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This is VAERS ID 361227

Case Details

VAERS ID: 361227 (history)  
Form: Version 1.0  
Age: 26.0  
Sex: Female  
Location: Texas  
Vaccinated:2009-08-17
Onset:2009-09-30
   Days after vaccination:44
Submitted: 2009-10-16
   Days after onset:16
Entered: 2009-10-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0312Y / 4 LA / UN

Administered by: Unknown       Purchased by: Unknown
Symptoms: Blood product transfusion, Endotracheal intubation, Guillain-Barre syndrome, Intensive care, Plasmapheresis, Respiratory failure
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Peripheral neuropathy (narrow), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (broad), Torsade de pointes, shock-associated conditions (broad), Hypovolaemic shock conditions (broad), Toxic-septic shock conditions (broad), Anaphylactic/anaphylactoid shock conditions (broad), Hypoglycaemic and neurogenic shock conditions (broad), Acute central respiratory depression (narrow), Guillain-Barre syndrome (narrow), Demyelination (narrow), Hypersensitivity (broad), Respiratory failure (narrow), Hypokalaemia (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 21 days
   Extended hospital stay? Yes
Previous Vaccinations:
Other Medications: YAZ
Current Illness: no
Preexisting Conditions: none 10/22/09 Hosp. records received for dates 10/1/09 to 10/18/09 PMH: anemia, previous smoker, family history of GBS.
Allergies:
Diagnostic Lab Data: 10/22/09 Hosp. records received for dates 10/1/09 to 10/18/09 Diagnostics/Labs: EKG sinus tachycardia, DVT(-), abdominal US(-), CXR abnormal-LLL infiltrates, CT chest(-), LP abnormal-CSF protein(H), CSF glucose(H), CSF WBC(H), CSF ALB 9(L), HGB 10.4(L), HCT 30(L), blood cult(-) initially, on 10/17 repeat blood culture(+) staph aureus. LDH 515(H), fibrinogen 917.8(H), urine culture (+)group B strep, sed rate 16(H), ALT 82(H), AST 80(H), CRP 27.8(H), CSF culture(-), CKMB 6.2(H), 10/16:WBC 13(H), RBC 3.3(L), platelets 670(H), 10/18: D-dimer 7(H).
CDC Split Type:

Write-up: ascending paralysis, resp failure requiring intubation, IVIG x5 days followed by plasmapheresis x5 days. patient remains intubed and in ICU 10/22/09 Hosp. records received for dates 10/1/09 to 10/18/09. Current DX: GBS. Pt. presented to ER on 10/1/09 with c/o numbness in all extremities, pain, weakness in legs, back pain, numbness in mouth. Pt. was in ER 1 day prior and sent home, sx. Increased pt. returned to ER. Pt c/o flu like sx 10 days prior. pt received gardasil vax 8/17/09. Assessment: WNL except, absent knee reflexes, hypoflex of lower extremities. (+)intramuscular fluid around spine at the occipital cervical junction. DX at time of assessment: GBS vs. idiopathic polyneuropathy vs. MS. Pt. admitted to medical unit, sx. deteriorated transferred to ICU. Further assessments: absent deep tendon reflexes of upper and lower extremities, c/o pain throughout entire spine. MRI of spine (+)arachnoid cyst. 10/5/09 pt. intubated, tx IVIG with no response. Plasmapheresis. DX: GBS, respiratory failure, hemothorax. 10/15 tracheotomy placed.


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