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This is VAERS ID 589497

History of Changes from the VAERS Wayback Machine

First Appeared on 8/14/2015

VAERS ID: 589497
VAERS Form:
Age:0.6
Sex:Female
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2015-08-06
Entered:2015-08-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MEN: MENINGOCOCCAL (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Death, Meningitis, Pyrexia

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness: Unk
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Lab tests unknown
CDC 'Split Type': 2015SA116634

Write-up: Initial unsolicited report received from a non-healthcare professional (patient''s relative) via social media on 01 August 2015. A 07-month-old female infant, whose medical history and concomitant medications were not reported, had received a dose of meningococcal vaccine (dose, dose in series, batch number, expiry date, route and site of administration were not reported) on an unknown date. Reporter stated that her neighbour back in the eighties was not fortunate enough as on an unknown date her daughter contacted meningitis after receiving the vaccination (time from first dose to onset not specified) and she died within few hours of having fever which her mother thought to be a simple fever. Laboratory investigations and corrective treatments were not reported. It was unknown if autopsy was performed. Documents held by sender: none.


Changed on 9/14/2017

VAERS ID: 589497 Before After
VAERS Form:(blank) 1
Age:0.6
Sex:Female
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2015-08-06
Entered:2015-08-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MEN: MENINGOCOCCAL (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - UNK UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Death, Meningitis, Pyrexia

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness: Unk
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Lab tests unknown
CDC 'Split Type': 2015SA116634

Write-up: Initial unsolicited report received from a non-healthcare professional (patient''s relative) via social media on 01 August 2015. A 07-month-old female infant, whose medical history and concomitant medications were not reported, had received a dose of meningococcal vaccine (dose, dose in series, batch number, expiry date, route and site of administration were not reported) on an unknown date. Reporter stated that her neighbour back in the eighties was not fortunate enough as on an unknown date her daughter contacted meningitis after receiving the vaccination (time from first dose to onset not specified) and she died within few hours of having fever which her mother thought to be a simple fever. Laboratory investigations and corrective treatments were not reported. It was unknown if autopsy was performed. Documents held by sender: none.


Changed on 2/14/2018

VAERS ID: 589497 Before After
VAERS Form:1
Age:0.6
Sex:Female
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2015-08-06
Entered:2015-08-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MEN: MENINGOCOCCAL (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Death, Meningitis, Pyrexia

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness: Unk
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Lab tests unknown
CDC 'Split Type': 2015SA116634

Write-up: Initial unsolicited report received from a non-healthcare professional (patient''s relative) via social media on 01 August 2015. A 07-month-old female infant, whose medical history and concomitant medications were not reported, had received a dose of meningococcal vaccine (dose, dose in series, batch number, expiry date, route and site of administration were not reported) on an unknown date. Reporter stated that her neighbour back in the eighties was not fortunate enough as on an unknown date her daughter contacted meningitis after receiving the vaccination (time from first dose to onset not specified) and she died within few hours of having fever which her mother thought to be a simple fever. Laboratory investigations and corrective treatments were not reported. It was unknown if autopsy was performed. Documents held by sender: none.


Changed on 6/14/2018

VAERS ID: 589497 Before After
VAERS Form:1
Age:0.6
Sex:Female
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2015-08-06
Entered:2015-08-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MEN: MENINGOCOCCAL (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Death, Meningitis, Pyrexia

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness: Unk
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Lab tests unknown
CDC 'Split Type': 2015SA116634

Write-up: Initial unsolicited report received from a non-healthcare professional (patient''s relative) via social media on 01 August 2015. A 07-month-old female infant, whose medical history and concomitant medications were not reported, had received a dose of meningococcal vaccine (dose, dose in series, batch number, expiry date, route and site of administration were not reported) on an unknown date. Reporter stated that her neighbour back in the eighties was not fortunate enough as on an unknown date her daughter contacted meningitis after receiving the vaccination (time from first dose to onset not specified) and she died within few hours of having fever which her mother thought to be a simple fever. Laboratory investigations and corrective treatments were not reported. It was unknown if autopsy was performed. Documents held by sender: none.


Changed on 8/14/2018

VAERS ID: 589497 Before After
VAERS Form:1
Age:0.6
Sex:Female
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2015-08-06
Entered:2015-08-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MEN: MENINGOCOCCAL (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Death, Meningitis, Pyrexia

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness: Unk
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Lab tests unknown
CDC 'Split Type': 2015SA116634

Write-up: Initial unsolicited report received from a non-healthcare professional (patient''s relative) via social media on 01 August 2015. A 07-month-old female infant, whose medical history and concomitant medications were not reported, had received a dose of meningococcal vaccine (dose, dose in series, batch number, expiry date, route and site of administration were not reported) on an unknown date. Reporter stated that her neighbour back in the eighties was not fortunate enough as on an unknown date her daughter contacted meningitis after receiving the vaccination (time from first dose to onset not specified) and she died within few hours of having fever which her mother thought to be a simple fever. Laboratory investigations and corrective treatments were not reported. It was unknown if autopsy was performed. Documents held by sender: none.


Changed on 9/14/2018

VAERS ID: 589497 Before After
VAERS Form:1
Age:0.6
Sex:Female
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2015-08-06
Entered:2015-08-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MEN: MENINGOCOCCAL (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Death, Meningitis, Pyrexia

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness: Unk
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Lab tests unknown
CDC 'Split Type': 2015SA116634

Write-up: Initial unsolicited report received from a non-healthcare professional (patient''s relative) via social media on 01 August 2015. A 07-month-old female infant, whose medical history and concomitant medications were not reported, had received a dose of meningococcal vaccine (dose, dose in series, batch number, expiry date, route and site of administration were not reported) on an unknown date. Reporter stated that her neighbour back in the eighties was not fortunate enough as on an unknown date her daughter contacted meningitis after receiving the vaccination (time from first dose to onset not specified) and she died within few hours of having fever which her mother thought to be a simple fever. Laboratory investigations and corrective treatments were not reported. It was unknown if autopsy was performed. Documents held by sender: none.


Changed on 10/14/2018

VAERS ID: 589497 Before After
VAERS Form:1
Age:0.6
Sex:Female
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2015-08-06
Entered:2015-08-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MEN: MENINGOCOCCAL (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Death, Meningitis, Pyrexia

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness: Unk
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Lab tests unknown
CDC 'Split Type': 2015SA116634

Write-up: Initial unsolicited report received from a non-healthcare professional (patient''s relative) via social media on 01 August 2015. A 07-month-old female infant, whose medical history and concomitant medications were not reported, had received a dose of meningococcal vaccine (dose, dose in series, batch number, expiry date, route and site of administration were not reported) on an unknown date. Reporter stated that her neighbour back in the eighties was not fortunate enough as on an unknown date her daughter contacted meningitis after receiving the vaccination (time from first dose to onset not specified) and she died within few hours of having fever which her mother thought to be a simple fever. Laboratory investigations and corrective treatments were not reported. It was unknown if autopsy was performed. Documents held by sender: none.

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