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This is VAERS ID 611807

History of Changes from the VAERS Wayback Machine

First Appeared on 2/14/2016

VAERS ID: 611807
VAERS Form:
Age:20.0
Sex:Female
Location:Illinois
Vaccinated:2015-08-04
Onset:2015-08-04
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: Private
Symptoms: Paraesthesia, 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: minimal pain at the injection site~Meningococcal B (Trumenba)~1~20.00~Patient|minimal pain at the injection site~Meningococcal B
Other Medications: No other medications
Current Illness: None
Preexisting Conditions: Asthma, for entire life; Hypersensitivity, for entire life; 06/05/2015, TRUMENBA, Drug reaction, Vaccination site pain, First dose
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 2015263068

Write-up: This is a spontaneous report from a contactable consumer who reported for his 2 daughters. These patients experienced the same events after first and second dose of vaccine. This is the second of 2 reports for patient 1. A 20-year-old female patient received on 04Aug2015 at 3:30 pm a single dose of TRUMENBA. The patient had ongoing asthma chronic and allergy for entire life. Concomitant medications included birth control pills and inhaler as needed for asthma. The patient received the first dose on 05Jun2015 intramuscular and experienced minimal pain at the injection site. No other vaccines were administered on the same date or within 4 weeks. Immediately after second vaccination, the patient felt tingling throughout the body like someone was sticking needles in it. The event lasted for 2 hours then went away on 04Aug2015. No treatment was provided. Laboratory tests were not performed. The same reactions occurred to her sister after first and second vaccination with TRUMENDA performed respectively on 05Jun2015 and 04Aug2015. Follow-up (24Aug2015): Follow-up attempts completed. No further information expected.


Changed on 9/14/2017

VAERS ID: 611807 Before After
VAERS Form:(blank) 1
Age:20.0
Sex:Female
Location:Illinois
Vaccinated:2015-08-04
Onset:2015-08-04
Submitted:2015-11-11
Entered:2015-11-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH - / 1 2 UN / UN

Administered by: Other      Purchased by: Private
Symptoms: Paraesthesia, 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: minimal pain at the injection site~Meningococcal B (Trumenba)~1~20.00~Patient|minimal pain at the injection site~Meningococcal B
Other Medications: No other medications
Current Illness: None
Preexisting Conditions: Asthma, for entire life; Hypersensitivity, for entire life; 06/05/2015, TRUMENBA, Drug reaction, Vaccination site pain, First dose
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 2015263068

Write-up: This is a spontaneous report from a contactable consumer who reported for his 2 daughters. These patients experienced the same events after first and second dose of vaccine. This is the second of 2 reports for patient 1. A 20-year-old female patient received on 04Aug2015 at 3:30 pm a single dose of TRUMENBA. The patient had ongoing asthma chronic and allergy for entire life. Concomitant medications included birth control pills and inhaler as needed for asthma. The patient received the first dose on 05Jun2015 intramuscular and experienced minimal pain at the injection site. No other vaccines were administered on the same date or within 4 weeks. Immediately after second vaccination, the patient felt tingling throughout the body like someone was sticking needles in it. The event lasted for 2 hours then went away on 04Aug2015. No treatment was provided. Laboratory tests were not performed. The same reactions occurred to her sister after first and second vaccination with TRUMENDA performed respectively on 05Jun2015 and 04Aug2015. Follow-up (24Aug2015): Follow-up attempts completed. No further information expected.


Changed on 2/14/2018

VAERS ID: 611807 Before After
VAERS Form:1
Age:20.0
Sex:Female
Location:Illinois
Vaccinated:2015-08-04
Onset:2015-08-04
Submitted:2015-11-11
Entered:2015-11-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH - / 2 UN / UN

Administered by: Other      Purchased by: Private
Symptoms: Paraesthesia, 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: minimal pain at the injection site~Meningococcal B (Trumenba)~1~20.00~Patient|minimal pain at the injection site~Meningococcal B
Other Medications: No other medications
Current Illness: None
Preexisting Conditions: Asthma, for entire life; Hypersensitivity, for entire life; 06/05/2015, TRUMENBA, Drug reaction, Vaccination site pain, First dose
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 2015263068

Write-up: This is a spontaneous report from a contactable consumer who reported for his 2 daughters. These patients experienced the same events after first and second dose of vaccine. This is the second of 2 reports for patient 1. A 20-year-old female patient received on 04Aug2015 at 3:30 pm a single dose of TRUMENBA. The patient had ongoing asthma chronic and allergy for entire life. Concomitant medications included birth control pills and inhaler as needed for asthma. The patient received the first dose on 05Jun2015 intramuscular and experienced minimal pain at the injection site. No other vaccines were administered on the same date or within 4 weeks. Immediately after second vaccination, the patient felt tingling throughout the body like someone was sticking needles in it. The event lasted for 2 hours then went away on 04Aug2015. No treatment was provided. Laboratory tests were not performed. The same reactions occurred to her sister after first and second vaccination with TRUMENDA performed respectively on 05Jun2015 and 04Aug2015. Follow-up (24Aug2015): Follow-up attempts completed. No further information expected.


Changed on 6/14/2018

VAERS ID: 611807 Before After
VAERS Form:1
Age:20.0
Sex:Female
Location:Illinois
Vaccinated:2015-08-04
Onset:2015-08-04
Submitted:2015-11-11
Entered:2015-11-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH - / 2 UN / UN

Administered by: Other      Purchased by: Private
Symptoms: Paraesthesia, 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: minimal pain at the injection site~Meningococcal B (Trumenba)~1~20.00~Patient|minimal pain at the injection site~Meningococcal B
Other Medications: No other medications
Current Illness: None
Preexisting Conditions: Asthma, for entire life; Hypersensitivity, for entire life; 06/05/2015, TRUMENBA, Drug reaction, Vaccination site pain, First dose
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 2015263068

Write-up: This is a spontaneous report from a contactable consumer who reported for his 2 daughters. These patients experienced the same events after first and second dose of vaccine. This is the second of 2 reports for patient 1. A 20-year-old female patient received on 04Aug2015 at 3:30 pm a single dose of TRUMENBA. The patient had ongoing asthma chronic and allergy for entire life. Concomitant medications included birth control pills and inhaler as needed for asthma. The patient received the first dose on 05Jun2015 intramuscular and experienced minimal pain at the injection site. No other vaccines were administered on the same date or within 4 weeks. Immediately after second vaccination, the patient felt tingling throughout the body like someone was sticking needles in it. The event lasted for 2 hours then went away on 04Aug2015. No treatment was provided. Laboratory tests were not performed. The same reactions occurred to her sister after first and second vaccination with TRUMENDA performed respectively on 05Jun2015 and 04Aug2015. Follow-up (24Aug2015): Follow-up attempts completed. No further information expected.


Changed on 8/14/2018

VAERS ID: 611807 Before After
VAERS Form:1
Age:20.0
Sex:Female
Location:Illinois
Vaccinated:2015-08-04
Onset:2015-08-04
Submitted:2015-11-11
Entered:2015-11-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH - / 2 UN / UN

Administered by: Other      Purchased by: Private
Symptoms: Paraesthesia, 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: minimal pain at the injection site~Meningococcal B (Trumenba)~1~20.00~Patient|minimal pain at the injection site~Meningococcal B
Other Medications: No other medications
Current Illness: None
Preexisting Conditions: Asthma, for entire life; Hypersensitivity, for entire life; 06/05/2015, TRUMENBA, Drug reaction, Vaccination site pain, First dose
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 2015263068

Write-up: This is a spontaneous report from a contactable consumer who reported for his 2 daughters. These patients experienced the same events after first and second dose of vaccine. This is the second of 2 reports for patient 1. A 20-year-old female patient received on 04Aug2015 at 3:30 pm a single dose of TRUMENBA. The patient had ongoing asthma chronic and allergy for entire life. Concomitant medications included birth control pills and inhaler as needed for asthma. The patient received the first dose on 05Jun2015 intramuscular and experienced minimal pain at the injection site. No other vaccines were administered on the same date or within 4 weeks. Immediately after second vaccination, the patient felt tingling throughout the body like someone was sticking needles in it. The event lasted for 2 hours then went away on 04Aug2015. No treatment was provided. Laboratory tests were not performed. The same reactions occurred to her sister after first and second vaccination with TRUMENDA performed respectively on 05Jun2015 and 04Aug2015. Follow-up (24Aug2015): Follow-up attempts completed. No further information expected.


Changed on 9/14/2018

VAERS ID: 611807 Before After
VAERS Form:1
Age:20.0
Sex:Female
Location:Illinois
Vaccinated:2015-08-04
Onset:2015-08-04
Submitted:2015-11-11
Entered:2015-11-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH - / 2 UN / UN

Administered by: Other      Purchased by: Private
Symptoms: Paraesthesia, 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: minimal pain at the injection site~Meningococcal B (Trumenba)~1~20.00~Patient|minimal pain at the injection site~Meningococcal B
Other Medications: No other medications
Current Illness: None
Preexisting Conditions: Asthma, for entire life; Hypersensitivity, for entire life; 06/05/2015, TRUMENBA, Drug reaction, Vaccination site pain, First dose
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 2015263068

Write-up: This is a spontaneous report from a contactable consumer who reported for his 2 daughters. These patients experienced the same events after first and second dose of vaccine. This is the second of 2 reports for patient 1. A 20-year-old female patient received on 04Aug2015 at 3:30 pm a single dose of TRUMENBA. The patient had ongoing asthma chronic and allergy for entire life. Concomitant medications included birth control pills and inhaler as needed for asthma. The patient received the first dose on 05Jun2015 intramuscular and experienced minimal pain at the injection site. No other vaccines were administered on the same date or within 4 weeks. Immediately after second vaccination, the patient felt tingling throughout the body like someone was sticking needles in it. The event lasted for 2 hours then went away on 04Aug2015. No treatment was provided. Laboratory tests were not performed. The same reactions occurred to her sister after first and second vaccination with TRUMENDA performed respectively on 05Jun2015 and 04Aug2015. Follow-up (24Aug2015): Follow-up attempts completed. No further information expected.


Changed on 10/14/2018

VAERS ID: 611807 Before After
VAERS Form:1
Age:20.0
Sex:Female
Location:Illinois
Vaccinated:2015-08-04
Onset:2015-08-04
Submitted:2015-11-11
Entered:2015-11-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH - / 2 UN / UN

Administered by: Other      Purchased by: Private
Symptoms: Paraesthesia, 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: minimal pain at the injection site~Meningococcal B (Trumenba)~1~20.00~Patient|minimal pain at the injection site~Meningococcal B
Other Medications: No other medications
Current Illness: None
Preexisting Conditions: Asthma, for entire life; Hypersensitivity, for entire life; 06/05/2015, TRUMENBA, Drug reaction, Vaccination site pain, First dose
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 2015263068

Write-up: This is a spontaneous report from a contactable consumer who reported for his 2 daughters. These patients experienced the same events after first and second dose of vaccine. This is the second of 2 reports for patient 1. A 20-year-old female patient received on 04Aug2015 at 3:30 pm a single dose of TRUMENBA. The patient had ongoing asthma chronic and allergy for entire life. Concomitant medications included birth control pills and inhaler as needed for asthma. The patient received the first dose on 05Jun2015 intramuscular and experienced minimal pain at the injection site. No other vaccines were administered on the same date or within 4 weeks. Immediately after second vaccination, the patient felt tingling throughout the body like someone was sticking needles in it. The event lasted for 2 hours then went away on 04Aug2015. No treatment was provided. Laboratory tests were not performed. The same reactions occurred to her sister after first and second vaccination with TRUMENDA performed respectively on 05Jun2015 and 04Aug2015. Follow-up (24Aug2015): Follow-up attempts completed. No further information expected.


Changed on 12/24/2020

VAERS ID: 611807 Before After
VAERS Form:1
Age:20.0
Sex:Female
Location:Illinois
Vaccinated:2015-08-04
Onset:2015-08-04
Submitted:2015-11-11
Entered:2015-11-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH - / 2 UN / UN

Administered by: Other      Purchased by: Private
Symptoms: Paraesthesia, 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: minimal pain at the injection site~Meningococcal B (Trumenba)~1~20.00~Patient|minimal pain at the injection site~Meningococcal B
Other Medications: No other medications
Current Illness: None
Preexisting Conditions: Asthma, for entire life; Hypersensitivity, for entire life; 06/05/2015, TRUMENBA, Drug reaction, Vaccination site pain, First dose
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 2015263068

Write-up: This is a spontaneous report from a contactable consumer who reported for his 2 daughters. These patients experienced the same events after first and second dose of vaccine. This is the second of 2 reports for patient 1. A 20-year-old female patient received on 04Aug2015 at 3:30 pm a single dose of TRUMENBA. The patient had ongoing asthma chronic and allergy for entire life. Concomitant medications included birth control pills and inhaler as needed for asthma. The patient received the first dose on 05Jun2015 intramuscular and experienced minimal pain at the injection site. No other vaccines were administered on the same date or within 4 weeks. Immediately after second vaccination, the patient felt tingling throughout the body like someone was sticking needles in it. The event lasted for 2 hours then went away on 04Aug2015. No treatment was provided. Laboratory tests were not performed. The same reactions occurred to her sister after first and second vaccination with TRUMENDA performed respectively on 05Jun2015 and 04Aug2015. Follow-up (24Aug2015): Follow-up attempts completed. No further information expected.


Changed on 12/30/2020

VAERS ID: 611807 Before After
VAERS Form:1
Age:20.0
Sex:Female
Location:Illinois
Vaccinated:2015-08-04
Onset:2015-08-04
Submitted:2015-11-11
Entered:2015-11-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH - / 2 UN / UN

Administered by: Other      Purchased by: Private
Symptoms: Paraesthesia, 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: minimal pain at the injection site~Meningococcal B (Trumenba)~1~20.00~Patient|minimal pain at the injection site~Meningococcal B
Other Medications: No other medications
Current Illness: None
Preexisting Conditions: Asthma, for entire life; Hypersensitivity, for entire life; 06/05/2015, TRUMENBA, Drug reaction, Vaccination site pain, First dose
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 2015263068

Write-up: This is a spontaneous report from a contactable consumer who reported for his 2 daughters. These patients experienced the same events after first and second dose of vaccine. This is the second of 2 reports for patient 1. A 20-year-old female patient received on 04Aug2015 at 3:30 pm a single dose of TRUMENBA. The patient had ongoing asthma chronic and allergy for entire life. Concomitant medications included birth control pills and inhaler as needed for asthma. The patient received the first dose on 05Jun2015 intramuscular and experienced minimal pain at the injection site. No other vaccines were administered on the same date or within 4 weeks. Immediately after second vaccination, the patient felt tingling throughout the body like someone was sticking needles in it. The event lasted for 2 hours then went away on 04Aug2015. No treatment was provided. Laboratory tests were not performed. The same reactions occurred to her sister after first and second vaccination with TRUMENDA performed respectively on 05Jun2015 and 04Aug2015. Follow-up (24Aug2015): Follow-up attempts completed. No further information expected.


Changed on 5/7/2021

VAERS ID: 611807 Before After
VAERS Form:1
Age:20.0
Sex:Female
Location:Illinois
Vaccinated:2015-08-04
Onset:2015-08-04
Submitted:2015-11-11
Entered:2015-11-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH - / 2 UN / UN

Administered by: Other      Purchased by: Private
Symptoms: Paraesthesia, 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: minimal pain at the injection site~Meningococcal B (Trumenba)~1~20.00~Patient|minimal pain at the injection site~Meningococcal B
Other Medications: No other medications
Current Illness: None
Preexisting Conditions: Asthma, for entire life; Hypersensitivity, for entire life; 06/05/2015, TRUMENBA, Drug reaction, Vaccination site pain, First dose
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 2015263068

Write-up: This is a spontaneous report from a contactable consumer who reported for his 2 daughters. These patients experienced the same events after first and second dose of vaccine. This is the second of 2 reports for patient 1. A 20-year-old female patient received on 04Aug2015 at 3:30 pm a single dose of TRUMENBA. The patient had ongoing asthma chronic and allergy for entire life. Concomitant medications included birth control pills and inhaler as needed for asthma. The patient received the first dose on 05Jun2015 intramuscular and experienced minimal pain at the injection site. No other vaccines were administered on the same date or within 4 weeks. Immediately after second vaccination, the patient felt tingling throughout the body like someone was sticking needles in it. The event lasted for 2 hours then went away on 04Aug2015. No treatment was provided. Laboratory tests were not performed. The same reactions occurred to her sister after first and second vaccination with TRUMENDA performed respectively on 05Jun2015 and 04Aug2015. Follow-up (24Aug2015): Follow-up attempts completed. No further information expected.


Changed on 5/14/2021

VAERS ID: 611807 Before After
VAERS Form:1
Age:20.0
Sex:Female
Location:Illinois
Vaccinated:2015-08-04
Onset:2015-08-04
Submitted:2015-11-11
Entered:2015-11-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH - / 2 UN / UN

Administered by: Other      Purchased by: Private
Symptoms: Paraesthesia, 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: minimal pain at the injection site~Meningococcal B (Trumenba)~1~20.00~Patient|minimal pain at the injection site~Meningococcal B
Other Medications: No other medications
Current Illness: None
Preexisting Conditions: Asthma, for entire life; Hypersensitivity, for entire life; 06/05/2015, TRUMENBA, Drug reaction, Vaccination site pain, First dose
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 2015263068

Write-up: This is a spontaneous report from a contactable consumer who reported for his 2 daughters. These patients experienced the same events after first and second dose of vaccine. This is the second of 2 reports for patient 1. A 20-year-old female patient received on 04Aug2015 at 3:30 pm a single dose of TRUMENBA. The patient had ongoing asthma chronic and allergy for entire life. Concomitant medications included birth control pills and inhaler as needed for asthma. The patient received the first dose on 05Jun2015 intramuscular and experienced minimal pain at the injection site. No other vaccines were administered on the same date or within 4 weeks. Immediately after second vaccination, the patient felt tingling throughout the body like someone was sticking needles in it. The event lasted for 2 hours then went away on 04Aug2015. No treatment was provided. Laboratory tests were not performed. The same reactions occurred to her sister after first and second vaccination with TRUMENDA performed respectively on 05Jun2015 and 04Aug2015. Follow-up (24Aug2015): Follow-up attempts completed. No further information expected.

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