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This is VAERS ID 277391

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 277391
Age:12.0
Gender:Female
Location:Maryland
Vaccinated:2007-03-29
Onset:2007-04-12
Submitted:2007-04-25
Entered:2007-04-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
UNK: VACCINE NOT SPECIFIED (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Computerised tomogram normal, Electromyogram normal, Fall, Full blood count normal, Gait disturbance

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: Sulfa allergy, causes rash
Diagnostic Lab Data: MRI theraco lumbar spine/brain WNL LABS: CT of brain was WNL. CBC, chem & UA all WNL EMG done 4/20/07 was WNL. Referred for MRI to r/ocentral demyelinating disease.
CDC 'Split Type':

Write-up:Lower extremity weakness, frequent falls, lower extremity paraesthesia 5/1/07 Received medical records from 1st hospital where pt seen in ER & tthen transferred to higher level of care. Pt experienced bilateral LE weaness & numbness of both legs while at"school. She tried to brace herself up against a wall but was unable to remain upright. Exam revealed she was unable to bear weight secondary to weakness FINAL DX: paresthesia & motor weakness of bilateral legs, etiology unknown. 5/22/07 Received hospit


Changed on 12/8/2009

VAERS ID: 277391 Before After
Age:12.0
Gender:Female
Location:Maryland
Vaccinated:2007-03-29
Onset:2007-04-12
Submitted:2007-04-25
Entered:2007-04-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
UNK: VACCINE NOT SPECIFIED (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - - / -

Administered by: Private      Purchased by: Unknown Private
Symptoms: Computerised tomogram normal, Electromyogram normal, Fall, Full blood count normal, Gait disturbance, Muscular weakness, Nuclear magnetic resonance imaging brain normal, Nuclear magnetic resonance imaging normal, Paraesthesia, Tremor, Urinary incontinence, Laboratory test normal, Neurological examination normal, Scan brain, Urine analysis normal

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: Sulfa allergy, causes rash
Diagnostic Lab Data: MRI theraco lumbar spine/brain WNL LABS: CT of brain was WNL. CBC, chem & UA all WNL EMG done 4/20/07 was WNL. Referred for MRI to r/ocentral demyelinating disease.
CDC 'Split Type':

Write-up:Lower extremity weakness, frequent falls, lower extremity paraesthesia 5/1/07 Received medical records from 1st hospital where pt seen in ER & tthen transferred to higher level of care. Pt experienced bilateral LE weaness & numbness of both legs while at"school. at school. She tried to brace herself up against a wall but was unable to remain upright. Exam revealed she was unable to bear weight secondary to weakness FINAL DX: paresthesia & motor weakness of bilateral legs, etiology unknown. 5/22/07 Received hospit hospital Neuro clinic medical records which reveal patient evaluated 4/20/07 by MD who had seen her in ER week before for legs shaking w/weakness & numbness since 4/12/07. Seen at outlying hospital ER & d/c. On approx 4/10 had an episode of urinary incontinence. Neuro exam was WNL except for slightly antalgic gait.


Changed on 1/5/2010

VAERS ID: 277391 Before After
Age:12.0
Gender:Female
Location:Maryland
Vaccinated:2007-03-29
Onset:2007-04-12
Submitted:2007-04-25
Entered:2007-04-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV: HPV (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - - / -
UNK: VACCINE NOT SPECIFIED (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - - / -

Administered by: Private      Purchased by: Private
Symptoms: Computerised tomogram normal, Electromyogram normal, Fall, Full blood count normal, Gait disturbance, Hypoaesthesia, Muscular weakness, Nuclear magnetic resonance imaging brain normal, Nuclear magnetic resonance imaging normal, Pain in extremity, Paraesthesia, Tremor, Urinary incontinence, Abasia, Laboratory test normal, Neurological examination normal, Scan brain, Urine analysis normal, Weight bearing difficulty

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: Sulfa allergy, causes rash
Diagnostic Lab Data: MRI theraco lumbar spine/brain WNL LABS: CT of brain was WNL. CBC, chem & UA all WNL EMG done 4/20/07 was WNL. Referred for MRI to r/ocentral demyelinating disease. head computed axial - 04/12/07 - normal. neurological - 04/20/07 - norm
CDC 'Split Type':

Write-up:Lower extremity weakness, frequent falls, lower extremity paraesthesia 5/1/07 Received medical records from 1st hospital where pt seen in ER & tthen then transferred to higher level of care. Pt experienced bilateral LE weaness & numbness of both legs while at school. She tried to brace herself up against a wall but was unable to remain upright. Exam revealed she was unable to bear weight secondary to weakness FINAL DX: paresthesia & motor weakness of bilateral legs, etiology unknown. 5/22/07 Received hospital Neuro clinic medical records which reveal patient evaluated 4/20/07 by MD who had seen her in ER week before for legs shaking w/weakness & numbness since 4/12/07. Seen at outlying hospital ER & d/c. On approx 4/10 had an episode of urinary incontinence. Neuro exam was WNL except for slightly antalgic gait. 06/11/2009: This is in follow-up to report(s) previously submitted on 7/6/2007. Initial and follow-up information has been received from a immunization coordinator and a physician concerning a 12 year old female student with a sulfa allergy with a rash many years ago and no other medical history who on 27-MAR-2007 at 11:30 was vaccinated intramuscularly in the left arm with a first dose of HPV rL1 6 11 16 18 VLP vaccine (yeast) (Lot #655618/0186U). There was no concomitant medication. ON 12-APR-2007, the patient presented with progressive weakness of her lower extremities, one episode of incontinence and paraesthesias of both legs. On 12-APR-2007, at school, the patient noted that her legs started to shake and that she could not feel her legs well. She went to the nurse and was transferred to the hospital emergency room because of numbness in her legs and associated weakness. These events were also reported as "about two months post vaccination, sometime in May 2007, the patient could not walk and was complaining of leg pain." Over the course of that day, the patient was aware of numbness along both of her shins and persistence of that numbness over the following week though it spread to the anterior d


Changed on 3/2/2010

VAERS ID: 277391 Before After
Age:12.0
Gender:Female
Location:Maryland
Vaccinated:2007-03-29
Onset:2007-04-12
Submitted:2007-04-25
Entered:2007-04-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV: HPV (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - - / -
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0186U / - - / -

Administered by: Private      Purchased by: Private
Symptoms: Computerised tomogram normal, Electromyogram normal, Fall, Full blood count normal, Gait disturbance, Hypoaesthesia, Muscular weakness, Nuclear magnetic resonance imaging brain normal, Nuclear magnetic resonance imaging normal, Pain in extremity, Tremor, Urinary incontinence, Abasia, Laboratory test normal, Neurological examination normal, Scan brain, Urine analysis normal, Weight bearing difficulty

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: Sulfa allergy, causes rash
Diagnostic Lab Data: MRI theraco lumbar spine/brain WNL LABS: CT of brain was WNL. CBC, chem & UA all WNL EMG done 4/20/07 was WNL. Referred for MRI to r/ocentral demyelinating disease. head computed axial - 04/12/07 - normal. neurological - 04/20/07 - norm
CDC 'Split Type':

Write-up:Lower extremity weakness, frequent falls, lower extremity paraesthesia 5/1/07 Received medical records from 1st hospital where pt seen in ER & then transferred to higher level of care. Pt experienced bilateral LE weaness & numbness of both legs while at school. She tried to brace herself up against a wall but was unable to remain upright. Exam revealed she was unable to bear weight secondary to weakness FINAL DX: paresthesia & motor weakness of bilateral legs, etiology unknown. 5/22/07 Received hospital Neuro clinic medical records which reveal patient evaluated 4/20/07 by MD who had seen her in ER week before for legs shaking w/weakness & numbness since 4/12/07. Seen at outlying hospital ER & d/c. On approx 4/10 had an episode of urinary incontinence. Neuro exam was WNL except for slightly antalgic gait. 06/11/2009: This is in follow-up to report(s) previously submitted on 7/6/2007. Initial and follow-up information has been received from a immunization coordinator and a physician concerning a 12 year old female student with a sulfa allergy with a rash many years ago and no other medical history who on 27-MAR-2007 at 11:30 was vaccinated intramuscularly in the left arm with a first dose of HPV rL1 6 11 16 18 VLP vaccine (yeast) (Lot #655618/0186U). There was no concomitant medication. ON 12-APR-2007, the patient presented with progressive weakness of her lower extremities, one episode of incontinence and paraesthesias of both legs. On 12-APR-2007, at school, the patient noted that her legs started to shake and that she could not feel her legs well. She went to the nurse and was transferred to the hospital emergency room because of numbness in her legs and associated weakness. These events were also reported as "about two months post vaccination, sometime in May 2007, the patient could not walk and was complaining of leg pain." Over the course of that day, the patient was aware of numbness along both of her shins and persistence of that numbness over the following week though it spread to the anterior d


Changed on 4/7/2010

VAERS ID: 277391 Before After
Age:12.0
Gender:Female
Location:Maryland
Vaccinated:2007-03-29
Onset:2007-04-12
Submitted:2007-04-25
Entered:2007-04-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0186U / - - / -

Administered by: Private      Purchased by: Private
Symptoms: Computerised tomogram normal, Electromyogram normal, Fall, Full blood count normal, Gait disturbance, Hypoaesthesia, Muscular weakness, Nuclear magnetic resonance imaging brain normal, Nuclear magnetic resonance imaging normal, Pain in extremity, Tremor, Urinary incontinence, Abasia, Laboratory test normal, Neurological examination normal, Scan brain, Urine analysis normal, Weight bearing difficulty

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: Sulfa allergy, causes rash
Diagnostic Lab Data: MRI theraco lumbar spine/brain WNL LABS: CT of brain was WNL. CBC, chem & UA all WNL EMG done 4/20/07 was WNL. Referred for MRI to r/ocentral demyelinating disease. head computed axial - 04/12/07 - normal. neurological - 04/20/07 - norm
CDC 'Split Type':

Write-up:Lower extremity weakness, frequent falls, lower extremity paraesthesia 5/1/07 Received medical records from 1st hospital where pt seen in ER & then transferred to higher level of care. Pt experienced bilateral LE weaness & numbness of both legs while at school. She tried to brace herself up against a wall but was unable to remain upright. Exam revealed she was unable to bear weight secondary to weakness FINAL DX: paresthesia & motor weakness of bilateral legs, etiology unknown. 5/22/07 Received hospital Neuro clinic medical records which reveal patient evaluated 4/20/07 by MD who had seen her in ER week before for legs shaking w/weakness & numbness since 4/12/07. Seen at outlying hospital ER & d/c. On approx 4/10 had an episode of urinary incontinence. Neuro exam was WNL except for slightly antalgic gait. 06/11/2009: This is in follow-up to report(s) previously submitted on 7/6/2007. Initial and follow-up information has been received from a immunization coordinator and a physician concerning a 12 year old female student with a sulfa allergy with a rash many years ago and no other medical history who on 27-MAR-2007 at 11:30 was vaccinated intramuscularly in the left arm with a first dose of HPV rL1 6 11 16 18 VLP vaccine (yeast) (Lot #655618/0186U). There was no concomitant medication. ON 12-APR-2007, the patient presented with progressive weakness of her lower extremities, one episode of incontinence and paraesthesias of both legs. On 12-APR-2007, at school, the patient noted that her legs started to shake and that she could not feel her legs well. She went to the nurse and was transferred to the hospital emergency room because of numbness in her legs and associated weakness. These events were also reported as "about two months post vaccination, sometime in May 2007, the patient could not walk and was complaining of leg pain." Over the course of that day, the patient was aware of numbness along both of her shins and persistence of that numbness over the following week though it spread to the anterior d


Changed on 7/31/2010

VAERS ID: 277391 Before After
Age:12.0
Gender:Female
Location:Maryland
Vaccinated:2007-03-29
Onset:2007-04-12
Submitted:2007-04-25
Entered:2007-04-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0186U / - - / -

Administered by: Private      Purchased by: Private
Symptoms: Computerised tomogram normal, Electromyogram normal, Fall, Full blood count normal, Gait disturbance, Hypoaesthesia, Muscular weakness, Nuclear magnetic resonance imaging brain normal, Nuclear magnetic resonance imaging normal, Pain in extremity, Tremor, Urinary incontinence, Abasia, Laboratory test normal, Neurological examination normal, Scan brain, Urine analysis normal, Weight bearing difficulty

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: Sulfa allergy, causes rash
Diagnostic Lab Data: MRI theraco lumbar spine/brain WNL LABS: CT of brain was WNL. CBC, chem & UA all WNL EMG done 4/20/07 was WNL. Referred for MRI to r/ocentral demyelinating disease. head computed axial - 04/12/07 - normal. neurological - 04/20/07 - norm
CDC 'Split Type':

Write-up:Lower extremity weakness, frequent falls, lower extremity paraesthesia 5/1/07 Received medical records from 1st hospital where pt seen in ER & then transferred to higher level of care. Pt experienced bilateral LE weaness & numbness of both legs while at school. She tried to brace herself up against a wall but was unable to remain upright. Exam revealed she was unable to bear weight secondary to weakness FINAL DX: paresthesia & motor weakness of bilateral legs, etiology unknown. 5/22/07 Received hospital Neuro clinic medical records which reveal patient evaluated 4/20/07 by MD who had seen her in ER week before for legs shaking w/weakness & numbness since 4/12/07. Seen at outlying hospital ER & d/c. On approx 4/10 had an episode of urinary incontinence. Neuro exam was WNL except for slightly antalgic gait. 06/11/2009: This is in follow-up to report(s) previously submitted on 7/6/2007. Initial and follow-up information has been received from a immunization coordinator and a physician concerning a 12 year old female student with a sulfa allergy with a rash many years ago and no other medical history who on 27-MAR-2007 at 11:30 was vaccinated intramuscularly in the left arm with a first dose of HPV rL1 6 11 16 18 VLP vaccine (yeast) (Lot #655618/0186U). There was no concomitant medication. ON 12-APR-2007, the patient presented with progressive weakness of her lower extremities, one episode of incontinence and paraesthesias of both legs. On 12-APR-2007, at school, the patient noted that her legs started to shake and that she could not feel her legs well. She went to the nurse and was transferred to the hospital emergency room because of numbness in her legs and associated weakness. These events were also reported as "about two months post vaccination, sometime in May 2007, the patient could not walk and was complaining of leg pain." Over the course of that day, the patient was aware of numbness along both of her shins and persistence of that numbness over the following week though it spread to the anterior d


Changed on 8/31/2010

VAERS ID: 277391 Before After
Age:12.0
Gender:Female
Location:Maryland
Vaccinated:2007-03-29
Onset:2007-04-12
Submitted:2007-04-25
Entered:2007-04-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0186U / - - / -

Administered by: Private      Purchased by: Private
Symptoms: Fall, Gait disturbance, Hypoaesthesia, Muscular weakness, Nuclear magnetic resonance imaging brain normal, Nuclear magnetic resonance imaging normal, Pain in extremity, Abasia, Weight bearing difficulty

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: Sulfa allergy, causes rash
Diagnostic Lab Data: MRI theraco lumbar spine/brain WNL LABS: CT of brain was WNL. CBC, chem & UA all WNL EMG done 4/20/07 was WNL. Referred for MRI to r/ocentral demyelinating disease. head computed axial - 04/12/07 - normal. neurological - 04/20/07 - norm
CDC 'Split Type':

Write-up:Lower extremity weakness, frequent falls, lower extremity paraesthesia 5/1/07 Received medical records from 1st hospital where pt seen in ER & then transferred to higher level of care. Pt experienced bilateral LE weaness & numbness of both legs while at school. She tried to brace herself up against a wall but was unable to remain upright. Exam revealed she was unable to bear weight secondary to weakness FINAL DX: paresthesia & motor weakness of bilateral legs, etiology unknown. 5/22/07 Received hospital Neuro clinic medical records which reveal patient evaluated 4/20/07 by MD who had seen her in ER week before for legs shaking w/weakness & numbness since 4/12/07. Seen at outlying hospital ER & d/c. On approx 4/10 had an episode of urinary incontinence. Neuro exam was WNL except for slightly antalgic gait. 06/11/2009: This is in follow-up to report(s) previously submitted on 7/6/2007. Initial and follow-up information has been received from a immunization coordinator and a physician concerning a 12 year old female student with a sulfa allergy with a rash many years ago and no other medical history who on 27-MAR-2007 at 11:30 was vaccinated intramuscularly in the left arm with a first dose of HPV rL1 6 11 16 18 VLP vaccine (yeast) (Lot #655618/0186U). There was no concomitant medication. ON 12-APR-2007, the patient presented with progressive weakness of her lower extremities, one episode of incontinence and paraesthesias of both legs. On 12-APR-2007, at school, the patient noted that her legs started to shake and that she could not feel her legs well. She went to the nurse and was transferred to the hospital emergency room because of numbness in her legs and associated weakness. These events were also reported as "about two months post vaccination, sometime in May 2007, the patient could not walk and was complaining of leg pain." Over the course of that day, the patient was aware of numbness along both of her shins and persistence of that numbness over the following week though it spread to the anterior d


Changed on 1/4/2011

VAERS ID: 277391 Before After
Age:12.0
Gender:Female
Location:Maryland
Vaccinated:2007-03-29
Onset:2007-04-12
Submitted:2007-04-25
Entered:2007-04-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0186U / - - / -

Administered by: Private      Purchased by: Private
Symptoms: Fall, Gait disturbance, Hypoaesthesia, Muscular weakness, Nuclear magnetic resonance imaging brain normal, Nuclear magnetic resonance imaging normal, Pain in extremity, Abasia, Weight bearing difficulty

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: Sulfa allergy, causes rash
Diagnostic Lab Data: MRI theraco lumbar spine/brain WNL LABS: CT of brain was WNL. CBC, chem & UA all WNL EMG done 4/20/07 was WNL. Referred for MRI to r/ocentral demyelinating disease. head computed axial - 04/12/07 - normal. neurological - 04/20/07 - norm normal. nerve conduction study - 04/20/07 - normal. magnetic resonance - 04/20/07 - lumbar - negat. magnetic resonance - 04/20/07 - thoracic - negat.
CDC 'Split Type':

Write-up:Lower extremity weakness, frequent falls, lower extremity paraesthesia 5/1/07 Received medical records from 1st hospital where pt seen in ER & then transferred to higher level of care. Pt experienced bilateral LE weaness & numbness of both legs while at school. She tried to brace herself up against a wall but was unable to remain upright. Exam revealed she was unable to bear weight secondary to weakness FINAL DX: paresthesia & motor weakness of bilateral legs, etiology unknown. 5/22/07 Received hospital Neuro clinic medical records which reveal patient evaluated 4/20/07 by MD who had seen her in ER week before for legs shaking w/weakness & numbness since 4/12/07. Seen at outlying hospital ER & d/c. On approx 4/10 had an episode of urinary incontinence. Neuro exam was WNL except for slightly antalgic gait. 06/11/2009: This is in follow-up to report(s) previously submitted on 7/6/2007. Initial and follow-up information has been received from a immunization coordinator and a physician concerning a 12 year old female student with a sulfa allergy with a rash many years ago and no other medical history who on 27-MAR-2007 at 11:30 was vaccinated intramuscularly in the left arm with a first dose of HPV rL1 6 11 16 18 VLP vaccine (yeast) (Lot #655618/0186U). There was no concomitant medication. ON 12-APR-2007, the patient presented with progressive weakness of her lower extremities, one episode of incontinence and paraesthesias of both legs. On 12-APR-2007, at school, the patient noted that her legs started to shake and that she could not feel her legs well. She went to the nurse and was transferred to the hospital emergency room because of numbness in her legs and associated weakness. These events were also reported as "about two months post vaccination, sometime in May 2007, the patient could not walk and was complaining of leg pain." Over the course of that day, the patient was aware of numbness along both of her shins and persistence of that numbness over the following week though it spread to the anterior d distal aspect of both thighs. It was largely symmetric. She still had some problem with the shaking of her legs when she went up or down the stairs and had been using crutches to help her walk. It was also noted that a couple of nights before this event occurred, the patient had a urinary accident at night which was very unusual for her. On 12-APR-2007, a CT of the brain was performed and was normal. On 20-APR-2007, the patient presented to the reporting physician for a visit. Nerve conduction studies and neurologic exam were performed and were all normal. ON 20-APR-2007, an MRI of the lumbar and thoracic spine was performed and was negative. About 2 to 3 weeks after the onset of progressive weakness of her lower extremities, incontinence and paraesthesias of both legs, the patient recovered. At the time of this report, the outcome of the leg pain, inability to walk, numbness along both shins/could not feel legs and shaking of legs was unknown. No product quality complaint was involved. According to the reporting physician, there was a concern about possible myelopathy and neuropathy such as Guillan-Barre syndrome. However, the reporting physician stated that "this has clearly not developed in the interval." Upon internal review, the patient''s experience of "could not walk" was considered disabling. Additional information is not expected.


Changed on 4/13/2011

VAERS ID: 277391 Before After
Age:12.0
Gender:Female
Location:Maryland
Vaccinated:2007-03-29
Onset:2007-04-12
Submitted:2007-04-25
Entered:2007-04-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0186U / - - / -

Administered by: Private      Purchased by: Private
Symptoms: Computerised tomogram normal, Electromyogram normal, Fall, Full blood count normal, Gait disturbance, Hypoaesthesia, Muscular weakness, Nuclear magnetic resonance imaging brain normal, Nuclear magnetic resonance imaging normal, Pain in extremity, Tremor, Urinary incontinence, Abasia, Laboratory test normal, Neurological examination normal, Scan brain, Urine analysis normal, Weight bearing difficulty

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: Sulfa allergy, causes rash
Diagnostic Lab Data: MRI theraco lumbar spine/brain WNL LABS: CT of brain was WNL. CBC, chem & UA all WNL EMG done 4/20/07 was WNL. Referred for MRI to r/ocentral demyelinating disease. head computed axial - 04/12/07 - normal. neurological - 04/20/07 - normal. nerve conduction study - 04/20/07 - normal. magnetic resonance - 04/20/07 - lumbar - negat. magnetic resonance - 04/20/07 - thoracic - negat.
CDC 'Split Type':

Write-up:Lower extremity weakness, frequent falls, lower extremity paraesthesia 5/1/07 Received medical records from 1st hospital where pt seen in ER & then transferred to higher level of care. Pt experienced bilateral LE weaness & numbness of both legs while at school. She tried to brace herself up against a wall but was unable to remain upright. Exam revealed she was unable to bear weight secondary to weakness FINAL DX: paresthesia & motor weakness of bilateral legs, etiology unknown. 5/22/07 Received hospital Neuro clinic medical records which reveal patient evaluated 4/20/07 by MD who had seen her in ER week before for legs shaking w/weakness & numbness since 4/12/07. Seen at outlying hospital ER & d/c. On approx 4/10 had an episode of urinary incontinence. Neuro exam was WNL except for slightly antalgic gait. 06/11/2009: This is in follow-up to report(s) previously submitted on 7/6/2007. Initial and follow-up information has been received from a immunization coordinator and a physician concerning a 12 year old female student with a sulfa allergy with a rash many years ago and no other medical history who on 27-MAR-2007 at 11:30 was vaccinated intramuscularly in the left arm with a first dose of HPV rL1 6 11 16 18 VLP vaccine (yeast) (Lot #655618/0186U). There was no concomitant medication. ON 12-APR-2007, the patient presented with progressive weakness of her lower extremities, one episode of incontinence and paraesthesias of both legs. On 12-APR-2007, at school, the patient noted that her legs started to shake and that she could not feel her legs well. She went to the nurse and was transferred to the hospital emergency room because of numbness in her legs and associated weakness. These events were also reported as "about two months post vaccination, sometime in May 2007, the patient could not walk and was complaining of leg pain." Over the course of that day, the patient was aware of numbness along both of her shins and persistence of that numbness over the following week though it spread to the anterior distal aspect of both thighs. It was largely symmetric. She still had some problem with the shaking of her legs when she went up or down the stairs and had been using crutches to help her walk. It was also noted that a couple of nights before this event occurred, the patient had a urinary accident at night which was very unusual for her. On 12-APR-2007, a CT of the brain was performed and was normal. On 20-APR-2007, the patient presented to the reporting physician for a visit. Nerve conduction studies and neurologic exam were performed and were all normal. ON 20-APR-2007, an MRI of the lumbar and thoracic spine was performed and was negative. About 2 to 3 weeks after the onset of progressive weakness of her lower extremities, incontinence and paraesthesias of both legs, the patient recovered. At the time of this report, the outcome of the leg pain, inability to walk, numbness along both shins/could not feel legs and shaking of legs was unknown. No product quality complaint was involved. According to the reporting physician, there was a concern about possible myelopathy and neuropathy such as Guillan-Barre syndrome. However, the reporting physician stated that "this has clearly not developed in the interval." Upon internal review, the patient''s experience of "could not walk" was considered disabling. Additional information is not expected.


Changed on 5/13/2011

VAERS ID: 277391 Before After
Age:12.0
Gender:Female
Location:Maryland
Vaccinated:2007-03-29
Onset:2007-04-12
Submitted:2007-04-25
Entered:2007-04-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0186U / - - / -

Administered by: Private      Purchased by: Private
Symptoms: Computerised tomogram normal, Electromyogram normal, Fall, Full blood count normal, Gait disturbance, Hypoaesthesia, Muscular weakness, Nuclear magnetic resonance imaging brain normal, Nuclear magnetic resonance imaging normal, Pain in extremity, Tremor, Urinary incontinence, Abasia, Laboratory test normal, Neurological examination normal, Scan brain, Urine analysis normal, Weight bearing difficulty

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: Sulfa allergy, causes rash
Diagnostic Lab Data: MRI theraco lumbar spine/brain WNL LABS: CT of brain was WNL. CBC, chem & UA all WNL EMG done 4/20/07 was WNL. Referred for MRI to r/ocentral demyelinating disease. head computed axial - 04/12/07 - normal. neurological - 04/20/07 - normal. nerve conduction study - 04/20/07 - normal. magnetic resonance - 04/20/07 - lumbar - negat. magnetic resonance - 04/20/07 - thoracic - negat.
CDC 'Split Type':

Write-up:Lower extremity weakness, frequent falls, lower extremity paraesthesia 5/1/07 Received medical records from 1st hospital where pt seen in ER & then transferred to higher level of care. Pt experienced bilateral LE weaness & numbness of both legs while at school. She tried to brace herself up against a wall but was unable to remain upright. Exam revealed she was unable to bear weight secondary to weakness FINAL DX: paresthesia & motor weakness of bilateral legs, etiology unknown. 5/22/07 Received hospital Neuro clinic medical records which reveal patient evaluated 4/20/07 by MD who had seen her in ER week before for legs shaking w/weakness & numbness since 4/12/07. Seen at outlying hospital ER & d/c. On approx 4/10 had an episode of urinary incontinence. Neuro exam was WNL except for slightly antalgic gait. 06/11/2009: This is in follow-up to report(s) previously submitted on 7/6/2007. Initial and follow-up information has been received from a immunization coordinator and a physician concerning a 12 year old female student with a sulfa allergy with a rash many years ago and no other medical history who on 27-MAR-2007 at 11:30 was vaccinated intramuscularly in the left arm with a first dose of HPV rL1 6 11 16 18 VLP vaccine (yeast) (Lot #655618/0186U). There was no concomitant medication. ON 12-APR-2007, the patient presented with progressive weakness of her lower extremities, one episode of incontinence and paraesthesias of both legs. On 12-APR-2007, at school, the patient noted that her legs started to shake and that she could not feel her legs well. She went to the nurse and was transferred to the hospital emergency room because of numbness in her legs and associated weakness. These events were also reported as "about two months post vaccination, sometime in May 2007, the patient could not walk and was complaining of leg pain." Over the course of that day, the patient was aware of numbness along both of her shins and persistence of that numbness over the following week though it spread to the anterior distal aspect of both thighs. It was largely symmetric. She still had some problem with the shaking of her legs when she went up or down the stairs and had been using crutches to help her walk. It was also noted that a couple of nights before this event occurred, the patient had a urinary accident at night which was very unusual for her. On 12-APR-2007, a CT of the brain was performed and was normal. On 20-APR-2007, the patient presented to the reporting physician for a visit. Nerve conduction studies and neurologic exam were performed and were all normal. ON 20-APR-2007, an MRI of the lumbar and thoracic spine was performed and was negative. About 2 to 3 weeks after the onset of progressive weakness of her lower extremities, incontinence and paraesthesias of both legs, the patient recovered. At the time of this report, the outcome of the leg pain, inability to walk, numbness along both shins/could not feel legs and shaking of legs was unknown. No product quality complaint was involved. According to the reporting physician, there was a concern about possible myelopathy and neuropathy such as Guillan-Barre syndrome. However, the reporting physician stated that "this has clearly not developed in the interval." Upon internal review, the patient''s experience of "could not walk" was considered disabling. Additional information is not expected.


Changed on 6/11/2011

VAERS ID: 277391 Before After
Age:12.0
Gender:Female
Location:Maryland
Vaccinated:2007-03-29
Onset:2007-04-12
Submitted:2007-04-25
Entered:2007-04-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0186U / - - / -

Administered by: Private      Purchased by: Private
Symptoms: Computerised tomogram normal, Electromyogram normal, Fall, Full blood count normal, Gait disturbance, Hypoaesthesia, Muscular weakness, Nuclear magnetic resonance imaging brain normal, Nuclear magnetic resonance imaging normal, Pain in extremity, Tremor, Urinary incontinence, Abasia, Laboratory test normal, Neurological examination normal, Scan brain, Urine analysis normal, Weight bearing difficulty

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: Sulfa allergy, causes rash
Diagnostic Lab Data: MRI theraco lumbar spine/brain WNL LABS: CT of brain was WNL. CBC, chem & UA all WNL EMG done 4/20/07 was WNL. Referred for MRI to r/ocentral demyelinating disease. head computed axial - 04/12/07 - normal. neurological - 04/20/07 - normal. nerve conduction study - 04/20/07 - normal. magnetic resonance - 04/20/07 - lumbar - negat. magnetic resonance - 04/20/07 - thoracic - negat.
CDC 'Split Type':

Write-up:Lower extremity weakness, frequent falls, lower extremity paraesthesia 5/1/07 Received medical records from 1st hospital where pt seen in ER & then transferred to higher level of care. Pt experienced bilateral LE weaness & numbness of both legs while at school. She tried to brace herself up against a wall but was unable to remain upright. Exam revealed she was unable to bear weight secondary to weakness FINAL DX: paresthesia & motor weakness of bilateral legs, etiology unknown. 5/22/07 Received hospital Neuro clinic medical records which reveal patient evaluated 4/20/07 by MD who had seen her in ER week before for legs shaking w/weakness & numbness since 4/12/07. Seen at outlying hospital ER & d/c. On approx 4/10 had an episode of urinary incontinence. Neuro exam was WNL except for slightly antalgic gait. 06/11/2009: This is in follow-up to report(s) previously submitted on 7/6/2007. Initial and follow-up information has been received from a immunization coordinator and a physician concerning a 12 year old female student with a sulfa allergy with a rash many years ago and no other medical history who on 27-MAR-2007 at 11:30 was vaccinated intramuscularly in the left arm with a first dose of HPV rL1 6 11 16 18 VLP vaccine (yeast) (Lot #655618/0186U). There was no concomitant medication. ON 12-APR-2007, the patient presented with progressive weakness of her lower extremities, one episode of incontinence and paraesthesias of both legs. On 12-APR-2007, at school, the patient noted that her legs started to shake and that she could not feel her legs well. She went to the nurse and was transferred to the hospital emergency room because of numbness in her legs and associated weakness. These events were also reported as "about two months post vaccination, sometime in May 2007, the patient could not walk and was complaining of leg pain." Over the course of that day, the patient was aware of numbness along both of her shins and persistence of that numbness over the following week though it spread to the anterior distal aspect of both thighs. It was largely symmetric. She still had some problem with the shaking of her legs when she went up or down the stairs and had been using crutches to help her walk. It was also noted that a couple of nights before this event occurred, the patient had a urinary accident at night which was very unusual for her. On 12-APR-2007, a CT of the brain was performed and was normal. On 20-APR-2007, the patient presented to the reporting physician for a visit. Nerve conduction studies and neurologic exam were performed and were all normal. ON 20-APR-2007, an MRI of the lumbar and thoracic spine was performed and was negative. About 2 to 3 weeks after the onset of progressive weakness of her lower extremities, incontinence and paraesthesias of both legs, the patient recovered. At the time of this report, the outcome of the leg pain, inability to walk, numbness along both shins/could not feel legs and shaking of legs was unknown. No product quality complaint was involved. According to the reporting physician, there was a concern about possible myelopathy and neuropathy such as Guillan-Barre syndrome. However, the reporting physician stated that "this has clearly not developed in the interval." Upon internal review, the patient''s experience of "could not walk" was considered disabling. Additional information is not expected.


Changed on 6/14/2014

VAERS ID: 277391 Before After
Age:12.0
Gender:Female
Location:Maryland
Vaccinated:2007-03-29
Onset:2007-04-12
Submitted:2007-04-25
Entered:2007-04-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0186U / - - / -

Administered by: Private      Purchased by: Private
Symptoms: Computerised tomogram normal, Electromyogram normal, Fall, Full blood count normal, Gait disturbance, Hypoaesthesia, Muscular weakness, Nuclear magnetic resonance imaging brain normal, Nuclear magnetic resonance imaging normal, Pain in extremity, Tremor, Urinary incontinence, Abasia, Laboratory test normal, Neurological examination normal, Scan brain, Urine analysis normal, Weight bearing difficulty

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: Sulfa allergy, causes rash
Diagnostic Lab Data: MRI theraco lumbar spine/brain WNL LABS: CT of brain was WNL. CBC, chem & UA all WNL EMG done 4/20/07 was WNL. Referred for MRI to r/ocentral demyelinating disease. head computed axial - 04/12/07 - normal. neurological - 04/20/07 - normal. nerve conduction study - 04/20/07 - normal. magnetic resonance - 04/20/07 - lumbar - negat. magnetic resonance - 04/20/07 - thoracic - negat.
CDC 'Split Type':

Write-up:Lower extremity weakness, frequent falls, lower extremity paraesthesia 5/1/07 Received medical records from 1st hospital where pt seen in ER & then transferred to higher level of care. Pt experienced bilateral LE weaness & numbness of both legs while at school. She tried to brace herself up against a wall but was unable to remain upright. Exam revealed she was unable to bear weight secondary to weakness FINAL DX: paresthesia & motor weakness of bilateral legs, etiology unknown. 5/22/07 Received hospital Neuro clinic medical records which reveal patient evaluated 4/20/07 by MD who had seen her in ER week before for legs shaking w/weakness & numbness since 4/12/07. Seen at outlying hospital ER & d/c. On approx 4/10 had an episode of urinary incontinence. Neuro exam was WNL except for slightly antalgic gait. 06/11/2009: This is in follow-up to report(s) previously submitted on 7/6/2007. Initial and follow-up information has been received from a immunization coordinator and a physician concerning a 12 year old female student with a sulfa allergy with a rash many years ago and no other medical history who on 27-MAR-2007 at 11:30 was vaccinated intramuscularly in the left arm with a first dose of HPV rL1 6 11 16 18 VLP vaccine (yeast) (Lot #655618/0186U). There was no concomitant medication. ON 12-APR-2007, the patient presented with progressive weakness of her lower extremities, one episode of incontinence and paraesthesias of both legs. On 12-APR-2007, at school, the patient noted that her legs started to shake and that she could not feel her legs well. She went to the nurse and was transferred to the hospital emergency room because of numbness in her legs and associated weakness. These events were also reported as "about two months post vaccination, sometime in May 2007, the patient could not walk and was complaining of leg pain." Over the course of that day, the patient was aware of numbness along both of her shins and persistence of that numbness over the following week though it spread to the anterior distal aspect of both thighs. It was largely symmetric. She still had some problem with the shaking of her legs when she went up or down the stairs and had been using crutches to help her walk. It was also noted that a couple of nights before this event occurred, the patient had a urinary accident at night which was very unusual for her. On 12-APR-2007, a CT of the brain was performed and was normal. On 20-APR-2007, the patient presented to the reporting physician for a visit. Nerve conduction studies and neurologic exam were performed and were all normal. ON 20-APR-2007, an MRI of the lumbar and thoracic spine was performed and was negative. About 2 to 3 weeks after the onset of progressive weakness of her lower extremities, incontinence and paraesthesias of both legs, the patient recovered. At the time of this report, the outcome of the leg pain, inability to walk, numbness along both shins/could not feel legs and shaking of legs was unknown. No product quality complaint was involved. According to the reporting physician, there was a concern about possible myelopathy and neuropathy such as Guillan-Barre syndrome. However, the reporting physician stated that "this has clearly not developed in the interval." Upon internal review, the patient''s experience of "could not walk" was considered disabling. Additional information is not expected.


Changed on 5/14/2017

VAERS ID: 277391 Before After
Age:12.0
Gender:Female
Location:Maryland
Vaccinated:2007-03-29
Onset:2007-04-12
Submitted:2007-04-25
Entered:2007-04-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0186U / - - / -

Administered by: Private      Purchased by: Private
Symptoms: Computerised tomogram normal, Electromyogram normal, Fall, Full blood count normal, Gait disturbance, Hypoaesthesia, Muscular weakness, Nuclear magnetic resonance imaging brain normal, Nuclear magnetic resonance imaging normal, Pain in extremity, Tremor, Urinary incontinence, Abasia, Laboratory test normal, Neurological examination normal, Scan brain, Urine analysis normal, Weight bearing difficulty

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: Sulfa allergy, causes rash
Diagnostic Lab Data: MRI theraco lumbar spine/brain WNL LABS: CT of brain was WNL. CBC, chem & UA all WNL EMG done 4/20/07 was WNL. Referred for MRI to r/ocentral demyelinating disease. head computed axial - 04/12/07 - normal. neurological - 04/20/07 - normal. nerve conduction study - 04/20/07 - normal. magnetic resonance - 04/20/07 - lumbar - negat. magnetic resonance - 04/20/07 - thoracic - negat.
CDC 'Split Type':

Write-up:Lower extremity weakness, frequent falls, lower extremity paraesthesia 5/1/07 Received medical records from 1st hospital where pt seen in ER & then transferred to higher level of care. Pt experienced bilateral LE weaness & numbness of both legs while at school. She tried to brace herself up against a wall but was unable to remain upright. Exam revealed she was unable to bear weight secondary to weakness FINAL DX: paresthesia & motor weakness of bilateral legs, etiology unknown. 5/22/07 Received hospital Neuro clinic medical records which reveal patient evaluated 4/20/07 by MD who had seen her in ER week before for legs shaking w/weakness & numbness since 4/12/07. Seen at outlying hospital ER & d/c. On approx 4/10 had an episode of urinary incontinence. Neuro exam was WNL except for slightly antalgic gait. 06/11/2009: This is in follow-up to report(s) previously submitted on 7/6/2007. Initial and follow-up information has been received from a immunization coordinator and a physician concerning a 12 year old female student with a sulfa allergy with a rash many years ago and no other medical history who on 27-MAR-2007 at 11:30 was vaccinated intramuscularly in the left arm with a first dose of HPV rL1 6 11 16 18 VLP vaccine (yeast) (Lot #655618/0186U). There was no concomitant medication. ON 12-APR-2007, the patient presented with progressive weakness of her lower extremities, one episode of incontinence and paraesthesias of both legs. On 12-APR-2007, at school, the patient noted that her legs started to shake and that she could not feel her legs well. She went to the nurse and was transferred to the hospital emergency room because of numbness in her legs and associated weakness. These events were also reported as "about two months post vaccination, sometime in May 2007, the patient could not walk and was complaining of leg pain." Over the course of that day, the patient was aware of numbness along both of her shins and persistence of that numbness over the following week though it spread to the anterior distal aspect of both thighs. It was largely symmetric. She still had some problem with the shaking of her legs when she went up or down the stairs and had been using crutches to help her walk. It was also noted that a couple of nights before this event occurred, the patient had a urinary accident at night which was very unusual for her. On 12-APR-2007, a CT of the brain was performed and was normal. On 20-APR-2007, the patient presented to the reporting physician for a visit. Nerve conduction studies and neurologic exam were performed and were all normal. ON 20-APR-2007, an MRI of the lumbar and thoracic spine was performed and was negative. About 2 to 3 weeks after the onset of progressive weakness of her lower extremities, incontinence and paraesthesias of both legs, the patient recovered. At the time of this report, the outcome of the leg pain, inability to walk, numbness along both shins/could not feel legs and shaking of legs was unknown. No product quality complaint was involved. According to the reporting physician, there was a concern about possible myelopathy and neuropathy such as Guillan-Barre syndrome. However, the reporting physician stated that "this has clearly not developed in the interval." Upon internal review, the patient''s experience of "could not walk" was considered disabling. Additional information is not expected.


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