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Found 6884 cases where Vaccine is HPV4 and Serious

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VAERS ID: 274068 (history)  
Form: Version 1.0  
Age: 18.0  
Sex: Female  
Location: Unknown  
Vaccinated:2007-02-28
Onset:2007-02-28
   Days after vaccination:0
Submitted: 2007-03-15
   Days after onset:14
Entered: 2007-03-16
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0688F / 1 UN / -
MEN: MENINGOCOCCAL (MENOMUNE) / SANOFI PASTEUR - / UNK UN / -

Administered by: Other       Purchased by: Other
Symptoms: Convulsion, Fall, Head injury, Orthostatic intolerance, Syncope, Vomiting
SMQs:, Torsade de pointes/QT prolongation (broad), Acute pancreatitis (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), Gastrointestinal nonspecific symptoms and therapeutic procedures (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:
Current Illness:
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: UNK
CDC Split Type: WAES0703USA00641

Write-up: Information has been received from a pharmacist concerning an 18 year old female patient who on 28-FEB-2007 was vaccinated with a first dose of Gardasil, Lot #653735/0688F. Concomitant therapy included Menomune. The patient fainted 10 minutes after injection Gardasil. The patient fell and hit her head when she fainted. The patient then had a seizure for 30 seconds after she fell after fainting. The patient was slow to wake and was Orthostatic (time line was unspecified). The patient also vomited twice (no time line). The patient recovered later in the day. The reporter considered the events to be disabling. Upon internal review, seizure was considered to be an other important medical event. Additional information has been requested.


VAERS ID: 274128 (history)  
Form: Version 1.0  
Age: 16.0  
Sex: Female  
Location: Unknown  
Vaccinated:2006-12-01
Onset:2006-12-08
   Days after vaccination:7
Submitted: 2007-03-14
   Days after onset:95
Entered: 2007-03-16
   Days after submission:2
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK UN / UN
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 UN / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR - / UNK UN / UN

Administered by: Other       Purchased by: Other
Symptoms: Bacterial test negative, Computerised tomogram normal, Decreased activity, Diarrhoea, Headache, Mononucleosis heterophile test negative, Nausea, Nuclear magnetic resonance imaging normal, Paraesthesia, Sinusitis, Vomiting
SMQs:, Acute pancreatitis (broad), Peripheral neuropathy (broad), Pseudomembranous colitis (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (narrow)

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, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: UNKNOWN
Current Illness:
Preexisting Conditions: UNKNOWN
Allergies:
Diagnostic Lab Data: computed axial, 12/06; magnetic resonance, 12/06 records received 5/1/07-MRI negative, lab work normal. CT head and MRI of head negative. Normal abdominal ultrasound. Doppler normal of kidneys, normal upper GI series. negative lyme, negative beta HCG. Normal stool cultures. Strep culture negative.
CDC Split Type: WAES0702USA00866

Write-up: Information has been received from a pharmacy student concerning a 16 year old female who on December 2006, was vaccinated IM with a first 0.5 ml dose of HPV. Concomitant therapy included given the same day included a dose of influenza and a dose of Menactra. Seven days after vaccination, the patient experienced headache, nausea, vomiting and diarrhea. The patient was treated with Nexium and Phenergan tablets/suppositories. On 13-DEC-2006 the patient experienced a sinus infection and was placed on a Z-pack. All symptoms resolved except the headache. On 19-JAN-2007, the patient was seen by a neurologist and was placed on Prednisone for 10 days. He also ordered Tazepam to help her sleep since the headaches were keeping her awake and Endocet for the headache pain. The patient has missed a lot of school and is sedentary. She was also complaining of tingling in the hands and legs. The following tests have come back negative: CAT scan, MRI, Lyme and "mono" workup. At the time of this report, the patient had not recovered from tingling in the hands and legs and headache. No product quality complaint as involved. Additional information has been requested. 04/10/07-records received from neurologists for DOS 2/6/07-DX: muscular headaches with some functional overlay. Doubt side effect of Gardasil. C/O headaches, back pain, GI problems recent urinary symptoms, difficulty urinating and dysuria. C/O visual symptoms including blurry vision and spots before her eyes. PE: pain in neck, pain with deep palpation of right popliteal fossa. Walks normally. 05/01/07-records received from facility for DOS 02/09-02/12/07-DC DX: Vomiting and Abdominal Pain. HX 2month of chronic somatic complaints including nausea, epigastric discomfort, diffuse soft tissue and joint pain, vomiting, periodic shortness of breath and recent urinary symptoms. Labs, liver enzymes elevated in context of multiple Tylenol usage as an outpatient due to her pain.Hospital course included discontinuance of Tylenol and Percocet. LFTs steadily trended downward and she did not have pain or vomiting.


VAERS ID: 274182 (history)  
Form: Version 1.0  
Age:   
Sex: Female  
Location: New York  
Vaccinated:0000-00-00
Onset:2007-01-29
Submitted: 2007-03-14
   Days after onset:43
Entered: 2007-03-16
   Days after submission:2
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / UNK UN / -

Administered by: Other       Purchased by: Other
Symptoms: Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (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, 1 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: UNK
CDC Split Type: WAES0702USA01031

Write-up: Information has been received from a nurse concerning a female who was vaccinated with Gardasil. Subsequently, "within last week or week and a half," the patient developed a fever and was admitted to the hospital for 24 hours. Additional information is not expected.


VAERS ID: 274236 (history)  
Form: Version 1.0  
Age: 23.0  
Sex: Female  
Location: New York  
Vaccinated:2007-02-01
Onset:2007-02-01
   Days after vaccination:0
Submitted: 2007-03-16
   Days after onset:42
Entered: 2007-03-19
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1425F / 1 RA / IM

Administered by: Other       Purchased by: Other
Symptoms: Full blood count normal, Haematology test normal, Paraesthesia
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (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? Yes, 5 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions: NONE 11/13/07-records received-PMH: polycystic ovarian disease, hypertension, hyperlipidemia.
Allergies:
Diagnostic Lab Data: complete blood cell - normal results, hematology - normal results 11/13/07-records received- Labs: Potassium 3.3, phosphorus 2.3, eosinphils 7.3, sed rate 34, blood culture, urine culutre, spinal fluid culture no growth. EBNA IgG 7.36, EBV IgG 4.75, C-RP 5.8. CT paranasal sinuses: chronic sinusitis. CT cervical spine: negative. CXR negative 3/4/09-lab reports received for 2/26/07- synovial fluid glucose 55, protein 32.
CDC Split Type: WAES0703USA02171

Write-up: Information has been received from a physician concerning a 22 year old female with no pertinent medical history who in February 2007, was vaccinated with a first dose of Gardasil. There was no concomitant medication. Approximately two weeks post vaccination, the patient experienced paresthesia of hands and feet and was hospitalized. The patient was in the hospital for approximately 5 days and was treated with immune globulin. The physician reported that "blood studies" and "agency reported" had normal results. The patient was discharged from the hospital and had subsequently fully recovered. The reporting physician considered paresthesia of hands and feet to be disabling and an other important medical event. Additional information has been requested. 11/13/07-records received for DOS 2/21-2/26/07-DC DX: Infection polyneuritis. Spontaneous Ecchymoses. Epistaxis. Cardiac Dysrhythmias. Seen in ED for C/O bloody nose since Sunday, fever, numbness, tingling of hands and feet for several days, day seen in ED C/O neck stiffness, areas of ecchymosis of arm, leg and breast. PE: decrease to pinprick sensation distally hands and feet.


VAERS ID: 274336 (history)  
Form: Version 1.0  
Age: 15.0  
Sex: Female  
Location: Louisiana  
Vaccinated:2007-02-28
Onset:2007-03-01
   Days after vaccination:1
Submitted: 2007-03-19
   Days after onset:17
Entered: 2007-03-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0960F / 1 LA / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U2136AA / 1 LA / IM

Administered by: Unknown       Purchased by: Unknown
Symptoms: Blood glucose normal, CSF test normal, Chest X-ray normal, Full blood count normal, Headache, Hypoaesthesia, Hypokinesia, Hyporeflexia, Malaise, Pyrexia, Tremor, Urine analysis normal, Vomiting
SMQs:, Acute pancreatitis (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypotonic-hyporesponsive episode (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, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Icar, Advair
Current Illness: none
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data: CBC-wnl, Chest x-ray-wnl, glucose-wnl, urine-wnl, spinal fluid- wnl, MS eval-wnl records received 3/20/07-CSF did not show elevated protein level. CXR:normal EKG normal.
CDC Split Type:

Write-up: The next day after recieving Gardasil and Menactra vaccines pt began to have fever and vomiting as well as headache. On the second day after vaccination she began to experience right hand tremor and left foot numbness. 03/20/07-records received from facility for DOS 3/6-3/9/07. DC DX: Mild Guillain Barre Syndrome status post intravenous immune globulin. Developed subjective fever and feeling ill as well as vomiting. Started having numbness of left foot shaking of right hand and headache. C/O initial chest pain with cough.Suspected Guillain Barre and treatment included immune globulin. Neuro consult plan included IVIG. PE:WNL except for not able to dorsiflex or plantar flex at all as well as limitation although some movement of toes with active motion. Did not elicit ankle jerk at the left. Toes were downgoing on Babinski. Gait slightly unsteady


VAERS ID: 274360 (history)  
Form: Version 1.0  
Age:   
Sex: Female  
Location: Florida  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 2007-03-19
Entered: 2007-03-20
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 UN / -

Administered by: Other       Purchased by: Other
Symptoms: Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow), 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: UNK
Current Illness:
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: UNK
CDC Split Type: WAES0703USA01318

Write-up: Initial and follow up information has been received from a Licensed Practical nurse and a physician concerning a female patient who was vaccinated with a first dose of Gardasil. She developed hives within 2-3 hours of receiving the injection. Unspecified medical attention was sought. The patient was not recovered. The nurse considered hives to be disabling she was not available for follow up, and when the physician was contacted, he could not provide any information regarding why the nurse considered the event disabling. He had not been able to contact the patient. He had no further information regarding her outcome. Additional information has been requested.


VAERS ID: 274612 (history)  
Form: Version 1.0  
Age: 12.0  
Sex: Female  
Location: Unknown  
Vaccinated:2007-01-01
Onset:2007-01-01
   Days after vaccination:0
Submitted: 2007-03-22
   Days after onset:79
Entered: 2007-03-23
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 - / -

Administered by: Other       Purchased by: Other
Symptoms: Abdominal pain, Ovarian cyst, Ovarian cyst ruptured, Ultrasound scan, Vomiting
SMQs:, Acute pancreatitis (broad), Retroperitoneal fibrosis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)

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: UNK
Current Illness:
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: ultrasound 01/??/07 - results not reported
CDC Split Type: WAES0703USA02141

Write-up: Information has been received from an office receptionist concerning a 12 year old female who in January 2007 was vaccinated with the first dose of Gardasil. Concomitant mediation was not reported. In January 2007, the developed an ovarian cyst that ruptured 10 days after receiving the first dose of Gardasil. Initially, the patient started vomiting for a few days and then there was significant abdominal pain. The patient was examined and diagnosed with ruptured ovarian cyst. The patient''s ovarian cyst and ruptured ovarian cyst persisted and were considered to be disabling. Additional information has been requested.


VAERS ID: 274953 (history)  
Form: Version 1.0  
Age: 17.0  
Sex: Female  
Location: Arizona  
Vaccinated:2007-03-06
Onset:2007-03-07
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2007-03-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0960F / 1 LA / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U2115AA / 1 RA / IM

Administered by: Other       Purchased by: Public
Symptoms: Back pain, Discomfort, Dizziness, Headache, Nystagmus, Stridor
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Vestibular disorders (broad), Ocular motility disorders (narrow), Hypersensitivity (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: Very minimal URI symptoms
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Done in hospital LP: clear fluid, 1 WBC, 0 RBC, Glucose WNL at 56, protein 19. WBC 16.3, 90% neutrophil. Influenza A and B negative. EEG: mildly abnormal EEG due to excessive presence of beta activity which could be drug related. The lack of epileptiform activity does not rule out seizure condition. MRI Brain: no evidence of acute intracranial hemorrhage. Bilateral small middle cranial fossa arachnoid cysts. No evidence of infarct. CT Brain:negative. C-reactive protein 6.99. Blood culture negative.urine culture negative. ESR elevated.
CDC Split Type:

Write-up: 1:30 Backache, headache, dizziness, generalized discomfort in clinic - call to facility for clarification of side effects, referred to Family Practice - developed stridor, nystagmus - transferred to facility reported at 4:30. Admitted to ICU. Discharged facility 3/9/07. 04/02/07-records received from facility-Fever and altered neurological status. Temp 101.2. Fell at clinic. Fainted. Presented to ER with nystagmus with mainly her gaze toward the right. Not speaking Hyperventilating. Fever a few days ago and had been sick with viral syndrome. PE pupils equal round reactive to light but she had nystagmus frequently every few seconds and mainly seemed with a right. Required interpreter but she had no spontaneous speech. Carpal pedal spasm. Summary for DOS 3/7-3/9/07. DC DX:Diseases disorders of nervous system. Convulsions, Tetany, bronchitis, nystagmus, altered mental status, hyperventilation, headache, lumbago, fever. 8/25/08-progress notes received-3/8/07 all symptoms have resolved discharged without any medications. Continues to experience being a little dizzy when walking.


VAERS ID: 275111 (history)  
Form: Version 1.0  
Age: 12.0  
Sex: Female  
Location: North Carolina  
Vaccinated:2007-03-14
Onset:2007-03-14
   Days after vaccination:0
Submitted: 2007-03-28
   Days after onset:14
Entered: 2007-03-29
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0181V / 1 LA / IM

Administered by: Other       Purchased by: Other
Symptoms: Diarrhoea, Haematochezia, Pain, Pyrexia, Renal failure acute
SMQs:, Rhabdomyolysis/myopathy (broad), Acute renal failure (narrow), Haemorrhage terms (excl laboratory terms) (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (broad), Torsade de pointes, shock-associated conditions (broad), Hypovolaemic shock conditions (broad), Toxic-septic shock conditions (broad), Anaphylactic/anaphylactoid shock conditions (broad), Hypoglycaemic and neurogenic shock conditions (broad), Pseudomembranous colitis (broad), Gastrointestinal haemorrhage (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Ischaemic colitis (broad), Noninfectious diarrhoea (narrow), Tumour lysis syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Dehydration (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, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown PMH: hearing loss since age 3, wears hearing aid left ear. Pyelonephritis, renal cysts. Migraine headaches, multiple episodes of allergies, allergic rhinitis, sinusitis, pharyngitis, recurrent ear infections, gastroenteritis, tonsillitis & tonsillar hypertrophy, cellulitis & viral illness. Patient was home schooled & had hx of ADD, taking Adderall. Family HX: patient''s maternal aunt w/renal failure since age 3, had 3 unsuccessful kidney transplants & died.
Allergies:
Diagnostic Lab Data: Unknown LABS 3/18 admit: urine & blood c/s revealed E.coli. Creatinine peak at 9. Renal US revealed echogenic kidneys w/poor corticomedullary differentiation containing multiple tiny cysts; normal renal artery acceleration times w/slightly elevated resistive indices. Repeat urine c/s neg at d/c. LABS 3/27 admit: HD catheter, urine & blood c/s neg. Rotavirus +. Creatinine 4. C. diff neg. LABS 4/25/07: serum creatinine 3.1 & creatinine clearance of 21.9mL/min 4/27/07 - TEE done which was normal & revealed no LVH. 5/7/07 MRI of brain was WNL.
CDC Split Type: WAES0703USA03783

Write-up: Information has been received from a physician concerning a 13 year old female who, on an unspecified date, was vaccinated intramuscularly with a second dose of Gardasil. Within 24-48 hours, the patient experienced fever, achiness and diarrhea. The physician reported that 1-2 days later, the patient developed blood in the stool and was admitted to the hospital. The physician reported that the patient was diagnosed with acute kidney failure and was still hospitalized. At the time of this report, the patient''s fever, achiness and acute kidney failure persisted. Fever, achiness and acute kidney failure were considered to be immediately life-threatening and disabling. Additional information has been requested. 5/18/07 Received medical records from hospital which reveal patient seen at hospital 3/18-3/26/07 for nausea, vomiting, bloody diarrhea & fever starting approx 3/11/07. Found to have asymptomatic E.coli UTI that traveled to kidneys. Treated w/IV antibiotics & started on dialysis & placed on kidney transplant list. Progressed well & d/c to home on oral antibiotics. FINAL DX: acute renal failure, urosepsis, polycystic kidney disease, end stage renal failure, hemodialysis. 3/27-4/2/07 - Re-Admitted to pediatric nephrology with fever, dizziness & orthostasis. Treated w/multiple IV antibiotics. Was to continue dialysis but at least 2 sessions cancelled due to hypotension. Outpatient hemodialysis was arranged closer to her home & was to continue IV antibiotics at dialysis center as well as continue on oral antibiotics. Plan was to transition to peritoneal dialysis after off antibiotics for 1 week. FINAL DX: posible partially treated urosepsis; end stage renal disease; polysystic kidney disease; rotavirus gastroenteritis; h/o acute renal failure. 4/25/07 Seen in Dialysis at outlying center. Doing well, last dose of antibiotics on 4/13 & afebrile since then. Labs were much improved & a trial of decreased dialysis was discussed. 5/4/07 - Seen in surgery clinic for evaluation of peritoneal dialysis catheter for acute renal failure superimposed on chronic renal failure. HD site noted to possibly be infected & was started on oral antibiotics. Repeat stool & urine tests ordered & scheduled for PD placement. 5/7/07 MRI of brain was WNL. 6/22/07 Received medical records & vax record from reporter/provider which reveal patient received HPV on 3/14/07 & was 1st dose. VAERS database updated w/same. Medical records of 1994-2004.


VAERS ID: 275250 (history)  
Form: Version 1.0  
Age: 18.0  
Sex: Female  
Location: Unknown  
Vaccinated:2007-03-15
Onset:2007-03-18
   Days after vaccination:3
Submitted: 2007-03-29
   Days after onset:11
Entered: 2007-03-30
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / UNK - / IM

Administered by: Other       Purchased by: Other
Symptoms: Arthralgia, Gait disturbance, Pain in extremity
SMQs:, Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Arthritis (broad), Tendinopathies and ligament disorders (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: STRATTERA, ZOLOFT, TOPAMAX
Current Illness: Penicillin allergy; sulfonamide allergy; Attention deficit/hyperactivity disorder; Anxiety; Migraine
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: None
CDC Split Type: WAES0703USA04262

Write-up: Information has been received from a physician concerning her 18 year old daughter with penicillin and sulfonamide allergy, attention deficit/hyperactivity disorder, anxiety and migraine who on 15-MAR-2007 was vaccinated, intramuscularly, with a dose of Gardasil. Concomitant therapy included TOPAMAX, STRATTERA and ZOLOFT. On 18-MAR-2007 the patient experienced "soreness in her legs" and her "knees and ankles began to hurt. "The patient took ibuprofen for the symptoms. On 20-MAR-2007, the patient was not able to attend school. It was reported that she was "not walking normally" and "walking like an old lady." Unspecified medical attention was sought. There was no laboratory or diagnostic test performed. At the time of the report, the symptoms had not resolved. The physician considered "knees and ankles began to hurt" and "soreness in her legs" to be disabling events.


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