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This is VAERS ID 568747

History of Changes from the VAERS Wayback Machine

First Appeared on 5/14/2015

VAERS ID: 568747
VAERS Form:
Age:28.0
Sex:Female
Location:Oregon
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2015-03-07
Entered:2015-03-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH - / 0 UN / IM

Administered by: Other      Purchased by: Private
Symptoms: Chest X-ray, Full blood count, Wheezing

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: No
Current Illness: No
Preexisting Conditions: Clindamycin allergy
Allergies:
Diagnostic Lab Data: CBC/CXR
CDC 'Split Type':

Write-up: Wheezing on exam.


Changed on 9/14/2017

VAERS ID: 568747 Before After
VAERS Form:(blank) 1
Age:28.0
Sex:Female
Location:Oregon
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2015-03-07
Entered:2015-03-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH - / 0 1 UN / IM

Administered by: Other      Purchased by: Private
Symptoms: Chest X-ray, Full blood count, Wheezing

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: No
Current Illness: No
Preexisting Conditions: Clindamycin allergy
Allergies:
Diagnostic Lab Data: CBC/CXR
CDC 'Split Type':

Write-up: Wheezing on exam.


Changed on 2/14/2018

VAERS ID: 568747 Before After
VAERS Form:1
Age:28.0
Sex:Female
Location:Oregon
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2015-03-07
Entered:2015-03-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH - / 1 UN / IM

Administered by: Other      Purchased by: Private
Symptoms: Chest X-ray, Full blood count, Wheezing

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: No
Current Illness: No
Preexisting Conditions: Clindamycin allergy
Allergies:
Diagnostic Lab Data: CBC/CXR
CDC 'Split Type':

Write-up: Wheezing on exam.


Changed on 6/14/2018

VAERS ID: 568747 Before After
VAERS Form:1
Age:28.0
Sex:Female
Location:Oregon
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2015-03-07
Entered:2015-03-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH - / 1 UN / IM

Administered by: Other      Purchased by: Private
Symptoms: Chest X-ray, Full blood count, Wheezing

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: No
Current Illness: No
Preexisting Conditions: Clindamycin allergy
Allergies:
Diagnostic Lab Data: CBC/CXR
CDC 'Split Type':

Write-up: Wheezing on exam.


Changed on 8/14/2018

VAERS ID: 568747 Before After
VAERS Form:1
Age:28.0
Sex:Female
Location:Oregon
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2015-03-07
Entered:2015-03-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH - / 1 UN / IM

Administered by: Other      Purchased by: Private
Symptoms: Chest X-ray, Full blood count, Wheezing

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: No
Current Illness: No
Preexisting Conditions: Clindamycin allergy
Allergies:
Diagnostic Lab Data: CBC/CXR
CDC 'Split Type':

Write-up: Wheezing on exam.


Changed on 9/14/2018

VAERS ID: 568747 Before After
VAERS Form:1
Age:28.0
Sex:Female
Location:Oregon
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2015-03-07
Entered:2015-03-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH - / 1 UN / IM

Administered by: Other      Purchased by: Private
Symptoms: Chest X-ray, Full blood count, Wheezing

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: No
Current Illness: No
Preexisting Conditions: Clindamycin allergy
Allergies:
Diagnostic Lab Data: CBC/CXR
CDC 'Split Type':

Write-up: Wheezing on exam.


Changed on 10/14/2018

VAERS ID: 568747 Before After
VAERS Form:1
Age:28.0
Sex:Female
Location:Oregon
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2015-03-07
Entered:2015-03-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH - / 1 UN / IM

Administered by: Other      Purchased by: Private
Symptoms: Chest X-ray, Full blood count, Wheezing

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: No
Current Illness: No
Preexisting Conditions: Clindamycin allergy
Allergies:
Diagnostic Lab Data: CBC/CXR
CDC 'Split Type':

Write-up: Wheezing on exam.

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