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This is VAERS ID 597880

History of Changes from the VAERS Wayback Machine

First Appeared on 1/14/2016

VAERS ID: 597880
VAERS Form:
Age:
Sex:Unknown
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 - / - LG / UN

Administered by: Other      Purchased by: Other
Symptoms: Pain, Dysstasia

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': 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.


Changed on 9/14/2017

VAERS ID: 597880 Before After
VAERS Form:(blank) 1
Age:
Sex:Unknown
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 LG / UN

Administered by: Other      Purchased by: Other
Symptoms: Pain, Dysstasia

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': 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.


Changed on 2/14/2018

VAERS ID: 597880 Before After
VAERS Form:1
Age:
Sex:Unknown
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 LG / UN

Administered by: Other      Purchased by: Other
Symptoms: Pain, Dysstasia

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': 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.


Changed on 6/14/2018

VAERS ID: 597880 Before After
VAERS Form:1
Age:
Sex:Unknown
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 LG / UN

Administered by: Other      Purchased by: Other
Symptoms: Pain, Dysstasia

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': 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.


Changed on 8/14/2018

VAERS ID: 597880 Before After
VAERS Form:1
Age:
Sex:Unknown
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 LG / UN

Administered by: Other      Purchased by: Other
Symptoms: Pain, Dysstasia

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': 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.


Changed on 9/14/2018

VAERS ID: 597880 Before After
VAERS Form:1
Age:
Sex:Unknown
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 LG / UN

Administered by: Other      Purchased by: Other
Symptoms: Pain, Dysstasia

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': 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.


Changed on 10/14/2018

VAERS ID: 597880 Before After
VAERS Form:1
Age:
Sex:Unknown
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 LG / UN

Administered by: Other      Purchased by: Other
Symptoms: Pain, Dysstasia

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': 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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https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=597880&WAYBACKHISTORY=ON


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