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This is VAERS ID 570818

History of Changes from the VAERS Wayback Machine

First Appeared on 5/14/2015

VAERS ID: 570818
VAERS Form:
Age:20.0
Sex:Female
Location:Rhode Island
Vaccinated:2015-02-08
Onset:2015-02-08
Submitted:2015-02-08
Entered:2015-03-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH - / - UN / SYR

Administered by: Unknown      Purchased by: Unknown
Symptoms: Dehydration, Hyperhidrosis, Loss of consciousness, Pallor, Presyncope, Skin warm

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: Rpt LOC in chair - LOC post injection. Pale, diaphoretic, warm, vagal reaction and mild dehydration.


Changed on 9/14/2017

VAERS ID: 570818 Before After
VAERS Form:(blank) 1
Age:20.0
Sex:Female
Location:Rhode Island
Vaccinated:2015-02-08
Onset:2015-02-08
Submitted:2015-02-08
Entered:2015-03-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH - / - UNK UN / SYR

Administered by: Unknown      Purchased by: Unknown
Symptoms: Dehydration, Hyperhidrosis, Loss of consciousness, Pallor, Presyncope, Skin warm

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: Rpt LOC in chair - LOC post injection. Pale, diaphoretic, warm, vagal reaction and mild dehydration.


Changed on 2/14/2018

VAERS ID: 570818 Before After
VAERS Form:1
Age:20.0
Sex:Female
Location:Rhode Island
Vaccinated:2015-02-08
Onset:2015-02-08
Submitted:2015-02-08
Entered:2015-03-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH - / UNK UN / SYR

Administered by: Unknown      Purchased by: Unknown
Symptoms: Dehydration, Hyperhidrosis, Loss of consciousness, Pallor, Presyncope, Skin warm

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: Rpt LOC in chair - LOC post injection. Pale, diaphoretic, warm, vagal reaction and mild dehydration.


Changed on 6/14/2018

VAERS ID: 570818 Before After
VAERS Form:1
Age:20.0
Sex:Female
Location:Rhode Island
Vaccinated:2015-02-08
Onset:2015-02-08
Submitted:2015-02-08
Entered:2015-03-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH - / UNK UN / SYR

Administered by: Unknown      Purchased by: Unknown
Symptoms: Dehydration, Hyperhidrosis, Loss of consciousness, Pallor, Presyncope, Skin warm

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: Rpt LOC in chair - LOC post injection. Pale, diaphoretic, warm, vagal reaction and mild dehydration.


Changed on 8/14/2018

VAERS ID: 570818 Before After
VAERS Form:1
Age:20.0
Sex:Female
Location:Rhode Island
Vaccinated:2015-02-08
Onset:2015-02-08
Submitted:2015-02-08
Entered:2015-03-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH - / UNK UN / SYR

Administered by: Unknown      Purchased by: Unknown
Symptoms: Dehydration, Hyperhidrosis, Loss of consciousness, Pallor, Presyncope, Skin warm

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: Rpt LOC in chair - LOC post injection. Pale, diaphoretic, warm, vagal reaction and mild dehydration.


Changed on 9/14/2018

VAERS ID: 570818 Before After
VAERS Form:1
Age:20.0
Sex:Female
Location:Rhode Island
Vaccinated:2015-02-08
Onset:2015-02-08
Submitted:2015-02-08
Entered:2015-03-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH - / UNK UN / SYR

Administered by: Unknown      Purchased by: Unknown
Symptoms: Dehydration, Hyperhidrosis, Loss of consciousness, Pallor, Presyncope, Skin warm

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: Rpt LOC in chair - LOC post injection. Pale, diaphoretic, warm, vagal reaction and mild dehydration.


Changed on 10/14/2018

VAERS ID: 570818 Before After
VAERS Form:1
Age:20.0
Sex:Female
Location:Rhode Island
Vaccinated:2015-02-08
Onset:2015-02-08
Submitted:2015-02-08
Entered:2015-03-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH - / UNK UN / SYR

Administered by: Unknown      Purchased by: Unknown
Symptoms: Dehydration, Hyperhidrosis, Loss of consciousness, Pallor, Presyncope, Skin warm

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: Rpt LOC in chair - LOC post injection. Pale, diaphoretic, warm, vagal reaction and mild dehydration.

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https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=570818&WAYBACKHISTORY=ON


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