Détails du rapport Vaer
Âge: 0
Genre: Male
Région : Outside US
- Patient décédé?
- Non
- Renseignements sur les vaccins
-
Nom: MENINGOCOCCAL (NO BRAND NAME)
Type : Meningococcal polysaccharide vaccine
Fabricant: UNKNOWN
Lot: abxb81da
- Date de réception du rapport
- 2022-03-04
- Date à laquelle le formulaire est complèté
- Date de vaccination
- 2021-08-03
- Date d’apparition
- 0
- Nombre de jours (date d’apparition – date de vaccination)
- 0
- Description de l’événement indésirable
-
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
- Données de laboratoire
-
test date: 20210803; test name: body temperature; result unstructured data: (test result:37.5,unit:degree c,normal low:,normal high:)
- Liste des symptômes
-
nervousness irritability pyrexia
- Patient décédé?
- Non
- Date de décès
- N/A
- Anomalie congénitale
- false
- Vaccin administré par :
- Unknown
- Vaccin acheté par :
- Inconnu
- Visite d’un patient à l’urgence?
- Non
- Patient hospitalisé?
- Non
- Séjour à l’hôpital
- Non
- Nombre de jours à l’hôpital
- Non spécifié
- Invalidité permanente?
- Non
- Allergies:
-
na
- Maladie actuelle
-
na