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

This is VAERS ID 611804



Case Details

VAERS ID: 611804 (history)  
Form: Version 1.0  
Age:   
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 - / UNK UN / UN

Administered by: Other       Purchased by: Other
Symptoms: Influenza like illness, Lip blister
SMQs:

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:
CDC Split Type: 2015270181

Write-up: This is a spontaneous report from a contactable physician through a Pfizer Sales Representative. A male patient of an unspecified age and ethnicity received TRUMENBA, via an unspecified route of administration on an unspecified date, single dose. The patient medical history and the patient''s concomitant medications were not reported. The patient experienced flu like symptoms and blister around his lips after taking this vaccine on an unspecified date with outcome of unknown. Follow-up (08SEP2015): Follow-up attempts completed. No further information expected.


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