![]() |
National Vaccine Information Center Your Health. Your Family. Your Choice. |
MedAlerts Home |
History of Changes from the VAERS Wayback Machine |
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.
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.
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.
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.
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.
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.
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.
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.
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.
Link To This Search Result:
https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=568707&WAYBACKHISTORY=ON
Copyright ©
2021 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166