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This is VAERS ID 568707

History of Changes from the VAERS Wayback Machine

First Appeared on 3/14/2015

VAERS ID: 568707
VAERS Form:
Age:19.0
Sex:Male
Location:Oregon
Vaccinated:2015-03-04
Onset:2015-03-05
Submitted:2015-03-09
Entered:2015-03-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH J28923 / 0 LA / IM

Administered by: Other      Purchased by: Private
Symptoms: Flushing, Headache, Injection site erythema, Myalgia, Pyrexia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: None known
Preexisting Conditions: None known
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Received Trumenba at Pfizer sponsored at mass vaccination clinic. At midnight he began to feel feverish, headache, myalgia. Better in AM with ASA x 2. At 1700 on 03/05/2015 presents at Health Center with erythema covering complete left deltoid, 3 X 5.5 inches along with intermittent full body flushing.

Changed on 9/14/2017

VAERS ID: 568707 Before After
VAERS Form:(blank) 1
Age:19.0
Sex:Male
Location:Oregon
Vaccinated:2015-03-04
Onset:2015-03-05
Submitted:2015-03-09
Entered:2015-03-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH J28923 / 0 1 LA / IM

Administered by: Other      Purchased by: Private
Symptoms: Flushing, Headache, Injection site erythema, Myalgia, Pyrexia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: None known
Preexisting Conditions: None known
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Received Trumenba at Pfizer sponsored at mass vaccination clinic. At midnight he began to feel feverish, headache, myalgia. Better in AM with ASA x 2. At 1700 on 03/05/2015 presents at Health Center with erythema covering complete left deltoid, 3 X 5.5 inches along with intermittent full body flushing.

Changed on 2/14/2018

VAERS ID: 568707 Before After
VAERS Form:1
Age:19.0
Sex:Male
Location:Oregon
Vaccinated:2015-03-04
Onset:2015-03-05
Submitted:2015-03-09
Entered:2015-03-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH J28923 / 1 LA / IM

Administered by: Other      Purchased by: Private
Symptoms: Flushing, Headache, Injection site erythema, Myalgia, Pyrexia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: None known
Preexisting Conditions: None known
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Received Trumenba at Pfizer sponsored at mass vaccination clinic. At midnight he began to feel feverish, headache, myalgia. Better in AM with ASA x 2. At 1700 on 03/05/2015 presents at Health Center with erythema covering complete left deltoid, 3 X 5.5 inches along with intermittent full body flushing.

Changed on 6/14/2018

VAERS ID: 568707 Before After
VAERS Form:1
Age:19.0
Sex:Male
Location:Oregon
Vaccinated:2015-03-04
Onset:2015-03-05
Submitted:2015-03-09
Entered:2015-03-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH J28923 / 1 LA / IM

Administered by: Other      Purchased by: Private
Symptoms: Flushing, Headache, Injection site erythema, Myalgia, Pyrexia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: None known
Preexisting Conditions: None known
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Received Trumenba at Pfizer sponsored at mass vaccination clinic. At midnight he began to feel feverish, headache, myalgia. Better in AM with ASA x 2. At 1700 on 03/05/2015 presents at Health Center with erythema covering complete left deltoid, 3 X 5.5 inches along with intermittent full body flushing.

Changed on 8/14/2018

VAERS ID: 568707 Before After
VAERS Form:1
Age:19.0
Sex:Male
Location:Oregon
Vaccinated:2015-03-04
Onset:2015-03-05
Submitted:2015-03-09
Entered:2015-03-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH J28923 / 1 LA / IM

Administered by: Other      Purchased by: Private
Symptoms: Flushing, Headache, Injection site erythema, Myalgia, Pyrexia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: None known
Preexisting Conditions: None known
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Received Trumenba at Pfizer sponsored at mass vaccination clinic. At midnight he began to feel feverish, headache, myalgia. Better in AM with ASA x 2. At 1700 on 03/05/2015 presents at Health Center with erythema covering complete left deltoid, 3 X 5.5 inches along with intermittent full body flushing.

Changed on 9/14/2018

VAERS ID: 568707 Before After
VAERS Form:1
Age:19.0
Sex:Male
Location:Oregon
Vaccinated:2015-03-04
Onset:2015-03-05
Submitted:2015-03-09
Entered:2015-03-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH J28923 / 1 LA / IM

Administered by: Other      Purchased by: Private
Symptoms: Flushing, Headache, Injection site erythema, Myalgia, Pyrexia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: None known
Preexisting Conditions: None known
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Received Trumenba at Pfizer sponsored at mass vaccination clinic. At midnight he began to feel feverish, headache, myalgia. Better in AM with ASA x 2. At 1700 on 03/05/2015 presents at Health Center with erythema covering complete left deltoid, 3 X 5.5 inches along with intermittent full body flushing.

Changed on 10/14/2018

VAERS ID: 568707 Before After
VAERS Form:1
Age:19.0
Sex:Male
Location:Oregon
Vaccinated:2015-03-04
Onset:2015-03-05
Submitted:2015-03-09
Entered:2015-03-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH J28923 / 1 LA / IM

Administered by: Other      Purchased by: Private
Symptoms: Flushing, Headache, Injection site erythema, Myalgia, Pyrexia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: None known
Preexisting Conditions: None known
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Received Trumenba at Pfizer sponsored at mass vaccination clinic. At midnight he began to feel feverish, headache, myalgia. Better in AM with ASA x 2. At 1700 on 03/05/2015 presents at Health Center with erythema covering complete left deltoid, 3 X 5.5 inches along with intermittent full body flushing.

Changed on 12/24/2020

VAERS ID: 568707 Before After
VAERS Form:1
Age:19.0
Sex:Male
Location:Oregon
Vaccinated:2015-03-04
Onset:2015-03-05
Submitted:2015-03-09
Entered:2015-03-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH J28923 / 1 LA / IM

Administered by: Other      Purchased by: Private
Symptoms: Flushing, Headache, Injection site erythema, Myalgia, Pyrexia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: None known
Preexisting Conditions: None known
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Received Trumenba at Pfizer sponsored at mass vaccination clinic. At midnight he began to feel feverish, headache, myalgia. Better in AM with ASA x 2. At 1700 on 03/05/2015 presents at Health Center with erythema covering complete left deltoid, 3 X 5.5 inches along with intermittent full body flushing.

Changed on 12/30/2020

VAERS ID: 568707 Before After
VAERS Form:1
Age:19.0
Sex:Male
Location:Oregon
Vaccinated:2015-03-04
Onset:2015-03-05
Submitted:2015-03-09
Entered:2015-03-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH J28923 / 1 LA / IM

Administered by: Other      Purchased by: Private
Symptoms: Flushing, Headache, Injection site erythema, Myalgia, Pyrexia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: None known
Preexisting Conditions: None known
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Received Trumenba at Pfizer sponsored at mass vaccination clinic. At midnight he began to feel feverish, headache, myalgia. Better in AM with ASA x 2. At 1700 on 03/05/2015 presents at Health Center with erythema covering complete left deltoid, 3 X 5.5 inches along with intermittent full body flushing.

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https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=568707&WAYBACKHISTORY=ON


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