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

This is VAERS ID 625928

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Case Details

VAERS ID: 625928 (history)  
Form: Version 1.0  
Age: 18.0  
Sex: Male  
Location: Unknown  
Vaccinated:2015-12-28
Onset:2015-12-28
   Days after vaccination:0
Submitted: 2016-02-18
   Days after onset:52
Entered: 2016-02-26
   Days after submission:8
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH - / 1 LA / IM

Administered by: Other       Purchased by: Other
Symptoms: Chills, Headache, Injection site erythema, Pain, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (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: 12/29/2015, Body temperature, 99.8 Fahrenheit
CDC Split Type: 2015475787

Write-up: This is a spontaneous report from a contactable consumer. An 18-year-old other ethnic group male patient received the first dose of TRUMENBA, intramuscular at 0.5 ml single in the left arm on 28Dec2015. The patient medical history and concomitant medications were not reported. On 28Dec2015, the patient experienced chills, pain. On 29Dec2015 he developed slight pinkness around the sight, slight fever at 99.8 degrees Fahrenheit, headache. Therapeutic measures were taken as a result of headache included ibuprofen. The outcome of the events was not recovered.


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