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This is VAERS ID 314292

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History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2008

VAERS ID: 314292
VAERS Form:
Age:1.1
Sex:Female
Location:Unknown
Vaccinated:2008-05-05
Onset:2008-05-11
Submitted:2008-05-29
Entered:2008-05-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
PNC: PNEUMO (PREVNAR) / WYETH PHARMACEUTICALS, INC C57543 / 3 UN / UN

Administered by: Private      Purchased by: Unknown
Symptoms: Antimicrobial susceptibility test, Apnoea, Blood culture positive, Body temperature increased, Brain death

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2008-05-13
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? Yes, days: 2     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Concomitant medications were not reported.
Current Illness: Unknown
Preexisting Conditions: The patient had no notable medical history. The child went to daycare. 6/3/08-records received-PMH: Roseola at age 7 months. weight loss.
Allergies:
Diagnostic Lab Data: Antimicrobial susceptibility test (results: unremarkable) was done in May-2008. On 11-May-2008 test results were: culture urine (results: pneumococcal bacteria); CSF culture (results: grew large amount of pneumococcal bacteria in less than
CDC 'Split Type':

Write-up: Information regarding PREVNAR was received from a physician regarding a female patient who received the fourth dose on 05-May-2008 at 12 months of age and experienced neurogenic septic shock, neurogenic respiratory failure, brain dead, pneumococcal bacter"ia in blood, vaccine failure and pneumococcal meningitis at 13 months of age. On 11-May-2008, the patient was admitted to the intensive care unit brain dead and in neurogenic respiratory failure. Laboratory results revealed pneumococcal bacteria in blood


Changed on 12/8/2009

VAERS ID: 314292 Before After
VAERS Form:
Age:1.1
Sex:Female
Location:Unknown
Vaccinated:2008-05-05
Onset:2008-05-11
Submitted:2008-05-29
Entered:2008-05-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
PNC: PNEUMO (PREVNAR) / WYETH PHARMACEUTICALS, INC C57543 / 3 UN / UN

Administered by: Private      Purchased by: Unknown Other
Symptoms: Antimicrobial susceptibility test, Apnoea, Blood culture positive, Body temperature increased, C-reactive protein increased, CSF culture positive, CSF protein increased, Culture urine positive, Cyanosis, Death, Electroencephalogram abnormal, Gram stain positive, Heart rate increased, Hypocalcaemia, Hypokalaemia, Hypothermia, Hypotonia, Intensive care, Listless, Meningitis pneumococcal, Metabolic acidosis, Mydriasis, Nuclear magnetic resonance imaging abnormal, Peripheral coldness, Pulse absent, Pupil fixed, Red blood cells CSF positive, Respiratory failure, Septic shock, Vaccination failure, Vomiting, Brain death, CSF white blood cell count increased, Pneumococcal bacteraemia, CSF test abnormal, CSF bacteria identified, Mechanical ventilation, Endotracheal intubation

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2008-05-13
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? Yes, days: 2     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Concomitant medications were not reported.
Current Illness: Unknown
Preexisting Conditions: The patient had no notable medical history. The child went to daycare. 6/3/08-records received-PMH: Roseola at age 7 months. weight loss.
Allergies:
Diagnostic Lab Data: Antimicrobial susceptibility test (results: unremarkable) was done in May-2008. On 11-May-2008 test results were: culture urine (results: pneumococcal bacteria); CSF culture (results: grew large amount of pneumococcal bacteria in less than
CDC 'Split Type': (blank) USWYEH04198908

Write-up: Information regarding PREVNAR was received from a physician regarding a female patient who received the fourth dose on 05-May-2008 at 12 months of age and experienced neurogenic septic shock, neurogenic respiratory failure, brain dead, pneumococcal bacter"ia bacteria in blood, vaccine failure and pneumococcal meningitis at 13 months of age. On 11-May-2008, the patient was admitted to the intensive care unit brain dead and in neurogenic respiratory failure. Laboratory results revealed pneumococcal bacteria in blood and a large amount of pneumococcal bacteria that grew in less than eight hours in CSF culture, which led to the additional diagnosis of pneumococcal meningitis. Serotype testing was not performed. An antimicrobial susceptibility test was unremarkable. The physician felt "like this is a vaccine failure". The patient also developed neurogenic septic shock. Treatment included ROCEPHIN and VANCOMYCIN. On 12-May-2008, the patient died. The cause of death were reported as meningitis pneumococcal, respiratory failure, septic shock, vaccination failure, brain death and pneumococcal sepsis. No additional information was available at the time of this report. 6/3/08-records received for DOS 5/11-5/13/08-Date of Death 5/13/08. Final DX: Meningitis secondary to Streptococcus pneumoniae. Gram-positive coccal bacteremia. Admission neurologic examination consistent with brain death, subsequently confirmed. Brain death confirmed by repeat examination and confirmatory tests through course of hospitalization. Admitted via emergency room previously well child until 3/10/08, warm to touch temperature 101, listless and febrile with temperature as high as 104.4. Vomited. Became limp, feet cold, apneic. CPR initiated at home. Cyanotic. Pupils dilated and nonreactive. GCS 3. Heart rate 170 but not palpable pulses. No spontaneous respirations. Intubation, mechanical ventilation.


Changed on 3/2/2010

VAERS ID: 314292 Before After
VAERS Form:
Age:1.1
Sex:Female
Location:Unknown
Vaccinated:2008-05-05
Onset:2008-05-11
Submitted:2008-05-29
Entered:2008-05-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
PNC: PNEUMO (PREVNAR) PNEUMO (PREVNAR7) / WYETH PHARMACEUTICALS, INC C57543 / 3 UN / UN

Administered by: Private      Purchased by: Other
Symptoms: Antimicrobial susceptibility test, Apnoea, Blood culture positive, Body temperature increased, C-reactive protein increased, CSF culture positive, CSF protein increased, Culture urine positive, Cyanosis, Death, Electroencephalogram abnormal, Gram stain positive, Heart rate increased, Hypocalcaemia, Hypokalaemia, Hypothermia, Hypotonia, Intensive care, Listless, Meningitis pneumococcal, Metabolic acidosis, Mydriasis, Nuclear magnetic resonance imaging abnormal, Peripheral coldness, Pulse absent, Pupil fixed, Red blood cells CSF positive, Respiratory failure, Septic shock, Vaccination failure, Vomiting, Brain death, CSF white blood cell count increased, Pneumococcal bacteraemia, CSF test abnormal, CSF bacteria identified, Mechanical ventilation, Endotracheal intubation

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2008-05-13
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? Yes, days: 2     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Concomitant medications were not reported.
Current Illness: Unknown
Preexisting Conditions: The patient had no notable medical history. The child went to daycare. 6/3/08-records received-PMH: Roseola at age 7 months. weight loss.
Allergies:
Diagnostic Lab Data: Antimicrobial susceptibility test (results: unremarkable) was done in May-2008. On 11-May-2008 test results were: culture urine (results: pneumococcal bacteria); CSF culture (results: grew large amount of pneumococcal bacteria in less than
CDC 'Split Type': USWYEH04198908

Write-up: Information regarding PREVNAR was received from a physician regarding a female patient who received the fourth dose on 05-May-2008 at 12 months of age and experienced neurogenic septic shock, neurogenic respiratory failure, brain dead, pneumococcal bacteria in blood, vaccine failure and pneumococcal meningitis at 13 months of age. On 11-May-2008, the patient was admitted to the intensive care unit brain dead and in neurogenic respiratory failure. Laboratory results revealed pneumococcal bacteria in blood and a large amount of pneumococcal bacteria that grew in less than eight hours in CSF culture, which led to the additional diagnosis of pneumococcal meningitis. Serotype testing was not performed. An antimicrobial susceptibility test was unremarkable. The physician felt "like this is a vaccine failure". The patient also developed neurogenic septic shock. Treatment included ROCEPHIN and VANCOMYCIN. On 12-May-2008, the patient died. The cause of death were reported as meningitis pneumococcal, respiratory failure, septic shock, vaccination failure, brain death and pneumococcal sepsis. No additional information was available at the time of this report. 6/3/08-records received for DOS 5/11-5/13/08-Date of Death 5/13/08. Final DX: Meningitis secondary to Streptococcus pneumoniae. Gram-positive coccal bacteremia. Admission neurologic examination consistent with brain death, subsequently confirmed. Brain death confirmed by repeat examination and confirmatory tests through course of hospitalization. Admitted via emergency room previously well child until 3/10/08, warm to touch temperature 101, listless and febrile with temperature as high as 104.4. Vomited. Became limp, feet cold, apneic. CPR initiated at home. Cyanotic. Pupils dilated and nonreactive. GCS 3. Heart rate 170 but not palpable pulses. No spontaneous respirations. Intubation, mechanical ventilation.


Changed on 4/7/2010

VAERS ID: 314292 Before After
VAERS Form:
Age:1.1
Sex:Female
Location:Unknown
Vaccinated:2008-05-05
Onset:2008-05-11
Submitted:2008-05-29
Entered:2008-05-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
PNC: PNEUMO (PREVNAR7) PNEUMO (PREVNAR) / WYETH PHARMACEUTICALS, INC C57543 / 3 UN / UN

Administered by: Private      Purchased by: Other
Symptoms: Antimicrobial susceptibility test, Apnoea, Blood culture positive, Body temperature increased, C-reactive protein increased, CSF culture positive, CSF protein increased, Culture urine positive, Cyanosis, Death, Electroencephalogram abnormal, Gram stain positive, Heart rate increased, Hypocalcaemia, Hypokalaemia, Hypothermia, Hypotonia, Intensive care, Listless, Meningitis pneumococcal, Metabolic acidosis, Mydriasis, Nuclear magnetic resonance imaging abnormal, Peripheral coldness, Pulse absent, Pupil fixed, Red blood cells CSF positive, Respiratory failure, Septic shock, Vaccination failure, Vomiting, Brain death, CSF white blood cell count increased, Pneumococcal bacteraemia, CSF test abnormal, CSF bacteria identified, Mechanical ventilation, Endotracheal intubation

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2008-05-13
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? Yes, days: 2     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Concomitant medications were not reported.
Current Illness: Unknown
Preexisting Conditions: The patient had no notable medical history. The child went to daycare. 6/3/08-records received-PMH: Roseola at age 7 months. weight loss.
Allergies:
Diagnostic Lab Data: Antimicrobial susceptibility test (results: unremarkable) was done in May-2008. On 11-May-2008 test results were: culture urine (results: pneumococcal bacteria); CSF culture (results: grew large amount of pneumococcal bacteria in less than
CDC 'Split Type': USWYEH04198908

Write-up: Information regarding PREVNAR was received from a physician regarding a female patient who received the fourth dose on 05-May-2008 at 12 months of age and experienced neurogenic septic shock, neurogenic respiratory failure, brain dead, pneumococcal bacteria in blood, vaccine failure and pneumococcal meningitis at 13 months of age. On 11-May-2008, the patient was admitted to the intensive care unit brain dead and in neurogenic respiratory failure. Laboratory results revealed pneumococcal bacteria in blood and a large amount of pneumococcal bacteria that grew in less than eight hours in CSF culture, which led to the additional diagnosis of pneumococcal meningitis. Serotype testing was not performed. An antimicrobial susceptibility test was unremarkable. The physician felt "like this is a vaccine failure". The patient also developed neurogenic septic shock. Treatment included ROCEPHIN and VANCOMYCIN. On 12-May-2008, the patient died. The cause of death were reported as meningitis pneumococcal, respiratory failure, septic shock, vaccination failure, brain death and pneumococcal sepsis. No additional information was available at the time of this report. 6/3/08-records received for DOS 5/11-5/13/08-Date of Death 5/13/08. Final DX: Meningitis secondary to Streptococcus pneumoniae. Gram-positive coccal bacteremia. Admission neurologic examination consistent with brain death, subsequently confirmed. Brain death confirmed by repeat examination and confirmatory tests through course of hospitalization. Admitted via emergency room previously well child until 3/10/08, warm to touch temperature 101, listless and febrile with temperature as high as 104.4. Vomited. Became limp, feet cold, apneic. CPR initiated at home. Cyanotic. Pupils dilated and nonreactive. GCS 3. Heart rate 170 but not palpable pulses. No spontaneous respirations. Intubation, mechanical ventilation.


Changed on 8/31/2010

VAERS ID: 314292 Before After
VAERS Form:
Age:1.1
Sex:Female
Location:Unknown
Vaccinated:2008-05-05
Onset:2008-05-11
Submitted:2008-05-29
Entered:2008-05-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
PNC: PNEUMO (PREVNAR) / WYETH PHARMACEUTICALS, INC PFIZER/WYETH C57543 / 3 UN / UN

Administered by: Private      Purchased by: Other
Symptoms: Antimicrobial susceptibility test, Apnoea, Blood culture positive, Body temperature increased, C-reactive protein increased, CSF culture positive, CSF protein increased, Culture urine positive, Cyanosis, Death, Electroencephalogram abnormal, Gram stain positive, Heart rate increased, Hypocalcaemia, Hypokalaemia, Hypothermia, Hypotonia, Intensive care, Listless, Meningitis pneumococcal, Metabolic acidosis, Mydriasis, Nuclear magnetic resonance imaging abnormal, Peripheral coldness, Pulse absent, Pupil fixed, Red blood cells CSF positive, Respiratory failure, Septic shock, Vaccination failure, Vomiting, Brain death, CSF white blood cell count increased, Pneumococcal bacteraemia, CSF test abnormal, CSF bacteria identified, Mechanical ventilation, Endotracheal intubation

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2008-05-13
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? Yes, days: 2     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Concomitant medications were not reported.
Current Illness: Unknown
Preexisting Conditions: The patient had no notable medical history. The child went to daycare. 6/3/08-records received-PMH: Roseola at age 7 months. weight loss.
Allergies:
Diagnostic Lab Data: Antimicrobial susceptibility test (results: unremarkable) was done in May-2008. On 11-May-2008 test results were: culture urine (results: pneumococcal bacteria); CSF culture (results: grew large amount of pneumococcal bacteria in less than
CDC 'Split Type': USWYEH04198908

Write-up: Information regarding PREVNAR was received from a physician regarding a female patient who received the fourth dose on 05-May-2008 at 12 months of age and experienced neurogenic septic shock, neurogenic respiratory failure, brain dead, pneumococcal bacteria in blood, vaccine failure and pneumococcal meningitis at 13 months of age. On 11-May-2008, the patient was admitted to the intensive care unit brain dead and in neurogenic respiratory failure. Laboratory results revealed pneumococcal bacteria in blood and a large amount of pneumococcal bacteria that grew in less than eight hours in CSF culture, which led to the additional diagnosis of pneumococcal meningitis. Serotype testing was not performed. An antimicrobial susceptibility test was unremarkable. The physician felt "like this is a vaccine failure". The patient also developed neurogenic septic shock. Treatment included ROCEPHIN and VANCOMYCIN. On 12-May-2008, the patient died. The cause of death were reported as meningitis pneumococcal, respiratory failure, septic shock, vaccination failure, brain death and pneumococcal sepsis. No additional information was available at the time of this report. 6/3/08-records received for DOS 5/11-5/13/08-Date of Death 5/13/08. Final DX: Meningitis secondary to Streptococcus pneumoniae. Gram-positive coccal bacteremia. Admission neurologic examination consistent with brain death, subsequently confirmed. Brain death confirmed by repeat examination and confirmatory tests through course of hospitalization. Admitted via emergency room previously well child until 3/10/08, warm to touch temperature 101, listless and febrile with temperature as high as 104.4. Vomited. Became limp, feet cold, apneic. CPR initiated at home. Cyanotic. Pupils dilated and nonreactive. GCS 3. Heart rate 170 but not palpable pulses. No spontaneous respirations. Intubation, mechanical ventilation.


Changed on 4/14/2017

VAERS ID: 314292 Before After
VAERS Form:
Age:1.1
Sex:Female
Location:Unknown
Vaccinated:2008-05-05
Onset:2008-05-11
Submitted:2008-05-29
Entered:2008-05-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH C57543 / 3 UN / UN

Administered by: Private      Purchased by: Other
Symptoms: Antimicrobial susceptibility test, Apnoea, Blood culture positive, Body temperature increased, C-reactive protein increased, CSF culture positive, CSF protein increased, Culture urine positive, Cyanosis, Death, Electroencephalogram abnormal, Gram stain positive, Heart rate increased, Hypocalcaemia, Hypokalaemia, Hypothermia, Hypotonia, Intensive care, Listless, Meningitis pneumococcal, Metabolic acidosis, Mydriasis, Nuclear magnetic resonance imaging abnormal, Peripheral coldness, Pulse absent, Pupil fixed, Red blood cells CSF positive, Respiratory failure, Septic shock, Vaccination failure, Vomiting, Brain death, CSF white blood cell count increased, Pneumococcal bacteraemia, CSF test abnormal, CSF bacteria identified, Mechanical ventilation, Endotracheal intubation

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2008-05-13
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? Yes, days: 2     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Concomitant medications were not reported.
Current Illness: Unknown
Preexisting Conditions: The patient had no notable medical history. The child went to daycare. 6/3/08-records received-PMH: Roseola at age 7 months. weight loss.
Allergies:
Diagnostic Lab Data: Antimicrobial susceptibility test (results: unremarkable) was done in May-2008. On 11-May-2008 test results were: culture urine (results: pneumococcal bacteria); CSF culture (results: grew large amount of pneumococcal bacteria in less than eight hours); and blood culture (results: pneumococcal bacteria). 6/3/08-records received-NM brain-no scintigraphic evidence of intracranial flow. CSF milky appearance. Gram stain many gram-positive coccobacilli. Protein 1020. WBC 73 and RBC 103. C-reactive protein 13.9. Hypothermic, hypocalcemia, hypokalemia and hyperglycemia. Metabolic acidosis. EEG: compatible with electrocerebral silence, no evidence of cortical activity. Blood culture positive for gram positive cocci.
CDC 'Split Type': USWYEH04198908

Write-up: Information regarding PREVNAR was received from a physician regarding a female patient who received the fourth dose on 05-May-2008 at 12 months of age and experienced neurogenic septic shock, neurogenic respiratory failure, brain dead, pneumococcal bacteria in blood, vaccine failure and pneumococcal meningitis at 13 months of age. On 11-May-2008, the patient was admitted to the intensive care unit brain dead and in neurogenic respiratory failure. Laboratory results revealed pneumococcal bacteria in blood and a large amount of pneumococcal bacteria that grew in less than eight hours in CSF culture, which led to the additional diagnosis of pneumococcal meningitis. Serotype testing was not performed. An antimicrobial susceptibility test was unremarkable. The physician felt "like this is a vaccine failure". The patient also developed neurogenic septic shock. Treatment included ROCEPHIN and VANCOMYCIN. On 12-May-2008, the patient died. The cause of death were reported as meningitis pneumococcal, respiratory failure, septic shock, vaccination failure, brain death and pneumococcal sepsis. No additional information was available at the time of this report. 6/3/08-records received for DOS 5/11-5/13/08-Date of Death 5/13/08. Final DX: Meningitis secondary to Streptococcus pneumoniae. Gram-positive coccal bacteremia. Admission neurologic examination consistent with brain death, subsequently confirmed. Brain death confirmed by repeat examination and confirmatory tests through course of hospitalization. Admitted via emergency room previously well child until 3/10/08, warm to touch temperature 101, listless and febrile with temperature as high as 104.4. Vomited. Became limp, feet cold, apneic. CPR initiated at home. Cyanotic. Pupils dilated and nonreactive. GCS 3. Heart rate 170 but not palpable pulses. No spontaneous respirations. Intubation, mechanical ventilation.


Changed on 9/14/2017

VAERS ID: 314292 Before After
VAERS Form:(blank) 1
Age:1.1
Sex:Female
Location:Unknown
Vaccinated:2008-05-05
Onset:2008-05-11
Submitted:2008-05-29
Entered:2008-05-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH C57543 / 3 4 UN / UN

Administered by: Private      Purchased by: Other
Symptoms: Antimicrobial susceptibility test, Blood culture positive, CSF culture positive, Culture urine positive, Death, Intensive care, Respiratory failure, Septic shock, Vaccination failure, Brain death, Pneumococcal bacteraemia

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2008-05-13
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? Yes, days: 2     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Concomitant medications were not reported.
Current Illness: Unknown
Preexisting Conditions: The patient had no notable medical history. The child went to daycare. 6/3/08-records received-PMH: Roseola at age 7 months. weight loss.
Allergies:
Diagnostic Lab Data: Antimicrobial susceptibility test (results: unremarkable) was done in May-2008. On 11-May-2008 test results were: culture urine (results: pneumococcal bacteria); CSF culture (results: grew large amount of pneumococcal bacteria in less than eight hours); and blood culture (results: pneumococcal bacteria). 6/3/08-records received-NM brain-no scintigraphic evidence of intracranial flow. CSF milky appearance. Gram stain many gram-positive coccobacilli. Protein 1020. WBC 73 and RBC 103. C-reactive protein 13.9. Hypothermic, hypocalcemia, hypokalemia and hyperglycemia. Metabolic acidosis. EEG: compatible with electrocerebral silence, no evidence of cortical activity. Blood culture positive for gram positive cocci.
CDC 'Split Type': USWYEH04198908

Write-up: Information regarding PREVNAR was received from a physician regarding a female patient who received the fourth dose on 05-May-2008 at 12 months of age and experienced neurogenic septic shock, neurogenic respiratory failure, brain dead, pneumococcal bacteria in blood, vaccine failure and pneumococcal meningitis at 13 months of age. On 11-May-2008, the patient was admitted to the intensive care unit brain dead and in neurogenic respiratory failure. Laboratory results revealed pneumococcal bacteria in blood and a large amount of pneumococcal bacteria that grew in less than eight hours in CSF culture, which led to the additional diagnosis of pneumococcal meningitis. Serotype testing was not performed. An antimicrobial susceptibility test was unremarkable. The physician felt "like this is a vaccine failure". The patient also developed neurogenic septic shock. Treatment included ROCEPHIN and VANCOMYCIN. On 12-May-2008, the patient died. The cause of death were reported as meningitis pneumococcal, respiratory failure, septic shock, vaccination failure, brain death and pneumococcal sepsis. No additional information was available at the time of this report. 6/3/08-records received for DOS 5/11-5/13/08-Date of Death 5/13/08. Final DX: Meningitis secondary to Streptococcus pneumoniae. Gram-positive coccal bacteremia. Admission neurologic examination consistent with brain death, subsequently confirmed. Brain death confirmed by repeat examination and confirmatory tests through course of hospitalization. Admitted via emergency room previously well child until 3/10/08, warm to touch temperature 101, listless and febrile with temperature as high as 104.4. Vomited. Became limp, feet cold, apneic. CPR initiated at home. Cyanotic. Pupils dilated and nonreactive. GCS 3. Heart rate 170 but not palpable pulses. No spontaneous respirations. Intubation, mechanical ventilation.


Changed on 2/14/2018

VAERS ID: 314292 Before After
VAERS Form:1
Age:1.1
Sex:Female
Location:Unknown
Vaccinated:2008-05-05
Onset:2008-05-11
Submitted:2008-05-29
Entered:2008-05-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH C57543 / 4 UN / UN

Administered by: Private      Purchased by: Other
Symptoms: Antimicrobial susceptibility test, Blood culture positive, CSF culture positive, Culture urine positive, Death, Intensive care, Respiratory failure, Septic shock, Vaccination failure, Brain death, Pneumococcal bacteraemia

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2008-05-13
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? Yes, days: 2     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Concomitant medications were not reported.
Current Illness: Unknown
Preexisting Conditions: The patient had no notable medical history. The child went to daycare. 6/3/08-records received-PMH: Roseola at age 7 months. weight loss.
Allergies:
Diagnostic Lab Data: Antimicrobial susceptibility test (results: unremarkable) was done in May-2008. On 11-May-2008 test results were: culture urine (results: pneumococcal bacteria); CSF culture (results: grew large amount of pneumococcal bacteria in less than eight hours); and blood culture (results: pneumococcal bacteria). 6/3/08-records received-NM brain-no scintigraphic evidence of intracranial flow. CSF milky appearance. Gram stain many gram-positive coccobacilli. Protein 1020. WBC 73 and RBC 103. C-reactive protein 13.9. Hypothermic, hypocalcemia, hypokalemia and hyperglycemia. Metabolic acidosis. EEG: compatible with electrocerebral silence, no evidence of cortical activity. Blood culture positive for gram positive cocci.
CDC 'Split Type': USWYEH04198908

Write-up: Information regarding PREVNAR was received from a physician regarding a female patient who received the fourth dose on 05-May-2008 at 12 months of age and experienced neurogenic septic shock, neurogenic respiratory failure, brain dead, pneumococcal bacteria in blood, vaccine failure and pneumococcal meningitis at 13 months of age. On 11-May-2008, the patient was admitted to the intensive care unit brain dead and in neurogenic respiratory failure. Laboratory results revealed pneumococcal bacteria in blood and a large amount of pneumococcal bacteria that grew in less than eight hours in CSF culture, which led to the additional diagnosis of pneumococcal meningitis. Serotype testing was not performed. An antimicrobial susceptibility test was unremarkable. The physician felt "like this is a vaccine failure". The patient also developed neurogenic septic shock. Treatment included ROCEPHIN and VANCOMYCIN. On 12-May-2008, the patient died. The cause of death were reported as meningitis pneumococcal, respiratory failure, septic shock, vaccination failure, brain death and pneumococcal sepsis. No additional information was available at the time of this report. 6/3/08-records received for DOS 5/11-5/13/08-Date of Death 5/13/08. Final DX: Meningitis secondary to Streptococcus pneumoniae. Gram-positive coccal bacteremia. Admission neurologic examination consistent with brain death, subsequently confirmed. Brain death confirmed by repeat examination and confirmatory tests through course of hospitalization. Admitted via emergency room previously well child until 3/10/08, warm to touch temperature 101, listless and febrile with temperature as high as 104.4. Vomited. Became limp, feet cold, apneic. CPR initiated at home. Cyanotic. Pupils dilated and nonreactive. GCS 3. Heart rate 170 but not palpable pulses. No spontaneous respirations. Intubation, mechanical ventilation.


Changed on 6/14/2018

VAERS ID: 314292 Before After
VAERS Form:1
Age:1.1
Sex:Female
Location:Unknown
Vaccinated:2008-05-05
Onset:2008-05-11
Submitted:2008-05-29
Entered:2008-05-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH C57543 / 4 UN / UN

Administered by: Private      Purchased by: Other
Symptoms: Antimicrobial susceptibility test, Blood culture positive, CSF culture positive, Culture urine positive, Death, Intensive care, Respiratory failure, Septic shock, Vaccination failure, Brain death, Pneumococcal bacteraemia

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2008-05-13
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? Yes, days: 2     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Concomitant medications were not reported.
Current Illness: Unknown
Preexisting Conditions: The patient had no notable medical history. The child went to daycare. 6/3/08-records received-PMH: Roseola at age 7 months. weight loss.
Allergies:
Diagnostic Lab Data: Antimicrobial susceptibility test (results: unremarkable) was done in May-2008. On 11-May-2008 test results were: culture urine (results: pneumococcal bacteria); CSF culture (results: grew large amount of pneumococcal bacteria in less than eight hours); and blood culture (results: pneumococcal bacteria). 6/3/08-records received-NM brain-no scintigraphic evidence of intracranial flow. CSF milky appearance. Gram stain many gram-positive coccobacilli. Protein 1020. WBC 73 and RBC 103. C-reactive protein 13.9. Hypothermic, hypocalcemia, hypokalemia and hyperglycemia. Metabolic acidosis. EEG: compatible with electrocerebral silence, no evidence of cortical activity. Blood culture positive for gram positive cocci.
CDC 'Split Type': USWYEH04198908

Write-up: Information regarding PREVNAR was received from a physician regarding a female patient who received the fourth dose on 05-May-2008 at 12 months of age and experienced neurogenic septic shock, neurogenic respiratory failure, brain dead, pneumococcal bacteria in blood, vaccine failure and pneumococcal meningitis at 13 months of age. On 11-May-2008, the patient was admitted to the intensive care unit brain dead and in neurogenic respiratory failure. Laboratory results revealed pneumococcal bacteria in blood and a large amount of pneumococcal bacteria that grew in less than eight hours in CSF culture, which led to the additional diagnosis of pneumococcal meningitis. Serotype testing was not performed. An antimicrobial susceptibility test was unremarkable. The physician felt "like this is a vaccine failure". The patient also developed neurogenic septic shock. Treatment included ROCEPHIN and VANCOMYCIN. On 12-May-2008, the patient died. The cause of death were reported as meningitis pneumococcal, respiratory failure, septic shock, vaccination failure, brain death and pneumococcal sepsis. No additional information was available at the time of this report. 6/3/08-records received for DOS 5/11-5/13/08-Date of Death 5/13/08. Final DX: Meningitis secondary to Streptococcus pneumoniae. Gram-positive coccal bacteremia. Admission neurologic examination consistent with brain death, subsequently confirmed. Brain death confirmed by repeat examination and confirmatory tests through course of hospitalization. Admitted via emergency room previously well child until 3/10/08, warm to touch temperature 101, listless and febrile with temperature as high as 104.4. Vomited. Became limp, feet cold, apneic. CPR initiated at home. Cyanotic. Pupils dilated and nonreactive. GCS 3. Heart rate 170 but not palpable pulses. No spontaneous respirations. Intubation, mechanical ventilation.


Changed on 8/14/2018

VAERS ID: 314292 Before After
VAERS Form:1
Age:1.1
Sex:Female
Location:Unknown
Vaccinated:2008-05-05
Onset:2008-05-11
Submitted:2008-05-29
Entered:2008-05-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH C57543 / 4 UN / UN

Administered by: Private      Purchased by: Other
Symptoms: Antimicrobial susceptibility test, Blood culture positive, CSF culture positive, Culture urine positive, Death, Intensive care, Respiratory failure, Septic shock, Vaccination failure, Brain death, Pneumococcal bacteraemia

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2008-05-13
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? Yes, days: 2     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Concomitant medications were not reported.
Current Illness: Unknown
Preexisting Conditions: The patient had no notable medical history. The child went to daycare. 6/3/08-records received-PMH: Roseola at age 7 months. weight loss.
Allergies:
Diagnostic Lab Data: Antimicrobial susceptibility test (results: unremarkable) was done in May-2008. On 11-May-2008 test results were: culture urine (results: pneumococcal bacteria); CSF culture (results: grew large amount of pneumococcal bacteria in less than eight hours); and blood culture (results: pneumococcal bacteria). 6/3/08-records received-NM brain-no scintigraphic evidence of intracranial flow. CSF milky appearance. Gram stain many gram-positive coccobacilli. Protein 1020. WBC 73 and RBC 103. C-reactive protein 13.9. Hypothermic, hypocalcemia, hypokalemia and hyperglycemia. Metabolic acidosis. EEG: compatible with electrocerebral silence, no evidence of cortical activity. Blood culture positive for gram positive cocci.
CDC 'Split Type': USWYEH04198908

Write-up: Information regarding PREVNAR was received from a physician regarding a female patient who received the fourth dose on 05-May-2008 at 12 months of age and experienced neurogenic septic shock, neurogenic respiratory failure, brain dead, pneumococcal bacteria in blood, vaccine failure and pneumococcal meningitis at 13 months of age. On 11-May-2008, the patient was admitted to the intensive care unit brain dead and in neurogenic respiratory failure. Laboratory results revealed pneumococcal bacteria in blood and a large amount of pneumococcal bacteria that grew in less than eight hours in CSF culture, which led to the additional diagnosis of pneumococcal meningitis. Serotype testing was not performed. An antimicrobial susceptibility test was unremarkable. The physician felt "like this is a vaccine failure". The patient also developed neurogenic septic shock. Treatment included ROCEPHIN and VANCOMYCIN. On 12-May-2008, the patient died. The cause of death were reported as meningitis pneumococcal, respiratory failure, septic shock, vaccination failure, brain death and pneumococcal sepsis. No additional information was available at the time of this report. 6/3/08-records received for DOS 5/11-5/13/08-Date of Death 5/13/08. Final DX: Meningitis secondary to Streptococcus pneumoniae. Gram-positive coccal bacteremia. Admission neurologic examination consistent with brain death, subsequently confirmed. Brain death confirmed by repeat examination and confirmatory tests through course of hospitalization. Admitted via emergency room previously well child until 3/10/08, warm to touch temperature 101, listless and febrile with temperature as high as 104.4. Vomited. Became limp, feet cold, apneic. CPR initiated at home. Cyanotic. Pupils dilated and nonreactive. GCS 3. Heart rate 170 but not palpable pulses. No spontaneous respirations. Intubation, mechanical ventilation.


Changed on 9/14/2018

VAERS ID: 314292 Before After
VAERS Form:1
Age:1.1
Sex:Female
Location:Unknown
Vaccinated:2008-05-05
Onset:2008-05-11
Submitted:2008-05-29
Entered:2008-05-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH C57543 / 4 UN / UN

Administered by: Private      Purchased by: Other
Symptoms: Antimicrobial susceptibility test, Blood culture positive, CSF culture positive, Culture urine positive, Death, Intensive care, Respiratory failure, Septic shock, Vaccination failure, Brain death, Pneumococcal bacteraemia

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2008-05-13
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? Yes, days: 2     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Concomitant medications were not reported.
Current Illness: Unknown
Preexisting Conditions: The patient had no notable medical history. The child went to daycare. 6/3/08-records received-PMH: Roseola at age 7 months. weight loss.
Allergies:
Diagnostic Lab Data: Antimicrobial susceptibility test (results: unremarkable) was done in May-2008. On 11-May-2008 test results were: culture urine (results: pneumococcal bacteria); CSF culture (results: grew large amount of pneumococcal bacteria in less than eight hours); and blood culture (results: pneumococcal bacteria). 6/3/08-records received-NM brain-no scintigraphic evidence of intracranial flow. CSF milky appearance. Gram stain many gram-positive coccobacilli. Protein 1020. WBC 73 and RBC 103. C-reactive protein 13.9. Hypothermic, hypocalcemia, hypokalemia and hyperglycemia. Metabolic acidosis. EEG: compatible with electrocerebral silence, no evidence of cortical activity. Blood culture positive for gram positive cocci.
CDC 'Split Type': USWYEH04198908

Write-up: Information regarding PREVNAR was received from a physician regarding a female patient who received the fourth dose on 05-May-2008 at 12 months of age and experienced neurogenic septic shock, neurogenic respiratory failure, brain dead, pneumococcal bacteria in blood, vaccine failure and pneumococcal meningitis at 13 months of age. On 11-May-2008, the patient was admitted to the intensive care unit brain dead and in neurogenic respiratory failure. Laboratory results revealed pneumococcal bacteria in blood and a large amount of pneumococcal bacteria that grew in less than eight hours in CSF culture, which led to the additional diagnosis of pneumococcal meningitis. Serotype testing was not performed. An antimicrobial susceptibility test was unremarkable. The physician felt "like this is a vaccine failure". The patient also developed neurogenic septic shock. Treatment included ROCEPHIN and VANCOMYCIN. On 12-May-2008, the patient died. The cause of death were reported as meningitis pneumococcal, respiratory failure, septic shock, vaccination failure, brain death and pneumococcal sepsis. No additional information was available at the time of this report. 6/3/08-records received for DOS 5/11-5/13/08-Date of Death 5/13/08. Final DX: Meningitis secondary to Streptococcus pneumoniae. Gram-positive coccal bacteremia. Admission neurologic examination consistent with brain death, subsequently confirmed. Brain death confirmed by repeat examination and confirmatory tests through course of hospitalization. Admitted via emergency room previously well child until 3/10/08, warm to touch temperature 101, listless and febrile with temperature as high as 104.4. Vomited. Became limp, feet cold, apneic. CPR initiated at home. Cyanotic. Pupils dilated and nonreactive. GCS 3. Heart rate 170 but not palpable pulses. No spontaneous respirations. Intubation, mechanical ventilation.


Changed on 10/14/2018

VAERS ID: 314292 Before After
VAERS Form:1
Age:1.1
Sex:Female
Location:Unknown
Vaccinated:2008-05-05
Onset:2008-05-11
Submitted:2008-05-29
Entered:2008-05-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH C57543 / 4 UN / UN

Administered by: Private      Purchased by: Other
Symptoms: Antimicrobial susceptibility test, Blood culture positive, CSF culture positive, Culture urine positive, Death, Intensive care, Respiratory failure, Septic shock, Vaccination failure, Brain death, Pneumococcal bacteraemia

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2008-05-13
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? Yes, days: 2     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Concomitant medications were not reported.
Current Illness: Unknown
Preexisting Conditions: The patient had no notable medical history. The child went to daycare. 6/3/08-records received-PMH: Roseola at age 7 months. weight loss.
Allergies:
Diagnostic Lab Data: Antimicrobial susceptibility test (results: unremarkable) was done in May-2008. On 11-May-2008 test results were: culture urine (results: pneumococcal bacteria); CSF culture (results: grew large amount of pneumococcal bacteria in less than eight hours); and blood culture (results: pneumococcal bacteria). 6/3/08-records received-NM brain-no scintigraphic evidence of intracranial flow. CSF milky appearance. Gram stain many gram-positive coccobacilli. Protein 1020. WBC 73 and RBC 103. C-reactive protein 13.9. Hypothermic, hypocalcemia, hypokalemia and hyperglycemia. Metabolic acidosis. EEG: compatible with electrocerebral silence, no evidence of cortical activity. Blood culture positive for gram positive cocci.
CDC 'Split Type': USWYEH04198908

Write-up: Information regarding PREVNAR was received from a physician regarding a female patient who received the fourth dose on 05-May-2008 at 12 months of age and experienced neurogenic septic shock, neurogenic respiratory failure, brain dead, pneumococcal bacteria in blood, vaccine failure and pneumococcal meningitis at 13 months of age. On 11-May-2008, the patient was admitted to the intensive care unit brain dead and in neurogenic respiratory failure. Laboratory results revealed pneumococcal bacteria in blood and a large amount of pneumococcal bacteria that grew in less than eight hours in CSF culture, which led to the additional diagnosis of pneumococcal meningitis. Serotype testing was not performed. An antimicrobial susceptibility test was unremarkable. The physician felt "like this is a vaccine failure". The patient also developed neurogenic septic shock. Treatment included ROCEPHIN and VANCOMYCIN. On 12-May-2008, the patient died. The cause of death were reported as meningitis pneumococcal, respiratory failure, septic shock, vaccination failure, brain death and pneumococcal sepsis. No additional information was available at the time of this report. 6/3/08-records received for DOS 5/11-5/13/08-Date of Death 5/13/08. Final DX: Meningitis secondary to Streptococcus pneumoniae. Gram-positive coccal bacteremia. Admission neurologic examination consistent with brain death, subsequently confirmed. Brain death confirmed by repeat examination and confirmatory tests through course of hospitalization. Admitted via emergency room previously well child until 3/10/08, warm to touch temperature 101, listless and febrile with temperature as high as 104.4. Vomited. Became limp, feet cold, apneic. CPR initiated at home. Cyanotic. Pupils dilated and nonreactive. GCS 3. Heart rate 170 but not palpable pulses. No spontaneous respirations. Intubation, mechanical ventilation.


Changed on 12/24/2020

VAERS ID: 314292 Before After
VAERS Form:1
Age:1.1
Sex:Female
Location:Unknown
Vaccinated:2008-05-05
Onset:2008-05-11
Submitted:2008-05-29
Entered:2008-05-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH C57543 / 4 UN / UN

Administered by: Private      Purchased by: Other
Symptoms: Antimicrobial susceptibility test, Blood culture positive, CSF culture positive, Culture urine positive, Death, Intensive care, Respiratory failure, Septic shock, Vaccination failure, Brain death, Pneumococcal bacteraemia

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2008-05-13
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? Yes, days: 2     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Concomitant medications were not reported.
Current Illness: Unknown
Preexisting Conditions: The patient had no notable medical history. The child went to daycare. 6/3/08-records received-PMH: Roseola at age 7 months. weight loss.
Allergies:
Diagnostic Lab Data: Antimicrobial susceptibility test (results: unremarkable) was done in May-2008. On 11-May-2008 test results were: culture urine (results: pneumococcal bacteria); CSF culture (results: grew large amount of pneumococcal bacteria in less than eight hours); and blood culture (results: pneumococcal bacteria). 6/3/08-records received-NM brain-no scintigraphic evidence of intracranial flow. CSF milky appearance. Gram stain many gram-positive coccobacilli. Protein 1020. WBC 73 and RBC 103. C-reactive protein 13.9. Hypothermic, hypocalcemia, hypokalemia and hyperglycemia. Metabolic acidosis. EEG: compatible with electrocerebral silence, no evidence of cortical activity. Blood culture positive for gram positive cocci.
CDC 'Split Type': USWYEH04198908

Write-up: Information regarding PREVNAR was received from a physician regarding a female patient who received the fourth dose on 05-May-2008 at 12 months of age and experienced neurogenic septic shock, neurogenic respiratory failure, brain dead, pneumococcal bacteria in blood, vaccine failure and pneumococcal meningitis at 13 months of age. On 11-May-2008, the patient was admitted to the intensive care unit brain dead and in neurogenic respiratory failure. Laboratory results revealed pneumococcal bacteria in blood and a large amount of pneumococcal bacteria that grew in less than eight hours in CSF culture, which led to the additional diagnosis of pneumococcal meningitis. Serotype testing was not performed. An antimicrobial susceptibility test was unremarkable. The physician felt "like this is a vaccine failure". The patient also developed neurogenic septic shock. Treatment included ROCEPHIN and VANCOMYCIN. On 12-May-2008, the patient died. The cause of death were reported as meningitis pneumococcal, respiratory failure, septic shock, vaccination failure, brain death and pneumococcal sepsis. No additional information was available at the time of this report. 6/3/08-records received for DOS 5/11-5/13/08-Date of Death 5/13/08. Final DX: Meningitis secondary to Streptococcus pneumoniae. Gram-positive coccal bacteremia. Admission neurologic examination consistent with brain death, subsequently confirmed. Brain death confirmed by repeat examination and confirmatory tests through course of hospitalization. Admitted via emergency room previously well child until 3/10/08, warm to touch temperature 101, listless and febrile with temperature as high as 104.4. Vomited. Became limp, feet cold, apneic. CPR initiated at home. Cyanotic. Pupils dilated and nonreactive. GCS 3. Heart rate 170 but not palpable pulses. No spontaneous respirations. Intubation, mechanical ventilation.


Changed on 12/30/2020

VAERS ID: 314292 Before After
VAERS Form:1
Age:1.1
Sex:Female
Location:Unknown
Vaccinated:2008-05-05
Onset:2008-05-11
Submitted:2008-05-29
Entered:2008-05-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH C57543 / 4 UN / UN

Administered by: Private      Purchased by: Other
Symptoms: Antimicrobial susceptibility test, Blood culture positive, CSF culture positive, Culture urine positive, Death, Intensive care, Respiratory failure, Septic shock, Vaccination failure, Brain death, Pneumococcal bacteraemia

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2008-05-13
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? Yes, days: 2     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Concomitant medications were not reported.
Current Illness: Unknown
Preexisting Conditions: The patient had no notable medical history. The child went to daycare. 6/3/08-records received-PMH: Roseola at age 7 months. weight loss.
Allergies:
Diagnostic Lab Data: Antimicrobial susceptibility test (results: unremarkable) was done in May-2008. On 11-May-2008 test results were: culture urine (results: pneumococcal bacteria); CSF culture (results: grew large amount of pneumococcal bacteria in less than eight hours); and blood culture (results: pneumococcal bacteria). 6/3/08-records received-NM brain-no scintigraphic evidence of intracranial flow. CSF milky appearance. Gram stain many gram-positive coccobacilli. Protein 1020. WBC 73 and RBC 103. C-reactive protein 13.9. Hypothermic, hypocalcemia, hypokalemia and hyperglycemia. Metabolic acidosis. EEG: compatible with electrocerebral silence, no evidence of cortical activity. Blood culture positive for gram positive cocci.
CDC 'Split Type': USWYEH04198908

Write-up: Information regarding PREVNAR was received from a physician regarding a female patient who received the fourth dose on 05-May-2008 at 12 months of age and experienced neurogenic septic shock, neurogenic respiratory failure, brain dead, pneumococcal bacteria in blood, vaccine failure and pneumococcal meningitis at 13 months of age. On 11-May-2008, the patient was admitted to the intensive care unit brain dead and in neurogenic respiratory failure. Laboratory results revealed pneumococcal bacteria in blood and a large amount of pneumococcal bacteria that grew in less than eight hours in CSF culture, which led to the additional diagnosis of pneumococcal meningitis. Serotype testing was not performed. An antimicrobial susceptibility test was unremarkable. The physician felt "like this is a vaccine failure". The patient also developed neurogenic septic shock. Treatment included ROCEPHIN and VANCOMYCIN. On 12-May-2008, the patient died. The cause of death were reported as meningitis pneumococcal, respiratory failure, septic shock, vaccination failure, brain death and pneumococcal sepsis. No additional information was available at the time of this report. 6/3/08-records received for DOS 5/11-5/13/08-Date of Death 5/13/08. Final DX: Meningitis secondary to Streptococcus pneumoniae. Gram-positive coccal bacteremia. Admission neurologic examination consistent with brain death, subsequently confirmed. Brain death confirmed by repeat examination and confirmatory tests through course of hospitalization. Admitted via emergency room previously well child until 3/10/08, warm to touch temperature 101, listless and febrile with temperature as high as 104.4. Vomited. Became limp, feet cold, apneic. CPR initiated at home. Cyanotic. Pupils dilated and nonreactive. GCS 3. Heart rate 170 but not palpable pulses. No spontaneous respirations. Intubation, mechanical ventilation.


Changed on 5/7/2021

VAERS ID: 314292 Before After
VAERS Form:1
Age:1.1
Sex:Female
Location:Unknown
Vaccinated:2008-05-05
Onset:2008-05-11
Submitted:2008-05-29
Entered:2008-05-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH C57543 / 4 UN / UN

Administered by: Private      Purchased by: Other
Symptoms: Antimicrobial susceptibility test, Blood culture positive, CSF culture positive, Culture urine positive, Death, Intensive care, Respiratory failure, Septic shock, Vaccination failure, Brain death, Pneumococcal bacteraemia

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2008-05-13
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? Yes, days: 2     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Concomitant medications were not reported.
Current Illness: Unknown
Preexisting Conditions: The patient had no notable medical history. The child went to daycare. 6/3/08-records received-PMH: Roseola at age 7 months. weight loss.
Allergies:
Diagnostic Lab Data: Antimicrobial susceptibility test (results: unremarkable) was done in May-2008. On 11-May-2008 test results were: culture urine (results: pneumococcal bacteria); CSF culture (results: grew large amount of pneumococcal bacteria in less than eight hours); and blood culture (results: pneumococcal bacteria). 6/3/08-records received-NM brain-no scintigraphic evidence of intracranial flow. CSF milky appearance. Gram stain many gram-positive coccobacilli. Protein 1020. WBC 73 and RBC 103. C-reactive protein 13.9. Hypothermic, hypocalcemia, hypokalemia and hyperglycemia. Metabolic acidosis. EEG: compatible with electrocerebral silence, no evidence of cortical activity. Blood culture positive for gram positive cocci.
CDC 'Split Type': USWYEH04198908

Write-up: Information regarding PREVNAR was received from a physician regarding a female patient who received the fourth dose on 05-May-2008 at 12 months of age and experienced neurogenic septic shock, neurogenic respiratory failure, brain dead, pneumococcal bacteria in blood, vaccine failure and pneumococcal meningitis at 13 months of age. On 11-May-2008, the patient was admitted to the intensive care unit brain dead and in neurogenic respiratory failure. Laboratory results revealed pneumococcal bacteria in blood and a large amount of pneumococcal bacteria that grew in less than eight hours in CSF culture, which led to the additional diagnosis of pneumococcal meningitis. Serotype testing was not performed. An antimicrobial susceptibility test was unremarkable. The physician felt "like this is a vaccine failure". The patient also developed neurogenic septic shock. Treatment included ROCEPHIN and VANCOMYCIN. On 12-May-2008, the patient died. The cause of death were reported as meningitis pneumococcal, respiratory failure, septic shock, vaccination failure, brain death and pneumococcal sepsis. No additional information was available at the time of this report. 6/3/08-records received for DOS 5/11-5/13/08-Date of Death 5/13/08. Final DX: Meningitis secondary to Streptococcus pneumoniae. Gram-positive coccal bacteremia. Admission neurologic examination consistent with brain death, subsequently confirmed. Brain death confirmed by repeat examination and confirmatory tests through course of hospitalization. Admitted via emergency room previously well child until 3/10/08, warm to touch temperature 101, listless and febrile with temperature as high as 104.4. Vomited. Became limp, feet cold, apneic. CPR initiated at home. Cyanotic. Pupils dilated and nonreactive. GCS 3. Heart rate 170 but not palpable pulses. No spontaneous respirations. Intubation, mechanical ventilation.


Changed on 5/14/2021

VAERS ID: 314292 Before After
VAERS Form:1
Age:1.1
Sex:Female
Location:Unknown
Vaccinated:2008-05-05
Onset:2008-05-11
Submitted:2008-05-29
Entered:2008-05-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH C57543 / 4 UN / UN

Administered by: Private      Purchased by: Other
Symptoms: Antimicrobial susceptibility test, Blood culture positive, CSF culture positive, Culture urine positive, Death, Intensive care, Respiratory failure, Septic shock, Vaccination failure, Brain death, Pneumococcal bacteraemia

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2008-05-13
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? Yes, days: 2     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Concomitant medications were not reported.
Current Illness: Unknown
Preexisting Conditions: The patient had no notable medical history. The child went to daycare. 6/3/08-records received-PMH: Roseola at age 7 months. weight loss.
Allergies:
Diagnostic Lab Data: Antimicrobial susceptibility test (results: unremarkable) was done in May-2008. On 11-May-2008 test results were: culture urine (results: pneumococcal bacteria); CSF culture (results: grew large amount of pneumococcal bacteria in less than eight hours); and blood culture (results: pneumococcal bacteria). 6/3/08-records received-NM brain-no scintigraphic evidence of intracranial flow. CSF milky appearance. Gram stain many gram-positive coccobacilli. Protein 1020. WBC 73 and RBC 103. C-reactive protein 13.9. Hypothermic, hypocalcemia, hypokalemia and hyperglycemia. Metabolic acidosis. EEG: compatible with electrocerebral silence, no evidence of cortical activity. Blood culture positive for gram positive cocci.
CDC 'Split Type': USWYEH04198908

Write-up: Information regarding PREVNAR was received from a physician regarding a female patient who received the fourth dose on 05-May-2008 at 12 months of age and experienced neurogenic septic shock, neurogenic respiratory failure, brain dead, pneumococcal bacteria in blood, vaccine failure and pneumococcal meningitis at 13 months of age. On 11-May-2008, the patient was admitted to the intensive care unit brain dead and in neurogenic respiratory failure. Laboratory results revealed pneumococcal bacteria in blood and a large amount of pneumococcal bacteria that grew in less than eight hours in CSF culture, which led to the additional diagnosis of pneumococcal meningitis. Serotype testing was not performed. An antimicrobial susceptibility test was unremarkable. The physician felt "like this is a vaccine failure". The patient also developed neurogenic septic shock. Treatment included ROCEPHIN and VANCOMYCIN. On 12-May-2008, the patient died. The cause of death were reported as meningitis pneumococcal, respiratory failure, septic shock, vaccination failure, brain death and pneumococcal sepsis. No additional information was available at the time of this report. 6/3/08-records received for DOS 5/11-5/13/08-Date of Death 5/13/08. Final DX: Meningitis secondary to Streptococcus pneumoniae. Gram-positive coccal bacteremia. Admission neurologic examination consistent with brain death, subsequently confirmed. Brain death confirmed by repeat examination and confirmatory tests through course of hospitalization. Admitted via emergency room previously well child until 3/10/08, warm to touch temperature 101, listless and febrile with temperature as high as 104.4. Vomited. Became limp, feet cold, apneic. CPR initiated at home. Cyanotic. Pupils dilated and nonreactive. GCS 3. Heart rate 170 but not palpable pulses. No spontaneous respirations. Intubation, mechanical ventilation.

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