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This is VAERS ID 594814

Case Details

VAERS ID: 594814 (history)  
Form: Version 1.0  
Age: 18.0  
Sex: Male  
Location: California  
Vaccinated:2015-09-03
Onset:2015-09-07
   Days after vaccination:4
Submitted: 2015-09-10
   Days after onset:3
Entered: 2015-09-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU4: INFLUENZA (SEASONAL) (FLUARIX QUADRIVALENT) / GLAXOSMITHKLINE BIOLOGICALS 7AJ5J / 1 RA / IM
MENB: MENINGOCOCCAL B (BEXSERO) / NOVARTIS VACCINES AND DIAGNOSTICS 148901A / 1 LA / IM

Administered by: Private       Purchased by: Private
Symptoms: Chills, Myalgia, Neck pain, Ocular hyperaemia, Paraesthesia
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Glaucoma (broad), Eosinophilic pneumonia (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad)

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

Write-up: Received flu shot and BEXSERO 9/3/2015. 9/7-9/8-generalized myalgias/chills-went away. 9/9-generalized body paresthesias, "prickliness" diminishing but not gone. 9/10-sore upper neck and red eye (L).


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