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This is VAERS ID 293701

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 293701
VAERS Form:
Age:
Sex:Female
Location:New York
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2007-09-17
Entered:2007-09-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / UN

Administered by: Other      Purchased by: Unknown
Symptoms: Guillain-Barre syndrome

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:     Extended hospital stay? Yes
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 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 /"r"ecently had plastic surgery and is now in rehab./" The patient''''s outcome was unknown. Additional information has been requested.


Changed on 12/8/2009

VAERS ID: 293701 Before After
VAERS Form:
Age:(blank) 56.0
Sex:Female Male
Location:New York
Vaccinated:0000-00-00 2007-05-09
Onset:0000-00-00 2007-05-20
Submitted:2007-09-17
Entered:2007-09-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / UN

Administered by: Other      Purchased by: Unknown Other
Symptoms: Asthenia, Asthma, Back pain, Chest X-ray normal, Cough, CSF culture negative, CSF glucose normal, CSF protein increased, Diarrhoea, Dysphagia, Dysphonia, Dysuria, Electromyogram, Fall, Guillain-Barre syndrome, Headache, Hyporeflexia, Intensive care, Leukocytoclastic vasculitis, Muscle spasms, Muscular weakness, Nausea, Neck pain, Neuralgia, Nuclear magnetic resonance imaging abnormal, Paraesthesia, Pharyngolaryngeal pain, Plasmapheresis, Rhinorrhoea, Sinusitis, Upper respiratory tract infection, Urinary tract infection, Vomiting, Abasia, Facial paresis, Catheter placement, Gastrointestinal tube insertion, Nerve conduction studies, Erectile dysfunction, Abdominal X-ray, Hypoaesthesia facial

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: (blank) 55     Extended hospital stay? Yes
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
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.
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 rep
CDC 'Split Type': (blank) 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 /"r"ecently "recently had plastic surgery and is now in rehab./" rehab." The patient''''s 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.


Changed on 1/5/2010

VAERS ID: 293701 Before After
VAERS Form:
Age:56.0
Sex:Male
Location:New York
Vaccinated:2007-05-09
Onset:2007-05-20
Submitted:2007-09-17
Entered:2007-09-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Asthenia, Asthma, Back pain, Chest X-ray normal, Cough, CSF culture negative, CSF glucose normal, CSF protein increased, Diarrhoea, Dysphagia, Dysphonia, Dysuria, Electromyogram, Fall, Guillain-Barre syndrome, Headache, Hyporeflexia, Intensive care, Leukocytoclastic vasculitis, Muscle spasms, Muscular weakness, Nausea, Neck pain, Neuralgia, Nuclear magnetic resonance imaging abnormal, Paraesthesia, Pharyngolaryngeal pain, Plasmapheresis, Rhinorrhoea, Sinusitis, Upper respiratory tract infection, Urinary tract infection, Vomiting, Abasia, Facial paresis, Catheter placement, Gastrointestinal tube insertion, Nerve conduction studies, Erectile dysfunction, Abdominal X-ray, Hypoaesthesia facial

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 55     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 rep
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.


Changed on 2/5/2010

VAERS ID: 293701 Before After
VAERS Form:
Age:56.0
Sex:Male
Location:New York
Vaccinated:2007-05-09
Onset:2007-05-20
Submitted:2007-09-17
Entered:2007-09-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Guillain-Barre syndrome

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 55     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 rep
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.


Changed on 7/31/2010

VAERS ID: 293701 Before After
VAERS Form:
Age:56.0
Sex:Male
Location:New York
Vaccinated:2007-05-09
Onset:2007-05-20
Submitted:2007-09-17
Entered:2007-09-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / UN

Administered by: Other      Purchased by: Other
Symptoms: CSF oligoclonal band present, Guillain-Barre syndrome, Nuclear magnetic resonance imaging abnormal, Sinusitis, Urinary tract infection, Intervertebral disc degeneration

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: 55     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 rep
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.


Changed on 8/31/2010

VAERS ID: 293701 Before After
VAERS Form:
Age:56.0
Sex:Male
Location:New York
Vaccinated:2007-05-09
Onset:2007-05-20
Submitted:2007-09-17
Entered:2007-09-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / UN

Administered by: Other      Purchased by: Other
Symptoms: CSF oligoclonal band present, Dysphonia, Guillain-Barre syndrome, Nuclear magnetic resonance imaging abnormal, Sinusitis, Urinary tract infection, Intervertebral disc degeneration

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: 55     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 rep
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.


Changed on 1/4/2011

VAERS ID: 293701 Before After
VAERS Form:
Age:56.0
Sex:Male
Location:New York
Vaccinated:2007-05-09
Onset:2007-05-20
Submitted:2007-09-17
Entered:2007-09-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / UN

Administered by: Other      Purchased by: Other
Symptoms: CSF oligoclonal band present, Dysphonia, Guillain-Barre syndrome, Nuclear magnetic resonance imaging abnormal, Sinusitis, Urinary tract infection, Intervertebral disc degeneration

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: 55     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 rep 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.


Changed on 4/13/2011

VAERS ID: 293701 Before After
VAERS Form:
Age:56.0
Sex:Male
Location:New York
Vaccinated:2007-05-09
Onset:2007-05-20
Submitted:2007-09-17
Entered:2007-09-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Asthenia, Asthma, Back pain, Chest X-ray normal, Cough, CSF culture negative, CSF glucose normal, CSF oligoclonal band present, CSF protein increased, Diarrhoea, Dysphagia, Dysphonia, Dysuria, Electromyogram, Fall, Guillain-Barre syndrome, Headache, Hyporeflexia, Intensive care, Leukocytoclastic vasculitis, Muscle spasms, Muscular weakness, Nausea, Neck pain, Neuralgia, Nuclear magnetic resonance imaging abnormal, Paraesthesia, Pharyngolaryngeal pain, Plasmapheresis, Rhinorrhoea, Sinusitis, Upper respiratory tract infection, Urinary tract infection, Vomiting, Abasia, Facial paresis, Catheter placement, Gastrointestinal tube insertion, Nerve conduction studies, Intervertebral disc degeneration, Erectile dysfunction, Abdominal X-ray, Hypoaesthesia facial

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: 55     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.


Changed on 5/13/2011

VAERS ID: 293701 Before After
VAERS Form:
Age:56.0
Sex:Male
Location:New York
Vaccinated:2007-05-09
Onset:2007-05-20
Submitted:2007-09-17
Entered:2007-09-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Asthenia, Asthma, Back pain, Chest X-ray normal, Cough, CSF culture negative, CSF glucose normal, CSF oligoclonal band present, CSF protein increased, Diarrhoea, Dysphagia, Dysphonia, Dysuria, Electromyogram, Fall, Guillain-Barre syndrome, Headache, Hyporeflexia, Intensive care, Leukocytoclastic vasculitis, Muscle spasms, Muscular weakness, Nausea, Neck pain, Neuralgia, Nuclear magnetic resonance imaging abnormal, Paraesthesia, Pharyngolaryngeal pain, Plasmapheresis, Rhinorrhoea, Sinusitis, Upper respiratory tract infection, Urinary tract infection, Vomiting, Abasia, Facial paresis, Catheter placement, Gastrointestinal tube insertion, Nerve conduction studies, Intervertebral disc degeneration, Erectile dysfunction, Abdominal X-ray, Hypoaesthesia facial

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: 55     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.


Changed on 6/11/2011

VAERS ID: 293701 Before After
VAERS Form:
Age:56.0
Sex:Male
Location:New York
Vaccinated:2007-05-09
Onset:2007-05-20
Submitted:2007-09-17
Entered:2007-09-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Asthenia, Asthma, Back pain, Chest X-ray normal, Cough, CSF culture negative, CSF glucose normal, CSF oligoclonal band present, CSF protein increased, Diarrhoea, Dysphagia, Dysphonia, Dysuria, Electromyogram, Fall, Guillain-Barre syndrome, Headache, Hyporeflexia, Intensive care, Leukocytoclastic vasculitis, Muscle spasms, Muscular weakness, Nausea, Neck pain, Neuralgia, Nuclear magnetic resonance imaging abnormal, Paraesthesia, Pharyngolaryngeal pain, Plasmapheresis, Rhinorrhoea, Sinusitis, Upper respiratory tract infection, Urinary tract infection, Vomiting, Abasia, Facial paresis, Catheter placement, Gastrointestinal tube insertion, Nerve conduction studies, Intervertebral disc degeneration, Erectile dysfunction, Abdominal X-ray, Hypoaesthesia facial

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: 55     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.


Changed on 6/14/2014

VAERS ID: 293701 Before After
VAERS Form:
Age:56.0
Sex:Male
Location:New York
Vaccinated:2007-05-09
Onset:2007-05-20
Submitted:2007-09-17
Entered:2007-09-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Asthenia, Asthma, Back pain, Chest X-ray normal, Cough, CSF culture negative, CSF glucose normal, CSF oligoclonal band present, CSF protein increased, Diarrhoea, Dysphagia, Dysphonia, Dysuria, Electromyogram, Fall, Guillain-Barre syndrome, Headache, Hyporeflexia, Intensive care, Leukocytoclastic vasculitis, Muscle spasms, Muscular weakness, Nausea, Neck pain, Neuralgia, Nuclear magnetic resonance imaging abnormal, Paraesthesia, Pharyngolaryngeal pain, Plasmapheresis, Rhinorrhoea, Sinusitis, Upper respiratory tract infection, Urinary tract infection, Vomiting, Abasia, Facial paresis, Catheter placement, Gastrointestinal tube insertion, Nerve conduction studies, Intervertebral disc degeneration, Erectile dysfunction, Abdominal X-ray, Hypoaesthesia facial

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: 55     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.


Changed on 4/14/2017

VAERS ID: 293701 Before After
VAERS Form:
Age:56.0
Sex:Male
Location:New York
Vaccinated:2007-05-09
Onset:2007-05-20
Submitted:2007-09-17
Entered:2007-09-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Asthenia, Asthma, Back pain, Chest X-ray normal, Cough, CSF culture negative, CSF glucose normal, CSF oligoclonal band present, CSF protein increased, Diarrhoea, Dysphagia, Dysphonia, Dysuria, Electromyogram, Fall, Guillain-Barre syndrome, Headache, Hyporeflexia, Intensive care, Leukocytoclastic vasculitis, Muscle spasms, Muscular weakness, Nausea, Neck pain, Neuralgia, Nuclear magnetic resonance imaging abnormal, Paraesthesia, Pharyngolaryngeal pain, Plasmapheresis, Rhinorrhoea, Sinusitis, Upper respiratory tract infection, Urinary tract infection, Vomiting, Abasia, Facial paresis, Catheter placement, Gastrointestinal tube insertion, Nerve conduction studies, Intervertebral disc degeneration, Erectile dysfunction, Abdominal X-ray, Hypoaesthesia facial

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: 55     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.


Changed on 9/14/2017

VAERS ID: 293701 Before After
VAERS Form:(blank) 1
Age:56.0
Sex:Male
Location:New York
Vaccinated:2007-05-09
Onset:2007-05-20
Submitted:2007-09-17
Entered:2007-09-20
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, Nuclear magnetic resonance imaging abnormal, Sinusitis, Urinary tract infection, Intervertebral disc degeneration

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: 55     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.


Changed on 2/14/2018

VAERS ID: 293701 Before After
VAERS Form:1
Age:56.0
Sex:Male
Location:New York
Vaccinated:2007-05-09
Onset:2007-05-20
Submitted:2007-09-17
Entered:2007-09-20
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, Nuclear magnetic resonance imaging abnormal, Sinusitis, Urinary tract infection, Intervertebral disc degeneration

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: 55     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.


Changed on 6/14/2018

VAERS ID: 293701 Before After
VAERS Form:1
Age:56.0
Sex:Male
Location:New York
Vaccinated:2007-05-09
Onset:2007-05-20
Submitted:2007-09-17
Entered:2007-09-20
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, Nuclear magnetic resonance imaging abnormal, Sinusitis, Urinary tract infection, Intervertebral disc degeneration

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: 55     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.


Changed on 8/14/2018

VAERS ID: 293701 Before After
VAERS Form:1
Age:56.0
Sex:Male
Location:New York
Vaccinated:2007-05-09
Onset:2007-05-20
Submitted:2007-09-17
Entered:2007-09-20
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, Nuclear magnetic resonance imaging abnormal, Sinusitis, Urinary tract infection, Intervertebral disc degeneration

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: 55     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.


Changed on 9/14/2018

VAERS ID: 293701 Before After
VAERS Form:1
Age:56.0
Sex:Male
Location:New York
Vaccinated:2007-05-09
Onset:2007-05-20
Submitted:2007-09-17
Entered:2007-09-20
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, Nuclear magnetic resonance imaging abnormal, Sinusitis, Urinary tract infection, Intervertebral disc degeneration

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: 55     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.


Changed on 10/14/2018

VAERS ID: 293701 Before After
VAERS Form:1
Age:56.0
Sex:Male
Location:New York
Vaccinated:2007-05-09
Onset:2007-05-20
Submitted:2007-09-17
Entered:2007-09-20
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, Nuclear magnetic resonance imaging abnormal, Sinusitis, Urinary tract infection, Intervertebral disc degeneration

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: 55     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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