This is VAERS ID 316058

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2008

Vaccin­ation / Manu­facturer	Lot / Dose	Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC.	0314U / -	UN / UN

Administered by: Military      Purchased by: Unknown
Symptoms: Abdominal pain, Apallic syndrome, Autonomic nervous system imbalance, Abasia, Angiogram cerebral normal

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 12     Extended hospital stay? Yes
Previous Vaccinations:
Other Medications: None Known
Current Illness: None Known
Preexisting Conditions: None PMH: smoker.
Allergies:
Diagnostic Lab Data: LABS: MRI of head & spine WNL. CT angiogram of head WNL. PET scan abnormal. Right side craniotomy for biopsy of right frontal lobe. EEGs slow but WNL. CSF: WBC 14 monos, protein 17, glucose 68, cytopathlogy revealed mostly normal lymph
CDC 'Split Type':

Write-up: 21 y/o female seen in ER 13 May with C/O it hand & lt. foot numbness approximately 1 month post GARDASIL vaccine. She also C/O of nausea, vomiting and diarrhea. A heat CT demonstrated bilateral basal ganglion infarcts and a MRI showed with similar results"with no acute process. She was admitted 20 May with left hemiballsmus. On 22 May her mental status declined. She received many doses of HALDOL and ATIVAN for agitation and was intubated on 28 May. She was transferred to medical center 28 may for w/u for e

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Changed on 12/8/2009

Vaccin­ation / Manu­facturer	Lot / Dose	Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC.	0314U / -	UN / UN

Administered by: Military      Purchased by: Unknown Military
Symptoms: Abdominal pain, Apallic syndrome, Autonomic nervous system imbalance, Biopsy brain abnormal, Blood amylase, Blood culture negative, Blood pressure fluctuation, Blood product transfusion, C-reactive protein normal, Cardiac arrest, Cerebral infarction, Choreoathetosis, Coma, Computerised tomogram abnormal, Culture urine positive, Diarrhoea, Dizziness, Dyskinesia, Dystonia, Echocardiogram, Electroencephalogram normal, Encephalitis, Fall, Full blood count, Headache, Hemiparesis, Hypoaesthesia, Hypotonia, Intensive care, Lumbar puncture, Meningitis aseptic, Nausea, Nuclear magnetic resonance imaging brain abnormal, Positron emission tomogram abnormal, Pyrexia, Renal cyst, Tracheostomy, Urinary incontinence, Urinary tract infection, Urine analysis, Vomiting, Mental status changes, Red blood cell sedimentation rate, Abasia, Left ventricular hypertrophy, Lacunar infarction, Sputum culture positive, Angiogram cerebral normal, Gastrointestinal tube insertion, Methicillin-resistant Staphylococcus aureus test positive, CSF white blood cell count increased, Staphylococcal infection, Laboratory test, Liver function test, Escherichia infection, Echocardiogram abnormal, Steroid therapy, Coagulation test, Mechanical ventilation

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 12     Extended hospital stay? Yes
Previous Vaccinations:
Other Medications: None Known
Current Illness: None Known
Preexisting Conditions: None PMH: smoker.
Allergies:
Diagnostic Lab Data: LABS: MRI of head & spine WNL. CT angiogram of head WNL. PET scan abnormal. Right side craniotomy for biopsy of right frontal lobe. EEGs slow but WNL. CSF: WBC 14 monos, protein 17, glucose 68, cytopathlogy revealed mostly normal lymph
CDC 'Split Type':

Write-up: 21 y/o female seen in ER 13 May with C/O it hand & lt. foot numbness approximately 1 month post GARDASIL vaccine. She also C/O of nausea, vomiting and diarrhea. A heat CT demonstrated bilateral basal ganglion infarcts and a MRI showed with similar results"with results with no acute process. She was admitted 20 May with left hemiballsmus. On 22 May her mental status declined. She received many doses of HALDOL and ATIVAN for agitation and was intubated on 28 May. She was transferred to medical center 28 may for w/u for e encephalitis and has since become comatose. Symptoms: Nausea w/vomiting, Diarrhea, Nausea w/o vomiting, Numbness. 7/11/08 Reviewed hospital medical records for 6/11-6/23/2008. FINAL DX: aseptic meningo-encephalitis; choreoathetosis r/t meningo-encephalitis; paroxysmal autonomic instability w/dystonia; e. coli UTI. Records reveal pt transferred from military hospital. Military deployment 1-3/2008. On leave 5/2008 developed n/v/d, abd pain & bifrontal HA which continued to worsen. Sought medical help but no dx given. Developed left side weakness, flaccidity & several falls. Found 5/12 unable to ambulate & incontinent of urine. Taken to ER where MRI revealed possible basalganglia infarct. To ICU where subsequent MRIs were WNL. Ventilated & remains in persistent vegetative state. LPs done. PICC , trach & PEG tubes. Intermittently febrile, labile BP, asystole x2. Tx in multiple hospitals w/multiple meds including steroids, IVIG, antibiotics & antivirals. 12/11/08 Reviewed additional medical records of 5/08-7/08. FINAL DX: Records reveal patient experienced nausea/vomiting/diarrhea, dizziness & HA, left hand/foot numbness x 4-5 days. Seen in ER on 5/13 where labs were WNL but CT of brain revealed lacunar infarcts, bilateral basal ganglia & cavum verge. Numbness continued & developed involuntary jerking of LEs & difficulty walking. Admitted to MICU 6/08 w/encephalitis. Tx w/IVIG & steroids. Transferred to higher level of care & then to inpatient rehab program.

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Changed on 1/5/2010

Vaccin­ation / Manu­facturer	Lot / Dose	Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC.	0314U / -	UN / UN

Administered by: Military      Purchased by: Military
Symptoms: Abdominal pain, Apallic syndrome, Autonomic nervous system imbalance, Biopsy brain abnormal, Blood amylase, Blood culture negative, Blood pressure fluctuation, Blood product transfusion, C-reactive protein normal, Cardiac arrest, Cerebral infarction, Choreoathetosis, Coma, Computerised tomogram abnormal, Culture urine positive, Diarrhoea, Dizziness, Dyskinesia, Dystonia, Echocardiogram, Electroencephalogram normal, Encephalitis, Fall, Full blood count, Headache, Hemiparesis, Hypoaesthesia, Hypotonia, Intensive care, Lumbar puncture, Meningitis aseptic, Nausea, Nuclear magnetic resonance imaging brain abnormal, Positron emission tomogram abnormal, Pyrexia, Renal cyst, Tracheostomy, Urinary incontinence, Urinary tract infection, Urine analysis, Vomiting, Mental status changes, Red blood cell sedimentation rate, Abasia, Left ventricular hypertrophy, Lacunar infarction, Sputum culture positive, Angiogram cerebral normal, Gastrointestinal tube insertion, Methicillin-resistant Staphylococcus aureus test positive, CSF white blood cell count increased, Staphylococcal infection, Laboratory test, Liver function test, Escherichia infection, Echocardiogram abnormal, Steroid therapy, Coagulation test, Mechanical ventilation

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 12     Extended hospital stay? Yes
Previous Vaccinations:
Other Medications: None Known
Current Illness: None Known
Preexisting Conditions: None PMH: smoker.
Allergies:
Diagnostic Lab Data: LABS: MRI of head & spine WNL. CT angiogram of head WNL. PET scan abnormal. Right side craniotomy for biopsy of right frontal lobe. EEGs slow but WNL. CSF: WBC 14 monos, protein 17, glucose 68, cytopathlogy revealed mostly normal lymph
CDC 'Split Type':

Write-up: 21 y/o female seen in ER 13 May with C/O it hand & lt. foot numbness approximately 1 month post GARDASIL vaccine. She also C/O of nausea, vomiting and diarrhea. A heat CT demonstrated bilateral basal ganglion infarcts and a MRI showed with similar results with no acute process. She was admitted 20 May with left hemiballsmus. On 22 May her mental status declined. She received many doses of HALDOL and ATIVAN for agitation and was intubated on 28 May. She was transferred to medical center 28 may for w/u for encephalitis and has since become comatose. Symptoms: Nausea w/vomiting, Diarrhea, Nausea w/o vomiting, Numbness. 7/11/08 Reviewed hospital medical records for 6/11-6/23/2008. FINAL DX: aseptic meningo-encephalitis; choreoathetosis r/t meningo-encephalitis; paroxysmal autonomic instability w/dystonia; e. coli UTI. Records reveal pt transferred from military hospital. Military deployment 1-3/2008. On leave 5/2008 developed n/v/d, abd pain & bifrontal HA which continued to worsen. Sought medical help but no dx given. Developed left side weakness, flaccidity & several falls. Found 5/12 unable to ambulate & incontinent of urine. Taken to ER where MRI revealed possible basalganglia infarct. To ICU where subsequent MRIs were WNL. Ventilated & remains in persistent vegetative state. LPs done. PICC , trach & PEG tubes. Intermittently febrile, labile BP, asystole x2. Tx in multiple hospitals w/multiple meds including steroids, IVIG, antibiotics & antivirals. 12/11/08 Reviewed additional medical records of 5/08-7/08. FINAL DX: Records reveal patient experienced nausea/vomiting/diarrhea, dizziness & HA, left hand/foot numbness x 4-5 days. Seen in ER on 5/13 where labs were WNL but CT of brain revealed lacunar infarcts, bilateral basal ganglia & cavum verge. Numbness continued & developed involuntary jerking of LEs & difficulty walking. Admitted to MICU 6/08 w/encephalitis. Tx w/IVIG & steroids. Transferred to higher level of care & then to inpatient rehab program.

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Changed on 7/31/2010

Vaccin­ation / Manu­facturer	Lot / Dose	Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC.	0314U / -	UN / UN

Administered by: Military      Purchased by: Military
Symptoms: Blood amylase, Coma, Computerised tomogram abnormal, Diarrhoea, Full blood count, Hypoaesthesia, Nausea, Urine analysis, Vomiting, Mental status changes, Laboratory test, Liver function test, Coagulation test

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 12     Extended hospital stay? Yes
Previous Vaccinations:
Other Medications: None Known
Current Illness: None Known
Preexisting Conditions: None PMH: smoker.
Allergies:
Diagnostic Lab Data: LABS: MRI of head & spine WNL. CT angiogram of head WNL. PET scan abnormal. Right side craniotomy for biopsy of right frontal lobe. EEGs slow but WNL. CSF: WBC 14 monos, protein 17, glucose 68, cytopathlogy revealed mostly normal lymph
CDC 'Split Type':

Write-up: 21 y/o female seen in ER 13 May with C/O it hand & lt. foot numbness approximately 1 month post GARDASIL vaccine. She also C/O of nausea, vomiting and diarrhea. A heat CT demonstrated bilateral basal ganglion infarcts and a MRI showed with similar results with no acute process. She was admitted 20 May with left hemiballsmus. On 22 May her mental status declined. She received many doses of HALDOL and ATIVAN for agitation and was intubated on 28 May. She was transferred to medical center 28 may for w/u for encephalitis and has since become comatose. Symptoms: Nausea w/vomiting, Diarrhea, Nausea w/o vomiting, Numbness. 7/11/08 Reviewed hospital medical records for 6/11-6/23/2008. FINAL DX: aseptic meningo-encephalitis; choreoathetosis r/t meningo-encephalitis; paroxysmal autonomic instability w/dystonia; e. coli UTI. Records reveal pt transferred from military hospital. Military deployment 1-3/2008. On leave 5/2008 developed n/v/d, abd pain & bifrontal HA which continued to worsen. Sought medical help but no dx given. Developed left side weakness, flaccidity & several falls. Found 5/12 unable to ambulate & incontinent of urine. Taken to ER where MRI revealed possible basalganglia infarct. To ICU where subsequent MRIs were WNL. Ventilated & remains in persistent vegetative state. LPs done. PICC , trach & PEG tubes. Intermittently febrile, labile BP, asystole x2. Tx in multiple hospitals w/multiple meds including steroids, IVIG, antibiotics & antivirals. 12/11/08 Reviewed additional medical records of 5/08-7/08. FINAL DX: Records reveal patient experienced nausea/vomiting/diarrhea, dizziness & HA, left hand/foot numbness x 4-5 days. Seen in ER on 5/13 where labs were WNL but CT of brain revealed lacunar infarcts, bilateral basal ganglia & cavum verge. Numbness continued & developed involuntary jerking of LEs & difficulty walking. Admitted to MICU 6/08 w/encephalitis. Tx w/IVIG & steroids. Transferred to higher level of care & then to inpatient rehab program.

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Changed on 8/31/2010

Vaccin­ation / Manu­facturer	Lot / Dose	Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC.	0314U / -	UN / UN

Administered by: Military      Purchased by: Military
Symptoms: Apallic syndrome, Blood amylase, Choreoathetosis, Coma, Computerised tomogram abnormal, Diarrhoea, Full blood count, Hypoaesthesia, Nausea, Positron emission tomogram abnormal, Urine analysis, Vomiting, Mental status changes, Angiogram cerebral normal, Laboratory test, Liver function test, Coagulation test

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 12     Extended hospital stay? Yes
Previous Vaccinations:
Other Medications: None Known
Current Illness: None Known
Preexisting Conditions: None PMH: smoker.
Allergies:
Diagnostic Lab Data: LABS: MRI of head & spine WNL. CT angiogram of head WNL. PET scan abnormal. Right side craniotomy for biopsy of right frontal lobe. EEGs slow but WNL. CSF: WBC 14 monos, protein 17, glucose 68, cytopathlogy revealed mostly normal lymph
CDC 'Split Type':

Write-up: 21 y/o female seen in ER 13 May with C/O it hand & lt. foot numbness approximately 1 month post GARDASIL vaccine. She also C/O of nausea, vomiting and diarrhea. A heat CT demonstrated bilateral basal ganglion infarcts and a MRI showed with similar results with no acute process. She was admitted 20 May with left hemiballsmus. On 22 May her mental status declined. She received many doses of HALDOL and ATIVAN for agitation and was intubated on 28 May. She was transferred to medical center 28 may for w/u for encephalitis and has since become comatose. Symptoms: Nausea w/vomiting, Diarrhea, Nausea w/o vomiting, Numbness. 7/11/08 Reviewed hospital medical records for 6/11-6/23/2008. FINAL DX: aseptic meningo-encephalitis; choreoathetosis r/t meningo-encephalitis; paroxysmal autonomic instability w/dystonia; e. coli UTI. Records reveal pt transferred from military hospital. Military deployment 1-3/2008. On leave 5/2008 developed n/v/d, abd pain & bifrontal HA which continued to worsen. Sought medical help but no dx given. Developed left side weakness, flaccidity & several falls. Found 5/12 unable to ambulate & incontinent of urine. Taken to ER where MRI revealed possible basalganglia infarct. To ICU where subsequent MRIs were WNL. Ventilated & remains in persistent vegetative state. LPs done. PICC , trach & PEG tubes. Intermittently febrile, labile BP, asystole x2. Tx in multiple hospitals w/multiple meds including steroids, IVIG, antibiotics & antivirals. 12/11/08 Reviewed additional medical records of 5/08-7/08. FINAL DX: Records reveal patient experienced nausea/vomiting/diarrhea, dizziness & HA, left hand/foot numbness x 4-5 days. Seen in ER on 5/13 where labs were WNL but CT of brain revealed lacunar infarcts, bilateral basal ganglia & cavum verge. Numbness continued & developed involuntary jerking of LEs & difficulty walking. Admitted to MICU 6/08 w/encephalitis. Tx w/IVIG & steroids. Transferred to higher level of care & then to inpatient rehab program.

---

Changed on 1/4/2011

Vaccin­ation / Manu­facturer	Lot / Dose	Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC.	0314U / -	UN / UN

Administered by: Military      Purchased by: Military
Symptoms: Apallic syndrome, Blood amylase, Choreoathetosis, Coma, Computerised tomogram abnormal, Diarrhoea, Full blood count, Hypoaesthesia, Nausea, Positron emission tomogram abnormal, Urine analysis, Vomiting, Mental status changes, Angiogram cerebral normal, Laboratory test, Liver function test, Coagulation test

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 12     Extended hospital stay? Yes
Previous Vaccinations:
Other Medications: None Known
Current Illness: None Known
Preexisting Conditions: None PMH: smoker.
Allergies:
Diagnostic Lab Data: LABS: MRI of head & spine WNL. CT angiogram of head WNL. PET scan abnormal. Right side craniotomy for biopsy of right frontal lobe. EEGs slow but WNL. CSF: WBC 14 monos, protein 17, glucose 68, cytopathlogy revealed mostly normal lymph lymphocytes, mostly Tcells. DNASE-B AB 680 (H). ESR 33, CRP 0.2. TTE revealed ejection fraction WNL w/mild LVH. Urine c/s (+) for e. coli. Tracheal aspirate (+) MRSA. All blood c/s neg. Renal CT scan w/lesions.
CDC 'Split Type':

Write-up: 21 y/o female seen in ER 13 May with C/O it hand & lt. foot numbness approximately 1 month post GARDASIL vaccine. She also C/O of nausea, vomiting and diarrhea. A heat CT demonstrated bilateral basal ganglion infarcts and a MRI showed with similar results with no acute process. She was admitted 20 May with left hemiballsmus. On 22 May her mental status declined. She received many doses of HALDOL and ATIVAN for agitation and was intubated on 28 May. She was transferred to medical center 28 may for w/u for encephalitis and has since become comatose. Symptoms: Nausea w/vomiting, Diarrhea, Nausea w/o vomiting, Numbness. 7/11/08 Reviewed hospital medical records for 6/11-6/23/2008. FINAL DX: aseptic meningo-encephalitis; choreoathetosis r/t meningo-encephalitis; paroxysmal autonomic instability w/dystonia; e. coli UTI. Records reveal pt transferred from military hospital. Military deployment 1-3/2008. On leave 5/2008 developed n/v/d, abd pain & bifrontal HA which continued to worsen. Sought medical help but no dx given. Developed left side weakness, flaccidity & several falls. Found 5/12 unable to ambulate & incontinent of urine. Taken to ER where MRI revealed possible basalganglia infarct. To ICU where subsequent MRIs were WNL. Ventilated & remains in persistent vegetative state. LPs done. PICC , trach & PEG tubes. Intermittently febrile, labile BP, asystole x2. Tx in multiple hospitals w/multiple meds including steroids, IVIG, antibiotics & antivirals. 12/11/08 Reviewed additional medical records of 5/08-7/08. FINAL DX: Records reveal patient experienced nausea/vomiting/diarrhea, dizziness & HA, left hand/foot numbness x 4-5 days. Seen in ER on 5/13 where labs were WNL but CT of brain revealed lacunar infarcts, bilateral basal ganglia & cavum verge. Numbness continued & developed involuntary jerking of LEs & difficulty walking. Admitted to MICU 6/08 w/encephalitis. Tx w/IVIG & steroids. Transferred to higher level of care & then to inpatient rehab program.

---

Changed on 4/13/2011

Vaccin­ation / Manu­facturer	Lot / Dose	Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC.	0314U / -	UN / UN

Administered by: Military      Purchased by: Military
Symptoms: Abdominal pain, Apallic syndrome, Autonomic nervous system imbalance, Biopsy brain abnormal, Blood amylase, Blood culture negative, Blood pressure fluctuation, Blood product transfusion, C-reactive protein normal, Cardiac arrest, Cerebral infarction, Choreoathetosis, Coma, Computerised tomogram abnormal, Culture urine positive, Diarrhoea, Dizziness, Dyskinesia, Dystonia, Echocardiogram, Electroencephalogram normal, Encephalitis, Fall, Full blood count, Headache, Hemiparesis, Hypoaesthesia, Hypotonia, Intensive care, Lumbar puncture, Meningitis aseptic, Nausea, Nuclear magnetic resonance imaging brain abnormal, Positron emission tomogram abnormal, Pyrexia, Renal cyst, Tracheostomy, Urinary incontinence, Urinary tract infection, Urine analysis, Vomiting, Mental status changes, Red blood cell sedimentation rate, Abasia, Left ventricular hypertrophy, Lacunar infarction, Sputum culture positive, Angiogram cerebral normal, Gastrointestinal tube insertion, Methicillin-resistant Staphylococcus aureus test positive, CSF white blood cell count increased, Staphylococcal infection, Laboratory test, Liver function test, Escherichia infection, Echocardiogram abnormal, Coagulation test, Mechanical ventilation

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 12     Extended hospital stay? Yes
Previous Vaccinations:
Other Medications: None Known
Current Illness: None Known
Preexisting Conditions: None PMH: smoker.
Allergies:
Diagnostic Lab Data: LABS: MRI of head & spine WNL. CT angiogram of head WNL. PET scan abnormal. Right side craniotomy for biopsy of right frontal lobe. EEGs slow but WNL. CSF: WBC 14 monos, protein 17, glucose 68, cytopathlogy revealed mostly normal lymphocytes, mostly Tcells. DNASE-B AB 680 (H). ESR 33, CRP 0.2. TTE revealed ejection fraction WNL w/mild LVH. Urine c/s (+) for e. coli. Tracheal aspirate (+) MRSA. All blood c/s neg. Renal CT scan w/lesions.
CDC 'Split Type':

Write-up: 21 y/o female seen in ER 13 May with C/O it hand & lt. foot numbness approximately 1 month post GARDASIL vaccine. She also C/O of nausea, vomiting and diarrhea. A heat CT demonstrated bilateral basal ganglion infarcts and a MRI showed with similar results with no acute process. She was admitted 20 May with left hemiballsmus. On 22 May her mental status declined. She received many doses of HALDOL and ATIVAN for agitation and was intubated on 28 May. She was transferred to medical center 28 may for w/u for encephalitis and has since become comatose. Symptoms: Nausea w/vomiting, Diarrhea, Nausea w/o vomiting, Numbness. 7/11/08 Reviewed hospital medical records for 6/11-6/23/2008. FINAL DX: aseptic meningo-encephalitis; choreoathetosis r/t meningo-encephalitis; paroxysmal autonomic instability w/dystonia; e. coli UTI. Records reveal pt transferred from military hospital. Military deployment 1-3/2008. On leave 5/2008 developed n/v/d, abd pain & bifrontal HA which continued to worsen. Sought medical help but no dx given. Developed left side weakness, flaccidity & several falls. Found 5/12 unable to ambulate & incontinent of urine. Taken to ER where MRI revealed possible basalganglia infarct. To ICU where subsequent MRIs were WNL. Ventilated & remains in persistent vegetative state. LPs done. PICC , trach & PEG tubes. Intermittently febrile, labile BP, asystole x2. Tx in multiple hospitals w/multiple meds including steroids, IVIG, antibiotics & antivirals. 12/11/08 Reviewed additional medical records of 5/08-7/08. FINAL DX: Records reveal patient experienced nausea/vomiting/diarrhea, dizziness & HA, left hand/foot numbness x 4-5 days. Seen in ER on 5/13 where labs were WNL but CT of brain revealed lacunar infarcts, bilateral basal ganglia & cavum verge. Numbness continued & developed involuntary jerking of LEs & difficulty walking. Admitted to MICU 6/08 w/encephalitis. Tx w/IVIG & steroids. Transferred to higher level of care & then to inpatient rehab program.

---

Changed on 5/13/2011

Vaccin­ation / Manu­facturer	Lot / Dose	Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC.	0314U / -	UN / UN

Administered by: Military      Purchased by: Military
Symptoms: Abdominal pain, Apallic syndrome, Autonomic nervous system imbalance, Biopsy brain abnormal, Blood amylase, Blood culture negative, Blood pressure fluctuation, Blood product transfusion, C-reactive protein normal, Cardiac arrest, Cerebral infarction, Choreoathetosis, Coma, Computerised tomogram abnormal, Culture urine positive, Diarrhoea, Dizziness, Dyskinesia, Dystonia, Echocardiogram, Electroencephalogram normal, Encephalitis, Fall, Full blood count, Headache, Hemiparesis, Hypoaesthesia, Hypotonia, Intensive care, Lumbar puncture, Meningitis aseptic, Nausea, Nuclear magnetic resonance imaging brain abnormal, Positron emission tomogram abnormal, Pyrexia, Renal cyst, Tracheostomy, Urinary incontinence, Urinary tract infection, Urine analysis, Vomiting, Mental status changes, Red blood cell sedimentation rate, Abasia, Left ventricular hypertrophy, Lacunar infarction, Sputum culture positive, Angiogram cerebral normal, Gastrointestinal tube insertion, Methicillin-resistant Staphylococcus aureus test positive, CSF white blood cell count increased, Staphylococcal infection, Laboratory test, Liver function test, Escherichia infection, Echocardiogram abnormal, Coagulation test, Mechanical ventilation

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 12     Extended hospital stay? Yes
Previous Vaccinations:
Other Medications: None Known
Current Illness: None Known
Preexisting Conditions: None PMH: smoker.
Allergies:
Diagnostic Lab Data: LABS: MRI of head & spine WNL. CT angiogram of head WNL. PET scan abnormal. Right side craniotomy for biopsy of right frontal lobe. EEGs slow but WNL. CSF: WBC 14 monos, protein 17, glucose 68, cytopathlogy revealed mostly normal lymphocytes, mostly Tcells. DNASE-B AB 680 (H). ESR 33, CRP 0.2. TTE revealed ejection fraction WNL w/mild LVH. Urine c/s (+) for e. coli. Tracheal aspirate (+) MRSA. All blood c/s neg. Renal CT scan w/lesions.
CDC 'Split Type':

Write-up: 21 y/o female seen in ER 13 May with C/O it hand & lt. foot numbness approximately 1 month post GARDASIL vaccine. She also C/O of nausea, vomiting and diarrhea. A heat CT demonstrated bilateral basal ganglion infarcts and a MRI showed with similar results with no acute process. She was admitted 20 May with left hemiballsmus. On 22 May her mental status declined. She received many doses of HALDOL and ATIVAN for agitation and was intubated on 28 May. She was transferred to medical center 28 may for w/u for encephalitis and has since become comatose. Symptoms: Nausea w/vomiting, Diarrhea, Nausea w/o vomiting, Numbness. 7/11/08 Reviewed hospital medical records for 6/11-6/23/2008. FINAL DX: aseptic meningo-encephalitis; choreoathetosis r/t meningo-encephalitis; paroxysmal autonomic instability w/dystonia; e. coli UTI. Records reveal pt transferred from military hospital. Military deployment 1-3/2008. On leave 5/2008 developed n/v/d, abd pain & bifrontal HA which continued to worsen. Sought medical help but no dx given. Developed left side weakness, flaccidity & several falls. Found 5/12 unable to ambulate & incontinent of urine. Taken to ER where MRI revealed possible basalganglia infarct. To ICU where subsequent MRIs were WNL. Ventilated & remains in persistent vegetative state. LPs done. PICC , trach & PEG tubes. Intermittently febrile, labile BP, asystole x2. Tx in multiple hospitals w/multiple meds including steroids, IVIG, antibiotics & antivirals. 12/11/08 Reviewed additional medical records of 5/08-7/08. FINAL DX: Records reveal patient experienced nausea/vomiting/diarrhea, dizziness & HA, left hand/foot numbness x 4-5 days. Seen in ER on 5/13 where labs were WNL but CT of brain revealed lacunar infarcts, bilateral basal ganglia & cavum verge. Numbness continued & developed involuntary jerking of LEs & difficulty walking. Admitted to MICU 6/08 w/encephalitis. Tx w/IVIG & steroids. Transferred to higher level of care & then to inpatient rehab program.

---

Changed on 6/11/2011

Vaccin­ation / Manu­facturer	Lot / Dose	Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC.	0314U / -	UN / UN

Administered by: Military      Purchased by: Military
Symptoms: Abdominal pain, Apallic syndrome, Autonomic nervous system imbalance, Biopsy brain abnormal, Blood amylase, Blood culture negative, Blood pressure fluctuation, Blood product transfusion, C-reactive protein normal, Cardiac arrest, Cerebral infarction, Choreoathetosis, Coma, Computerised tomogram abnormal, Culture urine positive, Diarrhoea, Dizziness, Dyskinesia, Dystonia, Echocardiogram, Electroencephalogram normal, Encephalitis, Fall, Full blood count, Headache, Hemiparesis, Hypoaesthesia, Hypotonia, Intensive care, Lumbar puncture, Meningitis aseptic, Nausea, Nuclear magnetic resonance imaging brain abnormal, Positron emission tomogram abnormal, Pyrexia, Renal cyst, Tracheostomy, Urinary incontinence, Urinary tract infection, Urine analysis, Vomiting, Mental status changes, Red blood cell sedimentation rate, Abasia, Left ventricular hypertrophy, Lacunar infarction, Sputum culture positive, Angiogram cerebral normal, Gastrointestinal tube insertion, Methicillin-resistant Staphylococcus aureus test positive, CSF white blood cell count increased, Staphylococcal infection, Laboratory test, Liver function test, Escherichia infection, Echocardiogram abnormal, Coagulation test, Mechanical ventilation

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 12     Extended hospital stay? Yes
Previous Vaccinations:
Other Medications: None Known
Current Illness: None Known
Preexisting Conditions: None PMH: smoker.
Allergies:
Diagnostic Lab Data: LABS: MRI of head & spine WNL. CT angiogram of head WNL. PET scan abnormal. Right side craniotomy for biopsy of right frontal lobe. EEGs slow but WNL. CSF: WBC 14 monos, protein 17, glucose 68, cytopathlogy revealed mostly normal lymphocytes, mostly Tcells. DNASE-B AB 680 (H). ESR 33, CRP 0.2. TTE revealed ejection fraction WNL w/mild LVH. Urine c/s (+) for e. coli. Tracheal aspirate (+) MRSA. All blood c/s neg. Renal CT scan w/lesions.
CDC 'Split Type':

Write-up: 21 y/o female seen in ER 13 May with C/O it hand & lt. foot numbness approximately 1 month post GARDASIL vaccine. She also C/O of nausea, vomiting and diarrhea. A heat CT demonstrated bilateral basal ganglion infarcts and a MRI showed with similar results with no acute process. She was admitted 20 May with left hemiballsmus. On 22 May her mental status declined. She received many doses of HALDOL and ATIVAN for agitation and was intubated on 28 May. She was transferred to medical center 28 may for w/u for encephalitis and has since become comatose. Symptoms: Nausea w/vomiting, Diarrhea, Nausea w/o vomiting, Numbness. 7/11/08 Reviewed hospital medical records for 6/11-6/23/2008. FINAL DX: aseptic meningo-encephalitis; choreoathetosis r/t meningo-encephalitis; paroxysmal autonomic instability w/dystonia; e. coli UTI. Records reveal pt transferred from military hospital. Military deployment 1-3/2008. On leave 5/2008 developed n/v/d, abd pain & bifrontal HA which continued to worsen. Sought medical help but no dx given. Developed left side weakness, flaccidity & several falls. Found 5/12 unable to ambulate & incontinent of urine. Taken to ER where MRI revealed possible basalganglia infarct. To ICU where subsequent MRIs were WNL. Ventilated & remains in persistent vegetative state. LPs done. PICC , trach & PEG tubes. Intermittently febrile, labile BP, asystole x2. Tx in multiple hospitals w/multiple meds including steroids, IVIG, antibiotics & antivirals. 12/11/08 Reviewed additional medical records of 5/08-7/08. FINAL DX: Records reveal patient experienced nausea/vomiting/diarrhea, dizziness & HA, left hand/foot numbness x 4-5 days. Seen in ER on 5/13 where labs were WNL but CT of brain revealed lacunar infarcts, bilateral basal ganglia & cavum verge. Numbness continued & developed involuntary jerking of LEs & difficulty walking. Admitted to MICU 6/08 w/encephalitis. Tx w/IVIG & steroids. Transferred to higher level of care & then to inpatient rehab program.

---

Changed on 6/14/2014

Vaccin­ation / Manu­facturer	Lot / Dose	Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC.	0314U / -	UN / UN

Administered by: Military      Purchased by: Military
Symptoms: Abdominal pain, Apallic syndrome, Autonomic nervous system imbalance, Biopsy brain abnormal, Blood amylase, Blood culture negative, Blood pressure fluctuation, Blood product transfusion, C-reactive protein normal, Cardiac arrest, Cerebral infarction, Choreoathetosis, Coma, Computerised tomogram abnormal, Culture urine positive, Diarrhoea, Dizziness, Dyskinesia, Dystonia, Echocardiogram, Electroencephalogram normal, Encephalitis, Fall, Full blood count, Headache, Hemiparesis, Hypoaesthesia, Hypotonia, Intensive care, Lumbar puncture, Meningitis aseptic, Nausea, Nuclear magnetic resonance imaging brain abnormal, Positron emission tomogram abnormal, Pyrexia, Renal cyst, Tracheostomy, Urinary incontinence, Urinary tract infection, Urine analysis, Vomiting, Mental status changes, Red blood cell sedimentation rate, Abasia, Left ventricular hypertrophy, Lacunar infarction, Sputum culture positive, Angiogram cerebral normal, Gastrointestinal tube insertion, Methicillin-resistant Staphylococcus aureus test positive, CSF white blood cell count increased, Staphylococcal infection, Laboratory test, Liver function test, Escherichia infection, Echocardiogram abnormal, Coagulation test, Mechanical ventilation

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 12     Extended hospital stay? Yes
Previous Vaccinations:
Other Medications: None Known
Current Illness: None Known
Preexisting Conditions: None PMH: smoker.
Allergies:
Diagnostic Lab Data: LABS: MRI of head & spine WNL. CT angiogram of head WNL. PET scan abnormal. Right side craniotomy for biopsy of right frontal lobe. EEGs slow but WNL. CSF: WBC 14 monos, protein 17, glucose 68, cytopathlogy revealed mostly normal lymphocytes, mostly Tcells. DNASE-B AB 680 (H). ESR 33, CRP 0.2. TTE revealed ejection fraction WNL w/mild LVH. Urine c/s (+) for e. coli. Tracheal aspirate (+) MRSA. All blood c/s neg. Renal CT scan w/lesions.
CDC 'Split Type':

Write-up: 21 y/o female seen in ER 13 May with C/O it hand & lt. foot numbness approximately 1 month post GARDASIL vaccine. She also C/O of nausea, vomiting and diarrhea. A heat CT demonstrated bilateral basal ganglion infarcts and a MRI showed with similar results with no acute process. She was admitted 20 May with left hemiballsmus. On 22 May her mental status declined. She received many doses of HALDOL and ATIVAN for agitation and was intubated on 28 May. She was transferred to medical center 28 may for w/u for encephalitis and has since become comatose. Symptoms: Nausea w/vomiting, Diarrhea, Nausea w/o vomiting, Numbness. 7/11/08 Reviewed hospital medical records for 6/11-6/23/2008. FINAL DX: aseptic meningo-encephalitis; choreoathetosis r/t meningo-encephalitis; paroxysmal autonomic instability w/dystonia; e. coli UTI. Records reveal pt transferred from military hospital. Military deployment 1-3/2008. On leave 5/2008 developed n/v/d, abd pain & bifrontal HA which continued to worsen. Sought medical help but no dx given. Developed left side weakness, flaccidity & several falls. Found 5/12 unable to ambulate & incontinent of urine. Taken to ER where MRI revealed possible basalganglia infarct. To ICU where subsequent MRIs were WNL. Ventilated & remains in persistent vegetative state. LPs done. PICC , trach & PEG tubes. Intermittently febrile, labile BP, asystole x2. Tx in multiple hospitals w/multiple meds including steroids, IVIG, antibiotics & antivirals. 12/11/08 Reviewed additional medical records of 5/08-7/08. FINAL DX: Records reveal patient experienced nausea/vomiting/diarrhea, dizziness & HA, left hand/foot numbness x 4-5 days. Seen in ER on 5/13 where labs were WNL but CT of brain revealed lacunar infarcts, bilateral basal ganglia & cavum verge. Numbness continued & developed involuntary jerking of LEs & difficulty walking. Admitted to MICU 6/08 w/encephalitis. Tx w/IVIG & steroids. Transferred to higher level of care & then to inpatient rehab program.

---

Changed on 4/14/2017

Vaccin­ation / Manu­facturer	Lot / Dose	Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC.	0314U / -	UN / UN

Administered by: Military      Purchased by: Military
Symptoms: Abdominal pain, Apallic syndrome, Autonomic nervous system imbalance, Biopsy brain abnormal, Blood amylase, Blood culture negative, Blood pressure fluctuation, Blood product transfusion, C-reactive protein normal, Cardiac arrest, Cerebral infarction, Choreoathetosis, Coma, Computerised tomogram abnormal, Culture urine positive, Diarrhoea, Dizziness, Dyskinesia, Dystonia, Echocardiogram, Electroencephalogram normal, Encephalitis, Fall, Full blood count, Headache, Hemiparesis, Hypoaesthesia, Hypotonia, Intensive care, Lumbar puncture, Meningitis aseptic, Nausea, Nuclear magnetic resonance imaging brain abnormal, Positron emission tomogram abnormal, Pyrexia, Renal cyst, Tracheostomy, Urinary incontinence, Urinary tract infection, Urine analysis, Vomiting, Mental status changes, Red blood cell sedimentation rate, Abasia, Left ventricular hypertrophy, Lacunar infarction, Sputum culture positive, Angiogram cerebral normal, Gastrointestinal tube insertion, Methicillin-resistant Staphylococcus aureus test positive, CSF white blood cell count increased, Staphylococcal infection, Laboratory test, Liver function test, Escherichia infection, Echocardiogram abnormal, Coagulation test, Mechanical ventilation

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 12     Extended hospital stay? Yes
Previous Vaccinations:
Other Medications: None Known
Current Illness: None Known
Preexisting Conditions: None PMH: smoker.
Allergies:
Diagnostic Lab Data: LABS: MRI of head & spine WNL. CT angiogram of head WNL. PET scan abnormal. Right side craniotomy for biopsy of right frontal lobe. EEGs slow but WNL. CSF: WBC 14 monos, protein 17, glucose 68, cytopathlogy revealed mostly normal lymphocytes, mostly Tcells. DNASE-B AB 680 (H). ESR 33, CRP 0.2. TTE revealed ejection fraction WNL w/mild LVH. Urine c/s (+) for e. coli. Tracheal aspirate (+) MRSA. All blood c/s neg. Renal CT scan w/lesions.
CDC 'Split Type':

Write-up: 21 y/o female seen in ER 13 May with C/O it hand & lt. foot numbness approximately 1 month post GARDASIL vaccine. She also C/O of nausea, vomiting and diarrhea. A heat CT demonstrated bilateral basal ganglion infarcts and a MRI showed with similar results with no acute process. She was admitted 20 May with left hemiballsmus. On 22 May her mental status declined. She received many doses of HALDOL and ATIVAN for agitation and was intubated on 28 May. She was transferred to medical center 28 may for w/u for encephalitis and has since become comatose. Symptoms: Nausea w/vomiting, Diarrhea, Nausea w/o vomiting, Numbness. 7/11/08 Reviewed hospital medical records for 6/11-6/23/2008. FINAL DX: aseptic meningo-encephalitis; choreoathetosis r/t meningo-encephalitis; paroxysmal autonomic instability w/dystonia; e. coli UTI. Records reveal pt transferred from military hospital. Military deployment 1-3/2008. On leave 5/2008 developed n/v/d, abd pain & bifrontal HA which continued to worsen. Sought medical help but no dx given. Developed left side weakness, flaccidity & several falls. Found 5/12 unable to ambulate & incontinent of urine. Taken to ER where MRI revealed possible basalganglia infarct. To ICU where subsequent MRIs were WNL. Ventilated & remains in persistent vegetative state. LPs done. PICC , trach & PEG tubes. Intermittently febrile, labile BP, asystole x2. Tx in multiple hospitals w/multiple meds including steroids, IVIG, antibiotics & antivirals. 12/11/08 Reviewed additional medical records of 5/08-7/08. FINAL DX: Records reveal patient experienced nausea/vomiting/diarrhea, dizziness & HA, left hand/foot numbness x 4-5 days. Seen in ER on 5/13 where labs were WNL but CT of brain revealed lacunar infarcts, bilateral basal ganglia & cavum verge. Numbness continued & developed involuntary jerking of LEs & difficulty walking. Admitted to MICU 6/08 w/encephalitis. Tx w/IVIG & steroids. Transferred to higher level of care & then to inpatient rehab program.

---

Changed on 9/14/2017

Vaccin­ation / Manu­facturer	Lot / Dose	Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC.	0314U / - UNK	UN / UN

Administered by: Military      Purchased by: Military
Symptoms: Blood amylase, Coma, Computerised tomogram abnormal, Diarrhoea, Full blood count, Hypoaesthesia, Nausea, Urine analysis, Vomiting, Mental status changes, Laboratory test, Liver function test, Coagulation test

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 12     Extended hospital stay? Yes
Previous Vaccinations:
Other Medications: None Known
Current Illness: None Known
Preexisting Conditions: None PMH: smoker.
Allergies:
Diagnostic Lab Data: LABS: MRI of head & spine WNL. CT angiogram of head WNL. PET scan abnormal. Right side craniotomy for biopsy of right frontal lobe. EEGs slow but WNL. CSF: WBC 14 monos, protein 17, glucose 68, cytopathlogy revealed mostly normal lymphocytes, mostly Tcells. DNASE-B AB 680 (H). ESR 33, CRP 0.2. TTE revealed ejection fraction WNL w/mild LVH. Urine c/s (+) for e. coli. Tracheal aspirate (+) MRSA. All blood c/s neg. Renal CT scan w/lesions.
CDC 'Split Type':

Write-up: 21 y/o female seen in ER 13 May with C/O it hand & lt. foot numbness approximately 1 month post GARDASIL vaccine. She also C/O of nausea, vomiting and diarrhea. A heat CT demonstrated bilateral basal ganglion infarcts and a MRI showed with similar results with no acute process. She was admitted 20 May with left hemiballsmus. On 22 May her mental status declined. She received many doses of HALDOL and ATIVAN for agitation and was intubated on 28 May. She was transferred to medical center 28 may for w/u for encephalitis and has since become comatose. Symptoms: Nausea w/vomiting, Diarrhea, Nausea w/o vomiting, Numbness. 7/11/08 Reviewed hospital medical records for 6/11-6/23/2008. FINAL DX: aseptic meningo-encephalitis; choreoathetosis r/t meningo-encephalitis; paroxysmal autonomic instability w/dystonia; e. coli UTI. Records reveal pt transferred from military hospital. Military deployment 1-3/2008. On leave 5/2008 developed n/v/d, abd pain & bifrontal HA which continued to worsen. Sought medical help but no dx given. Developed left side weakness, flaccidity & several falls. Found 5/12 unable to ambulate & incontinent of urine. Taken to ER where MRI revealed possible basalganglia infarct. To ICU where subsequent MRIs were WNL. Ventilated & remains in persistent vegetative state. LPs done. PICC , trach & PEG tubes. Intermittently febrile, labile BP, asystole x2. Tx in multiple hospitals w/multiple meds including steroids, IVIG, antibiotics & antivirals. 12/11/08 Reviewed additional medical records of 5/08-7/08. FINAL DX: Records reveal patient experienced nausea/vomiting/diarrhea, dizziness & HA, left hand/foot numbness x 4-5 days. Seen in ER on 5/13 where labs were WNL but CT of brain revealed lacunar infarcts, bilateral basal ganglia & cavum verge. Numbness continued & developed involuntary jerking of LEs & difficulty walking. Admitted to MICU 6/08 w/encephalitis. Tx w/IVIG & steroids. Transferred to higher level of care & then to inpatient rehab program.

---

Changed on 2/14/2018

Vaccin­ation / Manu­facturer	Lot / Dose	Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC.	0314U / UNK	UN / UN

Administered by: Military      Purchased by: Military
Symptoms: Blood amylase, Coma, Computerised tomogram abnormal, Diarrhoea, Full blood count, Hypoaesthesia, Nausea, Urine analysis, Vomiting, Mental status changes, Laboratory test, Liver function test, Coagulation test

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 12     Extended hospital stay? Yes
Previous Vaccinations:
Other Medications: None Known
Current Illness: None Known
Preexisting Conditions: None PMH: smoker.
Allergies:
Diagnostic Lab Data: LABS: MRI of head & spine WNL. CT angiogram of head WNL. PET scan abnormal. Right side craniotomy for biopsy of right frontal lobe. EEGs slow but WNL. CSF: WBC 14 monos, protein 17, glucose 68, cytopathlogy revealed mostly normal lymphocytes, mostly Tcells. DNASE-B AB 680 (H). ESR 33, CRP 0.2. TTE revealed ejection fraction WNL w/mild LVH. Urine c/s (+) for e. coli. Tracheal aspirate (+) MRSA. All blood c/s neg. Renal CT scan w/lesions.
CDC 'Split Type':

Write-up: 21 y/o female seen in ER 13 May with C/O it hand & lt. foot numbness approximately 1 month post GARDASIL vaccine. She also C/O of nausea, vomiting and diarrhea. A heat CT demonstrated bilateral basal ganglion infarcts and a MRI showed with similar results with no acute process. She was admitted 20 May with left hemiballsmus. On 22 May her mental status declined. She received many doses of HALDOL and ATIVAN for agitation and was intubated on 28 May. She was transferred to medical center 28 may for w/u for encephalitis and has since become comatose. Symptoms: Nausea w/vomiting, Diarrhea, Nausea w/o vomiting, Numbness. 7/11/08 Reviewed hospital medical records for 6/11-6/23/2008. FINAL DX: aseptic meningo-encephalitis; choreoathetosis r/t meningo-encephalitis; paroxysmal autonomic instability w/dystonia; e. coli UTI. Records reveal pt transferred from military hospital. Military deployment 1-3/2008. On leave 5/2008 developed n/v/d, abd pain & bifrontal HA which continued to worsen. Sought medical help but no dx given. Developed left side weakness, flaccidity & several falls. Found 5/12 unable to ambulate & incontinent of urine. Taken to ER where MRI revealed possible basalganglia infarct. To ICU where subsequent MRIs were WNL. Ventilated & remains in persistent vegetative state. LPs done. PICC , trach & PEG tubes. Intermittently febrile, labile BP, asystole x2. Tx in multiple hospitals w/multiple meds including steroids, IVIG, antibiotics & antivirals. 12/11/08 Reviewed additional medical records of 5/08-7/08. FINAL DX: Records reveal patient experienced nausea/vomiting/diarrhea, dizziness & HA, left hand/foot numbness x 4-5 days. Seen in ER on 5/13 where labs were WNL but CT of brain revealed lacunar infarcts, bilateral basal ganglia & cavum verge. Numbness continued & developed involuntary jerking of LEs & difficulty walking. Admitted to MICU 6/08 w/encephalitis. Tx w/IVIG & steroids. Transferred to higher level of care & then to inpatient rehab program.

---

Changed on 6/14/2018

Vaccin­ation / Manu­facturer	Lot / Dose	Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC.	0314U / UNK	UN / UN

Administered by: Military      Purchased by: Military
Symptoms: Blood amylase, Coma, Computerised tomogram abnormal, Diarrhoea, Full blood count, Hypoaesthesia, Nausea, Urine analysis, Vomiting, Mental status changes, Laboratory test, Liver function test, Coagulation test

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 12     Extended hospital stay? Yes
Previous Vaccinations:
Other Medications: None Known
Current Illness: None Known
Preexisting Conditions: None PMH: smoker.
Allergies:
Diagnostic Lab Data: LABS: MRI of head & spine WNL. CT angiogram of head WNL. PET scan abnormal. Right side craniotomy for biopsy of right frontal lobe. EEGs slow but WNL. CSF: WBC 14 monos, protein 17, glucose 68, cytopathlogy revealed mostly normal lymphocytes, mostly Tcells. DNASE-B AB 680 (H). ESR 33, CRP 0.2. TTE revealed ejection fraction WNL w/mild LVH. Urine c/s (+) for e. coli. Tracheal aspirate (+) MRSA. All blood c/s neg. Renal CT scan w/lesions.
CDC 'Split Type':

Write-up: 21 y/o female seen in ER 13 May with C/O it hand & lt. foot numbness approximately 1 month post GARDASIL vaccine. She also C/O of nausea, vomiting and diarrhea. A heat CT demonstrated bilateral basal ganglion infarcts and a MRI showed with similar results with no acute process. She was admitted 20 May with left hemiballsmus. On 22 May her mental status declined. She received many doses of HALDOL and ATIVAN for agitation and was intubated on 28 May. She was transferred to medical center 28 may for w/u for encephalitis and has since become comatose. Symptoms: Nausea w/vomiting, Diarrhea, Nausea w/o vomiting, Numbness. 7/11/08 Reviewed hospital medical records for 6/11-6/23/2008. FINAL DX: aseptic meningo-encephalitis; choreoathetosis r/t meningo-encephalitis; paroxysmal autonomic instability w/dystonia; e. coli UTI. Records reveal pt transferred from military hospital. Military deployment 1-3/2008. On leave 5/2008 developed n/v/d, abd pain & bifrontal HA which continued to worsen. Sought medical help but no dx given. Developed left side weakness, flaccidity & several falls. Found 5/12 unable to ambulate & incontinent of urine. Taken to ER where MRI revealed possible basalganglia infarct. To ICU where subsequent MRIs were WNL. Ventilated & remains in persistent vegetative state. LPs done. PICC , trach & PEG tubes. Intermittently febrile, labile BP, asystole x2. Tx in multiple hospitals w/multiple meds including steroids, IVIG, antibiotics & antivirals. 12/11/08 Reviewed additional medical records of 5/08-7/08. FINAL DX: Records reveal patient experienced nausea/vomiting/diarrhea, dizziness & HA, left hand/foot numbness x 4-5 days. Seen in ER on 5/13 where labs were WNL but CT of brain revealed lacunar infarcts, bilateral basal ganglia & cavum verge. Numbness continued & developed involuntary jerking of LEs & difficulty walking. Admitted to MICU 6/08 w/encephalitis. Tx w/IVIG & steroids. Transferred to higher level of care & then to inpatient rehab program.

---

Changed on 8/14/2018

Vaccin­ation / Manu­facturer	Lot / Dose	Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC.	0314U / UNK	UN / UN

Administered by: Military      Purchased by: Military
Symptoms: Blood amylase, Coma, Computerised tomogram abnormal, Diarrhoea, Full blood count, Hypoaesthesia, Nausea, Urine analysis, Vomiting, Mental status changes, Laboratory test, Liver function test, Coagulation test

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 12     Extended hospital stay? Yes
Previous Vaccinations:
Other Medications: None Known
Current Illness: None Known
Preexisting Conditions: None PMH: smoker.
Allergies:
Diagnostic Lab Data: LABS: MRI of head & spine WNL. CT angiogram of head WNL. PET scan abnormal. Right side craniotomy for biopsy of right frontal lobe. EEGs slow but WNL. CSF: WBC 14 monos, protein 17, glucose 68, cytopathlogy revealed mostly normal lymphocytes, mostly Tcells. DNASE-B AB 680 (H). ESR 33, CRP 0.2. TTE revealed ejection fraction WNL w/mild LVH. Urine c/s (+) for e. coli. Tracheal aspirate (+) MRSA. All blood c/s neg. Renal CT scan w/lesions.
CDC 'Split Type':

Write-up: 21 y/o female seen in ER 13 May with C/O it hand & lt. foot numbness approximately 1 month post GARDASIL vaccine. She also C/O of nausea, vomiting and diarrhea. A heat CT demonstrated bilateral basal ganglion infarcts and a MRI showed with similar results with no acute process. She was admitted 20 May with left hemiballsmus. On 22 May her mental status declined. She received many doses of HALDOL and ATIVAN for agitation and was intubated on 28 May. She was transferred to medical center 28 may for w/u for encephalitis and has since become comatose. Symptoms: Nausea w/vomiting, Diarrhea, Nausea w/o vomiting, Numbness. 7/11/08 Reviewed hospital medical records for 6/11-6/23/2008. FINAL DX: aseptic meningo-encephalitis; choreoathetosis r/t meningo-encephalitis; paroxysmal autonomic instability w/dystonia; e. coli UTI. Records reveal pt transferred from military hospital. Military deployment 1-3/2008. On leave 5/2008 developed n/v/d, abd pain & bifrontal HA which continued to worsen. Sought medical help but no dx given. Developed left side weakness, flaccidity & several falls. Found 5/12 unable to ambulate & incontinent of urine. Taken to ER where MRI revealed possible basalganglia infarct. To ICU where subsequent MRIs were WNL. Ventilated & remains in persistent vegetative state. LPs done. PICC , trach & PEG tubes. Intermittently febrile, labile BP, asystole x2. Tx in multiple hospitals w/multiple meds including steroids, IVIG, antibiotics & antivirals. 12/11/08 Reviewed additional medical records of 5/08-7/08. FINAL DX: Records reveal patient experienced nausea/vomiting/diarrhea, dizziness & HA, left hand/foot numbness x 4-5 days. Seen in ER on 5/13 where labs were WNL but CT of brain revealed lacunar infarcts, bilateral basal ganglia & cavum verge. Numbness continued & developed involuntary jerking of LEs & difficulty walking. Admitted to MICU 6/08 w/encephalitis. Tx w/IVIG & steroids. Transferred to higher level of care & then to inpatient rehab program.

---

Changed on 9/14/2018

Vaccin­ation / Manu­facturer	Lot / Dose	Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC.	0314U / UNK	UN / UN

Administered by: Military      Purchased by: Military
Symptoms: Blood amylase, Coma, Computerised tomogram abnormal, Diarrhoea, Full blood count, Hypoaesthesia, Nausea, Urine analysis, Vomiting, Mental status changes, Laboratory test, Liver function test, Coagulation test

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 12     Extended hospital stay? Yes
Previous Vaccinations:
Other Medications: None Known
Current Illness: None Known
Preexisting Conditions: None PMH: smoker.
Allergies:
Diagnostic Lab Data: LABS: MRI of head & spine WNL. CT angiogram of head WNL. PET scan abnormal. Right side craniotomy for biopsy of right frontal lobe. EEGs slow but WNL. CSF: WBC 14 monos, protein 17, glucose 68, cytopathlogy revealed mostly normal lymphocytes, mostly Tcells. DNASE-B AB 680 (H). ESR 33, CRP 0.2. TTE revealed ejection fraction WNL w/mild LVH. Urine c/s (+) for e. coli. Tracheal aspirate (+) MRSA. All blood c/s neg. Renal CT scan w/lesions.
CDC 'Split Type':

Write-up: 21 y/o female seen in ER 13 May with C/O it hand & lt. foot numbness approximately 1 month post GARDASIL vaccine. She also C/O of nausea, vomiting and diarrhea. A heat CT demonstrated bilateral basal ganglion infarcts and a MRI showed with similar results with no acute process. She was admitted 20 May with left hemiballsmus. On 22 May her mental status declined. She received many doses of HALDOL and ATIVAN for agitation and was intubated on 28 May. She was transferred to medical center 28 may for w/u for encephalitis and has since become comatose. Symptoms: Nausea w/vomiting, Diarrhea, Nausea w/o vomiting, Numbness. 7/11/08 Reviewed hospital medical records for 6/11-6/23/2008. FINAL DX: aseptic meningo-encephalitis; choreoathetosis r/t meningo-encephalitis; paroxysmal autonomic instability w/dystonia; e. coli UTI. Records reveal pt transferred from military hospital. Military deployment 1-3/2008. On leave 5/2008 developed n/v/d, abd pain & bifrontal HA which continued to worsen. Sought medical help but no dx given. Developed left side weakness, flaccidity & several falls. Found 5/12 unable to ambulate & incontinent of urine. Taken to ER where MRI revealed possible basalganglia infarct. To ICU where subsequent MRIs were WNL. Ventilated & remains in persistent vegetative state. LPs done. PICC , trach & PEG tubes. Intermittently febrile, labile BP, asystole x2. Tx in multiple hospitals w/multiple meds including steroids, IVIG, antibiotics & antivirals. 12/11/08 Reviewed additional medical records of 5/08-7/08. FINAL DX: Records reveal patient experienced nausea/vomiting/diarrhea, dizziness & HA, left hand/foot numbness x 4-5 days. Seen in ER on 5/13 where labs were WNL but CT of brain revealed lacunar infarcts, bilateral basal ganglia & cavum verge. Numbness continued & developed involuntary jerking of LEs & difficulty walking. Admitted to MICU 6/08 w/encephalitis. Tx w/IVIG & steroids. Transferred to higher level of care & then to inpatient rehab program.

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Changed on 10/14/2018

Vaccin­ation / Manu­facturer	Lot / Dose	Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC.	0314U / UNK	UN / UN

Administered by: Military      Purchased by: Military
Symptoms: Blood amylase, Coma, Computerised tomogram abnormal, Diarrhoea, Full blood count, Hypoaesthesia, Nausea, Urine analysis, Vomiting, Mental status changes, Laboratory test, Liver function test, Coagulation test

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 12     Extended hospital stay? Yes
Previous Vaccinations:
Other Medications: None Known
Current Illness: None Known
Preexisting Conditions: None PMH: smoker.
Allergies:
Diagnostic Lab Data: LABS: MRI of head & spine WNL. CT angiogram of head WNL. PET scan abnormal. Right side craniotomy for biopsy of right frontal lobe. EEGs slow but WNL. CSF: WBC 14 monos, protein 17, glucose 68, cytopathlogy revealed mostly normal lymphocytes, mostly Tcells. DNASE-B AB 680 (H). ESR 33, CRP 0.2. TTE revealed ejection fraction WNL w/mild LVH. Urine c/s (+) for e. coli. Tracheal aspirate (+) MRSA. All blood c/s neg. Renal CT scan w/lesions.
CDC 'Split Type':

Write-up: 21 y/o female seen in ER 13 May with C/O it hand & lt. foot numbness approximately 1 month post GARDASIL vaccine. She also C/O of nausea, vomiting and diarrhea. A heat CT demonstrated bilateral basal ganglion infarcts and a MRI showed with similar results with no acute process. She was admitted 20 May with left hemiballsmus. On 22 May her mental status declined. She received many doses of HALDOL and ATIVAN for agitation and was intubated on 28 May. She was transferred to medical center 28 may for w/u for encephalitis and has since become comatose. Symptoms: Nausea w/vomiting, Diarrhea, Nausea w/o vomiting, Numbness. 7/11/08 Reviewed hospital medical records for 6/11-6/23/2008. FINAL DX: aseptic meningo-encephalitis; choreoathetosis r/t meningo-encephalitis; paroxysmal autonomic instability w/dystonia; e. coli UTI. Records reveal pt transferred from military hospital. Military deployment 1-3/2008. On leave 5/2008 developed n/v/d, abd pain & bifrontal HA which continued to worsen. Sought medical help but no dx given. Developed left side weakness, flaccidity & several falls. Found 5/12 unable to ambulate & incontinent of urine. Taken to ER where MRI revealed possible basalganglia infarct. To ICU where subsequent MRIs were WNL. Ventilated & remains in persistent vegetative state. LPs done. PICC , trach & PEG tubes. Intermittently febrile, labile BP, asystole x2. Tx in multiple hospitals w/multiple meds including steroids, IVIG, antibiotics & antivirals. 12/11/08 Reviewed additional medical records of 5/08-7/08. FINAL DX: Records reveal patient experienced nausea/vomiting/diarrhea, dizziness & HA, left hand/foot numbness x 4-5 days. Seen in ER on 5/13 where labs were WNL but CT of brain revealed lacunar infarcts, bilateral basal ganglia & cavum verge. Numbness continued & developed involuntary jerking of LEs & difficulty walking. Admitted to MICU 6/08 w/encephalitis. Tx w/IVIG & steroids. Transferred to higher level of care & then to inpatient rehab program.

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