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This is VAERS ID 236926

(NOTE: This result is from the 12/30/2006 version of the VAERS database)

Case Details

VAERS ID: 236926 (history)  
Form: Version .0  
Age: 14.0  
Sex: Male  
Location: Ohio  
Vaccinated:2005-04-25
Onset:2005-04-26
   Days after vaccination:1
Submitted: 2005-04-28
   Days after onset:2
Entered: 2005-05-04
   Days after submission:6
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MNQ: MENINGOCOCCAL (MENACTRA) / AVENTIS PASTEUR, U1493AC / - RA / IM
TD: TD ADSORBED, ADULT (NO BRAND NAME) / AVENTIS PASTEUR, U1221BA / - LA / IM

Administered by: Private       Purchased by: Unknown
Symptoms: URTICARIA
SMQs:

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? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Recurrent hives. Started 04/26/05- seen in office for hives 04/28/05. RX for Claritin and predinisone taper.


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Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?SNAPSHOT=20061230&IDNUMBER=236926


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