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This is VAERS ID 625928

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History of Changes from the VAERS Wayback Machine

First Appeared on 4/14/2016

VAERS ID: 625928
VAERS Form:
Age:18.0
Sex:Male
Location:Unknown
Vaccinated:2015-12-28
Onset:2015-12-28
Submitted:2016-02-18
Entered:2016-02-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH - / 0 LA / IM

Administered by: Other      Purchased by: Other
Symptoms: Chills, Headache, Injection site erythema, Pain, Pyrexia

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: 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.


Changed on 9/14/2017

VAERS ID: 625928 Before After
VAERS Form:(blank) 1
Age:18.0
Sex:Male
Location:Unknown
Vaccinated:2015-12-28
Onset:2015-12-28
Submitted:2016-02-18
Entered:2016-02-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH - / 0 1 LA / IM

Administered by: Other      Purchased by: Other
Symptoms: Chills, Headache, Injection site erythema, Pain, Pyrexia

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: 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.


Changed on 2/14/2018

VAERS ID: 625928 Before After
VAERS Form:1
Age:18.0
Sex:Male
Location:Unknown
Vaccinated:2015-12-28
Onset:2015-12-28
Submitted:2016-02-18
Entered:2016-02-26
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

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: 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.


Changed on 6/14/2018

VAERS ID: 625928 Before After
VAERS Form:1
Age:18.0
Sex:Male
Location:Unknown
Vaccinated:2015-12-28
Onset:2015-12-28
Submitted:2016-02-18
Entered:2016-02-26
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

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: 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.


Changed on 8/14/2018

VAERS ID: 625928 Before After
VAERS Form:1
Age:18.0
Sex:Male
Location:Unknown
Vaccinated:2015-12-28
Onset:2015-12-28
Submitted:2016-02-18
Entered:2016-02-26
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

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: 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.


Changed on 9/14/2018

VAERS ID: 625928 Before After
VAERS Form:1
Age:18.0
Sex:Male
Location:Unknown
Vaccinated:2015-12-28
Onset:2015-12-28
Submitted:2016-02-18
Entered:2016-02-26
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

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: 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.


Changed on 10/14/2018

VAERS ID: 625928 Before After
VAERS Form:1
Age:18.0
Sex:Male
Location:Unknown
Vaccinated:2015-12-28
Onset:2015-12-28
Submitted:2016-02-18
Entered:2016-02-26
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

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: 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.


Changed on 12/24/2020

VAERS ID: 625928 Before After
VAERS Form:1
Age:18.0
Sex:Male
Location:Unknown
Vaccinated:2015-12-28
Onset:2015-12-28
Submitted:2016-02-18
Entered:2016-02-26
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

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: 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.


Changed on 12/30/2020

VAERS ID: 625928 Before After
VAERS Form:1
Age:18.0
Sex:Male
Location:Unknown
Vaccinated:2015-12-28
Onset:2015-12-28
Submitted:2016-02-18
Entered:2016-02-26
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

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: 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.


Changed on 5/7/2021

VAERS ID: 625928 Before After
VAERS Form:1
Age:18.0
Sex:Male
Location:Unknown
Vaccinated:2015-12-28
Onset:2015-12-28
Submitted:2016-02-18
Entered:2016-02-26
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

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: 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.


Changed on 5/14/2021

VAERS ID: 625928 Before After
VAERS Form:1
Age:18.0
Sex:Male
Location:Unknown
Vaccinated:2015-12-28
Onset:2015-12-28
Submitted:2016-02-18
Entered:2016-02-26
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

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: 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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https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=625928&WAYBACKHISTORY=ON


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