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This is VAERS ID 597808

Case Details

VAERS ID: 597808 (history)  
Form: Version 1.0  
Age: 19.0  
Sex: Male  
Location: Unknown  
Vaccinated:2015-05-01
Onset:0000-00-00
Submitted: 2015-08-13
Entered: 2015-09-21
   Days after submission:39
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH - / UNK AR / UN
MNQ: MENINGOCOCCAL CONJUGATE (MENVEO) / NOVARTIS VACCINES AND DIAGNOSTICS - / UNK AR / UN

Administered by: Other       Purchased by: Other
Symptoms: Chromaturia, Myalgia, Protein urine present, Pyrexia
SMQs:, Rhabdomyolysis/myopathy (broad), Acute renal failure (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Eosinophilic pneumonia (broad), Chronic kidney disease (broad), Proteinuria (narrow), Tubulointerstitial diseases (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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: 05/2015, Urine analysis, Protein
CDC Split Type: 2015164404

Write-up: This is a spontaneous report from a contactable physician via a Pfizer sales representative. A 19-year-old male patient of unknown ethnicity received in May2015 TRUMENBA at 0.5 ml single dose in the arm and MENVEO in the other arm. Relevant medical history and concomitant medications were not reported. In May2015, after vaccination (unknown if on the same date or day after), the patient experienced very strong muscle pain in the same arm in which he received TRUMENBA, very high fever and his urine color was found orange instead of yellow. An urine test performed in May2015 showed the presence of protein. It was the first time the patient showed protein in his urine. The physician wanted to evaluate whether the patient should received the second dose of TRUMENBA or not. The reporting physician considered the events as due to TRUMENBA. Outcome was not recovered. Follow-up (09JUL2015): Follow-up attempts completed. No further information expected.


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