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This is VAERS ID 568700

History of Changes from the VAERS Wayback Machine

First Appeared on 5/14/2015

VAERS ID: 568700
VAERS Form:
Age:21.0
Sex:Female
Location:Oregon
Vaccinated:2015-03-05
Onset:2015-03-06
Submitted:2015-03-06
Entered:2015-03-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH - / 0 LA / SYR

Administered by: Other      Purchased by: Other
Symptoms: Injection site erythema, Injection site pain, Pain

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: Pain at site of injection. Redness just below site of injection. Feeling achy all over.


Changed on 9/14/2017

VAERS ID: 568700 Before After
VAERS Form:(blank) 1
Age:21.0
Sex:Female
Location:Oregon
Vaccinated:2015-03-05
Onset:2015-03-06
Submitted:2015-03-06
Entered:2015-03-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH - / 0 1 LA / SYR

Administered by: Other      Purchased by: Other
Symptoms: Injection site erythema, Injection site pain, Pain

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: Pain at site of injection. Redness just below site of injection. Feeling achy all over.


Changed on 2/14/2018

VAERS ID: 568700 Before After
VAERS Form:1
Age:21.0
Sex:Female
Location:Oregon
Vaccinated:2015-03-05
Onset:2015-03-06
Submitted:2015-03-06
Entered:2015-03-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH - / 1 LA / SYR

Administered by: Other      Purchased by: Other
Symptoms: Injection site erythema, Injection site pain, Pain

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: Pain at site of injection. Redness just below site of injection. Feeling achy all over.


Changed on 6/14/2018

VAERS ID: 568700 Before After
VAERS Form:1
Age:21.0
Sex:Female
Location:Oregon
Vaccinated:2015-03-05
Onset:2015-03-06
Submitted:2015-03-06
Entered:2015-03-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH - / 1 LA / SYR

Administered by: Other      Purchased by: Other
Symptoms: Injection site erythema, Injection site pain, Pain

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: Pain at site of injection. Redness just below site of injection. Feeling achy all over.


Changed on 8/14/2018

VAERS ID: 568700 Before After
VAERS Form:1
Age:21.0
Sex:Female
Location:Oregon
Vaccinated:2015-03-05
Onset:2015-03-06
Submitted:2015-03-06
Entered:2015-03-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH - / 1 LA / SYR

Administered by: Other      Purchased by: Other
Symptoms: Injection site erythema, Injection site pain, Pain

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: Pain at site of injection. Redness just below site of injection. Feeling achy all over.


Changed on 9/14/2018

VAERS ID: 568700 Before After
VAERS Form:1
Age:21.0
Sex:Female
Location:Oregon
Vaccinated:2015-03-05
Onset:2015-03-06
Submitted:2015-03-06
Entered:2015-03-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH - / 1 LA / SYR

Administered by: Other      Purchased by: Other
Symptoms: Injection site erythema, Injection site pain, Pain

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: Pain at site of injection. Redness just below site of injection. Feeling achy all over.


Changed on 10/14/2018

VAERS ID: 568700 Before After
VAERS Form:1
Age:21.0
Sex:Female
Location:Oregon
Vaccinated:2015-03-05
Onset:2015-03-06
Submitted:2015-03-06
Entered:2015-03-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH - / 1 LA / SYR

Administered by: Other      Purchased by: Other
Symptoms: Injection site erythema, Injection site pain, Pain

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: Pain at site of injection. Redness just below site of injection. Feeling achy all over.

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https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=568700&WAYBACKHISTORY=ON


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