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This is VAERS ID 597881

History of Changes from the VAERS Wayback Machine

First Appeared on 1/14/2016

VAERS ID: 597881
VAERS Form:
Age:
Sex:Male
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: Erythema, Pain

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


Changed on 9/14/2017

VAERS ID: 597881 Before After
VAERS Form:(blank) 1
Age:
Sex:Male
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: Erythema, Pain

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


Changed on 2/14/2018

VAERS ID: 597881 Before After
VAERS Form:1
Age:
Sex:Male
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: Erythema, Pain

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


Changed on 6/14/2018

VAERS ID: 597881 Before After
VAERS Form:1
Age:
Sex:Male
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: Erythema, Pain

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


Changed on 8/14/2018

VAERS ID: 597881 Before After
VAERS Form:1
Age:
Sex:Male
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: Erythema, Pain

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


Changed on 9/14/2018

VAERS ID: 597881 Before After
VAERS Form:1
Age:
Sex:Male
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: Erythema, Pain

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


Changed on 10/14/2018

VAERS ID: 597881 Before After
VAERS Form:1
Age:
Sex:Male
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: Erythema, Pain

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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': 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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https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=597881&WAYBACKHISTORY=ON


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