncope
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), Cardiomyopathy (broad), Vestibular disorders (broad), 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? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Zoloft 50mg qd
Current Illness: None
Preexisting Conditions: Depression; Asthma, Factor 7 deficiency
Diagnostic Lab Data: Head Ct scan negative.
CDC Split Type:

Write-up: Received her 2nd (In the set of three) IM injection in her left upper arm while standing in the doctor''s office. She was unaffected initialy and left the office walking and talking and in no apparent distress. Immediately upon exiting the docor''s office however she lost consciousness and collapsed in the hallway, striking her head on the tile floor. She regained consciousness immediately but complained of dizziness and head pain. She was removed back to the doctor''s office where her vital and neuro signs were assessed. Her vital signs were BP 110/70, pulse 72, resp 20; there were no postural changes to her blood pressure.Her neuro exam was also unremarkable; PERLA, hand grasps equal and she was completely orientated to person, time and place. As she is diagnosed with a rare bleeding disorder, Factor 7 deficiency, a call was placed to her hemotologist to determine further treatment. This physician felt that a CT scan of her head was in order due to her continued complaints of head pain and dizziness. She was then taken to another hospital where the CT scan was performed. She was then directed back to the pediatrician''s office where we waited for her test results. The radiologist called to report a negative finding and was discharged home with 48 hour head trauma precautions. 24 hours later her headache was much improved and the dizziness has disappeared.

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