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This is VAERS ID 584440

Case Details

VAERS ID: 584440 (history)  
Form: Version 1.0  
Age: 20.0  
Sex: Male  
Location: Oregon  
Vaccinated:2015-06-22
Onset:2015-06-23
   Days after vaccination:1
Submitted: 2015-07-05
   Days after onset:12
Entered: 2015-07-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH J28923 / 2 LA / IM

Administered by: Other       Purchased by: Public
Symptoms: Injection site erythema, Throat irritation
SMQs:, Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Extravasation events (injections, infusions and implants) (broad)

Life Threatening? Yes
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:
Current Illness: No
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Itchy throat, red band around the arm where the shot was given, redness from elbow to shoulder. Had to take prednisone and Keflex.


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