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This is VAERS ID 570870

Case Details

VAERS ID: 570870 (history)  
Form: Version 1.0  
Age: 20.0  
Sex: Male  
Location: Rhode Island  
Vaccinated:2014-02-08
Onset:2014-02-08
   Days after vaccination:0
Submitted: 2014-02-08
   Days after onset:0
Entered: 2015-03-18
   Days after submission:402
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH - / UNK UN / UN

Administered by: Unknown       Purchased by: Unknown
Symptoms: Adverse drug reaction, Chills, Sluggishness
SMQs:, Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: HCTZ; doxepin; BENADRYL; WELLBUTRIN; cetirizine
Current Illness: Non-specified
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Rec''d vaccine - felt sluggish about 1 hour post vaccine, chills. Took a nap, then went to Health Center. Currently being tx for reaction to medication/BP.


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