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Found 14 cases where Location is Texas and Vaccine is HPV or HPV2 or HPV4 and Extended Hospital Stay

Table

   
AgeSexCountPercent
9-12 YearsFemale17.14%
total17.14%
12-17 YearsMale17.14%
Female642.86%
total750%
17-44 YearsFemale642.86%
total642.86%
TOTAL14100%

Case Details

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VAERS ID: 278268 (history)  
Form: Version 1.0  
Age: 12.0  
Sex: Female  
Location: Texas  
Vaccinated:2007-04-24
Onset:2007-04-25
   Days after vaccination:1
Submitted: 2007-05-08
   Days after onset:13
Entered: 2007-05-09
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. - / UNK UN / UN
HIBV: HIB (PEDVAXHIB) / MERCK & CO. INC. - / UNK UN / UN
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 UN / UN
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR - / UNK UN / UN

Administered by: Other       Purchased by: Other
Symptoms: Groin pain, Headache, Herpes zoster, Laboratory test normal, Meningitis viral, Rash
SMQs:, Anaphylactic reaction (broad), Osteonecrosis (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 3 days
   Extended hospital stay? Yes
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Unknown PMH: hemolytic uremic syndrome requiring hospitalization & blood transfusions out of country, shingles 4/24/07. right wrist tendon injury & fracture of growth plate.
Allergies:
Diagnostic Lab Data: diagnostic laboratory 04/25/07 - negative LABS: WBC 4.4, AST 43, Mag 2.5. CK 292, MBs neg. CSF WBC 55, RBC 10, lymphs 86, monos 14, protein 28, glucose 44, pleocytosis of CSF. CSF herpes & VZ was neg. Blood & urine c/s neg. CT of head was WNL.
CDC Split Type: WAES0705USA00797

Write-up: Information has been received from a physician, via a company representative, concerning a 12 year old female patient who on 24-APR-2007 was vaccinated with the first dose of Gardasil. Concomitant therapy included hepatitis A virus vaccine (manufacturer unspecified), PedvaxHib and Menactra. On 25-APR-2007, the day following the vaccinations, the patient returned to the office with complaints of groin pain; blood work (unspecified) testing was performed, and was negative. On 30-APR-2007 the patient experienced a headache and a rash on her leg, and again returned to the physician''s office; the patient was diagnosed with zoster, and was given Tylenol and codeine for treatment of the symptoms. On 03-MAY-2007, the patient presented that the patient may have viral meningitis. At the time of this report, the physician reported that the patient may have viral meningitis. At the time of this report, the patient had not recovered from the events. Additional information has been requested. 5/18/2007 Received medical records from hospital which reveal patient experienced shingles, severe HA which continued to worsen, photosensitivity, nausea. Opthal exam prior to admit was WNL. Admitted 5/3-5/6/07. ID consult obtained. Treated w/IV antibiotics & antivirals. Symptoms resolved day after treatment started & patient continued to progress well. D/C home on no meds w/close outpatient PCP f/u. FINAL DX: meninigitis, presumed viral (aseptic), final c/s pending; HA, resolved; herpes zoster right leg suspected. 6/8/07 Received note from PCP stating CSF PCRs for HSV & entervirus were neg. Also included name of admitting physician at hospital where PCP does not have privileges.


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: 306722 (history)  
Form: Version 1.0  
Age: 15.0  
Sex: Female  
Location: Texas  
Vaccinated:2007-06-26
Onset:2007-06-26
   Days after vaccination:0
Submitted: 2008-03-07
   Days after onset:255
Entered: 2008-03-10
   Days after submission:2
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0245U / 1 UN / IM

Administered by: Other       Purchased by: Other
Symptoms: Abdominal pain, Asthenia, Decreased appetite, Delivery, Drug exposure during pregnancy, Feeling hot, Pregnancy test urine positive
SMQs:, Acute pancreatitis (broad), Retroperitoneal fibrosis (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow), Normal pregnancy conditions and outcomes (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 0 days
   Extended hospital stay? Yes
Previous Vaccinations:
Other Medications: Unknown
Current Illness: Pregnancy NOS (LMP = Unknown)
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: urinalysis 02/27/08 - positive
CDC Split Type: WAES0802USA06337

Write-up: Information has been received from a physician concerning a 15 year old female who on 26-JUN-2007 was vaccinated with a first dose of GARDASIL (lot# 656050/0245U) IM and on 22-SEP-2007 was vaccinated with a second dose of GARDASIL (lot# 657006/0188U) IM while being pregnant. The patient came into the physician''s office on 27-FEB-2008 the patient experienced complaints of abdominal pain, felt weak, feeling hot and a poor appetite. The patient was sent home and delivered a full term 6 pound baby in the bathroom on 27-FEB-2008. The patient and the baby are currently in the hospital on 28-FEB-2008. (It was unknown when the patient admitted to the hospital). The baby was a little anemic otherwise healthy. No additional information was provided. The reporter felt that complaints of abdominal pain, felt weak, feeling hot and a poor appetite required hospitalization. Additional information has been requested.


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: 317120 (history)  
Form: Version 1.0  
Age: 19.0  
Sex: Female  
Location: Texas  
Vaccinated:2007-05-01
Onset:2007-06-01
   Days after vaccination:31
Submitted: 2008-06-23
   Days after onset:388
Entered: 2008-06-24
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 UN / IM

Administered by: Other       Purchased by: Other
Symptoms: Amenorrhoea, Convulsion, Vaccine positive rechallenge, Weight decreased
SMQs:, Hyperglycaemia/new onset diabetes mellitus (broad), Systemic lupus erythematosus (broad), Convulsions (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Fertility disorders (broad), Generalised convulsive seizures following immunisation (narrow), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 3 days
   Extended hospital stay? Yes
Previous Vaccinations:
Other Medications: LOESTRIN
Current Illness:
Preexisting Conditions: Apgar score low; Hearing loss 7/10/08-records received-Onset of syncope 2 years ago,
Allergies:
Diagnostic Lab Data: 7/10/08-records received-MRI-chronic white matter disease likely from birth. EEG normal.
CDC Split Type: WAES0806USA03438

Write-up: Information has been received from a physician concerning an 18 year old female with a history of Apgar score low and congenital hearing loss who in May 2007, was vaccinated with a first dose of GARDASIL 0.5 mL IM. Concomitant therapy included LOESTRIN. In June 2007, the patient experienced a grand mal seizure. The patient received her second dose of GARDASIL in July 2007. In July 2007 and August 2007 the patient experienced a seizure again and was hospitalized. The patient was seen by a neurologist. The neurologist prescribed the patient KLONOPIN. Subsequently the patient experienced 15 pound weight loss and amenorrhea. The patient was then seen by a psychiatrist who stated that he believed the seizures were due to physiological and prescribed additional medications (therapy unspecified). At the time of reporting the patient was recovering. No additional information was available. The reporter considered the events of grand mal seizure, seizure, weight loss and amenorrhea to be other medical events. Additional information has been requested. 7/9/08-records received-evaluation 1/4/08-fainting spells and seizures-Impression:conversion disorder with mixed presentation with symptoms of motor and sensory deficits as well as psychogenic seizures. Experiencing extreme psychological stress unable to deal with, derives secondary gain from the symptoms and gain attention. 7/10/08-records received for DOS 8/13/07- 8/17/07-Assessment:spells, these do not seem to be seizure with maintined consciousness during the spells. Consider psychosomatic etiology. Onset of syncope 2 years ago, circumstances of syncope burning sensation followed by altered sensorium, recalls the entire envents which last 10-12 minutes). Increasing in frequency, college entrance examination. Developed stuttering speech pattern, crying spells and jerking spell while in waiting room. 8/31/07-Condition improved. 7/10/08-records received for DOS 8/9-8/12/07-DC DX: epilepsy. Prolonged complex seizures. Somnolent due to phenobarital.


VAERS ID: 318636 (history)  
Form: Version 1.0  
Age: 16.0  
Sex: Female  
Location: Texas  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 2008-07-09
Entered: 2008-07-10
   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: Drug exposure during pregnancy, Live birth, Ultrasound scan, Urinary tract infection
SMQs:, Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow), Normal pregnancy conditions and outcomes (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, ? days
   Extended hospital stay? Yes
Previous Vaccinations:
Other Medications: Unknown
Current Illness: Pregnancy NOS (LMP = 9/3/2007)
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: ultrasound
CDC Split Type: WAES0802USA04515

Write-up: Information has been received from a nurse, for the Pregnancy Registry for GARDASIL, concerning a 16 year old female who on 31-MAY-2007 was vaccinated with her first dose of GARDASIL (route and lot# not provided). On 31-JUL-2007 the patient was vaccinated with her second dose of GARDASIL (route and lot# not provided). On 09-NOV-2007 the patient was vaccinated with her third dose of GARDASIL (route and lot# not provided). Subsequently, it was reported that the patient had a sonogram (date unspecified) and was pregnant (Gestation 6.5 months, LMP 03-SEP-2007). Follow up information received stated that on 18-FEB-2008 that patient was diagnosed with a bacterial urine infection and was treated with MACROBID 1 tablet, PO, BID for 7 days. The outcome of the bacterial UTI was not reported. On 09-MAY-2008 at 38 6/7 weeks gestation the patient gave birth to a male infant 6 pounds 7.7 oz., 19.3 inches, the babies Apgar score was reported as 1. It was reported that the baby was born with an unspecified infection which was treated with unspecified antibiotics. It was reported that the baby "had a hard time breathing and stayed in the hospital for 1 week". Additional information regarding the prolonged hospitalization of the baby was not provided. Additional information has been requested.


VAERS ID: 333086 (history)  
Form: Version 1.0  
Age: 20.0  
Sex: Female  
Location: Texas  
Vaccinated:2007-09-14
Onset:2007-09-14
   Days after vaccination:0
Submitted: 2008-11-21
   Days after onset:434
Entered: 2008-11-24
   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: Alpha 1 foetoprotein normal, Breech presentation, Caesarean section, Drug exposure during pregnancy, Pregnancy test, Ultrasound scan normal
SMQs:, Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow), Normal pregnancy conditions and outcomes (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 0 days
   Extended hospital stay? Yes
Previous Vaccinations:
Other Medications: FOCALIN, mg; ZOFRAN, mg
Current Illness: Pregnancy NOS (LMP = 8/28/2007); Attention deficit/hyperactivity disorder; Nausea
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Ultrasound, 10/16/07, Normal and routine; Ultrasound, 01/10/08, Normal and routine; Skull X-ray, 06/18?/08, Negative; Ultrasound, 03/25/08, Normal and routine; Beta-human chorionic; Serum alpha-fetoprotein, 01/10/08, Normal and routine; Total serum bilirubin, 06/02/08, 16.7 mg/d
CDC Split Type: WAES0801USA03772

Write-up: Initial and follow up information has been received from Merck pregnancy registry through a Nurse concerning a 21 year old female with no previous medical history, who on 14-SEP-2007 was vaccinated IM with a first 0.5 ml dose of GARDASIL. Concomitant medication included FOCALIN 15 mg QD intermittently just until pregnancy known for ADHD and ZOFRAN 4 mg TID PRN for nausea/vomiting. It was reported that the patient received the vaccination while she was pregnant. Medical attention was sought. In follow up the nurse stated that on 28-May-2008, the patient delivered a normal live born female infant weighing 8 lbs and 9 Oz with an apgar score 9/9. There were no complications or abnormalities and no congenital anomalies. There were no infections or illnesses during pregnancy. It was reported that patient had a caesarean section since the baby was in breech presentation. Pediatric medical records were received and reviewed and the following experience was identified. On 02-JUN-2008 baby came to doctor''s office and was found to have jaundice. Baby''s bilirubin was 16.7 mg/dL and she needed photo therapy. She was seen on 03-JUN-2008 and it was reported as physiologic jaundice and was admitted to the hospital. On 06-JUN-2008 the baby was seen in the doctor''s office for follow up hospitalization for jaundice. It was reported that on examination baby had "?questionable hip dysplasia". A follow up phone call was made to the doctor''s office and information was received that the baby was referred to an orthopedist. The nurse reported that as per the doctor''s note the baby had an examination with the doctor. It was reported that "physical examination showed the hip to be slightly lax, but there was no evidence of any dislocation and it appeared the hip was tightening". The mother cancelled the follow up visit for the baby with the doctor but reported that the baby was doing well. On 11-JUN-2008 the baby went to the doctor''s visit. In the record it was reported that the baby had eye drainage and diarrhea after amoxicillin. The baby was reported to be improving after amoxicillin (date of therapy not reported). It was reported that the baby had poor weight gain. On 18-JUN-2008 the baby visited doctor''s office. It was reported that she had positional plagiocephaly. The skull x-ray was negative. On 10-JUL-2008 the baby came to doctor''s office. It was reported that the baby was started on 15 mg PREVACID and her plagiocephaly was stable. On 04-AUG-2008 the baby visited the doctor''s office for immunization and found to have nasal congestion. Gastro Esophageal Reflux Disease and upper respiratory infection. The outcome was unknown. The baby also had events after she was vaccinated with ROTATEQ (MSD), ACTHIB, PEDIARIX (WAES # 0811USA02267). Upon internal review baby''s breech presentation which required a caesarean section delivery was determined to be an other important medical event. Additional information has been requested. All medical records will be provided upon request.


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: 423875 (history)  
Form: Version 1.0  
Age: 24.0  
Sex: Female  
Location: Texas  
Vaccinated:2010-09-24
Onset:2011-04-08
   Days after vaccination:196
Submitted: 2011-05-24
   Days after onset:46
Entered: 2011-05-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0331Z / 2 RA / IM

Administered by: Unknown       Purchased by: Private
Symptoms: Anaemia of chronic disease, Anti-SS-A antibody positive, Anti-SS-B antibody positive, Antibody test positive, Antinuclear antibody positive, Biopsy kidney abnormal, Blood iron abnormal, Blood pressure increased, Catheter placement, Catheter site haemorrhage, Computerised tomogram head, Computerised tomogram normal, Demyelinating polyneuropathy, Dialysis, Double stranded DNA antibody positive, Electromyogram abnormal, Gait disturbance, Gastroenteritis, Glomerulonephritis acute, Glomerulonephritis membranous, Guillain-Barre syndrome, Haemodialysis, Haemoglobin decreased, Haemorrhage, Haemorrhagic anaemia, Hypertension, Hypertriglyceridaemia, Hypoaesthesia, Imaging procedure, Immunoglobulin therapy, Lumbar puncture normal, Lupus nephritis, Muscular weakness, Nerve conduction studies abnormal, Nuclear magnetic resonance imaging normal, Nuclear magnetic resonance imaging spinal cord abnormal, Paraesthesia, Post procedural complication, Renal failure acute, Renal haematoma, Renal tubular disorder, Retroperitoneal haematoma, Serum ferritin increased, Somatosensory evoked potentials abnormal, Systemic lupus erythematosus, Vital capacity
SMQs:, Rhabdomyolysis/myopathy (broad), Acute renal failure (narrow), Dyslipidaemia (narrow), Haematopoietic erythropenia (broad), Peripheral neuropathy (narrow), Haemorrhage terms (excl laboratory terms) (narrow), Haemorrhage laboratory terms (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (narrow), Anticholinergic syndrome (broad), 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), Malignancy related therapeutic and diagnostic procedures (narrow), Parkinson-like events (broad), Gastrointestinal perforation, ulcer, haemorrhage, obstruction non-specific findings/procedures (narrow), Guillain-Barre syndrome (narrow), Noninfectious encephalopathy/delirium (broad), Hypertension (narrow), Demyelination (narrow), Vasculitis (broad), Lipodystrophy (broad), Chronic kidney disease (narrow), Hypersensitivity (broad), Noninfectious diarrhoea (broad), Tumour lysis syndrome (broad), Tubulointerstitial diseases (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Dehydration (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 34 days
   Extended hospital stay? Yes
Previous Vaccinations:
Other Medications: Pt received HPV vaccine 5/13/2010 13174 5-30-11 9/24/2010 03317 11-20-12
Current Illness: Pt received vaccine 5/13/2010 and 9/24/2010 none
Preexisting Conditions: HTN, migraines
Allergies:
Diagnostic Lab Data: see above. Pt has positive paraneoplastic Ab positive test. All imaging studies and neoplasm workup have been negative to date. Pt has not made significant improvements
CDC Split Type:

Write-up: SLE diagnosed 10/2010 months ago admitted with progressive weakness, numbness, and tingling in her lower extremities for last 2 weeks prior to admission. 1. Acute infective demyelinating polyneuropathy, likely Guillain-Barre syndrome. Patient gave a history of progressive weakness, numbness, and tingling following a bout of gastroenteritis. She stated that her symptoms had gotten progressively worse for 2 weeks and was having difficulty with walking. Extensive workup including MRI, CT scan, as well as lumbar puncture. A lumbar puncture did not show any evidence of infection. MRI showed no evidence of infarction. CT brain was negative. MRI of the spine showed abnormal thickening and enhancement of the ventral and dorsal cauda equina nerve roots, likely compatible with Guillain-Barre syndrome. Patient was started on 5 doses IVIG therapy with the last dose on 4/22/2011. EMG and nerve conduction studies on 4/15, and the EP findings were consistent with acute severe infective demyelinating polyneuropathy consistent with possible Guillain-Barre syndrome. Patient never had any plasmapheresis done. Started on Solu-Medrol, which was later changed to prednisone. Her FVC was maintained at greater than 2 L always, and it was checked every shift. Patient still continues to have some lower extremity weakness. To TIRR for therapies 2. Acute renal failure, likely secondary to lupus nephritis. During the hospital course, she was noted to have acute renal failure around 4/17/2011. Her kidney function worsened, and she underwent a renal biopsy on 4/20/2011, which showed class 5 membranous acute glomerulonephritis consistent with lupus nephritis, as well as marked acute tubular injury. Patient was started on dialysis, and she later had a Perm-A-Cath placed and continues to be on hemodialysis. 3. Acute blood loss anemia, likely secondary to retroperitoneal hematoma from Bipsy site plus bleeding from femoral catheter site after removal plus anemia of chronic disease, given iron study showing elevated ferritin. Following the kidney biopsy, patient was noted to have a significant drop in hemoglobin. She was noted to have developed right renal hematoma, for which she was managed symptomatically. Also, she had iron studies, which showed elevated ferritin consistent with anemia of chronic disease, and renal is on board for the same. 4. SLE. Patient was diagnosed with SLE about 6 months ago, and her anti-ANA, anti-Smith/anti-RNP, as well as anti-double stranded DNA along with anti-SSA/anti-SSB antibody positive. Rheumatology has been on board throughout the hospitalization, and her hydroxychloroquine was continued. Solu-Medrol was later changed to prednisone as per rheumatology recommendations, and patient will continue prednisone 60 mg daily, and rheumatology will see her at TIRR and adjust dose accordingly. Patient has not been restarted on CellCept, which was held given her worsening renal function. Rheumatology will follow up at TIRR regarding the same. 7. Hypertriglyceride:pt started on niacin 8. Hypertension. blood pressures were noted to be elevated and placed on Norvasc and appear to be better controlled now.


VAERS ID: 449831 (history)  
Form: Version 1.0  
Age: 15.0  
Sex: Female  
Location: Texas  
Vaccinated:2011-11-15
Onset:2011-12-30
   Days after vaccination:45
Submitted: 2012-02-13
   Days after onset:45
Entered: 2012-02-20
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0692AA / 1 RA / UN

Administered by: Private       Purchased by: Unknown
Symptoms: Unevaluable event
SMQs:

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? Yes
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: None stated.


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