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This is VAERS ID 281051

Case Details

VAERS ID: 281051 (history)  
Age: 13.0  
Gender: Female  
Location: New York  
Vaccinated:2007-04-04
Onset:2007-06-03
   Days after vaccination:60
Submitted: 2007-06-08
   Days after onset:5
Entered: 2007-06-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1426F / 0 LA / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U2158AA / 0 RA / IM

Administered by: Unknown       Purchased by: Unknown
Symptoms: Borrelia burgdorferi serology, Facial palsy, Thyroid function test normal
SMQs:, Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Hearing impairment (broad)

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: None
Diagnostic Lab Data: Lyme titers sent and pending. Thyroid function within normal limits.
CDC Split Type:

Write-up: 2 months following vaccine administration patient developed Bell''s Palsy. Treated with Valtrex and prednisone. 7/26/07 Received call from pcp w/additional patient information. States Lyme test initially reported as neg has now been determined to be positive. Feels Bells palsy secondary to Lymes disease & not related to vaccine. 8/31/07 Reviewed pcp medical records which included vax records & corrected vax info. VAERS database updated w/same. Office note of 4/4/07 reveals patient healthy on day of vax, only concern was acne. Returned on 6/7/07 w/left side facial weakness x 4 days. Unable to lift left eyebrow or close left eye. Unable to smile on left side. Tx w/antiviral & prednisone, eye drops & eye patch at night. Returned 6/26/07. Lyme titers had returned (+). Facial numbness & weakness had improved. Smile remained slightly asymmetrical but able to lift eyebrow & squeeze eyes shut. Tx w/antibiotics & received 2nd dose Gardisil. Returned 7/24/07. Had completed meds & symptoms had improved & smile now symmetrical. FINAL DX: Bell''s Palsy secondary to Lyme''s disease.


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