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This is VAERS ID 597809

History of Changes from the VAERS Wayback Machine

First Appeared on 1/14/2016

VAERS ID: 597809
VAERS Form:
Age:18.0
Sex:Female
Location:Unknown
Vaccinated:2015-05-12
Onset:2015-05-12
Submitted:2015-08-13
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, Feeling abnormal, Headache, Tremor

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': 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.


Changed on 9/14/2017

VAERS ID: 597809 Before After
VAERS Form:(blank) 1
Age:18.0
Sex:Female
Location:Unknown
Vaccinated:2015-05-12
Onset:2015-05-12
Submitted:2015-08-13
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, Feeling abnormal, Headache, Tremor

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': 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.


Changed on 2/14/2018

VAERS ID: 597809 Before After
VAERS Form:1
Age:18.0
Sex:Female
Location:Unknown
Vaccinated:2015-05-12
Onset:2015-05-12
Submitted:2015-08-13
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, Feeling abnormal, Headache, Tremor

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': 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.


Changed on 6/14/2018

VAERS ID: 597809 Before After
VAERS Form:1
Age:18.0
Sex:Female
Location:Unknown
Vaccinated:2015-05-12
Onset:2015-05-12
Submitted:2015-08-13
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, Feeling abnormal, Headache, Tremor

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': 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.


Changed on 8/14/2018

VAERS ID: 597809 Before After
VAERS Form:1
Age:18.0
Sex:Female
Location:Unknown
Vaccinated:2015-05-12
Onset:2015-05-12
Submitted:2015-08-13
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, Feeling abnormal, Headache, Tremor

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': 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.


Changed on 9/14/2018

VAERS ID: 597809 Before After
VAERS Form:1
Age:18.0
Sex:Female
Location:Unknown
Vaccinated:2015-05-12
Onset:2015-05-12
Submitted:2015-08-13
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, Feeling abnormal, Headache, Tremor

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': 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.


Changed on 10/14/2018

VAERS ID: 597809 Before After
VAERS Form:1
Age:18.0
Sex:Female
Location:Unknown
Vaccinated:2015-05-12
Onset:2015-05-12
Submitted:2015-08-13
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, Feeling abnormal, Headache, Tremor

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': 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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