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This is VAERS ID 323683

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2008

VAERS ID: 323683
Age:14.0
Gender:Female
Location:Arizona
Vaccinated:2008-03-13
Onset:0000-00-00
Submitted:2008-08-28
Entered:2008-08-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1978U / 0 RA / UN
MNQ: MENINGOCOCCAL (MENACTRA) / SANOFI PASTEUR U2376BA / 0 LA / UN

Administered by: Other      Purchased by: Unknown
Symptoms: Back pain, Blood product transfusion, CSF glucose decreased, CSF lymphocyte count increased, CSF protein increased

Life Threatening? Yes
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? Yes, days: 5     Extended hospital stay? Yes
Previous Vaccinations:
Other Medications: MENACTRA
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown LABS: MRI revealed enhanced facial nerves c/w neuritis CSF: protein 386(H), glucose (L) WBC 60(H), lymphs 96%, macrophages 4%c/s neg. EBV (+).
CDC 'Split Type':

Write-up:Information has been received from a physician concerning a 14 year old female patient who on 13-MAR-2008 was vaccinated with her first dose of GARDASIL. Concomitant therapy included MENACTRA. On 09-APR-2008, the patient experienced back pain, fever and"headache. The patient was given Z-PAK. On 14-APR-2008, the patient presented at the office with complete facial paralysis and was admitted to the hospital. On 18-APR-2008, the patient was discharged. A neurologist in the hospital diagnosed her with po


Changed on 12/8/2009

VAERS ID: 323683 Before After
Age:14.0
Gender:Female
Location:Arizona
Vaccinated:2008-03-13
Onset:0000-00-00
Submitted:2008-08-28
Entered:2008-08-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1978U / 0 RA / UN
MNQ: MENINGOCOCCAL (MENACTRA) / SANOFI PASTEUR U2376BA / 0 LA / UN

Administered by: Other      Purchased by: Unknown Other
Symptoms: Back pain, Blood product transfusion, CSF glucose decreased, CSF lymphocyte count increased, CSF protein increased, Epstein-Barr virus infection, Facial palsy, Headache, Hyporeflexia, Lumbar puncture, Lymphadenopathy, Meningitis viral, Musculoskeletal pain, Nuclear magnetic resonance imaging brain abnormal, Paraesthesia, Pyrexia, Sleep disorder, VIIth nerve paralysis, Epstein-Barr virus antibody positive, CSF white blood cell count increased, Throat lesion, Neurological examination abnormal, Eye movement disorder, Tonsillar inflammation

Life Threatening? Yes
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? Yes, days: 5     Extended hospital stay? Yes
Previous Vaccinations:
Other Medications: MENACTRA
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown LABS: MRI revealed enhanced facial nerves c/w neuritis CSF: protein 386(H), glucose (L) WBC 60(H), lymphs 96%, macrophages 4%c/s neg. EBV (+).
CDC 'Split Type': (blank) WAES0808USA04178

Write-up:Information has been received from a physician concerning a 14 year old female patient who on 13-MAR-2008 was vaccinated with her first dose of GARDASIL. Concomitant therapy included MENACTRA. On 09-APR-2008, the patient experienced back pain, fever and"headache. and headache. The patient was given Z-PAK. On 14-APR-2008, the patient presented at the office with complete facial paralysis and was admitted to the hospital. On 18-APR-2008, the patient was discharged. A neurologist in the hospital diagnosed her with po possible Guillain-Barre and bilateral 7th cranial nerve palsy. On 24-APR-2008, the patient was seen by a physician and her adverse events were resolving but not complete. On 15-MAY-2008, the neurologist felt her symptoms were resolving and possibly not related to Guillain-Barre or GARDASIL. The neurologist diagnosed her as having Epstein-Barr meningitis. Back pain, fever, headache, facial paralysis and Epstein-Barr meningitis were considered to be disabling, immediately life-threatening and an other important medical event. Additional information has been requested. 10/3/08 Reviewed neuro medical records of 5/15/2008. FINAL DX: Epstein Barr viral meningitis with montherapy multiplex Records reveal patient experienced HA x 2 weeks in 4/2008. Developed shoulder pain, LBP, sleep disturbance & fever. Seen in ER, dx w/throat lesion & tx w/antibiotics. No response to antibiotic therapy although throat lesion did improve. Developed severe pain, facial weakness, tingling in fingertips. Hospitalized & brain MRI revealed inflammation of VII crainal nerve bilaterally. LP showed WBC (H), protein (H) & marginal glucose indicating viral meningitis. EBV IgM (H). Neuro exam on 5/15/08 revealed right facial weakness w/depressed UE reflexes. 10/31/08 Reviewed hospital medical records of 4/14-4/18/2008. FINAL DX: bilateral 7th cranial nerve palsy, possible variant of GBS triggered by acute Epstein-Barr infection. Records reveal patient experienced HA, muscle aches, fevers, strep throat, mono x approx 2 wks. D


Changed on 4/7/2010

VAERS ID: 323683 Before After
Age:14.0
Gender:Female
Location:Arizona
Vaccinated:2008-03-13
Onset:0000-00-00
Submitted:2008-08-28
Entered:2008-08-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1978U / 0 RA / UN
MNQ: MENINGOCOCCAL (MENACTRA) MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U2376BA / 0 LA / UN

Administered by: Other      Purchased by: Other
Symptoms: Back pain, Blood product transfusion, CSF glucose decreased, CSF lymphocyte count increased, CSF protein increased, Epstein-Barr virus infection, Facial palsy, Headache, Hyporeflexia, Lumbar puncture, Lymphadenopathy, Meningitis viral, Musculoskeletal pain, Nuclear magnetic resonance imaging brain abnormal, Paraesthesia, Pyrexia, Sleep disorder, VIIth nerve paralysis, Epstein-Barr virus antibody positive, CSF white blood cell count increased, Throat lesion, Neurological examination abnormal, Eye movement disorder, Tonsillar inflammation

Life Threatening? Yes
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? Yes, days: 5     Extended hospital stay? Yes
Previous Vaccinations:
Other Medications: MENACTRA
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown LABS: MRI revealed enhanced facial nerves c/w neuritis CSF: protein 386(H), glucose (L) WBC 60(H), lymphs 96%, macrophages 4%c/s neg. EBV (+).
CDC 'Split Type': WAES0808USA04178

Write-up:Information has been received from a physician concerning a 14 year old female patient who on 13-MAR-2008 was vaccinated with her first dose of GARDASIL. Concomitant therapy included MENACTRA. On 09-APR-2008, the patient experienced back pain, fever and headache. The patient was given Z-PAK. On 14-APR-2008, the patient presented at the office with complete facial paralysis and was admitted to the hospital. On 18-APR-2008, the patient was discharged. A neurologist in the hospital diagnosed her with possible Guillain-Barre and bilateral 7th cranial nerve palsy. On 24-APR-2008, the patient was seen by a physician and her adverse events were resolving but not complete. On 15-MAY-2008, the neurologist felt her symptoms were resolving and possibly not related to Guillain-Barre or GARDASIL. The neurologist diagnosed her as having Epstein-Barr meningitis. Back pain, fever, headache, facial paralysis and Epstein-Barr meningitis were considered to be disabling, immediately life-threatening and an other important medical event. Additional information has been requested. 10/3/08 Reviewed neuro medical records of 5/15/2008. FINAL DX: Epstein Barr viral meningitis with montherapy multiplex Records reveal patient experienced HA x 2 weeks in 4/2008. Developed shoulder pain, LBP, sleep disturbance & fever. Seen in ER, dx w/throat lesion & tx w/antibiotics. No response to antibiotic therapy although throat lesion did improve. Developed severe pain, facial weakness, tingling in fingertips. Hospitalized & brain MRI revealed inflammation of VII crainal nerve bilaterally. LP showed WBC (H), protein (H) & marginal glucose indicating viral meningitis. EBV IgM (H). Neuro exam on 5/15/08 revealed right facial weakness w/depressed UE reflexes. 10/31/08 Reviewed hospital medical records of 4/14-4/18/2008. FINAL DX: bilateral 7th cranial nerve palsy, possible variant of GBS triggered by acute Epstein-Barr infection. Records reveal patient experienced HA, muscle aches, fevers, strep throat, mono x approx 2 wks. D


Changed on 4/14/2017

VAERS ID: 323683 Before After
Age:14.0
Gender:Female
Location:Arizona
Vaccinated:2008-03-13
Onset:0000-00-00
Submitted:2008-08-28
Entered:2008-08-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1978U / 0 RA / UN
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U2376BA / 0 LA / UN

Administered by: Other      Purchased by: Other
Symptoms: Back pain, Blood product transfusion, CSF glucose decreased, CSF lymphocyte count increased, CSF protein increased, Epstein-Barr virus infection, Facial palsy, Headache, Hyporeflexia, Lumbar puncture, Lymphadenopathy, Meningitis viral, Musculoskeletal pain, Nuclear magnetic resonance imaging brain abnormal, Paraesthesia, Pyrexia, Sleep disorder, VIIth nerve paralysis, Epstein-Barr virus antibody positive, CSF white blood cell count increased, Throat lesion, Neurological examination abnormal, Eye movement disorder, Tonsillar inflammation

Life Threatening? Yes
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? Yes, days: 5     Extended hospital stay? Yes
Previous Vaccinations:
Other Medications: MENACTRA
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown LABS: MRI revealed enhanced facial nerves c/w neuritis CSF: protein 386(H), glucose (L) WBC 60(H), lymphs 96%, macrophages 4%c/s neg. EBV (+).
CDC 'Split Type': WAES0808USA04178

Write-up:Information has been received from a physician concerning a 14 year old female patient who on 13-MAR-2008 was vaccinated with her first dose of GARDASIL. Concomitant therapy included MENACTRA. On 09-APR-2008, the patient experienced back pain, fever and headache. The patient was given Z-PAK. On 14-APR-2008, the patient presented at the office with complete facial paralysis and was admitted to the hospital. On 18-APR-2008, the patient was discharged. A neurologist in the hospital diagnosed her with possible Guillain-Barre and bilateral 7th cranial nerve palsy. On 24-APR-2008, the patient was seen by a physician and her adverse events were resolving but not complete. On 15-MAY-2008, the neurologist felt her symptoms were resolving and possibly not related to Guillain-Barre or GARDASIL. The neurologist diagnosed her as having Epstein-Barr meningitis. Back pain, fever, headache, facial paralysis and Epstein-Barr meningitis were considered to be disabling, immediately life-threatening and an other important medical event. Additional information has been requested. 10/3/08 Reviewed neuro medical records of 5/15/2008. FINAL DX: Epstein Barr viral meningitis with montherapy multiplex Records reveal patient experienced HA x 2 weeks in 4/2008. Developed shoulder pain, LBP, sleep disturbance & fever. Seen in ER, dx w/throat lesion & tx w/antibiotics. No response to antibiotic therapy although throat lesion did improve. Developed severe pain, facial weakness, tingling in fingertips. Hospitalized & brain MRI revealed inflammation of VII crainal nerve bilaterally. LP showed WBC (H), protein (H) & marginal glucose indicating viral meningitis. EBV IgM (H). Neuro exam on 5/15/08 revealed right facial weakness w/depressed UE reflexes. 10/31/08 Reviewed hospital medical records of 4/14-4/18/2008. FINAL DX: bilateral 7th cranial nerve palsy, possible variant of GBS triggered by acute Epstein-Barr infection. Records reveal patient experienced HA, muscle aches, fevers, strep throat, mono x approx 2 wks. D Developed facial paralysis 3 days prior to admit. Exam revealed cervical & submandibular lymphadenopathy w/peritonsillar erythema. Unable to close eyes completely, could not wrinkle forehead, smile or frown. Right patella areflexia. Neuro consult done. Tx w/IVIG.


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