National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 625922

Government Disclaimer on use of this data

History of Changes from the VAERS Wayback Machine

First Appeared on 4/14/2016

VAERS ID: 625922
VAERS Form:
Age:
Sex:Female
Location:Unknown
Vaccinated:2015-08-21
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 UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Crying, Pain, Swelling, Induration

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': 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.


Changed on 9/14/2017

VAERS ID: 625922 Before After
VAERS Form:(blank) 1
Age:
Sex:Female
Location:Unknown
Vaccinated:2015-08-21
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 UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Crying, Pain, Swelling, Induration

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': 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.


Changed on 2/14/2018

VAERS ID: 625922 Before After
VAERS Form:1
Age:
Sex:Female
Location:Unknown
Vaccinated:2015-08-21
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 UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Crying, Pain, Swelling, Induration

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': 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.


Changed on 6/14/2018

VAERS ID: 625922 Before After
VAERS Form:1
Age:
Sex:Female
Location:Unknown
Vaccinated:2015-08-21
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 UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Crying, Pain, Swelling, Induration

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': 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.


Changed on 8/14/2018

VAERS ID: 625922 Before After
VAERS Form:1
Age:
Sex:Female
Location:Unknown
Vaccinated:2015-08-21
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 UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Crying, Pain, Swelling, Induration

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': 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.


Changed on 9/14/2018

VAERS ID: 625922 Before After
VAERS Form:1
Age:
Sex:Female
Location:Unknown
Vaccinated:2015-08-21
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 UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Crying, Pain, Swelling, Induration

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': 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.


Changed on 10/14/2018

VAERS ID: 625922 Before After
VAERS Form:1
Age:
Sex:Female
Location:Unknown
Vaccinated:2015-08-21
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 UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Crying, Pain, Swelling, Induration

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': 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.


Changed on 12/24/2020

VAERS ID: 625922 Before After
VAERS Form:1
Age:
Sex:Female
Location:Unknown
Vaccinated:2015-08-21
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 UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Crying, Pain, Swelling, Induration

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': 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.


Changed on 12/30/2020

VAERS ID: 625922 Before After
VAERS Form:1
Age:
Sex:Female
Location:Unknown
Vaccinated:2015-08-21
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 UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Crying, Pain, Swelling, Induration

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': 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.


Changed on 5/7/2021

VAERS ID: 625922 Before After
VAERS Form:1
Age:
Sex:Female
Location:Unknown
Vaccinated:2015-08-21
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 UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Crying, Pain, Swelling, Induration

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': 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.


Changed on 5/14/2021

VAERS ID: 625922 Before After
VAERS Form:1
Age:
Sex:Female
Location:Unknown
Vaccinated:2015-08-21
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 UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Crying, Pain, Swelling, Induration

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': 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.

New Search

Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=625922&WAYBACKHISTORY=ON


Copyright © 2021 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166