Adverse Vaccine Reaction Financial Settlement Request Letter

My healthy, active, 7-year-old border collie (Lilly) suffered a severe adverse reaction after receiving a three-year rabies vaccine Monday, January 23, 2012.

Manufactured by: NAME OF COMPANY
Lot Expiration: DATE
Serial Number: XXXXXXXX

I’m writing to ask what funds are available from COMPANY to help pay for Lilly’s diagnosis, treatment, and ongoing medical needs due to vaccine-induced meningoencephalomyelitis.

Lilly fell ill within hours of receiving the vaccine, with lethargy and injection site swelling. She worsened over several days and developed severe lethargy, fever, and increasing ataxia.

I took her to the nearest 24-hour veterinary emergency hospital Sunday, January 29, 2012. Lilly was hospitalized Monday, January 30, 2012, at the nearest veterinary specialty hospital with a board-certified neurologist / neurosurgeon. Lilly spent the next seven days receiving round-the-clock treatment. She began having seizures Thursday, February 2, 2012, while still hospitalized.

Based on clinical examination as well as an MRI and spinal tap done Tuesday, January 31, 2012, the board-certified neurologist / neurosurgeon ruled out all other possible causes of Lilly’s sudden illness.

The final diagnosis was vaccine-induced meningoencephalomyelitis.

In the weeks the followed, Lilly developed numerous additional problems relating to the vaccine-induced meningoencephalomyelitis and side-effects of treatment, including hypertension, epistaxis, and severe diarrhea. Lilly required another veterinary emergency visit for severe epistaxis Friday, February 10, 2012.

Since Lilly’s hospital discharge, she has been taking numerous daily medications, including steroids, immune mediators, and anticonvulsants – some of which may be required for many months, if not years.

To date (3/12/12), the costs to save Lilly’s life and treat the vaccine-induced meningoencephalomyelitis total $7,999.10.

Lilly’s ongoing care may cost from $106 per month for medication refills alone plus an additional $85-$500 for exams / tests with the board-certified neurologist / neurosurgeon (as needed).

I can provide copies of veterinary and pharmacy invoices to support this request. The following veterinarians have been involved with Lilly’s diagnosis / care / treatment:

NAME / ADDRESS / PHONE OF FAMILY VETERINARIAN
NAME / ADDRESS / PHONE OF EMERGENCY VETERINARIAN
NAME / ADDRESS / PHONE OF VETERINARY NEUROLOGIST

<MY CONTACT INFORMATION>

 UPDATE

Lilly died December 17, 2014, after a 23-month fight for her life as a result of the adverse rabies vaccine reaction. 

 

2 thoughts on “Adverse Vaccine Reaction Financial Settlement Request Letter