Age: 27.0
Sex: F
Vaccine: HPV4
Symptoms: Myalgia, Myositis, Neck pain, Nuclear magnetic resonance imaging, Pain
Clinical narrative: Information has been received from a 27 year old female via internet. The patient stated that before shot she was a young, vibrant, and full of energy woman. On 11-MAY-2007 the patient was vaccinated with the first dose of GARDASIL. As soon as it went into the arm the patient felt a burning sensation going through her arm and her body. The patient left the doctor's office after this and went back to work. Her right arm was so sore. Her right side was extremely sore for over a week. She had this kind of knot in her arm at the injection site. On 08-JUN-2007 the patient felt pain in her stomach, achy all over. Saturday morning she felt horrible and it hurt so bad just to stand upright. Her belly hurt so much and she hadn't eaten anything since that Friday morning. She just did not have an appetite. Her head, eyes, arms, legs, abdomen, it felt like she was falling apart. The patient could not even take off her dress. The patient's brother took she to the ER. The patient experienced dizzy, feeling like crap. The patient called her family practice physician, they told her to come in that day. She arrived at the surgery and they really did not know what was wrong with her. They drew blood and put her out of work for the week. The patient saw a specialist (Rheumatologist). They did the exact same thing as before, run tests and draw blood. Once they got the results back they tell her that she had Lupus. The Rheumatologist said the condition was controllable. On 19-JUL-2007 the patient went back to her gynaecologist to get the next shot. She had the same symptoms after the fact, but by now she was having these trembles. She had never had this before in her life. In certain periods of time her arm or her legs just started to shake. She still had the joint and muscle pain, headaches, sensitivity to sunlight. She was not active at all and didn't want to do anything and she was complaining about everything. The patient stated she was angry and was forgetting the simplest of things. On 18-OCT-2007 the patient went and got the last shot. The patient received the 3rd dose of GARDASIL in one arm and PROVERA shot in the other. So she had both arms in pain. Now it's December 2008, and she was still going through the same thing, only she started getting worse. She went to my physician again for advice as she was just in pain everyday. Medicine wasn't working and she was taking a hot bath everyday. Everything she did made her feel tired and she had an attitude "that this was off the hook". Her back hurt, her neck hurt, she also had trembles, tingling, headaches, and dizzy spells. But she went to the doctor and they ran tests and took x-rays. When the physician got her blood work back the physician said everything was normal other than my WBC was low. The chest x-ray showed something so she ended up having to get a CT scan and this did not identify any problem. She went back to the doctor and she had a muscle enzyme test, in which it was highly elevated showing she had inflammation in her muscles. Her WBC went back to normal but her iron levels had decreased. So she was on iron pills. When the patient started the vaccine her menstrual cycle changed and she had not had her period in over a year. Since September 2008, her cycle had been going crazy. The patient stated "It's like I am in this depression that I cannot get out of. The worry, the stress, it's just too much sometimes." 19-FEB-2009 the patient was still going to the doctor on a regular basis for everything. The patient was diagnosed with pancreatitis. She had ulcers in her stomach and intestines. She went through memory lapses when she forgot things. Her food did not digest so she went long periods without having a bowel movement. The patient had had ultrasounds, MRI's. Upon internal review, lupus and pancreatitis were considered to be other important medical events. Additional information is not expected.