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This is VAERS ID 238902

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

Case Details

VAERS ID: 238902 (history)  
Form: Version .0  
Age: 22.0  
Sex: Female  
Location: North Carolina  
Vaccinated:2005-05-27
Onset:2005-05-28
   Days after vaccination:1
Submitted: 2005-06-01
   Days after onset:4
Entered: 2005-06-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MNQ: MENINGOCOCCAL (MENACTRA) / AVENTIS PASTEUR, U1492AB / 0 LA / IM

Administered by: Unknown       Purchased by: Unknown
Symptoms: CHILLS, FEVER, FLU SYND, HEADACHE, MYALGIA
SMQs:

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

Write-up: 16-24 hours after vaccine adminstered complaint of flu-like symptoms, fever, chills, arm soreness, body aches, neck pain, headache.


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https://www.medalerts.org/vaersdb/findfield.php?SNAPSHOT=20061230&IDNUMBER=238902


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