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This is VAERS ID 621153

History of Changes from the VAERS Wayback Machine

First Appeared on 2/14/2016

VAERS ID: 621153
Age:11.0
Gender:Female
Location:South Carolina
Vaccinated:2012-07-10
Onset:2014-10-14
Submitted:2016-01-27
Entered:2016-01-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 UN / UN

Administered by: Private      Purchased by: Private
Symptoms: Alopecia, Antinuclear antibody negative, Anxiety, Asthma, Blood potassium decreased, Condition aggravated, Dizziness, Dyspnoea, Electrocardiogram QT prolonged, Electromyogram abnormal, Familial periodic paralysis, Fatigue, Feeling abnormal, Hypokalaemia, Hypomagnesaemia, Migraine, Monoplegia, Muscular weakness, Nausea, Neuropathy peripheral, Nystagmus, Pain in extremity, Paraesthesia, Pruritus, Tachycardia, Thyroid function test normal, Vomiting, Wheelchair user, Walking aid user, Activities of daily living impaired, Psychiatric evaluation normal, Allodynia, Dysgraphia, Borrelia test negative, Seizure like phenomena

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? Yes, days: 2     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Montelukast for asthma; PRN albuterol inhaler (not taken recently prior to vaccine).
Current Illness: No active illness.
Preexisting Conditions: Asthma, hemiplegic migraine (well-controlled)
Diagnostic Lab Data: Lupus ANA negative; Lyme negative; Thyroid- WNL; Hypokalemia in 12/2014; EMG shows "Irregularities" in neurological portion. No irregularities in muscular testing. Psych eval normal. No Axis 1 or 2 dx.
CDC 'Split Type':

Write-up:Pt has a hx of: Bullseye Rash as a child; Mononucleosis at age 5; hemiplegic migraine at age 8, well controlled, medicated ages 8-11. No sx after mediation d/c''d. At age 12, had 3 does of HPV-4 Gardasil (11/2012, 2/2013, 7/2013). Began having increased asthma attacks, dizziness and anxiety in October, 2013. October, 2014 developed weakness of left arm, left leg. Tingling in face. December 2014- ER admission for severe hypokalemia, hypomagnesemia, tachycardia, prolonged QT interval. Sx include: Muscle weakness, Migraines, Seizure-like activity, Hypokalemia, Fatigue, Pruritis, Shortness of breath with simple activity, Alopecia, Neuropathy, Allodynia, Nystagmus, Nausea/vomiting, Periodic Paralysis, Left arm severe pain with episodes of paralysis, Brain fog, Inability to write or perform ADLs, Needed walker or wheelchair for mobility, Difficulty breathing during attacks, On home-bound schooling. Diagnosed with Hypokalemic Periodic Paralysis in 11/2015.


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