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This is VAERS ID 586438

Case Details

VAERS ID: 586438 (history)  
Form: Version 1.0  
Age: 40.0  
Sex: Female  
Location: California  
Vaccinated:2015-07-17
Onset:2015-07-18
   Days after vaccination:1
Submitted: 2015-07-20
   Days after onset:2
Entered: 2015-07-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH J29203 / 1 RA / IM

Administered by: Public       Purchased by: Private
Symptoms: Chills, Erythema, Headache, Pain, Peripheral swelling, Tenderness
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (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: None
Current Illness: No
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Red swollen, tender arm, body aches, chills, headache.


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