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This is VAERS ID 283893

Case Details

VAERS ID: 283893 (history)  
Age: 18.0  
Gender: Female  
Location: North Carolina  
Vaccinated:2007-06-14
Onset:2007-06-15
   Days after vaccination:1
Submitted: 2007-07-05
   Days after onset:20
Entered: 2007-07-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0387U / 2 RA / IM

Administered by: Unknown       Purchased by: Unknown
Symptoms: Asthenia, Electromyogram abnormal, Facial palsy, Fatigue, Gait disturbance, Headache, Heart rate increased, Muscular weakness, Myalgia
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Eosinophilic pneumonia (broad), Hearing impairment (broad), Tendinopathies and ligament disorders (broad), Hypoglycaemia (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Cymbalta
Current Illness: none
Preexisting Conditions: none 8/21/07-records received-Secondary DX: HX of complex regional pain syndrome. HX of herpes zoster at age 10. Obsessive-compulsive disorder and mild depression. Status post removal of osteoma of right great toe.HX of chronic pain syndrome affecting chest and was treated with physical therapy last year.
Diagnostic Lab Data: EMS, 1 abnormal nerve response in right leg. 8/21/07-records received-MRI no intracranial abnormality.NCV essentially normal except for slight prolongation of right peroneal nerve.
CDC Split Type:

Write-up: Guillain-Barre Syndrome. Within 24 hours of receiving HPV shot, patient experienced headache and extreme fatigue and weakness. Muscle weakness began in legs and progressed to arms, head and neck. Tingling in hands and feet. Intense muscle pain in thighs, hips, and arms. By ninth day, patient''s facial muscles were drooping, experiencing rapid heartbeat and dragging right foot when trying to walk. By end of week 2 muscle function had returned and patient was recovering. Extreme fatigue still remains. 7/10/07-records received-Seen in PCP office with 3 day C/O fatigue and bilateral leg pain. Tingling sensation in feet when she stands. Walks normally. Headache comes and goes. No numbness or tingling in hands. PE: sensation intact on both feet. Assessment:fatigue, leg pain and numbness in feet. At mom''s request referred to neurologist for evaluation of Gullain Barre syndrome. 8/21/07-records received from facility for DOS 7/25-7/26/07 DC DX: Guillain-Barre syndrome. Symptoms began approximately 5 weeks ago after receiving 3rd HPV vaccine. Began to experience generalized fatigue. Progressed to numbness and tingling sensations at tips of fingers and toes and progressed proximally. Low back pain and hip pain. Symptoms after 2 weeks began to improve and she went on a trip. Returned with profound fatigue and worsening paresthesias on her feet. Treated with IVIG. 2/26/08-After follow up with the patient''s neurologist, the condition was found to not be GBS.


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