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This is VAERS ID 597700

Case Details

VAERS ID: 597700 (history)  
Form: Version 1.0  
Age:   
Sex: Female  
Location: Unknown  
Vaccinated:2015-02-25
Onset:0000-00-00
Submitted: 2015-05-15
Entered: 2015-09-21
   Days after submission:129
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH - / UNK UN / UN

Administered by: Other       Purchased by: Other
Symptoms: Chills, Headache
SMQs:

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: No other medications
Current Illness: Unknown
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: 2015073227

Write-up: This is a spontaneous report from a non clinical study program from a contactable consumer who reported for her daughter (patient). A female patient of an unspecified age received TRUMENBA, via an unspecified route of administration on 25Feb2015 at single dose. The patient medical history and concomitant medications were not reported. The patient experienced headache on an unspecified date with outcome of unknown, chills/shivering on an unspecified date with outcome of unknown, and shaking on an unspecified date with outcome of unknown. Follow-up (24APR2015): Follow-up attempts completed. No further information expected.


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