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This is VAERS ID 344793

History of Changes from the VAERS Wayback Machine

First Appeared on 12/8/2009

VAERS ID: 344793
Age:14.0
Gender:Female
Location:Nevada
Vaccinated:2008-11-07
Onset:2009-01-07
Submitted:2009-04-24
Entered:2009-04-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1061U / 1 RA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Alopecia, Amnesia, Arthralgia, Back pain, Blood alkaline phosphatase, Blood bicarbonate decreased, Blood glucose increased, Blood pH increased, Blood urea decreased, Chest X-ray, Computerised tomogram, Convulsion, Crying, CSF culture negative, Dizziness, Fatigue, Headache, Hyperventilation, Hypoaesthesia, Loss of consciousness, Lumbar puncture, Mean cell haemoglobin concentration, Muscle spasms, Muscle twitching, Myoclonus, Nausea, Neck pain, Neutrophil count decreased, Nuclear magnetic resonance imaging, Pain, Paraesthesia, PCO2 decreased, Pharyngitis streptococcal, PO2 increased, Sinusitis, Syncope, Unresponsive to stimuli, Vomiting, Musculoskeletal stiffness, Red cell distribution width decreased, CSF test normal, Base excess decreased, Scan brain, Urine analysis normal, Blood test, Streptococcus identification test negative

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? Yes, days: 1     Extended hospital stay? No
Previous Vaccinations: None~ ()~~0~Patient
Other Medications: None 5/20/09 ED records received multiple DOS 1/7/09 to 1/12. Phenergan, Ativan, Advil
Current Illness: None
Preexisting Conditions: None PMH: Family hx: depression & manic-depression.
Diagnostic Lab Data: blood work, head CT scan, lumbar CT scan, chest x-ray, head MRI, spinal tap 5/18/09 Received Hospital LABS of 1/16-17/2009: CO2 28(H) otherwise CMP WNL. PCP LABS: 6/3/08 & 12/18/08 throat c/s (+) strep. EBV neg. CBC, CMP WNL. Repea
CDC 'Split Type':

Write-up:Symptoms started exactly 2 months after her 2nd shot. Started with headaches, nausea, vomiting, strep throat and body aches. Continues on with non-epileptic seizures, twitches, unconsciousness, long and short term memory loss, hair loss, fatigue, joint pain and neck and back pain. Continues on after 3 1/2 months. 4/27/09 Received vaccine & PCP medical records of 8/1/08-2/3/2009. FINAL DX: encephalopathy w/memory loss. Records reveal patient experienced good general health on 8/1 when seen for sports physical. RTC 8/26 w/insect bite w/swelling, warmth & pain LUE, felt sick, nausea, HA. Tx w/antibiotics. RTC 12/18 w/vomiting, abd pain, nausea, chest pain x 1 mo, coughing, earache, migraine HA increased in frequency, sore throat, fatigue & malaise x 5 mo, excessive sleeping. Tonsils enlarged, strep test (+) & dx/tx for strep pharyngitis. RTC 1/5/09 appearing ill w/sore throat, cervical lymphadenopathy, sick stomach, nausea, vomiting, low grade fever, HA, decreased appetite, dizziness. Dx w/continued strep pharyngitis. Tx w/IM antibiotic & continued on oral antibiotics for another course. Seen in ER on 1/8/09. RTC 2/3/09 w/sore throat, sister w/strep throat. Parent reported episodes of seizure like posturing, gaze palsy, opisthotonos since 1/7/09 daily until 1/19. Had multiple ER visits. Hospitalized overnight for EEG which was WNL. No further seizure episodes but significant memory loss. Neuro-psych eval dx w/30% remaining memory. Missed a lot of school. Dx 2/3 w/pharyngitis, probably viral; encephalopathy w/memory loss, uncertain nature & cause. 5/18/09 Received hospital medical records of 1/16-1/17/2009. FINAL DX: nocturnal spasms Records reveal patient experienced muscle tension, arching back, eyes rolling back, unresponsive & dystonia nightly x 7-10 days lasting 15 min to 2 hr. School performance had been affected since mid-Dec when episodes had started. Admitted for 24-hr video EEG which was WNL. Neuro exam WNL. Referred to Psych. 5/20/09 ED records received multiple DOS 1/7/09


Changed on 3/2/2010

VAERS ID: 344793 Before After
Age:14.0
Gender:Female
Location:Nevada
Vaccinated:2008-11-07
Onset:2009-01-07
Submitted:2009-04-24
Entered:2009-04-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1061U / 1 RA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Alopecia, Amnesia, Arthralgia, Back pain, Blood alkaline phosphatase, Blood bicarbonate decreased, Blood glucose increased, Blood pH increased, Blood urea decreased, Chest X-ray, Computerised tomogram, Convulsion, Crying, CSF culture negative, Dizziness, Fatigue, Headache, Hyperventilation, Hypoaesthesia, Loss of consciousness, Lumbar puncture, Mean cell haemoglobin concentration, Muscle spasms, Muscle twitching, Myoclonus, Nausea, Neck pain, Neutrophil count decreased, Nuclear magnetic resonance imaging, Pain, Paraesthesia, PCO2 decreased, Pharyngitis streptococcal, PO2 increased, Sinusitis, Syncope, Unresponsive to stimuli, Vomiting, Musculoskeletal stiffness, Red cell distribution width decreased, CSF test normal, Base excess decreased, Scan brain, Urine analysis normal, Blood test, Streptococcus identification test negative

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? Yes, days: 1     Extended hospital stay? No
Previous Vaccinations: None~ ()~~0~Patient ()~~0.00~Patient
Other Medications: None 5/20/09 ED records received multiple DOS 1/7/09 to 1/12. Phenergan, Ativan, Advil
Current Illness: None
Preexisting Conditions: None PMH: Family hx: depression & manic-depression.
Diagnostic Lab Data: blood work, head CT scan, lumbar CT scan, chest x-ray, head MRI, spinal tap 5/18/09 Received Hospital LABS of 1/16-17/2009: CO2 28(H) otherwise CMP WNL. PCP LABS: 6/3/08 & 12/18/08 throat c/s (+) strep. EBV neg. CBC, CMP WNL. Repea
CDC 'Split Type':

Write-up:Symptoms started exactly 2 months after her 2nd shot. Started with headaches, nausea, vomiting, strep throat and body aches. Continues on with non-epileptic seizures, twitches, unconsciousness, long and short term memory loss, hair loss, fatigue, joint pain and neck and back pain. Continues on after 3 1/2 months. 4/27/09 Received vaccine & PCP medical records of 8/1/08-2/3/2009. FINAL DX: encephalopathy w/memory loss. Records reveal patient experienced good general health on 8/1 when seen for sports physical. RTC 8/26 w/insect bite w/swelling, warmth & pain LUE, felt sick, nausea, HA. Tx w/antibiotics. RTC 12/18 w/vomiting, abd pain, nausea, chest pain x 1 mo, coughing, earache, migraine HA increased in frequency, sore throat, fatigue & malaise x 5 mo, excessive sleeping. Tonsils enlarged, strep test (+) & dx/tx for strep pharyngitis. RTC 1/5/09 appearing ill w/sore throat, cervical lymphadenopathy, sick stomach, nausea, vomiting, low grade fever, HA, decreased appetite, dizziness. Dx w/continued strep pharyngitis. Tx w/IM antibiotic & continued on oral antibiotics for another course. Seen in ER on 1/8/09. RTC 2/3/09 w/sore throat, sister w/strep throat. Parent reported episodes of seizure like posturing, gaze palsy, opisthotonos since 1/7/09 daily until 1/19. Had multiple ER visits. Hospitalized overnight for EEG which was WNL. No further seizure episodes but significant memory loss. Neuro-psych eval dx w/30% remaining memory. Missed a lot of school. Dx 2/3 w/pharyngitis, probably viral; encephalopathy w/memory loss, uncertain nature & cause. 5/18/09 Received hospital medical records of 1/16-1/17/2009. FINAL DX: nocturnal spasms Records reveal patient experienced muscle tension, arching back, eyes rolling back, unresponsive & dystonia nightly x 7-10 days lasting 15 min to 2 hr. School performance had been affected since mid-Dec when episodes had started. Admitted for 24-hr video EEG which was WNL. Neuro exam WNL. Referred to Psych. 5/20/09 ED records received multiple DOS 1/7/09


Changed on 4/7/2010

VAERS ID: 344793 Before After
Age:14.0
Gender:Female
Location:Nevada
Vaccinated:2008-11-07
Onset:2009-01-07
Submitted:2009-04-24
Entered:2009-04-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1061U / 1 RA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Alopecia, Amnesia, Arthralgia, Back pain, Blood alkaline phosphatase, Blood bicarbonate decreased, Blood glucose increased, Blood pH increased, Blood urea decreased, Chest X-ray, Computerised tomogram, Convulsion, Crying, CSF culture negative, Dizziness, Fatigue, Headache, Hyperventilation, Hypoaesthesia, Loss of consciousness, Lumbar puncture, Mean cell haemoglobin concentration, Muscle spasms, Muscle twitching, Myoclonus, Nausea, Neck pain, Neutrophil count decreased, Nuclear magnetic resonance imaging, Pain, Paraesthesia, PCO2 decreased, Pharyngitis streptococcal, PO2 increased, Sinusitis, Syncope, Unresponsive to stimuli, Vomiting, Musculoskeletal stiffness, Red cell distribution width decreased, CSF test normal, Base excess decreased, Scan brain, Urine analysis normal, Blood test, Streptococcus identification test negative

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? Yes, days: 1     Extended hospital stay? No
Previous Vaccinations: None~ ()~~0.00~Patient
Other Medications: None 5/20/09 ED records received multiple DOS 1/7/09 to 1/12. Phenergan, Ativan, Advil
Current Illness: None
Preexisting Conditions: None PMH: Family hx: depression & manic-depression.
Diagnostic Lab Data: blood work, head CT scan, lumbar CT scan, chest x-ray, head MRI, spinal tap 5/18/09 Received Hospital LABS of 1/16-17/2009: CO2 28(H) otherwise CMP WNL. PCP LABS: 6/3/08 & 12/18/08 throat c/s (+) strep. EBV neg. CBC, CMP WNL. Repea
CDC 'Split Type':

Write-up:Symptoms started exactly 2 months after her 2nd shot. Started with headaches, nausea, vomiting, strep throat and body aches. Continues on with non-epileptic seizures, twitches, unconsciousness, long and short term memory loss, hair loss, fatigue, joint pain and neck and back pain. Continues on after 3 1/2 months. 4/27/09 Received vaccine & PCP medical records of 8/1/08-2/3/2009. FINAL DX: encephalopathy w/memory loss. Records reveal patient experienced good general health on 8/1 when seen for sports physical. RTC 8/26 w/insect bite w/swelling, warmth & pain LUE, felt sick, nausea, HA. Tx w/antibiotics. RTC 12/18 w/vomiting, abd pain, nausea, chest pain x 1 mo, coughing, earache, migraine HA increased in frequency, sore throat, fatigue & malaise x 5 mo, excessive sleeping. Tonsils enlarged, strep test (+) & dx/tx for strep pharyngitis. RTC 1/5/09 appearing ill w/sore throat, cervical lymphadenopathy, sick stomach, nausea, vomiting, low grade fever, HA, decreased appetite, dizziness. Dx w/continued strep pharyngitis. Tx w/IM antibiotic & continued on oral antibiotics for another course. Seen in ER on 1/8/09. RTC 2/3/09 w/sore throat, sister w/strep throat. Parent reported episodes of seizure like posturing, gaze palsy, opisthotonos since 1/7/09 daily until 1/19. Had multiple ER visits. Hospitalized overnight for EEG which was WNL. No further seizure episodes but significant memory loss. Neuro-psych eval dx w/30% remaining memory. Missed a lot of school. Dx 2/3 w/pharyngitis, probably viral; encephalopathy w/memory loss, uncertain nature & cause. 5/18/09 Received hospital medical records of 1/16-1/17/2009. FINAL DX: nocturnal spasms Records reveal patient experienced muscle tension, arching back, eyes rolling back, unresponsive & dystonia nightly x 7-10 days lasting 15 min to 2 hr. School performance had been affected since mid-Dec when episodes had started. Admitted for 24-hr video EEG which was WNL. Neuro exam WNL. Referred to Psych. 5/20/09 ED records received multiple DOS 1/7/09


Changed on 5/11/2010

VAERS ID: 344793 Before After
Age:14.0
Gender:Female
Location:Nevada
Vaccinated:2008-11-07
Onset:2009-01-07
Submitted:2009-04-24
Entered:2009-04-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1061U / 1 RA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Alopecia, Amnesia, Arthralgia, Back pain, Blood alkaline phosphatase, Blood bicarbonate decreased, Blood glucose increased, Blood pH increased, Blood urea decreased, Chest X-ray, Computerised tomogram, Convulsion, Crying, CSF culture negative, Dizziness, Fatigue, Headache, Hyperventilation, Hypoaesthesia, Loss of consciousness, Lumbar puncture, Mean cell haemoglobin concentration, Muscle spasms, Muscle twitching, Myoclonus, Nausea, Neck pain, Neutrophil count decreased, Nuclear magnetic resonance imaging, Pain, Paraesthesia, PCO2 decreased, Pharyngitis streptococcal, PO2 increased, Sinusitis, Syncope, Unresponsive to stimuli, Vomiting, Musculoskeletal stiffness, Red cell distribution width decreased, CSF test normal, Base excess decreased, Scan brain, Urine analysis normal, Blood test, Streptococcus identification test negative

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? Yes, days: 1     Extended hospital stay? No
Previous Vaccinations: None~ ()~~0.00~Patient
Other Medications: None 5/20/09 ED records received multiple DOS 1/7/09 to 1/12. Phenergan, Ativan, Advil
Current Illness: None
Preexisting Conditions: None PMH: Family hx: depression & manic-depression.
Diagnostic Lab Data: blood work, head CT scan, lumbar CT scan, chest x-ray, head MRI, spinal tap 5/18/09 Received Hospital LABS of 1/16-17/2009: CO2 28(H) otherwise CMP WNL. PCP LABS: 6/3/08 & 12/18/08 throat c/s (+) strep. EBV neg. CBC, CMP WNL. Repea
CDC 'Split Type':

Write-up:Symptoms started exactly 2 months after her 2nd shot. Started with headaches, nausea, vomiting, strep throat and body aches. Continues on with non-epileptic seizures, twitches, unconsciousness, long and short term memory loss, hair loss, fatigue, joint pain and neck and back pain. Continues on after 3 1/2 months. 4/27/09 Received vaccine & PCP medical records of 8/1/08-2/3/2009. FINAL DX: encephalopathy w/memory loss. Records reveal patient experienced good general health on 8/1 when seen for sports physical. RTC 8/26 w/insect bite w/swelling, warmth & pain LUE, felt sick, nausea, HA. Tx w/antibiotics. RTC 12/18 w/vomiting, abd pain, nausea, chest pain x 1 mo, coughing, earache, migraine HA increased in frequency, sore throat, fatigue & malaise x 5 mo, excessive sleeping. Tonsils enlarged, strep test (+) & dx/tx for strep pharyngitis. RTC 1/5/09 appearing ill w/sore throat, cervical lymphadenopathy, sick stomach, nausea, vomiting, low grade fever, HA, decreased appetite, dizziness. Dx w/continued strep pharyngitis. Tx w/IM antibiotic & continued on oral antibiotics for another course. Seen in ER on 1/8/09. RTC 2/3/09 w/sore throat, sister w/strep throat. Parent reported episodes of seizure like posturing, gaze palsy, opisthotonos since 1/7/09 daily until 1/19. Had multiple ER visits. Hospitalized overnight for EEG which was WNL. No further seizure episodes but significant memory loss. Neuro-psych eval dx w/30% remaining memory. Missed a lot of school. Dx 2/3 w/pharyngitis, probably viral; encephalopathy w/memory loss, uncertain nature & cause. 5/18/09 Received hospital medical records of 1/16-1/17/2009. FINAL DX: nocturnal spasms Records reveal patient experienced muscle tension, arching back, eyes rolling back, unresponsive & dystonia nightly x 7-10 days lasting 15 min to 2 hr. School performance had been affected since mid-Dec when episodes had started. Admitted for 24-hr video EEG which was WNL. Neuro exam WNL. Referred to Psych. 5/20/09 ED records received multiple DOS 1/7/09


Changed on 8/31/2010

VAERS ID: 344793 Before After
Age:14.0
Gender:Female
Location:Nevada
Vaccinated:2008-11-07
Onset:2009-01-07
Submitted:2009-04-24
Entered:2009-04-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1061U / 1 RA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Alopecia, Amnesia, Arthralgia, Back pain, Chest X-ray, Computerised tomogram, Convulsion, Fatigue, Headache, Loss of consciousness, Lumbar puncture, Muscle twitching, Nausea, Neck pain, Nuclear magnetic resonance imaging, Pain, Pharyngitis streptococcal, PO2 increased, Vomiting, Scan brain, Blood test

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? Yes, days: 1     Extended hospital stay? No
Previous Vaccinations: None~ ()~~0.00~Patient
Other Medications: None 5/20/09 ED records received multiple DOS 1/7/09 to 1/12. Phenergan, Ativan, Advil
Current Illness: None
Preexisting Conditions: None PMH: Family hx: depression & manic-depression.
Diagnostic Lab Data: blood work, head CT scan, lumbar CT scan, chest x-ray, head MRI, spinal tap 5/18/09 Received Hospital LABS of 1/16-17/2009: CO2 28(H) otherwise CMP WNL. PCP LABS: 6/3/08 & 12/18/08 throat c/s (+) strep. EBV neg. CBC, CMP WNL. Repea
CDC 'Split Type':

Write-up:Symptoms started exactly 2 months after her 2nd shot. Started with headaches, nausea, vomiting, strep throat and body aches. Continues on with non-epileptic seizures, twitches, unconsciousness, long and short term memory loss, hair loss, fatigue, joint pain and neck and back pain. Continues on after 3 1/2 months. 4/27/09 Received vaccine & PCP medical records of 8/1/08-2/3/2009. FINAL DX: encephalopathy w/memory loss. Records reveal patient experienced good general health on 8/1 when seen for sports physical. RTC 8/26 w/insect bite w/swelling, warmth & pain LUE, felt sick, nausea, HA. Tx w/antibiotics. RTC 12/18 w/vomiting, abd pain, nausea, chest pain x 1 mo, coughing, earache, migraine HA increased in frequency, sore throat, fatigue & malaise x 5 mo, excessive sleeping. Tonsils enlarged, strep test (+) & dx/tx for strep pharyngitis. RTC 1/5/09 appearing ill w/sore throat, cervical lymphadenopathy, sick stomach, nausea, vomiting, low grade fever, HA, decreased appetite, dizziness. Dx w/continued strep pharyngitis. Tx w/IM antibiotic & continued on oral antibiotics for another course. Seen in ER on 1/8/09. RTC 2/3/09 w/sore throat, sister w/strep throat. Parent reported episodes of seizure like posturing, gaze palsy, opisthotonos since 1/7/09 daily until 1/19. Had multiple ER visits. Hospitalized overnight for EEG which was WNL. No further seizure episodes but significant memory loss. Neuro-psych eval dx w/30% remaining memory. Missed a lot of school. Dx 2/3 w/pharyngitis, probably viral; encephalopathy w/memory loss, uncertain nature & cause. 5/18/09 Received hospital medical records of 1/16-1/17/2009. FINAL DX: nocturnal spasms Records reveal patient experienced muscle tension, arching back, eyes rolling back, unresponsive & dystonia nightly x 7-10 days lasting 15 min to 2 hr. School performance had been affected since mid-Dec when episodes had started. Admitted for 24-hr video EEG which was WNL. Neuro exam WNL. Referred to Psych. 5/20/09 ED records received multiple DOS 1/7/09


Changed on 1/4/2011

VAERS ID: 344793 Before After
Age:14.0
Gender:Female
Location:Nevada
Vaccinated:2008-11-07
Onset:2009-01-07
Submitted:2009-04-24
Entered:2009-04-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1061U / 1 RA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Alopecia, Amnesia, Arthralgia, Back pain, Chest X-ray, Computerised tomogram, Convulsion, Fatigue, Headache, Loss of consciousness, Lumbar puncture, Muscle twitching, Nausea, Neck pain, Nuclear magnetic resonance imaging, Pain, Pharyngitis streptococcal, PO2 increased, Vomiting, Scan brain, Blood test

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? Yes, days: 1     Extended hospital stay? No
Previous Vaccinations: None~ ()~~0.00~Patient
Other Medications: None 5/20/09 ED records received multiple DOS 1/7/09 to 1/12. Phenergan, Ativan, Advil
Current Illness: None
Preexisting Conditions: None PMH: Family hx: depression & manic-depression.
Diagnostic Lab Data: blood work, head CT scan, lumbar CT scan, chest x-ray, head MRI, spinal tap 5/18/09 Received Hospital LABS of 1/16-17/2009: CO2 28(H) otherwise CMP WNL. PCP LABS: 6/3/08 & 12/18/08 throat c/s (+) strep. EBV neg. CBC, CMP WNL. Repea Repeat throat c/s 2/3/09 neg. 5/20/09 ED records received multiple DOS 1/7/09 to 1/12 LABS and DIAGNOSTICS: CBC - Neut 2.4 X10 (L) RDW 11.2% (L) MCHC 36.1 G/% (H) others WNL. CHEM - glucose 111 mg/dl (H) BUN 10.0 (L) Alk Phos 105 U/L (L) others WNL. Blood Gases - pH 7.524 (H) PCO2 23.1 (L) P02 87.2 (H) Base EX -2.6 (L) HCO3 18.2 (L). Urinalyis WNL. Strep A AG EIA (-). Blood Cultures (-). CSF WNL. CSF Culture (-). CT brain - sinusitis.
CDC 'Split Type':

Write-up:Symptoms started exactly 2 months after her 2nd shot. Started with headaches, nausea, vomiting, strep throat and body aches. Continues on with non-epileptic seizures, twitches, unconsciousness, long and short term memory loss, hair loss, fatigue, joint pain and neck and back pain. Continues on after 3 1/2 months. 4/27/09 Received vaccine & PCP medical records of 8/1/08-2/3/2009. FINAL DX: encephalopathy w/memory loss. Records reveal patient experienced good general health on 8/1 when seen for sports physical. RTC 8/26 w/insect bite w/swelling, warmth & pain LUE, felt sick, nausea, HA. Tx w/antibiotics. RTC 12/18 w/vomiting, abd pain, nausea, chest pain x 1 mo, coughing, earache, migraine HA increased in frequency, sore throat, fatigue & malaise x 5 mo, excessive sleeping. Tonsils enlarged, strep test (+) & dx/tx for strep pharyngitis. RTC 1/5/09 appearing ill w/sore throat, cervical lymphadenopathy, sick stomach, nausea, vomiting, low grade fever, HA, decreased appetite, dizziness. Dx w/continued strep pharyngitis. Tx w/IM antibiotic & continued on oral antibiotics for another course. Seen in ER on 1/8/09. RTC 2/3/09 w/sore throat, sister w/strep throat. Parent reported episodes of seizure like posturing, gaze palsy, opisthotonos since 1/7/09 daily until 1/19. Had multiple ER visits. Hospitalized overnight for EEG which was WNL. No further seizure episodes but significant memory loss. Neuro-psych eval dx w/30% remaining memory. Missed a lot of school. Dx 2/3 w/pharyngitis, probably viral; encephalopathy w/memory loss, uncertain nature & cause. 5/18/09 Received hospital medical records of 1/16-1/17/2009. FINAL DX: nocturnal spasms Records reveal patient experienced muscle tension, arching back, eyes rolling back, unresponsive & dystonia nightly x 7-10 days lasting 15 min to 2 hr. School performance had been affected since mid-Dec when episodes had started. Admitted for 24-hr video EEG which was WNL. Neuro exam WNL. Referred to Psych. 5/20/09 ED records received multiple DOS 1/7/09 to 1/12 FINAL DIAGNOSIS: Syncope, seizure, acute vomiting, cephalgia and neck stiffness Post vaccination: nausea, vomiting, body aches, twitching, unresponsive at home, headache, neck stiff. Dizziness, numbness, tingling in hands and feet, crying. Hyperventilation with carpal pedal spasms. Myoclonic tremors.


Changed on 4/13/2011

VAERS ID: 344793 Before After
Age:14.0
Gender:Female
Location:Nevada
Vaccinated:2008-11-07
Onset:2009-01-07
Submitted:2009-04-24
Entered:2009-04-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1061U / 1 RA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Alopecia, Amnesia, Arthralgia, Back pain, Blood alkaline phosphatase, Blood bicarbonate decreased, Blood glucose increased, Blood pH increased, Blood urea decreased, Chest X-ray, Computerised tomogram, Convulsion, Crying, CSF culture negative, Dizziness, Fatigue, Headache, Hyperventilation, Hypoaesthesia, Loss of consciousness, Lumbar puncture, Mean cell haemoglobin concentration, Muscle spasms, Muscle twitching, Myoclonus, Nausea, Neck pain, Neutrophil count decreased, Nuclear magnetic resonance imaging, Pain, Paraesthesia, PCO2 decreased, Pharyngitis streptococcal, PO2 increased, Sinusitis, Syncope, Unresponsive to stimuli, Vomiting, Musculoskeletal stiffness, Red cell distribution width decreased, CSF test normal, Base excess decreased, Scan brain, Urine analysis normal, Blood test, Streptococcus identification test negative

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? Yes, days: 1     Extended hospital stay? No
Previous Vaccinations: None~ ()~~0.00~Patient
Other Medications: None 5/20/09 ED records received multiple DOS 1/7/09 to 1/12. Phenergan, Ativan, Advil
Current Illness: None
Preexisting Conditions: None PMH: Family hx: depression & manic-depression.
Diagnostic Lab Data: blood work, head CT scan, lumbar CT scan, chest x-ray, head MRI, spinal tap 5/18/09 Received Hospital LABS of 1/16-17/2009: CO2 28(H) otherwise CMP WNL. PCP LABS: 6/3/08 & 12/18/08 throat c/s (+) strep. EBV neg. CBC, CMP WNL. Repeat throat c/s 2/3/09 neg. 5/20/09 ED records received multiple DOS 1/7/09 to 1/12 LABS and DIAGNOSTICS: CBC - Neut 2.4 X10 (L) RDW 11.2% (L) MCHC 36.1 G/% (H) others WNL. CHEM - glucose 111 mg/dl (H) BUN 10.0 (L) Alk Phos 105 U/L (L) others WNL. Blood Gases - pH 7.524 (H) PCO2 23.1 (L) P02 87.2 (H) Base EX -2.6 (L) HCO3 18.2 (L). Urinalyis WNL. Strep A AG EIA (-). Blood Cultures (-). CSF WNL. CSF Culture (-). CT brain - sinusitis.
CDC 'Split Type':

Write-up:Symptoms started exactly 2 months after her 2nd shot. Started with headaches, nausea, vomiting, strep throat and body aches. Continues on with non-epileptic seizures, twitches, unconsciousness, long and short term memory loss, hair loss, fatigue, joint pain and neck and back pain. Continues on after 3 1/2 months. 4/27/09 Received vaccine & PCP medical records of 8/1/08-2/3/2009. FINAL DX: encephalopathy w/memory loss. Records reveal patient experienced good general health on 8/1 when seen for sports physical. RTC 8/26 w/insect bite w/swelling, warmth & pain LUE, felt sick, nausea, HA. Tx w/antibiotics. RTC 12/18 w/vomiting, abd pain, nausea, chest pain x 1 mo, coughing, earache, migraine HA increased in frequency, sore throat, fatigue & malaise x 5 mo, excessive sleeping. Tonsils enlarged, strep test (+) & dx/tx for strep pharyngitis. RTC 1/5/09 appearing ill w/sore throat, cervical lymphadenopathy, sick stomach, nausea, vomiting, low grade fever, HA, decreased appetite, dizziness. Dx w/continued strep pharyngitis. Tx w/IM antibiotic & continued on oral antibiotics for another course. Seen in ER on 1/8/09. RTC 2/3/09 w/sore throat, sister w/strep throat. Parent reported episodes of seizure like posturing, gaze palsy, opisthotonos since 1/7/09 daily until 1/19. Had multiple ER visits. Hospitalized overnight for EEG which was WNL. No further seizure episodes but significant memory loss. Neuro-psych eval dx w/30% remaining memory. Missed a lot of school. Dx 2/3 w/pharyngitis, probably viral; encephalopathy w/memory loss, uncertain nature & cause. 5/18/09 Received hospital medical records of 1/16-1/17/2009. FINAL DX: nocturnal spasms Records reveal patient experienced muscle tension, arching back, eyes rolling back, unresponsive & dystonia nightly x 7-10 days lasting 15 min to 2 hr. School performance had been affected since mid-Dec when episodes had started. Admitted for 24-hr video EEG which was WNL. Neuro exam WNL. Referred to Psych. 5/20/09 ED records received multiple DOS 1/7/09 to 1/12 FINAL DIAGNOSIS: Syncope, seizure, acute vomiting, cephalgia and neck stiffness Post vaccination: nausea, vomiting, body aches, twitching, unresponsive at home, headache, neck stiff. Dizziness, numbness, tingling in hands and feet, crying. Hyperventilation with carpal pedal spasms. Myoclonic tremors.


Changed on 5/13/2011

VAERS ID: 344793 Before After
Age:14.0
Gender:Female
Location:Nevada
Vaccinated:2008-11-07
Onset:2009-01-07
Submitted:2009-04-24
Entered:2009-04-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1061U / 1 RA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Alopecia, Amnesia, Arthralgia, Back pain, Blood alkaline phosphatase, Blood bicarbonate decreased, Blood glucose increased, Blood pH increased, Blood urea decreased, Chest X-ray, Computerised tomogram, Convulsion, Crying, CSF culture negative, Dizziness, Fatigue, Headache, Hyperventilation, Hypoaesthesia, Loss of consciousness, Lumbar puncture, Mean cell haemoglobin concentration, Muscle spasms, Muscle twitching, Myoclonus, Nausea, Neck pain, Neutrophil count decreased, Nuclear magnetic resonance imaging, Pain, Paraesthesia, PCO2 decreased, Pharyngitis streptococcal, PO2 increased, Sinusitis, Syncope, Unresponsive to stimuli, Vomiting, Musculoskeletal stiffness, Red cell distribution width decreased, CSF test normal, Base excess decreased, Scan brain, Urine analysis normal, Blood test, Streptococcus identification test negative

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? Yes, days: 1     Extended hospital stay? No
Previous Vaccinations: None~ ()~~0.00~Patient
Other Medications: None 5/20/09 ED records received multiple DOS 1/7/09 to 1/12. Phenergan, Ativan, Advil
Current Illness: None
Preexisting Conditions: None PMH: Family hx: depression & manic-depression.
Diagnostic Lab Data: blood work, head CT scan, lumbar CT scan, chest x-ray, head MRI, spinal tap 5/18/09 Received Hospital LABS of 1/16-17/2009: CO2 28(H) otherwise CMP WNL. PCP LABS: 6/3/08 & 12/18/08 throat c/s (+) strep. EBV neg. CBC, CMP WNL. Repeat throat c/s 2/3/09 neg. 5/20/09 ED records received multiple DOS 1/7/09 to 1/12 LABS and DIAGNOSTICS: CBC - Neut 2.4 X10 (L) RDW 11.2% (L) MCHC 36.1 G/% (H) others WNL. CHEM - glucose 111 mg/dl (H) BUN 10.0 (L) Alk Phos 105 U/L (L) others WNL. Blood Gases - pH 7.524 (H) PCO2 23.1 (L) P02 87.2 (H) Base EX -2.6 (L) HCO3 18.2 (L). Urinalyis WNL. Strep A AG EIA (-). Blood Cultures (-). CSF WNL. CSF Culture (-). CT brain - sinusitis.
CDC 'Split Type':

Write-up:Symptoms started exactly 2 months after her 2nd shot. Started with headaches, nausea, vomiting, strep throat and body aches. Continues on with non-epileptic seizures, twitches, unconsciousness, long and short term memory loss, hair loss, fatigue, joint pain and neck and back pain. Continues on after 3 1/2 months. 4/27/09 Received vaccine & PCP medical records of 8/1/08-2/3/2009. FINAL DX: encephalopathy w/memory loss. Records reveal patient experienced good general health on 8/1 when seen for sports physical. RTC 8/26 w/insect bite w/swelling, warmth & pain LUE, felt sick, nausea, HA. Tx w/antibiotics. RTC 12/18 w/vomiting, abd pain, nausea, chest pain x 1 mo, coughing, earache, migraine HA increased in frequency, sore throat, fatigue & malaise x 5 mo, excessive sleeping. Tonsils enlarged, strep test (+) & dx/tx for strep pharyngitis. RTC 1/5/09 appearing ill w/sore throat, cervical lymphadenopathy, sick stomach, nausea, vomiting, low grade fever, HA, decreased appetite, dizziness. Dx w/continued strep pharyngitis. Tx w/IM antibiotic & continued on oral antibiotics for another course. Seen in ER on 1/8/09. RTC 2/3/09 w/sore throat, sister w/strep throat. Parent reported episodes of seizure like posturing, gaze palsy, opisthotonos since 1/7/09 daily until 1/19. Had multiple ER visits. Hospitalized overnight for EEG which was WNL. No further seizure episodes but significant memory loss. Neuro-psych eval dx w/30% remaining memory. Missed a lot of school. Dx 2/3 w/pharyngitis, probably viral; encephalopathy w/memory loss, uncertain nature & cause. 5/18/09 Received hospital medical records of 1/16-1/17/2009. FINAL DX: nocturnal spasms Records reveal patient experienced muscle tension, arching back, eyes rolling back, unresponsive & dystonia nightly x 7-10 days lasting 15 min to 2 hr. School performance had been affected since mid-Dec when episodes had started. Admitted for 24-hr video EEG which was WNL. Neuro exam WNL. Referred to Psych. 5/20/09 ED records received multiple DOS 1/7/09 to 1/12 FINAL DIAGNOSIS: Syncope, seizure, acute vomiting, cephalgia and neck stiffness Post vaccination: nausea, vomiting, body aches, twitching, unresponsive at home, headache, neck stiff. Dizziness, numbness, tingling in hands and feet, crying. Hyperventilation with carpal pedal spasms. Myoclonic tremors.


Changed on 6/11/2011

VAERS ID: 344793 Before After
Age:14.0
Gender:Female
Location:Nevada
Vaccinated:2008-11-07
Onset:2009-01-07
Submitted:2009-04-24
Entered:2009-04-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1061U / 1 RA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Alopecia, Amnesia, Arthralgia, Back pain, Blood alkaline phosphatase, Blood bicarbonate decreased, Blood glucose increased, Blood pH increased, Blood urea decreased, Chest X-ray, Computerised tomogram, Convulsion, Crying, CSF culture negative, Dizziness, Fatigue, Headache, Hyperventilation, Hypoaesthesia, Loss of consciousness, Lumbar puncture, Mean cell haemoglobin concentration, Muscle spasms, Muscle twitching, Myoclonus, Nausea, Neck pain, Neutrophil count decreased, Nuclear magnetic resonance imaging, Pain, Paraesthesia, PCO2 decreased, Pharyngitis streptococcal, PO2 increased, Sinusitis, Syncope, Unresponsive to stimuli, Vomiting, Musculoskeletal stiffness, Red cell distribution width decreased, CSF test normal, Base excess decreased, Scan brain, Urine analysis normal, Blood test, Streptococcus identification test negative

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? Yes, days: 1     Extended hospital stay? No
Previous Vaccinations: None~ ()~~0.00~Patient
Other Medications: None 5/20/09 ED records received multiple DOS 1/7/09 to 1/12. Phenergan, Ativan, Advil
Current Illness: None
Preexisting Conditions: None PMH: Family hx: depression & manic-depression.
Diagnostic Lab Data: blood work, head CT scan, lumbar CT scan, chest x-ray, head MRI, spinal tap 5/18/09 Received Hospital LABS of 1/16-17/2009: CO2 28(H) otherwise CMP WNL. PCP LABS: 6/3/08 & 12/18/08 throat c/s (+) strep. EBV neg. CBC, CMP WNL. Repeat throat c/s 2/3/09 neg. 5/20/09 ED records received multiple DOS 1/7/09 to 1/12 LABS and DIAGNOSTICS: CBC - Neut 2.4 X10 (L) RDW 11.2% (L) MCHC 36.1 G/% (H) others WNL. CHEM - glucose 111 mg/dl (H) BUN 10.0 (L) Alk Phos 105 U/L (L) others WNL. Blood Gases - pH 7.524 (H) PCO2 23.1 (L) P02 87.2 (H) Base EX -2.6 (L) HCO3 18.2 (L). Urinalyis WNL. Strep A AG EIA (-). Blood Cultures (-). CSF WNL. CSF Culture (-). CT brain - sinusitis.
CDC 'Split Type':

Write-up:Symptoms started exactly 2 months after her 2nd shot. Started with headaches, nausea, vomiting, strep throat and body aches. Continues on with non-epileptic seizures, twitches, unconsciousness, long and short term memory loss, hair loss, fatigue, joint pain and neck and back pain. Continues on after 3 1/2 months. 4/27/09 Received vaccine & PCP medical records of 8/1/08-2/3/2009. FINAL DX: encephalopathy w/memory loss. Records reveal patient experienced good general health on 8/1 when seen for sports physical. RTC 8/26 w/insect bite w/swelling, warmth & pain LUE, felt sick, nausea, HA. Tx w/antibiotics. RTC 12/18 w/vomiting, abd pain, nausea, chest pain x 1 mo, coughing, earache, migraine HA increased in frequency, sore throat, fatigue & malaise x 5 mo, excessive sleeping. Tonsils enlarged, strep test (+) & dx/tx for strep pharyngitis. RTC 1/5/09 appearing ill w/sore throat, cervical lymphadenopathy, sick stomach, nausea, vomiting, low grade fever, HA, decreased appetite, dizziness. Dx w/continued strep pharyngitis. Tx w/IM antibiotic & continued on oral antibiotics for another course. Seen in ER on 1/8/09. RTC 2/3/09 w/sore throat, sister w/strep throat. Parent reported episodes of seizure like posturing, gaze palsy, opisthotonos since 1/7/09 daily until 1/19. Had multiple ER visits. Hospitalized overnight for EEG which was WNL. No further seizure episodes but significant memory loss. Neuro-psych eval dx w/30% remaining memory. Missed a lot of school. Dx 2/3 w/pharyngitis, probably viral; encephalopathy w/memory loss, uncertain nature & cause. 5/18/09 Received hospital medical records of 1/16-1/17/2009. FINAL DX: nocturnal spasms Records reveal patient experienced muscle tension, arching back, eyes rolling back, unresponsive & dystonia nightly x 7-10 days lasting 15 min to 2 hr. School performance had been affected since mid-Dec when episodes had started. Admitted for 24-hr video EEG which was WNL. Neuro exam WNL. Referred to Psych. 5/20/09 ED records received multiple DOS 1/7/09 to 1/12 FINAL DIAGNOSIS: Syncope, seizure, acute vomiting, cephalgia and neck stiffness Post vaccination: nausea, vomiting, body aches, twitching, unresponsive at home, headache, neck stiff. Dizziness, numbness, tingling in hands and feet, crying. Hyperventilation with carpal pedal spasms. Myoclonic tremors.


Changed on 6/14/2014

VAERS ID: 344793 Before After
Age:14.0
Gender:Female
Location:Nevada
Vaccinated:2008-11-07
Onset:2009-01-07
Submitted:2009-04-24
Entered:2009-04-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1061U / 1 RA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Alopecia, Amnesia, Arthralgia, Back pain, Blood alkaline phosphatase, Blood bicarbonate decreased, Blood glucose increased, Blood pH increased, Blood urea decreased, Chest X-ray, Computerised tomogram, Convulsion, Crying, CSF culture negative, Dizziness, Fatigue, Headache, Hyperventilation, Hypoaesthesia, Loss of consciousness, Lumbar puncture, Mean cell haemoglobin concentration, Muscle spasms, Muscle twitching, Myoclonus, Nausea, Neck pain, Neutrophil count decreased, Nuclear magnetic resonance imaging, Pain, Paraesthesia, PCO2 decreased, Pharyngitis streptococcal, PO2 increased, Sinusitis, Syncope, Unresponsive to stimuli, Vomiting, Musculoskeletal stiffness, Red cell distribution width decreased, CSF test normal, Base excess decreased, Scan brain, Urine analysis normal, Blood test, Streptococcus identification test negative

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? Yes, days: 1     Extended hospital stay? No
Previous Vaccinations: None~ ()~~0.00~Patient
Other Medications: None 5/20/09 ED records received multiple DOS 1/7/09 to 1/12. Phenergan, Ativan, Advil
Current Illness: None
Preexisting Conditions: None PMH: Family hx: depression & manic-depression.
Diagnostic Lab Data: blood work, head CT scan, lumbar CT scan, chest x-ray, head MRI, spinal tap 5/18/09 Received Hospital LABS of 1/16-17/2009: CO2 28(H) otherwise CMP WNL. PCP LABS: 6/3/08 & 12/18/08 throat c/s (+) strep. EBV neg. CBC, CMP WNL. Repeat throat c/s 2/3/09 neg. 5/20/09 ED records received multiple DOS 1/7/09 to 1/12 LABS and DIAGNOSTICS: CBC - Neut 2.4 X10 (L) RDW 11.2% (L) MCHC 36.1 G/% (H) others WNL. CHEM - glucose 111 mg/dl (H) BUN 10.0 (L) Alk Phos 105 U/L (L) others WNL. Blood Gases - pH 7.524 (H) PCO2 23.1 (L) P02 87.2 (H) Base EX -2.6 (L) HCO3 18.2 (L). Urinalyis WNL. Strep A AG EIA (-). Blood Cultures (-). CSF WNL. CSF Culture (-). CT brain - sinusitis.
CDC 'Split Type':

Write-up:Symptoms started exactly 2 months after her 2nd shot. Started with headaches, nausea, vomiting, strep throat and body aches. Continues on with non-epileptic seizures, twitches, unconsciousness, long and short term memory loss, hair loss, fatigue, joint pain and neck and back pain. Continues on after 3 1/2 months. 4/27/09 Received vaccine & PCP medical records of 8/1/08-2/3/2009. FINAL DX: encephalopathy w/memory loss. Records reveal patient experienced good general health on 8/1 when seen for sports physical. RTC 8/26 w/insect bite w/swelling, warmth & pain LUE, felt sick, nausea, HA. Tx w/antibiotics. RTC 12/18 w/vomiting, abd pain, nausea, chest pain x 1 mo, coughing, earache, migraine HA increased in frequency, sore throat, fatigue & malaise x 5 mo, excessive sleeping. Tonsils enlarged, strep test (+) & dx/tx for strep pharyngitis. RTC 1/5/09 appearing ill w/sore throat, cervical lymphadenopathy, sick stomach, nausea, vomiting, low grade fever, HA, decreased appetite, dizziness. Dx w/continued strep pharyngitis. Tx w/IM antibiotic & continued on oral antibiotics for another course. Seen in ER on 1/8/09. RTC 2/3/09 w/sore throat, sister w/strep throat. Parent reported episodes of seizure like posturing, gaze palsy, opisthotonos since 1/7/09 daily until 1/19. Had multiple ER visits. Hospitalized overnight for EEG which was WNL. No further seizure episodes but significant memory loss. Neuro-psych eval dx w/30% remaining memory. Missed a lot of school. Dx 2/3 w/pharyngitis, probably viral; encephalopathy w/memory loss, uncertain nature & cause. 5/18/09 Received hospital medical records of 1/16-1/17/2009. FINAL DX: nocturnal spasms Records reveal patient experienced muscle tension, arching back, eyes rolling back, unresponsive & dystonia nightly x 7-10 days lasting 15 min to 2 hr. School performance had been affected since mid-Dec when episodes had started. Admitted for 24-hr video EEG which was WNL. Neuro exam WNL. Referred to Psych. 5/20/09 ED records received multiple DOS 1/7/09 to 1/12 FINAL DIAGNOSIS: Syncope, seizure, acute vomiting, cephalgia and neck stiffness Post vaccination: nausea, vomiting, body aches, twitching, unresponsive at home, headache, neck stiff. Dizziness, numbness, tingling in hands and feet, crying. Hyperventilation with carpal pedal spasms. Myoclonic tremors.


Changed on 2/14/2017

VAERS ID: 344793 Before After
Age:14.0
Gender:Female
Location:Nevada
Vaccinated:2008-11-07
Onset:2009-01-07
Submitted:2009-04-24
Entered:2009-04-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1061U / 1 RA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Alopecia, Amnesia, Arthralgia, Back pain, Blood alkaline phosphatase, Blood bicarbonate decreased, Blood glucose increased, Blood pH increased, Blood urea decreased, Chest X-ray, Computerised tomogram, Convulsion, Crying, CSF culture negative, Dizziness, Fatigue, Headache, Hyperventilation, Hypoaesthesia, Loss of consciousness, Lumbar puncture, Mean cell haemoglobin concentration, Muscle spasms, Muscle twitching, Myoclonus, Nausea, Neck pain, Neutrophil count decreased, Nuclear magnetic resonance imaging, Pain, Paraesthesia, PCO2 decreased, Pharyngitis streptococcal, PO2 increased, Sinusitis, Syncope, Unresponsive to stimuli, Vomiting, Musculoskeletal stiffness, Red cell distribution width decreased, CSF test normal, Base excess decreased, Scan brain, Urine analysis normal, Blood test, Streptococcus identification test negative

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? Yes, days: 1     Extended hospital stay? No
Previous Vaccinations: None~ ()~~0.00~Patient
Other Medications:
Current Illness: None
Preexisting Conditions: None PMH: Family hx: depression & manic-depression.
Diagnostic Lab Data: blood work, head CT scan, lumbar CT scan, chest x-ray, head MRI, spinal tap 5/18/09 Received Hospital LABS of 1/16-17/2009: CO2 28(H) otherwise CMP WNL. PCP LABS: 6/3/08 & 12/18/08 throat c/s (+) strep. EBV neg. CBC, CMP WNL. Repeat throat c/s 2/3/09 neg. 5/20/09 ED records received multiple DOS 1/7/09 to 1/12 LABS and DIAGNOSTICS: CBC - Neut 2.4 X10 (L) RDW 11.2% (L) MCHC 36.1 G/% (H) others WNL. CHEM - glucose 111 mg/dl (H) BUN 10.0 (L) Alk Phos 105 U/L (L) others WNL. Blood Gases - pH 7.524 (H) PCO2 23.1 (L) P02 87.2 (H) Base EX -2.6 (L) HCO3 18.2 (L). Urinalyis WNL. Strep A AG EIA (-). Blood Cultures (-). CSF WNL. CSF Culture (-). CT brain - sinusitis.
CDC 'Split Type':

Write-up:Symptoms started exactly 2 months after her 2nd shot. Started with headaches, nausea, vomiting, strep throat and body aches. Continues on with non-epileptic seizures, twitches, unconsciousness, long and short term memory loss, hair loss, fatigue, joint pain and neck and back pain. Continues on after 3 1/2 months. 4/27/09 Received vaccine & PCP medical records of 8/1/08-2/3/2009. FINAL DX: encephalopathy w/memory loss. Records reveal patient experienced good general health on 8/1 when seen for sports physical. RTC 8/26 w/insect bite w/swelling, warmth & pain LUE, felt sick, nausea, HA. Tx w/antibiotics. RTC 12/18 w/vomiting, abd pain, nausea, chest pain x 1 mo, coughing, earache, migraine HA increased in frequency, sore throat, fatigue & malaise x 5 mo, excessive sleeping. Tonsils enlarged, strep test (+) & dx/tx for strep pharyngitis. RTC 1/5/09 appearing ill w/sore throat, cervical lymphadenopathy, sick stomach, nausea, vomiting, low grade fever, HA, decreased appetite, dizziness. Dx w/continued strep pharyngitis. Tx w/IM antibiotic & continued on oral antibiotics for another course. Seen in ER on 1/8/09. RTC 2/3/09 w/sore throat, sister w/strep throat. Parent reported episodes of seizure like posturing, gaze palsy, opisthotonos since 1/7/09 daily until 1/19. Had multiple ER visits. Hospitalized overnight for EEG which was WNL. No further seizure episodes but significant memory loss. Neuro-psych eval dx w/30% remaining memory. Missed a lot of school. Dx 2/3 w/pharyngitis, probably viral; encephalopathy w/memory loss, uncertain nature & cause. 5/18/09 Received hospital medical records of 1/16-1/17/2009. FINAL DX: nocturnal spasms Records reveal patient experienced muscle tension, arching back, eyes rolling back, unresponsive & dystonia nightly x 7-10 days lasting 15 min to 2 hr. School performance had been affected since mid-Dec when episodes had started. Admitted for 24-hr video EEG which was WNL. Neuro exam WNL. Referred to Psych. 5/20/09 ED records received multiple DOS 1/7/09 to 1/12 FINAL DIAGNOSIS: Syncope, seizure, acute vomiting, cephalgia and neck stiffness Post vaccination: nausea, vomiting, body aches, twitching, unresponsive at home, headache, neck stiff. Dizziness, numbness, tingling in hands and feet, crying. Hyperventilation with carpal pedal spasms. Myoclonic tremors.


Changed on 4/14/2017

VAERS ID: 344793 Before After
Age:14.0
Gender:Female
Location:Nevada
Vaccinated:2008-11-07
Onset:2009-01-07
Submitted:2009-04-24
Entered:2009-04-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1061U / 1 RA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Alopecia, Amnesia, Arthralgia, Back pain, Blood alkaline phosphatase, Blood bicarbonate decreased, Blood glucose increased, Blood pH increased, Blood urea decreased, Chest X-ray, Computerised tomogram, Convulsion, Crying, CSF culture negative, Dizziness, Fatigue, Headache, Hyperventilation, Hypoaesthesia, Loss of consciousness, Lumbar puncture, Mean cell haemoglobin concentration, Muscle spasms, Muscle twitching, Myoclonus, Nausea, Neck pain, Neutrophil count decreased, Nuclear magnetic resonance imaging, Pain, Paraesthesia, PCO2 decreased, Pharyngitis streptococcal, PO2 increased, Sinusitis, Syncope, Unresponsive to stimuli, Vomiting, Musculoskeletal stiffness, Red cell distribution width decreased, CSF test normal, Base excess decreased, Scan brain, Urine analysis normal, Blood test, Streptococcus identification test negative

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? Yes, days: 1     Extended hospital stay? No
Previous Vaccinations: None~ ()~~0.00~Patient
Other Medications: None 5/20/09 ED records received multiple DOS 1/7/09 to 1/12. Phenergan, Ativan, Advil
Current Illness: None
Preexisting Conditions: None PMH: Family hx: depression & manic-depression.
Diagnostic Lab Data: blood work, head CT scan, lumbar CT scan, chest x-ray, head MRI, spinal tap 5/18/09 Received Hospital LABS of 1/16-17/2009: CO2 28(H) otherwise CMP WNL. PCP LABS: 6/3/08 & 12/18/08 throat c/s (+) strep. EBV neg. CBC, CMP WNL. Repeat throat c/s 2/3/09 neg. 5/20/09 ED records received multiple DOS 1/7/09 to 1/12 LABS and DIAGNOSTICS: CBC - Neut 2.4 X10 (L) RDW 11.2% (L) MCHC 36.1 G/% (H) others WNL. CHEM - glucose 111 mg/dl (H) BUN 10.0 (L) Alk Phos 105 U/L (L) others WNL. Blood Gases - pH 7.524 (H) PCO2 23.1 (L) P02 87.2 (H) Base EX -2.6 (L) HCO3 18.2 (L). Urinalyis WNL. Strep A AG EIA (-). Blood Cultures (-). CSF WNL. CSF Culture (-). CT brain - sinusitis.
CDC 'Split Type':

Write-up:Symptoms started exactly 2 months after her 2nd shot. Started with headaches, nausea, vomiting, strep throat and body aches. Continues on with non-epileptic seizures, twitches, unconsciousness, long and short term memory loss, hair loss, fatigue, joint pain and neck and back pain. Continues on after 3 1/2 months. 4/27/09 Received vaccine & PCP medical records of 8/1/08-2/3/2009. FINAL DX: encephalopathy w/memory loss. Records reveal patient experienced good general health on 8/1 when seen for sports physical. RTC 8/26 w/insect bite w/swelling, warmth & pain LUE, felt sick, nausea, HA. Tx w/antibiotics. RTC 12/18 w/vomiting, abd pain, nausea, chest pain x 1 mo, coughing, earache, migraine HA increased in frequency, sore throat, fatigue & malaise x 5 mo, excessive sleeping. Tonsils enlarged, strep test (+) & dx/tx for strep pharyngitis. RTC 1/5/09 appearing ill w/sore throat, cervical lymphadenopathy, sick stomach, nausea, vomiting, low grade fever, HA, decreased appetite, dizziness. Dx w/continued strep pharyngitis. Tx w/IM antibiotic & continued on oral antibiotics for another course. Seen in ER on 1/8/09. RTC 2/3/09 w/sore throat, sister w/strep throat. Parent reported episodes of seizure like posturing, gaze palsy, opisthotonos since 1/7/09 daily until 1/19. Had multiple ER visits. Hospitalized overnight for EEG which was WNL. No further seizure episodes but significant memory loss. Neuro-psych eval dx w/30% remaining memory. Missed a lot of school. Dx 2/3 w/pharyngitis, probably viral; encephalopathy w/memory loss, uncertain nature & cause. 5/18/09 Received hospital medical records of 1/16-1/17/2009. FINAL DX: nocturnal spasms Records reveal patient experienced muscle tension, arching back, eyes rolling back, unresponsive & dystonia nightly x 7-10 days lasting 15 min to 2 hr. School performance had been affected since mid-Dec when episodes had started. Admitted for 24-hr video EEG which was WNL. Neuro exam WNL. Referred to Psych. 5/20/09 ED records received multiple DOS 1/7/09 to 1/12 FINAL DIAGNOSIS: Syncope, seizure, acute vomiting, cephalgia and neck stiffness Post vaccination: nausea, vomiting, body aches, twitching, unresponsive at home, headache, neck stiff. Dizziness, numbness, tingling in hands and feet, crying. Hyperventilation with carpal pedal spasms. Myoclonic tremors.


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