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This is VAERS ID 306710

(NOTE: This result is from the 4/14/2017 version of the VAERS database)

Case Details

VAERS ID: 306710 (history)  
Form: Version .0  
Age: 16.0  
Gender: Female  
Location: Foreign  
Submitted: 2008-03-07
Entered: 2008-03-10
   Days after submission:2
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Unknown       Purchased by: Unknown
Symptoms: Ataxia, C-reactive protein increased, Delusional perception, Dizziness, Dyspnoea, Electrocardiogram normal, Electroencephalogram normal, Headache, Laboratory test abnormal, Nausea, Nuclear magnetic resonance imaging normal, Phonophobia, Photophobia, Reaction to previous exposure to any vaccine, Stress at work, Ultrasound scan normal
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Anticholinergic syndrome (broad), Acute central respiratory depression (broad), Psychosis and psychotic disorders (narrow), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Glaucoma (broad), Cardiomyopathy (broad), Corneal disorders (broad), Retinal disorders (broad), Vestibular disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 0 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: The patient was vaccinated with a first dose of Gardasil (lot# NF56940) i.m. (site not reported) on 24-Oct-07.
Diagnostic Lab Data: An MRI (date and site not reported) was without pathological findings; 05-Dec-07, CRP 5.0 mg/dl (normal range: <1 mg/dl); EEG, ECG and sonographies were without pathological findings; routine lab parameters only showed increased inflammatory parameters for respiratory infection
CDC Split Type: E200801915

Write-up: Case initially received on 25-Feb-08. This case is linked with case E2008-00806 (same patient). It was reported by a pediatrician that a 16-year-old female patient was vaccinated with a dose of IPV Merieux (lot#, site and route not reported) and a dose of hepatitis B (product, lot#, site and route not reported) at the end of Nov-07. The patient had recovered from ataxia and non-specific dizziness after the first vaccine with Gardasil (on 24-Oct-07) until 05-Nov-07. After the vaccinations with IPV Merieux and hepatitis B the ataxia and dizziness reappeared and worsened. the patient was hospitalised on 03-Dec-07 due to dizziness, nausea and relapsing complained of severe headache, delusional perception, photophobia, phonophobia and feeling of dyspnoea. She also complained of much psychological stress at work. EEG, ECG and sonographies were without pathological findings. Routine lab parameters only showed increased inflammatory parameters for respiratory infection (on 05-De-07: CRP 5.0 mg/dl, normal range: <1 mg/dl). Therefore the patient was treated with doxycycline (onset and dose were not reported). Under this therapy the laboratory findings (values not reported) and the condition of the patient improved. She was referred to the child and adolescent psychologist due to her stress situation. Further information was expected. On 07-Dec-07 the patient was discharged from hospital in good general condition.

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