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This is VAERS ID 592428

History of Changes from the VAERS Wayback Machine

First Appeared on 9/14/2015

VAERS ID: 592428
VAERS Form:
Age:
Sex:Unknown
Location:Unknown
Vaccinated:2015-07-27
Onset:2015-08-03
Submitted:2015-09-01
Entered:2015-09-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (BEXSERO) / NOVARTIS VACCINES AND DIAGNOSTICS - / 0 UN / SYR

Administered by: Other      Purchased by: Other
Symptoms: Colitis ulcerative, Haematochezia

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: No other medications
Current Illness: Unknown
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': PHEH2015US016860

Write-up: Case number PHEH2015US016860, is an initial spontaneous report from a physician received on 25 Aug 2015. This report refers to a patient of unknown demographics. Historical conditions were not reported. No concomitant medication was reported. The patient was vaccinated with first dose of BEXSERO (batch number: not reported) on 27 Jul 2015. On 03 Aug 2015, the patient experienced ulcerative colitis and bloody stools. Final outcome, seriousness and causality were not reported. Seriousness of the event colitis ulcerative was upgraded based on Novartis Important Medical Events list.


Changed on 9/14/2017

VAERS ID: 592428 Before After
VAERS Form:(blank) 1
Age:
Sex:Unknown
Location:Unknown
Vaccinated:2015-07-27
Onset:2015-08-03
Submitted:2015-09-01
Entered:2015-09-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (BEXSERO) / NOVARTIS VACCINES AND DIAGNOSTICS - / 0 1 UN / SYR

Administered by: Other      Purchased by: Other
Symptoms: Colitis ulcerative, Haematochezia

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: No other medications
Current Illness: Unknown
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': PHEH2015US016860

Write-up: Case number PHEH2015US016860, is an initial spontaneous report from a physician received on 25 Aug 2015. This report refers to a patient of unknown demographics. Historical conditions were not reported. No concomitant medication was reported. The patient was vaccinated with first dose of BEXSERO (batch number: not reported) on 27 Jul 2015. On 03 Aug 2015, the patient experienced ulcerative colitis and bloody stools. Final outcome, seriousness and causality were not reported. Seriousness of the event colitis ulcerative was upgraded based on Novartis Important Medical Events list.


Changed on 2/14/2018

VAERS ID: 592428 Before After
VAERS Form:1
Age:
Sex:Unknown
Location:Unknown
Vaccinated:2015-07-27
Onset:2015-08-03
Submitted:2015-09-01
Entered:2015-09-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (BEXSERO) / NOVARTIS VACCINES AND DIAGNOSTICS - / 1 UN / SYR

Administered by: Other      Purchased by: Other
Symptoms: Colitis ulcerative, Haematochezia

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: No other medications
Current Illness: Unknown
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': PHEH2015US016860

Write-up: Case number PHEH2015US016860, is an initial spontaneous report from a physician received on 25 Aug 2015. This report refers to a patient of unknown demographics. Historical conditions were not reported. No concomitant medication was reported. The patient was vaccinated with first dose of BEXSERO (batch number: not reported) on 27 Jul 2015. On 03 Aug 2015, the patient experienced ulcerative colitis and bloody stools. Final outcome, seriousness and causality were not reported. Seriousness of the event colitis ulcerative was upgraded based on Novartis Important Medical Events list.


Changed on 6/14/2018

VAERS ID: 592428 Before After
VAERS Form:1
Age:
Sex:Unknown
Location:Unknown
Vaccinated:2015-07-27
Onset:2015-08-03
Submitted:2015-09-01
Entered:2015-09-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (BEXSERO) / NOVARTIS VACCINES AND DIAGNOSTICS - / 1 UN / SYR

Administered by: Other      Purchased by: Other
Symptoms: Colitis ulcerative, Haematochezia

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: No other medications
Current Illness: Unknown
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': PHEH2015US016860

Write-up: Case number PHEH2015US016860, is an initial spontaneous report from a physician received on 25 Aug 2015. This report refers to a patient of unknown demographics. Historical conditions were not reported. No concomitant medication was reported. The patient was vaccinated with first dose of BEXSERO (batch number: not reported) on 27 Jul 2015. On 03 Aug 2015, the patient experienced ulcerative colitis and bloody stools. Final outcome, seriousness and causality were not reported. Seriousness of the event colitis ulcerative was upgraded based on Novartis Important Medical Events list.


Changed on 8/14/2018

VAERS ID: 592428 Before After
VAERS Form:1
Age:
Sex:Unknown
Location:Unknown
Vaccinated:2015-07-27
Onset:2015-08-03
Submitted:2015-09-01
Entered:2015-09-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (BEXSERO) / NOVARTIS VACCINES AND DIAGNOSTICS - / 1 UN / SYR

Administered by: Other      Purchased by: Other
Symptoms: Colitis ulcerative, Haematochezia

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: No other medications
Current Illness: Unknown
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': PHEH2015US016860

Write-up: Case number PHEH2015US016860, is an initial spontaneous report from a physician received on 25 Aug 2015. This report refers to a patient of unknown demographics. Historical conditions were not reported. No concomitant medication was reported. The patient was vaccinated with first dose of BEXSERO (batch number: not reported) on 27 Jul 2015. On 03 Aug 2015, the patient experienced ulcerative colitis and bloody stools. Final outcome, seriousness and causality were not reported. Seriousness of the event colitis ulcerative was upgraded based on Novartis Important Medical Events list.


Changed on 9/14/2018

VAERS ID: 592428 Before After
VAERS Form:1
Age:
Sex:Unknown
Location:Unknown
Vaccinated:2015-07-27
Onset:2015-08-03
Submitted:2015-09-01
Entered:2015-09-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (BEXSERO) / NOVARTIS VACCINES AND DIAGNOSTICS - / 1 UN / SYR

Administered by: Other      Purchased by: Other
Symptoms: Colitis ulcerative, Haematochezia

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: No other medications
Current Illness: Unknown
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': PHEH2015US016860

Write-up: Case number PHEH2015US016860, is an initial spontaneous report from a physician received on 25 Aug 2015. This report refers to a patient of unknown demographics. Historical conditions were not reported. No concomitant medication was reported. The patient was vaccinated with first dose of BEXSERO (batch number: not reported) on 27 Jul 2015. On 03 Aug 2015, the patient experienced ulcerative colitis and bloody stools. Final outcome, seriousness and causality were not reported. Seriousness of the event colitis ulcerative was upgraded based on Novartis Important Medical Events list.


Changed on 10/14/2018

VAERS ID: 592428 Before After
VAERS Form:1
Age:
Sex:Unknown
Location:Unknown
Vaccinated:2015-07-27
Onset:2015-08-03
Submitted:2015-09-01
Entered:2015-09-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (BEXSERO) / NOVARTIS VACCINES AND DIAGNOSTICS - / 1 UN / SYR

Administered by: Other      Purchased by: Other
Symptoms: Colitis ulcerative, Haematochezia

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: No other medications
Current Illness: Unknown
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': PHEH2015US016860

Write-up: Case number PHEH2015US016860, is an initial spontaneous report from a physician received on 25 Aug 2015. This report refers to a patient of unknown demographics. Historical conditions were not reported. No concomitant medication was reported. The patient was vaccinated with first dose of BEXSERO (batch number: not reported) on 27 Jul 2015. On 03 Aug 2015, the patient experienced ulcerative colitis and bloody stools. Final outcome, seriousness and causality were not reported. Seriousness of the event colitis ulcerative was upgraded based on Novartis Important Medical Events list.

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Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=592428&WAYBACKHISTORY=ON


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