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This is VAERS ID 596088

History of Changes from the VAERS Wayback Machine

First Appeared on 11/14/2015

VAERS ID: 596088
VAERS Form:
Age:42.0
Sex:Female
Location:California
Vaccinated:2015-09-17
Onset:2015-09-17
Submitted:2015-09-17
Entered:2015-09-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH J29203 / 1 LA / IM

Administered by: Public      Purchased by: Other
Symptoms: Chills, Dizziness, Lethargy, Pallor

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: No
Preexisting Conditions: Hyperthyroid, NKA
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

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


Changed on 9/14/2017

VAERS ID: 596088 Before After
VAERS Form:(blank) 1
Age:42.0
Sex:Female
Location:California
Vaccinated:2015-09-17
Onset:2015-09-17
Submitted:2015-09-17
Entered:2015-09-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH J29203 / 1 2 LA / IM

Administered by: Public      Purchased by: Other
Symptoms: Chills, Dizziness, Lethargy, Pallor

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: No
Preexisting Conditions: Hyperthyroid, NKA
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

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


Changed on 2/14/2018

VAERS ID: 596088 Before After
VAERS Form:1
Age:42.0
Sex:Female
Location:California
Vaccinated:2015-09-17
Onset:2015-09-17
Submitted:2015-09-17
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

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: No
Preexisting Conditions: Hyperthyroid, NKA
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

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


Changed on 6/14/2018

VAERS ID: 596088 Before After
VAERS Form:1
Age:42.0
Sex:Female
Location:California
Vaccinated:2015-09-17
Onset:2015-09-17
Submitted:2015-09-17
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

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: No
Preexisting Conditions: Hyperthyroid, NKA
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

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


Changed on 8/14/2018

VAERS ID: 596088 Before After
VAERS Form:1
Age:42.0
Sex:Female
Location:California
Vaccinated:2015-09-17
Onset:2015-09-17
Submitted:2015-09-17
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

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: No
Preexisting Conditions: Hyperthyroid, NKA
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

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


Changed on 9/14/2018

VAERS ID: 596088 Before After
VAERS Form:1
Age:42.0
Sex:Female
Location:California
Vaccinated:2015-09-17
Onset:2015-09-17
Submitted:2015-09-17
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

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: No
Preexisting Conditions: Hyperthyroid, NKA
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

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


Changed on 10/14/2018

VAERS ID: 596088 Before After
VAERS Form:1
Age:42.0
Sex:Female
Location:California
Vaccinated:2015-09-17
Onset:2015-09-17
Submitted:2015-09-17
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

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: No
Preexisting Conditions: Hyperthyroid, NKA
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

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

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https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=596088&WAYBACKHISTORY=ON


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