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This is VAERS ID 584440

History of Changes from the VAERS Wayback Machine

First Appeared on 7/14/2015

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

Administered by: Other      Purchased by: Public
Symptoms: Injection site erythema, Throat irritation

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? 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.


Changed on 9/14/2017

VAERS ID: 584440 Before After
VAERS Form:(blank) 1
Age:20.0
Sex:Male
Location:Oregon
Vaccinated:2015-06-22
Onset:2015-06-23
Submitted:2015-07-05
Entered:2015-07-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH J28923 / 1 2 LA / IM

Administered by: Other      Purchased by: Public
Symptoms: Injection site erythema, Throat irritation

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? 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.


Changed on 2/14/2018

VAERS ID: 584440 Before After
VAERS Form:1
Age:20.0
Sex:Male
Location:Oregon
Vaccinated:2015-06-22
Onset:2015-06-23
Submitted:2015-07-05
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

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? 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.


Changed on 6/14/2018

VAERS ID: 584440 Before After
VAERS Form:1
Age:20.0
Sex:Male
Location:Oregon
Vaccinated:2015-06-22
Onset:2015-06-23
Submitted:2015-07-05
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

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? 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.


Changed on 8/14/2018

VAERS ID: 584440 Before After
VAERS Form:1
Age:20.0
Sex:Male
Location:Oregon
Vaccinated:2015-06-22
Onset:2015-06-23
Submitted:2015-07-05
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

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? 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.


Changed on 9/14/2018

VAERS ID: 584440 Before After
VAERS Form:1
Age:20.0
Sex:Male
Location:Oregon
Vaccinated:2015-06-22
Onset:2015-06-23
Submitted:2015-07-05
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

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? 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.


Changed on 10/14/2018

VAERS ID: 584440 Before After
VAERS Form:1
Age:20.0
Sex:Male
Location:Oregon
Vaccinated:2015-06-22
Onset:2015-06-23
Submitted:2015-07-05
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

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? 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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