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This is VAERS ID 616642

History of Changes from the VAERS Wayback Machine

First Appeared on 2/14/2016

VAERS ID: 616642
VAERS Form:
Age:51.0
Sex:Female
Location:Unknown
Vaccinated:2015-06-01
Onset:2015-06-01
Submitted:2015-10-29
Entered:2015-12-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (BEXSERO) / NOVARTIS VACCINES AND DIAGNOSTICS 146101 / - AR / SYR

Administered by: Other      Purchased by: Other
Symptoms: Eye irrigation, No adverse event, Exposure via direct contact, Accidental exposure to product

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': PHEH2015US016326

Write-up: Case number PHEH2015US016326, is an initial spontaneous report from a health care professional received on 18 Aug 2015, with a follow up report from a health care professional received on 06 Oct 2015. This report refers to a 51 year old female patient. Her vaccination history included administration of first dose of BEXSERO, (batch number and expiry date: not reported) on an unknown date. No concomitant medication was reported. The patient was vaccinated with second dose of BEXSERO, (batch number: 146101, expiry date: not reported) into the deltoid on 01 Jun 2015 at 02:33 PM. The administering nurse splashed a "liquid of unknown origin" to face hitting right eye, lip and mouth when attempting to place the BEXSERO vaccine syringe in the sharps container. Patient rinsed her eye in the sink and did not seek medical attention. She did not report further incidents or follow ups on this incident. No adverse event was reported following accidental exposure to product. Follow up report from a health care professional received on 06 Oct 2015: Updated patient initials, added vaccination history, batch number, vaccination date and time, region of administration, event verbatim and reporter''s comment updated.


Changed on 9/14/2017

VAERS ID: 616642 Before After
VAERS Form:(blank) 1
Age:51.0
Sex:Female
Location:Unknown
Vaccinated:2015-06-01
Onset:2015-06-01
Submitted:2015-10-29
Entered:2015-12-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (BEXSERO) / NOVARTIS VACCINES AND DIAGNOSTICS 146101 / - UNK AR / SYR

Administered by: Other      Purchased by: Other
Symptoms: Eye irrigation, No adverse event, Exposure via direct contact, Accidental exposure to product

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': PHEH2015US016326

Write-up: Case number PHEH2015US016326, is an initial spontaneous report from a health care professional received on 18 Aug 2015, with a follow up report from a health care professional received on 06 Oct 2015. This report refers to a 51 year old female patient. Her vaccination history included administration of first dose of BEXSERO, (batch number and expiry date: not reported) on an unknown date. No concomitant medication was reported. The patient was vaccinated with second dose of BEXSERO, (batch number: 146101, expiry date: not reported) into the deltoid on 01 Jun 2015 at 02:33 PM. The administering nurse splashed a "liquid of unknown origin" to face hitting right eye, lip and mouth when attempting to place the BEXSERO vaccine syringe in the sharps container. Patient rinsed her eye in the sink and did not seek medical attention. She did not report further incidents or follow ups on this incident. No adverse event was reported following accidental exposure to product. Follow up report from a health care professional received on 06 Oct 2015: Updated patient initials, added vaccination history, batch number, vaccination date and time, region of administration, event verbatim and reporter''s comment updated.


Changed on 2/14/2018

VAERS ID: 616642 Before After
VAERS Form:1
Age:51.0
Sex:Female
Location:Unknown
Vaccinated:2015-06-01
Onset:2015-06-01
Submitted:2015-10-29
Entered:2015-12-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (BEXSERO) / NOVARTIS VACCINES AND DIAGNOSTICS 146101 / UNK AR / SYR

Administered by: Other      Purchased by: Other
Symptoms: Eye irrigation, No adverse event, Exposure via direct contact, Accidental exposure to product

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': PHEH2015US016326

Write-up: Case number PHEH2015US016326, is an initial spontaneous report from a health care professional received on 18 Aug 2015, with a follow up report from a health care professional received on 06 Oct 2015. This report refers to a 51 year old female patient. Her vaccination history included administration of first dose of BEXSERO, (batch number and expiry date: not reported) on an unknown date. No concomitant medication was reported. The patient was vaccinated with second dose of BEXSERO, (batch number: 146101, expiry date: not reported) into the deltoid on 01 Jun 2015 at 02:33 PM. The administering nurse splashed a "liquid of unknown origin" to face hitting right eye, lip and mouth when attempting to place the BEXSERO vaccine syringe in the sharps container. Patient rinsed her eye in the sink and did not seek medical attention. She did not report further incidents or follow ups on this incident. No adverse event was reported following accidental exposure to product. Follow up report from a health care professional received on 06 Oct 2015: Updated patient initials, added vaccination history, batch number, vaccination date and time, region of administration, event verbatim and reporter''s comment updated.


Changed on 6/14/2018

VAERS ID: 616642 Before After
VAERS Form:1
Age:51.0
Sex:Female
Location:Unknown
Vaccinated:2015-06-01
Onset:2015-06-01
Submitted:2015-10-29
Entered:2015-12-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (BEXSERO) / NOVARTIS VACCINES AND DIAGNOSTICS 146101 / UNK AR / SYR

Administered by: Other      Purchased by: Other
Symptoms: Eye irrigation, No adverse event, Exposure via direct contact, Accidental exposure to product

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': PHEH2015US016326

Write-up: Case number PHEH2015US016326, is an initial spontaneous report from a health care professional received on 18 Aug 2015, with a follow up report from a health care professional received on 06 Oct 2015. This report refers to a 51 year old female patient. Her vaccination history included administration of first dose of BEXSERO, (batch number and expiry date: not reported) on an unknown date. No concomitant medication was reported. The patient was vaccinated with second dose of BEXSERO, (batch number: 146101, expiry date: not reported) into the deltoid on 01 Jun 2015 at 02:33 PM. The administering nurse splashed a "liquid of unknown origin" to face hitting right eye, lip and mouth when attempting to place the BEXSERO vaccine syringe in the sharps container. Patient rinsed her eye in the sink and did not seek medical attention. She did not report further incidents or follow ups on this incident. No adverse event was reported following accidental exposure to product. Follow up report from a health care professional received on 06 Oct 2015: Updated patient initials, added vaccination history, batch number, vaccination date and time, region of administration, event verbatim and reporter''s comment updated.


Changed on 8/14/2018

VAERS ID: 616642 Before After
VAERS Form:1
Age:51.0
Sex:Female
Location:Unknown
Vaccinated:2015-06-01
Onset:2015-06-01
Submitted:2015-10-29
Entered:2015-12-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (BEXSERO) / NOVARTIS VACCINES AND DIAGNOSTICS 146101 / UNK AR / SYR

Administered by: Other      Purchased by: Other
Symptoms: Eye irrigation, No adverse event, Exposure via direct contact, Accidental exposure to product

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': PHEH2015US016326

Write-up: Case number PHEH2015US016326, is an initial spontaneous report from a health care professional received on 18 Aug 2015, with a follow up report from a health care professional received on 06 Oct 2015. This report refers to a 51 year old female patient. Her vaccination history included administration of first dose of BEXSERO, (batch number and expiry date: not reported) on an unknown date. No concomitant medication was reported. The patient was vaccinated with second dose of BEXSERO, (batch number: 146101, expiry date: not reported) into the deltoid on 01 Jun 2015 at 02:33 PM. The administering nurse splashed a "liquid of unknown origin" to face hitting right eye, lip and mouth when attempting to place the BEXSERO vaccine syringe in the sharps container. Patient rinsed her eye in the sink and did not seek medical attention. She did not report further incidents or follow ups on this incident. No adverse event was reported following accidental exposure to product. Follow up report from a health care professional received on 06 Oct 2015: Updated patient initials, added vaccination history, batch number, vaccination date and time, region of administration, event verbatim and reporter''s comment updated.


Changed on 9/14/2018

VAERS ID: 616642 Before After
VAERS Form:1
Age:51.0
Sex:Female
Location:Unknown
Vaccinated:2015-06-01
Onset:2015-06-01
Submitted:2015-10-29
Entered:2015-12-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (BEXSERO) / NOVARTIS VACCINES AND DIAGNOSTICS 146101 / UNK AR / SYR

Administered by: Other      Purchased by: Other
Symptoms: Eye irrigation, No adverse event, Exposure via direct contact, Accidental exposure to product

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': PHEH2015US016326

Write-up: Case number PHEH2015US016326, is an initial spontaneous report from a health care professional received on 18 Aug 2015, with a follow up report from a health care professional received on 06 Oct 2015. This report refers to a 51 year old female patient. Her vaccination history included administration of first dose of BEXSERO, (batch number and expiry date: not reported) on an unknown date. No concomitant medication was reported. The patient was vaccinated with second dose of BEXSERO, (batch number: 146101, expiry date: not reported) into the deltoid on 01 Jun 2015 at 02:33 PM. The administering nurse splashed a "liquid of unknown origin" to face hitting right eye, lip and mouth when attempting to place the BEXSERO vaccine syringe in the sharps container. Patient rinsed her eye in the sink and did not seek medical attention. She did not report further incidents or follow ups on this incident. No adverse event was reported following accidental exposure to product. Follow up report from a health care professional received on 06 Oct 2015: Updated patient initials, added vaccination history, batch number, vaccination date and time, region of administration, event verbatim and reporter''s comment updated.


Changed on 10/14/2018

VAERS ID: 616642 Before After
VAERS Form:1
Age:51.0
Sex:Female
Location:Unknown
Vaccinated:2015-06-01
Onset:2015-06-01
Submitted:2015-10-29
Entered:2015-12-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (BEXSERO) / NOVARTIS VACCINES AND DIAGNOSTICS 146101 / UNK AR / SYR

Administered by: Other      Purchased by: Other
Symptoms: Eye irrigation, No adverse event, Exposure via direct contact, Accidental exposure to product

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': PHEH2015US016326

Write-up: Case number PHEH2015US016326, is an initial spontaneous report from a health care professional received on 18 Aug 2015, with a follow up report from a health care professional received on 06 Oct 2015. This report refers to a 51 year old female patient. Her vaccination history included administration of first dose of BEXSERO, (batch number and expiry date: not reported) on an unknown date. No concomitant medication was reported. The patient was vaccinated with second dose of BEXSERO, (batch number: 146101, expiry date: not reported) into the deltoid on 01 Jun 2015 at 02:33 PM. The administering nurse splashed a "liquid of unknown origin" to face hitting right eye, lip and mouth when attempting to place the BEXSERO vaccine syringe in the sharps container. Patient rinsed her eye in the sink and did not seek medical attention. She did not report further incidents or follow ups on this incident. No adverse event was reported following accidental exposure to product. Follow up report from a health care professional received on 06 Oct 2015: Updated patient initials, added vaccination history, batch number, vaccination date and time, region of administration, event verbatim and reporter''s comment updated.


Changed on 12/24/2020

VAERS ID: 616642 Before After
VAERS Form:1
Age:51.0
Sex:Female
Location:Unknown
Vaccinated:2015-06-01
Onset:2015-06-01
Submitted:2015-10-29
Entered:2015-12-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (BEXSERO) / NOVARTIS VACCINES AND DIAGNOSTICS 146101 / UNK AR / SYR

Administered by: Other      Purchased by: Other
Symptoms: Eye irrigation, No adverse event, Exposure via direct contact, Accidental exposure to product

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': PHEH2015US016326

Write-up: Case number PHEH2015US016326, is an initial spontaneous report from a health care professional received on 18 Aug 2015, with a follow up report from a health care professional received on 06 Oct 2015. This report refers to a 51 year old female patient. Her vaccination history included administration of first dose of BEXSERO, (batch number and expiry date: not reported) on an unknown date. No concomitant medication was reported. The patient was vaccinated with second dose of BEXSERO, (batch number: 146101, expiry date: not reported) into the deltoid on 01 Jun 2015 at 02:33 PM. The administering nurse splashed a "liquid of unknown origin" to face hitting right eye, lip and mouth when attempting to place the BEXSERO vaccine syringe in the sharps container. Patient rinsed her eye in the sink and did not seek medical attention. She did not report further incidents or follow ups on this incident. No adverse event was reported following accidental exposure to product. Follow up report from a health care professional received on 06 Oct 2015: Updated patient initials, added vaccination history, batch number, vaccination date and time, region of administration, event verbatim and reporter''s comment updated.


Changed on 12/30/2020

VAERS ID: 616642 Before After
VAERS Form:1
Age:51.0
Sex:Female
Location:Unknown
Vaccinated:2015-06-01
Onset:2015-06-01
Submitted:2015-10-29
Entered:2015-12-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (BEXSERO) / NOVARTIS VACCINES AND DIAGNOSTICS 146101 / UNK AR / SYR

Administered by: Other      Purchased by: Other
Symptoms: Eye irrigation, No adverse event, Exposure via direct contact, Accidental exposure to product

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': PHEH2015US016326

Write-up: Case number PHEH2015US016326, is an initial spontaneous report from a health care professional received on 18 Aug 2015, with a follow up report from a health care professional received on 06 Oct 2015. This report refers to a 51 year old female patient. Her vaccination history included administration of first dose of BEXSERO, (batch number and expiry date: not reported) on an unknown date. No concomitant medication was reported. The patient was vaccinated with second dose of BEXSERO, (batch number: 146101, expiry date: not reported) into the deltoid on 01 Jun 2015 at 02:33 PM. The administering nurse splashed a "liquid of unknown origin" to face hitting right eye, lip and mouth when attempting to place the BEXSERO vaccine syringe in the sharps container. Patient rinsed her eye in the sink and did not seek medical attention. She did not report further incidents or follow ups on this incident. No adverse event was reported following accidental exposure to product. Follow up report from a health care professional received on 06 Oct 2015: Updated patient initials, added vaccination history, batch number, vaccination date and time, region of administration, event verbatim and reporter''s comment updated.


Changed on 5/7/2021

VAERS ID: 616642 Before After
VAERS Form:1
Age:51.0
Sex:Female
Location:Unknown
Vaccinated:2015-06-01
Onset:2015-06-01
Submitted:2015-10-29
Entered:2015-12-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (BEXSERO) / NOVARTIS VACCINES AND DIAGNOSTICS 146101 / UNK AR / SYR

Administered by: Other      Purchased by: Other
Symptoms: Eye irrigation, No adverse event, Exposure via direct contact, Accidental exposure to product

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': PHEH2015US016326

Write-up: Case number PHEH2015US016326, is an initial spontaneous report from a health care professional received on 18 Aug 2015, with a follow up report from a health care professional received on 06 Oct 2015. This report refers to a 51 year old female patient. Her vaccination history included administration of first dose of BEXSERO, (batch number and expiry date: not reported) on an unknown date. No concomitant medication was reported. The patient was vaccinated with second dose of BEXSERO, (batch number: 146101, expiry date: not reported) into the deltoid on 01 Jun 2015 at 02:33 PM. The administering nurse splashed a "liquid of unknown origin" to face hitting right eye, lip and mouth when attempting to place the BEXSERO vaccine syringe in the sharps container. Patient rinsed her eye in the sink and did not seek medical attention. She did not report further incidents or follow ups on this incident. No adverse event was reported following accidental exposure to product. Follow up report from a health care professional received on 06 Oct 2015: Updated patient initials, added vaccination history, batch number, vaccination date and time, region of administration, event verbatim and reporter''s comment updated.


Changed on 5/14/2021

VAERS ID: 616642 Before After
VAERS Form:1
Age:51.0
Sex:Female
Location:Unknown
Vaccinated:2015-06-01
Onset:2015-06-01
Submitted:2015-10-29
Entered:2015-12-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (BEXSERO) / NOVARTIS VACCINES AND DIAGNOSTICS 146101 / UNK AR / SYR

Administered by: Other      Purchased by: Other
Symptoms: Eye irrigation, No adverse event, Exposure via direct contact, Accidental exposure to product

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': PHEH2015US016326

Write-up: Case number PHEH2015US016326, is an initial spontaneous report from a health care professional received on 18 Aug 2015, with a follow up report from a health care professional received on 06 Oct 2015. This report refers to a 51 year old female patient. Her vaccination history included administration of first dose of BEXSERO, (batch number and expiry date: not reported) on an unknown date. No concomitant medication was reported. The patient was vaccinated with second dose of BEXSERO, (batch number: 146101, expiry date: not reported) into the deltoid on 01 Jun 2015 at 02:33 PM. The administering nurse splashed a "liquid of unknown origin" to face hitting right eye, lip and mouth when attempting to place the BEXSERO vaccine syringe in the sharps container. Patient rinsed her eye in the sink and did not seek medical attention. She did not report further incidents or follow ups on this incident. No adverse event was reported following accidental exposure to product. Follow up report from a health care professional received on 06 Oct 2015: Updated patient initials, added vaccination history, batch number, vaccination date and time, region of administration, event verbatim and reporter''s comment updated.

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https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=616642&WAYBACKHISTORY=ON

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