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This is VAERS ID 241302

History of Changes from the VAERS Wayback Machine

First Appeared on 12/30/2006

VAERS ID: 241302
VAERS Form:
Age:19.0
Sex:Male
Location:Nebraska
Vaccinated:2005-06-16
Onset:2005-06-16
Submitted:2005-06-27
Entered:2005-07-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MNQ: MENINGOCOCCAL (MENACTRA) / AVENTIS PASTEUR, U1589AA / - RA / IM

Administered by: Public      Purchased by: Unknown
Symptoms: FEVER, PARESTHESIA

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:
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Vaccine given on 06/16/2005, that night developed fever of 103.4. Febrile through the night, on 06/17/2005 patient described he could not feel his legs. Saw the doctor that evening of 06/17/2005. Took Tylenol as directed. Fever was not present by noon"on 06/18/2005. Troy also reported shortness of breath. By Sunday 06/19/2005 he had no symptoms.


Changed on 12/8/2009

VAERS ID: 241302 Before After
VAERS Form:
Age:19.0
Sex:Male
Location:Nebraska
Vaccinated:2005-06-16
Onset:2005-06-16
Submitted:2005-06-27
Entered:2005-07-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MNQ: MENINGOCOCCAL (MENACTRA) / AVENTIS PASTEUR, AVENTIS PASTEUR U1589AA / - RA / IM

Administered by: Public      Purchased by: Unknown Private
Symptoms: Hypoaesthesia, Pyrexia, FEVER, PARESTHESIA

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:
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Vaccine given on 06/16/2005, that night developed fever of 103.4. Febrile through the night, on 06/17/2005 patient described he could not feel his legs. Saw the doctor that evening of 06/17/2005. Took Tylenol as directed. Fever was not present by noon"on noon on 06/18/2005. Troy Pt also reported shortness of breath. By Sunday 06/19/2005 he had no symptoms.


Changed on 4/7/2010

VAERS ID: 241302 Before After
VAERS Form:
Age:19.0
Sex:Male
Location:Nebraska
Vaccinated:2005-06-16
Onset:2005-06-16
Submitted:2005-06-27
Entered:2005-07-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MNQ: MENINGOCOCCAL (MENACTRA) MENINGOCOCCAL CONJUGATE (MENACTRA) / AVENTIS PASTEUR U1589AA / - RA / IM

Administered by: Public      Purchased by: Private
Symptoms: Hypoaesthesia, Pyrexia

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:
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Vaccine given on 06/16/2005, that night developed fever of 103.4. Febrile through the night, on 06/17/2005 patient described he could not feel his legs. Saw the doctor that evening of 06/17/2005. Took Tylenol as directed. Fever was not present by noon on 06/18/2005. Pt also reported shortness of breath. By Sunday 06/19/2005 he had no symptoms.


Changed on 5/14/2017

VAERS ID: 241302 Before After
VAERS Form:
Age:19.0
Sex:Male
Location:Nebraska
Vaccinated:2005-06-16
Onset:2005-06-16
Submitted:2005-06-27
Entered:2005-07-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / AVENTIS PASTEUR SANOFI PASTEUR U1589AA / - RA / IM

Administered by: Public      Purchased by: Private
Symptoms: Hypoaesthesia, Pyrexia

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:
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Vaccine given on 06/16/2005, that night developed fever of 103.4. Febrile through the night, on 06/17/2005 patient described he could not feel his legs. Saw the doctor that evening of 06/17/2005. Took Tylenol as directed. Fever was not present by noon on 06/18/2005. Pt also reported shortness of breath. By Sunday 06/19/2005 he had no symptoms.


Changed on 9/14/2017

VAERS ID: 241302 Before After
VAERS Form:(blank) 1
Age:19.0
Sex:Male
Location:Nebraska
Vaccinated:2005-06-16
Onset:2005-06-16
Submitted:2005-06-27
Entered:2005-07-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U1589AA / - UNK RA / IM

Administered by: Public      Purchased by: Private
Symptoms: Hypoaesthesia, Pyrexia

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:
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Vaccine given on 06/16/2005, that night developed fever of 103.4. Febrile through the night, on 06/17/2005 patient described he could not feel his legs. Saw the doctor that evening of 06/17/2005. Took Tylenol as directed. Fever was not present by noon on 06/18/2005. Pt also reported shortness of breath. By Sunday 06/19/2005 he had no symptoms.


Changed on 2/14/2018

VAERS ID: 241302 Before After
VAERS Form:1
Age:19.0
Sex:Male
Location:Nebraska
Vaccinated:2005-06-16
Onset:2005-06-16
Submitted:2005-06-27
Entered:2005-07-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U1589AA / UNK RA / IM

Administered by: Public      Purchased by: Private
Symptoms: Hypoaesthesia, Pyrexia

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:
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Vaccine given on 06/16/2005, that night developed fever of 103.4. Febrile through the night, on 06/17/2005 patient described he could not feel his legs. Saw the doctor that evening of 06/17/2005. Took Tylenol as directed. Fever was not present by noon on 06/18/2005. Pt also reported shortness of breath. By Sunday 06/19/2005 he had no symptoms.


Changed on 6/14/2018

VAERS ID: 241302 Before After
VAERS Form:1
Age:19.0
Sex:Male
Location:Nebraska
Vaccinated:2005-06-16
Onset:2005-06-16
Submitted:2005-06-27
Entered:2005-07-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U1589AA / UNK RA / IM

Administered by: Public      Purchased by: Private
Symptoms: Hypoaesthesia, Pyrexia

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:
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Vaccine given on 06/16/2005, that night developed fever of 103.4. Febrile through the night, on 06/17/2005 patient described he could not feel his legs. Saw the doctor that evening of 06/17/2005. Took Tylenol as directed. Fever was not present by noon on 06/18/2005. Pt also reported shortness of breath. By Sunday 06/19/2005 he had no symptoms.


Changed on 8/14/2018

VAERS ID: 241302 Before After
VAERS Form:1
Age:19.0
Sex:Male
Location:Nebraska
Vaccinated:2005-06-16
Onset:2005-06-16
Submitted:2005-06-27
Entered:2005-07-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U1589AA / UNK RA / IM

Administered by: Public      Purchased by: Private
Symptoms: Hypoaesthesia, Pyrexia

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:
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Vaccine given on 06/16/2005, that night developed fever of 103.4. Febrile through the night, on 06/17/2005 patient described he could not feel his legs. Saw the doctor that evening of 06/17/2005. Took Tylenol as directed. Fever was not present by noon on 06/18/2005. Pt also reported shortness of breath. By Sunday 06/19/2005 he had no symptoms.


Changed on 9/14/2018

VAERS ID: 241302 Before After
VAERS Form:1
Age:19.0
Sex:Male
Location:Nebraska
Vaccinated:2005-06-16
Onset:2005-06-16
Submitted:2005-06-27
Entered:2005-07-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U1589AA / UNK RA / IM

Administered by: Public      Purchased by: Private
Symptoms: Hypoaesthesia, Pyrexia

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:
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Vaccine given on 06/16/2005, that night developed fever of 103.4. Febrile through the night, on 06/17/2005 patient described he could not feel his legs. Saw the doctor that evening of 06/17/2005. Took Tylenol as directed. Fever was not present by noon on 06/18/2005. Pt also reported shortness of breath. By Sunday 06/19/2005 he had no symptoms.


Changed on 10/14/2018

VAERS ID: 241302 Before After
VAERS Form:1
Age:19.0
Sex:Male
Location:Nebraska
Vaccinated:2005-06-16
Onset:2005-06-16
Submitted:2005-06-27
Entered:2005-07-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U1589AA / UNK RA / IM

Administered by: Public      Purchased by: Private
Symptoms: Hypoaesthesia, Pyrexia

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:
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Vaccine given on 06/16/2005, that night developed fever of 103.4. Febrile through the night, on 06/17/2005 patient described he could not feel his legs. Saw the doctor that evening of 06/17/2005. Took Tylenol as directed. Fever was not present by noon on 06/18/2005. Pt also reported shortness of breath. By Sunday 06/19/2005 he had no symptoms.

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https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=241302&WAYBACKHISTORY=ON


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