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This is VAERS ID 50683

(NOTE: This result is from the 12/31/2003 version of the VAERS database)

Case Details

VAERS ID: 50683 (history)  
Form: Version .0  
Age: 18.1  
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: 1993-03-15
   Days after submission:11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MEN: MENOMUNE A/C/Y/W / CONNAUGHT LABS - / 0 - / -

Administered by: Military       Purchased by: Unknown
Symptoms: EDEMA, HEADACHE, HYPERTENS, KIDNEY FUNC ABNORM, NAUSEA
SMQs:

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
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: NONE

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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