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This is VAERS ID 288453

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 288453
VAERS Form:
Age:16.0
Sex:Female
Location:Connecticut
Vaccinated:2007-06-26
Onset:2007-07-09
Submitted:2007-08-17
Entered:2007-08-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0011U / 1 LA / -

Administered by: Other      Purchased by: Unknown
Symptoms: Biopsy brain, Blindness, Blindness unilateral, Blood glucose 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: 18     Extended hospital stay? No
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 16 year old female who on 24-APR-2007 was vaccinated with the first dose of Gardasil (lot # 654510/0962F). On 24-APR-2007, the patient was vaccinated with the second dose of Gardasil (lot # 65470"2/0011U). The patient sought medical attention and was hospitalized on 09-JUL-2007 after experiencing blindness in her left eye. The patient was diagnosed with multiple sclerosis while hospitalized. The physician noted the blindness had been experienced f


Changed on 12/8/2009

VAERS ID: 288453 Before After
VAERS Form:
Age:16.0
Sex:Female
Location:Connecticut
Vaccinated:2007-06-26
Onset:2007-07-09
Submitted:2007-08-17
Entered:2007-08-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0011U / 1 LA / - UN

Administered by: Other      Purchased by: Unknown Other
Symptoms: Biopsy brain, Blindness, Blindness unilateral, Blood glucose increased, Computerised tomogram abnormal, Demyelination, Electrocardiogram, Headache, Immunoglobulins, Multiple sclerosis, Nervous system disorder, Nuclear magnetic resonance imaging brain abnormal, Plasmapheresis, Pupils unequal, Spinal X-ray normal, Vision blurred, Leukoencephalomyelitis, Scan brain

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: 18     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown Family HX: diabetes, both parents & others.
Allergies:
Diagnostic Lab Data: Unknown Unknown, LABS from pcp: CT of brain revealed multiple large lesions. Biopsy of right parietal lesion revealed demyelination w/o tumor. Brain MRI s/p tx revealed improvement. Full spine MRI was WNL. LABS from hospital: blood glucose eleva
CDC 'Split Type': (blank) WAES0708USA02045

Write-up: Information has been received from a physician concerning a 16 year old female who on 24-APR-2007 was vaccinated with the first dose of Gardasil (lot # 654510/0962F). On 24-APR-2007, the patient was vaccinated with the second dose of Gardasil (lot # 65470"2/0011U). 654702/0011U). The patient sought medical attention and was hospitalized on 09-JUL-2007 after experiencing blindness in her left eye. The patient was diagnosed with multiple sclerosis while hospitalized. The physician noted the blindness had been experienced f for approximately 6-8 weeks prior to the hospitalization. At the time of reporting, the outcome was unspecified. Upon internal review, multiple sclerosis was considered to be an Other Important Medical Event. Additional information has been requested. 8/23/07 Received vax record from PCP but unable to read. Contacted PCP office & verbally gave 4/24 0962F & 6/26 00110. VAERS database updated w/same. Received medical records from PCP which included neuro consult which indicates patient experienced progressive visual loss in association w/demyelinating lesions c/w ADEM & was hospitalized 7/9-7/27/2007. Left eye vision disturbance began approx 6-8 weeks prior to admit then 2 days prior to admit had HA & increasing vision loss of both eyes. Consult to oncology & optho. Tx w/high-dose steroids, IVIG x5, plasmapheresis x5. Very little clinical improvement, remained completely blind in left eye & significantly impaired in right eye. FINAL DX: disseminated demyelination w/tumefactive lesion of right parietal region./ss 8/28/07 Received vax info w/readable lot #''s. Patient received 1st dose on 4/24/07 & 2nd dose on 6/26/06. VAERS database updated w/same. 9/4/07 Received hospital medical records which reveal patient experienced vision loss & HA. Admitted 7/9-7/27/07. Ophtho, heme/onc, neurosurgery consults done. Had routine optometry exam on 7/5 w/only mild increased in prescription. On 7/6 had awakened w/blurred vision of right eye & headache over left posterior head. On 7/7, burry vision worsened, progres


Changed on 5/14/2017

VAERS ID: 288453 Before After
VAERS Form:
Age:16.0
Sex:Female
Location:Connecticut
Vaccinated:2007-06-26
Onset:2007-07-09
Submitted:2007-08-17
Entered:2007-08-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0011U / 1 LA / UN

Administered by: Other      Purchased by: Other
Symptoms: Biopsy brain, Blindness, Blindness unilateral, Blood glucose increased, Computerised tomogram abnormal, Demyelination, Electrocardiogram, Headache, Immunoglobulins, Multiple sclerosis, Nervous system disorder, Nuclear magnetic resonance imaging brain abnormal, Plasmapheresis, Pupils unequal, Spinal X-ray normal, Vision blurred, Leukoencephalomyelitis, Scan brain

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: 18     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown Family HX: diabetes, both parents & others.
Allergies:
Diagnostic Lab Data: Unknown, LABS from pcp: CT of brain revealed multiple large lesions. Biopsy of right parietal lesion revealed demyelination w/o tumor. Brain MRI s/p tx revealed improvement. Full spine MRI was WNL. LABS from hospital: blood glucose eleva elevated. MRI of neck & spine was WNL. MRI of head revealed multiple lesions one of which encroached the left optic nerve. EKG WNL. Brain biopsy.
CDC 'Split Type': WAES0708USA02045

Write-up: Information has been received from a physician concerning a 16 year old female who on 24-APR-2007 was vaccinated with the first dose of Gardasil (lot # 654510/0962F). On 24-APR-2007, the patient was vaccinated with the second dose of Gardasil (lot # 654702/0011U). The patient sought medical attention and was hospitalized on 09-JUL-2007 after experiencing blindness in her left eye. The patient was diagnosed with multiple sclerosis while hospitalized. The physician noted the blindness had been experienced for approximately 6-8 weeks prior to the hospitalization. At the time of reporting, the outcome was unspecified. Upon internal review, multiple sclerosis was considered to be an Other Important Medical Event. Additional information has been requested. 8/23/07 Received vax record from PCP but unable to read. Contacted PCP office & verbally gave 4/24 0962F & 6/26 00110. VAERS database updated w/same. Received medical records from PCP which included neuro consult which indicates patient experienced progressive visual loss in association w/demyelinating lesions c/w ADEM & was hospitalized 7/9-7/27/2007. Left eye vision disturbance began approx 6-8 weeks prior to admit then 2 days prior to admit had HA & increasing vision loss of both eyes. Consult to oncology & optho. Tx w/high-dose steroids, IVIG x5, plasmapheresis x5. Very little clinical improvement, remained completely blind in left eye & significantly impaired in right eye. FINAL DX: disseminated demyelination w/tumefactive lesion of right parietal region./ss 8/28/07 Received vax info w/readable lot #''s. Patient received 1st dose on 4/24/07 & 2nd dose on 6/26/06. VAERS database updated w/same. 9/4/07 Received hospital medical records which reveal patient experienced vision loss & HA. Admitted 7/9-7/27/07. Ophtho, heme/onc, neurosurgery consults done. Had routine optometry exam on 7/5 w/only mild increased in prescription. On 7/6 had awakened w/blurred vision of right eye & headache over left posterior head. On 7/7, burry vision worsened, progres progressed to left eye & HA worsened & localized bifrontally. Went to outlying ER. CT scan there revealed brain lesions & transferred to higher level of care. Exam revealed left pupil unreactive to light. Tx w/steroids, IVIG, plasmapheresis FINAL DX: Demyelinating cortical process.


Changed on 9/14/2017

VAERS ID: 288453 Before After
VAERS Form:(blank) 1
Age:16.0
Sex:Female
Location:Connecticut
Vaccinated:2007-06-26
Onset:2007-07-09
Submitted:2007-08-17
Entered:2007-08-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0011U / 1 2 LA / UN

Administered by: Other      Purchased by: Other
Symptoms: Blindness unilateral, Multiple sclerosis

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: 18     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown Family HX: diabetes, both parents & others.
Allergies:
Diagnostic Lab Data: Unknown, LABS from pcp: CT of brain revealed multiple large lesions. Biopsy of right parietal lesion revealed demyelination w/o tumor. Brain MRI s/p tx revealed improvement. Full spine MRI was WNL. LABS from hospital: blood glucose elevated. MRI of neck & spine was WNL. MRI of head revealed multiple lesions one of which encroached the left optic nerve. EKG WNL. Brain biopsy.
CDC 'Split Type': WAES0708USA02045

Write-up: Information has been received from a physician concerning a 16 year old female who on 24-APR-2007 was vaccinated with the first dose of Gardasil (lot # 654510/0962F). On 24-APR-2007, the patient was vaccinated with the second dose of Gardasil (lot # 654702/0011U). The patient sought medical attention and was hospitalized on 09-JUL-2007 after experiencing blindness in her left eye. The patient was diagnosed with multiple sclerosis while hospitalized. The physician noted the blindness had been experienced for approximately 6-8 weeks prior to the hospitalization. At the time of reporting, the outcome was unspecified. Upon internal review, multiple sclerosis was considered to be an Other Important Medical Event. Additional information has been requested. 8/23/07 Received vax record from PCP but unable to read. Contacted PCP office & verbally gave 4/24 0962F & 6/26 00110. VAERS database updated w/same. Received medical records from PCP which included neuro consult which indicates patient experienced progressive visual loss in association w/demyelinating lesions c/w ADEM & was hospitalized 7/9-7/27/2007. Left eye vision disturbance began approx 6-8 weeks prior to admit then 2 days prior to admit had HA & increasing vision loss of both eyes. Consult to oncology & optho. Tx w/high-dose steroids, IVIG x5, plasmapheresis x5. Very little clinical improvement, remained completely blind in left eye & significantly impaired in right eye. FINAL DX: disseminated demyelination w/tumefactive lesion of right parietal region./ss 8/28/07 Received vax info w/readable lot #''s. Patient received 1st dose on 4/24/07 & 2nd dose on 6/26/06. VAERS database updated w/same. 9/4/07 Received hospital medical records which reveal patient experienced vision loss & HA. Admitted 7/9-7/27/07. Ophtho, heme/onc, neurosurgery consults done. Had routine optometry exam on 7/5 w/only mild increased in prescription. On 7/6 had awakened w/blurred vision of right eye & headache over left posterior head. On 7/7, burry vision worsened, progressed to left eye & HA worsened & localized bifrontally. Went to outlying ER. CT scan there revealed brain lesions & transferred to higher level of care. Exam revealed left pupil unreactive to light. Tx w/steroids, IVIG, plasmapheresis FINAL DX: Demyelinating cortical process.


Changed on 2/14/2018

VAERS ID: 288453 Before After
VAERS Form:1
Age:16.0
Sex:Female
Location:Connecticut
Vaccinated:2007-06-26
Onset:2007-07-09
Submitted:2007-08-17
Entered:2007-08-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0011U / 2 LA / UN

Administered by: Other      Purchased by: Other
Symptoms: Blindness unilateral, Multiple sclerosis

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: 18     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown Family HX: diabetes, both parents & others.
Allergies:
Diagnostic Lab Data: Unknown, LABS from pcp: CT of brain revealed multiple large lesions. Biopsy of right parietal lesion revealed demyelination w/o tumor. Brain MRI s/p tx revealed improvement. Full spine MRI was WNL. LABS from hospital: blood glucose elevated. MRI of neck & spine was WNL. MRI of head revealed multiple lesions one of which encroached the left optic nerve. EKG WNL. Brain biopsy.
CDC 'Split Type': WAES0708USA02045

Write-up: Information has been received from a physician concerning a 16 year old female who on 24-APR-2007 was vaccinated with the first dose of Gardasil (lot # 654510/0962F). On 24-APR-2007, the patient was vaccinated with the second dose of Gardasil (lot # 654702/0011U). The patient sought medical attention and was hospitalized on 09-JUL-2007 after experiencing blindness in her left eye. The patient was diagnosed with multiple sclerosis while hospitalized. The physician noted the blindness had been experienced for approximately 6-8 weeks prior to the hospitalization. At the time of reporting, the outcome was unspecified. Upon internal review, multiple sclerosis was considered to be an Other Important Medical Event. Additional information has been requested. 8/23/07 Received vax record from PCP but unable to read. Contacted PCP office & verbally gave 4/24 0962F & 6/26 00110. VAERS database updated w/same. Received medical records from PCP which included neuro consult which indicates patient experienced progressive visual loss in association w/demyelinating lesions c/w ADEM & was hospitalized 7/9-7/27/2007. Left eye vision disturbance began approx 6-8 weeks prior to admit then 2 days prior to admit had HA & increasing vision loss of both eyes. Consult to oncology & optho. Tx w/high-dose steroids, IVIG x5, plasmapheresis x5. Very little clinical improvement, remained completely blind in left eye & significantly impaired in right eye. FINAL DX: disseminated demyelination w/tumefactive lesion of right parietal region./ss 8/28/07 Received vax info w/readable lot #''s. Patient received 1st dose on 4/24/07 & 2nd dose on 6/26/06. VAERS database updated w/same. 9/4/07 Received hospital medical records which reveal patient experienced vision loss & HA. Admitted 7/9-7/27/07. Ophtho, heme/onc, neurosurgery consults done. Had routine optometry exam on 7/5 w/only mild increased in prescription. On 7/6 had awakened w/blurred vision of right eye & headache over left posterior head. On 7/7, burry vision worsened, progressed to left eye & HA worsened & localized bifrontally. Went to outlying ER. CT scan there revealed brain lesions & transferred to higher level of care. Exam revealed left pupil unreactive to light. Tx w/steroids, IVIG, plasmapheresis FINAL DX: Demyelinating cortical process.


Changed on 6/14/2018

VAERS ID: 288453 Before After
VAERS Form:1
Age:16.0
Sex:Female
Location:Connecticut
Vaccinated:2007-06-26
Onset:2007-07-09
Submitted:2007-08-17
Entered:2007-08-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0011U / 2 LA / UN

Administered by: Other      Purchased by: Other
Symptoms: Blindness unilateral, Multiple sclerosis

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: 18     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown Family HX: diabetes, both parents & others.
Allergies:
Diagnostic Lab Data: Unknown, LABS from pcp: CT of brain revealed multiple large lesions. Biopsy of right parietal lesion revealed demyelination w/o tumor. Brain MRI s/p tx revealed improvement. Full spine MRI was WNL. LABS from hospital: blood glucose elevated. MRI of neck & spine was WNL. MRI of head revealed multiple lesions one of which encroached the left optic nerve. EKG WNL. Brain biopsy.
CDC 'Split Type': WAES0708USA02045

Write-up: Information has been received from a physician concerning a 16 year old female who on 24-APR-2007 was vaccinated with the first dose of Gardasil (lot # 654510/0962F). On 24-APR-2007, the patient was vaccinated with the second dose of Gardasil (lot # 654702/0011U). The patient sought medical attention and was hospitalized on 09-JUL-2007 after experiencing blindness in her left eye. The patient was diagnosed with multiple sclerosis while hospitalized. The physician noted the blindness had been experienced for approximately 6-8 weeks prior to the hospitalization. At the time of reporting, the outcome was unspecified. Upon internal review, multiple sclerosis was considered to be an Other Important Medical Event. Additional information has been requested. 8/23/07 Received vax record from PCP but unable to read. Contacted PCP office & verbally gave 4/24 0962F & 6/26 00110. VAERS database updated w/same. Received medical records from PCP which included neuro consult which indicates patient experienced progressive visual loss in association w/demyelinating lesions c/w ADEM & was hospitalized 7/9-7/27/2007. Left eye vision disturbance began approx 6-8 weeks prior to admit then 2 days prior to admit had HA & increasing vision loss of both eyes. Consult to oncology & optho. Tx w/high-dose steroids, IVIG x5, plasmapheresis x5. Very little clinical improvement, remained completely blind in left eye & significantly impaired in right eye. FINAL DX: disseminated demyelination w/tumefactive lesion of right parietal region./ss 8/28/07 Received vax info w/readable lot #''s. Patient received 1st dose on 4/24/07 & 2nd dose on 6/26/06. VAERS database updated w/same. 9/4/07 Received hospital medical records which reveal patient experienced vision loss & HA. Admitted 7/9-7/27/07. Ophtho, heme/onc, neurosurgery consults done. Had routine optometry exam on 7/5 w/only mild increased in prescription. On 7/6 had awakened w/blurred vision of right eye & headache over left posterior head. On 7/7, burry vision worsened, progressed to left eye & HA worsened & localized bifrontally. Went to outlying ER. CT scan there revealed brain lesions & transferred to higher level of care. Exam revealed left pupil unreactive to light. Tx w/steroids, IVIG, plasmapheresis FINAL DX: Demyelinating cortical process.


Changed on 8/14/2018

VAERS ID: 288453 Before After
VAERS Form:1
Age:16.0
Sex:Female
Location:Connecticut
Vaccinated:2007-06-26
Onset:2007-07-09
Submitted:2007-08-17
Entered:2007-08-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0011U / 2 LA / UN

Administered by: Other      Purchased by: Other
Symptoms: Blindness unilateral, Multiple sclerosis

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: 18     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown Family HX: diabetes, both parents & others.
Allergies:
Diagnostic Lab Data: Unknown, LABS from pcp: CT of brain revealed multiple large lesions. Biopsy of right parietal lesion revealed demyelination w/o tumor. Brain MRI s/p tx revealed improvement. Full spine MRI was WNL. LABS from hospital: blood glucose elevated. MRI of neck & spine was WNL. MRI of head revealed multiple lesions one of which encroached the left optic nerve. EKG WNL. Brain biopsy.
CDC 'Split Type': WAES0708USA02045

Write-up: Information has been received from a physician concerning a 16 year old female who on 24-APR-2007 was vaccinated with the first dose of Gardasil (lot # 654510/0962F). On 24-APR-2007, the patient was vaccinated with the second dose of Gardasil (lot # 654702/0011U). The patient sought medical attention and was hospitalized on 09-JUL-2007 after experiencing blindness in her left eye. The patient was diagnosed with multiple sclerosis while hospitalized. The physician noted the blindness had been experienced for approximately 6-8 weeks prior to the hospitalization. At the time of reporting, the outcome was unspecified. Upon internal review, multiple sclerosis was considered to be an Other Important Medical Event. Additional information has been requested. 8/23/07 Received vax record from PCP but unable to read. Contacted PCP office & verbally gave 4/24 0962F & 6/26 00110. VAERS database updated w/same. Received medical records from PCP which included neuro consult which indicates patient experienced progressive visual loss in association w/demyelinating lesions c/w ADEM & was hospitalized 7/9-7/27/2007. Left eye vision disturbance began approx 6-8 weeks prior to admit then 2 days prior to admit had HA & increasing vision loss of both eyes. Consult to oncology & optho. Tx w/high-dose steroids, IVIG x5, plasmapheresis x5. Very little clinical improvement, remained completely blind in left eye & significantly impaired in right eye. FINAL DX: disseminated demyelination w/tumefactive lesion of right parietal region./ss 8/28/07 Received vax info w/readable lot #''s. Patient received 1st dose on 4/24/07 & 2nd dose on 6/26/06. VAERS database updated w/same. 9/4/07 Received hospital medical records which reveal patient experienced vision loss & HA. Admitted 7/9-7/27/07. Ophtho, heme/onc, neurosurgery consults done. Had routine optometry exam on 7/5 w/only mild increased in prescription. On 7/6 had awakened w/blurred vision of right eye & headache over left posterior head. On 7/7, burry vision worsened, progressed to left eye & HA worsened & localized bifrontally. Went to outlying ER. CT scan there revealed brain lesions & transferred to higher level of care. Exam revealed left pupil unreactive to light. Tx w/steroids, IVIG, plasmapheresis FINAL DX: Demyelinating cortical process.


Changed on 9/14/2018

VAERS ID: 288453 Before After
VAERS Form:1
Age:16.0
Sex:Female
Location:Connecticut
Vaccinated:2007-06-26
Onset:2007-07-09
Submitted:2007-08-17
Entered:2007-08-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0011U / 2 LA / UN

Administered by: Other      Purchased by: Other
Symptoms: Blindness unilateral, Multiple sclerosis

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: 18     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown Family HX: diabetes, both parents & others.
Allergies:
Diagnostic Lab Data: Unknown, LABS from pcp: CT of brain revealed multiple large lesions. Biopsy of right parietal lesion revealed demyelination w/o tumor. Brain MRI s/p tx revealed improvement. Full spine MRI was WNL. LABS from hospital: blood glucose elevated. MRI of neck & spine was WNL. MRI of head revealed multiple lesions one of which encroached the left optic nerve. EKG WNL. Brain biopsy.
CDC 'Split Type': WAES0708USA02045

Write-up: Information has been received from a physician concerning a 16 year old female who on 24-APR-2007 was vaccinated with the first dose of Gardasil (lot # 654510/0962F). On 24-APR-2007, the patient was vaccinated with the second dose of Gardasil (lot # 654702/0011U). The patient sought medical attention and was hospitalized on 09-JUL-2007 after experiencing blindness in her left eye. The patient was diagnosed with multiple sclerosis while hospitalized. The physician noted the blindness had been experienced for approximately 6-8 weeks prior to the hospitalization. At the time of reporting, the outcome was unspecified. Upon internal review, multiple sclerosis was considered to be an Other Important Medical Event. Additional information has been requested. 8/23/07 Received vax record from PCP but unable to read. Contacted PCP office & verbally gave 4/24 0962F & 6/26 00110. VAERS database updated w/same. Received medical records from PCP which included neuro consult which indicates patient experienced progressive visual loss in association w/demyelinating lesions c/w ADEM & was hospitalized 7/9-7/27/2007. Left eye vision disturbance began approx 6-8 weeks prior to admit then 2 days prior to admit had HA & increasing vision loss of both eyes. Consult to oncology & optho. Tx w/high-dose steroids, IVIG x5, plasmapheresis x5. Very little clinical improvement, remained completely blind in left eye & significantly impaired in right eye. FINAL DX: disseminated demyelination w/tumefactive lesion of right parietal region./ss 8/28/07 Received vax info w/readable lot #''s. Patient received 1st dose on 4/24/07 & 2nd dose on 6/26/06. VAERS database updated w/same. 9/4/07 Received hospital medical records which reveal patient experienced vision loss & HA. Admitted 7/9-7/27/07. Ophtho, heme/onc, neurosurgery consults done. Had routine optometry exam on 7/5 w/only mild increased in prescription. On 7/6 had awakened w/blurred vision of right eye & headache over left posterior head. On 7/7, burry vision worsened, progressed to left eye & HA worsened & localized bifrontally. Went to outlying ER. CT scan there revealed brain lesions & transferred to higher level of care. Exam revealed left pupil unreactive to light. Tx w/steroids, IVIG, plasmapheresis FINAL DX: Demyelinating cortical process.


Changed on 10/14/2018

VAERS ID: 288453 Before After
VAERS Form:1
Age:16.0
Sex:Female
Location:Connecticut
Vaccinated:2007-06-26
Onset:2007-07-09
Submitted:2007-08-17
Entered:2007-08-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0011U / 2 LA / UN

Administered by: Other      Purchased by: Other
Symptoms: Blindness unilateral, Multiple sclerosis

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: 18     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown Family HX: diabetes, both parents & others.
Allergies:
Diagnostic Lab Data: Unknown, LABS from pcp: CT of brain revealed multiple large lesions. Biopsy of right parietal lesion revealed demyelination w/o tumor. Brain MRI s/p tx revealed improvement. Full spine MRI was WNL. LABS from hospital: blood glucose elevated. MRI of neck & spine was WNL. MRI of head revealed multiple lesions one of which encroached the left optic nerve. EKG WNL. Brain biopsy.
CDC 'Split Type': WAES0708USA02045

Write-up: Information has been received from a physician concerning a 16 year old female who on 24-APR-2007 was vaccinated with the first dose of Gardasil (lot # 654510/0962F). On 24-APR-2007, the patient was vaccinated with the second dose of Gardasil (lot # 654702/0011U). The patient sought medical attention and was hospitalized on 09-JUL-2007 after experiencing blindness in her left eye. The patient was diagnosed with multiple sclerosis while hospitalized. The physician noted the blindness had been experienced for approximately 6-8 weeks prior to the hospitalization. At the time of reporting, the outcome was unspecified. Upon internal review, multiple sclerosis was considered to be an Other Important Medical Event. Additional information has been requested. 8/23/07 Received vax record from PCP but unable to read. Contacted PCP office & verbally gave 4/24 0962F & 6/26 00110. VAERS database updated w/same. Received medical records from PCP which included neuro consult which indicates patient experienced progressive visual loss in association w/demyelinating lesions c/w ADEM & was hospitalized 7/9-7/27/2007. Left eye vision disturbance began approx 6-8 weeks prior to admit then 2 days prior to admit had HA & increasing vision loss of both eyes. Consult to oncology & optho. Tx w/high-dose steroids, IVIG x5, plasmapheresis x5. Very little clinical improvement, remained completely blind in left eye & significantly impaired in right eye. FINAL DX: disseminated demyelination w/tumefactive lesion of right parietal region./ss 8/28/07 Received vax info w/readable lot #''s. Patient received 1st dose on 4/24/07 & 2nd dose on 6/26/06. VAERS database updated w/same. 9/4/07 Received hospital medical records which reveal patient experienced vision loss & HA. Admitted 7/9-7/27/07. Ophtho, heme/onc, neurosurgery consults done. Had routine optometry exam on 7/5 w/only mild increased in prescription. On 7/6 had awakened w/blurred vision of right eye & headache over left posterior head. On 7/7, burry vision worsened, progressed to left eye & HA worsened & localized bifrontally. Went to outlying ER. CT scan there revealed brain lesions & transferred to higher level of care. Exam revealed left pupil unreactive to light. Tx w/steroids, IVIG, plasmapheresis FINAL DX: Demyelinating cortical process.

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