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From the 10/8/2021 release of VAERS data:

This is VAERS ID 616514



Case Details

VAERS ID: 616514 (history)  
Form: Version 1.0  
Age: 17.0  
Sex: Female  
Location: Kentucky  
Vaccinated:2015-12-15
Onset:2015-12-16
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2015-12-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUN4: INFLUENZA (SEASONAL) (FLUMIST QUADRIVALENT) / MEDIMMUNE VACCINES, INC. FL2112 / UNK NS / IN
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH J29203 / UNK RA / UN
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U5180AA / UNK LA / UN

Administered by: Private       Purchased by: Private
Symptoms: Erythema, Nodule
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Golf ball size knot with redness.


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Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=616514

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