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This is VAERS ID 570843

Case Details

VAERS ID: 570843 (history)  
Form: Version 1.0  
Age: 19.0  
Sex: Male  
Location: Rhode Island  
Vaccinated:2015-02-08
Onset:2015-02-08
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2015-03-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH - / UNK UN / UN

Administered by: Other       Purchased by: Unknown
Symptoms: Headache, Presyncope
SMQs:, Anticholinergic syndrome (broad), Hypotonic-hyporesponsive episode (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Near syncope, headache.


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