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This is VAERS ID 270065

Case Details

VAERS ID: 270065 (history)  
Form: Version 1.0  
Age: 17.0  
Gender: Female  
Location: Pennsylvania  
Vaccinated:2006-12-28
Onset:2007-01-02
   Days after vaccination:5
Submitted: 2007-01-03
   Days after onset:1
Entered: 2007-01-04
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0961F / UNK RA / -
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U1974AB / UNK LA / -

Administered by: Unknown       Purchased by: Unknown
Symptoms: Headache, Hypoaesthesia, Muscle rigidity, Neck pain
SMQs:, Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Parkinson-like events (narrow), Guillain-Barre syndrome (broad), Arthritis (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: UNK
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: 17 year old female received Menactra on 12/28/06. On 1/2/06, patient reported pain in neck and head with non-specific bilateral numbness sensation and pain present in lower extremities (thighs, calves, feet (soles)). Bilateral knee and ankle tendon reflexes normal. Also bilateral calf tightness reported.


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