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This is VAERS ID 597869

History of Changes from the VAERS Wayback Machine

First Appeared on 1/14/2016

VAERS ID: 597869
VAERS Form:
Age:26.0
Sex:Female
Location:Unknown
Vaccinated:2015-04-28
Onset:2015-04-28
Submitted:2015-08-13
Entered:2015-09-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH - / 0 LA / IM

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

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': 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.


Changed on 9/14/2017

VAERS ID: 597869 Before After
VAERS Form:(blank) 1
Age:26.0
Sex:Female
Location:Unknown
Vaccinated:2015-04-28
Onset:2015-04-28
Submitted:2015-08-13
Entered:2015-09-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH - / 0 1 LA / IM

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

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': 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.


Changed on 2/14/2018

VAERS ID: 597869 Before After
VAERS Form:1
Age:26.0
Sex:Female
Location:Unknown
Vaccinated:2015-04-28
Onset:2015-04-28
Submitted:2015-08-13
Entered:2015-09-21
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

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': 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.


Changed on 6/14/2018

VAERS ID: 597869 Before After
VAERS Form:1
Age:26.0
Sex:Female
Location:Unknown
Vaccinated:2015-04-28
Onset:2015-04-28
Submitted:2015-08-13
Entered:2015-09-21
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

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': 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.


Changed on 8/14/2018

VAERS ID: 597869 Before After
VAERS Form:1
Age:26.0
Sex:Female
Location:Unknown
Vaccinated:2015-04-28
Onset:2015-04-28
Submitted:2015-08-13
Entered:2015-09-21
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

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': 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.


Changed on 9/14/2018

VAERS ID: 597869 Before After
VAERS Form:1
Age:26.0
Sex:Female
Location:Unknown
Vaccinated:2015-04-28
Onset:2015-04-28
Submitted:2015-08-13
Entered:2015-09-21
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

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': 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.


Changed on 10/14/2018

VAERS ID: 597869 Before After
VAERS Form:1
Age:26.0
Sex:Female
Location:Unknown
Vaccinated:2015-04-28
Onset:2015-04-28
Submitted:2015-08-13
Entered:2015-09-21
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

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': 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.

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


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