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This is VAERS ID 238910

(NOTE: This result is from the 6/14/2018 version of the VAERS database)

Case Details

VAERS ID: 238910 (history)  
Form: Version 1.0  
Age: 18.0  
Sex: Female  
Location: Massachusetts  
Vaccinated:2005-05-31
Onset:2005-05-31
   Days after vaccination:0
Submitted: 2005-06-01
   Days after onset:1
Entered: 2005-06-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U1573AC / 1 LA / IM

Administered by: Private       Purchased by: Private
Symptoms: Pruritus, Rash
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow), 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? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: PPD
CDC Split Type:

Write-up: Patient started with red, itchy rash on chest and arms starting approximately one hour after immunizations. Rash spread and grew more itchy through today. IV Solumedrol give in the office. Patient sent home on Prednisone, Loratadine, and Ranitidine.


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Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?SNAPSHOT=20180614&IDNUMBER=238910


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