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This is VAERS ID 603805

History of Changes from the VAERS Wayback Machine

First Appeared on 11/14/2015

VAERS ID: 603805
VAERS Form:
Age:11.0
Sex:Male
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 RA / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENVEO) / NOVARTIS VACCINES AND DIAGNOSTICS M15032 / 0 LA / IM
TDAP: TDAP (BOOSTRIX) / GLAXOSMITHKLINE BIOLOGICALS 74NT9 / 0 LA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Dizziness, Erythema, Headache, Vomiting, Mobility decreased, Induration, Decreased appetite

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: Dizziness, headache, decreased appetite, vomiting, inability to move left arm, erythema, induration.


Changed on 9/14/2017

VAERS ID: 603805 Before After
VAERS Form:(blank) 1
Age:11.0
Sex:Male
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 RA / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENVEO) / NOVARTIS VACCINES AND DIAGNOSTICS M15032 / 0 1 LA / IM
TDAP: TDAP (BOOSTRIX) / GLAXOSMITHKLINE BIOLOGICALS 74NT9 / 0 1 LA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Dizziness, Erythema, Headache, Vomiting, Mobility decreased, Induration, Decreased appetite

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: Dizziness, headache, decreased appetite, vomiting, inability to move left arm, erythema, induration.


Changed on 2/14/2018

VAERS ID: 603805 Before After
VAERS Form:1
Age:11.0
Sex:Male
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 RA / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENVEO) / NOVARTIS VACCINES AND DIAGNOSTICS M15032 / 1 LA / IM
TDAP: TDAP (BOOSTRIX) / GLAXOSMITHKLINE BIOLOGICALS 74NT9 / 1 LA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Dizziness, Erythema, Headache, Vomiting, Mobility decreased, Induration, Decreased appetite

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: Dizziness, headache, decreased appetite, vomiting, inability to move left arm, erythema, induration.


Changed on 6/14/2018

VAERS ID: 603805 Before After
VAERS Form:1
Age:11.0
Sex:Male
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 RA / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENVEO) / NOVARTIS VACCINES AND DIAGNOSTICS M15032 / 1 LA / IM
TDAP: TDAP (BOOSTRIX) / GLAXOSMITHKLINE BIOLOGICALS 74NT9 / 1 LA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Dizziness, Erythema, Headache, Vomiting, Mobility decreased, Induration, Decreased appetite

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: Dizziness, headache, decreased appetite, vomiting, inability to move left arm, erythema, induration.


Changed on 8/14/2018

VAERS ID: 603805 Before After
VAERS Form:1
Age:11.0
Sex:Male
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 RA / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENVEO) / NOVARTIS VACCINES AND DIAGNOSTICS M15032 / 1 LA / IM
TDAP: TDAP (BOOSTRIX) / GLAXOSMITHKLINE BIOLOGICALS 74NT9 / 1 LA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Dizziness, Erythema, Headache, Vomiting, Mobility decreased, Induration, Decreased appetite

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: Dizziness, headache, decreased appetite, vomiting, inability to move left arm, erythema, induration.


Changed on 9/14/2018

VAERS ID: 603805 Before After
VAERS Form:1
Age:11.0
Sex:Male
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 RA / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENVEO) / NOVARTIS VACCINES AND DIAGNOSTICS M15032 / 1 LA / IM
TDAP: TDAP (BOOSTRIX) / GLAXOSMITHKLINE BIOLOGICALS 74NT9 / 1 LA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Dizziness, Erythema, Headache, Vomiting, Mobility decreased, Induration, Decreased appetite

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: Dizziness, headache, decreased appetite, vomiting, inability to move left arm, erythema, induration.


Changed on 10/14/2018

VAERS ID: 603805 Before After
VAERS Form:1
Age:11.0
Sex:Male
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 RA / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENVEO) / NOVARTIS VACCINES AND DIAGNOSTICS M15032 / 1 LA / IM
TDAP: TDAP (BOOSTRIX) / GLAXOSMITHKLINE BIOLOGICALS 74NT9 / 1 LA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Dizziness, Erythema, Headache, Vomiting, Mobility decreased, Induration, Decreased appetite

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: Dizziness, headache, decreased appetite, vomiting, inability to move left arm, erythema, induration.

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