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Life Threatening? Yes
Write-up: Information has been received from a Registered Nurse (R.N.) concerning a 16 year old female with a history of smoking and use of oral contraception who was vaccinated IM with a second dose of Gardasil. Concomitant therapy included hormonal oral contraceptives (unspecified). The nurse reported that after 2 months getting her second vaccination the patient had a stroke and she was hospitalized. The patient continued to have weakness on one side of her body. The patient was recovering. The reporter considered the event stroke as disabling and life threatening. Additional information has been requested. 7/4/08-records received for DOS 3/12-3/21/07-DC DX: Left-sided middle cerebral artery stroke with subfalcine herniation status post left-sided craniectomy for decompression. Presented with left-sided MCA stroke. Witnessed collapse to the ground had been exerting herself physically lately. PE: reflexes increased on right side, awakens to voice but does not follow commands, semipurposeful movement in left upper extremity. Consensus cause of stroke was postulated to be a combination of smoking and birth control pill use. Discharged to rehab. 7/9/08-ER report for DOS 3/11/07-non-responsive- 7/9/08-records received for DOS 4/6-4/9/08-DC DX: Encephalomalacia. During rehab hospitalization developed worsening headache and swelling in area of craniectomy flap, new baseline right-sided weakness secondary to stroke. Questionable LSD use. Readmitted to rehab.
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