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Case Details (Sorted by Age)

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VAERS ID:455970 (history)  Vaccinated:2012-05-18
Age:11.0  Onset:2012-05-19, Days after vaccination: 1
Gender:Female  Submitted:2012-05-21, Days after onset: 2
Location:Arkansas  Entered:2012-05-21
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: Overweight
Diagnostic Lab Data: None
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.1537AA0IMLA
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA)SANOFI PASTEURU4053AA0IMRA
TDAP: TDAP (ADACEL)SANOFI PASTEURC3927AA0IMRA
Administered by: Private     Purchased by: Public
Symptoms: Injection site erythema, Injection site warmth
SMQs:, Extravasation events (injections, infusions and implants) (broad)
Write-up: 2 cm x 2 cm area of redness & elevated temp (local). RUA (ADACEL site IM).

VAERS ID:456039 (history)  Vaccinated:2012-05-15
Age:11.0  Onset:2012-05-15, Days after vaccination: 0
Gender:Unknown  Submitted:0000-00-00
Location:Pennsylvania  Entered:2012-05-23
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: Allergic rhinitis; Poor appetite
Diagnostic Lab Data: None
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.1537AA0IMUN
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA)SANOFI PASTEURH4030AA0IMUN
TDAP: TDAP (ADACEL)SANOFI PASTEURU4106BA0IMUN
Administered by: Private     Purchased by: Public
Symptoms: Dizziness, Pallor, Tremor
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Parkinson-like events (broad), Noninfectious encephalopathy/delirium (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Hypoglycaemia (broad)
Write-up: A few minutes after GARDASIL patient felt faint became pale & shaky - gave cake & layed patient down - vitals remained good - episode pasted in about 10 minutes.

VAERS ID:456089 (history)  Vaccinated:2012-05-21
Age:11.0  Onset:2012-05-22, Days after vaccination: 1
Gender:Male  Submitted:2012-05-23, Days after onset: 1
Location:California  Entered:2012-05-23
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.1359AA0IMLA
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.1375AA2SCLA
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA)SANOFI PASTEURU4072BA0IMRA
Administered by: Public     Purchased by: Public
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: Red and Swollen upper left arm with pain.

VAERS ID:456090 (history)  Vaccinated:2012-05-19
Age:11.0  Onset:2012-05-19, Days after vaccination: 0
Gender:Male  Submitted:2012-05-23, Days after onset: 4
Location:Maryland  Entered:2012-05-23
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: no
Preexisting Conditions: allergic to penicillin
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA)SANOFI PASTEUR 0IM 
TDAP: TDAP (NO BRAND NAME)UNKNOWN MANUFACTURER 5IM 
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC. 1IM 
Administered by: Private     Purchased by: Private
Symptoms: Headache, Migraine, Syncope, Unresponsive to stimuli
SMQs:, Torsade de pointes/QT prolongation (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Hypoglycaemia (broad)
Write-up: Patient fainted. When he became responsive his head hurt and it took him an extended period of time to be able to get up and leave office. Vital signs were good. He developed a migraine necessitating treatment at emergency room.

VAERS ID:456100 (history)  Vaccinated:2012-05-17
Age:11.0  Onset:2012-05-22, Days after vaccination: 5
Gender:Male  Submitted:2012-05-23, Days after onset: 1
Location:Maryland  Entered:2012-05-23
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: None
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.1561AA0IMRA
Administered by: Private     Purchased by: Public
Symptoms: Injection site swelling
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: Swelling of right arm x 5 days.

VAERS ID:456107 (history)  Vaccinated:2012-05-21
Age:11.0  Onset:2012-05-21, Days after vaccination: 0
Gender:Male  Submitted:2012-05-23, Days after onset: 2
Location:Massachusetts  Entered:2012-05-23
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEPA: HEP A (VAQTA)MERCK & CO. INC.0100AE0IMRA
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA)SANOFI PASTEURU4096AA0IMRA
TDAP: TDAP (ADACEL)SANOFI PASTEURC3941AA0IMLA
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.1792AA1SCLA
Administered by: Private     Purchased by: Public
Symptoms: Injection site erythema, Injection site swelling
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: Local redness & swelling only at injection site - not pruritic.

VAERS ID:456182 (history)  Vaccinated:2012-05-22
Age:11.0  Onset:2012-05-23, Days after vaccination: 1
Gender:Male  Submitted:2012-05-24, Days after onset: 1
Location:New York  Entered:2012-05-24
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: Cellulitis left upper arm
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.1537AA1IMRA
MNQ: MENINGOCOCCAL CONJUGATE (MENVEO)NOVARTIS VACCINES AND DIAGNOSTICSM100320IMLA
TDAP: TDAP (ADACEL)SANOFI PASTEURU3486AA0IMLA
Administered by: Other     Purchased by: Unknown
Symptoms: Injection site cellulitis, Injection site erythema, Injection site pain, Injection site swelling
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: Tdap and MENVEO vaccines were administered IM on left deltoid muscle on 5/22/12. Child developed adverse reaction on 5/23/12. Symptoms included pain, swelling, erythema of left deltoid muscle.

VAERS ID:456177 (history)  Vaccinated:2012-05-16
Age:11.0  Onset:2012-05-18, Days after vaccination: 2
Gender:Female  Submitted:2012-05-18, Days after onset: 0
Location:Washington  Entered:2012-05-25, Days after submission: 7
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: NKA
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEPA: HEP A (HAVRIX)GLAXOSMITHKLINE BIOLOGICALSAHAVB522BA1UNRA
HPV4: HPV (GARDASIL)MERCK & CO. INC.0477AA1UNLA
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.1381AA1SCRA
Administered by: Private     Purchased by: Public
Symptoms: Erythema, Swelling
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Redness & swelling the size of a baseball.

VAERS ID:456212 (history)  Vaccinated:2012-05-16
Age:11.0  Onset:2012-05-17, Days after vaccination: 1
Gender:Male  Submitted:2012-05-21, Days after onset: 4
Location:Colorado  Entered:2012-05-25, Days after submission: 4
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: None
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.  UNRA
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA)SANOFI PASTEUR  UNRA
Administered by: Public     Purchased by: Public
Symptoms: Injection site erythema, Injection site induration
SMQs:, Extravasation events (injections, infusions and implants) (broad)
Write-up: Right arm 2 vaccines administered. Right upper arm with area of light erythema. No increased warmth but slightly indurated.

VAERS ID:456225 (history)  Vaccinated:2012-05-23
Age:11.0  Onset:2012-05-24, Days after vaccination: 1
Gender:Female  Submitted:2012-05-25, Days after onset: 1
Location:Texas  Entered:2012-05-25
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: none
Preexisting Conditions: none
Diagnostic Lab Data: none
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.1489AA0IMRA
Administered by: Unknown     Purchased by: Private
Symptoms: Cellulitis, Erythema, Injected limb mobility decreased, Oedema peripheral, Pain in extremity
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Pt in office around 3:30pm. Right arm developed a baseball size area that was red, swollen, and painful. Decreased range of motion in right arm. No fever. Pt given Motrin, Benadryl, and Augmentin for cellulitis.

VAERS ID:456240 (history)  Vaccinated:2012-05-23
Age:11.0  Onset:2012-05-24, Days after vaccination: 1
Gender:Male  Submitted:2012-05-25, Days after onset: 1
Location:Texas  Entered:2012-05-25
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: none
Preexisting Conditions: None
Diagnostic Lab Data: none
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.1489AA1IMLL
Administered by: Private     Purchased by: Private
Symptoms: Gait disturbance, Oedema peripheral, Pain in extremity, Skin warm
SMQs:, Cardiac failure (broad), Angioedema (broad), Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Tendinopathies and ligament disorders (broad), Hypoglycaemia (broad)
Write-up: Came to doctors office at 1540. Left leg swollen, warm to touch, and painful. Child limping. Motrin administered. Dr. rec Benadryl at home.

VAERS ID:456295 (history)  Vaccinated:2012-05-17
Age:11.0  Onset:2012-05-18, Days after vaccination: 1
Gender:Male  Submitted:2012-05-25, Days after onset: 7
Location:California  Entered:2012-05-25
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: Hx of Asthma
Diagnostic Lab Data: No
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.0466AA1SCLA
Administered by: Public     Purchased by: Public
Symptoms: Injection site erythema, Injection site pruritus
SMQs:, Extravasation events (injections, infusions and implants) (broad)
Write-up: Itching and redness (L) arm - at site of injection, no SOB - no chest pain.

VAERS ID:456309 (history)  Vaccinated:2012-05-21
Age:11.0  Onset:2012-05-22, Days after vaccination: 1
Gender:Female  Submitted:2012-05-23, Days after onset: 1
Location:Pennsylvania  Entered:2012-05-29, Days after submission: 6
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: No
Preexisting Conditions: No
Diagnostic Lab Data: None
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.1317AA1IMLA
MNQ: MENINGOCOCCAL CONJUGATE (MENVEO)NOVARTIS VACCINES AND DIAGNOSTICSM110650IMLA
TDAP: TDAP (BOOSTRIX)GLAXOSMITHKLINE BIOLOGICALSAC52B076BA0IMRA
Administered by: Public     Purchased by: Public
Symptoms: Activities of daily living impaired, Erythema, Oedema peripheral, Skin warm
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Dementia (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Left arm swollen, red, warm to touch. Mother gave MOTRIN po to child. Given 5/22/12 pm - Went to school 5/23/12 but sent home by school nurse.

VAERS ID:456321 (history)  Vaccinated:2012-05-25
Age:11.0  Onset:2012-05-26, Days after vaccination: 1
Gender:Male  Submitted:2012-05-29, Days after onset: 3
Location:D.C.  Entered:2012-05-29
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA)SANOFI PASTEURU4021AE0IMLA
Administered by: Private     Purchased by: Public
Symptoms: Erythema, Induration, Skin warm, Swelling
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Red, swollen, hard, warm to touch.

VAERS ID:456352 (history)  Vaccinated:2012-05-24
Age:11.0  Onset:2012-05-25, Days after vaccination: 1
Gender:Male  Submitted:2012-05-29, Days after onset: 4
Location:Florida  Entered:2012-05-29
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: none
Preexisting Conditions:
Diagnostic Lab Data: none
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA)SANOFI PASTEURU3779AA IM 
TDAP: TDAP (ADACEL)SANOFI PASTEURU3486CA IM 
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.1148AA SC 
Administered by: Private     Purchased by: Public
Symptoms: Injection site erythema, Vaccination site induration, Vaccination site warmth
SMQs:, Extravasation events (injections, infusions and implants) (broad)
Write-up: Quarter size red, warm induration at vaccine site.

VAERS ID:456455 (history)  Vaccinated:2012-05-29
Age:11.0  Onset:2012-05-30, Days after vaccination: 1
Gender:Female  Submitted:2012-05-30, Days after onset: 0
Location:Pennsylvania  Entered:2012-05-30
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None known
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAP: DTAP (INFANRIX)GLAXOSMITHKLINE BIOLOGICALSAC52B076AA0UNLA
MNQ: MENINGOCOCCAL CONJUGATE (MENVEO)NOVARTIS VACCINES AND DIAGNOSTICSM11062 UNRA
Administered by: Private     Purchased by: Other
Symptoms: Convulsion, Staring, Vision blurred
SMQs:, Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Convulsions (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Glaucoma (broad), Lens disorders (broad), Retinal disorders (broad), Generalised convulsive seizures following immunisation (narrow), Hypoglycaemia (broad)
Write-up: Episode of short seizure 1-2 min, staring, no focus, does not remember episode better after 15 min.

VAERS ID:456479 (history)  Vaccinated:2012-05-23
Age:11.0  Onset:2012-05-25, Days after vaccination: 2
Gender:Male  Submitted:2012-05-30, Days after onset: 5
Location:Wisconsin  Entered:2012-05-30
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None.
Preexisting Conditions: None.
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA)SANOFI PASTEURU4021AD IMRA
TDAP: TDAP (BOOSTRIX)GLAXOSMITHKLINE BIOLOGICALS  IMLA
Administered by: Public     Purchased by: Public
Symptoms: Discomfort, Injection site erythema, Injection site induration, Injection site swelling
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: Right deltoid red, hard and swollen per school Nurse. Area approx. 4"X2". Meningitis Vaccine given in that location. Instructed to ice area and take Tylenol for discomfort.

VAERS ID:456486 (history)  Vaccinated:2012-05-21
Age:11.0  Onset:2012-05-22, Days after vaccination: 1
Gender:Male  Submitted:2012-05-23, Days after onset: 1
Location:Pennsylvania  Entered:2012-05-30, Days after submission: 7
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (ADACEL)SANOFI PASTEURC4051AA0IMLA
Administered by: Private     Purchased by: Private
Symptoms: Injection site erythema, Injection site oedema, Pallor, Skin tightness, Skin warm
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypotonic-hyporesponsive episode (broad)
Write-up: 2 days s/p vaccine admin. (L) upper arm with erythema & edema. No hives or diffuse rash. Tautness to skin positive blanching cap refil 2 sec. Warm.

VAERS ID:456548 (history)  Vaccinated:2012-05-30
Age:11.0  Onset:2012-05-30, Days after vaccination: 0
Gender:Female  Submitted:2012-05-31, Days after onset: 1
Location:New York  Entered:2012-05-31
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NO
Preexisting Conditions: None, NKDA
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.1229AA2IMRA
Administered by: Public     Purchased by: Public
Symptoms: Injection site pain, Injection site pruritus, Swelling face
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Child developed injection site itching and pain with facial swelling the evening after recieving the HPV/Gardasil vaccine, dose 2. No wheezing, shortness of breath or tongue swelling. No history of food, drug or environmental allergies. Mother administered Tylenol and Benadryl and was seen in the office 5/31/12.

VAERS ID:456576 (history)  Vaccinated:2012-05-21
Age:11.0  Onset:2012-05-22, Days after vaccination: 1
Gender:Female  Submitted:2012-05-23, Days after onset: 1
Location:Maine  Entered:2012-05-31, Days after submission: 8
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA)SANOFI PASTEURU4020AA IMRA
Administered by: Public     Purchased by: Public
Symptoms: Cellulitis
SMQs:
Write-up: Localized cellulitis vs imm reaction pt put on Cephalexin.

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