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This is VAERS ID 273206

Case Details

VAERS ID: 273206 (history)  
Form: Version 1.0  
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 / UNK RA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0688F / 2 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
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: 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.
Allergies:
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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