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This is VAERS ID 596088

Case Details

VAERS ID: 596088 (history)  
Form: Version 1.0  
Age: 42.0  
Sex: Female  
Location: California  
Vaccinated:2015-09-17
Onset:2015-09-17
   Days after vaccination:0
Submitted: 2015-09-17
   Days after onset:0
Entered: 2015-09-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH J29203 / 2 LA / IM

Administered by: Public       Purchased by: Other
Symptoms: Chills, Dizziness, Lethargy, Pallor
SMQs:, Anticholinergic syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Hypoglycaemia (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: No
Preexisting Conditions: Hyperthyroid, NKA
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Chills, light headed, pale, lethargic.


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