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Reported Meningococcal Vaccine Adverse Events

A Random Sampling of Reports to the FDA's Vaccine Adverse Event Reporting System
(these were compiled with the help of http://www.fedbuzz.com/vaccine/vac.html

[PROVE NOTE: This information is now available to the public online at www.vaers.org]   


 

 View the VAERS glossary here to see commonly used abbreviations.

VAERS ID 127406
State MA
Vaccine Type MEN
Vaccination Name MENOMUNE A/C/Y/W
Manufacturer CONNAUGHT LABS
Age in Years 53
Adverse Event Onset Date 7/18/99
Sex F
Reported Text p/vax pt devel large area on arm 12'' long x 4" wide, raised bumpy, red, hot, itchy; tx: prednisone; lasting 5 to 8 weeks;
Pre-exisiting conditions food allergies (fish, cottonseed oil), soy extractin
Other Medications premarin; provera; clonozapaim; vitamins; calcium
Life Threating Illness Y
Recovered N

 

VAERS ID 109625
State RI
Vaccine Type MEN
Vaccination Name MENOMUNE A/C/Y/W
Manufacturer CONNAUGHT LABS
Age in Years 16
Adverse Event Onset Date 3/13/98
Reported Text h/a, dizziness;

 

VAERS ID 105941
State TN
Vaccine Type MEN
Vaccination Name MENOMUNE A/C/Y/W
Manufacturer CONNAUGHT LABS
Age in Years 23
Adverse Event Onset Date 11/14/97
Sex F
Reported Text pt recv vax 13NOV97 & began to feel sick on 14NOV97 could not keep down any food or water;pt to MD blood work done told infect count was high;tx w/fluids;severe stomach cramps & vomiting;poss virus or intestinal obstruction;
Other Medications oral contraceptives
Recovered Y
Hospitalized Y

 

VAERS ID 109633
State RI
Vaccine Type MEN
Vaccination Name MENOMUNE A/C/Y/W
Manufacturer CONNAUGHT LABS
Age in Years 14
Adverse Event Onset Date 3/13/98
Sex F
Reported Text cold, shaking;P88, BP 128/90;
Pre-exisiting conditions PCN, amoxicillin
Recovered Y

 

VAERS ID 109632
State RI
Vaccine Type MEN
Vaccination Name MENOMUNE A/C/Y/W
Manufacturer CONNAUGHT LABS
Age in Years 7
Sex F
Reported Text rash on hands, ears, face;02 sate 100%, P105, BP 110/80, R18; LS clear;T98.7;

 

VAERS ID 109631
State RI
Vaccine Type MEN
Vaccination Name MENOMUNE A/C/Y/W
Manufacturer CONNAUGHT LABS
Age in Years 17
Sex F
Reported Text pt stated that was feeling dizzy but feels better now;02 sat 98%, P120, BP 140/82, RR 16;
Pre-exisiting conditions asthma-deaf in rt ear

 

VAERS ID 109630
State RI
Vaccine Type MEN
Vaccination Name MENOMUNE A/C/Y/W
Manufacturer CONNAUGHT LABS
Age in Years 7
Adverse Event Onset Date 3/12/98
Sex M
Reported Text feels nauseous, weak, dizzy;vs HR 110;SP02 97%;
Recovered Y

 

VAERS ID 109629
State RI
Vaccine Type MEN
Vaccination Name MENOMUNE A/C/Y/W
Manufacturer CONNAUGHT LABS
Age in Years 10
Adverse Event Onset Date 3/12/98
Sex M
Reported Text localized rash w/warm area around rash;
Recovered Y

 

VAERS ID 109628
State RI
Vaccine Type MEN
Vaccination Name MENOMUNE A/C/Y/W
Manufacturer CONNAUGHT LABS
Age in Years 9
Adverse Event Onset Date 3/12/98
Sex F
Reported Text blurred vision, nausea, diaphoretic, ringing in ears;
Recovered Y

 

VAERS ID 109635
State RI
Vaccine Type MEN
Vaccination Name MENOMUNE A/C/Y/W
Manufacturer CONNAUGHT LABS
Age in Years 17
Adverse Event Onset Date 3/13/98
Sex M
Reported Text upset stomach;dizzy;
Recovered Y

 

VAERS ID 109626
State RI
Vaccine Type MEN
Vaccination Name MENOMUNE A/C/Y/W
Manufacturer CONNAUGHT LABS
Age in Years 16
Adverse Event Onset Date 3/13/98
Sex F
Reported Text warm, h/a, dizzy, nausea, tightness in throat;BP 110/78, P80;

 

VAERS ID 109624
State RI
Vaccine Type MEN
Vaccination Name MENOMUNE A/C/Y/W
Manufacturer CONNAUGHT LABS
Age in Years 16
Adverse Event Onset Date 3/13/98
Sex F
Reported Text dizzy, nausea, tenderness in area of shot;no redness;no swelling;
Recovered Y

 

VAERS ID 109623
State RI
Vaccine Type MEN
Vaccination Name MENOMUNE A/C/Y/W
Manufacturer CONNAUGHT LABS
Age in Years 15
Sex M
Reported Text lt arm pain;no swelling;no redness;
Recovered Y

 

VAERS ID 109622
State RI
Vaccine Type MEN
Vaccination Name MENOMUNE A/C/Y/W
Manufacturer CONNAUGHT LABS
Age in Years 10
Adverse Event Onset Date 3/12/98
Sex F
Reported Text headache
Recovered Y

 

VAERS ID 109621
State RI
Vaccine Type MEN
Vaccination Name MENOMUNE A/C/Y/W
Manufacturer CONNAUGHT LABS
Age in Years 7
Adverse Event Onset Date 2/26/98
Sex M
Lab Data strep cult negative
Reported Text pt recv vax 25FEB98 & 26FEB98 T100;28FEB98 irritable;1MAR98 T101, hive like rash on face rt leg;patch dry skin;n/v x 2 followed by passed out x 2sec-fell to the floor brought to ER;vomited x 1;dx virus or rxn to vax;hives;c/o sore throat;
Recovered Y

 

VAERS ID 109620
State RI
Vaccine Type MEN
Vaccination Name MENOMUNE A/C/Y/W
Manufacturer CONNAUGHT LABS
Age in Years 15
Adverse Event Onset Date 3/11/98
Reported Text afeb;both hands very swollen-pitting edema;
Recovered Y

 

VAERS ID 109619
State RI
Vaccine Type MEN
Vaccination Name MENOMUNE A/C/Y/W
Manufacturer CONNAUGHT LABS
Age in Years 10
Adverse Event Onset Date 3/12/98
Sex F
Reported Text syncopal, sz like activity, pallor, P64, BP 110/70 supine;SP02 98%, BP 118/78 fowler;
Recovered Y

 

VAERS ID 109618
State RI
Vaccine Type MEN
Vaccination Name MENOMUNE A/C/Y/W
Manufacturer CONNAUGHT LABS
Age in Years 9
Adverse Event Onset Date 3/12/98
Reported Text lt eye twitching immed p/vax-body also exhibiting twitching 1-2min;no other s/sx;
Pre-exisiting conditions eczema

 

VAERS ID 109627
State RI
Vaccine Type MEN
Vaccination Name MENOMUNE A/C/Y/W
Manufacturer CONNAUGHT LABS
Age in Years 17
Adverse Event Onset Date 3/13/98
Sex M
Reported Text pale, dizziness;nervousness w/every shot;
Pre-exisiting conditions nervous w/every sht, per box 7;
Recovered Y

 

VAERS ID 109646
State RI
Vaccine Type MEN
Vaccination Name MENOMUNE A/C/Y/W
Manufacturer CONNAUGHT LABS
Age in Years 8
Adverse Event Onset Date 3/2/98
Sex M
Reported Text pt recv vax 25FEB98 & 28MAR hives all over body neck-knees rx @ hosp w/DPH;2MAR inc in hives;3MAR dec in hives;
Recovered Y

 

VAERS ID 110877
State RI
Vaccine Type MEN
Vaccination Name MENOMUNE A/C/Y/W
Manufacturer CONNAUGHT LABS
Age in Years 9
Adverse Event Onset Date 4/15/98
Sex M
Reported Text tingling of arms & legs & diff walking;progressively worsening symmetric paresthesia, began distally & moved peripherally over 2wk;pt adm rx of GBS;
Recovered Y
Hospitalized Y

 

VAERS ID 110861
State TX
Vaccine Type MEN
Vaccination Name MENOMUNE A/C/Y/W
Manufacturer CONNAUGHT LABS
Age in Years 18
Adverse Event Onset Date 5/9/98
Sex F
Reported Text eyes swollen on 9MAY98 in AM-went to clinic & given DPH & told not to finish hep b series;later lips became swollen;swelling dec 19MAY98;again took DPH 11MAY98 swelling dec but still present;
Pre-exisiting conditions allergic to amoxicillin

 

VAERS ID 110821
State NY
Vaccine Type MEN
Vaccination Name MENOMUNE A/C/Y/W
Manufacturer CONNAUGHT LABS
Age in Years 29
Adverse Event Onset Date 4/24/98
Sex F
Reported Text extreme dizziness, nauseous, diarrhea for three days;bedridden for 48hr;uncontrollable diarrhea & stomach cramps, 101 fever;
Recovered Y

 

VAERS ID 110620
State MI
Vaccine Type MEN
Vaccination Name MENOMUNE A/C/Y/W
Manufacturer CONNAUGHT LABS
Age in Years 37
Adverse Event Onset Date 3/20/98
Sex M
Lab Data rabies titer 9APR98
Reported Text pt recv vax 20MAR98 & exp nausea, aching in muscles, discomfort, h/a;
Other Medications oral typhoid x 4;
Recovered Y

 

VAERS ID 110514
State FR
Vaccine Type MEN
Vaccination Name MENOMUNE A/C/Y/W
Manufacturer CONNAUGHT LABS
Age in Years 8
Adverse Event Onset Date 1/5/98
Sex M
Lab Data ophthalmoscopy-nl
Reported Text pt recv vax 4JAN98 & 5JAN98 exp loss of partial motor control of rt eye & seeing double;seen by optometrist;referred to peds who advised not vax related;seen by neuro ophthalmologist who dx encephalopathy r/t vax;
Recovered N

 

VAERS ID 109882
State CA
Vaccine Type MEN
Vaccination Name MENOMUNE A/C/Y/W
Manufacturer CONNAUGHT LABS
Age in Years 72
Adverse Event Onset Date 4/11/98
Sex F
Reported Text pt recv vax & awoke w/diarrhea (severe) & odd sensation about skin (like mild rug burn);also irritability by clothing;no rash/hives noted;sx alleviated the next day;
Pre-exisiting conditions eggs, flu vax, PCN, sulfa, strawberries, bivalves (only camphor menthol, codeine ibuporphen
Other Medications Diazide @ multvit;Claritin PRN
Recovered U

 

VAERS ID 109841
State RI
Vaccine Type MEN
Vaccination Name MENOMUNE A/C/Y/W
Manufacturer CONNAUGHT LABS
Age in Years 9
Adverse Event Onset Date 3/13/98
Sex F
Lab Data throat cult, blood tests, CXR all negative;
Reported Text throat swollen, v, 103 fever started w/in 2hr of vax;swollen throat & vomiting for 5 days then just vomiting for 2 more;Gatorade or juice p/ day 5;throat practically closed because of the swelling & fever was down to 102;throat infect;
Pre-exisiting conditions spinal muscular atrophy II-MDA
Recovered Y

 

VAERS ID 109634
State RI
Vaccine Type MEN
Vaccination Name MENOMUNE A/C/Y/W
Manufacturer CONNAUGHT LABS
Age in Years 16
Adverse Event Onset Date 3/13/98
Sex M
Reported Text dizzy;tingling feeling all over;h/a;P56;BP 120/80;
Pre-exisiting conditions MVP;mitral valve prolapse

 

VAERS ID 109647
State RI
Vaccine Type MEN
Vaccination Name MENOMUNE A/C/Y/W
Manufacturer CONNAUGHT LABS
Age in Years 10
Adverse Event Onset Date 3/21/98
Sex M
Reported Text local erythema w/vesicular lesion around the site of inj of varivax;
Recovered Y

 

VAERS ID 109615
State RI
Vaccine Type MEN
Vaccination Name MENOMUNE A/C/Y/W
Manufacturer CONNAUGHT LABS
Age in Years 10
Adverse Event Onset Date 3/9/98
Sex F
Reported Text pt recv vax 9AM & 2PM dec appetite, fatigue, aches, slept 2PM-6Pm-T101 mom rx APAP-n/v;8MAR no complaints-played sports;
Pre-exisiting conditions asthma
Recovered N

 

VAERS ID 109645
State RI
Vaccine Type MEN
Vaccination Name MENOMUNE A/C/Y/W
Manufacturer CONNAUGHT LABS
Age in Years 3
Adverse Event Onset Date 3/20/98
Sex F
Reported Text pt devel tremors rt arm-diarrhea c/o stomachache-temp 99-incontinent of urine;

 

VAERS ID 109643
State RI
Vaccine Type MEN
Vaccination Name MENOMUNE A/C/Y/W
Manufacturer CONNAUGHT LABS
Age in Years 2
Adverse Event Onset Date 3/27/98
Sex M
Reported Text 27MAR98 febrile seizure in PM-ER visit;30MAR98 PCP visit-roseola rash;
Recovered Y

 

VAERS ID 109640
State RI
Vaccine Type MEN
Vaccination Name MENOMUNE A/C/Y/W
Manufacturer CONNAUGHT LABS
Age in Years 15
Adverse Event Onset Date 3/13/98
Sex M
Reported Text pain in U/L/Q;dizziness;P72;
Pre-exisiting conditions NKA
Recovered Y

 

VAERS ID 109639
State RI
Vaccine Type MEN
Vaccination Name MENOMUNE A/C/Y/W
Manufacturer CONNAUGHT LABS
Age in Years 14
Adverse Event Onset Date 3/7/98
Sex F
Reported Text devel itch w/wheal-afeb-over body;2hr later had a itch w/hives;rx w/pred;
Pre-exisiting conditions asthma
Other Medications albuterol inhaler
Recovered Y

 

VAERS ID 109638
State RI
Vaccine Type MEN
Vaccination Name MENOMUNE A/C/Y/W
Manufacturer CONNAUGHT LABS
Age in Years 8
Adverse Event Onset Date 2/26/98
Sex F
Reported Text hives, improved w/DPH no mucous membrane involvement noted;
Pre-exisiting conditions asthma

 

VAERS ID 109637
Vaccine Type MEN
Vaccination Name MENOMUNE A/C/Y/W
Manufacturer CONNAUGHT LABS
Age in Years 8
Adverse Event Onset Date 3/14/98
Sex F
Reported Text dizziness;
Recovered Y

 

VAERS ID 109636
State RI
Vaccine Type MEN
Vaccination Name MENOMUNE A/C/Y/W
Manufacturer CONNAUGHT LABS
Age in Years 79
Adverse Event Onset Date 3/13/98
Sex F
Reported Text dizzy, warm, BP 145/72;T97, P104 12:03, P80 12:13;
Pre-exisiting conditions asthma-induced by exercise
Other Medications birth control

 

VAERS ID 109773
State RI
Vaccine Type MEN
Vaccination Name MENOMUNE A/C/Y/W
Manufacturer CONNAUGHT LABS
Age in Years 6
Adverse Event Onset Date 3/16/98
Sex M
Reported Text pt w/fever 103, nausea/vomiting x 24hr;sore arm;
Pre-exisiting conditions NKDA;hx VSD, ASD since birth
Recovered Y

 

VAERS ID 107348
State MA
Vaccine Type MEN
Vaccination Name MENOMUNE A/C/Y/W
Manufacturer CONNAUGHT LABS
Age in Years 48
Adverse Event Onset Date 4/7/97
Sex F
Reported Text pt recv vax 7APR97 & that same day pt exp a severe cellulitis of the entire arm where administered;
Recovered Y

 

VAERS ID 108711
State RI
Vaccine Type MEN
Vaccination Name MENOMUNE A/C/Y/W
Manufacturer CONNAUGHT LABS
Age in Years 13
Adverse Event Onset Date 3/9/98
Sex F
Reported Text large local rxn consisting of a 2x2 in area of erythema & induration around vax site w/an extending 1x12inch strip which extended to wrist;no fever;
Other Medications PDH;Motrin for rxn
Recovered U

 

VAERS ID 108691
State NC
Vaccine Type MEN
Vaccination Name MENOMUNE A/C/Y/W
Manufacturer CONNAUGHT LABS
Age in Years 88
Adverse Event Onset Date 12/1/97
Sex M
Reported Text spillane-Parsonage-Turner synd w/brachial plexopathy;pt states onset was DEC97 & gradual lt arm weakness;

 

VAERS ID 108686
State ID
Vaccine Type MEN
Vaccination Name MENOMUNE A/C/Y/W
Manufacturer CONNAUGHT LABS
Age in Years 29
Adverse Event Onset Date 2/20/98
Sex F
Reported Text pt recv vax 3FEB98 & c/o sx of swollen wrist, one hand on 20FEB97 w/other wrist & both knees swelling on 22FEB98;c/o soreness @ swollen site & hard to bend down;applied ice to swollen areas & kept legs elevated;
Pre-exisiting conditions AKA-PCN
Recovered U

 

VAERS ID 108551
State IL
Vaccine Type MEN
Vaccination Name MENOMUNE A/C/Y/W
Manufacturer CONNAUGHT LABS
Age in Years 43
Adverse Event Onset Date 10/5/97
Sex F
Reported Text pt recv vax 25SEP97 & pt exp alopecia & hair is falling out inclumps;pt alopecia persisted;
Pre-exisiting conditions irritable bowel
Recovered U

 

VAERS ID 108136
State CA
Vaccine Type MEN
Vaccination Name MENOMUNE A/C/Y/W
Manufacturer CONNAUGHT LABS
Age in Years 25
Adverse Event Onset Date 3/1/98
Reported Text pt recv vax 12FEB98 & c/o some stomach cramping while taking oral typhoid on 1MAR98 hives started on knees & progressed over entire body could feel them in throat;denies other sx;highest temp 99;
Pre-exisiting conditions erythromycin
Other Medications Desogen

 

VAERS ID 108121
State RI
Vaccine Type MEN
Vaccination Name MENOMUNE A/C/Y/W
Manufacturer CONNAUGHT LABS
Age in Years 8
Adverse Event Onset Date 2/27/98
Sex F
Lab Data sed rate 30;
Reported Text pt recv vax 27FEB98 @ 4PM lt arm & @ 6PM devel t99.8;28FEB98 induration around inj site;sore throat;h/a (frontal);seen in ER;1MAR cellulitis;pt hosp;
Recovered Y
Hospitalized Y

 

VAERS ID 109617
State RI
Vaccine Type MEN
Vaccination Name MENOMUNE A/C/Y/W
Manufacturer CONNAUGHT LABS
Age in Years 17
Adverse Event Onset Date 3/11/98
Sex F
Reported Text n/v-febrile;
Other Medications Auitine
Recovered N

 

VAERS ID 107349
State FR
Vaccine Type MEN
Vaccination Name MENOMUNE A/C/Y/W
Manufacturer CONNAUGHT LABS
Adverse Event Onset Date 3/18/97
Sex F
Reported Text pt recv vax 18MAR97 & it was reported that 4 to 6 hr post vax pt exp swelling & pain @ the inj site;the next day 19MAR there was more swelling & redness (5x10cm) @ the site;pt also exp a fever of 38.4 to 38.6C;tx w/ice, DPH & Ancien;
Recovered Y

 

VAERS ID 108806
State RI
Vaccine Type MEN
Vaccination Name UNK. MENINGOCOCCAL POLYSACCHARIDE
Manufacturer UNCLASSIFIED
Age in Years 9
Adverse Event Onset Date 3/18/98
Sex F
Reported Text pt woke @ 4AM w/T103 given juice & APAP-woke in morning w/low grade temp;
Other Medications TB test done
Recovered Y

 

VAERS ID 107249
State NC
Vaccine Type MEN
Vaccination Name MENOMUNE A/C/Y/W
Manufacturer CONNAUGHT LABS
Age in Years 36
Adverse Event Onset Date 1/29/98
Sex F
Reported Text rt arm ax lymph nodes tender 3 days p/vax;denies rash, fever, any other lymph node enlarged;
Other Medications Birth Control Pills;PPD by Connaught lot# 244111;
Recovered Y

 

VAERS ID 107086
State FR
Vaccine Type MEN
Vaccination Name MENOMUNE A/C/Y/W
Manufacturer CONNAUGHT LABS
Age in Years 18
Adverse Event Onset Date 12/26/97
Reported Text pt recv vax 22DEC97 & A case of invasive group C meningococcal disease has been reported;exp onset of illness on 26DEC97 cult confirmation is pending;pt hosp;
Died Y
Recovered N
Hospitalized Y

 

VAERS ID 106936
State OK
Vaccine Type MEN
Vaccination Name MENOMUNE A/C/Y/W
Manufacturer CONNAUGHT LABS
Age in Years 61
Adverse Event Onset Date 12/24/97
Sex M
Reported Text fever, chills, projectile vomiting, nausea, diarrhea x 48hr;adm to hosp;
Other Medications takes meds for stomach condition-unk type
Recovered Y
Hospitalized Y

 

VAERS ID 106355
State NC
Vaccine Type MEN
Vaccination Name MENOMUNE A/C/Y/W
Manufacturer CONNAUGHT LABS
Age in Years 27
Adverse Event Onset Date 12/16/97
Sex M
Reported Text pt sister states pt has sore, red & swollen rt arm;redness started evening of 16DEC which is the day pt recv vax;states area warm to touch & pt c/o soreness & not moving arm;not taking any anti-inflammatory meds ie APAP, advil, Ibuprofen;
Pre-exisiting conditions had spleenectomy 5yrs ago
Recovered U

 

VAERS ID 106290
State NJ
Vaccine Type MEN
Vaccination Name UNK. MENINGOCOCCAL POLYSACCHARIDE
Manufacturer UNCLASSIFIED
Age in Years 39
Adverse Event Onset Date 10/8/97
Sex F
Reported Text pt recv vax 8OCT97 & immed p/vax pt exp a large, red area @ the site of inj;pt recv cholera & Meningitis vax on 8OCT97;
Pre-exisiting conditions NKA
Recovered N

 

VAERS ID 106240
State CO
Vaccine Type MEN
Vaccination Name UNK. MENINGOCOCCAL POLYSACCHARIDE
Manufacturer UNCLASSIFIED
Age in Years 26
Adverse Event Onset Date 11/9/97
Sex F
Reported Text approx 2 days p/vax pt exp intermuscular pain there on for approx 8 more days;it was painful to lt arm d/t pain;
Pre-exisiting conditions allergies-PCN, pollen
Recovered Y

 

VAERS ID 106221
State NY
Vaccine Type MEN
Vaccination Name MENOMUNE A/C/Y/W
Manufacturer CONNAUGHT LABS
Age in Years 51
Adverse Event Onset Date 12/18/97
Sex F
Reported Text angioedema @ inj site on lt deltoid;erythema/edema involving 2/3 of deltoid in band-like distribution;
Pre-exisiting conditions NKDA
Other Medications Progesteron
Recovered Y

 

VAERS ID 107849
State ME
Vaccine Type MEN
Vaccination Name MENOMUNE A/C/Y/W
Manufacturer CONNAUGHT LABS
Age in Years 0
Adverse Event Onset Date 11/25/97
Sex F
Reported Text 5 days excessive somnolence;dec feeding;
Pre-exisiting conditions kidney disorder, lt hydro nephrosis
Recovered Y

 

VAERS ID 109605
State RI
Vaccine Type MEN
Vaccination Name MENOMUNE A/C/Y/W
Manufacturer CONNAUGHT LABS
Age in Years 7
Adverse Event Onset Date 3/12/98
Sex F
Reported Text temp 102.6, h/a, nausea, diarrhea, vomited x 3;
Pre-exisiting conditions environmental allergies-nephritis
Other Medications Albuterol

 

VAERS ID 112054
State SC
Vaccine Type MEN
Vaccination Name MENOMUNE A/C/Y/W
Manufacturer CONNAUGHT LABS
Age in Years 20
Adverse Event Onset Date 5/20/98
Sex M
Reported Text pt recv vax 19MAY98 & presented to treatment room on 20MAY 1PM w/ c/o swelling on rt upper arm-large amount of edema present w/redness;states redness began posterior aspect of arm where recv meningococcal vax;
Pre-exisiting conditions NKDA
Other Medications PPD by Parke Davis lot# 01418P given 19MAy98;
Recovered Y

 

VAERS ID 109614
State RI
Vaccine Type MEN
Vaccination Name MENOMUNE A/C/Y/W
Manufacturer CONNAUGHT LABS
Age in Years 15
Adverse Event Onset Date 3/10/98
Sex M
Reported Text 2min p/vax passed out mouth clenched shut x 1min-forehead warm to touch-hands cold-vision blurred-afeb;IV fluids given @ hosp;
Pre-exisiting conditions ?allergic to pollen
Recovered Y

 

VAERS ID 109613
State RI
Vaccine Type MEN
Vaccination Name MENOMUNE A/C/Y/W
Manufacturer CONNAUGHT LABS
Age in Years 15
Adverse Event Onset Date 3/10/98
Sex M
Reported Text 2-3min p/vax pt had rxn similar to twin sibling-passed out-to ER IV fluids;

 

VAERS ID 109612
State RI
Vaccine Type MEN
Vaccination Name MENOMUNE A/C/Y/W
Manufacturer CONNAUGHT LABS
Age in Years 4
Adverse Event Onset Date 3/10/98
Sex F
Reported Text 10MAR98 T102;
Recovered Y

 

VAERS ID 109611
State RI
Vaccine Type MEN
Vaccination Name MENOMUNE A/C/Y/W
Manufacturer CONNAUGHT LABS
Age in Years 11
Adverse Event Onset Date 3/9/98
Sex F
Reported Text pt recv vax 7MAR98 & 9MAR exp n/v, h/a, T100;
Other Medications Amoxicillin
Recovered Y

 

VAERS ID 109610
State RI
Vaccine Type MEN
Vaccination Name MENOMUNE A/C/Y/W
Manufacturer CONNAUGHT LABS
Age in Years 58
Adverse Event Onset Date 3/9/98
Reported Text 9MAR98 temp 100-rash hive/like;11MAR98 petechiae abd & trunk;
Pre-exisiting conditions HTN
Other Medications Tenomin
Recovered Y

 

VAERS ID 109609
State RI
Vaccine Type MEN
Vaccination Name MENOMUNE A/C/Y/W
Manufacturer CONNAUGHT LABS
Age in Years 3
Adverse Event Onset Date 3/12/98
Sex M
Reported Text n/v

 

VAERS ID 108743
State RI
Vaccine Type MEN
Vaccination Name MENOMUNE A/C/Y/W
Manufacturer CONNAUGHT LABS
Age in Years 16
Adverse Event Onset Date 3/13/98
Sex F
Reported Text flushed;dizziness;BP 108/80;P 72;
Recovered Y

 

VAERS ID 109606
Vaccine Type MEN
Vaccination Name MENOMUNE A/C/Y/W
Manufacturer CONNAUGHT LABS
Age in Years 8
Adverse Event Onset Date 3/14/98
Sex F
Reported Text flushed;dizziness;BP 120/72, P85, SP 98%;
Recovered Y

 

VAERS ID 108744
State RI
Vaccine Type MEN
Vaccination Name UNK. MENINGOCOCCAL POLYSACCHARIDE
Manufacturer UNCLASSIFIED
Age in Years 5
Adverse Event Onset Date 3/10/98
Sex M
Reported Text 10MAR98 c/o h/a & stiff neck, T101.4;

 

VAERS ID 109040
State RI
Vaccine Type MEN
Vaccination Name UNK. MENINGOCOCCAL POLYSACCHARIDE
Manufacturer UNCLASSIFIED
Age in Years 4
Adverse Event Onset Date 3/20/98
Sex M
Reported Text pt recv vax & started w/runny nose-next day eyes all red, sneezing, rash on bottom & front of body, lips dry, itchy;adenoids inflamed w/swelling behind them;
Recovered Y

 

VAERS ID 108919
Vaccine Type MEN
Vaccination Name UNK. MENINGOCOCCAL POLYSACCHARIDE
Manufacturer UNCLASSIFIED
Age in Years 16
Adverse Event Onset Date 3/18/98
Sex F
Lab Data WBC 17.2;
Reported Text h/a, nausea, fever;
Recovered Y

 

VAERS ID 108844
State WA
Vaccine Type MEN
Vaccination Name MENOMUNE A/C/Y/W
Manufacturer CONNAUGHT LABS
Age in Years 28
Adverse Event Onset Date 2/3/98
Sex M
Reported Text noc of vax 3FEB98-anxious, insomnia, polyuria;AM 4FEB bilat CVA tenderness, resolved during day, eve of 4FEB lt CVA tenderness, dull ache;AM 5FEB dull ache cont;denies any other GI dx;no CNS c/o;

 

VAERS ID 108840
State WA
Vaccine Type MEN
Vaccination Name MENOMUNE A/C/Y/W
Manufacturer CONNAUGHT LABS
Age in Years 45
Adverse Event Onset Date 12/13/97
Sex F
Reported Text pt recv vax & 2 days p/vax c/o stiff neck which resolved in 2 days & later noted a tremor in both arms & hands;pt denied any visual changes, no rash or resp problems;pt stated legs became tired;
Pre-exisiting conditions pt denies any 20yr noted pain in knees
Recovered N

 

VAERS ID 108835
State CA
Vaccine Type MEN
Vaccination Name MENOMUNE A/C/Y/W
Manufacturer CONNAUGHT LABS
Age in Years 48
Adverse Event Onset Date 3/4/98
Sex F
Reported Text pt devel pain, erythema & some induration & inj w/some ?lymphedema axilla & c/o feeling flushed over face & chest all day 4MAR98;pt stated sx resolving;
Pre-exisiting conditions Allergies: ASA, PCN
Other Medications hormone replacement
Recovered U

 

VAERS ID 108824
State RI
Vaccine Type MEN
Vaccination Name UNK. MENINGOCOCCAL POLYSACCHARIDE
Manufacturer UNCLASSIFIED
Age in Years 13
Adverse Event Onset Date 3/11/98
Sex F
Reported Text pt recv vax 22MAR98 830AM in scholl-no fever;returned home 230PM arm where shot given included hand was black & blue & swollen;ice applied & APAP for pain;clinic advised to go to ER;arm numb & tingly @ 17MAR98;arm bruised;arm aching;
Pre-exisiting conditions asthma
Recovered N

 

VAERS ID 109616
State RI
Vaccine Type MEN
Vaccination Name MENOMUNE A/C/Y/W
Manufacturer CONNAUGHT LABS
Age in Years 5
Adverse Event Onset Date 3/10/98
Sex M
Reported Text rash chickenpox like, back, abd & rt torso;
Recovered N

 

VAERS ID 109608
State RI
Vaccine Type MEN
Vaccination Name MENOMUNE A/C/Y/W
Manufacturer CONNAUGHT LABS
Age in Years 2
Adverse Event Onset Date 3/12/98
Sex M
Reported Text afeb-flat red rash on back;

 

VAERS ID 122684
State MD
Vaccine Type MEN
Vaccination Name MENOMUNE A/C/Y/W
Manufacturer CONNAUGHT LABS
Age in Years 21
Adverse Event Onset Date 5/19/99
Sex M
Reported Text arthralgias;rash suggestive of E. multiforme though to be serum sickness;
Recovered N

 

VAERS ID 127233
State AL
Vaccine Type MEN
Vaccination Name MENOMUNE A/C/Y/W
Manufacturer CONNAUGHT LABS
Age in Years 28
Adverse Event Onset Date 7/24/99
Sex F
Lab Data u/a within normal limits
Reported Text 2 days p/recv vax pt exp swelling at inject site; constipation; dark yellow urine;
Pre-exisiting conditions hx of bowel obstruction 1995 s/p appedectory; ovarian cyst removed
Recovered Y

 

VAERS ID 127078
State NJ
Vaccine Type MEN
Vaccination Name UNK. MENINGOCOCCAL POLYSACCHARIDE
Manufacturer UNCLASSIFIED
Age in Years 31
Adverse Event Onset Date 2/1/91
Sex M
Lab Data sed rate;stool samples; lab test abnormal
Reported Text chronic fatigue, rashes, diarrhea, abd cramping, arthralgia, muscle cramps, noc sweats, hosp 4/1/91 & 7/1/91;surgery required on intestinal tract;
Other Medications Received I-globulin
Recovered N
Hospitalized Y

 

VAERS ID 126923
State FR
Vaccine Type MEN
Vaccination Name MENOMUNE A/C
Manufacturer CONNAUGHT LTD
Age in Years 24
Adverse Event Onset Date 4/8/96
Sex M
Lab Data ESR=1; CRP=55; rheumatoid factor & ANA neg; HLA tissue type was B-27-DR1 + and DRW 13+; tests for salmonella, yersinia, campylobacter, shigella, clamydia & mycoplasma-neg
Reported Text p/vax pt exp polyarthritis & arthralgia; HLA system predisposing; tx w/ketoprofen; f/u from lit-joint pain & inflammation reocurred when tx was d/c
Recovered U
Hospitalized Y

 

VAERS ID 126922
State FR
Vaccine Type MEN
Vaccination Name MENOMUNE A/C
Manufacturer CONNAUGHT LTD
Age in Years 35
Adverse Event Onset Date 8/8/94
Sex F
Lab Data MRI, lumbar puncture, visual & audio evoked potentials nl; ANA, latex & Waaler Rose neg; cryoglobunemia & circulating immune complex neg;
Reported Text p/vax pt exp paresthesias of the right hand associated w/slight kinetic cerebellar syndrome; dx = demyelinating disorder; 10/94 pt still c/o paresthesias; 2/95 still c/o clumsiness of right hand; sx persisted more than 6 months
Pre-exisiting conditions 1982-thyrotoxicosis-tx surgically;1990-episode of scotoma- unspecified visual disturbances; 1992 blocked ears sensation
Other Medications anti-malarial tx; Genhevac B 5/5 & 6/5/94
Recovered N
Disability Y

 

VAERS ID 125492
State GA
Vaccine Type MEN
Vaccination Name MENOMUNE A/C/Y/W
Manufacturer CONNAUGHT LABS
Age in Years 45
Adverse Event Onset Date 6/7/99
Sex M
Reported Text p/vax pt started getting rash on body more on rt shoulder than lt & on back & chest;rash is all over body 6/10/99;rash is like tiny pimples;
Recovered Y

 

VAERS ID 125387
State NM
Vaccine Type MEN
Vaccination Name MENOMUNE A/C/Y/W
Manufacturer CONNAUGHT LABS
Age in Years 37
Adverse Event Onset Date 6/10/99
Sex F
Reported Text pt w/small facial tic, muscles on anterior chin twitch intermittent;
Other Medications pt recv anthrax by MPH lot# FAV044 given 6/23/99

 

VAERS ID 110927
State MN
Vaccine Type MEN
Vaccination Name MENOMUNE A/C/Y/W
Manufacturer CONNAUGHT LABS
Age in Years 28
Adverse Event Onset Date 5/8/98
Sex F
Lab Data WBC count 11MAY98 was 2500
Reported Text c/o queasy stomach, achy, tired all over on 8MAY98 was going to have surgery on 12MAY98 & went for pre op physical 11MAY98;MD found WBC count to be low @ 2500;cont to feel tired, light headed;
Other Medications birth control pills
Recovered Y

 

VAERS ID 123198
State NM
Vaccine Type MEN
Vaccination Name MENOMUNE A/C/Y/W
Manufacturer CONNAUGHT LABS
Age in Years 20
Adverse Event Onset Date 4/14/99
Sex F
Reported Text pt recv vax & arm where hep b given reddened & swollen 8cm x 11cm;

 

VAERS ID 127770
State PA
Vaccine Type MEN
Vaccination Name MENOMUNE A/C/Y/W
Manufacturer CONNAUGHT LABS
Age in Years 17
Adverse Event Onset Date 8/14/99
Sex F
Reported Text 3/4" neck node popped out-painful swollen;negative fever, no other sx went to primary MD for tx;
Recovered Y

 

VAERS ID 122398
State NY
Vaccine Type MEN
Vaccination Name UNK. MENINGOCOCCAL POLYSACCHARIDE
Manufacturer UNCLASSIFIED
Age in Years 44
Adverse Event Onset Date 5/1/99
Sex M
Reported Text day p/vax had low grade fever 99.5, very sore arm w/bright red rash about 3-4 inches in size;very tired & a general sick feeling;this lasted for 3 days p/each shot;pt recv two inj 2 wk apart;also area of shot very tender & lump lasted 3 wk
Recovered Y

 

VAERS ID 122222
State OH
Vaccine Type MEN
Vaccination Name MENOMUNE A/C/Y/W
Manufacturer CONNAUGHT LABS
Age in Years 29
Adverse Event Onset Date 5/5/99
Sex M
Reported Text pt w/very pruritic/indurated erythematous rash w/temp to 103 24hr p/vax;on day of eval 7MAY no systemic sx;rash remains;of note working in vegetation several days before rash appeared / contact dermatitis vs drug eruption;
Pre-exisiting conditions NKDA; no known condition;
Recovered Y

 

VAERS ID 121905
State FR
Vaccine Type MEN
Vaccination Name MENOMUNE A/C/Y/W
Manufacturer CONNAUGHT LABS
Age in Years 50
Adverse Event Onset Date 3/7/99
Sex F
Reported Text pt had a rash on face & she was getting the cold on 7MAR99 when pt flew to Saudi Arabia;10 days later pt hosp w/cough, fever, unable to breathe; lungs congested;devel high blood sugar;intubated following bx; dx:atypical pneumonia;
Recovered U
Hospitalized Y

 

VAERS ID 121756
State FL
Vaccine Type MEN
Vaccination Name UNK. MENINGOCOCCAL POLYSACCHARIDE
Manufacturer UNCLASSIFIED
Age in Years 66
Adverse Event Onset Date 2/17/99
Sex F
Reported Text pt recv vax 17FEB98 & a few hr later pt devel inj site pain, neck stiffness, bloodshot eyes, h/a, knee pain & difficulty walking;tx w/APAP which helped to alleviate sx;h/a resolved;
Pre-exisiting conditions allergic to PCN (hives);
Recovered N

 

VAERS ID 121193
State AZ
Vaccine Type MEN
Vaccination Name UNK. MENINGOCOCCAL POLYSACCHARIDE
Manufacturer UNCLASSIFIED
Age in Years 44
Adverse Event Onset Date 2/5/99
Sex F
Reported Text dizzy, faint, fainted at onset total sx 1/2 day;
Pre-exisiting conditions sulfa, diazides;asthma;IBS
Other Medications Premarin;Theodur;Dicyclomine;MMR/HEP B, TD, TB
Recovered Y

 

VAERS ID 121065
State NJ
Vaccine Type MEN
Vaccination Name MENOMUNE A/C
Manufacturer CONNAUGHT LTD
Age in Years 18
Sex F
Reported Text Pt recv vax on unspecified day; hr post vax pt exp urticaria; tx=Benadryl
Recovered Y

 

VAERS ID 120994
State NJ
Vaccine Type MEN
Vaccination Name MENOMUNE A/C/Y/W
Manufacturer CONNAUGHT LABS
Age in Years 18
Adverse Event Onset Date 3/24/99
Sex F
Reported Text pt recv vax 24MAR99 @ 2PM & early evening noticed raised red rash on arms, face, trunk;when awoke 5AM also had tingling of lips, dry palms & soles;itching palms, soles;
Pre-exisiting conditions NONE says had rxn to prescription on fresh strawberries as a child;
Recovered N

 

VAERS ID 125105
State VA
Vaccine Type MEN
Vaccination Name MENOMUNE A/C/Y/W
Manufacturer CONNAUGHT LABS
Age in Years 42
Adverse Event Onset Date 6/11/99
Sex F
Reported Text pt described what felt like a bite on leg;little bumps occurred here & there 2 or 3 at a time;looked like hives but firmer than hives & have small fluid filled center;c/o itching, tiredness, flashing & sweaty;tired;
Pre-exisiting conditions (PCn, sulfa, talwin, peroxide, cardioneotal)
Other Medications allegra;Nasocort

 

VAERS ID 129369
State NY
Vaccine Type MEN
Vaccination Name MENOMUNE A/C/Y/W
Manufacturer CONNAUGHT LABS
Age in Years 26
Sex M
Reported Text p/vax pt slumped over & fell on floor;loss consciousness 5 sec;awoke c/o h/a;hit head on floor;vitals BP 130/70, P80 regular;vasovagal rxn dx;
Pre-exisiting conditions NKDA
Recovered Y

 

VAERS ID 130675
State MA
Vaccine Type MEN
Vaccination Name MENOMUNE A/C/Y/W
Manufacturer CONNAUGHT LABS
Age in Years 20
Adverse Event Onset Date 11/3/99
Sex F
Reported Text local redness & heat @ inj site rt arm;
Recovered N

 

VAERS ID 130592
State GA
Vaccine Type MEN
Vaccination Name MENOMUNE A/C/Y/W
Manufacturer CONNAUGHT LABS
Age in Years 18
Adverse Event Onset Date 10/28/99
Sex M
Reported Text hives whole body;denied SOB;advised to take DPH or claritin;took claritin;clearing;
Other Medications Celexa;Questran, Prevacid;
Recovered Y

 

VAERS ID 130262
State MI
Vaccine Type MEN
Vaccination Name MENOMUNE A/C/Y/W
Manufacturer CONNAUGHT LABS
Age in Years 22
Adverse Event Onset Date 10/4/99
Sex F
Reported Text p/vax pt noted approx 1inch area pink, swelling surrounding inj site w/a hive w/in the area;pt MD notified & oral DPH ordered;
Pre-exisiting conditions hx of hives from stress;dx ITP;
Other Medications pred;triphasil;flonase;

 

VAERS ID 130025
State WY
Vaccine Type MEN
Vaccination Name MENOMUNE A/C/Y/W
Manufacturer CONNAUGHT LABS
Age in Years 19
Adverse Event Onset Date 10/21/99
Sex F
Lab Data Head CT-nl;Spinal Lumbar Tap-nl;CBC, electrolytes, UA-all nl
Reported Text p/vax pt had severe h/a & neck pain, no fever, required adm for pain management & further observation;improved by 3rd day w/narcotic IV pain control then devel a lumbar puncture h/a;
Pre-exisiting conditions general allergies & receives immunotherapy
Recovered Y
Hospitalized Y

 

VAERS ID 130001
State NY
Vaccine Type MEN
Vaccination Name MENOMUNE A/C/Y/W
Manufacturer CONNAUGHT LABS
Age in Years 19
Adverse Event Onset Date 9/26/99
Sex M
Lab Data blood work done @ college clinic;
Reported Text awoke w/disorientation, headache, T103.5;disoriented, stiff neck, chills, fatigue;dx w/mono 10/10/99;
Pre-exisiting conditions 3year ago-esophageal reflux;tx w/surgery-no problems;
Recovered Y

 

VAERS ID 129929
State DE
Vaccine Type MEN
Vaccination Name MENOMUNE A/C/Y/W
Manufacturer CONNAUGHT LABS
Age in Years 20
Adverse Event Onset Date 10/17/99
Sex F
Lab Data sed rate 7;strep culture negative;CBC-18% monocytes;
Reported Text devel total body red, maculopapular, pruritic rash 48hr p/vax;
Recovered Y

 

VAERS ID 129663
State TX
Vaccine Type MEN
Vaccination Name MENOMUNE A/C/Y/W
Manufacturer CONNAUGHT LABS
Age in Years 18
Adverse Event Onset Date 9/23/99
Sex M
Lab Data CT Scan-neg;LP neg, MRI-neg, lab test neg, EEG neg;
Reported Text p/vax pt devel sz activity which lasted approx 10 seconds w/involuntary muscle contractions;no incontinence, no head injury;pt responded well & was transferred to ER for eval;pt hosp for testing which was negative;
Hospitalized Y

 

VAERS ID 127308
State FR
Vaccine Type MEN
Vaccination Name UNK. MENINGOCOCCAL POLYSACCHARIDE
Manufacturer UNCLASSIFIED
Age in Years 7
Adverse Event Onset Date 7/6/99
Sex M
Reported Text 15 min p/vax pt exp urticaria on rt cheek;later urticaria other parts body;pt sweating& nervous; hosp;urticaria both cheeks & efflorescences on leg; circulatory system stable; pt dx w/allergic exanthema;speedy recovery
Pre-exisiting conditions minor infections; stab wound in rt eye; opthalmic surgery
Hospitalized Y

 

VAERS ID 129447
State DE
Vaccine Type MEN
Vaccination Name MENOMUNE A/C/Y/W
Manufacturer CONNAUGHT LABS
Age in Years 26
Adverse Event Onset Date 10/4/99
Sex F
Lab Data tests pending;
Reported Text lt arm sore to touch on surface of skin, feels as if arms is asleep w/pins & needles feeling in hand;location of administration is sore to touch, hurts, upper arms feels swollen from elbow to shoulder, into armpit;itchy;queasy, nausea, hot
Other Medications Tri-pasil, Cleocin/Retin-A

 

VAERS ID 127595
State IL
Vaccine Type MEN
Vaccination Name MENOMUNE A/C/Y/W
Manufacturer CONNAUGHT LABS
Age in Years 17
Adverse Event Onset Date 8/12/99
Sex F
Reported Text p/vax pt exp macular rash on arms & legs; ulcers in corner of lips; ulcerations spread across borders of lips & oral mucosa; MD office; healing ulceration on lips; dx: resolving vital syndrome vs. vax react

 

VAERS ID 129320
State MD
Vaccine Type MEN
Vaccination Name MENOMUNE A/C/Y/W
Manufacturer CONNAUGHT LABS
Age in Years 19
Adverse Event Onset Date 10/7/99
Sex F
Reported Text about 25min p/vax pt noticed trouble swallowing a little SOB 7 a mild h/a about the temples;BP 132/72, T99.9, P96;pulse ox 98 peak flow 520;
Pre-exisiting conditions trees, grass, dust

 

VAERS ID 128754
State NY
Vaccine Type MEN
Vaccination Name UNK. MENINGOCOCCAL POLYSACCHARIDE
Manufacturer UNCLASSIFIED
Age in Years 19
Adverse Event Onset Date 9/20/99
Sex F
Reported Text p/vax pt exp local 8x6cm pink indurated area at inj site; pt recovering

 

VAERS ID 128710
State CA
Vaccine Type MEN
Vaccination Name MENOMUNE A/C/Y/W
Manufacturer CONNAUGHT LABS
Age in Years 55
Adverse Event Onset Date 9/9/99
Sex F
Reported Text p/vax pt exp rash; devel on neck series of small bumps; form on large thickened rough areas; very irritated mildly itchy;
Pre-exisiting conditions allergic PCN; poison oak; english Ivy; abalone; contact lens aesravative
Other Medications bendryl; cortisone; vitamins; progesterone

 

VAERS ID 128639
State KY
Vaccine Type MEN
Vaccination Name MENOMUNE A/C/Y/W
Manufacturer CONNAUGHT LABS
Age in Years 29
Adverse Event Onset Date 9/6/99
Sex M
Reported Text p/vax pt awakened w/raised erythema area on lt deltoid;reported to medical squadron;area now 6cm x 6.5cm in size to see unit flight surgeon;
Pre-exisiting conditions NKA

 

VAERS ID 128584
State WA
Vaccine Type MEN
Vaccination Name MENOMUNE A/C/Y/W
Manufacturer CONNAUGHT LABS
Age in Years 21
Adverse Event Onset Date 9/21/99
Sex M
Reported Text p/vax pt c/o significant pain in lt arm, neck & thigh;no fever;recommended urgent care visit;pt recovered w/o incident;pt awakened pain free 9/22/99;

 

VAERS ID 128353
State GU
Vaccine Type MEN
Vaccination Name MENOMUNE A/C/Y/W
Manufacturer CONNAUGHT LABS
Age in Years 25
Adverse Event Onset Date 8/26/99
Sex M
Reported Text vomiting, diarrhea, lightheaded 8/26/99 IV hydrated felt much better;returned to duty;

 

VAERS ID 119739
State GA
Vaccine Type MEN
Vaccination Name UNK. MENINGOCOCCAL POLYSACCHARIDE
Manufacturer UNCLASSIFIED
Age in Years 36
Sex M
Lab Data MRI-bone spur in neck
Reported Text Pt recv vax on 1/27/99; post vax pt exp worsening of sx:sweat, insomnia,fatigue, sore joints,chest tight,thinking abnorm, migraines,extremities swelling, blurring,painful intercourse, dizzy, constipation;new exp of faint,sore throat,numbnes
Pre-exisiting conditions Bone spur in neck

 

VAERS ID 129563
State OR
Vaccine Type MEN
Vaccination Name MENOMUNE A/C/Y/W
Manufacturer CONNAUGHT LABS
Age in Years 37
Adverse Event Onset Date 9/30/99
Sex M
Reported Text urticaria appeared on rt forearm;itchy thought it was a bug bite;more appeared two days later lt arm;now they are on upper torso;more are developing;first ones do not itch as much;
Pre-exisiting conditions seasonal allergic rhinitis;arthritis lt knee;h/o HTn
Other Medications Ibuprofen

 

VAERS ID 113801
State FR
Vaccine Type MEN
Vaccination Name UNK. MENINGOCOCCAL POLYSACCHARIDE
Manufacturer UNCLASSIFIED
Age in Years 21
Adverse Event Onset Date 2/4/98
Sex M
Reported Text FEB98 pt presented w/ one, then several simple partial sz 1 day p/vax;encephalic MRI showed signal anomaly in the white substance;scan was nl & there was no inflammatory synd;
Hospitalized Y

 

VAERS ID 120262
State NY
Vaccine Type MEN
Vaccination Name MENOMUNE A/C
Manufacturer CONNAUGHT LTD
Age in Years 37
Adverse Event Onset Date 5/7/98
Sex M
Reported Text GBS, h/a, dizziness, blurred vision, paresthesia of toes beginning 7MAY98 & progressing to slurred speech, lower extremity weakness & incontinence by 18MAY98;tx by plasmapheresis;PT ongoing;recovery complete;
Pre-exisiting conditions HTN;PCN allergy
Hospitalized Y

 

VAERS ID 115703
State RI
Vaccine Type MEN
Vaccination Name UNK. MENINGOCOCCAL POLYSACCHARIDE
Manufacturer UNCLASSIFIED
Age in Years 2
Adverse Event Onset Date 3/6/98
Sex F
Lab Data ED VS 96;112;24;98/54
Reported Text inject site rxn, swelling;
Hospitalized Y

 

VAERS ID 115702
State RI
Vaccine Type MEN
Vaccination Name UNK. MENINGOCOCCAL POLYSACCHARIDE
Manufacturer UNCLASSIFIED
Age in Years 11
Adverse Event Onset Date 2/27/98
Sex F
Reported Text hand swelling;pain @ inj site;
Hospitalized Y

 

VAERS ID 115645
State KS
Vaccine Type MEN
Vaccination Name MENOMUNE A/C
Manufacturer CONNAUGHT LTD
Age in Years 51
Adverse Event Onset Date 9/4/97
Sex M
Reported Text Pt recv vax on 9/4/97; subsequently pt exp numbness in left side of face & jaw to temple.
Other Medications Aerobid(Flunisolide), Entex

 

VAERS ID 115596
State RI
Vaccine Type MEN
Vaccination Name MENOMUNE A/C/Y/W
Manufacturer CONNAUGHT LABS
Age in Years 8
Adverse Event Onset Date 7/14/98
Sex F
Reported Text 10JUL pt recv vax 14JUL98 c/o h/a followed by sz hosp-paralysis lt side 2mo later;MRI showed spot on brain;c/o seeing spots-optical neuritis;
Other Medications pt recv hep B vax by SKB on 2JUN98;
Hospitalized Y

 

VAERS ID 114730
Vaccine Type MEN
Vaccination Name MENOMUNE A/C/Y/W
Manufacturer CONNAUGHT LABS
Age in Years 28
Adverse Event Onset Date 9/30/98
Sex M
Reported Text approx 10-15min p/vax noted stuffy nose, h/a, & drainage down the back of throat;itchiness & watering rt eye & tingling along top of rt hand & along fingertips of rt hand;chills,nausea;throbbing pain of skull & spine & shoulder;flu like sx;
Hospitalized Y

 

VAERS ID 114217
State PA
Vaccine Type MEN
Vaccination Name MENOMUNE A/C
Manufacturer CONNAUGHT LTD
Age in Years 19
Adverse Event Onset Date 8/19/98
Sex M
Reported Text Pt recv vax on 8/19/98; on the same day pt exp headache, fever (100-102.5) for 2 dys; decreased appetite &weak. Pt to M.D. on 8/22; dx=viral illness. On 8/25 pt headache continued; no other sxs; pt return to M.D. if headache continues.
Pre-exisiting conditions Allergy to Ceclor &Ampicillin

 

VAERS ID 115705
State RI
Vaccine Type MEN
Vaccination Name UNK. MENINGOCOCCAL POLYSACCHARIDE
Manufacturer UNCLASSIFIED
Age in Years 3
Adverse Event Onset Date 2/28/98
Sex F
Lab Data ED VS: 97.3;118;20;108/52;
Reported Text hives, sl wheeze;
Pre-exisiting conditions family hx of asthma;
Hospitalized Y

 

VAERS ID 113865
Vaccine Type MEN
Vaccination Name UNK. MENINGOCOCCAL POLYSACCHARIDE
Manufacturer UNCLASSIFIED
Age in Years 19
Adverse Event Onset Date 8/3/98
Sex F
Reported Text pt recv vax 12NOV97 & pt became preg;pt LMP was 22NOV97;3AUG98 pt delivered a 5lb 6.6 oz premature baby boy (35 wk gestation);preg uncomplicated but labor was complicated by 36hr of rupture of membrane @ time of delivery,loose nuchal cord;
Other Medications tuberculin purified protein

 

VAERS ID 115706
State RI
Vaccine Type MEN
Vaccination Name UNK. MENINGOCOCCAL POLYSACCHARIDE
Manufacturer UNCLASSIFIED
Age in Years 8
Adverse Event Onset Date 2/28/98
Sex F
Lab Data ED VS: 98.7;97;18;120/74
Reported Text redness, swelling @ inj site;
Hospitalized Y

 

VAERS ID 113347
State FR
Vaccine Type MEN
Vaccination Name UNK. MENINGOCOCCAL POLYSACCHARIDE
Manufacturer UNCLASSIFIED
Age in Years 36
Adverse Event Onset Date 7/6/98
Sex M
Lab Data Serum alanine A & Serum aspartate A-unrevealing; Serum hepatitis A -positive; Serum hepatitis B core-negative; Serum hepatitis B surface-negative; Serum hepatitis C-negative
Reported Text Pt recv vax and approx 3 mon later hosp for acute viral hepatitis.
Other Medications pt given Typhim VI & Meningococcal polysaccharide vaccine;
Hospitalized Y

 

VAERS ID 113266
State VA
Vaccine Type MEN
Vaccination Name MENOMUNE A/C/Y/W
Manufacturer CONNAUGHT LABS
Age in Years 59
Adverse Event Onset Date 7/22/98
Sex F
Reported Text pt c/o mosquito bite type of rash on abd & chest from the time woke up the morning p/vax;pt states sl raised, red, & not itchy;
Pre-exisiting conditions PCN allergy

 

VAERS ID 113135
Vaccine Type MEN
Vaccination Name UNK. MENINGOCOCCAL POLYSACCHARIDE
Manufacturer UNCLASSIFIED
Age in Years 56
Adverse Event Onset Date 3/10/98
Sex M
Reported Text Pt recv vax 10MAR98 devel redness, swelling and pain at the injection site. On 12MAR98 pt exp a fever of 101 degrees F. The pt was afebrile by 14MAR98. Pt recovered on 16MAR98.
Pre-exisiting conditions drug allergy, erythromycin allergy
Other Medications Lipitor, Cardizem CD, Glynase Prestab, Synthroid, Zinc preparation (composition)

 

VAERS ID 113006
State ID
Vaccine Type MEN
Vaccination Name MENOMUNE A/C/Y/W
Manufacturer CONNAUGHT LABS
Age in Years 47
Adverse Event Onset Date 4/26/98
Sex F
Lab Data CXR-CBC;
Reported Text 5 days p/vax pt devel stiff neck lasting 1 1/2 wk;saw chiropractor w/o relief;devel local lymphadenopathy;referred by PMD;16JUN98 pt reports arm was red & itchy for 4-5 days p/vax;
Pre-exisiting conditions depression, gastroparesis
Other Medications doxipen, premarin;zoloft, propulsid

 

VAERS ID 112640
State OH
Vaccine Type MEN
Vaccination Name MENOMUNE A/C/Y/W
Manufacturer CONNAUGHT LABS
Age in Years 56
Adverse Event Onset Date 3/11/98
Sex M
Reported Text pt hosp recv vax the HIBTITER was inadvertently administered intradermally;w/in several hr the pt devel redness & swelling @ the HIBTITER inj site;tx w/warm compresses;

 

VAERS ID 112228
State PA
Vaccine Type MEN
Vaccination Name MENOMUNE A/C/Y/W
Manufacturer CONNAUGHT LABS
Age in Years 19
Adverse Event Onset Date 5/28/98
Sex F
Reported Text pale, BP 98/60, P80, numbness in rt arm & rt side of face;fatigued;had nothing to eat all day;took food & fluids by 245PM color improved, more alert, BP 98/60, P 60;no further complaints of numbness;29MAY98 mom reports pt doing well;

 

VAERS ID 130751
State FR
Vaccine Type MEN
Vaccination Name MENOMUNE A/C
Manufacturer CONNAUGHT LTD
Age in Years 19
Adverse Event Onset Date 10/29/99
Sex M
Reported Text p/vax pt felt unwell during the noc & noticed devel spots;ambulance called & adm to hosp;transferred to ICU dx meningitis septicemia;Type C confirmed by microbiologist;
Hospitalized Y

 

VAERS ID 113964
State VA
Vaccine Type MEN
Vaccination Name MENOMUNE A/C/Y/W
Manufacturer CONNAUGHT LABS
Age in Years 31
Adverse Event Onset Date 9/2/98
Sex M
Lab Data pt stated EKG & blood work nl;
Reported Text pt recv vax & later said u/i oh & fell back, clutching throat;then went into tonic-clonic sx x approx 30sec;pt fell to floor;postictal state;
Pre-exisiting conditions prev sz

 

VAERS ID 118342
State RI
Vaccine Type MEN
Vaccination Name MENOMUNE A/C/Y/W
Manufacturer CONNAUGHT LABS
Age in Years 21
Adverse Event Onset Date 4/2/98
Sex F
Lab Data x-ray of lt arm 15MAY98 negative;
Reported Text pt recv vax 2APR98 & pt reports pain @ inj site on lt arm w/pressure & w/arm abduction & elbow elevation;sx persist through the time of the report 18MAY98;f/u 6JUL98 reporter attempted to contact pt 30JUN98 & was unable to reach pt;
Pre-exisiting conditions eczema, exercise induced asthma;
Other Medications Tetracycline oral, Zyflo
Disability Y

 

VAERS ID 111797
State NY
Vaccine Type MEN
Vaccination Name MENOMUNE A/C/Y/W
Manufacturer CONNAUGHT LABS
Age in Years 4
Adverse Event Onset Date 5/28/98
Sex M
Lab Data CBC, WBC 84. w/no bands or polys
Reported Text pt arm red, sore, swollen, seen 29MAY-arm red, swollen forearm to shoulder;changed to Augmentin;seen 30MAY, 31MAY added prelone;final dx severe inflammatory rxn to DTAP;
Pre-exisiting conditions dx birth w/severe congenital neutropenia
Other Medications Neupogen;Amoxicillin

 

VAERS ID 119362
State CA
Vaccine Type MEN
Vaccination Name MENOMUNE A/C/Y/W
Manufacturer CONNAUGHT LABS
Age in Years 20
Adverse Event Onset Date 1/9/99
Sex M
Lab Data blood work up, upper GI (no results given), biopsy of small intestine (no results given);
Reported Text pt recv vax 4JAN99 & 9JAN99 pt exp a fever ranging from 99-100.5;abd pain in rt to central lower quadrant, dehydration & vomiting;pt seen by MD to r/o appendicitis;pt hosp
Hospitalized Y

 

VAERS ID 119290
State CT
Vaccine Type MEN
Vaccination Name MENOMUNE A/C/Y/W
Manufacturer CONNAUGHT LABS
Age in Years 36
Sex F
Reported Text rash arms & legs;reported by phone 1wk p/completion to vax;

 

VAERS ID 119287
State LA
Vaccine Type MEN
Vaccination Name MENOMUNE A/C/Y/W
Manufacturer CONNAUGHT LABS
Age in Years 24
Adverse Event Onset Date 1/25/98
Sex F
Reported Text c/o severe diarrhea w/abd cramps p/taking each dose x 2 doses;
Other Medications pt recv DT & IPOL;

 

VAERS ID 118381
State FR
Vaccine Type MEN
Vaccination Name MENOMUNE A/C
Manufacturer CONNAUGHT LTD
Age in Years 27
Adverse Event Onset Date 12/6/98
Sex F
Reported Text Pt Pregnant recv vax on 9/25/98; on 12/6/98 pt exp spontaneous abortion-11th wk of pregnancy

 

VAERS ID 118346
Vaccine Type MEN
Vaccination Name MENOMUNE A/C/Y/W
Manufacturer CONNAUGHT LABS
Sex F
Reported Text pt recv vax JUL98 & reportedly in 2wk pt c/o of urticaria & hives;

 

VAERS ID 118345
Vaccine Type MEN
Vaccination Name MENOMUNE A/C/Y/W
Manufacturer CONNAUGHT LABS
Reported Text pt recv vax & was seen by MD who dx hepatitis (type no specified);

 

VAERS ID 115704
State RI
Vaccine Type MEN
Vaccination Name UNK. MENINGOCOCCAL POLYSACCHARIDE
Manufacturer UNCLASSIFIED
Age in Years 10
Adverse Event Onset Date 2/28/98
Sex M
Reported Text hives, SOB;
Other Medications DPH
Hospitalized Y

 

VAERS ID 118343
Vaccine Type MEN
Vaccination Name MENOMUNE A/C/Y/W
Manufacturer CONNAUGHT LABS
Age in Years 2
Reported Text pt recv vax & some time p/vax pt devel pauciarticular juvenile rheumatoid arthritis;the exp was just in the elbow & considered not serious by the primary investigator;

 

VAERS ID 119791
State ND
Vaccine Type MEN
Vaccination Name MENOMUNE A/C/Y/W
Manufacturer CONNAUGHT LABS
Age in Years 16
Adverse Event Onset Date 2/17/99
Sex M
Reported Text Pt recv vax on 2/17/99; within 1 hr post vax pt exp rash on arms, chest, back & abdomen; tx=Benadryl
Other Medications Vitamin

 

VAERS ID 118341
State RI
Vaccine Type MEN
Vaccination Name MENOMUNE A/C/Y/W
Manufacturer CONNAUGHT LABS
Age in Years 16
Adverse Event Onset Date 3/16/98
Sex M
Reported Text pt recv ax 12MAR98 & 4 days p/vax 16MAR98 pt had severe chills & cold clammy sweat w/listlessness & fatigue lasting through the day;also pain in opposite shoulder from shot site w/numbness going down to fingertips;seems to be subsiding;

 

VAERS ID 118340
State RI
Vaccine Type MEN
Vaccination Name MENOMUNE A/C/Y/W
Manufacturer CONNAUGHT LABS
Age in Years 3
Adverse Event Onset Date 3/13/98
Sex F
Reported Text pt recv vax 12MAR98 & the next morning 13MAR98 pt broke out in hives all over face a few hr (4-8), arm all red from elbow up rash from site of inj;
Pre-exisiting conditions hx of milk allergies (gets hives);pt has not had any milk products in 2 yr (so hives in past two years);pt mom reported that pt did not have lactose intolerance;

 

VAERS ID 118338
State MO
Vaccine Type MEN
Vaccination Name MENOMUNE A/C/Y/W
Manufacturer CONNAUGHT LABS
Age in Years 26
Adverse Event Onset Date 9/12/90
Sex M
Reported Text pt recv vax 12SEP90 & about 30 to 40min p/vax pt reportedly exp h/a, malaise, leg cramping where couldn't walk for half a day;rt arm still has a small boil @ the site of inj; short term/long term memory loss also present;
Other Medications Antimalarials

 

VAERS ID 118294
State MN
Vaccine Type MEN
Vaccination Name MENOMUNE A/C
Manufacturer CONNAUGHT LTD
Age in Years 32
Adverse Event Onset Date 1/7/99
Sex F
Reported Text Pt recv vax on 12/28/98; on 1/7/99 pt exp nausea, light headedness, chills, diarrhea, hyperventilation, numb hands/face/ legs; stiff neck, headache; tx=Ibuprofen; pt imp 1/12/99
Pre-exisiting conditions Allergic to bee stings, Verisol-topical solution; possible fibromyalgia

 

VAERS ID 117034
State CA
Vaccine Type MEN
Vaccination Name MENOMUNE A/C/Y/W
Manufacturer CONNAUGHT LABS
Age in Years 1
Adverse Event Onset Date 10/15/96
Sex M
Lab Data stool tests done results pending;pulse 144, BP 86/71, weight was 8.84 & height 73.4cm;stool sample obtained for clostridium difficile toxinwas negative;
Reported Text pt recv vax & devel gastroenteritis;pt exp vomiting & diarrhea on 15OCT96;seen for office visit 16OCT96 dx gastroenteritis;T103;hosp for IV fluids;exp watery diarrhea & vomiting;acute weight loss, intake was better;BP 86/71
Pre-exisiting conditions antibiotic intake in AUG96 & a wk prior to the diarrhe & vomiting
Hospitalized Y

 

VAERS ID 116895
State DE
Vaccine Type MEN
Vaccination Name MENOMUNE A/C
Manufacturer CONNAUGHT LTD
Age in Years 44
Adverse Event Onset Date 11/21/98
Sex M
Lab Data URINE & BLOOD WORK, TRACE PROTEIN IN URINE
Reported Text sweaty that night, woke up itchy,4am hives.has continued on & off. Tired. previous ABX Loribid
Other Medications 11/19/98MANTOUX,CONNAUGHT,248111,SD.benadryl prn

 

VAERS ID 116445
State NC
Vaccine Type MEN
Vaccination Name MENOMUNE A/C
Manufacturer CONNAUGHT LTD
Reported Text Pt recv vax on unknown day; 3 day post vax pt hepatitis

 

VAERS ID 118344
State DC
Vaccine Type MEN
Vaccination Name MENOMUNE A/C/Y/W
Manufacturer CONNAUGHT LABS
Age in Years 55
Adverse Event Onset Date 12/11/97
Sex F
Reported Text pt recv vax 10DEC97 & pt reported swelling, redness & erythema from elbow to mid-upper arm occurring 11DEC97 & awoke;applied cold packs & took DPH;

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