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This is VAERS ID 309236

Case Details

VAERS ID: 309236 (history)  
Form: Version 1.0  
Age: 16.0  
Gender: Female  
Location: Hawaii  
Vaccinated:2007-11-06
Onset:2007-11-20
   Days after vaccination:14
Submitted: 2008-04-09
   Days after onset:140
Entered: 2008-04-10
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1061U / 1 UN / UN
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U2330AA / 1 - / -
VARCEL: VARICELLA (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Other       Purchased by: Other
Symptoms: Activities of daily living impaired, Cardiac function test normal, Convulsion, Electroencephalogram abnormal, Headache, Laboratory test normal, Neurological symptom, Ophthalmological examination normal, Tremor
SMQs:, Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Dementia (broad), Convulsions (narrow), Parkinson-like events (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Generalised convulsive seizures following immunisation (narrow), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness:
Preexisting Conditions: Grand mal convulsion. PMH: seizures vs breath holding ages 10 months-8 yrs. None since age 8.
Allergies:
Diagnostic Lab Data: magnetic resonance - negative; diagnostic laboratory - normal; ophthalmological exam - normal; diagnostic laboratory - cardiac tests - normal; electroencephalography - showed signs of seizure activity. Labs and diagnostics: Brain MRI WNL. Intracranial MRA (-). EEG WNL. Head CT (-). EEG WNL. Stress Echo (+) for mild prolapse of the anterior mitral leaflet.
CDC Split Type: WAES0804USA01226

Write-up: Information has been received from a licensed practical nurse concerning her 17 year old daughter with a history of grand mal seizures as a child aged 10 months to the age of 7 years who in November 2007 was vaccinated with a first dose of Gardasil. There was no concomitant medication. The nurse reported her daughter was experiencing severe neurological adverse events after receiving Gardasil. On an unspecified date two weeks later the patient began experiencing daily severe headaches. The patient sought medical attention. The patient then began experiencing what was described as "brain shaking". An EEG showed signs of seizure activity and a repeat EEG is scheduled to confirm these results as the patient is changing neurologists. MRI, lab values, eyes and cardiac tests were normal. Despite the headaches the patient received a second dose of Gardasil on an unspecified date with the headaches and "brain shakes" continuing and possible intensifying after the second dose. The patient was prescribed LAMICTAL and RELPAK but has not had any relief from the headaches. The headaches were currently reported to be getting worse instead of better. At the time of reporting the patient has not recovered. The mother considers the event to be disabling because the debilitating headaches interferes with her classes (where she was a straight A student) and her cheerleading (where she was one of the top cheerleaders in the state). No further information was available. Additional information has been requested. 4/15/09 Incomplete records received from reporter. Sent for stress echo to eval seizures, neurocardiogenic syncope, H/A, black outs, hypotension. Pt recd HPV 11/6/07 1061U. 5/1/09 PCP records recd from 11/6/07 to 3/2009. WCC 11/6/07 with reported shoulder and aknle discomfort 2'' to gymnastics. Vax given. Returned 12/7 with c/o sore throat, H/A, body aches and runny nose. Dx: pharyngitis. Multiple visits with the following c/o: H/A, blank-out periods. DX: H/A. Seizure d/o. Neuro eval 1/11/08. pt reports vibrating sensation in head with H/A, light-headedness and dizziness. Exam WNL. Dx:Hx of epilepsy. Vasc H/A. Possible neurocardiogenic syncope/presyncope. Sent for EEG and MRI brain-normal. F/U 1/21/08 with Dx: Migraines. Epilepsy. Malaise noted 2/29/08. H/A worsening 4/1/08. Dx: Reactive depression. 5/4/09 neuro consults received dated 4/2/08-4/7/09. Pt reports onset of headaches (frontal/temporal) since 12/2007-throbbing and pressure in nature. Constant with (+) phono and photophobia as well as difficulty concentrating. Feels like "brain shaking" with no LOC. ROS (+) for depression, blurred vision, muscle pain. PE WNL. 2 ER visits for seizures in 4/2008 with dx: non-epileptic seizures. Out of school 10 days. Brain shakes eveolve into crying, screaming, shaking and feeling wierd. No incont. Meds not helping. suggest psych eval. Worsening H/A 5/08 with some improvement by 6/08. Dx with Crohn''s 11/08. Brain shakes 3x/week noted 4/7/09. by 9/9/2008 reporting RLQ abdominal pain, diarrhea, nausea and wt loss.


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