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This is VAERS ID 595084

Case Details

VAERS ID: 595084 (history)  
Form: Version 1.0  
Age: 12.0  
Sex: Female  
Location: Tennessee  
Vaccinated:2015-08-31
Onset:2015-08-31
   Days after vaccination:0
Submitted: 2015-09-02
   Days after onset:2
Entered: 2015-09-14
   Days after submission:12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH 28923 / 2 AR / IM

Administered by: Private       Purchased by: Private
Symptoms: Chest X-ray abnormal, Headache, Laboratory test normal, Myalgia, Pleural effusion, Pneumonia, Pyrexia, Respiratory viral panel
SMQs:, Rhabdomyolysis/myopathy (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (narrow)

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? Yes, 1 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: Respiratory Panel-neg x 2; CXR-left lower lobe infiltrate-sm effusion
CDC Split Type:

Write-up: Patient had onset of fever, myalgias & headache within several hours of vaccine. Temp has persisted up to 103 - subsequently diagnosed with left lower lobe pneumonia - failed outpatient antibiotics - admitted x 24 hrs for IV antibiotics.


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