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This is VAERS ID 238910

History of Changes from the VAERS Wayback Machine

First Appeared on 12/30/2006

VAERS ID: 238910
VAERS Form:
Age:18.0
Sex:Female
Location:Massachusetts
Vaccinated:2005-05-31
Onset:2005-05-31
Submitted:2005-06-01
Entered:2005-06-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MNQ: MENINGOCOCCAL (MENACTRA) / AVENTIS PASTEUR, U1573AC / 0 LA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: RASH, PRURITUS

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: PPD
CDC 'Split Type':

Write-up: Patient started with red, itchy rash on chest and arms starting approximately one hour after immunizations. Rash spread and grew more itchy through today. IV Solumedrol give in the office. Patient sent home on Prednisone, Loratadine, and Ranitidine.


Changed on 12/8/2009

VAERS ID: 238910 Before After
VAERS Form:
Age:18.0
Sex:Female
Location:Massachusetts
Vaccinated:2005-05-31
Onset:2005-05-31
Submitted:2005-06-01
Entered:2005-06-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MNQ: MENINGOCOCCAL (MENACTRA) / AVENTIS PASTEUR, AVENTIS PASTEUR U1573AC / 0 LA / IM

Administered by: Private      Purchased by: Unknown Private
Symptoms: Pruritus, Rash, RASH, PRURITUS

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: PPD
CDC 'Split Type':

Write-up: Patient started with red, itchy rash on chest and arms starting approximately one hour after immunizations. Rash spread and grew more itchy through today. IV Solumedrol give in the office. Patient sent home on Prednisone, Loratadine, and Ranitidine.


Changed on 4/7/2010

VAERS ID: 238910 Before After
VAERS Form:
Age:18.0
Sex:Female
Location:Massachusetts
Vaccinated:2005-05-31
Onset:2005-05-31
Submitted:2005-06-01
Entered:2005-06-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MNQ: MENINGOCOCCAL (MENACTRA) MENINGOCOCCAL CONJUGATE (MENACTRA) / AVENTIS PASTEUR U1573AC / 0 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Pruritus, Rash

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: PPD
CDC 'Split Type':

Write-up: Patient started with red, itchy rash on chest and arms starting approximately one hour after immunizations. Rash spread and grew more itchy through today. IV Solumedrol give in the office. Patient sent home on Prednisone, Loratadine, and Ranitidine.


Changed on 5/14/2017

VAERS ID: 238910 Before After
VAERS Form:
Age:18.0
Sex:Female
Location:Massachusetts
Vaccinated:2005-05-31
Onset:2005-05-31
Submitted:2005-06-01
Entered:2005-06-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / AVENTIS PASTEUR SANOFI PASTEUR U1573AC / 0 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Pruritus, Rash

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: PPD
CDC 'Split Type':

Write-up: Patient started with red, itchy rash on chest and arms starting approximately one hour after immunizations. Rash spread and grew more itchy through today. IV Solumedrol give in the office. Patient sent home on Prednisone, Loratadine, and Ranitidine.


Changed on 9/14/2017

VAERS ID: 238910 Before After
VAERS Form:(blank) 1
Age:18.0
Sex:Female
Location:Massachusetts
Vaccinated:2005-05-31
Onset:2005-05-31
Submitted:2005-06-01
Entered:2005-06-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U1573AC / 0 1 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Pruritus, Rash

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: PPD
CDC 'Split Type':

Write-up: Patient started with red, itchy rash on chest and arms starting approximately one hour after immunizations. Rash spread and grew more itchy through today. IV Solumedrol give in the office. Patient sent home on Prednisone, Loratadine, and Ranitidine.


Changed on 2/14/2018

VAERS ID: 238910 Before After
VAERS Form:1
Age:18.0
Sex:Female
Location:Massachusetts
Vaccinated:2005-05-31
Onset:2005-05-31
Submitted:2005-06-01
Entered:2005-06-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U1573AC / 1 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Pruritus, Rash

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: PPD
CDC 'Split Type':

Write-up: Patient started with red, itchy rash on chest and arms starting approximately one hour after immunizations. Rash spread and grew more itchy through today. IV Solumedrol give in the office. Patient sent home on Prednisone, Loratadine, and Ranitidine.


Changed on 6/14/2018

VAERS ID: 238910 Before After
VAERS Form:1
Age:18.0
Sex:Female
Location:Massachusetts
Vaccinated:2005-05-31
Onset:2005-05-31
Submitted:2005-06-01
Entered:2005-06-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U1573AC / 1 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Pruritus, Rash

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: PPD
CDC 'Split Type':

Write-up: Patient started with red, itchy rash on chest and arms starting approximately one hour after immunizations. Rash spread and grew more itchy through today. IV Solumedrol give in the office. Patient sent home on Prednisone, Loratadine, and Ranitidine.


Changed on 8/14/2018

VAERS ID: 238910 Before After
VAERS Form:1
Age:18.0
Sex:Female
Location:Massachusetts
Vaccinated:2005-05-31
Onset:2005-05-31
Submitted:2005-06-01
Entered:2005-06-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U1573AC / 1 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Pruritus, Rash

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: PPD
CDC 'Split Type':

Write-up: Patient started with red, itchy rash on chest and arms starting approximately one hour after immunizations. Rash spread and grew more itchy through today. IV Solumedrol give in the office. Patient sent home on Prednisone, Loratadine, and Ranitidine.


Changed on 9/14/2018

VAERS ID: 238910 Before After
VAERS Form:1
Age:18.0
Sex:Female
Location:Massachusetts
Vaccinated:2005-05-31
Onset:2005-05-31
Submitted:2005-06-01
Entered:2005-06-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U1573AC / 1 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Pruritus, Rash

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: PPD
CDC 'Split Type':

Write-up: Patient started with red, itchy rash on chest and arms starting approximately one hour after immunizations. Rash spread and grew more itchy through today. IV Solumedrol give in the office. Patient sent home on Prednisone, Loratadine, and Ranitidine.


Changed on 10/14/2018

VAERS ID: 238910 Before After
VAERS Form:1
Age:18.0
Sex:Female
Location:Massachusetts
Vaccinated:2005-05-31
Onset:2005-05-31
Submitted:2005-06-01
Entered:2005-06-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U1573AC / 1 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Pruritus, Rash

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: PPD
CDC 'Split Type':

Write-up: Patient started with red, itchy rash on chest and arms starting approximately one hour after immunizations. Rash spread and grew more itchy through today. IV Solumedrol give in the office. Patient sent home on Prednisone, Loratadine, and Ranitidine.

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