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Right. So, despite the 3-fold increase in autism rate in children since 2004 there is no need to investigate possible causes, or else we'll have to blame something or, God forbid, someone. For with much wisdom comes much sorrow.
Yes, let's do 'go figure'. And, let's focus the discussion on fact, and reality. As far as I can tell, NONE of the individuals participating in this discussion, myself included, were present at the vaccination. So, we have to rely on established knowledge of physiology, the clinical presentation shown in the video, and our professional training and experience, as it might apply. And, using that approach, a most logical explanation has already been provided by a knowledgeable individual.
Yes. And, there is NOTHING implausible in this situation AT ALL. This could be considered a classic / textbook example of a vasovagal reaction. It is a physiologic reaction, most often stimulated by a physical event (e.g. insertion of a needle; reaction to intense pain; even occurrence of a bowel movement). At times it can be stimulated by just a visual cue (sight of blood, or even the sight of a needle). The vagus nerve is stimulated, and heart rate slows. There is associated dilation of blood vessels, and blood pressure drops. While it may appear to be more pronounced in a standing subject, a seated subject can easily experience it. It can occur VERY quickly (a matter of seconds). Having a subject say that they feel fine, and almost immediately suffer light-headedness, or a loss of consciousness, is NOT in any way unusual. The fact that a subject may state that she often faints when she feels pain is actually supportive of that assessment, and the absence of pain in any particular instance is irrelevant.uncfnp:
YES! Been there, done that.uncfnp:The most susceptable seem to be young men.When we hear the checkout staff call for help we know it’s probably a man fainting from an injection/procedure.
Early in my practice career, perhaps the third or fourth subject to whom I administered a vaccination was a young, male graduate student. He exhibited the same signs that this nurse did. I did the injection - he was seated - and I had him remain seated for well over a minute afterward. I asked him how he was doing, and he said, 'I feel fine'. So, I had him stand up and started walking him out to the check-out station in the clinic, and he collapsed against me (fortunately, because I was able to control his descent to the floor. ) He quickly regained consciousness, and with help I moved him onto the examination table. We kept him in a supine position and monitored him for 15 minutes, during which his heart rate and BP were stable, and he was able to leave. Scared the h**l out of me, frankly. But, I learned over time that 'it happens'.
Yes, absolutely right! What was administered was an approved commercial product. The company that developed and manufactured it had NOTHING to do with the selection of the subject, or any pre-administration evaluation. There was no research protocol involved. Now, as a health care provider, if I was going to create a brief video, to illustrate the safety of an important new vaccine and re-assure the public, I just might have picked a colleague who did not have a history of syncopal episodes, to stand in front of the microphone.
Or, if I was that nurse and I was asked to make comments, I just might have suggested that it would probably be better to be sitting down at the microphone, rather than standing up. 
I do suspect that there is a 'fear-of-telling' factor, associated with embarrassment.
I have never experienced a full syncopal episode. But, I have certainly felt nausea (the other effect of vagal stimulation), and light-headedness after a particularly bad venipuncture attempt by a Cardiology Fellow. I finally had to tell him, 'Hal, you need to stop, before I puke on your shoes.' But, I am not opposed to being vaccinated if I believe the safety and efficacy data are compelling. I know people who have been infected and spent 56 days in the ICU, including 40 days on a ventilator (and survived). I have no desire to go there. I also know people whose only real symptom was a complete loss of taste, coupled with just a bit of fatigue, which cleared in 3 days, and whose antibody titers fortunately remain quite elevated. And, based on the data available, that (mild symptomatology) seems to be the more common infection course. So, make decisions about your own health practices - including engaging in reasonable behaviors to prevent disease - on the basis of information, not alarmism.Investigation is fine, your assertion that use of a particular drug in pregnancy is implicated, while ignoring a million and one other factors known and unknown, is not. Take a read of The Real Reasons Autism Rates Are Up in the U.S. which discusses previous under reporting (or perhaps current over reporting depending on your point of view) and the related genetics articles.
Absolutely. I grew up in the 50s and 60s. As a young child, there were a set of twins at the end of the block that spent the majority of time rocking back and forth and were largely nonverbal, nobody put a name on it. I went to school with many kids that struggled to keep up, autism was a likely diagnosis. Recognition and diagnostic criteria are certainly at play here.
