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This is VAERS ID 611806

History of Changes from the VAERS Wayback Machine

First Appeared on 2/14/2016

VAERS ID: 611806
VAERS Form:
Age:
Sex:Female
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 - / - UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Pain, Swelling

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:
CDC 'Split Type': 2015271018

Write-up: This is a spontaneous report obtained from a contactable consumer who reported for her daughter. A female patient of an unspecified age and ethnicity received, on an unspecified date, TRUMENBA, single dose. Relevant medical history and concomitant medications were unknown. On an unspecified date, the patient experienced some pain and little bit of swelling. Clinical outcome of the events was unknown at the time of this report. Follow-up (10OCT2015): Follow-up attempts completed. No further information expected.


Changed on 9/14/2017

VAERS ID: 611806 Before After
VAERS Form:(blank) 1
Age:
Sex:Female
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 - / - UNK UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Pain, Swelling

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:
CDC 'Split Type': 2015271018

Write-up: This is a spontaneous report obtained from a contactable consumer who reported for her daughter. A female patient of an unspecified age and ethnicity received, on an unspecified date, TRUMENBA, single dose. Relevant medical history and concomitant medications were unknown. On an unspecified date, the patient experienced some pain and little bit of swelling. Clinical outcome of the events was unknown at the time of this report. Follow-up (10OCT2015): Follow-up attempts completed. No further information expected.


Changed on 2/14/2018

VAERS ID: 611806 Before After
VAERS Form:1
Age:
Sex:Female
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 - / UNK UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Pain, Swelling

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:
CDC 'Split Type': 2015271018

Write-up: This is a spontaneous report obtained from a contactable consumer who reported for her daughter. A female patient of an unspecified age and ethnicity received, on an unspecified date, TRUMENBA, single dose. Relevant medical history and concomitant medications were unknown. On an unspecified date, the patient experienced some pain and little bit of swelling. Clinical outcome of the events was unknown at the time of this report. Follow-up (10OCT2015): Follow-up attempts completed. No further information expected.


Changed on 6/14/2018

VAERS ID: 611806 Before After
VAERS Form:1
Age:
Sex:Female
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 - / UNK UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Pain, Swelling

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:
CDC 'Split Type': 2015271018

Write-up: This is a spontaneous report obtained from a contactable consumer who reported for her daughter. A female patient of an unspecified age and ethnicity received, on an unspecified date, TRUMENBA, single dose. Relevant medical history and concomitant medications were unknown. On an unspecified date, the patient experienced some pain and little bit of swelling. Clinical outcome of the events was unknown at the time of this report. Follow-up (10OCT2015): Follow-up attempts completed. No further information expected.


Changed on 8/14/2018

VAERS ID: 611806 Before After
VAERS Form:1
Age:
Sex:Female
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 - / UNK UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Pain, Swelling

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:
CDC 'Split Type': 2015271018

Write-up: This is a spontaneous report obtained from a contactable consumer who reported for her daughter. A female patient of an unspecified age and ethnicity received, on an unspecified date, TRUMENBA, single dose. Relevant medical history and concomitant medications were unknown. On an unspecified date, the patient experienced some pain and little bit of swelling. Clinical outcome of the events was unknown at the time of this report. Follow-up (10OCT2015): Follow-up attempts completed. No further information expected.


Changed on 9/14/2018

VAERS ID: 611806 Before After
VAERS Form:1
Age:
Sex:Female
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 - / UNK UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Pain, Swelling

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:
CDC 'Split Type': 2015271018

Write-up: This is a spontaneous report obtained from a contactable consumer who reported for her daughter. A female patient of an unspecified age and ethnicity received, on an unspecified date, TRUMENBA, single dose. Relevant medical history and concomitant medications were unknown. On an unspecified date, the patient experienced some pain and little bit of swelling. Clinical outcome of the events was unknown at the time of this report. Follow-up (10OCT2015): Follow-up attempts completed. No further information expected.


Changed on 10/14/2018

VAERS ID: 611806 Before After
VAERS Form:1
Age:
Sex:Female
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 - / UNK UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Pain, Swelling

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:
CDC 'Split Type': 2015271018

Write-up: This is a spontaneous report obtained from a contactable consumer who reported for her daughter. A female patient of an unspecified age and ethnicity received, on an unspecified date, TRUMENBA, single dose. Relevant medical history and concomitant medications were unknown. On an unspecified date, the patient experienced some pain and little bit of swelling. Clinical outcome of the events was unknown at the time of this report. Follow-up (10OCT2015): Follow-up attempts completed. No further information expected.


Changed on 12/24/2020

VAERS ID: 611806 Before After
VAERS Form:1
Age:
Sex:Female
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 - / UNK UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Pain, Swelling

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:
CDC 'Split Type': 2015271018

Write-up: This is a spontaneous report obtained from a contactable consumer who reported for her daughter. A female patient of an unspecified age and ethnicity received, on an unspecified date, TRUMENBA, single dose. Relevant medical history and concomitant medications were unknown. On an unspecified date, the patient experienced some pain and little bit of swelling. Clinical outcome of the events was unknown at the time of this report. Follow-up (10OCT2015): Follow-up attempts completed. No further information expected.


Changed on 12/30/2020

VAERS ID: 611806 Before After
VAERS Form:1
Age:
Sex:Female
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 - / UNK UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Pain, Swelling

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:
CDC 'Split Type': 2015271018

Write-up: This is a spontaneous report obtained from a contactable consumer who reported for her daughter. A female patient of an unspecified age and ethnicity received, on an unspecified date, TRUMENBA, single dose. Relevant medical history and concomitant medications were unknown. On an unspecified date, the patient experienced some pain and little bit of swelling. Clinical outcome of the events was unknown at the time of this report. Follow-up (10OCT2015): Follow-up attempts completed. No further information expected.


Changed on 5/7/2021

VAERS ID: 611806 Before After
VAERS Form:1
Age:
Sex:Female
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 - / UNK UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Pain, Swelling

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:
CDC 'Split Type': 2015271018

Write-up: This is a spontaneous report obtained from a contactable consumer who reported for her daughter. A female patient of an unspecified age and ethnicity received, on an unspecified date, TRUMENBA, single dose. Relevant medical history and concomitant medications were unknown. On an unspecified date, the patient experienced some pain and little bit of swelling. Clinical outcome of the events was unknown at the time of this report. Follow-up (10OCT2015): Follow-up attempts completed. No further information expected.


Changed on 5/14/2021

VAERS ID: 611806 Before After
VAERS Form:1
Age:
Sex:Female
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 - / UNK UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Pain, Swelling

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:
CDC 'Split Type': 2015271018

Write-up: This is a spontaneous report obtained from a contactable consumer who reported for her daughter. A female patient of an unspecified age and ethnicity received, on an unspecified date, TRUMENBA, single dose. Relevant medical history and concomitant medications were unknown. On an unspecified date, the patient experienced some pain and little bit of swelling. Clinical outcome of the events was unknown at the time of this report. Follow-up (10OCT2015): Follow-up attempts completed. No further information expected.

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https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=611806&WAYBACKHISTORY=ON


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