National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 289027

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 289027
VAERS Form:
Age:13.0
Sex:Female
Location:Kentucky
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2007-08-24
Entered:2007-08-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 UN / UN

Administered by: Other      Purchased by: Unknown
Symptoms: Myelitis transverse, Neuromyelitis optica, Paralysis

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: 0     Extended hospital stay? Yes
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type':

Write-up: Initial and follow-up information has been received from a physician concerning an /"otherwise healthy/" 13 year old female who was vaccinated with her first and second doses of Gardasil. Subsequently the patient experienced what was thought to be transve"rse myelitis and was hospitalized. She experienced paralysis from the chest down, lesions of the optic nerve, and was diagnosed with /"Neuromyelitis Optica (NMO)/". The patient was treated with high dose corticosteroids (unspecified) and did not respond.


Changed on 12/8/2009

VAERS ID: 289027 Before After
VAERS Form:
Age:13.0
Sex:Female
Location:Kentucky
Vaccinated:0000-00-00 2007-05-11
Onset:0000-00-00 2007-08-01
Submitted:2007-08-24
Entered:2007-08-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - 01886U / 0 1 UN LA / UN IM

Administered by: Other      Purchased by: Unknown Other
Symptoms: Areflexia, Back pain, Blood product transfusion, Electromyogram, Hypoaesthesia, Immunoglobulins, Intensive care, Muscular weakness, Myelitis transverse, Neuromyelitis optica, Nuclear magnetic resonance imaging abnormal, Pain in extremity, Paralysis, Paralysis flaccid, Paraplegia, Plasmapheresis, Sensory loss, Urinary retention, Visual evoked potentials abnormal, Activities of daily living impaired, Nerve conduction studies, CSF test, Motor dysfunction, Steroid therapy

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: 0 27     Extended hospital stay? Yes
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown Unknown; LABS: CSF: EMG/NCS. MRI spine abnormal. Visual evoked potentials abnormal.
CDC 'Split Type': (blank) WAES0708USA02942

Write-up: Initial and follow-up information has been received from a physician concerning an /"otherwise healthy/" "otherwise healthy" 13 year old female who was vaccinated with her first and second doses of Gardasil. Subsequently the patient experienced what was thought to be transve"rse transverse myelitis and was hospitalized. She experienced paralysis from the chest down, lesions of the optic nerve, and was diagnosed with /"Neuromyelitis "Neuromyelitis Optica (NMO)/". (NMO)". The patient was treated with high dose corticosteroids (unspecified) and did not respond. A course of Cytoxan was planned. Duration of hospitalization was not reported. At the time of the report the patient had not recovered. Additional information has been requested. 5/13/08 Reviewed hospital medical records of 8/1-8/24/2007 & 9/25-9/26/2007. FINAL DX: neuromyelitis optica. Records reveal patient experienced sudden onset of bilateral LEs weakness & numbness proceeded by several hours of leg pains, LBP & urinary retention. Parent w/gastroenteritis several weeks prior. Patient had malaise at that time but never actually ill. Admit exam revealed areflexia bilateral LEs, loss of sensation below T12 bilaterally as well as flaccid paraplegia & urinary retention. Admitted to PICU. Tx w/IV steroids w/no improvement. Tx w/plasmapheresis, I/O cath, bowel regime. Neuro, rheum, psych consults done. Developed decreased sensation up to T8, restarted IV steroids & MRIs repeated. Tspine MRI revealed traumatic progression of disease up to T4-5. No improvement w/additional steroids or plasmapheresis. Tx w/IVIG x 7 days w/no improvement but no worsening. Transferred to inpatient rehab to be readmitted for rituximab in the next month. Medical records of 9/25-9/26/07 for rituximab infusion. Exam revealed loss of motor control of bilateral LEs. Was to return 10/2 for second treatment & PICC placement. Patient continued to be home schooled due to her condition.


Changed on 4/7/2010

VAERS ID: 289027 Before After
VAERS Form:
Age:13.0
Sex:Female
Location:Kentucky
Vaccinated:2007-05-11
Onset:2007-08-01
Submitted:2007-08-24
Entered:2007-08-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 01886U / 1 LA / IM

Administered by: Other      Purchased by: Other
Symptoms: Areflexia, Back pain, Blood product transfusion, Electromyogram, Hypoaesthesia, Immunoglobulins, Intensive care, Muscular weakness, Myelitis transverse, Neuromyelitis optica, Nuclear magnetic resonance imaging abnormal, Pain in extremity, Paralysis, Paralysis flaccid, Paraplegia, Plasmapheresis, Sensory loss, Urinary retention, Visual evoked potentials abnormal, Activities of daily living impaired, Nerve conduction studies, CSF test, Motor dysfunction, Steroid therapy

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: 27     Extended hospital stay? Yes
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown; LABS: CSF: EMG/NCS. MRI spine abnormal. Visual evoked potentials abnormal.
CDC 'Split Type': WAES0708USA02942

Write-up: Initial and follow-up information has been received from a physician concerning an "otherwise healthy" 13 year old female who was vaccinated with her first and second doses of Gardasil. Subsequently the patient experienced what was thought to be transverse myelitis and was hospitalized. She experienced paralysis from the chest down, lesions of the optic nerve, and was diagnosed with "Neuromyelitis Optica (NMO)". The patient was treated with high dose corticosteroids (unspecified) and did not respond. A course of Cytoxan was planned. Duration of hospitalization was not reported. At the time of the report the patient had not recovered. Additional information has been requested. 5/13/08 Reviewed hospital medical records of 8/1-8/24/2007 & 9/25-9/26/2007. FINAL DX: neuromyelitis optica. Records reveal patient experienced sudden onset of bilateral LEs weakness & numbness proceeded by several hours of leg pains, LBP & urinary retention. Parent w/gastroenteritis several weeks prior. Patient had malaise at that time but never actually ill. Admit exam revealed areflexia bilateral LEs, loss of sensation below T12 bilaterally as well as flaccid paraplegia & urinary retention. Admitted to PICU. Tx w/IV steroids w/no improvement. Tx w/plasmapheresis, I/O cath, bowel regime. Neuro, rheum, psych consults done. Developed decreased sensation up to T8, restarted IV steroids & MRIs repeated. Tspine MRI revealed traumatic progression of disease up to T4-5. No improvement w/additional steroids or plasmapheresis. Tx w/IVIG x 7 days w/no improvement but no worsening. Transferred to inpatient rehab to be readmitted for rituximab in the next month. Medical records of 9/25-9/26/07 for rituximab infusion. Exam revealed loss of motor control of bilateral LEs. Was to return 10/2 for second treatment & PICC placement. Patient continued to be home schooled due to her condition.


Changed on 4/13/2011

VAERS ID: 289027 Before After
VAERS Form:
Age:13.0
Sex:Female
Location:Kentucky
Vaccinated:2007-05-11
Onset:2007-08-01
Submitted:2007-08-24
Entered:2007-08-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 01886U / 1 LA / IM

Administered by: Other      Purchased by: Other
Symptoms: Areflexia, Back pain, Blood product transfusion, Electromyogram, Hypoaesthesia, Immunoglobulins, Intensive care, Muscular weakness, Myelitis transverse, Neuromyelitis optica, Nuclear magnetic resonance imaging abnormal, Pain in extremity, Paralysis, Paralysis flaccid, Paraplegia, Plasmapheresis, Sensory loss, Urinary retention, Visual evoked potentials abnormal, Activities of daily living impaired, Nerve conduction studies, CSF test, Motor dysfunction

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: 27     Extended hospital stay? Yes
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown; LABS: CSF: EMG/NCS. MRI spine abnormal. Visual evoked potentials abnormal.
CDC 'Split Type': WAES0708USA02942

Write-up: Initial and follow-up information has been received from a physician concerning an "otherwise healthy" 13 year old female who was vaccinated with her first and second doses of Gardasil. Subsequently the patient experienced what was thought to be transverse myelitis and was hospitalized. She experienced paralysis from the chest down, lesions of the optic nerve, and was diagnosed with "Neuromyelitis Optica (NMO)". The patient was treated with high dose corticosteroids (unspecified) and did not respond. A course of Cytoxan was planned. Duration of hospitalization was not reported. At the time of the report the patient had not recovered. Additional information has been requested. 5/13/08 Reviewed hospital medical records of 8/1-8/24/2007 & 9/25-9/26/2007. FINAL DX: neuromyelitis optica. Records reveal patient experienced sudden onset of bilateral LEs weakness & numbness proceeded by several hours of leg pains, LBP & urinary retention. Parent w/gastroenteritis several weeks prior. Patient had malaise at that time but never actually ill. Admit exam revealed areflexia bilateral LEs, loss of sensation below T12 bilaterally as well as flaccid paraplegia & urinary retention. Admitted to PICU. Tx w/IV steroids w/no improvement. Tx w/plasmapheresis, I/O cath, bowel regime. Neuro, rheum, psych consults done. Developed decreased sensation up to T8, restarted IV steroids & MRIs repeated. Tspine MRI revealed traumatic progression of disease up to T4-5. No improvement w/additional steroids or plasmapheresis. Tx w/IVIG x 7 days w/no improvement but no worsening. Transferred to inpatient rehab to be readmitted for rituximab in the next month. Medical records of 9/25-9/26/07 for rituximab infusion. Exam revealed loss of motor control of bilateral LEs. Was to return 10/2 for second treatment & PICC placement. Patient continued to be home schooled due to her condition.


Changed on 5/13/2011

VAERS ID: 289027 Before After
VAERS Form:
Age:13.0
Sex:Female
Location:Kentucky
Vaccinated:2007-05-11
Onset:2007-08-01
Submitted:2007-08-24
Entered:2007-08-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 01886U / 1 LA / IM

Administered by: Other      Purchased by: Other
Symptoms: Areflexia, Back pain, Blood product transfusion, Electromyogram, Hypoaesthesia, Immunoglobulins, Intensive care, Muscular weakness, Myelitis transverse, Neuromyelitis optica, Nuclear magnetic resonance imaging abnormal, Pain in extremity, Paralysis, Paralysis flaccid, Paraplegia, Plasmapheresis, Sensory loss, Urinary retention, Visual evoked potentials abnormal, Activities of daily living impaired, Nerve conduction studies, CSF test, Motor dysfunction

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: 27     Extended hospital stay? Yes
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown; LABS: CSF: EMG/NCS. MRI spine abnormal. Visual evoked potentials abnormal.
CDC 'Split Type': WAES0708USA02942

Write-up: Initial and follow-up information has been received from a physician concerning an "otherwise healthy" 13 year old female who was vaccinated with her first and second doses of Gardasil. Subsequently the patient experienced what was thought to be transverse myelitis and was hospitalized. She experienced paralysis from the chest down, lesions of the optic nerve, and was diagnosed with "Neuromyelitis Optica (NMO)". The patient was treated with high dose corticosteroids (unspecified) and did not respond. A course of Cytoxan was planned. Duration of hospitalization was not reported. At the time of the report the patient had not recovered. Additional information has been requested. 5/13/08 Reviewed hospital medical records of 8/1-8/24/2007 & 9/25-9/26/2007. FINAL DX: neuromyelitis optica. Records reveal patient experienced sudden onset of bilateral LEs weakness & numbness proceeded by several hours of leg pains, LBP & urinary retention. Parent w/gastroenteritis several weeks prior. Patient had malaise at that time but never actually ill. Admit exam revealed areflexia bilateral LEs, loss of sensation below T12 bilaterally as well as flaccid paraplegia & urinary retention. Admitted to PICU. Tx w/IV steroids w/no improvement. Tx w/plasmapheresis, I/O cath, bowel regime. Neuro, rheum, psych consults done. Developed decreased sensation up to T8, restarted IV steroids & MRIs repeated. Tspine MRI revealed traumatic progression of disease up to T4-5. No improvement w/additional steroids or plasmapheresis. Tx w/IVIG x 7 days w/no improvement but no worsening. Transferred to inpatient rehab to be readmitted for rituximab in the next month. Medical records of 9/25-9/26/07 for rituximab infusion. Exam revealed loss of motor control of bilateral LEs. Was to return 10/2 for second treatment & PICC placement. Patient continued to be home schooled due to her condition.


Changed on 6/11/2011

VAERS ID: 289027 Before After
VAERS Form:
Age:13.0
Sex:Female
Location:Kentucky
Vaccinated:2007-05-11
Onset:2007-08-01
Submitted:2007-08-24
Entered:2007-08-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 01886U / 1 LA / IM

Administered by: Other      Purchased by: Other
Symptoms: Areflexia, Back pain, Blood product transfusion, Electromyogram, Hypoaesthesia, Immunoglobulins, Intensive care, Muscular weakness, Myelitis transverse, Neuromyelitis optica, Nuclear magnetic resonance imaging abnormal, Pain in extremity, Paralysis, Paralysis flaccid, Paraplegia, Plasmapheresis, Sensory loss, Urinary retention, Visual evoked potentials abnormal, Activities of daily living impaired, Nerve conduction studies, CSF test, Motor dysfunction

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: 27     Extended hospital stay? Yes
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown; LABS: CSF: EMG/NCS. MRI spine abnormal. Visual evoked potentials abnormal.
CDC 'Split Type': WAES0708USA02942

Write-up: Initial and follow-up information has been received from a physician concerning an "otherwise healthy" 13 year old female who was vaccinated with her first and second doses of Gardasil. Subsequently the patient experienced what was thought to be transverse myelitis and was hospitalized. She experienced paralysis from the chest down, lesions of the optic nerve, and was diagnosed with "Neuromyelitis Optica (NMO)". The patient was treated with high dose corticosteroids (unspecified) and did not respond. A course of Cytoxan was planned. Duration of hospitalization was not reported. At the time of the report the patient had not recovered. Additional information has been requested. 5/13/08 Reviewed hospital medical records of 8/1-8/24/2007 & 9/25-9/26/2007. FINAL DX: neuromyelitis optica. Records reveal patient experienced sudden onset of bilateral LEs weakness & numbness proceeded by several hours of leg pains, LBP & urinary retention. Parent w/gastroenteritis several weeks prior. Patient had malaise at that time but never actually ill. Admit exam revealed areflexia bilateral LEs, loss of sensation below T12 bilaterally as well as flaccid paraplegia & urinary retention. Admitted to PICU. Tx w/IV steroids w/no improvement. Tx w/plasmapheresis, I/O cath, bowel regime. Neuro, rheum, psych consults done. Developed decreased sensation up to T8, restarted IV steroids & MRIs repeated. Tspine MRI revealed traumatic progression of disease up to T4-5. No improvement w/additional steroids or plasmapheresis. Tx w/IVIG x 7 days w/no improvement but no worsening. Transferred to inpatient rehab to be readmitted for rituximab in the next month. Medical records of 9/25-9/26/07 for rituximab infusion. Exam revealed loss of motor control of bilateral LEs. Was to return 10/2 for second treatment & PICC placement. Patient continued to be home schooled due to her condition.


Changed on 6/14/2014

VAERS ID: 289027 Before After
VAERS Form:
Age:13.0
Sex:Female
Location:Kentucky
Vaccinated:2007-05-11
Onset:2007-08-01
Submitted:2007-08-24
Entered:2007-08-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 01886U / 1 LA / IM

Administered by: Other      Purchased by: Other
Symptoms: Areflexia, Back pain, Blood product transfusion, Electromyogram, Hypoaesthesia, Immunoglobulins, Intensive care, Muscular weakness, Myelitis transverse, Neuromyelitis optica, Nuclear magnetic resonance imaging abnormal, Pain in extremity, Paralysis, Paralysis flaccid, Paraplegia, Plasmapheresis, Sensory loss, Urinary retention, Visual evoked potentials abnormal, Activities of daily living impaired, Nerve conduction studies, CSF test, Motor dysfunction

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: 27     Extended hospital stay? Yes
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown; LABS: CSF: EMG/NCS. MRI spine abnormal. Visual evoked potentials abnormal.
CDC 'Split Type': WAES0708USA02942

Write-up: Initial and follow-up information has been received from a physician concerning an "otherwise healthy" 13 year old female who was vaccinated with her first and second doses of Gardasil. Subsequently the patient experienced what was thought to be transverse myelitis and was hospitalized. She experienced paralysis from the chest down, lesions of the optic nerve, and was diagnosed with "Neuromyelitis Optica (NMO)". The patient was treated with high dose corticosteroids (unspecified) and did not respond. A course of Cytoxan was planned. Duration of hospitalization was not reported. At the time of the report the patient had not recovered. Additional information has been requested. 5/13/08 Reviewed hospital medical records of 8/1-8/24/2007 & 9/25-9/26/2007. FINAL DX: neuromyelitis optica. Records reveal patient experienced sudden onset of bilateral LEs weakness & numbness proceeded by several hours of leg pains, LBP & urinary retention. Parent w/gastroenteritis several weeks prior. Patient had malaise at that time but never actually ill. Admit exam revealed areflexia bilateral LEs, loss of sensation below T12 bilaterally as well as flaccid paraplegia & urinary retention. Admitted to PICU. Tx w/IV steroids w/no improvement. Tx w/plasmapheresis, I/O cath, bowel regime. Neuro, rheum, psych consults done. Developed decreased sensation up to T8, restarted IV steroids & MRIs repeated. Tspine MRI revealed traumatic progression of disease up to T4-5. No improvement w/additional steroids or plasmapheresis. Tx w/IVIG x 7 days w/no improvement but no worsening. Transferred to inpatient rehab to be readmitted for rituximab in the next month. Medical records of 9/25-9/26/07 for rituximab infusion. Exam revealed loss of motor control of bilateral LEs. Was to return 10/2 for second treatment & PICC placement. Patient continued to be home schooled due to her condition.


Changed on 5/14/2017

VAERS ID: 289027 Before After
VAERS Form:
Age:13.0
Sex:Female
Location:Kentucky
Vaccinated:2007-05-11
Onset:2007-08-01
Submitted:2007-08-24
Entered:2007-08-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 01886U / 1 LA / IM

Administered by: Other      Purchased by: Other
Symptoms: Areflexia, Back pain, Blood product transfusion, Electromyogram, Hypoaesthesia, Immunoglobulins, Intensive care, Muscular weakness, Myelitis transverse, Neuromyelitis optica, Nuclear magnetic resonance imaging abnormal, Pain in extremity, Paralysis, Paralysis flaccid, Paraplegia, Plasmapheresis, Sensory loss, Urinary retention, Visual evoked potentials abnormal, Activities of daily living impaired, Nerve conduction studies, CSF test, Motor dysfunction

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: 27     Extended hospital stay? Yes
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown; LABS: CSF: EMG/NCS. MRI spine abnormal. Visual evoked potentials abnormal.
CDC 'Split Type': WAES0708USA02942

Write-up: Initial and follow-up information has been received from a physician concerning an "otherwise healthy" 13 year old female who was vaccinated with her first and second doses of Gardasil. Subsequently the patient experienced what was thought to be transverse myelitis and was hospitalized. She experienced paralysis from the chest down, lesions of the optic nerve, and was diagnosed with "Neuromyelitis Optica (NMO)". The patient was treated with high dose corticosteroids (unspecified) and did not respond. A course of Cytoxan was planned. Duration of hospitalization was not reported. At the time of the report the patient had not recovered. Additional information has been requested. 5/13/08 Reviewed hospital medical records of 8/1-8/24/2007 & 9/25-9/26/2007. FINAL DX: neuromyelitis optica. Records reveal patient experienced sudden onset of bilateral LEs weakness & numbness proceeded by several hours of leg pains, LBP & urinary retention. Parent w/gastroenteritis several weeks prior. Patient had malaise at that time but never actually ill. Admit exam revealed areflexia bilateral LEs, loss of sensation below T12 bilaterally as well as flaccid paraplegia & urinary retention. Admitted to PICU. Tx w/IV steroids w/no improvement. Tx w/plasmapheresis, I/O cath, bowel regime. Neuro, rheum, psych consults done. Developed decreased sensation up to T8, restarted IV steroids & MRIs repeated. Tspine MRI revealed traumatic progression of disease up to T4-5. No improvement w/additional steroids or plasmapheresis. Tx w/IVIG x 7 days w/no improvement but no worsening. Transferred to inpatient rehab to be readmitted for rituximab in the next month. Medical records of 9/25-9/26/07 for rituximab infusion. Exam revealed loss of motor control of bilateral LEs. Was to return 10/2 for second treatment & PICC placement. Patient continued to be home schooled due to her condition.


Changed on 9/14/2017

VAERS ID: 289027 Before After
VAERS Form:(blank) 1
Age:13.0
Sex:Female
Location:Kentucky
Vaccinated:2007-05-11
Onset:2007-08-01
Submitted:2007-08-24
Entered:2007-08-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 01886U / 1 2 LA / IM

Administered by: Other      Purchased by: Other
Symptoms: Myelitis transverse, Neuromyelitis optica, Paralysis

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: 27     Extended hospital stay? Yes
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown; LABS: CSF: EMG/NCS. MRI spine abnormal. Visual evoked potentials abnormal.
CDC 'Split Type': WAES0708USA02942

Write-up: Initial and follow-up information has been received from a physician concerning an "otherwise healthy" 13 year old female who was vaccinated with her first and second doses of Gardasil. Subsequently the patient experienced what was thought to be transverse myelitis and was hospitalized. She experienced paralysis from the chest down, lesions of the optic nerve, and was diagnosed with "Neuromyelitis Optica (NMO)". The patient was treated with high dose corticosteroids (unspecified) and did not respond. A course of Cytoxan was planned. Duration of hospitalization was not reported. At the time of the report the patient had not recovered. Additional information has been requested. 5/13/08 Reviewed hospital medical records of 8/1-8/24/2007 & 9/25-9/26/2007. FINAL DX: neuromyelitis optica. Records reveal patient experienced sudden onset of bilateral LEs weakness & numbness proceeded by several hours of leg pains, LBP & urinary retention. Parent w/gastroenteritis several weeks prior. Patient had malaise at that time but never actually ill. Admit exam revealed areflexia bilateral LEs, loss of sensation below T12 bilaterally as well as flaccid paraplegia & urinary retention. Admitted to PICU. Tx w/IV steroids w/no improvement. Tx w/plasmapheresis, I/O cath, bowel regime. Neuro, rheum, psych consults done. Developed decreased sensation up to T8, restarted IV steroids & MRIs repeated. Tspine MRI revealed traumatic progression of disease up to T4-5. No improvement w/additional steroids or plasmapheresis. Tx w/IVIG x 7 days w/no improvement but no worsening. Transferred to inpatient rehab to be readmitted for rituximab in the next month. Medical records of 9/25-9/26/07 for rituximab infusion. Exam revealed loss of motor control of bilateral LEs. Was to return 10/2 for second treatment & PICC placement. Patient continued to be home schooled due to her condition.


Changed on 2/14/2018

VAERS ID: 289027 Before After
VAERS Form:1
Age:13.0
Sex:Female
Location:Kentucky
Vaccinated:2007-05-11
Onset:2007-08-01
Submitted:2007-08-24
Entered:2007-08-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 01886U / 2 LA / IM

Administered by: Other      Purchased by: Other
Symptoms: Myelitis transverse, Neuromyelitis optica, Paralysis

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: 27     Extended hospital stay? Yes
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown; LABS: CSF: EMG/NCS. MRI spine abnormal. Visual evoked potentials abnormal.
CDC 'Split Type': WAES0708USA02942

Write-up: Initial and follow-up information has been received from a physician concerning an "otherwise healthy" 13 year old female who was vaccinated with her first and second doses of Gardasil. Subsequently the patient experienced what was thought to be transverse myelitis and was hospitalized. She experienced paralysis from the chest down, lesions of the optic nerve, and was diagnosed with "Neuromyelitis Optica (NMO)". The patient was treated with high dose corticosteroids (unspecified) and did not respond. A course of Cytoxan was planned. Duration of hospitalization was not reported. At the time of the report the patient had not recovered. Additional information has been requested. 5/13/08 Reviewed hospital medical records of 8/1-8/24/2007 & 9/25-9/26/2007. FINAL DX: neuromyelitis optica. Records reveal patient experienced sudden onset of bilateral LEs weakness & numbness proceeded by several hours of leg pains, LBP & urinary retention. Parent w/gastroenteritis several weeks prior. Patient had malaise at that time but never actually ill. Admit exam revealed areflexia bilateral LEs, loss of sensation below T12 bilaterally as well as flaccid paraplegia & urinary retention. Admitted to PICU. Tx w/IV steroids w/no improvement. Tx w/plasmapheresis, I/O cath, bowel regime. Neuro, rheum, psych consults done. Developed decreased sensation up to T8, restarted IV steroids & MRIs repeated. Tspine MRI revealed traumatic progression of disease up to T4-5. No improvement w/additional steroids or plasmapheresis. Tx w/IVIG x 7 days w/no improvement but no worsening. Transferred to inpatient rehab to be readmitted for rituximab in the next month. Medical records of 9/25-9/26/07 for rituximab infusion. Exam revealed loss of motor control of bilateral LEs. Was to return 10/2 for second treatment & PICC placement. Patient continued to be home schooled due to her condition.


Changed on 6/14/2018

VAERS ID: 289027 Before After
VAERS Form:1
Age:13.0
Sex:Female
Location:Kentucky
Vaccinated:2007-05-11
Onset:2007-08-01
Submitted:2007-08-24
Entered:2007-08-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 01886U / 2 LA / IM

Administered by: Other      Purchased by: Other
Symptoms: Myelitis transverse, Neuromyelitis optica, Paralysis

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: 27     Extended hospital stay? Yes
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown; LABS: CSF: EMG/NCS. MRI spine abnormal. Visual evoked potentials abnormal.
CDC 'Split Type': WAES0708USA02942

Write-up: Initial and follow-up information has been received from a physician concerning an "otherwise healthy" 13 year old female who was vaccinated with her first and second doses of Gardasil. Subsequently the patient experienced what was thought to be transverse myelitis and was hospitalized. She experienced paralysis from the chest down, lesions of the optic nerve, and was diagnosed with "Neuromyelitis Optica (NMO)". The patient was treated with high dose corticosteroids (unspecified) and did not respond. A course of Cytoxan was planned. Duration of hospitalization was not reported. At the time of the report the patient had not recovered. Additional information has been requested. 5/13/08 Reviewed hospital medical records of 8/1-8/24/2007 & 9/25-9/26/2007. FINAL DX: neuromyelitis optica. Records reveal patient experienced sudden onset of bilateral LEs weakness & numbness proceeded by several hours of leg pains, LBP & urinary retention. Parent w/gastroenteritis several weeks prior. Patient had malaise at that time but never actually ill. Admit exam revealed areflexia bilateral LEs, loss of sensation below T12 bilaterally as well as flaccid paraplegia & urinary retention. Admitted to PICU. Tx w/IV steroids w/no improvement. Tx w/plasmapheresis, I/O cath, bowel regime. Neuro, rheum, psych consults done. Developed decreased sensation up to T8, restarted IV steroids & MRIs repeated. Tspine MRI revealed traumatic progression of disease up to T4-5. No improvement w/additional steroids or plasmapheresis. Tx w/IVIG x 7 days w/no improvement but no worsening. Transferred to inpatient rehab to be readmitted for rituximab in the next month. Medical records of 9/25-9/26/07 for rituximab infusion. Exam revealed loss of motor control of bilateral LEs. Was to return 10/2 for second treatment & PICC placement. Patient continued to be home schooled due to her condition.


Changed on 8/14/2018

VAERS ID: 289027 Before After
VAERS Form:1
Age:13.0
Sex:Female
Location:Kentucky
Vaccinated:2007-05-11
Onset:2007-08-01
Submitted:2007-08-24
Entered:2007-08-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 01886U / 2 LA / IM

Administered by: Other      Purchased by: Other
Symptoms: Myelitis transverse, Neuromyelitis optica, Paralysis

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: 27     Extended hospital stay? Yes
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown; LABS: CSF: EMG/NCS. MRI spine abnormal. Visual evoked potentials abnormal.
CDC 'Split Type': WAES0708USA02942

Write-up: Initial and follow-up information has been received from a physician concerning an "otherwise healthy" 13 year old female who was vaccinated with her first and second doses of Gardasil. Subsequently the patient experienced what was thought to be transverse myelitis and was hospitalized. She experienced paralysis from the chest down, lesions of the optic nerve, and was diagnosed with "Neuromyelitis Optica (NMO)". The patient was treated with high dose corticosteroids (unspecified) and did not respond. A course of Cytoxan was planned. Duration of hospitalization was not reported. At the time of the report the patient had not recovered. Additional information has been requested. 5/13/08 Reviewed hospital medical records of 8/1-8/24/2007 & 9/25-9/26/2007. FINAL DX: neuromyelitis optica. Records reveal patient experienced sudden onset of bilateral LEs weakness & numbness proceeded by several hours of leg pains, LBP & urinary retention. Parent w/gastroenteritis several weeks prior. Patient had malaise at that time but never actually ill. Admit exam revealed areflexia bilateral LEs, loss of sensation below T12 bilaterally as well as flaccid paraplegia & urinary retention. Admitted to PICU. Tx w/IV steroids w/no improvement. Tx w/plasmapheresis, I/O cath, bowel regime. Neuro, rheum, psych consults done. Developed decreased sensation up to T8, restarted IV steroids & MRIs repeated. Tspine MRI revealed traumatic progression of disease up to T4-5. No improvement w/additional steroids or plasmapheresis. Tx w/IVIG x 7 days w/no improvement but no worsening. Transferred to inpatient rehab to be readmitted for rituximab in the next month. Medical records of 9/25-9/26/07 for rituximab infusion. Exam revealed loss of motor control of bilateral LEs. Was to return 10/2 for second treatment & PICC placement. Patient continued to be home schooled due to her condition.


Changed on 9/14/2018

VAERS ID: 289027 Before After
VAERS Form:1
Age:13.0
Sex:Female
Location:Kentucky
Vaccinated:2007-05-11
Onset:2007-08-01
Submitted:2007-08-24
Entered:2007-08-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 01886U / 2 LA / IM

Administered by: Other      Purchased by: Other
Symptoms: Myelitis transverse, Neuromyelitis optica, Paralysis

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: 27     Extended hospital stay? Yes
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown; LABS: CSF: EMG/NCS. MRI spine abnormal. Visual evoked potentials abnormal.
CDC 'Split Type': WAES0708USA02942

Write-up: Initial and follow-up information has been received from a physician concerning an "otherwise healthy" 13 year old female who was vaccinated with her first and second doses of Gardasil. Subsequently the patient experienced what was thought to be transverse myelitis and was hospitalized. She experienced paralysis from the chest down, lesions of the optic nerve, and was diagnosed with "Neuromyelitis Optica (NMO)". The patient was treated with high dose corticosteroids (unspecified) and did not respond. A course of Cytoxan was planned. Duration of hospitalization was not reported. At the time of the report the patient had not recovered. Additional information has been requested. 5/13/08 Reviewed hospital medical records of 8/1-8/24/2007 & 9/25-9/26/2007. FINAL DX: neuromyelitis optica. Records reveal patient experienced sudden onset of bilateral LEs weakness & numbness proceeded by several hours of leg pains, LBP & urinary retention. Parent w/gastroenteritis several weeks prior. Patient had malaise at that time but never actually ill. Admit exam revealed areflexia bilateral LEs, loss of sensation below T12 bilaterally as well as flaccid paraplegia & urinary retention. Admitted to PICU. Tx w/IV steroids w/no improvement. Tx w/plasmapheresis, I/O cath, bowel regime. Neuro, rheum, psych consults done. Developed decreased sensation up to T8, restarted IV steroids & MRIs repeated. Tspine MRI revealed traumatic progression of disease up to T4-5. No improvement w/additional steroids or plasmapheresis. Tx w/IVIG x 7 days w/no improvement but no worsening. Transferred to inpatient rehab to be readmitted for rituximab in the next month. Medical records of 9/25-9/26/07 for rituximab infusion. Exam revealed loss of motor control of bilateral LEs. Was to return 10/2 for second treatment & PICC placement. Patient continued to be home schooled due to her condition.


Changed on 10/14/2018

VAERS ID: 289027 Before After
VAERS Form:1
Age:13.0
Sex:Female
Location:Kentucky
Vaccinated:2007-05-11
Onset:2007-08-01
Submitted:2007-08-24
Entered:2007-08-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 01886U / 2 LA / IM

Administered by: Other      Purchased by: Other
Symptoms: Myelitis transverse, Neuromyelitis optica, Paralysis

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: 27     Extended hospital stay? Yes
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown; LABS: CSF: EMG/NCS. MRI spine abnormal. Visual evoked potentials abnormal.
CDC 'Split Type': WAES0708USA02942

Write-up: Initial and follow-up information has been received from a physician concerning an "otherwise healthy" 13 year old female who was vaccinated with her first and second doses of Gardasil. Subsequently the patient experienced what was thought to be transverse myelitis and was hospitalized. She experienced paralysis from the chest down, lesions of the optic nerve, and was diagnosed with "Neuromyelitis Optica (NMO)". The patient was treated with high dose corticosteroids (unspecified) and did not respond. A course of Cytoxan was planned. Duration of hospitalization was not reported. At the time of the report the patient had not recovered. Additional information has been requested. 5/13/08 Reviewed hospital medical records of 8/1-8/24/2007 & 9/25-9/26/2007. FINAL DX: neuromyelitis optica. Records reveal patient experienced sudden onset of bilateral LEs weakness & numbness proceeded by several hours of leg pains, LBP & urinary retention. Parent w/gastroenteritis several weeks prior. Patient had malaise at that time but never actually ill. Admit exam revealed areflexia bilateral LEs, loss of sensation below T12 bilaterally as well as flaccid paraplegia & urinary retention. Admitted to PICU. Tx w/IV steroids w/no improvement. Tx w/plasmapheresis, I/O cath, bowel regime. Neuro, rheum, psych consults done. Developed decreased sensation up to T8, restarted IV steroids & MRIs repeated. Tspine MRI revealed traumatic progression of disease up to T4-5. No improvement w/additional steroids or plasmapheresis. Tx w/IVIG x 7 days w/no improvement but no worsening. Transferred to inpatient rehab to be readmitted for rituximab in the next month. Medical records of 9/25-9/26/07 for rituximab infusion. Exam revealed loss of motor control of bilateral LEs. Was to return 10/2 for second treatment & PICC placement. Patient continued to be home schooled due to her condition.

New Search

Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=289027&WAYBACKHISTORY=ON


Copyright © 2019 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166