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This is VAERS ID 274336

Case Details

VAERS ID: 274336 (history)  
Form: Version 1.0  
Age: 15.0  
Gender: 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


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