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This is VAERS ID 592410

History of Changes from the VAERS Wayback Machine

First Appeared on 10/14/2015

VAERS ID: 592410
VAERS Form:
Age:18.0
Sex:Female
Location:Oregon
Vaccinated:2015-08-24
Onset:2015-08-24
Submitted:2015-09-01
Entered:2015-09-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH J29203 / - LA / IM

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: No
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Patient reported muscle and joint pain, fever and headache within 12 hours of receiving this vaccine.


Changed on 9/14/2017

VAERS ID: 592410 Before After
VAERS Form:(blank) 1
Age:18.0
Sex:Female
Location:Oregon
Vaccinated:2015-08-24
Onset:2015-08-24
Submitted:2015-09-01
Entered:2015-09-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH J29203 / - UNK LA / IM

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: No
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Patient reported muscle and joint pain, fever and headache within 12 hours of receiving this vaccine.


Changed on 2/14/2018

VAERS ID: 592410 Before After
VAERS Form:1
Age:18.0
Sex:Female
Location:Oregon
Vaccinated:2015-08-24
Onset:2015-08-24
Submitted:2015-09-01
Entered:2015-09-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH J29203 / UNK LA / IM

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: No
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Patient reported muscle and joint pain, fever and headache within 12 hours of receiving this vaccine.


Changed on 6/14/2018

VAERS ID: 592410 Before After
VAERS Form:1
Age:18.0
Sex:Female
Location:Oregon
Vaccinated:2015-08-24
Onset:2015-08-24
Submitted:2015-09-01
Entered:2015-09-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH J29203 / UNK LA / IM

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: No
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Patient reported muscle and joint pain, fever and headache within 12 hours of receiving this vaccine.


Changed on 8/14/2018

VAERS ID: 592410 Before After
VAERS Form:1
Age:18.0
Sex:Female
Location:Oregon
Vaccinated:2015-08-24
Onset:2015-08-24
Submitted:2015-09-01
Entered:2015-09-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH J29203 / UNK LA / IM

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: No
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Patient reported muscle and joint pain, fever and headache within 12 hours of receiving this vaccine.


Changed on 9/14/2018

VAERS ID: 592410 Before After
VAERS Form:1
Age:18.0
Sex:Female
Location:Oregon
Vaccinated:2015-08-24
Onset:2015-08-24
Submitted:2015-09-01
Entered:2015-09-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH J29203 / UNK LA / IM

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: No
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Patient reported muscle and joint pain, fever and headache within 12 hours of receiving this vaccine.


Changed on 10/14/2018

VAERS ID: 592410 Before After
VAERS Form:1
Age:18.0
Sex:Female
Location:Oregon
Vaccinated:2015-08-24
Onset:2015-08-24
Submitted:2015-09-01
Entered:2015-09-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH J29203 / UNK LA / IM

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: No
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Patient reported muscle and joint pain, fever and headache within 12 hours of receiving this vaccine.

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https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=592410&WAYBACKHISTORY=ON


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