National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 527902

Case Details

VAERS ID: 527902 (history)  
Form: Version 1.0  
Age: 13.0  
Gender: Female  
Location: Foreign  
Submitted: 2014-04-08
Entered: 2014-04-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Other       Purchased by: Other
Symptoms: Anxiety, Back pain, Computerised tomogram normal, Dizziness, Ear pain, Gait disturbance, Gallbladder disorder, Headache, Hypoaesthesia, Immobile, Immune system disorder, Liver disorder, Malaise, Migraine, Mobility decreased, Mood altered, Nausea, Neck pain, Nervous system disorder, Nuclear magnetic resonance imaging normal, Oppositional defiant disorder, Oropharyngeal pain, Pain, Pain in extremity, Pancreatic disorder, Pharyngitis bacterial, Photophobia, Pyrexia, Renal disorder, Somatoform disorder, Tracheitis, Tremor, Vomiting
SMQs:, Hepatic failure, fibrosis and cirrhosis and other liver damage-related conditions (narrow), Acute pancreatitis (broad), Agranulocytosis (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Dementia (broad), Parkinson-like events (broad), Oropharyngeal infections (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Gallbladder related disorders (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hostility/aggression (broad), Glaucoma (broad), Corneal disorders (broad), Retinal disorders (broad), Depression (excl suicide and self injury) (broad), Vestibular disorders (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: No other medications
Current Illness: Unknown
Preexisting Conditions:
Diagnostic Lab Data: Cervical computerised tomogram (CT) and nuclear magnetic resonance imaging (MRI) (Date unspecified): Normal results. Dermatron exam (Date unspecified): Patient presented a nervous system injury, unspecified pancreatic issues, unspecified gallbladder issues, unspecified hepatic issues, and unspecified kidney issues.
CDC Split Type: WAES1404COL004629

Write-up: This spontaneous report was received from the patient''s mother and refers to a 13 years old female patient. Reporter stated that the last 27th of May (unknown year) her daughter was vaccinated with GARDASIL 0.5 ml (dose, route and lot number were not reported). The mother of the patient reported that her daughter didn''t has the knowledge of what was the vaccination about and in her school she was forced to take it, patient''s mother reported that: "somebody took her arm and vaccinated her without permission from the patient or her parents". Concomitant medications were not reported. According with the report, a few days later, on an unknown date, the patient presented vomit, fever, dizziness, migraine, malaise and throat pain, and was diagnosed with bacterial pharyngitis, and for this reason treatment with antibiotic was prescribed. The patient presented the same episode for months without resolution, due to the constant episodes (twice per month during 4 months) her immune system was weakened. Her mother indicated that the patient''s mood changed, and had to stop her studies due to her constantly missing of classes. on November 9th (year unspecified) the patient woke up with a strong neck pain, that didn''t permit to move her head, her mother reported that she called the ER services and was diagnosed with cervicalgia, anti-inflammatory medication was provided but the pain never stopped, and has been increasing with the time. The patient started to feel arms numbness, arms pain, and started to lose the mobility. On November 1st (year unspecified) was hospitalized by neurology order, a cervical computerised tomogram (CT) and nuclear magnetic resonance imaging (MRI) were performed, with normal results, however according with the patient''s mother report, the pain was disabling. The patient was hospitalized and after the psychiatrist talk with her for 15 minutes, was diagnosed with opponent defiant disorder, after that the patient was discharged due to the patient didn''t have any medical issue. Remission to psychiatrist was done. The patient was referred to the pain clinic, where was diagnosed with somatoform disorder, that was the reason to presented an allodynia. The psychiatrist prescribed anxiety treatment medication, and therapy. After 6 months the patient started to present dorsal and lumbar pain, immobilization, difficulty walking, like she had 90 years, nausea, light sensitivity, stinging eyes, pain when opening the mouth, earache, headache, mood changes, tremors, and last Saturday presented laryngotracheitis, for this reason was necessary to go to the hospital by emergency, the patient was discharged from the hospital after she was stabilized. The patient''s mother referred that the physicians didn''t know the reason for that symptoms. The patient is receiving a bioenergetic treatment that after a dermatron exam determine that the patient presented a nervious system injury, unspecified pancreatic issues, unspecified gallbladder issues, unspecified hepatic issues, and unspecified kidney issues due to all the medications that the patient received without result. The outcome of bacterial pharyngitis, unspecified kidney issues, unspecified hepatic issues, unspecified gallbladder issues, unspecified pancreatic issues, nervous system injury, somatoform disorder, opponent defiant disorder, started to lose the mobility/didn''t permit to mover her head/immobilization, arms pain, arms numbness, strong neck pain/cervicalgia, weakened immune system, migraine, dizziness and vomit was reported as not recovered/not resolved. The outcome of dorsal and lumbar pain, laryngotracheitis, tremors, mood changes, headache, earache, pain in opening the mouth, stinging eyes, light sensitivity, nausea and difficulty walking was reported as recovering/resolving. The outcome of had to stop her studies due to her constantly missing of classes is unknown. The relationship between GARDASIL and the events was not reported. Upon internal review started to lose the mobility/didn''t permit to move her head/immobilization and strong neck pain/cervicalgia were considered to be disabling. Additional information has been requested.

New Search

Link To This Search Result:

Copyright © 2018 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166