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This is VAERS ID 602498

Case Details

VAERS ID: 602498 (history)  
Form: Version 1.0  
Age: 10.0  
Sex: Female  
Location: Arizona  
Vaccinated:2015-10-07
Onset:2015-10-08
   Days after vaccination:1
Submitted: 2015-10-08
   Days after onset:0
Entered: 2015-10-12
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH L13514 / 1 RA / IM

Administered by: Unknown       Purchased by: Unknown
Symptoms: Injection site pain
SMQs:, Extravasation events (injections, infusions and implants) (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Had soreness on injection site. No fever


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