National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 292001

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 292001
VAERS Form:
Age:15.0
Sex:Female
Location:Tennessee
Vaccinated:2007-09-24
Onset:2007-09-26
Submitted:2007-10-03
Entered:2007-10-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0927U / 1 RA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Arthropod bite, Blood glucose normal, CSF culture negative, Culture urine positive, Abasia

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: 20     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Claritin OTC PRN for allergy symptoms
Current Illness: None
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: MRI spine revealed myelitis of the lower cervical and upper thoracic spinal cord and radiculitis of the cauda equina. Lumbar puncture CSF sample shows no WBC, normal protein and glucose, no evidence of viral or bacterial infection. Somato
CDC 'Split Type':

Write-up: 2 days after 2nd dose of Gardasil, patient developed dysesthesia in arm and decrease in grip strength, leg weakness, and difficulty voiding urine. Progressed to inability to ambulate within 5 hours. Patient admitted to Medical Center. MRI revealed infl"ammation around spinal cord consistent with transverse myelitis vs. Guillain Barre syndrome. Clinical physical exam supported diagnosis of Transverse Myelitis. Patient treated with IV Methylprednisolone 250mg q6hr x 5 days and subsequent oral steroid ta


Changed on 12/8/2009

VAERS ID: 292001 Before After
VAERS Form:
Age:15.0
Sex:Female
Location:Tennessee
Vaccinated:2007-09-24
Onset:2007-09-26
Submitted:2007-10-03
Entered:2007-10-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0927U / 1 RA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Arthropod bite, Blood glucose normal, CSF culture negative, Culture urine positive, Dysaesthesia, Dysphagia, Hypoaesthesia, Lumbar puncture normal, Muscular weakness, Myelitis, Myelitis transverse, Neurogenic bladder, Nuclear magnetic resonance imaging brain abnormal, Plasmapheresis, Protein total normal, Urinary tract infection, Visual evoked potentials normal, Abasia, Somatosensory evoked potentials, Radiculitis, Grip strength decreased

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: 20     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Claritin OTC PRN for allergy symptoms
Current Illness: None
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: MRI spine revealed myelitis of the lower cervical and upper thoracic spinal cord and radiculitis of the cauda equina. Lumbar puncture CSF sample shows no WBC, normal protein and glucose, no evidence of viral or bacterial infection. Somato
CDC 'Split Type':

Write-up: 2 days after 2nd dose of Gardasil, patient developed dysesthesia in arm and decrease in grip strength, leg weakness, and difficulty voiding urine. Progressed to inability to ambulate within 5 hours. Patient admitted to Medical Center. MRI revealed infl"ammation inflammation around spinal cord consistent with transverse myelitis vs. Guillain Barre syndrome. Clinical physical exam supported diagnosis of Transverse Myelitis. Patient treated with IV Methylprednisolone 250mg q6hr x 5 days and subsequent oral steroid ta taper. Over course of hospitalization, currently 7 days in duration and continuing, patient has regained some upper extremity strength and improvement in sensory symptoms. Minimal lower extremity strength recovery at this point. Throughout course of hospitalization, patient has required bladder catheterization due to inability to void urine.11/13/07-records received for DOS 9/26-10/17/07-DC DX: Transverse myelitis. Urinary tract infection (UTI). Presented to ED with 24 hour history of progressive weakness and numbness. Unable to walk. Received Gardasil 2 dys prior to symptoms and tick bite 2 weeks prior to admission. She was also on a camping trip 5 days prior to admission. PE: weak grip strength, wrist flexors and extensors normal. Right leg proximal flexor strength 2/6 and left leg strength 0/5. Distal right leg strength 0/5. Subjective numbness at T4 and below. Reflexes 1+ bilaterally in upper and lower extremities. No dysarthria. High dose steroid treatment. PlasmapheresisTransferred to rehab facility


Changed on 8/31/2010

VAERS ID: 292001 Before After
VAERS Form:
Age:15.0
Sex:Female
Location:Tennessee
Vaccinated:2007-09-24
Onset:2007-09-26
Submitted:2007-10-03
Entered:2007-10-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0927U / 1 RA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Arthropod bite, Blood glucose normal, CSF culture negative, Culture urine positive, Dysaesthesia, Dysphagia, Hypoaesthesia, Lumbar puncture normal, Muscular weakness, Myelitis, Myelitis transverse, Neurogenic bladder, Nuclear magnetic resonance imaging brain abnormal, Plasmapheresis, Protein total normal, Urinary tract infection, Visual evoked potentials normal, Abasia, Somatosensory evoked potentials, Radiculitis, Grip strength decreased

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: 20     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Claritin OTC PRN for allergy symptoms
Current Illness: None
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: MRI spine revealed myelitis of the lower cervical and upper thoracic spinal cord and radiculitis of the cauda equina. Lumbar puncture CSF sample shows no WBC, normal protein and glucose, no evidence of viral or bacterial infection. Somato
CDC 'Split Type':

Write-up: 2 days after 2nd dose of Gardasil, patient developed dysesthesia in arm and decrease in grip strength, leg weakness, and difficulty voiding urine. Progressed to inability to ambulate within 5 hours. Patient admitted to Medical Center. MRI revealed inflammation around spinal cord consistent with transverse myelitis vs. Guillain Barre syndrome. Clinical physical exam supported diagnosis of Transverse Myelitis. Patient treated with IV Methylprednisolone 250mg q6hr x 5 days and subsequent oral steroid taper. Over course of hospitalization, currently 7 days in duration and continuing, patient has regained some upper extremity strength and improvement in sensory symptoms. Minimal lower extremity strength recovery at this point. Throughout course of hospitalization, patient has required bladder catheterization due to inability to void urine.11/13/07-records received for DOS 9/26-10/17/07-DC DX: Transverse myelitis. Urinary tract infection (UTI). Presented to ED with 24 hour history of progressive weakness and numbness. Unable to walk. Received Gardasil 2 dys prior to symptoms and tick bite 2 weeks prior to admission. She was also on a camping trip 5 days prior to admission. PE: weak grip strength, wrist flexors and extensors normal. Right leg proximal flexor strength 2/6 and left leg strength 0/5. Distal right leg strength 0/5. Subjective numbness at T4 and below. Reflexes 1+ bilaterally in upper and lower extremities. No dysarthria. High dose steroid treatment. PlasmapheresisTransferred to rehab facility


Changed on 4/13/2011

VAERS ID: 292001 Before After
VAERS Form:
Age:15.0
Sex:Female
Location:Tennessee
Vaccinated:2007-09-24
Onset:2007-09-26
Submitted:2007-10-03
Entered:2007-10-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0927U / 1 RA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Arthropod bite, Blood glucose normal, CSF culture negative, Culture urine positive, Dysaesthesia, Dysphagia, Hypoaesthesia, Lumbar puncture normal, Muscular weakness, Myelitis, Myelitis transverse, Neurogenic bladder, Nuclear magnetic resonance imaging brain abnormal, Plasmapheresis, Protein total normal, Urinary tract infection, Visual evoked potentials normal, Abasia, Somatosensory evoked potentials, Radiculitis, Grip strength decreased

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: 20     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Claritin OTC PRN for allergy symptoms
Current Illness: None
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: MRI spine revealed myelitis of the lower cervical and upper thoracic spinal cord and radiculitis of the cauda equina. Lumbar puncture CSF sample shows no WBC, normal protein and glucose, no evidence of viral or bacterial infection. Somato
CDC 'Split Type':

Write-up: 2 days after 2nd dose of Gardasil, patient developed dysesthesia in arm and decrease in grip strength, leg weakness, and difficulty voiding urine. Progressed to inability to ambulate within 5 hours. Patient admitted to Medical Center. MRI revealed inflammation around spinal cord consistent with transverse myelitis vs. Guillain Barre syndrome. Clinical physical exam supported diagnosis of Transverse Myelitis. Patient treated with IV Methylprednisolone 250mg q6hr x 5 days and subsequent oral steroid taper. Over course of hospitalization, currently 7 days in duration and continuing, patient has regained some upper extremity strength and improvement in sensory symptoms. Minimal lower extremity strength recovery at this point. Throughout course of hospitalization, patient has required bladder catheterization due to inability to void urine.11/13/07-records received for DOS 9/26-10/17/07-DC DX: Transverse myelitis. Urinary tract infection (UTI). Presented to ED with 24 hour history of progressive weakness and numbness. Unable to walk. Received Gardasil 2 dys prior to symptoms and tick bite 2 weeks prior to admission. She was also on a camping trip 5 days prior to admission. PE: weak grip strength, wrist flexors and extensors normal. Right leg proximal flexor strength 2/6 and left leg strength 0/5. Distal right leg strength 0/5. Subjective numbness at T4 and below. Reflexes 1+ bilaterally in upper and lower extremities. No dysarthria. High dose steroid treatment. PlasmapheresisTransferred to rehab facility


Changed on 5/13/2011

VAERS ID: 292001 Before After
VAERS Form:
Age:15.0
Sex:Female
Location:Tennessee
Vaccinated:2007-09-24
Onset:2007-09-26
Submitted:2007-10-03
Entered:2007-10-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0927U / 1 RA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Arthropod bite, Blood glucose normal, CSF culture negative, Culture urine positive, Dysaesthesia, Dysphagia, Hypoaesthesia, Lumbar puncture normal, Muscular weakness, Myelitis, Myelitis transverse, Neurogenic bladder, Nuclear magnetic resonance imaging brain abnormal, Plasmapheresis, Protein total normal, Urinary tract infection, Visual evoked potentials normal, Abasia, Somatosensory evoked potentials, Radiculitis, Grip strength decreased

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: 20     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Claritin OTC PRN for allergy symptoms
Current Illness: None
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: MRI spine revealed myelitis of the lower cervical and upper thoracic spinal cord and radiculitis of the cauda equina. Lumbar puncture CSF sample shows no WBC, normal protein and glucose, no evidence of viral or bacterial infection. Somato
CDC 'Split Type':

Write-up: 2 days after 2nd dose of Gardasil, patient developed dysesthesia in arm and decrease in grip strength, leg weakness, and difficulty voiding urine. Progressed to inability to ambulate within 5 hours. Patient admitted to Medical Center. MRI revealed inflammation around spinal cord consistent with transverse myelitis vs. Guillain Barre syndrome. Clinical physical exam supported diagnosis of Transverse Myelitis. Patient treated with IV Methylprednisolone 250mg q6hr x 5 days and subsequent oral steroid taper. Over course of hospitalization, currently 7 days in duration and continuing, patient has regained some upper extremity strength and improvement in sensory symptoms. Minimal lower extremity strength recovery at this point. Throughout course of hospitalization, patient has required bladder catheterization due to inability to void urine.11/13/07-records received for DOS 9/26-10/17/07-DC DX: Transverse myelitis. Urinary tract infection (UTI). Presented to ED with 24 hour history of progressive weakness and numbness. Unable to walk. Received Gardasil 2 dys prior to symptoms and tick bite 2 weeks prior to admission. She was also on a camping trip 5 days prior to admission. PE: weak grip strength, wrist flexors and extensors normal. Right leg proximal flexor strength 2/6 and left leg strength 0/5. Distal right leg strength 0/5. Subjective numbness at T4 and below. Reflexes 1+ bilaterally in upper and lower extremities. No dysarthria. High dose steroid treatment. PlasmapheresisTransferred to rehab facility


Changed on 6/11/2011

VAERS ID: 292001 Before After
VAERS Form:
Age:15.0
Sex:Female
Location:Tennessee
Vaccinated:2007-09-24
Onset:2007-09-26
Submitted:2007-10-03
Entered:2007-10-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0927U / 1 RA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Arthropod bite, Blood glucose normal, CSF culture negative, Culture urine positive, Dysaesthesia, Dysphagia, Hypoaesthesia, Lumbar puncture normal, Muscular weakness, Myelitis, Myelitis transverse, Neurogenic bladder, Nuclear magnetic resonance imaging brain abnormal, Plasmapheresis, Protein total normal, Urinary tract infection, Visual evoked potentials normal, Abasia, Somatosensory evoked potentials, Radiculitis, Grip strength decreased

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: 20     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Claritin OTC PRN for allergy symptoms
Current Illness: None
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: MRI spine revealed myelitis of the lower cervical and upper thoracic spinal cord and radiculitis of the cauda equina. Lumbar puncture CSF sample shows no WBC, normal protein and glucose, no evidence of viral or bacterial infection. Somato
CDC 'Split Type':

Write-up: 2 days after 2nd dose of Gardasil, patient developed dysesthesia in arm and decrease in grip strength, leg weakness, and difficulty voiding urine. Progressed to inability to ambulate within 5 hours. Patient admitted to Medical Center. MRI revealed inflammation around spinal cord consistent with transverse myelitis vs. Guillain Barre syndrome. Clinical physical exam supported diagnosis of Transverse Myelitis. Patient treated with IV Methylprednisolone 250mg q6hr x 5 days and subsequent oral steroid taper. Over course of hospitalization, currently 7 days in duration and continuing, patient has regained some upper extremity strength and improvement in sensory symptoms. Minimal lower extremity strength recovery at this point. Throughout course of hospitalization, patient has required bladder catheterization due to inability to void urine.11/13/07-records received for DOS 9/26-10/17/07-DC DX: Transverse myelitis. Urinary tract infection (UTI). Presented to ED with 24 hour history of progressive weakness and numbness. Unable to walk. Received Gardasil 2 dys prior to symptoms and tick bite 2 weeks prior to admission. She was also on a camping trip 5 days prior to admission. PE: weak grip strength, wrist flexors and extensors normal. Right leg proximal flexor strength 2/6 and left leg strength 0/5. Distal right leg strength 0/5. Subjective numbness at T4 and below. Reflexes 1+ bilaterally in upper and lower extremities. No dysarthria. High dose steroid treatment. PlasmapheresisTransferred to rehab facility


Changed on 4/14/2017

VAERS ID: 292001 Before After
VAERS Form:
Age:15.0
Sex:Female
Location:Tennessee
Vaccinated:2007-09-24
Onset:2007-09-26
Submitted:2007-10-03
Entered:2007-10-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0927U / 1 RA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Arthropod bite, Blood glucose normal, CSF culture negative, Culture urine positive, Dysaesthesia, Dysphagia, Hypoaesthesia, Lumbar puncture normal, Muscular weakness, Myelitis, Myelitis transverse, Neurogenic bladder, Nuclear magnetic resonance imaging brain abnormal, Plasmapheresis, Protein total normal, Urinary tract infection, Visual evoked potentials normal, Abasia, Somatosensory evoked potentials, Radiculitis, Grip strength decreased

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: 20     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Claritin OTC PRN for allergy symptoms
Current Illness: None
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: MRI spine revealed myelitis of the lower cervical and upper thoracic spinal cord and radiculitis of the cauda equina. Lumbar puncture CSF sample shows no WBC, normal protein and glucose, no evidence of viral or bacterial infection. Somato Somatosensory evoked potential and visual evoked potential tests revealed no abnormalities. records received 11/13/07- ESR 8, CRP less than 0.3. MRI brain and spinal cord showed myelitis involving anterior aspect of lower cervical and upper thoracic spinal column from C6 to T1 and radiculitis of cauda equina. CSF glucose 43, protein 40, 0 WBC and 10 RBC. CSF culture negative and normal IgG index. Infectious disease titers were normal. Sensory evoked potentials normal. . Neurogenic bladder. Swallowing study mild
CDC 'Split Type':

Write-up: 2 days after 2nd dose of Gardasil, patient developed dysesthesia in arm and decrease in grip strength, leg weakness, and difficulty voiding urine. Progressed to inability to ambulate within 5 hours. Patient admitted to Medical Center. MRI revealed inflammation around spinal cord consistent with transverse myelitis vs. Guillain Barre syndrome. Clinical physical exam supported diagnosis of Transverse Myelitis. Patient treated with IV Methylprednisolone 250mg q6hr x 5 days and subsequent oral steroid taper. Over course of hospitalization, currently 7 days in duration and continuing, patient has regained some upper extremity strength and improvement in sensory symptoms. Minimal lower extremity strength recovery at this point. Throughout course of hospitalization, patient has required bladder catheterization due to inability to void urine.11/13/07-records received for DOS 9/26-10/17/07-DC DX: Transverse myelitis. Urinary tract infection (UTI). Presented to ED with 24 hour history of progressive weakness and numbness. Unable to walk. Received Gardasil 2 dys prior to symptoms and tick bite 2 weeks prior to admission. She was also on a camping trip 5 days prior to admission. PE: weak grip strength, wrist flexors and extensors normal. Right leg proximal flexor strength 2/6 and left leg strength 0/5. Distal right leg strength 0/5. Subjective numbness at T4 and below. Reflexes 1+ bilaterally in upper and lower extremities. No dysarthria. High dose steroid treatment. PlasmapheresisTransferred to rehab facility


Changed on 9/14/2017

VAERS ID: 292001 Before After
VAERS Form:(blank) 1
Age:15.0
Sex:Female
Location:Tennessee
Vaccinated:2007-09-24
Onset:2007-09-26
Submitted:2007-10-03
Entered:2007-10-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0927U / 1 2 RA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Blood glucose normal, CSF culture negative, Dysaesthesia, Lumbar puncture normal, Myelitis, Myelitis transverse, Protein total normal, Visual evoked potentials normal, Abasia, Somatosensory evoked potentials, Radiculitis, Grip strength decreased

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: 20     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Claritin OTC PRN for allergy symptoms
Current Illness: None
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: MRI spine revealed myelitis of the lower cervical and upper thoracic spinal cord and radiculitis of the cauda equina. Lumbar puncture CSF sample shows no WBC, normal protein and glucose, no evidence of viral or bacterial infection. Somatosensory evoked potential and visual evoked potential tests revealed no abnormalities. records received 11/13/07- ESR 8, CRP less than 0.3. MRI brain and spinal cord showed myelitis involving anterior aspect of lower cervical and upper thoracic spinal column from C6 to T1 and radiculitis of cauda equina. CSF glucose 43, protein 40, 0 WBC and 10 RBC. CSF culture negative and normal IgG index. Infectious disease titers were normal. Sensory evoked potentials normal. . Neurogenic bladder. Swallowing study mild dysphagia. Urine culture trace leukocyte esterase and 7 RBC with 1+ bacteria, E. coli .
CDC 'Split Type':

Write-up: 2 days after 2nd dose of Gardasil, patient developed dysesthesia in arm and decrease in grip strength, leg weakness, and difficulty voiding urine. Progressed to inability to ambulate within 5 hours. Patient admitted to Medical Center. MRI revealed inflammation around spinal cord consistent with transverse myelitis vs. Guillain Barre syndrome. Clinical physical exam supported diagnosis of Transverse Myelitis. Patient treated with IV Methylprednisolone 250mg q6hr x 5 days and subsequent oral steroid taper. Over course of hospitalization, currently 7 days in duration and continuing, patient has regained some upper extremity strength and improvement in sensory symptoms. Minimal lower extremity strength recovery at this point. Throughout course of hospitalization, patient has required bladder catheterization due to inability to void urine.11/13/07-records received for DOS 9/26-10/17/07-DC DX: Transverse myelitis. Urinary tract infection (UTI). Presented to ED with 24 hour history of progressive weakness and numbness. Unable to walk. Received Gardasil 2 dys prior to symptoms and tick bite 2 weeks prior to admission. She was also on a camping trip 5 days prior to admission. PE: weak grip strength, wrist flexors and extensors normal. Right leg proximal flexor strength 2/6 and left leg strength 0/5. Distal right leg strength 0/5. Subjective numbness at T4 and below. Reflexes 1+ bilaterally in upper and lower extremities. No dysarthria. High dose steroid treatment. PlasmapheresisTransferred to rehab facility


Changed on 2/14/2018

VAERS ID: 292001 Before After
VAERS Form:1
Age:15.0
Sex:Female
Location:Tennessee
Vaccinated:2007-09-24
Onset:2007-09-26
Submitted:2007-10-03
Entered:2007-10-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0927U / 2 RA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Blood glucose normal, CSF culture negative, Dysaesthesia, Lumbar puncture normal, Myelitis, Myelitis transverse, Protein total normal, Visual evoked potentials normal, Abasia, Somatosensory evoked potentials, Radiculitis, Grip strength decreased

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: 20     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Claritin OTC PRN for allergy symptoms
Current Illness: None
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: MRI spine revealed myelitis of the lower cervical and upper thoracic spinal cord and radiculitis of the cauda equina. Lumbar puncture CSF sample shows no WBC, normal protein and glucose, no evidence of viral or bacterial infection. Somatosensory evoked potential and visual evoked potential tests revealed no abnormalities. records received 11/13/07- ESR 8, CRP less than 0.3. MRI brain and spinal cord showed myelitis involving anterior aspect of lower cervical and upper thoracic spinal column from C6 to T1 and radiculitis of cauda equina. CSF glucose 43, protein 40, 0 WBC and 10 RBC. CSF culture negative and normal IgG index. Infectious disease titers were normal. Sensory evoked potentials normal. . Neurogenic bladder. Swallowing study mild dysphagia. Urine culture trace leukocyte esterase and 7 RBC with 1+ bacteria, E. coli .
CDC 'Split Type':

Write-up: 2 days after 2nd dose of Gardasil, patient developed dysesthesia in arm and decrease in grip strength, leg weakness, and difficulty voiding urine. Progressed to inability to ambulate within 5 hours. Patient admitted to Medical Center. MRI revealed inflammation around spinal cord consistent with transverse myelitis vs. Guillain Barre syndrome. Clinical physical exam supported diagnosis of Transverse Myelitis. Patient treated with IV Methylprednisolone 250mg q6hr x 5 days and subsequent oral steroid taper. Over course of hospitalization, currently 7 days in duration and continuing, patient has regained some upper extremity strength and improvement in sensory symptoms. Minimal lower extremity strength recovery at this point. Throughout course of hospitalization, patient has required bladder catheterization due to inability to void urine.11/13/07-records received for DOS 9/26-10/17/07-DC DX: Transverse myelitis. Urinary tract infection (UTI). Presented to ED with 24 hour history of progressive weakness and numbness. Unable to walk. Received Gardasil 2 dys prior to symptoms and tick bite 2 weeks prior to admission. She was also on a camping trip 5 days prior to admission. PE: weak grip strength, wrist flexors and extensors normal. Right leg proximal flexor strength 2/6 and left leg strength 0/5. Distal right leg strength 0/5. Subjective numbness at T4 and below. Reflexes 1+ bilaterally in upper and lower extremities. No dysarthria. High dose steroid treatment. PlasmapheresisTransferred to rehab facility


Changed on 6/14/2018

VAERS ID: 292001 Before After
VAERS Form:1
Age:15.0
Sex:Female
Location:Tennessee
Vaccinated:2007-09-24
Onset:2007-09-26
Submitted:2007-10-03
Entered:2007-10-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0927U / 2 RA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Blood glucose normal, CSF culture negative, Dysaesthesia, Lumbar puncture normal, Myelitis, Myelitis transverse, Protein total normal, Visual evoked potentials normal, Abasia, Somatosensory evoked potentials, Radiculitis, Grip strength decreased

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: 20     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Claritin OTC PRN for allergy symptoms
Current Illness: None
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: MRI spine revealed myelitis of the lower cervical and upper thoracic spinal cord and radiculitis of the cauda equina. Lumbar puncture CSF sample shows no WBC, normal protein and glucose, no evidence of viral or bacterial infection. Somatosensory evoked potential and visual evoked potential tests revealed no abnormalities. records received 11/13/07- ESR 8, CRP less than 0.3. MRI brain and spinal cord showed myelitis involving anterior aspect of lower cervical and upper thoracic spinal column from C6 to T1 and radiculitis of cauda equina. CSF glucose 43, protein 40, 0 WBC and 10 RBC. CSF culture negative and normal IgG index. Infectious disease titers were normal. Sensory evoked potentials normal. . Neurogenic bladder. Swallowing study mild dysphagia. Urine culture trace leukocyte esterase and 7 RBC with 1+ bacteria, E. coli .
CDC 'Split Type':

Write-up: 2 days after 2nd dose of Gardasil, patient developed dysesthesia in arm and decrease in grip strength, leg weakness, and difficulty voiding urine. Progressed to inability to ambulate within 5 hours. Patient admitted to Medical Center. MRI revealed inflammation around spinal cord consistent with transverse myelitis vs. Guillain Barre syndrome. Clinical physical exam supported diagnosis of Transverse Myelitis. Patient treated with IV Methylprednisolone 250mg q6hr x 5 days and subsequent oral steroid taper. Over course of hospitalization, currently 7 days in duration and continuing, patient has regained some upper extremity strength and improvement in sensory symptoms. Minimal lower extremity strength recovery at this point. Throughout course of hospitalization, patient has required bladder catheterization due to inability to void urine.11/13/07-records received for DOS 9/26-10/17/07-DC DX: Transverse myelitis. Urinary tract infection (UTI). Presented to ED with 24 hour history of progressive weakness and numbness. Unable to walk. Received Gardasil 2 dys prior to symptoms and tick bite 2 weeks prior to admission. She was also on a camping trip 5 days prior to admission. PE: weak grip strength, wrist flexors and extensors normal. Right leg proximal flexor strength 2/6 and left leg strength 0/5. Distal right leg strength 0/5. Subjective numbness at T4 and below. Reflexes 1+ bilaterally in upper and lower extremities. No dysarthria. High dose steroid treatment. PlasmapheresisTransferred to rehab facility


Changed on 8/14/2018

VAERS ID: 292001 Before After
VAERS Form:1
Age:15.0
Sex:Female
Location:Tennessee
Vaccinated:2007-09-24
Onset:2007-09-26
Submitted:2007-10-03
Entered:2007-10-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0927U / 2 RA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Blood glucose normal, CSF culture negative, Dysaesthesia, Lumbar puncture normal, Myelitis, Myelitis transverse, Protein total normal, Visual evoked potentials normal, Abasia, Somatosensory evoked potentials, Radiculitis, Grip strength decreased

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: 20     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Claritin OTC PRN for allergy symptoms
Current Illness: None
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: MRI spine revealed myelitis of the lower cervical and upper thoracic spinal cord and radiculitis of the cauda equina. Lumbar puncture CSF sample shows no WBC, normal protein and glucose, no evidence of viral or bacterial infection. Somatosensory evoked potential and visual evoked potential tests revealed no abnormalities. records received 11/13/07- ESR 8, CRP less than 0.3. MRI brain and spinal cord showed myelitis involving anterior aspect of lower cervical and upper thoracic spinal column from C6 to T1 and radiculitis of cauda equina. CSF glucose 43, protein 40, 0 WBC and 10 RBC. CSF culture negative and normal IgG index. Infectious disease titers were normal. Sensory evoked potentials normal. . Neurogenic bladder. Swallowing study mild dysphagia. Urine culture trace leukocyte esterase and 7 RBC with 1+ bacteria, E. coli .
CDC 'Split Type':

Write-up: 2 days after 2nd dose of Gardasil, patient developed dysesthesia in arm and decrease in grip strength, leg weakness, and difficulty voiding urine. Progressed to inability to ambulate within 5 hours. Patient admitted to Medical Center. MRI revealed inflammation around spinal cord consistent with transverse myelitis vs. Guillain Barre syndrome. Clinical physical exam supported diagnosis of Transverse Myelitis. Patient treated with IV Methylprednisolone 250mg q6hr x 5 days and subsequent oral steroid taper. Over course of hospitalization, currently 7 days in duration and continuing, patient has regained some upper extremity strength and improvement in sensory symptoms. Minimal lower extremity strength recovery at this point. Throughout course of hospitalization, patient has required bladder catheterization due to inability to void urine.11/13/07-records received for DOS 9/26-10/17/07-DC DX: Transverse myelitis. Urinary tract infection (UTI). Presented to ED with 24 hour history of progressive weakness and numbness. Unable to walk. Received Gardasil 2 dys prior to symptoms and tick bite 2 weeks prior to admission. She was also on a camping trip 5 days prior to admission. PE: weak grip strength, wrist flexors and extensors normal. Right leg proximal flexor strength 2/6 and left leg strength 0/5. Distal right leg strength 0/5. Subjective numbness at T4 and below. Reflexes 1+ bilaterally in upper and lower extremities. No dysarthria. High dose steroid treatment. PlasmapheresisTransferred to rehab facility


Changed on 9/14/2018

VAERS ID: 292001 Before After
VAERS Form:1
Age:15.0
Sex:Female
Location:Tennessee
Vaccinated:2007-09-24
Onset:2007-09-26
Submitted:2007-10-03
Entered:2007-10-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0927U / 2 RA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Blood glucose normal, CSF culture negative, Dysaesthesia, Lumbar puncture normal, Myelitis, Myelitis transverse, Protein total normal, Visual evoked potentials normal, Abasia, Somatosensory evoked potentials, Radiculitis, Grip strength decreased

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: 20     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Claritin OTC PRN for allergy symptoms
Current Illness: None
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: MRI spine revealed myelitis of the lower cervical and upper thoracic spinal cord and radiculitis of the cauda equina. Lumbar puncture CSF sample shows no WBC, normal protein and glucose, no evidence of viral or bacterial infection. Somatosensory evoked potential and visual evoked potential tests revealed no abnormalities. records received 11/13/07- ESR 8, CRP less than 0.3. MRI brain and spinal cord showed myelitis involving anterior aspect of lower cervical and upper thoracic spinal column from C6 to T1 and radiculitis of cauda equina. CSF glucose 43, protein 40, 0 WBC and 10 RBC. CSF culture negative and normal IgG index. Infectious disease titers were normal. Sensory evoked potentials normal. . Neurogenic bladder. Swallowing study mild dysphagia. Urine culture trace leukocyte esterase and 7 RBC with 1+ bacteria, E. coli .
CDC 'Split Type':

Write-up: 2 days after 2nd dose of Gardasil, patient developed dysesthesia in arm and decrease in grip strength, leg weakness, and difficulty voiding urine. Progressed to inability to ambulate within 5 hours. Patient admitted to Medical Center. MRI revealed inflammation around spinal cord consistent with transverse myelitis vs. Guillain Barre syndrome. Clinical physical exam supported diagnosis of Transverse Myelitis. Patient treated with IV Methylprednisolone 250mg q6hr x 5 days and subsequent oral steroid taper. Over course of hospitalization, currently 7 days in duration and continuing, patient has regained some upper extremity strength and improvement in sensory symptoms. Minimal lower extremity strength recovery at this point. Throughout course of hospitalization, patient has required bladder catheterization due to inability to void urine.11/13/07-records received for DOS 9/26-10/17/07-DC DX: Transverse myelitis. Urinary tract infection (UTI). Presented to ED with 24 hour history of progressive weakness and numbness. Unable to walk. Received Gardasil 2 dys prior to symptoms and tick bite 2 weeks prior to admission. She was also on a camping trip 5 days prior to admission. PE: weak grip strength, wrist flexors and extensors normal. Right leg proximal flexor strength 2/6 and left leg strength 0/5. Distal right leg strength 0/5. Subjective numbness at T4 and below. Reflexes 1+ bilaterally in upper and lower extremities. No dysarthria. High dose steroid treatment. PlasmapheresisTransferred to rehab facility


Changed on 10/14/2018

VAERS ID: 292001 Before After
VAERS Form:1
Age:15.0
Sex:Female
Location:Tennessee
Vaccinated:2007-09-24
Onset:2007-09-26
Submitted:2007-10-03
Entered:2007-10-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0927U / 2 RA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Blood glucose normal, CSF culture negative, Dysaesthesia, Lumbar puncture normal, Myelitis, Myelitis transverse, Protein total normal, Visual evoked potentials normal, Abasia, Somatosensory evoked potentials, Radiculitis, Grip strength decreased

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: 20     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Claritin OTC PRN for allergy symptoms
Current Illness: None
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: MRI spine revealed myelitis of the lower cervical and upper thoracic spinal cord and radiculitis of the cauda equina. Lumbar puncture CSF sample shows no WBC, normal protein and glucose, no evidence of viral or bacterial infection. Somatosensory evoked potential and visual evoked potential tests revealed no abnormalities. records received 11/13/07- ESR 8, CRP less than 0.3. MRI brain and spinal cord showed myelitis involving anterior aspect of lower cervical and upper thoracic spinal column from C6 to T1 and radiculitis of cauda equina. CSF glucose 43, protein 40, 0 WBC and 10 RBC. CSF culture negative and normal IgG index. Infectious disease titers were normal. Sensory evoked potentials normal. . Neurogenic bladder. Swallowing study mild dysphagia. Urine culture trace leukocyte esterase and 7 RBC with 1+ bacteria, E. coli .
CDC 'Split Type':

Write-up: 2 days after 2nd dose of Gardasil, patient developed dysesthesia in arm and decrease in grip strength, leg weakness, and difficulty voiding urine. Progressed to inability to ambulate within 5 hours. Patient admitted to Medical Center. MRI revealed inflammation around spinal cord consistent with transverse myelitis vs. Guillain Barre syndrome. Clinical physical exam supported diagnosis of Transverse Myelitis. Patient treated with IV Methylprednisolone 250mg q6hr x 5 days and subsequent oral steroid taper. Over course of hospitalization, currently 7 days in duration and continuing, patient has regained some upper extremity strength and improvement in sensory symptoms. Minimal lower extremity strength recovery at this point. Throughout course of hospitalization, patient has required bladder catheterization due to inability to void urine.11/13/07-records received for DOS 9/26-10/17/07-DC DX: Transverse myelitis. Urinary tract infection (UTI). Presented to ED with 24 hour history of progressive weakness and numbness. Unable to walk. Received Gardasil 2 dys prior to symptoms and tick bite 2 weeks prior to admission. She was also on a camping trip 5 days prior to admission. PE: weak grip strength, wrist flexors and extensors normal. Right leg proximal flexor strength 2/6 and left leg strength 0/5. Distal right leg strength 0/5. Subjective numbness at T4 and below. Reflexes 1+ bilaterally in upper and lower extremities. No dysarthria. High dose steroid treatment. PlasmapheresisTransferred to rehab facility

New Search

Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=292001&WAYBACKHISTORY=ON


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