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This is VAERS ID 846868

History of Changes from the VAERS Wayback Machine

First Appeared on 3/14/2020

VAERS ID: 846868
VAERS Form:2
Age:
Sex:Unknown
Location:Foreign
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:0000-00-00
Entered:2019-11-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MEN: MENINGOCOCCAL (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / OT

Administered by: Other      Purchased by: ??
Symptoms: Death

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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': BRSA2019SA311790

Write-up: a patient died after receiving the product MENINGOCOCCAL VACCINE; Initial information received on 07-Nov-2019 regarding an unsolicited valid serious death case received from a consumer/non-hcp. This case involves a patient who was died after receiving the product meningococcal vaccine MENINGOCOCCAL VACCINE (death NOS). The patient''s past medical history, medical treatment(s), vaccination(s) and family history were not provided. On an unknown date, the patient received a dose of suspect MENINGOCOCCAL VACCINE produced by unknown manufacturer lot number not reported via unknown route in unknown administration site. On an unknown date, the patient died after receiving the product meningococcal vaccine (death) (Unknown latency) following the administration of MENINGOCOCCAL VACCINE. This event was assessed as medically significant and was leading to death. The reporter couldn''t inform which vaccine was used. Lab data was not reported. Final diagnosis was Death NOS. It was not reported if the patient received a corrective treatment. The patient outcome was reported as fatal. It is unknown if an autopsy was done. The cause of death was reported as Death. Information on batch number is requested.; Sender''s Comments: This case concerns a patient who died after the vaccination with MENINGOCOCCAL VACCINE (unknown manufacturer). The time to onset is unknown. The patient''s past medical history, concomitant medications and lab data ruling out other etiologies would be needed for complete assessment of the case. Based upon the reported information, the role of the vaccine cannot be assessed.; Reported Cause(s) of Death: death NOS

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https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=846868&WAYBACKHISTORY=ON


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