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Administered by: Other Purchased by: Other
Life Threatening? No
Write-up: Information has been received from a consumer concerning her 15 year old daughter with no past medical history and no drug reactions or allergies who in August 2008, was vaccinated with the first dose of GARDASIL. In October 2008, the patient received the second dose of GARDASIL. There was no concomitant medication. The consumer reported that the patient developed a low grade fever and felt "sick" the day after receiving her second dose of GARDASIL. During October and November of 2008, the patient experienced intermittent "stomaches", nausea and vomiting. Starting December of 2008 until the time of this report, she had experienced persistent extreme stomach pains and vomiting. The patient had been examined by three gastroenteriologists who were not able to determine the cause of her symptoms. She had missed 60 days of school. Lab diagnostics studies included a stomach empty test, CAT scan and blood tests with no results available. At time of this report, the patient had not recovered. The patient sought medical attention by an office visit. Upon internal review, low grade fever, felt "sick", intermittent "stomaches", nausea, vomiting and persistent extreme stomach pains were considered to be disabling. Additional information has been requested. 3//25/09 MR received from parent which include several GI consults and diagnostic testing. Per MR pt began having intermittent vomiting in Sept 2008. Usually at night waking pt, accompanied by abdominal pain, H/A and associated with shaking/shivering/chills. Occ nausea. 6-7 lb wt loss. ROS (+) for fatigue and chest pain. PE WNL except for eczematous rash on hip, iliac crest and axilla. Some improvement with Reglan but now c/o dizziness. W/U essentially (-). No final DX. 2nd GI consult seen 1/9/09. PE (+) for tenderness to palpation of the epigastrium, RUQ and RLQ. Has missed 28 school days since Sept 08. Labs and diagnostics: Upper GI WNL. CBC WNL. Chem WNL. H. pylori (-). BX of esphagus and stomach WNL. Some inflammation of lamina propria of duodenum. Upper GI (+) for small ring shadow of distal stomach with SB follow through WNL. Head CT WNL. US abd WNL. HIDA scan WNL. CT abd and pelvis WNL. Gastric emptying study WNL. X-ray abd (+) for increased stool. EGD WNL.
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