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This is VAERS ID 341921

(NOTE: This result is from the 12/7/2010 version of the VAERS database)

Event Details

VAERS ID:341921 (history)  Vaccinated:2008-12-11
Age:1.0  Onset:2008-12-30, Days after vaccination: 19
Gender:Male  Submitted:2009-03-17, Days after onset: 76
Location:New Hampshire  Entered:2009-03-17
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Flouride, Poly Vit-Sol (Iron Vitamin)
Current Illness: None
Preexisting Conditions: None PMH: recurrent bilateral AOM. Left middle ear effusion 12/08. Left lacrimal duct obstruction. 36 wk preemie, mild neonatal feeding difficulty resolved.
Diagnostic Lab Data: EKG, Chest X-ray, CT Scan, MRI, Lymes Disease, and Chromosomes were all analyzed and showed normal results. Other blood tests were done as well and all came back normal. A spinal tap or lumbar puncture finally showed high pressure in the sp
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURUT2799FA0UNRA
PNC: PNEUMO (PREVNAR)PFIZER/WYETHC529973IMLL
Administered by: Unknown     Purchased by: Unknown
Symptoms: Blood test normal, Borrelia burgdorferi serology negative, C-reactive protein increased, CSF pressure increased, Chest X-ray normal, Chromosome analysis normal, Computerised tomogram normal, Dysmorphism, Electrocardiogram normal, Eye movement disorder, Lumbar puncture abnormal, Nuclear magnetic resonance imaging normal, Vomiting
SMQs:, Acute pancreatitis (broad), Congenital, familial and genetic disorders (narrow), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Ocular motility disorders (narrow)
Write-up: 1 week after patient was given the Flu Shot his right eye showed signs of not moving properly. It looked as if he were going crossed-eye. 24 hours later he threw up for no apparent reason and his eye seemed to be even more crossed. After visiting the Pediatrician''s office, Dr. concluded that his right eye was not moving outward to the left and we were sent to Hospital. Patient''s eye could move inward and to the center but not outward. Over the next 48 hours movement in his right eye became more constrictive and he started turning his head to the right to see straight forward. Acetazolamide was given after a lumbar puncture showed high amounts of pressure in the fluid in his spine causing pressure on his 6th nerve. He took 125mg per day for a month. Improvements were seen within 24 hours and after 5 days patient appeared to have full moevement back in his eye. Treatment was extended to a month due to the 2nd dose of the flu shot. His doctor kept him on it for 2 weeks following the 2nd dose. We were not aware at the time that this may have correlated with the flu shot. 3/30/09 Received hospital medical records of 1/2-1/5/2009. FINAL DX: right 6th nerve palsy; right conjunctivitis Records reveal patient experienced x 3 days: left crossed eye; right eye immobile. Saw PCP who found isolated right abducence nerve palsy & referred to Ophthalmology who confirmed same. Exam revealed facial dysmorphism suggestive of Trisomy 21, right eye serous drainage, left middle ear effusion, lack of right eye abduction, heart murmur. LP revealed increased ICP (opening pressure 26). Tx w/Diamox. Remained stable & d/c to home w/Ophtho, Neuro & Cardio outpatient f/u. Seen in Neuro clinic 1/13/09 s/p viral gastroenteritic. Additional testing planned r/t dysmorphism after karyotype WNL. 4/13/09 Received vaccine records & Neuro followup of 2/3/2009. FINAL DX: post viral right 6th nerve palsy, resolving. Exam revealed lack of right eye abduction. Diamox decreased. To return for Neuro & Optho clinic visits in couple o

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