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This is VAERS ID 592873

Case Details

VAERS ID: 592873 (history)  
Form: Version 1.0  
Age: 19.0  
Sex: Male  
Location: Pennsylvania  
Vaccinated:2015-08-21
Onset:2015-08-22
   Days after vaccination:1
Submitted: 2015-08-25
   Days after onset:3
Entered: 2015-08-28
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. K014696 / 1 RA / IM
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH J29203 / 1 RA / IM

Administered by: Private       Purchased by: Private
Symptoms: Chills, Pain of skin, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: None
CDC Split Type:

Write-up: 12 hrs after TRUMENBA -$g fever, chills, skin pain without rash.


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