Age: 18.0
Sex: F
Vaccine: MNQ
Symptoms: Back pain, Chills, Cough, Ear discomfort, Headache
Clinical narrative: For three days prior to the vaccine patient had been experiencing a backache (like not having slept well) and a minor sore throat.  She had continued to work at her job.  On the day of the vaccine she still had these symptoms.  Approximately five minutes after receiving the vaccine patient felt nauseated.  We went back into clinic.  On the way back to a chair she almost passed out.  Her ears felt plugged and she began to have tunnel vision.  (She had never had any reactions to previous vaccines such as flu shots, etc.)  She was put on a reclining chair with a damp towel for her forehead and given water to sip.  She remained there for approximately 30 minutes until she felt better.    We left and she wanted to go get a smoothie (drink).  She said she felt fine (except still having the backache and minor sore throat).  Around 6pm that night she went out with some girlfriends and began to feel chilled.  That went away, but within about an hour it came back while they were eating dinner.  She was chilled and her fingers felt numb.  She came home at about 9:30pm and I took her temperature.  It was 101.9.  I called the hotline and the nurse felt she was exhibiting symptoms of a severe reaction to the vaccine and so she should be taken to the Emergency Room.  We arrived at the Emergency Room at around 10:30pm where her temperature was now close to 103.  She was put in a room where she began to feel much worse (we believe her temperature reached 104 at some point).  She was chilled with body aches and a bad headache.  After about an hour and a half she was seen be a nurse practioner.  The nurse ordered Tylenol for her fever, an IV, blood to be taken and a strep test.  The blood work came back fine. Mono was tested for and was negative.  The rapid strep test also came back negative, but was sent on to be cultured.  She was never seen by an ER doctor (the ER was busy with a person who had overdosed).  The nurse practioner felt she probably had a viral infection before the vaccine was given and the vaccine added to it all.  She was sent home just after 2am and told to alternate between Tylenol and Motrin for the next 24 hours and to see her doctor if she began having a fever again that lasted.  She remained in bed the entire day of the 2nd of August.  Her temp. was close to normal or slightly elevated.  She still had a sore throat.  By Thursday the 3rd of August she was feeling better and went out with a friend but came back within a couple of hours not feeling as well.  By that evening she was again running a slight fever and so the next morning, Friday, Aug. 4th, we went to see a doctor at her primary doctor's office.  They noticed a slight rash on the front of her chest near her shoulders.  They contacted the ER and found out that the strep test that was cultured was negative.  They also felt she probably had a viral infection that had started before the vaccine.  They said viral infections often run a course of about 10 days and that she was probably towards the end of it.  They told her not to finish her remaining three days of work.  She was to rest and if she felt bad again she was to be seen at an Emergency Room.  She rested the rest of Friday, and all day Saturday, and Sunday.  By Sunday she was feeling much better (except her throat was still sore and she had developed an occassional cough).  She had her energy back.  We left Monday morning, Aug. 7th for a previously planned camping trip.  We were gone till the evening of Aug. 9th.  She has been feeling fine, but her throat is still somewhat sore and she has an occassional cough.