National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 615735

History of Changes from the VAERS Wayback Machine

First Appeared on 2/14/2016

VAERS ID: 615735
VAERS Form:
Age:16.0
Sex:Male
Location:Kansas
Vaccinated:2015-12-16
Onset:2015-12-17
Submitted:2015-12-21
Entered:2015-12-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV9: HPV (GARDASIL 9) / MERCK & CO. INC. L028083 / 0 LA / IM
MENB: MENINGOCOCCAL B (BEXSERO) / NOVARTIS VACCINES AND DIAGNOSTICS 149001 / 0 RA / IM

Administered by: Unknown      Purchased by: Military
Symptoms: Injection site pain, Injection site 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: Topamax 25mg once at night; Vyvanse 40mg once a day
Current Illness: No
Preexisting Conditions: Allergic to penicillin
Allergies:
Diagnostic Lab Data: No test performed yet. Have treated with ibuprofen around the clock from 12/18/15 through 12/21/15 and ice twice a day with no reduction in swelling.
CDC 'Split Type':

Write-up: Extreme pain (8 out of 10) with baseball size swelling at the injection site. No redness or heat.


Changed on 9/14/2017

VAERS ID: 615735 Before After
VAERS Form:(blank) 1
Age:16.0
Sex:Male
Location:Kansas
Vaccinated:2015-12-16
Onset:2015-12-17
Submitted:2015-12-21
Entered:2015-12-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV9: HPV (GARDASIL 9) / MERCK & CO. INC. L028083 / 0 1 LA / IM
MENB: MENINGOCOCCAL B (BEXSERO) / NOVARTIS VACCINES AND DIAGNOSTICS 149001 / 0 1 RA / IM

Administered by: Unknown      Purchased by: Military
Symptoms: Injection site pain, Injection site 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: Topamax 25mg once at night; Vyvanse 40mg once a day
Current Illness: No
Preexisting Conditions: Allergic to penicillin
Allergies:
Diagnostic Lab Data: No test performed yet. Have treated with ibuprofen around the clock from 12/18/15 through 12/21/15 and ice twice a day with no reduction in swelling.
CDC 'Split Type':

Write-up: Extreme pain (8 out of 10) with baseball size swelling at the injection site. No redness or heat.


Changed on 2/14/2018

VAERS ID: 615735 Before After
VAERS Form:1
Age:16.0
Sex:Male
Location:Kansas
Vaccinated:2015-12-16
Onset:2015-12-17
Submitted:2015-12-21
Entered:2015-12-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV9: HPV (GARDASIL 9) / MERCK & CO. INC. L028083 / 1 LA / IM
MENB: MENINGOCOCCAL B (BEXSERO) / NOVARTIS VACCINES AND DIAGNOSTICS 149001 / 1 RA / IM

Administered by: Unknown      Purchased by: Military
Symptoms: Injection site pain, Injection site 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: Topamax 25mg once at night; Vyvanse 40mg once a day
Current Illness: No
Preexisting Conditions: Allergic to penicillin
Allergies:
Diagnostic Lab Data: No test performed yet. Have treated with ibuprofen around the clock from 12/18/15 through 12/21/15 and ice twice a day with no reduction in swelling.
CDC 'Split Type':

Write-up: Extreme pain (8 out of 10) with baseball size swelling at the injection site. No redness or heat.


Changed on 6/14/2018

VAERS ID: 615735 Before After
VAERS Form:1
Age:16.0
Sex:Male
Location:Kansas
Vaccinated:2015-12-16
Onset:2015-12-17
Submitted:2015-12-21
Entered:2015-12-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV9: HPV (GARDASIL 9) / MERCK & CO. INC. L028083 / 1 LA / IM
MENB: MENINGOCOCCAL B (BEXSERO) / NOVARTIS VACCINES AND DIAGNOSTICS 149001 / 1 RA / IM

Administered by: Unknown      Purchased by: Military
Symptoms: Injection site pain, Injection site 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: Topamax 25mg once at night; Vyvanse 40mg once a day
Current Illness: No
Preexisting Conditions: Allergic to penicillin
Allergies:
Diagnostic Lab Data: No test performed yet. Have treated with ibuprofen around the clock from 12/18/15 through 12/21/15 and ice twice a day with no reduction in swelling.
CDC 'Split Type':

Write-up: Extreme pain (8 out of 10) with baseball size swelling at the injection site. No redness or heat.


Changed on 8/14/2018

VAERS ID: 615735 Before After
VAERS Form:1
Age:16.0
Sex:Male
Location:Kansas
Vaccinated:2015-12-16
Onset:2015-12-17
Submitted:2015-12-21
Entered:2015-12-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV9: HPV (GARDASIL 9) / MERCK & CO. INC. L028083 / 1 LA / IM
MENB: MENINGOCOCCAL B (BEXSERO) / NOVARTIS VACCINES AND DIAGNOSTICS 149001 / 1 RA / IM

Administered by: Unknown      Purchased by: Military
Symptoms: Injection site pain, Injection site 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: Topamax 25mg once at night; Vyvanse 40mg once a day
Current Illness: No
Preexisting Conditions: Allergic to penicillin
Allergies:
Diagnostic Lab Data: No test performed yet. Have treated with ibuprofen around the clock from 12/18/15 through 12/21/15 and ice twice a day with no reduction in swelling.
CDC 'Split Type':

Write-up: Extreme pain (8 out of 10) with baseball size swelling at the injection site. No redness or heat.


Changed on 9/14/2018

VAERS ID: 615735 Before After
VAERS Form:1
Age:16.0
Sex:Male
Location:Kansas
Vaccinated:2015-12-16
Onset:2015-12-17
Submitted:2015-12-21
Entered:2015-12-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV9: HPV (GARDASIL 9) / MERCK & CO. INC. L028083 / 1 LA / IM
MENB: MENINGOCOCCAL B (BEXSERO) / NOVARTIS VACCINES AND DIAGNOSTICS 149001 / 1 RA / IM

Administered by: Unknown      Purchased by: Military
Symptoms: Injection site pain, Injection site 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: Topamax 25mg once at night; Vyvanse 40mg once a day
Current Illness: No
Preexisting Conditions: Allergic to penicillin
Allergies:
Diagnostic Lab Data: No test performed yet. Have treated with ibuprofen around the clock from 12/18/15 through 12/21/15 and ice twice a day with no reduction in swelling.
CDC 'Split Type':

Write-up: Extreme pain (8 out of 10) with baseball size swelling at the injection site. No redness or heat.


Changed on 10/14/2018

VAERS ID: 615735 Before After
VAERS Form:1
Age:16.0
Sex:Male
Location:Kansas
Vaccinated:2015-12-16
Onset:2015-12-17
Submitted:2015-12-21
Entered:2015-12-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV9: HPV (GARDASIL 9) / MERCK & CO. INC. L028083 / 1 LA / IM
MENB: MENINGOCOCCAL B (BEXSERO) / NOVARTIS VACCINES AND DIAGNOSTICS 149001 / 1 RA / IM

Administered by: Unknown      Purchased by: Military
Symptoms: Injection site pain, Injection site 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: Topamax 25mg once at night; Vyvanse 40mg once a day
Current Illness: No
Preexisting Conditions: Allergic to penicillin
Allergies:
Diagnostic Lab Data: No test performed yet. Have treated with ibuprofen around the clock from 12/18/15 through 12/21/15 and ice twice a day with no reduction in swelling.
CDC 'Split Type':

Write-up: Extreme pain (8 out of 10) with baseball size swelling at the injection site. No redness or heat.


Changed on 12/24/2020

VAERS ID: 615735 Before After
VAERS Form:1
Age:16.0
Sex:Male
Location:Kansas
Vaccinated:2015-12-16
Onset:2015-12-17
Submitted:2015-12-21
Entered:2015-12-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV9: HPV (GARDASIL 9) / MERCK & CO. INC. L028083 / 1 LA / IM
MENB: MENINGOCOCCAL B (BEXSERO) / NOVARTIS VACCINES AND DIAGNOSTICS 149001 / 1 RA / IM

Administered by: Unknown      Purchased by: Military
Symptoms: Injection site pain, Injection site 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: Topamax 25mg once at night; Vyvanse 40mg once a day
Current Illness: No
Preexisting Conditions: Allergic to penicillin
Allergies:
Diagnostic Lab Data: No test performed yet. Have treated with ibuprofen around the clock from 12/18/15 through 12/21/15 and ice twice a day with no reduction in swelling.
CDC 'Split Type':

Write-up: Extreme pain (8 out of 10) with baseball size swelling at the injection site. No redness or heat.


Changed on 12/30/2020

VAERS ID: 615735 Before After
VAERS Form:1
Age:16.0
Sex:Male
Location:Kansas
Vaccinated:2015-12-16
Onset:2015-12-17
Submitted:2015-12-21
Entered:2015-12-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV9: HPV (GARDASIL 9) / MERCK & CO. INC. L028083 / 1 LA / IM
MENB: MENINGOCOCCAL B (BEXSERO) / NOVARTIS VACCINES AND DIAGNOSTICS 149001 / 1 RA / IM

Administered by: Unknown      Purchased by: Military
Symptoms: Injection site pain, Injection site 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: Topamax 25mg once at night; Vyvanse 40mg once a day
Current Illness: No
Preexisting Conditions: Allergic to penicillin
Allergies:
Diagnostic Lab Data: No test performed yet. Have treated with ibuprofen around the clock from 12/18/15 through 12/21/15 and ice twice a day with no reduction in swelling.
CDC 'Split Type':

Write-up: Extreme pain (8 out of 10) with baseball size swelling at the injection site. No redness or heat.


Changed on 5/7/2021

VAERS ID: 615735 Before After
VAERS Form:1
Age:16.0
Sex:Male
Location:Kansas
Vaccinated:2015-12-16
Onset:2015-12-17
Submitted:2015-12-21
Entered:2015-12-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV9: HPV (GARDASIL 9) / MERCK & CO. INC. L028083 / 1 LA / IM
MENB: MENINGOCOCCAL B (BEXSERO) / NOVARTIS VACCINES AND DIAGNOSTICS 149001 / 1 RA / IM

Administered by: Unknown      Purchased by: Military
Symptoms: Injection site pain, Injection site 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: Topamax 25mg once at night; Vyvanse 40mg once a day
Current Illness: No
Preexisting Conditions: Allergic to penicillin
Allergies:
Diagnostic Lab Data: No test performed yet. Have treated with ibuprofen around the clock from 12/18/15 through 12/21/15 and ice twice a day with no reduction in swelling.
CDC 'Split Type':

Write-up: Extreme pain (8 out of 10) with baseball size swelling at the injection site. No redness or heat.


Changed on 5/14/2021

VAERS ID: 615735 Before After
VAERS Form:1
Age:16.0
Sex:Male
Location:Kansas
Vaccinated:2015-12-16
Onset:2015-12-17
Submitted:2015-12-21
Entered:2015-12-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV9: HPV (GARDASIL 9) / MERCK & CO. INC. L028083 / 1 LA / IM
MENB: MENINGOCOCCAL B (BEXSERO) / NOVARTIS VACCINES AND DIAGNOSTICS 149001 / 1 RA / IM

Administered by: Unknown      Purchased by: Military
Symptoms: Injection site pain, Injection site 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: Topamax 25mg once at night; Vyvanse 40mg once a day
Current Illness: No
Preexisting Conditions: Allergic to penicillin
Allergies:
Diagnostic Lab Data: No test performed yet. Have treated with ibuprofen around the clock from 12/18/15 through 12/21/15 and ice twice a day with no reduction in swelling.
CDC 'Split Type':

Write-up: Extreme pain (8 out of 10) with baseball size swelling at the injection site. No redness or heat.

New Search

Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=615735&WAYBACKHISTORY=ON

Government Disclaimer on use of this data


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