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This is VAERS ID 597809

Case Details

VAERS ID: 597809 (history)  
Form: Version 1.0  
Age: 18.0  
Sex: Female  
Location: Unknown  
Vaccinated:2015-05-12
Onset:2015-05-12
   Days after vaccination:0
Submitted: 2015-08-13
   Days after onset:93
Entered: 2015-09-21
   Days after submission:39
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH - / UNK UN / UN

Administered by: Other       Purchased by: Other
Symptoms: Chills, Feeling abnormal, Headache, Tremor
SMQs:, Neuroleptic malignant syndrome (broad), Dementia (broad), Parkinson-like events (broad), Noninfectious encephalopathy/delirium (broad), Hypoglycaemia (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:
CDC Split Type: 2015164095

Write-up: This is a spontaneous report from a contactable consumer reporting for herself. A 18-year-old female patient received second dose of TRUMENBA, via an unspecified route of administration, on 12MAY2015, at single dose. Relevant medical history was not reported. Concomitant medications included ADDRALL at 5 mg daily and PROZAC at 20 mg daily. The patient experienced chills, she was shaking a lot, she got shoot headaches and she felt very bad as she got a sudden reaction on 12MAY2015. Outcome of the reported events was not recovered at the time of this report. Follow-up (01JUL2015): Follow-up attempts completed. No further information expected.


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