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This is VAERS ID 358271

Case Details

VAERS ID: 358271 (history)  
Form: Version 1.0  
Age: 14.0  
Gender: Female  
Location: California  
   Days after vaccination:1
Submitted: 2009-09-24
   Days after onset:36
Entered: 2009-09-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Unknown       Purchased by: Unknown
Symptoms: Antinuclear antibody, Ear discomfort, Headache, Metabolic function test, Nuclear magnetic resonance imaging abnormal, Nuclear magnetic resonance imaging normal, Red blood cell sedimentation rate

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? No
Previous Vaccinations:
Other Medications:
Current Illness: none
Preexisting Conditions: none. 9/28/09 ENT Consultant records DOS 8/24/09. Asthma.
Diagnostic Lab Data: MRI IAC: normal. labs: ESR, ANA SCREEN, COMPREHENSIVE METABOLIC PANAL: pending. 9/28/09 ENT Consultant records DOS 8/24/09 LABS and DIAGNOSTICS: Audiogram - Abnormal. MRI - Abnormal. ANA - Pending. Chem - WNL.
CDC Split Type:

Write-up: headache day of injection 8/18, ear discomfort and sudden hearing loss 8/19 to R ear. appointment with PCP 8/20. appt with ENT specialist 8/24, prescribed prednisone. appointment with audiologist 8/24. apointment with ENT specialist and Audiologist 9/8. MRI ordered and done 9/10. appt 9/11 with ENT specialist for steroid injection to R ear. Appt 9/22 with ENT specialist and audiologist. labs ordered. 9/28/09 ENT Consultant records DOS 8/24/09 DOS 8/24/09 to 9/27/09. Assessment: Sensorineural Hearing Loss. Patient c/o decreased hearing (R) ear, dizziness. Profound sensorineural hearing loss (R) ear, normal hearing (L) ear. Tinnitus. Nausea. Left maxillary sinus bone mucous retention cyst 12/30/09 Pediatric Medical records received for DOS 08/24/09, 09/15/09. Telephone request for referral to ENT specialist. On prednisone and will f/u with ENT Impression : viral hearing loss, probably not vaccine related..

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