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This is VAERS ID 241093

Case Details

VAERS ID: 241093 (history)  
Form: Version 1.0  
Age:   
Sex: Female  
Location: South Carolina  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 2005-06-28
Entered: 2005-07-08
   Days after submission:10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U1575AA / 1 LA / SC

Administered by: Private       Purchased by: Private
Symptoms: Injection site erythema, Medication error
SMQs:, Extravasation events (injections, infusions and implants) (broad), Medication errors (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: The pt did not have any pre-existing allergies or medical conditions. There is no illnesses or medications at the time of vaccination.
Allergies:
Diagnostic Lab Data: No lab test performed.
CDC Split Type: 2005011440

Write-up: From initial info received on 6/13/05 from a health care professional regarding an adverse event occurring in the USA, it was reported that a female pt received a dose of Menactra vaccine, lot U1575AA, SC instead of IM, in the left upper arm on an unspecified date. An unspecified amount of time later, the pt developed large redness of her left upper arm. At the time of this report, the pt recovered from these events.


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