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This is VAERS ID 602499

History of Changes from the VAERS Wayback Machine

First Appeared on 12/14/2015

VAERS ID: 602499
VAERS Form:
Age:14.0
Sex:Female
Location:Arizona
Vaccinated:2015-10-07
Onset:2015-10-07
Submitted:2015-10-08
Entered:2015-10-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH L13514 / 0 LA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Erythema, Headache, Injected limb mobility decreased, Induration

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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:
Current Illness: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Headache, erythema, induration, inability to lift left arm where injection was given.


Changed on 9/14/2017

VAERS ID: 602499 Before After
VAERS Form:(blank) 1
Age:14.0
Sex:Female
Location:Arizona
Vaccinated:2015-10-07
Onset:2015-10-07
Submitted:2015-10-08
Entered:2015-10-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH L13514 / 0 1 LA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Erythema, Headache, Injected limb mobility decreased, Induration

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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:
Current Illness: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Headache, erythema, induration, inability to lift left arm where injection was given.


Changed on 2/14/2018

VAERS ID: 602499 Before After
VAERS Form:1
Age:14.0
Sex:Female
Location:Arizona
Vaccinated:2015-10-07
Onset:2015-10-07
Submitted:2015-10-08
Entered:2015-10-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH L13514 / 1 LA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Erythema, Headache, Injected limb mobility decreased, Induration

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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:
Current Illness: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Headache, erythema, induration, inability to lift left arm where injection was given.


Changed on 6/14/2018

VAERS ID: 602499 Before After
VAERS Form:1
Age:14.0
Sex:Female
Location:Arizona
Vaccinated:2015-10-07
Onset:2015-10-07
Submitted:2015-10-08
Entered:2015-10-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH L13514 / 1 LA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Erythema, Headache, Injected limb mobility decreased, Induration

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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:
Current Illness: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Headache, erythema, induration, inability to lift left arm where injection was given.


Changed on 8/14/2018

VAERS ID: 602499 Before After
VAERS Form:1
Age:14.0
Sex:Female
Location:Arizona
Vaccinated:2015-10-07
Onset:2015-10-07
Submitted:2015-10-08
Entered:2015-10-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH L13514 / 1 LA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Erythema, Headache, Injected limb mobility decreased, Induration

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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:
Current Illness: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Headache, erythema, induration, inability to lift left arm where injection was given.


Changed on 9/14/2018

VAERS ID: 602499 Before After
VAERS Form:1
Age:14.0
Sex:Female
Location:Arizona
Vaccinated:2015-10-07
Onset:2015-10-07
Submitted:2015-10-08
Entered:2015-10-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH L13514 / 1 LA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Erythema, Headache, Injected limb mobility decreased, Induration

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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:
Current Illness: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Headache, erythema, induration, inability to lift left arm where injection was given.


Changed on 10/14/2018

VAERS ID: 602499 Before After
VAERS Form:1
Age:14.0
Sex:Female
Location:Arizona
Vaccinated:2015-10-07
Onset:2015-10-07
Submitted:2015-10-08
Entered:2015-10-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH L13514 / 1 LA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Erythema, Headache, Injected limb mobility decreased, Induration

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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:
Current Illness: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Headache, erythema, induration, inability to lift left arm where injection was given.

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https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=602499&WAYBACKHISTORY=ON


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