Age: 17.0
Sex: F
Vaccine: HPV9
Symptoms: Peripheral swelling, Tinnitus, Urine analysis normal, Vaccination site pain, Visual impairment
Clinical narrative: Next day, during volleyball game heart started racing, arms felt funny--tingling in her fingertips--, felt somewhat faint.   Reporter is not sure for long how symptoms lasted; patient ate and went to sleep. Next day patient went to school, complained that she was weak, that her vision was not rightseeing little things-- and started crying.   On 8/28 at around 12:38pm, took patient to ER visit due to the palpitations. All symptoms experienced were discussed, including ringing in the ears, with the doctor and upon discharge ER doctor recommended follow-up with doctor to possibly get a holter cardiac monitor a psychiatric consultation. On 8/29 went to follow-up with doctor after ER visit, again mentioned all the symptoms to the doctor including palpitations and that arm was sore/hurting at vaccination site. Doctor did not link any of the symptoms to the vaccination and gave order for labs and a holter cardiac monitor. Doctor also revoked the sports clearance that had been granted to the patient.  On 8/29 went to get labs including blood and urine samples; all came back normal.  Not sure, which day it was after the vaccination but patient woke up with a swollen arm and swollen help; she thought her allergy medication helped to control it. On 8/31, patient started wearing monitor until 9/9.   Patient went back to the same ER on 9/4 complaining of bad shortness of breath; the doctor still considered that it was related to panic attacks.  At the ER, heart monitor company (Cardiomedic) faxed results they had so far for review and they showed heart a little heart rate increase but not out of normal.  Contacted doctor to let them know they were back at the ER but did not have a follow-up appointment available until 9/9.   On 9/7, patient had difficulty breathing again so taken to doctor to get possibly a breathing treatment.   Per doctor, she could not give patient a breathing treatment and specified that the symptoms mentioned were not related to the vaccine.  Patient's parents were given the vaccine handouts that daythey had not received them before.   Patient reviewed the vaccine adverse event sheet and highlighted the following adverse events that were listed:   soreness, redness and swelling at site, shoulder and face, headache, feeling dizzy, vision problems, ringing in the ears, and difficulty breathing.   Went to follow-up appointment with doctor on 9/9 and discussed all symptoms highlighted and they were still blaming it on anxiety; patient's parents filed a complaint with the facility about the doctor's care they had received so far and that they did not receive the proper paperwork.  Patient is following up with cardiologist to review holter heart monitor results.  The cardiologist in their facility did not have any open appointments soon so she is going to a different one.  As of now patient reports that vision have improved, she still has difficulty breathing, arm still hurts bad and still is feeling weak.  Patient will also use the Behavioral order to follow-up for anxiety just in case.     Patient started taking Omeprazole for acid reflux on 8/27 and continued taking it daily until 9/7 when doctor told her to stop The last vaccination patient received was in March for Meningitis.