Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Activities of daily living impaired, Arthralgia, Arthralgia, Blood follicle stimulating hormone normal, Blood insulin normal
Clinical narrative: Initial fatigue, headaches, muscle cramps, muscle pain, sound sensitivityafter 1st shot. Increased in severity of all symptons. After 3 rd shot signficant increase in pain. Hip pain. Light,touch,smell sensitivity, chronic fatigue, tingling in hands, feet, sometimes all over body, faintness, joint spasmas. Poor, limited concentration.  5/27/09 Rheumatology records DOS 5/19/09. FINAL DIAGNOSIS: none provided. Post vaccination diffuse joint pain, lower back pain. Eye pain with photosensitivity. Recurrent urinary tract infections. Dysuria. Tenderness to lumbar spine. Decrease in lumbar flexibility. Tenderness at sacroiliac joints. Referral to ophthalmology and OB/GYN.  6/1/09 Rheumatology records DOS 2/18/09 to 5/27/09. FINAL DIAGNOSIS: Spondyloarthropathy with positive HLA-B27 and sacroiliitis, ankylosing spondylitis. Post vaccination developed low back pain, respiratory infection, pain left hip/buttock region. Decreased range of motion left hip. Hurts to walk. Pain has recurred in left knee and elbow. Fatigue. Mouth sores. Later presents with nausea, vision changes, photophobia. Urinary frequency. Muscle twitching and pain in some joints. Pain with stressing of sacroiliac joint.   4/20/09 Received PCP medical records of 5/22/07-11/02/2007. FINAL DX: none provided Records reveal patient experienced bronchitis when see 5/22/07.  RTC 7/12/07 for HPV #1, lot # 0522U, IM/LA.  RTC 9/26/07 for HPV #2 lot # 1060U, IM/RA.  RTC 5/15/08 w/HA, fatigue, fever & sinus drainage.  Dx w/sinusitis & tx w/antibiotic, nasal spray & antihistamine.  05/15/08 received HPV #3, lot 1757U IM/LA, and meningitis vax & Hep A vax (no lot #s provided for those).  RTC 10/7/08 w/corneal abrasion right eye.  Tx w/antibiotics.  Ortho consult done 10/9/07 for right elbow pain x 10 mo s/p sledding accident 1/07 & dx w/sprain, probable ulnar collateral ligament tear.  MRI revealed large tear of common flexor attachment at medial humeral epicondyle & referred for surgery.  Tx w/injection & splinting but felt to need surgery later.  No further records available.  Follow-up received states - I am responding to your inquiry requesting follow-up on my daughter. Re: how or if my daughter recovered from this vaccine. The answer is clearly no. My daughter's condition has continued to deteriorate over the past year. We have struggled to find provider who are even willing to consider the possibility her illness is a result of this vaccine. Included with this information is a copy of disability papers. Dr. has filled out in an attempt for my daughter to receive disability services. She is barely able to attend classes due to severity of her pain and levels of chronic fatigue. My brilliant A+ daughter is lucky to get up out of bed. Pt who trained 4 plus days a week in martial arts has trouble getting out of bed on a daily basis. I canot begin to express my anger and sadness about how this vaccine has affected the quality of my daughter's life. We plan on seeking additional consultation with a neurologist and endocrinologist based upon ongoing problems. It has been difficult to find any type of medication that will alleviate my daughter symptoms. If you have any specialist whom you believe might be able to assist my daughter I would greatly appreciate that information. I have also included the additional vaccines my daughter received and their lot numbers. Attached are list of doctors that have treated her within the last year.