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This is VAERS ID 241511

Case Details

VAERS ID: 241511 (history)  
Form: Version 1.0  
Age: 18.0  
Sex: Female  
Location: New York  
Vaccinated:2005-07-19
Onset:2005-07-19
   Days after vaccination:0
Submitted: 2005-07-19
   Days after onset:0
Entered: 2005-07-20
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U1658AA / UNK LA / IM

Administered by: Private       Purchased by: Private
Symptoms: Hypoaesthesia, Injection site pain, Injection site reaction
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC Split Type:

Write-up: 1 hour after injection given complained of pain at site. Arm felt asleep; pain down arm; numbness from site of injection down to hand. Still with numbness.


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