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This is VAERS ID 584444

Case Details

VAERS ID: 584444 (history)  
Form: Version 1.0  
Age: 11.0  
Gender: Female  
Location: Unknown  
Vaccinated:2010-09-02
Onset:2010-09-07
   Days after vaccination:5
Submitted: 2015-07-03
   Days after onset:1760
Entered: 2015-07-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 UN / UN

Administered by: Other       Purchased by: Other
Symptoms: Abdominal pain, Activities of daily living impaired, Arthralgia, Asthenia, Autoimmune disorder, Bartonella test positive, Blood test, Borrelia test negative, Cat scratch disease, Cognitive disorder, Computerised tomogram, Disease susceptibility, Dizziness, Ear pain, Fatigue, Formication, Headache, Human herpesvirus 6 infection, Hyperacusis, Hypersensitivity, Hypersomnia, Hypoaesthesia, Hypocoagulable state, Immunology test abnormal, Lyme disease, Memory impairment, Migraine, Mycoplasma test positive, Mycotic allergy, Nausea, Nuclear magnetic resonance imaging, Oropharyngeal pain, Pain, Palpitations, Paraesthesia, Photophobia, Rash, Skin striae, Streptococcal infection, Syncope, Thyroid disorder, Vaccination complication, Visual impairment
SMQs:, Torsade de pointes/QT prolongation (broad), Liver-related coagulation and bleeding disturbances (narrow), Anaphylactic reaction (broad), Acute pancreatitis (broad), Angioedema (broad), Peripheral neuropathy (broad), Haemorrhage laboratory terms (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Retroperitoneal fibrosis (broad), Dementia (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Glaucoma (broad), Optic nerve disorders (broad), Cardiomyopathy (broad), Lens disorders (broad), Corneal disorders (broad), Retinal disorders (broad), Hypothyroidism (broad), Hyperthyroidism (broad), Depression (excl suicide and self injury) (broad), Hearing impairment (narrow), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Hypersensitivity (narrow), Arthritis (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Infective pneumonia (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? No
Previous Vaccinations:
Other Medications: No other medications
Current Illness: Unknown
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: On unknown dates, the patient received many blood tests, computerized axial tomography (CAT) scans and a Magnetic Resonance Imaging (MRI) (results not provided). In October 2010, the patient was first tested for Lyme disease and the results were negative as were two later rounds of testing. In May 2011, tick-borne disease testings were performed which showed that the patient was highly positive for Bartonella Henselae. She was also highly positive for Mycoplasma Pneumonia and the testing showed that her immune system was struggling. The patient''s Western Blot for Lyme disease was negative.
CDC Split Type: WAES1507USA000657

Write-up: Information has been received from a healthcare worker through a company representative via social media referring to an 11 year old female patient. No relevant medical history or concurrent conditions were reported. On 02-SEP-2010 the patient was vaccinated with her first dose of GARDASIL (lot#, expiration date, dose and route not reported). On 07-SEP-2010, the patient experienced symptoms such as fatigue, headaches, migraines, stabbing ear pain, hyperacusis, abdominal pain, nausea, all over joint pain, constant sore throat, visual disturbances, light sensitivity, cognitive issues such as memory and severe comprehension problems, random numbness and tingling, weird "bug crawling" skin sensations, generalized weakness throughout her body (it was difficult for the patient to just sit in the shower to bathe), dizziness, fainting and heart palpitations. She slept long hours and stayed in her bedroom shielding herself from the noise of everyday living. On unknown dates the patient made several visits to the Emergency Room. The drugs prescribed to alleviate her symptoms only made her feel worse. On unknown dates, many blood tests, computerized axial tomography (CAT) scans and a Magnetic Resonance Imaging (MRI) were performed (results not provided). In October 2010, the patient was first tested for Lyme disease and the results were negative as were two later rounds of testing. In April 2011, the patient could no longer go to school due to the fatigue and pain. In May 2011, tick-borne disease testings were performed which showed that the patient was highly positive for Bartonella Henselae. She was also highly positive for Mycoplasma Pneumonia and the testing showed that her immune system was struggling. The patient''s Western Blot for Lyme disease was negative. The patient even had the classic Bartonella rash (looked like purple and red stretch marks) surrounding her breasts and hips which was confirmation of an active Bartonella infection. Then the patient was referred to the Lyme specialists and in June 2011, the patient was clinically diagnosed as Lyme disease. Since that time, patient was also diagnosed with chronic Strep, human herpesvirus 6 (HHV6), hypocoagulation, susceptibility to biotoxin illness (mold and environmental sensitivities) and had acquired autoimmune thyroid disease. The patient''s Lyme specialist and primary care physician considered the patient''s immune system was injured by the GARDASIL vaccine and that it was the catalyst to her cascading health problems and chronic illness. The patient''s Lyme specialist was now treating her for a vaccine injury in addition to treating multiple tick-borne diseases, other infections/viruses and autoimmune thyroid disease. Outcome of the events was unknown. Causal relationship was not reported by the reporter. Additional information has been requested.


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