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Life Threatening? No
Write-up: Information has been received from a nurse concerning a female patient (age not reported) with a nerve compression (NOS) who on an unknown date in October 2006, was vaccinated intramuscularly in the left deltoid with the second dose of HPV Vaccine (date of first dose and Lot # were not provided). On an unknown date in Oct 2006, the patient experienced numbness in her left arm. The patient was referred to a neurologist, because of her history of pinched nerve. At the time of this report it was unknown if the patient had recovered from the event. Additional information has been requested. 04/06/07: This is in follow-up to report (s) previously submitted on 12/14/2006. Initial and follow up information has been received from a nurse and a physician concerning a 24 year old female patient with nerve compression (NOS), cervical pain, chronic anxiety, insomina and leg pain and a history of "localized cervical cancer (diagnoses February, 2006)", lumbar laminectomy and a motor vehicle accident (NOS) who at 10:00 on 30-OCT-2006, was vaccinated intramuscularly in the left deltoid with the second dose of HPV rL1 11 16 18 VLP vaccine (yeast) (Lot#653650/0702P), (date of first dose and Lot # were not provided) no concomitant therapies were reported by the OB/GYN. It was reported that at 10:30 am post-vaccination the patient experienced left upper extremity paresthesias and numbness. The patient was seen for follow up by the OB/GYN for the event on 09-NOV-2006 and was referred to a neurologist, because of her history of a pinched nerve. On 29-NOV-2006 the patient was seen by a neurologist. The patient reported the following concurrent medications at that time: cyclobenzaprine hydrochloride (MSD), metaxalone (Skelaxin), acetaminophen (+) hydrocodone bitartrate (Vicodin), oxycodone, alprazolam (Xanax) and diclofenac. conduction studies and electromyography (EMG) with follow-up somatosensory evoked potential studies of the left arm. The patient was seen by the neurologist for a follow up appointment on 06-DEC-2006. The neurologist noted that "she continued to have insomnia, arm pain, dysesthesias, etc which she dates from her motor vehicle accident." The results of her nerve conduction studies and EMG were normal. Her somatosensory evoked potential studies through the brachial plexus and cervical spinal cord were also normal. The neurologist noted "we cannot find an organic explanation for the patient''s arm pain complaint''s." The neurologist recommended the "Tincture of time" and symptomatic treatment at a pain center. At the time of this report the patient had not recovered from the event. Additional information has been requested.
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