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This is VAERS ID 326520

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2008

VAERS ID: 326520
Age:12.0
Gender:Female
Location:Alabama
Vaccinated:2008-06-27
Onset:2008-07-07
Submitted:2008-09-29
Entered:2008-09-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1758U / 0 LA / -
MNQ: MENINGOCOCCAL (MENACTRA) / SANOFI PASTEUR U2566AA / 0 LA / UN
TDAP: TDAP (ADACEL) / SANOFI PASTEUR C2862AA / 0 RA / UN

Administered by: Other      Purchased by: Unknown
Symptoms: Abdominal pain upper, Alanine aminotransferase increased, Antinuclear antibody negative, Arthralgia, Activities of daily living impaired

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: ELAVIL; NEXIUM; NEURONTIN; CLARITIN
Current Illness:
Preexisting Conditions: Infectious mononucleosis. PMH: none. Allergy to sulfa.
Diagnostic Lab Data: Laboratory test, blood work. Labs and Diagnostics: AST 45. ALT 86. monospot (-). ESR 27, 51. ANA (-). RF (-). Lyme (-). EBV c/w acute infection. Abd US WNL. CPK 53. EBV (-). MRI brain and C-spine WNL.
CDC 'Split Type':

Write-up:Information has been received from a physician concerning a 12 year old female with a history of infectious mononucleosis, who /"about two months ago/" (approximately in July 2008) was vaccinated with the first dose of GARDASIL, a dose of MENACTRA and an"other unspecified vaccine. Concomitant therapy included NEURONTIN, ELAVIL, NEXIUM and CLARITIN. The physician stated that /"about one week/" after receiving vaccination, the patient developed headache, numbness, extremity tingling and pain on the left sid


Changed on 12/8/2009

VAERS ID: 326520 Before After
Age:12.0
Gender:Female
Location:Alabama
Vaccinated:2008-06-27
Onset:2008-07-07
Submitted:2008-09-29
Entered:2008-09-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1758U / 0 LA / -
MNQ: MENINGOCOCCAL (MENACTRA) / SANOFI PASTEUR U2566AA / 0 LA / UN
TDAP: TDAP (ADACEL) / SANOFI PASTEUR C2862AA / 0 RA / UN

Administered by: Other      Purchased by: Unknown Other
Symptoms: Abdominal pain upper, Alanine aminotransferase increased, Antinuclear antibody negative, Arthralgia, Aspartate aminotransferase increased, Back pain, Blood creatine phosphokinase increased, Dyspnoea, Fatigue, Gastrooesophageal reflux disease, Headache, Hypoaesthesia, Joint swelling, Mononucleosis heterophile test negative, Nausea, Nuclear magnetic resonance imaging brain normal, Nuclear magnetic resonance imaging normal, Pain, Paraesthesia, Positive Rombergism, Pyrexia, Rash erythematous, Sensory disturbance, Sinus congestion, Sinusitis, Sleep disorder, Tenderness, Throat tightness, Tremor, Viral infection, Vomiting, Rheumatoid factor negative, Red blood cell sedimentation rate increased, Muscle tightness, Activities of daily living impaired, Ultrasound abdomen normal, Epstein-Barr virus antibody positive, Epstein-Barr virus antibody negative, Borrelia burgdorferi serology negative, Blood test, Complex regional pain syndrome, Hypoaesthesia facial, Oropharyngeal pain

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: ELAVIL; NEXIUM; NEURONTIN; CLARITIN
Current Illness:
Preexisting Conditions: Infectious mononucleosis. PMH: none. Allergy to sulfa.
Diagnostic Lab Data: Laboratory test, blood work. Labs and Diagnostics: AST 45. ALT 86. monospot (-). ESR 27, 51. ANA (-). RF (-). Lyme (-). EBV c/w acute infection. Abd US WNL. CPK 53. EBV (-). MRI brain and C-spine WNL.
CDC 'Split Type': (blank) WAES0809USA04230

Write-up:Information has been received from a physician concerning a 12 year old female with a history of infectious mononucleosis, who /"about "about two months ago/" ago" (approximately in July 2008) was vaccinated with the first dose of GARDASIL, a dose of MENACTRA and an"other another unspecified vaccine. Concomitant therapy included NEURONTIN, ELAVIL, NEXIUM and CLARITIN. The physician stated that /"about "about one week/" week" after receiving vaccination, the patient developed headache, numbness, extremity tingling and pain on the left sid side of the body. The patient had been unable to attend school for two months because of the adverse symptoms. The patient sought medical attention with an office visit. At time of reporting, the patient had not recovered. Lab tests included a blood work with unknown results. The physician considered the adverse events to be disabling. Additional information has been requested. 12/08/2008 MR received from PCP. Seen 7/14/08 with c/o sore throat, H/A, congestion x 1 week. DX: Sinusitis-tx abx. Seen in ER 7/15/08 with same sx in addition to joint aches. Thought to be viral etiology. Seen 7/16/08 with additional stomach cramping, body aches, and red bumps on back. Worsening H/A. Worsening pain upper L side. Feels like throat is swelling up, migratory joint pain. Tx-Tylenol #3. Still c/o joint pain and difficulty sleeping. Assessment: Joint Pain/Fatigue. ? Viral Syndrome. By 8/26/08 pt worsening sx-H/A and sensory issues on the L side. Been out of school for long time. Referred to Rheumatology and Neurology. 1/5/09 MR received from Immunology and Neurology consults. 8/19/2008 and 8/26/08. Seen for c/o fatigue, H/A, back pain and joint pain. Also with c/o numbness of jaw and extremities, episodes of joint swelling, SOB, muscle tightness and nausea which began several days after receiving Gardasil vax. Now in home school due to intensity of sx. PE (+) for 8/10 H/a, mild (+) Romberg, point tenderness. Returned 9/16/08 for c/o disturbances of skin sensation. DX: Reflex Symphathetic Dystrophy, GER. Episode


Changed on 4/7/2010

VAERS ID: 326520 Before After
Age:12.0
Gender:Female
Location:Alabama
Vaccinated:2008-06-27
Onset:2008-07-07
Submitted:2008-09-29
Entered:2008-09-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1758U / 0 LA / -
MNQ: MENINGOCOCCAL (MENACTRA) MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U2566AA / 0 LA / UN
TDAP: TDAP (ADACEL) / SANOFI PASTEUR C2862AA / 0 RA / UN

Administered by: Other      Purchased by: Other
Symptoms: Abdominal pain upper, Alanine aminotransferase increased, Antinuclear antibody negative, Arthralgia, Aspartate aminotransferase increased, Back pain, Blood creatine phosphokinase increased, Dyspnoea, Fatigue, Gastrooesophageal reflux disease, Headache, Hypoaesthesia, Joint swelling, Mononucleosis heterophile test negative, Nausea, Nuclear magnetic resonance imaging brain normal, Nuclear magnetic resonance imaging normal, Pain, Paraesthesia, Positive Rombergism, Pyrexia, Rash erythematous, Sensory disturbance, Sinus congestion, Sinusitis, Sleep disorder, Tenderness, Throat tightness, Tremor, Viral infection, Vomiting, Rheumatoid factor negative, Red blood cell sedimentation rate increased, Muscle tightness, Activities of daily living impaired, Ultrasound abdomen normal, Epstein-Barr virus antibody positive, Epstein-Barr virus antibody negative, Borrelia burgdorferi serology negative, Blood test, Complex regional pain syndrome, Hypoaesthesia facial, Oropharyngeal pain

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: ELAVIL; NEXIUM; NEURONTIN; CLARITIN
Current Illness:
Preexisting Conditions: Infectious mononucleosis. PMH: none. Allergy to sulfa.
Diagnostic Lab Data: Laboratory test, blood work. Labs and Diagnostics: AST 45. ALT 86. monospot (-). ESR 27, 51. ANA (-). RF (-). Lyme (-). EBV c/w acute infection. Abd US WNL. CPK 53. EBV (-). MRI brain and C-spine WNL.
CDC 'Split Type': WAES0809USA04230

Write-up:Information has been received from a physician concerning a 12 year old female with a history of infectious mononucleosis, who "about two months ago" (approximately in July 2008) was vaccinated with the first dose of GARDASIL, a dose of MENACTRA and another unspecified vaccine. Concomitant therapy included NEURONTIN, ELAVIL, NEXIUM and CLARITIN. The physician stated that "about one week" after receiving vaccination, the patient developed headache, numbness, extremity tingling and pain on the left side of the body. The patient had been unable to attend school for two months because of the adverse symptoms. The patient sought medical attention with an office visit. At time of reporting, the patient had not recovered. Lab tests included a blood work with unknown results. The physician considered the adverse events to be disabling. Additional information has been requested. 12/08/2008 MR received from PCP. Seen 7/14/08 with c/o sore throat, H/A, congestion x 1 week. DX: Sinusitis-tx abx. Seen in ER 7/15/08 with same sx in addition to joint aches. Thought to be viral etiology. Seen 7/16/08 with additional stomach cramping, body aches, and red bumps on back. Worsening H/A. Worsening pain upper L side. Feels like throat is swelling up, migratory joint pain. Tx-Tylenol #3. Still c/o joint pain and difficulty sleeping. Assessment: Joint Pain/Fatigue. ? Viral Syndrome. By 8/26/08 pt worsening sx-H/A and sensory issues on the L side. Been out of school for long time. Referred to Rheumatology and Neurology. 1/5/09 MR received from Immunology and Neurology consults. 8/19/2008 and 8/26/08. Seen for c/o fatigue, H/A, back pain and joint pain. Also with c/o numbness of jaw and extremities, episodes of joint swelling, SOB, muscle tightness and nausea which began several days after receiving Gardasil vax. Now in home school due to intensity of sx. PE (+) for 8/10 H/a, mild (+) Romberg, point tenderness. Returned 9/16/08 for c/o disturbances of skin sensation. DX: Reflex Symphathetic Dystrophy, GER. Episode


Changed on 4/14/2017

VAERS ID: 326520 Before After
Age:12.0
Gender:Female
Location:Alabama
Vaccinated:2008-06-27
Onset:2008-07-07
Submitted:2008-09-29
Entered:2008-09-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1758U / 0 LA / -
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U2566AA / 0 LA / UN
TDAP: TDAP (ADACEL) / SANOFI PASTEUR C2862AA / 0 RA / UN

Administered by: Other      Purchased by: Other
Symptoms: Abdominal pain upper, Alanine aminotransferase increased, Antinuclear antibody negative, Arthralgia, Aspartate aminotransferase increased, Back pain, Blood creatine phosphokinase increased, Dyspnoea, Fatigue, Gastrooesophageal reflux disease, Headache, Hypoaesthesia, Joint swelling, Mononucleosis heterophile test negative, Nausea, Nuclear magnetic resonance imaging brain normal, Nuclear magnetic resonance imaging normal, Pain, Paraesthesia, Positive Rombergism, Pyrexia, Rash erythematous, Sensory disturbance, Sinus congestion, Sinusitis, Sleep disorder, Tenderness, Throat tightness, Tremor, Viral infection, Vomiting, Rheumatoid factor negative, Red blood cell sedimentation rate increased, Muscle tightness, Activities of daily living impaired, Ultrasound abdomen normal, Epstein-Barr virus antibody positive, Epstein-Barr virus antibody negative, Borrelia burgdorferi serology negative, Blood test, Complex regional pain syndrome, Hypoaesthesia facial, Oropharyngeal pain

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: ELAVIL; NEXIUM; NEURONTIN; CLARITIN
Current Illness:
Preexisting Conditions: Infectious mononucleosis. PMH: none. Allergy to sulfa.
Diagnostic Lab Data: Laboratory test, blood work. Labs and Diagnostics: AST 45. ALT 86. monospot (-). ESR 27, 51. ANA (-). RF (-). Lyme (-). EBV c/w acute infection. Abd US WNL. CPK 53. EBV (-). MRI brain and C-spine WNL.
CDC 'Split Type': WAES0809USA04230

Write-up:Information has been received from a physician concerning a 12 year old female with a history of infectious mononucleosis, who "about two months ago" (approximately in July 2008) was vaccinated with the first dose of GARDASIL, a dose of MENACTRA and another unspecified vaccine. Concomitant therapy included NEURONTIN, ELAVIL, NEXIUM and CLARITIN. The physician stated that "about one week" after receiving vaccination, the patient developed headache, numbness, extremity tingling and pain on the left side of the body. The patient had been unable to attend school for two months because of the adverse symptoms. The patient sought medical attention with an office visit. At time of reporting, the patient had not recovered. Lab tests included a blood work with unknown results. The physician considered the adverse events to be disabling. Additional information has been requested. 12/08/2008 MR received from PCP. Seen 7/14/08 with c/o sore throat, H/A, congestion x 1 week. DX: Sinusitis-tx abx. Seen in ER 7/15/08 with same sx in addition to joint aches. Thought to be viral etiology. Seen 7/16/08 with additional stomach cramping, body aches, and red bumps on back. Worsening H/A. Worsening pain upper L side. Feels like throat is swelling up, migratory joint pain. Tx-Tylenol #3. Still c/o joint pain and difficulty sleeping. Assessment: Joint Pain/Fatigue. ? Viral Syndrome. By 8/26/08 pt worsening sx-H/A and sensory issues on the L side. Been out of school for long time. Referred to Rheumatology and Neurology. 1/5/09 MR received from Immunology and Neurology consults. 8/19/2008 and 8/26/08. Seen for c/o fatigue, H/A, back pain and joint pain. Also with c/o numbness of jaw and extremities, episodes of joint swelling, SOB, muscle tightness and nausea which began several days after receiving Gardasil vax. Now in home school due to intensity of sx. PE (+) for 8/10 H/a, mild (+) Romberg, point tenderness. Returned 9/16/08 for c/o disturbances of skin sensation. DX: Reflex Symphathetic Dystrophy, GER. Episode 9/18/08 of severe H/A , bilateral arm and leg pain, fever, shaking and vomiting resulting in ER visit. Assessment: Acute viral illness exacerbating chronic pain d/o.


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