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This is VAERS ID 241085

History of Changes from the VAERS Wayback Machine

First Appeared on 12/30/2006

VAERS ID: 241085
VAERS Form:
Age:18.0
Sex:Female
Location:California
Vaccinated:2005-05-25
Onset:2005-05-27
Submitted:2005-06-09
Entered:2005-07-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MNQ: MENINGOCOCCAL (MENACTRA) / AVENTIS PASTEUR, U1588AA / - - / IM

Administered by: Other      Purchased by: Unknown
Symptoms: 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: Claritin
Current Illness:
Preexisting Conditions: The pt has a history of eczema.
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

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.


Changed on 12/8/2009

VAERS ID: 241085 Before After
VAERS Form:
Age:18.0
Sex:Female
Location:California
Vaccinated:2005-05-25
Onset:2005-05-27
Submitted:2005-06-09
Entered:2005-07-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MNQ: MENINGOCOCCAL (MENACTRA) / AVENTIS PASTEUR, AVENTIS PASTEUR U1588AA / - - / IM

Administered by: Other      Purchased by: Unknown Other
Symptoms: Rash, 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: Claritin
Current Illness:
Preexisting Conditions: The pt has a history of eczema.
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': (blank) 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", 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.


Changed on 4/7/2010

VAERS ID: 241085 Before After
VAERS Form:
Age:18.0
Sex:Female
Location:California
Vaccinated:2005-05-25
Onset:2005-05-27
Submitted:2005-06-09
Entered:2005-07-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MNQ: MENINGOCOCCAL (MENACTRA) MENINGOCOCCAL CONJUGATE (MENACTRA) / AVENTIS PASTEUR U1588AA / - - / IM

Administered by: Other      Purchased by: Other
Symptoms: 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: 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.


Changed on 7/14/2014

VAERS ID: 241085 Before After
VAERS Form:
Age:18.0
Sex:Female
Location:California
Vaccinated:2005-05-25
Onset:2005-05-27
Submitted:2005-06-09
Entered:2005-07-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / AVENTIS PASTEUR SANOFI PASTEUR U1588AA / - - UN / IM

Administered by: Other      Purchased by: Other
Symptoms: 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: 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.


Changed on 9/14/2017

VAERS ID: 241085 Before After
VAERS Form:(blank) 1
Age:18.0
Sex:Female
Location:California
Vaccinated:2005-05-25
Onset:2005-05-27
Submitted:2005-06-09
Entered:2005-07-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U1588AA / - UNK UN / IM

Administered by: Other      Purchased by: Other
Symptoms: 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: 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.


Changed on 2/14/2018

VAERS ID: 241085 Before After
VAERS Form:1
Age:18.0
Sex:Female
Location:California
Vaccinated:2005-05-25
Onset:2005-05-27
Submitted:2005-06-09
Entered:2005-07-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U1588AA / UNK UN / IM

Administered by: Other      Purchased by: Other
Symptoms: 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: 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.


Changed on 6/14/2018

VAERS ID: 241085 Before After
VAERS Form:1
Age:18.0
Sex:Female
Location:California
Vaccinated:2005-05-25
Onset:2005-05-27
Submitted:2005-06-09
Entered:2005-07-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U1588AA / UNK UN / IM

Administered by: Other      Purchased by: Other
Symptoms: 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: 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.


Changed on 8/14/2018

VAERS ID: 241085 Before After
VAERS Form:1
Age:18.0
Sex:Female
Location:California
Vaccinated:2005-05-25
Onset:2005-05-27
Submitted:2005-06-09
Entered:2005-07-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U1588AA / UNK UN / IM

Administered by: Other      Purchased by: Other
Symptoms: 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: 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.


Changed on 9/14/2018

VAERS ID: 241085 Before After
VAERS Form:1
Age:18.0
Sex:Female
Location:California
Vaccinated:2005-05-25
Onset:2005-05-27
Submitted:2005-06-09
Entered:2005-07-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U1588AA / UNK UN / IM

Administered by: Other      Purchased by: Other
Symptoms: 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: 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.


Changed on 10/14/2018

VAERS ID: 241085 Before After
VAERS Form:1
Age:18.0
Sex:Female
Location:California
Vaccinated:2005-05-25
Onset:2005-05-27
Submitted:2005-06-09
Entered:2005-07-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U1588AA / UNK UN / IM

Administered by: Other      Purchased by: Other
Symptoms: 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: 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.

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


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