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This is VAERS ID 344609

Case Details

VAERS ID: 344609 (history)  
Form: Version 1.0  
Age: 13.0  
Gender: Female  
Location: Arizona  
   Days after vaccination:107
Submitted: 2009-04-21
   Days after onset:809
Entered: 2009-04-22
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Other       Purchased by: Other
Symptoms: Anti-cyclic citrullinated peptide antibody positive, Antinuclear antibody, C-reactive protein, Juvenile arthritis, Musculoskeletal pain, Neck pain, Rheumatoid factor positive
SMQs:, Rhabdomyolysis/myopathy (broad), Arthritis (narrow), Tendinopathies and ligament disorders (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: ZYRTEC
Current Illness:
Preexisting Conditions: Unknown. 6/19/09 Rheumatology consultant medical records received DOS 4/18/07 to 8/14/07. Acute brachial neuritis, URI, sinusitis, rash L hip. Fatigue and weakness. Stiffness, joint pain/swelling and muscle weakness/tenderness of R shoulder, neck, R knee, arms. Headaches, dizziness, muscle spasms and sensitivity or pain of hands and/or feet
Diagnostic Lab Data: serum ANA protein, 04/18/07, 1/80; serum rheumatoid factor, 04/24/07, 24.7; serum C-reactive, 04/24/07, 2.7; serum cyclic citrulline, 04/18/07, positive. 6/19/09 Rheumatology consultant medical records received DOS 4/18/07 to 8/14/07. LABS and DIAGNOSTICS: Parvovirus IgG 6.6 (H). ESR 44. CRP 2.7. Proteinuria. PPD (-). X-Ray hands/feet - unremarkable. MRI Shoulder - brachial neuritis. MRI Cervical spine - Normal. CBC - WBC 12.9 K/UL (H) RBC M/UL 3.57 (L) HGB 11.4 g/dL (L) HCT 32.4% (L). SED Rate 44.00 (H). SYN CELL CT 500.00 (H). Anti CCP 48.20 (H) RF 24.70 (H). HCV (-).
CDC Split Type: WAES0904USA02303

Write-up: Initial and additional information has been received from a nurse practitioner concerning a 14 year old female who on 17-OCT-2006 was vaccinated with the first 0.5 ml dose of GARDASIL (lot #: 653735/0688) into the left shoulder. Concomitant therapy included ZYRTEC. In February 2007, the patient developed neck and right shoulder pain, later the patient was diagnosed with juvenile rheumatoid arthritis. The patient was seen by a rheumatologist. On 18-APR-2007, the patient''s laboratory test revealed homogeneous antinuclear antibody (ANA) pattern 1 per 80. On 24-APR-2007, the patient''s laboratory revealed rheumatoid factor 24.7 and C-reactive protein (CRP) 2.7. On 25-SEP-2007 the patient was seen by another rheumatologist. The patient also saw another physician and a homeopathic physician. On 21-APR-2008, the patient was seen by an orthopedist. On 09-APR-2009, the patient was seen by the physician in the reporter''s office. The reporter stated that while the patient was waiting to see the physician, she was seated in a cross-legged position. It was reported the patient''s mother request the patient to receive a whole body MRI. The physician was unable to examine the patient due to the patient''s pain. The whole body was not ordered by the physician. The reporter stated that she thought the patient''s mother was relating the patient''s condition to the GARDASIL. Follow-up information was received from a medical assistant in a rheumatologist''s office. The medical assistant stated that the patient was first seen the rheumatologist on 18-APR-2007. The patient''s laboratory tests revealed a positive rheumatoid factor and a positive anti-CCP (anti-cyclic citrullinated peptide) test. The patient was diagnosed with juvenile rheumatoid arthritis. The medical assistant stated that there was no mention of the patient receiving the GARDASIL vaccine in the physician''s notes. The patient was no longer a patient of the rheumatologist. Juvenile rheumatoid arthritis was considered to be disabling. Additional information has been requested. 6/19/09 Rheumatology consultant medical records received DOS 4/18/07 to 8/14/07. Assessment: Inflammatory arthritis, rheumatoid arthritis, anemia. Patient presents with neck and right shoulder pain. Numbness of R hand. ''Tightness'', pain, erythema, effusion of R knee. Loss of color left hip. Limping. Back, hip, hand and wrist aches. Sore legs and ankles. Rash on legs, knees. Tired, nauseated, headaches. Jaw pain and swelling. Wrist nodules. Soreness of gums.

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