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This is VAERS ID 601977

History of Changes from the VAERS Wayback Machine

First Appeared on 10/14/2015

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

Administered by: Other      Purchased by: Other
Symptoms: Chest pain, Fatigue, Weight decreased

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? 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.


Changed on 2/14/2017

VAERS ID: 601977 Before After
VAERS Form:
Age:17.0
Sex:Male
Location:Illinois
Vaccinated:2015-09-15
Onset:2015-10-09
Submitted:2015-10-12
Entered:2015-10-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (BEXSERO) / NOVARTIS VACCINES AND DIAGNOSTICS UNKNOWN / - - / IM

Administered by: Other      Purchased by: Other
Symptoms: Chest pain, Fatigue, Weight decreased

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? 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.


Changed on 9/14/2017

VAERS ID: 601977 Before After
VAERS Form:(blank) 1
Age:17.0
Sex:Male
Location:Illinois
Vaccinated:2015-09-15
Onset:2015-10-09
Submitted:2015-10-12
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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? 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.


Changed on 2/14/2018

VAERS ID: 601977 Before After
VAERS Form:1
Age:17.0
Sex:Male
Location:Illinois
Vaccinated:2015-09-15
Onset:2015-10-09
Submitted:2015-10-12
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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? 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.


Changed on 6/14/2018

VAERS ID: 601977 Before After
VAERS Form:1
Age:17.0
Sex:Male
Location:Illinois
Vaccinated:2015-09-15
Onset:2015-10-09
Submitted:2015-10-12
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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? 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.


Changed on 8/14/2018

VAERS ID: 601977 Before After
VAERS Form:1
Age:17.0
Sex:Male
Location:Illinois
Vaccinated:2015-09-15
Onset:2015-10-09
Submitted:2015-10-12
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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? 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.


Changed on 9/14/2018

VAERS ID: 601977 Before After
VAERS Form:1
Age:17.0
Sex:Male
Location:Illinois
Vaccinated:2015-09-15
Onset:2015-10-09
Submitted:2015-10-12
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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? 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.


Changed on 10/14/2018

VAERS ID: 601977 Before After
VAERS Form:1
Age:17.0
Sex:Male
Location:Illinois
Vaccinated:2015-09-15
Onset:2015-10-09
Submitted:2015-10-12
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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? 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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https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=601977&WAYBACKHISTORY=ON


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