DOD: Consider future vaccine exemptions for those who suffer neurogolical events

[Guest guest]

Adverse Event

Definitions & Evaluation

Treatment &

Management

Future Doses

Comments

(SE13)

Neurologic disease, severe:

Possible diagnoses include:

·

Peripheral neuropathy, nonfocal

·

Encephalopathy

·

Guillain-Barré syndrome

·

Progressive focal neurologic

disease (see also SE 14)

Assumes

no other etiologic factor

·

Consult with neurology for

diagnosis and treatment.

·

Some cases may benefit from rapid

treatment with high-dose intravenous immunoglobulin.

·

Contact VHC Network for case

management requirements.

·

Give temporary exemption, pending

consultation with neurology.

·

Submit VAERS report.

·

Consider

risk for recurrent reaction before administering additional doses.

·

Permanent

exemption may be required.