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This is VAERS ID 571859

Case Details

VAERS ID: 571859 (history)  
Form: Version 1.0  
Age: 19.0  
Sex: Female  
Location: Rhode Island  
Vaccinated:2015-02-08
Onset:0000-00-00
Submitted: 2015-02-18
Entered: 2015-03-18
   Days after submission:27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH J28923 / UNK UN / UN

Administered by: Unknown       Purchased by: Unknown
Symptoms: Decreased appetite, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), 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:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Loss of appetite, fever 102.9.


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