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This is VAERS ID 597703

History of Changes from the VAERS Wayback Machine

First Appeared on 11/14/2015

VAERS ID: 597703
VAERS Form:
Age:11.0
Sex:Male
Location:Nevada
Vaccinated:2014-12-23
Onset:2014-12-23
Submitted:2015-02-10
Entered:2015-09-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH - / - LA / UN

Administered by: Private      Purchased by: Other
Symptoms: Pain in extremity, Vomiting, Mobility decreased, Peripheral swelling

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': 2014358813

Write-up: This is a spontaneous report from a consumer (a Pfizer Employee) who reported for his son. This 11-year-old male patient received on 23Dec2014 at 16:00 a single dose of TRUMENBA in left arm. The patient did not take any other concomitant medications or vaccine and did not have any relevant medical conditions. Approximately one half hour after receiving the vaccine, the patient noticed soreness in his arm and shortly after he had difficulty moving arm. On 24Dec2014 in the morning, the patient threw up a couple times and swelling arm was noticed. Two of his other children received the vaccine at the same time, and they have not experienced any adverse events. Outocme was not recovered.


Changed on 9/14/2017

VAERS ID: 597703 Before After
VAERS Form:(blank) 1
Age:11.0
Sex:Male
Location:Nevada
Vaccinated:2014-12-23
Onset:2014-12-23
Submitted:2015-02-10
Entered:2015-09-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH - / - UNK LA / UN

Administered by: Private      Purchased by: Other
Symptoms: Pain in extremity, Vomiting, Mobility decreased, Peripheral swelling

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': 2014358813

Write-up: This is a spontaneous report from a consumer (a Pfizer Employee) who reported for his son. This 11-year-old male patient received on 23Dec2014 at 16:00 a single dose of TRUMENBA in left arm. The patient did not take any other concomitant medications or vaccine and did not have any relevant medical conditions. Approximately one half hour after receiving the vaccine, the patient noticed soreness in his arm and shortly after he had difficulty moving arm. On 24Dec2014 in the morning, the patient threw up a couple times and swelling arm was noticed. Two of his other children received the vaccine at the same time, and they have not experienced any adverse events. Outocme was not recovered.


Changed on 2/14/2018

VAERS ID: 597703 Before After
VAERS Form:1
Age:11.0
Sex:Male
Location:Nevada
Vaccinated:2014-12-23
Onset:2014-12-23
Submitted:2015-02-10
Entered:2015-09-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH - / UNK LA / UN

Administered by: Private      Purchased by: Other
Symptoms: Pain in extremity, Vomiting, Mobility decreased, Peripheral swelling

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': 2014358813

Write-up: This is a spontaneous report from a consumer (a Pfizer Employee) who reported for his son. This 11-year-old male patient received on 23Dec2014 at 16:00 a single dose of TRUMENBA in left arm. The patient did not take any other concomitant medications or vaccine and did not have any relevant medical conditions. Approximately one half hour after receiving the vaccine, the patient noticed soreness in his arm and shortly after he had difficulty moving arm. On 24Dec2014 in the morning, the patient threw up a couple times and swelling arm was noticed. Two of his other children received the vaccine at the same time, and they have not experienced any adverse events. Outocme was not recovered.


Changed on 6/14/2018

VAERS ID: 597703 Before After
VAERS Form:1
Age:11.0
Sex:Male
Location:Nevada
Vaccinated:2014-12-23
Onset:2014-12-23
Submitted:2015-02-10
Entered:2015-09-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH - / UNK LA / UN

Administered by: Private      Purchased by: Other
Symptoms: Pain in extremity, Vomiting, Mobility decreased, Peripheral swelling

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': 2014358813

Write-up: This is a spontaneous report from a consumer (a Pfizer Employee) who reported for his son. This 11-year-old male patient received on 23Dec2014 at 16:00 a single dose of TRUMENBA in left arm. The patient did not take any other concomitant medications or vaccine and did not have any relevant medical conditions. Approximately one half hour after receiving the vaccine, the patient noticed soreness in his arm and shortly after he had difficulty moving arm. On 24Dec2014 in the morning, the patient threw up a couple times and swelling arm was noticed. Two of his other children received the vaccine at the same time, and they have not experienced any adverse events. Outocme was not recovered.


Changed on 8/14/2018

VAERS ID: 597703 Before After
VAERS Form:1
Age:11.0
Sex:Male
Location:Nevada
Vaccinated:2014-12-23
Onset:2014-12-23
Submitted:2015-02-10
Entered:2015-09-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH - / UNK LA / UN

Administered by: Private      Purchased by: Other
Symptoms: Pain in extremity, Vomiting, Mobility decreased, Peripheral swelling

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': 2014358813

Write-up: This is a spontaneous report from a consumer (a Pfizer Employee) who reported for his son. This 11-year-old male patient received on 23Dec2014 at 16:00 a single dose of TRUMENBA in left arm. The patient did not take any other concomitant medications or vaccine and did not have any relevant medical conditions. Approximately one half hour after receiving the vaccine, the patient noticed soreness in his arm and shortly after he had difficulty moving arm. On 24Dec2014 in the morning, the patient threw up a couple times and swelling arm was noticed. Two of his other children received the vaccine at the same time, and they have not experienced any adverse events. Outocme was not recovered.


Changed on 9/14/2018

VAERS ID: 597703 Before After
VAERS Form:1
Age:11.0
Sex:Male
Location:Nevada
Vaccinated:2014-12-23
Onset:2014-12-23
Submitted:2015-02-10
Entered:2015-09-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH - / UNK LA / UN

Administered by: Private      Purchased by: Other
Symptoms: Pain in extremity, Vomiting, Mobility decreased, Peripheral swelling

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': 2014358813

Write-up: This is a spontaneous report from a consumer (a Pfizer Employee) who reported for his son. This 11-year-old male patient received on 23Dec2014 at 16:00 a single dose of TRUMENBA in left arm. The patient did not take any other concomitant medications or vaccine and did not have any relevant medical conditions. Approximately one half hour after receiving the vaccine, the patient noticed soreness in his arm and shortly after he had difficulty moving arm. On 24Dec2014 in the morning, the patient threw up a couple times and swelling arm was noticed. Two of his other children received the vaccine at the same time, and they have not experienced any adverse events. Outocme was not recovered.


Changed on 10/14/2018

VAERS ID: 597703 Before After
VAERS Form:1
Age:11.0
Sex:Male
Location:Nevada
Vaccinated:2014-12-23
Onset:2014-12-23
Submitted:2015-02-10
Entered:2015-09-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH - / UNK LA / UN

Administered by: Private      Purchased by: Other
Symptoms: Pain in extremity, Vomiting, Mobility decreased, Peripheral swelling

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': 2014358813

Write-up: This is a spontaneous report from a consumer (a Pfizer Employee) who reported for his son. This 11-year-old male patient received on 23Dec2014 at 16:00 a single dose of TRUMENBA in left arm. The patient did not take any other concomitant medications or vaccine and did not have any relevant medical conditions. Approximately one half hour after receiving the vaccine, the patient noticed soreness in his arm and shortly after he had difficulty moving arm. On 24Dec2014 in the morning, the patient threw up a couple times and swelling arm was noticed. Two of his other children received the vaccine at the same time, and they have not experienced any adverse events. Outocme was not recovered.

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