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This is VAERS ID 337591

History of Changes from the VAERS Wayback Machine

First Appeared on 12/8/2009

337591
VAERS Form:
Age:13.0
Gender:Female
Location:Florida
Vaccinated:2007-12-07
Onset:2007-12-08
Submitted:2009-01-15
Entered:2009-01-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0188U / 0 UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Blood creatine phosphokinase increased, Electromyogram normal, Insomnia, Myalgia, Nerve conduction studies normal, Nuclear magnetic resonance imaging brain normal, Pain, Fibromyalgia, Activities of daily living impaired

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: plasma creatine kinase, elevated 2/17/09-records received-MRI brain normal, MRI cervical spine minimal bulge at C5 to C6. Pseudotumor Chiari malformation and spinal instability ruled o ut. EMG and nerve conductions tudies normal. CPK sligh
CDC 'Split Type': WAES0901USA01201

Write-up:Information has been received from a physician concerning a 15 year old female with no previous medical, family, or social history who on 19-NOV-2007 was vaccinated with a first dose of GARDASIL IM. The patient''s mother told the physician that a few weeks after the GARDASIL, the patient had body aches and generalized pain. The patient was seen by her pediatrician and a neurologist, and they both thought that it was from GARDASIL. The neurologist had diagnosed the patient with fibromyalgia. CPK was elevated. At the time of reporting, the patient was being treated with cyclobenzapine hydrochloride (MSD), melatonin, imipramine, and chiropractic therapy for the pain and insomnia. The patient has missed many days from school and volleyball because of the fibromyalgia. At the time of reporting, fibromyalgia persisted. The reporter considered fibromyalgia to be disabling. Additional information has been requested. 1/29/09-According to the general practitioner, fibromyalgia persisted while insomnia was being controlled on medication (not recovered).Onset Date: Approximately December 2007 ("a few weeks after Gardasil", per pt''s mother) 2/17/09-records received for DOS 7/23/08-neurology notes-C/O muscle aches and pains as well as sleep disturbance. Previously evaluated on 5/12/08, continues with pain on an almost daily basis. However no discomfort in past few days. Impression:history of severe pain in legs and arms and along cervical spine. Sleep disturbance resolved with use of Seroquel. No neurological cause of pain. No rheumatology consult at this time due to insurance issues.


Changed on 4/14/2017

337591 Before After
VAERS Form:
Age:13.0
Gender:Female
Location:Florida
Vaccinated:2007-12-07
Onset:2007-12-08
Submitted:2009-01-15
Entered:2009-01-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0188U / 0 UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Blood creatine phosphokinase increased, Electromyogram normal, Insomnia, Myalgia, Nerve conduction studies normal, Nuclear magnetic resonance imaging brain normal, Pain, Fibromyalgia, Activities of daily living impaired

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: plasma creatine kinase, elevated 2/17/09-records received-MRI brain normal, MRI cervical spine minimal bulge at C5 to C6. Pseudotumor Chiari malformation and spinal instability ruled o ut. EMG and nerve conductions tudies normal. CPK sligh slighlty elevated now normal.
CDC 'Split Type': WAES0901USA01201

Write-up:Information has been received from a physician concerning a 15 year old female with no previous medical, family, or social history who on 19-NOV-2007 was vaccinated with a first dose of GARDASIL IM. The patient''s mother told the physician that a few weeks after the GARDASIL, the patient had body aches and generalized pain. The patient was seen by her pediatrician and a neurologist, and they both thought that it was from GARDASIL. The neurologist had diagnosed the patient with fibromyalgia. CPK was elevated. At the time of reporting, the patient was being treated with cyclobenzapine hydrochloride (MSD), melatonin, imipramine, and chiropractic therapy for the pain and insomnia. The patient has missed many days from school and volleyball because of the fibromyalgia. At the time of reporting, fibromyalgia persisted. The reporter considered fibromyalgia to be disabling. Additional information has been requested. 1/29/09-According to the general practitioner, fibromyalgia persisted while insomnia was being controlled on medication (not recovered).Onset Date: Approximately December 2007 ("a few weeks after Gardasil", per pt''s mother) 2/17/09-records received for DOS 7/23/08-neurology notes-C/O muscle aches and pains as well as sleep disturbance. Previously evaluated on 5/12/08, continues with pain on an almost daily basis. However no discomfort in past few days. Impression:history of severe pain in legs and arms and along cervical spine. Sleep disturbance resolved with use of Seroquel. No neurological cause of pain. No rheumatology consult at this time due to insurance issues.


Changed on 9/14/2017

337591 Before After
VAERS Form:(blank) 1
Age:13.0
Gender:Female
Location:Florida
Vaccinated:2007-12-07
Onset:2007-12-08
Submitted:2009-01-15
Entered:2009-01-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0188U / 0 1 UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Blood creatine phosphokinase increased, Insomnia, Pain, Fibromyalgia, Activities of daily living impaired

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: plasma creatine kinase, elevated 2/17/09-records received-MRI brain normal, MRI cervical spine minimal bulge at C5 to C6. Pseudotumor Chiari malformation and spinal instability ruled o ut. EMG and nerve conductions tudies normal. CPK slighlty elevated now normal.
CDC 'Split Type': WAES0901USA01201

Write-up:Information has been received from a physician concerning a 15 year old female with no previous medical, family, or social history who on 19-NOV-2007 was vaccinated with a first dose of GARDASIL IM. The patient''s mother told the physician that a few weeks after the GARDASIL, the patient had body aches and generalized pain. The patient was seen by her pediatrician and a neurologist, and they both thought that it was from GARDASIL. The neurologist had diagnosed the patient with fibromyalgia. CPK was elevated. At the time of reporting, the patient was being treated with cyclobenzapine hydrochloride (MSD), melatonin, imipramine, and chiropractic therapy for the pain and insomnia. The patient has missed many days from school and volleyball because of the fibromyalgia. At the time of reporting, fibromyalgia persisted. The reporter considered fibromyalgia to be disabling. Additional information has been requested. 1/29/09-According to the general practitioner, fibromyalgia persisted while insomnia was being controlled on medication (not recovered).Onset Date: Approximately December 2007 ("a few weeks after Gardasil", per pt''s mother) 2/17/09-records received for DOS 7/23/08-neurology notes-C/O muscle aches and pains as well as sleep disturbance. Previously evaluated on 5/12/08, continues with pain on an almost daily basis. However no discomfort in past few days. Impression:history of severe pain in legs and arms and along cervical spine. Sleep disturbance resolved with use of Seroquel. No neurological cause of pain. No rheumatology consult at this time due to insurance issues.


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