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This is VAERS ID 568287

History of Changes from the VAERS Wayback Machine

First Appeared on 4/14/2015

VAERS ID: 568287
VAERS Form:
Age:25.0
Sex:Female
Location:Oregon
Vaccinated:2015-03-04
Onset:2015-03-04
Submitted:2015-03-05
Entered:2015-03-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH - / 0 LA / SYR

Administered by: Other      Purchased by: Other
Symptoms: Chills, Feeling abnormal, Headache, Nausea, Daydreaming

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: No
Preexisting Conditions: Allergy to PPD shot
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: General fuzzy/absent-minded feeling, nausea, headache, chills.


Changed on 9/14/2017

VAERS ID: 568287 Before After
VAERS Form:(blank) 1
Age:25.0
Sex:Female
Location:Oregon
Vaccinated:2015-03-04
Onset:2015-03-04
Submitted:2015-03-05
Entered:2015-03-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH - / 0 1 LA / SYR

Administered by: Other      Purchased by: Other
Symptoms: Chills, Feeling abnormal, Headache, Nausea, Daydreaming

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: No
Preexisting Conditions: Allergy to PPD shot
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: General fuzzy/absent-minded feeling, nausea, headache, chills.


Changed on 2/14/2018

VAERS ID: 568287 Before After
VAERS Form:1
Age:25.0
Sex:Female
Location:Oregon
Vaccinated:2015-03-04
Onset:2015-03-04
Submitted:2015-03-05
Entered:2015-03-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH - / 1 LA / SYR

Administered by: Other      Purchased by: Other
Symptoms: Chills, Feeling abnormal, Headache, Nausea, Daydreaming

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: No
Preexisting Conditions: Allergy to PPD shot
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: General fuzzy/absent-minded feeling, nausea, headache, chills.


Changed on 6/14/2018

VAERS ID: 568287 Before After
VAERS Form:1
Age:25.0
Sex:Female
Location:Oregon
Vaccinated:2015-03-04
Onset:2015-03-04
Submitted:2015-03-05
Entered:2015-03-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH - / 1 LA / SYR

Administered by: Other      Purchased by: Other
Symptoms: Chills, Feeling abnormal, Headache, Nausea, Daydreaming

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: No
Preexisting Conditions: Allergy to PPD shot
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: General fuzzy/absent-minded feeling, nausea, headache, chills.


Changed on 8/14/2018

VAERS ID: 568287 Before After
VAERS Form:1
Age:25.0
Sex:Female
Location:Oregon
Vaccinated:2015-03-04
Onset:2015-03-04
Submitted:2015-03-05
Entered:2015-03-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH - / 1 LA / SYR

Administered by: Other      Purchased by: Other
Symptoms: Chills, Feeling abnormal, Headache, Nausea, Daydreaming

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: No
Preexisting Conditions: Allergy to PPD shot
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: General fuzzy/absent-minded feeling, nausea, headache, chills.


Changed on 9/14/2018

VAERS ID: 568287 Before After
VAERS Form:1
Age:25.0
Sex:Female
Location:Oregon
Vaccinated:2015-03-04
Onset:2015-03-04
Submitted:2015-03-05
Entered:2015-03-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH - / 1 LA / SYR

Administered by: Other      Purchased by: Other
Symptoms: Chills, Feeling abnormal, Headache, Nausea, Daydreaming

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: No
Preexisting Conditions: Allergy to PPD shot
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: General fuzzy/absent-minded feeling, nausea, headache, chills.


Changed on 10/14/2018

VAERS ID: 568287 Before After
VAERS Form:1
Age:25.0
Sex:Female
Location:Oregon
Vaccinated:2015-03-04
Onset:2015-03-04
Submitted:2015-03-05
Entered:2015-03-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH - / 1 LA / SYR

Administered by: Other      Purchased by: Other
Symptoms: Chills, Feeling abnormal, Headache, Nausea, Daydreaming

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: No
Preexisting Conditions: Allergy to PPD shot
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: General fuzzy/absent-minded feeling, nausea, headache, chills.

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https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=568287&WAYBACKHISTORY=ON


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