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This is VAERS ID 587072

Case Details

VAERS ID: 587072 (history)  
Form: Version 1.0  
Age: 29.0  
Sex: Female  
Location: Georgia  
Vaccinated:2015-07-16
Onset:2015-07-20
   Days after vaccination:4
Submitted: 2015-07-21
   Days after onset:1
Entered: 2015-07-23
   Days after submission:2
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (BEXSERO) / NOVARTIS VACCINES AND DIAGNOSTICS 146101 / 2 LA / IM

Administered by: Other       Purchased by: Other
Symptoms: Injection site discomfort, Injection site erythema, Injection site swelling, Injection site warmth
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)

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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Vaccinated on 7/16/15, reactoin appeared on 7/20/15. Slightly raised erythemic area on left deltoid, AMOX 100 mm x 84 mm. Mild discomfort warm tou touch.


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