National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 597867

History of Changes from the VAERS Wayback Machine

First Appeared on 1/14/2016

VAERS ID: 597867
VAERS Form:
Age:13.0
Sex:Male
Location:Unknown
Vaccinated:2015-05-15
Onset:2015-05-15
Submitted:2015-08-13
Entered:2015-09-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH - / 0 RA / UN

Administered by: Private      Purchased by: Other
Symptoms: Injection site pain

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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': 2015173028

Write-up: This is a spontaneous report from a contactable consumer reporting on behalf of her son. A 13-year-old male patient received the first dose of TRUMENBA via an unspecified route of administration in the right on 15MAY2015 at around 4:45 PM at 0.5 ml single. No medical history, concomitant medications and relevant tests were reported. The patient experienced pain at injection site on 15MAY2015 at around 7 PM. The patient recovered on an unspecified date in MAY2015. According to the patient mother he would continue with the series of immunization. Follow-up (25JUN2015): Follow-up attempts completed. No further information expected.


Changed on 9/14/2017

VAERS ID: 597867 Before After
VAERS Form:(blank) 1
Age:13.0
Sex:Male
Location:Unknown
Vaccinated:2015-05-15
Onset:2015-05-15
Submitted:2015-08-13
Entered:2015-09-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH - / 0 1 RA / UN

Administered by: Private      Purchased by: Other
Symptoms: Injection site pain

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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': 2015173028

Write-up: This is a spontaneous report from a contactable consumer reporting on behalf of her son. A 13-year-old male patient received the first dose of TRUMENBA via an unspecified route of administration in the right on 15MAY2015 at around 4:45 PM at 0.5 ml single. No medical history, concomitant medications and relevant tests were reported. The patient experienced pain at injection site on 15MAY2015 at around 7 PM. The patient recovered on an unspecified date in MAY2015. According to the patient mother he would continue with the series of immunization. Follow-up (25JUN2015): Follow-up attempts completed. No further information expected.


Changed on 2/14/2018

VAERS ID: 597867 Before After
VAERS Form:1
Age:13.0
Sex:Male
Location:Unknown
Vaccinated:2015-05-15
Onset:2015-05-15
Submitted:2015-08-13
Entered:2015-09-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH - / 1 RA / UN

Administered by: Private      Purchased by: Other
Symptoms: Injection site pain

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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': 2015173028

Write-up: This is a spontaneous report from a contactable consumer reporting on behalf of her son. A 13-year-old male patient received the first dose of TRUMENBA via an unspecified route of administration in the right on 15MAY2015 at around 4:45 PM at 0.5 ml single. No medical history, concomitant medications and relevant tests were reported. The patient experienced pain at injection site on 15MAY2015 at around 7 PM. The patient recovered on an unspecified date in MAY2015. According to the patient mother he would continue with the series of immunization. Follow-up (25JUN2015): Follow-up attempts completed. No further information expected.


Changed on 6/14/2018

VAERS ID: 597867 Before After
VAERS Form:1
Age:13.0
Sex:Male
Location:Unknown
Vaccinated:2015-05-15
Onset:2015-05-15
Submitted:2015-08-13
Entered:2015-09-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH - / 1 RA / UN

Administered by: Private      Purchased by: Other
Symptoms: Injection site pain

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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': 2015173028

Write-up: This is a spontaneous report from a contactable consumer reporting on behalf of her son. A 13-year-old male patient received the first dose of TRUMENBA via an unspecified route of administration in the right on 15MAY2015 at around 4:45 PM at 0.5 ml single. No medical history, concomitant medications and relevant tests were reported. The patient experienced pain at injection site on 15MAY2015 at around 7 PM. The patient recovered on an unspecified date in MAY2015. According to the patient mother he would continue with the series of immunization. Follow-up (25JUN2015): Follow-up attempts completed. No further information expected.


Changed on 8/14/2018

VAERS ID: 597867 Before After
VAERS Form:1
Age:13.0
Sex:Male
Location:Unknown
Vaccinated:2015-05-15
Onset:2015-05-15
Submitted:2015-08-13
Entered:2015-09-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH - / 1 RA / UN

Administered by: Private      Purchased by: Other
Symptoms: Injection site pain

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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': 2015173028

Write-up: This is a spontaneous report from a contactable consumer reporting on behalf of her son. A 13-year-old male patient received the first dose of TRUMENBA via an unspecified route of administration in the right on 15MAY2015 at around 4:45 PM at 0.5 ml single. No medical history, concomitant medications and relevant tests were reported. The patient experienced pain at injection site on 15MAY2015 at around 7 PM. The patient recovered on an unspecified date in MAY2015. According to the patient mother he would continue with the series of immunization. Follow-up (25JUN2015): Follow-up attempts completed. No further information expected.


Changed on 9/14/2018

VAERS ID: 597867 Before After
VAERS Form:1
Age:13.0
Sex:Male
Location:Unknown
Vaccinated:2015-05-15
Onset:2015-05-15
Submitted:2015-08-13
Entered:2015-09-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH - / 1 RA / UN

Administered by: Private      Purchased by: Other
Symptoms: Injection site pain

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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': 2015173028

Write-up: This is a spontaneous report from a contactable consumer reporting on behalf of her son. A 13-year-old male patient received the first dose of TRUMENBA via an unspecified route of administration in the right on 15MAY2015 at around 4:45 PM at 0.5 ml single. No medical history, concomitant medications and relevant tests were reported. The patient experienced pain at injection site on 15MAY2015 at around 7 PM. The patient recovered on an unspecified date in MAY2015. According to the patient mother he would continue with the series of immunization. Follow-up (25JUN2015): Follow-up attempts completed. No further information expected.


Changed on 10/14/2018

VAERS ID: 597867 Before After
VAERS Form:1
Age:13.0
Sex:Male
Location:Unknown
Vaccinated:2015-05-15
Onset:2015-05-15
Submitted:2015-08-13
Entered:2015-09-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH - / 1 RA / UN

Administered by: Private      Purchased by: Other
Symptoms: Injection site pain

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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': 2015173028

Write-up: This is a spontaneous report from a contactable consumer reporting on behalf of her son. A 13-year-old male patient received the first dose of TRUMENBA via an unspecified route of administration in the right on 15MAY2015 at around 4:45 PM at 0.5 ml single. No medical history, concomitant medications and relevant tests were reported. The patient experienced pain at injection site on 15MAY2015 at around 7 PM. The patient recovered on an unspecified date in MAY2015. According to the patient mother he would continue with the series of immunization. Follow-up (25JUN2015): Follow-up attempts completed. No further information expected.

New Search

Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=597867&WAYBACKHISTORY=ON


Copyright © 2020 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166