National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 611801

History of Changes from the VAERS Wayback Machine

First Appeared on 1/14/2016

VAERS ID: 611801
VAERS Form:
Age:21.0
Sex:Male
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2015-11-11
Entered:2015-11-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH - / 0 UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Blood creatine phosphokinase increased

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: 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.


Changed on 9/14/2017

VAERS ID: 611801 Before After
VAERS Form:(blank) 1
Age:21.0
Sex:Male
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2015-11-11
Entered:2015-11-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH - / 0 1 UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Blood creatine phosphokinase increased

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: 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.


Changed on 2/14/2018

VAERS ID: 611801 Before After
VAERS Form:1
Age:21.0
Sex:Male
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2015-11-11
Entered:2015-11-25
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

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: 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.


Changed on 6/14/2018

VAERS ID: 611801 Before After
VAERS Form:1
Age:21.0
Sex:Male
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2015-11-11
Entered:2015-11-25
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

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: 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.


Changed on 8/14/2018

VAERS ID: 611801 Before After
VAERS Form:1
Age:21.0
Sex:Male
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2015-11-11
Entered:2015-11-25
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

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: 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.


Changed on 9/14/2018

VAERS ID: 611801 Before After
VAERS Form:1
Age:21.0
Sex:Male
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2015-11-11
Entered:2015-11-25
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

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: 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.


Changed on 10/14/2018

VAERS ID: 611801 Before After
VAERS Form:1
Age:21.0
Sex:Male
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2015-11-11
Entered:2015-11-25
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

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: 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.


Changed on 12/24/2020

VAERS ID: 611801 Before After
VAERS Form:1
Age:21.0
Sex:Male
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2015-11-11
Entered:2015-11-25
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

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: 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.


Changed on 12/30/2020

VAERS ID: 611801 Before After
VAERS Form:1
Age:21.0
Sex:Male
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2015-11-11
Entered:2015-11-25
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

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: 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.


Changed on 5/7/2021

VAERS ID: 611801 Before After
VAERS Form:1
Age:21.0
Sex:Male
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2015-11-11
Entered:2015-11-25
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

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: 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.


Changed on 5/14/2021

VAERS ID: 611801 Before After
VAERS Form:1
Age:21.0
Sex:Male
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2015-11-11
Entered:2015-11-25
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

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: 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.

New Search

Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=611801&WAYBACKHISTORY=ON


Copyright © 2021 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166