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This is VAERS ID 587993

History of Changes from the VAERS Wayback Machine

First Appeared on 8/14/2015

VAERS ID: 587993
VAERS Form:
Age:18.0
Sex:Male
Location:Pennsylvania
Vaccinated:2015-07-21
Onset:2015-07-22
Submitted:2015-07-22
Entered:2015-07-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. K011325 / 0 LA / IM
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH J28923 / 0 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Injection site erythema, Injection site pain, Malaise, Pyrexia, Injection site 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)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: RETIN-A 0.1% cream
Current Illness: None
Preexisting Conditions: Mild persistent asthma; Allergic rhinitis
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: Erythema, redness, swelling, tenderness left deltoid area centered more around the Meningococcal B vaccine than the HPV 4 vaccine injection site, with fever, malaise. 100.8 degree F temperature.


Changed on 9/14/2017

VAERS ID: 587993 Before After
VAERS Form:(blank) 1
Age:18.0
Sex:Male
Location:Pennsylvania
Vaccinated:2015-07-21
Onset:2015-07-22
Submitted:2015-07-22
Entered:2015-07-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. K011325 / 0 1 LA / IM
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH J28923 / 0 1 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Injection site erythema, Injection site pain, Malaise, Pyrexia, Injection site 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)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: RETIN-A 0.1% cream
Current Illness: None
Preexisting Conditions: Mild persistent asthma; Allergic rhinitis
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: Erythema, redness, swelling, tenderness left deltoid area centered more around the Meningococcal B vaccine than the HPV 4 vaccine injection site, with fever, malaise. 100.8 degree F temperature.


Changed on 2/14/2018

VAERS ID: 587993 Before After
VAERS Form:1
Age:18.0
Sex:Male
Location:Pennsylvania
Vaccinated:2015-07-21
Onset:2015-07-22
Submitted:2015-07-22
Entered:2015-07-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. K011325 / 1 LA / IM
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH J28923 / 1 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Injection site erythema, Injection site pain, Malaise, Pyrexia, Injection site 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)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: RETIN-A 0.1% cream
Current Illness: None
Preexisting Conditions: Mild persistent asthma; Allergic rhinitis
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: Erythema, redness, swelling, tenderness left deltoid area centered more around the Meningococcal B vaccine than the HPV 4 vaccine injection site, with fever, malaise. 100.8 degree F temperature.


Changed on 6/14/2018

VAERS ID: 587993 Before After
VAERS Form:1
Age:18.0
Sex:Male
Location:Pennsylvania
Vaccinated:2015-07-21
Onset:2015-07-22
Submitted:2015-07-22
Entered:2015-07-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. K011325 / 1 LA / IM
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH J28923 / 1 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Injection site erythema, Injection site pain, Malaise, Pyrexia, Injection site 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)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: RETIN-A 0.1% cream
Current Illness: None
Preexisting Conditions: Mild persistent asthma; Allergic rhinitis
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: Erythema, redness, swelling, tenderness left deltoid area centered more around the Meningococcal B vaccine than the HPV 4 vaccine injection site, with fever, malaise. 100.8 degree F temperature.


Changed on 8/14/2018

VAERS ID: 587993 Before After
VAERS Form:1
Age:18.0
Sex:Male
Location:Pennsylvania
Vaccinated:2015-07-21
Onset:2015-07-22
Submitted:2015-07-22
Entered:2015-07-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. K011325 / 1 LA / IM
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH J28923 / 1 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Injection site erythema, Injection site pain, Malaise, Pyrexia, Injection site 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)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: RETIN-A 0.1% cream
Current Illness: None
Preexisting Conditions: Mild persistent asthma; Allergic rhinitis
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: Erythema, redness, swelling, tenderness left deltoid area centered more around the Meningococcal B vaccine than the HPV 4 vaccine injection site, with fever, malaise. 100.8 degree F temperature.


Changed on 9/14/2018

VAERS ID: 587993 Before After
VAERS Form:1
Age:18.0
Sex:Male
Location:Pennsylvania
Vaccinated:2015-07-21
Onset:2015-07-22
Submitted:2015-07-22
Entered:2015-07-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. K011325 / 1 LA / IM
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH J28923 / 1 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Injection site erythema, Injection site pain, Malaise, Pyrexia, Injection site 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)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: RETIN-A 0.1% cream
Current Illness: None
Preexisting Conditions: Mild persistent asthma; Allergic rhinitis
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: Erythema, redness, swelling, tenderness left deltoid area centered more around the Meningococcal B vaccine than the HPV 4 vaccine injection site, with fever, malaise. 100.8 degree F temperature.


Changed on 10/14/2018

VAERS ID: 587993 Before After
VAERS Form:1
Age:18.0
Sex:Male
Location:Pennsylvania
Vaccinated:2015-07-21
Onset:2015-07-22
Submitted:2015-07-22
Entered:2015-07-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. K011325 / 1 LA / IM
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH J28923 / 1 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Injection site erythema, Injection site pain, Malaise, Pyrexia, Injection site 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)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: RETIN-A 0.1% cream
Current Illness: None
Preexisting Conditions: Mild persistent asthma; Allergic rhinitis
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: Erythema, redness, swelling, tenderness left deltoid area centered more around the Meningococcal B vaccine than the HPV 4 vaccine injection site, with fever, malaise. 100.8 degree F temperature.

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