Age: 20.0
Sex: F
Vaccine: HPV4, HPV4
Symptoms: Activities of daily living impaired, Computerised tomogram normal, Headache, Lumbar puncture, Nuclear magnetic resonance imaging normal
Clinical narrative: I got the first HPV vaccine, and 1 hr later, I developed a fever of 102.0, was vomiting, and had a severe headache. Ever since 9/20/07, I have had a chronic, 24 hr/day headache. I have seen my PCP, neurologist, and many ER visits. It has been concluded that this occurred from the HPV vaccine. After doing extensive research about GARDASIL, and being advised by healthcare professionals, I got the first dose on 9/20/2007. About an hr later, I got a fever of 102.2, was vomiting, and had a severe headache. Eventually, the other symptoms went away, but the headache continued. It was an intense headache that lasted 24hrs/a day. I saw my PCP several times, and was referred to a neurologist. In the meantime, I got the second dose on 11/14/2007. I did not put two and two together. Since there was a long wait to see the neurologist, I ended up in the emergency room twice in 12/07. The first visit, an MRI, CT, and Lumbar Puncture were performed. I ended back in the ER a few days later for observation. All of the tests came back normal, but the pain was unbearable. I was put on IV MORPHINE, which had little affect. I then got an urgent appt with my neurologist in 12/07. Since 9/07, my life has been turned upside down. I have missed work, had to switch jobs, and have struggled to finish nursing school. I was 100 percent healthy before this immunization I have spent thousands of dollars on medications, copays, alternative options, such as chiropractic care, acupuncture, and massage. I simply can't afford it. I have been on more Rx in the last year and a half than most people have in a lifetime. At 21 years old, I should be able to live a normal life. Within the past month, I have been back in the ER three times. The only thing that "took the edge off" was IV DILAUDID. I have tried basic OTC such as ADVIL, TYLENOL, ALEVE, EXCEDRIN, Rx NSAIDS, PREDNISONE, muscle relaxers, anticonvulsants, and tricyclic antidepressants. Caffeine and antihistamine, narcotics, and just about anything else you can of, I have tried. Still, nothing has worked. My doctors have concluded I had a serious reaction from the HPV vaccine. I am reporting it so hopefully no one else has to go through the terrible year and a half I have been through. I was fine before 9/20/07, and since the immunization, I am afraid I will never be the same again. Living with daily chronic headaches is not something I want to happen to anyone else, and I hope by doing this, in any way, I am helping.  2/17/09-records received-office visit 9/20/07-C/O dysmenorrhea, longer periods. Constipation for past 3-4 months. L pelvic pain with H/O ovarian cysts.  12/0/07-C/O headache gradual onset 6 weeks prior, frontal pressure initially intermittent with occasional nausea. DX: Headache. 12/10/07-continues with headaches-impression significant tension headache. 12/14/07-developed photo/phonophobia and nausea and vomiting wiht headaches. 12/27/07-post lumbar puncture headache. . Urinary tract infection. 1/2/08-headaches improved now C/O chest pain and aching in shoulders.  1/28/08-Impression-chronic daily headache intermittent migrainous component. TMJ with possible surgery for bruxism. Neck pain.