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This is VAERS ID 629822

Case Details

VAERS ID: 629822 (history)  
Form: Version 1.0  
Age: 16.0  
Gender: Male  
Location: Wisconsin  
Vaccinated:2013-10-23
Onset:2015-10-24
   Days after vaccination:731
Submitted: 2016-03-29
   Days after onset:157
Entered: 2016-03-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR UH920AC / 2 LA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. J007354 / 1 AR / IM

Administered by: Private       Purchased by: Private
Symptoms: Chronic tic disorder, Condition aggravated, Joint swelling, Neurological symptom, Oropharyngeal pain, Peripheral swelling, Sensory integrative dysfunction, Streptococcus test positive
SMQs:, Cardiac failure (broad), Angioedema (broad), Dyskinesia (broad), Dystonia (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Arthritis (broad), Tendinopathies and ligament disorders (broad), Infective pneumonia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: enteroviral meningitis, sharp onset/exacerbation of neuromotor tics, sensory integration issues~DTaP + IPV (Unknown)~5~5.92~Pati
Other Medications: Patient possibly had previous reactions (sharp onset/exacerbation of sensory integration issues with sudden onset/exacerbations post vaccine, which lasted for months to years after several vaccines). I (mom) am a Pediatric Nurse Practitione
Current Illness: No known illness at the time of the vaccine.
Preexisting Conditions: Seasonal allergies. Diagnosis of Tourette Syndrome made after developing culture confirmed enteroviral meningitis post kindergarten vaccines and subsequent sudden onset of severe motor tics. History of other reactions post vaccines since he was very small, including sudden onset/exacerbation of severe, persistent irritability later diagnosed as sensory integration issues, motor tics and OCD which waxed and waned, with extremely sharp exacerbations post several vaccines.
Allergies:
Diagnostic Lab Data: Positive strep titre. Other labs and diagnostic testing available upon request.
CDC Split Type:

Write-up: Severe sensory integration issues/defensiveness leading to patient manually removing his orthodontia/braces, and sharp exacerbation in neuro-motor tics. Patient subsequently developed a persistent sore throat with negative strep culture by throat swab. 12/2013 patient''s neuromotor tics continued and vocal tics began. He experienced knee and finger joint swelling. His strep titre was positive ($g800) and he was treated with antibiotics. His sharply increased neurological symptoms persisted for several months, and the joint swelling recurred several times. His strep titre subsequently dropped to "normal".


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