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This is VAERS ID 245438

History of Changes from the VAERS Wayback Machine

First Appeared on 12/30/2006

VAERS ID: 245438
VAERS Form:
Age:19.0
Sex:Male
Location:California
Vaccinated:2005-09-01
Onset:2005-09-23
Submitted:2005-10-14
Entered:2005-10-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MNQ: MENINGOCOCCAL (MENACTRA) / AVENTIS PASTEUR, 61526AC / 0 RA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: ANOREXIA, DEHYDRAT, ANEMIA, CHOLECYST, COLITIS

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Claritin prn Loperamide after onset
Current Illness: None
Preexisting Conditions: Allergic rhinitis
Allergies:
Diagnostic Lab Data: Thrombocytopenia and anemia Stool cultures, E coli 0157:H7, O&P x3 all negative Colonoscopy as above
CDC 'Split Type':

Write-up: Patient had Menactra vaccine 9/1/05 and developed decreased appetite around 9/23/05. He then developed diarrhea 10/3/05 with subsequent severe bloody diarrhea, dehydration and thrombocytopenia (28K)and anemia. Admittedto hospital 10/7/05. Infectious et"iologies for enterocolitis negative so far. No evidence for HUS/TTP. Colonoscopy 10/11 - severe pancolitis, terminal ileum ulcers, granular ulcers and cobblestone mucosa felt by GI c/w Crohn''''s disease. Patient is still hospitalized with malnutrion and


Changed on 12/8/2009

VAERS ID: 245438 Before After
VAERS Form:
Age:19.0
Sex:Male
Location:California
Vaccinated:2005-09-01
Onset:2005-09-23
Submitted:2005-10-14
Entered:2005-10-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MNQ: MENINGOCOCCAL (MENACTRA) / AVENTIS PASTEUR, SANOFI PASTEUR 61526AC / 0 RA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Anaemia, Cholangitis, Colitis, Crohn's disease, Dehydration, Diarrhoea, Diarrhoea haemorrhagic, Gastric ulcer, Thrombocytopenia, Decreased appetite, ANOREXIA, DEHYDRAT, ANEMIA, CHOLECYST, COLITIS

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Claritin prn Loperamide after onset
Current Illness: None
Preexisting Conditions: Allergic rhinitis
Allergies:
Diagnostic Lab Data: Thrombocytopenia and anemia Stool cultures, E coli 0157:H7, O&P x3 all negative Colonoscopy as above
CDC 'Split Type':

Write-up: Patient had Menactra vaccine 9/1/05 and developed decreased appetite around 9/23/05. He then developed diarrhea 10/3/05 with subsequent severe bloody diarrhea, dehydration and thrombocytopenia (28K)and anemia. Admittedto hospital 10/7/05. Infectious et"iologies etiologies for enterocolitis negative so far. No evidence for HUS/TTP. Colonoscopy 10/11 - severe pancolitis, terminal ileum ulcers, granular ulcers and cobblestone mucosa felt by GI c/w Crohn''''s Crohn''s disease. Patient is still hospitalized with malnutrion and treated with IV Hydrocortisone and Asacol. Information from 60 day follow-up report states: inflammatory bowel disease currently controlled.


Changed on 4/7/2010

VAERS ID: 245438 Before After
VAERS Form:
Age:19.0
Sex:Male
Location:California
Vaccinated:2005-09-01
Onset:2005-09-23
Submitted:2005-10-14
Entered:2005-10-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MNQ: MENINGOCOCCAL (MENACTRA) MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR 61526AC / 0 RA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Anaemia, Cholangitis, Colitis, Crohn's disease, Dehydration, Diarrhoea, Diarrhoea haemorrhagic, Gastric ulcer, Thrombocytopenia, Decreased appetite

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Claritin prn Loperamide after onset
Current Illness: None
Preexisting Conditions: Allergic rhinitis
Allergies:
Diagnostic Lab Data: Thrombocytopenia and anemia Stool cultures, E coli 0157:H7, O&P x3 all negative Colonoscopy as above
CDC 'Split Type':

Write-up: Patient had Menactra vaccine 9/1/05 and developed decreased appetite around 9/23/05. He then developed diarrhea 10/3/05 with subsequent severe bloody diarrhea, dehydration and thrombocytopenia (28K)and anemia. Admittedto hospital 10/7/05. Infectious etiologies for enterocolitis negative so far. No evidence for HUS/TTP. Colonoscopy 10/11 - severe pancolitis, terminal ileum ulcers, granular ulcers and cobblestone mucosa felt by GI c/w Crohn''s disease. Patient is still hospitalized with malnutrion and treated with IV Hydrocortisone and Asacol. Information from 60 day follow-up report states: inflammatory bowel disease currently controlled.


Changed on 6/14/2014

VAERS ID: 245438 Before After
VAERS Form:
Age:19.0
Sex:Male
Location:California
Vaccinated:2005-09-01
Onset:2005-09-23
Submitted:2005-10-14
Entered:2005-10-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR 61526AC / 0 RA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Anaemia, Cholangitis, Colitis, Crohn's disease, Dehydration, Diarrhoea, Diarrhoea haemorrhagic, Gastric ulcer, Thrombocytopenia, Decreased appetite

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Claritin prn Loperamide after onset
Current Illness: None
Preexisting Conditions: Allergic rhinitis
Allergies:
Diagnostic Lab Data: Thrombocytopenia and anemia Stool cultures, E coli 0157:H7, O&P x3 all negative Colonoscopy as above
CDC 'Split Type':

Write-up: Patient had Menactra vaccine 9/1/05 and developed decreased appetite around 9/23/05. He then developed diarrhea 10/3/05 with subsequent severe bloody diarrhea, dehydration and thrombocytopenia (28K)and anemia. Admittedto hospital 10/7/05. Infectious etiologies for enterocolitis negative so far. No evidence for HUS/TTP. Colonoscopy 10/11 - severe pancolitis, terminal ileum ulcers, granular ulcers and cobblestone mucosa felt by GI c/w Crohn''s disease. Patient is still hospitalized with malnutrion and treated with IV Hydrocortisone and Asacol. Information from 60 day follow-up report states: inflammatory bowel disease currently controlled.


Changed on 2/14/2017

VAERS ID: 245438 Before After
VAERS Form:
Age:19.0
Sex:Male
Location:California
Vaccinated:2005-09-01
Onset:2005-09-23
Submitted:2005-10-14
Entered:2005-10-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR 61526AC / 0 RA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Anaemia, Cholangitis, Colitis, Crohn's disease, Dehydration, Diarrhoea, Diarrhoea haemorrhagic, Gastric ulcer, Thrombocytopenia, Decreased appetite

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Claritin prn Loperamide after onset
Current Illness: None
Preexisting Conditions: Allergic rhinitis
Allergies:
Diagnostic Lab Data: Thrombocytopenia and anemia Stool cultures, E coli 0157:H7, O&P x3 all negative Colonoscopy as above
CDC 'Split Type':

Write-up: Patient had Menactra vaccine 9/1/05 and developed decreased appetite around 9/23/05. He then developed diarrhea 10/3/05 with subsequent severe bloody diarrhea, dehydration and thrombocytopenia (28K)and anemia. Admittedto hospital 10/7/05. Infectious etiologies for enterocolitis negative so far. No evidence for HUS/TTP. Colonoscopy 10/11 - severe pancolitis, terminal ileum ulcers, granular ulcers and cobblestone mucosa felt by GI c/w Crohn''s disease. Patient is still hospitalized with malnutrion and treated with IV Hydrocortisone and Asacol. Information from 60 day follow-up report states: inflammatory bowel disease currently controlled.


Changed on 9/14/2017

VAERS ID: 245438 Before After
VAERS Form:(blank) 1
Age:19.0
Sex:Male
Location:California
Vaccinated:2005-09-01
Onset:2005-09-23
Submitted:2005-10-14
Entered:2005-10-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR 61526AC / 0 1 RA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Anaemia, Cholangitis, Colitis, Crohn's disease, Dehydration, Diarrhoea, Diarrhoea haemorrhagic, Gastric ulcer, Thrombocytopenia, Decreased appetite

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Claritin prn Loperamide after onset
Current Illness: None
Preexisting Conditions: Allergic rhinitis
Allergies:
Diagnostic Lab Data: Thrombocytopenia and anemia Stool cultures, E coli 0157:H7, O&P x3 all negative Colonoscopy as above
CDC 'Split Type':

Write-up: Patient had Menactra vaccine 9/1/05 and developed decreased appetite around 9/23/05. He then developed diarrhea 10/3/05 with subsequent severe bloody diarrhea, dehydration and thrombocytopenia (28K)and anemia. Admittedto hospital 10/7/05. Infectious etiologies for enterocolitis negative so far. No evidence for HUS/TTP. Colonoscopy 10/11 - severe pancolitis, terminal ileum ulcers, granular ulcers and cobblestone mucosa felt by GI c/w Crohn''s disease. Patient is still hospitalized with malnutrion and treated with IV Hydrocortisone and Asacol. Information from 60 day follow-up report states: inflammatory bowel disease currently controlled.


Changed on 2/14/2018

VAERS ID: 245438 Before After
VAERS Form:1
Age:19.0
Sex:Male
Location:California
Vaccinated:2005-09-01
Onset:2005-09-23
Submitted:2005-10-14
Entered:2005-10-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR 61526AC / 1 RA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Anaemia, Cholangitis, Colitis, Crohn's disease, Dehydration, Diarrhoea, Diarrhoea haemorrhagic, Gastric ulcer, Thrombocytopenia, Decreased appetite

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Claritin prn Loperamide after onset
Current Illness: None
Preexisting Conditions: Allergic rhinitis
Allergies:
Diagnostic Lab Data: Thrombocytopenia and anemia Stool cultures, E coli 0157:H7, O&P x3 all negative Colonoscopy as above
CDC 'Split Type':

Write-up: Patient had Menactra vaccine 9/1/05 and developed decreased appetite around 9/23/05. He then developed diarrhea 10/3/05 with subsequent severe bloody diarrhea, dehydration and thrombocytopenia (28K)and anemia. Admittedto hospital 10/7/05. Infectious etiologies for enterocolitis negative so far. No evidence for HUS/TTP. Colonoscopy 10/11 - severe pancolitis, terminal ileum ulcers, granular ulcers and cobblestone mucosa felt by GI c/w Crohn''s disease. Patient is still hospitalized with malnutrion and treated with IV Hydrocortisone and Asacol. Information from 60 day follow-up report states: inflammatory bowel disease currently controlled.


Changed on 6/14/2018

VAERS ID: 245438 Before After
VAERS Form:1
Age:19.0
Sex:Male
Location:California
Vaccinated:2005-09-01
Onset:2005-09-23
Submitted:2005-10-14
Entered:2005-10-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR 61526AC / 1 RA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Anaemia, Cholangitis, Colitis, Crohn's disease, Dehydration, Diarrhoea, Diarrhoea haemorrhagic, Gastric ulcer, Thrombocytopenia, Decreased appetite

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Claritin prn Loperamide after onset
Current Illness: None
Preexisting Conditions: Allergic rhinitis
Allergies:
Diagnostic Lab Data: Thrombocytopenia and anemia Stool cultures, E coli 0157:H7, O&P x3 all negative Colonoscopy as above
CDC 'Split Type':

Write-up: Patient had Menactra vaccine 9/1/05 and developed decreased appetite around 9/23/05. He then developed diarrhea 10/3/05 with subsequent severe bloody diarrhea, dehydration and thrombocytopenia (28K)and anemia. Admittedto hospital 10/7/05. Infectious etiologies for enterocolitis negative so far. No evidence for HUS/TTP. Colonoscopy 10/11 - severe pancolitis, terminal ileum ulcers, granular ulcers and cobblestone mucosa felt by GI c/w Crohn''s disease. Patient is still hospitalized with malnutrion and treated with IV Hydrocortisone and Asacol. Information from 60 day follow-up report states: inflammatory bowel disease currently controlled.


Changed on 8/14/2018

VAERS ID: 245438 Before After
VAERS Form:1
Age:19.0
Sex:Male
Location:California
Vaccinated:2005-09-01
Onset:2005-09-23
Submitted:2005-10-14
Entered:2005-10-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR 61526AC / 1 RA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Anaemia, Cholangitis, Colitis, Crohn's disease, Dehydration, Diarrhoea, Diarrhoea haemorrhagic, Gastric ulcer, Thrombocytopenia, Decreased appetite

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Claritin prn Loperamide after onset
Current Illness: None
Preexisting Conditions: Allergic rhinitis
Allergies:
Diagnostic Lab Data: Thrombocytopenia and anemia Stool cultures, E coli 0157:H7, O&P x3 all negative Colonoscopy as above
CDC 'Split Type':

Write-up: Patient had Menactra vaccine 9/1/05 and developed decreased appetite around 9/23/05. He then developed diarrhea 10/3/05 with subsequent severe bloody diarrhea, dehydration and thrombocytopenia (28K)and anemia. Admittedto hospital 10/7/05. Infectious etiologies for enterocolitis negative so far. No evidence for HUS/TTP. Colonoscopy 10/11 - severe pancolitis, terminal ileum ulcers, granular ulcers and cobblestone mucosa felt by GI c/w Crohn''s disease. Patient is still hospitalized with malnutrion and treated with IV Hydrocortisone and Asacol. Information from 60 day follow-up report states: inflammatory bowel disease currently controlled.


Changed on 9/14/2018

VAERS ID: 245438 Before After
VAERS Form:1
Age:19.0
Sex:Male
Location:California
Vaccinated:2005-09-01
Onset:2005-09-23
Submitted:2005-10-14
Entered:2005-10-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR 61526AC / 1 RA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Anaemia, Cholangitis, Colitis, Crohn's disease, Dehydration, Diarrhoea, Diarrhoea haemorrhagic, Gastric ulcer, Thrombocytopenia, Decreased appetite

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Claritin prn Loperamide after onset
Current Illness: None
Preexisting Conditions: Allergic rhinitis
Allergies:
Diagnostic Lab Data: Thrombocytopenia and anemia Stool cultures, E coli 0157:H7, O&P x3 all negative Colonoscopy as above
CDC 'Split Type':

Write-up: Patient had Menactra vaccine 9/1/05 and developed decreased appetite around 9/23/05. He then developed diarrhea 10/3/05 with subsequent severe bloody diarrhea, dehydration and thrombocytopenia (28K)and anemia. Admittedto hospital 10/7/05. Infectious etiologies for enterocolitis negative so far. No evidence for HUS/TTP. Colonoscopy 10/11 - severe pancolitis, terminal ileum ulcers, granular ulcers and cobblestone mucosa felt by GI c/w Crohn''s disease. Patient is still hospitalized with malnutrion and treated with IV Hydrocortisone and Asacol. Information from 60 day follow-up report states: inflammatory bowel disease currently controlled.


Changed on 10/14/2018

VAERS ID: 245438 Before After
VAERS Form:1
Age:19.0
Sex:Male
Location:California
Vaccinated:2005-09-01
Onset:2005-09-23
Submitted:2005-10-14
Entered:2005-10-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR 61526AC / 1 RA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Anaemia, Cholangitis, Colitis, Crohn's disease, Dehydration, Diarrhoea, Diarrhoea haemorrhagic, Gastric ulcer, Thrombocytopenia, Decreased appetite

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Claritin prn Loperamide after onset
Current Illness: None
Preexisting Conditions: Allergic rhinitis
Allergies:
Diagnostic Lab Data: Thrombocytopenia and anemia Stool cultures, E coli 0157:H7, O&P x3 all negative Colonoscopy as above
CDC 'Split Type':

Write-up: Patient had Menactra vaccine 9/1/05 and developed decreased appetite around 9/23/05. He then developed diarrhea 10/3/05 with subsequent severe bloody diarrhea, dehydration and thrombocytopenia (28K)and anemia. Admittedto hospital 10/7/05. Infectious etiologies for enterocolitis negative so far. No evidence for HUS/TTP. Colonoscopy 10/11 - severe pancolitis, terminal ileum ulcers, granular ulcers and cobblestone mucosa felt by GI c/w Crohn''s disease. Patient is still hospitalized with malnutrion and treated with IV Hydrocortisone and Asacol. Information from 60 day follow-up report states: inflammatory bowel disease currently controlled.


Changed on 12/24/2020

VAERS ID: 245438 Before After
VAERS Form:1
Age:19.0
Sex:Male
Location:California
Vaccinated:2005-09-01
Onset:2005-09-23
Submitted:2005-10-14
Entered:2005-10-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR 61526AC / 1 RA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Anaemia, Cholangitis, Colitis, Crohn's disease, Dehydration, Diarrhoea, Diarrhoea haemorrhagic, Gastric ulcer, Thrombocytopenia, Decreased appetite

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Claritin prn Loperamide after onset
Current Illness: None
Preexisting Conditions: Allergic rhinitis
Allergies:
Diagnostic Lab Data: Thrombocytopenia and anemia Stool cultures, E coli 0157:H7, O&P x3 all negative Colonoscopy as above
CDC 'Split Type':

Write-up: Patient had Menactra vaccine 9/1/05 and developed decreased appetite around 9/23/05. He then developed diarrhea 10/3/05 with subsequent severe bloody diarrhea, dehydration and thrombocytopenia (28K)and anemia. Admittedto hospital 10/7/05. Infectious etiologies for enterocolitis negative so far. No evidence for HUS/TTP. Colonoscopy 10/11 - severe pancolitis, terminal ileum ulcers, granular ulcers and cobblestone mucosa felt by GI c/w Crohn''s disease. Patient is still hospitalized with malnutrion and treated with IV Hydrocortisone and Asacol. Information from 60 day follow-up report states: inflammatory bowel disease currently controlled.


Changed on 12/30/2020

VAERS ID: 245438 Before After
VAERS Form:1
Age:19.0
Sex:Male
Location:California
Vaccinated:2005-09-01
Onset:2005-09-23
Submitted:2005-10-14
Entered:2005-10-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR 61526AC / 1 RA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Anaemia, Cholangitis, Colitis, Crohn's disease, Dehydration, Diarrhoea, Diarrhoea haemorrhagic, Gastric ulcer, Thrombocytopenia, Decreased appetite

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Claritin prn Loperamide after onset
Current Illness: None
Preexisting Conditions: Allergic rhinitis
Allergies:
Diagnostic Lab Data: Thrombocytopenia and anemia Stool cultures, E coli 0157:H7, O&P x3 all negative Colonoscopy as above
CDC 'Split Type':

Write-up: Patient had Menactra vaccine 9/1/05 and developed decreased appetite around 9/23/05. He then developed diarrhea 10/3/05 with subsequent severe bloody diarrhea, dehydration and thrombocytopenia (28K)and anemia. Admittedto hospital 10/7/05. Infectious etiologies for enterocolitis negative so far. No evidence for HUS/TTP. Colonoscopy 10/11 - severe pancolitis, terminal ileum ulcers, granular ulcers and cobblestone mucosa felt by GI c/w Crohn''s disease. Patient is still hospitalized with malnutrion and treated with IV Hydrocortisone and Asacol. Information from 60 day follow-up report states: inflammatory bowel disease currently controlled.


Changed on 5/7/2021

VAERS ID: 245438 Before After
VAERS Form:1
Age:19.0
Sex:Male
Location:California
Vaccinated:2005-09-01
Onset:2005-09-23
Submitted:2005-10-14
Entered:2005-10-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR 61526AC / 1 RA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Anaemia, Cholangitis, Colitis, Crohn's disease, Dehydration, Diarrhoea, Diarrhoea haemorrhagic, Gastric ulcer, Thrombocytopenia, Decreased appetite

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Claritin prn Loperamide after onset
Current Illness: None
Preexisting Conditions: Allergic rhinitis
Allergies:
Diagnostic Lab Data: Thrombocytopenia and anemia Stool cultures, E coli 0157:H7, O&P x3 all negative Colonoscopy as above
CDC 'Split Type':

Write-up: Patient had Menactra vaccine 9/1/05 and developed decreased appetite around 9/23/05. He then developed diarrhea 10/3/05 with subsequent severe bloody diarrhea, dehydration and thrombocytopenia (28K)and anemia. Admittedto hospital 10/7/05. Infectious etiologies for enterocolitis negative so far. No evidence for HUS/TTP. Colonoscopy 10/11 - severe pancolitis, terminal ileum ulcers, granular ulcers and cobblestone mucosa felt by GI c/w Crohn''s disease. Patient is still hospitalized with malnutrion and treated with IV Hydrocortisone and Asacol. Information from 60 day follow-up report states: inflammatory bowel disease currently controlled.


Changed on 5/14/2021

VAERS ID: 245438 Before After
VAERS Form:1
Age:19.0
Sex:Male
Location:California
Vaccinated:2005-09-01
Onset:2005-09-23
Submitted:2005-10-14
Entered:2005-10-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR 61526AC / 1 RA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Anaemia, Cholangitis, Colitis, Crohn's disease, Dehydration, Diarrhoea, Diarrhoea haemorrhagic, Gastric ulcer, Thrombocytopenia, Decreased appetite

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Claritin prn Loperamide after onset
Current Illness: None
Preexisting Conditions: Allergic rhinitis
Allergies:
Diagnostic Lab Data: Thrombocytopenia and anemia Stool cultures, E coli 0157:H7, O&P x3 all negative Colonoscopy as above
CDC 'Split Type':

Write-up: Patient had Menactra vaccine 9/1/05 and developed decreased appetite around 9/23/05. He then developed diarrhea 10/3/05 with subsequent severe bloody diarrhea, dehydration and thrombocytopenia (28K)and anemia. Admittedto hospital 10/7/05. Infectious etiologies for enterocolitis negative so far. No evidence for HUS/TTP. Colonoscopy 10/11 - severe pancolitis, terminal ileum ulcers, granular ulcers and cobblestone mucosa felt by GI c/w Crohn''s disease. Patient is still hospitalized with malnutrion and treated with IV Hydrocortisone and Asacol. Information from 60 day follow-up report states: inflammatory bowel disease currently controlled.

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