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This is VAERS ID 72429

Case Details

VAERS ID:72429 (history)  Vaccinated:1994-04-11
Age:47.9  Onset:1994-04-11, Days after vaccination: 0
Gender:Male  Submitted:1994-12-09, Days after onset: 242
Location:Minnesota  Entered:1995-02-14, Days after submission: 67
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: had magnified local rxn to TET TOX & typhoid vaxs;
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type': CO5388
Vaccination
Manufacturer
Lot
Dose
Route
Site
MEN: MENINGOCOCCAL (MENOMUNE)CONNAUGHT LABORATORIES4C61080   
Administered by: Private     Purchased by: Other
Symptoms: Chills, Myalgia, Pallor, Paraesthesia, Peripheral vascular disorder, Tremor, Vasospasm
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Eosinophilic pneumonia (broad), Hypotonic-hyporesponsive episode (broad)
Write-up: pt recvd vax;severe chills,tremors,vasoconstriction;Reynaud''s phenomenon w/ white fingers & numbness;absent radial pulses,stiff neck;started 1/2 hr p/vax;had 2 days of mild chills,myalgias;resolved w/IV fluids,dph over 1/2 hr;

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