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This is VAERS ID 270291

Case Details

VAERS ID: 270291 (history)  
Age: 19.0  
Gender: Female  
Location: Unknown  
Vaccinated:2006-12-28
Onset:2007-01-07
   Days after vaccination:10
Submitted: 2007-01-09
   Days after onset:2
Entered: 2007-01-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0961F / - RL / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U1974AB / - LL / IM

Administered by: Unknown       Purchased by: Unknown
Symptoms: Paraesthesia
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: not provided
Current Illness: unknown
Preexisting Conditions: not provided
Diagnostic Lab Data:
CDC Split Type:

Write-up: Reporter states 19 year old female received Menactra on 12/28/06. On Jan. 7, 2007, patient reported tingling sensation from feet to thighs. Returned to school. Will be seen by physician.


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