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This is VAERS ID 72429

Case Details

VAERS ID: 72429 (history)  
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 / - - / -

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
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;~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
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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