Age: 18.0
Sex: F
Vaccine: MNQ
Symptoms: Bilevel positive airway pressure, Blood test, Cardiac monitoring, Chest X-ray abnormal, Chest pain
Clinical narrative: On February 19, 2015 (Thursday) I had a scheduled appointment with my family pediatrician for a physical check up. She noticed that I needed a second MENACTRA vaccination. She administered it in my left shoulder. She did not take into account that I have lupus. Approximately 4 hours later, I had a very bad headache. I tried to sleep off my headache, I woke up with a 104 fever and back pain. I wasn't able to go to school that evening. On February 20, 2015 (Friday evening) I woke up with the same headache and continued to have a very bad headache throughout the day, and my body started to ache. Friday evening, I started to experience joint pain and facial and body swelling, 5 rash spots on my right shoulder, red inflamed cheeks and I could barely walk. I was taken to Emergency Room and I was treated with TYLENOL and IV fluids for hydration, I was discharged 6 hours later. February 21, 2015 (Saturday morning) I went to Emergency Room, again. I was experiencing headache, back pain, joint pain, high fever and neck pain. I was treated with Tramadol, TYLENOL, and IV fluids for hydration and was given a prescription for BENADRYL, for my rashes. I was discharged 5 hours later. February 22, 2015 (Sunday), I woke up with a high fever, headache, joint pain and cold sweats. I was taken to another Emergency Room. I was there all day with fevers of 103.4, 102.5, chest pains, I had plenty of blood work, chest x ray, IV fluids for hydration. I was discharged 8-9 hours later. February 23, 2015 (Monday), I woke up with a fever as high as 104.7. I was placed in several cold baths, apple cider vinegar baths on my feet. I took MOTRIN for my fever, and the fever would lower but never break. Every time I would sleep, my body temperature would rise to high temperatures. February 24, 2015 (Tuesday). I had an appointment with my Rheumatologist at 11:00 am. She examined me and told me to go back to the emergency room so that I can be administered steroids via IV. I still had a high fever, joint pain, headache, back pain, cold sweats, hand and feet swelling, and I could barely walk. I was admitted hours later, for unknown high fevers, IV steroids, and swelling in my hands and feet. In the emergency room I was given IV fluids, morphine, TYLENOL, and MOTRIN. I was kept for 7 days for my unknown high fevers, red cheeks and body swelling. March 3, 2015 (Tuesday), on the 7th day, I was told I could go home. Suddenly, my breathing became labored and I developed excruciating chest pain. I was immediately moved to the pediatric intensive care unit (PICU). I was put on the BiPAP and heart monitor machine. I was taken to get chest x-rays, an echocardiogram, and MRI for my ongoing headaches. I had respiratory therapy 3 times a day. I was put on a machine that would shake up my lungs, so the inflammation would loosen up. I was on the BiPAP for 6 days and 5 nights. I was given a spirometer to take deeper breaths during the day because   [Due to memory limitations, the remainder of this text could not be compared.]  because I wasn't able to take deep breaths. I had become very weak. I needed assistance walking around and using the bathroom. March 5, 2015 (Thursday) I was taken to get chest x-rays, again. When the test results came back for my chest x-rays, it showed that I had inflammation under my left lung (atelectasis), my liver enzymes were increased, and some of the other test results were negative. March 6, 2015 (Friday) I was placed on a BiPAP again, due to my labored breathing. March 7, 2015, (Saturday) I had nasal oxygen. March 8, 2015, (Sunday) I was off of the nasal oxygen and BiPAP for two days and I was cleared to go home and follow up with my Rheumatologist and other Doctors. March 10, 2015 I was discharged from Medical Center with medications.