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This is VAERS ID 596277

History of Changes from the VAERS Wayback Machine

First Appeared on 10/14/2015

VAERS ID: 596277
VAERS Form:
Age:16.0
Sex:Male
Location:Nevada
Vaccinated:2015-09-04
Onset:2015-09-04
Submitted:2015-09-20
Entered:2015-09-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (BEXSERO) / NOVARTIS VACCINES AND DIAGNOSTICS L13514 / - UN / UN
MNQ: MENINGOCOCCAL CONJUGATE (MENVEO) / NOVARTIS VACCINES AND DIAGNOSTICS M14072 / - UN / UN

Administered by: Unknown      Purchased by: Other
Symptoms: Chest discomfort, Dyskinesia, Electroencephalogram normal, Fall, Headache, Hyperaesthesia, Hypoaesthesia, Pain, Pain in extremity, Paralysis, Photophobia, Tremor, Musculoskeletal discomfort, Eye movement disorder, Limb discomfort

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? Yes, days: 15     Extended hospital stay? Yes
Previous Vaccinations:
Other Medications:
Current Illness: Actual time of vaccine admin unknown. No noted illnesses at time of vaccination
Preexisting Conditions: No
Allergies:
Diagnostic Lab Data: See notes above and please obtain records from both hospitals.
CDC 'Split Type':

Write-up: Actual time of onset unknown. Per hospital H&P: pt was in usual state of health until 9/4/15 when she recived the wrong dose of the meningococcal vaccine and was called back to providers office for correct immunization, with the second shot she felt pressure going into her chest radiating from her arm the next morning she felt neck fully arching and felt like someone was pressing down on her chest and her arms were throbbing, she felt paralyzed from neck numbness and lots of full body pain this lasted 3-4 hours, pt then went via EMS to hospital in where she had a 10 day stay from 9/5-9/15 where her symptoms included sensitivity to touch, headache, throbbing at the back of the head. She had sensitivity to light for 5 days. She had tremors and random jerking. On the second day of admit she fell in the bathroom. On day 6 of admission she had head jurking with eye movements. She was discharged from hospital and admitted to a medical center in where she is now. Pt was admitted 9/16/15 with similar symptoms. Pt has had additional work up including and EEG which was noted on the report to be normal. It is recommeded that you obtain medical records from both hospitals.


Changed on 9/14/2017

VAERS ID: 596277 Before After
VAERS Form:(blank) 1
Age:16.0
Sex:Male
Location:Nevada
Vaccinated:2015-09-04
Onset:2015-09-04
Submitted:2015-09-20
Entered:2015-09-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (BEXSERO) / NOVARTIS VACCINES AND DIAGNOSTICS L13514 / - UNK UN / UN
MNQ: MENINGOCOCCAL CONJUGATE (MENVEO) / NOVARTIS VACCINES AND DIAGNOSTICS M14072 / - UNK UN / UN

Administered by: Unknown      Purchased by: Other
Symptoms: Chest discomfort, Dyskinesia, Electroencephalogram normal, Fall, Headache, Hyperaesthesia, Hypoaesthesia, Pain, Pain in extremity, Paralysis, Photophobia, Tremor, Musculoskeletal discomfort, Eye movement disorder, Limb discomfort

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? Yes, days: 15     Extended hospital stay? Yes
Previous Vaccinations:
Other Medications:
Current Illness: Actual time of vaccine admin unknown. No noted illnesses at time of vaccination
Preexisting Conditions: No
Allergies:
Diagnostic Lab Data: See notes above and please obtain records from both hospitals.
CDC 'Split Type':

Write-up: Actual time of onset unknown. Per hospital H&P: pt was in usual state of health until 9/4/15 when she recived the wrong dose of the meningococcal vaccine and was called back to providers office for correct immunization, with the second shot she felt pressure going into her chest radiating from her arm the next morning she felt neck fully arching and felt like someone was pressing down on her chest and her arms were throbbing, she felt paralyzed from neck numbness and lots of full body pain this lasted 3-4 hours, pt then went via EMS to hospital in where she had a 10 day stay from 9/5-9/15 where her symptoms included sensitivity to touch, headache, throbbing at the back of the head. She had sensitivity to light for 5 days. She had tremors and random jerking. On the second day of admit she fell in the bathroom. On day 6 of admission she had head jurking with eye movements. She was discharged from hospital and admitted to a medical center in where she is now. Pt was admitted 9/16/15 with similar symptoms. Pt has had additional work up including and EEG which was noted on the report to be normal. It is recommeded that you obtain medical records from both hospitals.


Changed on 2/14/2018

VAERS ID: 596277 Before After
VAERS Form:1
Age:16.0
Sex:Male
Location:Nevada
Vaccinated:2015-09-04
Onset:2015-09-04
Submitted:2015-09-20
Entered:2015-09-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (BEXSERO) / NOVARTIS VACCINES AND DIAGNOSTICS L13514 / UNK UN / UN
MNQ: MENINGOCOCCAL CONJUGATE (MENVEO) / NOVARTIS VACCINES AND DIAGNOSTICS M14072 / UNK UN / UN

Administered by: Unknown      Purchased by: Other
Symptoms: Chest discomfort, Dyskinesia, Electroencephalogram normal, Fall, Headache, Hyperaesthesia, Hypoaesthesia, Pain, Pain in extremity, Paralysis, Photophobia, Tremor, Musculoskeletal discomfort, Eye movement disorder, Limb discomfort

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? Yes, days: 15     Extended hospital stay? Yes
Previous Vaccinations:
Other Medications:
Current Illness: Actual time of vaccine admin unknown. No noted illnesses at time of vaccination
Preexisting Conditions: No
Allergies:
Diagnostic Lab Data: See notes above and please obtain records from both hospitals.
CDC 'Split Type':

Write-up: Actual time of onset unknown. Per hospital H&P: pt was in usual state of health until 9/4/15 when she recived the wrong dose of the meningococcal vaccine and was called back to providers office for correct immunization, with the second shot she felt pressure going into her chest radiating from her arm the next morning she felt neck fully arching and felt like someone was pressing down on her chest and her arms were throbbing, she felt paralyzed from neck numbness and lots of full body pain this lasted 3-4 hours, pt then went via EMS to hospital in where she had a 10 day stay from 9/5-9/15 where her symptoms included sensitivity to touch, headache, throbbing at the back of the head. She had sensitivity to light for 5 days. She had tremors and random jerking. On the second day of admit she fell in the bathroom. On day 6 of admission she had head jurking with eye movements. She was discharged from hospital and admitted to a medical center in where she is now. Pt was admitted 9/16/15 with similar symptoms. Pt has had additional work up including and EEG which was noted on the report to be normal. It is recommeded that you obtain medical records from both hospitals.


Changed on 6/14/2018

VAERS ID: 596277 Before After
VAERS Form:1
Age:16.0
Sex:Male
Location:Nevada
Vaccinated:2015-09-04
Onset:2015-09-04
Submitted:2015-09-20
Entered:2015-09-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (BEXSERO) / NOVARTIS VACCINES AND DIAGNOSTICS L13514 / UNK UN / UN
MNQ: MENINGOCOCCAL CONJUGATE (MENVEO) / NOVARTIS VACCINES AND DIAGNOSTICS M14072 / UNK UN / UN

Administered by: Unknown      Purchased by: Other
Symptoms: Chest discomfort, Dyskinesia, Electroencephalogram normal, Fall, Headache, Hyperaesthesia, Hypoaesthesia, Pain, Pain in extremity, Paralysis, Photophobia, Tremor, Musculoskeletal discomfort, Eye movement disorder, Limb discomfort

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? Yes, days: 15     Extended hospital stay? Yes
Previous Vaccinations:
Other Medications:
Current Illness: Actual time of vaccine admin unknown. No noted illnesses at time of vaccination
Preexisting Conditions: No
Allergies:
Diagnostic Lab Data: See notes above and please obtain records from both hospitals.
CDC 'Split Type':

Write-up: Actual time of onset unknown. Per hospital H&P: pt was in usual state of health until 9/4/15 when she recived the wrong dose of the meningococcal vaccine and was called back to providers office for correct immunization, with the second shot she felt pressure going into her chest radiating from her arm the next morning she felt neck fully arching and felt like someone was pressing down on her chest and her arms were throbbing, she felt paralyzed from neck numbness and lots of full body pain this lasted 3-4 hours, pt then went via EMS to hospital in where she had a 10 day stay from 9/5-9/15 where her symptoms included sensitivity to touch, headache, throbbing at the back of the head. She had sensitivity to light for 5 days. She had tremors and random jerking. On the second day of admit she fell in the bathroom. On day 6 of admission she had head jurking with eye movements. She was discharged from hospital and admitted to a medical center in where she is now. Pt was admitted 9/16/15 with similar symptoms. Pt has had additional work up including and EEG which was noted on the report to be normal. It is recommeded that you obtain medical records from both hospitals.


Changed on 8/14/2018

VAERS ID: 596277 Before After
VAERS Form:1
Age:16.0
Sex:Male
Location:Nevada
Vaccinated:2015-09-04
Onset:2015-09-04
Submitted:2015-09-20
Entered:2015-09-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (BEXSERO) / NOVARTIS VACCINES AND DIAGNOSTICS L13514 / UNK UN / UN
MNQ: MENINGOCOCCAL CONJUGATE (MENVEO) / NOVARTIS VACCINES AND DIAGNOSTICS M14072 / UNK UN / UN

Administered by: Unknown      Purchased by: Other
Symptoms: Chest discomfort, Dyskinesia, Electroencephalogram normal, Fall, Headache, Hyperaesthesia, Hypoaesthesia, Pain, Pain in extremity, Paralysis, Photophobia, Tremor, Musculoskeletal discomfort, Eye movement disorder, Limb discomfort

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? Yes, days: 15     Extended hospital stay? Yes
Previous Vaccinations:
Other Medications:
Current Illness: Actual time of vaccine admin unknown. No noted illnesses at time of vaccination
Preexisting Conditions: No
Allergies:
Diagnostic Lab Data: See notes above and please obtain records from both hospitals.
CDC 'Split Type':

Write-up: Actual time of onset unknown. Per hospital H&P: pt was in usual state of health until 9/4/15 when she recived the wrong dose of the meningococcal vaccine and was called back to providers office for correct immunization, with the second shot she felt pressure going into her chest radiating from her arm the next morning she felt neck fully arching and felt like someone was pressing down on her chest and her arms were throbbing, she felt paralyzed from neck numbness and lots of full body pain this lasted 3-4 hours, pt then went via EMS to hospital in where she had a 10 day stay from 9/5-9/15 where her symptoms included sensitivity to touch, headache, throbbing at the back of the head. She had sensitivity to light for 5 days. She had tremors and random jerking. On the second day of admit she fell in the bathroom. On day 6 of admission she had head jurking with eye movements. She was discharged from hospital and admitted to a medical center in where she is now. Pt was admitted 9/16/15 with similar symptoms. Pt has had additional work up including and EEG which was noted on the report to be normal. It is recommeded that you obtain medical records from both hospitals.


Changed on 9/14/2018

VAERS ID: 596277 Before After
VAERS Form:1
Age:16.0
Sex:Male
Location:Nevada
Vaccinated:2015-09-04
Onset:2015-09-04
Submitted:2015-09-20
Entered:2015-09-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (BEXSERO) / NOVARTIS VACCINES AND DIAGNOSTICS L13514 / UNK UN / UN
MNQ: MENINGOCOCCAL CONJUGATE (MENVEO) / NOVARTIS VACCINES AND DIAGNOSTICS M14072 / UNK UN / UN

Administered by: Unknown      Purchased by: Other
Symptoms: Chest discomfort, Dyskinesia, Electroencephalogram normal, Fall, Headache, Hyperaesthesia, Hypoaesthesia, Pain, Pain in extremity, Paralysis, Photophobia, Tremor, Musculoskeletal discomfort, Eye movement disorder, Limb discomfort

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? Yes, days: 15     Extended hospital stay? Yes
Previous Vaccinations:
Other Medications:
Current Illness: Actual time of vaccine admin unknown. No noted illnesses at time of vaccination
Preexisting Conditions: No
Allergies:
Diagnostic Lab Data: See notes above and please obtain records from both hospitals.
CDC 'Split Type':

Write-up: Actual time of onset unknown. Per hospital H&P: pt was in usual state of health until 9/4/15 when she recived the wrong dose of the meningococcal vaccine and was called back to providers office for correct immunization, with the second shot she felt pressure going into her chest radiating from her arm the next morning she felt neck fully arching and felt like someone was pressing down on her chest and her arms were throbbing, she felt paralyzed from neck numbness and lots of full body pain this lasted 3-4 hours, pt then went via EMS to hospital in where she had a 10 day stay from 9/5-9/15 where her symptoms included sensitivity to touch, headache, throbbing at the back of the head. She had sensitivity to light for 5 days. She had tremors and random jerking. On the second day of admit she fell in the bathroom. On day 6 of admission she had head jurking with eye movements. She was discharged from hospital and admitted to a medical center in where she is now. Pt was admitted 9/16/15 with similar symptoms. Pt has had additional work up including and EEG which was noted on the report to be normal. It is recommeded that you obtain medical records from both hospitals.


Changed on 10/14/2018

VAERS ID: 596277 Before After
VAERS Form:1
Age:16.0
Sex:Male
Location:Nevada
Vaccinated:2015-09-04
Onset:2015-09-04
Submitted:2015-09-20
Entered:2015-09-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (BEXSERO) / NOVARTIS VACCINES AND DIAGNOSTICS L13514 / UNK UN / UN
MNQ: MENINGOCOCCAL CONJUGATE (MENVEO) / NOVARTIS VACCINES AND DIAGNOSTICS M14072 / UNK UN / UN

Administered by: Unknown      Purchased by: Other
Symptoms: Chest discomfort, Dyskinesia, Electroencephalogram normal, Fall, Headache, Hyperaesthesia, Hypoaesthesia, Pain, Pain in extremity, Paralysis, Photophobia, Tremor, Musculoskeletal discomfort, Eye movement disorder, Limb discomfort

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? Yes, days: 15     Extended hospital stay? Yes
Previous Vaccinations:
Other Medications:
Current Illness: Actual time of vaccine admin unknown. No noted illnesses at time of vaccination
Preexisting Conditions: No
Allergies:
Diagnostic Lab Data: See notes above and please obtain records from both hospitals.
CDC 'Split Type':

Write-up: Actual time of onset unknown. Per hospital H&P: pt was in usual state of health until 9/4/15 when she recived the wrong dose of the meningococcal vaccine and was called back to providers office for correct immunization, with the second shot she felt pressure going into her chest radiating from her arm the next morning she felt neck fully arching and felt like someone was pressing down on her chest and her arms were throbbing, she felt paralyzed from neck numbness and lots of full body pain this lasted 3-4 hours, pt then went via EMS to hospital in where she had a 10 day stay from 9/5-9/15 where her symptoms included sensitivity to touch, headache, throbbing at the back of the head. She had sensitivity to light for 5 days. She had tremors and random jerking. On the second day of admit she fell in the bathroom. On day 6 of admission she had head jurking with eye movements. She was discharged from hospital and admitted to a medical center in where she is now. Pt was admitted 9/16/15 with similar symptoms. Pt has had additional work up including and EEG which was noted on the report to be normal. It is recommeded that you obtain medical records from both hospitals.

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