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This is VAERS ID 288024

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 288024
VAERS Form:
Age:
Sex:Female
Location:Massachusetts
Vaccinated:2007-02-15
Onset:2007-05-09
Submitted:2007-08-13
Entered:2007-08-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0868F / - UN / IM

Administered by: Other      Purchased by: Unknown
Symptoms: Muscular weakness, Myelitis transverse, Paraesthesia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 5     Extended hospital stay? Yes
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type':

Write-up: Information has been received from a physician concerning a female who on 15-FEB-2007 was vaccinated IM with a 0.5 ml dose of Gardasil (lot # 653736/0868F). On 09-MAY-2007 the patient developed weakness and paresthesia of the upper and lower extremities."The patient was hospitalized from 09-MAY-2007 to 14-MAY-2007. The diagnosis was determined to be transverse myelitis. Details of the hospitalization and treatment were not available. The physician reported that the patient had required additional hospital


Changed on 12/8/2009

VAERS ID: 288024 Before After
VAERS Form:
Age:(blank) 19.0
Sex:Female
Location:Massachusetts
Vaccinated:2007-02-15
Onset:2007-05-09
Submitted:2007-08-13
Entered:2007-08-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0868F / - 0 UN / IM

Administered by: Other      Purchased by: Unknown Other
Symptoms: Antinuclear antibody negative, Blood amylase increased, Blood culture negative, Computerised tomogram abnormal, Convulsion, CSF glucose normal, CSF lymphocyte count increased, CSF protein normal, Electroencephalogram normal, Hypoaesthesia, Lipase increased, Muscle spasms, Muscular weakness, Myelitis transverse, Nuclear magnetic resonance imaging abnormal, Nuclear magnetic resonance imaging brain abnormal, Paraesthesia, Sensory loss, White blood cell count increased, Rheumatoid factor negative, Red blood cell sedimentation rate normal, Abasia, Neutrophil percentage increased, Lymphocyte percentage decreased, CSF monocyte count decreased, CSF white blood cell count increased, Laboratory test normal, Neurological examination abnormal, Scan brain, CSF immunoglobulin increased

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 5 8     Extended hospital stay? Yes
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown 10/3/08-PMH: asthma, URI 3-4 weeks prior to admit, tonsillitis, smoker. Family hx DM.
Allergies:
Diagnostic Lab Data: Unknown 8/29/08-information received-MRI of brain suggested MS. MRI was consistent with TM at cervical level, and was found to have elevated lipase and amylase. 10/3/08-records recived-LABS: WBC 14.1(H), neutros 92%(H), lymphs 5(L). ESR
CDC 'Split Type': (blank) WAES0708USA00964

Write-up: Information ved-Information has been received from a physician concerning a female who on 15-FEB-2007 was vaccinated IM with a 0.5 ml dose of Gardasil (lot # 653736/0868F). On 09-MAY-2007 the patient developed weakness and paresthesia of the upper and lower extremities."The extremities. The patient was hospitalized from 09-MAY-2007 to 14-MAY-2007. The diagnosis was determined to be transverse myelitis. Details of the hospitalization and treatment were not available. The physician reported that the patient had required additional hospitalization but the details were not available. At the time of the report, the patient''s transverse myelitis persisted. Additional information has been requested. 8/29/08-from CDC-19 y/o female who received the vaccine on 2/15/07, chart indicates she refused second dose because of symptoms after first dose (although not clear), on 5/17/07 she was admitted for leg weakness/numbness. The working diagnosis was TM although occasional back spasms had them consider seizure disorder as well. She experienced her nadir of no sensation to chest level and inability to walk. At one point ONM was also considered though unclear. After which she also developed seizure disorder. Final dx (thusfar): TM and MS*. She seemed to have improved in general. 10/3/08 Reviewed hospital medical records of 5/9-5/14/2007. FINAL DX: transverse myelitis w/left sided weakness (neuro suggested Devic''s disease/neuromyelitis optica); back arching spasms; questionable seizure disorder Records reveal patient experienced left side weakness & paresthesias x 1 day. Neuro consult done & exam abnormal. Tx w/high dose steroids x 5 days w/o improvement. Transferred to higher level of care. 10/15/08-records received for DOS 5/14-5/17/08-DC DX:transverse myelitis. One week of progressive left-sided weakness and numbness. Left sided weakness.


Changed on 1/5/2010

VAERS ID: 288024 Before After
VAERS Form:
Age:19.0
Sex:Female
Location:Massachusetts
Vaccinated:2007-02-15
Onset:2007-05-09
Submitted:2007-08-13
Entered:2007-08-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0868F / 0 UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Antinuclear antibody negative, Blood amylase increased, Blood culture negative, Computerised tomogram abnormal, Convulsion, CSF glucose normal, CSF lymphocyte count increased, CSF protein normal, Electroencephalogram normal, Hypoaesthesia, Lipase increased, Muscle spasms, Muscular weakness, Myelitis transverse, Nuclear magnetic resonance imaging abnormal, Nuclear magnetic resonance imaging brain abnormal, Paraesthesia, Sensory loss, White blood cell count increased, Rheumatoid factor negative, Red blood cell sedimentation rate normal, Abasia, Neutrophil percentage increased, Lymphocyte percentage decreased, CSF monocyte count decreased, CSF white blood cell count increased, Laboratory test normal, Neurological examination abnormal, Scan brain, CSF immunoglobulin increased

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 8     Extended hospital stay? Yes
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown 10/3/08-PMH: asthma, URI 3-4 weeks prior to admit, tonsillitis, smoker. Family hx DM.
Allergies:
Diagnostic Lab Data: Unknown 8/29/08-information received-MRI of brain suggested MS. MRI was consistent with TM at cervical level, and was found to have elevated lipase and amylase. 10/3/08-records recived-LABS: WBC 14.1(H), neutros 92%(H), lymphs 5(L). ESR
CDC 'Split Type': WAES0708USA00964

Write-up: ved-Information has been received from a physician concerning a female who on 15-FEB-2007 was vaccinated IM with a 0.5 ml dose of Gardasil (lot # 653736/0868F). On 09-MAY-2007 the patient developed weakness and paresthesia of the upper and lower extremities. The patient was hospitalized from 09-MAY-2007 to 14-MAY-2007. The diagnosis was determined to be transverse myelitis. Details of the hospitalization and treatment were not available. The physician reported that the patient had required additional hospitalization but the details were not available. At the time of the report, the patient''s transverse myelitis persisted. Additional information has been requested. 8/29/08-from CDC-19 y/o female who received the vaccine on 2/15/07, chart indicates she refused second dose because of symptoms after first dose (although not clear), on 5/17/07 she was admitted for leg weakness/numbness. The working diagnosis was TM although occasional back spasms had them consider seizure disorder as well. She experienced her nadir of no sensation to chest level and inability to walk. At one point ONM was also considered though unclear. After which she also developed seizure disorder. Final dx (thusfar): TM and MS*. She seemed to have improved in general. 10/3/08 Reviewed hospital medical records of 5/9-5/14/2007. FINAL DX: transverse myelitis w/left sided weakness (neuro suggested Devic''s disease/neuromyelitis optica); back arching spasms; questionable seizure disorder Records reveal patient experienced left side weakness & paresthesias x 1 day. Neuro consult done & exam abnormal. Tx w/high dose steroids x 5 days w/o improvement. Transferred to higher level of care. 10/15/08-records received for DOS 5/14-5/17/08-DC DX:transverse myelitis. One week of progressive left-sided weakness and numbness. Left sided weakness.


Changed on 1/4/2011

VAERS ID: 288024 Before After
VAERS Form:
Age:19.0
Sex:Female
Location:Massachusetts
Vaccinated:2007-02-15
Onset:2007-05-09
Submitted:2007-08-13
Entered:2007-08-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0868F / 0 UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Muscular weakness, Myelitis transverse, Paraesthesia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 8     Extended hospital stay? Yes
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown 10/3/08-PMH: asthma, URI 3-4 weeks prior to admit, tonsillitis, smoker. Family hx DM.
Allergies:
Diagnostic Lab Data: Unknown 8/29/08-information received-MRI of brain suggested MS. MRI was consistent with TM at cervical level, and was found to have elevated lipase and amylase. 10/3/08-records recived-LABS: WBC 14.1(H), neutros 92%(H), lymphs 5(L). ESR 15. Chemistry WNL. Lipase 130(H), amylase 125(H). Brain CT & MRI abnormal. Cervical & thoracic MRI abnormal. CSF: WBC 18(H), 97% lymphs(H), 3% monos(L), glucose 62(N), protein 45(N), IgG 1.29(H). ANA & RF (-). EEG WNL. Blood c/s neg.
CDC 'Split Type': WAES0708USA00964

Write-up: ved-Information has been received from a physician concerning a female who on 15-FEB-2007 was vaccinated IM with a 0.5 ml dose of Gardasil (lot # 653736/0868F). On 09-MAY-2007 the patient developed weakness and paresthesia of the upper and lower extremities. The patient was hospitalized from 09-MAY-2007 to 14-MAY-2007. The diagnosis was determined to be transverse myelitis. Details of the hospitalization and treatment were not available. The physician reported that the patient had required additional hospitalization but the details were not available. At the time of the report, the patient''s transverse myelitis persisted. Additional information has been requested. 8/29/08-from CDC-19 y/o female who received the vaccine on 2/15/07, chart indicates she refused second dose because of symptoms after first dose (although not clear), on 5/17/07 she was admitted for leg weakness/numbness. The working diagnosis was TM although occasional back spasms had them consider seizure disorder as well. She experienced her nadir of no sensation to chest level and inability to walk. At one point ONM was also considered though unclear. After which she also developed seizure disorder. Final dx (thusfar): TM and MS*. She seemed to have improved in general. 10/3/08 Reviewed hospital medical records of 5/9-5/14/2007. FINAL DX: transverse myelitis w/left sided weakness (neuro suggested Devic''s disease/neuromyelitis optica); back arching spasms; questionable seizure disorder Records reveal patient experienced left side weakness & paresthesias x 1 day. Neuro consult done & exam abnormal. Tx w/high dose steroids x 5 days w/o improvement. Transferred to higher level of care. 10/15/08-records received for DOS 5/14-5/17/08-DC DX:transverse myelitis. One week of progressive left-sided weakness and numbness. Left sided weakness.


Changed on 4/13/2011

VAERS ID: 288024 Before After
VAERS Form:
Age:19.0
Sex:Female
Location:Massachusetts
Vaccinated:2007-02-15
Onset:2007-05-09
Submitted:2007-08-13
Entered:2007-08-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0868F / 0 UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Antinuclear antibody negative, Blood amylase increased, Blood culture negative, Computerised tomogram abnormal, Convulsion, CSF glucose normal, CSF lymphocyte count increased, CSF protein normal, Electroencephalogram normal, Hypoaesthesia, Lipase increased, Muscle spasms, Muscular weakness, Myelitis transverse, Nuclear magnetic resonance imaging abnormal, Nuclear magnetic resonance imaging brain abnormal, Paraesthesia, Sensory loss, White blood cell count increased, Rheumatoid factor negative, Red blood cell sedimentation rate normal, Abasia, Neutrophil percentage increased, Lymphocyte percentage decreased, CSF monocyte count decreased, CSF white blood cell count increased, Laboratory test normal, Neurological examination abnormal, Scan brain, CSF immunoglobulin increased

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 8     Extended hospital stay? Yes
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown 10/3/08-PMH: asthma, URI 3-4 weeks prior to admit, tonsillitis, smoker. Family hx DM.
Allergies:
Diagnostic Lab Data: Unknown 8/29/08-information received-MRI of brain suggested MS. MRI was consistent with TM at cervical level, and was found to have elevated lipase and amylase. 10/3/08-records recived-LABS: WBC 14.1(H), neutros 92%(H), lymphs 5(L). ESR 15. Chemistry WNL. Lipase 130(H), amylase 125(H). Brain CT & MRI abnormal. Cervical & thoracic MRI abnormal. CSF: WBC 18(H), 97% lymphs(H), 3% monos(L), glucose 62(N), protein 45(N), IgG 1.29(H). ANA & RF (-). EEG WNL. Blood c/s neg.
CDC 'Split Type': WAES0708USA00964

Write-up: ved-Information has been received from a physician concerning a female who on 15-FEB-2007 was vaccinated IM with a 0.5 ml dose of Gardasil (lot # 653736/0868F). On 09-MAY-2007 the patient developed weakness and paresthesia of the upper and lower extremities. The patient was hospitalized from 09-MAY-2007 to 14-MAY-2007. The diagnosis was determined to be transverse myelitis. Details of the hospitalization and treatment were not available. The physician reported that the patient had required additional hospitalization but the details were not available. At the time of the report, the patient''s transverse myelitis persisted. Additional information has been requested. 8/29/08-from CDC-19 y/o female who received the vaccine on 2/15/07, chart indicates she refused second dose because of symptoms after first dose (although not clear), on 5/17/07 she was admitted for leg weakness/numbness. The working diagnosis was TM although occasional back spasms had them consider seizure disorder as well. She experienced her nadir of no sensation to chest level and inability to walk. At one point ONM was also considered though unclear. After which she also developed seizure disorder. Final dx (thusfar): TM and MS*. She seemed to have improved in general. 10/3/08 Reviewed hospital medical records of 5/9-5/14/2007. FINAL DX: transverse myelitis w/left sided weakness (neuro suggested Devic''s disease/neuromyelitis optica); back arching spasms; questionable seizure disorder Records reveal patient experienced left side weakness & paresthesias x 1 day. Neuro consult done & exam abnormal. Tx w/high dose steroids x 5 days w/o improvement. Transferred to higher level of care. 10/15/08-records received for DOS 5/14-5/17/08-DC DX:transverse myelitis. One week of progressive left-sided weakness and numbness. Left sided weakness.


Changed on 5/13/2011

VAERS ID: 288024 Before After
VAERS Form:
Age:19.0
Sex:Female
Location:Massachusetts
Vaccinated:2007-02-15
Onset:2007-05-09
Submitted:2007-08-13
Entered:2007-08-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0868F / 0 UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Antinuclear antibody negative, Blood amylase increased, Blood culture negative, Computerised tomogram abnormal, Convulsion, CSF glucose normal, CSF lymphocyte count increased, CSF protein normal, Electroencephalogram normal, Hypoaesthesia, Lipase increased, Muscle spasms, Muscular weakness, Myelitis transverse, Nuclear magnetic resonance imaging abnormal, Nuclear magnetic resonance imaging brain abnormal, Paraesthesia, Sensory loss, White blood cell count increased, Rheumatoid factor negative, Red blood cell sedimentation rate normal, Abasia, Neutrophil percentage increased, Lymphocyte percentage decreased, CSF monocyte count decreased, CSF white blood cell count increased, Laboratory test normal, Neurological examination abnormal, Scan brain, CSF immunoglobulin increased

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 8     Extended hospital stay? Yes
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown 10/3/08-PMH: asthma, URI 3-4 weeks prior to admit, tonsillitis, smoker. Family hx DM.
Allergies:
Diagnostic Lab Data: Unknown 8/29/08-information received-MRI of brain suggested MS. MRI was consistent with TM at cervical level, and was found to have elevated lipase and amylase. 10/3/08-records recived-LABS: WBC 14.1(H), neutros 92%(H), lymphs 5(L). ESR 15. Chemistry WNL. Lipase 130(H), amylase 125(H). Brain CT & MRI abnormal. Cervical & thoracic MRI abnormal. CSF: WBC 18(H), 97% lymphs(H), 3% monos(L), glucose 62(N), protein 45(N), IgG 1.29(H). ANA & RF (-). EEG WNL. Blood c/s neg.
CDC 'Split Type': WAES0708USA00964

Write-up: ved-Information has been received from a physician concerning a female who on 15-FEB-2007 was vaccinated IM with a 0.5 ml dose of Gardasil (lot # 653736/0868F). On 09-MAY-2007 the patient developed weakness and paresthesia of the upper and lower extremities. The patient was hospitalized from 09-MAY-2007 to 14-MAY-2007. The diagnosis was determined to be transverse myelitis. Details of the hospitalization and treatment were not available. The physician reported that the patient had required additional hospitalization but the details were not available. At the time of the report, the patient''s transverse myelitis persisted. Additional information has been requested. 8/29/08-from CDC-19 y/o female who received the vaccine on 2/15/07, chart indicates she refused second dose because of symptoms after first dose (although not clear), on 5/17/07 she was admitted for leg weakness/numbness. The working diagnosis was TM although occasional back spasms had them consider seizure disorder as well. She experienced her nadir of no sensation to chest level and inability to walk. At one point ONM was also considered though unclear. After which she also developed seizure disorder. Final dx (thusfar): TM and MS*. She seemed to have improved in general. 10/3/08 Reviewed hospital medical records of 5/9-5/14/2007. FINAL DX: transverse myelitis w/left sided weakness (neuro suggested Devic''s disease/neuromyelitis optica); back arching spasms; questionable seizure disorder Records reveal patient experienced left side weakness & paresthesias x 1 day. Neuro consult done & exam abnormal. Tx w/high dose steroids x 5 days w/o improvement. Transferred to higher level of care. 10/15/08-records received for DOS 5/14-5/17/08-DC DX:transverse myelitis. One week of progressive left-sided weakness and numbness. Left sided weakness.


Changed on 6/11/2011

VAERS ID: 288024 Before After
VAERS Form:
Age:19.0
Sex:Female
Location:Massachusetts
Vaccinated:2007-02-15
Onset:2007-05-09
Submitted:2007-08-13
Entered:2007-08-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0868F / 0 UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Antinuclear antibody negative, Blood amylase increased, Blood culture negative, Computerised tomogram abnormal, Convulsion, CSF glucose normal, CSF lymphocyte count increased, CSF protein normal, Electroencephalogram normal, Hypoaesthesia, Lipase increased, Muscle spasms, Muscular weakness, Myelitis transverse, Nuclear magnetic resonance imaging abnormal, Nuclear magnetic resonance imaging brain abnormal, Paraesthesia, Sensory loss, White blood cell count increased, Rheumatoid factor negative, Red blood cell sedimentation rate normal, Abasia, Neutrophil percentage increased, Lymphocyte percentage decreased, CSF monocyte count decreased, CSF white blood cell count increased, Laboratory test normal, Neurological examination abnormal, Scan brain, CSF immunoglobulin increased

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 8     Extended hospital stay? Yes
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown 10/3/08-PMH: asthma, URI 3-4 weeks prior to admit, tonsillitis, smoker. Family hx DM.
Allergies:
Diagnostic Lab Data: Unknown 8/29/08-information received-MRI of brain suggested MS. MRI was consistent with TM at cervical level, and was found to have elevated lipase and amylase. 10/3/08-records recived-LABS: WBC 14.1(H), neutros 92%(H), lymphs 5(L). ESR 15. Chemistry WNL. Lipase 130(H), amylase 125(H). Brain CT & MRI abnormal. Cervical & thoracic MRI abnormal. CSF: WBC 18(H), 97% lymphs(H), 3% monos(L), glucose 62(N), protein 45(N), IgG 1.29(H). ANA & RF (-). EEG WNL. Blood c/s neg.
CDC 'Split Type': WAES0708USA00964

Write-up: ved-Information has been received from a physician concerning a female who on 15-FEB-2007 was vaccinated IM with a 0.5 ml dose of Gardasil (lot # 653736/0868F). On 09-MAY-2007 the patient developed weakness and paresthesia of the upper and lower extremities. The patient was hospitalized from 09-MAY-2007 to 14-MAY-2007. The diagnosis was determined to be transverse myelitis. Details of the hospitalization and treatment were not available. The physician reported that the patient had required additional hospitalization but the details were not available. At the time of the report, the patient''s transverse myelitis persisted. Additional information has been requested. 8/29/08-from CDC-19 y/o female who received the vaccine on 2/15/07, chart indicates she refused second dose because of symptoms after first dose (although not clear), on 5/17/07 she was admitted for leg weakness/numbness. The working diagnosis was TM although occasional back spasms had them consider seizure disorder as well. She experienced her nadir of no sensation to chest level and inability to walk. At one point ONM was also considered though unclear. After which she also developed seizure disorder. Final dx (thusfar): TM and MS*. She seemed to have improved in general. 10/3/08 Reviewed hospital medical records of 5/9-5/14/2007. FINAL DX: transverse myelitis w/left sided weakness (neuro suggested Devic''s disease/neuromyelitis optica); back arching spasms; questionable seizure disorder Records reveal patient experienced left side weakness & paresthesias x 1 day. Neuro consult done & exam abnormal. Tx w/high dose steroids x 5 days w/o improvement. Transferred to higher level of care. 10/15/08-records received for DOS 5/14-5/17/08-DC DX:transverse myelitis. One week of progressive left-sided weakness and numbness. Left sided weakness.


Changed on 6/14/2014

VAERS ID: 288024 Before After
VAERS Form:
Age:19.0
Sex:Female
Location:Massachusetts
Vaccinated:2007-02-15
Onset:2007-05-09
Submitted:2007-08-13
Entered:2007-08-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0868F / 0 UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Antinuclear antibody negative, Blood amylase increased, Blood culture negative, Computerised tomogram abnormal, Convulsion, CSF glucose normal, CSF lymphocyte count increased, CSF protein normal, Electroencephalogram normal, Hypoaesthesia, Lipase increased, Muscle spasms, Muscular weakness, Myelitis transverse, Nuclear magnetic resonance imaging abnormal, Nuclear magnetic resonance imaging brain abnormal, Paraesthesia, Sensory loss, White blood cell count increased, Rheumatoid factor negative, Red blood cell sedimentation rate normal, Abasia, Neutrophil percentage increased, Lymphocyte percentage decreased, CSF monocyte count decreased, CSF white blood cell count increased, Laboratory test normal, Neurological examination abnormal, Scan brain, CSF immunoglobulin increased

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 8     Extended hospital stay? Yes
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown 10/3/08-PMH: asthma, URI 3-4 weeks prior to admit, tonsillitis, smoker. Family hx DM.
Allergies:
Diagnostic Lab Data: Unknown 8/29/08-information received-MRI of brain suggested MS. MRI was consistent with TM at cervical level, and was found to have elevated lipase and amylase. 10/3/08-records recived-LABS: WBC 14.1(H), neutros 92%(H), lymphs 5(L). ESR 15. Chemistry WNL. Lipase 130(H), amylase 125(H). Brain CT & MRI abnormal. Cervical & thoracic MRI abnormal. CSF: WBC 18(H), 97% lymphs(H), 3% monos(L), glucose 62(N), protein 45(N), IgG 1.29(H). ANA & RF (-). EEG WNL. Blood c/s neg.
CDC 'Split Type': WAES0708USA00964

Write-up: ved-Information has been received from a physician concerning a female who on 15-FEB-2007 was vaccinated IM with a 0.5 ml dose of Gardasil (lot # 653736/0868F). On 09-MAY-2007 the patient developed weakness and paresthesia of the upper and lower extremities. The patient was hospitalized from 09-MAY-2007 to 14-MAY-2007. The diagnosis was determined to be transverse myelitis. Details of the hospitalization and treatment were not available. The physician reported that the patient had required additional hospitalization but the details were not available. At the time of the report, the patient''s transverse myelitis persisted. Additional information has been requested. 8/29/08-from CDC-19 y/o female who received the vaccine on 2/15/07, chart indicates she refused second dose because of symptoms after first dose (although not clear), on 5/17/07 she was admitted for leg weakness/numbness. The working diagnosis was TM although occasional back spasms had them consider seizure disorder as well. She experienced her nadir of no sensation to chest level and inability to walk. At one point ONM was also considered though unclear. After which she also developed seizure disorder. Final dx (thusfar): TM and MS*. She seemed to have improved in general. 10/3/08 Reviewed hospital medical records of 5/9-5/14/2007. FINAL DX: transverse myelitis w/left sided weakness (neuro suggested Devic''s disease/neuromyelitis optica); back arching spasms; questionable seizure disorder Records reveal patient experienced left side weakness & paresthesias x 1 day. Neuro consult done & exam abnormal. Tx w/high dose steroids x 5 days w/o improvement. Transferred to higher level of care. 10/15/08-records received for DOS 5/14-5/17/08-DC DX:transverse myelitis. One week of progressive left-sided weakness and numbness. Left sided weakness.


Changed on 5/14/2017

VAERS ID: 288024 Before After
VAERS Form:
Age:19.0
Sex:Female
Location:Massachusetts
Vaccinated:2007-02-15
Onset:2007-05-09
Submitted:2007-08-13
Entered:2007-08-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0868F / 0 UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Antinuclear antibody negative, Blood amylase increased, Blood culture negative, Computerised tomogram abnormal, Convulsion, CSF glucose normal, CSF lymphocyte count increased, CSF protein normal, Electroencephalogram normal, Hypoaesthesia, Lipase increased, Muscle spasms, Muscular weakness, Myelitis transverse, Nuclear magnetic resonance imaging abnormal, Nuclear magnetic resonance imaging brain abnormal, Paraesthesia, Sensory loss, White blood cell count increased, Rheumatoid factor negative, Red blood cell sedimentation rate normal, Abasia, Neutrophil percentage increased, Lymphocyte percentage decreased, CSF monocyte count decreased, CSF white blood cell count increased, Laboratory test normal, Neurological examination abnormal, Scan brain, CSF immunoglobulin increased

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 8     Extended hospital stay? Yes
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown 10/3/08-PMH: asthma, URI 3-4 weeks prior to admit, tonsillitis, smoker. Family hx DM.
Allergies:
Diagnostic Lab Data: Unknown 8/29/08-information received-MRI of brain suggested MS. MRI was consistent with TM at cervical level, and was found to have elevated lipase and amylase. 10/3/08-records recived-LABS: WBC 14.1(H), neutros 92%(H), lymphs 5(L). ESR 15. Chemistry WNL. Lipase 130(H), amylase 125(H). Brain CT & MRI abnormal. Cervical & thoracic MRI abnormal. CSF: WBC 18(H), 97% lymphs(H), 3% monos(L), glucose 62(N), protein 45(N), IgG 1.29(H). ANA & RF (-). EEG WNL. Blood c/s neg.
CDC 'Split Type': WAES0708USA00964

Write-up: ved-Information has been received from a physician concerning a female who on 15-FEB-2007 was vaccinated IM with a 0.5 ml dose of Gardasil (lot # 653736/0868F). On 09-MAY-2007 the patient developed weakness and paresthesia of the upper and lower extremities. The patient was hospitalized from 09-MAY-2007 to 14-MAY-2007. The diagnosis was determined to be transverse myelitis. Details of the hospitalization and treatment were not available. The physician reported that the patient had required additional hospitalization but the details were not available. At the time of the report, the patient''s transverse myelitis persisted. Additional information has been requested. 8/29/08-from CDC-19 y/o female who received the vaccine on 2/15/07, chart indicates she refused second dose because of symptoms after first dose (although not clear), on 5/17/07 she was admitted for leg weakness/numbness. The working diagnosis was TM although occasional back spasms had them consider seizure disorder as well. She experienced her nadir of no sensation to chest level and inability to walk. At one point ONM was also considered though unclear. After which she also developed seizure disorder. Final dx (thusfar): TM and MS*. She seemed to have improved in general. 10/3/08 Reviewed hospital medical records of 5/9-5/14/2007. FINAL DX: transverse myelitis w/left sided weakness (neuro suggested Devic''s disease/neuromyelitis optica); back arching spasms; questionable seizure disorder Records reveal patient experienced left side weakness & paresthesias x 1 day. Neuro consult done & exam abnormal. Tx w/high dose steroids x 5 days w/o improvement. Transferred to higher level of care. 10/15/08-records received for DOS 5/14-5/17/08-DC DX:transverse myelitis. One week of progressive left-sided weakness and numbness. Left sided weakness.


Changed on 9/14/2017

VAERS ID: 288024 Before After
VAERS Form:(blank) 1
Age:19.0
Sex:Female
Location:Massachusetts
Vaccinated:2007-02-15
Onset:2007-05-09
Submitted:2007-08-13
Entered:2007-08-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0868F / 0 1 UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Muscular weakness, Myelitis transverse, Paraesthesia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 8     Extended hospital stay? Yes
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown 10/3/08-PMH: asthma, URI 3-4 weeks prior to admit, tonsillitis, smoker. Family hx DM.
Allergies:
Diagnostic Lab Data: Unknown 8/29/08-information received-MRI of brain suggested MS. MRI was consistent with TM at cervical level, and was found to have elevated lipase and amylase. 10/3/08-records recived-LABS: WBC 14.1(H), neutros 92%(H), lymphs 5(L). ESR 15. Chemistry WNL. Lipase 130(H), amylase 125(H). Brain CT & MRI abnormal. Cervical & thoracic MRI abnormal. CSF: WBC 18(H), 97% lymphs(H), 3% monos(L), glucose 62(N), protein 45(N), IgG 1.29(H). ANA & RF (-). EEG WNL. Blood c/s neg.
CDC 'Split Type': WAES0708USA00964

Write-up: ved-Information has been received from a physician concerning a female who on 15-FEB-2007 was vaccinated IM with a 0.5 ml dose of Gardasil (lot # 653736/0868F). On 09-MAY-2007 the patient developed weakness and paresthesia of the upper and lower extremities. The patient was hospitalized from 09-MAY-2007 to 14-MAY-2007. The diagnosis was determined to be transverse myelitis. Details of the hospitalization and treatment were not available. The physician reported that the patient had required additional hospitalization but the details were not available. At the time of the report, the patient''s transverse myelitis persisted. Additional information has been requested. 8/29/08-from CDC-19 y/o female who received the vaccine on 2/15/07, chart indicates she refused second dose because of symptoms after first dose (although not clear), on 5/17/07 she was admitted for leg weakness/numbness. The working diagnosis was TM although occasional back spasms had them consider seizure disorder as well. She experienced her nadir of no sensation to chest level and inability to walk. At one point ONM was also considered though unclear. After which she also developed seizure disorder. Final dx (thusfar): TM and MS*. She seemed to have improved in general. 10/3/08 Reviewed hospital medical records of 5/9-5/14/2007. FINAL DX: transverse myelitis w/left sided weakness (neuro suggested Devic''s disease/neuromyelitis optica); back arching spasms; questionable seizure disorder Records reveal patient experienced left side weakness & paresthesias x 1 day. Neuro consult done & exam abnormal. Tx w/high dose steroids x 5 days w/o improvement. Transferred to higher level of care. 10/15/08-records received for DOS 5/14-5/17/08-DC DX:transverse myelitis. One week of progressive left-sided weakness and numbness. Left sided weakness.


Changed on 2/14/2018

VAERS ID: 288024 Before After
VAERS Form:1
Age:19.0
Sex:Female
Location:Massachusetts
Vaccinated:2007-02-15
Onset:2007-05-09
Submitted:2007-08-13
Entered:2007-08-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0868F / 1 UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Muscular weakness, Myelitis transverse, Paraesthesia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 8     Extended hospital stay? Yes
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown 10/3/08-PMH: asthma, URI 3-4 weeks prior to admit, tonsillitis, smoker. Family hx DM.
Allergies:
Diagnostic Lab Data: Unknown 8/29/08-information received-MRI of brain suggested MS. MRI was consistent with TM at cervical level, and was found to have elevated lipase and amylase. 10/3/08-records recived-LABS: WBC 14.1(H), neutros 92%(H), lymphs 5(L). ESR 15. Chemistry WNL. Lipase 130(H), amylase 125(H). Brain CT & MRI abnormal. Cervical & thoracic MRI abnormal. CSF: WBC 18(H), 97% lymphs(H), 3% monos(L), glucose 62(N), protein 45(N), IgG 1.29(H). ANA & RF (-). EEG WNL. Blood c/s neg.
CDC 'Split Type': WAES0708USA00964

Write-up: ved-Information has been received from a physician concerning a female who on 15-FEB-2007 was vaccinated IM with a 0.5 ml dose of Gardasil (lot # 653736/0868F). On 09-MAY-2007 the patient developed weakness and paresthesia of the upper and lower extremities. The patient was hospitalized from 09-MAY-2007 to 14-MAY-2007. The diagnosis was determined to be transverse myelitis. Details of the hospitalization and treatment were not available. The physician reported that the patient had required additional hospitalization but the details were not available. At the time of the report, the patient''s transverse myelitis persisted. Additional information has been requested. 8/29/08-from CDC-19 y/o female who received the vaccine on 2/15/07, chart indicates she refused second dose because of symptoms after first dose (although not clear), on 5/17/07 she was admitted for leg weakness/numbness. The working diagnosis was TM although occasional back spasms had them consider seizure disorder as well. She experienced her nadir of no sensation to chest level and inability to walk. At one point ONM was also considered though unclear. After which she also developed seizure disorder. Final dx (thusfar): TM and MS*. She seemed to have improved in general. 10/3/08 Reviewed hospital medical records of 5/9-5/14/2007. FINAL DX: transverse myelitis w/left sided weakness (neuro suggested Devic''s disease/neuromyelitis optica); back arching spasms; questionable seizure disorder Records reveal patient experienced left side weakness & paresthesias x 1 day. Neuro consult done & exam abnormal. Tx w/high dose steroids x 5 days w/o improvement. Transferred to higher level of care. 10/15/08-records received for DOS 5/14-5/17/08-DC DX:transverse myelitis. One week of progressive left-sided weakness and numbness. Left sided weakness.


Changed on 6/14/2018

VAERS ID: 288024 Before After
VAERS Form:1
Age:19.0
Sex:Female
Location:Massachusetts
Vaccinated:2007-02-15
Onset:2007-05-09
Submitted:2007-08-13
Entered:2007-08-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0868F / 1 UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Muscular weakness, Myelitis transverse, Paraesthesia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 8     Extended hospital stay? Yes
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown 10/3/08-PMH: asthma, URI 3-4 weeks prior to admit, tonsillitis, smoker. Family hx DM.
Allergies:
Diagnostic Lab Data: Unknown 8/29/08-information received-MRI of brain suggested MS. MRI was consistent with TM at cervical level, and was found to have elevated lipase and amylase. 10/3/08-records recived-LABS: WBC 14.1(H), neutros 92%(H), lymphs 5(L). ESR 15. Chemistry WNL. Lipase 130(H), amylase 125(H). Brain CT & MRI abnormal. Cervical & thoracic MRI abnormal. CSF: WBC 18(H), 97% lymphs(H), 3% monos(L), glucose 62(N), protein 45(N), IgG 1.29(H). ANA & RF (-). EEG WNL. Blood c/s neg.
CDC 'Split Type': WAES0708USA00964

Write-up: ved-Information has been received from a physician concerning a female who on 15-FEB-2007 was vaccinated IM with a 0.5 ml dose of Gardasil (lot # 653736/0868F). On 09-MAY-2007 the patient developed weakness and paresthesia of the upper and lower extremities. The patient was hospitalized from 09-MAY-2007 to 14-MAY-2007. The diagnosis was determined to be transverse myelitis. Details of the hospitalization and treatment were not available. The physician reported that the patient had required additional hospitalization but the details were not available. At the time of the report, the patient''s transverse myelitis persisted. Additional information has been requested. 8/29/08-from CDC-19 y/o female who received the vaccine on 2/15/07, chart indicates she refused second dose because of symptoms after first dose (although not clear), on 5/17/07 she was admitted for leg weakness/numbness. The working diagnosis was TM although occasional back spasms had them consider seizure disorder as well. She experienced her nadir of no sensation to chest level and inability to walk. At one point ONM was also considered though unclear. After which she also developed seizure disorder. Final dx (thusfar): TM and MS*. She seemed to have improved in general. 10/3/08 Reviewed hospital medical records of 5/9-5/14/2007. FINAL DX: transverse myelitis w/left sided weakness (neuro suggested Devic''s disease/neuromyelitis optica); back arching spasms; questionable seizure disorder Records reveal patient experienced left side weakness & paresthesias x 1 day. Neuro consult done & exam abnormal. Tx w/high dose steroids x 5 days w/o improvement. Transferred to higher level of care. 10/15/08-records received for DOS 5/14-5/17/08-DC DX:transverse myelitis. One week of progressive left-sided weakness and numbness. Left sided weakness.


Changed on 8/14/2018

VAERS ID: 288024 Before After
VAERS Form:1
Age:19.0
Sex:Female
Location:Massachusetts
Vaccinated:2007-02-15
Onset:2007-05-09
Submitted:2007-08-13
Entered:2007-08-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0868F / 1 UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Muscular weakness, Myelitis transverse, Paraesthesia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 8     Extended hospital stay? Yes
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown 10/3/08-PMH: asthma, URI 3-4 weeks prior to admit, tonsillitis, smoker. Family hx DM.
Allergies:
Diagnostic Lab Data: Unknown 8/29/08-information received-MRI of brain suggested MS. MRI was consistent with TM at cervical level, and was found to have elevated lipase and amylase. 10/3/08-records recived-LABS: WBC 14.1(H), neutros 92%(H), lymphs 5(L). ESR 15. Chemistry WNL. Lipase 130(H), amylase 125(H). Brain CT & MRI abnormal. Cervical & thoracic MRI abnormal. CSF: WBC 18(H), 97% lymphs(H), 3% monos(L), glucose 62(N), protein 45(N), IgG 1.29(H). ANA & RF (-). EEG WNL. Blood c/s neg.
CDC 'Split Type': WAES0708USA00964

Write-up: ved-Information has been received from a physician concerning a female who on 15-FEB-2007 was vaccinated IM with a 0.5 ml dose of Gardasil (lot # 653736/0868F). On 09-MAY-2007 the patient developed weakness and paresthesia of the upper and lower extremities. The patient was hospitalized from 09-MAY-2007 to 14-MAY-2007. The diagnosis was determined to be transverse myelitis. Details of the hospitalization and treatment were not available. The physician reported that the patient had required additional hospitalization but the details were not available. At the time of the report, the patient''s transverse myelitis persisted. Additional information has been requested. 8/29/08-from CDC-19 y/o female who received the vaccine on 2/15/07, chart indicates she refused second dose because of symptoms after first dose (although not clear), on 5/17/07 she was admitted for leg weakness/numbness. The working diagnosis was TM although occasional back spasms had them consider seizure disorder as well. She experienced her nadir of no sensation to chest level and inability to walk. At one point ONM was also considered though unclear. After which she also developed seizure disorder. Final dx (thusfar): TM and MS*. She seemed to have improved in general. 10/3/08 Reviewed hospital medical records of 5/9-5/14/2007. FINAL DX: transverse myelitis w/left sided weakness (neuro suggested Devic''s disease/neuromyelitis optica); back arching spasms; questionable seizure disorder Records reveal patient experienced left side weakness & paresthesias x 1 day. Neuro consult done & exam abnormal. Tx w/high dose steroids x 5 days w/o improvement. Transferred to higher level of care. 10/15/08-records received for DOS 5/14-5/17/08-DC DX:transverse myelitis. One week of progressive left-sided weakness and numbness. Left sided weakness.


Changed on 9/14/2018

VAERS ID: 288024 Before After
VAERS Form:1
Age:19.0
Sex:Female
Location:Massachusetts
Vaccinated:2007-02-15
Onset:2007-05-09
Submitted:2007-08-13
Entered:2007-08-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0868F / 1 UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Muscular weakness, Myelitis transverse, Paraesthesia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 8     Extended hospital stay? Yes
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown 10/3/08-PMH: asthma, URI 3-4 weeks prior to admit, tonsillitis, smoker. Family hx DM.
Allergies:
Diagnostic Lab Data: Unknown 8/29/08-information received-MRI of brain suggested MS. MRI was consistent with TM at cervical level, and was found to have elevated lipase and amylase. 10/3/08-records recived-LABS: WBC 14.1(H), neutros 92%(H), lymphs 5(L). ESR 15. Chemistry WNL. Lipase 130(H), amylase 125(H). Brain CT & MRI abnormal. Cervical & thoracic MRI abnormal. CSF: WBC 18(H), 97% lymphs(H), 3% monos(L), glucose 62(N), protein 45(N), IgG 1.29(H). ANA & RF (-). EEG WNL. Blood c/s neg.
CDC 'Split Type': WAES0708USA00964

Write-up: ved-Information has been received from a physician concerning a female who on 15-FEB-2007 was vaccinated IM with a 0.5 ml dose of Gardasil (lot # 653736/0868F). On 09-MAY-2007 the patient developed weakness and paresthesia of the upper and lower extremities. The patient was hospitalized from 09-MAY-2007 to 14-MAY-2007. The diagnosis was determined to be transverse myelitis. Details of the hospitalization and treatment were not available. The physician reported that the patient had required additional hospitalization but the details were not available. At the time of the report, the patient''s transverse myelitis persisted. Additional information has been requested. 8/29/08-from CDC-19 y/o female who received the vaccine on 2/15/07, chart indicates she refused second dose because of symptoms after first dose (although not clear), on 5/17/07 she was admitted for leg weakness/numbness. The working diagnosis was TM although occasional back spasms had them consider seizure disorder as well. She experienced her nadir of no sensation to chest level and inability to walk. At one point ONM was also considered though unclear. After which she also developed seizure disorder. Final dx (thusfar): TM and MS*. She seemed to have improved in general. 10/3/08 Reviewed hospital medical records of 5/9-5/14/2007. FINAL DX: transverse myelitis w/left sided weakness (neuro suggested Devic''s disease/neuromyelitis optica); back arching spasms; questionable seizure disorder Records reveal patient experienced left side weakness & paresthesias x 1 day. Neuro consult done & exam abnormal. Tx w/high dose steroids x 5 days w/o improvement. Transferred to higher level of care. 10/15/08-records received for DOS 5/14-5/17/08-DC DX:transverse myelitis. One week of progressive left-sided weakness and numbness. Left sided weakness.


Changed on 10/14/2018

VAERS ID: 288024 Before After
VAERS Form:1
Age:19.0
Sex:Female
Location:Massachusetts
Vaccinated:2007-02-15
Onset:2007-05-09
Submitted:2007-08-13
Entered:2007-08-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0868F / 1 UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Muscular weakness, Myelitis transverse, Paraesthesia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 8     Extended hospital stay? Yes
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown 10/3/08-PMH: asthma, URI 3-4 weeks prior to admit, tonsillitis, smoker. Family hx DM.
Allergies:
Diagnostic Lab Data: Unknown 8/29/08-information received-MRI of brain suggested MS. MRI was consistent with TM at cervical level, and was found to have elevated lipase and amylase. 10/3/08-records recived-LABS: WBC 14.1(H), neutros 92%(H), lymphs 5(L). ESR 15. Chemistry WNL. Lipase 130(H), amylase 125(H). Brain CT & MRI abnormal. Cervical & thoracic MRI abnormal. CSF: WBC 18(H), 97% lymphs(H), 3% monos(L), glucose 62(N), protein 45(N), IgG 1.29(H). ANA & RF (-). EEG WNL. Blood c/s neg.
CDC 'Split Type': WAES0708USA00964

Write-up: ved-Information has been received from a physician concerning a female who on 15-FEB-2007 was vaccinated IM with a 0.5 ml dose of Gardasil (lot # 653736/0868F). On 09-MAY-2007 the patient developed weakness and paresthesia of the upper and lower extremities. The patient was hospitalized from 09-MAY-2007 to 14-MAY-2007. The diagnosis was determined to be transverse myelitis. Details of the hospitalization and treatment were not available. The physician reported that the patient had required additional hospitalization but the details were not available. At the time of the report, the patient''s transverse myelitis persisted. Additional information has been requested. 8/29/08-from CDC-19 y/o female who received the vaccine on 2/15/07, chart indicates she refused second dose because of symptoms after first dose (although not clear), on 5/17/07 she was admitted for leg weakness/numbness. The working diagnosis was TM although occasional back spasms had them consider seizure disorder as well. She experienced her nadir of no sensation to chest level and inability to walk. At one point ONM was also considered though unclear. After which she also developed seizure disorder. Final dx (thusfar): TM and MS*. She seemed to have improved in general. 10/3/08 Reviewed hospital medical records of 5/9-5/14/2007. FINAL DX: transverse myelitis w/left sided weakness (neuro suggested Devic''s disease/neuromyelitis optica); back arching spasms; questionable seizure disorder Records reveal patient experienced left side weakness & paresthesias x 1 day. Neuro consult done & exam abnormal. Tx w/high dose steroids x 5 days w/o improvement. Transferred to higher level of care. 10/15/08-records received for DOS 5/14-5/17/08-DC DX:transverse myelitis. One week of progressive left-sided weakness and numbness. Left sided weakness.

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