National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 527629

(NOTE: This result is from the 9/14/2017 version of the VAERS database)

Case Details

VAERS ID: 527629 (history)  
Form: Version 1.0  
Age: 13.0  
Sex: Male  
Location: Utah  
   Days after vaccination:13
Submitted: 2014-04-04
   Days after onset:48
Entered: 2014-04-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Private       Purchased by: Other
Symptoms: Gastrostomy, Laboratory test normal, Lumbar puncture normal, Muscular weakness, Myelitis transverse, Quadriplegia, Tracheostomy
SMQs:, Rhabdomyolysis/myopathy (broad), Angioedema (broad), Peripheral neuropathy (broad), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Demyelination (narrow), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (broad), Hypersensitivity (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 26 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: No
Preexisting Conditions: No
Diagnostic Lab Data: Multiple infectious studies and lumbar puncture without any other etiology. Patient is still hospitalized, so ongoing treatment of $g60 days. Patient is trach-vent dependent and g-tube dependent.
CDC Split Type:

Write-up: Arm weakness, progressed over days to total quadraplegia, diagnosed with likely transverse myelitis, with excess gray matter involvement compared to typical transverse myelitis. Involved spine from C2 to T12.

New Search

Link To This Search Result:

Copyright © 2019 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166