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This is VAERS ID 597880

Case Details

VAERS ID: 597880 (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 LG / UN

Administered by: Other       Purchased by: Other
Symptoms: Dysstasia, Pain
SMQs:, Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (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: 2015227678

Write-up: This is a spontaneous report obtained from a contactable nurse through a sales representative. This nurse reported about two different children. This is the first of two reports. A child of an unspecified age, ethnicity and gender received, on an unspecified dater, TRUMENBA at single dose, via an unspecified route of administration, in upper leg. Relevant medical history and concomitant medications were unknown. ON an unspecified date, the patient experienced extreme pain and was unable to stand because of the pain. Clinical outcome of the events was unknown at the time of this report.


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