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Found 6884 cases where Vaccine is HPV4 and Serious

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VAERS ID: 288762 (history)  
Form: Version 1.0  
Age: 15.0  
Sex: Female  
Location: Iowa  
Vaccinated:2007-08-06
Onset:2007-08-06
   Days after vaccination:0
Submitted: 2007-08-22
   Days after onset:16
Entered: 2007-08-23
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1427F / 1 UN / UN
TDAP: TDAP (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK UN / UN

Administered by: Other       Purchased by: Other
Symptoms: Fall, Head injury, Inappropriate schedule of drug administration, Neurological examination
SMQs:, Accidents and injuries (narrow), Medication errors (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 1 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: neurological 08/06/07 - result not reported; physical examination 08/06/07 - cardiology: result not reported
CDC Split Type: WAES0708USA03472

Write-up: Information has been received from a physician concerning a 15 year old female who on 06-AUG-2007 was vaccinated with first dose of Gardasil (lot # 655619/1427F) injection. Concomitant therapy also given on 06-AUG-2007 included diphtheria toxoid (+) pertussis acellular vaccine (unspecified) (+) tetanus toxoid (manufacturer unknown). On 06-AUG-2007, the patient was sitting on the exam table and was administered the 2 vaccines. The patient fell off the exam table and hit the left side of her head and face. Medical attention was sought (doctor''s office and emergency room). The physician admitted the patient into the hospital for a 23 hour observation. The patient had neurology and cardiology consultations and they performed some tests which are unspecified. On an unspecified date, the patient recovered. Additional information has been requested.


VAERS ID: 288901 (history)  
Form: Version 1.0  
Age:   
Sex: Female  
Location: Florida  
Vaccinated:2007-08-04
Onset:2007-08-04
   Days after vaccination:0
Submitted: 2007-08-23
   Days after onset:19
Entered: 2007-08-24
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0525U / 2 UN / UN

Administered by: Other       Purchased by: Other
Symptoms: Arthralgia, Asthenia, Pruritus, Pyrexia, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Hypersensitivity (narrow), Arthritis (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness: Viral sore throat
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: None
CDC Split Type: WAES0708USA02529

Write-up: Information has been received from a physician assistant concerning a female patient who in June 2007, was vaccinated with a first dose of Gardasil. On 04-AUG-2007, the patient was vaccinated with a second dose of Gardasil (Lot# 658100/0525U). Illness at the time included a sore throat (viral syndrome). On 07-AUG-2007 three days later, the patient developed hives, joint pain, was itchy, tenderness in joints, arthralgia, fever and weakness. On 09-AUG-2007, the patient came in to see the physician. The physician put the patient on steroids and loratadine (CLARITIN) (manufacturer unknown). No laboratory diagnostic studies were performed. At the time of this report, the patient was recovering. The nurse practitioner wasn''t sure if the patient''s symptoms were related to the viral syndrome or the vaccine. No product quality complaint was involved. Hives, joint pain, was itchy, tenderness in joints, arthralgia, fever and weakness were considered to be disabling. Additional information has been requested.


VAERS ID: 288902 (history)  
Form: Version 1.0  
Age: 16.0  
Sex: Female  
Location: Arizona  
Vaccinated:2007-08-03
Onset:2007-08-03
   Days after vaccination:0
Submitted: 2007-08-23
   Days after onset:20
Entered: 2007-08-24
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. - / UNK UN / UN
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0171U / UNK UN / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR - / UNK UN / UN
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. - / UNK UN / UN

Administered by: Other       Purchased by: Other
Symptoms: Crying, Head injury, Loss of consciousness, Screaming, Skull fracture, Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Accidents and injuries (narrow), Hostility/aggression (broad), Cardiomyopathy (broad), Depression (excl suicide and self injury) (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 0 days
   Extended hospital stay? Yes
Previous Vaccinations:
Other Medications:
Current Illness: Clamminess; Cold; Anxiety Attack
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0708USA03128

Write-up: Information has been received from a physician and certified medical assistant concerning a 16 year old female, who on 03-AUG-2007 was vaccinated intramuscularly with a 0.5mL dose of Gardasil (Lot# 655620/0171U). Concomitant suspect vaccinations included hepatitis A vaccine (inactive) (duration and dose not reported) and varicella virus vaccine live (duration and dose not reported). Other concomitant therapy included MENACTRA. On 03-AUG-2007 following the vaccinations, the patient fainted at the front desk when she went to make the next appointment. The patient hit the back of her head and lost consciousness for 1 to 2 minutes. When the patient regained consciousness, the patient was screaming and crying. When the paramedics arrived and tried to get the patient into the ambulance, the patient was fighting with the paramedics. The patient was taken to the emergency room at a hospital then was transported to a pediatric hospital where she saw a pediatric neurologist. The patient was found to have a small fracture at the back of her head. The medical assistant mentioned to the nurse that the patient was cold, clammy, and had high anxiety prior to all the vaccines. The father mentioned that the patient has been having anxiety attacks. The office had offered to give 2 vaccinations at one visit and the other 2 at another time but the patient had refused. The patient recovered on an unspecified date. No product quality complaint was involved. Additional information is not expected.


VAERS ID: 288903 (history)  
Form: Version 1.0  
Age: 25.0  
Sex: Female  
Location: Unknown  
Vaccinated:2007-07-24
Onset:2007-07-24
   Days after vaccination:0
Submitted: 2007-08-23
   Days after onset:30
Entered: 2007-08-24
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 UN / UN

Administered by: Private       Purchased by: Other
Symptoms: Breast pain, Chest pain, Injection site pain
SMQs:, Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Lipodystrophy (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0708USA03670

Write-up: Information has been received from a registered nurse concerning a 25 year old female who on 24-JUL-2007 was vaccinated with the first dose of Gardasil. On 24-JUL-2007 the patient experienced pain at the injection site. The pain has persisted for a month now and has traveled into her breast and chest area. The patient''s pain at injection site and pain in breast and chest area persisted. Pain at injection site and pain in breast and chest area were considered to be disabling. Additional information has been requested.


VAERS ID: 288904 (history)  
Form: Version 1.0  
Age:   
Sex: Female  
Location: Pennsylvania  
Vaccinated:2007-06-04
Onset:2007-06-04
   Days after vaccination:0
Submitted: 2007-08-23
   Days after onset:80
Entered: 2007-08-24
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 UN / UN

Administered by: Other       Purchased by: Other
Symptoms: Headache, Immediate post-injection reaction, Influenza like illness, Malaise, Nausea, Pain, Pain in extremity, Pulmonary embolism, Vasculitis
SMQs:, Acute pancreatitis (broad), Embolic and thrombotic events, venous (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vasculitis (narrow), Hypersensitivity (narrow), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 0 days
   Extended hospital stay? Yes
Previous Vaccinations:
Other Medications: Unknown
Current Illness: Sjogren''s syndrome; General symptom
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0708USA02491

Write-up: Information has been received from a female pharmacist who is also the patient with Sjogren''s syndrome and "other health issues" who on 04-JUN-2007 was vaccinated with a first dose of Gardasil. On 04-JUN-2007 immediately post vaccination the patient did not feel good and developed pain in her left arm, nausea, and headache. On an unspecified date the symptoms resolved. On 09-JUN-2007 and 10-JUN-2007 the patient felt sick, had pains in her legs and whole body, resembling "flu like symptoms." On 18-JUL-2007 the patient developed vasculitis in her right leg. On 04-AUG-2007 the patient was hospitalized with a diagnosis of, bilateral pulmonary embolism. She was treated with 5 mg of COUMADIN daily and 81 mg of Aspirin daily. On 10-AUG-2007 the patient was discharged from the hospital. At the time of the report the patient''s outcome was unknown. The reporting pharmacist considered the events to be other important medical events. Additional information has been requested.


VAERS ID: 288955 (history)  
Form: Version 1.0  
Age: 14.0  
Sex: Female  
Location: New York  
Vaccinated:2007-08-23
Onset:2007-08-23
   Days after vaccination:0
Submitted: 2007-08-24
   Days after onset:1
Entered: 2007-08-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1061U / 1 LA / -

Administered by: Public       Purchased by: Unknown
Symptoms: Anaphylactic reaction, Face oedema, Swelling face, Urticaria generalised
SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), Anaphylactic/anaphylactoid shock conditions (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: no
Current Illness: no
Preexisting Conditions: no PMH: childhood asthma
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Anaphylactic/ type I/ reaction within 12 hours of vaccine Gardasil generalized urticaria, facial oedema. 10/16/07 Received ER medical records of 8/24/2007 which reveal patient experienced hives, swollen lips & face & itching all over. Tx w/epi, IV steroids, IV antihistamine. Improved & d/c to home FINAL DX: angioedema.


VAERS ID: 289026 (history)  
Form: Version 1.0  
Age: 16.0  
Sex: Female  
Location: Unknown  
Vaccinated:2007-08-01
Onset:2007-08-01
   Days after vaccination:0
Submitted: 2007-08-24
   Days after onset:23
Entered: 2007-08-27
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / UNK UN / IM

Administered by: Other       Purchased by: Other
Symptoms: Grand mal convulsion, Head injury, Heart rate, Heart rate decreased, Hyperhidrosis, Syncope vasovagal, Tonic clonic movements
SMQs:, Torsade de pointes/QT prolongation (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Arrhythmia related investigations, signs and symptoms (broad), Convulsions (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Accidents and injuries (narrow), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (narrow), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: total heartbeat count 08/01/07 43 BPM - PV; total heartbeat 08/01/07 68 BPM - 20 min PV
CDC Split Type: WAES0708USA03395

Write-up: Information has been received from a physician concerning a 16 year old female with no known allergies who on 01-AUG-2007 was vaccinated with the first dose of Gardasil (Lot# not provided). No concomitant therapies were reported. The physician reported that within 60 seconds post vaccination the patient had a vasal vagal response, experienced a Tonic clonic Grand mal seizure and hit her head on the office wall. The physician reported that at that time the patient was sweating and her pulse was 43 BPM. The patient laid down and oxygen was administered. The physician reported that the patient was monitored and with 20 minutes her pulse was 68 BPM and she had recovered from the event. The physician considered the event to be disabling and an other important medical event. Additional information has been requested.


VAERS ID: 289027 (history)  
Form: Version 1.0  
Age: 13.0  
Sex: Female  
Location: Kentucky  
Vaccinated:2007-05-11
Onset:2007-08-01
   Days after vaccination:82
Submitted: 2007-08-24
   Days after onset:23
Entered: 2007-08-27
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 01886U / 2 LA / IM

Administered by: Other       Purchased by: Other
Symptoms: Myelitis transverse, Neuromyelitis optica, Paralysis
SMQs:, Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Optic nerve disorders (narrow), Demyelination (narrow), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 27 days
   Extended hospital stay? Yes
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown; LABS: CSF: EMG/NCS. MRI spine abnormal. Visual evoked potentials abnormal.
CDC Split Type: WAES0708USA02942

Write-up: Initial and follow-up information has been received from a physician concerning an "otherwise healthy" 13 year old female who was vaccinated with her first and second doses of Gardasil. Subsequently the patient experienced what was thought to be transverse myelitis and was hospitalized. She experienced paralysis from the chest down, lesions of the optic nerve, and was diagnosed with "Neuromyelitis Optica (NMO)". The patient was treated with high dose corticosteroids (unspecified) and did not respond. A course of Cytoxan was planned. Duration of hospitalization was not reported. At the time of the report the patient had not recovered. Additional information has been requested. 5/13/08 Reviewed hospital medical records of 8/1-8/24/2007 & 9/25-9/26/2007. FINAL DX: neuromyelitis optica. Records reveal patient experienced sudden onset of bilateral LEs weakness & numbness proceeded by several hours of leg pains, LBP & urinary retention. Parent w/gastroenteritis several weeks prior. Patient had malaise at that time but never actually ill. Admit exam revealed areflexia bilateral LEs, loss of sensation below T12 bilaterally as well as flaccid paraplegia & urinary retention. Admitted to PICU. Tx w/IV steroids w/no improvement. Tx w/plasmapheresis, I/O cath, bowel regime. Neuro, rheum, psych consults done. Developed decreased sensation up to T8, restarted IV steroids & MRIs repeated. Tspine MRI revealed traumatic progression of disease up to T4-5. No improvement w/additional steroids or plasmapheresis. Tx w/IVIG x 7 days w/no improvement but no worsening. Transferred to inpatient rehab to be readmitted for rituximab in the next month. Medical records of 9/25-9/26/07 for rituximab infusion. Exam revealed loss of motor control of bilateral LEs. Was to return 10/2 for second treatment & PICC placement. Patient continued to be home schooled due to her condition.


VAERS ID: 289028 (history)  
Form: Version 1.0  
Age: 26.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:2007-08-14
Onset:2007-08-14
   Days after vaccination:0
Submitted: 2007-08-24
   Days after onset:10
Entered: 2007-08-27
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0927U / 1 UN / IM

Administered by: Other       Purchased by: Other
Symptoms: Blood glucose abnormal, Computerised tomogram normal, Dizziness, Electrocardiogram abnormal, Haematoma, Injection site pain, Loss of consciousness, Musculoskeletal stiffness, Nausea, Prothrombin time prolonged, Red blood cell count decreased, Syncope vasovagal, Vomiting
SMQs:, Torsade de pointes/QT prolongation (broad), Liver-related coagulation and bleeding disturbances (narrow), Acute pancreatitis (broad), Haematopoietic erythropenia (narrow), Haemorrhage terms (excl laboratory terms) (narrow), Haemorrhage laboratory terms (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dystonia (broad), Parkinson-like events (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Arthritis (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: SEASONALE
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: computed axial 08/14/07 Normal, electrocardiogram Borderline abnormal, red blood cell count 4.05, serum glucose 126, prothrombin time 13.0
CDC Split Type: WAES0708USA02610

Write-up: Initial and follow up information has been received from a Registered Nurse (R.N.) concerning a 26 year old female patient who on 14-AUG-2007 was vaccinated with a first dose of Gardasil lot #658222/0927U. Concomitant therapy included ethinyl estradiol (+) Levonorgestrel (SEASONALE). On 14-AUG-2007, within one month of vaccination patient developed injection site soreness, and then passed out for about one minute. She was dizzy and nauseated. She was transported to the Emergency Room via ambulance. In follow up the nurse reported that after patient received her Gardasil injection she turned her back and about 30 seconds later she turned around and the patient''s head had dropped down and she was very stiff, not limp but stiff. She passed out. She was taken to the emergency room (ER) where she vomited. She had a computed axial tomography (CAT) scan which was normal, although she had a hematoma on her head. The nurse said that she did not fall while in the office or anytime before hand that she knew about so she was not sure where that came from. She had an electrocardiogram (EKG) which was borderline abnormal, and she was recommended to follow up with her primary care physician about the EKG. The primary care physician was aware of the patient''s cardiology problem. The patient''s glucose was 126, prothrombin time (PT) 13.0, red blood cell count (RBC) 4.05, everything else was right on the normal border. She was discharged from the ER that same day. Her discharge diagnosis was vasovagal syncope. The nurse''s office was not able to contact the patient since then and was not sure if patient had recovered. The nurse reported that she did not know whether the event was from her Gardasil vaccination, since the event occurred about 30 seconds after her vaccination. The reporter indicated that the patient''s adverse events injection site soreness, passing out, being dizzy and nauseated were disabling. She also believed transporting patient to the emergency room (ER) via ambulance was an intervention to prevent a serious criteria and it was reported as an other medical event. Additional information has been requested.


VAERS ID: 289177 (history)  
Form: Version 1.0  
Age: 18.0  
Sex: Female  
Location: Florida  
Vaccinated:2007-08-23
Onset:2007-08-23
   Days after vaccination:0
Submitted: 2007-08-27
   Days after onset:4
Entered: 2007-08-28
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1060U / 1 RA / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U2381BA / 1 RA / IM

Administered by: Private       Purchased by: Private
Symptoms: Blood pressure, Chills, Condition aggravated, Dyspnoea, Headache, Lumbar puncture, Pain, Photophobia, Pyrexia, Tremor
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Parkinson-like events (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (narrow), Glaucoma (broad), Cardiomyopathy (broad), Corneal disorders (broad), Retinal disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: None records received 9/19/07- CBC unremarkable, BMP also unremarkable, spinal tap within normal limits and culture negative.. Throat culture negative. Blood and urine cultures negative. Echo demonstrated left peripheral pylmonic stenosis benign in nature. CT brain unremarkable.
CDC Split Type:

Write-up: severe headache at night time after vaccination; exacerbated in the next morning, photophobia, entire body ache, chills, trouble breathing, low grade fever 100.3. On exam BP 150/78 shaking but nonconvulsive, transferred to hospital via ambulance. 1 day admission, spinal tap has r/o meningitis done-normal. Persistent headache few days after discharge 9/19/07-records received for DOS /24-/26/07- DC DX: Probable reaction to meningococcal vaccination. Meningitis has been ruled out. Headache and back pain now stable. Headache and back pain is thought to be due to probable reaction to meningococcal vaccination and probably from the spinal tap also. C/O headache and photophobia. Fever of 103 and sore throat for past 24 hours. Associated neck stiffness and pain.


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