| Days after vaccination:||7
| Days after onset:||23
|Vaccination / Manufacturer
||Lot / Dose
||Site / Route|
|FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR
||U4547CA / 1
||RL / IM
|HEPA: HEP A (VAQTA) / MERCK & CO. INC.
||0532AE / 2
||LL / IM
Administered by: Private Purchased by: Other
Influenza A virus test positive,
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (broad), Arrhythmia related investigations, signs and symptoms (broad), Acute central respiratory depression (narrow), Guillain-Barre syndrome (broad), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Hypersensitivity (broad), Respiratory failure (narrow), Hypoglycaemia (broad), Infective pneumonia (broad), Opportunistic infections (broad)
Life Threatening? Yes
Birth Defect? No
Date died: 2013-01-30
Days after onset: 2
Permanent Disability? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 3 days
Extended hospital stay? No
Other Medications: PMD''s office reported that child had been recommended to take a multivitamin, unknown if child was taking.
Current Illness: None reported by PMD''s office
Preexisting Conditions: None reported by PMD''s office
Diagnostic Lab Data: Child had been seen at Emergency Room on 01/27/2013 and had positive rapid influenza A testing. No influenza testing through second Medical Center but did have series of testing to determine cardiac related event. Autopsy was declined by family.
CDC Split Type:
Write-up: Per hospital and family reports, child was talking to grandfather when she collapsed and stopped breathing. Grandfather performed CPR until EMS arrived and child was transported via AirMed to Medical Center. Child expired on 01/30/2013.