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This is VAERS ID 571808

Case Details

VAERS ID: 571808 (history)  
Form: Version 1.0  
Age: 22.0  
Sex: Male  
Location: Rhode Island  
Vaccinated:2015-02-10
Onset:2015-02-10
   Days after vaccination:0
Submitted: 2015-02-14
   Days after onset:4
Entered: 2015-03-18
   Days after submission:31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH J28923 / UNK - / -

Administered by: Other       Purchased by: Private
Symptoms: Blood alkaline phosphatase normal, Blood bilirubin unconjugated increased, Blood lactate dehydrogenase normal, Full blood count normal, Haptoglobin normal, Liver function test normal, Nausea
SMQs:, Liver related investigations, signs and symptoms (narrow), Acute pancreatitis (broad), Biliary system related investigations, signs and symptoms (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: Nl haptoglobin; Ind bili, 9; T bil 10, nl alk 4; Nl LFTs; Nl CBC/LDH
CDC Split Type:

Write-up: Increased indirect bili 9; nl LFTs, nl haptoglobin, (-) sx except mild nausea after vaccine. (-) pnh, (-) known dydbilirubinemias


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