National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 240008

Case Details

VAERS ID: 240008 (history)  
Form: Version 1.0  
Age: 19.0  
Sex: Female  
Location: Maryland  
Vaccinated:2005-06-10
Onset:2005-06-10
   Days after vaccination:0
Submitted: 2005-06-10
   Days after onset:0
Entered: 2005-06-17
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U149AB / 1 LA / IM

Administered by: Other       Purchased by: Unknown
Symptoms: Loss of consciousness
SMQs:, Torsade de pointes/QT prolongation (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: High fever with pertussis as infant; no other problems.
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: 5 minutes after Menactra 0.5ml IM given, client lost consciousness. Epinephrine 0.5mg SQ given. Client regained consciousness and was transported to ER for medical evaluation.


New Search

Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=240008


Copyright © 2020 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166