National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 274035

Case Details

VAERS ID: 274035 (history)  
Form: Version 1.0  
Age: 18.0  
Gender: Female  
Location: New York  
   Days after vaccination:0
Submitted: 2007-03-15
   Days after onset:1
Entered: 2007-03-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Private       Purchased by: Private
Symptoms: Dizziness, Heart rate normal, Hypoaesthesia, Paraesthesia, Rash macular, Tremor
SMQs:, Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Vestibular disorders (broad), Hypersensitivity (narrow), 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:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Approximately 30 secs after vaccine was administered, pt became light headed and dizzy. Nurse had pt lay flat and administered ice pack to back of neck. Pulse normal. Ten minutes later, nurse asked how pt was feeling, she complained of still being dizzy and that both arms felt numb/ tingly. Pulse rechecked, left arm slower than right. Both of patient''s arms began to shake. Red blotches noted on patient''s chest and neck. The nurse practioner in the office was called and came to eval patient. Nurse practioner ordered Benedryl 25mg to be given.

New Search

Link To This Search Result:

Copyright © 2018 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166