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Found 128 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

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VAERS ID: 335762 (history)  
Form: Version 1.0  
Age: 18.0  
Sex: Male  
Location: Pennsylvania  
Vaccinated:2006-05-01
Onset:2008-06-03
   Days after vaccination:764
Submitted: 2008-12-19
   Days after onset:199
Entered: 2008-12-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U2004AA / UNK UN / UN

Administered by: Unknown       Purchased by: Unknown
Symptoms: Blood culture positive, Death, Meningitis meningococcal, Serology test
SMQs:, Sepsis (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2008-06-03
   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:
Allergies:
Diagnostic Lab Data: Blood culture was positive for Neisseria meningitidis serogroup C on 6/5/08
CDC Split Type:

Write-up: Patient vaccinated on 5/1/06 with Menactra (lot U2004AA). Culture confirmed meningococcal disease on 6/5/08. Blood culture was positive for Neisseria meningitidis serogroup C. 3/4/09-death certificate received-COD Sepsis. Acute Meningococcemia. 3/8/09-office note received for DOS 5/1/06-well visit-mild scoliosis. 3/19/09-records received for DOS 6/3/08-life flight tranferred in hypotensive state intubated. Lifting weights day before, developed diffuse abdominal painlast evening worsened overnight, this morning developed fever and sweats with vomiting. Mottled, hypotensive and tachycardic. PE: cold, tachycardic febrile and mottled. Bleeding from both eyes. Unresponsive. Purpura, petechiae in eyes. At receiving facility in cardiac arrest resuscitation efforts failed. Pronounced dead.


VAERS ID: 335764 (history)  
Form: Version 1.0  
Age: 18.0  
Sex: Male  
Location: Texas  
Vaccinated:2007-06-25
Onset:2007-09-26
   Days after vaccination:93
Submitted: 2008-12-19
   Days after onset:450
Entered: 2008-12-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / AVENTIS PASTEUR UNK / UNK UN / UN
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM AHAVB139CA / UNK UN / UN
IPV: POLIO VIRUS, INACT. (IPOL) / SANOFI PASTEUR Y1D302 / UNK UN / UN
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U2236AA / UNK UN / UN
TD: TD ADSORBED (NO BRAND NAME) / SANOFI PASTEUR U1962AA / UNK UN / UN

Administered by: Unknown       Purchased by: Unknown
Symptoms: Blood culture positive, Death, Meningitis meningococcal, Serology abnormal
SMQs:, Sepsis (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2007-09-27
   Days after onset: 1
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 1 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Blood culture positive for Neisseria meningitis serogroup C on 9/26/07.
CDC Split Type:

Write-up: Patient vaccinated with Menactra on 6/25/07 (lot U2236AA). Culture confirmed meningococcal disease on 9/26/07. Blood culture was positive for Neisseria meningitidis serogroup C. 1/6/09-records received-on 9/26/08-Three day history of fatigue, fever, tachycardia, altered mental status, blurry vision and headache. Developed diffuse rash, renal failure, coagulopathy and repiratory failure. 1/6/09-autopsy report received-Neisseria Sepsis. Antemortem blood culture positive for neisseria meningitidis, serogroup C. Bilateral hemorrhagic adrenal necrosis (Waterhouse-Friderichsen syndrome). Diffuse confluent petechial purpuric rash. petechial hemorrhages of left conjunctivia, gingivae, scalp and subgaleal tissue. Small vessel fibrin thromboemboli identified clinically disseminated intravascular coagulopathy (DIC). Neutrophilic pulmonary airspace infiltration consistent with terminal ventilator dependence. Bilateral pleural effusions.


VAERS ID: 336473 (history)  
Form: Version 1.0  
Age: 18.0  
Sex: Female  
Location: Tennessee  
Vaccinated:2007-08-07
Onset:2007-09-01
   Days after vaccination:25
Submitted: 2008-12-23
   Days after onset:479
Entered: 2009-01-05
   Days after submission:13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 0804F / 1 LA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0171U / 1 LA / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U2207AA / 1 RA / IM
TDAP: TDAP (ADACEL) / SANOFI PASTEUR C2457AA / 1 LA / IM

Administered by: Private       Purchased by: Private
Symptoms: Asthenia, Biopsy muscle, Death, Dysphagia, Fatigue, Headache, Immunoglobulin therapy, Muscle atrophy, Myalgia, Nuclear magnetic resonance imaging, Pain in extremity, Weight decreased
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad)

Life Threatening? Yes
Birth Defect? No
Died? Yes
   Date died: 2009-03-23
   Days after onset: 569
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: Iron-deficiency anemia
Allergies:
Diagnostic Lab Data: muscle biopsy; MRI separate. Dx clinical myositis
CDC Split Type:

Write-up: Onset increased muscle pain, fatigue, weakness, dysphagia, weight loss. Pt requiring Prednisone IVIG every q monthly. Methotrexate headache, muscle atrophy. 2/6/09 Received PCP medical records of 11/11/08-1/20/09. FINAL DX: polymyositis, likely MCV4 vaccine related; osteomalacia; neuropathy; pernicious anemia; tachycardia; ataxia; Budd-Chiari syndrome; dermatomyositis. Records reveal patient experienced muscle weakness, paresthesias, leg pain. Referred to Neuro & Rheum. Tx w/PT & meds including methotrexate, imuran, steroids, enbrel, bicillin, IVGG. Had to drop out of college due to illness. 04/6/2010 Patient''s condition never improved and she died on 3/23/2009.


VAERS ID: 337323 (history)  
Form: Version 1.0  
Age: 12.0  
Sex: Female  
Location: Nebraska  
Vaccinated:2006-01-04
Onset:2009-01-01
   Days after vaccination:1093
Submitted: 2009-01-14
   Days after onset:13
Entered: 2009-01-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U1780AA / UNK UN / IM

Administered by: Unknown       Purchased by: Unknown
Symptoms: Death, Meningitis bacterial
SMQs:

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2009-01-02
   Days after onset: 1
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 1 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: 1/21/09-records received-PMH: mononucleosis 2 months ago and several colds since then.
Allergies:
Diagnostic Lab Data: We do not have data. She died at Hosptial. According to the State health dept, the case was meningitis serogroup B. 1/21/09-records received-CT scan catastrophic brain injury, diffuses brain edema with non-visualization of 4th ventricle and basilar cisterns. CSF protein 290, WBC 175, gram negative diplococci. Urine Klebsiella pneumoniae. WBC 29.0, ABS neutrophile 27.6. CKMB 5.1, myoglobin 88. 1/27/09-additional diagnostic reports received-CSF culture Neisseria meningitidis Serotype B., toxicology screen negatove. CT head normal.
CDC Split Type:

Write-up: Provider notified on 1/2/09 that patient was admitted to Hospital (different institution) and prognosis is grim. She died of Bacterial Meningitis later that day. Upon record review, it was noted that she did receive Menactra in January of 2006. Contacted the VAERS number and she indicated I should submit information. 1/21/09-records received for DOS 1/1-1/2/09-Brain death from increased intracranial pressure with transtentorial herniation secondary to meningococcal meningitis. Sudden onset of headache and altered mental status changes. Developed severe hypertension with signs of increased intracranial pressure. Received as a transfer with fixed and dilated pupils and no evidence of any cortical or brain stem fucntion. EEG electrocerebral silence. Intubated. Mechanical ventilator. 3/11/09-probable cause of death-neisseria menengitis.


VAERS ID: 344160 (history)  
Form: Version 1.0  
Age: 11.0  
Sex: Female  
Location: Georgia  
Vaccinated:2009-03-31
Onset:2009-03-31
   Days after vaccination:0
Submitted: 2009-04-14
   Days after onset:14
Entered: 2009-04-15
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM AHAVB262A / 1 UN / UN
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0570X / 1 UN / UN
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U2670AA / 1 UN / UN
TDAP: TDAP (BOOSTRIX) / GLAXOSMITHKLINE BIOLOGICALS AC52B029AA / 1 LA / IM

Administered by: Other       Purchased by: Other
Symptoms: Arthralgia, Blood test abnormal, Death, Pyrexia, Streptococcal bacteraemia, Streptococcus identification test positive
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arthritis (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (broad), Sepsis (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2009-04-03
   Days after onset: 3
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: sore throat 4/24/09 PCP records received which reveal 11yr WCC 3/31/09 with no medical c/o. Vax given- Hep A, Gardasil, TDaP and MCV4.
Preexisting Conditions: PMH: foot swelling. Sickle-cell trait.
Allergies:
Diagnostic Lab Data: diagnostic laboratory, a group A strep in the blood was found. Labs 4/1/09: CBC with WBCs 11.1 73% segs, 13.1% lymphs, 12.6% monos. UA WNL Labs 4/3/09: CK 116. LDH 389. Na+ 131. K 3.1. Cl 94. CO2 18.6. Anion gap 21.5. Glucose 170. Albumin 3.3. Globulin 4.2. AST 132. ALT 90. Aldolase 22.3. WBCs 8.4 with 16% bands, 12% lymphs. Abnormal RBC morphology. Hgb 11.1. Hct 33.6. MCV 70.3. MCH 23.4 UA (+) for 100 Glucose, urobilinogen 8.0, (+) reducing subst. UC (+). Blood cx (+) Strep pyogenes Group A. CXR ? bronchitis or atypical pneumonia.
CDC Split Type: WAES0904USA01011

Write-up: Information has been received from a physician concerning an 11 year old female who on 30-MAR-2009 (last week) was vaccinated with the first dose of GARDASIL. Concomitant therapy included VAQTA, MENACTRA and DTAP (unspecified) on the same day. Patient complained about sore throat a week prior to vaccination. A week later some kind test was performed and it showed that a group A strep in the blood was found. On approximately 30-MAR-2009, after getting the first dose of GARDASIL the patient experienced fever and pain in the hip after getting the vaccine. The patient died on 03-APR-2009. The patient sought unspecified medical attention. Additional information has been requested. 4/24/09 ER record received for DOS 4/1/09 with dx: Fever. Pediatric Viral syndrome. Pt presented with L hip pain and fever. PE (+) for tenderness over L anterior thigh. Tx with analgesic and d/c. 4/24/09 ER record received for DOS 4/3/09 with dx: Post-vaccination reaction. Pt presented again to ER with fever of 102''F, body aches, inability to walk 2'' to leg pain, nausea, vomiting, rash and polymyagias. PE (+) for extremity pain and swelling, rash, as well as not sleeping and acting differently. Transferred to higher level of care. 4/24/09 MR received for DOS 4/3-4/2009 with Final DX: Necrotizing fasciitis (gram (+) cocci with septic shock). Pt expired 4/4/09. Pt admitted from local facility for eval of fever with difficulty ambulating. Neuro/ortho consults on arrival with probable dx: infectious myositis. Tx with IV abx however IV access was lost and pt became hypotensive and with eveidence of septic shock with cardiovascular instability. Pt intubated and despite extensive resuscitation efforts pt expired. 4/24/09 Autopsy report received with COD: Necrotizing Fasciitis (Gram (+)) with septic shock.


VAERS ID: 353731 (history)  
Form: Version 1.0  
Age: 17.0  
Sex: Male  
Location: Tennessee  
Vaccinated:2009-07-28
Onset:2009-08-03
   Days after vaccination:6
Submitted: 0000-00-00
Entered: 2009-08-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U2920AA / 1 LA / UN

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

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2009-08-03
   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 Known
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Pt. committed suicide on 8-3-09. 9/25/09 Autopsy report received - DOD 8/3/09 Asphyxiation due to hanging.


VAERS ID: 381305 (history)  
Form: Version 1.0  
Age: 13.0  
Sex: Female  
Location: Wisconsin  
Vaccinated:2007-08-26
Onset:2010-02-13
   Days after vaccination:902
Submitted: 2010-02-22
   Days after onset:9
Entered: 2010-02-25
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U2324AA / 1 LA / IM

Administered by: Private       Purchased by: Other
Symptoms: Autopsy, Bacterial infection, Death, Joint sprain, Lumbar puncture abnormal, Meningitis meningococcal, Meningococcal infection, Polymerase chain reaction
SMQs:, Guillain-Barre syndrome (broad), Accidents and injuries (narrow), Tendinopathies and ligament disorders (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2010-02-13
   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: No illness at the time of vaccination. Medical history was unknown.
Allergies:
Diagnostic Lab Data: Autopsy spinal tap revealed gram negative rods, meningococcal type C. 14/Feb/2010: Neisseria Meningitidis PCR and Meningitidis Serogroup PCR of the brain : Neisseria Meningitidis serogroup C DNA detected.
CDC Split Type: 201001159

Write-up: Initial report received on 19 February 2010 from health care professional. A 16 year old female patient with an unknown medical history tested positive for Neisseria Meningitidis 2 years, 7 months, 18 days (963 days) after she received a first dose of MENACTRA (lot number U2324AA) on 26 June 2007 (route and site were unknown). The patient was seen by a physician on 12 February 2010 after an emergency room visit for a sprained ankle after playing in the snow. On 13 February 2010 at 10:30 AM, the patient was found dead in her home. On 14 February 2010 the patient had a real-time PCR assay of the brain for detection of neisseria meningitidis performed which detected Neisseria Meningitidis serogroup C DNA. A spinal tap was done during an autopsy which revealed gram negative rods Meningitis Type C DNA. The physician stated that the patient did not have any symptoms of meningitis. No further information was provided. List of Documents held by Sender: lab results.


VAERS ID: 382746 (history)  
Form: Version 1.0  
Age: 14.0  
Sex: Male  
Location: Michigan  
Vaccinated:2009-10-20
Onset:2009-11-04
   Days after vaccination:15
Submitted: 2009-11-06
   Days after onset:2
Entered: 2010-03-16
   Days after submission:129
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / GLAXOSMITHKLINE BIOLOGICALS AHBVB707AA / 2 RA / IM
IPV: POLIO VIRUS, INACT. (IPOL) / SANOFI PASTEUR D0052 / 1 LA / SC
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0153Y / 2 RA / SC
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U3027AA / 1 RA / IM
TDAP: TDAP (ADACEL) / SANOFI PASTEUR C3250AA / 1 LA / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 1046Y / 1 LA / SC

Administered by: Public       Purchased by: Private
Symptoms: Drug exposure during pregnancy, Foetal heart rate decreased, Unevaluable event
SMQs:, Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow), Foetal disorders (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2009-11-04
   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: Developmental delay (severe); strabismus
Allergies:
Diagnostic Lab Data: Unknown
CDC Split Type:

Write-up: Unknown.


VAERS ID: 386490 (history)  
Form: Version 1.0  
Age: 18.0  
Sex: Male  
Location: Iowa  
Vaccinated:2006-08-09
Onset:2010-04-13
   Days after vaccination:1343
Submitted: 2010-04-23
   Days after onset:10
Entered: 2010-05-03
   Days after submission:10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MEN: MENINGOCOCCAL (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK UN / UN

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

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2010-04-13
   Days after onset: 0
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Not reported
Allergies:
Diagnostic Lab Data: Test results (not specified) were pending.
CDC Split Type: 201002362

Write-up: Initial report was received 22 April 2010 from a press article. A 22-year-old male college student had received a meningococcal vaccination before entering college (manufacturer, lot number, route, site and date of administration not reported), and an unspecified amount of time later on 13 April 2010, the patient reported feeling ill. He was taken to the emergency room by his friends at approximately 5:30pm and within hours (also reported as before 11:30pm), he died from meningococcal disease/bacterial meningitis. According to the report, test results (not specified) were pending. No additional information was provided at the time of the report. Documents held by sender: None.


VAERS ID: 393893 (history)  
Form: Version 1.0  
Age: 23.0  
Sex: Male  
Location: California  
Vaccinated:2006-10-05
Onset:2010-06-11
   Days after vaccination:1345
Submitted: 2010-07-29
   Days after onset:48
Entered: 2010-07-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUARIX) / GLAXOSMITHKLINE BIOLOGICALS - / UNK UN / IM
MEN: MENINGOCOCCAL (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK UN / SC
PPV: PNEUMO (PNEUMOVAX) / MERCK & CO. INC. - / UNK UN / IM

Administered by: Unknown       Purchased by: Private
Symptoms: Death, Meningococcal bacteraemia, Neisseria test positive
SMQs:, Sepsis (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2010-06-12
   Days after onset: 1
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: Trauma due to car accident. Vaccine given following splenectomy.
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: Neisseria meningitidis detected by hospital laboratory, confirmed and serogrouped.
CDC Split Type:

Write-up: Patient diagnosed with meningococcemia, serogroup W-135.


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