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This is VAERS ID 594905

History of Changes from the VAERS Wayback Machine

First Appeared on 9/14/2015

VAERS ID: 594905
VAERS Form:
Age:19.0
Sex:Male
Location:California
Vaccinated:2015-09-08
Onset:2015-09-08
Submitted:2015-09-11
Entered:2015-09-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - - / -
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH - / - - / -

Administered by: Other      Purchased by: Other
Symptoms: Culture throat, Erythema, Headache, Lymphadenopathy, Pain, Pyrexia, Tenderness, Oropharyngeal pain, Streptococcus test negative

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: 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.


Changed on 12/14/2016

VAERS ID: 594905 Before After
VAERS Form:
Age:19.0
Sex:Male
Location:California
Vaccinated:2015-09-08
Onset:2015-09-08
Submitted:2015-09-11
Entered:2015-09-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - - / -
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - - / -
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH - / - - / -

Administered by: Other      Purchased by: Other
Symptoms: Culture throat, Erythema, Headache, Lymphadenopathy, Pain, Pyrexia, Tenderness, Oropharyngeal pain, Streptococcus test negative

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: 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.


Changed on 9/14/2017

VAERS ID: 594905 Before After
VAERS Form:(blank) 1
Age:19.0
Sex:Male
Location:California
Vaccinated:2015-09-08
Onset:2015-09-08
Submitted:2015-09-11
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, Pain, Pyrexia, Tenderness, Oropharyngeal pain, Streptococcus test negative

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: 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.


Changed on 2/14/2018

VAERS ID: 594905 Before After
VAERS Form:1
Age:19.0
Sex:Male
Location:California
Vaccinated:2015-09-08
Onset:2015-09-08
Submitted:2015-09-11
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, Pain, Pyrexia, Tenderness, Oropharyngeal pain, Streptococcus test negative

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: 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.


Changed on 6/14/2018

VAERS ID: 594905 Before After
VAERS Form:1
Age:19.0
Sex:Male
Location:California
Vaccinated:2015-09-08
Onset:2015-09-08
Submitted:2015-09-11
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, Pain, Pyrexia, Tenderness, Oropharyngeal pain, Streptococcus test negative

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: 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.


Changed on 8/14/2018

VAERS ID: 594905 Before After
VAERS Form:1
Age:19.0
Sex:Male
Location:California
Vaccinated:2015-09-08
Onset:2015-09-08
Submitted:2015-09-11
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, Pain, Pyrexia, Tenderness, Oropharyngeal pain, Streptococcus test negative

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: 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.


Changed on 9/14/2018

VAERS ID: 594905 Before After
VAERS Form:1
Age:19.0
Sex:Male
Location:California
Vaccinated:2015-09-08
Onset:2015-09-08
Submitted:2015-09-11
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, Pain, Pyrexia, Tenderness, Oropharyngeal pain, Streptococcus test negative

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: 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.


Changed on 10/14/2018

VAERS ID: 594905 Before After
VAERS Form:1
Age:19.0
Sex:Male
Location:California
Vaccinated:2015-09-08
Onset:2015-09-08
Submitted:2015-09-11
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, Pain, Pyrexia, Tenderness, Oropharyngeal pain, Streptococcus test negative

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: 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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