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This is VAERS ID 323589

Case Details

VAERS ID: 323589 (history)  
Form: Version 1.0  
Age: 14.0  
Gender: Female  
Location: New York  
Submitted: 2008-08-23
Entered: 2008-08-28
   Days after submission:5
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Private       Purchased by: Unknown
Symptoms: Abdominal discomfort, Abdominal pain, Abdominal pain lower, Adrenal insufficiency, Asthenia, Autoimmune disorder, Blood creatine decreased, Bradyphrenia, Clonus, Fatigue, Headache, Myalgia, Nuclear magnetic resonance imaging normal, Ophthalmological examination, Rheumatoid factor negative, Vomiting
SMQs:, Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Retroperitoneal fibrosis (broad), Parkinson-like events (broad), Gastrointestinal perforation, ulcer, haemorrhage, obstruction non-specific findings/procedures (broad), Psychosis and psychotic disorders (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad), Generalised convulsive seizures following immunisation (broad), Tendinopathies and ligament disorders (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:
Current Illness:
Preexisting Conditions: PMH: OCD & ADD. adenoidectomy age 6. Allergic to sulfa (hives)& benadryl. MVA 2003. Dysmenorrhea. Contraception(Yaz). Anxiety. Heavy menses Family hx: hypercholesterolemia, celiac disease, MVP, cerebral palsy, DM, thyroid disease.
Diagnostic Lab Data: LABS: Electrolytes & LFTs WNL. Brain MRI fall 2007 WNL. Sleep study abnormal. MRI of brain & c-spine & EEG WNL. ESR 11, CRP 0.3. CSF: WNL. ANA neg. RA factor neg. CPK 48(L). UA WNL.
CDC Split Type:

Write-up: Autoimmune adrenal insufficiency. Dx: Aug 08. Several months severe fatigue, myalgia. 9/12/08 Reviewed endocrinologist medical records of 6/10-8/18/08. FINAL DX: adrenal insufficiency Records reveal patient experienced episodes of excessive fatigue beginning 2/2007 which progressed. Included dizziness, lightheadedness, overheated with activities, pale, hair loss, nausea, diarrhea for 2 mos, weight loss. Was on oral contraception which was d/c 6/08. 9/16/08 Reviewed ER medical records of 2/20/07 & 9/12/07. 2/20/07 Final ER Dx: gastroenteritis w/mild dehydration Records reveal patient exprienced N/V/D, chills & abdominal discomfort x 24 hours. Tx w/IVF & antiemetics. Responded well & d/c to home. LABS: UA WNL. 9/12/07 Final ER Dx: sore throat secondary to mononucleosis Records reveal patient recently dx w/mono had increasing throat swelling & difficulty breathing, decreased appetite, nausea, difficulty swallowing, abdominal pain, slight SOB. Exam revealed enlarged & red tonsils, cervical lymph node enlargement. Tx w/steroids & pain meds. D/C to home. 9/19/08 Reviewed PCP medical records of 10/3/07-8/5/08. FINAL DX: adrenal insufficiency, hypothyroidism, ADHD, anxiety/depression, OCD. Records reveal patient experienced anxiety/depression, OCD, fatigue, lower abdominal pain & fever when see 10/07. Only able to attend school for 1/2 days. Referred to neuro & admitted 10/26/07 for questionable seizure, w/u neg. Had shotty cervical nodes bilaterally. 1/2008 referred to rheumatologist. Hosp d/c summary, neuro consult, eye exam, rheum consult, sleep center consult, endocrine, psychiatric consult all included. D/C summary of 10/26-10/29/2007 states final dx: anxiety, depression, s/p inf mono. LP done. Had episodes of staring & RLE shaking. Neuro exam revealed asthenia, slow mentation, HA, possible seizures, ankle clonus. Rheum consult for chronic fatigue, recurrent mouth sores, joint aches/pains & muscle aches/pains. 1/26/2010 Follow-up: Adreral Insufficieny-which will be lifelong.

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