National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

Found 129 cases where Vaccine is MEN or MENB or MENHIB or MNC or MNQ or MNQHIB and Patient Died and Submission Date on/before '2015-09-30'

Case Details

This is page 2 out of 13

Result pages: prev   1 2 3 4 5 6 7 8 9 10 11   next


VAERS ID: 250332 (history)  
Form: Version 1.0  
Age: 20.0  
Sex: Male  
Location: Unknown  
Vaccinated:2004-11-23
Onset:2004-11-30
   Days after vaccination:7
Submitted: 2006-01-13
   Days after onset:409
Entered: 2006-01-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR U1501AA / 1 UN / IM
HEPA: HEP A (NO BRAND NAME) / UNKNOWN MANUFACTURER AHABA015AA / 2 UN / UN
IPV: POLIO VIRUS, INACT. (IPOL) / SANOFI PASTEUR X0706 / 1 UN / SC
MEN: MENINGOCOCCAL (NO BRAND NAME) / UNKNOWN MANUFACTURER UE122AA / 1 UN / SC
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0781P / 1 UN / SC
TD: TD ADSORBED (NO BRAND NAME) / SANOFI PASTEUR 01282AA / 1 UN / IM

Administered by: Military       Purchased by: Military
Symptoms: Asthma, Chest pain, Cough, Loss of consciousness, Myocarditis, Nasal congestion, Oedema
SMQs:, Torsade de pointes/QT prolongation (broad), Cardiac failure (broad), Anaphylactic reaction (narrow), Angioedema (broad), Asthma/bronchospasm (narrow), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2005-02-17
   Days after onset: 79
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Asthma age 5
Allergies:
Diagnostic Lab Data: 18 Feb 05: Cardiac-normal distribution of small patent coronary arteries. The valves appear normal. The myocardium does not show any acute changes. The left ventricle measures 1.4 cm in thickness. The septum measures 1.4 cm in thickness. The aorta has youthful intima. Resp-prominent congestion and mild edema without any discrete lesion. The airways patent. The vasculature free of thromboemboli. Microscopic Exam: Heart the mural sections show rare perivascular mononuclear cells some with plasmacytoid features. The AV node section shows extensive infiltration with mononuclear cells many of which are necrotic. Lung there is edema and congestion with focal mild interstitial chronic inflammation and proliferation of pigmented alveolar macrophages. Brain and live - unremarkable. Kidney a rare Bowman capsule sclerosis is seen in the cortex. Pathologic diagnosis: Chronic myocarditis involving AV node. No lethal injuries.
CDC Split Type:

Write-up: The Department of Health informed the HC in May 05 of the death of a medically discharged patient. The patient enlisted in Nov 04, medically discharged in Jan 05, and died on Feb 17th. The following HPI is an account of the events prior to his death as recalled by his mother during an interview in May 05. The service member a 20 year old male, who received his enlistment vaccines on 23 Nov 04. While speaking with his mom on 30 Nov he mentioned that he had a cough, and some chest pain. She state that she encourage him to seek medical attention. She state that a couple of days later, while he was running he ''passed out'' and when he went to the doctor he was told it was asthma. Mom reported that while he was at home during Christmas, he reported to his family that he was experiencing some chest pain, and did have bumps on his face that cleared in Jan. Mom was unaware of which vaccines her son received but did remember that her son said that the needle was "funny." Mom does not recall if he had a scar on his arm. She state that he was discharged for stress related issues and complaints of chest pain. Mom is unaware of any other details regarding her son''s illness during that time only that the chest pain persisted. When questioned about his past history of asthma, she mentioned that he had it a little in childhood but has not been bothered by it since that time. She did mention that her son felt that his pain was not related to asthma. Mom was also questioned about the waiver for a medical exam upon discharge. She state that he was told that if he requested a workup, it would delay his release and that they may not even discharge him. He received his enlistment vaccines of Hep A-Hep B, Influenza, Meningococcal, MRR, Polio, and Td on 23 Nov 04 and he received his second Hep A-Hep B on 5 Jan 05. Chest pain start 11/30/2004, dyspnea (shortness of breath) start 11/30/2004. 4/3/06 Received Autopsy Report which revealed COD as chronic myocarditis.


VAERS ID: 261075 (history)  
Form: Version 1.0  
Age: 19.0  
Sex: Male  
Location: New Jersey  
Vaccinated:2006-07-24
Onset:2006-07-28
   Days after vaccination:4
Submitted: 2006-08-03
   Days after onset:6
Entered: 2006-08-04
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U2116AA / UNK LA / -

Administered by: Private       Purchased by: Private
Symptoms: Apnoea, Coma, Pulse absent
SMQs:, Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (narrow), Acute central respiratory depression (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Respiratory failure (narrow), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2006-07-28
   Days after onset: 0
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Allergic to bee stings and sulfa, mild hypercholesteremia PMH: frequent URI, nasal congestion, pharyngitis, mouth ulcers, eczema, rhinorrhea, otitis media, hives, epiglottitis, croup, PE tubes, impetigo, eye laceration w/sutures & infection, forehead laceration w/sutures, contact dermatitis, pneumonia, strep throat multi episodes, bronchitis, adenopathy, local reaction to DPT at 5yo, multi episodes of URI, asthma, fracture right wrist, conjunctivitis, bee sting infection (venom allergy requiring epi pen) requiring allergy consult, , obesity (wt 255 on 2/8/06), anxiety requiring psych eval, borderline prolonged QT requiring cardio consult, Holter monitor WNL, sports injury concussion, elbow tendonitis, sports injury fractured right thumb, multi episodes sinusitis Allergy: sulfa
Allergies:
Diagnostic Lab Data: LABS: 2004 chole 217, HDL 33 reported in notes, no printed lab results included in medical records from PCP office.
CDC Split Type:

Write-up: Reported by MD that 18 year old male received Menactra vaccine on 7/24/2006, on 7/28/2006, Patient was found unresponsive, pulseless and not breathing in bed. Etiology unknown at this time. 12/21/06 Received medical records from PCP which did not include any lab reports. T/C to PCP to check status of request for labs. Office states no labs done since 2005. 4/10/07 Received Autopsy Report which reveals COD as presumed cardiac arrhythmia. No anatomic, histologic or toxicologic cause. Manner of death was natural.


VAERS ID: 270289 (history)  
Form: Version 1.0  
Age: 11.0  
Sex: Male  
Location: Colorado  
Vaccinated:2006-07-31
Onset:2006-08-09
   Days after vaccination:9
Submitted: 2007-01-08
   Days after onset:152
Entered: 2007-01-09
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U1852AA / 1 RA / IM

Administered by: Private       Purchased by: Other
Symptoms: Abdominal pain, Abdominal pain upper, Asthenia, Disseminated intravascular coagulation, Dysuria, Ear pain, Encephalitis, Flank pain, Headache, Hypokinesia, Infection, Lethargy, Multi-organ failure, Otitis media, Pyrexia, Viral infection, Vomiting
SMQs:, Torsade de pointes/QT prolongation (broad), Acute pancreatitis (broad), Haemorrhage terms (excl laboratory terms) (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (broad), Hypovolaemic shock conditions (broad), Toxic-septic shock conditions (broad), Anaphylactic/anaphylactoid shock conditions (broad), Hypoglycaemic and neurogenic shock conditions (broad), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (narrow), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypotonic-hyporesponsive episode (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Sepsis (broad)

Life Threatening? Yes
Birth Defect? No
Died? Yes
   Date died: 2006-08-21
   Days after onset: 12
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 6 days
   Extended hospital stay? Yes
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: CSF: HSV DNC PCR not detected. Clarity slightly cloudy, WBC 1545, RBC 32, Glucose 85 and protein 171. Cultures negative. CBC: WBC 18.4, lymph %3.8, granulocyte 91.7, ESR 122, CRP2.5 Chem: glucose 173. CT brain: low density in right thalamus and basal ganglia, extending into the pons and possibly into the right cerebellar hemisphere although this is not certain. The findings are suspicious for edema. There is a slight mass effect on the fourth ventricle and third ventricle as described. No hydrocephalus. CXR: heart size upper limits of normal. EEG:spindle patterns that are nonspecific in etiology. MRI brain evolving edema of thalamus, basal ganglia and brainstem and middle cerebella peduncles bilaterally, acute abnormality involving the deep white matter.
CDC Split Type:

Write-up: First visit PCP office 8/9/06 vomiting, headache and stomach x 1 day. Diagnosis viral syndrome, headache, abdominal pain, medications: none. Seen at medical center ER 8/10/06 earache started on 8/10/06 am. Diagnosis Otitis media. Treatment Auralgan and Zithromax. Seen at medical center ER 8/14/06 abdominal and flank pain, painful urination and vomiting. Morphine given in ER. Seen at medical center ER 8/15/06 lethargic, weak, low grade fever, and unable to get out of bed and walk. Developed these symptoms on 8/15/06. Diagnosis encephalitis. He was transferred to another Hospital. Patient died on 8/21/06. Autopsy revealed acute hemorrhagic leukoencephalitis (Hurst disease), a rare, fulminant form of acute disseminated encephalomyelitis. The cause of death was likely acute disseminated encephalomyelitis secondary to prominent cytokine release prompted from a prior infection, which ultimately let to development of early DIC and multi organ system failure. 01/16/07-records received and reviewed from Med Ctr. ER visits 8/14/06 and 8/16/06. DX on 8/16/06- meningoencephalitis, cerebral edema. 02/09/07-records received and reviewed from another Hospital for DOS 8/15-8/21/06 DC DX: Cerebral edema basal ganglia edema with right sided thalamic edema in a vascular distribution antiphospholipid antibody positive Presented to ER with persistent vomiting times 10 days leading to ataxia and altered mental status. On transfer to another Hospital he was intubated for a Glasgow Coma Score of 8 Hospital course included antimicrobial therapy and steroids. Developed hydrocephalus and an EVD was placed and subsequently lost all cranial nerve function and was noted on hospital day 6 to be breathing only slightly on the ventilator, also had renal insufficiency of unknown etiology with a rising creatinine. Hypertensive episode with bradycardia and expired. Neuro exam: pupils 2mm and nonreactive to light on left side and 3-2mm and nonreactive to light on right side. Doll eye sign negative. No response to deep pain stimulation. Deep tendon reflexes 0-1 plus. Babinski sign negative. Clonus negative. Gag reflex negative. Funduscopic exam shows obvious papillary edema on right side, left eye was unable to be examined due to small size. Intermittent spontaneous movement of right arm. no movement of left arm.


VAERS ID: 292566 (history)  
Form: Version 1.0  
Age: 18.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:2006-09-19
Onset:2007-09-03
   Days after vaccination:349
Submitted: 2007-10-02
   Days after onset:29
Entered: 2007-10-10
   Days after submission:8
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / GLAXOSMITHKLINE BIOLOGICALS AHBVB301AA / UNK - / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U2154CA / 1 LA / IM
TDAP: TDAP (ADACEL) / SANOFI PASTEUR C2572AA / UNK - / IM

Administered by: Other       Purchased by: Other
Symptoms: Culture, Death, Serology test
SMQs:

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2007-09-09
   Days after onset: 6
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations: disease/death~Meningococcal (no brand name)~1~19.00~In Patient
Other Medications:
Current Illness:
Preexisting Conditions: None PMH: pyelonephritis, distant past.
Allergies:
Diagnostic Lab Data: culture, serogrouping LABS: CSF 9/6/07 protein 44, glucose 52, WBC 0, RBC 21. LABS: 9/8/07 WBC 14.5. LP repeated & CSF showed WBC 310 w/100% segmented neutrophils, RBC 160, protein 415 & glucose 29. CT of head showed cerebral edema. Blood & urine c/s neg.
CDC Split Type:

Write-up: fatal meningococcal disease serogroup C confirmed by BOL. 10/19/07 Reviewed hospital medical records 9/6-9/9/2007. FINAL DX: Neisseria bacterial meningitis, serogroup C Records reveal patient experienced URI, sore throat, HA, stiff neck & high fever. Seen in ER on 9/6/07 where LP done. D/c to home w/dx viral infection. Smptoms worsened & became lethargic. Returned to ER. Admitted 9/8-9/9/2007. Tx w/IV antibiotics, antivirals & steroids. Cerebral edema increased after 2nd LP. Neurology & neurosurgery consults done (reports not available). Pupils were fixed & dilated. Declared brain dead then experienced ventricular fibrillation & resuscitation unsuccessful. Family refused autopsy. 11/09/2007 Received death certificate which states COD as cerebral edema +/- herniation: Bacterial Meningitis; cerebral edema; brain herniation.


VAERS ID: 306734 (history)  
Form: Version 1.0  
Age: 12.0  
Sex: Male  
Location: Idaho  
Vaccinated:2007-12-31
Onset:2008-01-08
   Days after vaccination:8
Submitted: 2008-03-05
   Days after onset:57
Entered: 2008-03-10
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U2382BA / UNK LA / UN
TDAP: TDAP (ADACEL) / SANOFI PASTEUR C2771AA / UNK RA / UN

Administered by: Private       Purchased by: Private
Symptoms: Alanine aminotransferase normal, Albumin globulin ratio normal, Aspartate aminotransferase normal, Blood alkaline phosphatase normal, Blood bilirubin, Blood creatine phosphokinase normal, Cardiac arrest, Globulin, Hypertrophic cardiomyopathy, Inappropriate schedule of drug administration, Myoglobin blood increased, Sudden death, Troponin, Ventricular fibrillation
SMQs:, Torsade de pointes/QT prolongation (broad), Rhabdomyolysis/myopathy (narrow), Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Ventricular tachyarrhythmias (narrow), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (narrow), Congenital, familial and genetic disorders (narrow), Acute central respiratory depression (broad), Cardiomyopathy (narrow), Respiratory failure (broad), Medication errors (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2008-01-08
   Days after onset: 0
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None PMH: sibling w/VSD repair. PE tubes @3yo.
Allergies:
Diagnostic Lab Data: Globulin 2.3 1.8-3.5 g/dl; ALB/Glob ratio 1.4 1.0-2.7 ratio; Bilirubin, TOT 0.2 <2.0 mg/dl; ALT 21 5-50 u/L; ALK Phos 144 103-429 u/L; AST 30 14-40 u/L; CK, TOT 161 25-287 u/L; Myoglobin 147 (high) LT 65 ng/ml; Troponin-T <0.01 0.00-0.10 ng/ml. LABS: in ER, venous pH 6.94 (L), CO2 16 (L), serum myoglobin 147 (H), anion gap 23 (H), glucose 278 (H), total protein 5.7 (L), albumin 3.3 (L).
CDC Split Type:

Write-up: Sudden death on school playground. 3/11/08 Reviewed medical records that accompanied autopsy report which reveal patient who appeared large for his age was involved in after school snow ball fight w/friends then ran across street approx 50 yards to parent''s vehicle & collapsed over the car. Parent & other bystanders witnessed event & called 911. Parent told ER patient was gurgling, color drained from face & eyes glassed over. Transported to ER where resuscitation unsuccessful. 3/25/08 Reviewed pcp medical records of 12/31/07. Only complaint was of slight pain right knee s/p bike crash. Pt wt 148 lbs, ht 63.5 in, BMI 25.8. BP 100/60. Vax record supplies lot #. Family hx: parent w/HTN.


VAERS ID: 318749 (history)  
Form: Version 1.0  
Age: 0.2  
Sex: Male  
Location: Unknown  
Vaccinated:2008-04-04
Onset:2008-07-02
   Days after vaccination:89
Submitted: 2008-07-11
   Days after onset:9
Entered: 2008-07-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS - / 1 RL / IM
HIBV: HIB (HIBERIX) / GLAXOSMITHKLINE BIOLOGICALS - / 1 LL / IM
MEN: MENINGOCOCCAL (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 LL / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH - / UNK UN / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. - / UNK MO / PO

Administered by: Other       Purchased by: Other
Symptoms: Autopsy, Death, Metabolic function test, Neurological examination
SMQs:

Life Threatening? Yes
Birth Defect? No
Died? Yes
   Date died: 2008-07-02
   Days after onset: 0
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: LEVETIRACETAM; LANSOPRAZOLE
Current Illness: APNEA ; SEIZURE
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: UNK
CDC Split Type: R0000398G

Write-up: This male subject was enrolled in the prophylactic open study 110870 (MenACWY-TT-057). On 4 April 2008, he received the 1st dose of HIB-MENCY-TT (IM L thigh) and of PEDIARIX (IM R thigh). The subject received concomitantly PREVNAR (IM) and ROTATEQ vaccines (po). Medical conditions at the time of the event included apnea and seizure. Concomitant medications included PREVACID and KEPPRA. On 02 July 2008, 89 days after the 1st dose of PEDIARIX, 89 days after the 1st dose of HIB-MENCY-TT, this five-month-old subject died. The event was disabling, life-threatening, clinically significant (or requiring intervention). The subject died on 02 July 2008, cause of death is unknown. An autopsy was performed. The investigator considered that there was a reasonable possibility that the death nos may have been caused by PEDIARIX and HIB-MENCY-TT. Investigator Comments: Site was Notified of report of death on 07-03-2008, records have been requested. All data pending. 07-07-2008. After PI review, cannot completely rule out vaccine related causality, but not probable. Subject on anticonvulsants and has underwent metabolic/neurologic work-up with no significant findings. Possibility of Munchausen by Proxy, but waiting on pending results of physician and ER notes, apnea monitor results and autopsy and toxicology report. 8/22/08 Autopsy states COD as sudden unexpected infant death. Report also states Anatomical diagnosis: same as COD & aspiration of vomitus, terminal/subterminal focal bilateral. Comments: infant had complicated history of seizures, aspiration & apnea which could not be substantiated during multiple hospitalizations & ER visits & Munchausen by proxy was questioned. Autopsy showed only relatively mild terminal aspiration of vomitus. 8/5/08 Reviewed ER medical records of 7/2/2008 submitted by FDA from manufacturer. Records reveal patient well known w/history of recurrent episodes of life-threatening events of possible apnea vs seizure over the prior 2 months w/cyanosis, choking & gagging. Was on apnea/bradycardia monitor at home. Found by parent vomiting & poorly responsive. Started CPR & ACLS by EMS. Arrived in ER in full arrest & unable to resuscitate.


VAERS ID: 321297 (history)  
Form: Version 1.0  
Age: 18.0  
Sex: Male  
Location: Alaska  
Vaccinated:2008-07-24
Onset:2008-07-24
   Days after vaccination:0
Submitted: 2008-07-25
   Days after onset:1
Entered: 2008-08-05
   Days after submission:11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U2572AA / 1 LA / IM
TDAP: TDAP (ADACEL) / SANOFI PASTEUR C2864AA / 1 RA / IM

Administered by: Public       Purchased by: Unknown
Symptoms: Completed suicide
SMQs:, Suicide/self-injury (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2008-07-24
   Days after onset: 0
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: Allergy to erythromycin
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: This young man was seen at the clinic where the itinerant Public Health Nurse administered the 2 injections. Later in the early evening he was found outside hanging by the neck - apparent suicide. 2/4/09-Medical Examiner report: COD Hanging.


VAERS ID: 323339 (history)  
Form: Version 1.0  
Age: 16.0  
Sex: Male  
Location: New Jersey  
Vaccinated:2008-05-30
Onset:2008-05-31
   Days after vaccination:1
Submitted: 2008-08-26
   Days after onset:87
Entered: 2008-08-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U2620AA / 1 UN / UN

Administered by: Unknown       Purchased by: Unknown
Symptoms: Autopsy, Blood test, Decreased appetite, Fatigue, Laboratory test, Pyrexia, Sudden death
SMQs:, Torsade de pointes/QT prolongation (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2008-06-22
   Days after onset: 22
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: We did not notice any obvious illness on 5/30/2008 until next day we found patient had fever
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: autopsy, and lab test for tissue of heart and blood, but no results 9/2/08-records received-Histology report no significant pathology. Tox panel negative.
CDC Split Type:

Write-up: Patient had Minengitis vaccine on 5/30/2008 to meet the requirement of joining a tour this summer. He had fever for two days. On 6/1 his fever was above 100. The next few days temperature had been reduced, but he looked very tired all the time. His appetite also reduced tremendously. On the morning of 6/22/08 he suddenly and unexpectedly passed away during his sleep. Medical Examiner could not find any cause of the death so far. 9/2/08-cardiac arrhythmia of undetermined etiology.


VAERS ID: 334611 (history)  
Form: Version 1.0  
Age: 19.0  
Sex: Female  
Location: Illinois  
Vaccinated:2008-11-26
Onset:2008-12-08
   Days after vaccination:12
Submitted: 2008-12-10
   Days after onset:2
Entered: 2008-12-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUN3: INFLUENZA (SEASONAL) (FLUMIST) / MEDIMMUNE VACCINES, INC. 500569P / UNK - / -
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0070X / 3 LA / -
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U2730AA / UNK RA / -

Administered by: Unknown       Purchased by: Unknown
Symptoms: Autopsy, Death, Headache, Malaise
SMQs:

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2008-12-08
   Days after onset: 0
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None known. ?? oral contraceptive or an antibiotic for acne.
Current Illness: None.
Preexisting Conditions: Acne. PMH: PCN allergy. Acne. On OCs (Yaz). 12/10/2008 Recived records from health center via CDC. Seen 11/3/08 with c/o sore throat, cough, muscle aches and nasal d/c. PE (+) for pharyngeal erythema, purulent nasal drainage, nasal turbinate changes, and lymphadenopathy. Assessment: Probable viral URI with ? sinusitis. Tx: Biaxin.
Allergies:
Diagnostic Lab Data: Autopsy performed 12-9-08 was unrevealing per family verbal report to me; no signs of intracranial bleed, meningitis, cardiomyopathy, trauma. Toxicology report still pending at this time. Post-mortem tox screen (-).
CDC Split Type:

Write-up: Patient, a previously healthy 19 year-old female college freshman died suddenly yesterday, approximately 10 days after receiving Gardasil & menningococcal vaccines. Vaccines were administered by a medical provider in her hometown while she was home for the Thanksgiving holiday, sometime around 11-28-08. She had a medical appointment pending for 12-8-08 (the day of her death) with the Student Health Service; medical clerk had entered "possible seizure" as the reason for making the appointment. Patient had no history of epilepsy. She complained of a headache and not feeling well in the 24 hours prior to her death. She went to bed at 10:30 PM on 12-7-08, in her dorm room with a roomate. She appeared to still be sleeping the next morning when her roomate left for class. Her body was discovered still in bed around 5 PM that day (12-8-08) with rigor mortis. No history of substance abuse, alcohol intake, or depression or other mental health issues. She was a happy, achieving student. This report is filed by a friend of patient''s parents, who is a physician (board certified internal medicine & geriatrics). Report also filed online today with the FDA. Patient''s mother can be reached at home for additional details. Memorial service & funeral 12-12-08 and 12-13-08. Only known past medical history requiring physician attention was facial acne. 12/10/2008 Recived records from health center via CDC. Seen 11/3/08 with c/o sore throat, cough, muscle aches and nasal d/c. PE (+) for pharyngeal erythema, purulent nasal drainage, nasal turbinate changes, and lymphadenopathy. Assessment: Probable viral URI with ? sinusitis. Tx: Biaxin. Received from CDC via email: The patient had no previous health problems. She was a freshman and was seen at the college health clinic only once on 11/3/08 for sinusitis. She was on Yaz birth control pills and a topical acne medication. After the death, police questioned her roommate who said that the pt did go out on the evening of 12/6/08 and had a few alcoholic drinks, but not an excessive amount. She had a HA the next day and thought it was from the alcohol. She had a PCN allergy and was a non smoker. 12/11/2008 Records received from PCP. HPV#1 1/18/2008. HPV#2 3/28/2008. Vaccines deferred 7/29/2008 2'' to oral prednisone usage for acne (with Bactrim). Seen 8/15/08 for sore throat, runny nose. DX: Pharyngitis s/p steroid tx. Returned for vaccines 11/26/2008 in good health with normal exam. Additional record also received from health center for scheduled appt on 12/8/08. Pt reported 2 episodes (one 1 month ago and one on the day of death) of waking up in a cold sweat, having urinated in the bed, feeling the urge to vomit, dizzy with trouble reading. Appt made for ? seizure. Pt did not arrive for appt. 3/3/09 Autopsy report received. COD: Unable to ascertain after autopsy, microscopic, toxicologic and chemical evaluation.


VAERS ID: 335284 (history)  
Form: Version 1.0  
Age: 20.0  
Sex: Male  
Location: Maryland  
Vaccinated:2008-08-16
Onset:2008-11-01
   Days after vaccination:77
Submitted: 2008-12-12
   Days after onset:41
Entered: 2008-12-15
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MEN: MENINGOCOCCAL (MENOMUNE) / SANOFI PASTEUR UE489AA / UNK UN / UN

Administered by: Unknown       Purchased by: Unknown
Symptoms: Death
SMQs:

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2008-11-17
   Days after onset: 16
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: PMH: meningococcal meningitis 10 years prior to admission. Allergy: ceclor, cleocin.
Allergies:
Diagnostic Lab Data: LABS: Blood c/s (+) for Neisseria meningitidis serogroup Y. CXR c/w ARDS. EEG abnormal c/w severe diffuse encephalopathy. Creatinine 4.34(H), potassium 5.9, CO2 14(L), anion gap 21(H), calcium 6.3(L), phosphorous 7.7(H), protein 3.2(L), albumin 1.7(L), bilirubin 3.3(H), alk phosphatase 182(H), AST 8881(H), ALT 5540(H), cpk 2204(H), CKMB 25(H), troponin 1 0.73(H), BNP 892(H), lactic acid 13.2(H), D-Dimer .20000(H), PT/PTT/INR (H). CBC: RBC 2.40, H/H 7.4/20.6, plts 11(all low), WBC 19.2(H). LABS: TEE revealed increased right atrial pressure. Head CT c/w diffuse cerebral edema w/acute hemorrhage & possible septic emboli, IVH, hydrocephalus. Cerebral perfusion scan c/w brain death.
CDC Split Type:

Write-up: Pt with a history of menigitis at 10 yrs old. Vaccinated with MENOMUNE prior to college entrance. Contracted meningitis and passed away at age 19 on 11/20/08. MD stated he will fill out VAERS himself and fax to agency. No further info provided. 1/27/09 Death certificate states COD as disseminated intravascular coagulation w/meningococcemia as contributing factor. DOD corrected to 11/17/2008. 12/31/08 Reviewed hospital medical records of 11/13-11/14/2008. FINAL DX: septic shock w/multiorgan failure, DIC, respiratory failure, acute renal failure, lactic acidosis, metabolic acidosis & suspected meningococcemia Records reveal patient experienced myalgia, malaise, generalized aching, nausea, vomiting, diarrhea, fever, petechial rash, sweating, photophobia, neck stiffness, SOB, abdominal pain, back pain. Taken to hospital. Intubated in ER & admitted to ICU in isolation. Exam revealed tachycardia, hypotension(on pressors), anasarca, fever, thrombocytopenia, coagulopathy. Renal, ID, pulmonary consults done. Tx w/IV antibiotics, pressors, steroids, blood product transfusions & hemodialysis. Transferred to higher level of care. 01/14/09 Reviewed hospital medical records of 11/14-11/17/2008. FINAL DX: meningococcemia; purpura fulminans; multiorgan system failure. Records reveal patient experienced purpura fulminans. Had been transferred from outlying hospital. Noted to have had HA in addition to other presenting symptoms as noted in prior records. Tx w/CVVHD, antibiotics & pressors. Developed atrial fib/flutter & was cardioverted. Developed ARDS, acites & anasarca.


Result pages: prev   1 2 3 4 5 6 7 8 9 10 11   next

New Search

Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?EVENTS=ON&PAGENO=2&VAX[]=MEN&VAX[]=MENB&VAX[]=MENHIB&VAX[]=MNC&VAX[]=MNQ&VAX[]=MNQHIB&DIED=Yes&SUB_YEAR_HIGH=2015&SUB_MONTH_HIGH=09


Copyright © 2019 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166