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This is VAERS ID 591688

History of Changes from the VAERS Wayback Machine

First Appeared on 10/14/2015

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

Administered by: Private      Purchased by: Public
Symptoms: Arthralgia, Chills, Headache, Myalgia, Pyrexia

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


Changed on 9/14/2017

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

Administered by: Private      Purchased by: Public
Symptoms: Arthralgia, Chills, Headache, Myalgia, Pyrexia

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


Changed on 2/14/2018

VAERS ID: 591688 Before After
VAERS Form:1
Age:17.0
Sex:Male
Location:Unknown
Vaccinated:2015-08-25
Onset:2015-08-26
Submitted:2015-08-26
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

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


Changed on 6/14/2018

VAERS ID: 591688 Before After
VAERS Form:1
Age:17.0
Sex:Male
Location:Unknown
Vaccinated:2015-08-25
Onset:2015-08-26
Submitted:2015-08-26
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

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


Changed on 8/14/2018

VAERS ID: 591688 Before After
VAERS Form:1
Age:17.0
Sex:Male
Location:Unknown
Vaccinated:2015-08-25
Onset:2015-08-26
Submitted:2015-08-26
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

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


Changed on 9/14/2018

VAERS ID: 591688 Before After
VAERS Form:1
Age:17.0
Sex:Male
Location:Unknown
Vaccinated:2015-08-25
Onset:2015-08-26
Submitted:2015-08-26
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

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


Changed on 10/14/2018

VAERS ID: 591688 Before After
VAERS Form:1
Age:17.0
Sex:Male
Location:Unknown
Vaccinated:2015-08-25
Onset:2015-08-26
Submitted:2015-08-26
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

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

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https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=591688&WAYBACKHISTORY=ON


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