Age: 11.0
Sex: F
Vaccine: HEPA, HPV4, MEN, TDAP, TDAP
Symptoms: Neurogenic bowel, Nuclear magnetic resonance imaging abnormal, Paraesthesia, Paraplegia, Sensory loss
Clinical narrative: This case was reported by a lawyer and described the occurrence of transverse myelitis in a 11-year-old female subject who was vaccinated with BOOSTRIX (GlaxoSmithKline), Hepatitis A vaccine, ADACEL (non-gsk), GARDASIL (non-gsk) and meningococcal ACWY vaccine (non-gsk). A physician or other health care professional has not verified this report. The following information was received via legal complaint: Except for minor maladies normal for a child and recurrent sinus infections caused by seasonal allergies, the subject grew up and developed well between her birth and October 2010. On 13 October 2010 the subject received unspecified dose of BOOSTRIX (unknown), unspecified dose of Hepatitis A vaccine (unknown), unspecified dose of ADACEL (unknown), unspecified dose of GARDASIL (unknown), unspecified dose of Meningococcal ACWY vaccine (Non-GSK) (unknown). On 13 October 2010, at the time of vaccination with ADACEL and BOOSTRIX, the subject experienced overdose. On 17 October 2010, 4 days after vaccination with ADACEL, BOOSTRIX, GARDASIL, Hepatitis A vaccine and Meningococcal ACWY vaccine (Non-GSK), the subject experienced weakness and tingling in her right leg, she attempted to stand up she fell down. The subject was taken to the hospital, upon arrival complained that her right leg was numb and experienced weakness in the left leg. The subject experienced a quick decline in sensation in both legs. Shortly after arrival, the subject was evaluated by physician and she could no longer move her right leg at all and had very little movement in her left leg. The left foot had minimal to no sensation. At approximately 11:30 on 17 October 2010, the subject was transferred to another hospital and admitted to the emergency department. By this time the subject had lost all sensation in both legs and loss of bladder and bowel control. The subject underwent an MRI (magnetic resonance image), the results showed transverse myelitis. The subject also experienced abdominal and lower back pain. An abdominal series x-ray was performed which showed ileus. The subject never regained any motor or sensory function from the T-10 level below. The subject was considered a complete spinal cord injury with a neurogenic bowel and bladder. She was permanently paralyzed from the waist down and must perform intermittent catheterizations every four hours. The legal complaint noted physician's assessment completed on 21 October 2010 stated "vaccine administration one week prior to onset which may be possible triggers." The subject suffered from the complications caused by the vaccines for more than six months and was hospitalized for 37 days. The subject was admitted to the hospital on 17 October 2010 and discharged 23 November 2010. At the time of the report the events of transverse myelitis, leg weakness, tingling in leg, unable to stand up, leg numbness, decreased sensation in legs, not able to move legs, loss of bladder control, loss of bowel control, ileus, neurogenic bladder, neurogenic bowel, spinal cord injury and lower body paralysis were unresolved.