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This is VAERS ID 602504

History of Changes from the VAERS Wayback Machine

First Appeared on 10/14/2015

VAERS ID: 602504
VAERS Form:
Age:18.0
Sex:Female
Location:California
Vaccinated:2015-08-27
Onset:2015-08-28
Submitted:2015-10-05
Entered:2015-10-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH J29203 / 0 LA / UN

Administered by: Private      Purchased by: Private
Symptoms: Erythema, Eye pain, Eyelid oedema, Fatigue, Nausea, 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)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Local redness, pain within 24 hrs. Nausea, fatigue 24 hrs later. Swelling around eyes, pain around eyes - Day 4.


Changed on 9/14/2017

VAERS ID: 602504 Before After
VAERS Form:(blank) 1
Age:18.0
Sex:Female
Location:California
Vaccinated:2015-08-27
Onset:2015-08-28
Submitted:2015-10-05
Entered:2015-10-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH J29203 / 0 1 LA / UN

Administered by: Private      Purchased by: Private
Symptoms: Erythema, Eye pain, Eyelid oedema, Fatigue, Nausea, 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)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Local redness, pain within 24 hrs. Nausea, fatigue 24 hrs later. Swelling around eyes, pain around eyes - Day 4.


Changed on 2/14/2018

VAERS ID: 602504 Before After
VAERS Form:1
Age:18.0
Sex:Female
Location:California
Vaccinated:2015-08-27
Onset:2015-08-28
Submitted:2015-10-05
Entered:2015-10-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH J29203 / 1 LA / UN

Administered by: Private      Purchased by: Private
Symptoms: Erythema, Eye pain, Eyelid oedema, Fatigue, Nausea, 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)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Local redness, pain within 24 hrs. Nausea, fatigue 24 hrs later. Swelling around eyes, pain around eyes - Day 4.


Changed on 6/14/2018

VAERS ID: 602504 Before After
VAERS Form:1
Age:18.0
Sex:Female
Location:California
Vaccinated:2015-08-27
Onset:2015-08-28
Submitted:2015-10-05
Entered:2015-10-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH J29203 / 1 LA / UN

Administered by: Private      Purchased by: Private
Symptoms: Erythema, Eye pain, Eyelid oedema, Fatigue, Nausea, 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)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Local redness, pain within 24 hrs. Nausea, fatigue 24 hrs later. Swelling around eyes, pain around eyes - Day 4.


Changed on 8/14/2018

VAERS ID: 602504 Before After
VAERS Form:1
Age:18.0
Sex:Female
Location:California
Vaccinated:2015-08-27
Onset:2015-08-28
Submitted:2015-10-05
Entered:2015-10-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH J29203 / 1 LA / UN

Administered by: Private      Purchased by: Private
Symptoms: Erythema, Eye pain, Eyelid oedema, Fatigue, Nausea, 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)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Local redness, pain within 24 hrs. Nausea, fatigue 24 hrs later. Swelling around eyes, pain around eyes - Day 4.


Changed on 9/14/2018

VAERS ID: 602504 Before After
VAERS Form:1
Age:18.0
Sex:Female
Location:California
Vaccinated:2015-08-27
Onset:2015-08-28
Submitted:2015-10-05
Entered:2015-10-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH J29203 / 1 LA / UN

Administered by: Private      Purchased by: Private
Symptoms: Erythema, Eye pain, Eyelid oedema, Fatigue, Nausea, 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)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Local redness, pain within 24 hrs. Nausea, fatigue 24 hrs later. Swelling around eyes, pain around eyes - Day 4.


Changed on 10/14/2018

VAERS ID: 602504 Before After
VAERS Form:1
Age:18.0
Sex:Female
Location:California
Vaccinated:2015-08-27
Onset:2015-08-28
Submitted:2015-10-05
Entered:2015-10-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH J29203 / 1 LA / UN

Administered by: Private      Purchased by: Private
Symptoms: Erythema, Eye pain, Eyelid oedema, Fatigue, Nausea, 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)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Local redness, pain within 24 hrs. Nausea, fatigue 24 hrs later. Swelling around eyes, pain around eyes - Day 4.

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https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=602504&WAYBACKHISTORY=ON


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