National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 597869

Case Details

VAERS ID: 597869 (history)  
Form: Version 1.0  
Age: 26.0  
Sex: Female  
Location: Unknown  
Vaccinated:2015-04-28
Onset:2015-04-28
   Days after vaccination:0
Submitted: 2015-08-13
   Days after onset:107
Entered: 2015-09-21
   Days after submission:39
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH - / 1 LA / IM

Administered by: Other       Purchased by: Other
Symptoms: Injection site pain
SMQs:, Extravasation events (injections, infusions and implants) (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: 2015149997

Write-up: This spontaneous report from a contactable lawyer who reported for herself. This 26-year-old female patient received the first single dose of TRUMENBA intramuscular in the left arm on 28APR2015. The patient medical history was not reported, there were no concomitant medications. The patient experienced sore arm at the injection site on 28APR2015. The patient mentioned that she did not consult her physician and she did not undergo any laboratory work due to the event. She further mentioned that the event was still ongoing. Follow-up (04JUNE2015): Follow-up attempts completed. No further information expected.


New Search

Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=597869


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