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This is VAERS ID 273206

Case Details

VAERS ID: 273206 (history)  
Age: 19.0  
Gender: Female  
Location: Utah  
Vaccinated:2007-01-22
Onset:2007-01-29
   Days after vaccination:7
Submitted: 2007-02-28
   Days after onset:30
Entered: 2007-02-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR U2177AA / - RA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0688F / 1 LA / IM

Administered by: Private       Purchased by: Unknown
Symptoms: Fatigue, Headache, Muscular weakness, Myalgia, Vaccination complication
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: seizure~Vaccine not specified (no brand name)~1~0.00~Patient|aeizure~Vaccine not specified (no brand name)~1~0.00~Sibling
Other Medications:
Current Illness:
Preexisting Conditions: Pertussis vaccine. 3/7/07 records received Seizure as infant after pertussis vaccine and never completed the series. Mononucleosis at age 16. Migraines.
Diagnostic Lab Data: Severe reaction Gardasil and Influenza vaccine given. Labs:WNL. Rheumatoid factor negative. CK 64 repeat CK 65.
CDC Split Type:

Write-up: Patient had myalgias at day 7 post vaccine. Severe headache global x <24 hours. Severe muscle weakness. Severe fatigue, symptoms routine except headache which disappeared in 24 hours. 03/07/8/07-records received from rheumatology consultation for DOS 03/02/07-Impression: Myalgias, dysethesias hands and feet, increased fatigability, oral ulceration/cankers;possible rare reaction to either flu or Gardasil. Rule out vasculitis, lupus and other connective tissue disease. C/O severe body pain, weakness, headache lasted 1 day but has had persistent generalized muscle pain. Transient numbness in hand, face and feet. Eyes feel sore, some twitching of eyelids. PMH: Seizure as infant after pertussis vaccine and never completed the series. No recurrence of seizure and did not appear to be febrile seizure. Mother has multiple sclerosis. PE:Muscles tender to palpation pretty uniform throughout body, not so much in hands as in forearms, arms, trunks, legs, calves.


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