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Life Threatening? No
Write-up: Information has been received from a physician concerning a female who was vaccinated with a 0.5 mL dose of Gardasil. Subsequently, after vaccination, the patient developed Guillain-Barre syndrome and was hospitalized. It was reported that the patient "recently had plastic surgery and is now in rehab." The patient''s outcome was unknown. Additional information has been requested. 4/1/08 Received only partial medical records of 5/23-6/04/2007. FINAL DX: Guillain Barre syndrome. No d/c summary available. Records indicate patient experienced 2-3 days of neck & back pain & tingling in his legs followed by weakness which became profound until patient fell & was unable to move either leg, also had weakness of both arms along w/facial numbness. Had HA, cough, runny nose & sore throat & recent dx of URI tx w/antibiotics. Had nausea x 1 wk & difficulty voiding & swallowing. Had brief episode of diarrhea 1 week prior. Was on business trip from out of state. Admitted to ICU. Neuro & pulmonary consults done. Exam revealed hyporeflexia. Tx w/plasmapheresis. Developed N/V. Feeding tube placed. Transferred to inpatient rehab w/foley cath. 5/6/08 Received hospital medical records of 6/4-7/11/2007. FINAL DX: Guillain-Barre syndrome; neuropathic pain; debility; asthma; dysphonia. Also developed URI; UTI; hypersensitivity vasculitis, all resolved. Records reveal patient experienced improvement during this rehab hospitlization. Improved to be able to ambulate w/walker. Continued to awaken at night w/leg spasms & have erectile dysfunction. Transferred to another rehab hospital. This is in follow-up to report(s) previously submitted on 9/17/2007. Initial and follow-up Information has been received from two physicians concerning a 56 year old sexually active male homosexual (previously reported as female) with a "questionable" history of illicit substance abuse. At the time of this report, the patient was recovering. Additional information has been requested.
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