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This is VAERS ID 238611

(NOTE: This result is from the 8/14/2018 version of the VAERS database)

Case Details

VAERS ID: 238611 (history)  
Form: Version 1.0  
Age: 16.0  
Sex: Male  
Location: New Jersey  
Vaccinated:2005-05-06
Onset:2005-05-15
   Days after vaccination:9
Submitted: 2005-05-24
   Days after onset:9
Entered: 2005-05-31
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 0756P / 3 LA / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U1575AA / 1 RA / IM

Administered by: Private       Purchased by: Private
Symptoms: Asthma, Bronchitis, Convulsion, Cough, Diarrhoea, Meningitis, Thinking abnormal, Viral infection, Vomiting, Wheezing
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Angioedema (broad), Asthma/bronchospasm (narrow), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Dementia (broad), Convulsions (narrow), Pseudomembranous colitis (broad), Psychosis and psychotic disorders (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad), Generalised convulsive seizures following immunisation (narrow), Hypersensitivity (broad), Noninfectious diarrhoea (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (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, 5 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions: Mild RAD/ allergic to PCN.
Allergies:
Diagnostic Lab Data: CBC, Lumbar puncture, blood and urine culture, drug screen, Ct scan brain were done. Cultures and PCR (CSF) negative. EEG NL.
CDC Split Type:

Write-up: 5/6/05 HBV and Menactra were administered. 5/11/05 bronchitis, treated with Biaxin/Albuterol and Prednisone; 5/14/05 Diarrhea, vomiting; 5/15/05 generalized seizure, ER, Dx: viral meningitis. Pt 15 yo child was seen in our office on 5/6/05 for well visit. He was given HBV and Menactra. No calls received from parents regarding any side effects. On 5/11/05 child was seen for cough, wheezing. He was diagnosed bronchitis/RAD, started on Biaxin XC, Albuterol Inhaler and Prednisone for 5 days. As per mom, he developed vomiting and diarrhea on 5/14/05. On 5/15/05 he developed generalized seizure. No h/o high fever or stiff neck or rash. Child was taken to nearest hospital by ambulance. CBC, Lumbar puncture, blood and urine culture, drug screen, Ct scan brain were done. Child was started on Ceftriaxone, Dexamethasone, Vancomycin and transferred to another hospital. He was admitted because of change in mental status. He was also started on Acyclovir. EEG NL, Neuro was consulted, child was discharged on no medication. All antibiotics were discontinued because cultures and PCR (CSF) negative in deciding for herpes simplex. the final diagnosis was viral meningitis and seizure. Please see enclosed lab results.


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https://www.medalerts.org/vaersdb/findfield.php?SNAPSHOT=20180814&IDNUMBER=238611


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