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This is VAERS ID 601977

Case Details

VAERS ID: 601977 (history)  
Form: Version 1.0  
Age: 17.0  
Sex: Male  
Location: Illinois  
Vaccinated:2015-09-15
Onset:2015-10-09
   Days after vaccination:24
Submitted: 2015-10-12
   Days after onset:3
Entered: 2015-10-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (BEXSERO) / NOVARTIS VACCINES AND DIAGNOSTICS UNKNOWN / UNK - / IM

Administered by: Other       Purchased by: Other
Symptoms: Chest pain, Fatigue, Weight decreased
SMQs:, Hyperglycaemia/new onset diabetes mellitus (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: No
Preexisting Conditions: No
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Pt went to ED for fatigue, weight loss, chest pain, and fatigue. Fatigue started about 3 weeks before hospitalization after recieving Bexsero vaccine at doctor''s office. Pt was transferred to another hospital for further work-up.


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