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This is VAERS ID 280436

Case Details

VAERS ID: 280436 (history)  
Age: 16.0  
Gender: Female  
Location: Connecticut  
Vaccinated:2007-03-15
Onset:2007-05-13
   Days after vaccination:59
Submitted: 2007-05-25
   Days after onset:12
Entered: 2007-06-05
   Days after submission:11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0962F / 0 UN / IM
TDAP: TDAP (ADACEL) / SANOFI PASTEUR AC14BD40CA / 0 UN / IM

Administered by: Private       Purchased by: Unknown
Symptoms: Eye pain, Full blood count, Headache, Lumbar puncture, Nuclear magnetic resonance imaging, Optic neuritis, Papilloedema, Positron emission tomogram normal
SMQs:, Guillain-Barre syndrome (broad), Glaucoma (broad), Optic nerve disorders (narrow), Demyelination (narrow), Ocular infections (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 5 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: none
Preexisting Conditions: obesity, insulin resistance, depression records received 7/18/07-PMH: Hallucinations and previous inpatient admissions to institute of living. Depression and ADHD.
Diagnostic Lab Data: MRI, PET scans, spinal tap, CBC, thyroid can Oligopeptides, Lyme records received 7/18/07-CT negative. MRI brain and spine normal exception of some slight enlargement of left optic nerve. Labs unremarkable. CSF pending at time of discharge.
CDC Split Type:

Write-up: Optic neuritis-hospitalized for 5 day course of prednisone. Onset 5/13. Hospitalized 5/18/07 (headache, eye pain, papilledema) (color blind and visually severly impaired) 7/18/07-records received from facility for DOS 5/19-5/24/07- DC DX: Optic neuritis. One week piror to admission developed pain and vision loss in left eye accompanied by headache. Seen by ophthalmologist who diagnosed disk edema and afferent pupillary defect on left side. Fatigue for 2 months since about the time she received her tetanus and HPV vaccines. No diplopia. No viual changes in right eye. PE: Pain on left eye with ocular movements. Tender globe in periorbital region on left side, afferent pupillary defect on left.


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