Sex: U
Vaccine: MNQ
Symptoms: Gastritis, Headache, Neck pain, Pyrexia
Clinical narrative: This case was reported in a literature article and described the occurrence of fever of unknown origin in a subject who received Meningococcal ACWY-CRM vaccine. On an unknown date, less than a day after receiving Meningococcal ACWY-CRM vaccine, the subject developed fever of unknown origin. Serious criteria included other: serious per reporter. Additional event(s) included headache with serious criteria of other: serious per reporter, neck pain with serious criteria of other: serious per reporter and gastritis with serious criteria of other: serious per reporter. The outcome of fever of unknown origin was unknown. The outcome(s) of the additional event(s) included headache (unknown), neck pain (unknown) and gastritis (unknown). It was unknown if the investigator considered the fever of unknown origin, headache, neck pain and gastritis to be related to Meningococcal ACWY-CRM vaccine. Additional information was provided. This case was reported in a literature article and described the occurrence of fever of unknown origin; headache; neck pain and gastritis in a patient aged between 0-89 years of unspecified gender who was vaccinated with MENVEO (GlaxoSmithKline). The patient was a part of the study to provide additional information on post-licensure safety, reported to Vaccine Adverse Event Reporting System (VAERS) for subjects of any age receiving MENVEO during 1 January 2010 through 31 December 2015. The study utilized the data reported to a spontaneous reporting system- VAERS, the co-administered by the Centres for Disease Control and Prevention (CDC) and the Food and Drug Administration (FDA)-to summarize reports following immunization with MENVEO. No information on patient's medical or family history or concomitant medication or concurrent condition was provided. On an unspecified date, the patient received MENVEO (administration route and site unspecified; dosages unknown; batch number not provided). [In this study, out of 1380 reports, other vaccines were also given concomitantly with MENVEO. The most commonly co-administered vaccines varied depending upon age including pneumococcal (n=9) and MMR (n=8) in children less than 2 years of age, Tdap in children aged 2-10 years (n=32), Tdap (n=776) and HPV (n=608) in adolescents (aged 11-18 years), and Tdap in adults aged 19 and older (n=43)]. On an unspecified date, between 0-734 days after vaccination, the patient developed fever of unknown origin accompanied by headache, neck pain and gastritis. (In this study, day 0 set as the day of vaccination). This case has been considered serious per reporter (In this study, reports are classified as serious or non-serious, using the definition for serious based on the Code of Regulations). Treatment was unknown. The outcome of the event was not reported. The authors did not comment on the relationship between the event of fever of unknown origin, headache, neck pain and gastritis and MENVEO. (VAERS personnel do not perform causality assessments regarding the relationship between a particular vaccine and a temporally-associated adverse event). The authors concluded that, "In our review of VAERS reports, findings of AEs were consistent with the data from pre licensure studies. Vaccine providers should continue to emphasize and adhere to proper administration of the vaccine." This is 1 of the 45 valid cases in the same literature article.