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This is VAERS ID 591638

Case Details

VAERS ID: 591638 (history)  
Form: Version 1.0  
Age: 22.0  
Sex: Female  
Location: Unknown  
Vaccinated:2015-05-13
Onset:2015-05-13
   Days after vaccination:0
Submitted: 2015-08-22
   Days after onset:101
Entered: 2015-08-26
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH - / 2 UN / SYR

Administered by: Other       Purchased by: Other
Symptoms: Feeling of body temperature change, Nausea, Pain, Pyrexia
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (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? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: No other medications
Current Illness: Unknown
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: 2015166187

Write-up: This is a spontaneous report from a contactable consumer reporting for herself. A 22-year-old female patient received second dose of TRUMENBA, via an unspecified route of administration, on 13May2015 at 04:00 PM, at single dose, due to Meningitis outbreak at her university. Medical history and concomitant medications were none. The patient experienced low fever for 8 hours, nausea, like body aches for 2 hours, like hot and cold flashes for 2 hours. The patient was admitted to hospital on 13May2015 4 hours after receiving the vaccine shot. Therapeutic measures were taken as a result of low fever and included treatment with TYLENOL and ADVIL. No treatment was received for like body aches and like hot and cold flashes. No lab tests done. The final outcome of the events was recovered. Follow-up (17Aug2015): new information received from the same contactable consumer includes: seriousness, events details. Follow-up attempts completed. No further information expected.


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