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This is VAERS ID 340807

Case Details

VAERS ID: 340807 (history)  
Form: Version 1.0  
Age: 16.0  
Gender: Female  
Location: Colorado  
   Days after vaccination:1
Submitted: 2009-02-26
   Days after onset:106
Entered: 2009-02-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Unknown       Purchased by: Unknown
Symptoms: Abdominal pain, Activities of daily living impaired, Alopecia, Amnesia, Antinuclear antibody, Back pain, Blood thyroid stimulating hormone, Culture stool, Culture urine, Diarrhoea, Disturbance in attention, Dyspnoea, Dysstasia, Electrocardiogram, Fatigue, Free thyroxine index, Headache, Hypoaesthesia, Lip swelling, Nausea, Neck pain, Pain in extremity, Paraesthesia, Staring, Streptococcus identification test, Vomiting
SMQs:, Anaphylactic reaction (narrow), Acute pancreatitis (broad), Angioedema (narrow), Peripheral neuropathy (broad), Retroperitoneal fibrosis (broad), Dementia (broad), Pseudomembranous colitis (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Depression (excl suicide and self injury) (broad), Hypersensitivity (narrow), Arthritis (broad), Noninfectious diarrhoea (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: none PMH: acute pharyngitis, HA, acute sinusitis, cough, acne vulgaris tx w/minocin, abdominal pain, diarrhea. Family hx: depression, suicide.
Diagnostic Lab Data: ESR, ASO, FT4, TSH, ANA TITER, ANTI-DS-DNA, EBV AB PROFILE ACT WKST: FANA, STOOL, URINE, CARDIAC ENZYMES, EKG, CHEST X-RAY, CAT SCAN - NEURO TESTING IS NEXT WEEK. LABS 2/18/09: ASO 161(H). EBV IgG (+), nuclear antigen neg, IgM (+). ESR 3. TSH 1.60, anti-DNA neg. BMP, CBC, Troponin I, CPK, CK-MB, CXR & CT chest WNL.
CDC Split Type:

Write-up: chronic debilitating headaches, chronic diahrrea, severe back & abdominal pain, tingling in hands and feet,numbness in hands & feet, stabbing pain in lower legs and feet, inability to stand, inability to walk, difficulty breathing, swollen lips, chest pain in conjunction with neck pain, loss of hair, chronic debilitating fatigue, nausea, vomiting, short term memory loss, inability to concentrate, stares off in the distance for long periods of time. These started right after the vaccination and continue to this day & have made her life as she knew it unmanageable. She can no longer attend school. Numerous trips to her pediatrician, blood tests, urine test, stool tests, emergency room visits, referred to neurologists, nutritionist. No one knows how to treat her. There is no treatment apparently. 3/16/09 Received consult records of 2/24/2009. FINAL DX: probable chronic fatigue syndrome, possibly exacerbated by recent EBV infection; reactive depression; likely vasovagal episodes; possible anxiety disorder. Records reveal patient experienced fatigue, nausea, numbness/tingling of hands/feet, HA, neck pain, intermittent diarrhea, chest pain w/SOB & heart pounding, intermittent difficulty walking, difficulty concentrating, decreased appetite, insomnia, apathy, moody, irritable. Approx 1 wk after initial HPV & Depoprovera injections, 11/12/08, developed waxing/waning fatigue which escalated to missing school in Dec & Jan. Suggested antidepressant & counseling. 3/9/09 Received PCP medical records of 2/2007-3/2/2009 included ER records of 2/9/2009. FINAL DX:none provided Records reveal patient experienced good health on 11/12, received depo-provera 1st dose along w/HPV #1. RTC 2/11 s/p ER visit 2/9 for chest pain, cough, runny nose, phlegm congestion. Parent reported back pain, hand tremors, leg pain, leg swelling, back pain, dizziness, joint stiffness, decreased concentration, fatigue, intermittent diarrhea, nausea since 11/08. Missed several days of school. Developed leg heaviness, gait disturbance, & LE weakness & increased fatigue. Referred to ID & Neuro but no records available. ER records 2/9/09 FINAL DX: atypical chest pain Records reveal patient experienced sharp nonradiating chest pain, rapid breathing & tingling of hands/feet all of which had resolved by the time she was seen in ER.

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