Vaer Report Details
Age: 0
Gender: Male
State: Outside US
- Patient Died?
- No
- Vaccine information
-
Name: MENINGOCOCCAL (NO BRAND NAME)
Type: Meningococcal polysaccharide vaccine
Manufacturer: UNKNOWN
Lot: abxb81da
- Date report was received
- 2022-03-04
- Date form completed
- Date Vaccinated
- 2021-08-03
- Date of Onset
- 0
- Number of days (onset date – vaccination date)
- 0
- Adverse Event Description
-
fever 37.5 after 6/12 hours, irritability and nervousness day 1; fever 37.5 after 6/12 hours, irritability and nervousness day 1; fever 37.5 after 6/12 hours, irritability and nervousness day 1; this case was reported by a physician via regulatory authority and described the occurrence of fever in a 3-month-old male patient who received men b nvs (bexsero) (batch number abxb81da, expiry date unknown) for prophylaxis. co-suspect products included meningococcal b recom vaccine + aloh + omv pre-filled syringe device (meningococcal b vaccine pre-filled syringe device) injection syringe for prophylaxis. on 3rd august 2021, the patient received bexsero (intramuscular) .5 ml and meningococcal b vaccine pre-filled syringe device. on 3rd august 2021, less than a day after receiving bexsero and meningococcal b vaccine pre-filled syringe device, the patient experienced fever (serious criteria other: serious as per reporter), irritability (serious criteria other: serious as per reporter) and nervousness (serious criteria other: serious as per reporter). on 5th august 2021, the outcome of the fever, irritability and nervousness were recovered/resolved. it was unknown if the reporter considered the fever, irritability and nervousness to be related to bexsero and meningococcal b vaccine pre-filled syringe device. this report is made by without prejudice and does not imply any admission or liability for the incident or its consequences. additional details were reported as follows: on 3rd august 2021, the patient's body temperature was 37.5 degrees celsius the duration of event fever, irritability and nervousness was reported as 2 days. initial information received from physician via regulatory authority on 28th february 2022: fever 37.5 after 6/12 hours, irritability and nervousness day 1
- Lab Data
-
test date: 20210803; test name: body temperature; result unstructured data: (test result:37.5,unit:degree c,normal low:,normal high:)
- List of symptoms
-
nervousness irritability pyrexia
- Patient Died?
- No
- Date Died
- NA
- Birth defect
- false
- Vaccine Administered By:
- Unknown
- Vaccine Purchased By:
- Unknown
- Patient visit ER?
- No
- Patient Hospitalized?
- No
- Stay in hospital
- No
- Days in hospital
- Unspecified
- Permanent disability?
- No
- Allergies:
-
na
- Current Illness
-
na