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This is VAERS ID 239906

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

Case Details

VAERS ID: 239906 (history)  
Form: Version 1.0  
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 CONJUGATE (MENACTRA) / SANOFI PASTEUR - / UNK RA / IM
TD: TD ADSORBED (NO BRAND NAME) / MASS. PUB HLTH BIOL LAB 127 / UNK LA / IM

Administered by: Public       Purchased by: Public
Symptoms: Injection site pain
SMQs:, Extravasation events (injections, infusions and implants) (broad)

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=20180614&IDNUMBER=239906


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