National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 321693

Case Details

VAERS ID: 321693 (history)  
Form: Version 1.0  
Age: 16.0  
Gender: Female  
Location: Kentucky  
Vaccinated:2006-11-24
Onset:2007-01-02
   Days after vaccination:39
Submitted: 2008-08-10
   Days after onset:585
Entered: 2008-08-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0688 / 2 LA / -

Administered by: Unknown       Purchased by: Unknown
Symptoms: Abdominal pain upper, Asthenia, Chills, Dizziness, Fatigue, Fibromyalgia, Loss of consciousness, Malaise, Pain, Pharyngolaryngeal pain, Sinus disorder, Vomiting
SMQs:, Torsade de pointes/QT prolongation (broad), Acute pancreatitis (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: amitriptyline, zyrtec, yaz 3-0, r-tanna, singulair, mucinex, sudafed, albuterol
Current Illness:
Preexisting Conditions: allegy to penicillins and sulfa antibiotics. No birth defects. Exercise induced asthma. PMH: PCOS, Acne, dysmenorrhea. Allergic to PCN, sulfa
Allergies:
Diagnostic Lab Data: Multiple performed from 2/07 through 3/08 by pediatrics and specialists. Labs and Diagnostics: Monospot (-). CBC WNL. EEG WNL. EKG WNL. Head CT WNL.
CDC Split Type:

Write-up: Had asthma. HPV shots (9/23/06, 11/24/06, 7/5/07). 1/07 tired, chills, dizzy, stomach ache, sick for one week saw doctor. Addtional appts for body ache, dizzy, vomitting, no energy through 2/07. 3/07 exhausted, sore throat, body aches, sinus. 5/07 chronic fatigue & referred to specialist. 7/26/07 specialist diagnosed fibromyalgia. 9/06 - 2/08 had 13 medical appts. 3/08 passed out in shower, possibly from medication, emergency room treatment. Through 7/08, multiple specialist appts for treatment and pain management. 08/21/2008 MR received from PCP. Seen 11/24/06 for HPV#2. Asymptomatic at that time. Frequent OVs beginning 2/9/07 with c/o feeling sick x 1 week-dizzy, H/A, belly pain, tired, chills-hot and cold, nausea, vomited x 2. PE (+) for exudate on tonsils, swollen lymph nodes in neck. Assessment: Fatigue. Seen again 2/15, 2/21, 2/27 for same sx. Assessment: Chronic Fatigue, Achiness. Myositis. OV 3/22/07 with c/o sore throat. Hyperreflexia noted on exam. Assessment: Healing myositis, r/o Guillain Barre. H/A, Tiredness. Pharyngitis. Seen 5/9 now dx CFS 2'' to post-viral. R/O Fibromyalgia/COD. WCC 7/5/07 with HPV#3. Seen 3/18/08 in f/u to ER for passing out in shower with head trauma/chipped teeth. 4 episodes that day. Lacerations to chin, knee, head. Dx: Syncope. F/u 3/20/08 feeling exhausted, sore w/ H/A. 5/6/08 Dx: Croup, Pharyngitis. 7/3/08 WCC Dx: Fibromyalgia. 11/13/08 Consultant records received from Rheum. First seen in June 2007 and dx with fibromyalgia. OV 2/13/08 with report of worsening sx of malaise, fatigue, difficulty sleeping and H/A. PE (+) for joint pain, back pain, myalgias, neck pain, morning stiffness. Seeing Pain Mgmt and psych for CBT. Seen 4/17/08 in f/u for drop seizure, preceded by nausea and followed by amnesia of event, ?2'' to Elavil. Reports muscle pain and daily occipitoparietal band-like H/A. OV 7/30/08 with improving sx. 1/26/2010 Headaches, body pain, physical weakness, loss of stamina. These symptoms are ongoing and have resulted in patient making many life changing actions.


New Search

Link To This Search Result:

http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=321693


Copyright © 2017 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166