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This is VAERS ID 594905

Case Details

VAERS ID: 594905 (history)  
Form: Version 1.0  
Age: 19.0  
Sex: Male  
Location: California  
Vaccinated:2015-09-08
Onset:2015-09-08
   Days after vaccination:0
Submitted: 2015-09-11
   Days after onset:3
Entered: 2015-09-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH - / UNK - / -

Administered by: Other       Purchased by: Other
Symptoms: Culture throat, Erythema, Headache, Lymphadenopathy, Oropharyngeal pain, Pain, Pyrexia, Streptococcus test negative, Tenderness
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (narrow)

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: These medications given by school, I don''t have detailed information on it, contact school or patient. No other meds given.
Current Illness: NO
Preexisting Conditions: No
Allergies:
Diagnostic Lab Data: Rapid strep neg, throat culture pending.
CDC Split Type:

Write-up: I really don''t know time of injection, ask patient. Severe headache, body aches, fever 102, red and tender L deltoid 12 x 7 cm size, sore throat. Rapid strep neg. Swollen tender glands in sup cervical areas.


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