National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 241085

Case Details

VAERS ID: 241085 (history)  
Form: Version 1.0  
Age: 18.0  
Sex: Female  
Location: California  
Vaccinated:2005-05-25
Onset:2005-05-27
   Days after vaccination:2
Submitted: 2005-06-09
   Days after onset:13
Entered: 2005-07-08
   Days after submission:29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U1588AA / UNK UN / IM

Administered by: Other       Purchased by: Other
Symptoms: Rash
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (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: Claritin
Current Illness:
Preexisting Conditions: The pt has a history of eczema.
Allergies:
Diagnostic Lab Data:
CDC Split Type: 2005010690

Write-up: From initial info received on 6/3/05 from a physician regarding an adverse event occurring in the USA, it was reported that an 18 year old female pt received a dose of Menactra, lot U1588AA, IM in an unspecified site on 5/25/05. Two days later, on 5/27/05, the pt developed a rash on her face and neck. The pt was seen by a physician. Per the reporter, the pt recovered from the event.


New Search

Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=241085


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