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Administered by: Private Purchased by: Other
Life Threatening? No
Write-up: From telephone contact received at Aventis Pasteur Inc. on 09/05/2002, it was reported that an 18-year-old male was vaccinated on 09/04/2002 with Menomune A/C/Y/W-135 (lot# UB295AA). On 09/05/2002, patient''s parent called 911 after he collapsed. Patient expired. Autopsy is being performed. Follow-up (#1) telephone call to the Coroner''s Office on 09/17/2002: "No information, no preliminary results" available at this time. Investigator collected 7 doses of fluid and powder. Toxicology results will take 8-12 weeks. Family history positive for asthma. Coroner''s case number is 2002-02746. From additional correspondence received at Aventis Pasteur Inc. on 02/12/2003, it was reported that the patient with no illnesses at time of vaccination and had no pre-existing diagnosis received first dose of MENOMUNE (expiration date 10/22/2003) subcutaneously in the left arm at 15:30 on 09/04/2002. The patient was not responsive on 09/05/2002. No cause of death was determined on the preliminary coroner''s report on 09/06/2002. As per the reporter, a copy of this report has been sent to VAERS on 09/09/2002. Follow-up #2 correspondence received on 02/13/2003: From telephone contact to the Coroner''s office, the toxicology was negative and the cause of death remains undetermined. A copy of the autopsy has been requested. Reported on 03/20/2003: "From follow-up #3 information received at Aventis Pasteur Inc. on 03/07/2003, it was reported that the decendant''s Histological Examination from the autopsy report showed that the heart had few round cells in the epicardium, otherwise non-contributory. Also, on histological exam the thyroid, spleen, kidney, lung, pancreas and the liver were all non-contributory. All toxicology labs were negative. The investigator''s notes showed that the decendant had symptoms of the common cold about 3 months ago and was losing his hair, he was prescribed Propecia. Autopsy on file: Case is closed.
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