National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 449952

Case Details

VAERS ID: 449952 (history)  
Age: 14.0  
Gender: Female  
Location: Foreign  
   Days after vaccination:3
Submitted: 2012-02-17
   Days after onset:169
Entered: 2012-02-21
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Unknown       Purchased by: Unknown
Symptoms: Activities of daily living impaired, Affective disorder, Aggression, Alanine aminotransferase normal, Amenorrhoea, Amnesia, Appetite disorder, Arthralgia, Aspartate aminotransferase normal, Asthenia, Back pain, Blood bilirubin decreased, Blood cortisol, Blood creatine phosphokinase increased, Blood lactate dehydrogenase increased, Borrelia test negative, Cardiac electrophysiologic study normal, Chest discomfort, Crying, Depression, Disturbance in attention, Dizziness, Dyspnoea, Dyspnoea exertional, Echocardiogram normal, Electrocardiogram ambulatory normal, Electrocardiogram normal, Electroencephalogram normal, Electrophoresis normal, Epstein-Barr virus antibody positive, Fatigue, Fundoscopy normal, Gamma-glutamyltransferase normal, General physical health deterioration, Heart rate decreased, Human chorionic gonadotropin, Hyperhidrosis, Hypersomnia, Liver function test normal, Malaise, Menstrual disorder, Movement disorder, Muscle spasms, Myalgia, Narcolepsy, Nervous system disorder, Nuclear magnetic resonance imaging brain normal, Pain in extremity, Partner stress, Peripheral coldness, Red blood cell sedimentation rate increased, Somnolence, Thyroid function test normal, Ultrasound Doppler normal, Vision blurred
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Myocardial infarction (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Retroperitoneal fibrosis (broad), Dementia (broad), Convulsions (broad), Akathisia (broad), Dyskinesia (broad), Dystonia (broad), Parkinson-like events (broad), Acute central respiratory depression (broad), Psychosis and psychotic disorders (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hostility/aggression (narrow), Glaucoma (broad), Cardiomyopathy (broad), Lens disorders (broad), Eosinophilic pneumonia (broad), Retinal disorders (broad), Depression (excl suicide and self injury) (narrow), Vestibular disorders (broad), Fertility disorders (broad), Generalised convulsive seizures following immunisation (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? No
Hospitalized? Yes, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: NEISVAC-C 18Jun11
Current Illness:
Preexisting Conditions: Scoliosis; Congenital hip dislocation
Diagnostic Lab Data: Cardiac electrophysiology, 23Nov11, electrophysiological work-up: normal; electroencephalography, 24Nov11, strictly normal with a normal somnolence; magnetic resonance imaging, 02Jan12, Brain MRI: did not find any patent anomaly; blood pressure measurement, 10.5-6; ultrasound, Doppler tissue imaging screening: a mitral annulus normal; electrocardiogram, normal; physical examination, normal; echocardiography, normal; ophthalmoscopy, Funduscopy: clear papilla; Holter monitoring, normal; serum LDH, 22Nov11, 609 IU/I; serum creatine kinase, 22Nov11, 736 IU/I, creatine phosphokinase; total serum human chorionic gonadotropin, 22Nov11, <2 IU/I; erythrocyte sedimentation rate, 22Nov11, 1st hr 9 mmmm; erythrocyte sedimentation rate, 22Nov11, 2nd hr
CDC Split Type: WAES1202USA01961

Write-up: Case received from a physician on 20-OCT-2011 and medically confirmed. A 17-year-old female patient had received the third dose of GARDASIL (batch number not reported) on an unspecified date. One month after vaccination, the patient experienced myalgia, shortness of breath and had no more strength. At the time of reporting, the outcome was not provided. To be noted that the patient was followed by a cardiologist, and that according to the patient''s mother, the events were due to the vaccine. Follow up information received on 24-JAN-2012: The patient was 14 year old at the time of the events instead of 17 as previously reported. The patient had received the first dose of GARDASIL (batch number not reported) on 01-MAR-2011, the second dose (batch number NM23050) on 27-MAY-2011, and the third dose (batch number NM45890) on 29-AUG-2011. She had concomitantly received NEISVAC-C (other manufacturer, batch number VN914776) on 18-JUN-2011. Starting in the middle of September 2011, the patient was found severe asthenia, concentration impaired, appetite disorder, menstrual disorder and movements disorder. The patient also experienced narcolepsy accompanied by fine movements disorder. The disorders rapidly deteriorated. The patient was referred to a cardiologist due to chest oppression and shortness of breath, and to a rheumatologist due to diffuse joint pain. She was subsequently hospitalized. Consultation at the cardiologist on 19-OCT-2011: The patient who used to practice high sporting activity up to the last summer presented since then severe asthenia with a need for prolonged sleep period. Furthermore, she also presented with malaises, some of them occurring just after practicing sport with a sensation of slow heart beat which necessitated that she sat down, then followed by lipothymia without loss of consciousness. Other malaises occurred when she was in a sitting position, during the meal, or even lying down. It was difficult to assess whether she had lost consciousness. There was no familial history of heart disease, in particular no history of rhythmology anomaly which could have led to early serious events. Blood pressure was 10.5-6, heart sounds were regular, there was no sound or pathological add-on murmur. Distal pulse could be heard, there was no cervical murmur, lung auscultation was correct. Electrocardiogram showed sinusal rhythm 94/min, PR interval 0-16, QRS axis superior to 40, supple repolarization, Q-T interval 0-28 for a theorical basis of 0-31. Carotid sinus massage did not show any hyper reflexivity. Echo doppler was reassuring with a good global and segmentary contractility and no stigma of pulmonary arterial hypertension, no shunt, no cavitary dilatation particularly left atrial. Doppler tissue imaging screening showed a mitral annulus normal. To be noted that the patient had experienced cutaneous hyper reactivity consequently to mosquito bites. The cardiologist suspected a possible tick bite which could lead to search for arguments suggestive of Lyme disease. 24h-ECG Holter monitoring was recommended. Consultation at hospital on 17-NOV-2011: The patient used to practice piano, dancing and sailing. During the last summer she had practiced sailing and cycling in a sport summer camp. To be note that the patient had started to have her periods from 9 years old to 11 years old. She now had her periods since the age of 13 under treatment with DUPHASTON which had recently been interrupted. On examination she presented with malaises with sensation of cardiac arrest. She presented with 4 malaises apparently with no prodrome, accompanied by hypersomnia (the patient slept for approximately 1 hour). When she was seen by her family and friends circle, she was found to have the sensation of white and cold hands and sweating. There was no notion of aura before these malaises, no loss of urine and no tonic-clonic movements. But the patient presented with postictal amnesia. The patient experienced pain and cramps at the level o

New Search

Link To This Search Result:

Copyright © 2017 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166