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This is VAERS ID 50683

Case Details

VAERS ID: 50683 (history)  
Form: Version 1.0  
Age: 18.0  
Sex: Female  
Location: South Carolina  
Vaccinated:1992-08-28
Onset:1992-08-31
   Days after vaccination:3
Submitted: 1993-03-04
   Days after onset:185
Entered: 1993-03-11
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MEN: MENINGOCOCCAL (MENOMUNE) / CONNAUGHT LABORATORIES - / 1 - / -

Administered by: Military       Purchased by: Military
Symptoms: Headache, Hypertension, Nausea, Nephrotic syndrome, Oedema, Renal impairment, Vomiting
SMQs:, Rhabdomyolysis/myopathy (broad), Acute renal failure (narrow), Cardiac failure (broad), Anaphylactic reaction (broad), Acute pancreatitis (broad), Angioedema (broad), Neuroleptic malignant syndrome (broad), Retroperitoneal fibrosis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Hypertension (narrow), Cardiomyopathy (broad), Chronic kidney disease (broad), Tumour lysis syndrome (broad), Proteinuria (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: ATB @ time of vax;
Current Illness: n/a, hematuria & proteinuria suspected U
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: IVp neg; extensive blood &urine test, renal biopsy; 29SEP93 proved IgA nephropathy;
CDC Split Type:

Write-up: Pt recvd vax & exp n/v, hematuria & proteinuria; edema, h/a; dx IgAN, no hypertension but nephrotic synd; w/in 2 mos devel hypertension, renal function reportedly 50% destroyed;


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