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This is VAERS ID 696115

History of Changes from the VAERS Wayback Machine

First Appeared on 9/14/2017

VAERS ID: 696115
VAERS Form:1
Age:34.0
Gender:Male
Location:Vermont
Vaccinated:2017-05-22
Onset:2017-05-22
Submitted:2017-05-24
Entered:2017-05-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U55BAB / 1 LA / UN

Administered by: Public      Purchased by: Public
Symptoms: Headache, Local swelling, Nausea, Pyrexia, Tachycardia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: TB skin test; No new medications in month of May (taking Loratadine and Omeprazole)
Current Illness: None
Preexisting Conditions: GERD-2015
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: 5 hours after Meningococcal vaccine, nausea, headache, fever, with localized swelling, "mild tachycardia". Pt called 911 went to ER given TYLENOL, ZOFREN and fluids. Feeling better today, vitals stable today. No swelling at INJ site.


Changed on 2/14/2018

VAERS ID: 696115 Before After
VAERS Form:1
Age:34.0
Gender:Male
Location:Vermont
Vaccinated:2017-05-22
Onset:2017-05-22
Submitted:2017-05-24
Entered:2017-05-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U55BAB / 1 LA / UN

Administered by: Public      Purchased by: Public
Symptoms: Headache, Local swelling, Nausea, Pyrexia, Tachycardia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: TB skin test; No new medications in month of May (taking Loratadine and Omeprazole)
Current Illness: None
Preexisting Conditions: GERD-2015
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: 5 hours after Meningococcal vaccine, nausea, headache, fever, with localized swelling, "mild tachycardia". Pt called 911 went to ER given TYLENOL, ZOFREN and fluids. Feeling better today, vitals stable today. No swelling at INJ site.


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Link To This Search Result:

http://medalerts.org/vaersdb/findfield.php?IDNUMBER=696115&WAYBACKHISTORY=ON


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