Table 5.
Selected clinical findings of Hereditary Neuropathy with liability to Pressure Palsy (HNPP) patients reported in VAERS following Adenovirus Type4 and Type 7 Vaccine, Live, Oral, October 2011 through July 2018.
| Case/ Year |
Age (Yr) Sex |
Recent History of Illness |
Vaccines | Onset after Adenovirus vaccination (days) |
Diminished DTR |
CSF | EMG and NCS | Treatment | Genetic testing | Diagnosis |
|---|---|---|---|---|---|---|---|---|---|---|
| 1 2016 | 20M | None | Adeno Hep A IIV IPV MCV4 Tdap Varicella | 7 | Normal | Not done | Acute demyelinating polyneuropathy on nerve conduction study | IVIG for presumed GBS | Positive for PMP22 gene deletion | HNPP |
| 2 2016 | 17M | None | Hep B IIV Tdap MCV4 Tdap Adeno | 8 | √ | Not done | Acute demyelinating polyneuropathy on nerve conduction study | 6 day steroid course initially | Positive for PMP22 gene deletion | HNPP |
| 3 2016 | 19F | URTI | Adeno Hep A IIV IPV MCV4 MMR Tdap Varicella | 4 | √ | Not done | Acute demyelinating polyneuropathy on nerve conduction study | IVIG for presumed GBS | Positive for PMP22 gene deletion | HNPP |
Abbreviations used in this table: Yr = year, DTR = deep tendon reflexes, CSF = cerebrospinal fluid, EMG and NCS = electromyogram and nerve conduction study, M = male, F = female, Adeno = adenovirus vaccine, Hep A = hepatitis A vaccine, IIV = inactivated influenza vaccine, IPV = inactivated poliovirus vaccine, MCV4 = meningococcal conjugate vaccine, Tdap = tetanus diphtheria attenuated pertussis vaccine, IVIG = intravenous immunoglobulin, GBS = Guillain Barré syndrome, PMP22 = peripheral myelin protein 22, HNPP = hereditary neuropathy with liability to pressure palsy, Hep B = hepatitis B vaccine, √ = diminished DTRs, URTI = upper respiratory tract infection, MMR = measles mumps and rubella vaccine.