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This is VAERS ID 625926

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History of Changes from the VAERS Wayback Machine

First Appeared on 4/14/2016

VAERS ID: 625926
VAERS Form:
Age:18.0
Sex:Female
Location:Unknown
Vaccinated:2015-12-23
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: Chills, Diarrhoea, Injection site pain, Nausea, Pain in extremity, Paraesthesia

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': 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.


Changed on 9/14/2017

VAERS ID: 625926 Before After
VAERS Form:(blank) 1
Age:18.0
Sex:Female
Location:Unknown
Vaccinated:2015-12-23
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: Chills, Diarrhoea, Injection site pain, Nausea, Pain in extremity, Paraesthesia

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': 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.


Changed on 2/14/2018

VAERS ID: 625926 Before After
VAERS Form:1
Age:18.0
Sex:Female
Location:Unknown
Vaccinated:2015-12-23
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: Chills, Diarrhoea, Injection site pain, Nausea, Pain in extremity, Paraesthesia

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': 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.


Changed on 6/14/2018

VAERS ID: 625926 Before After
VAERS Form:1
Age:18.0
Sex:Female
Location:Unknown
Vaccinated:2015-12-23
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: Chills, Diarrhoea, Injection site pain, Nausea, Pain in extremity, Paraesthesia

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': 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.


Changed on 8/14/2018

VAERS ID: 625926 Before After
VAERS Form:1
Age:18.0
Sex:Female
Location:Unknown
Vaccinated:2015-12-23
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: Chills, Diarrhoea, Injection site pain, Nausea, Pain in extremity, Paraesthesia

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': 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.


Changed on 9/14/2018

VAERS ID: 625926 Before After
VAERS Form:1
Age:18.0
Sex:Female
Location:Unknown
Vaccinated:2015-12-23
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: Chills, Diarrhoea, Injection site pain, Nausea, Pain in extremity, Paraesthesia

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': 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.


Changed on 10/14/2018

VAERS ID: 625926 Before After
VAERS Form:1
Age:18.0
Sex:Female
Location:Unknown
Vaccinated:2015-12-23
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: Chills, Diarrhoea, Injection site pain, Nausea, Pain in extremity, Paraesthesia

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': 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.


Changed on 12/24/2020

VAERS ID: 625926 Before After
VAERS Form:1
Age:18.0
Sex:Female
Location:Unknown
Vaccinated:2015-12-23
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: Chills, Diarrhoea, Injection site pain, Nausea, Pain in extremity, Paraesthesia

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': 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.


Changed on 12/30/2020

VAERS ID: 625926 Before After
VAERS Form:1
Age:18.0
Sex:Female
Location:Unknown
Vaccinated:2015-12-23
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: Chills, Diarrhoea, Injection site pain, Nausea, Pain in extremity, Paraesthesia

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': 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.


Changed on 5/7/2021

VAERS ID: 625926 Before After
VAERS Form:1
Age:18.0
Sex:Female
Location:Unknown
Vaccinated:2015-12-23
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: Chills, Diarrhoea, Injection site pain, Nausea, Pain in extremity, Paraesthesia

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': 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.


Changed on 5/14/2021

VAERS ID: 625926 Before After
VAERS Form:1
Age:18.0
Sex:Female
Location:Unknown
Vaccinated:2015-12-23
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: Chills, Diarrhoea, Injection site pain, Nausea, Pain in extremity, Paraesthesia

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': 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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https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=625926&WAYBACKHISTORY=ON


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