The following is all the information available on report# VAERS_ID: 724987
Vaccine(s) were received on 03/23/2016
At the time of vaccination, patient was : 23 of age
Patient sex : M
Reaction was life threatening?: N
Patient eventually recovered from reaction ?: N
Patient eventually died?: N
Bronchitis
Disturbance in attention
Headache
Impulsive behaviour
Nasopharyngitis
Personality change
At the time of vaccination, patient was : 23 of age
Patient sex : M
Reaction was life threatening?: N
Patient eventually recovered from reaction ?: N
Patient eventually died?: N
The following Data for this patients HISTORY is available: N/A
The following Data for this patients ALLERGIES is available: [N/A ]
Description of adverse reaction: Developed a cold by the next morning, which quickly progressed into bronchitis. Severe headache for several days. Personality change (more angry and impulsive, attention issues that had not been an issue before).
Vaccine(s) associated with report# 724987
| Type | Name | Manufacturer | Vaccine LOT # | Dose Series | ROUTE | Site |
|---|---|---|---|---|---|---|
| DTAPHEPBIP | DTAP + HEPB + IPV (PEDIARIX) | GLAXOSMITHKLINE BIOLOGICALS | 0 | SYR | ||
| FLUA3 | INFLUENZA (SEASONAL) (FLUAD) | NOVARTIS VACCINES AND DIAGNOSTICS | 0 | IM | RA | |
| HEPA | HEP A (HAVRIX) | GLAXOSMITHKLINE BIOLOGICALS | 1 | IM | LA | |
| MENB | MENINGOCOCCAL B (BEXSERO) | NOVARTIS VACCINES AND DIAGNOSTICS | 0 | SYR | ||
| MMR | MEASLES + MUMPS + RUBELLA (MMR II) | MERCK & CO. INC. | 0 | SYR | ||
| UNK | VACCINE NOT SPECIFIED (NO BRAND NAME) | UNKNOWN MANUFACTURER | 0 | SYR | ||
| UNK | VACCINE NOT SPECIFIED (NO BRAND NAME) | UNKNOWN MANUFACTURER | 0 | |||
| VARCEL | VARICELLA (VARIVAX) | MERCK & CO. INC. | 0 | SYR |
Symptoms(s) associated with report# 724987
AngerBronchitis
Disturbance in attention
Headache
Impulsive behaviour
Nasopharyngitis
Personality change