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This is VAERS ID 318212

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2008

318212
VAERS Form:
Age:14.0
Gender:Female
Location:Illinois
Vaccinated:2008-06-27
Onset:2008-06-28
Submitted:2008-07-03
Entered:2008-07-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 05244 / 1 - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Activated partial thromboplastin time, Ammonia increased, Antinuclear antibody negative, Blood lactic acid normal, Antithrombin III increased

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? Yes, days: 38     Extended hospital stay? Yes
Previous Vaccinations:
Other Medications: none- no herbals, other OTC medications, no prescription medications
Current Illness: none- no recent viral illness- no history of trauma
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data: (6/28) ESR - 18, CRP <5, lactate 1.3, NH3 73 (6/30) CSF - 5wbc(2S, 83L, 15M) , 99 RBC, 103 Glu, 19 Pro - CSF for HSV, enterorvirus, westnile IgM all pending - CSF bacterial culture negative, ATIII 106, Protein C 114, Protein S 84, INR 1.2,
CDC 'Split Type':

Write-up:14 year old (previously health) (no recent history of URIs or trauma)- History significant for fact that she received Gardasil at clinic on 6/27/08 (2nd dose- first dose in April 2008)- On 6/28/08 patient with acute onset severe headache, left arm pain(pa"ralysis)- leading to parents to call 911- by the time ambulance arrived patient with flaccid paralysis and asystolic event in ambulance requiring atropine IV-- currently in ICU with bilateral upper and lower extremity paralysis and respiratory failure (ve


Changed on 12/8/2009

318212 Before After
VAERS Form:
Age:14.0
Gender:Female
Location:Illinois
Vaccinated:2008-06-27
Onset:2008-06-28
Submitted:2008-07-03
Entered:2008-07-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 05244 / 1 - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Activated partial thromboplastin time, Ammonia increased, Antinuclear antibody negative, Blood lactic acid normal, Body temperature increased, C-reactive protein increased, Cardiac arrest, Chest X-ray abnormal, Computerised tomogram normal, CSF culture negative, CSF protein increased, CSF protein normal, Dyspnoea, Echocardiogram normal, Electrocardiogram normal, Headache, Intensive care, International normalised ratio, International normalised ratio increased, Lobar pneumonia, Myelitis transverse, Nuclear magnetic resonance imaging abnormal, Nuclear magnetic resonance imaging brain, Pain in extremity, Paralysis, Paralysis flaccid, Plasmapheresis, Pleural effusion, Pneumonia aspiration, Pneumothorax, Protein total increased, Red blood cells CSF positive, Respiratory alkalosis, Respiratory failure, Tracheostomy, Rheumatoid factor negative, Red blood cell sedimentation rate decreased, Chest tube insertion, Cold agglutinins, CSF glucose increased, Antithrombin III increased, Protein S normal, Gastrointestinal tube insertion, HIV antibody negative, Scan brain, Mycoplasma serology, Mechanical ventilation, Endotracheal intubation

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? Yes, days: 38     Extended hospital stay? Yes
Previous Vaccinations:
Other Medications: none- no herbals, other OTC medications, no prescription medications
Current Illness: none- no recent viral illness- no history of trauma
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data: (6/28) ESR - 18, CRP <5, lactate 1.3, NH3 73 (6/30) CSF - 5wbc(2S, 83L, 15M) , 99 RBC, 103 Glu, 19 Pro - CSF for HSV, enterorvirus, westnile IgM all pending - CSF bacterial culture negative, ATIII 106, Protein C 114, Protein S 84, INR 1.2,
CDC 'Split Type':

Write-up:14 year old (previously health) (no recent history of URIs or trauma)- History significant for fact that she received Gardasil at clinic on 6/27/08 (2nd dose- first dose in April 2008)- On 6/28/08 patient with acute onset severe headache, left arm pain(pa"ralysis)- pain(paralysis)- leading to parents to call 911- by the time ambulance arrived patient with flaccid paralysis and asystolic event in ambulance requiring atropine IV-- currently in ICU with bilateral upper and lower extremity paralysis and respiratory failure (ve (ventilated)-- diagnosed with : classic transverse myelitis currently of unknown etiology8/28/08-records received-presented to ED on 6/28/08 with acute onset of flaccid paralysis, sudden onset of severe headache on day of presentation followed by arm pain. Shortly thereafter lost tone in all extremities. Intubated in field and went into asystole. Placed on ventilator. Hospital course complicated by right sided pleural effusion and pneumothorax requiring placement of chest tube. DX with aspiration pneumonia. Nasogastric tube insertion. Unable to be extubated. Respiratory alkalosis. Plasmapheresis. PE on 7/7/08 no change since admission. Dyspnea. DX:transverse myelitis of unknown etiology, intubated secondary to respiratory failure with persistent sensation of air hunger. 9/10/08-DC Summary received for DOS 6/28-8/7/08- DX:Transverse myelitis. Plasmapheresis. Etiology of transverse myelitis was negative. Re-developed temperature and deep touch sensation in extremities, three weeks after event regained deep tendon reflexes and positive Babinski sign bilaterally. Neuropathic pain. Tracheostomy and mechanical ventilation. Asystole of unknown etiology. Transferred to rehabilitation facility.


Changed on 8/31/2010

318212 Before After
VAERS Form:
Age:14.0
Gender:Female
Location:Illinois
Vaccinated:2008-06-27
Onset:2008-06-28
Submitted:2008-07-03
Entered:2008-07-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 05244 / 1 - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Activated partial thromboplastin time, Ammonia increased, Antinuclear antibody negative, Blood lactic acid normal, Body temperature increased, C-reactive protein increased, Cardiac arrest, Chest X-ray abnormal, Computerised tomogram normal, CSF culture negative, CSF protein increased, CSF protein normal, Dyspnoea, Echocardiogram normal, Electrocardiogram normal, Headache, Intensive care, International normalised ratio, International normalised ratio increased, Lobar pneumonia, Myelitis transverse, Nuclear magnetic resonance imaging abnormal, Nuclear magnetic resonance imaging brain, Pain in extremity, Paralysis, Paralysis flaccid, Plasmapheresis, Pleural effusion, Pneumonia aspiration, Pneumothorax, Protein total increased, Red blood cells CSF positive, Respiratory alkalosis, Respiratory failure, Tracheostomy, Rheumatoid factor negative, Red blood cell sedimentation rate decreased, Chest tube insertion, Cold agglutinins, CSF glucose increased, Antithrombin III increased, Protein S normal, Gastrointestinal tube insertion, HIV antibody negative, Scan brain, Mycoplasma serology, Mechanical ventilation, Endotracheal intubation

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? Yes, days: 38     Extended hospital stay? Yes
Previous Vaccinations:
Other Medications: none- no herbals, other OTC medications, no prescription medications
Current Illness: none- no recent viral illness- no history of trauma
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data: (6/28) ESR - 18, CRP <5, lactate 1.3, NH3 73 (6/30) CSF - 5wbc(2S, 83L, 15M) , 99 RBC, 103 Glu, 19 Pro - CSF for HSV, enterorvirus, westnile IgM all pending - CSF bacterial culture negative, ATIII 106, Protein C 114, Protein S 84, INR 1.2,
CDC 'Split Type':

Write-up:14 year old (previously health) (no recent history of URIs or trauma)- History significant for fact that she received Gardasil at clinic on 6/27/08 (2nd dose- first dose in April 2008)- On 6/28/08 patient with acute onset severe headache, left arm pain(paralysis)- leading to parents to call 911- by the time ambulance arrived patient with flaccid paralysis and asystolic event in ambulance requiring atropine IV-- currently in ICU with bilateral upper and lower extremity paralysis and respiratory failure (ventilated)-- diagnosed with : classic transverse myelitis currently of unknown etiology8/28/08-records received-presented to ED on 6/28/08 with acute onset of flaccid paralysis, sudden onset of severe headache on day of presentation followed by arm pain. Shortly thereafter lost tone in all extremities. Intubated in field and went into asystole. Placed on ventilator. Hospital course complicated by right sided pleural effusion and pneumothorax requiring placement of chest tube. DX with aspiration pneumonia. Nasogastric tube insertion. Unable to be extubated. Respiratory alkalosis. Plasmapheresis. PE on 7/7/08 no change since admission. Dyspnea. DX:transverse myelitis of unknown etiology, intubated secondary to respiratory failure with persistent sensation of air hunger. 9/10/08-DC Summary received for DOS 6/28-8/7/08- DX:Transverse myelitis. Plasmapheresis. Etiology of transverse myelitis was negative. Re-developed temperature and deep touch sensation in extremities, three weeks after event regained deep tendon reflexes and positive Babinski sign bilaterally. Neuropathic pain. Tracheostomy and mechanical ventilation. Asystole of unknown etiology. Transferred to rehabilitation facility.


Changed on 4/13/2011

318212 Before After
VAERS Form:
Age:14.0
Gender:Female
Location:Illinois
Vaccinated:2008-06-27
Onset:2008-06-28
Submitted:2008-07-03
Entered:2008-07-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 05244 / 1 - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Activated partial thromboplastin time, Ammonia increased, Antinuclear antibody negative, Blood lactic acid normal, Body temperature increased, C-reactive protein increased, Cardiac arrest, Chest X-ray abnormal, Computerised tomogram normal, CSF culture negative, CSF protein increased, CSF protein normal, Dyspnoea, Echocardiogram normal, Electrocardiogram normal, Headache, Intensive care, International normalised ratio, International normalised ratio increased, Lobar pneumonia, Myelitis transverse, Nuclear magnetic resonance imaging abnormal, Nuclear magnetic resonance imaging brain, Pain in extremity, Paralysis, Paralysis flaccid, Plasmapheresis, Pleural effusion, Pneumonia aspiration, Pneumothorax, Protein total increased, Red blood cells CSF positive, Respiratory alkalosis, Respiratory failure, Tracheostomy, Rheumatoid factor negative, Red blood cell sedimentation rate decreased, Chest tube insertion, Cold agglutinins, CSF glucose increased, Antithrombin III increased, Protein S normal, Gastrointestinal tube insertion, HIV antibody negative, Scan brain, Mycoplasma serology, Mechanical ventilation, Endotracheal intubation

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? Yes, days: 38     Extended hospital stay? Yes
Previous Vaccinations:
Other Medications: none- no herbals, other OTC medications, no prescription medications
Current Illness: none- no recent viral illness- no history of trauma
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data: (6/28) ESR - 18, CRP <5, lactate 1.3, NH3 73 (6/30) CSF - 5wbc(2S, 83L, 15M) , 99 RBC, 103 Glu, 19 Pro - CSF for HSV, enterorvirus, westnile IgM all pending - CSF bacterial culture negative, ATIII 106, Protein C 114, Protein S 84, INR 1.2,
CDC 'Split Type':

Write-up:14 year old (previously health) (no recent history of URIs or trauma)- History significant for fact that she received Gardasil at clinic on 6/27/08 (2nd dose- first dose in April 2008)- On 6/28/08 patient with acute onset severe headache, left arm pain(paralysis)- leading to parents to call 911- by the time ambulance arrived patient with flaccid paralysis and asystolic event in ambulance requiring atropine IV-- currently in ICU with bilateral upper and lower extremity paralysis and respiratory failure (ventilated)-- diagnosed with : classic transverse myelitis currently of unknown etiology8/28/08-records received-presented to ED on 6/28/08 with acute onset of flaccid paralysis, sudden onset of severe headache on day of presentation followed by arm pain. Shortly thereafter lost tone in all extremities. Intubated in field and went into asystole. Placed on ventilator. Hospital course complicated by right sided pleural effusion and pneumothorax requiring placement of chest tube. DX with aspiration pneumonia. Nasogastric tube insertion. Unable to be extubated. Respiratory alkalosis. Plasmapheresis. PE on 7/7/08 no change since admission. Dyspnea. DX:transverse myelitis of unknown etiology, intubated secondary to respiratory failure with persistent sensation of air hunger. 9/10/08-DC Summary received for DOS 6/28-8/7/08- DX:Transverse myelitis. Plasmapheresis. Etiology of transverse myelitis was negative. Re-developed temperature and deep touch sensation in extremities, three weeks after event regained deep tendon reflexes and positive Babinski sign bilaterally. Neuropathic pain. Tracheostomy and mechanical ventilation. Asystole of unknown etiology. Transferred to rehabilitation facility.


Changed on 5/13/2011

318212 Before After
VAERS Form:
Age:14.0
Gender:Female
Location:Illinois
Vaccinated:2008-06-27
Onset:2008-06-28
Submitted:2008-07-03
Entered:2008-07-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 05244 / 1 - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Activated partial thromboplastin time, Ammonia increased, Antinuclear antibody negative, Blood lactic acid normal, Body temperature increased, C-reactive protein increased, Cardiac arrest, Chest X-ray abnormal, Computerised tomogram normal, CSF culture negative, CSF protein increased, CSF protein normal, Dyspnoea, Echocardiogram normal, Electrocardiogram normal, Headache, Intensive care, International normalised ratio, International normalised ratio increased, Lobar pneumonia, Myelitis transverse, Nuclear magnetic resonance imaging abnormal, Nuclear magnetic resonance imaging brain, Pain in extremity, Paralysis, Paralysis flaccid, Plasmapheresis, Pleural effusion, Pneumonia aspiration, Pneumothorax, Protein total increased, Red blood cells CSF positive, Respiratory alkalosis, Respiratory failure, Tracheostomy, Rheumatoid factor negative, Red blood cell sedimentation rate decreased, Chest tube insertion, Cold agglutinins, CSF glucose increased, Antithrombin III increased, Protein S normal, Gastrointestinal tube insertion, HIV antibody negative, Scan brain, Mycoplasma serology, Mechanical ventilation, Endotracheal intubation

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? Yes, days: 38     Extended hospital stay? Yes
Previous Vaccinations:
Other Medications: none- no herbals, other OTC medications, no prescription medications
Current Illness: none- no recent viral illness- no history of trauma
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data: (6/28) ESR - 18, CRP <5, lactate 1.3, NH3 73 (6/30) CSF - 5wbc(2S, 83L, 15M) , 99 RBC, 103 Glu, 19 Pro - CSF for HSV, enterorvirus, westnile IgM all pending - CSF bacterial culture negative, ATIII 106, Protein C 114, Protein S 84, INR 1.2,
CDC 'Split Type':

Write-up:14 year old (previously health) (no recent history of URIs or trauma)- History significant for fact that she received Gardasil at clinic on 6/27/08 (2nd dose- first dose in April 2008)- On 6/28/08 patient with acute onset severe headache, left arm pain(paralysis)- leading to parents to call 911- by the time ambulance arrived patient with flaccid paralysis and asystolic event in ambulance requiring atropine IV-- currently in ICU with bilateral upper and lower extremity paralysis and respiratory failure (ventilated)-- diagnosed with : classic transverse myelitis currently of unknown etiology8/28/08-records received-presented to ED on 6/28/08 with acute onset of flaccid paralysis, sudden onset of severe headache on day of presentation followed by arm pain. Shortly thereafter lost tone in all extremities. Intubated in field and went into asystole. Placed on ventilator. Hospital course complicated by right sided pleural effusion and pneumothorax requiring placement of chest tube. DX with aspiration pneumonia. Nasogastric tube insertion. Unable to be extubated. Respiratory alkalosis. Plasmapheresis. PE on 7/7/08 no change since admission. Dyspnea. DX:transverse myelitis of unknown etiology, intubated secondary to respiratory failure with persistent sensation of air hunger. 9/10/08-DC Summary received for DOS 6/28-8/7/08- DX:Transverse myelitis. Plasmapheresis. Etiology of transverse myelitis was negative. Re-developed temperature and deep touch sensation in extremities, three weeks after event regained deep tendon reflexes and positive Babinski sign bilaterally. Neuropathic pain. Tracheostomy and mechanical ventilation. Asystole of unknown etiology. Transferred to rehabilitation facility.


Changed on 6/11/2011

318212 Before After
VAERS Form:
Age:14.0
Gender:Female
Location:Illinois
Vaccinated:2008-06-27
Onset:2008-06-28
Submitted:2008-07-03
Entered:2008-07-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 05244 / 1 - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Activated partial thromboplastin time, Ammonia increased, Antinuclear antibody negative, Blood lactic acid normal, Body temperature increased, C-reactive protein increased, Cardiac arrest, Chest X-ray abnormal, Computerised tomogram normal, CSF culture negative, CSF protein increased, CSF protein normal, Dyspnoea, Echocardiogram normal, Electrocardiogram normal, Headache, Intensive care, International normalised ratio, International normalised ratio increased, Lobar pneumonia, Myelitis transverse, Nuclear magnetic resonance imaging abnormal, Nuclear magnetic resonance imaging brain, Pain in extremity, Paralysis, Paralysis flaccid, Plasmapheresis, Pleural effusion, Pneumonia aspiration, Pneumothorax, Protein total increased, Red blood cells CSF positive, Respiratory alkalosis, Respiratory failure, Tracheostomy, Rheumatoid factor negative, Red blood cell sedimentation rate decreased, Chest tube insertion, Cold agglutinins, CSF glucose increased, Antithrombin III increased, Protein S normal, Gastrointestinal tube insertion, HIV antibody negative, Scan brain, Mycoplasma serology, Mechanical ventilation, Endotracheal intubation

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? Yes, days: 38     Extended hospital stay? Yes
Previous Vaccinations:
Other Medications: none- no herbals, other OTC medications, no prescription medications
Current Illness: none- no recent viral illness- no history of trauma
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data: (6/28) ESR - 18, CRP <5, lactate 1.3, NH3 73 (6/30) CSF - 5wbc(2S, 83L, 15M) , 99 RBC, 103 Glu, 19 Pro - CSF for HSV, enterorvirus, westnile IgM all pending - CSF bacterial culture negative, ATIII 106, Protein C 114, Protein S 84, INR 1.2,
CDC 'Split Type':

Write-up:14 year old (previously health) (no recent history of URIs or trauma)- History significant for fact that she received Gardasil at clinic on 6/27/08 (2nd dose- first dose in April 2008)- On 6/28/08 patient with acute onset severe headache, left arm pain(paralysis)- leading to parents to call 911- by the time ambulance arrived patient with flaccid paralysis and asystolic event in ambulance requiring atropine IV-- currently in ICU with bilateral upper and lower extremity paralysis and respiratory failure (ventilated)-- diagnosed with : classic transverse myelitis currently of unknown etiology8/28/08-records received-presented to ED on 6/28/08 with acute onset of flaccid paralysis, sudden onset of severe headache on day of presentation followed by arm pain. Shortly thereafter lost tone in all extremities. Intubated in field and went into asystole. Placed on ventilator. Hospital course complicated by right sided pleural effusion and pneumothorax requiring placement of chest tube. DX with aspiration pneumonia. Nasogastric tube insertion. Unable to be extubated. Respiratory alkalosis. Plasmapheresis. PE on 7/7/08 no change since admission. Dyspnea. DX:transverse myelitis of unknown etiology, intubated secondary to respiratory failure with persistent sensation of air hunger. 9/10/08-DC Summary received for DOS 6/28-8/7/08- DX:Transverse myelitis. Plasmapheresis. Etiology of transverse myelitis was negative. Re-developed temperature and deep touch sensation in extremities, three weeks after event regained deep tendon reflexes and positive Babinski sign bilaterally. Neuropathic pain. Tracheostomy and mechanical ventilation. Asystole of unknown etiology. Transferred to rehabilitation facility.


Changed on 4/14/2017

318212 Before After
VAERS Form:
Age:14.0
Gender:Female
Location:Illinois
Vaccinated:2008-06-27
Onset:2008-06-28
Submitted:2008-07-03
Entered:2008-07-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 05244 / 1 - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Activated partial thromboplastin time, Ammonia increased, Antinuclear antibody negative, Blood lactic acid normal, Body temperature increased, C-reactive protein increased, Cardiac arrest, Chest X-ray abnormal, Computerised tomogram normal, CSF culture negative, CSF protein increased, CSF protein normal, Dyspnoea, Echocardiogram normal, Electrocardiogram normal, Headache, Intensive care, International normalised ratio, International normalised ratio increased, Lobar pneumonia, Myelitis transverse, Nuclear magnetic resonance imaging abnormal, Nuclear magnetic resonance imaging brain, Pain in extremity, Paralysis, Paralysis flaccid, Plasmapheresis, Pleural effusion, Pneumonia aspiration, Pneumothorax, Protein total increased, Red blood cells CSF positive, Respiratory alkalosis, Respiratory failure, Tracheostomy, Rheumatoid factor negative, Red blood cell sedimentation rate decreased, Chest tube insertion, Cold agglutinins, CSF glucose increased, Antithrombin III increased, Protein S normal, Gastrointestinal tube insertion, HIV antibody negative, Scan brain, Mycoplasma serology, Mechanical ventilation, Endotracheal intubation

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? Yes, days: 38     Extended hospital stay? Yes
Previous Vaccinations:
Other Medications: none- no herbals, other OTC medications, no prescription medications
Current Illness: none- no recent viral illness- no history of trauma
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data: (6/28) ESR - 18, CRP <5, lactate 1.3, NH3 73 (6/30) CSF - 5wbc(2S, 83L, 15M) , 99 RBC, 103 Glu, 19 Pro - CSF for HSV, enterorvirus, westnile IgM all pending - CSF bacterial culture negative, ATIII 106, Protein C 114, Protein S 84, INR 1.2, PTT 30, HIV Ab - negative, cold agglutinin for mycoplasma Ab- pending, Spinal MRI- positive for C2-5, T2 lesion(stroke vs. meyelitis vs. demyelinating disease), EKG- nl, MRA brain- normal (upper vertebral ateries appear), CT brain- normal 8/28/08-records received-Imaging of brain and spinal cord negative. Infectious and autoimmune workups negative. 9/10/08-records received-MRI demonstrated subtle changes in C2-C4 area of spinal cord. Echo for PFO was negative. LP normal. HIV negative. Autoimmune workup n
CDC 'Split Type':

Write-up:14 year old (previously health) (no recent history of URIs or trauma)- History significant for fact that she received Gardasil at clinic on 6/27/08 (2nd dose- first dose in April 2008)- On 6/28/08 patient with acute onset severe headache, left arm pain(paralysis)- leading to parents to call 911- by the time ambulance arrived patient with flaccid paralysis and asystolic event in ambulance requiring atropine IV-- currently in ICU with bilateral upper and lower extremity paralysis and respiratory failure (ventilated)-- diagnosed with : classic transverse myelitis currently of unknown etiology8/28/08-records received-presented to ED on 6/28/08 with acute onset of flaccid paralysis, sudden onset of severe headache on day of presentation followed by arm pain. Shortly thereafter lost tone in all extremities. Intubated in field and went into asystole. Placed on ventilator. Hospital course complicated by right sided pleural effusion and pneumothorax requiring placement of chest tube. DX with aspiration pneumonia. Nasogastric tube insertion. Unable to be extubated. Respiratory alkalosis. Plasmapheresis. PE on 7/7/08 no change since admission. Dyspnea. DX:transverse myelitis of unknown etiology, intubated secondary to respiratory failure with persistent sensation of air hunger. 9/10/08-DC Summary received for DOS 6/28-8/7/08- DX:Transverse myelitis. Plasmapheresis. Etiology of transverse myelitis was negative. Re-developed temperature and deep touch sensation in extremities, three weeks after event regained deep tendon reflexes and positive Babinski sign bilaterally. Neuropathic pain. Tracheostomy and mechanical ventilation. Asystole of unknown etiology. Transferred to rehabilitation facility.


Changed on 9/14/2017

318212 Before After
VAERS Form:(blank) 1
Age:14.0
Gender:Female
Location:Illinois
Vaccinated:2008-06-27
Onset:2008-06-28
Submitted:2008-07-03
Entered:2008-07-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 05244 / 1 2 - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Activated partial thromboplastin time, Ammonia increased, Blood lactic acid normal, C-reactive protein increased, Cardiac arrest, Computerised tomogram normal, CSF culture negative, CSF protein increased, CSF protein normal, Electrocardiogram normal, Headache, Intensive care, International normalised ratio, International normalised ratio increased, Myelitis transverse, Nuclear magnetic resonance imaging abnormal, Nuclear magnetic resonance imaging brain, Pain in extremity, Paralysis, Paralysis flaccid, Protein total increased, Red blood cells CSF positive, Respiratory failure, Red blood cell sedimentation rate decreased, Cold agglutinins, CSF glucose increased, Antithrombin III increased, Protein S normal, HIV antibody negative, Scan brain, Mycoplasma serology, Mechanical ventilation

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? Yes, days: 38     Extended hospital stay? Yes
Previous Vaccinations:
Other Medications: none- no herbals, other OTC medications, no prescription medications
Current Illness: none- no recent viral illness- no history of trauma
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data: (6/28) ESR - 18, CRP <5, lactate 1.3, NH3 73 (6/30) CSF - 5wbc(2S, 83L, 15M) , 99 RBC, 103 Glu, 19 Pro - CSF for HSV, enterorvirus, westnile IgM all pending - CSF bacterial culture negative, ATIII 106, Protein C 114, Protein S 84, INR 1.2, PTT 30, HIV Ab - negative, cold agglutinin for mycoplasma Ab- pending, Spinal MRI- positive for C2-5, T2 lesion(stroke vs. meyelitis vs. demyelinating disease), EKG- nl, MRA brain- normal (upper vertebral ateries appear), CT brain- normal 8/28/08-records received-Imaging of brain and spinal cord negative. Infectious and autoimmune workups negative. 9/10/08-records received-MRI demonstrated subtle changes in C2-C4 area of spinal cord. Echo for PFO was negative. LP normal. HIV negative. Autoimmune workup n negative including rheumatoid factor, ANA, double stranded DNA, SSA SSB. Viral and bacterial etiologies ruled out. C/O headaches and left ear pain most likely tension related. Chest x-ray right lower lobe pneumonia.
CDC 'Split Type':

Write-up:14 year old (previously health) (no recent history of URIs or trauma)- History significant for fact that she received Gardasil at clinic on 6/27/08 (2nd dose- first dose in April 2008)- On 6/28/08 patient with acute onset severe headache, left arm pain(paralysis)- leading to parents to call 911- by the time ambulance arrived patient with flaccid paralysis and asystolic event in ambulance requiring atropine IV-- currently in ICU with bilateral upper and lower extremity paralysis and respiratory failure (ventilated)-- diagnosed with : classic transverse myelitis currently of unknown etiology8/28/08-records received-presented to ED on 6/28/08 with acute onset of flaccid paralysis, sudden onset of severe headache on day of presentation followed by arm pain. Shortly thereafter lost tone in all extremities. Intubated in field and went into asystole. Placed on ventilator. Hospital course complicated by right sided pleural effusion and pneumothorax requiring placement of chest tube. DX with aspiration pneumonia. Nasogastric tube insertion. Unable to be extubated. Respiratory alkalosis. Plasmapheresis. PE on 7/7/08 no change since admission. Dyspnea. DX:transverse myelitis of unknown etiology, intubated secondary to respiratory failure with persistent sensation of air hunger. 9/10/08-DC Summary received for DOS 6/28-8/7/08- DX:Transverse myelitis. Plasmapheresis. Etiology of transverse myelitis was negative. Re-developed temperature and deep touch sensation in extremities, three weeks after event regained deep tendon reflexes and positive Babinski sign bilaterally. Neuropathic pain. Tracheostomy and mechanical ventilation. Asystole of unknown etiology. Transferred to rehabilitation facility.


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