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This is VAERS ID 279595

Case Details

VAERS ID: 279595 (history)  
Form: Version 1.0  
Age: 16.0  
Gender: Female  
Location: Connecticut  
   Days after vaccination:7
Submitted: 2007-05-23
   Days after onset:8
Entered: 2007-05-24
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Private       Purchased by: Private
Symptoms: Cough, Demyelination, Hyperhidrosis, Nuclear magnetic resonance imaging abnormal, Syncope, Vomiting
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Optic nerve disorders (broad), Cardiomyopathy (broad), Demyelination (narrow), Hypotonic-hyporesponsive episode (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, 4 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: numbness or tingling of fingers
Preexisting Conditions: Exercise induced asthma, poor vision, tingling of fingers not successful records received-7/5/07- PMH: asthma
Diagnostic Lab Data: MRI - demyelinating disease of white matter cerebri and spinal cord cervical records received 7/5/07-CT and MRI head were abnormal shows periventricular white matter lesions. MRI spine showed inactive C5 white matter lesion. Labs, CBC WNL, with gran % 71.9. ESR, CSF normal. IGG 1656.
CDC Split Type: CT200708

Write-up: Gardasil HPV vaccine Administered on 05/08/07 cough on 05/14/07 vomiting 5/15/07 morning at school, sweating followed by syncope few minutes no Tonic-Clonic seizure. MRI done in ER showed Demyelinated Foci in Occipital, L temporal lobes and R frontal L 7/5/07-records received from facility for DOS 05/18-05/23/07-DC DX: Multiple Sclerosis. Previously healthy femal who was admitted due to a lesion seen on brain MRI. Patient reports symtoms became in December when she started having numbness in left thumb and slowly spread down her hands and arms. Also had some funny feeling in lower back. Symptoms resolved. Since then she has intermittent numbness with more than 50 episodes per day last less than 1 minutes. On 5/14 she started having nonproductive cough and sore throat, and posttussive vomiting the day after. Felt tingling over her left hand, right fingers and toes for less than 1 minute. Lightheaded, fell and hit her head. Out for almost 10 minutes. Disoriented.

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