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From the 10/14/2018 release of VAERS data (an older release, current is 7/23/2021):

This is VAERS ID 622986

Case Details

VAERS ID: 622986 (history)  
Form: Version 1.0  
Age: 16.0  
Sex: Female  
Location: California  
   Days after vaccination:1651
Submitted: 2016-02-17
   Days after onset:1064
Entered: 2016-02-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Private       Purchased by: Other
Symptoms: Aphasia, Biopsy brain normal, Blood test, Brain neoplasm, Computerised tomogram, Death, Gait disturbance, Hypoaesthesia, Musculoskeletal disorder, Noninfective encephalitis, Nuclear magnetic resonance imaging, Scan brain, Speech disorder
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Dementia (broad), Parkinson-like events (broad), Psychosis and psychotic disorders (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (narrow), Noninfectious encephalopathy/delirium (broad), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (broad), Hypoglycaemia (broad), Non-haematological tumours of unspecified malignancy (narrow)

Life Threatening? Yes
Birth Defect? No
Died? Yes
   Date died: 2016-01-16
   Days after onset: 1032
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 30 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: No reaction at the time
Preexisting Conditions: None
Diagnostic Lab Data: MRIs, Cat scans, biopsies
CDC Split Type:

Write-up: Started getting numbness in right hand and face. Was having trouble with finding words, didn''t go to the doctor until a few months later and they did brain scans and blood tests. Said there was inflammation in her brain after several tests and ruling out many different things. Inflammation progressively became worse in her brain, she had 2 brain biopsies in 2015 that came back inconclusive. Facility could not diagnose her. Inflammation still worsening by the end of 2015. Hardly able to walk anymore, can''t use her right hand at all anymore, can''t speak well at all either. By December 2015 was diagnosed with a brain tumor and died on 01/16/2016.

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