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From the 7/16/2021 release of VAERS data:

This is VAERS ID 175928

Case Details

VAERS ID: 175928 (history)  
Form: Version 1.0  
Age: 8.0  
Sex: Female  
Location: Michigan  
   Days after vaccination:1
Submitted: 2001-09-25
   Days after onset:33
Entered: 2001-10-02
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Public       Purchased by: Public
Symptoms: Confusional state, Convulsion, Dizziness, Electroencephalogram abnormal, Headache, Injection site erythema, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (narrow), Dementia (broad), Convulsions (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Extravasation events (injections, infusions and implants) (broad), Vestibular disorders (broad), Generalised convulsive seizures following immunisation (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (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, 9 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: seasonal allergies
Diagnostic Lab Data: spinal tap, WBC, Glucose, protein, bacterial antigen
CDC Split Type:

Write-up: The pt experienced an area around the injection site which was red the day after the injection. On 9/9/01 the child began with headache, by 9/11/01 the child was dizzy and confused, had a temp of 99.0, and then seizures began. The pt was life flighted to the hospital. The annual follow up states "spoke with mother 11/14/02. Pt continues on anti-seizure rx. Caigetrol 800mg/day and has had no more seizure activity. Saw neurologist today and will then be followed yearly. Doing well in school, personality ahs returned to pre-vaccine normal. The 60 day follow up received on 1/15/02 states pt is improving according to her mother. She continues to need seizure medication. Her last EEG was done 12/01, it remained abnormal. She sees the neurologist every 3 months. She''s beginning to better in school and her personality is more like "the old self."

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