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This is VAERS ID 570848

History of Changes from the VAERS Wayback Machine

First Appeared on 5/14/2015

VAERS ID: 570848
VAERS Form:
Age:
Sex:Female
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: Presyncope

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: Near syncope everything went black after vac.


Changed on 9/14/2017

VAERS ID: 570848 Before After
VAERS Form:(blank) 1
Age:
Sex:Female
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: Presyncope

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: Near syncope everything went black after vac.


Changed on 2/14/2018

VAERS ID: 570848 Before After
VAERS Form:1
Age:
Sex:Female
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: Presyncope

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: Near syncope everything went black after vac.


Changed on 6/14/2018

VAERS ID: 570848 Before After
VAERS Form:1
Age:
Sex:Female
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: Presyncope

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: Near syncope everything went black after vac.


Changed on 8/14/2018

VAERS ID: 570848 Before After
VAERS Form:1
Age:
Sex:Female
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: Presyncope

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: Near syncope everything went black after vac.


Changed on 9/14/2018

VAERS ID: 570848 Before After
VAERS Form:1
Age:
Sex:Female
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: Presyncope

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: Near syncope everything went black after vac.


Changed on 10/14/2018

VAERS ID: 570848 Before After
VAERS Form:1
Age:
Sex:Female
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: Presyncope

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: Near syncope everything went black after vac.

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https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=570848&WAYBACKHISTORY=ON


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