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This is VAERS ID 241203

Case Details

VAERS ID: 241203 (history)  
Form: Version 1.0  
Age: 18.0  
Sex: Male  
Location: New York  
Vaccinated:2005-07-06
Onset:2005-07-06
   Days after vaccination:0
Submitted: 2005-07-11
   Days after onset:5
Entered: 2005-07-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U1493AC / 1 LA / IM

Administered by: Private       Purchased by: Unknown
Symptoms: Balance disorder, Delirium, Difficulty in walking, Dizziness, Headache, Hypokinesia, Hypotonia, Injection site hypersensitivity, Injection site oedema, Injection site pain, Muscle spasms, Pyrexia, Tremor
SMQs:, Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (narrow), Dementia (broad), Dystonia (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (narrow), Noninfectious meningitis (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Dehydration (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: none
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: All blood work / urinalysis - normal.
CDC Split Type:

Write-up: high fever, delerious,went to the emergency room no symptoms at second day followup. Muscle spams - collapsed on floor, couldn''t walk. Still recovering.


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