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Found 102 cases where Location is Texas and Vaccine is HPV or HPV2 or HPV4 and Serious

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VAERS ID: 320349 (history)  
Form: Version 1.0  
Age: 14.0  
Sex: Female  
Location: Texas  
Vaccinated:2008-04-18
Onset:0000-00-00
Submitted: 2008-07-23
Entered: 2008-07-24
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / UNK UN / UN

Administered by: Other       Purchased by: Other
Symptoms: Allergy test, Fall, Hypoaesthesia, Loss of consciousness, Muscle fatigue, Paraesthesia, Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Guillain-Barre syndrome (broad), 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 (broad), Hypoglycaemia (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness:
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: allergy test, results pending
CDC Split Type: WAES0807USA03903

Write-up: Information has been received from a registered nurse (R.N.) concerning her 15 year old daughter with no pertinent medical history, drug reactions or allergies who "three months ago", on approximately 18-APR-2008 was vaccinated with a dose of GARDASIL. There was no concomitant medication. "Approximately two months ago", in approximately May 2008, the patient began to experience numbness and tingling in her hands. On 16-JUL-2008 the patient experienced two episodes of syncope during which she lost consciousness and hit the floor. On 17-JUL-2008 the patient noted that all of her muscles felt tired. Allergy tests were performed (results not provided). At the time of the report, the patient''s event persisted. The patient did not seek medical attention. The reporter considered numbness and tingling in hands, syncope and muscles tired to be immediately life-threatening. Additional information has been requested.


VAERS ID: 320560 (history)  
Form: Version 1.0  
Age: 17.0  
Sex: Female  
Location: Texas  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 2008-07-25
Entered: 2008-07-28
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 2 UN / UN

Administered by: Other       Purchased by: Other
Symptoms: Skin laceration, Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Arrhythmia related investigations, signs and symptoms (broad), Accidents and injuries (narrow), Hostility/aggression (broad), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Hypoglycaemia (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:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0807USA04414

Write-up: Information has been received from a physician concerning a 17 year old female on an unknown date was vaccinated with the second dose of GARDASIL. After getting the second dose, the patient fainted and hit her head (causing a gash on her head). The patient sought medical attention. The patient''s outcome was not reported. Patient fainted and hit her head (causing a gash on her head) were considered to be disabling by the reporting physician. Additional information has been requested.


VAERS ID: 321133 (history)  
Form: Version 1.0  
Age: 13.0  
Sex: Female  
Location: Texas  
Vaccinated:2008-03-05
Onset:2008-03-05
   Days after vaccination:0
Submitted: 2008-08-01
   Days after onset:148
Entered: 2008-08-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0052X / 2 LA / IM

Administered by: Private       Purchased by: Private
Symptoms: Immediate post-injection reaction, Injection site atrophy, Injection site pain, Muscle atrophy
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (narrow)

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: YAZ; Claritin; Adderall; Kenalog
Current Illness:
Preexisting Conditions: NKDA; Seasonal allergies
Allergies:
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Muscle/tissue atrophy at injection site almost immediately apparent - after 5 months approximately has not resolved. Patient had Kenalog injection 2 days prior at another injection site. This is in follow-up report(s) previously submitted on 9/15/2008. Intial and follow-up inforamtion has been recieved froma a nurse practitioner concerning a 11 year old female with no pertinent medical history or history of drug reactions or drug allergies who on 30-OCT-2007 was vaccinated witht he first does of GRADASIL. On aaproximately 03-MAR-2008, "two days prior to" the second vacciantion of GRADASIL, the patient had recieved triamcinolicne acetonide injrction in the gluteal area, "another injection site", for the treatment of allergian. On 05-MAR-2008 the patient was vaccianted intramuscularly in theleft arm woth the second 0.5ml dose of GRADASIL (lot no. 655604/0052X). Concomitant therapy included drospirenous (+) ethinyl entradiol, loratadine and imphatamine espartate.amphetamineSO4/dex. On the same day, "almost immediately after her second immunization", the patient developed pain and muscle tissue atrophy at the injection site. On 01-AUG-2008, the patient was vaccinated witht he third dose of GRADASIL. As of 01-AUG-08, it was reportedthat the patient was recovering from the injection site pain. As of 08-SEP-2008, it was reported that muscle tissue athrophy at the injection site still persisted "five months later". The patient sought unspecified medical attention via office visist. Muscle tissue athrophy at the injection site was considered to be disabling and pther important medical event. Additional information is not expected.


VAERS ID: 321779 (history)  
Form: Version 1.0  
Age: 14.0  
Sex: Female  
Location: Texas  
Vaccinated:2008-04-14
Onset:2008-04-18
   Days after vaccination:4
Submitted: 2008-08-11
   Days after onset:115
Entered: 2008-08-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1487U / 3 LA / IM

Administered by: Unknown       Purchased by: Unknown
Symptoms: Arthralgia, Back pain, Blindness unilateral, Blood test normal, Computerised tomogram normal, Diagnostic procedure, Electromyogram abnormal, Feeling abnormal, Gait disturbance, Headache, Hypoaesthesia, Hypoaesthesia facial, Lumbar puncture normal, Malaise, Muscle twitching, Nerve conduction studies normal, Nerve injury, Nuclear magnetic resonance imaging normal, Pain, Radiculopathy, Reflex test normal, Sinusitis
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Dementia (broad), Dyskinesia (broad), Dystonia (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Accidents and injuries (narrow), Glaucoma (broad), Optic nerve disorders (broad), Retinal disorders (broad), Arthritis (broad), Hypoglycaemia (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, 4 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: Sinus Infection
Preexisting Conditions: 8/15/08-records received-headache a few weeks ago.
Allergies:
Diagnostic Lab Data: Reflex test, Motor nerve conduction, Sense nerve conduction, muscle test, cat-scan, lumbar puncture, MRI with and without contrast, blood work: we were told that everything came back normal, eVoke potential 8/15/08-records received-MRI of brain and cervical spine, thoracic spine and lumbar spine unremarkable. Lumbar puncture protein 36. WBC 13.6, segs increased 88, T3 free low 177, no oligoclonal bands.
CDC Split Type:

Write-up: We have tract patient''s symptoms back to early part of December. She complained on and off of achy joints and just not feeling right. In February one of her track coach''s approched me with concern and asked if patient had told me about her knees hurting and the lower part of her legs going numb on several different occasions. The trainer had looked at her and suggested a knee brace. The sparactic numbness continued though. On 4-14-08 patient received the 3rd HPV vaccine. On 4-18-08 I received a phone call that patient had experience and ice pick type pain in the back of her head and could not see out of her right eye and was complaining that the right side of face and arm were completely numb. We went straight to Dr. who sent us to hospital for a cat scan and then to Emergency for and MRI. Diagnosis: Sphrenoid Sinusitis. She was given a prescription for a Z-pack and Naprolan. Patient''s symptoms seem to improve but still complained of achy joints especially in her lower back and hips and now experiencing twitching on the right side of face and arm. On 5-7-08 we took patient to the emergency room again because her lower back, hips, knees and ankles were hurting and numb. She complained that the pain felt like it was coming from the inside of the bone. Diagnosis: Possible pinch nerve, ice and heat along with Advil were to be implemented 5-8-08 I called Dr. because patient''s symptoms had worsened overnight and now was having trouble walking. He called an nueroligist and set up for him to see her 5-9-08 the very next morning at 6:30a.m.. Dr. examined patient and told us he was admitting her into the hospital with the suspicions of MS. He treated her symptons as and MS patient. A spinal tap, MRI, and blood work was ordered along with and IV for a steroid treatment to be given every 6 hrs. for 30 mins each time. Patient was discharged on 5-13-08 and to take Predizone for 5 days along with Aleeve. On 5-20 Dr. did and EmG and found left lumzosacarl radiculopathy. Dr. referred us to Pediactric neorologist. 6-17 Dr. examined and order an Evoke Potential findings were normal. Patient continues to have sparatic numbness, achy joints especially hips and knees, and lower back pain. From November to May patient''s symptons gradually escalated. As of today, patient is still experiencing sparactic espisodes and is taking Aleeve everyday to manage her pain. We are still in the process of finding out how to help her and the actual cause. A Pediactric Rhumatologist from Hospital is reviewing her reports. We are waiting to here back from them. 8/15/08-records received for DOS 5/9-5/13/08- presented with C/O progressive weakness of left lower extremity with some back pain radiating down into lower extremity. Hip and joint pain. Rheumatoid arthritis ruled out. Admitted with presumed myelitis. Treated with IV Solu-Medrol and improved.


VAERS ID: 324906 (history)  
Form: Version 1.0  
Age: 10.0  
Sex: Female  
Location: Texas  
Vaccinated:2008-05-06
Onset:2008-05-06
   Days after vaccination:0
Submitted: 2008-08-14
   Days after onset:100
Entered: 2008-08-18
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0188U / 2 LA / IM

Administered by: Other       Purchased by: Other
Symptoms: Arthralgia
SMQs:, Arthritis (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:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0807USA03278

Write-up: Information has been received from a nurse concerning a 10 year old female who on 26-JUN-2007 was vaccinated with the first dose of GARDASIL (lot no. 655619/1427F). The first dose was administered concomitantly with VARIVAX (Oka/Merck) (MSD). The patient tolerated with the first dose without incident. On 06-MAY-2008 the patient was vaccinated intramuscularly with the second 0.5 ml dose of GARDASIL (lot no. 657006/0188U) into the deltoid muscle of the left arm. There was no concomitant therapy. On 14-MAY-2008, "eight days after the second dose", the patient experienced pain in hip joint and was hospitalized. The patient was discharged on 16-MAY-2008. On an unspecified date the patient was recovered. Additional information has been requested.


VAERS ID: 333086 (history)  
Form: Version 1.0  
Age: 20.0  
Sex: Female  
Location: Texas  
Vaccinated:2007-09-14
Onset:2007-09-14
   Days after vaccination:0
Submitted: 2008-11-21
   Days after onset:434
Entered: 2008-11-24
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 UN / IM

Administered by: Other       Purchased by: Other
Symptoms: Alpha 1 foetoprotein normal, Breech presentation, Caesarean section, Drug exposure during pregnancy, Pregnancy test, Ultrasound scan normal
SMQs:, Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow), Normal pregnancy conditions and outcomes (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 0 days
   Extended hospital stay? Yes
Previous Vaccinations:
Other Medications: FOCALIN, mg; ZOFRAN, mg
Current Illness: Pregnancy NOS (LMP = 8/28/2007); Attention deficit/hyperactivity disorder; Nausea
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Ultrasound, 10/16/07, Normal and routine; Ultrasound, 01/10/08, Normal and routine; Skull X-ray, 06/18?/08, Negative; Ultrasound, 03/25/08, Normal and routine; Beta-human chorionic; Serum alpha-fetoprotein, 01/10/08, Normal and routine; Total serum bilirubin, 06/02/08, 16.7 mg/d
CDC Split Type: WAES0801USA03772

Write-up: Initial and follow up information has been received from Merck pregnancy registry through a Nurse concerning a 21 year old female with no previous medical history, who on 14-SEP-2007 was vaccinated IM with a first 0.5 ml dose of GARDASIL. Concomitant medication included FOCALIN 15 mg QD intermittently just until pregnancy known for ADHD and ZOFRAN 4 mg TID PRN for nausea/vomiting. It was reported that the patient received the vaccination while she was pregnant. Medical attention was sought. In follow up the nurse stated that on 28-May-2008, the patient delivered a normal live born female infant weighing 8 lbs and 9 Oz with an apgar score 9/9. There were no complications or abnormalities and no congenital anomalies. There were no infections or illnesses during pregnancy. It was reported that patient had a caesarean section since the baby was in breech presentation. Pediatric medical records were received and reviewed and the following experience was identified. On 02-JUN-2008 baby came to doctor''s office and was found to have jaundice. Baby''s bilirubin was 16.7 mg/dL and she needed photo therapy. She was seen on 03-JUN-2008 and it was reported as physiologic jaundice and was admitted to the hospital. On 06-JUN-2008 the baby was seen in the doctor''s office for follow up hospitalization for jaundice. It was reported that on examination baby had "?questionable hip dysplasia". A follow up phone call was made to the doctor''s office and information was received that the baby was referred to an orthopedist. The nurse reported that as per the doctor''s note the baby had an examination with the doctor. It was reported that "physical examination showed the hip to be slightly lax, but there was no evidence of any dislocation and it appeared the hip was tightening". The mother cancelled the follow up visit for the baby with the doctor but reported that the baby was doing well. On 11-JUN-2008 the baby went to the doctor''s visit. In the record it was reported that the baby had eye drainage and diarrhea after amoxicillin. The baby was reported to be improving after amoxicillin (date of therapy not reported). It was reported that the baby had poor weight gain. On 18-JUN-2008 the baby visited doctor''s office. It was reported that she had positional plagiocephaly. The skull x-ray was negative. On 10-JUL-2008 the baby came to doctor''s office. It was reported that the baby was started on 15 mg PREVACID and her plagiocephaly was stable. On 04-AUG-2008 the baby visited the doctor''s office for immunization and found to have nasal congestion. Gastro Esophageal Reflux Disease and upper respiratory infection. The outcome was unknown. The baby also had events after she was vaccinated with ROTATEQ (MSD), ACTHIB, PEDIARIX (WAES # 0811USA02267). Upon internal review baby''s breech presentation which required a caesarean section delivery was determined to be an other important medical event. Additional information has been requested. All medical records will be provided upon request.


VAERS ID: 334285 (history)  
Form: Version 1.0  
Age: 13.0  
Sex: Female  
Location: Texas  
Vaccinated:2008-08-22
Onset:2008-09-08
   Days after vaccination:17
Submitted: 2008-11-13
   Days after onset:66
Entered: 2008-12-09
   Days after submission:26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0507X / 2 LA / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U2662AA / 1 RA / IM

Administered by: Public       Purchased by: Public
Symptoms: Balance disorder, Gait disturbance, Lumbar puncture, Nerve conduction studies, Sensory loss
SMQs:, Peripheral neuropathy (narrow), Anticholinergic syndrome (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Vestibular disorders (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 9 days
   Extended hospital stay? No
Previous Vaccinations: Severe hives~Hep B (no brand name)~3~8.00~Patient
Other Medications: None
Current Illness: None
Preexisting Conditions: Allergic to tree pollen PMH: none
Allergies:
Diagnostic Lab Data: Cat Scans; Spinal Tap; Nerve induction tests. Labs and Diagnostic Studies: X-ray skull WNL. MRI/MRA brain WNL. CT head (-). Audiogram (-). Vestibular nystagmograph WNL except for some evoked double vision and nausea. Later MRI brain (+) for L cerebellar developmental venous anomaly. CSF WNL. CSF cx and gram stain (-).
CDC Split Type: TX090051PU

Write-up: 8-22-08 received. Two weeks after receiving HPV #2 and MENACTRA (9-8-08), symptoms consisted of loss of sensation in feet, loss of balance due to no feeling in feet; walks only with assistance. 12/19/2008 MR received for DOS 9/16-19/2008 with D/C DX: Acute labyrinthitis. Headache. Dizziness. Difficulty walking. Pt presented with 1 week hx of difficulty walking, dizziness, frontal h/a after transfer from local facility. Pt reports leg weakness, falling to the left, tinitis and occ double vision. PE (+) for 4/5 motor strength in legs, slow unsteady gait and unable to walk with eyes closed. Pt had some improvement on amitriptyline and d/c.


VAERS ID: 336226 (history)  
Form: Version 1.0  
Age: 20.0  
Sex: Female  
Location: Texas  
Vaccinated:2007-11-28
Onset:2008-08-12
   Days after vaccination:258
Submitted: 2008-12-29
   Days after onset:139
Entered: 2008-12-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1266U / 3 LA / IM

Administered by: Unknown       Purchased by: Unknown
Symptoms: Antiacetylcholine receptor antibody positive, Antinuclear antibody increased, Autoimmune disorder, Myasthenia gravis
SMQs:, Systemic lupus erythematosus (narrow)

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? Yes, 5 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: YAZ
Current Illness: NONE
Preexisting Conditions: Allergy to Penicillin PMH: oral contraception, TB 2005, ex-smoker, social drinker. Allergy: PCN, morphine. Family hx: high cholesterol; depression; Cushings syndrome.
Allergies:
Diagnostic Lab Data: ANA Panel results were higher then normal. I had a blood test for acetylcholine receptor antibodies. Normal is .05 and below. My results were 64.o. 5/13/09 hospital records received DOS 11/25/08 to 11/27/08. LABS and DIAGNOSTICS: CT lack of sulci small ventricles otherwise WNL. LP hazy, cell count 795 mm3 (H), neutrophils 76%, Gram stain (-) other than WBCs, protein 70 mg/dL (H). CBC WNL other than WBC 15000, Segs 90%. CHEM: sodium 132 mmol/L (L) otherwise WNL. 5/19/09 Received HSV titre (-) & MRI head (-). FARR DNA DS ab 21.6(H). ANA titer 1:320(+), speckled homogeneous. Abnormal PAP smear w/atypical squamous cells. WBC 28.6(H), segs 86%(H), lymphs 7%(L), ANC 25.7(H).CMP, hepatitis panel, CRP, RA factor, ASO all WNL. Acetylcholine binding ab 64(H). 5/19/09 Received HSV titre (-) & MRI head (-).
CDC Split Type:

Write-up: Diagnosed with Myasthenia Gravis (autoimmune disease) 5/13/09 hospital records received DOS 11/25/08 to 11/27/08. FINAL DIAGNOSIS: Myasthenia gravis, viral meningitis Post vaccination droopy left eyelid, difficulty running, weak grip, mouth and jaw fatigue, diplopia, dizziness. Admitted for IVIG treatment. Headache, increased ptosis, upper and lower extremity weakness. Nausea, vomiting 5/14/09 Received Neuro medical records of 11/24/2008. FINAL DX: myasthenia gravis Records reveal patient experienced weakness x 2 mo starting w/left eyelid droop, then mouth weakness, arm heaviness, grip strength decreased, leg stiffness, difficulty arising from sitting position, diplopia, intermittent left lazy eye, mouth/jaw fatigue, tiredness, slurred speech, DOE, heartburn, difficulty chewing & swallowing, loss of balance, loss of memory, urinary frequency esp at night. Sent to hospital for CT, IVIG x 2 days, steroids. 5/18/09 Received PCP medical records of 10/21/08-2/25/2009. Records reveal patient experienced fatigue, dizziness, blurred vision, gen weakness, difficulty concentrating & memory retention difficulties x approx 1 mo when seen 10/21. Referred to Rheum. No further visits until 2/25/09 s/p myasthenia gravis. 5/18/09 Received medical records from Rheum but was only labs of 11/19/2008.


VAERS ID: 339335 (history)  
Form: Version 1.0  
Age:   
Sex: Female  
Location: Texas  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 2009-02-09
Entered: 2009-02-10
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / UNK UN / UN

Administered by: Other       Purchased by: Other
Symptoms: Circulatory collapse, Headache, Migraine
SMQs:, Anaphylactic reaction (narrow), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (narrow), Torsade de pointes, shock-associated conditions (narrow), Hypovolaemic shock conditions (narrow), Toxic-septic shock conditions (narrow), Anaphylactic/anaphylactoid shock conditions (narrow), Hypoglycaemic and neurogenic shock conditions (narrow), Hypersensitivity (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 0 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0902USA00564

Write-up: Information has been received from a nurse who reported that she received an email from a former employee of theirs, who stated in the email that "a high school student received one or more doses of GARDASIL and after vaccination the patient experienced severe migraines/headaches and then had to hospitalized because the patient also had to have a venous port put in her because her veins kept collapsing". The email did not mention how long the patient was in the hospital or any of the hospital information. Attempts are being made to verify the existence of an identifiable patient. Additional information is not expected.


VAERS ID: 340835 (history)  
Form: Version 1.0  
Age: 14.0  
Sex: Female  
Location: Texas  
Vaccinated:2007-09-24
Onset:2007-12-01
   Days after vaccination:68
Submitted: 2009-02-26
   Days after onset:453
Entered: 2009-02-27
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0245U / 1 LA / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U2323AA / 1 RA / IM
TDAP: TDAP (BOOSTRIX) / GLAXOSMITHKLINE BIOLOGICALS AC52B016BA / 6 RA / IM

Administered by: Other       Purchased by: Other
Symptoms: Grand mal convulsion, Loss of consciousness, Neurological examination normal, Petit mal epilepsy
SMQs:, Torsade de pointes/QT prolongation (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Convulsions (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (narrow), Hypoglycaemia (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 4 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness:
Preexisting Conditions: None HPV #2 given 12/6/07, Lot # 0928U, IM/RA; HPV #3 given 8/7/08, Lot # 1967U, IM/RA.
Allergies:
Diagnostic Lab Data: neurological, normal LABS: CBC, CMP, UA, BNP & urine drug screen all WNL. Prolactin28.27(H). Potassium 3.3 (L). CT head WNL except chronic sinusitis.
CDC Split Type: WAES0902USA03784

Write-up: Information has been received from a registered nurse concerning a 15 year old female patient with no pertinent medical history and no known drug allergies or reactions who on 24-SEP-2007 was vaccinated with the first 0.5 ml IM dose of GARDASIL. There was no concomitant medication. In December 2007, the patient experienced blackout episodes and petit mal seizures. On 06-DEC-2007 the patient was vaccinated with the second 0.5 ml IM dose of GARDASIL, and on 07-AUG-2008 the patient received the third GARDASIL. Some time in 2008, the patient experienced grand mal seizures and had been hospitalized multiple times (details of hospitalizations not provided). The patient had been subsequently evaluated by an unspecified neurologist who had prescribed an unspecified anti-seizure medication. Neurological tests were performed with normal results. At the time of this report, the patient''s blackout episodes, petit mal seizures and grand mal seizures persisted. Blackout episodes, petit mal seizures and grand mal seizures were also considered to be disabling and immediately life-threatening. This is one of several reports received from the same source. Additional information has been requested. 3/9/09 Received hospital records for multiple ER & admits: 3/20/2008 FINAL DX: syncopal episode vs anxiety attack Records reveal patient experienced brief episode of syncope while getting ready to travel to hospital for eye surgery she was very nervous about. Exam in ER revealed chewing movement of mouth/lips, shaking of LUE but was awake & alert. Tx w/anti anxiety med, improved & d/c to home. 4/20/2008 FINAL DX: syncope r/o seizure Records reveal patient experienced sudden LOC & fell to ground striking head. Out for approx 5 min w/jerking/seizure activity for short time. Exam in ER was WNL. Remained stable, d/c to home & referred to Neuro. 10/9/2008 Final DX: postictal state, probable seizure PTA; hypokalemia Records reveal patient experienced HA, facial redness & passed out. Remained stable, d/c to home w/PCP f/u. PMH: congenital heart disease w/open heart surgery, lazy eye w/eye surgery, petit mal seizures x approx 6 mo. 2/18-2/19/2009 FINAL DX: No d/c summary dictated. Neuro states recurrent petit mal seizure Records reveal patient admitted by Neuro s/p petit mal seizure activity while at school w/inattention & shaking of RUE. ER exam was WNL. Meds adjusted 2/24-2/25/2009 FINAL DX: no d/c summary dictated. Neuro states recurrent seizure activity, suspect to be petit mal in type, localized & partial. Exam revealed tonic clinic activity of LUE intermittently. Meds changed, d/c to home w/neuro f/u.


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