Page breadcrumb nav

VAERS Report 2157418

Case Report Section

Vaer Report Details

Age: 3 years old

Gender: Male

State: Outside US

Patient Died?
No
Vaccine information

Name: MENINGOCOCCAL (NO BRAND NAME)

Type: Meningococcal polysaccharide vaccine

Manufacturer: UNKNOWN

Lot: abxb82aa


Date report was received
2022-03-04
Date form completed
Date Vaccinated
2022-02-17
Date of Onset
0
Number of days (onset date – vaccination date)
0
Adverse Event Description

pyrexia tc. 39.6 degree celsius on the night of vaccination. vaccine-site arm pain for two days; pyrexia tc. 39.6 degree celsius on the night of vaccination. vaccine-site arm pain for two days; this case was reported by a physician via regulatory authority and described the occurrence of pyrexia in a 3-year-old male patient who received men b nvs (bexsero) (batch number abxb82aa, 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 17th february 2022, the patient received bexsero (unknown) and meningococcal b vaccine pre-filled syringe device. on 17th february 2022, less than a day after receiving bexsero and meningococcal b vaccine pre-filled syringe device, the patient experienced pyrexia (serious criteria other: serious as per reporter) and pain in arm (serious criteria other: serious as per reporter). on 19th february 2022, the outcome of the pyrexia and pain in arm were recovered/resolved. it was unknown if the reporter considered the pyrexia and pain in arm to be related to bexsero and meningococcal b vaccine pre-filled syringe device. this report is made by gsk without prejudice and does not imply any admission or liability for the incident or its consequences. additional details was reported as follows: the patient received bexsero on unknown arm. on 17th february 2022 , the patient's body temperature was 39.6 degrees celsius. in february 2022, the patient's body temperature was above 39.5 degrees celsius. the duration of event pyrexia and pain in arm was reported as 2 days. note: the event vaccination site pain was reported in verbatim but it was not captured as it was not reported by ra. initial information received from physician via regulatory authority on 2nd march 2022: pyrexia tc. 39.6 degree celsius on the night of vaccination. vaccine-site arm pain for two days reporter's comments: id: 6736733. pyrexia above 39.5 degree celsius

Lab Data
test date: 202202; test name: body temperature; result unstructured data: (test result:above 39.5,unit:degree c,normal low:,normal high:); test date: 20220217; test name: body temperature; result unstructured data: (test result:39.6,unit:degree c,normal low:,normal high:)
List of symptoms
pain in extremity 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