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This is VAERS ID 280233

Case Details

VAERS ID: 280233 (history)  
Form: Version 1.0  
Age: 20.0  
Gender: Female  
Location: Indiana  
Vaccinated:2007-04-19
Onset:2007-04-26
   Days after vaccination:7
Submitted: 2007-06-01
   Days after onset:36
Entered: 2007-06-04
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 UN / IM

Administered by: Private       Purchased by: Other
Symptoms: Angiogram normal, Antinuclear antibody, Borrelia burgdorferi serology negative, Cardiolipin antibody, Diagnostic procedure, Diplopia, Full blood count normal, Lumbar puncture normal, Nuclear magnetic resonance imaging normal, Red blood cell sedimentation rate normal, Syphilis test negative, VIth nerve paralysis, Vision blurred, Visual acuity tests normal
SMQs:, Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Glaucoma (broad), Lens disorders (broad), Retinal disorders (broad), Ocular motility disorders (narrow), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 1 days
   Extended hospital stay? Yes
Previous Vaccinations:
Other Medications: Unknown
Current Illness: Allergic reaction to antibiotics; Sulfonamide allergy
Preexisting Conditions: records received 6/6/07-HX:possible hypertension, seasonal allergies, dysmenorrhea and possible diabetes. Prescribed metformin but does not take it.
Allergies:
Diagnostic Lab Data: angiography 04/29?/07 - within normal limits, diagnostic laboratory 04/29?/07 - within normal limits, diagnostic laboratory 04/29?/07 - Sarcoidosis: within normal limits, magnetic resonance 04/29?/07 - within normal limits, visual acuity test 04/29?/07 - within normal limits, spinal tap 04/29?/07 - within normal limits, diagnostic laboratory 04/29?/07 - Myasthenia gravis: within normal limits, Lyme disease assay 04/29?/07 - within normal limits, serum ANA 04/29?/07 - within normal limits, erythrocyte 04/29?/07 - within normal limits, cardiolipin antibody 04/29?/07- within normal limits, complete blood cell 04/29?/07 - within normal limits, Rapid plasma reagin 04/29?/07 - within normal limits records received 6/6/07-Glucose 116. Blood Pressure 142/128. CSF 1 WBC. Sed rate normal. Tensilon test negative. CXR normal, Oribtal MRI negative. Brain MRA normal. Maxillary sinusitis. ANA EIA negative. Cardiolipin IgA <7. Lyme negative. ACE 19. CSF culture no growth.Acetylch REc Ab negative. MS panel negative.
CDC Split Type: WAES0705USA04014

Write-up: Information has been received from a physician and a 20 year old female consumer with Ceclor and sulfonamide allergy who on 19-APR-2007 was vaccinated with the first dose of Gardasil, IM. Concomitant medication was not reported. On approximately 26-APR-2007 ("within a week of receiving the vaccination), the patient reported that she had continued blurred vision "MS type symptoms" and had a 3 day hospital stay. A physician reported that on 29-APR-2007, the patient developed double vision which became progressively worse. The patient was diagnosed with sixth cranial nerve palsy. The patient had numerous diagnostic tests performed which included MRI''s, an angiogram, lumbar puncture, visual tests and blood tests including a complete blood count, metabolic profile, antinuclear antibody (ANA) test, anticardiolipin antibody, sedimentation rate and blood test to rule out syphilis, Myasthenia Gravis, Sarcoidosis and Lyme disease. All of these test results were within normal limits. The patient was treated with steroids and was improving. Additional information has been requested. 06/06/07-records received from facility for DOS 5/1-5/2/07-DC DX: Left cranial nerve VI palsey on left. Mild hypertension. On 4/29/07 while watching TV noticed double vision on looking to left. Gradual onset. On 4/30/07 woke with double vision when looking in all directions. Double vision is with one image side by side to the other image. MRI brain showed right hemispheric lesion. Ophthamologist noted optic nerve lesion. Headache come on after having double vision. No eye pain no numbness or weakness.


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