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This is VAERS ID 291023

(NOTE: This result is from the 12/31/2007 version of the VAERS database)

Case Details

VAERS ID: 291023 (history)  
Form: Version .0  
Age: 18.0  
Gender: Female  
Location: Pennsylvania  
Vaccinated:2007-08-09
Onset:2007-08-15
   Days after vaccination:6
Submitted: 2007-08-29
   Days after onset:14
Entered: 2007-09-10
   Days after submission:12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MNQ: MENINGOCOCCAL (MENACTRA) / SANOFI PASTEUR U2393B / - LA / IM

Administered by: Private       Purchased by: Unknown
Symptoms: Blood thyroid stimulating hormone, Fatigue, Full blood count, Hypoaesthesia
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: The patient had been vaccinated with Gardasil on 24 July 2007. The patient had no relevant medical history and no illness at the time of vaccination.
Allergies:
Diagnostic Lab Data: 15 August 2007-CBC, Sed rate, BMP, TSH, Lyme titer. Results pending.
CDC Split Type:

Write-up: An 18-year-old female patient with no relevant medical history, had received an intramuscular intramuscular left arm injection of Menactra, lot number U2393BA on 09 August 2007 and six days later complained of fatigue and numbness and tingling in her hand"s and feet. The patient had also received an intramuscular left deltoid injection of Gardasil (Merck), lot number 0525U on 24 July 2007. The patient had not received any concomitant medications, had no relevant medical history and had not been ill at the


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