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Found 2756 cases where Vaccine is MEN or MENB or MENHIB or MNC or MNQ or MNQHIB and Serious and Submission Date on/before '2015-09-30'

Case Details

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VAERS ID: 189974 (history)  
Form: Version 1.0  
Age: 18.0  
Sex: Male  
Location: California  
Vaccinated:2002-09-04
Onset:2002-09-05
   Days after vaccination:1
Submitted: 2002-09-20
   Days after onset:15
Entered: 2002-09-11
   Days after submission:9
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MEN: MENINGOCOCCAL (MENOMUNE) / SANOFI PASTEUR UB295AA / UNK - / -

Administered by: Private       Purchased by: Other
Symptoms: Unevaluable event
SMQs:

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2002-09-05
   Days after onset: 0
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Propecia
Current Illness: NONE
Preexisting Conditions: Family history positive for asthma, patient''s sister has asthma.
Allergies:
Diagnostic Lab Data: NONE
CDC Split Type: U200200705

Write-up: From telephone contact received at Aventis Pasteur Inc. on 09/05/2002, it was reported that an 18-year-old male was vaccinated on 09/04/2002 with Menomune A/C/Y/W-135 (lot# UB295AA). On 09/05/2002, patient''s parent called 911 after he collapsed. Patient expired. Autopsy is being performed. Follow-up (#1) telephone call to the Coroner''s Office on 09/17/2002: "No information, no preliminary results" available at this time. Investigator collected 7 doses of fluid and powder. Toxicology results will take 8-12 weeks. Family history positive for asthma. Coroner''s case number is 2002-02746. From additional correspondence received at Aventis Pasteur Inc. on 02/12/2003, it was reported that the patient with no illnesses at time of vaccination and had no pre-existing diagnosis received first dose of MENOMUNE (expiration date 10/22/2003) subcutaneously in the left arm at 15:30 on 09/04/2002. The patient was not responsive on 09/05/2002. No cause of death was determined on the preliminary coroner''s report on 09/06/2002. As per the reporter, a copy of this report has been sent to VAERS on 09/09/2002. Follow-up #2 correspondence received on 02/13/2003: From telephone contact to the Coroner''s office, the toxicology was negative and the cause of death remains undetermined. A copy of the autopsy has been requested. Reported on 03/20/2003: "From follow-up #3 information received at Aventis Pasteur Inc. on 03/07/2003, it was reported that the decendant''s Histological Examination from the autopsy report showed that the heart had few round cells in the epicardium, otherwise non-contributory. Also, on histological exam the thyroid, spleen, kidney, lung, pancreas and the liver were all non-contributory. All toxicology labs were negative. The investigator''s notes showed that the decendant had symptoms of the common cold about 3 months ago and was losing his hair, he was prescribed Propecia. Autopsy on file: Case is closed.


VAERS ID: 190351 (history)  
Form: Version 1.0  
Age: 18.0  
Sex: Female  
Location: Washington  
Vaccinated:2001-09-11
Onset:2001-09-12
   Days after vaccination:1
Submitted: 2001-09-14
   Days after onset:2
Entered: 2002-09-19
   Days after submission:370
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MEN: MENINGOCOCCAL (MENOMUNE) / SANOFI PASTEUR UB031AA / 1 RA / SC

Administered by: Other       Purchased by: Private
Symptoms: Asthenia, Diarrhoea, Discomfort, Dizziness, Dizziness postural, Nausea
SMQs:, Acute pancreatitis (broad), Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad), Noninfectious diarrhoea (narrow)

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? Yes, 1 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: Allergy to codeine
Allergies:
Diagnostic Lab Data:
CDC Split Type: WA011795

Write-up: Initially reported discomfort at injection site. But had same symptoms overnight. Vaccine (Menomune) administered ~ 2:40PM Tues 9/11. After 4am 9/12, pt reported nausea and lightheadedness. Pt was awakened around 7am, experienced dizziness, nausea and watery diarrhea. Post showering, felt increased lightheadedness, needed to sit with head b/t legs. exp. increase weakness. SXS B/T 7:30-9am. Pt taken to ER with severe low BP-orthostatic. IV hydration x 5L with continued orthostatic BP. Pt hospitalized 9/12, kept overnight.


VAERS ID: 190697 (history)  
Form: Version 1.0  
Age: 21.0  
Sex: Male  
Location: Connecticut  
Vaccinated:2002-07-23
Onset:2002-07-29
   Days after vaccination:6
Submitted: 2002-09-25
   Days after onset:58
Entered: 2002-09-27
   Days after submission:2
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MEN: MENINGOCOCCAL (MENOMUNE) / SANOFI PASTEUR UB211AA / UNK - / SC
TYP: TYPHOID VI POLYSACCHARIDE (TYPHIM VI) / SANOFI PASTEUR U1157 / UNK - / IM

Administered by: Other       Purchased by: Other
Symptoms: Mental disorder, Nervousness, Nightmare, Panic reaction, Paranoia, Psychomotor hyperactivity, Thyroid disorder
SMQs:, Anticholinergic syndrome (broad), Dementia (broad), Akathisia (broad), Psychosis and psychotic disorders (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Hostility/aggression (broad), Hypothyroidism (broad), Hyperthyroidism (broad), Depression (excl suicide and self injury) (broad), Hypoglycaemia (broad)

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, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Risperdal, Accutane
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: U200200720

Write-up: Information has been received at manufacturer on 9/12/02 concerning a 21 year old male pt who was administered with a dose of Menomune and typhoid vaccine on 7/23/02 at a clinic. No lot numbers were reported. Manufacturer for the typhoid vaccine was unknown. Pt reportedly became hyper, nervous, had severe nightmares, paranoia, and panic attacks on 7/29/02. Pt has history of using Risperdal and Accutane. On 9/4/02, pt was admitted to the hospital where he remains for 4-6 weeks of treatment due to an inflamed thyroid and definite psychological problems. The reporter, pt''s mother, believes that a combination of the medication pt''s on and the vaccine together caused the problems. Additional info received from reporter on 9/17/02: The typhoid vaccine received by pt was Typhim VI (lot number UB211AA). From telephone contact to physician''s office on 9/18/02: Office nurse was unable to confirm any information regarding this pt, pt unknown to them. Also see report U2002-00738. From additional info received on 9/29/03, from a registered nurse, it was reported that the pt received Menomune, lot UB2111AA, given SC in the left deltoid and Typhim IV, number U1157-2, given IM in the left deltoid. The lot number for Menomune was previously reported as the lot number for Typhim VI; however, the reporter confirmed that the lot numbers are correct as indicated in this follow up. The reporter called back later that same day and provided the physician''s name and contact info. She also reported that the pt had recovered. Adverse event coding was updated. Follow up on 11/25/2003: "Internal memo on 11/17/2003: it was reported that numerous attempts to obtain additional information for this case have been unsuccessful. No further information is anticipated, this case is considered closed."


VAERS ID: 191079 (history)  
Form: Version 1.0  
Age: 18.0  
Sex: Female  
Location: Missouri  
Vaccinated:2002-05-20
Onset:2002-05-20
   Days after vaccination:0
Submitted: 2002-10-21
   Days after onset:154
Entered: 2002-10-08
   Days after submission:13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. - / 1 - / IM
MEN: MENINGOCOCCAL (MENOMUNE) / SANOFI PASTEUR - / 1 - / IM

Administered by: Private       Purchased by: Private
Symptoms: Abdominal pain lower, Diarrhoea, Haematochezia, Medication error, Pyrexia, Weight decreased
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Pseudomembranous colitis (broad), Gastrointestinal haemorrhage (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Ischaemic colitis (broad), Noninfectious diarrhoea (narrow), Medication errors (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Tubersol
Current Illness:
Preexisting Conditions: Medical HX: Sinusitis NOS; Concurrent Condition: Hypersensitivity NOS
Allergies:
Diagnostic Lab Data: Abdominal computed axial - 06/01/02 - negative; Body temp - 05/28/02 -intermittant low grade temperature; Stool culture - 06/01/02 - Clostridium difficile; Stool culture - 07/22/02 - Clostridium difficile toxin A & B (none detected);
CDC Split Type: WAES0208USA01869

Write-up: Information has been received from a registered nurse concerning an 18 year old white female with an allergy to sulfa and otherwise "apparently well" who on 5/20/02 was vaccinated in the left deltoid IM with a first dose of hepatitis A virus vaccine inactivated (lot 0162-invalid lot). Concomitant vaccination and therapy on 5/20/02 included a first dose of meningococcal polysaccharide vaccine (MENOMUNE) (lot UB106AA) in the left deltoid IM and a dose of tuberculin purified protein derivative (TUBERSOL) in the left forearm. Although the patient had been treated with amoxicillin trihydrate (+) clavulanate potassium (AUGMENTIN) for sinusitis from 5/7/02 until 5/17/02, there was no illness at the time of vaccination. It was reported that the patient inadvertently received 1ml of the hepatitis A virus vaccine inactivated instead of 0.5ml. This does not comply with the dosage recommendations. Subsequently, on 5/28/02 (also reported as 24 to 48 hours post vaccination), the patient experienced lower abdominal cramps and diarrhea for 3-4 days which then subsided. On 5/31/02 the patient presented to the physician''s office with bloody, mucousy diarrhea stools and abdominal pain. She had an intermittant low grade fever, no vomiting, appetite within normal limits, and not weight loss. On 6/1/02 the patient presented to the ER and was hospitalized overnight. Stool cultures were sent and the abdominal computed axial tomography was negative. On 6/4/02 the patient was diagnosed with Clostridium difficile and her therapy included metronidazole (FLAGYL), which made her quite ill, vomiting for 10 days during therapy. On 6/26/02, studies demonstrated Clostridium difficile toxin A & B and the patient received vancomycin therapy for 10 days. On 7/22/02 neither toxin was detected. On 8/26/02, it was reported that despite the negative stool culture result, the patient continues to have increased stools of 5-6 per day. She is afebrile and has lost 15 pounds but now regained 5 pounds. She is now on acidophilus and being followed by a gastroenterologist. On 9/27/02, the patient was reported as recovered by "not totally recovered yet". Follow up information received on 10/14/02 reported that the patient "still sees a gastroenterologist", with treatment of metronidazole (Flagyl)and vancomycin, for Clostridium difficile. The patient reportedly had 3-4 diarrheal stool daily when off antibiotics. a colonscopy reportedly "may be scheduled if necessary." It was reported that the patient has not recovered. Additional information has been requested.


VAERS ID: 192032 (history)  
Form: Version 1.0  
Age: 17.0  
Sex: Female  
Location: New Jersey  
Vaccinated:2002-05-29
Onset:2002-08-30
   Days after vaccination:93
Submitted: 2002-10-25
   Days after onset:56
Entered: 2002-10-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MEN: MENINGOCOCCAL (MENOMUNE) / SANOFI PASTEUR UB118AA / 1 LA / SC

Administered by: Private       Purchased by: Unknown
Symptoms: Diabetes mellitus, Pollakiuria, Thirst, Vision blurred
SMQs:, Hyperglycaemia/new onset diabetes mellitus (narrow), Anticholinergic syndrome (broad), Glaucoma (broad), Lens disorders (broad), Retinal disorders (broad), Hypoglycaemia (broad), Dehydration (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 3 days
   Extended hospital stay? No
Previous Vaccinations: fever~DTP (no brand name)~1~0.50~In Patient
Other Medications: none
Current Illness: none
Preexisting Conditions: sulfa
Allergies:
Diagnostic Lab Data: Blood glucose
CDC Split Type:

Write-up: Blurred vision, thirst, increased unination in mid-August 2002. Developed diabetes mellitis (type 1) 2.5 to 3 monthes after vaccine.


VAERS ID: 192996 (history)  
Form: Version 1.0  
Age: 31.0  
Sex: Male  
Location: Virginia  
Vaccinated:1996-06-06
Onset:1996-06-14
   Days after vaccination:8
Submitted: 2002-11-08
   Days after onset:2338
Entered: 2002-11-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
CHOL: CHOLERA (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -
FLU3: INFLUENZA (SEASONAL) (FLU-IMUNE) / PFIZER/WYETH - / UNK - / -
MEN: MENINGOCOCCAL (MENOMUNE) / SANOFI PASTEUR - / UNK - / -
YF: YELLOW FEVER (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Military       Purchased by: Military
Symptoms: Amnesia, Fatigue, Headache, Hypoacusis, Meniere's disease, Myalgia, Nausea, Tinnitus, Visual disturbance
SMQs:, Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Anticholinergic syndrome (broad), Dementia (broad), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Glaucoma (broad), Optic nerve disorders (broad), Lens disorders (broad), Eosinophilic pneumonia (broad), Retinal disorders (broad), Hearing impairment (narrow), Vestibular disorders (narrow), Tendinopathies and ligament disorders (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: B-Complex E IU 400
Current Illness: Problem started mild and became severe in July 2000 Dr. did not enter the shots in my records
Preexisting Conditions: Shellfish, Iodine
Allergies:
Diagnostic Lab Data: MRI Balance test Shows Vistibular disorder Cat scan
CDC Split Type:

Write-up: Ringing in ears within weeks. Fatigue within weeks. Headaches. Nausea Hearing loss Balance disorders (Meniere''s Syndrome) Memory loss. Muscle pain Fatigue Vision Problem Treatment- Antivert, dizipan, water pills.


VAERS ID: 194962 (history)  
Form: Version 1.0  
Age: 20.0  
Sex: Female  
Location: Washington  
Vaccinated:2002-12-11
Onset:2002-12-11
   Days after vaccination:0
Submitted: 2002-12-12
   Days after onset:1
Entered: 2002-12-13
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
ANTH: ANTHRAX (BIOTHRAX) / EMERGENT BIOSOLUTIONS FAV065 / 1 RA / SC
MEN: MENINGOCOCCAL (MENOMUNE) / SANOFI PASTEUR UB243AA / 1 LA / SC
TYP: TYPHOID VI POLYSACCHARIDE (TYPHIM VI) / SANOFI PASTEUR U10731 / 1 LA / IM
YF: YELLOW FEVER (YF-VAX) / SANOFI PASTEUR UB171AB / 1 LA / SC

Administered by: Military       Purchased by: Military
Symptoms: Anaphylactic reaction, Chest pain, Cough, Dyspnoea, Flushing, Rhinitis, Wheezing
SMQs:, Anaphylactic reaction (narrow), Angioedema (broad), Asthma/bronchospasm (broad), Anaphylactic/anaphylactoid shock conditions (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Hypersensitivity (narrow)

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? Yes, 1 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: Anaphalaxis response to vaccine.
CDC Split Type:

Write-up: Patient received a total of four immunization (see below). Immediately after receiving these shots, she complained of having air in throat. She began to cough, developed left sided chest pain, rhinitis, became flush, stated she was having trouble breathing. Audible wheezes noted. Pulse 100 BPM. 911 called and transported to ED.


VAERS ID: 195348 (history)  
Form: Version 1.0  
Age: 19.0  
Sex: Female  
Location: Iowa  
Vaccinated:2002-12-12
Onset:2002-12-12
   Days after vaccination:0
Submitted: 2002-12-12
   Days after onset:0
Entered: 2002-12-26
   Days after submission:14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MEN: MENINGOCOCCAL (MENOMUNE) / SANOFI PASTEUR UB229AA / 1 LA / SC

Administered by: Private       Purchased by: Private
Symptoms: Chest discomfort, Dizziness
SMQs:, Anaphylactic reaction (broad), Anticholinergic syndrome (broad), Vestibular disorders (broad)

Life Threatening? Yes
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:
Other Medications:
Current Illness:
Preexisting Conditions: Amox
Allergies:
Diagnostic Lab Data: BPs pulse ox
CDC Split Type:

Write-up: Pt reported dizziness and chest tightness for 2 minutes post injection. BP 60/20-Epi x 2 NS 1000 CC given, Benadryl 50mg given PO. Pt sx resolved and discharged to home 1:25pm dc''d to home-no further problems.


VAERS ID: 195985 (history)  
Form: Version 1.0  
Age: 18.0  
Sex: Male  
Location: South Carolina  
Vaccinated:2003-01-07
Onset:2003-01-07
   Days after vaccination:0
Submitted: 2003-01-08
   Days after onset:1
Entered: 2003-01-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR UO957AA / 1 LA / IM
MEN: MENINGOCOCCAL (MENOMUNE) / SANOFI PASTEUR UB211AA / 1 RA / SC
TTOX: TETANUS TOXOID, ADSORBED (NO BRAND NAME) / SANOFI PASTEUR UO528AA / 2 RA / IM

Administered by: Military       Purchased by: Military
Symptoms: Anaphylactic reaction, Chest pain, Muscle twitching, Respiratory distress, Tachycardia, Urticaria, Wheezing
SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), Asthma/bronchospasm (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Anaphylactic/anaphylactoid shock conditions (narrow), Dyskinesia (broad), Dystonia (broad), Acute central respiratory depression (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Hypersensitivity (narrow), Respiratory failure (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Dehydration (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? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Tubersol (PPD)MFR-Aventis LOT CO986AB placed left forearm at time of immunizations
Current Illness: None
Preexisting Conditions: "worked with a cardiologist for 5 years to determine cause of 6 syncope episodes. No resolution
Allergies:
Diagnostic Lab Data: None significant
CDC Split Type:

Write-up: 20 minutes after recieving vacinnes, patient fell onto padded matting with tachypneic respirations in apparent respiratory distress with hives only on forehead, awake and responsive with generalized twiching of upper extremities, C/O chest pain. 50mg Benadryl IM and 0.3mg Epinephrine IM given, place on O2 10L NRB. Lungs with diffuse wheezes but moving air with patent airway. Code Blue called, placed on monitor-NSR with sinus tach. Vitals 135/97, P-100, R-75, SAO2 99% NRB, with strong pulses. IV started. Patient given 5 mg valium IVP and 5mg albuterol via HHN. Taken to hospital ER via ACLS. Admitted overnight for observation. Discharged 1200 the following day.


VAERS ID: 196534 (history)  
Form: Version 1.0  
Age: 30.0  
Sex: Male  
Location: Texas  
Vaccinated:2002-11-20
Onset:2002-12-31
   Days after vaccination:41
Submitted: 2003-01-17
   Days after onset:17
Entered: 2003-01-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MEN: MENINGOCOCCAL (NO BRAND NAME) / UNKNOWN MANUFACTURER UB243AA / UNK - / -

Administered by: Military       Purchased by: Unknown
Symptoms: Cough, Headache, Myalgia, Petechiae, Pyrexia
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Haemorrhage terms (excl laboratory terms) (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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:
Preexisting Conditions: The PT has a remarkably negative past medical history. He was once treated for tonsillitis. He has been treated for Helicobacter pylori in the past. He has had a tonsillectomy as a youngster. PT smokes a pack per day for the past 15 yrs, and drinks 2 beers per day. Has multiple sexual partners.
Allergies:
Diagnostic Lab Data: Spinal tap turned out to have no elevations of his white cells and a normal glucose and protein. Had a positive Chlamydia test done by DNA probe. CSF findings were normal w/3 cells present, and glucose of 70 and a protein of 23. The white c
CDC Split Type:

Write-up: Follow-up report on 2/4/03: History of Present Illness: The PT became ill with a nonspecific illness just before Christmas (appears to be of 2002). This illness is characterized by myalgias, fevers, headaches, and a somewhat productive cough. The PT has taken a variety of nonsteroidal pyretic agents including Advil, also Tylenol and his symptoms persisted. He came to the Emer. dept this morning and was found to have a temp of 103 deg''s w/headache and painful neck that was uncomfortable in all directions of motion. While the PT''s spinal fluid was being evaluated an add''l dose of dexamethasone 38 mg and vancomycin and Rocephin were administered. Spinal tap turned out to have no elevations of his white cells and a normal glucose and protein. The PT had given a history of a possible small pox immunization as well as possible Anthrax immunization. Infectious diseases was consulted because of the possibility of a vaccine reaction as well as the consideration of an acute infectious process. The PT has a remarkably negative past medical history. He was once treated for tonsillitis. He has been treated for Helicobacter pylori in the past. He has had a tonsillectomy as a youngster. The PT has some diffuse myalgias w/out localization of any particular joints.


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