This is VAERS ID 72429
(NOTE: This result is from the 12/31/2003 version of the VAERS database)
|
| 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: | 1995-03-30, Days after submission: 111 | |
| 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': | |
| Vaccination | Manufacturer | Lot | Dose | Route | Site | | MEN: MENOMUNE A/C/Y/W | CONNAUGHT LABS | 4C61080 | | | | |
| Administered by: Private Purchased by: Unknown | Symptoms: CHILLS,
MYALGIA,
PALLOR,
PARESTHESIA,
TREMOR
SMQs:
| | 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; |
|
|
New Search
|
Link To This Search Result:
http://www.medalerts.org/vaersdb/findfield.php?SNAPSHOT=20031231&IDNUMBER=72429
|
|
