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This is VAERS ID 571859

History of Changes from the VAERS Wayback Machine

First Appeared on 5/14/2015

VAERS ID: 571859
VAERS Form:
Age:19.0
Sex:Female
Location:Rhode Island
Vaccinated:2015-02-08
Onset:0000-00-00
Submitted:2015-02-18
Entered:2015-03-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
UNK: VACCINE NOT SPECIFIED (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - UN / UN

Administered by: Unknown      Purchased by: Unknown
Symptoms: Pyrexia, Decreased appetite

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: Loss of appetite, fever 102.9.


Changed on 9/14/2017

VAERS ID: 571859 Before After
VAERS Form:(blank) 1
Age:19.0
Sex:Female
Location:Rhode Island
Vaccinated:2015-02-08
Onset:0000-00-00
Submitted:2015-02-18
Entered:2015-03-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
UNK: VACCINE NOT SPECIFIED (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - UNK UN / UN

Administered by: Unknown      Purchased by: Unknown
Symptoms: Pyrexia, Decreased appetite

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: Loss of appetite, fever 102.9.


Changed on 2/14/2018

VAERS ID: 571859 Before After
VAERS Form:1
Age:19.0
Sex:Female
Location:Rhode Island
Vaccinated:2015-02-08
Onset:0000-00-00
Submitted:2015-02-18
Entered:2015-03-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
UNK: VACCINE NOT SPECIFIED (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK UN / UN

Administered by: Unknown      Purchased by: Unknown
Symptoms: Pyrexia, Decreased appetite

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: Loss of appetite, fever 102.9.


Changed on 6/14/2018

VAERS ID: 571859 Before After
VAERS Form:1
Age:19.0
Sex:Female
Location:Rhode Island
Vaccinated:2015-02-08
Onset:0000-00-00
Submitted:2015-02-18
Entered:2015-03-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
UNK: VACCINE NOT SPECIFIED (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK UN / UN

Administered by: Unknown      Purchased by: Unknown
Symptoms: Pyrexia, Decreased appetite

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: Loss of appetite, fever 102.9.


Changed on 7/14/2018

VAERS ID: 571859 Before After
VAERS Form:1
Age:19.0
Sex:Female
Location:Rhode Island
Vaccinated:2015-02-08
Onset:0000-00-00
Submitted:2015-02-18
Entered:2015-03-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH J28923 / UNK UN / UN
UNK: VACCINE NOT SPECIFIED (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK UN / UN

Administered by: Unknown      Purchased by: Unknown
Symptoms: Pyrexia, Decreased appetite

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: Loss of appetite, fever 102.9.


Changed on 8/14/2018

VAERS ID: 571859 Before After
VAERS Form:1
Age:19.0
Sex:Female
Location:Rhode Island
Vaccinated:2015-02-08
Onset:0000-00-00
Submitted:2015-02-18
Entered:2015-03-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH J28923 / UNK UN / UN

Administered by: Unknown      Purchased by: Unknown
Symptoms: Pyrexia, Decreased appetite

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: Loss of appetite, fever 102.9.


Changed on 9/14/2018

VAERS ID: 571859 Before After
VAERS Form:1
Age:19.0
Sex:Female
Location:Rhode Island
Vaccinated:2015-02-08
Onset:0000-00-00
Submitted:2015-02-18
Entered:2015-03-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH J28923 / UNK UN / UN

Administered by: Unknown      Purchased by: Unknown
Symptoms: Pyrexia, Decreased appetite

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: Loss of appetite, fever 102.9.


Changed on 10/14/2018

VAERS ID: 571859 Before After
VAERS Form:1
Age:19.0
Sex:Female
Location:Rhode Island
Vaccinated:2015-02-08
Onset:0000-00-00
Submitted:2015-02-18
Entered:2015-03-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH J28923 / UNK UN / UN

Administered by: Unknown      Purchased by: Unknown
Symptoms: Pyrexia, Decreased appetite

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: Loss of appetite, fever 102.9.

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Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=571859&WAYBACKHISTORY=ON


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