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This is VAERS ID 293701

Case Details

VAERS ID: 293701 (history)  
Form: Version 1.0  
Age: 56.0  
Sex: Male  
Location: New York  
Vaccinated:2007-05-09
Onset:2007-05-20
   Days after vaccination:11
Submitted: 2007-09-17
   Days after onset:120
Entered: 2007-09-20
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / UNK UN / UN

Administered by: Other       Purchased by: Other
Symptoms: CSF oligoclonal band present, Guillain-Barre syndrome, Intervertebral disc degeneration, Nuclear magnetic resonance imaging abnormal, Sinusitis, Urinary tract infection
SMQs:, Peripheral neuropathy (narrow), Guillain-Barre syndrome (narrow), Demyelination (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 55 days
   Extended hospital stay? Yes
Previous Vaccinations:
Other Medications: Unknown
Current Illness: Homosexuality; Sexually active
Preexisting Conditions: Unknown PMH: remote grand mal seizure several years ago w/no etiology. PE 1990''s. Asthma. GERD. Gay w/steady partner. Allergic: sulfa. Substance abuse
Allergies:
Diagnostic Lab Data: Unknown LABS: CSF: protein 62 (H), glucose 52 (N), oligclonal bands neg, c/s neg. MRI of brain WNL except for sinus inflammation. MRI of c-spine & l-spine revealed degenerative changes. CXR WNL. Abdominal x-ray abnormal. EMG/NCS report included but no interpretation available.
CDC Split Type: WAES0708USA04356

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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