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This is VAERS ID 592328

Case Details

VAERS ID: 592328 (history)  
Form: Version 1.0  
Age: 18.0  
Sex: Male  
Location: California  
Vaccinated:2015-08-28
Onset:2015-08-28
   Days after vaccination:0
Submitted: 2015-09-01
   Days after onset:4
Entered: 2015-09-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (BEXSERO) / NOVARTIS VACCINES AND DIAGNOSTICS 146101 / 1 LA / IM

Administered by: Private       Purchased by: Private
Symptoms: Diarrhoea, Musculoskeletal stiffness, Myalgia, Nausea, Pyrexia, Tremor, Trismus
SMQs:, Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Dystonia (narrow), Parkinson-like events (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad), Arthritis (broad), Noninfectious diarrhoea (narrow), Tendinopathies and ligament disorders (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? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Mild right otitis media
Preexisting Conditions: Allergy to Keflex and Sulfa antibiotics
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: High fever, shaking, muscle pain and stiffness, subjective feeling of jaw locking, profuse diarrhea, nausea.


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