National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 485762

Case Details

VAERS ID: 485762 (history)  
Form: Version 1.0  
Sex: Unknown  
Location: Unknown  
Submitted: 2013-02-26
Entered: 2013-02-28
   Days after submission:2
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Other       Purchased by: Other
Symptoms: Death, Meningitis, Pneumonia streptococcal
SMQs:, Noninfectious meningitis (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (narrow), Opportunistic infections (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2013-02-01
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: No other medications
Current Illness: Unknown
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: 2013066299

Write-up: This is a spontaneous report from a contactable physician through Pfizer Vaccine Representative. This physician reported for a 8 year old (unknown gender) patient who received a dose of PREVNAR 13 on unknown date. Relevant medical history and concomitant medication were unknown. It was reported that on an unknown date the patient had streptococcus pneumonia and meningitis. Therapeutic measures taken, if any, were unknown. The patient had not recovered from the reported events and passed away on an unknown date in Feb2013 due to streptococcus pneumonia and meningitis. At the time of reporting, it was unknown if autopsy was performed.

New Search

Link To This Search Result:

Copyright © 2020 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166