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This is VAERS ID 336853

History of Changes from the VAERS Wayback Machine

First Appeared on 12/8/2009

336853
VAERS Form:
Age:15.0
Gender:Female
Location:Colorado
Vaccinated:2007-08-18
Onset:2007-08-18
Submitted:2009-01-07
Entered:2009-01-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 2 UN / IM

Administered by: Private      Purchased by: Other
Symptoms: Acne, Aphthous stomatitis, Behcet's syndrome, Biopsy skin, Blindness transient, C-reactive protein increased, Cellulitis, Depression, Dysuria, Flushing, Full blood count normal, Hirsutism, Hypoaesthesia, Influenza like illness, Lymphadenopathy, Pain, Paraesthesia, Pyrexia, Rash erythematous, Rash pruritic, Suicidal ideation, Vulval ulceration, Red blood cell sedimentation rate increased, Polymerase chain reaction, Catheter placement, Laboratory test normal, West Nile viral infection, Liver function test normal, Inflammation, Herpes simplex serology negative, Oropharyngeal pain

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness: Vulval ulceration; West Nile viral infection
Preexisting Conditions: Mouth ulceration; Canker sores oral; Viral infection PMH: PCOS, ? DMII on oral meds. Allergy: sulfa.
Allergies:
Diagnostic Lab Data: Diagnostic laboratory, STD testing LABS: pathergy test neg. ESR 32(H), CRP 10.5(H). CBC, chemistry, LFTs WNL. HSV/PCR neg. HSV I (+), HSV II(-). Biopsy vulvar lesion.
CDC 'Split Type': WAES0812USA02633

Write-up:Information has been received from a physician concerning a female patient with a history of mouth ulcers who on an unknown date was vaccinated with a dose of GARDASIL, lot # unspecified. The patient came back to the physician''s office 4 hours after getting GARDASIL with "vulvar ulcers" diagnosed as "bipolar aphthosis". The physician stated that the patient had gotten the shot when she was experiencing symptoms of West Nile virus; however it was not diagnosed after she had been given GARDASIL. The patient became sexually active "shortly before" she got GARDASIL. At the time of reporting, the outcome of the event was unknown. Follow-up information was received from the physician who reported that the patient had a history of canker sores. The physician also reported that the patient had a viral illness (not specified) prior to receiving the third dose of GARDASIL. The physician stated that the patient had experienced bipolar aphthosis every month for over one year. Follow-up information was received from the physician, who reported that the patient was vaccinated with the third dose of GARDASIL IM, on 18-AUG-2007. The physician reported that within 4 hours of vaccination, the patient had the first outcome of nonherpetic vulvar ulcers. Major work up negative. Presumed to be bipolar aphthosis. At the time of reporting, the patient had not recovered. The patient had numerous cultures and laboratories (unspecified) and a presumptive positive West Nile virus test. The physician considered the event to be disabling. This is one of two reports from the same source. No further information is available. 2/17/09 Received Immunology Clinic records of 7/15-9/26/2008. FINAL DX: Bechet''s disease Records reveal patient did not have symptoms when initially evaluated. Valtrex d/c. Had bout of depression w/suicidal ideation. Being seen by counselor & tx w/meds. Developed oral canker sores that waxed & waned & by 9/18 had over 40+ vulvar ulcers w/exudate & bilateral lymph node adenopathy. Depression aggravated by eruption,


Changed on 2/13/2013

336853 Before After
VAERS Form:
Age:15.0
Gender:Female
Location:Colorado
Vaccinated:2007-08-18
Onset:2007-08-18
Submitted:2009-01-07
Entered:2009-01-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 2 UN / IM

Administered by: Private      Purchased by: Other
Symptoms: Acne, Aphthous stomatitis, Behcet's syndrome, Biopsy skin, Blindness transient, C-reactive protein increased, Cellulitis, Depression, Dysuria, Flushing, Full blood count normal, Hirsutism, Hypoaesthesia, Influenza like illness, Lymphadenopathy, Pain, Paraesthesia, Pyrexia, Rash erythematous, Rash pruritic, Suicidal ideation, Vulval ulceration, Red blood cell sedimentation rate increased, Polymerase chain reaction, Catheter placement, Laboratory test normal, West Nile viral infection, Liver function test normal, Inflammation, Herpes simplex serology negative, Oropharyngeal pain

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness: Vulval ulceration; West Nile viral infection
Preexisting Conditions: Mouth ulceration; Canker sores oral; Viral infection PMH: PCOS, ? DMII on oral meds. Allergy: sulfa.
Allergies:
Diagnostic Lab Data: Diagnostic laboratory, STD testing LABS: pathergy test neg. ESR 32(H), CRP 10.5(H). CBC, chemistry, LFTs WNL. HSV/PCR neg. HSV I (+), HSV II(-). Biopsy vulvar lesion.
CDC 'Split Type': WAES0812USA02633

Write-up:Information has been received from a physician concerning a female patient with a history of mouth ulcers who on an unknown date was vaccinated with a dose of GARDASIL, lot # unspecified. The patient came back to the physician''s office 4 hours after getting GARDASIL with "vulvar ulcers" diagnosed as "bipolar aphthosis". The physician stated that the patient had gotten the shot when she was experiencing symptoms of West Nile virus; however it was not diagnosed after she had been given GARDASIL. The patient became sexually active "shortly before" she got GARDASIL. At the time of reporting, the outcome of the event was unknown. Follow-up information was received from the physician who reported that the patient had a history of canker sores. The physician also reported that the patient had a viral illness (not specified) prior to receiving the third dose of GARDASIL. The physician stated that the patient had experienced bipolar aphthosis every month for over one year. Follow-up information was received from the physician, who reported that the patient was vaccinated with the third dose of GARDASIL IM, on 18-AUG-2007. The physician reported that within 4 hours of vaccination, the patient had the first outcome of nonherpetic vulvar ulcers. Major work up negative. Presumed to be bipolar aphthosis. At the time of reporting, the patient had not recovered. The patient had numerous cultures and laboratories (unspecified) and a presumptive positive West Nile virus test. The physician considered the event to be disabling. This is one of two reports from the same source. No further information is available. 2/17/09 Received Immunology Clinic records of 7/15-9/26/2008. FINAL DX: Bechet''s disease Records reveal patient did not have symptoms when initially evaluated. Valtrex d/c. Had bout of depression w/suicidal ideation. Being seen by counselor & tx w/meds. Developed oral canker sores that waxed & waned & by 9/18 had over 40+ vulvar ulcers w/exudate & bilateral lymph node adenopathy. Depression aggravated by eruption, fever 100.5, flu like s/s of aches/pain all over. Developed fine erythematous rash over face & skin next day that waxed & waned. Continues to self cath. Tx w/steroid burst & antibiotics. Improved w/steroids 2/18/09 Received ID clinic records of 4/12-5/21/2008 which revealed no new information. 1/20/09 Received PCP office records 4/8-12/3/2008. FINAL DX: suspect bipolar aphthosis Records reveal patient had cleaned out pond 8/2007. Dx w/WNV & had recurring symptoms since then of: 7-14 day menses, facial warmth, painful oral & vaginal lesions, dysuria requiring self catheterization. Lesions are blisters that ooz yellow fluid & also red bumpy itchy rash on trunk & arms. Skin painful during these episodes. Fevers up to 101,(+) inguinal nodes, axillary nodes. Not sexually active. Tx w/antivirals, pain meds & antigout med. Referred to ID 2/5/09 Received GYN medical records of 8/28/2007-11/25/2008. FINAL DX: Bechet''s syndrome records reveal patient seen 8/28/07 in f/u on vulvar operations that were felt to be response to viral illness. Patient was feeling better, lesions were resolving w/o pain. RTC 10/15/07 w/vaginal lesions; numbness & tingling of LEs; intermittent recurrent vision loss; and mouth lesions x 3 days. Referred to Neuro. RTC 12/10/07 & record states pt w/known West Nile virus x approx 5 mo. RTC 2/28/08 w/hirsutism & acne. Added yaz to glucophage & valtrex already on. Labs ordered. RTC 3/17/08 w/recurrent vaginal lesions x 2 days & sore throat x 2 weeks. Records state HSV IgM (+) 12/2007. Patient had self d/c valtrex due to increased depression. Dx w/HSV outbreak w/superimposed cellulitis. RTC 7/08 & referred to university specialist. RTC 10/29 & given trial of colchicine as recommended by specialist. RTC 11/25/08 w/recurrent outbreak of vulvar ulcers most c/w Bechets. Tx w/meds.


Changed on 6/14/2014

336853 Before After
VAERS Form:
Age:15.0
Gender:Female
Location:Colorado
Vaccinated:2007-08-18
Onset:2007-08-18
Submitted:2009-01-07
Entered:2009-01-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 2 UN / IM

Administered by: Private      Purchased by: Other
Symptoms: Acne, Aphthous stomatitis, Behcet's syndrome, Biopsy skin, Blindness transient, C-reactive protein increased, Cellulitis, Depression, Dysuria, Flushing, Full blood count normal, Hirsutism, Hypoaesthesia, Influenza like illness, Lymphadenopathy, Pain, Paraesthesia, Pyrexia, Rash erythematous, Rash pruritic, Suicidal ideation, Vulval ulceration, Red blood cell sedimentation rate increased, Polymerase chain reaction, Catheter placement, Laboratory test normal, West Nile viral infection, Liver function test normal, Inflammation, Herpes simplex serology negative, Oropharyngeal pain

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness: Vulval ulceration; West Nile viral infection
Preexisting Conditions: Mouth ulceration; Canker sores oral; Viral infection PMH: PCOS, ? DMII on oral meds. Allergy: sulfa.
Allergies:
Diagnostic Lab Data: Diagnostic laboratory, STD testing LABS: pathergy test neg. ESR 32(H), CRP 10.5(H). CBC, chemistry, LFTs WNL. HSV/PCR neg. HSV I (+), HSV II(-). Biopsy vulvar lesion.
CDC 'Split Type': WAES0812USA02633

Write-up:Information has been received from a physician concerning a female patient with a history of mouth ulcers who on an unknown date was vaccinated with a dose of GARDASIL, lot # unspecified. The patient came back to the physician''s office 4 hours after getting GARDASIL with "vulvar ulcers" diagnosed as "bipolar aphthosis". The physician stated that the patient had gotten the shot when she was experiencing symptoms of West Nile virus; however it was not diagnosed after she had been given GARDASIL. The patient became sexually active "shortly before" she got GARDASIL. At the time of reporting, the outcome of the event was unknown. Follow-up information was received from the physician who reported that the patient had a history of canker sores. The physician also reported that the patient had a viral illness (not specified) prior to receiving the third dose of GARDASIL. The physician stated that the patient had experienced bipolar aphthosis every month for over one year. Follow-up information was received from the physician, who reported that the patient was vaccinated with the third dose of GARDASIL IM, on 18-AUG-2007. The physician reported that within 4 hours of vaccination, the patient had the first outcome of nonherpetic vulvar ulcers. Major work up negative. Presumed to be bipolar aphthosis. At the time of reporting, the patient had not recovered. The patient had numerous cultures and laboratories (unspecified) and a presumptive positive West Nile virus test. The physician considered the event to be disabling. This is one of two reports from the same source. No further information is available. 2/17/09 Received Immunology Clinic records of 7/15-9/26/2008. FINAL DX: Bechet''s disease Records reveal patient did not have symptoms when initially evaluated. Valtrex d/c. Had bout of depression w/suicidal ideation. Being seen by counselor & tx w/meds. Developed oral canker sores that waxed & waned & by 9/18 had over 40+ vulvar ulcers w/exudate & bilateral lymph node adenopathy. Depression aggravated by eruption, fever 100.5, flu like s/s of aches/pain all over. Developed fine erythematous rash over face & skin next day that waxed & waned. Continues to self cath. Tx w/steroid burst & antibiotics. Improved w/steroids 2/18/09 Received ID clinic records of 4/12-5/21/2008 which revealed no new information. 1/20/09 Received PCP office records 4/8-12/3/2008. FINAL DX: suspect bipolar aphthosis Records reveal patient had cleaned out pond 8/2007. Dx w/WNV & had recurring symptoms since then of: 7-14 day menses, facial warmth, painful oral & vaginal lesions, dysuria requiring self catheterization. Lesions are blisters that ooz yellow fluid & also red bumpy itchy rash on trunk & arms. Skin painful during these episodes. Fevers up to 101,(+) inguinal nodes, axillary nodes. Not sexually active. Tx w/antivirals, pain meds & antigout med. Referred to ID 2/5/09 Received GYN medical records of 8/28/2007-11/25/2008. FINAL DX: Bechet''s syndrome records reveal patient seen 8/28/07 in f/u on vulvar operations that were felt to be response to viral illness. Patient was feeling better, lesions were resolving w/o pain. RTC 10/15/07 w/vaginal lesions; numbness & tingling of LEs; intermittent recurrent vision loss; and mouth lesions x 3 days. Referred to Neuro. RTC 12/10/07 & record states pt w/known West Nile virus x approx 5 mo. RTC 2/28/08 w/hirsutism & acne. Added yaz to glucophage & valtrex already on. Labs ordered. RTC 3/17/08 w/recurrent vaginal lesions x 2 days & sore throat x 2 weeks. Records state HSV IgM (+) 12/2007. Patient had self d/c valtrex due to increased depression. Dx w/HSV outbreak w/superimposed cellulitis. RTC 7/08 & referred to university specialist. RTC 10/29 & given trial of colchicine as recommended by specialist. RTC 11/25/08 w/recurrent outbreak of vulvar ulcers most c/w Bechets. Tx w/meds.


Changed on 3/14/2015

336853 Before After
VAERS Form:
Age:15.0
Gender:Female
Location:Colorado
Vaccinated:2007-08-18
Onset:2007-08-18
Submitted:2009-01-07
Entered:2009-01-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 2 UN / IM

Administered by: Private      Purchased by: Other
Symptoms: Acne, Aphthous stomatitis, Behcet's syndrome, Biopsy skin, Blindness transient, C-reactive protein increased, Cellulitis, Depression, Dysuria, Flushing, Full blood count normal, Hirsutism, Hypoaesthesia, Influenza like illness, Lymphadenopathy, Pain, Paraesthesia, Pyrexia, Rash erythematous, Rash pruritic, Suicidal ideation, Vulval ulceration, Red blood cell sedimentation rate increased, Polymerase chain reaction, Catheter placement, Laboratory test normal, West Nile viral infection, Liver function test normal, Inflammation, Herpes simplex serology negative, Oropharyngeal pain

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness: Vulval ulceration; West Nile viral infection
Preexisting Conditions: Mouth ulceration; Canker sores oral; Viral infection PMH: PCOS, ? DMII on oral meds. Allergy: sulfa.
Allergies:
Diagnostic Lab Data: Diagnostic laboratory, STD testing LABS: pathergy test neg. ESR 32(H), CRP 10.5(H). CBC, chemistry, LFTs WNL. HSV/PCR neg. HSV I (+), HSV II(-). Biopsy vulvar lesion.
CDC 'Split Type': WAES0812USA02633

Write-up:Information has been received from a physician concerning a female patient with a history of mouth ulcers who on an unknown date was vaccinated with a dose of GARDASIL, lot # unspecified. The patient came back to the physician''s office 4 hours after getting GARDASIL with "vulvar ulcers" diagnosed as "bipolar aphthosis". The physician stated that the patient had gotten the shot when she was experiencing symptoms of West Nile virus; however it was not diagnosed after she had been given GARDASIL. The patient became sexually active "shortly before" she got GARDASIL. At the time of reporting, the outcome of the event was unknown. Follow-up information was received from the physician who reported that the patient had a history of canker sores. The physician also reported that the patient had a viral illness (not specified) prior to receiving the third dose of GARDASIL. The physician stated that the patient had experienced bipolar aphthosis every month for over one year. Follow-up information was received from the physician, who reported that the patient was vaccinated with the third dose of GARDASIL IM, on 18-AUG-2007. The physician reported that within 4 hours of vaccination, the patient had the first outcome of nonherpetic vulvar ulcers. Major work up negative. Presumed to be bipolar aphthosis. At the time of reporting, the patient had not recovered. The patient had numerous cultures and laboratories (unspecified) and a presumptive positive West Nile virus test. The physician considered the event to be disabling. This is one of two reports from the same source. No further information is available. 2/17/09 Received Immunology Clinic records of 7/15-9/26/2008. FINAL DX: Bechet''s disease Records reveal patient did not have symptoms when initially evaluated. Valtrex d/c. Had bout of depression w/suicidal ideation. Being seen by counselor & tx w/meds. Developed oral canker sores that waxed & waned & by 9/18 had over 40+ vulvar ulcers w/exudate & bilateral lymph node adenopathy. Depression aggravated by eruption, fever 100.5, flu like s/s of aches/pain all over. Developed fine erythematous rash over face & skin next day that waxed & waned. Continues to self cath. Tx w/steroid burst & antibiotics. Improved w/steroids 2/18/09 Received ID clinic records of 4/12-5/21/2008 which revealed no new information. 1/20/09 Received PCP office records 4/8-12/3/2008. FINAL DX: suspect bipolar aphthosis Records reveal patient had cleaned out pond 8/2007. Dx w/WNV & had recurring symptoms since then of: 7-14 day menses, facial warmth, painful oral & vaginal lesions, dysuria requiring self catheterization. Lesions are blisters that ooz yellow fluid & also red bumpy itchy rash on trunk & arms. Skin painful during these episodes. Fevers up to 101,(+) inguinal nodes, axillary nodes. Not sexually active. Tx w/antivirals, pain meds & antigout med. Referred to ID 2/5/09 Received GYN medical records of 8/28/2007-11/25/2008. FINAL DX: Bechet''s syndrome records reveal patient seen 8/28/07 in f/u on vulvar operations that were felt to be response to viral illness. Patient was feeling better, lesions were resolving w/o pain. RTC 10/15/07 w/vaginal lesions; numbness & tingling of LEs; intermittent recurrent vision loss; and mouth lesions x 3 days. Referred to Neuro. RTC 12/10/07 & record states pt w/known West Nile virus x approx 5 mo. RTC 2/28/08 w/hirsutism & acne. Added yaz to glucophage & valtrex already on. Labs ordered. RTC 3/17/08 w/recurrent vaginal lesions x 2 days & sore throat x 2 weeks. Records state HSV IgM (+) 12/2007. Patient had self d/c valtrex due to increased depression. Dx w/HSV outbreak w/superimposed cellulitis. RTC 7/08 & referred to university specialist. RTC 10/29 & given trial of colchicine as recommended by specialist. RTC 11/25/08 w/recurrent outbreak of vulvar ulcers most c/w Bechets. Tx w/meds.


Changed on 4/14/2017

336853 Before After
VAERS Form:
Age:15.0
Gender:Female
Location:Colorado
Vaccinated:2007-08-18
Onset:2007-08-18
Submitted:2009-01-07
Entered:2009-01-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 2 UN / IM

Administered by: Private      Purchased by: Other
Symptoms: Acne, Aphthous stomatitis, Behcet's syndrome, Biopsy skin, Blindness transient, C-reactive protein increased, Cellulitis, Depression, Dysuria, Flushing, Full blood count normal, Hirsutism, Hypoaesthesia, Influenza like illness, Lymphadenopathy, Pain, Paraesthesia, Pyrexia, Rash erythematous, Rash pruritic, Suicidal ideation, Vulval ulceration, Red blood cell sedimentation rate increased, Polymerase chain reaction, Catheter placement, Laboratory test normal, West Nile viral infection, Liver function test normal, Inflammation, Herpes simplex serology negative, Oropharyngeal pain

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness: Vulval ulceration; West Nile viral infection
Preexisting Conditions: Mouth ulceration; Canker sores oral; Viral infection PMH: PCOS, ? DMII on oral meds. Allergy: sulfa.
Allergies:
Diagnostic Lab Data: Diagnostic laboratory, STD testing LABS: pathergy test neg. ESR 32(H), CRP 10.5(H). CBC, chemistry, LFTs WNL. HSV/PCR neg. HSV I (+), HSV II(-). Biopsy vulvar lesion.
CDC 'Split Type': WAES0812USA02633

Write-up:Information has been received from a physician concerning a female patient with a history of mouth ulcers who on an unknown date was vaccinated with a dose of GARDASIL, lot # unspecified. The patient came back to the physician''s office 4 hours after getting GARDASIL with "vulvar ulcers" diagnosed as "bipolar aphthosis". The physician stated that the patient had gotten the shot when she was experiencing symptoms of West Nile virus; however it was not diagnosed after she had been given GARDASIL. The patient became sexually active "shortly before" she got GARDASIL. At the time of reporting, the outcome of the event was unknown. Follow-up information was received from the physician who reported that the patient had a history of canker sores. The physician also reported that the patient had a viral illness (not specified) prior to receiving the third dose of GARDASIL. The physician stated that the patient had experienced bipolar aphthosis every month for over one year. Follow-up information was received from the physician, who reported that the patient was vaccinated with the third dose of GARDASIL IM, on 18-AUG-2007. The physician reported that within 4 hours of vaccination, the patient had the first outcome of nonherpetic vulvar ulcers. Major work up negative. Presumed to be bipolar aphthosis. At the time of reporting, the patient had not recovered. The patient had numerous cultures and laboratories (unspecified) and a presumptive positive West Nile virus test. The physician considered the event to be disabling. This is one of two reports from the same source. No further information is available. 2/17/09 Received Immunology Clinic records of 7/15-9/26/2008. FINAL DX: Bechet''s disease Records reveal patient did not have symptoms when initially evaluated. Valtrex d/c. Had bout of depression w/suicidal ideation. Being seen by counselor & tx w/meds. Developed oral canker sores that waxed & waned & by 9/18 had over 40+ vulvar ulcers w/exudate & bilateral lymph node adenopathy. Depression aggravated by eruption, fever 100.5, flu like s/s of aches/pain all over. Developed fine erythematous rash over face & skin next day that waxed & waned. Continues to self cath. Tx w/steroid burst & antibiotics. Improved w/steroids 2/18/09 Received ID clinic records of 4/12-5/21/2008 which revealed no new information. 1/20/09 Received PCP office records 4/8-12/3/2008. FINAL DX: suspect bipolar aphthosis Records reveal patient had cleaned out pond 8/2007. Dx w/WNV & had recurring symptoms since then of: 7-14 day menses, facial warmth, painful oral & vaginal lesions, dysuria requiring self catheterization. Lesions are blisters that ooz yellow fluid & also red bumpy itchy rash on trunk & arms. Skin painful during these episodes. Fevers up to 101,(+) inguinal nodes, axillary nodes. Not sexually active. Tx w/antivirals, pain meds & antigout med. Referred to ID 2/5/09 Received GYN medical records of 8/28/2007-11/25/2008. FINAL DX: Bechet''s syndrome records reveal patient seen 8/28/07 in f/u on vulvar operations that were felt to be response to viral illness. Patient was feeling better, lesions were resolving w/o pain. RTC 10/15/07 w/vaginal lesions; numbness & tingling of LEs; intermittent recurrent vision loss; and mouth lesions x 3 days. Referred to Neuro. RTC 12/10/07 & record states pt w/known West Nile virus x approx 5 mo. RTC 2/28/08 w/hirsutism & acne. Added yaz to glucophage & valtrex already on. Labs ordered. RTC 3/17/08 w/recurrent vaginal lesions x 2 days & sore throat x 2 weeks. Records state HSV IgM (+) 12/2007. Patient had self d/c valtrex due to increased depression. Dx w/HSV outbreak w/superimposed cellulitis. RTC 7/08 & referred to university specialist. RTC 10/29 & given trial of colchicine as recommended by specialist. RTC 11/25/08 w/recurrent outbreak of vulvar ulcers most c/w Bechets. Tx w/meds.


Changed on 9/14/2017

336853 Before After
VAERS Form:(blank) 1
Age:15.0
Gender:Female
Location:Colorado
Vaccinated:2007-08-18
Onset:2007-08-18
Submitted:2009-01-07
Entered:2009-01-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 2 3 UN / IM

Administered by: Private      Purchased by: Other
Symptoms: Behcet's syndrome, Vulval ulceration

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness: Vulval ulceration; West Nile viral infection
Preexisting Conditions: Mouth ulceration; Canker sores oral; Viral infection PMH: PCOS, ? DMII on oral meds. Allergy: sulfa.
Allergies:
Diagnostic Lab Data: Diagnostic laboratory, STD testing LABS: pathergy test neg. ESR 32(H), CRP 10.5(H). CBC, chemistry, LFTs WNL. HSV/PCR neg. HSV I (+), HSV II(-). Biopsy vulvar lesion.
CDC 'Split Type': WAES0812USA02633

Write-up:Information has been received from a physician concerning a female patient with a history of mouth ulcers who on an unknown date was vaccinated with a dose of GARDASIL, lot # unspecified. The patient came back to the physician''s office 4 hours after getting GARDASIL with "vulvar ulcers" diagnosed as "bipolar aphthosis". The physician stated that the patient had gotten the shot when she was experiencing symptoms of West Nile virus; however it was not diagnosed after she had been given GARDASIL. The patient became sexually active "shortly before" she got GARDASIL. At the time of reporting, the outcome of the event was unknown. Follow-up information was received from the physician who reported that the patient had a history of canker sores. The physician also reported that the patient had a viral illness (not specified) prior to receiving the third dose of GARDASIL. The physician stated that the patient had experienced bipolar aphthosis every month for over one year. Follow-up information was received from the physician, who reported that the patient was vaccinated with the third dose of GARDASIL IM, on 18-AUG-2007. The physician reported that within 4 hours of vaccination, the patient had the first outcome of nonherpetic vulvar ulcers. Major work up negative. Presumed to be bipolar aphthosis. At the time of reporting, the patient had not recovered. The patient had numerous cultures and laboratories (unspecified) and a presumptive positive West Nile virus test. The physician considered the event to be disabling. This is one of two reports from the same source. No further information is available. 2/17/09 Received Immunology Clinic records of 7/15-9/26/2008. FINAL DX: Bechet''s disease Records reveal patient did not have symptoms when initially evaluated. Valtrex d/c. Had bout of depression w/suicidal ideation. Being seen by counselor & tx w/meds. Developed oral canker sores that waxed & waned & by 9/18 had over 40+ vulvar ulcers w/exudate & bilateral lymph node adenopathy. Depression aggravated by eruption, fever 100.5, flu like s/s of aches/pain all over. Developed fine erythematous rash over face & skin next day that waxed & waned. Continues to self cath. Tx w/steroid burst & antibiotics. Improved w/steroids 2/18/09 Received ID clinic records of 4/12-5/21/2008 which revealed no new information. 1/20/09 Received PCP office records 4/8-12/3/2008. FINAL DX: suspect bipolar aphthosis Records reveal patient had cleaned out pond 8/2007. Dx w/WNV & had recurring symptoms since then of: 7-14 day menses, facial warmth, painful oral & vaginal lesions, dysuria requiring self catheterization. Lesions are blisters that ooz yellow fluid & also red bumpy itchy rash on trunk & arms. Skin painful during these episodes. Fevers up to 101,(+) inguinal nodes, axillary nodes. Not sexually active. Tx w/antivirals, pain meds & antigout med. Referred to ID 2/5/09 Received GYN medical records of 8/28/2007-11/25/2008. FINAL DX: Bechet''s syndrome records reveal patient seen 8/28/07 in f/u on vulvar operations that were felt to be response to viral illness. Patient was feeling better, lesions were resolving w/o pain. RTC 10/15/07 w/vaginal lesions; numbness & tingling of LEs; intermittent recurrent vision loss; and mouth lesions x 3 days. Referred to Neuro. RTC 12/10/07 & record states pt w/known West Nile virus x approx 5 mo. RTC 2/28/08 w/hirsutism & acne. Added yaz to glucophage & valtrex already on. Labs ordered. RTC 3/17/08 w/recurrent vaginal lesions x 2 days & sore throat x 2 weeks. Records state HSV IgM (+) 12/2007. Patient had self d/c valtrex due to increased depression. Dx w/HSV outbreak w/superimposed cellulitis. RTC 7/08 & referred to university specialist. RTC 10/29 & given trial of colchicine as recommended by specialist. RTC 11/25/08 w/recurrent outbreak of vulvar ulcers most c/w Bechets. Tx w/meds.


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