Age: 13.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Laboratory test abnormal, Lipase increased, Nausea, Pain, Pancreatic cyst
Clinical narrative: (PER MOTHERS WRITTEN STATEMENT SUBMITTED TO HEALTH DEPARTMENT ON JULY 18, 2007) ON FEBRUARY 27 AT APPROXIMATELY 1:30 PM PATIENT RECEIVED THE HPV VACCINE, GARDISIL. THAT EVENING SHE RAN A LOW GRADE TEMPERATURE AND COMPLAINED OF PAIN AT THE INJECTION SITE. THE FOLLOWING AFTERNOON AT APPROXIMATELY 2:30PM SHE BEGAN TO EXPERIENCE PAIN IN HER CHEST AND UPPER ABDOMEN AND CONTINUED TO RUN A LOW GRADE FEVER. ON 2/29/07 SHE BEGAN EXPERIENCING NAUSEA AND VOMITING CONTINUING THROUGH THE WEEK. ON 03/02/2007 SHE WENT TO OUR FAMILY DR., WHO FELT THAT IT WAS A VIRUS AND PRESCRIBED SOME PRESCRIPTION NAUSEA MEDICATION AND SOMETHING FOR HER STOMACH. SHE CONTINUED TO THROW UP AND RUN A LOW GRADE FEVER THAT RARELY WENT OVER 101F.. ON MARCH 13TH I BEGAN CALLING OTHER DOCTORS WHO WOULD ACCEPT OUR INSURANCE AND FOUND DR. HE DID NOT HAVE ANY APPOINTMENTS AVAILABLE THAT DAY SO I TOOK PATIENT TO THE EMERGENCY ROOM. THERE I ASKED THE DOCTOR TO RUN BLOOD TESTS BECAUSE SHE HAD BEEN SICK FOR A LONG TIME, AND I FELT SHE WAS DEHYDRATED AND SOMETHING OTHER THAN A VIRUS WAS GOING ON WITH HER. THE ER DOCTOR CHECKED HER ENZYME LEVELS AND HER LIPASE WAS OVER 1000. SHE WAS HOSPITALIZED FOR 11 DAYS AND HER ENZYMES CONTINUED TO FLUCTUATE. HOSPITAL WAS CALLED AND THEY DID NOT HAVE ANY BEDS AVAILABLE AT THAT TIME. A CATSCAN REVEALED A SMALL PSEUDOCYST ON HER PANCREAS AND IT WAS EXPECTED TO RESOLVE ON ITS OWN. SHE WAS RELEASED ON THE 23RD. ON MARCH 30TH SHE WAS TAKEN TO HOSPITAL AND ADMITTED. THEY FOUND THE SPUEDOCYST HAD GROWN AND SHE HAD DEVELOPED ANOTHER CYST ON HER PANCREAS AS WELL. SHE WAS HOSPITALIZED UNTIL THE 2ND OF APRIL AND THEN RELEASED. ON APRIL 5TH SHE WENT TO THE DOCTOR AND HER ENZYMES WERE BACK UP OVER 700. ON APRIL 24TH THEY HAD COME DOWN TO 435. ON MAY 3RD HER PAIN GOT EVEN WORSE AND SHE WAS TAKEN BACK TO HOSPITAL AND RELEASED AS SHE WAS TO HAVE SURGERY ON THE 14TH. ON MAY 14TH SHE HAD SURGERY AND THEY DRAINED HER PSUEDOCYST. SHE WAS RELEASED ON MAY 20TH. ON JUNE 9TH SHE WAS TAKEN BACK TO THE ER AND HER ENZYMES WERE UP AGAIN. ON JUNE 12TH WE RETURNED TO HOSPITAL AND SHE WAS ADMITTED. THE PSUEDOCYST ON THE TAIL OF HER PANCREAS HAD REFILLED AND ANOTHER CYST HAD DEVELOPED NEAR WHERE THE ONE THEY HAD DRAINED INTO HER STOMACH. THEY SCHEDULED ANOTHER SURGERY, AND CUT THE TAIL OF HER PANCREAS OFF, AND DRAINED THE ONE IN THE CENTER AND SHE WAS RELEASED ON JULY 2ND WITH A FEEDING TUBE AND IS CURRENTLY BEING TREATED AT HOME. HOME HEALTH IS IN THE HOME, AJD FOLLOW UP VISITS ARE PENDING. SHE IS STILL EXPERIENCING A LOT OF PAIN AND NAUSEA, WITH DIZZINESS, AND ABDOMINAL SWELLING. THIS APPEARS TO BE SOMETHING THAT MAY BE LIFELONG WITH NUMEROUS PROBLEMS THAT MAY OCCUR, AND I AM VERY CONCERNED THIS MAY HAPPEN TO OTHER CHILDREN. THERE HAVE BEEN NUMEROUS TRIPS TO DR OFFICE AS WELL AS NUMEROUS TRIPS TO THE HOSPITAL TO HAVE HER ENZYMES CHECKED AND FOLLOW UP APPOINTMENTS WITH DR.(GI SPECIALIST) AND DR. (SURGEON) 8/30/07-records received for DOS 3/30-4/2/07-DC DX: Chronic pancreatitis. Pancreatic pseudocyst. Four to five days prior developed an acute episode of nausea and vomiting and abdominal pain. Thirty days prior she developed abdominal pain. 02/02/2010 Dx Chronic Powercatitis, now taking diycation enzymes everytime she eats. Taking 3 different pain medications. Was seen at hospital but transferred for problems.