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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

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VAERS ID: 442402 (history)  
Form: Version 1.0  
Age: 15.0  
Sex: Male  
Location: Oregon  
Vaccinated:2011-10-17
Onset:2011-10-17
   Days after vaccination:0
Submitted: 2011-11-14
   Days after onset:28
Entered: 2011-11-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1262AA / UNK RA / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U4006AA / UNK RA / IM
TDAP: TDAP (BOOSTRIX) / GLAXOSMITHKLINE BIOLOGICALS AC52B072EA / UNK RA / IM

Administered by: Private       Purchased by: Public
Symptoms: Death, Pain, Swelling
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2011-10-20
   Days after onset: 3
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Depakote, Lyrica, Diazapam, Adderall
Current Illness: No
Preexisting Conditions: Seizure Disorder
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Initial soreness and swelling. Death 10/20/2011.


VAERS ID: 450086 (history)  
Form: Version 1.0  
Age: 19.0  
Sex: Female  
Location: Illinois  
Vaccinated:2012-02-06
Onset:2012-02-07
   Days after vaccination:1
Submitted: 2012-02-22
   Days after onset:15
Entered: 2012-02-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
ADEN_4_7: ADENOVIRUS TYPES 4 & 7, LIVE, ORAL (NO BRAND NAME) / TEVA PHARMACEUTICALS 348000018 / UNK UN / UN
FLUN3: INFLUENZA (SEASONAL) (FLUENZ) / MEDIMMUNE VACCINES, INC. 04949221AA / UNK UN / IM
HEPA: HEP A (HAVRIX) / GLAXOSMITHKLINE BIOLOGICALS AHABB221AA / 1 UN / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U4256AA / 1 UN / IM
TDAP: TDAP (BOOSTRIX) / GLAXOSMITHKLINE BIOLOGICALS AC52B075BA / 1 UN / IM

Administered by: Military       Purchased by: Military
Symptoms: Bacterial test negative, Blood culture negative, CSF culture negative, Cold agglutinins negative, Culture urine negative, Death, Diarrhoea, Dizziness, Drug screen negative, Influenza A virus test negative, Influenza B virus test, Influenza virus test negative, Intensive care, Laboratory test abnormal, Legionella test, Lung infiltration, Mechanical ventilation, Multi-organ failure, Mycoplasma test, Pyrexia, Respiratory arrest, Respiratory syncytial virus test negative, Sputum culture, Streptococcus test negative, Treponema test negative, Treponema test positive, Vomiting
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (broad), Acute pancreatitis (broad), Interstitial lung disease (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (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), Pseudomembranous colitis (broad), Acute central respiratory depression (narrow), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad), Vestibular disorders (broad), Hypersensitivity (broad), Noninfectious diarrhoea (narrow), Respiratory failure (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (broad), Sepsis (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2012-02-10
   Days after onset: 3
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: ADENOVIRUS VACCINE 06 FEB 2012
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: SHE HAD A POSITIVE RPR. ALL OF THE FOLLOWING WERE NEGATIVE: RESP - FLU A/B, H1N1, RSV, M PNEUMONIA, SPUTUM CX; BLOOD - CX, MHA-TP, COLD AGGLUTININS; CSF - BACT AND VIRAL CX, GRP B STREP, STREP PNEUMO, HIB, NEISSERIA MEN A/C/Y/W135, NEISSERIA MEN B/E COLI K1-0 AGS; URINE - CX, LEGIONELLA AG, DRUG SCREEN
CDC Split Type:

Write-up: PATIENT PRESENTED WITH VOMITING AND DIARRHEA ON 8 FEB. AAS SHOWED PULM INFILTRATE. PT STARTED ON PO ABX. PT STARTED FEELING FEVERISH ON THE EVENING OF 8 FEB. 9 FEB WOKE UP FEELING LIGHTHEADED AND DIZZY. TAKEN BY AMBULANCE TO ED, WHERE SHE SUFFERED RESP ARREST. CODED 3 TIMES. ADMITTED TO ICU ON VENT. DEVELOPED MULTI-ORGAN SYSTEM FAILURE. DIED ON 10 FEB.


VAERS ID: 452753 (history)  
Form: Version 1.0  
Age: 11.0  
Sex: Female  
Location: California  
Vaccinated:2012-03-23
Onset:2012-03-27
   Days after vaccination:4
Submitted: 2012-03-30
   Days after onset:3
Entered: 2012-04-02
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U4043AD / 1 LA / UN

Administered by: Private       Purchased by: Public
Symptoms: Intensive care
SMQs:

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2012-03-27
   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: Status post 2 recent spinal surgeries
Preexisting Conditions: Rett''s syndrome
Allergies:
Diagnostic Lab Data: Recent PICU stay d/c 2/28/12
CDC Split Type:

Write-up: 11 y/o female with Rett''s syndrome, scoliosis, has had 2 recent spinal surgeries (1/31/12 anterior, 2/8/12 posterior).


VAERS ID: 456713 (history)  
Form: Version 1.0  
Age: 19.0  
Sex: Female  
Location: New York  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 2012-05-31
Entered: 2012-06-04
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MEN: MENINGOCOCCAL (NO BRAND NAME) / UNKNOWN MANUFACTURER U2395BA / 1 UN / UN
VARCEL: VARICELLA (VARILRIX) / GLAXOSMITHKLINE BIOLOGICALS 0727U / 2 UN / UN

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

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2012-05-26
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: Not reported
Allergies:
Diagnostic Lab Data: Not reported
CDC Split Type: 201205620

Write-up: Initial report was received on 29 May 2012 from an electronic lay press article. A 19-year-old female had received an injection of MENINGOCOCCAL VACCINE (manufacturer, lot number, route, site and date of administration not reported) and an unspecified amount of time developed meningococcal meningitis. The patient was taken to the hospital on 25 May 2012 and died on 26 May 2012. No further information was available at the time of the report. The patient''s outcome was fatal. Documents held by sender: None.


VAERS ID: 465224 (history)  
Form: Version 1.0  
Age:   
Sex: Male  
Location: Unknown  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 2012-09-13
Entered: 2012-09-17
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MEN: MENINGOCOCCAL (MENOMUNE) / SANOFI PASTEUR - / UNK UN / UN

Administered by: Unknown       Purchased by: Unknown
Symptoms: Bacterial test positive, Death, Meningitis meningococcal, Meningococcal sepsis, Neisseria test positive, Polymerase chain reaction, Vaccination failure
SMQs:, Lack of efficacy/effect (narrow), Infective pneumonia (broad), Sepsis (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 0000-00-00
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: Not reported
Allergies:
Diagnostic Lab Data: Culture, PCR or both: Neisseria meningitidis, serogroup Y
CDC Split Type: 201208248

Write-up: Initial report was retrieved from the scientific literature on 06 September 2012. The following information is verbatim from the abstract: "Meningococci have historically caused extensive illness among members. Three successive meningococcal vaccine types were used from 1971 through 2010; overall disease incidence dropped by $g90% during this period. During 2006-2010, disease incidence of 0.38 (cases per 100,000 person-years) among members was not significantly different from the incidence of 0.26 among the age-matched general population. Of the 26 cases, 5 were fatal, 15 were vaccine failures (e.g., illness in a person who had been vaccinated), and 9 were caused by Neisseria meningitidis serogroup Y. Incidences among 17- to 19-year-old trainees and among others were significantly higher than among comparison populations (p<0.05). No apparent change in epidemiology of meningococcal disease was observed after replacement of quadrivalent polysaccharide vaccine with conjugate vaccine in 2007. The data demonstrate that vaccination with meningococcal vaccine is effective." According to the report, the cases were confirmed by culture, PCR or both. The information included in this case concerns a 20-24-year-old male patient who had received MENOMUNE A/C/Y/W-135 (lot number, route, site and date of administration not reported) and 15 months after vaccination developed meningococcal meningitis and sepsis, year reported as 2008 (Q 4). Neisseria meningitidis serogroup was determined to be serogroup Y. Treatments were not reported. No further information was available at the time of report. The patient''s outcome was fatal. The reporter for this case is the same as for cases 2012-08240, -08241, -08242, -08243, -08244, -08245, -08246, -08247, -08249, -08250, -08251, -08252, -08253, -08254, -08255, and -08256. Documents held by sender: None.


VAERS ID: 465234 (history)  
Form: Version 1.0  
Age:   
Sex: Male  
Location: Unknown  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 2012-09-13
Entered: 2012-09-17
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MEN: MENINGOCOCCAL (MENOMUNE) / SANOFI PASTEUR - / UNK UN / UN

Administered by: Military       Purchased by: Military
Symptoms: Bacterial test positive, Death, Meningitis meningococcal, Meningococcal sepsis, Neisseria test positive, Polymerase chain reaction
SMQs:, Infective pneumonia (broad), Sepsis (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 0000-00-00
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: Not reported
Allergies:
Diagnostic Lab Data: Serogroup C was confirmed by culture, PCR or both (exactly which test was not reported).
CDC Split Type: 201208240

Write-up: Initial report was retrieved from the scientific literature on 06 September 2012. The following information is verbatim from the abstract: "Meningococcal have historically caused extensive illness among members. Three successive meningococcal vaccine types were used from 1971 through 2010; overall disease incidence dropped by $g90% during this period. During 2006-2010, disease incidence of 0.38 (cases per 100,000 person-years) among members was not significantly different from the incidence of 0.26 among the age-matched general population. Of the 26 cases, 5 were fatal, 15 were vaccine failures (e.g., illness in a person who had been vaccinated), and 9 were caused by Neisseria meningitidis serogroup Y. Incidences among 17- to 19-year-old basic trainees and among were significantly higher than among comparison populations (p<0.05). No apparent change in epidemiology of meningococcal disease was observed after replacement of quadrivalent polysaccharide vaccine with conjugate vaccine in 2007. The data demonstrate that vaccination with meningococcal vaccine is effective." According to the report, the cases were confirmed by culture, PCR or both. The information included in this case concerns a 20-24 year-old male patient who had received MENOMUNE A/C/Y/W-135 (lot number, route, site and date of administration not reported) and 12 months after vaccination developed meningococcal meningitis and sepsis, year reported as 2006 (Q 1). Neisseria meningitidis serogroup was determined to be serogroup C. Treatments were not reported. No further information was available at the time of report. The patient''s outcome was fatal (date of death not reported). The reporter for this case is the same as for cases 2012-08241, -08242, -08243, -08244, -08245, -08246, -08247, -08248, -08249, -08250, -08251, -08252, -08253, -08254, -08255, and -08256. Documents held by sender: None.


VAERS ID: 465345 (history)  
Form: Version 1.0  
Age:   
Sex: Male  
Location: Unknown  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 2012-09-14
Entered: 2012-09-18
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR - / UNK UN / UN

Administered by: Unknown       Purchased by: Unknown
Symptoms: Bacterial test positive, Death, Meningococcal sepsis, Neisseria test positive, Polymerase chain reaction
SMQs:, Infective pneumonia (broad), Sepsis (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 0000-00-00
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: Not reported
Allergies:
Diagnostic Lab Data: Culture or PCR, or both: Neisseria meningitidis, serogroup C
CDC Split Type: 201208244

Write-up: Initial report was retrieved from the scientific literature on 06 September 2012. The following information is verbatim from the abstract: "Meningococci have historically caused extensive illness among members. Three successive meningococcal vaccine types were used from 1971 through 2010; overall disease incidence dropped by $g90% during this period. During 2006-2010, disease incidence of 0.38 (cases per 100,000 person-years) among members was not significantly different from the incidence of 0.26 among the age-matched general population. Of the 26 cases, 5 were fatal, 15 were vaccine failures (e.g., illness in a person who had been vaccinated), and 9 were caused by Neisseria meningitidis serogroup Y. Incidences among 17- to 19-year-old were significantly higher than among comparison populations (p<0.05). No apparent change in epidemiology of meningococcal disease was observed after replacement of quadrivalent polysaccharide vaccine with conjugate vaccine in 2007. The data demonstrate that vaccination with meningococcal vaccine is effective." According to the report, the cases were confirmed by culture, PCR or both. The information included in this case concerns a 17-19-year-old male patient who had received MENACTRA (lot number, route, site and date of administration not reported) and three months after vaccination developed meningococcal sepsis, year reported as 2007 (Q 3). Neisseria meningitidis serogroup was determined to be serogroup C. Treatments were not reported. No further information was available at the time of report. The patient''s outcome was fatal. The reporter for this case is the same as for cases 2012-08240, -08241, -08242, -08243, -08245, -08246, -08247, -08248, -08249, -08250, -08251, -08252, -08253, -08254, -08255, and -08256. Documents held by sender: None.


VAERS ID: 469573 (history)  
Form: Version 1.0  
Age: 18.0  
Sex: Male  
Location: New York  
Vaccinated:2012-07-27
Onset:2012-07-30
   Days after vaccination:3
Submitted: 2012-10-11
   Days after onset:73
Entered: 2012-10-15
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U4256AA / UNK AR / IM

Administered by: Other       Purchased by: Other
Symptoms: Autopsy, Death, Hypersomnia, Posture abnormal, Resuscitation, Somnolence
SMQs:, Anticholinergic syndrome (broad), Dementia (broad), Dystonia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Depression (excl suicide and self injury) (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2012-07-30
   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: DEPAKOTE; KEPPRA; KLONIPIN
Current Illness:
Preexisting Conditions: The patient was autistic and had a past medical history of seizures. He had no illness at the time of vaccination.
Allergies:
Diagnostic Lab Data: An autopsy was performed on an unspecified date. No results were provided.
CDC Split Type: 201209473

Write-up: Initial information received on 10 October 2012 from a patient''s parent. An 18-year-old male patient received a dose of MENACTRA (lot number U4256AA) intramuscularly in the arm on 27 July 2012. The patient was autistic and had a history of seizures. Concomitant medications included DEPAKOTE, KEPPRA, and KLONOPIN as needed for seizures. The patient had no illness at the time of vaccination. The patient''s parent reported that her son was very sleepy on 29 July 2012 and slept all day. He went to summer session at regular time the following day, 30 July 2012, and returned home at regular time at 12:30 pm. He went into his room and played computer games. At 3:30 pm the patient was found with his head slumped on his computer. Cardiopulmonary resuscitation (CPR) was initiated and emergency services (911) was called. The patient was transferred to the hospital and CPR continued for 45 minutes before the patient was pronounced dead. An autopsy was completed, but no results were provided at the time of this report. Documents held by sender: none.


VAERS ID: 483916 (history)  
Form: Version 1.0  
Age: 19.0  
Sex: Female  
Location: Michigan  
Vaccinated:0000-00-00
Onset:2013-02-01
Submitted: 2013-02-06
   Days after onset:5
Entered: 2013-02-08
   Days after submission:2
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MEN: MENINGOCOCCAL (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK UN / SYR

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

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2013-02-03
   Days after onset: 2
Permanent Disability? No
Recovered? No
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: Unknown
Allergies:
Diagnostic Lab Data: Not reported
CDC Split Type: 201301601

Write-up: Initial report was received from a healthcare professional on 04 February 2013. A 19-year-old female patient had received an injection of MENINGOCOCCAL VACCINE (manufacturer, lot number, route, site and date of administration not reported) and an unspecified amount of time later became ill and was hospitalized on 01 February 2013. The patient was diagnosed with bacterial meningitis. The patient died on 03 February 2013. No additional information was provided. Outcome was fatal. Documents held by sender: None.


VAERS ID: 485757 (history)  
Form: Version 1.0  
Age: 11.0  
Sex: Female  
Location: New York  
Vaccinated:2013-02-19
Onset:2013-02-19
   Days after vaccination:0
Submitted: 2013-02-25
   Days after onset:6
Entered: 2013-02-28
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / GLAXOSMITHKLINE BIOLOGICALS AHAVB677CA / UNK UN / UN
HPV4: HPV (GARDASIL) / MERCK & CO. INC. H016238 / UNK UN / UN
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U42927 / UNK UN / UN
TDAP: TDAP (ADACEL) / SANOFI PASTEUR U4431BA / UNK UN / UN

Administered by: Private       Purchased by: Unknown
Symptoms: Cardiac arrest, Crying, Death, Endotracheal intubation, Respiratory arrest, Skin discolouration
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (narrow), Angioedema (broad), Arrhythmia related investigations, signs and symptoms (broad), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (narrow), Acute central respiratory depression (narrow), Guillain-Barre syndrome (broad), Cardiomyopathy (broad), Depression (excl suicide and self injury) (broad), Hypotonic-hyporesponsive episode (broad), Hypersensitivity (broad), Respiratory failure (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2013-02-20
   Days after onset: 1
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: DILANTIN; Phenobarb
Current Illness: Medical record - cough - resp sym x 5 days (doc denies)
Preexisting Conditions: Microcephaly; seizure
Allergies:
Diagnostic Lab Data: See reverse
CDC Split Type:

Write-up: 2/19/13 23:24 Pt brought in by ambulance in cardiac arrest, "mother states pt has been having cough & URI symptoms since 5 days - seen by doctor 2/19/13 & given 4 vaccines. Pt sleeping & crying - suddenly pt turned white & was not breathing - 911 called & intubated. Doctor states he was not aware of any illness & child''s DILANTIN level was 1.0. No lab found in medical record child revived & transfer to another hospital where child died on 2/20/13.


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