Age: 12.0
Sex: M
Vaccine: DTAP, MNQ
Symptoms: Back pain, Blister, Burning sensation, Headache, Memory impairment
Clinical narrative: severe head pain and with the pain he was forgetting everything; welts; blistering of the skin on the right side of the body; blisters as burning; migraine headaches; severe back pain; allergic reaction; high fever; vomiting;Initial information received on 19-Oct-2021 regarding an unsolicited valid non-serious case from consumer/non-health care professional and physician via Media Information (under reference 00818660).  This case involves a 12 years old male patient who had allergic reaction (hypersensitivity) with the associated symptoms as high fever (pyrexia), vomiting, blistering of the skin on the right side of the body (blister), blisters as burning (burning sensation) and welts (urticaria). Also he had migraine headaches (migraine) with the symptom as severe head pain and with the pain he was forgetting everything (memory impairment) and another event, severe back pain (back pain), after receiving DIPHTHERIA, TETANUS AND ACELLULAR PERTUSSIS VACCINE and MENINGOCOCCAL A-C-Y-W135 (D CONJ) VACCINE [MENACTRA].  The patient's medical history, medical treatment(s), concomitant medication(s) and family history were not provided.  The patient had no other concomitant vaccines.  At the time of the event, the patient had ongoing medical history of food allergy and he also had a history of allergies and sensitivities; that the allergist had always used acupuncture to treat the food allergies.   On 20-Sep-2021, the patient received a 0.5 mL dose of suspect MENINGOCOCCAL A-C-Y-W135 (D CONJ) VACCINE (Total, lot number and expiration date were not reported) via intramuscular route in the left arm for prophylactic vaccination.  On an unknown date, the patient received a dose of suspect DIPHTHERIA, TETANUS AND ACELLULAR PERTUSSIS VACCINE produced by unknown manufacturer (lot number and expiration date were not reported) via unknown route in an unknown administration site for prophylactic vaccination.  On 20-Sep-2021, the patient developed non-serious allergic reaction (hypersensitivity), high fever (pyrexia), vomiting, severe back pain (back pain), migraine headaches (migraine), blistering of the skin on the right side of the body (blister), blisters as burning (burning sensation), 30 minutes following the administration of MENACTRA and unknown latency following the administration of DIPHTHERIA, TETANUS AND ACELLULAR PERTUSSIS VACCINE.  On an unknown date, the patient developed a non-serious welts (urticaria) and severe head pain and with the pain he was forgetting everything (memory impairment) [unknown latency] following the administration of vaccines.  It was reported "caller states she knows the vaccine as "meningococcal/conjugate" as told to her by the administering RN (registered nurse), but does not know the brand name and can obtain information; caller states her son age 12 received the vaccination on 20SEP2021, within 30 mins a high fever, vomiting, severe back pain, migraine headaches and blistering of the skin began to happen; caller states the blister began on the right side of the body, vaccine administered on the left side; caller states that time of call, the patient's back pain is gone, but headache and blisters remain; caller states blisters have become fewer and fewer each time of an outbreak; caller states patient describes the blisters as burning and not itching; caller states photos of blisters and welts are available; caller states patient has seen his Primary care doctor since the reaction as well as an allergist; caller states Primary Care suggest to call manufacturer for detail and to report incident; caller states patient had allergic reaction to "dTap vaccine" in the fifth grade; that during the first days of this the consumer could not eat for a couple of days; that 3-days after the vaccine the consumer went back to the prescriber; that the consumer still had one blister, when he went back to the prescriber; that the prescriber expressed that the reaction cannot be from the Menactra; that after the consumer left the office and still in the parking lot, the consumer began to blister all over the body; that the consumer was referred to an allergist; that with testing at the allergist the consumer was shown to be allergic to the MENACTRA vaccine; that the consumer did present with being hived out again with blisters; that the hives are not really hives but blisters with a purple tint and purple dots in the blisters; that the consumer has not had any other treatment; that the consume now had to be taken out of his normal school to accommodate the consumer status; that the consumer is on the couch at the time of this report."  The patient was given DIPHENHYDRAMINE HYDROCHLORIDE (BENADRYL) and fever reducer at home as corrective treatment.  Also, the patient was treated with needles described as getting acupuncture treatments; that the back pain seemed to go away; that the he was still having severe head pain and with the pain he was forgetting everything ; that the consumer went back to see the allergist again and treated with the needles again.  The patient recovered from the event severe back pain on an unknown date.  At time of reporting, the patient did not recover from the events blister, burning sensation, migraine headaches and memory impairment.  At time of reporting, the outcome was unknown for the other reported events.  There will be no information available on the batch number for this case.