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This is VAERS ID 568294

History of Changes from the VAERS Wayback Machine

First Appeared on 4/14/2015

VAERS ID: 568294
VAERS Form:
Age:20.0
Sex:Male
Location:Oregon
Vaccinated:2015-03-03
Onset:0000-00-00
Submitted:2015-03-05
Entered:2015-03-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH - / 0 LA / IM

Administered by: Public      Purchased by: Private
Symptoms: Injection site erythema

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

Write-up: Severe redness around injection site.


Changed on 9/14/2017

VAERS ID: 568294 Before After
VAERS Form:(blank) 1
Age:20.0
Sex:Male
Location:Oregon
Vaccinated:2015-03-03
Onset:0000-00-00
Submitted:2015-03-05
Entered:2015-03-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH - / 0 1 LA / IM

Administered by: Public      Purchased by: Private
Symptoms: Injection site erythema

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

Write-up: Severe redness around injection site.


Changed on 2/14/2018

VAERS ID: 568294 Before After
VAERS Form:1
Age:20.0
Sex:Male
Location:Oregon
Vaccinated:2015-03-03
Onset:0000-00-00
Submitted:2015-03-05
Entered:2015-03-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH - / 1 LA / IM

Administered by: Public      Purchased by: Private
Symptoms: Injection site erythema

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

Write-up: Severe redness around injection site.


Changed on 6/14/2018

VAERS ID: 568294 Before After
VAERS Form:1
Age:20.0
Sex:Male
Location:Oregon
Vaccinated:2015-03-03
Onset:0000-00-00
Submitted:2015-03-05
Entered:2015-03-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH - / 1 LA / IM

Administered by: Public      Purchased by: Private
Symptoms: Injection site erythema

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

Write-up: Severe redness around injection site.


Changed on 8/14/2018

VAERS ID: 568294 Before After
VAERS Form:1
Age:20.0
Sex:Male
Location:Oregon
Vaccinated:2015-03-03
Onset:0000-00-00
Submitted:2015-03-05
Entered:2015-03-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH - / 1 LA / IM

Administered by: Public      Purchased by: Private
Symptoms: Injection site erythema

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

Write-up: Severe redness around injection site.


Changed on 9/14/2018

VAERS ID: 568294 Before After
VAERS Form:1
Age:20.0
Sex:Male
Location:Oregon
Vaccinated:2015-03-03
Onset:0000-00-00
Submitted:2015-03-05
Entered:2015-03-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH - / 1 LA / IM

Administered by: Public      Purchased by: Private
Symptoms: Injection site erythema

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

Write-up: Severe redness around injection site.


Changed on 10/14/2018

VAERS ID: 568294 Before After
VAERS Form:1
Age:20.0
Sex:Male
Location:Oregon
Vaccinated:2015-03-03
Onset:0000-00-00
Submitted:2015-03-05
Entered:2015-03-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH - / 1 LA / IM

Administered by: Public      Purchased by: Private
Symptoms: Injection site erythema

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

Write-up: Severe redness around injection site.

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