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This is VAERS ID 616640

History of Changes from the VAERS Wayback Machine

First Appeared on 2/14/2016

VAERS ID: 616640
VAERS Form:
Age:
Sex:Unknown
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2015-10-29
Entered:2015-12-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (BEXSERO) / NOVARTIS VACCINES AND DIAGNOSTICS - / - UN / SYR

Administered by: Other      Purchased by: Other
Symptoms: Influenza like illness, Pyrexia

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 other medications
Current Illness: Unknown
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': PHEH2015US015245

Write-up: Case number PHEH2015US015245 is an initial spontaneous report from a physician via a pharmaceutical company (reference nr. A201401552) received on 03 Aug 2015. This report refers to a patient of an unknown age and gender. Medical history and concomitant medications were not reported. The patient was vaccinated with BEXSERO (batch number: not reported) on an unknown date. Post vaccination the patient presented with fever and flu like symptoms. The outcome, seriousness and causality of the events were not reported.


Changed on 9/14/2017

VAERS ID: 616640 Before After
VAERS Form:(blank) 1
Age:
Sex:Unknown
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2015-10-29
Entered:2015-12-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (BEXSERO) / NOVARTIS VACCINES AND DIAGNOSTICS - / - UNK UN / SYR

Administered by: Other      Purchased by: Other
Symptoms: Influenza like illness, Pyrexia

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 other medications
Current Illness: Unknown
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': PHEH2015US015245

Write-up: Case number PHEH2015US015245 is an initial spontaneous report from a physician via a pharmaceutical company (reference nr. A201401552) received on 03 Aug 2015. This report refers to a patient of an unknown age and gender. Medical history and concomitant medications were not reported. The patient was vaccinated with BEXSERO (batch number: not reported) on an unknown date. Post vaccination the patient presented with fever and flu like symptoms. The outcome, seriousness and causality of the events were not reported.


Changed on 2/14/2018

VAERS ID: 616640 Before After
VAERS Form:1
Age:
Sex:Unknown
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2015-10-29
Entered:2015-12-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (BEXSERO) / NOVARTIS VACCINES AND DIAGNOSTICS - / UNK UN / SYR

Administered by: Other      Purchased by: Other
Symptoms: Influenza like illness, Pyrexia

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 other medications
Current Illness: Unknown
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': PHEH2015US015245

Write-up: Case number PHEH2015US015245 is an initial spontaneous report from a physician via a pharmaceutical company (reference nr. A201401552) received on 03 Aug 2015. This report refers to a patient of an unknown age and gender. Medical history and concomitant medications were not reported. The patient was vaccinated with BEXSERO (batch number: not reported) on an unknown date. Post vaccination the patient presented with fever and flu like symptoms. The outcome, seriousness and causality of the events were not reported.


Changed on 6/14/2018

VAERS ID: 616640 Before After
VAERS Form:1
Age:
Sex:Unknown
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2015-10-29
Entered:2015-12-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (BEXSERO) / NOVARTIS VACCINES AND DIAGNOSTICS - / UNK UN / SYR

Administered by: Other      Purchased by: Other
Symptoms: Influenza like illness, Pyrexia

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 other medications
Current Illness: Unknown
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': PHEH2015US015245

Write-up: Case number PHEH2015US015245 is an initial spontaneous report from a physician via a pharmaceutical company (reference nr. A201401552) received on 03 Aug 2015. This report refers to a patient of an unknown age and gender. Medical history and concomitant medications were not reported. The patient was vaccinated with BEXSERO (batch number: not reported) on an unknown date. Post vaccination the patient presented with fever and flu like symptoms. The outcome, seriousness and causality of the events were not reported.


Changed on 8/14/2018

VAERS ID: 616640 Before After
VAERS Form:1
Age:
Sex:Unknown
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2015-10-29
Entered:2015-12-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (BEXSERO) / NOVARTIS VACCINES AND DIAGNOSTICS - / UNK UN / SYR

Administered by: Other      Purchased by: Other
Symptoms: Influenza like illness, Pyrexia

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 other medications
Current Illness: Unknown
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': PHEH2015US015245

Write-up: Case number PHEH2015US015245 is an initial spontaneous report from a physician via a pharmaceutical company (reference nr. A201401552) received on 03 Aug 2015. This report refers to a patient of an unknown age and gender. Medical history and concomitant medications were not reported. The patient was vaccinated with BEXSERO (batch number: not reported) on an unknown date. Post vaccination the patient presented with fever and flu like symptoms. The outcome, seriousness and causality of the events were not reported.


Changed on 9/14/2018

VAERS ID: 616640 Before After
VAERS Form:1
Age:
Sex:Unknown
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2015-10-29
Entered:2015-12-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (BEXSERO) / NOVARTIS VACCINES AND DIAGNOSTICS - / UNK UN / SYR

Administered by: Other      Purchased by: Other
Symptoms: Influenza like illness, Pyrexia

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 other medications
Current Illness: Unknown
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': PHEH2015US015245

Write-up: Case number PHEH2015US015245 is an initial spontaneous report from a physician via a pharmaceutical company (reference nr. A201401552) received on 03 Aug 2015. This report refers to a patient of an unknown age and gender. Medical history and concomitant medications were not reported. The patient was vaccinated with BEXSERO (batch number: not reported) on an unknown date. Post vaccination the patient presented with fever and flu like symptoms. The outcome, seriousness and causality of the events were not reported.


Changed on 10/14/2018

VAERS ID: 616640 Before After
VAERS Form:1
Age:
Sex:Unknown
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2015-10-29
Entered:2015-12-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (BEXSERO) / NOVARTIS VACCINES AND DIAGNOSTICS - / UNK UN / SYR

Administered by: Other      Purchased by: Other
Symptoms: Influenza like illness, Pyrexia

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 other medications
Current Illness: Unknown
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': PHEH2015US015245

Write-up: Case number PHEH2015US015245 is an initial spontaneous report from a physician via a pharmaceutical company (reference nr. A201401552) received on 03 Aug 2015. This report refers to a patient of an unknown age and gender. Medical history and concomitant medications were not reported. The patient was vaccinated with BEXSERO (batch number: not reported) on an unknown date. Post vaccination the patient presented with fever and flu like symptoms. The outcome, seriousness and causality of the events were not reported.


Changed on 12/24/2020

VAERS ID: 616640 Before After
VAERS Form:1
Age:
Sex:Unknown
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2015-10-29
Entered:2015-12-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (BEXSERO) / NOVARTIS VACCINES AND DIAGNOSTICS - / UNK UN / SYR

Administered by: Other      Purchased by: Other
Symptoms: Influenza like illness, Pyrexia

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 other medications
Current Illness: Unknown
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': PHEH2015US015245

Write-up: Case number PHEH2015US015245 is an initial spontaneous report from a physician via a pharmaceutical company (reference nr. A201401552) received on 03 Aug 2015. This report refers to a patient of an unknown age and gender. Medical history and concomitant medications were not reported. The patient was vaccinated with BEXSERO (batch number: not reported) on an unknown date. Post vaccination the patient presented with fever and flu like symptoms. The outcome, seriousness and causality of the events were not reported.


Changed on 12/30/2020

VAERS ID: 616640 Before After
VAERS Form:1
Age:
Sex:Unknown
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2015-10-29
Entered:2015-12-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (BEXSERO) / NOVARTIS VACCINES AND DIAGNOSTICS - / UNK UN / SYR

Administered by: Other      Purchased by: Other
Symptoms: Influenza like illness, Pyrexia

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 other medications
Current Illness: Unknown
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': PHEH2015US015245

Write-up: Case number PHEH2015US015245 is an initial spontaneous report from a physician via a pharmaceutical company (reference nr. A201401552) received on 03 Aug 2015. This report refers to a patient of an unknown age and gender. Medical history and concomitant medications were not reported. The patient was vaccinated with BEXSERO (batch number: not reported) on an unknown date. Post vaccination the patient presented with fever and flu like symptoms. The outcome, seriousness and causality of the events were not reported.


Changed on 5/7/2021

VAERS ID: 616640 Before After
VAERS Form:1
Age:
Sex:Unknown
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2015-10-29
Entered:2015-12-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (BEXSERO) / NOVARTIS VACCINES AND DIAGNOSTICS - / UNK UN / SYR

Administered by: Other      Purchased by: Other
Symptoms: Influenza like illness, Pyrexia

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 other medications
Current Illness: Unknown
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': PHEH2015US015245

Write-up: Case number PHEH2015US015245 is an initial spontaneous report from a physician via a pharmaceutical company (reference nr. A201401552) received on 03 Aug 2015. This report refers to a patient of an unknown age and gender. Medical history and concomitant medications were not reported. The patient was vaccinated with BEXSERO (batch number: not reported) on an unknown date. Post vaccination the patient presented with fever and flu like symptoms. The outcome, seriousness and causality of the events were not reported.


Changed on 5/14/2021

VAERS ID: 616640 Before After
VAERS Form:1
Age:
Sex:Unknown
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2015-10-29
Entered:2015-12-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (BEXSERO) / NOVARTIS VACCINES AND DIAGNOSTICS - / UNK UN / SYR

Administered by: Other      Purchased by: Other
Symptoms: Influenza like illness, Pyrexia

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 other medications
Current Illness: Unknown
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': PHEH2015US015245

Write-up: Case number PHEH2015US015245 is an initial spontaneous report from a physician via a pharmaceutical company (reference nr. A201401552) received on 03 Aug 2015. This report refers to a patient of an unknown age and gender. Medical history and concomitant medications were not reported. The patient was vaccinated with BEXSERO (batch number: not reported) on an unknown date. Post vaccination the patient presented with fever and flu like symptoms. The outcome, seriousness and causality of the events were not reported.

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https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=616640&WAYBACKHISTORY=ON

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