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This is VAERS ID 586438

History of Changes from the VAERS Wayback Machine

First Appeared on 9/14/2015

VAERS ID: 586438
VAERS Form:
Age:40.0
Sex:Female
Location:California
Vaccinated:2015-07-17
Onset:2015-07-18
Submitted:2015-07-20
Entered:2015-07-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH J29203 / 0 RA / IM

Administered by: Public      Purchased by: Private
Symptoms: Chills, Erythema, Headache, Pain, Tenderness, Peripheral swelling

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: None
Current Illness: No
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

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


Changed on 9/14/2017

VAERS ID: 586438 Before After
VAERS Form:(blank) 1
Age:40.0
Sex:Female
Location:California
Vaccinated:2015-07-17
Onset:2015-07-18
Submitted:2015-07-20
Entered:2015-07-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH J29203 / 0 1 RA / IM

Administered by: Public      Purchased by: Private
Symptoms: Chills, Erythema, Headache, Pain, Tenderness, Peripheral swelling

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: None
Current Illness: No
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

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


Changed on 2/14/2018

VAERS ID: 586438 Before After
VAERS Form:1
Age:40.0
Sex:Female
Location:California
Vaccinated:2015-07-17
Onset:2015-07-18
Submitted:2015-07-20
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, Tenderness, Peripheral swelling

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: None
Current Illness: No
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

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


Changed on 6/14/2018

VAERS ID: 586438 Before After
VAERS Form:1
Age:40.0
Sex:Female
Location:California
Vaccinated:2015-07-17
Onset:2015-07-18
Submitted:2015-07-20
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, Tenderness, Peripheral swelling

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: None
Current Illness: No
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

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


Changed on 8/14/2018

VAERS ID: 586438 Before After
VAERS Form:1
Age:40.0
Sex:Female
Location:California
Vaccinated:2015-07-17
Onset:2015-07-18
Submitted:2015-07-20
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, Tenderness, Peripheral swelling

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: None
Current Illness: No
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

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


Changed on 9/14/2018

VAERS ID: 586438 Before After
VAERS Form:1
Age:40.0
Sex:Female
Location:California
Vaccinated:2015-07-17
Onset:2015-07-18
Submitted:2015-07-20
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, Tenderness, Peripheral swelling

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: None
Current Illness: No
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

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


Changed on 10/14/2018

VAERS ID: 586438 Before After
VAERS Form:1
Age:40.0
Sex:Female
Location:California
Vaccinated:2015-07-17
Onset:2015-07-18
Submitted:2015-07-20
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, Tenderness, Peripheral swelling

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: 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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