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From the 11/19/2021 release of VAERS data:

This is VAERS ID 625922

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Case Details

VAERS ID: 625922 (history)  
Form: Version 1.0  
Age:   
Sex: Female  
Location: Unknown  
Vaccinated:2015-08-21
Onset:0000-00-00
Submitted: 2016-02-18
Entered: 2016-02-26
   Days after submission:8
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH - / 1 UN / UN

Administered by: Other       Purchased by: Other
Symptoms: Crying, Induration, Pain, Swelling
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Depression (excl suicide and self injury) (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: No other medications
Current Illness: Unknown
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: 2015399632

Write-up: This is a spontaneous report obtained from a contactable consumer through a Pfizer sales representative. A 19-year-old female patient received, on 21Aug2015, the first dose of TRUMENBA single dose. Relevant medical history and concomitant medications were unknown. On an unspecified date, in Aug2015, one or two hours after the vaccination, the patient experienced severe pain, induration, swelling and crying. The patient took ALEVE for the pain. Clinical outcome of the events was unknown at time of this report. Follow-up (22JAN2016): Follow-up attempts are completed. No further information is expected.


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