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This is VAERS ID 597700

History of Changes from the VAERS Wayback Machine

First Appeared on 11/14/2015

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

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

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: 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.


Changed on 9/14/2017

VAERS ID: 597700 Before After
VAERS Form:(blank) 1
Age:
Sex:Female
Location:Unknown
Vaccinated:2015-02-25
Onset:0000-00-00
Submitted:2015-05-15
Entered:2015-09-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH - / - UNK UN / UN

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

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: 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.


Changed on 2/14/2018

VAERS ID: 597700 Before After
VAERS Form:1
Age:
Sex:Female
Location:Unknown
Vaccinated:2015-02-25
Onset:0000-00-00
Submitted:2015-05-15
Entered:2015-09-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH - / UNK UN / UN

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

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: 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.


Changed on 6/14/2018

VAERS ID: 597700 Before After
VAERS Form:1
Age:
Sex:Female
Location:Unknown
Vaccinated:2015-02-25
Onset:0000-00-00
Submitted:2015-05-15
Entered:2015-09-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH - / UNK UN / UN

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

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: 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.


Changed on 8/14/2018

VAERS ID: 597700 Before After
VAERS Form:1
Age:
Sex:Female
Location:Unknown
Vaccinated:2015-02-25
Onset:0000-00-00
Submitted:2015-05-15
Entered:2015-09-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH - / UNK UN / UN

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

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: 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.


Changed on 9/14/2018

VAERS ID: 597700 Before After
VAERS Form:1
Age:
Sex:Female
Location:Unknown
Vaccinated:2015-02-25
Onset:0000-00-00
Submitted:2015-05-15
Entered:2015-09-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH - / UNK UN / UN

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

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: 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.


Changed on 10/14/2018

VAERS ID: 597700 Before After
VAERS Form:1
Age:
Sex:Female
Location:Unknown
Vaccinated:2015-02-25
Onset:0000-00-00
Submitted:2015-05-15
Entered:2015-09-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH - / UNK UN / UN

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

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: 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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https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=597700&WAYBACKHISTORY=ON


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