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This is VAERS ID 533373

Case Details

VAERS ID: 533373 (history)  
Form: Version 1.0  
Age: 12.0  
Gender: Female  
Location: Foreign  
   Days after vaccination:395
Submitted: 2014-06-09
   Days after onset:39
Entered: 2014-06-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Other       Purchased by: Other
Symptoms: Electrocardiogram normal, Electroencephalogram normal, Electromyogram normal, Fall, Gait disturbance, Headache, Lymphadenopathy, Neuropathy peripheral, Nuclear magnetic resonance imaging normal, Pyrexia, Syncope, Vomiting
SMQs:, Torsade de pointes/QT prolongation (broad), Acute pancreatitis (broad), Peripheral neuropathy (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Accidents and injuries (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (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, 33 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: No other medications
Current Illness: Unknown
Preexisting Conditions:
Diagnostic Lab Data: 04/2014, Electrocardiogram, Normal; 04/2014, Electroencephalogram, Normal; 04/2014, Electromyogram, Normal; 04/2014, Nuclear magnetic resonace imaging, Normal;
CDC Split Type: WAES1406COL004448

Write-up: This spontaneous report as received from a consumer refers to her daughter of unknown age. In May 2013, the patient was vaccinated with the first 0.5 ml dose GARDASIL (lot # not reported) intramuscularly. The consumer reported that in May 2013, on the same day of vaccination, the patient experienced vomit, headache and fever, for this reason the patient was sent home and could not stay at school. Three months after first does in approximately August 2013 (also reported as September 2013), the patient was hospitalized due to pain in right leg, strong headache and high fever. The patient was hospitalized for 5 days with diagnosis of swollen lymph. The second 0.5 ml dose of GARDASIL (lot # not reported) intramuscularly was applied in April 2014. On the next days of the same months (April), the patient was hospitalized again with the symptoms that she had in September of 2013 during her first hospitalization. The patient stayed hospitalized for 2 and a half weeks, and was reviewed by a pediatrician, neurologist, psychiatrist and therapist. Also were done a electromyography, electrocardiogram, electroencephalogram and resonant column header with completely normal results. After several studies, it was not found any reason for the pain, the patient was discharged with a diagnosis of neuropathy, despite still showing severe pain and difficulty to walk. The patient presented syncope when she was leaving the hospital and fell down from the wheelchair. The patient received acetaminophen as treatment during the weekend without changes in the symptoms. The next week the patient was hospitalized again. According to the patient''s mother the girl had been hospitalized for 10 days without changes in her condition. Since May 2014 "a month ago", the patient had difficult to walk and had been in bed during this time. At the time of the report, the outcome of swollen lymph, headache, fever, vomit and neuropathy was reported as not recovered/not resolved. This is one of several reports received from the same source. Additional information has been requested.

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