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This is VAERS ID 597702

History of Changes from the VAERS Wayback Machine

First Appeared on 11/14/2015

VAERS ID: 597702
VAERS Form:
Age:19.0
Sex:Female
Location:Unknown
Vaccinated:2015-02-08
Onset:0000-00-00
Submitted:2015-05-15
Entered:2015-09-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH 09203 / - UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Nasal 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? No
Previous Vaccinations:
Other Medications: SYNTHROID
Current Illness: Unknown
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 2015057102

Write-up: This is a spontaneous report from a Pfizer Colleague who reported on behalf of contactable consumer (friend) reporting for a patient (friend''s daughter). A 19-year-old female patient received TRUMENBA (lot# 09203, exp date Jun2016), via an unspecified route of administration on 08Feb2015, at single dose, as she had case of meningitis at her college. Relevant medical history was not reported. Concomitant medication included SYNTHROID from 2013 and ongoing. On an unspecified date the patient experienced nostril flared with outcome of unknown. Follow-up (17Mar2015): new information received from a contactable consumer includes: TRUMENBA details, concomitant medication. Follow-up attempts completed. No further information expected. Follow-up (15MAY-2015): Follow-up attempts completed. No further information expected.


Changed on 9/14/2017

VAERS ID: 597702 Before After
VAERS Form:(blank) 1
Age:19.0
Sex:Female
Location:Unknown
Vaccinated:2015-02-08
Onset:0000-00-00
Submitted:2015-05-15
Entered:2015-09-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH 09203 / - UNK UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Nasal 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? No
Previous Vaccinations:
Other Medications: SYNTHROID
Current Illness: Unknown
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 2015057102

Write-up: This is a spontaneous report from a Pfizer Colleague who reported on behalf of contactable consumer (friend) reporting for a patient (friend''s daughter). A 19-year-old female patient received TRUMENBA (lot# 09203, exp date Jun2016), via an unspecified route of administration on 08Feb2015, at single dose, as she had case of meningitis at her college. Relevant medical history was not reported. Concomitant medication included SYNTHROID from 2013 and ongoing. On an unspecified date the patient experienced nostril flared with outcome of unknown. Follow-up (17Mar2015): new information received from a contactable consumer includes: TRUMENBA details, concomitant medication. Follow-up attempts completed. No further information expected. Follow-up (15MAY-2015): Follow-up attempts completed. No further information expected.


Changed on 2/14/2018

VAERS ID: 597702 Before After
VAERS Form:1
Age:19.0
Sex:Female
Location:Unknown
Vaccinated:2015-02-08
Onset:0000-00-00
Submitted:2015-05-15
Entered:2015-09-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH 09203 / UNK UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Nasal 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? No
Previous Vaccinations:
Other Medications: SYNTHROID
Current Illness: Unknown
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 2015057102

Write-up: This is a spontaneous report from a Pfizer Colleague who reported on behalf of contactable consumer (friend) reporting for a patient (friend''s daughter). A 19-year-old female patient received TRUMENBA (lot# 09203, exp date Jun2016), via an unspecified route of administration on 08Feb2015, at single dose, as she had case of meningitis at her college. Relevant medical history was not reported. Concomitant medication included SYNTHROID from 2013 and ongoing. On an unspecified date the patient experienced nostril flared with outcome of unknown. Follow-up (17Mar2015): new information received from a contactable consumer includes: TRUMENBA details, concomitant medication. Follow-up attempts completed. No further information expected. Follow-up (15MAY-2015): Follow-up attempts completed. No further information expected.


Changed on 6/14/2018

VAERS ID: 597702 Before After
VAERS Form:1
Age:19.0
Sex:Female
Location:Unknown
Vaccinated:2015-02-08
Onset:0000-00-00
Submitted:2015-05-15
Entered:2015-09-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH 09203 / UNK UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Nasal 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? No
Previous Vaccinations:
Other Medications: SYNTHROID
Current Illness: Unknown
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 2015057102

Write-up: This is a spontaneous report from a Pfizer Colleague who reported on behalf of contactable consumer (friend) reporting for a patient (friend''s daughter). A 19-year-old female patient received TRUMENBA (lot# 09203, exp date Jun2016), via an unspecified route of administration on 08Feb2015, at single dose, as she had case of meningitis at her college. Relevant medical history was not reported. Concomitant medication included SYNTHROID from 2013 and ongoing. On an unspecified date the patient experienced nostril flared with outcome of unknown. Follow-up (17Mar2015): new information received from a contactable consumer includes: TRUMENBA details, concomitant medication. Follow-up attempts completed. No further information expected. Follow-up (15MAY-2015): Follow-up attempts completed. No further information expected.


Changed on 8/14/2018

VAERS ID: 597702 Before After
VAERS Form:1
Age:19.0
Sex:Female
Location:Unknown
Vaccinated:2015-02-08
Onset:0000-00-00
Submitted:2015-05-15
Entered:2015-09-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH 09203 / UNK UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Nasal 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? No
Previous Vaccinations:
Other Medications: SYNTHROID
Current Illness: Unknown
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 2015057102

Write-up: This is a spontaneous report from a Pfizer Colleague who reported on behalf of contactable consumer (friend) reporting for a patient (friend''s daughter). A 19-year-old female patient received TRUMENBA (lot# 09203, exp date Jun2016), via an unspecified route of administration on 08Feb2015, at single dose, as she had case of meningitis at her college. Relevant medical history was not reported. Concomitant medication included SYNTHROID from 2013 and ongoing. On an unspecified date the patient experienced nostril flared with outcome of unknown. Follow-up (17Mar2015): new information received from a contactable consumer includes: TRUMENBA details, concomitant medication. Follow-up attempts completed. No further information expected. Follow-up (15MAY-2015): Follow-up attempts completed. No further information expected.


Changed on 9/14/2018

VAERS ID: 597702 Before After
VAERS Form:1
Age:19.0
Sex:Female
Location:Unknown
Vaccinated:2015-02-08
Onset:0000-00-00
Submitted:2015-05-15
Entered:2015-09-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH 09203 / UNK UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Nasal 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? No
Previous Vaccinations:
Other Medications: SYNTHROID
Current Illness: Unknown
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 2015057102

Write-up: This is a spontaneous report from a Pfizer Colleague who reported on behalf of contactable consumer (friend) reporting for a patient (friend''s daughter). A 19-year-old female patient received TRUMENBA (lot# 09203, exp date Jun2016), via an unspecified route of administration on 08Feb2015, at single dose, as she had case of meningitis at her college. Relevant medical history was not reported. Concomitant medication included SYNTHROID from 2013 and ongoing. On an unspecified date the patient experienced nostril flared with outcome of unknown. Follow-up (17Mar2015): new information received from a contactable consumer includes: TRUMENBA details, concomitant medication. Follow-up attempts completed. No further information expected. Follow-up (15MAY-2015): Follow-up attempts completed. No further information expected.


Changed on 10/14/2018

VAERS ID: 597702 Before After
VAERS Form:1
Age:19.0
Sex:Female
Location:Unknown
Vaccinated:2015-02-08
Onset:0000-00-00
Submitted:2015-05-15
Entered:2015-09-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH 09203 / UNK UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Nasal 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? No
Previous Vaccinations:
Other Medications: SYNTHROID
Current Illness: Unknown
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 2015057102

Write-up: This is a spontaneous report from a Pfizer Colleague who reported on behalf of contactable consumer (friend) reporting for a patient (friend''s daughter). A 19-year-old female patient received TRUMENBA (lot# 09203, exp date Jun2016), via an unspecified route of administration on 08Feb2015, at single dose, as she had case of meningitis at her college. Relevant medical history was not reported. Concomitant medication included SYNTHROID from 2013 and ongoing. On an unspecified date the patient experienced nostril flared with outcome of unknown. Follow-up (17Mar2015): new information received from a contactable consumer includes: TRUMENBA details, concomitant medication. Follow-up attempts completed. No further information expected. Follow-up (15MAY-2015): Follow-up attempts completed. No further information expected.

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