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This is VAERS ID 316760

Case Details

VAERS ID: 316760 (history)  
Age: 14.0  
Gender: Female  
Location: Florida  
Vaccinated:2008-05-05
Onset:2008-05-16
   Days after vaccination:11
Submitted: 2008-06-20
   Days after onset:35
Entered: 2008-06-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / GLAXOSMITHKLINE BIOLOGICALS AHAVB222AA / - UN / UN
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1448U / 1 UN / UN

Administered by: Private       Purchased by: Other
Symptoms: Abdominal pain, Blood test, Diplopia, Fatigue, Hypoaesthesia, Leukoencephalomyelitis, Lumbar puncture, Nerve injury, Nuclear magnetic resonance imaging abnormal, Sensation of heaviness, Tremor, VIth nerve paralysis
SMQs:, Acute pancreatitis (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Retroperitoneal fibrosis (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (narrow), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Accidents and injuries (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Demyelination (narrow), Ocular motility disorders (narrow), Hypoglycaemia (broad)

Life Threatening? Yes
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 4 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: dizziness, sight, numbness
Preexisting Conditions: none
Diagnostic Lab Data: MRI; lumbar puncture; blood 2nd dose; diagnosed with ADEM 8/6/08-records received for DOS 6/10-6/13/08-DC DX: ADEM. CSF albumin increased 5120, olig bands increased 11. EBV VCA IGG positive. MRI abnormal .with left periventricular white matter lesion. MRI spine normal.
CDC Split Type:

Write-up: About 10-14 days after receiving 2nd dose of HPV vaccine patient complained of double vision, numbness in hands & feet, tremors, abdominal pain, heaviness in arms, fatigue. She was seen by doctor Dx-sixth nerve palsy, abnormal MRI, admitted to hospital. 7/14/08-PCP note seen in office 6/2/08-for C/O double vision, 15 days prior seen by ophthamologist. 8/6/08-records received for DOS 6/10-6/13/08-DC DX: ADEM. Presented with diplopia a few weeks prior to admission, seen by optometrist and diagnosed with 6th nerve palsy. Two weeks prior to admission presented with paresthesias involving all extremities. Diplopia somewhat improved.


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