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This is VAERS ID 570843

History of Changes from the VAERS Wayback Machine

First Appeared on 5/14/2015

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

Administered by: Other      Purchased by: Unknown
Symptoms: Headache, Presyncope

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:
CDC 'Split Type':

Write-up: Near syncope, headache.


Changed on 9/14/2017

VAERS ID: 570843 Before After
VAERS Form:(blank) 1
Age:19.0
Sex:Male
Location:Rhode Island
Vaccinated:2015-02-08
Onset:2015-02-08
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

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:
CDC 'Split Type':

Write-up: Near syncope, headache.


Changed on 2/14/2018

VAERS ID: 570843 Before After
VAERS Form:1
Age:19.0
Sex:Male
Location:Rhode Island
Vaccinated:2015-02-08
Onset:2015-02-08
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

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:
CDC 'Split Type':

Write-up: Near syncope, headache.


Changed on 6/14/2018

VAERS ID: 570843 Before After
VAERS Form:1
Age:19.0
Sex:Male
Location:Rhode Island
Vaccinated:2015-02-08
Onset:2015-02-08
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

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:
CDC 'Split Type':

Write-up: Near syncope, headache.


Changed on 8/14/2018

VAERS ID: 570843 Before After
VAERS Form:1
Age:19.0
Sex:Male
Location:Rhode Island
Vaccinated:2015-02-08
Onset:2015-02-08
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

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:
CDC 'Split Type':

Write-up: Near syncope, headache.


Changed on 9/14/2018

VAERS ID: 570843 Before After
VAERS Form:1
Age:19.0
Sex:Male
Location:Rhode Island
Vaccinated:2015-02-08
Onset:2015-02-08
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

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:
CDC 'Split Type':

Write-up: Near syncope, headache.


Changed on 10/14/2018

VAERS ID: 570843 Before After
VAERS Form:1
Age:19.0
Sex:Male
Location:Rhode Island
Vaccinated:2015-02-08
Onset:2015-02-08
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

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:
CDC 'Split Type':

Write-up: Near syncope, headache.

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