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Pericarditis from INFLUENZA (H1N1) (H1N1 (MONOVALENT) (UNKNOWN)) 2010

Vaccine Manufacturer:UNKNOWN MANUFACT
Vaccine Code:FLU(H1N1)
Vaccine Type:INFLUENZA(H1N1)MONOVALENT
Vaccine Name:INFLUENZA (H1N1) (H1N1 (MONOVALENT) (UNKNOWN))
Year Reported:2010
Symptom Reported:Pericarditis

INFLUENZA (H1N1) (H1N1 (MONOVALENT) (UNKNOWN)) Side Effects Report #390746
INFLUENZA (H1N1) (H1N1 (MONOVALENT) (UNKNOWN)) vaccine side effect was reported on 06/11/2010. Male patient, 20.0 years of age, was vaccinated with INFLUENZA (H1N1) (H1N1 (MONOVALENT) (UNKNOWN)). Patient symptoms: Pericarditis, "This report was received from the investigator on 07 June 2010. A 20 year-old male subject with no significant medical history received the following vaccines on 27 January 2010: ACAM2000 (lot number not reported); TYPHIM Vi (lot number not reported; H1N1 (manufacturer unknown and lot number not reported); and ANTHRAX (other manufacturer and lot number not reported). Twenty-five days after vaccination, the subject was diagnosed with acute idiopathic pericarditis. On day 25 (21 February 2010), the subject had a Troponin I of 6.44 (abnormal); an abnormal electrocardiogram; and a normal echocardiogram. The outcome was not reported. Additional information will be requested from the investigator. There is no reported causality assessment as this is a safety surveillance (data mining, non-interventional) study. List of documents held by sender: None." The subject has no significant medical history."On Day 25 (21 February 2010), the subject had a Troponin I of 6.44 (abnormal); an abnormal electrocardiogram; and a normal echocardiogram." . Patient recovered.


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