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This is VAERS ID 571809

Case Details

VAERS ID: 571809 (history)  
Form: Version 1.0  
Age:   
Sex: Female  
Location: Rhode Island  
Vaccinated:2015-02-08
Onset:0000-00-00
Submitted: 2015-02-20
Entered: 2015-03-18
   Days after submission:25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH J28923 / 1 LA / SYR

Administered by: Unknown       Purchased by: Unknown
Symptoms: Myalgia, Nausea
SMQs:, Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (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: Myalgia and nausea.


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