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This is VAERS ID 51415

Case Details

VAERS ID: 51415 (history)  
Form: Version 1.0  
Age: 41.0  
Sex: Female  
Location: Unknown  
Vaccinated:1991-01-01
Onset:0000-00-00
Submitted: 1993-03-18
Entered: 1993-04-01
   Days after submission:14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
ANTH: ANTHRAX (NO BRAND NAME) / MICHIGAN DEPT PUB HLTH - / UNK - / -
CHOL: CHOLERA (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -
MEN: MENINGOCOCCAL (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -
TYP: TYPHOID VI POLYSACCHARIDE (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Unknown       Purchased by: Unknown
Symptoms: Asthenia, Dyspnoea, Laboratory test abnormal, Rash, Red blood cell sedimentation rate increased
SMQs:, Anaphylactic reaction (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Cardiomyopathy (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 14 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Pt recvd Anthrax & immune globulin;
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: ANA neg; neg RH, neg stools ova & cult; sed rate 76; pos Typhoid agglutin "H" 1:160, pos immunoplectrophoresis Poly clonal gamopathy;
CDC Split Type:

Write-up: rash feet & rt hand dyspnea & fatigue;


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