Age: 19.0
Sex: M
Vaccine: ANTH, DPP, PLAGUE, SMALL
Symptoms: Eye pain, Fatigue, Fibromyalgia, Headache, Human herpes virus 6 serology positive
Clinical narrative: April 1991 I was given Vaccine A during boot camp. I never received any booster shots which the FDA-approved vaccine requires. April 1991 - psychiatry; severe anxiety, panic, depression. Documented in my file. During service, had three separate operations for removal of cysts (the doctors called them 'boils'). 10% service-connected starting 1999 for this. Additional trips to psychiatry. May 1992 missed ship's movement due to a 'viral fever'.  Fall 1992 approximately from October-December insomnia took hold. Was TAD to mess decks worked night shift, then due to inability to sleep and severe anxiety worked during the day. Sleep was about 2 hours a week during this time-frame. 1993 - winter to spring - anxiety, depression, insomnia to fatigue. 1993 - after discharge total fatigue and anxiety through end of year, as well as loss of appetite. 1994 - same as above 1995 - attempted suicide x2; cyst removed in summer (part of 10% eczema rating 1999). First time prescribed anti-depressants Zoloft, Wellbutrin and Trazadone by doctor. Paranoia began to develop and a child was injured due to a panic reaction from this 3 yr old to my infant son, resulting in loss of parental rights for slapping the child twice in the face (child was not harmed). Homeless most of the year, residing in car and shelter for homeless veterans.  1996 - TMJ develops. Prescribed Ativan. Remain on anti-depressants. Many problems with the SSRI's. Given Paxil, Prozac, with bad reaction. Able to tolerate Wellbutrin but made anxiety worse. 1997 - diagnosed with fibromyalgia after a rear-end collision I was a victim of. TMJ severe to point of liquid diet for 6 months. Migraines developed prescribed Imitrex. Pain so severe prescribed Percocet and Valium from summer to end of year. Bad reactions to NSAID's, beginning of IBS. Went under 100 lbs. Complete and total fatigue set in. 1998 - continuation of problems. Neurology suspected, but never received an MRI, by PCP Dr.  1999- Percocet consumption so great doctor puts me on OxyContin 20 mg x2, Valium 40 mg as needed, Imitrex as needed, anti-depressant with Wellbutrin continued. Asthma diagnosed, albuterol prescribed. Doctor suspects service as true cause (does not believe a rear-end collision could be the source of all of these issues). Facility would only recognize actual scars from cyst removals as SC and rated 10%. This complicates health care and eventually a divorce occurs (2001) along with separation of third child. Daughter born 9/2/99, underweight and on nearly constant antibiotics for first three years of her life. First born son born 1994 with asthma and underweight. I never got to meet my second son because of the misdiagnosis. Memory problems begin to surface. Anxiety worsens. Fatigue at an all-time high. 2000 - OxyContin discontinued - to date pain not treated due to this. Fatigue remains, asthma remains, anxiety remains. Many problems with side-effects from prescription meds. Valium switched to Klonopin, Wellbutrin discontinued. Diagnosed by private psychiatrist with Major Depression. Given Remeron and Effexor. Pain is constant from FM. TMJ splint therapy and soft-food diet since 1997 causes teeth to decalcify. Severe nose bleed occurs where an ER doctor where three times had to cauterize left nostril in the course of 12 hours. Orders outpatient surgery to remove bone from left nostril because they feared the next nosebleed could not be cauterized resulting in death from bleeding. All issues already mentioned worsen. At end of year prescribed Fiorinal for chronic headaches. December fired from job due to reaction from this medicine and it was discontinued.  2001 - wife files for divorce in March. It is assumed I am faking pain (her family did not believe FM diagnosis and thought it was all for a settlement, which is not true). Attempted suicide in summer. Early fall splint therapy for TMJ is finally finished. Approximately $20,000 is needed to fix the severe damage from TMJ to teeth per doctor's final report. All prior problems remain and ebb and flow. Fall of 2001 move to be with my family. Divorce finalized 12/20/2001 by way of telephone appearance in court. Due to all problems of meds and that they provided little true relief and numerous side-effects that became intolerable, mainly sexual, all medications I refused starting November 2001. 2002 - January, sciatic nerve goes out in 4th lower lumbar treated by MC and a chiropractor. Diarrhea becomes severe throughout year, with some minor bleeding. Fatigue severe, anxiety severe, depression severe, paranoia takes hold. FM pain severe. Teeth deteriorate and a molar is pulled. Skin itches all the time. Gook in eyes. 2003 - diarrhea worsens resulting in numerous trips to ER for bleeding and dehydration. Request for rheumatologist ignored. 12/24/03 underwent colonoscopy and upper endoscopy . Polyp removed from esophagus. Lesions found on kidneys. Irritable Bowel diagnosed. Mental problems worsen. Considered to have a mood disorder by mental health. 2004 to present (2/27/05) - Dr. orders Chronic Fatigue/Mycoplasma PCR/ELISA tests. Abnormal IgG positives for HHV-6, mycoplasma, EBV and CMV. IgM equivocals found for mycoplasma and EBV. Dr.  determines chronic viral condition (chronic fatigue), heavy metal toxicity, a fasting blood sugar level of 106 (borderline diabetic) and low cellular energy. This he puts in writing to help me get proper care and states cause from "Multiple Vaccinations" during active duty. Of particular concern to the doctor is the HHV-6 and mycoplasma. Larrea and Olive Leaf is prescribed to compliment what facility will prescribe. 2005 - February.  ANA antibodies found in blood test (lupus) & Rheumatoid factor assumed (RA). Pending MRI/neurological exam (MS being investigated due to development of hands/legs shaking uncontrollably since 2002, progressively worse over time). Rated 100% pension by facility and determined unemployable due to IBS and mood disorder as a temporary solution to financial crisis (7 jobs in 2004 alone). Today my Illness claim for disability is in final stages of a rating decision, where it may be likely I will be rated 100% unemployable. I cannot play a guitar now. Hands cramp causing terrible acute pain. Twitching of thumbs developed to point where I cannot keep a pick in my hand while playing.  Eye pain has developed since 2003. This is what I can remember. Records are available through facility, for I know there are other problems I have missed that are relevant. Autoimmune disease, ANA @ 1:320, Inflammatory Bowel