National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 289694

Case Details

VAERS ID: 289694 (history)  
Form: Version 1.0  
Age: 15.0  
Sex: Female  
Location: Texas  
   Days after vaccination:0
Submitted: 2007-08-24
   Days after onset:2
Entered: 2007-09-04
   Days after submission:11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Public       Purchased by: Private
Symptoms: Confusional state, Laboratory test
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (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? Yes, 4 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: No
Preexisting Conditions: None. PMH: none. NKDA.
Diagnostic Lab Data: Per mother lab tests were done. Labs and Diagnostics: MRI brain unremarkable with the exception of a couple non-specific punctate foci of increased flair signal in the subcortical white matter of the frontal lobes. CMV and EBV IgG (+), IgM (-). Drug screen (-). Sed rate 10. CK 36. CRP <0.3.
CDC Split Type:

Write-up: Per mother 2 hours after injection behavior changes, unaware of surrounding. Pt went to ER. In 4 days. pt returned to ER Blood test and MRI were done Per mom everything was normal. Pt discharged 8/28/07. 09/25/2007 MR received for DOS 8/23/2007 for D/C DX of Disorientation, weakness resolved and additional records for 8/24-28/07. Pt presented to ER x 2 with mental status changes, confusion, and dizziness. Was D/C after all labs were normal. Increasing fatigue and weakness in the BLEs resulted in return to ER. Confusion was improved at this time. PE shows 4/5 LE stength. Otherwise WNL. Neuro attending reports hx and exam not suggestive of severe neuro complication. Disorientation c/w orthostasis, improved with IVF. Discharged 8/27/07 in improved condition with normal exam.

New Search

Link To This Search Result:

Copyright © 2020 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166