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This is VAERS ID 72429

Case Details

VAERS ID: 72429 (history)  
Form: Version 1.0  
Age: 47.0  
Gender: Male  
Location: Minnesota  
Vaccinated:1994-04-11
Onset:1994-04-11
   Days after vaccination:0
Submitted: 1994-12-09
   Days after onset:242
Entered: 1995-02-14
   Days after submission:67
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MEN: MENINGOCOCCAL (MENOMUNE) / CONNAUGHT LABORATORIES 4C61080 / UNK - / -

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), Tendinopathies and ligament disorders (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: had magnified local rxn to TET TOX & typhoid vaxs;~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: CO5388

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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