Read the MedAlerts Blog
Subscribe to the MedAlerts Blog
This is VAERS ID 403759
VAERS ID: 403759 (history) Vaccinated: 2010-09-09 Age: 10.0 Onset: 2010-09-17, Days after vaccination: 8 Gender: Male Submitted: 2010-10-15, Days after onset: 28 Location: New Jersey Entered: 2010-10-18, Days after submission: 3
Life Threatening? Yes
Died? Yes Date died: 2010-09-20 Days after onset: 3
Permanent Disability? No Recovered? No
ER or Doctor Visit? Yes Hospitalized? No Previous Vaccinations: Other Medications: Current Illness: None Preexisting Conditions: None Diagnostic Lab Data: Unknown CDC 'Split Type':
Vaccination Manufacturer Lot Dose Route Site HEPA: HEP A (VAQTA) MERCK & CO. INC. 0568Z UN RA HPV4: HPV (GARDASIL) MERCK & CO. INC. 1778Y UN RA MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) SANOFI PASTEUR UA3058AA UN LA TDAP: TDAP (ADACEL) SANOFI PASTEUR C3476AA UN LA
Administered by: Unknown Purchased by: Private Symptoms: Asthenia,
Malaise SMQs:, Guillain-Barre syndrome (broad)
Write-up: Mother called me on 9-17-10 afternoon that her son is sick and feeling very weak. I recommended the mother to take him to nearest ER as the patient was about 50 miles away and mother took him to ER where he was transferred to another hospital.
Link To This Search Result:
National Vaccine Information Center. All rights reserved.
407-H Church Street, Vienna, Virginia 22180