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This is VAERS ID 616667

History of Changes from the VAERS Wayback Machine

First Appeared on 2/14/2016

VAERS ID: 616667
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: Headache, Pain, Vomiting

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': PHEH2015US015227

Write-up: Case number PHEH2015US015227 is an initial spontaneous report from a nurse received on 03 Aug 2015. This report refers of unspecified age and gender. Medical history and concomitant medications were not reported. The patient was vaccinated with BEXSERO, (batch number: unknown) on an unknown date. On an unknown date after the vaccination the patient had vomiting, pain and headache. The outcome, seriousness and causality assessment of the events was unknown.


Changed on 9/14/2017

VAERS ID: 616667 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: Headache, Pain, Vomiting

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': PHEH2015US015227

Write-up: Case number PHEH2015US015227 is an initial spontaneous report from a nurse received on 03 Aug 2015. This report refers of unspecified age and gender. Medical history and concomitant medications were not reported. The patient was vaccinated with BEXSERO, (batch number: unknown) on an unknown date. On an unknown date after the vaccination the patient had vomiting, pain and headache. The outcome, seriousness and causality assessment of the events was unknown.


Changed on 2/14/2018

VAERS ID: 616667 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: Headache, Pain, Vomiting

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': PHEH2015US015227

Write-up: Case number PHEH2015US015227 is an initial spontaneous report from a nurse received on 03 Aug 2015. This report refers of unspecified age and gender. Medical history and concomitant medications were not reported. The patient was vaccinated with BEXSERO, (batch number: unknown) on an unknown date. On an unknown date after the vaccination the patient had vomiting, pain and headache. The outcome, seriousness and causality assessment of the events was unknown.


Changed on 6/14/2018

VAERS ID: 616667 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: Headache, Pain, Vomiting

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': PHEH2015US015227

Write-up: Case number PHEH2015US015227 is an initial spontaneous report from a nurse received on 03 Aug 2015. This report refers of unspecified age and gender. Medical history and concomitant medications were not reported. The patient was vaccinated with BEXSERO, (batch number: unknown) on an unknown date. On an unknown date after the vaccination the patient had vomiting, pain and headache. The outcome, seriousness and causality assessment of the events was unknown.


Changed on 8/14/2018

VAERS ID: 616667 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: Headache, Pain, Vomiting

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': PHEH2015US015227

Write-up: Case number PHEH2015US015227 is an initial spontaneous report from a nurse received on 03 Aug 2015. This report refers of unspecified age and gender. Medical history and concomitant medications were not reported. The patient was vaccinated with BEXSERO, (batch number: unknown) on an unknown date. On an unknown date after the vaccination the patient had vomiting, pain and headache. The outcome, seriousness and causality assessment of the events was unknown.


Changed on 9/14/2018

VAERS ID: 616667 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: Headache, Pain, Vomiting

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': PHEH2015US015227

Write-up: Case number PHEH2015US015227 is an initial spontaneous report from a nurse received on 03 Aug 2015. This report refers of unspecified age and gender. Medical history and concomitant medications were not reported. The patient was vaccinated with BEXSERO, (batch number: unknown) on an unknown date. On an unknown date after the vaccination the patient had vomiting, pain and headache. The outcome, seriousness and causality assessment of the events was unknown.


Changed on 10/14/2018

VAERS ID: 616667 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: Headache, Pain, Vomiting

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': PHEH2015US015227

Write-up: Case number PHEH2015US015227 is an initial spontaneous report from a nurse received on 03 Aug 2015. This report refers of unspecified age and gender. Medical history and concomitant medications were not reported. The patient was vaccinated with BEXSERO, (batch number: unknown) on an unknown date. On an unknown date after the vaccination the patient had vomiting, pain and headache. The outcome, seriousness and causality assessment of the events was unknown.


Changed on 12/24/2020

VAERS ID: 616667 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: Headache, Pain, Vomiting

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': PHEH2015US015227

Write-up: Case number PHEH2015US015227 is an initial spontaneous report from a nurse received on 03 Aug 2015. This report refers of unspecified age and gender. Medical history and concomitant medications were not reported. The patient was vaccinated with BEXSERO, (batch number: unknown) on an unknown date. On an unknown date after the vaccination the patient had vomiting, pain and headache. The outcome, seriousness and causality assessment of the events was unknown.


Changed on 12/30/2020

VAERS ID: 616667 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: Headache, Pain, Vomiting

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': PHEH2015US015227

Write-up: Case number PHEH2015US015227 is an initial spontaneous report from a nurse received on 03 Aug 2015. This report refers of unspecified age and gender. Medical history and concomitant medications were not reported. The patient was vaccinated with BEXSERO, (batch number: unknown) on an unknown date. On an unknown date after the vaccination the patient had vomiting, pain and headache. The outcome, seriousness and causality assessment of the events was unknown.


Changed on 5/7/2021

VAERS ID: 616667 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: Headache, Pain, Vomiting

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': PHEH2015US015227

Write-up: Case number PHEH2015US015227 is an initial spontaneous report from a nurse received on 03 Aug 2015. This report refers of unspecified age and gender. Medical history and concomitant medications were not reported. The patient was vaccinated with BEXSERO, (batch number: unknown) on an unknown date. On an unknown date after the vaccination the patient had vomiting, pain and headache. The outcome, seriousness and causality assessment of the events was unknown.


Changed on 5/14/2021

VAERS ID: 616667 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: Headache, Pain, Vomiting

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': PHEH2015US015227

Write-up: Case number PHEH2015US015227 is an initial spontaneous report from a nurse received on 03 Aug 2015. This report refers of unspecified age and gender. Medical history and concomitant medications were not reported. The patient was vaccinated with BEXSERO, (batch number: unknown) on an unknown date. On an unknown date after the vaccination the patient had vomiting, pain and headache. The outcome, seriousness and causality assessment of the events was unknown.

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https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=616667&WAYBACKHISTORY=ON

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