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This is VAERS ID 616670

History of Changes from the VAERS Wayback Machine

First Appeared on 3/14/2016

VAERS ID: 616670
VAERS Form:
Age:19.0
Sex:Female
Location:Unknown
Vaccinated:2015-10-09
Onset:2015-10-09
Submitted:2015-10-29
Entered:2015-12-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (BEXSERO) / NOVARTIS VACCINES AND DIAGNOSTICS - / - LA / SYR

Administered by: Other      Purchased by: Other
Symptoms: Pain in extremity, Injection site nodule

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: Loratadine
Current Illness: Unknown
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': PHEH2015US020627

Write-up: Case number PHEH2015US020627, is an initial spontaneous report from a consumer received on 12 Oct 2015. This report refers to a 19-year-old female patient. Past medical history was not reported. Past medical vaccination included flu vaccine of unknown manufacture on 29 Sep 2015 (10 days prior to BEXSERO). Concomitant medication included loratadine (manufacturer unknown). She was vaccinated with BEXSERO (batch number and expiry date: not reported) at left arm on 09 Oct 2015. On same day, few hours after vaccination she started experiencing a sore arm, and there was a knot at the injection site. She stated that her arm was more sore than she usually experiences with vaccines, and had lasted longer than usual. The symptoms were improving, but not yet resolved. The seriousness and causality of events were not reported.


Changed on 9/14/2017

VAERS ID: 616670 Before After
VAERS Form:(blank) 1
Age:19.0
Sex:Female
Location:Unknown
Vaccinated:2015-10-09
Onset:2015-10-09
Submitted:2015-10-29
Entered:2015-12-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (BEXSERO) / NOVARTIS VACCINES AND DIAGNOSTICS - / - UNK LA / SYR

Administered by: Other      Purchased by: Other
Symptoms: Pain in extremity, Injection site nodule

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: Loratadine
Current Illness: Unknown
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': PHEH2015US020627

Write-up: Case number PHEH2015US020627, is an initial spontaneous report from a consumer received on 12 Oct 2015. This report refers to a 19-year-old female patient. Past medical history was not reported. Past medical vaccination included flu vaccine of unknown manufacture on 29 Sep 2015 (10 days prior to BEXSERO). Concomitant medication included loratadine (manufacturer unknown). She was vaccinated with BEXSERO (batch number and expiry date: not reported) at left arm on 09 Oct 2015. On same day, few hours after vaccination she started experiencing a sore arm, and there was a knot at the injection site. She stated that her arm was more sore than she usually experiences with vaccines, and had lasted longer than usual. The symptoms were improving, but not yet resolved. The seriousness and causality of events were not reported.


Changed on 2/14/2018

VAERS ID: 616670 Before After
VAERS Form:1
Age:19.0
Sex:Female
Location:Unknown
Vaccinated:2015-10-09
Onset:2015-10-09
Submitted:2015-10-29
Entered:2015-12-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (BEXSERO) / NOVARTIS VACCINES AND DIAGNOSTICS - / UNK LA / SYR

Administered by: Other      Purchased by: Other
Symptoms: Pain in extremity, Injection site nodule

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: Loratadine
Current Illness: Unknown
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': PHEH2015US020627

Write-up: Case number PHEH2015US020627, is an initial spontaneous report from a consumer received on 12 Oct 2015. This report refers to a 19-year-old female patient. Past medical history was not reported. Past medical vaccination included flu vaccine of unknown manufacture on 29 Sep 2015 (10 days prior to BEXSERO). Concomitant medication included loratadine (manufacturer unknown). She was vaccinated with BEXSERO (batch number and expiry date: not reported) at left arm on 09 Oct 2015. On same day, few hours after vaccination she started experiencing a sore arm, and there was a knot at the injection site. She stated that her arm was more sore than she usually experiences with vaccines, and had lasted longer than usual. The symptoms were improving, but not yet resolved. The seriousness and causality of events were not reported.


Changed on 6/14/2018

VAERS ID: 616670 Before After
VAERS Form:1
Age:19.0
Sex:Female
Location:Unknown
Vaccinated:2015-10-09
Onset:2015-10-09
Submitted:2015-10-29
Entered:2015-12-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (BEXSERO) / NOVARTIS VACCINES AND DIAGNOSTICS - / UNK LA / SYR

Administered by: Other      Purchased by: Other
Symptoms: Pain in extremity, Injection site nodule

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: Loratadine
Current Illness: Unknown
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': PHEH2015US020627

Write-up: Case number PHEH2015US020627, is an initial spontaneous report from a consumer received on 12 Oct 2015. This report refers to a 19-year-old female patient. Past medical history was not reported. Past medical vaccination included flu vaccine of unknown manufacture on 29 Sep 2015 (10 days prior to BEXSERO). Concomitant medication included loratadine (manufacturer unknown). She was vaccinated with BEXSERO (batch number and expiry date: not reported) at left arm on 09 Oct 2015. On same day, few hours after vaccination she started experiencing a sore arm, and there was a knot at the injection site. She stated that her arm was more sore than she usually experiences with vaccines, and had lasted longer than usual. The symptoms were improving, but not yet resolved. The seriousness and causality of events were not reported.


Changed on 8/14/2018

VAERS ID: 616670 Before After
VAERS Form:1
Age:19.0
Sex:Female
Location:Unknown
Vaccinated:2015-10-09
Onset:2015-10-09
Submitted:2015-10-29
Entered:2015-12-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (BEXSERO) / NOVARTIS VACCINES AND DIAGNOSTICS - / UNK LA / SYR

Administered by: Other      Purchased by: Other
Symptoms: Pain in extremity, Injection site nodule

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: Loratadine
Current Illness: Unknown
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': PHEH2015US020627

Write-up: Case number PHEH2015US020627, is an initial spontaneous report from a consumer received on 12 Oct 2015. This report refers to a 19-year-old female patient. Past medical history was not reported. Past medical vaccination included flu vaccine of unknown manufacture on 29 Sep 2015 (10 days prior to BEXSERO). Concomitant medication included loratadine (manufacturer unknown). She was vaccinated with BEXSERO (batch number and expiry date: not reported) at left arm on 09 Oct 2015. On same day, few hours after vaccination she started experiencing a sore arm, and there was a knot at the injection site. She stated that her arm was more sore than she usually experiences with vaccines, and had lasted longer than usual. The symptoms were improving, but not yet resolved. The seriousness and causality of events were not reported.


Changed on 9/14/2018

VAERS ID: 616670 Before After
VAERS Form:1
Age:19.0
Sex:Female
Location:Unknown
Vaccinated:2015-10-09
Onset:2015-10-09
Submitted:2015-10-29
Entered:2015-12-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (BEXSERO) / NOVARTIS VACCINES AND DIAGNOSTICS - / UNK LA / SYR

Administered by: Other      Purchased by: Other
Symptoms: Pain in extremity, Injection site nodule

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: Loratadine
Current Illness: Unknown
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': PHEH2015US020627

Write-up: Case number PHEH2015US020627, is an initial spontaneous report from a consumer received on 12 Oct 2015. This report refers to a 19-year-old female patient. Past medical history was not reported. Past medical vaccination included flu vaccine of unknown manufacture on 29 Sep 2015 (10 days prior to BEXSERO). Concomitant medication included loratadine (manufacturer unknown). She was vaccinated with BEXSERO (batch number and expiry date: not reported) at left arm on 09 Oct 2015. On same day, few hours after vaccination she started experiencing a sore arm, and there was a knot at the injection site. She stated that her arm was more sore than she usually experiences with vaccines, and had lasted longer than usual. The symptoms were improving, but not yet resolved. The seriousness and causality of events were not reported.


Changed on 10/14/2018

VAERS ID: 616670 Before After
VAERS Form:1
Age:19.0
Sex:Female
Location:Unknown
Vaccinated:2015-10-09
Onset:2015-10-09
Submitted:2015-10-29
Entered:2015-12-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (BEXSERO) / NOVARTIS VACCINES AND DIAGNOSTICS - / UNK LA / SYR

Administered by: Other      Purchased by: Other
Symptoms: Pain in extremity, Injection site nodule

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: Loratadine
Current Illness: Unknown
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': PHEH2015US020627

Write-up: Case number PHEH2015US020627, is an initial spontaneous report from a consumer received on 12 Oct 2015. This report refers to a 19-year-old female patient. Past medical history was not reported. Past medical vaccination included flu vaccine of unknown manufacture on 29 Sep 2015 (10 days prior to BEXSERO). Concomitant medication included loratadine (manufacturer unknown). She was vaccinated with BEXSERO (batch number and expiry date: not reported) at left arm on 09 Oct 2015. On same day, few hours after vaccination she started experiencing a sore arm, and there was a knot at the injection site. She stated that her arm was more sore than she usually experiences with vaccines, and had lasted longer than usual. The symptoms were improving, but not yet resolved. The seriousness and causality of events were not reported.


Changed on 12/24/2020

VAERS ID: 616670 Before After
VAERS Form:1
Age:19.0
Sex:Female
Location:Unknown
Vaccinated:2015-10-09
Onset:2015-10-09
Submitted:2015-10-29
Entered:2015-12-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (BEXSERO) / NOVARTIS VACCINES AND DIAGNOSTICS - / UNK LA / SYR

Administered by: Other      Purchased by: Other
Symptoms: Pain in extremity, Injection site nodule

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: Loratadine
Current Illness: Unknown
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': PHEH2015US020627

Write-up: Case number PHEH2015US020627, is an initial spontaneous report from a consumer received on 12 Oct 2015. This report refers to a 19-year-old female patient. Past medical history was not reported. Past medical vaccination included flu vaccine of unknown manufacture on 29 Sep 2015 (10 days prior to BEXSERO). Concomitant medication included loratadine (manufacturer unknown). She was vaccinated with BEXSERO (batch number and expiry date: not reported) at left arm on 09 Oct 2015. On same day, few hours after vaccination she started experiencing a sore arm, and there was a knot at the injection site. She stated that her arm was more sore than she usually experiences with vaccines, and had lasted longer than usual. The symptoms were improving, but not yet resolved. The seriousness and causality of events were not reported.


Changed on 12/30/2020

VAERS ID: 616670 Before After
VAERS Form:1
Age:19.0
Sex:Female
Location:Unknown
Vaccinated:2015-10-09
Onset:2015-10-09
Submitted:2015-10-29
Entered:2015-12-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (BEXSERO) / NOVARTIS VACCINES AND DIAGNOSTICS - / UNK LA / SYR

Administered by: Other      Purchased by: Other
Symptoms: Pain in extremity, Injection site nodule

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: Loratadine
Current Illness: Unknown
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': PHEH2015US020627

Write-up: Case number PHEH2015US020627, is an initial spontaneous report from a consumer received on 12 Oct 2015. This report refers to a 19-year-old female patient. Past medical history was not reported. Past medical vaccination included flu vaccine of unknown manufacture on 29 Sep 2015 (10 days prior to BEXSERO). Concomitant medication included loratadine (manufacturer unknown). She was vaccinated with BEXSERO (batch number and expiry date: not reported) at left arm on 09 Oct 2015. On same day, few hours after vaccination she started experiencing a sore arm, and there was a knot at the injection site. She stated that her arm was more sore than she usually experiences with vaccines, and had lasted longer than usual. The symptoms were improving, but not yet resolved. The seriousness and causality of events were not reported.


Changed on 5/7/2021

VAERS ID: 616670 Before After
VAERS Form:1
Age:19.0
Sex:Female
Location:Unknown
Vaccinated:2015-10-09
Onset:2015-10-09
Submitted:2015-10-29
Entered:2015-12-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (BEXSERO) / NOVARTIS VACCINES AND DIAGNOSTICS - / UNK LA / SYR

Administered by: Other      Purchased by: Other
Symptoms: Pain in extremity, Injection site nodule

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: Loratadine
Current Illness: Unknown
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': PHEH2015US020627

Write-up: Case number PHEH2015US020627, is an initial spontaneous report from a consumer received on 12 Oct 2015. This report refers to a 19-year-old female patient. Past medical history was not reported. Past medical vaccination included flu vaccine of unknown manufacture on 29 Sep 2015 (10 days prior to BEXSERO). Concomitant medication included loratadine (manufacturer unknown). She was vaccinated with BEXSERO (batch number and expiry date: not reported) at left arm on 09 Oct 2015. On same day, few hours after vaccination she started experiencing a sore arm, and there was a knot at the injection site. She stated that her arm was more sore than she usually experiences with vaccines, and had lasted longer than usual. The symptoms were improving, but not yet resolved. The seriousness and causality of events were not reported.


Changed on 5/14/2021

VAERS ID: 616670 Before After
VAERS Form:1
Age:19.0
Sex:Female
Location:Unknown
Vaccinated:2015-10-09
Onset:2015-10-09
Submitted:2015-10-29
Entered:2015-12-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (BEXSERO) / NOVARTIS VACCINES AND DIAGNOSTICS - / UNK LA / SYR

Administered by: Other      Purchased by: Other
Symptoms: Pain in extremity, Injection site nodule

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: Loratadine
Current Illness: Unknown
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': PHEH2015US020627

Write-up: Case number PHEH2015US020627, is an initial spontaneous report from a consumer received on 12 Oct 2015. This report refers to a 19-year-old female patient. Past medical history was not reported. Past medical vaccination included flu vaccine of unknown manufacture on 29 Sep 2015 (10 days prior to BEXSERO). Concomitant medication included loratadine (manufacturer unknown). She was vaccinated with BEXSERO (batch number and expiry date: not reported) at left arm on 09 Oct 2015. On same day, few hours after vaccination she started experiencing a sore arm, and there was a knot at the injection site. She stated that her arm was more sore than she usually experiences with vaccines, and had lasted longer than usual. The symptoms were improving, but not yet resolved. The seriousness and causality of events were not reported.

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https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=616670&WAYBACKHISTORY=ON

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