National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 328753

Case Details

VAERS ID: 328753 (history)  
Age: 12.0  
Gender: Female  
Location: Florida  
Vaccinated:2008-01-04
Onset:2008-02-12
   Days after vaccination:39
Submitted: 2008-10-16
   Days after onset:246
Entered: 2008-10-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / GLAXOSMITHKLINE BIOLOGICALS AFWB218BA / 0 LA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1267U / 0 RA / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U2545AA / 0 LA / IM
TDAP: TDAP (ADACEL) / SANOFI PASTEUR C2544204 / 0 RA / IM

Administered by: Unknown       Purchased by: Unknown
Symptoms: Abdominal pain, Abdominal pain upper, Aggression, Agitation, Biopsy, Bipolar disorder, Blood heavy metal test, Distractibility, Electroencephalogram abnormal, Gastritis, Generalised anxiety disorder, Irritability, Metabolic function test, Nervousness, Nuclear magnetic resonance imaging brain normal, Oppositional defiant disorder, Psychiatric evaluation, Psychotic behaviour, Self injurious behaviour, Stool analysis
SMQs:, Acute pancreatitis (broad), Suicide/self-injury (narrow), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Dementia (broad), Psychosis and psychotic disorders (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific inflammation (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hostility/aggression (narrow), Hypoglycaemia (broad)

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 64 days
   Extended hospital stay? Yes
Previous Vaccinations:
Other Medications:
Current Illness: none
Preexisting Conditions: none
Diagnostic Lab Data: 3 endoscopies w/ biopsy, abdominal CT and ultrasound. Various Lab tests: CBC,Heavy Metals Comp. Panel, Hummoral immunity Eval., Celiac Disease Comp Panel, CMP, Anti- Streptolysin. EEG( with abnormal findings),MRI of the Brain(normal). Stool tests and organic acid tests(pending) Psychiatric evaluations LABS: 2/20/08 hospital labs: Sed rate 29(H), creatinine 0.4(L), Labs 8/08: IgA 46(L), IgG 875(L), IgM 39(L)rapid strep neg. CBC WNL. US of liver/gallblader revealed hemangioma which increased from 10/10/06 to 2/20/08. CT abdomen/pelvis WNL. EGD done 4/9/08 WNL.
CDC Split Type:

Write-up: Chronic stomach pain onset after 5 weeks, Diagnosis of Gastritis after 7 weeks. Increased agitation,irritability, nervousness, distractability. Diagnosis of Bipolar Disorder, General Anxiety Disorder, Oppositional Defiance Disorder after 4 months. Patient has had 3 endoscopies, 2 ultrasounds and an abdominal CT scan. Patient continues (after 11 months) to complain of chronic abdominla pain. Patient has been treated with various acid blocking medicines. Patient has been Baker Acted to a locked facility 5 times and once voluntarily in the past 5 months due to psychotic, self- injurious, violent behavior. Patient was admitted to a Behavioral Residnetial treatment center for 8 weeks. Patient has been on various anti-depressants, anti-psychotic and mood stabilizers. Patient is at present still under psychiatric, psychological and gastrointestinal care. Prior to vaccinations, 12 year old patient showed no evidence of either gastrointestinal condition or mental illness. 11/4/08 Reviewed PCP medical records of 1/4-9/16/08. FINAL DX: none provided Records reveal patient experienced general good health on 1/4/08. RTC 2/6/08 w/cough, congestion, hoarseness & sore throat. Dx w/pharyngitis. RTC 2/15 w/abdominal pain, cough, constipation. RTC 2/22, had missed 2 wks of school w/persistent abdominal pain, 6 # weight loss. Admitted to hosp for peds GI consult. Dx w/gastritis & GERD. Tx w/meds. RTC 9/16/08 s/p admit for depression & bipolar disorder.


New Search

Link To This Search Result:

http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=328753


Copyright © 2017 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166