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This is VAERS ID 597812

Case Details

VAERS ID: 597812 (history)  
Form: Version 1.0  
Age:   
Sex: Unknown  
Location: Unknown  
Vaccinated:0000-00-00
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 UN / UN

Administered by: Other       Purchased by: Other
Symptoms: Arthralgia, Fatigue, Headache, Injection site pain, Myalgia
SMQs:, Rhabdomyolysis/myopathy (broad), Extravasation events (injections, infusions and implants) (broad), Eosinophilic pneumonia (broad), Arthritis (broad), Tendinopathies and ligament disorders (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: 2015176964

Write-up: This is a spontaneous report from a non Clinical Study Program IBCC (Inbound Call Center for HCP''s) from a pediatrician though a sales representative. A patient of unspecified age and gender received TRUMENBA via an unspecified route of administration on an unspecified date, single dose. The patient medical history and the patient''s concomitant medications were not reported. The patient experienced headache, joint and muscle pain throughout the body, pain at the injection site and fatigue. The events were assessed as non-serious. The outcome was unknown. Follow-up (15JUN2015): Follow-up attempts completed. No further information expected.


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