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This is VAERS ID 570819

History of Changes from the VAERS Wayback Machine

First Appeared on 4/14/2015

VAERS ID: 570819
VAERS Form:
Age:21.0
Sex:Female
Location:Unknown
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 J29203 / 0 UN / UN

Administered by: Other      Purchased by: Unknown
Symptoms: Erythema, Urticaria

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:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: Rapid onset of hives/redness on arms following injection-hives bilaterally down arms, (-) torso or lower extrem. No lip, tongue or face swelling.


Changed on 9/14/2017

VAERS ID: 570819 Before After
VAERS Form:(blank) 1
Age:21.0
Sex:Female
Location:Unknown
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 J29203 / 0 1 UN / UN

Administered by: Other      Purchased by: Unknown
Symptoms: Erythema, Urticaria

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:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: Rapid onset of hives/redness on arms following injection-hives bilaterally down arms, (-) torso or lower extrem. No lip, tongue or face swelling.


Changed on 2/14/2018

VAERS ID: 570819 Before After
VAERS Form:1
Age:21.0
Sex:Female
Location:Unknown
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 J29203 / 1 UN / UN

Administered by: Other      Purchased by: Unknown
Symptoms: Erythema, Urticaria

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:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: Rapid onset of hives/redness on arms following injection-hives bilaterally down arms, (-) torso or lower extrem. No lip, tongue or face swelling.


Changed on 6/14/2018

VAERS ID: 570819 Before After
VAERS Form:1
Age:21.0
Sex:Female
Location:Unknown
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 J29203 / 1 UN / UN

Administered by: Other      Purchased by: Unknown
Symptoms: Erythema, Urticaria

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:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: Rapid onset of hives/redness on arms following injection-hives bilaterally down arms, (-) torso or lower extrem. No lip, tongue or face swelling.


Changed on 8/14/2018

VAERS ID: 570819 Before After
VAERS Form:1
Age:21.0
Sex:Female
Location:Unknown
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 J29203 / 1 UN / UN

Administered by: Other      Purchased by: Unknown
Symptoms: Erythema, Urticaria

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:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: Rapid onset of hives/redness on arms following injection-hives bilaterally down arms, (-) torso or lower extrem. No lip, tongue or face swelling.


Changed on 9/14/2018

VAERS ID: 570819 Before After
VAERS Form:1
Age:21.0
Sex:Female
Location:Unknown
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 J29203 / 1 UN / UN

Administered by: Other      Purchased by: Unknown
Symptoms: Erythema, Urticaria

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:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: Rapid onset of hives/redness on arms following injection-hives bilaterally down arms, (-) torso or lower extrem. No lip, tongue or face swelling.


Changed on 10/14/2018

VAERS ID: 570819 Before After
VAERS Form:1
Age:21.0
Sex:Female
Location:Unknown
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 J29203 / 1 UN / UN

Administered by: Other      Purchased by: Unknown
Symptoms: Erythema, Urticaria

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:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: Rapid onset of hives/redness on arms following injection-hives bilaterally down arms, (-) torso or lower extrem. No lip, tongue or face swelling.

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https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=570819&WAYBACKHISTORY=ON


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