Age: 61.0
Sex: F
Vaccine: LYME
Symptoms: Back pain, Infection parasitic, Laboratory test abnormal
Clinical narrative: Report A0370976A describes Lyme disease in a 61 year old female who received Lyme disease vaccine recombinant. This report was received from the vaccinee and has been verified by a physician. The medical history reportedly included Lyme disease, chronic sinusitis, a bleeding ulcer "from taking to many aspirins to get rid of sinus headaches" (1989), and hematuria beginning (1996). The vaccinee's concurrent medications included unspecified vitamins and PremPro. In October 1999, the vaccinee received her second injection of LYMErix. Subsequently, on an unspecified date in October 1999, she began to experience back pain that "continued intermittently." At an unspecified time, blood was found in the subject's urine. She stated that she was given a "complete exam" by a urologist and "everything was fine." On an unspecified date, the vaccinee reportedly received her third injection of LYMErix and still was experiencing "some" back pain. In 2001, the subject underwent a colonoscopy "to see if there was a problem which may be causing hte backaches." She stated that "everything was fine." For the past two years, the subject has been treated by a chiropractor. These treatments have "helped" but have not eliminated her back pain. Shehas used prescription and over the counter medications. They provided "no help." The subject stated that "even though I have pain I exercise twice a day and walk at least 3 to 4 miles three times per week." She stated that "recently," Lyme disease western blot analysis was positive and her physician made a diagnosis of Lyme disease. She reported that she was treated with "a series of antibiotics." While taking antibiotics, the back pain reportedly "got better." The subject's back pain persisted as of 9/17/02. On 10/22/02, the vaccine provider reported that the subject's medical history included presumed Lyme disease with back pain treated with doxycycline starting on 6/15/94. She had recurrent symptoms that were responsive to doxycycline. In 1999, her  Lyme disease symptoms had resolved and she requested LYMErix immunization. Post-immunization, on 10/14/99, she began to experience recurrent symptoms of Lyme disease, primarily back pain. The vaccine provider considered the Lyme disease symptoms, primarily back pain, to be possibly related to LYMErix administration. The back pain persisted as of 10/22/02. On 10/28/02, the subject's chiropractor reported that the subject began to experience Lyme disease and back pain on 4/7/01. The chiropractor considered the Lyme disease and back pain to be possibly related to LYMErix administration. As of 10/28/02, the Lyme disease and back pain had "improved." Follow up on 02/26/04: "The most recent information was received from the subject on 09/11/03.  The subject stated that "after many tests and seeing some specialists I am still suffering.  I have back pain and the symptoms of Lyme disease. I did have Lyme this summer which was much more severe than previous bouts." The subject also stated that she 'has to live with constant inflammation (sic). There are times I cannot even touch my skin without pain."