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This is VAERS ID 239906

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

Case Details

VAERS ID: 239906 (history)  
Form: Version .0  
Age: 40.0  
Sex: Female  
Location: Missouri  
Vaccinated:2005-05-19
Onset:2005-05-19
   Days after vaccination:0
Submitted: 2005-06-13
   Days after onset:25
Entered: 2005-06-16
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MNQ: MENINGOCOCCAL (MENACTRA) / AVENTIS PASTEUR, - / - RA / IM
TD: TD ADSORBED, ADULT (NO BRAND NAME) / MASS. PUB HLTH B 127 / - LA / IM

Administered by: Public       Purchased by: Unknown
Symptoms: PAIN INJECT SITE
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: No
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: N/A
CDC Split Type:

Write-up: Complaint of pain when vaccine given and states arm hurt from vaccine sight (left deltoid) to elbow. Hurts when raises arm. No swelling - redness or atrophy of muscle. Called on 06/10 to report. Talked again with patient on 06/13/2005 and she says it"is getting better. Advised to let us know if worsens or need to see PMD.


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https://www.medalerts.org/vaersdb/findfield.php?SNAPSHOT=20061230&IDNUMBER=239906


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