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This is VAERS ID 323589

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2008

VAERS ID: 323589
Age:14.0
Gender:Female
Location:New York
Vaccinated:2007-01-05
Onset:0000-00-00
Submitted:2008-08-23
Entered:2008-08-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 UN / UN
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. - / 1 UN / UN

Administered by: Private      Purchased by: Unknown
Symptoms: Adrenal insufficiency, Alopecia, Antinuclear antibody negative, Arthralgia, Attention deficit/hyperactivity disorder

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
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 beg"inning 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/


Changed on 12/8/2009

VAERS ID: 323589 Before After
Age:14.0
Gender:Female
Location:New York
Vaccinated:2007-01-05
Onset:0000-00-00
Submitted:2008-08-23
Entered:2008-08-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 UN / UN
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. - / 1 UN / UN

Administered by: Private      Purchased by: Unknown
Symptoms: Adrenal insufficiency, Alopecia, Antinuclear antibody negative, Arthralgia, Attention deficit/hyperactivity disorder, Blood creatine phosphokinase, C-reactive protein normal, Chills, Contraception, Dehydration, Depression, Diarrhoea, Dizziness, Dysphagia, Dyspnoea, Electroencephalogram normal, Fatigue, Gastroenteritis, Hypothyroidism, Infectious mononucleosis, Lumbar puncture, Lymphadenopathy, Myalgia, Nausea, Nuclear magnetic resonance imaging brain normal, Obsessive-compulsive disorder, Pallor, Pharyngeal oedema, Pharyngolaryngeal pain, Pyrexia, Staring, Stomatitis, Tonsillar hypertrophy, Tremor, Weight decreased, Red blood cell sedimentation rate normal, Sleep study abnormal, Laboratory test normal, CSF test normal, Liver function test normal, Decreased appetite, Urine analysis normal, Autoimmune disorder, Tonsillar inflammation

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
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 beg"inning 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/ 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.


Changed on 1/5/2010

VAERS ID: 323589 Before After
Age:14.0
Gender:Female
Location:New York
Vaccinated:2007-01-05
Onset:0000-00-00
Submitted:2008-08-23
Entered:2008-08-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 UN / UN
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. - / 1 UN / UN

Administered by: Private      Purchased by: Unknown
Symptoms: Adrenal insufficiency, Alopecia, Antinuclear antibody negative, Arthralgia, Attention deficit/hyperactivity disorder, Blood creatine phosphokinase, C-reactive protein normal, Chills, Contraception, Dehydration, Depression, Diarrhoea, Dizziness, Dysphagia, Dyspnoea, Electroencephalogram normal, Fatigue, Gastroenteritis, Hypothyroidism, Infectious mononucleosis, Lumbar puncture, Lymphadenopathy, Myalgia, Nausea, Nuclear magnetic resonance imaging brain normal, Obsessive-compulsive disorder, Pallor, Pharyngeal oedema, Pharyngolaryngeal pain, Pyrexia, Staring, Stomatitis, Tonsillar hypertrophy, Tremor, Weight decreased, Red blood cell sedimentation rate normal, Sleep study abnormal, Laboratory test normal, CSF test normal, Liver function test normal, Decreased appetite, Urine analysis normal, Autoimmune disorder, Tonsillar inflammation

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
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 lifel


Changed on 7/31/2010

VAERS ID: 323589 Before After
Age:14.0
Gender:Female
Location:New York
Vaccinated:2007-01-05
Onset:0000-00-00
Submitted:2008-08-23
Entered:2008-08-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 UN / UN
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. - / 1 UN / UN

Administered by: Private      Purchased by: Unknown
Symptoms: Abdominal discomfort, Abdominal pain, Abdominal pain lower, Adrenal insufficiency, Asthenia, Blood creatine decreased, Clonus, Fatigue, Headache, Myalgia, Nuclear magnetic resonance imaging normal, Vomiting, Rheumatoid factor negative, Bradyphrenia, Ophthalmological examination, Autoimmune disorder

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
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 lifel


Changed on 8/31/2010

VAERS ID: 323589 Before After
Age:14.0
Gender:Female
Location:New York
Vaccinated:2007-01-05
Onset:0000-00-00
Submitted:2008-08-23
Entered:2008-08-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 UN / UN
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. - / 1 UN / UN

Administered by: Private      Purchased by: Unknown
Symptoms: Abdominal discomfort, Abdominal pain, Abdominal pain lower, Adrenal insufficiency, Asthenia, Blood creatine decreased, Clonus, Fatigue, Headache, Myalgia, Nuclear magnetic resonance imaging normal, Vomiting, Rheumatoid factor negative, Bradyphrenia, Ophthalmological examination, Liver function test normal, Autoimmune disorder

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
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 lifel


Changed on 1/4/2011

VAERS ID: 323589 Before After
Age:14.0
Gender:Female
Location:New York
Vaccinated:2007-01-05
Onset:0000-00-00
Submitted:2008-08-23
Entered:2008-08-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 UN / UN
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. - / 1 UN / UN

Administered by: Private      Purchased by: Unknown
Symptoms: Abdominal discomfort, Abdominal pain, Abdominal pain lower, Adrenal insufficiency, Asthenia, Blood creatine decreased, Clonus, Fatigue, Headache, Myalgia, Nuclear magnetic resonance imaging normal, Vomiting, Rheumatoid factor negative, Bradyphrenia, Ophthalmological examination, Liver function test normal, Autoimmune disorder

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
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 lifel lifelong.


Changed on 4/13/2011

VAERS ID: 323589 Before After
Age:14.0
Gender:Female
Location:New York
Vaccinated:2007-01-05
Onset:0000-00-00
Submitted:2008-08-23
Entered:2008-08-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 UN / UN
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. - / 1 UN / UN

Administered by: Private      Purchased by: Unknown
Symptoms: Abdominal discomfort, Abdominal pain, Abdominal pain lower, Adrenal insufficiency, Alopecia, Antinuclear antibody negative, Arthralgia, Asthenia, Attention deficit/hyperactivity disorder, Blood creatine decreased, Blood creatine phosphokinase, C-reactive protein normal, Chills, Clonus, Contraception, Dehydration, Depression, Diarrhoea, Dizziness, Dysphagia, Dyspnoea, Electroencephalogram normal, Fatigue, Gastroenteritis, Headache, Hypothyroidism, Infectious mononucleosis, Lumbar puncture, Lymphadenopathy, Myalgia, Nausea, Nuclear magnetic resonance imaging brain normal, Nuclear magnetic resonance imaging normal, Obsessive-compulsive disorder, Pallor, Pharyngeal oedema, Pharyngolaryngeal pain, Pyrexia, Staring, Stomatitis, Tonsillar hypertrophy, Tremor, Vomiting, Weight decreased, Rheumatoid factor negative, Red blood cell sedimentation rate normal, Bradyphrenia, Ophthalmological examination, Sleep study abnormal, Laboratory test normal, CSF test normal, Liver function test normal, Decreased appetite, Urine analysis normal, Autoimmune disorder, Tonsillar inflammation

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
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.


Changed on 5/13/2011

VAERS ID: 323589 Before After
Age:14.0
Gender:Female
Location:New York
Vaccinated:2007-01-05
Onset:0000-00-00
Submitted:2008-08-23
Entered:2008-08-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 UN / UN
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. - / 1 UN / UN

Administered by: Private      Purchased by: Unknown
Symptoms: Abdominal discomfort, Abdominal pain, Abdominal pain lower, Adrenal insufficiency, Alopecia, Antinuclear antibody negative, Arthralgia, Asthenia, Attention deficit/hyperactivity disorder, Blood creatine decreased, Blood creatine phosphokinase, C-reactive protein normal, Chills, Clonus, Contraception, Dehydration, Depression, Diarrhoea, Dizziness, Dysphagia, Dyspnoea, Electroencephalogram normal, Fatigue, Gastroenteritis, Headache, Hypothyroidism, Infectious mononucleosis, Lumbar puncture, Lymphadenopathy, Myalgia, Nausea, Nuclear magnetic resonance imaging brain normal, Nuclear magnetic resonance imaging normal, Obsessive-compulsive disorder, Pallor, Pharyngeal oedema, Pharyngolaryngeal pain, Pyrexia, Staring, Stomatitis, Tonsillar hypertrophy, Tremor, Vomiting, Weight decreased, Rheumatoid factor negative, Red blood cell sedimentation rate normal, Bradyphrenia, Ophthalmological examination, Sleep study abnormal, Laboratory test normal, CSF test normal, Liver function test normal, Decreased appetite, Urine analysis normal, Autoimmune disorder, Tonsillar inflammation

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
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.


Changed on 6/11/2011

VAERS ID: 323589 Before After
Age:14.0
Gender:Female
Location:New York
Vaccinated:2007-01-05
Onset:0000-00-00
Submitted:2008-08-23
Entered:2008-08-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 UN / UN
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. - / 1 UN / UN

Administered by: Private      Purchased by: Unknown
Symptoms: Abdominal discomfort, Abdominal pain, Abdominal pain lower, Adrenal insufficiency, Alopecia, Antinuclear antibody negative, Arthralgia, Asthenia, Attention deficit/hyperactivity disorder, Blood creatine decreased, Blood creatine phosphokinase, C-reactive protein normal, Chills, Clonus, Contraception, Dehydration, Depression, Diarrhoea, Dizziness, Dysphagia, Dyspnoea, Electroencephalogram normal, Fatigue, Gastroenteritis, Headache, Hypothyroidism, Infectious mononucleosis, Lumbar puncture, Lymphadenopathy, Myalgia, Nausea, Nuclear magnetic resonance imaging brain normal, Nuclear magnetic resonance imaging normal, Obsessive-compulsive disorder, Pallor, Pharyngeal oedema, Pharyngolaryngeal pain, Pyrexia, Staring, Stomatitis, Tonsillar hypertrophy, Tremor, Vomiting, Weight decreased, Rheumatoid factor negative, Red blood cell sedimentation rate normal, Bradyphrenia, Ophthalmological examination, Sleep study abnormal, Laboratory test normal, CSF test normal, Liver function test normal, Decreased appetite, Urine analysis normal, Autoimmune disorder, Tonsillar inflammation

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
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.


Changed on 4/14/2017

VAERS ID: 323589 Before After
Age:14.0
Gender:Female
Location:New York
Vaccinated:2007-01-05
Onset:0000-00-00
Submitted:2008-08-23
Entered:2008-08-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 UN / UN
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. - / 1 UN / UN

Administered by: Private      Purchased by: Unknown
Symptoms: Abdominal discomfort, Abdominal pain, Abdominal pain lower, Adrenal insufficiency, Alopecia, Antinuclear antibody negative, Arthralgia, Asthenia, Attention deficit/hyperactivity disorder, Blood creatine decreased, Blood creatine phosphokinase, C-reactive protein normal, Chills, Clonus, Contraception, Dehydration, Depression, Diarrhoea, Dizziness, Dysphagia, Dyspnoea, Electroencephalogram normal, Fatigue, Gastroenteritis, Headache, Hypothyroidism, Infectious mononucleosis, Lumbar puncture, Lymphadenopathy, Myalgia, Nausea, Nuclear magnetic resonance imaging brain normal, Nuclear magnetic resonance imaging normal, Obsessive-compulsive disorder, Pallor, Pharyngeal oedema, Pharyngolaryngeal pain, Pyrexia, Staring, Stomatitis, Tonsillar hypertrophy, Tremor, Vomiting, Weight decreased, Rheumatoid factor negative, Red blood cell sedimentation rate normal, Bradyphrenia, Ophthalmological examination, Sleep study abnormal, Laboratory test normal, CSF test normal, Liver function test normal, Decreased appetite, Urine analysis normal, Autoimmune disorder, Tonsillar inflammation

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
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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