This is VAERS ID 51148
(NOTE: This result is from the 12/8/2009 version of the VAERS database)
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| VAERS ID: | 51148 (history) | Vaccinated: | 1993-02-20 | | Age: | 54.6 | Onset: | 1993-02-21, Days after vaccination: 1 | | Gender: | Male | Submitted: | 1993-03-16, Days after onset: 23 | | Location: | D.C. | Entered: | 1993-03-25, Days after submission: 9 | |
| Life Threatening? Yes |
| Died? No |
| Permanent Disability? No |
| Recovered? Yes | | ER or Doctor Visit? Yes |
| Hospitalized? No | | Previous Vaccinations: | | Other Medications: Pt recvd Immune Globulin by Armour Pharm co lot# F15907; Lopressor | | Current Illness: | | Preexisting Conditions: pt has hx of hypertrophic cardiomyopathy; | | Diagnostic Lab Data: | | CDC 'Split Type': 893075002E | |
| Vaccination | Manufacturer | Lot | Dose | Route | Site | | MEN: MENINGOCOCCAL (MENOMUNE) | CONNAUGHT LABORATORIES | 2K41040 | | IM | A | | TYP: TYPHOID VI POLYSACCHARIDE (NO BRAND NAME) | WYETH PHARMACEUTICALS, INC | 4928055 | | SC | A | | YF: YELLOW FEVER (YF-VAX) | CONNAUGHT LABORATORIES | 2H31154 | | IM | A | |
| Administered by: Military Purchased by: Military | Symptoms: Asthenia,
Chills,
Dyspnoea,
Pyrexia
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Cardiomyopathy (broad)
| | Write-up: Pt devel fever, chills, SOB & weakness, 24 hrs p/vax; |
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Link To This Search Result:
http://www.medalerts.org/vaersdb/findfield.php?SNAPSHOT=20091208&IDNUMBER=51148
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