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This is VAERS ID 592873

History of Changes from the VAERS Wayback Machine

First Appeared on 10/14/2015

VAERS ID: 592873
VAERS Form:
Age:19.0
Sex:Male
Location:Pennsylvania
Vaccinated:2015-08-21
Onset:2015-08-22
Submitted:2015-08-25
Entered:2015-08-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. K014696 / 0 RA / IM
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH J29203 / 0 RA / IM

Administered by: Private      Purchased by: Private
Symptoms: Chills, Pain of skin, 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: 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.


Changed on 9/14/2017

VAERS ID: 592873 Before After
VAERS Form:(blank) 1
Age:19.0
Sex:Male
Location:Pennsylvania
Vaccinated:2015-08-21
Onset:2015-08-22
Submitted:2015-08-25
Entered:2015-08-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. K014696 / 0 1 RA / IM
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH J29203 / 0 1 RA / IM

Administered by: Private      Purchased by: Private
Symptoms: Chills, Pain of skin, 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: 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.


Changed on 2/14/2018

VAERS ID: 592873 Before After
VAERS Form:1
Age:19.0
Sex:Male
Location:Pennsylvania
Vaccinated:2015-08-21
Onset:2015-08-22
Submitted:2015-08-25
Entered:2015-08-28
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

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: 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.


Changed on 6/14/2018

VAERS ID: 592873 Before After
VAERS Form:1
Age:19.0
Sex:Male
Location:Pennsylvania
Vaccinated:2015-08-21
Onset:2015-08-22
Submitted:2015-08-25
Entered:2015-08-28
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

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: 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.


Changed on 8/14/2018

VAERS ID: 592873 Before After
VAERS Form:1
Age:19.0
Sex:Male
Location:Pennsylvania
Vaccinated:2015-08-21
Onset:2015-08-22
Submitted:2015-08-25
Entered:2015-08-28
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

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: 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.


Changed on 9/14/2018

VAERS ID: 592873 Before After
VAERS Form:1
Age:19.0
Sex:Male
Location:Pennsylvania
Vaccinated:2015-08-21
Onset:2015-08-22
Submitted:2015-08-25
Entered:2015-08-28
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

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: 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.


Changed on 10/14/2018

VAERS ID: 592873 Before After
VAERS Form:1
Age:19.0
Sex:Male
Location:Pennsylvania
Vaccinated:2015-08-21
Onset:2015-08-22
Submitted:2015-08-25
Entered:2015-08-28
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

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: 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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