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This is VAERS ID 591525

Case Details

VAERS ID: 591525 (history)  
Form: Version 1.0  
Age: 18.0  
Sex: Male  
Location: Ohio  
Vaccinated:2015-08-20
Onset:2015-08-20
   Days after vaccination:0
Submitted: 2015-08-25
   Days after onset:5
Entered: 2015-08-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH J29203 / 1 LA / IM

Administered by: Public       Purchased by: Unknown
Symptoms: Headache, Nausea, Neck pain, Pain, Vomiting
SMQs:, Acute pancreatitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Arthritis (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:
Current Illness: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: No further tests performed. Symptoms resolved without intervention within 24 hours.
CDC Split Type:

Write-up: Headaches, neck pain, general body aches, nausea and vomiting. No treatment required.


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