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Found 2713 cases where Vaccine is MEN or MENB or MENHIB or MNC or MNQ or MNQHIB and Serious and Submission Date on/before '2015-09-30'

Case Details

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VAERS ID: 196516 (history)  
Form: Version 1.0  
Age: 18.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:2003-01-14
Onset:2003-01-16
   Days after vaccination:2
Submitted: 2003-01-17
   Days after onset:1
Entered: 2003-01-21
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MEN: MENINGOCOCCAL (MENOMUNE) / SANOFI PASTEUR UB248AA / 1 - / SC

Administered by: Other       Purchased by: Private
Symptoms: Abdominal pain, Nausea, Pharyngolaryngeal pain, Throat tightness, Urticaria, Vomiting
SMQs:, Anaphylactic reaction (narrow), Acute pancreatitis (broad), Angioedema (narrow), Retroperitoneal fibrosis (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Allergic to amoxicillin-hives
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: The Menomune (meningococcal vaccine) was received on 1/14 afternoon. That evening, nausea and vomited once. next day, she had abdominal cramps. On 1/16 AM, she developed generalized hives; was seen in office at 1:15PM. Also complained of throat getting swollen, sore throat, tightness of throat. Was given SC Epinephrine shot; Benadryl IM; Oral steroid. Sent home on Zyrtec and Prednisone.


VAERS ID: 199150 (history)  
Form: Version 1.0  
Age: 34.0  
Sex: Male  
Location: Ohio  
Vaccinated:2003-02-22
Onset:2003-02-22
   Days after vaccination:0
Submitted: 2003-02-28
   Days after onset:6
Entered: 2003-03-11
   Days after submission:11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM 745A6 / 1 LA / IM
IPV: POLIO VIRUS, INACT. (IPOL) / SANOFI PASTEUR W0460 / 1 LA / SC
MEN: MENINGOCOCCAL (MENOMUNE) / SANOFI PASTEUR UB269AA / 1 RA / SC
PPV: PNEUMO (PNEUMOVAX) / MERCK & CO. INC. 0819M / 1 RA / IM
TD: TD ADSORBED (NO BRAND NAME) / SANOFI PASTEUR U0821AA / 1 RA / IM
TYP: TYPHOID VI POLYSACCHARIDE (TYPHIM VI) / SANOFI PASTEUR W0909 / 1 RA / IM

Administered by: Military       Purchased by: Military
Symptoms: Arthralgia, Dehydration, Diarrhoea, Headache, Injection site oedema, Pyrexia, Vomiting
SMQs:, Acute pancreatitis (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Arthritis (broad), Noninfectious diarrhoea (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Dehydration (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC Split Type:

Write-up: Dehydrated, vomiting, diarrhea. Nurse follow up on 06/08/04 states: Fever, joint pain, headache, site edema.


VAERS ID: 200387 (history)  
Form: Version 1.0  
Age: 19.0  
Sex: Female  
Location: Georgia  
Vaccinated:2001-07-02
Onset:0000-00-00
Submitted: 2003-03-26
Entered: 2003-03-28
   Days after submission:2
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 5178A2 / 3 - / -
MEN: MENINGOCOCCAL (MENOMUNE) / SANOFI PASTEUR UB034AA / UNK - / -

Administered by: Unknown       Purchased by: Unknown
Symptoms: Laboratory test abnormal, Meningitis
SMQs:, Noninfectious meningitis (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2003-02-18
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 4 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Blood cultures postiive for Meisseria meningitis group C
CDC Split Type:

Write-up: From initial information at manufacturer, it was reported that a 19 year old female patient received Menomune A/C/Y/W 135, UB034AA, on 7/2/01. Route/site were not reported. Patient had cultures sero group C. On 2/15/03, patient had blood cultures and was positive for ? of meningitis group C. Patient was hospitalized for 4 days, then died on 2/18/03.


VAERS ID: 200498 (history)  
Form: Version 1.0  
Age: 33.0  
Sex: Male  
Location: Missouri  
Vaccinated:2003-02-28
Onset:2003-03-12
   Days after vaccination:12
Submitted: 2003-03-21
   Days after onset:9
Entered: 2003-03-31
   Days after submission:10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
ANTH: ANTHRAX (BIOTHRAX) / EMERGENT BIOSOLUTIONS FAV072 / UNK - / -
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH 4020040 / UNK - / -
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 5305A6 / UNK - / -
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM 746A2 / UNK - / -
IPV: POLIO VIRUS, INACT. (IPOL) / SANOFI PASTEUR W0620 / UNK - / -
MEN: MENINGOCOCCAL (MENOMUNE) / SANOFI PASTEUR UB273AA / UNK - / -
SMALL: SMALLPOX (DRYVAX) / PFIZER/WYETH - / UNK - / -

Administered by: Military       Purchased by: Military
Symptoms: Chest pain, Laboratory test abnormal, Myocarditis
SMQs:, Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: PPD
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: Troponia up to 20; Cardiac cath negative; Positive EKG''s; PPD
CDC Split Type:

Write-up: Smallpox related myocarditis, chest pain, Troponin up to 20 day 12 of smallpox. See executive summary 3/13/03.


VAERS ID: 200707 (history)  
Form: Version 1.0  
Age: 31.0  
Sex: Female  
Location: Wisconsin  
Vaccinated:2003-03-01
Onset:2003-03-09
   Days after vaccination:8
Submitted: 2003-03-15
   Days after onset:6
Entered: 2003-04-01
   Days after submission:17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
ANTH: ANTHRAX (BIOTHRAX) / EMERGENT BIOSOLUTIONS FAV073 / 1 - / -
MEN: MENINGOCOCCAL (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / UNK - / -
SMALL: SMALLPOX (DRYVAX) / PFIZER/WYETH 4020071 / 1 - / -

Administered by: Military       Purchased by: Military
Symptoms: Encephalitis, Facial palsy, Headache, Muscular weakness, Photophobia, Pruritus, Rash erythematous, Rash macular
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (narrow), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (narrow), Glaucoma (broad), Corneal disorders (broad), Retinal disorders (broad), Hearing impairment (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 4 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: Allergies-PCN
Allergies:
Diagnostic Lab Data: Lyme IgM <1:64; IgG <1:64; CSF clear; RBC 28, WBC 0; gluc 48; protein 24; no fungi; no organisms; chest lesion-smear negative for varicella zoster; neg for vaccinia
CDC Split Type:

Write-up: Mild post vaccinial encephalitis with transient L Bell''s palsy face/arm/leg weakness now resolved (lasted 2-3 days). General rash-likely to vaccinia (erythematous macules on back and upper chest; itching x 2-3 days). Phophobia, headche occipital region Oncelf x 2 weeks.


VAERS ID: 201042 (history)  
Form: Version 1.0  
Age: 29.0  
Sex: Male  
Location: Wisconsin  
Vaccinated:2003-03-08
Onset:2003-03-28
   Days after vaccination:20
Submitted: 2003-04-01
   Days after onset:4
Entered: 2003-04-07
   Days after submission:5
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
ANTH: ANTHRAX (BIOTHRAX) / EMERGENT BIOSOLUTIONS FAV070 / UNK - / -
MEN: MENINGOCOCCAL (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -
PPV: PNEUMO (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -
SMALL: SMALLPOX (DRYVAX) / PFIZER/WYETH 4020071 / UNK - / -

Administered by: Military       Purchased by: Military
Symptoms: Pericardial effusion, Pericarditis, Viral infection
SMQs:, Systemic lupus erythematosus (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Chronic kidney disease (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Ejection fraction: 25%
CDC Split Type:

Write-up: Myopericarditis, pericardial effusion presumed hours to smallpox, but pssible coincidental to viral, mycoplasmal or other infection.


VAERS ID: 203060 (history)  
Form: Version 1.0  
Age: 18.0  
Sex: Male  
Location: California  
Vaccinated:2003-03-18
Onset:2003-03-19
   Days after vaccination:1
Submitted: 2003-05-07
   Days after onset:48
Entered: 2003-05-14
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -
HEPAB: HEP A + HEP B (TWINRIX) / GLAXOSMITHKLINE BIOLOGICALS - / UNK - / -
IPV: POLIO VIRUS, INACT. (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -
MEN: MENINGOCOCCAL (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / UNK - / -
PPV: PNEUMO (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Military       Purchased by: Military
Symptoms: Convulsion, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Convulsions (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Generalised convulsive seizures following immunisation (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Brain MRI nl, EEG wnl, Urinalysis negative
CDC Split Type:

Write-up: 20 yo male unknown history transferred with AMS. Pt experienced a seizure in the field. Brought to ED with temp 102.3. Intubated. Seized during sedation with etomidate . Given Decadron and Dilantin. Admitted. Vented overnight.


VAERS ID: 203155 (history)  
Form: Version 1.0  
Age: 43.0  
Sex: Male  
Location: Georgia  
Vaccinated:2003-03-22
Onset:2003-03-23
   Days after vaccination:1
Submitted: 2003-05-14
   Days after onset:51
Entered: 2003-05-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
ANTH: ANTHRAX (NO BRAND NAME) / MICHIGAN DEPT PUB HLTH - / 1 - / -
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 - / -
HEP: HEP B (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 2 - / -
MEN: MENINGOCOCCAL (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 - / -

Administered by: Military       Purchased by: Military
Symptoms: Angioneurotic oedema, Erythema, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Oropharyngeal allergic conditions (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: PERIORBITAL ANGIOEDEMA, HIVES, GENERALIZED URTICARIA. REQUIRED HOSPITALIZATION. TREATED WITH PREDNISONE, ALLEGRA 180 AND BENADRYL. AS OF 9 APRIL 2003 (18 DAYS AFTER VACCINATION), PATIENT STILL HAS A PATCH OF ELEVATED ERYTHEMA.


VAERS ID: 206230 (history)  
Form: Version 1.0  
Age: 22.0  
Sex: Male  
Location: Washington  
Vaccinated:2003-07-08
Onset:2003-07-10
   Days after vaccination:2
Submitted: 2003-07-15
   Days after onset:5
Entered: 2003-07-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPAB: HEP A + HEP B (TWINRIX) / GLAXOSMITHKLINE BIOLOGICALS HAB238B6 / 1 RA / IM
IPV: POLIO VIRUS, INACT. (IPOL) / SANOFI PASTEUR W0816 / UNK RA / SC
MEN: MENINGOCOCCAL (MENOMUNE) / SANOFI PASTEUR UB448AA / 1 LA / SC
TD: TD ADSORBED (NO BRAND NAME) / SANOFI PASTEUR U0840AA / UNK LA / IM
YF: YELLOW FEVER (YF-VAX) / SANOFI PASTEUR UB362AA / 1 LA / SC

Administered by: Unknown       Purchased by: Unknown
Symptoms: Chromaturia, Dyspnoea, Enzyme abnormality, Headache, Leukopenia, Liver function test abnormal, Nasal congestion, Nausea, Pain, Pharyngolaryngeal pain, Platelet count decreased, Pyrexia, Thrombocytopenia, White blood cell count decreased
SMQs:, Rhabdomyolysis/myopathy (broad), Liver related investigations, signs and symptoms (narrow), Anaphylactic reaction (broad), Acute pancreatitis (broad), Haematopoietic leukopenia (narrow), Haematopoietic thrombocytopenia (narrow), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (narrow), Anticholinergic syndrome (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (narrow)

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, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: ALLERGIC RHINITIS
Allergies:
Diagnostic Lab Data: Elevated liver enzymes, low platelets, low WBC
CDC Split Type:

Write-up: Fever and headaches began 2 days after vaccination. Over next few days had body aches, orange urine, nausea, sore throat, congestion, and shortness of breath. Hospitalized 7/14/03.


VAERS ID: 207834 (history)  
Form: Version 1.0  
Age: 18.0  
Sex: Male  
Location: California  
Vaccinated:2002-11-14
Onset:0000-00-00
Submitted: 2003-08-11
Entered: 2003-08-14
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR - / UNK - / -
HEP: HEP B (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -
HEPA: HEP A (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -
MEN: MENINGOCOCCAL (MENOMUNE) / SANOFI PASTEUR UB245AA / UNK - / -
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / UNK - / -
PPV: PNEUMO (PNEUMOVAX) / MERCK & CO. INC. - / UNK - / -

Administered by: Military       Purchased by: Unknown
Symptoms: Bacterial infection, Cough, Drug ineffective, Dyspnoea, Laboratory test abnormal, Pharyngitis, Rash maculo-papular, Respiratory distress, Sepsis, Shock
SMQs:, Anaphylactic reaction (narrow), Agranulocytosis (broad), Lack of efficacy/effect (narrow), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (narrow), Hypovolaemic shock conditions (narrow), Toxic-septic shock conditions (narrow), Anaphylactic/anaphylactoid shock conditions (narrow), Hypoglycaemic and neurogenic shock conditions (narrow), Oropharyngeal infections (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Hypersensitivity (narrow), Respiratory failure (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Sepsis (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2002-12-15
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: PPD
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: Diagnostic Laboratory: PCR was positive for Neisseria Meningococcal infection serogroup C.
CDC Split Type: 200301574

Write-up: From initial information received on 8/7/03 from a medical professional, regarding an adverse event occurring in the US, it was reported that an 18year old male patient received MENOMUNE, lot number UB245AA, FLUZONE (lot number not reported), TUBERSOL (lot number not reported), HEPATITIS A VACCINE (lot number and manufacturer not reported, HEPATITIS B VACCINE (lot number and manufacturer not reported), MMR (lot number not reported), and PNEUMOVAX (lot number not reported) administered on 11/14/02. All vaccines were administered on the same date. The patient died on 12/15/02. The CDC investigation confirmed that the patient was positive for serogroup C, Meningococcal infection. The onset date of signs and symptoms were not reported. An autopsy was performed, however, results were not available at the time of this report. Follow-up information: Information has been received from a health professional concerning an 18 year old male patient who was healthy with no adverse entry who on 11/14/2002 was vaccinated with a dose of MMRII (Lot # not reported). Concomitant therapy on 11/14/2002 included a dose of hepatitis A vaccine (inactive) (manufacturer unknown) (Lot # not reported), a dose of hepatitis B virus vaccine rHBsAg (yeast) (manufacturer unknown) (Lot # not reported), a dose of pneumococcal vaccine 23 polyvalent (MSD) (Lot # not reported), a dose of tuberculin in purified protein derivative (TUBERSOL) (Lot # not reported), a dose of influenza virus vaccine (FLUZONE) (Lot # not reported) and a dose of meningococcal polysaccharide vaccine (MENOMUME-A/C/Y/W-135) (Lot # UB245AA). Subsequently the patient died on 12/15/2002. It was confirmed that the patient was positive for serogroup C Meningococcal infection. The onset date of signs and symptoms were not reported. An autopsy was performed; however, the results were not available at the time of the report. From additional information received on 08/12/2003 from a pathology department, it was reported that the patient presented with an acute onset of a rash on his feet that spread to his face over a period of a few hours, after a 3 day history of a cough and sore throat. The symptoms progressed rapidly to severe respiratory distress and shock. The patient was treated with advanced cardiac life support in the ICU (intensive care unit) and died within three hours of presenting to the hospital. The patient died at 1:01 pm on 12/15/2002; the autopsy was done the following day and showed that the cause of death was Neisseria Meningitidis Septicemia (Meningococcemia). Gross autopsy findings included evidence acute shock syndrome with diffuse petechia and hemorrhage to multiple organs, visceral congestions, shock kidneys, and a blothcy erythematous rash to the organs and a few scattered foci of acute inflammation within the myocardium and meninges. The clinical presentation, autopsy findings, and laboratory PCR results were consistent with Neisseria Meningitidis (meningococcal) Septicemia (special pathogens branch # M10158). The manner of death was natural. The CDC confirmed that the patient was positive for serogroup C Meningococcal infection. Final anatomical diagnosis from the autopsy report included: Diffuse discrete petechiae and small hemorrhages involving multiple organs, serosa and mucosal surfaces (intestines, mesentery, epicardium, myocardium, renal cortex, adrenals, lungs, pharynx, bronchi, skeletal muscle and conjuctica), pulmonary edema and visceral congestion, bilateral pleural and pericardial effusions, blotchy erythematous rash on face, trunk, arms and legs, shock kidneys with diffuse pale cortices. there was no purulent meningeal exudates present. The PCR results were positive for Neisseria Meningitidis Serogroup C. Microscopic findings included: Numerous fibrin micro thrombi in heart, lungs, liver, glomeruli, brain and oropharynx and scattered small foci of acute inflammation in meninges and myocardium associated with hemorrhage and focal myocyte necrosis. Microscopic descriptions included: Trachea-diffuse mucosal and submucosal hemorrhage without inflammation. Lung-diffuse alveolar damage with numerous scattered fibrin and conspicous granulocytes present in red pulp. Liver-sinusoidal congestion with sinusoids distended by granulocytes and scattered fibrin micro thrombi. Prostate and bladder-mucosal and glandular autolysis, no pathologic diagnosis. There were no radiographs taken. Toxicology results included: Volatiles-the blood and vitereous fluid were examined for the presence of ethanol at a cutoff of 20 mg/dl. No ethanol was detected. The following drugs were detected: Positive Lidocaine-Lidocaine was detected in the liver by gas chromatography and confirmed by gas chromatography/mass spectrometry. Positive Atropine-Atropine was detected in the liver by gas chromatography/mass.


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