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This is VAERS ID 305693

Case Details

VAERS ID: 305693 (history)  
Age: 12.0  
Gender: Female  
Location: Florida  
Vaccinated:2007-08-13
Onset:2007-09-02
   Days after vaccination:20
Submitted: 2008-02-26
   Days after onset:177
Entered: 2008-02-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0245U / 0 LA / UN
TD: TD ADSORBED (DITANRIX) / GLAXOSMITHKLINE BIOLOGICALS AC52B016BA / - LA / UN

Administered by: Private       Purchased by: Private
Symptoms: Anterior spinal artery syndrome, Laboratory test abnormal, Leukoencephalomyelitis, Monoplegia
SMQs:, Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Noninfectious encephalitis (narrow), Demyelination (narrow), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (broad)

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 13 days
   Extended hospital stay? Yes
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None. PMH: none. Allergic to PCN and Septra.
Diagnostic Lab Data: Tests confirmed acute disseminated encephalomyelitis (ADEM). Labs and Diagnostics: Spinal Arteriogram revealed no AV malformations. MR of spine c/w inflammatory process /demyelination. UC (+) for E. coli and Enterobacter. CSF WNL.
CDC Split Type:

Write-up: On September 2, 2007, patient''s left leg became paralyzed. She was taken to the emergency room and hospitalized for 13 days. The doctors at hospital diagnosed her with non-infectious A.D.E.M. 04/11/2008 MR received from hospital for DOS 9/6-10/2008 where pt was sent for diagnostic testing to r/o AVM. D/C DX: was Spinal cord anterior spinal artery infarct. Pt was transfered to another facility where Final DX was made. Pt initially had presented to local facility with sudden onset L lower extremity plegia. 04/28/2008 MR received for DOS 9/10-15/2007 with D/C DX: Acute Demyelinating Encephalomyelitis (ADEM). Urinary Tract infection. Pt admitted after transfer from above admission. Pt initially presented with Left leg weakness/paralysis and upper back pain. Upon admission pt was unable to void and later had urinary incontinence. Tx with solumedrol and abx for UTI. At D/C pt still with decreased strength of LLE, depressed reflexes and unable to bear weight independantly. Using a walker. Will continue with Outpt rehab. 1/20/2010 Patient stil has not been able to walk or run normal. She is still receiving physical therapy 2x a week. Follow-up Information 06-MAY-2008:


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