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From the 9/17/2021 release of VAERS data:

This is VAERS ID 611801



Case Details

VAERS ID: 611801 (history)  
Form: Version 1.0  
Age: 21.0  
Sex: Male  
Location: Unknown  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 2015-11-11
Entered: 2015-11-25
   Days after submission:14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH - / 1 UN / UN

Administered by: Other       Purchased by: Other
Symptoms: Blood creatine phosphokinase increased
SMQs:, Rhabdomyolysis/myopathy (broad), Neuroleptic malignant syndrome (broad), Myocardial infarction (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: No other medications
Current Illness: Unknown
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Blood creatine phosphokinase, elevated
CDC Split Type: 2015268167

Write-up: This is a spontaneous report from a non-contactable consumer that reported for the son. A 21-years-old male patient received the first vaccination of TRUMENBA, single dose on unknown date. The patient experienced that he had elevated CPK levels. Outcome of the event was not reported. No follow up attempts possible. No further information expected.


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