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This is VAERS ID 597870

History of Changes from the VAERS Wayback Machine

First Appeared on 1/14/2016

VAERS ID: 597870
VAERS Form:
Age:
Sex:Female
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
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: Injection site reaction, Urticaria

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': 2015249961

Write-up: This is a spontaneous report from sales representative on behalf of an Other Healthcare professional (the receptionist who was calling on behalf of physician) for a patient. This is the first report of three reports. A female patient of an unspecified age and ethnicity received TRUMENBA, via an unspecified route of administration at single dose on unknown date. The patient medical history and concomitant medications were not reported. The patient developed ring of welt at the injection site on an unspecified date with outcome of unknown.


Changed on 9/14/2017

VAERS ID: 597870 Before After
VAERS Form:(blank) 1
Age:
Sex:Female
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
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: Injection site reaction, Urticaria

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': 2015249961

Write-up: This is a spontaneous report from sales representative on behalf of an Other Healthcare professional (the receptionist who was calling on behalf of physician) for a patient. This is the first report of three reports. A female patient of an unspecified age and ethnicity received TRUMENBA, via an unspecified route of administration at single dose on unknown date. The patient medical history and concomitant medications were not reported. The patient developed ring of welt at the injection site on an unspecified date with outcome of unknown.


Changed on 2/14/2018

VAERS ID: 597870 Before After
VAERS Form:1
Age:
Sex:Female
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
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: Injection site reaction, Urticaria

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': 2015249961

Write-up: This is a spontaneous report from sales representative on behalf of an Other Healthcare professional (the receptionist who was calling on behalf of physician) for a patient. This is the first report of three reports. A female patient of an unspecified age and ethnicity received TRUMENBA, via an unspecified route of administration at single dose on unknown date. The patient medical history and concomitant medications were not reported. The patient developed ring of welt at the injection site on an unspecified date with outcome of unknown.


Changed on 6/14/2018

VAERS ID: 597870 Before After
VAERS Form:1
Age:
Sex:Female
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
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: Injection site reaction, Urticaria

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': 2015249961

Write-up: This is a spontaneous report from sales representative on behalf of an Other Healthcare professional (the receptionist who was calling on behalf of physician) for a patient. This is the first report of three reports. A female patient of an unspecified age and ethnicity received TRUMENBA, via an unspecified route of administration at single dose on unknown date. The patient medical history and concomitant medications were not reported. The patient developed ring of welt at the injection site on an unspecified date with outcome of unknown.


Changed on 8/14/2018

VAERS ID: 597870 Before After
VAERS Form:1
Age:
Sex:Female
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
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: Injection site reaction, Urticaria

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': 2015249961

Write-up: This is a spontaneous report from sales representative on behalf of an Other Healthcare professional (the receptionist who was calling on behalf of physician) for a patient. This is the first report of three reports. A female patient of an unspecified age and ethnicity received TRUMENBA, via an unspecified route of administration at single dose on unknown date. The patient medical history and concomitant medications were not reported. The patient developed ring of welt at the injection site on an unspecified date with outcome of unknown.


Changed on 9/14/2018

VAERS ID: 597870 Before After
VAERS Form:1
Age:
Sex:Female
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
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: Injection site reaction, Urticaria

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': 2015249961

Write-up: This is a spontaneous report from sales representative on behalf of an Other Healthcare professional (the receptionist who was calling on behalf of physician) for a patient. This is the first report of three reports. A female patient of an unspecified age and ethnicity received TRUMENBA, via an unspecified route of administration at single dose on unknown date. The patient medical history and concomitant medications were not reported. The patient developed ring of welt at the injection site on an unspecified date with outcome of unknown.


Changed on 10/14/2018

VAERS ID: 597870 Before After
VAERS Form:1
Age:
Sex:Female
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
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: Injection site reaction, Urticaria

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': 2015249961

Write-up: This is a spontaneous report from sales representative on behalf of an Other Healthcare professional (the receptionist who was calling on behalf of physician) for a patient. This is the first report of three reports. A female patient of an unspecified age and ethnicity received TRUMENBA, via an unspecified route of administration at single dose on unknown date. The patient medical history and concomitant medications were not reported. The patient developed ring of welt at the injection site on an unspecified date with outcome of unknown.

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https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=597870&WAYBACKHISTORY=ON


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