Age: 19.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Alanine aminotransferase, Albumin globulin ratio, Aspartate aminotransferase, Back pain, Blood alkaline phosphatase
Clinical narrative: Information has been received from a nurse concerning her 19 year old daughter with allergy to PERCOCET (had rash and itching) who on 23-JUL-2009 and 24-SEP-2009, was vaccinated with the first and second dose of GARDASIL (lot # 659964/1978U for dose 1, 661531/1311X for dose 2) IM into her left arm. Concomitant therapy included YAZ. The patient did not receive other vaccinations. On an unspecified date, the patient had complained that the shots were very painful at the injection site. Then by the end of September, the patient complained of back pain. On 22-OCT-2009, the patient was taken to an Urgent Care Center and was diagnosed with thoracic sprain. She was treated with pain medications and prednisone. On 29-OCT-2009, the patient was seen by a physician, her primary healthcare professional (HCP) at the time and was treated with MOBIC, cyclobenzaprine hydrochloride and LORTAB. On follow up visit of 11-NOV-2009, the physician recommended physical therapy and added ZANAFLEX and ibuprofen. The patient experienced fibromyalgia. On 12-NOV-2009, the patient went to another place for outpatient therapy. Stopped therapy made her feel too much pain. On 25-NOV-2009, priority radiology magnetic resonance imaging (MRI) was performed on thoracic, cervical and lumbar, and nothing was found. Then the patient went to chiropractor but stopped due to too much pain. The patient went to a spine Institute with another physician, and nothing was found. Then the patient was sent to an Associates on 16-DEC-2009 and was given lidocaine patches, and trigger point injections for muscle knots in neck and back. Other Medications included LEXAPRO and nortriptyline. On 30-DEC-2009, 06-JAN-2010 and 03-FEB-2010, the patient had other visits to this facility, but no improvement. The patient was seen at the place for outpatient therapy again for psychological evaluations one time, but did not return. In March 2010, the patient was seen by another physician as her primary care physician. In April 2010, she went to a hospital emergency room with "excruciating pain". The patient had "excruciating pain" in chest, neck, arm, hips and legs. She was treated with DILAUDID and PERCOCET, and released with not hospitalized. Blood work panel was performed (no results provided). And the patient was seen by another physician at a physical medicine Integration and was placed on morphine twice a day, KLONOPIN and SAVELLA. The patient's mother also stated the patient had headaches, muscle weakness, general swelling, muscle knots, muscle spasm, insomnia, difficulty concentrating, limited mobility, limited range of motion, wheel cheer bound at times. The patient used to have "two part jobs and went to college and now is nearly chair or bed ridden". No college, no work, no drive, "awful". There might be signs the patient had heavy metals in her system. At the time of reporting, the patient was not recovered from adverse events. Wheel chair bound at times, chair or bed ridden was considered to be disabling. Follow up information was received from a certified medical assistant who reported that they did not have any additional information. No further information is available.