VAERS 2654265
SANOFI PASTEUR · RABIES (IMOVAX) · Charge U1D222M
- Staat
- TX
- Alter
- 24,0
- Geschlecht
- F
- Eingang
- 10.07.2023
- Impfdatum
- 07.05.2023
- Beginn
- 07.05.2023
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / -
Symptomtext
HPI: 24yo F with no known significant neurologic history with new onset seizures with initial status epilepticus. She had a potential rabies exposure on Wednesday 3 May and, having had prior rabies vaccinations x 2, underwent post exposure prophylaxis for rabies exposure with 2 dose series of rabies vaccine. Within 5 minutes of the second dose of the vaccine on day 3 after exposure she felt unwell, then became unconscious, and had seizure-like activity with rapid eye movements and rhythmic shaking of the left arm at about 1330. She remained unconscious with GCS 3 for the next 3 hours with frequent episodes every 2-20 minutes of recurrent seizure activity lasting 15 seconds to 3+ minutes. She was treated initially with midazolam in recurrent boluses of 2mg up to 12mg in total. She was loaded with levetiracetam 4500mg IV and given an additional 10mg IM diazepam. She underwent CT head with and w/o IV contrast which was negative. She had a total of over 23 seizure-like events over about 3 hours. Over the next week she had progressive improvement in mental status. She had no further large events after about 24hrs and had only 1 very brief event.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Coma scale
- Hospital-Tage
- 6,0
- Labordaten
- Labs, EEG, MRI were all negative for seizure activity. Neurology consult ruled out seizure.
- Aktuelle Erkrankungen
- L sided ulnar nerve pain - possible ulnar nerve entrapment
- Vorgeschichte
- irritable bowel syndrome h/o depression
- Andere Medikamente
- occasional benzodiazepam for sleep/anxiety
- Allergien
- none
- Vorherige Impfungen
- -