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Administered by: Unknown Purchased by: Unknown
Life Threatening? No
Write-up: approximately 2 weeks after vaccine administration developed headache, ataxia, and seizures requiring antiepileptics, steroids, antibiotics. 11/6/07 Received vax records & pcp medical records. VAERS database updated w/same & date of vax corrected to 10/19/2007. Flu shot not on vax record but ordered on pcp note. Pcp note of 10/19 indicates patient in good health on day of vax. Returned to pcp 11/2/07 w/dizziness, fever, HA, slight cough. Dx w/viral infection. T/C to provider to clarify vax info. Received 2nd page of vax record w/flu vax info. VAERS database updated w/same. 11/30/07 Reviewed hospital medical records which reveal patient experienced HA, vomiting, ataxia & right sided spasticity. Had HA x 7 days prior to admitl w/increasing ataxia x 3 days. Admitted 11/2-11/10/2007. As preparing for LP, patient had seizure & desaturation. Intubated & admitted to PICU. Neuro consult done. Given IV antibiotics & antivirals until cultures came back neg. Extubated 11/5 & progressed well on antiseizure meds. FINAL DX: Encephalitis; ataxia; headache.
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