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This is VAERS ID 625920

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History of Changes from the VAERS Wayback Machine

First Appeared on 4/14/2016

VAERS ID: 625920
VAERS Form:
Age:22.0
Sex:Female
Location:California
Vaccinated:2015-03-04
Onset:0000-00-00
Submitted:2016-02-18
Entered:2016-02-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH - / 0 LA / IM

Administered by: Private      Purchased by: Other
Symptoms: Pain in extremity, Wrong drug administered, Immediate post-injection reaction

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: AVIANE; NECON
Current Illness:
Preexisting Conditions: Lactose intolerance; Hormone level abnormal; Hot flush; Menstrual disorder; NECON, Drug ineffective
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 2015382384

Write-up: This is a spontaneous report from a Pfizer-sponsored program. A 23-year-old female patient (her daughter) received first dose of TRUMENBA on 04Mar2015 and the second dose on 13May2015 both at 0.5ml single dose intramuscular in the left deltoid. The third dose vaccine was due in Oct2015, but her physician did not carry the TRUMENBA, so administered meningococcal vaccine (ZAXSERO or BEXSERO) intramuscular on left arm at 1 DF single dose on 05Nov2015. Concomitant medications included NECON for hot flashes and acne but it wasn''t helping with her hot flashes and acne and AVIANE. Medical history included ongoing lactose intolerance, ongoing hormone level abnormal, ongoing hot flush and ongoing menstrual disorder. After both doses of vaccine the patient experienced arm sore. She noticed the soreness immediately after getting vaccinations. The soreness lasted almost a week after the TRUMENBA vaccines. The outcome of the event was recovered. Follow-up (31DEC2015): Follow-up attempts completed. No further information expected.


Changed on 9/14/2017

VAERS ID: 625920 Before After
VAERS Form:(blank) 1
Age:22.0
Sex:Female
Location:California
Vaccinated:2015-03-04
Onset:0000-00-00
Submitted:2016-02-18
Entered:2016-02-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH - / 0 1 LA / IM

Administered by: Private      Purchased by: Other
Symptoms: Pain in extremity, Wrong drug administered, Immediate post-injection reaction

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: AVIANE; NECON
Current Illness:
Preexisting Conditions: Lactose intolerance; Hormone level abnormal; Hot flush; Menstrual disorder; NECON, Drug ineffective
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 2015382384

Write-up: This is a spontaneous report from a Pfizer-sponsored program. A 23-year-old female patient (her daughter) received first dose of TRUMENBA on 04Mar2015 and the second dose on 13May2015 both at 0.5ml single dose intramuscular in the left deltoid. The third dose vaccine was due in Oct2015, but her physician did not carry the TRUMENBA, so administered meningococcal vaccine (ZAXSERO or BEXSERO) intramuscular on left arm at 1 DF single dose on 05Nov2015. Concomitant medications included NECON for hot flashes and acne but it wasn''t helping with her hot flashes and acne and AVIANE. Medical history included ongoing lactose intolerance, ongoing hormone level abnormal, ongoing hot flush and ongoing menstrual disorder. After both doses of vaccine the patient experienced arm sore. She noticed the soreness immediately after getting vaccinations. The soreness lasted almost a week after the TRUMENBA vaccines. The outcome of the event was recovered. Follow-up (31DEC2015): Follow-up attempts completed. No further information expected.


Changed on 2/14/2018

VAERS ID: 625920 Before After
VAERS Form:1
Age:22.0
Sex:Female
Location:California
Vaccinated:2015-03-04
Onset:0000-00-00
Submitted:2016-02-18
Entered:2016-02-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH - / 1 LA / IM

Administered by: Private      Purchased by: Other
Symptoms: Pain in extremity, Wrong drug administered, Immediate post-injection reaction

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: AVIANE; NECON
Current Illness:
Preexisting Conditions: Lactose intolerance; Hormone level abnormal; Hot flush; Menstrual disorder; NECON, Drug ineffective
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 2015382384

Write-up: This is a spontaneous report from a Pfizer-sponsored program. A 23-year-old female patient (her daughter) received first dose of TRUMENBA on 04Mar2015 and the second dose on 13May2015 both at 0.5ml single dose intramuscular in the left deltoid. The third dose vaccine was due in Oct2015, but her physician did not carry the TRUMENBA, so administered meningococcal vaccine (ZAXSERO or BEXSERO) intramuscular on left arm at 1 DF single dose on 05Nov2015. Concomitant medications included NECON for hot flashes and acne but it wasn''t helping with her hot flashes and acne and AVIANE. Medical history included ongoing lactose intolerance, ongoing hormone level abnormal, ongoing hot flush and ongoing menstrual disorder. After both doses of vaccine the patient experienced arm sore. She noticed the soreness immediately after getting vaccinations. The soreness lasted almost a week after the TRUMENBA vaccines. The outcome of the event was recovered. Follow-up (31DEC2015): Follow-up attempts completed. No further information expected.


Changed on 6/14/2018

VAERS ID: 625920 Before After
VAERS Form:1
Age:22.0
Sex:Female
Location:California
Vaccinated:2015-03-04
Onset:0000-00-00
Submitted:2016-02-18
Entered:2016-02-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH - / 1 LA / IM

Administered by: Private      Purchased by: Other
Symptoms: Pain in extremity, Wrong drug administered, Immediate post-injection reaction

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: AVIANE; NECON
Current Illness:
Preexisting Conditions: Lactose intolerance; Hormone level abnormal; Hot flush; Menstrual disorder; NECON, Drug ineffective
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 2015382384

Write-up: This is a spontaneous report from a Pfizer-sponsored program. A 23-year-old female patient (her daughter) received first dose of TRUMENBA on 04Mar2015 and the second dose on 13May2015 both at 0.5ml single dose intramuscular in the left deltoid. The third dose vaccine was due in Oct2015, but her physician did not carry the TRUMENBA, so administered meningococcal vaccine (ZAXSERO or BEXSERO) intramuscular on left arm at 1 DF single dose on 05Nov2015. Concomitant medications included NECON for hot flashes and acne but it wasn''t helping with her hot flashes and acne and AVIANE. Medical history included ongoing lactose intolerance, ongoing hormone level abnormal, ongoing hot flush and ongoing menstrual disorder. After both doses of vaccine the patient experienced arm sore. She noticed the soreness immediately after getting vaccinations. The soreness lasted almost a week after the TRUMENBA vaccines. The outcome of the event was recovered. Follow-up (31DEC2015): Follow-up attempts completed. No further information expected.


Changed on 8/14/2018

VAERS ID: 625920 Before After
VAERS Form:1
Age:22.0
Sex:Female
Location:California
Vaccinated:2015-03-04
Onset:0000-00-00
Submitted:2016-02-18
Entered:2016-02-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH - / 1 LA / IM

Administered by: Private      Purchased by: Other
Symptoms: Pain in extremity, Wrong drug administered, Immediate post-injection reaction

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: AVIANE; NECON
Current Illness:
Preexisting Conditions: Lactose intolerance; Hormone level abnormal; Hot flush; Menstrual disorder; NECON, Drug ineffective
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 2015382384

Write-up: This is a spontaneous report from a Pfizer-sponsored program. A 23-year-old female patient (her daughter) received first dose of TRUMENBA on 04Mar2015 and the second dose on 13May2015 both at 0.5ml single dose intramuscular in the left deltoid. The third dose vaccine was due in Oct2015, but her physician did not carry the TRUMENBA, so administered meningococcal vaccine (ZAXSERO or BEXSERO) intramuscular on left arm at 1 DF single dose on 05Nov2015. Concomitant medications included NECON for hot flashes and acne but it wasn''t helping with her hot flashes and acne and AVIANE. Medical history included ongoing lactose intolerance, ongoing hormone level abnormal, ongoing hot flush and ongoing menstrual disorder. After both doses of vaccine the patient experienced arm sore. She noticed the soreness immediately after getting vaccinations. The soreness lasted almost a week after the TRUMENBA vaccines. The outcome of the event was recovered. Follow-up (31DEC2015): Follow-up attempts completed. No further information expected.


Changed on 9/14/2018

VAERS ID: 625920 Before After
VAERS Form:1
Age:22.0
Sex:Female
Location:California
Vaccinated:2015-03-04
Onset:0000-00-00
Submitted:2016-02-18
Entered:2016-02-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH - / 1 LA / IM

Administered by: Private      Purchased by: Other
Symptoms: Pain in extremity, Wrong drug administered, Immediate post-injection reaction

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: AVIANE; NECON
Current Illness:
Preexisting Conditions: Lactose intolerance; Hormone level abnormal; Hot flush; Menstrual disorder; NECON, Drug ineffective
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 2015382384

Write-up: This is a spontaneous report from a Pfizer-sponsored program. A 23-year-old female patient (her daughter) received first dose of TRUMENBA on 04Mar2015 and the second dose on 13May2015 both at 0.5ml single dose intramuscular in the left deltoid. The third dose vaccine was due in Oct2015, but her physician did not carry the TRUMENBA, so administered meningococcal vaccine (ZAXSERO or BEXSERO) intramuscular on left arm at 1 DF single dose on 05Nov2015. Concomitant medications included NECON for hot flashes and acne but it wasn''t helping with her hot flashes and acne and AVIANE. Medical history included ongoing lactose intolerance, ongoing hormone level abnormal, ongoing hot flush and ongoing menstrual disorder. After both doses of vaccine the patient experienced arm sore. She noticed the soreness immediately after getting vaccinations. The soreness lasted almost a week after the TRUMENBA vaccines. The outcome of the event was recovered. Follow-up (31DEC2015): Follow-up attempts completed. No further information expected.


Changed on 10/14/2018

VAERS ID: 625920 Before After
VAERS Form:1
Age:22.0
Sex:Female
Location:California
Vaccinated:2015-03-04
Onset:0000-00-00
Submitted:2016-02-18
Entered:2016-02-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH - / 1 LA / IM

Administered by: Private      Purchased by: Other
Symptoms: Pain in extremity, Wrong drug administered, Immediate post-injection reaction

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: AVIANE; NECON
Current Illness:
Preexisting Conditions: Lactose intolerance; Hormone level abnormal; Hot flush; Menstrual disorder; NECON, Drug ineffective
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 2015382384

Write-up: This is a spontaneous report from a Pfizer-sponsored program. A 23-year-old female patient (her daughter) received first dose of TRUMENBA on 04Mar2015 and the second dose on 13May2015 both at 0.5ml single dose intramuscular in the left deltoid. The third dose vaccine was due in Oct2015, but her physician did not carry the TRUMENBA, so administered meningococcal vaccine (ZAXSERO or BEXSERO) intramuscular on left arm at 1 DF single dose on 05Nov2015. Concomitant medications included NECON for hot flashes and acne but it wasn''t helping with her hot flashes and acne and AVIANE. Medical history included ongoing lactose intolerance, ongoing hormone level abnormal, ongoing hot flush and ongoing menstrual disorder. After both doses of vaccine the patient experienced arm sore. She noticed the soreness immediately after getting vaccinations. The soreness lasted almost a week after the TRUMENBA vaccines. The outcome of the event was recovered. Follow-up (31DEC2015): Follow-up attempts completed. No further information expected.


Changed on 12/24/2020

VAERS ID: 625920 Before After
VAERS Form:1
Age:22.0
Sex:Female
Location:California
Vaccinated:2015-03-04
Onset:0000-00-00
Submitted:2016-02-18
Entered:2016-02-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH - / 1 LA / IM

Administered by: Private      Purchased by: Other
Symptoms: Pain in extremity, Wrong drug administered, Immediate post-injection reaction

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: AVIANE; NECON
Current Illness:
Preexisting Conditions: Lactose intolerance; Hormone level abnormal; Hot flush; Menstrual disorder; NECON, Drug ineffective
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 2015382384

Write-up: This is a spontaneous report from a Pfizer-sponsored program. A 23-year-old female patient (her daughter) received first dose of TRUMENBA on 04Mar2015 and the second dose on 13May2015 both at 0.5ml single dose intramuscular in the left deltoid. The third dose vaccine was due in Oct2015, but her physician did not carry the TRUMENBA, so administered meningococcal vaccine (ZAXSERO or BEXSERO) intramuscular on left arm at 1 DF single dose on 05Nov2015. Concomitant medications included NECON for hot flashes and acne but it wasn''t helping with her hot flashes and acne and AVIANE. Medical history included ongoing lactose intolerance, ongoing hormone level abnormal, ongoing hot flush and ongoing menstrual disorder. After both doses of vaccine the patient experienced arm sore. She noticed the soreness immediately after getting vaccinations. The soreness lasted almost a week after the TRUMENBA vaccines. The outcome of the event was recovered. Follow-up (31DEC2015): Follow-up attempts completed. No further information expected.


Changed on 12/30/2020

VAERS ID: 625920 Before After
VAERS Form:1
Age:22.0
Sex:Female
Location:California
Vaccinated:2015-03-04
Onset:0000-00-00
Submitted:2016-02-18
Entered:2016-02-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH - / 1 LA / IM

Administered by: Private      Purchased by: Other
Symptoms: Pain in extremity, Wrong drug administered, Immediate post-injection reaction

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: AVIANE; NECON
Current Illness:
Preexisting Conditions: Lactose intolerance; Hormone level abnormal; Hot flush; Menstrual disorder; NECON, Drug ineffective
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 2015382384

Write-up: This is a spontaneous report from a Pfizer-sponsored program. A 23-year-old female patient (her daughter) received first dose of TRUMENBA on 04Mar2015 and the second dose on 13May2015 both at 0.5ml single dose intramuscular in the left deltoid. The third dose vaccine was due in Oct2015, but her physician did not carry the TRUMENBA, so administered meningococcal vaccine (ZAXSERO or BEXSERO) intramuscular on left arm at 1 DF single dose on 05Nov2015. Concomitant medications included NECON for hot flashes and acne but it wasn''t helping with her hot flashes and acne and AVIANE. Medical history included ongoing lactose intolerance, ongoing hormone level abnormal, ongoing hot flush and ongoing menstrual disorder. After both doses of vaccine the patient experienced arm sore. She noticed the soreness immediately after getting vaccinations. The soreness lasted almost a week after the TRUMENBA vaccines. The outcome of the event was recovered. Follow-up (31DEC2015): Follow-up attempts completed. No further information expected.


Changed on 5/7/2021

VAERS ID: 625920 Before After
VAERS Form:1
Age:22.0
Sex:Female
Location:California
Vaccinated:2015-03-04
Onset:0000-00-00
Submitted:2016-02-18
Entered:2016-02-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH - / 1 LA / IM

Administered by: Private      Purchased by: Other
Symptoms: Pain in extremity, Wrong drug administered, Immediate post-injection reaction

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: AVIANE; NECON
Current Illness:
Preexisting Conditions: Lactose intolerance; Hormone level abnormal; Hot flush; Menstrual disorder; NECON, Drug ineffective
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 2015382384

Write-up: This is a spontaneous report from a Pfizer-sponsored program. A 23-year-old female patient (her daughter) received first dose of TRUMENBA on 04Mar2015 and the second dose on 13May2015 both at 0.5ml single dose intramuscular in the left deltoid. The third dose vaccine was due in Oct2015, but her physician did not carry the TRUMENBA, so administered meningococcal vaccine (ZAXSERO or BEXSERO) intramuscular on left arm at 1 DF single dose on 05Nov2015. Concomitant medications included NECON for hot flashes and acne but it wasn''t helping with her hot flashes and acne and AVIANE. Medical history included ongoing lactose intolerance, ongoing hormone level abnormal, ongoing hot flush and ongoing menstrual disorder. After both doses of vaccine the patient experienced arm sore. She noticed the soreness immediately after getting vaccinations. The soreness lasted almost a week after the TRUMENBA vaccines. The outcome of the event was recovered. Follow-up (31DEC2015): Follow-up attempts completed. No further information expected.


Changed on 5/14/2021

VAERS ID: 625920 Before After
VAERS Form:1
Age:22.0
Sex:Female
Location:California
Vaccinated:2015-03-04
Onset:0000-00-00
Submitted:2016-02-18
Entered:2016-02-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH - / 1 LA / IM

Administered by: Private      Purchased by: Other
Symptoms: Pain in extremity, Wrong drug administered, Immediate post-injection reaction

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: AVIANE; NECON
Current Illness:
Preexisting Conditions: Lactose intolerance; Hormone level abnormal; Hot flush; Menstrual disorder; NECON, Drug ineffective
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 2015382384

Write-up: This is a spontaneous report from a Pfizer-sponsored program. A 23-year-old female patient (her daughter) received first dose of TRUMENBA on 04Mar2015 and the second dose on 13May2015 both at 0.5ml single dose intramuscular in the left deltoid. The third dose vaccine was due in Oct2015, but her physician did not carry the TRUMENBA, so administered meningococcal vaccine (ZAXSERO or BEXSERO) intramuscular on left arm at 1 DF single dose on 05Nov2015. Concomitant medications included NECON for hot flashes and acne but it wasn''t helping with her hot flashes and acne and AVIANE. Medical history included ongoing lactose intolerance, ongoing hormone level abnormal, ongoing hot flush and ongoing menstrual disorder. After both doses of vaccine the patient experienced arm sore. She noticed the soreness immediately after getting vaccinations. The soreness lasted almost a week after the TRUMENBA vaccines. The outcome of the event was recovered. Follow-up (31DEC2015): Follow-up attempts completed. No further information expected.

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