This is VAERS ID 406995
(NOTE: This result is from the 8/14/2018 version of the VAERS database)
| Days after vaccination:||1538
| Days after onset:||15
| Days after submission:||2
|Vaccination / Manufacturer
||Lot / Dose
||Site / Route|
|MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR
||U1784AA / UNK
||UN / IJ
Administered by: Unknown Purchased by: Unknown
Life Threatening? No
Birth Defect? No
Date died: 2010-10-20
Days after onset: 1
Permanent Disability? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Preexisting Conditions: The patient''s medical history was not reported.
Diagnostic Lab Data: Not reported.
CDC Split Type: 201006291
Write-up: Initial report received from a health care professional on 02 November 2010. A female patient (age not specified) received an injection (route and site not provided) in 2006 of MENACTRA, lot number not reported. On an unspecified date one and a half weeks ago, the patient died from group C meningococcal disease. No further information was available. Documents held by sender: None.
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