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This is VAERS ID 353275

History of Changes from the VAERS Wayback Machine

First Appeared on 12/8/2009

353275
VAERS Form:
Age:16.0
Gender:Female
Location:Pennsylvania
Vaccinated:2007-08-01
Onset:2007-08-01
Submitted:2009-08-05
Entered:2009-08-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0229X / 0 UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Acanthosis nigricans, Anaemia, Anger, Arthralgia, C-reactive protein increased, Cyanosis, Enthesopathy, Gait disturbance, Globulins increased, Haematocrit decreased, Haemoglobin decreased, Joint effusion, Joint stiffness, Mood swings, Muscular weakness, Musculoskeletal pain, Neck pain, Neutrophil count increased, Nuclear magnetic resonance imaging abnormal, Obesity, Oedema peripheral, Pain in extremity, Pneumonia, Red blood cell count decreased, Rheumatoid factor positive, Sleep disorder, Smear cervix abnormal, Stress, Wheelchair user, Wheezing, Vaginal lesion, Red blood cell sedimentation rate increased, Abasia, Contusion, Urine leukocyte esterase positive, Meniscus lesion, Red cell distribution width increased, Juvenile arthritis, Synovial fluid analysis, Antinuclear antibody positive, Complement factor increased, Immunology test abnormal, Complex regional pain syndrome, Anti-cyclic citrullinated peptide antibody positive

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: Allergic reaction to antibiotics; Food allergy
Preexisting Conditions: Eye redness. 8/24/09 Consultant records received DOS 8/20/08 to 8/4/09. Sushi Reaction. Allergies to yellow jacket venom, neomycin, Sudafed, cinnamon. Self inflicted injury (cutting), Scanty menstruation. Scoliosis. Convulsions. Seborrheic dermatitis. Overweight. Seizures.
Allergies:
Diagnostic Lab Data: Unknown. 8/24/09 Consultant records received DOS 8/20/08 to 8/4/09. LABS and DIAGNOSTICS: Complement 199 (H). Sed Rate 115 mm/h (H). Rheumatoid Factor 24 IU/mL (H). CCP (+). ANA (+). MRI Feet - Abnormal, consistant with JIA. CHEM - Globu
CDC 'Split Type': WAES0908USA00058

Write-up:Information has been received from a consumer concerning her 16 year old daughter allergy to cinnamon and with a history of an allergic reaction (eye redness) to neomycin (manufacturer unknown) who in August 2007, was vaccinated with first 0.5mL dose of GARDASIL (route and lot number not reported). There was no concomitant medication. After a couple of days the patient experienced severe joint pain that she could not get up from bed and was unable to walk. Patient was given steroid injection in her feet and knees and for almost a year she was in wheel chair. The patient was given the second dose of GARDASIL (route and lot number not reported) in August 2008 and in November 2008, she was diagnosed with "polyarticular JIAR (Rheumatoid arthritis)". The patient''s mother also stated that her daughter had abnormal cervical cells and small vaginal lesion. The patient''s mother stated that soon her daughter will be getting steroid injection on her hands because she is unable to lift them. At the time of reporting the patient had not recovered from the events. Upon internal review polyarticular JIARS+ (Rheumatoid arthritis) and unable to walk were considered to be disabling. Additional information has been requested. 8/24/09 Consultant records received DOS 8/20/08 to 8/4/09. Assessment: Enthesopathy, amplified musculoskeletal pain. Polyarticular JIA RF(+). Patient with acquired acanthosis nigrans and obesity presents with knee, foot and neck pain. ''Walks like a duck''. Feet swollen. Nighttime awakenings secondary to pain. Stressed. Enthesitis multiple sites lower extremities and back. Torn medial menisc knee. Joint effusion. Anemia. Moodiness, anger and bruising. Joint stiffness. Feet turn blue. Wheezing. Pneumonia. Shoulder pain. Limp.


Changed on 2/14/2017

353275 Before After
VAERS Form:
Age:16.0
Gender:Female
Location:Pennsylvania
Vaccinated:2007-08-01
Onset:2007-08-01
Submitted:2009-08-05
Entered:2009-08-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0229X / 0 UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Acanthosis nigricans, Anaemia, Anger, Arthralgia, C-reactive protein increased, Cyanosis, Enthesopathy, Gait disturbance, Globulins increased, Haematocrit decreased, Haemoglobin decreased, Joint effusion, Joint stiffness, Mood swings, Muscular weakness, Musculoskeletal pain, Neck pain, Neutrophil count increased, Nuclear magnetic resonance imaging abnormal, Obesity, Oedema peripheral, Pain in extremity, Pneumonia, Red blood cell count decreased, Rheumatoid factor positive, Sleep disorder, Smear cervix abnormal, Stress, Wheelchair user, Wheezing, Vaginal lesion, Red blood cell sedimentation rate increased, Abasia, Contusion, Urine leukocyte esterase positive, Meniscus lesion, Red cell distribution width increased, Juvenile arthritis, Synovial fluid analysis, Antinuclear antibody positive, Complement factor increased, Immunology test abnormal, Complex regional pain syndrome, Anti-cyclic citrullinated peptide antibody positive

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: Allergic reaction to antibiotics; Food allergy
Preexisting Conditions: Eye redness. 8/24/09 Consultant records received DOS 8/20/08 to 8/4/09. Sushi Reaction. Allergies to yellow jacket venom, neomycin, Sudafed, cinnamon. Self inflicted injury (cutting), Scanty menstruation. Scoliosis. Convulsions. Seborrheic dermatitis. Overweight. Seizures.
Allergies:
Diagnostic Lab Data: Unknown. 8/24/09 Consultant records received DOS 8/20/08 to 8/4/09. LABS and DIAGNOSTICS: Complement 199 (H). Sed Rate 115 mm/h (H). Rheumatoid Factor 24 IU/mL (H). CCP (+). ANA (+). MRI Feet - Abnormal, consistant with JIA. CHEM - Globu Globulin 3.9 g/dL (H). CBC - RBC 3.68 Million/uL (L) Hemoglobin 10.6 g/dL (L) Hematocrit 31.9% (L) RDW 15.9% (H) Abs Neut 9450 Thousand/uL (H). CRP 4.6 mg/dL (H). Anti-S.Cerevisiae IgA 27.3 Units (H). Synovial fluid aspiration/analysis. Urinalysis - Leukocyte Esterase 1+.
CDC 'Split Type': WAES0908USA00058

Write-up:Information has been received from a consumer concerning her 16 year old daughter allergy to cinnamon and with a history of an allergic reaction (eye redness) to neomycin (manufacturer unknown) who in August 2007, was vaccinated with first 0.5mL dose of GARDASIL (route and lot number not reported). There was no concomitant medication. After a couple of days the patient experienced severe joint pain that she could not get up from bed and was unable to walk. Patient was given steroid injection in her feet and knees and for almost a year she was in wheel chair. The patient was given the second dose of GARDASIL (route and lot number not reported) in August 2008 and in November 2008, she was diagnosed with "polyarticular JIAR (Rheumatoid arthritis)". The patient''s mother also stated that her daughter had abnormal cervical cells and small vaginal lesion. The patient''s mother stated that soon her daughter will be getting steroid injection on her hands because she is unable to lift them. At the time of reporting the patient had not recovered from the events. Upon internal review polyarticular JIARS+ (Rheumatoid arthritis) and unable to walk were considered to be disabling. Additional information has been requested. 8/24/09 Consultant records received DOS 8/20/08 to 8/4/09. Assessment: Enthesopathy, amplified musculoskeletal pain. Polyarticular JIA RF(+). Patient with acquired acanthosis nigrans and obesity presents with knee, foot and neck pain. ''Walks like a duck''. Feet swollen. Nighttime awakenings secondary to pain. Stressed. Enthesitis multiple sites lower extremities and back. Torn medial menisc knee. Joint effusion. Anemia. Moodiness, anger and bruising. Joint stiffness. Feet turn blue. Wheezing. Pneumonia. Shoulder pain. Limp.


Changed on 9/14/2017

353275 Before After
VAERS Form:(blank) 1
Age:16.0
Gender:Female
Location:Pennsylvania
Vaccinated:2007-08-01
Onset:2007-08-01
Submitted:2009-08-05
Entered:2009-08-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0229X / 0 1 UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Arthralgia, Muscular weakness, Smear cervix abnormal, Wheelchair user, Vaginal lesion, Abasia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: Allergic reaction to antibiotics; Food allergy
Preexisting Conditions: Eye redness. 8/24/09 Consultant records received DOS 8/20/08 to 8/4/09. Sushi Reaction. Allergies to yellow jacket venom, neomycin, Sudafed, cinnamon. Self inflicted injury (cutting), Scanty menstruation. Scoliosis. Convulsions. Seborrheic dermatitis. Overweight. Seizures.
Allergies:
Diagnostic Lab Data: Unknown. 8/24/09 Consultant records received DOS 8/20/08 to 8/4/09. LABS and DIAGNOSTICS: Complement 199 (H). Sed Rate 115 mm/h (H). Rheumatoid Factor 24 IU/mL (H). CCP (+). ANA (+). MRI Feet - Abnormal, consistant with JIA. CHEM - Globulin 3.9 g/dL (H). CBC - RBC 3.68 Million/uL (L) Hemoglobin 10.6 g/dL (L) Hematocrit 31.9% (L) RDW 15.9% (H) Abs Neut 9450 Thousand/uL (H). CRP 4.6 mg/dL (H). Anti-S.Cerevisiae IgA 27.3 Units (H). Synovial fluid aspiration/analysis. Urinalysis - Leukocyte Esterase 1+.
CDC 'Split Type': WAES0908USA00058

Write-up:Information has been received from a consumer concerning her 16 year old daughter allergy to cinnamon and with a history of an allergic reaction (eye redness) to neomycin (manufacturer unknown) who in August 2007, was vaccinated with first 0.5mL dose of GARDASIL (route and lot number not reported). There was no concomitant medication. After a couple of days the patient experienced severe joint pain that she could not get up from bed and was unable to walk. Patient was given steroid injection in her feet and knees and for almost a year she was in wheel chair. The patient was given the second dose of GARDASIL (route and lot number not reported) in August 2008 and in November 2008, she was diagnosed with "polyarticular JIAR (Rheumatoid arthritis)". The patient''s mother also stated that her daughter had abnormal cervical cells and small vaginal lesion. The patient''s mother stated that soon her daughter will be getting steroid injection on her hands because she is unable to lift them. At the time of reporting the patient had not recovered from the events. Upon internal review polyarticular JIARS+ (Rheumatoid arthritis) and unable to walk were considered to be disabling. Additional information has been requested. 8/24/09 Consultant records received DOS 8/20/08 to 8/4/09. Assessment: Enthesopathy, amplified musculoskeletal pain. Polyarticular JIA RF(+). Patient with acquired acanthosis nigrans and obesity presents with knee, foot and neck pain. ''Walks like a duck''. Feet swollen. Nighttime awakenings secondary to pain. Stressed. Enthesitis multiple sites lower extremities and back. Torn medial menisc knee. Joint effusion. Anemia. Moodiness, anger and bruising. Joint stiffness. Feet turn blue. Wheezing. Pneumonia. Shoulder pain. Limp.


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