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This is VAERS ID 241512

Case Details

VAERS ID: 241512 (history)  
Form: Version 1.0  
Age: 18.0  
Sex: Female  
Location: New Mexico  
Vaccinated:2005-04-05
Onset:2005-04-06
   Days after vaccination:1
Submitted: 2005-07-14
   Days after onset:99
Entered: 2005-07-20
   Days after submission:6
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U1525AB / 1 LA / IM

Administered by: Private       Purchased by: Private
Symptoms: Back pain, Difficulty in walking, Headache, Neck pain, Pyrexia
SMQs:, Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Arthritis (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

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: Zyrtec; doxycycline
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC Split Type:

Write-up: Within 12 hours of receiving Menactra, pt developed headache, neck pain, spine pain, chills, subjective fever, difficulty standing and walking secondary to pain. Recommended fluids and Ibuprofen. Observed at office visit. Symptoms resolved in 24-48 hours.


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