Age: 38.0
Sex: F
Vaccine: HEP, HEP
Symptoms: Neck pain, Pneumonia, Sinusitis, Vaccine positive rechallenge, Weight decreased
Clinical narrative: Very first vaccine was March 6, 2004 at another facility and I have had chronic sinus infections, then liver/gallbladder pain exactly 12 weeks later, with no stones or elavated enzymes showing on lab work or on hidascan on June 6, 2006. Then chronic sinusitis continuing up to 20 infections by Feb 2005. By Dec 27 2005 pain in liver/ gallbladder area again lasting one month again no stones or blockages or elevated enzymes. Hidascan showing infraction of gallbladder function less than 27% for no known reason. Gall bladder removed Jan 27, 2005. Four days later another sinus infection and tremendous pain at gall bladder removal site near liver. Another hidascan is done. Postpones my return to work another week. April 25th I received my 2nd Hepatitis B vaccine shot, next morning cannot move my left arm correctly with a lot of pain,thought it was an old neck injury flare up did not think of a correlation between the shot and the inability to use my arm, until the next shot, May 27th 2005 when the following morning, the same thing happened. Three weeks later in June I had a couple days of yellow stools and dark tea colored urine, but this went away in a week and I was not concerned. However, 10 weeks later I came down with asthma and pneumonia in the ER. It was now my only my 2nd time having asthma in my life, the first time was Dec. 27th, 2004 as asthmatic bronchitis. And during my post ER check up on August 16th(11weeks after my 3rd Hep B shot) it was determined that I had way too much pain in the liver area for someone who had gall bladder surgery 7 months ago, didnt smoke, didn't drink, and didn't use drugs. etc. Then 1 month later I had an attack of accute liver pain which landed me back in the ER, with 3 strong courses of Dilaudid given for pain when Toradol proved fruitless. Catscan negative. Liver enzymes negative. Blood work negative. 8 day hospital stay. Hidascan negative. Swollen painfull liver still to this day October 5th treating with Vicodin for pain & Dicyclomine 20mgs for liver spasms and resting frequently without normal activity, trying accupuncture for pain. I am not able to work currently. Information from 60 day follow-up report states: "Liver" area pain continues cannot eat over 4 grams of fat per meal. Lost 30 lbs. I am now underweight (130lbs @5'7") for my height, not working, and my pre-existing condition of interstitial cystitis has become very much worsened and difficult to control through previous successfull methods. My previous basilar artery migraines have also worsened since my Hep B initial shot, unfortunately. It took me too long to see the correlation. Thank you for your research.  2/16/06 - Reviewed immunization record and it indicates that the initial Hep B vaccine (Energix) was given on 3/8/04. Lot # was ENG5514A2. 2/16/06 - Reviewed medical record of 1/4/05 that states patient had a bout of RUQ pain for one week. Was told she had a kidney stone, kidney inflammation, and biliary dyskinesia. Note dated 1/12/04 indicates UTI, anemia, and heavy menstrual periods. Note dated 6/7/04 indicates a 3rd attack of pain under R rib cage, nausea one hour after eating, early satiety, anorexia, and belching.  Says urine was dark but later cleared. Finally told she had IBS.  2/16/06 - Reviewed med. rec. for 1/3/05-1/4/05 (10 mos. after dose # 1 of Hep B and 4 mos. prior to dose # 3) describes an ER visit for RUQ pain right renal cyst.biliary dyskinesia and renal stone.   2/16/06 - Reviewed medical record for RUQ pain and R renal cyst.  2/16/06 - Reviewed D/C summary for 1/28/05 (10 mos. after dose # 1 and before dose # 3) for cholecystectomy.  2/16/06 - Reviewed medical record for dx of sinusitis on 1/31/05.  2/16/06 - Reviewed medical record for 2/1/05 for sinus and abdominal pain.  2/16/06 - Reviewed medical record for 8/7/05 (2 mos. after dose # 3) for wheezing, SOB, chest pain.  2/16/06 - Reviewed medical record for 8/16/05 related to pre-op work for D&C and hysteroscopy for cyst removal.  2/16/06 - Reviewed medical record for 9/1/05 for ovarian cyst R.  2/16/06 - Reviewed medical record for 9/16/05 for diagnoses of bilateral flank pain, low-grade fever of 99.1, poorly controlled interstitial cystitis, nausea, and chills treated with Dilaudid.  2/16/06 - Reviewed D/C summary for 9/28/05 admission and diagnosis was recurrent UTI. I still suffer chronic pancreatitis and my diet is largely altered to not include fats.  I was born w/a functioning pancreas which was split down the middle (called Pancreas Divesom).  I did not even know I had this till I lot my gall bladder, then 6 mos later had impaired pancreas function.  All of these GI disorders began within 3 ms of my 1st innoculation of HEP B on March 6, 2004 and every subsequent vaccine (totalling 3) increase my symptoms, until the Gallbladder surgery and then to include Pancreatitis.