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This is VAERS ID 604548

History of Changes from the VAERS Wayback Machine

First Appeared on 11/14/2015

VAERS ID: 604548
VAERS Form:
Age:16.0
Sex:Female
Location:Minnesota
Vaccinated:2015-10-21
Onset:2015-10-21
Submitted:2015-10-23
Entered:2015-10-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUN4: INFLUENZA (SEASONAL) (FLUMIST QUADRIVALENT) / MEDIMMUNE VACCINES, INC. FJ2235 / 2 - / IN
MENB: MENINGOCOCCAL B (BEXSERO) / NOVARTIS VACCINES AND DIAGNOSTICS 146101D / 0 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Injection site bruising, Injection site pain, Peripheral swelling, Immediate post-injection reaction

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: Ortho-cyclen, multivitamin, vit C, Miralax
Current Illness: No
Preexisting Conditions: Anxiety
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: Severe arm swelling immediately, bruising at injection site the next day, painful to touch. No treatment except Tylenol, warm packs.


Changed on 9/14/2017

VAERS ID: 604548 Before After
VAERS Form:(blank) 1
Age:16.0
Sex:Female
Location:Minnesota
Vaccinated:2015-10-21
Onset:2015-10-21
Submitted:2015-10-23
Entered:2015-10-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUN4: INFLUENZA (SEASONAL) (FLUMIST QUADRIVALENT) / MEDIMMUNE VACCINES, INC. FJ2235 / 2 3 - NS / IN
MENB: MENINGOCOCCAL B (BEXSERO) / NOVARTIS VACCINES AND DIAGNOSTICS 146101D / 0 1 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Injection site bruising, Injection site pain, Peripheral swelling, Immediate post-injection reaction

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: Ortho-cyclen, multivitamin, vit C, Miralax
Current Illness: No
Preexisting Conditions: Anxiety
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: Severe arm swelling immediately, bruising at injection site the next day, painful to touch. No treatment except Tylenol, warm packs.


Changed on 2/14/2018

VAERS ID: 604548 Before After
VAERS Form:1
Age:16.0
Sex:Female
Location:Minnesota
Vaccinated:2015-10-21
Onset:2015-10-21
Submitted:2015-10-23
Entered:2015-10-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUN4: INFLUENZA (SEASONAL) (FLUMIST QUADRIVALENT) / MEDIMMUNE VACCINES, INC. FJ2235 / 3 NS / IN
MENB: MENINGOCOCCAL B (BEXSERO) / NOVARTIS VACCINES AND DIAGNOSTICS 146101D / 1 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Injection site bruising, Injection site pain, Peripheral swelling, Immediate post-injection reaction

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: Ortho-cyclen, multivitamin, vit C, Miralax
Current Illness: No
Preexisting Conditions: Anxiety
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: Severe arm swelling immediately, bruising at injection site the next day, painful to touch. No treatment except Tylenol, warm packs.


Changed on 6/14/2018

VAERS ID: 604548 Before After
VAERS Form:1
Age:16.0
Sex:Female
Location:Minnesota
Vaccinated:2015-10-21
Onset:2015-10-21
Submitted:2015-10-23
Entered:2015-10-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUN4: INFLUENZA (SEASONAL) (FLUMIST QUADRIVALENT) / MEDIMMUNE VACCINES, INC. FJ2235 / 3 NS / IN
MENB: MENINGOCOCCAL B (BEXSERO) / NOVARTIS VACCINES AND DIAGNOSTICS 146101D / 1 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Injection site bruising, Injection site pain, Peripheral swelling, Immediate post-injection reaction

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: Ortho-cyclen, multivitamin, vit C, Miralax
Current Illness: No
Preexisting Conditions: Anxiety
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: Severe arm swelling immediately, bruising at injection site the next day, painful to touch. No treatment except Tylenol, warm packs.


Changed on 8/14/2018

VAERS ID: 604548 Before After
VAERS Form:1
Age:16.0
Sex:Female
Location:Minnesota
Vaccinated:2015-10-21
Onset:2015-10-21
Submitted:2015-10-23
Entered:2015-10-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUN4: INFLUENZA (SEASONAL) (FLUMIST QUADRIVALENT) / MEDIMMUNE VACCINES, INC. FJ2235 / 3 NS / IN
MENB: MENINGOCOCCAL B (BEXSERO) / NOVARTIS VACCINES AND DIAGNOSTICS 146101D / 1 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Injection site bruising, Injection site pain, Peripheral swelling, Immediate post-injection reaction

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: Ortho-cyclen, multivitamin, vit C, Miralax
Current Illness: No
Preexisting Conditions: Anxiety
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: Severe arm swelling immediately, bruising at injection site the next day, painful to touch. No treatment except Tylenol, warm packs.


Changed on 9/14/2018

VAERS ID: 604548 Before After
VAERS Form:1
Age:16.0
Sex:Female
Location:Minnesota
Vaccinated:2015-10-21
Onset:2015-10-21
Submitted:2015-10-23
Entered:2015-10-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUN4: INFLUENZA (SEASONAL) (FLUMIST QUADRIVALENT) / MEDIMMUNE VACCINES, INC. FJ2235 / 3 NS / IN
MENB: MENINGOCOCCAL B (BEXSERO) / NOVARTIS VACCINES AND DIAGNOSTICS 146101D / 1 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Injection site bruising, Injection site pain, Peripheral swelling, Immediate post-injection reaction

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: Ortho-cyclen, multivitamin, vit C, Miralax
Current Illness: No
Preexisting Conditions: Anxiety
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: Severe arm swelling immediately, bruising at injection site the next day, painful to touch. No treatment except Tylenol, warm packs.


Changed on 10/14/2018

VAERS ID: 604548 Before After
VAERS Form:1
Age:16.0
Sex:Female
Location:Minnesota
Vaccinated:2015-10-21
Onset:2015-10-21
Submitted:2015-10-23
Entered:2015-10-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUN4: INFLUENZA (SEASONAL) (FLUMIST QUADRIVALENT) / MEDIMMUNE VACCINES, INC. FJ2235 / 3 NS / IN
MENB: MENINGOCOCCAL B (BEXSERO) / NOVARTIS VACCINES AND DIAGNOSTICS 146101D / 1 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Injection site bruising, Injection site pain, Peripheral swelling, Immediate post-injection reaction

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: Ortho-cyclen, multivitamin, vit C, Miralax
Current Illness: No
Preexisting Conditions: Anxiety
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: Severe arm swelling immediately, bruising at injection site the next day, painful to touch. No treatment except Tylenol, warm packs.

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https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=604548&WAYBACKHISTORY=ON


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