National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 366928

Case Details

VAERS ID: 366928 (history)  
Form: Version 1.0  
Age: 14.0  
Sex: Female  
Location: Texas  
   Days after vaccination:0
Submitted: 2009-11-12
   Days after onset:289
Entered: 2009-11-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Unknown       Purchased by: Unknown
Symptoms: Activities of daily living impaired, Asthenia, Blood test, Cardiac stress test, Chest pain, Dizziness, Electroencephalogram, Fall, Fatigue, Feeling hot, Gait disturbance, Hypoaesthesia, Loss of consciousness, Nuclear magnetic resonance imaging, Pain, Paraesthesia, Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Peripheral neuropathy (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dementia (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Accidents and injuries (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (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? No
Previous Vaccinations:
Other Medications:
Current Illness: No
Preexisting Conditions: h/o beast pain, redenss, swelling.
Diagnostic Lab Data: Multiple blood tests, cardiac stress tests, EEG, MRIs, & general physical exams.
CDC Split Type:

Write-up: Initially after the vaccination Jasmyne felt hot and passed out. She was woozy and we waited until she was more stable so we could take her home. Within a week roughly she started to have random fainting spells which she had never experienced before. Additionally, she has numbness/tingling in arms and legs and intermittent chest pains. She is constantly fatigued and because we never know when she will have a fainting episode she is homeschooled. She tends to be very weak and dizzy after she faints and it can take a hour or so for her to regain any strength. Many times her legs give out when she is walking and she falls down. She has seen multiple doctors and specialists. We just monitor her condition and make sure stay hydrated and we also increased her sodium to try and combat the fainting which has been slightly effective. The biggest issue now is the constant fatigue and pain she experiences regularly. 11/16/09 Medical records received fro DOS 1/27/09. PCP notes documents vaccine dates and h/o beast pain, redness, swelling. ABx therapy.

New Search

Link To This Search Result:

Copyright © 2020 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166