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This is VAERS ID 591688

Case Details

VAERS ID: 591688 (history)  
Form: Version 1.0  
Age: 17.0  
Sex: Male  
Location: Unknown  
Vaccinated:2015-08-25
Onset:2015-08-26
   Days after vaccination:1
Submitted: 2015-08-26
   Days after onset:0
Entered: 2015-08-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH J29203 / 1 LA / IM

Administered by: Private       Purchased by: Public
Symptoms: Arthralgia, Chills, Headache, Myalgia, Pyrexia
SMQs:, Rhabdomyolysis/myopathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Eosinophilic pneumonia (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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: Fever, chills, headache, joint and muscle pain.


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