This is VAERS ID 368786
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| VAERS ID: | 368786 (history) | Vaccinated: | 2009-11-10 | | Age: | 23.0 | Onset: | 2009-11-12, Days after vaccination: 2 | | Gender: | Female | Submitted: | 2009-11-19, Days after onset: 7 | | Location: | Illinois | Entered: | 2009-11-19 | |
| Life Threatening? No |
| Died? No |
| Permanent Disability? No |
| Recovered? Yes | | ER or Doctor Visit? Yes |
| Hospitalized? No | | Previous Vaccinations: | | Other Medications: | | Current Illness: none | | Preexisting Conditions: none 11/20/09 Hosp. records received for dates 11/13/09, 11/14/09 and 11/19/09.PMH: smoker 12/23/09 PMH: Tonsillectomy | | Diagnostic Lab Data: LP done 11/20/09 Hosp. records received for dates 11/13/09, 11/14/09 and 11/19/09.Diag/Labs: CT head WNL, bloodwork WNL, nerve conduction study WNL, holter monitor WNL, drug screen (+)cannabinoids. 12/10/09 LABS and DIAGNOSTICS: LP- WNL, Nerve conduction study-WNL 12/23/09 LABS and DIAGNOSTICS: Head CT-normal, Nerve conduction study-normal. | | CDC 'Split Type': | |
| Vaccination | Manufacturer | Lot | Dose | Route | Site | | FLU(H1N1): INFLUENZA (H1N1) (H1N1 (MONOVALENT) (SANOFI) | SANOFI PASTEUR | UP001AA | 0 | IM | RA | |
| Administered by: Public Purchased by: Public | Symptoms: Abdominal pain,
Asthenia,
Ataxia,
Back pain,
Blood pressure increased,
Blood test normal,
Computerised tomogram normal,
Demyelinating polyneuropathy,
Drug abuse,
Drug screen positive,
Electrocardiogram ambulatory normal,
Fatigue,
Gait disturbance,
Headache,
Hypoaesthesia,
Hyporeflexia,
Lumbar puncture,
Lumbar puncture normal,
Malaise,
Microcytic anaemia,
Muscular weakness,
Nausea,
Nerve conduction studies normal,
Neuropathy peripheral,
Paraesthesia,
Post lumbar puncture syndrome,
Vision blurred,
Vomiting
SMQs:, Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Haematopoietic erythropenia (narrow), Peripheral neuropathy (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Parkinson-like events (broad), Drug abuse and dependence (narrow), Guillain-Barre syndrome (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Glaucoma (broad), Hypertension (narrow), Demyelination (narrow), Lens disorders (broad), Retinal disorders (broad), Depression (excl suicide and self injury) (broad)
| | Write-up: tingling sensation at fingertips radiating down arms, ataxia, sluggish reflexes, increased BP, headache Tx''d with Neurontin and Percocet 11/20/09 Hosp. records received for dates 11/13/09, 11/14/09 and 11/19/09. Seen in ER on 11/13. DX: parasthesias, HA. Pt. c/o numbness/tingling in hands/feet, HA, increased BP. Assessment: (+)parasthesias. Pt declined LP. On 11/14 Seen in ER for worsening sx. DX: peripheral neuropathy Presenting SX: c/o tingling, electrical feeling in hands and feet, generalized weakness x3 days ago. Pt. c/o HA, difficulty walking, fatigue/malaise, blurred vision, Pt states received H1N1 last week and gardasil vax this week. Pt admitted for neuro eval. 11/19/09 Pt seen in ER w/ c/o N/V, back pain. DX: post spinal HA. Pt tx for generalized HA and dc. 12/10/09 Hospital neurology consult, progress notes and tests received for DOS 11/14/09-11/17/09 Dx: Prob AIDP, microcytic anemia, back pain Complaint of tingling and numbness progressively worsening. Headache X3 days. Back pain and blurred vision. TX with percocet and ferrous sulfate. 12/11/09 Duplicate ER record for 11/14/09 received and ER record received for DOS 11/19/09 DX: Post spinal headache Patient presented with c/o nausea & vomiting, back pain and abdominal pain. Assess causes-ABD pain from vomiting, nausea caused by headache after lumbar puncture X2 (past week). Treated with Reglan, Morphine and IV fluids. Discharged home. 12/23/09 Hospital discharge summary received for DOS 11/14/09-11/17/09 DX: Possible Guillain-Barre Syndrome. Patient received HPV vaccination and H1N1 flu shot in the same week. Twelve hours after receiving H1N1, the patient experienced tingling and numbness of fingers and toes, which progressed to wrists and feet. The patient then experienced headache, blurred vision, back pain and since morning of admission, experienced generalized weakness. Lumbar puncture and nerve conduction study performed. Discharged home in stable condition. |
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