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Found 25 cases where Location is Texas and Vaccine is HPV or HPV2 or HPV4 and Life Threatening

Table

   
AgeSexCountPercent
9-12 YearsMale14%
Female312%
total416%
12-17 YearsMale28%
Female936%
total1144%
17-44 YearsMale28%
Female832%
total1040%
TOTAL25100%

Case Details

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VAERS ID: 280485 (history)  
Form: Version 1.0  
Age: 11.0  
Sex: Female  
Location: Texas  
Vaccinated:2007-04-15
Onset:2007-05-01
   Days after vaccination:16
Submitted: 2007-06-05
   Days after onset:35
Entered: 2007-06-06
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / UNK - / -

Administered by: Other       Purchased by: Other
Symptoms: Aplastic anaemia, Aspiration bone marrow, Biopsy bone marrow, Contusion, Fatigue, Full blood count, Headache, Impaired healing, Menorrhagia, Pancytopenia, Viral test
SMQs:, Agranulocytosis (narrow), Haematopoietic cytopenias affecting more than one type of blood cell (narrow), Haematopoietic erythropenia (narrow), Haemorrhage terms (excl laboratory terms) (narrow), Accidents and injuries (narrow), Myelodysplastic syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 4 days
   Extended hospital stay? Yes
Previous Vaccinations:
Other Medications:
Current Illness: none
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data: CBC, Bone marrow aspirate & biopsy, Viral serologies records received 6/21/07-Bone marrow aspirate and biopsy showed absence of megakaryocytes and decreased erythroid and meyloid precursors. Presented with hemoglobin 4.9, WBC 3 and platelet count of 7 and ANC 200. PMH menorrhagia but no active bleeding at the time she was admitted. Parvovirus, EBV, DNA PCR, CMV are negative, Hepatitis core and Hepatitis A and B pending.
CDC Split Type:

Write-up: In early May, increased bruising, slower wound healing, severe bleeding with menstruation, intermittent headaches, fatigue. Admitted to medical center on 06/01/07 following referred from primary pediatrician with pancytopenia. Diagnosed with aplastic anemia. Treatment to be determined. 6/21/07-records received for DOS 6/1-6/5/07-DC DX: Severe pancytopenia. status post transfusion of RBC times 2 and platelets times 1. Seen in ER on 6/1/07 for increased bruising and pancytopenia on her blood smear. No evidence of ITP. Severe aplastic anemia.


VAERS ID: 286564 (history)  
Form: Version 1.0  
Age: 11.0  
Sex: Female  
Location: Texas  
Vaccinated:2007-07-05
Onset:2007-07-13
   Days after vaccination:8
Submitted: 2007-08-02
   Days after onset:20
Entered: 2007-08-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 0246U / 2 RA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0802U / 1 LA / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0535U / 2 RA / SC

Administered by: Unknown       Purchased by: Unknown
Symptoms: Blood glucose increased, Diabetes mellitus insulin-dependent
SMQs:, Hyperglycaemia/new onset diabetes mellitus (narrow)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: glucose - 977 records received 8/30/07-WBC 10.5. Segs 85. Postassium 5.6. carbon dioxide 18.9. Anion Gap of 33, Phosporus 6.6. osmolality of 322. Blood sugar greater than 900.
CDC Split Type:

Write-up: Came to office 1 week after immunizations were given with New onset Type 1 DM with sugar of 977. 8/30/07-records received-for DOS 7/13-7/15/07- DC DX: Diabetic ketoacidosis resolved. Type I diabetes new onset. Dehydration resolved. Hyperkalemia, resolved. Two week history of polyuria, polydipsia, nocturia, dry mouth and blurry vision, 12 pound weight loss for the last month or so. in ED blood sugar over 1000. C/O not feeling well, weak, decreased appetite, nausea and vomiting. 1/11/2010 Patient has type I DM.


VAERS ID: 287887 (history)  
Form: Version 1.0  
Age: 18.0  
Sex: Female  
Location: Texas  
Vaccinated:2007-04-16
Onset:2007-04-16
   Days after vaccination:0
Submitted: 2007-08-10
   Days after onset:116
Entered: 2007-08-13
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 UN / IM

Administered by: Other       Purchased by: Other
Symptoms: Anaphylactic reaction, Loss of consciousness, Urticaria
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (narrow), Angioedema (narrow), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Anaphylactic/anaphylactoid shock conditions (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness:
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: None
CDC Split Type: WAES0708USA00643

Write-up: Information has been received from a registered nurse, via a company representative, concerning a non-pregnant, 18 year old female patient, who on 16-APR-2007 was vaccinated IM, with the first dose, 0.5ml, of Gardasil (Lot # not provided). On 16-APR-2007, "shortly after being administered the vaccine" the patient had an anaphylactic reaction, described as, she developed hives down both arms but did not have difficulty breathing; she also passed out. Treatment included Benadryl, and oxygen, and the patient was observed in the office for a "short time" and then went home. The patient then fully recovered (duration not reported). The nurse considered anaphylactic reaction and "passing out" to be serious, as life-threatening and as an important medical event. No further information is expected.


VAERS ID: 295876 (history)  
Form: Version 1.0  
Age: 16.0  
Sex: Female  
Location: Texas  
Vaccinated:2007-08-28
Onset:2007-08-29
   Days after vaccination:1
Submitted: 2007-11-07
   Days after onset:70
Entered: 2007-11-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0929U / 1 UN / UN

Administered by: Private       Purchased by: Public
Symptoms: Blood lead, Dizziness, Migraine, Pallor
SMQs:, Anticholinergic syndrome (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: No
Current Illness: No
Preexisting Conditions: No 1/3/08-records received-PMH: Seizures during phlebotomy and hair salon.
Allergies:
Diagnostic Lab Data: MRI; EEG; Lead testing 1/3/08-records received-EEG normal. Echocardiogram normal. 24 hour Holter monitor normal.MRI brain normal.CT normal.
CDC Split Type:

Write-up: During a blood test patient went pale and had a seizure. First had them 2 or 3 a day or more than 3 times per week during period of 8/29 to 10/11. Went to ER for testing on 9/11. Started taking Topamax on 10/18. Doctor described them as migraine induced seizures. 1/3/08-records received-clinic visit 11/20/07-seen in follow up of seizures, headache and dizziness without seizure risk factors. Bradycardia. First episode was approximately 4 years ago and next was approximately 18 months ago. Starting on 8/29/07-began having frequent spells and LOC, shaking of left leg and upper extremity. All other seizures are staring lasting 1-2 minutes with LOC. Fatigued. confused afterwards. Previously had daily headache now less frequent. 1/15/2010 She still has seizures 1 to 3 a month. She is on Topamax 25mg in am and 50 mg at night. This has helped control them to 1 upt to 3 a month.


VAERS ID: 312479 (history)  
Form: Version 1.0  
Age: 19.0  
Sex: Female  
Location: Texas  
Vaccinated:2008-04-04
Onset:2008-05-01
   Days after vaccination:27
Submitted: 2008-05-16
   Days after onset:15
Entered: 2008-05-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0525U / 3 UN / UN

Administered by: Unknown       Purchased by: Unknown
Symptoms: Acute myeloid leukaemia, Biopsy bone marrow abnormal, Hepatic enzyme increased, Malaise, Nausea, Pancytopenia, Vomiting, Weight decreased
SMQs:, Liver related investigations, signs and symptoms (narrow), Acute pancreatitis (broad), Agranulocytosis (narrow), Haematopoietic cytopenias affecting more than one type of blood cell (narrow), Hyperglycaemia/new onset diabetes mellitus (broad), Malignancy related therapeutic and diagnostic procedures (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Malignant lymphomas (broad), Myelodysplastic syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Haematological malignant tumours (narrow)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 24 days
   Extended hospital stay? Yes
Previous Vaccinations: none~ ()~~0.00~In Patient|none~ ()~~0.00~In Sibling
Other Medications: none
Current Illness: none
Preexisting Conditions: none. PMH: none
Allergies:
Diagnostic Lab Data: pancytopenia, increased liver enzymes; bone marrow biopsy on 5-5-08 showed acute myelogenous leukemia;Gardasil series: 9-26-07, 11-21-07 & 4-4-08 (#13does not allow Gardasil to be entered). Labs and Diagnostics: Urine dipstick orange with small bili, 15 ketones, protein 100, urobilinogen 4. Rapid strep (-). Total bili 2.0. CBC with WBC 3.1, RBC 2.4, Hgb 7.8, Hct 25.1, platelets 69. MCV high at 104.7 and nucleated RBCs 8/100. Hep profile all (-)( Hep A IgM, Hep B core IgM, Hep B surf AG, Hep C antibody). Labs and Diagnostics: CBC on admission with WBC 3.0, RBC 3.26, Hgb 10.6, Hct 29.7, platelets 60K. WBC dropped to a low of 0.3 recovering to 8.2 by d/c. platelets peaked at 110K, down to 36K by d/c. RBC, Hct, and Hgb remained at admission levels throughout admission. LFTs elevated. Vit B12$g1500. HLA testing done. Blood cx (-). Sputum (+) for yeast. Stool (+) for occult blood. NPM1 gene mutation (+). CT abd & pelvis (+) for pancolitis and prominent retroperitoneal lymph nodes. Repeat (+) for ascites. head CT with paranasal sinus mucosal thickening. MUGA scan WNL. LUE Dopplar (+) for patially occlusive thrombus, no DVT on R. Pelvic sono (+) for bladder distention. Abd sono (+) for biliary duct dilitation.
CDC Split Type:

Write-up: weight loss, nausea & vomiting, malaise. 5/20/08 Office records received including vax record. Seen for sick visit 5/01/08 with c/o nausea, vomiting, and stomach feeling whoozy x 1 month. Impression Nausea & Vomiting. Tx with metoclopramide. Seen again 5/5/08 with c/o sore throat, nausea, back pain. Impression: N&V, Bilirubinuria, pancytopenia. Referral made to Oncologist. 07/01/2008 MR received for DOS 05/7-31/2008 with D/C DX: Acute Myeloid Leukemia. Pt presented with pancytopenia for eval to r/o acute leukemia. Bone marrow bx confirmed AML. Started on chemo which initially was well tolerated but later developed severe abdominal c/o with hematochezia. DX with pancolitis, likely infectious. Pt had intermittent high fevers and hypotension. Pt developed a clot in her PICC line and it was removed. Blood counts somewhat recovered and pt d/c 5/31/08.


VAERS ID: 320349 (history)  
Form: Version 1.0  
Age: 14.0  
Sex: Female  
Location: Texas  
Vaccinated:2008-04-18
Onset:0000-00-00
Submitted: 2008-07-23
Entered: 2008-07-24
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / UNK UN / UN

Administered by: Other       Purchased by: Other
Symptoms: Allergy test, Fall, Hypoaesthesia, Loss of consciousness, Muscle fatigue, Paraesthesia, Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Accidents and injuries (narrow), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Hypoglycaemia (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness:
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: allergy test, results pending
CDC Split Type: WAES0807USA03903

Write-up: Information has been received from a registered nurse (R.N.) concerning her 15 year old daughter with no pertinent medical history, drug reactions or allergies who "three months ago", on approximately 18-APR-2008 was vaccinated with a dose of GARDASIL. There was no concomitant medication. "Approximately two months ago", in approximately May 2008, the patient began to experience numbness and tingling in her hands. On 16-JUL-2008 the patient experienced two episodes of syncope during which she lost consciousness and hit the floor. On 17-JUL-2008 the patient noted that all of her muscles felt tired. Allergy tests were performed (results not provided). At the time of the report, the patient''s event persisted. The patient did not seek medical attention. The reporter considered numbness and tingling in hands, syncope and muscles tired to be immediately life-threatening. Additional information has been requested.


VAERS ID: 340835 (history)  
Form: Version 1.0  
Age: 14.0  
Sex: Female  
Location: Texas  
Vaccinated:2007-09-24
Onset:2007-12-01
   Days after vaccination:68
Submitted: 2009-02-26
   Days after onset:453
Entered: 2009-02-27
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0245U / 1 LA / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U2323AA / 1 RA / IM
TDAP: TDAP (BOOSTRIX) / GLAXOSMITHKLINE BIOLOGICALS AC52B016BA / 6 RA / IM

Administered by: Other       Purchased by: Other
Symptoms: Grand mal convulsion, Loss of consciousness, Neurological examination normal, Petit mal epilepsy
SMQs:, Torsade de pointes/QT prolongation (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Convulsions (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (narrow), Hypoglycaemia (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 4 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness:
Preexisting Conditions: None HPV #2 given 12/6/07, Lot # 0928U, IM/RA; HPV #3 given 8/7/08, Lot # 1967U, IM/RA.
Allergies:
Diagnostic Lab Data: neurological, normal LABS: CBC, CMP, UA, BNP & urine drug screen all WNL. Prolactin28.27(H). Potassium 3.3 (L). CT head WNL except chronic sinusitis.
CDC Split Type: WAES0902USA03784

Write-up: Information has been received from a registered nurse concerning a 15 year old female patient with no pertinent medical history and no known drug allergies or reactions who on 24-SEP-2007 was vaccinated with the first 0.5 ml IM dose of GARDASIL. There was no concomitant medication. In December 2007, the patient experienced blackout episodes and petit mal seizures. On 06-DEC-2007 the patient was vaccinated with the second 0.5 ml IM dose of GARDASIL, and on 07-AUG-2008 the patient received the third GARDASIL. Some time in 2008, the patient experienced grand mal seizures and had been hospitalized multiple times (details of hospitalizations not provided). The patient had been subsequently evaluated by an unspecified neurologist who had prescribed an unspecified anti-seizure medication. Neurological tests were performed with normal results. At the time of this report, the patient''s blackout episodes, petit mal seizures and grand mal seizures persisted. Blackout episodes, petit mal seizures and grand mal seizures were also considered to be disabling and immediately life-threatening. This is one of several reports received from the same source. Additional information has been requested. 3/9/09 Received hospital records for multiple ER & admits: 3/20/2008 FINAL DX: syncopal episode vs anxiety attack Records reveal patient experienced brief episode of syncope while getting ready to travel to hospital for eye surgery she was very nervous about. Exam in ER revealed chewing movement of mouth/lips, shaking of LUE but was awake & alert. Tx w/anti anxiety med, improved & d/c to home. 4/20/2008 FINAL DX: syncope r/o seizure Records reveal patient experienced sudden LOC & fell to ground striking head. Out for approx 5 min w/jerking/seizure activity for short time. Exam in ER was WNL. Remained stable, d/c to home & referred to Neuro. 10/9/2008 Final DX: postictal state, probable seizure PTA; hypokalemia Records reveal patient experienced HA, facial redness & passed out. Remained stable, d/c to home w/PCP f/u. PMH: congenital heart disease w/open heart surgery, lazy eye w/eye surgery, petit mal seizures x approx 6 mo. 2/18-2/19/2009 FINAL DX: No d/c summary dictated. Neuro states recurrent petit mal seizure Records reveal patient admitted by Neuro s/p petit mal seizure activity while at school w/inattention & shaking of RUE. ER exam was WNL. Meds adjusted 2/24-2/25/2009 FINAL DX: no d/c summary dictated. Neuro states recurrent seizure activity, suspect to be petit mal in type, localized & partial. Exam revealed tonic clinic activity of LUE intermittently. Meds changed, d/c to home w/neuro f/u.


VAERS ID: 361227 (history)  
Form: Version 1.0  
Age: 26.0  
Sex: Female  
Location: Texas  
Vaccinated:2009-08-17
Onset:2009-09-30
   Days after vaccination:44
Submitted: 2009-10-16
   Days after onset:16
Entered: 2009-10-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0312Y / 4 LA / UN

Administered by: Unknown       Purchased by: Unknown
Symptoms: Blood product transfusion, Endotracheal intubation, Guillain-Barre syndrome, Intensive care, Plasmapheresis, Respiratory failure
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Peripheral neuropathy (narrow), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (broad), Torsade de pointes, shock-associated conditions (broad), Hypovolaemic shock conditions (broad), Toxic-septic shock conditions (broad), Anaphylactic/anaphylactoid shock conditions (broad), Hypoglycaemic and neurogenic shock conditions (broad), Acute central respiratory depression (narrow), Guillain-Barre syndrome (narrow), Demyelination (narrow), Hypersensitivity (broad), Respiratory failure (narrow), Hypokalaemia (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 21 days
   Extended hospital stay? Yes
Previous Vaccinations:
Other Medications: YAZ
Current Illness: no
Preexisting Conditions: none 10/22/09 Hosp. records received for dates 10/1/09 to 10/18/09 PMH: anemia, previous smoker, family history of GBS.
Allergies:
Diagnostic Lab Data: 10/22/09 Hosp. records received for dates 10/1/09 to 10/18/09 Diagnostics/Labs: EKG sinus tachycardia, DVT(-), abdominal US(-), CXR abnormal-LLL infiltrates, CT chest(-), LP abnormal-CSF protein(H), CSF glucose(H), CSF WBC(H), CSF ALB 9(L), HGB 10.4(L), HCT 30(L), blood cult(-) initially, on 10/17 repeat blood culture(+) staph aureus. LDH 515(H), fibrinogen 917.8(H), urine culture (+)group B strep, sed rate 16(H), ALT 82(H), AST 80(H), CRP 27.8(H), CSF culture(-), CKMB 6.2(H), 10/16:WBC 13(H), RBC 3.3(L), platelets 670(H), 10/18: D-dimer 7(H).
CDC Split Type:

Write-up: ascending paralysis, resp failure requiring intubation, IVIG x5 days followed by plasmapheresis x5 days. patient remains intubed and in ICU 10/22/09 Hosp. records received for dates 10/1/09 to 10/18/09. Current DX: GBS. Pt. presented to ER on 10/1/09 with c/o numbness in all extremities, pain, weakness in legs, back pain, numbness in mouth. Pt. was in ER 1 day prior and sent home, sx. Increased pt. returned to ER. Pt c/o flu like sx 10 days prior. pt received gardasil vax 8/17/09. Assessment: WNL except, absent knee reflexes, hypoflex of lower extremities. (+)intramuscular fluid around spine at the occipital cervical junction. DX at time of assessment: GBS vs. idiopathic polyneuropathy vs. MS. Pt. admitted to medical unit, sx. deteriorated transferred to ICU. Further assessments: absent deep tendon reflexes of upper and lower extremities, c/o pain throughout entire spine. MRI of spine (+)arachnoid cyst. 10/5/09 pt. intubated, tx IVIG with no response. Plasmapheresis. DX: GBS, respiratory failure, hemothorax. 10/15 tracheotomy placed.


VAERS ID: 362334 (history)  
Form: Version 1.0  
Age: 25.0  
Sex: Female  
Location: Texas  
Vaccinated:2008-01-15
Onset:2008-06-15
   Days after vaccination:152
Submitted: 2009-10-22
   Days after onset:494
Entered: 2009-10-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / UNK LA / -

Administered by: Unknown       Purchased by: Unknown
Symptoms: Papilloma viral infection, Smear cervix normal, Surgery
SMQs:

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: No
Preexisting Conditions: No PMH: Amenorrhea Allergies: NKDA
Allergies:
Diagnostic Lab Data: I have all of the bad cells removed in a very painful surgical procedure. I then had a clear pap last December. Pap smear + HPV 7/2008
CDC Split Type:

Write-up: The dates are estimated. I had never had HPV, and all of a sudden, after the shot I had it. No new sexual partners. My first thought was it was from the vaccine. 10/28/2009 records from OB-GYN. Patient with + HPV on pap smear 7/2008, patient had surgery to remove, had no other sx.


VAERS ID: 382520 (history)  
Form: Version 1.0  
Age: 25.0  
Sex: Female  
Location: Texas  
Vaccinated:2009-07-01
Onset:2009-07-01
   Days after vaccination:0
Submitted: 2010-03-11
   Days after onset:253
Entered: 2010-03-12
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 3 UN / UN

Administered by: Other       Purchased by: Other
Symptoms: Autonomic nervous system imbalance, Back pain, Cardiac monitoring abnormal, Gallbladder disorder, Heart rate increased, Hypotension, Migraine, Neck pain, Neuralgia, Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (broad), Peripheral neuropathy (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Retroperitoneal fibrosis (broad), Gallbladder related disorders (narrow), Guillain-Barre syndrome (broad), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Arthritis (broad), Hypoglycaemia (broad), Dehydration (broad), Hypokalaemia (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 0 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: blood pressure, chronic low blood pressure; blood pressure, blood pressure bottomed out during her hospitalization; cardiac monitoring, heart rate skyrocketed
CDC Split Type: WAES1003USA00895

Write-up: Information has been received from a healthcare worker concerning her 25 year old daughter who in July 2009, was vaccinated with her third dose of GARDASIL (lot # not reported). In approximately July 2009, after patient received her third dose of GARDASIL, she began to have adverse experiences which led to an emergency room visit and hospitalization. She started pain in the neck and back, nerve pain, autonomic dysfunction, chronic low blood pressure, gall bladder disease and possible gall bladder removal, vaso/vago syncope, and migraines. These adverse effects have been debilitating with her job. It was also reported that during the patient''s hospitalization, her blood pressure "bottomed out", and her heart rate "skyrocketed". Unspecified laboratory tests were performed (results not provided). At the time of the report the patient was on a machine to monitor blood pressure. The patient was being treated by a cardiologist and by a nurse practitioner. The reporter stated that "these adverse events are still going on but have improved slightly". The reporter considered pain in the neck and back, nerve pain, autonomic dysfunction, chronic low blood pressure, gall bladder disease and possible gall bladder removal, vaso/vago syncope, and migraines to be immediately life-threatening, disabling and other important medical events. Additional information has been requested.


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