Age: 14.0
Sex: F
Vaccine: HPV4
Symptoms: Abdominal pain, Arthralgia, Borrelia burgdorferi serology negative, Cough, Epstein-Barr virus test negative
Clinical narrative: Information has been received from a pharmacist reported that he received a call from a mother concerning a 14 female daughter who was vaccinated with a first dose of GARDASIL (date, dose, route and lot number unknown), laboratory performed were magnetic resonance imaging and blood work (date and results unknown). The mother reported her daughter, experienced adrenal insufficiency, curvature of her spine, bouts of intense abdominal cramps, nausea, vomiting and headache. The patient's symptoms began one week after administration. The patient sought specified medical attention a neurologist and gastroenterologist. The outcome was not recovered. The vaccine was administered with a different facility. Follow up has been received from a patient's mother who reported that in addition to the previous symptoms, the patient was experiencing insomnia, fever, joint pain, chronic cough, severe migraines, back pain. The patient was 15 years old (also reported by a pharmacist as 14 years old) and received her first dose of the vaccine on 17-OCT-2008 and the second dose on 19-DEC-2008. The patient had been tested for Lyme disease, mononucleosis, West Nile virus and rheumatoid arthritis with negative results. The patient was seeing a chiropractor and alternative medicine doctor. Follow up information his been received from a registered nurse which reported that on 17-OCT-2008 the patient received a dose of FLUZONE (lot no. U274AA) and on 19-DEC-2008. It was reported that the patient did not received any concomitant vaccinations. The nurse reported that the patient had 5 follow up visits with the physician since 19-DEC-2008. The patient was seen in the office on 05-JAN-2009. At this visit the patient had complained of headaches. The registered nurse refused to five additional information concerning the patient. Additional information has been requested.  5/28/09 Received vaccine records & PCP medical records for 11/5/2008-3/18/2009. FINAL DX: menstrual migraine, migraine, flu, bronochitis, viral syndrome. Records reveal patient experienced gen good health on 10/17/08 when received HPV#1 & Flu shot and on 12/19/08 when received HPV #2.  On 11/5/08 visit c/o LBP & dysmenorrhea x 10 days.  Tx w/NSAIDS.  RTC 1/5/09 w/intermittent HA, photophobia, cough, nasal discharge/stuffy nose x several mo w/increase in frequency x 2 wks.  Dx w/migraine w/possible sinus component.  Tx w/NSAIDS & Tylenol #3.  RTC 1/12/09 w/no improvement.  Labs & x-rays ordered.  Dx w/acute maxillary sinusitis & tx w/antibiotics.  RTC 2/20/09 w/fever, head congestion, cough, sore throat & migraine.  Dx w/influenza.  Tx w/cough syrup.  RTC 3/2 w/fatigue, nasal congestion, rhinitis, cough w/sputum production.  Dx w/bronchitis.  Tx w/antibiotics.  Neuro consult done 3/5/09 & reveals pt awakened daily w/HA, & had developed loose stools, sleep disrupted, bruxism.  Referred for head/neck MRI & tx w/meds. Dx w/menstrual migraines w/superimposed daily migraine.  Returned to PCP 3/18 w/chronic HA, LBP, fatigue, rash,  & recent abdominal pain w/n/v/d.  Dx w/prob viral abdominal pain.