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This is VAERS ID 616072

History of Changes from the VAERS Wayback Machine

First Appeared on 2/14/2016

VAERS ID: 616072
VAERS Form:
Age:17.0
Sex:Female
Location:Pennsylvania
Vaccinated:2015-12-03
Onset:2015-12-03
Submitted:2015-12-22
Entered:2015-12-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH J28923 / 0 LA / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR 45180AA / 1 RA / IM

Administered by: Private      Purchased by: Private
Symptoms: Fatigue, Headache, Muscular weakness, Pain in extremity, Vomiting, Injected limb mobility decreased

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:
Other Medications:
Current Illness: Recurrent Headache; Recurrent back pain
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Severe constant pain (L) arm, could not lift x 3 days. Legs were weak, no walking x 1 day. Severe Headache x 3 days. Emesis x 1. Very tired.


Changed on 9/14/2017

VAERS ID: 616072 Before After
VAERS Form:(blank) 1
Age:17.0
Sex:Female
Location:Pennsylvania
Vaccinated:2015-12-03
Onset:2015-12-03
Submitted:2015-12-22
Entered:2015-12-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH J28923 / 0 1 LA / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR 45180AA / 1 2 RA / IM

Administered by: Private      Purchased by: Private
Symptoms: Fatigue, Headache, Muscular weakness, Pain in extremity, Vomiting, Injected limb mobility decreased

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:
Other Medications:
Current Illness: Recurrent Headache; Recurrent back pain
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Severe constant pain (L) arm, could not lift x 3 days. Legs were weak, no walking x 1 day. Severe Headache x 3 days. Emesis x 1. Very tired.


Changed on 2/14/2018

VAERS ID: 616072 Before After
VAERS Form:1
Age:17.0
Sex:Female
Location:Pennsylvania
Vaccinated:2015-12-03
Onset:2015-12-03
Submitted:2015-12-22
Entered:2015-12-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH J28923 / 1 LA / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR 45180AA / 2 RA / IM

Administered by: Private      Purchased by: Private
Symptoms: Fatigue, Headache, Muscular weakness, Pain in extremity, Vomiting, Injected limb mobility decreased

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:
Other Medications:
Current Illness: Recurrent Headache; Recurrent back pain
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Severe constant pain (L) arm, could not lift x 3 days. Legs were weak, no walking x 1 day. Severe Headache x 3 days. Emesis x 1. Very tired.


Changed on 6/14/2018

VAERS ID: 616072 Before After
VAERS Form:1
Age:17.0
Sex:Female
Location:Pennsylvania
Vaccinated:2015-12-03
Onset:2015-12-03
Submitted:2015-12-22
Entered:2015-12-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH J28923 / 1 LA / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR 45180AA / 2 RA / IM

Administered by: Private      Purchased by: Private
Symptoms: Fatigue, Headache, Muscular weakness, Pain in extremity, Vomiting, Injected limb mobility decreased

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:
Other Medications:
Current Illness: Recurrent Headache; Recurrent back pain
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Severe constant pain (L) arm, could not lift x 3 days. Legs were weak, no walking x 1 day. Severe Headache x 3 days. Emesis x 1. Very tired.


Changed on 8/14/2018

VAERS ID: 616072 Before After
VAERS Form:1
Age:17.0
Sex:Female
Location:Pennsylvania
Vaccinated:2015-12-03
Onset:2015-12-03
Submitted:2015-12-22
Entered:2015-12-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH J28923 / 1 LA / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR 45180AA / 2 RA / IM

Administered by: Private      Purchased by: Private
Symptoms: Fatigue, Headache, Muscular weakness, Pain in extremity, Vomiting, Injected limb mobility decreased

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:
Other Medications:
Current Illness: Recurrent Headache; Recurrent back pain
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Severe constant pain (L) arm, could not lift x 3 days. Legs were weak, no walking x 1 day. Severe Headache x 3 days. Emesis x 1. Very tired.


Changed on 9/14/2018

VAERS ID: 616072 Before After
VAERS Form:1
Age:17.0
Sex:Female
Location:Pennsylvania
Vaccinated:2015-12-03
Onset:2015-12-03
Submitted:2015-12-22
Entered:2015-12-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH J28923 / 1 LA / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR 45180AA / 2 RA / IM

Administered by: Private      Purchased by: Private
Symptoms: Fatigue, Headache, Muscular weakness, Pain in extremity, Vomiting, Injected limb mobility decreased

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:
Other Medications:
Current Illness: Recurrent Headache; Recurrent back pain
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Severe constant pain (L) arm, could not lift x 3 days. Legs were weak, no walking x 1 day. Severe Headache x 3 days. Emesis x 1. Very tired.


Changed on 10/14/2018

VAERS ID: 616072 Before After
VAERS Form:1
Age:17.0
Sex:Female
Location:Pennsylvania
Vaccinated:2015-12-03
Onset:2015-12-03
Submitted:2015-12-22
Entered:2015-12-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH J28923 / 1 LA / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR 45180AA / 2 RA / IM

Administered by: Private      Purchased by: Private
Symptoms: Fatigue, Headache, Muscular weakness, Pain in extremity, Vomiting, Injected limb mobility decreased

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:
Other Medications:
Current Illness: Recurrent Headache; Recurrent back pain
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Severe constant pain (L) arm, could not lift x 3 days. Legs were weak, no walking x 1 day. Severe Headache x 3 days. Emesis x 1. Very tired.


Changed on 12/24/2020

VAERS ID: 616072 Before After
VAERS Form:1
Age:17.0
Sex:Female
Location:Pennsylvania
Vaccinated:2015-12-03
Onset:2015-12-03
Submitted:2015-12-22
Entered:2015-12-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH J28923 / 1 LA / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR 45180AA / 2 RA / IM

Administered by: Private      Purchased by: Private
Symptoms: Fatigue, Headache, Muscular weakness, Pain in extremity, Vomiting, Injected limb mobility decreased

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:
Other Medications:
Current Illness: Recurrent Headache; Recurrent back pain
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Severe constant pain (L) arm, could not lift x 3 days. Legs were weak, no walking x 1 day. Severe Headache x 3 days. Emesis x 1. Very tired.


Changed on 12/30/2020

VAERS ID: 616072 Before After
VAERS Form:1
Age:17.0
Sex:Female
Location:Pennsylvania
Vaccinated:2015-12-03
Onset:2015-12-03
Submitted:2015-12-22
Entered:2015-12-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH J28923 / 1 LA / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR 45180AA / 2 RA / IM

Administered by: Private      Purchased by: Private
Symptoms: Fatigue, Headache, Muscular weakness, Pain in extremity, Vomiting, Injected limb mobility decreased

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:
Other Medications:
Current Illness: Recurrent Headache; Recurrent back pain
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Severe constant pain (L) arm, could not lift x 3 days. Legs were weak, no walking x 1 day. Severe Headache x 3 days. Emesis x 1. Very tired.


Changed on 5/7/2021

VAERS ID: 616072 Before After
VAERS Form:1
Age:17.0
Sex:Female
Location:Pennsylvania
Vaccinated:2015-12-03
Onset:2015-12-03
Submitted:2015-12-22
Entered:2015-12-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH J28923 / 1 LA / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR 45180AA / 2 RA / IM

Administered by: Private      Purchased by: Private
Symptoms: Fatigue, Headache, Muscular weakness, Pain in extremity, Vomiting, Injected limb mobility decreased

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:
Other Medications:
Current Illness: Recurrent Headache; Recurrent back pain
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Severe constant pain (L) arm, could not lift x 3 days. Legs were weak, no walking x 1 day. Severe Headache x 3 days. Emesis x 1. Very tired.


Changed on 5/14/2021

VAERS ID: 616072 Before After
VAERS Form:1
Age:17.0
Sex:Female
Location:Pennsylvania
Vaccinated:2015-12-03
Onset:2015-12-03
Submitted:2015-12-22
Entered:2015-12-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH J28923 / 1 LA / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR 45180AA / 2 RA / IM

Administered by: Private      Purchased by: Private
Symptoms: Fatigue, Headache, Muscular weakness, Pain in extremity, Vomiting, Injected limb mobility decreased

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:
Other Medications:
Current Illness: Recurrent Headache; Recurrent back pain
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Severe constant pain (L) arm, could not lift x 3 days. Legs were weak, no walking x 1 day. Severe Headache x 3 days. Emesis x 1. Very tired.

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https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=616072&WAYBACKHISTORY=ON

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