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This is VAERS ID 344447

Case Details

VAERS ID: 344447 (history)  
Form: Version 1.0  
Age: 14.0  
Gender: Female  
Location: Florida  
Vaccinated:2007-11-14
Onset:2007-11-14
   Days after vaccination:0
Submitted: 2009-04-20
   Days after onset:522
Entered: 2009-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER U24767GA / 3 RA / UN
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0389U / 1 LA / IM

Administered by: Unknown       Purchased by: Unknown
Symptoms: Activities of daily living impaired, Amenorrhoea, Blood heavy metal test, Blood urine present, Chest pain, Cold sweat, Dysarthria, Fatigue, Gastritis, Haematochezia, Headache, Hepatitis viral test, Immediate post-injection reaction, Insomnia, Malaise, Metabolic function test, Mobility decreased, Monoplegia, Muscular weakness, Neuropathy peripheral, Nuclear magnetic resonance imaging, Pallor, Paraesthesia, Pyrexia, Similar reaction on previous exposure to drug, Sinusitis, Sleep apnoea syndrome, Sleep study, Stool analysis, Syncope, Urine analysis, Vomiting, X-ray with contrast upper gastrointestinal tract
SMQs:, Torsade de pointes/QT prolongation (broad), Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Peripheral neuropathy (narrow), Haemorrhage terms (excl laboratory terms) (narrow), Haemorrhage laboratory terms (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dementia (broad), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Parkinson-like events (broad), Gastrointestinal haemorrhage (narrow), Acute central respiratory depression (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific inflammation (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Ischaemic colitis (broad), Cardiomyopathy (broad), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (broad), Fertility disorders (broad), Hypotonic-hyporesponsive episode (broad), Hypersensitivity (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
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: lo-ogesterl, vitamins, metanx, glucophase, prozac, trazadone, spironlactone
Current Illness: hypoglycemia, PCOS, depression
Preexisting Conditions: mold, cockroaches, smoke, dust, dust mites, trees, grass,perfume allergies PCOS, blounts, hypoglycemia, PMH: exudative pharyngitis, metabolic syndrome w/hirsutism, Type II DM w/peripheral neuropathy, metromenorrhagia, morbid obesity, Blount''s disease w/left tibial lengthenins & reshaping via cage, left gastrocnemius contracture, bronchitis, URI, sleep apnea, restless leg syndrome, insomnia, congenital liver disease, hives, allergic rhinitis, bipolar w/recurrent depression, panic attacks. Allergy: trees, dust, pollen, mold. OCPs. Family hx: sibling bipolar, migraines. HPV #2, lot # 03894, given 1/18/08, LA; HPV#3, lot #1970U, given 5/14/08, RA. 6/15/09 Received consultant medical records of 1/29/08-5/26/2009. Obesity, Type II diabetes.
Allergies:
Diagnostic Lab Data: EKG, Holter Monitor, EEG, Sleep Studies, Heavy Metal test, CBC, Urinalysis, Upper GI, Stool sample, Hepatitis test, CBC, metobolic study, Cat Scans, MRI, Has seen neurologist, pulmonary doctor, podiatrist, endocrinologist, tons on blood work. Has had blood in urine. LABS: CBC, ESR, ANA, TSH, echocardiogram, Holter monitor, EEG WNL. AST/ALT 47/62(H). EKG W/sinus tachycardia. 6/15/09 Received consultant medical records of 1/29/08-5/26/2009. LABS and Diagnostics: EEG - WNL. CT Head - Normal. "Slightly abnormal'' Holter.
CDC Split Type:

Write-up: fever, vomiting,malise, headache could not get out of bed for 2 weeks after 1st shot. Developed periphreal neurapathy within 30 days of 1st shot. However it took 3 months to diagnose. Gastritis several times. Migraines constantly, fainting with muscle weakness...can not use legs for hours after faintinf, bloody stools, paralysis in right arm immediately after third vaccine. Pallor, clamminess, amennorhea no period since first vaccine. fatigue, insomnia, sleep apnea, chest pain, pins and needle sensations throughout extremities, sinusitis several times, pins and needles feelings in stomach, fevers on and off, slurred speech. She has been very ill since first vaccine and in a lot of pain. 5/1/09 Received vaccine & PCP medical records of 11/14/06-1/9/2009. FINAL DX: none provided Records reveal patient experienced shooting paine & numbness of extremities 2 wks prior to HPV #1 & flu shot. RTC w/recurrent depression, left plantar fasciitis, migraine HAs. Seen in ER 3/13/08 for HA & dx w/ethmoid sinusitis, tonsillitis & URI. RTC w/viral gastroenteritis, right CTS, recurrent allergic rhinitis. 8/18/08 w/spells x 3-4 yrs which had increased in frequency x 3 wks; dx w/presyncopal episodes. Seen in ER w/dx gastroenteritis. Referred to Neuro for syncope. Missed several days of school. RTC for LBP s/p fall, gastritis w/bloody stools. 6/15/09 Received consultant medical records of 1/29/08-5/26/2009. Pulmonology records reveal patient experienced sleep disturbance, obstructive sleep apnea, increasing obesity, nasal congestion, and allergic rhinitis. Residual cough. Low bloodpressure. ENT - intranasal mucosal edema and clear drainage, deviated septum, mouth and oral cavity small, enlarged tonsils, redundant pharyngeal mucosa, obese neck. Tonsillectomy / Adenoidectomy. Neurology - patient c/o burning in feet, dizzeness, fainting spells, clamminess, sweating, shooting pains in wrists /ankles, difficulty focusing / concentrating. Examination is unremarkable. Ophthalmologic evaluation reports some loss of peripheral vision.


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