National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 284429

Case Details

VAERS ID: 284429 (history)  
Form: Version 1.0  
Age: 12.0  
Gender: Female  
Location: North Carolina  
   Days after vaccination:0
Submitted: 2007-07-12
   Days after onset:1
Entered: 2007-07-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Unknown       Purchased by: Unknown
Symptoms: Chills, Headache, Hypokinesia, Injected limb mobility decreased, Injection site pain, Musculoskeletal stiffness, Paraesthesia, Pruritus, Pyrexia, Restlessness, Somnolence
SMQs:, Anaphylactic reaction (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (narrow), Dementia (broad), Akathisia (broad), Dystonia (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Extravasation events (injections, infusions and implants) (broad), Hypotonic-hyporesponsive episode (broad), Hypersensitivity (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: none
Current Illness: none
Preexisting Conditions: seasonal allergies / mild asthma
Diagnostic Lab Data:
CDC Split Type:

Write-up: vaccine given at 10:30am in treatment room. soreness of right arm at injection site within 4 hours, painful to lift overhead. within 8 hours suffering headache, neck stiffness & several (3) periods of tingling sensations in the left leg (lasting 10 minutes each or so)and a spell of itchiness. 12 hours after injection, went to bed with headache (still), fever & chills. restless night. fever of 102F at 7AM (22 hours after shot). went back to sleep and was difficult to wake. i called doctor -- mentioned my concerns over a reaction of some sort & was told this vaccine did not cause these symptoms. i scheduled an appointment because this was not normal for patient and i was not quite sure what to do. by noon, most symptoms were gone except for the headache. we saw the doctor who pronounced her fine & told us to watch for other symptoms of illness. he told us that it was not the vaccine, but would note my concerns on her file as a precaution. this was the 3rd and final injection of this vaccine, she had only soreness at the injection sight with the first two shots. she took an aleve around 8pm the night of the shot & 2 motrins - 6 hours apart - the next day because of the headache. no relief was provided by the pills.

New Search

Link To This Search Result:

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