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This is VAERS ID 353518

Case Details

VAERS ID: 353518 (history)  
Form: Version 1.0  
Age: 14.0  
Gender: Female  
Location: Foreign  
   Days after vaccination:30
Submitted: 2009-08-07
   Days after onset:240
Entered: 2009-08-10
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Unknown       Purchased by: Unknown
Symptoms: Antibody test normal, Antinuclear antibody negative, Arthralgia, Blood creatine phosphokinase normal, Blood immunoglobulin A increased, Blood immunoglobulin G normal, Blood immunoglobulin M normal, Blood lactate dehydrogenase normal, C-reactive protein normal, Electroencephalogram normal, Electromyogram normal, Musculoskeletal pain, Nuclear magnetic resonance imaging brain normal, Nuclear magnetic resonance imaging normal, Pain in extremity, Sensory disturbance, Troponin, Ultrasound scan normal, X-ray normal
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Hypersensitivity (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Psychiatric symptom
Diagnostic Lab Data: electromyography, ??Jan09, 4 limbs electromyography normal; electroencephalography, ??Jan09, normal; ultrasound, ??Jan09, left shoulder echotomography normal; X-ray, ??Jan09, normal; magnetic resonance imaging, ??Jan09, shoulder MRI normal; magnetic resonance imaging, ??Jan09, cerebral MRI normal; Smith antigen antibodies, ??Jan09, normal; ribonucleoprotein antigen antibodies, ??Jan09, normal; serum C-reactive protein, ??Jan09, normal; serum LDH, ??Jan09, normal; serum anti-La, ??Jan09, normal; serum anti-Ro, ??Jan09, normal; serum creatine kinase, ??Jan09, normal; serum troponin quantitative test, 01Jan09, normal; serum immunoglobulin M test, ??Jan09, normal; serum immunoglobulin G test, ??Jan09, normal; serum immunoglobulin A test, ??Jan09, 2.78, high
CDC Split Type: WAES0908USA00116

Write-up: Case received from the Health Authorities on 31-JUL-2009 under the reference numbers MA20091226 and 09-2228. Information has been received from an agency concerning a 14-year-old female patient who had been followed within a child in psychiatry environment from the age of 18 months to 12 years old received the first dose of GARDASIL (batch number not reported) via intramuscular route at the level of the left upper limb on 09-NOV-2008. One month later, she developed pain starting in the left upper limb, at the level of the scapular belt, then reaching the left leg, followed by right arm and then the right leg. After a consultation she was hospitalized from 27-JAN-2009 to 30-JAN-2009 at the Child Neurology Unit. The following work-up were performed and were normal: standard x-ray examination, left shoulder echotomography, shoulder MRI, cerebral MRI, 4 limbs electromyography, electroencephalography. Troponin, C-Reactive Protein, creatine kinase, lactic dehydrogenase, anti-Sm and anti-RNP antibodies, anti-SSA/Ro and anti-SSB/La antibodies, immunoglobulins M and immunoglobulins G were normal. Only the immunoglobulins A were a little high at 2.78. These pains, accompanied with sensitivity disorders, evoked a Parsonage-Turner syndrome but it was ruled out due to the resistance to corticotherapy. Final diagnosis was "rebel pain with a functional component". The teenager was treated with LAROXYL, EFFERALGAN CODEINE and MYOLASTAN following to a consultation to a pain center. At the time of report, the patient had not yet recovered. Sensory disturbance and pain in the joint involving the shoulder region, lower leg and limb were considered to be disabling. Other business partner numbers included E2009-07668.

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