Age: 63.0
Sex: F
Vaccine: LYME
Symptoms: Facial palsy, Hypercholesterolaemia, Lacrimation increased, Migraine, Urinary tract infection
Clinical narrative: On 5/9/99 and 6/9/99, the pt received her 1st and 2nd Lymerix doses, respectively. Thirty-three days after dose #2 of Lymerix, the vaccinee was dx'd with Bell's Palsy. She was treated with prednisone from 7/12/00 to 7/16/00. Lymerix was not discontinued, but the schedule was interrupted. As of 2/22/01, the outcome of the event is unknown. There was no illness at the time of vaccination. As of March 14 2001, the outcome of the event was resolved. The reporter stated that the adverse event of Bell's palsy was moderate in intensity and was possibly related to Lymerix. The reporter stated that the adverse event of Bell's palsy was disabling incapacitating. Follow up 02/26/2002: "On 02/11/2002, in a Statement of Injuries, the vaccinee's attorney alleged that the vaccinee "suffers from pain and swelling in her joints, in particular in her hand.  She also experiences fatigue.  In addition, she suffers from Bell's Palsy." Treatment and outcome of the joint pain, joint swelling, and fatigue were not provided.  According the vaccine provider, the Bells Palsy had resolved by 03/14/2002." The follow up received on 3/13/02 states  the medical history included allergies to aspirin, penicillin, erythromycin, pantazocine and propoxyphene. The medical history also included non-insulin dependent, fatigue (Sept 1992), headache, calcification in the right carotid artery, and cervical sprain and shoulder contusion following a motor vehicle accident (5/23/97). Surgical history included hysterectomy and an unspecified "gallbladder operation." Following the reported onset of Bell's palsy, the vaccinee experienced gastroenteritis with hypolakemia and dehydration that required hospitalization. These were not reported as adverse events due to vaccine administration, but were found during the course of review of the vaccinee's medical review of the vaccinee's medical records. Therefore, they are not listed as adverse events. 13 months after the second LYMErix injection, the vaccinee presented to the local ER with watering of the left eye, left facial paresis, and pain in the right frontal andleft temporal areas. The vaccinee reported that the symptoms began on 7/9/00. On examination, the emergency room physician noted left facial droop and ptosis. Lyme ELISA was psotiive, Lyme IgG and IgM western blot were negative. The physician made a diagnosis of Bell's palsy. The most recent info received on 3/13/02, did nto provide the outcomes of the reported events. The follow up receive on 6/25/02 states that the vaccinee experienced a urinary tract infection, migraines, hypercholesteremia. On 7/12/00, the pt was seen by her physician who wrote, "obvious Bell's palsy noted ot the left side of the face, pt unable to close her eye voluntarily unable to smile on the left side of the face, there is decreased sensation, ears neg, throat shows no lesions, upper body strength is normal. On 7/19/00, her physician sent hte pt a prescription for tetracycline 500mg with a note stating: "Enclosed is a prescription to take for 3 weeks. This will cure the "Lyme" and the Bell's palsy should resolve." The most recent info received on 6/25/02, did not provide the outcomes of the other reported events.