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Found 6894 cases where Vaccine is HPV4 and Serious

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VAERS ID: 297720 (history)  
Form: Version 1.0  
Age: 12.0  
Sex: Female  
Location: New York  
Vaccinated:2007-11-12
Onset:2007-11-16
   Days after vaccination:4
Submitted: 2007-11-26
   Days after onset:10
Entered: 2007-11-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR U2524AA / 7+ LA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 12676 / 1 RA / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U2538AA / 1 RA / IM
TDAP: TDAP (ADACEL) / SANOFI PASTEUR C2862AA / 1 LA / IM

Administered by: Unknown       Purchased by: Unknown
Symptoms: Blood electrolytes normal, Computerised tomogram normal, Electrocardiogram normal, Epilepsy, Full blood count normal, Nuclear magnetic resonance imaging, Posture abnormal, Syncope, Tremor, Vertigo
SMQs:, Torsade de pointes/QT prolongation (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Arrhythmia related investigations, signs and symptoms (broad), Convulsions (narrow), Dystonia (broad), Parkinson-like events (broad), Noninfectious encephalopathy/delirium (broad), Cardiomyopathy (broad), Vestibular disorders (narrow), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (narrow), 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, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: singulair 5mg qd, advair 100/50 1 puff bid
Current Illness:
Preexisting Conditions: asthma 1/2/08-records received-PMH:asthma.
Allergies:
Diagnostic Lab Data: CT scan head - normal, EKG-normal, screening blood test (CBC, electrolytes) -normal, Video EEG- results pending, MRI- results pending 1/2/08-records received-EKG normal sinus rhythm. CT ventricles normal. VEEG generalized seizures during sleep.
CDC Split Type:

Write-up: 11/16/2007 7:30 am patient had episode of spinning-head tilted to r-then whole body shaking lasting less than 2 minutes- no fever- EMS called and taken to ER- ?partial complex seizure vs syncopal episode. Transferred to Hospital for further evaluation. Discharged home on 11/18/2007. On 11/20/2007 mom called to say that patient had another seizure. She returned to hospital and was begun on depakote. 1/2/08-records received for DOS 11/16-11/18/07-DC DX: Seizure. One episode of eye twitching. Per parent happened 3 times, collapssed. No post ictal state. 1/2/08-records received for DOS 11/16-11/18/07-DC DX seizure. Morning of ER visit found on floor. Per 60 day follow up: Patient diagnosed with generalized epilepsy by neurologists. MRI brain- normal. She is being treated with DEPAKOTE ER 500 mg qhs. R/C in EEG consistent iwth genralized motor epilepsy.


VAERS ID: 297756 (history)  
Form: Version 1.0  
Age: 14.0  
Sex: Female  
Location: Unknown  
Vaccinated:2006-12-14
Onset:2006-12-15
   Days after vaccination:1
Submitted: 2007-11-21
   Days after onset:341
Entered: 2007-11-26
   Days after submission:5
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 UN / UN

Administered by: Other       Purchased by: Other
Symptoms: Hypoaesthesia, Paraesthesia
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 5 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown PMH: viral infection for last few weeks w/cough & fever.
Allergies:
Diagnostic Lab Data: Unknown LABS: CBC, chemistry, TSH & EKG all WNL. CSF WNL. MRI of spine WNL. EMG/NCS of 12/20/06 WNL. Repeat EMG/NCS of 1/8/07 WNL.
CDC Split Type: WAES0711USA03436

Write-up: Information has been received from a physician concerning an approximately 15 year old female who on 14-DEC-2006 was vaccinated with her first dose of Gardasil. A day later, on 15-DEC-2006 the patient experienced tingling in her legs. On 18-DEC-2006 the patient started feeling numbness in her legs, and she went to see the physician who referred her to a neurologist. On 20-DEC-2006 the patient was hospitalized and stayed there until 24-DEc-2006. The patient was given a shot of immune globulin (IG). The patient fully recovered from tingling in her legs and numbness in her legs. Additional information has been requested. 12/28/07 Physician faxed note that patient entered their practise in 2007 & they do not have any previous medical records. 2/5/08 Reviewed hospital medical records of 12/20-12/24/2006. FINAL DX: Guillian Barre. Records reveal patient experienced viral illness w/fever, HA & cough approx 2 2/1 wks prior to admit lasting approx 10 days. 6 days prior to admit received Depo & HPV then 3 days after shots developed numbness of LEs. Seen by Neuro & had decreased sensation, strength & reflexes in LEs. LP done. Tx w/IVIG. Improved w/numbness resolved but remained areflexic in LE at d/c to home. To f/u w/neuro & have repeat EMG/NCS. 3/25/08 Reviewed neuro clinic records of 12/20/2006- 04/12/2007. FINAL DX: Guillian Barre syndrome. Records reveal patient experienced numbness & tingling of both legs & left hand x 2 days s/p vaccine & depo-provera shots. Neuro exam on 12/20 revealed proximal weakness, areflexia & sensory loss of LEs. Admitted for IVIG. Office vs of 1/3/2007 states patient improving w/post LP HA which had improved. Numbness completely resolved & strength improving. Continues to have malaise & fatigue. Motor strength 5/5 x all 4 extremities. DTRs equal & symmetric except absent ankle reflexes. Sensation WNL. Last vs 4/12/07 revealed dramatic improvement. Numbness, weakness & fatigue completely resolved.


VAERS ID: 297899 (history)  
Form: Version 1.0  
Age: 20.0  
Sex: Female  
Location: Florida  
Vaccinated:2006-12-06
Onset:2007-01-01
   Days after vaccination:26
Submitted: 2007-11-20
   Days after onset:323
Entered: 2007-11-27
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0688F / 1 RA / IM

Administered by: Private       Purchased by: Private
Symptoms: Abdominal distension, Blood pressure increased, Hypertension, Oedema peripheral, Proteinuria
SMQs:, Acute renal failure (broad), Cardiac failure (broad), Acute pancreatitis (broad), Angioedema (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Hypertension (narrow), Chronic kidney disease (broad), Proteinuria (narrow), Tubulointerstitial diseases (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Yasmin; Flagyl
Current Illness: Bacterial Vaginosis
Preexisting Conditions: Cervical dysplasia (treated 2002), Depression, Drug abuse. PMH: Cervical Dysplasia (CIN I) in 2002, High Risk HPV (+), Cryosurgery. Chlamydia and venereal warts.
Allergies:
Diagnostic Lab Data: Not available. Labs and Diagnostics: PAP 12/06/2006 (-). PAP 9/26/07 (-), HPV (+).
CDC Split Type:

Write-up: 4-6 weeks after receiving Gardasil, patient developed severe pedal edema and abdominal swelling. She went to the E.R. She was found to be hypertensive with proteinuria. She was diagnosed with SLE by Nephrologist. Currently on Prednisone, Plaquenil, Lisinopril, Procardia, Celicept and Boniva. 01/03/2008 MR received for multiple OVs. AE onset date received as early January 2007. Updated in database OV 12/06/06 requesting Gardasil. OV 2/8/07 in F/U to ER visit for pedal edema, abd swelling, (+) proteinuria, and increased BP. DX: SLE. Per 60 day follow up: The patient is still being treated for SLE with several medications including CELLCEPT, prednisone, PLAQUENIL, lisinopril and PROCARDIA. She is under the care of a nephrologist. 1/15/2010 She is still undergoing treatmen for S.L.E. Her current medications include Prednisone, Plaquenil, Cellcept, Lisinopril, Procardia and Boniva.


VAERS ID: 297983 (history)  
Form: Version 1.0  
Age: 15.0  
Sex: Female  
Location: New Jersey  
Vaccinated:2007-11-12
Onset:2007-11-12
   Days after vaccination:0
Submitted: 2007-11-27
   Days after onset:15
Entered: 2007-11-28
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1425F / 2 UN / IM

Administered by: Other       Purchased by: Other
Symptoms: Chest discomfort, Cough, Oedema mouth, Rash generalised
SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), Oropharyngeal allergic 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? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Zyrtec
Current Illness: Drug hypersensitivity; Environmental allergy
Preexisting Conditions: Hypersensitivity symptom; Rash; Swollen mouth; Chest tightness; No reaction on previous exposure to vaccine; cough
Allergies:
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0711USA04199

Write-up: Information has been received from a physician, concerning a 15 year old female patient with drug hypersensitivity to methylphenidate (RITALIN) (involved rash, swollen mouth, chest tightness and cough), allergies (not specified), who on 11-SEP-2007 was vaccinated IM with the first dose of Gardasil (lot # invalid) with no reaction reported, and on approximately 12-NOV-2007, was vaccinated with the second dose of Gardasil (lot # 655165/1425F). Concomitant therapy included cetirizine hydrochloride (ZYRTEC). Following the second dose on 12-NOV-2007 the patient developed a rash all over her body, swelling of the mouth, tightness of her chest and coughing (treatment not specified). At the time of this report, the patient was recovering from the events. The reporting physician felt that rash all over body, swelling of the mouth, tightness of chest and coughing were considered to be immediately life-threatening. She noted that the patient had a "similar reaction" to methylphenidate (RITALIN). Additional information has been requested.


VAERS ID: 298170 (history)  
Form: Version 1.0  
Age: 16.0  
Sex: Female  
Location: Kansas  
Vaccinated:2007-10-01
Onset:2007-10-01
   Days after vaccination:0
Submitted: 2007-11-28
   Days after onset:58
Entered: 2007-11-29
   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: Cardiac disorder, Loss of consciousness
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), 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? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 0 days
   Extended hospital stay? Yes
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0711USA03656

Write-up: Information has been received from a physician concerning a 16 year old female who in October 2007 (exact date unknown), was vaccinated (route and site not reported) with the 1st dose of Gardasil (lot # not reported). Three hours post vaccination, the patient passed out and was hospitalized. At the time of this report the patient was still in the hospital based on a cardiac related issue. The cardiologist states that the cardiac issue has nothing to do with the Gardasil the patient received. The physician felt that the patient''s passing out and cardiac related issue were considered to be immediately life-threatening. Additional information has been requested.


VAERS ID: 298191 (history)  
Form: Version 1.0  
Age: 16.0  
Sex: Female  
Location: Florida  
Vaccinated:2007-10-30
Onset:2007-10-31
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2007-11-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / GLAXOSMITHKLINE BIOLOGICALS AHAVB207BA / 2 LA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1266U / 1 LA / IM

Administered by: Private       Purchased by: Private
Symptoms: Abasia, Asthenia, Blood product transfusion, Electromyogram abnormal, Gait disturbance, Malaise, Myalgia, Polyneuropathy, Tremor
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dystonia (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (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, 12 days
   Extended hospital stay? Yes
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: (+) EMG 1/2/08-records received-Laboratory tests WNL. MRI spine no evidence of demyelinating didsease. MRI brain normal. LP normal. diagnostic laboratory, muscle myalgia; diagnostic laboratory, +AMG
CDC Split Type:

Write-up: Vaccines given 10/30/ 48 hours S/P vaccines developed myalgias and difficulty walking - admitted to hospital 11/1, observed - no improvement and amb. 11/6 received w/ RN yet making polyneuropathy c/w dx of Guillain-Barre syndrome. Pt received gammaglobulin x 5d and pt dc''d to rehab (11/13) and later discharged home 11/19 w/ neurologist. 1/2/08-records received for DOS 11/1-11/13/07-DC DX: Guillain-Barre syndrome. C/O weakness, not feeling well, tremors for 2 days prior to admission. Progressively getting worse. Unable to walk at time of admission. Lightheadedness and nausea. Tingling in legs. PE: DTRs present but decreased on right. Macules on abdomen. Treated with IVIG. This is in follow-up to report(s) previously submitted on 12/14/2007. Initial and follow up information has been received from a physician, concerning a 16 year old (previously reported as 15 year old) female student with no known drug allergies or birth anomalies, who on 30-OCT-2007 was vaccinated with a dose (invalid dose # reported) of GARDASIL (lot # 659437/1266U). There was no illness at the time of vaccination. The physician reported that 48 hours after the vaccination, the patient presented with "symptoms similar to GUILLAIN BARRE syndrome," and went into the hospital. Diagnostic testing was done, and a specialist determined that she did not have GUILLAIN BARRE, but rather a severe case of muscle myalgia. Follow up information from the physician, via the company representative, indicated that on the same day of vaccination with GARDASIL, the patient received a concomitant vaccination of a dose of HAVRIX (lot # AHAVB207BA). The patient, contrary to the above information, was actually diagnosed with GUILLAIN BARRE Syndrome. Additional follow from the physician indicated that the patient''s symptoms began on 31-OCT-2007, the day after vaccination, and on 01-NOV-2007, she had difficulty walking and had myalgias. She visited the emergency room and was hospitalized for 19 days (dates not provided). She was evaluated by the infectious disease department, neurology, and had a positive "AMG." Treatment included IV gamma globulin and physical therapy. At the time of this report, the outcome of the event was unknown. The physician considered the event to be serious as disabling/incapacitating and for prolonged hospitalization. Additional information has been requested.


VAERS ID: 298607 (history)  
Form: Version 1.0  
Age: 12.0  
Sex: Female  
Location: Alaska  
Vaccinated:2007-11-07
Onset:2007-11-07
   Days after vaccination:0
Submitted: 2007-12-03
   Days after onset:26
Entered: 2007-12-04
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1425F / UNK LA / IM

Administered by: Other       Purchased by: Other
Symptoms: Contusion, Dizziness, Injected limb mobility decreased, Injection site pain, Muscular weakness, Musculoskeletal stiffness, Myalgia, Pain in extremity
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (broad), Haemorrhage terms (excl laboratory terms) (narrow), Anticholinergic syndrome (broad), Dystonia (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Accidents and injuries (narrow), Extravasation events (injections, infusions and implants) (broad), Eosinophilic pneumonia (broad), Vestibular disorders (broad), Arthritis (broad), Tendinopathies and ligament disorders (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: None
Current Illness:
Preexisting Conditions: Diarrhoea; Chronic abdominal pain
Allergies:
Diagnostic Lab Data: None
CDC Split Type: WAES0711USA04755

Write-up: Information has been received from a licensed practical nurse concerning her 12 year old daughter with a history of diarrhea and chronic intermittent abdominal pain who on 07-NOV-2007 was vaccinated IM in the left deltoid with a 0.5 mL dose of Gardasil (lot # 655165/1425F). There was no concomitant medication. On 07-NOV-2007 the patient "developed muscle pain and weakness with some dizziness following vaccination with Gardasil. The nurse reported that her daughter experienced immediate pain at the injection site and the injection site arm was sore for the next couple of days. It was also reported that her daughter experienced muscle weakness and "muscle bruising" below the injection site about one week after vaccination with Gardasil. The nurse reported that her daughter''s elbow was sore and she could not straighten her elbow. The muscle pain then moved to the other arm 2 to 3 days ago and currently both elbows and upper arms are sore. The patient has also experienced occasional dizziness." At the time of the report the patient had not recovered. The patient''s muscle pain, weakness below injection site, dizziness, injection site pain, weakness and injection site arm soreness and sore elbow and upper arms were considered to be disabling. Additional information has been requested.


VAERS ID: 298610 (history)  
Form: Version 1.0  
Age: 15.0  
Sex: Female  
Location: New York  
Vaccinated:0000-00-00
Onset:2007-10-01
Submitted: 2007-12-03
   Days after onset:63
Entered: 2007-12-04
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 3 UN / UN

Administered by: Other       Purchased by: Other
Symptoms: Platelet count decreased
SMQs:, Haematopoietic thrombocytopenia (narrow), Systemic lupus erythematosus (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (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, 0 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: hormonal contraceptives
Current Illness: Immune-mediated thrombocytopenic purpura; Polycystic ovarian syndrome
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: platelet count 10?/??/07 14,000
CDC Split Type: WAES0711USA06462

Write-up: Information has been received from a physician, concerning his 16 year old daughter with immune-mediated thrombocytopenic purpura and polycystic ovarian syndrome, who was vaccinated with the third dose of Gardasil (date and lot # Not reported). Concomitant therapy included hormonal contraceptives (unspecified). Following the third vaccination, in October 2007, his daughter had a drop in her platelet count down to 14,000 (units not reported), and was hospitalized. Treatment included intravenous immunoglobulin (IVIG), and continued. At the time of this report, his daughter had not recovered. The physician considered the event to be serious as an other important medical event (required intervention). Additional information has been requested.


VAERS ID: 298614 (history)  
Form: Version 1.0  
Age: 10.0  
Sex: Female  
Location: Mississippi  
Vaccinated:2007-11-19
Onset:2007-11-20
   Days after vaccination:1
Submitted: 2007-12-03
   Days after onset:13
Entered: 2007-12-04
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK RL / UN
HEPA: HEP A (HAVRIX) / GLAXOSMITHKLINE BIOLOGICALS - / UNK LA / UN
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / UNK LA / UN
PPV: PNEUMO (PNEUMOVAX) / MERCK & CO. INC. 0607R / UNK RA / UN
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 1330U / UNK RA / UN

Administered by: Other       Purchased by: Other
Symptoms: Cellulitis
SMQs:

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, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0711USA04759

Write-up: Information has been received from a physician concerning a 10 year old female who on 19-NOV-2007 was vaccinated with a dose of Varivax (lot# 658594/1330U) in the right arm. Suspect vaccination administered on that same day included a dose of Pneumovax 23 (lot# 651539/0607R) in the right arm. Other concomitant vaccinations on that day included a dose of Gardasil in the left arm, a dose of diphtheria toxoid (+) pertussis acellular vaccine (unspecified) (+) tetanus toxoid in the right leg and a dose of HAVRIX in the left arm. On approximately 20-NOV-2007 1 or 2 days later, the patient developed cellulitis of the right arm. The patient was subsequently hospitalized for a couple of days and was released. The patient was treated with antibiotics. The patient was noted to be recovering. There was no product quality complaint. The physician also considered cellulitis to be an other important medical event (antibiotics). Additional information has been requested.


VAERS ID: 298698 (history)  
Form: Version 1.0  
Age: 17.0  
Sex: Female  
Location: Virginia  
Vaccinated:2007-09-19
Onset:2007-09-20
   Days after vaccination:1
Submitted: 2007-12-04
   Days after onset:75
Entered: 2007-12-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTPHIB: DTP + HIB (DTP + ACTHIB) / SANOFI PASTEUR C2769AA / 6 LA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1062U / 1 RA / IM

Administered by: Military       Purchased by: Other
Symptoms: Blood iron, Blood test, Computerised tomogram, Full blood count, Influenza like illness, Laboratory test, Pharyngeal oedema, Thyroid function test, Urine analysis
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Oropharyngeal allergic conditions (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (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:
Current Illness: flu like symptoms
Preexisting Conditions: amox. 4/11/08-records received- Recent URI symptoms of nasal congestion rhinorrhea and mild headache. Diarrheal illness 2 weeks ago.
Allergies:
Diagnostic Lab Data: Complete blood count and chemistry. Thyroid test, Iron studies. Urine test. Ct scan. 4/11/08-records received-Echocardiogram normal. CT chest negative. CXR revealed pectus deformity and mild cardiomegaly. Elevated BNP 957, protein/CR nephrotic range proteinuria. Glucose 116, Potassium 5.3, protein 5.9, lymph % 24.7, Urine protein 30, TSH 6.63,
CDC Split Type:

Write-up: Began with flu like symptoms. Returned to doctor on Sat. 9/22 to be diagnosed with flu. Noticed on Oct 3 increased swelling ER visit lots of inconclusive tests. Returned to primary doctor to get a new diagnosis then back for blood work. ER again then admitted on Oct 4 for increased swelling around throat and heart. Test all coming back inconclusive. She was on her monthly cycle first since receiving the shot. 4/11/08-record received-DOS 10/4-10/507-Presented with 2-3 days history of edema with acute onset of bilateral lower extremity swelling. C/O slight shortness of breath and 15-19 pound weight gain in last 2 weeks. Head, neck and mandible swollen. Difficulty swallowing.


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