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This is VAERS ID 344793

Case Details

VAERS ID: 344793 (history)  
Form: Version 1.0  
Age: 14.0  
Gender: Female  
Location: Nevada  
   Days after vaccination:61
Submitted: 2009-04-24
   Days after onset:106
Entered: 2009-04-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Unknown       Purchased by: Unknown
Symptoms: Alopecia, Amnesia, Arthralgia, Back pain, Blood test, Chest X-ray, Computerised tomogram, Convulsion, Fatigue, Headache, Loss of consciousness, Lumbar puncture, Muscle twitching, Nausea, Neck pain, Nuclear magnetic resonance imaging, Pain, Pharyngitis streptococcal, Scan brain, Vomiting
SMQs:, Torsade de pointes/QT prolongation (broad), Acute pancreatitis (broad), Agranulocytosis (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Retroperitoneal fibrosis (broad), Dementia (broad), Convulsions (narrow), Dyskinesia (broad), Dystonia (broad), Oropharyngeal infections (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (narrow), Arthritis (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 1 days
   Extended hospital stay? No
Previous Vaccinations: None~ ()~~0.00~Patient
Other Medications: None 5/20/09 ED records received multiple DOS 1/7/09 to 1/12. Phenergan, Ativan, Advil
Current Illness: None
Preexisting Conditions: None PMH: Family hx: depression & manic-depression.
Diagnostic Lab Data: blood work, head CT scan, lumbar CT scan, chest x-ray, head MRI, spinal tap 5/18/09 Received Hospital LABS of 1/16-17/2009: CO2 28(H) otherwise CMP WNL. PCP LABS: 6/3/08 & 12/18/08 throat c/s (+) strep. EBV neg. CBC, CMP WNL. Repeat throat c/s 2/3/09 neg. 5/20/09 ED records received multiple DOS 1/7/09 to 1/12 LABS and DIAGNOSTICS: CBC - Neut 2.4 X10 (L) RDW 11.2% (L) MCHC 36.1 G/% (H) others WNL. CHEM - glucose 111 mg/dl (H) BUN 10.0 (L) Alk Phos 105 U/L (L) others WNL. Blood Gases - pH 7.524 (H) PCO2 23.1 (L) P02 87.2 (H) Base EX -2.6 (L) HCO3 18.2 (L). Urinalyis WNL. Strep A AG EIA (-). Blood Cultures (-). CSF WNL. CSF Culture (-). CT brain - sinusitis.
CDC Split Type:

Write-up: Symptoms started exactly 2 months after her 2nd shot. Started with headaches, nausea, vomiting, strep throat and body aches. Continues on with non-epileptic seizures, twitches, unconsciousness, long and short term memory loss, hair loss, fatigue, joint pain and neck and back pain. Continues on after 3 1/2 months. 4/27/09 Received vaccine & PCP medical records of 8/1/08-2/3/2009. FINAL DX: encephalopathy w/memory loss. Records reveal patient experienced good general health on 8/1 when seen for sports physical. RTC 8/26 w/insect bite w/swelling, warmth & pain LUE, felt sick, nausea, HA. Tx w/antibiotics. RTC 12/18 w/vomiting, abd pain, nausea, chest pain x 1 mo, coughing, earache, migraine HA increased in frequency, sore throat, fatigue & malaise x 5 mo, excessive sleeping. Tonsils enlarged, strep test (+) & dx/tx for strep pharyngitis. RTC 1/5/09 appearing ill w/sore throat, cervical lymphadenopathy, sick stomach, nausea, vomiting, low grade fever, HA, decreased appetite, dizziness. Dx w/continued strep pharyngitis. Tx w/IM antibiotic & continued on oral antibiotics for another course. Seen in ER on 1/8/09. RTC 2/3/09 w/sore throat, sister w/strep throat. Parent reported episodes of seizure like posturing, gaze palsy, opisthotonos since 1/7/09 daily until 1/19. Had multiple ER visits. Hospitalized overnight for EEG which was WNL. No further seizure episodes but significant memory loss. Neuro-psych eval dx w/30% remaining memory. Missed a lot of school. Dx 2/3 w/pharyngitis, probably viral; encephalopathy w/memory loss, uncertain nature & cause. 5/18/09 Received hospital medical records of 1/16-1/17/2009. FINAL DX: nocturnal spasms Records reveal patient experienced muscle tension, arching back, eyes rolling back, unresponsive & dystonia nightly x 7-10 days lasting 15 min to 2 hr. School performance had been affected since mid-Dec when episodes had started. Admitted for 24-hr video EEG which was WNL. Neuro exam WNL. Referred to Psych. 5/20/09 ED records received multiple DOS 1/7/09 to 1/12 FINAL DIAGNOSIS: Syncope, seizure, acute vomiting, cephalgia and neck stiffness Post vaccination: nausea, vomiting, body aches, twitching, unresponsive at home, headache, neck stiff. Dizziness, numbness, tingling in hands and feet, crying. Hyperventilation with carpal pedal spasms. Myoclonic tremors.

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