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

This is VAERS ID 625926

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Case Details

VAERS ID: 625926 (history)  
Form: Version 1.0  
Age: 18.0  
Sex: Female  
Location: Unknown  
Vaccinated:2015-12-23
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: Chills, Diarrhoea, Injection site pain, Nausea, Pain in extremity, Paraesthesia
SMQs:, Acute pancreatitis (broad), Peripheral neuropathy (broad), Pseudomembranous colitis (broad), Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (narrow), Tendinopathies and ligament disorders (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: 2015471428

Write-up: This is a spontaneous report from a contactable consumer. A 18 year-old female patient of unspecified ethnicity received the first dose of TRUMENBA via an unspecified route of administration, on 23Dec2015, at a single dose. Relevant medical history and concomitant medications were not reported. About 8 hours later the vaccination, on Dec2015, the patient experienced arm very sore, and 16 hours later she had chills, she felt a lot of tingling, the brain felt tingly. On unknown date the patient was laying next to her mom and she was nauseous, she had diarrhea, the injection site was sore and fell asleep after 2 hours. The outcome of the events was unknown. Follow-up (04-FEB-2016): Follow-up attempts are completed. No further information is expected.


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