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This is VAERS ID 617495

History of Changes from the VAERS Wayback Machine

First Appeared on 2/14/2016

VAERS ID: 617495
VAERS Form:
Age:19.0
Sex:Female
Location:Maryland
Vaccinated:2015-12-23
Onset:2015-12-23
Submitted:2016-01-05
Entered:2016-01-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH L13515 / 1 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Lymphadenopathy, Swollen tongue, Oropharyngeal pain, Streptococcus test negative

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: Synthroid; Birth Control (Ortho tricyclin)
Current Illness: No
Preexisting Conditions: Celiac Disease, Hypothyroid (Hashimotos)
Allergies:
Diagnostic Lab Data: Unremarkable physical exam. Strep test negative.
CDC 'Split Type':

Write-up: Felt tongue was swollen, lymph nodes felt swollen, sore throat.


Changed on 9/14/2017

VAERS ID: 617495 Before After
VAERS Form:(blank) 1
Age:19.0
Sex:Female
Location:Maryland
Vaccinated:2015-12-23
Onset:2015-12-23
Submitted:2016-01-05
Entered:2016-01-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH L13515 / 1 2 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Lymphadenopathy, Swollen tongue, Oropharyngeal pain, Streptococcus test negative

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: Synthroid; Birth Control (Ortho tricyclin)
Current Illness: No
Preexisting Conditions: Celiac Disease, Hypothyroid (Hashimotos)
Allergies:
Diagnostic Lab Data: Unremarkable physical exam. Strep test negative.
CDC 'Split Type':

Write-up: Felt tongue was swollen, lymph nodes felt swollen, sore throat.


Changed on 2/14/2018

VAERS ID: 617495 Before After
VAERS Form:1
Age:19.0
Sex:Female
Location:Maryland
Vaccinated:2015-12-23
Onset:2015-12-23
Submitted:2016-01-05
Entered:2016-01-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH L13515 / 2 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Lymphadenopathy, Swollen tongue, Oropharyngeal pain, Streptococcus test negative

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: Synthroid; Birth Control (Ortho tricyclin)
Current Illness: No
Preexisting Conditions: Celiac Disease, Hypothyroid (Hashimotos)
Allergies:
Diagnostic Lab Data: Unremarkable physical exam. Strep test negative.
CDC 'Split Type':

Write-up: Felt tongue was swollen, lymph nodes felt swollen, sore throat.


Changed on 6/14/2018

VAERS ID: 617495 Before After
VAERS Form:1
Age:19.0
Sex:Female
Location:Maryland
Vaccinated:2015-12-23
Onset:2015-12-23
Submitted:2016-01-05
Entered:2016-01-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH L13515 / 2 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Lymphadenopathy, Swollen tongue, Oropharyngeal pain, Streptococcus test negative

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: Synthroid; Birth Control (Ortho tricyclin)
Current Illness: No
Preexisting Conditions: Celiac Disease, Hypothyroid (Hashimotos)
Allergies:
Diagnostic Lab Data: Unremarkable physical exam. Strep test negative.
CDC 'Split Type':

Write-up: Felt tongue was swollen, lymph nodes felt swollen, sore throat.


Changed on 8/14/2018

VAERS ID: 617495 Before After
VAERS Form:1
Age:19.0
Sex:Female
Location:Maryland
Vaccinated:2015-12-23
Onset:2015-12-23
Submitted:2016-01-05
Entered:2016-01-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH L13515 / 2 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Lymphadenopathy, Swollen tongue, Oropharyngeal pain, Streptococcus test negative

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: Synthroid; Birth Control (Ortho tricyclin)
Current Illness: No
Preexisting Conditions: Celiac Disease, Hypothyroid (Hashimotos)
Allergies:
Diagnostic Lab Data: Unremarkable physical exam. Strep test negative.
CDC 'Split Type':

Write-up: Felt tongue was swollen, lymph nodes felt swollen, sore throat.


Changed on 9/14/2018

VAERS ID: 617495 Before After
VAERS Form:1
Age:19.0
Sex:Female
Location:Maryland
Vaccinated:2015-12-23
Onset:2015-12-23
Submitted:2016-01-05
Entered:2016-01-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH L13515 / 2 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Lymphadenopathy, Swollen tongue, Oropharyngeal pain, Streptococcus test negative

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: Synthroid; Birth Control (Ortho tricyclin)
Current Illness: No
Preexisting Conditions: Celiac Disease, Hypothyroid (Hashimotos)
Allergies:
Diagnostic Lab Data: Unremarkable physical exam. Strep test negative.
CDC 'Split Type':

Write-up: Felt tongue was swollen, lymph nodes felt swollen, sore throat.


Changed on 10/14/2018

VAERS ID: 617495 Before After
VAERS Form:1
Age:19.0
Sex:Female
Location:Maryland
Vaccinated:2015-12-23
Onset:2015-12-23
Submitted:2016-01-05
Entered:2016-01-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH L13515 / 2 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Lymphadenopathy, Swollen tongue, Oropharyngeal pain, Streptococcus test negative

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: Synthroid; Birth Control (Ortho tricyclin)
Current Illness: No
Preexisting Conditions: Celiac Disease, Hypothyroid (Hashimotos)
Allergies:
Diagnostic Lab Data: Unremarkable physical exam. Strep test negative.
CDC 'Split Type':

Write-up: Felt tongue was swollen, lymph nodes felt swollen, sore throat.


Changed on 12/24/2020

VAERS ID: 617495 Before After
VAERS Form:1
Age:19.0
Sex:Female
Location:Maryland
Vaccinated:2015-12-23
Onset:2015-12-23
Submitted:2016-01-05
Entered:2016-01-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH L13515 / 2 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Lymphadenopathy, Swollen tongue, Oropharyngeal pain, Streptococcus test negative

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: Synthroid; Birth Control (Ortho tricyclin)
Current Illness: No
Preexisting Conditions: Celiac Disease, Hypothyroid (Hashimotos)
Allergies:
Diagnostic Lab Data: Unremarkable physical exam. Strep test negative.
CDC 'Split Type':

Write-up: Felt tongue was swollen, lymph nodes felt swollen, sore throat.


Changed on 12/30/2020

VAERS ID: 617495 Before After
VAERS Form:1
Age:19.0
Sex:Female
Location:Maryland
Vaccinated:2015-12-23
Onset:2015-12-23
Submitted:2016-01-05
Entered:2016-01-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH L13515 / 2 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Lymphadenopathy, Swollen tongue, Oropharyngeal pain, Streptococcus test negative

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: Synthroid; Birth Control (Ortho tricyclin)
Current Illness: No
Preexisting Conditions: Celiac Disease, Hypothyroid (Hashimotos)
Allergies:
Diagnostic Lab Data: Unremarkable physical exam. Strep test negative.
CDC 'Split Type':

Write-up: Felt tongue was swollen, lymph nodes felt swollen, sore throat.


Changed on 5/7/2021

VAERS ID: 617495 Before After
VAERS Form:1
Age:19.0
Sex:Female
Location:Maryland
Vaccinated:2015-12-23
Onset:2015-12-23
Submitted:2016-01-05
Entered:2016-01-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH L13515 / 2 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Lymphadenopathy, Swollen tongue, Oropharyngeal pain, Streptococcus test negative

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: Synthroid; Birth Control (Ortho tricyclin)
Current Illness: No
Preexisting Conditions: Celiac Disease, Hypothyroid (Hashimotos)
Allergies:
Diagnostic Lab Data: Unremarkable physical exam. Strep test negative.
CDC 'Split Type':

Write-up: Felt tongue was swollen, lymph nodes felt swollen, sore throat.


Changed on 5/14/2021

VAERS ID: 617495 Before After
VAERS Form:1
Age:19.0
Sex:Female
Location:Maryland
Vaccinated:2015-12-23
Onset:2015-12-23
Submitted:2016-01-05
Entered:2016-01-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH L13515 / 2 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Lymphadenopathy, Swollen tongue, Oropharyngeal pain, Streptococcus test negative

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: Synthroid; Birth Control (Ortho tricyclin)
Current Illness: No
Preexisting Conditions: Celiac Disease, Hypothyroid (Hashimotos)
Allergies:
Diagnostic Lab Data: Unremarkable physical exam. Strep test negative.
CDC 'Split Type':

Write-up: Felt tongue was swollen, lymph nodes felt swollen, sore throat.

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https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=617495&WAYBACKHISTORY=ON

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