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This is VAERS ID 379292

Case Details

VAERS ID: 379292 (history)  
Form: Version 1.0  
Age: 12.0  
Gender: Female  
Location: North Carolina  
   Days after vaccination:362
Submitted: 2010-02-03
   Days after onset:665
Entered: 2010-02-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Unknown       Purchased by: Other
Symptoms: Activities of daily living impaired, Antiphospholipid antibodies negative, Arthralgia, Blood immunoglobulin G increased, Clumsiness, Computerised tomogram, DNA antibody positive, Dizziness, Dysphagia, Electromyogram abnormal, Fall, Gait disturbance, Haematology test normal, Hypoaesthesia, Laboratory test normal, Loss of consciousness, Muscle enzyme, Muscular weakness, Nuclear magnetic resonance imaging, Pain, Pain in extremity, Paraesthesia, Vitamin D decreased
SMQs:, Torsade de pointes/QT prolongation (broad), Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (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), 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), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Hypersensitivity (broad), Arthritis (broad), Tendinopathies and ligament disorders (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: NONE THAT I CAN RECALL
Current Illness: NONE
Preexisting Conditions: Allergy to PEARS (RASH)
Diagnostic Lab Data: EMG - showed some disparities right to left. Lupus studies - negative thus far, muscle enzymes - WNL Basic chemistries and hematology testing WNL VIT D level < 6 - started on Vit D supplements - seeing endocrinologist Recent DS DNA positive, sent out to other lab for confirmatory testing. IgG level high
CDC Split Type:

Write-up: Within 1 month after receiving vaccination progressive clumsiness noted with complaints of leg pain with inability to run without falling. Eventually, lost ability to run and only able to participate in some aspects of gym classes. Alternate written assignments had to be done. On April 9,2008 had severe pain to left leg while in bed. While stepping up onto school bus, passed out. Complained of dizziness at that time. pain progressed to right leg that day with tingling and numbness. Taken to ED, CT scan of head and labs done. Referred to neurologist. Many blood tests performed, EMG, nerve conduction studies, MRI''s. May 1, 2008 reported right leg pain worsening and now present in right hip and waist. Referred to neurologist due to progressive weakness and right leg lag. Adaptations have had to be made at school through the 504B plan to accomodate for her disabilities. Stairs are very challenging. Swallowing difficulties started within last 3 months. Now seeing neurologist, rheumatologist, endocrinologist to find cause of proximal weakness. Lots of autoimmune studies have been done and repeated. No answer to this problem for a child who was in perfect health prior to this vaccination. Bills are immensely expensive and continue.

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