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This is VAERS ID 587072

History of Changes from the VAERS Wayback Machine

First Appeared on 9/14/2015

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

Administered by: Other      Purchased by: Other
Symptoms: Injection site erythema, Injection site warmth, Injection site swelling, Injection site discomfort

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:
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.


Changed on 9/14/2017

VAERS ID: 587072 Before After
VAERS Form:(blank) 1
Age:29.0
Sex:Female
Location:Georgia
Vaccinated:2015-07-16
Onset:2015-07-20
Submitted:2015-07-21
Entered:2015-07-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (BEXSERO) / NOVARTIS VACCINES AND DIAGNOSTICS 146101 / 1 2 LA / IM

Administered by: Other      Purchased by: Other
Symptoms: Injection site erythema, Injection site warmth, Injection site swelling, Injection site discomfort

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:
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.


Changed on 2/14/2018

VAERS ID: 587072 Before After
VAERS Form:1
Age:29.0
Sex:Female
Location:Georgia
Vaccinated:2015-07-16
Onset:2015-07-20
Submitted:2015-07-21
Entered:2015-07-23
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 erythema, Injection site warmth, Injection site swelling, Injection site discomfort

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:
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.


Changed on 6/14/2018

VAERS ID: 587072 Before After
VAERS Form:1
Age:29.0
Sex:Female
Location:Georgia
Vaccinated:2015-07-16
Onset:2015-07-20
Submitted:2015-07-21
Entered:2015-07-23
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 erythema, Injection site warmth, Injection site swelling, Injection site discomfort

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:
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.


Changed on 8/14/2018

VAERS ID: 587072 Before After
VAERS Form:1
Age:29.0
Sex:Female
Location:Georgia
Vaccinated:2015-07-16
Onset:2015-07-20
Submitted:2015-07-21
Entered:2015-07-23
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 erythema, Injection site warmth, Injection site swelling, Injection site discomfort

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:
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.


Changed on 9/14/2018

VAERS ID: 587072 Before After
VAERS Form:1
Age:29.0
Sex:Female
Location:Georgia
Vaccinated:2015-07-16
Onset:2015-07-20
Submitted:2015-07-21
Entered:2015-07-23
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 erythema, Injection site warmth, Injection site swelling, Injection site discomfort

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:
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.


Changed on 10/14/2018

VAERS ID: 587072 Before After
VAERS Form:1
Age:29.0
Sex:Female
Location:Georgia
Vaccinated:2015-07-16
Onset:2015-07-20
Submitted:2015-07-21
Entered:2015-07-23
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 erythema, Injection site warmth, Injection site swelling, Injection site discomfort

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:
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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