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This is VAERS ID 597881

Case Details

VAERS ID: 597881 (history)  
Form: Version 1.0  
Age:   
Sex: Male  
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 UN / UN

Administered by: Other       Purchased by: Other
Symptoms: Erythema, Pain
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: 2015227346

Write-up: This is a spontaneous report obtained from a contactable physician through a sales representative. The physician''s son of an unspecified age, and ethnicity received, on an unspecified date, TRUMENBA at single dose, via an unspecified route of administration. Relevant medical history and concomitant medications were unknown. On an unspecified date, the patient experienced redness and pain. BENADFRYL was given as a therapeutic measure and event lasted for 3-4 days. The patient recovered from the events on an unspecified date.


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