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This is VAERS ID 152041

Case Details

VAERS ID: 152041 (history)  
Form: Version 1.0  
Age: 45.0  
Sex: Female  
Location: Oregon  
Vaccinated:2000-04-25
Onset:2000-05-03
   Days after vaccination:8
Submitted: 2000-05-04
   Days after onset:1
Entered: 2000-05-18
   Days after submission:14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 3066A4 / 1 LA / IM

Administered by: Public       Purchased by: Private
Symptoms: Coma, Convulsion, Pulmonary congestion, Pulmonary oedema
SMQs:, Cardiac failure (narrow), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Convulsions (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Generalised convulsive seizures following immunisation (narrow), Hypoglycaemia (broad), Infective pneumonia (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2000-05-03
   Days after onset: 0
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Dilantin
Current Illness: NONE
Preexisting Conditions: hx of seizures
Allergies:
Diagnostic Lab Data: Medical examiner case (pending); preliminary cause of death is reported to be a seizure. Autopsy shows lung congestion and edema, final cause of death terminal seizure as a complication of her chronic seizure disorder.
CDC Split Type: OR200015

Write-up: Pt was found dead at home on 5/3/00. Pt was taking Dilantin on a regular basis. Pts mother died of aneurysm at age 40. Pt was otherwise healthy, but had a hx of seizures. Cause of death was determined to be a terminal seizure. Autopsy shows she was found unresponsive, lungs congested with edema.


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