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This is VAERS ID 616637

History of Changes from the VAERS Wayback Machine

First Appeared on 1/14/2016

VAERS ID: 616637
VAERS Form:
Age:
Sex:Male
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2015-10-29
Entered:2015-12-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR - / - UN / SYR
MENB: MENINGOCOCCAL B (BEXSERO) / NOVARTIS VACCINES AND DIAGNOSTICS 148901 / - UN / SYR

Administered by: Other      Purchased by: Other
Symptoms: Diarrhoea, Somnolence

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 orher medications
Current Illness: Unknown
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': PHEH2015US021291

Write-up: Case number PHEH20015US021291 is an initial spontaneous report from a health care professional received on 15 Oct 2015. This report refers to a male patient of an unknown age. The patient was vaccinated with BEXSERO (batch number: 148901, expiry date: 30 Sep 2016) along with FLUZONE (other manufacturer, batch number: not reported) on an unknown date. After vaccinations, he experienced falling sleeping and diarrhea. The outcome of the events was unknown. The seriousness and causality of the events were not reported.


Changed on 9/14/2017

VAERS ID: 616637 Before After
VAERS Form:(blank) 1
Age:
Sex:Male
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2015-10-29
Entered:2015-12-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR - / - UNK UN / SYR
MENB: MENINGOCOCCAL B (BEXSERO) / NOVARTIS VACCINES AND DIAGNOSTICS 148901 / - UNK UN / SYR

Administered by: Other      Purchased by: Other
Symptoms: Diarrhoea, Somnolence

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 orher medications
Current Illness: Unknown
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': PHEH2015US021291

Write-up: Case number PHEH20015US021291 is an initial spontaneous report from a health care professional received on 15 Oct 2015. This report refers to a male patient of an unknown age. The patient was vaccinated with BEXSERO (batch number: 148901, expiry date: 30 Sep 2016) along with FLUZONE (other manufacturer, batch number: not reported) on an unknown date. After vaccinations, he experienced falling sleeping and diarrhea. The outcome of the events was unknown. The seriousness and causality of the events were not reported.


Changed on 2/14/2018

VAERS ID: 616637 Before After
VAERS Form:1
Age:
Sex:Male
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2015-10-29
Entered:2015-12-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR - / UNK UN / SYR
MENB: MENINGOCOCCAL B (BEXSERO) / NOVARTIS VACCINES AND DIAGNOSTICS 148901 / UNK UN / SYR

Administered by: Other      Purchased by: Other
Symptoms: Diarrhoea, Somnolence

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 orher medications
Current Illness: Unknown
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': PHEH2015US021291

Write-up: Case number PHEH20015US021291 is an initial spontaneous report from a health care professional received on 15 Oct 2015. This report refers to a male patient of an unknown age. The patient was vaccinated with BEXSERO (batch number: 148901, expiry date: 30 Sep 2016) along with FLUZONE (other manufacturer, batch number: not reported) on an unknown date. After vaccinations, he experienced falling sleeping and diarrhea. The outcome of the events was unknown. The seriousness and causality of the events were not reported.


Changed on 6/14/2018

VAERS ID: 616637 Before After
VAERS Form:1
Age:
Sex:Male
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2015-10-29
Entered:2015-12-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR - / UNK UN / SYR
MENB: MENINGOCOCCAL B (BEXSERO) / NOVARTIS VACCINES AND DIAGNOSTICS 148901 / UNK UN / SYR

Administered by: Other      Purchased by: Other
Symptoms: Diarrhoea, Somnolence

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 orher medications
Current Illness: Unknown
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': PHEH2015US021291

Write-up: Case number PHEH20015US021291 is an initial spontaneous report from a health care professional received on 15 Oct 2015. This report refers to a male patient of an unknown age. The patient was vaccinated with BEXSERO (batch number: 148901, expiry date: 30 Sep 2016) along with FLUZONE (other manufacturer, batch number: not reported) on an unknown date. After vaccinations, he experienced falling sleeping and diarrhea. The outcome of the events was unknown. The seriousness and causality of the events were not reported.


Changed on 8/14/2018

VAERS ID: 616637 Before After
VAERS Form:1
Age:
Sex:Male
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2015-10-29
Entered:2015-12-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR - / UNK UN / SYR
MENB: MENINGOCOCCAL B (BEXSERO) / NOVARTIS VACCINES AND DIAGNOSTICS 148901 / UNK UN / SYR

Administered by: Other      Purchased by: Other
Symptoms: Diarrhoea, Somnolence

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 orher medications
Current Illness: Unknown
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': PHEH2015US021291

Write-up: Case number PHEH20015US021291 is an initial spontaneous report from a health care professional received on 15 Oct 2015. This report refers to a male patient of an unknown age. The patient was vaccinated with BEXSERO (batch number: 148901, expiry date: 30 Sep 2016) along with FLUZONE (other manufacturer, batch number: not reported) on an unknown date. After vaccinations, he experienced falling sleeping and diarrhea. The outcome of the events was unknown. The seriousness and causality of the events were not reported.


Changed on 9/14/2018

VAERS ID: 616637 Before After
VAERS Form:1
Age:
Sex:Male
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2015-10-29
Entered:2015-12-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR - / UNK UN / SYR
MENB: MENINGOCOCCAL B (BEXSERO) / NOVARTIS VACCINES AND DIAGNOSTICS 148901 / UNK UN / SYR

Administered by: Other      Purchased by: Other
Symptoms: Diarrhoea, Somnolence

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 orher medications
Current Illness: Unknown
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': PHEH2015US021291

Write-up: Case number PHEH20015US021291 is an initial spontaneous report from a health care professional received on 15 Oct 2015. This report refers to a male patient of an unknown age. The patient was vaccinated with BEXSERO (batch number: 148901, expiry date: 30 Sep 2016) along with FLUZONE (other manufacturer, batch number: not reported) on an unknown date. After vaccinations, he experienced falling sleeping and diarrhea. The outcome of the events was unknown. The seriousness and causality of the events were not reported.


Changed on 10/14/2018

VAERS ID: 616637 Before After
VAERS Form:1
Age:
Sex:Male
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2015-10-29
Entered:2015-12-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR - / UNK UN / SYR
MENB: MENINGOCOCCAL B (BEXSERO) / NOVARTIS VACCINES AND DIAGNOSTICS 148901 / UNK UN / SYR

Administered by: Other      Purchased by: Other
Symptoms: Diarrhoea, Somnolence

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 orher medications
Current Illness: Unknown
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': PHEH2015US021291

Write-up: Case number PHEH20015US021291 is an initial spontaneous report from a health care professional received on 15 Oct 2015. This report refers to a male patient of an unknown age. The patient was vaccinated with BEXSERO (batch number: 148901, expiry date: 30 Sep 2016) along with FLUZONE (other manufacturer, batch number: not reported) on an unknown date. After vaccinations, he experienced falling sleeping and diarrhea. The outcome of the events was unknown. The seriousness and causality of the events were not reported.


Changed on 12/24/2020

VAERS ID: 616637 Before After
VAERS Form:1
Age:
Sex:Male
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2015-10-29
Entered:2015-12-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR - / UNK UN / SYR
MENB: MENINGOCOCCAL B (BEXSERO) / NOVARTIS VACCINES AND DIAGNOSTICS 148901 / UNK UN / SYR

Administered by: Other      Purchased by: Other
Symptoms: Diarrhoea, Somnolence

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 orher medications
Current Illness: Unknown
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': PHEH2015US021291

Write-up: Case number PHEH20015US021291 is an initial spontaneous report from a health care professional received on 15 Oct 2015. This report refers to a male patient of an unknown age. The patient was vaccinated with BEXSERO (batch number: 148901, expiry date: 30 Sep 2016) along with FLUZONE (other manufacturer, batch number: not reported) on an unknown date. After vaccinations, he experienced falling sleeping and diarrhea. The outcome of the events was unknown. The seriousness and causality of the events were not reported.


Changed on 12/30/2020

VAERS ID: 616637 Before After
VAERS Form:1
Age:
Sex:Male
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2015-10-29
Entered:2015-12-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR - / UNK UN / SYR
MENB: MENINGOCOCCAL B (BEXSERO) / NOVARTIS VACCINES AND DIAGNOSTICS 148901 / UNK UN / SYR

Administered by: Other      Purchased by: Other
Symptoms: Diarrhoea, Somnolence

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 orher medications
Current Illness: Unknown
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': PHEH2015US021291

Write-up: Case number PHEH20015US021291 is an initial spontaneous report from a health care professional received on 15 Oct 2015. This report refers to a male patient of an unknown age. The patient was vaccinated with BEXSERO (batch number: 148901, expiry date: 30 Sep 2016) along with FLUZONE (other manufacturer, batch number: not reported) on an unknown date. After vaccinations, he experienced falling sleeping and diarrhea. The outcome of the events was unknown. The seriousness and causality of the events were not reported.


Changed on 5/7/2021

VAERS ID: 616637 Before After
VAERS Form:1
Age:
Sex:Male
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2015-10-29
Entered:2015-12-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR - / UNK UN / SYR
MENB: MENINGOCOCCAL B (BEXSERO) / NOVARTIS VACCINES AND DIAGNOSTICS 148901 / UNK UN / SYR

Administered by: Other      Purchased by: Other
Symptoms: Diarrhoea, Somnolence

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 orher medications
Current Illness: Unknown
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': PHEH2015US021291

Write-up: Case number PHEH20015US021291 is an initial spontaneous report from a health care professional received on 15 Oct 2015. This report refers to a male patient of an unknown age. The patient was vaccinated with BEXSERO (batch number: 148901, expiry date: 30 Sep 2016) along with FLUZONE (other manufacturer, batch number: not reported) on an unknown date. After vaccinations, he experienced falling sleeping and diarrhea. The outcome of the events was unknown. The seriousness and causality of the events were not reported.


Changed on 5/14/2021

VAERS ID: 616637 Before After
VAERS Form:1
Age:
Sex:Male
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2015-10-29
Entered:2015-12-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR - / UNK UN / SYR
MENB: MENINGOCOCCAL B (BEXSERO) / NOVARTIS VACCINES AND DIAGNOSTICS 148901 / UNK UN / SYR

Administered by: Other      Purchased by: Other
Symptoms: Diarrhoea, Somnolence

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 orher medications
Current Illness: Unknown
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': PHEH2015US021291

Write-up: Case number PHEH20015US021291 is an initial spontaneous report from a health care professional received on 15 Oct 2015. This report refers to a male patient of an unknown age. The patient was vaccinated with BEXSERO (batch number: 148901, expiry date: 30 Sep 2016) along with FLUZONE (other manufacturer, batch number: not reported) on an unknown date. After vaccinations, he experienced falling sleeping and diarrhea. The outcome of the events was unknown. The seriousness and causality of the events were not reported.

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Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=616637&WAYBACKHISTORY=ON

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