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This is VAERS ID 314879

(NOTE: This result is from the 4/13/2011 version of the VAERS database)

Case Details

VAERS ID: 314879 (history)  
Form: Version .0  
Age: 11.0  
Gender: Female  
Location: D.C.  
Vaccinated:2008-01-01
Onset:2008-01-01
   Days after vaccination:0
Submitted: 2008-06-03
   Days after onset:153
Entered: 2008-06-04
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 2 UN / UN

Administered by: Other       Purchased by: Other
Symptoms: Asthenia, Blood thyroid stimulating hormone, Cataplexy, Computerised tomogram, Computerised tomogram normal, Dizziness, Dysarthria, Dyspnoea, Fatigue, Hallucination, Hypersomnia, Loss of control of legs, Movement disorder, Narcolepsy, Nuclear magnetic resonance imaging brain normal, Sleep disorder, Sleep study, Syncope, Thyroxine free normal, Tremor, Tri-iodothyronine free normal
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dementia (broad), Convulsions (broad), Akathisia (broad), Dyskinesia (broad), Dystonia (broad), Parkinson-like events (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 (broad), Cardiomyopathy (broad), Hypothyroidism (broad), Hyperthyroidism (broad), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (broad), Depression (excl suicide and self injury) (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (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: Penicillin allergy
Preexisting Conditions: PMH: Allergy to PCN.
Allergies:
Diagnostic Lab Data: computed axial; sleep study, poly sleep latency tests; magnetic resonance, ordered. Labs and Diagnostics: Brain MRI WNL. CT scan WNL. TSH, T3 and T4 WNL.
CDC Split Type: WAES0805USA06185

Write-up: Information has been received from a physician concerning an 11 year old female with penicillin allergy and no pertinent medical history who in January 2008, was vaccinated with a third dose of GARDASIL. There was no concomitant medication. In January 2008, the patient developed cataplexy 1 to 3 days after vaccination. About 2 months later in March 2008, the patient developed narcolepsy with hallucinations and a limb movement disorder. The patient was seen in the physician''s office and was treated with an unknown stimulant. On unspecified dates the patient had a computed axial tomography, poly sleep latency tests and an magnetic resonance imaging (MRI) was ordered. At the time of reporting the patient had not recovered. The physician considered the patient''s cataplexy and narcolepsy with hallucinations and limb movement disorder were considered to be disabling and other medical events. Additional information has been requested. 8/13/2008 Outpatient records received from 3/2008 to 6/2008 with fnal dx: narcolepsy. Pt initially developed sx of dizziness, fatigue, decreased energy, interupted sleep and episodes offalling asleep/losing bodily control but not fully passing out following 3rd HPV shot in 1/2008. Initially thought to be vasodepressive sx tx''d with increased salt and fluids without improvement. Seen once in ER in 2/2008 for episode of shuddering, weakness, excessive sleepines/syncope without dx. Seen by neuro with w/u WNL. Has had episodes of slurred speech and difficulty catching breath. Picture more c/w cataplexy/narcolepsy.


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