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This is VAERS ID 361227

History of Changes from the VAERS Wayback Machine

First Appeared on 12/8/2009

VAERS ID: 361227
VAERS Form:
Age:26.0
Sex:Female
Location:Texas
Vaccinated:2009-08-17
Onset:2009-09-30
Submitted:2009-10-16
Entered:2009-10-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0312Y / 3 LA / UN

Administered by: Unknown      Purchased by: Unknown
Symptoms: Alanine aminotransferase increased, Areflexia, Aspartate aminotransferase increased, Asthenia, Back pain, Blood creatine phosphokinase MB, Blood culture negative, Blood culture positive, Blood fibrinogen increased, Blood lactate dehydrogenase increased, Blood product transfusion, C-reactive protein increased, Computerised tomogram normal, CSF culture negative, CSF protein increased, Culture urine positive, Electrocardiogram abnormal, Fibrin D dimer increased, Guillain-Barre syndrome, Haematocrit decreased, Haemoglobin decreased, Haemothorax, Hypoaesthesia, Influenza like illness, Intensive care, Lumbar puncture abnormal, Muscular weakness, Plasmapheresis, Red blood cell count decreased, Respiratory failure, Tracheostomy, Ultrasound Doppler normal, White blood cell count increased, Arachnoid cyst, Red blood cell sedimentation rate increased, CSF glucose increased, Platelet count increased, Ultrasound abdomen normal, CSF white blood cell count increased, Hypoaesthesia oral, Albumin CSF decreased, Endotracheal intubation, Reflex test abnormal

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, 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),
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.


Changed on 2/5/2010

VAERS ID: 361227 Before After
VAERS Form:
Age:26.0
Sex:Female
Location:Texas
Vaccinated:2009-08-17
Onset:2009-09-30
Submitted:2009-10-16
Entered:2009-10-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0312Y / 3 LA / UN

Administered by: Unknown      Purchased by: Unknown
Symptoms: Alanine aminotransferase increased, Areflexia, Aspartate aminotransferase increased, Asthenia, Back pain, Blood creatine phosphokinase MB, Blood culture negative, Blood culture positive, Blood fibrinogen increased, Blood lactate dehydrogenase increased, Blood product transfusion, C-reactive protein increased, Computerised tomogram normal, CSF culture negative, CSF protein increased, Culture urine positive, Electrocardiogram abnormal, Fibrin D dimer increased, Guillain-Barre syndrome, Haematocrit decreased, Haemoglobin decreased, Haemothorax, Hypoaesthesia, Influenza like illness, Intensive care, Lumbar puncture abnormal, Muscular weakness, Plasmapheresis, Red blood cell count decreased, Respiratory failure, Tracheostomy, Ultrasound Doppler normal, White blood cell count increased, Arachnoid cyst, Red blood cell sedimentation rate increased, CSF glucose increased, Platelet count increased, Ultrasound abdomen normal, CSF white blood cell count increased, Hypoaesthesia oral, Albumin CSF decreased, Endotracheal intubation, Reflex test abnormal

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: (blank) 21     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),
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.


Changed on 8/31/2010

VAERS ID: 361227 Before After
VAERS Form:
Age:26.0
Sex:Female
Location:Texas
Vaccinated:2009-08-17
Onset:2009-09-30
Submitted:2009-10-16
Entered:2009-10-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0312Y / 3 LA / UN

Administered by: Unknown      Purchased by: Unknown
Symptoms: Blood product transfusion, Guillain-Barre syndrome, Haemothorax, Intensive care, Plasmapheresis, Respiratory failure, Endotracheal intubation

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 21     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),
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.


Changed on 1/4/2011

VAERS ID: 361227 Before After
VAERS Form:
Age:26.0
Sex:Female
Location:Texas
Vaccinated:2009-08-17
Onset:2009-09-30
Submitted:2009-10-16
Entered:2009-10-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0312Y / 3 LA / UN

Administered by: Unknown      Purchased by: Unknown
Symptoms: Blood product transfusion, Guillain-Barre syndrome, Haemothorax, Intensive care, Plasmapheresis, Respiratory failure, Endotracheal intubation

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 21     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.


Changed on 4/13/2011

VAERS ID: 361227 Before After
VAERS Form:
Age:26.0
Sex:Female
Location:Texas
Vaccinated:2009-08-17
Onset:2009-09-30
Submitted:2009-10-16
Entered:2009-10-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0312Y / 3 LA / UN

Administered by: Unknown      Purchased by: Unknown
Symptoms: Alanine aminotransferase increased, Areflexia, Aspartate aminotransferase increased, Asthenia, Back pain, Blood creatine phosphokinase MB, Blood culture positive, Blood fibrinogen increased, Blood lactate dehydrogenase increased, Blood product transfusion, C-reactive protein increased, Computerised tomogram normal, CSF culture negative, CSF protein increased, Culture urine positive, Echocardiogram normal, Electrocardiogram abnormal, Electromyogram abnormal, Fibrin D dimer increased, Guillain-Barre syndrome, Haematocrit decreased, Haemodialysis, Haemoglobin decreased, Haemothorax, Headache, Hypoaesthesia, Influenza like illness, Intensive care, Lumbar puncture abnormal, Muscular weakness, Nuclear magnetic resonance imaging abnormal, Plasmapheresis, Pleural effusion, Pneumonia, Red blood cell count decreased, Respiratory failure, Sepsis, Tracheostomy, Ultrasound Doppler normal, White blood cell count increased, Arachnoid cyst, Red blood cell sedimentation rate increased, CSF glucose increased, Platelet count increased, Ultrasound abdomen normal, CSF white blood cell count increased, Hypoaesthesia oral, Staphylococcal infection, Albumin CSF decreased, Endotracheal intubation, Reflex test abnormal

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 21     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.


Changed on 5/13/2011

VAERS ID: 361227 Before After
VAERS Form:
Age:26.0
Sex:Female
Location:Texas
Vaccinated:2009-08-17
Onset:2009-09-30
Submitted:2009-10-16
Entered:2009-10-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0312Y / 3 LA / UN

Administered by: Unknown      Purchased by: Unknown
Symptoms: Alanine aminotransferase increased, Areflexia, Aspartate aminotransferase increased, Asthenia, Back pain, Blood creatine phosphokinase MB, Blood culture positive, Blood fibrinogen increased, Blood lactate dehydrogenase increased, Blood product transfusion, C-reactive protein increased, Computerised tomogram normal, CSF culture negative, CSF protein increased, Culture urine positive, Echocardiogram normal, Electrocardiogram abnormal, Electromyogram abnormal, Fibrin D dimer increased, Guillain-Barre syndrome, Haematocrit decreased, Haemodialysis, Haemoglobin decreased, Haemothorax, Headache, Hypoaesthesia, Influenza like illness, Intensive care, Lumbar puncture abnormal, Muscular weakness, Nuclear magnetic resonance imaging abnormal, Plasmapheresis, Pleural effusion, Pneumonia, Red blood cell count decreased, Respiratory failure, Sepsis, Tracheostomy, Ultrasound Doppler normal, White blood cell count increased, Arachnoid cyst, Red blood cell sedimentation rate increased, CSF glucose increased, Platelet count increased, Ultrasound abdomen normal, CSF white blood cell count increased, Hypoaesthesia oral, Staphylococcal infection, Albumin CSF decreased, Endotracheal intubation, Reflex test abnormal

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 21     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.


Changed on 6/11/2011

VAERS ID: 361227 Before After
VAERS Form:
Age:26.0
Sex:Female
Location:Texas
Vaccinated:2009-08-17
Onset:2009-09-30
Submitted:2009-10-16
Entered:2009-10-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0312Y / 3 LA / UN

Administered by: Unknown      Purchased by: Unknown
Symptoms: Alanine aminotransferase increased, Areflexia, Aspartate aminotransferase increased, Asthenia, Back pain, Blood creatine phosphokinase MB, Blood culture positive, Blood fibrinogen increased, Blood lactate dehydrogenase increased, Blood product transfusion, C-reactive protein increased, Computerised tomogram normal, CSF culture negative, CSF protein increased, Culture urine positive, Echocardiogram normal, Electrocardiogram abnormal, Electromyogram abnormal, Fibrin D dimer increased, Guillain-Barre syndrome, Haematocrit decreased, Haemodialysis, Haemoglobin decreased, Haemothorax, Headache, Hypoaesthesia, Influenza like illness, Intensive care, Lumbar puncture abnormal, Muscular weakness, Nuclear magnetic resonance imaging abnormal, Plasmapheresis, Pleural effusion, Pneumonia, Red blood cell count decreased, Respiratory failure, Sepsis, Tracheostomy, Ultrasound Doppler normal, White blood cell count increased, Arachnoid cyst, Red blood cell sedimentation rate increased, CSF glucose increased, Platelet count increased, Ultrasound abdomen normal, CSF white blood cell count increased, Hypoaesthesia oral, Staphylococcal infection, Albumin CSF decreased, Endotracheal intubation, Reflex test abnormal

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 21     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.


Changed on 6/14/2014

VAERS ID: 361227 Before After
VAERS Form:
Age:26.0
Sex:Female
Location:Texas
Vaccinated:2009-08-17
Onset:2009-09-30
Submitted:2009-10-16
Entered:2009-10-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0312Y / 3 LA / UN

Administered by: Unknown      Purchased by: Unknown
Symptoms: Alanine aminotransferase increased, Areflexia, Aspartate aminotransferase increased, Asthenia, Back pain, Blood creatine phosphokinase MB, Blood culture positive, Blood fibrinogen increased, Blood lactate dehydrogenase increased, Blood product transfusion, C-reactive protein increased, Computerised tomogram normal, CSF culture negative, CSF protein increased, Culture urine positive, Echocardiogram normal, Electrocardiogram abnormal, Electromyogram abnormal, Fibrin D dimer increased, Guillain-Barre syndrome, Haematocrit decreased, Haemodialysis, Haemoglobin decreased, Haemothorax, Headache, Hypoaesthesia, Influenza like illness, Intensive care, Lumbar puncture abnormal, Muscular weakness, Nuclear magnetic resonance imaging abnormal, Plasmapheresis, Pleural effusion, Pneumonia, Red blood cell count decreased, Respiratory failure, Sepsis, Tracheostomy, Ultrasound Doppler normal, White blood cell count increased, Arachnoid cyst, Red blood cell sedimentation rate increased, CSF glucose increased, Platelet count increased, Ultrasound abdomen normal, CSF white blood cell count increased, Hypoaesthesia oral, Staphylococcal infection, Albumin CSF decreased, Endotracheal intubation, Reflex test abnormal

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 21     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.


Changed on 3/14/2015

VAERS ID: 361227 Before After
VAERS Form:
Age:26.0
Sex:Female
Location:Texas
Vaccinated:2009-08-17
Onset:2009-09-30
Submitted:2009-10-16
Entered:2009-10-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0312Y / 3 LA / UN

Administered by: Unknown      Purchased by: Unknown
Symptoms: Alanine aminotransferase increased, Areflexia, Aspartate aminotransferase increased, Asthenia, Back pain, Blood creatine phosphokinase MB, Blood culture positive, Blood fibrinogen increased, Blood lactate dehydrogenase increased, Blood product transfusion, C-reactive protein increased, Computerised tomogram normal, CSF culture negative, CSF protein increased, Culture urine positive, Echocardiogram normal, Electrocardiogram abnormal, Electromyogram abnormal, Fibrin D dimer increased, Guillain-Barre syndrome, Haematocrit decreased, Haemodialysis, Haemoglobin decreased, Haemothorax, Headache, Hypoaesthesia, Influenza like illness, Intensive care, Lumbar puncture abnormal, Muscular weakness, Nuclear magnetic resonance imaging abnormal, Plasmapheresis, Pleural effusion, Pneumonia, Red blood cell count decreased, Respiratory failure, Sepsis, Tracheostomy, Ultrasound Doppler normal, White blood cell count increased, Arachnoid cyst, Red blood cell sedimentation rate increased, CSF glucose increased, Platelet count increased, Ultrasound abdomen normal, CSF white blood cell count increased, Hypoaesthesia oral, Staphylococcal infection, Albumin CSF decreased, Endotracheal intubation, Reflex test abnormal

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 21     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.


Changed on 2/14/2017

VAERS ID: 361227 Before After
VAERS Form:
Age:26.0
Sex:Female
Location:Texas
Vaccinated:2009-08-17
Onset:2009-09-30
Submitted:2009-10-16
Entered:2009-10-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0312Y / 3 LA / UN

Administered by: Unknown      Purchased by: Unknown
Symptoms: Alanine aminotransferase increased, Areflexia, Aspartate aminotransferase increased, Asthenia, Back pain, Blood creatine phosphokinase MB, Blood culture positive, Blood fibrinogen increased, Blood lactate dehydrogenase increased, Blood product transfusion, C-reactive protein increased, Computerised tomogram normal, CSF culture negative, CSF protein increased, Culture urine positive, Echocardiogram normal, Electrocardiogram abnormal, Electromyogram abnormal, Fibrin D dimer increased, Guillain-Barre syndrome, Haematocrit decreased, Haemodialysis, Haemoglobin decreased, Haemothorax, Headache, Hypoaesthesia, Influenza like illness, Intensive care, Lumbar puncture abnormal, Muscular weakness, Nuclear magnetic resonance imaging abnormal, Plasmapheresis, Pleural effusion, Pneumonia, Red blood cell count decreased, Respiratory failure, Sepsis, Tracheostomy, Ultrasound Doppler normal, White blood cell count increased, Arachnoid cyst, Red blood cell sedimentation rate increased, CSF glucose increased, Platelet count increased, Ultrasound abdomen normal, CSF white blood cell count increased, Hypoaesthesia oral, Staphylococcal infection, Albumin CSF decreased, Endotracheal intubation, Reflex test abnormal

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 21     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.


Changed on 9/14/2017

VAERS ID: 361227 Before After
VAERS Form:(blank) 1
Age:26.0
Sex:Female
Location:Texas
Vaccinated:2009-08-17
Onset:2009-09-30
Submitted:2009-10-16
Entered:2009-10-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0312Y / 3 4 LA / UN

Administered by: Unknown      Purchased by: Unknown
Symptoms: Blood product transfusion, Guillain-Barre syndrome, Intensive care, Plasmapheresis, Respiratory failure, Endotracheal intubation

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 21     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.


Changed on 2/14/2018

VAERS ID: 361227 Before After
VAERS Form:1
Age:26.0
Sex:Female
Location:Texas
Vaccinated:2009-08-17
Onset:2009-09-30
Submitted:2009-10-16
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, Guillain-Barre syndrome, Intensive care, Plasmapheresis, Respiratory failure, Endotracheal intubation

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 21     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.


Changed on 6/14/2018

VAERS ID: 361227 Before After
VAERS Form:1
Age:26.0
Sex:Female
Location:Texas
Vaccinated:2009-08-17
Onset:2009-09-30
Submitted:2009-10-16
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, Guillain-Barre syndrome, Intensive care, Plasmapheresis, Respiratory failure, Endotracheal intubation

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 21     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.


Changed on 8/14/2018

VAERS ID: 361227 Before After
VAERS Form:1
Age:26.0
Sex:Female
Location:Texas
Vaccinated:2009-08-17
Onset:2009-09-30
Submitted:2009-10-16
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, Guillain-Barre syndrome, Intensive care, Plasmapheresis, Respiratory failure, Endotracheal intubation

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 21     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.


Changed on 9/14/2018

VAERS ID: 361227 Before After
VAERS Form:1
Age:26.0
Sex:Female
Location:Texas
Vaccinated:2009-08-17
Onset:2009-09-30
Submitted:2009-10-16
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, Guillain-Barre syndrome, Intensive care, Plasmapheresis, Respiratory failure, Endotracheal intubation

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 21     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.


Changed on 10/14/2018

VAERS ID: 361227 Before After
VAERS Form:1
Age:26.0
Sex:Female
Location:Texas
Vaccinated:2009-08-17
Onset:2009-09-30
Submitted:2009-10-16
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, Guillain-Barre syndrome, Intensive care, Plasmapheresis, Respiratory failure, Endotracheal intubation

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 21     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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