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Life Threatening? No
Write-up: Information has been received from a physician concerning a 15 year old female patient who on 14-NOV-2006, 16-JAN-2007 and on 12-JUN-2007 was vaccinated with the first, second and third doses of GARDASIL (Lot # not reported). It was reported that in "March 2009" the patient experienced weakness, pain in her legs and hips and the patient sought medical attention with the physician, then she was admitted to the hospital for three days on 07-APR-2009. It was reported that the patient was diagnosed with "acute demyelinating disease". The physician noted that the patient received gamma globulin for three days. It was reported that the patient was recovering but not fully recovered. The reporting physician considered "acute demyelinating disease" to be disabling. The Health Care Professional contacted during telephone follow up could not supply the following information: patient name and Lot numbers. Additional information has been requested. The patient was hospitalized. 8/14/2009 MR rec''d from PCP which includes Neuro consult in f/u to hospitalization with DX: CIDP/sub-acute polyradiculopathy. Pt developed fever, cough, cold sx, abdominal pain, H/A and stuffy ears 2/9/2009. Flu (+). Dx: Viral Flu. Returned 3/5/09 with c/o hip pain, numbness/weakness in both feet, muscle stiffness. Had recent knee injury. Worsening by 4/2/09 and referred to neurologist. Admitted 4/23-29 with dx CIDP. Tx IVIG. Neuro f/u 5/22/09 with almost complete resolution of sx. 9/1/09 Hospital records received DOS 4/23/09 to 4/29/09 and 5/21/09 to 6/21/09. Assessment: Chronic Inflammatory Demyelinating Polyneuropathy (possibly secondary to influenza illness) Patient presents with bilateral upper and lower extremity weakness, influenza diagnosed 2/10/09. Fatigue, bilateral hip and calf pain. Range of motion decreased in lower extremiities. Reflexes absent. Wide-based stance. IVIG. Improved.
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