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This is VAERS ID 625923

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History of Changes from the VAERS Wayback Machine

First Appeared on 4/14/2016

VAERS ID: 625923
VAERS Form:
Age:
Sex:Male
Location:Unknown
Vaccinated:0000-00-00
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: Erythema, Pyrexia, Skin warm, Vomiting, Peripheral swelling

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': 2015422143

Write-up: This is a spontaneous report from a contactable nurse via a Pfizer sales representative. This nurse reported similar events for two brothers. A male patient of unspecified age received the first single dose of TRUMENBA on an unknown date. Medical history and concomitant medications were not provided. After vaccination, on an unknown date, the patient experienced red, warm, swollen arms, vomiting and a high fever. Events outcome was unknown. Follow-up (22JAN2016): Follow-up attempts completed. No further information expected.


Changed on 9/14/2017

VAERS ID: 625923 Before After
VAERS Form:(blank) 1
Age:
Sex:Male
Location:Unknown
Vaccinated:0000-00-00
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: Erythema, Pyrexia, Skin warm, Vomiting, Peripheral swelling

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': 2015422143

Write-up: This is a spontaneous report from a contactable nurse via a Pfizer sales representative. This nurse reported similar events for two brothers. A male patient of unspecified age received the first single dose of TRUMENBA on an unknown date. Medical history and concomitant medications were not provided. After vaccination, on an unknown date, the patient experienced red, warm, swollen arms, vomiting and a high fever. Events outcome was unknown. Follow-up (22JAN2016): Follow-up attempts completed. No further information expected.


Changed on 2/14/2018

VAERS ID: 625923 Before After
VAERS Form:1
Age:
Sex:Male
Location:Unknown
Vaccinated:0000-00-00
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: Erythema, Pyrexia, Skin warm, Vomiting, Peripheral swelling

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': 2015422143

Write-up: This is a spontaneous report from a contactable nurse via a Pfizer sales representative. This nurse reported similar events for two brothers. A male patient of unspecified age received the first single dose of TRUMENBA on an unknown date. Medical history and concomitant medications were not provided. After vaccination, on an unknown date, the patient experienced red, warm, swollen arms, vomiting and a high fever. Events outcome was unknown. Follow-up (22JAN2016): Follow-up attempts completed. No further information expected.


Changed on 6/14/2018

VAERS ID: 625923 Before After
VAERS Form:1
Age:
Sex:Male
Location:Unknown
Vaccinated:0000-00-00
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: Erythema, Pyrexia, Skin warm, Vomiting, Peripheral swelling

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': 2015422143

Write-up: This is a spontaneous report from a contactable nurse via a Pfizer sales representative. This nurse reported similar events for two brothers. A male patient of unspecified age received the first single dose of TRUMENBA on an unknown date. Medical history and concomitant medications were not provided. After vaccination, on an unknown date, the patient experienced red, warm, swollen arms, vomiting and a high fever. Events outcome was unknown. Follow-up (22JAN2016): Follow-up attempts completed. No further information expected.


Changed on 8/14/2018

VAERS ID: 625923 Before After
VAERS Form:1
Age:
Sex:Male
Location:Unknown
Vaccinated:0000-00-00
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: Erythema, Pyrexia, Skin warm, Vomiting, Peripheral swelling

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': 2015422143

Write-up: This is a spontaneous report from a contactable nurse via a Pfizer sales representative. This nurse reported similar events for two brothers. A male patient of unspecified age received the first single dose of TRUMENBA on an unknown date. Medical history and concomitant medications were not provided. After vaccination, on an unknown date, the patient experienced red, warm, swollen arms, vomiting and a high fever. Events outcome was unknown. Follow-up (22JAN2016): Follow-up attempts completed. No further information expected.


Changed on 9/14/2018

VAERS ID: 625923 Before After
VAERS Form:1
Age:
Sex:Male
Location:Unknown
Vaccinated:0000-00-00
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: Erythema, Pyrexia, Skin warm, Vomiting, Peripheral swelling

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': 2015422143

Write-up: This is a spontaneous report from a contactable nurse via a Pfizer sales representative. This nurse reported similar events for two brothers. A male patient of unspecified age received the first single dose of TRUMENBA on an unknown date. Medical history and concomitant medications were not provided. After vaccination, on an unknown date, the patient experienced red, warm, swollen arms, vomiting and a high fever. Events outcome was unknown. Follow-up (22JAN2016): Follow-up attempts completed. No further information expected.


Changed on 10/14/2018

VAERS ID: 625923 Before After
VAERS Form:1
Age:
Sex:Male
Location:Unknown
Vaccinated:0000-00-00
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: Erythema, Pyrexia, Skin warm, Vomiting, Peripheral swelling

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': 2015422143

Write-up: This is a spontaneous report from a contactable nurse via a Pfizer sales representative. This nurse reported similar events for two brothers. A male patient of unspecified age received the first single dose of TRUMENBA on an unknown date. Medical history and concomitant medications were not provided. After vaccination, on an unknown date, the patient experienced red, warm, swollen arms, vomiting and a high fever. Events outcome was unknown. Follow-up (22JAN2016): Follow-up attempts completed. No further information expected.


Changed on 12/24/2020

VAERS ID: 625923 Before After
VAERS Form:1
Age:
Sex:Male
Location:Unknown
Vaccinated:0000-00-00
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: Erythema, Pyrexia, Skin warm, Vomiting, Peripheral swelling

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': 2015422143

Write-up: This is a spontaneous report from a contactable nurse via a Pfizer sales representative. This nurse reported similar events for two brothers. A male patient of unspecified age received the first single dose of TRUMENBA on an unknown date. Medical history and concomitant medications were not provided. After vaccination, on an unknown date, the patient experienced red, warm, swollen arms, vomiting and a high fever. Events outcome was unknown. Follow-up (22JAN2016): Follow-up attempts completed. No further information expected.


Changed on 12/30/2020

VAERS ID: 625923 Before After
VAERS Form:1
Age:
Sex:Male
Location:Unknown
Vaccinated:0000-00-00
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: Erythema, Pyrexia, Skin warm, Vomiting, Peripheral swelling

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': 2015422143

Write-up: This is a spontaneous report from a contactable nurse via a Pfizer sales representative. This nurse reported similar events for two brothers. A male patient of unspecified age received the first single dose of TRUMENBA on an unknown date. Medical history and concomitant medications were not provided. After vaccination, on an unknown date, the patient experienced red, warm, swollen arms, vomiting and a high fever. Events outcome was unknown. Follow-up (22JAN2016): Follow-up attempts completed. No further information expected.


Changed on 5/7/2021

VAERS ID: 625923 Before After
VAERS Form:1
Age:
Sex:Male
Location:Unknown
Vaccinated:0000-00-00
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: Erythema, Pyrexia, Skin warm, Vomiting, Peripheral swelling

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': 2015422143

Write-up: This is a spontaneous report from a contactable nurse via a Pfizer sales representative. This nurse reported similar events for two brothers. A male patient of unspecified age received the first single dose of TRUMENBA on an unknown date. Medical history and concomitant medications were not provided. After vaccination, on an unknown date, the patient experienced red, warm, swollen arms, vomiting and a high fever. Events outcome was unknown. Follow-up (22JAN2016): Follow-up attempts completed. No further information expected.


Changed on 5/14/2021

VAERS ID: 625923 Before After
VAERS Form:1
Age:
Sex:Male
Location:Unknown
Vaccinated:0000-00-00
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: Erythema, Pyrexia, Skin warm, Vomiting, Peripheral swelling

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': 2015422143

Write-up: This is a spontaneous report from a contactable nurse via a Pfizer sales representative. This nurse reported similar events for two brothers. A male patient of unspecified age received the first single dose of TRUMENBA on an unknown date. Medical history and concomitant medications were not provided. After vaccination, on an unknown date, the patient experienced red, warm, swollen arms, vomiting and a high fever. Events outcome was unknown. Follow-up (22JAN2016): Follow-up attempts completed. No further information expected.

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https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=625923&WAYBACKHISTORY=ON


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