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This is VAERS ID 295507

(NOTE: This result is from the 12/31/2007 version of the VAERS database)

Case Details

VAERS ID: 295507 (history)  
Form: Version .0  
Age: 12.0  
Sex: Female  
Location: Texas  
Vaccinated:2007-07-24
Onset:2007-08-07
   Days after vaccination:14
Submitted: 2007-08-30
   Days after onset:23
Entered: 2007-11-05
   Days after submission:67
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1447F / 0 UN / IM
MNQ: MENINGOCOCCAL (MENACTRA) / SANOFI PASTEUR U2139AA / 0 UN / IM

Administered by: Private       Purchased by: Unknown
Symptoms: Asthenia, Ataxia, Azotaemia, Barium swallow normal, Blood creatinine increased
SMQs:, Rhabdomyolysis/myopathy (broad), Acute renal failure (narrow), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (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, 10 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: Hyperlipidemia, abnormal LFT''s, acanthosis, overweight
Allergies:
Diagnostic Lab Data: MRI brain - abnormal findings in mid brain and base of brain; Increased BUN/CR
CDC Split Type:

Write-up: Pt presented to the clinic on 8/13/07 with 1 week history of diplopia, ataxia, and weakness of extremities R$gL. Pt was admitted to hospital on 8/14 and dx with acute disseminated encephalomyelitis and azotemia. Pt was treated with a 5 day course of Solum"edrol and Prednisone taper started with improvement in all sx''''s except diplopia.


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Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?SNAPSHOT=20071231&IDNUMBER=295507


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