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This is VAERS ID 594644

History of Changes from the VAERS Wayback Machine

First Appeared on 10/14/2015

VAERS ID: 594644
VAERS Form:
Age:17.0
Sex:Male
Location:Arizona
Vaccinated:2015-08-19
Onset:2015-08-19
Submitted:2015-08-28
Entered:2015-09-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH L13514 / 0 RA / UN

Administered by: Unknown      Purchased by: Unknown
Symptoms: Erythema, Paraesthesia, Swelling

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:
Current Illness: None
Preexisting Conditions: Allergies: PCN
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Vaccinated on 8/19/15. Parent reports redness, swelling on same day. On 8/24/15, walking into clinic, redness spreading down arm patient reporting tingling.


Changed on 9/14/2017

VAERS ID: 594644 Before After
VAERS Form:(blank) 1
Age:17.0
Sex:Male
Location:Arizona
Vaccinated:2015-08-19
Onset:2015-08-19
Submitted:2015-08-28
Entered:2015-09-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH L13514 / 0 1 RA / UN

Administered by: Unknown      Purchased by: Unknown
Symptoms: Erythema, Paraesthesia, Swelling

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:
Current Illness: None
Preexisting Conditions: Allergies: PCN
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Vaccinated on 8/19/15. Parent reports redness, swelling on same day. On 8/24/15, walking into clinic, redness spreading down arm patient reporting tingling.


Changed on 2/14/2018

VAERS ID: 594644 Before After
VAERS Form:1
Age:17.0
Sex:Male
Location:Arizona
Vaccinated:2015-08-19
Onset:2015-08-19
Submitted:2015-08-28
Entered:2015-09-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH L13514 / 1 RA / UN

Administered by: Unknown      Purchased by: Unknown
Symptoms: Erythema, Paraesthesia, Swelling

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:
Current Illness: None
Preexisting Conditions: Allergies: PCN
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Vaccinated on 8/19/15. Parent reports redness, swelling on same day. On 8/24/15, walking into clinic, redness spreading down arm patient reporting tingling.


Changed on 6/14/2018

VAERS ID: 594644 Before After
VAERS Form:1
Age:17.0
Sex:Male
Location:Arizona
Vaccinated:2015-08-19
Onset:2015-08-19
Submitted:2015-08-28
Entered:2015-09-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH L13514 / 1 RA / UN

Administered by: Unknown      Purchased by: Unknown
Symptoms: Erythema, Paraesthesia, Swelling

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:
Current Illness: None
Preexisting Conditions: Allergies: PCN
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Vaccinated on 8/19/15. Parent reports redness, swelling on same day. On 8/24/15, walking into clinic, redness spreading down arm patient reporting tingling.


Changed on 8/14/2018

VAERS ID: 594644 Before After
VAERS Form:1
Age:17.0
Sex:Male
Location:Arizona
Vaccinated:2015-08-19
Onset:2015-08-19
Submitted:2015-08-28
Entered:2015-09-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH L13514 / 1 RA / UN

Administered by: Unknown      Purchased by: Unknown
Symptoms: Erythema, Paraesthesia, Swelling

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:
Current Illness: None
Preexisting Conditions: Allergies: PCN
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Vaccinated on 8/19/15. Parent reports redness, swelling on same day. On 8/24/15, walking into clinic, redness spreading down arm patient reporting tingling.


Changed on 9/14/2018

VAERS ID: 594644 Before After
VAERS Form:1
Age:17.0
Sex:Male
Location:Arizona
Vaccinated:2015-08-19
Onset:2015-08-19
Submitted:2015-08-28
Entered:2015-09-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH L13514 / 1 RA / UN

Administered by: Unknown      Purchased by: Unknown
Symptoms: Erythema, Paraesthesia, Swelling

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:
Current Illness: None
Preexisting Conditions: Allergies: PCN
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Vaccinated on 8/19/15. Parent reports redness, swelling on same day. On 8/24/15, walking into clinic, redness spreading down arm patient reporting tingling.


Changed on 10/14/2018

VAERS ID: 594644 Before After
VAERS Form:1
Age:17.0
Sex:Male
Location:Arizona
Vaccinated:2015-08-19
Onset:2015-08-19
Submitted:2015-08-28
Entered:2015-09-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH L13514 / 1 RA / UN

Administered by: Unknown      Purchased by: Unknown
Symptoms: Erythema, Paraesthesia, Swelling

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:
Current Illness: None
Preexisting Conditions: Allergies: PCN
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Vaccinated on 8/19/15. Parent reports redness, swelling on same day. On 8/24/15, walking into clinic, redness spreading down arm patient reporting tingling.

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https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=594644&WAYBACKHISTORY=ON


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