National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 241585

History of Changes from the VAERS Wayback Machine

First Appeared on 12/30/2006

VAERS ID: 241585
VAERS Form:
Age:15.0
Sex:Male
Location:Indiana
Vaccinated:2005-07-08
Onset:2005-07-09
Submitted:2005-07-15
Entered:2005-07-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MNQ: MENINGOCOCCAL (MENACTRA) / AVENTIS PASTEUR, U1659AA / 0 RA / IM
UNK: VACCINE NOT SPECIFIED / UNKNOWN MFR U1563BA / 0 LA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: CONVULS

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: Humalog
Current Illness:
Preexisting Conditions: Diabetic type I, seizure last 1999, no treatment since 2002.
Allergies:
Diagnostic Lab Data: Seen by neurologist in ER, EEG normal.
CDC 'Split Type':

Write-up: Seizure on 7/9/05 transported to ER, seen by neurologist, EEG done.


Changed on 12/8/2009

VAERS ID: 241585 Before After
VAERS Form:
Age:15.0
Sex:Male
Location:Indiana
Vaccinated:2005-07-08
Onset:2005-07-09
Submitted:2005-07-15
Entered:2005-07-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MNQ: MENINGOCOCCAL (MENACTRA) / AVENTIS PASTEUR, AVENTIS PASTEUR U1659AA / 0 RA / IM
UNK: VACCINE NOT SPECIFIED VACCINE NOT SPECIFIED (NO BRAND NAME) / UNKNOWN MFR UNKNOWN MANUFACTURER U1563BA / 0 LA / IM

Administered by: Private      Purchased by: Unknown Private
Symptoms: Convulsion, CONVULS

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: Humalog
Current Illness:
Preexisting Conditions: Diabetic type I, seizure last 1999, no treatment since 2002.
Allergies:
Diagnostic Lab Data: Seen by neurologist in ER, EEG normal.
CDC 'Split Type':

Write-up: Seizure on 7/9/05 transported to ER, seen by neurologist, EEG done.


Changed on 4/7/2010

VAERS ID: 241585 Before After
VAERS Form:
Age:15.0
Sex:Male
Location:Indiana
Vaccinated:2005-07-08
Onset:2005-07-09
Submitted:2005-07-15
Entered:2005-07-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MNQ: MENINGOCOCCAL (MENACTRA) MENINGOCOCCAL CONJUGATE (MENACTRA) / AVENTIS PASTEUR U1659AA / 0 RA / IM
UNK: VACCINE NOT SPECIFIED (NO BRAND NAME) / UNKNOWN MANUFACTURER U1563BA / 0 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Convulsion

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: Humalog
Current Illness:
Preexisting Conditions: Diabetic type I, seizure last 1999, no treatment since 2002.
Allergies:
Diagnostic Lab Data: Seen by neurologist in ER, EEG normal.
CDC 'Split Type':

Write-up: Seizure on 7/9/05 transported to ER, seen by neurologist, EEG done.


Changed on 5/14/2017

VAERS ID: 241585 Before After
VAERS Form:
Age:15.0
Sex:Male
Location:Indiana
Vaccinated:2005-07-08
Onset:2005-07-09
Submitted:2005-07-15
Entered:2005-07-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / AVENTIS PASTEUR SANOFI PASTEUR U1659AA / 0 RA / IM
UNK: VACCINE NOT SPECIFIED (NO BRAND NAME) / UNKNOWN MANUFACTURER U1563BA / 0 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Convulsion

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: Humalog
Current Illness:
Preexisting Conditions: Diabetic type I, seizure last 1999, no treatment since 2002.
Allergies:
Diagnostic Lab Data: Seen by neurologist in ER, EEG normal.
CDC 'Split Type':

Write-up: Seizure on 7/9/05 transported to ER, seen by neurologist, EEG done.


Changed on 9/14/2017

VAERS ID: 241585 Before After
VAERS Form:(blank) 1
Age:15.0
Sex:Male
Location:Indiana
Vaccinated:2005-07-08
Onset:2005-07-09
Submitted:2005-07-15
Entered:2005-07-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U1659AA / 0 1 RA / IM
UNK: VACCINE NOT SPECIFIED (NO BRAND NAME) / UNKNOWN MANUFACTURER U1563BA / 0 1 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Convulsion

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: Humalog
Current Illness:
Preexisting Conditions: Diabetic type I, seizure last 1999, no treatment since 2002.
Allergies:
Diagnostic Lab Data: Seen by neurologist in ER, EEG normal.
CDC 'Split Type':

Write-up: Seizure on 7/9/05 transported to ER, seen by neurologist, EEG done.


Changed on 2/14/2018

VAERS ID: 241585 Before After
VAERS Form:1
Age:15.0
Sex:Male
Location:Indiana
Vaccinated:2005-07-08
Onset:2005-07-09
Submitted:2005-07-15
Entered:2005-07-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U1659AA / 1 RA / IM
UNK: VACCINE NOT SPECIFIED (NO BRAND NAME) / UNKNOWN MANUFACTURER U1563BA / 1 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Convulsion

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: Humalog
Current Illness:
Preexisting Conditions: Diabetic type I, seizure last 1999, no treatment since 2002.
Allergies:
Diagnostic Lab Data: Seen by neurologist in ER, EEG normal.
CDC 'Split Type':

Write-up: Seizure on 7/9/05 transported to ER, seen by neurologist, EEG done.


Changed on 6/14/2018

VAERS ID: 241585 Before After
VAERS Form:1
Age:15.0
Sex:Male
Location:Indiana
Vaccinated:2005-07-08
Onset:2005-07-09
Submitted:2005-07-15
Entered:2005-07-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U1659AA / 1 RA / IM
UNK: VACCINE NOT SPECIFIED (NO BRAND NAME) / UNKNOWN MANUFACTURER U1563BA / 1 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Convulsion

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: Humalog
Current Illness:
Preexisting Conditions: Diabetic type I, seizure last 1999, no treatment since 2002.
Allergies:
Diagnostic Lab Data: Seen by neurologist in ER, EEG normal.
CDC 'Split Type':

Write-up: Seizure on 7/9/05 transported to ER, seen by neurologist, EEG done.


Changed on 8/14/2018

VAERS ID: 241585 Before After
VAERS Form:1
Age:15.0
Sex:Male
Location:Indiana
Vaccinated:2005-07-08
Onset:2005-07-09
Submitted:2005-07-15
Entered:2005-07-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U1659AA / 1 RA / IM
UNK: VACCINE NOT SPECIFIED (NO BRAND NAME) / UNKNOWN MANUFACTURER U1563BA / 1 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Convulsion

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: Humalog
Current Illness:
Preexisting Conditions: Diabetic type I, seizure last 1999, no treatment since 2002.
Allergies:
Diagnostic Lab Data: Seen by neurologist in ER, EEG normal.
CDC 'Split Type':

Write-up: Seizure on 7/9/05 transported to ER, seen by neurologist, EEG done.


Changed on 9/14/2018

VAERS ID: 241585 Before After
VAERS Form:1
Age:15.0
Sex:Male
Location:Indiana
Vaccinated:2005-07-08
Onset:2005-07-09
Submitted:2005-07-15
Entered:2005-07-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U1659AA / 1 RA / IM
UNK: VACCINE NOT SPECIFIED (NO BRAND NAME) / UNKNOWN MANUFACTURER U1563BA / 1 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Convulsion

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: Humalog
Current Illness:
Preexisting Conditions: Diabetic type I, seizure last 1999, no treatment since 2002.
Allergies:
Diagnostic Lab Data: Seen by neurologist in ER, EEG normal.
CDC 'Split Type':

Write-up: Seizure on 7/9/05 transported to ER, seen by neurologist, EEG done.


Changed on 10/14/2018

VAERS ID: 241585 Before After
VAERS Form:1
Age:15.0
Sex:Male
Location:Indiana
Vaccinated:2005-07-08
Onset:2005-07-09
Submitted:2005-07-15
Entered:2005-07-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U1659AA / 1 RA / IM
UNK: VACCINE NOT SPECIFIED (NO BRAND NAME) / UNKNOWN MANUFACTURER U1563BA / 1 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Convulsion

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: Humalog
Current Illness:
Preexisting Conditions: Diabetic type I, seizure last 1999, no treatment since 2002.
Allergies:
Diagnostic Lab Data: Seen by neurologist in ER, EEG normal.
CDC 'Split Type':

Write-up: Seizure on 7/9/05 transported to ER, seen by neurologist, EEG done.

New Search

Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=241585&WAYBACKHISTORY=ON


Copyright © 2020 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166