Age: 11.0
Sex: F
Vaccine: HEPA, HPV4, MNQ, HEPA, HPV4, MNQ
Symptoms: Nuclear magnetic resonance imaging brain normal, Pain in extremity, Pallor, Paranasal sinus hypersecretion, Protein total increased
Clinical narrative: February 10, 2012 Patient received her HPV, Meningococcal, and Hepatitis A shots. Patient complained for days that her arm hurt. February 24, 2012 Patient had been complaining for a couple of days now saying that she has a headache and is tired. She came straight home and went to bed. February 25, 2012 Patient had a severe headache and color was really pale. Patient could barely stay awake and started throwing up. I took her to pediatrician. Dr. saw patient and said that she had some junk draining and thought it was a sinus infection. He prescribed her a Z-PAK. Patient's complaints were her headache and her stomach felt queasy. February 28, 2012 Patient was not any better at all if anything getting worse. I called her doctor she saw patient and thought that the medicine still has not had enough time to get in her system completely. She said it is five pills but will continue to work for a total of 10 days. Patient was complaining of headache, nausea, sore arm muscles and the back of her neck hurting. Patient said her vision was blurry and double. Dr. thought patient was putting pressure on her eyes rubbing her head. March 6, 2012 Patient's pupils were huge this evening could not see what color her eyes were. Very tired and still not feeling well. Not eating or drinking. March 7, 2012 Patient still not any better and her eyes are moving differently. She was having trouble walking and trouble seeing. She is very tired and not wanting to eat or drink very much. Dr. saw her and did a bunch of exercises on her. She scheduled an MRI thinking a possibility of a tumor. Patient's MRI was schedule for 7:30p.m. on March 7, 2012. March 8, 2012 Patient's MRI came back normal per Dr. He thought patient looked pretty good my mother and I said she still can't see and is having trouble walking we have to do something. He set her up with an eye specialist and he sent us home. March 9, 2012 Dr saw patient and knew right away something was wrong. He had a visual field done and several other test. He looked at patient's MRI. He told us he was sending us to hospital to have her admitted and a lumbar puncture done. They would be expecting us. At hospital approximately 12:30 or 1:00 and in patient's room. The lumbar puncture was done around 5:00. Patient stated immediate relief of her headache, but still trouble seeing (not nearly as bad though). Patient had 35 ml around her brain and normal levels are 20 ml or less. Patient was rated a 4 on the Pseudotumor Cerebri scale. March 10, 2012 We were released from hospital at approximately 8:00p.m. Prescribed patient Acetazolamide 250 mg twice a day. March 12, 2012 We saw Dr., patient's Neurologist. She increased patient's meds from 250mg twice a day to 250mg three times a day since patient still had a little headache and nausea. March 14, 2012 We saw Dr. the eye specialist who said patient's eyes looked so much better but still had a ways to go. All in all impressed with how her eyes were doing. March 15, 2012 Patient left school early sick. By the time I got patient and took her to pediatrician. She was throwing up everywhere. Dr. saw patient and spoke to Dr. the Neurologist. They increased patient's meds from 250mg three times a day to 500mg three times a day. March 16, 2012 Saw Dr. just as a follow up. March 28, 2012 Patient has been complaining of being cold and nausea since March 24th. Took her to see Dr. today. She said patient looked fine but did mention that there was a case where an 18 yr. old Pseudotumor Cerebri and it was linked to this child taking the HPV vaccine and said we would need to look into that.