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This is VAERS ID 592328

History of Changes from the VAERS Wayback Machine

First Appeared on 9/14/2015

VAERS ID: 592328
VAERS Form:
Age:18.0
Sex:Male
Location:California
Vaccinated:2015-08-28
Onset:2015-08-28
Submitted:2015-09-01
Entered:2015-09-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (BEXSERO) / NOVARTIS VACCINES AND DIAGNOSTICS 146101 / 0 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Diarrhoea, Myalgia, Nausea, Pyrexia, Tremor, Trismus, Musculoskeletal stiffness

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:
Current Illness: Mild right otitis media
Preexisting Conditions: Allergy to Keflex and Sulfa antibiotics
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: High fever, shaking, muscle pain and stiffness, subjective feeling of jaw locking, profuse diarrhea, nausea.


Changed on 9/14/2017

VAERS ID: 592328 Before After
VAERS Form:(blank) 1
Age:18.0
Sex:Male
Location:California
Vaccinated:2015-08-28
Onset:2015-08-28
Submitted:2015-09-01
Entered:2015-09-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (BEXSERO) / NOVARTIS VACCINES AND DIAGNOSTICS 146101 / 0 1 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Diarrhoea, Myalgia, Nausea, Pyrexia, Tremor, Trismus, Musculoskeletal stiffness

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:
Current Illness: Mild right otitis media
Preexisting Conditions: Allergy to Keflex and Sulfa antibiotics
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: High fever, shaking, muscle pain and stiffness, subjective feeling of jaw locking, profuse diarrhea, nausea.


Changed on 2/14/2018

VAERS ID: 592328 Before After
VAERS Form:1
Age:18.0
Sex:Male
Location:California
Vaccinated:2015-08-28
Onset:2015-08-28
Submitted:2015-09-01
Entered:2015-09-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (BEXSERO) / NOVARTIS VACCINES AND DIAGNOSTICS 146101 / 1 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Diarrhoea, Myalgia, Nausea, Pyrexia, Tremor, Trismus, Musculoskeletal stiffness

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:
Current Illness: Mild right otitis media
Preexisting Conditions: Allergy to Keflex and Sulfa antibiotics
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: High fever, shaking, muscle pain and stiffness, subjective feeling of jaw locking, profuse diarrhea, nausea.


Changed on 6/14/2018

VAERS ID: 592328 Before After
VAERS Form:1
Age:18.0
Sex:Male
Location:California
Vaccinated:2015-08-28
Onset:2015-08-28
Submitted:2015-09-01
Entered:2015-09-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (BEXSERO) / NOVARTIS VACCINES AND DIAGNOSTICS 146101 / 1 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Diarrhoea, Myalgia, Nausea, Pyrexia, Tremor, Trismus, Musculoskeletal stiffness

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:
Current Illness: Mild right otitis media
Preexisting Conditions: Allergy to Keflex and Sulfa antibiotics
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: High fever, shaking, muscle pain and stiffness, subjective feeling of jaw locking, profuse diarrhea, nausea.


Changed on 8/14/2018

VAERS ID: 592328 Before After
VAERS Form:1
Age:18.0
Sex:Male
Location:California
Vaccinated:2015-08-28
Onset:2015-08-28
Submitted:2015-09-01
Entered:2015-09-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (BEXSERO) / NOVARTIS VACCINES AND DIAGNOSTICS 146101 / 1 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Diarrhoea, Myalgia, Nausea, Pyrexia, Tremor, Trismus, Musculoskeletal stiffness

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:
Current Illness: Mild right otitis media
Preexisting Conditions: Allergy to Keflex and Sulfa antibiotics
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: High fever, shaking, muscle pain and stiffness, subjective feeling of jaw locking, profuse diarrhea, nausea.


Changed on 9/14/2018

VAERS ID: 592328 Before After
VAERS Form:1
Age:18.0
Sex:Male
Location:California
Vaccinated:2015-08-28
Onset:2015-08-28
Submitted:2015-09-01
Entered:2015-09-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (BEXSERO) / NOVARTIS VACCINES AND DIAGNOSTICS 146101 / 1 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Diarrhoea, Myalgia, Nausea, Pyrexia, Tremor, Trismus, Musculoskeletal stiffness

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:
Current Illness: Mild right otitis media
Preexisting Conditions: Allergy to Keflex and Sulfa antibiotics
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: High fever, shaking, muscle pain and stiffness, subjective feeling of jaw locking, profuse diarrhea, nausea.


Changed on 10/14/2018

VAERS ID: 592328 Before After
VAERS Form:1
Age:18.0
Sex:Male
Location:California
Vaccinated:2015-08-28
Onset:2015-08-28
Submitted:2015-09-01
Entered:2015-09-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (BEXSERO) / NOVARTIS VACCINES AND DIAGNOSTICS 146101 / 1 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Diarrhoea, Myalgia, Nausea, Pyrexia, Tremor, Trismus, Musculoskeletal stiffness

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:
Current Illness: Mild right otitis media
Preexisting Conditions: Allergy to Keflex and Sulfa antibiotics
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: High fever, shaking, muscle pain and stiffness, subjective feeling of jaw locking, profuse diarrhea, nausea.

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