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This is VAERS ID 321133

Case Details

VAERS ID: 321133 (history)  
Form: Version 1.0  
Age: 13.0  
Gender: Female  
Location: Texas  
   Days after vaccination:0
Submitted: 2008-08-01
   Days after onset:148
Entered: 2008-08-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Private       Purchased by: Private
Symptoms: Immediate post-injection reaction, Injection site atrophy, Injection site pain, Muscle atrophy
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: YAZ; Claritin; Adderall; Kenalog
Current Illness:
Preexisting Conditions: NKDA; Seasonal allergies
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Muscle/tissue atrophy at injection site almost immediately apparent - after 5 months approximately has not resolved. Patient had Kenalog injection 2 days prior at another injection site. This is in follow-up report(s) previously submitted on 9/15/2008. Intial and follow-up inforamtion has been recieved froma a nurse practitioner concerning a 11 year old female with no pertinent medical history or history of drug reactions or drug allergies who on 30-OCT-2007 was vaccinated witht he first does of GRADASIL. On aaproximately 03-MAR-2008, "two days prior to" the second vacciantion of GRADASIL, the patient had recieved triamcinolicne acetonide injrction in the gluteal area, "another injection site", for the treatment of allergian. On 05-MAR-2008 the patient was vaccianted intramuscularly in theleft arm woth the second 0.5ml dose of GRADASIL (lot no. 655604/0052X). Concomitant therapy included drospirenous (+) ethinyl entradiol, loratadine and imphatamine espartate.amphetamineSO4/dex. On the same day, "almost immediately after her second immunization", the patient developed pain and muscle tissue atrophy at the injection site. On 01-AUG-2008, the patient was vaccinated witht he third dose of GRADASIL. As of 01-AUG-08, it was reportedthat the patient was recovering from the injection site pain. As of 08-SEP-2008, it was reported that muscle tissue athrophy at the injection site still persisted "five months later". The patient sought unspecified medical attention via office visist. Muscle tissue athrophy at the injection site was considered to be disabling and pther important medical event. Additional information is not expected.

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