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This is VAERS ID 238085

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

Case Details

VAERS ID: 238085 (history)  
Form: Version .0  
Age: 18.0  
Sex: Male  
Location: Ohio  
Vaccinated:2005-05-16
Onset:0000-00-00
Submitted: 2005-05-19
Entered: 2005-05-24
   Days after submission:5
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / GLAXOSMITHKLINE AHBVB074AA / 0 LA / IM
MNQ: MENINGOCOCCAL (MENACTRA) / AVENTIS PASTEUR, U1575AA / 0 RA / IM

Administered by: Private       Purchased by: Unknown
Symptoms: ASTHENIA, FEVER, HEADACHE, MYALGIA, NAUSEA
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: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: Came in the next day with myalgias, fever 99.3, nasal congestion; lasted 24-48 hours.
CDC Split Type:

Write-up: Immediately following administration of second vaccine, patient became nauseated, weak, color paled, assisted to exam table; laid down, given sips of soda and was feeling better within 5-10 minutes after sitting up and feeling better approximately 10 minu"tes. Home with mom. Returned next day with complaints of fever, headache, and weakness. Advised fluids, rest and monitor.


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