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This is VAERS ID 625929

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History of Changes from the VAERS Wayback Machine

First Appeared on 4/14/2016

VAERS ID: 625929
VAERS Form:
Age:
Sex:Unknown
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 M13066 / 0 UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Abdominal pain upper, Dizziness, Headache, Injection site erythema, Nausea, Pain in extremity, Pyrexia, Vomiting, Injection site 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: Body temperature, 101 Fahrenheit
CDC 'Split Type': 2016034252

Write-up: This is a spontaneous report from two contactable nurses via a Pfizer sales representative. The nurses reported similar events for 3 patients. This is the first of 3 reports. A patient of unspecified age, gender and ethnicity received the first dose of TRUMENBA (lot M13066) via an unspecified route of administration, on unknown date, at single dose. Relevant medical history and concomitant medications were not reported. On unknown date the patient experienced faint redness and swollen at sight, fever at 101 F, stomach pain, vomiting, dizzy, severe headache, severe soreness of arm and she was nauseous. The outcome of the events was unknown. No follow up attempts possible. No further information expected.


Changed on 9/14/2017

VAERS ID: 625929 Before After
VAERS Form:(blank) 1
Age:
Sex:Unknown
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 M13066 / 0 1 UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Abdominal pain upper, Dizziness, Headache, Injection site erythema, Nausea, Pain in extremity, Pyrexia, Vomiting, Injection site 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: Body temperature, 101 Fahrenheit
CDC 'Split Type': 2016034252

Write-up: This is a spontaneous report from two contactable nurses via a Pfizer sales representative. The nurses reported similar events for 3 patients. This is the first of 3 reports. A patient of unspecified age, gender and ethnicity received the first dose of TRUMENBA (lot M13066) via an unspecified route of administration, on unknown date, at single dose. Relevant medical history and concomitant medications were not reported. On unknown date the patient experienced faint redness and swollen at sight, fever at 101 F, stomach pain, vomiting, dizzy, severe headache, severe soreness of arm and she was nauseous. The outcome of the events was unknown. No follow up attempts possible. No further information expected.


Changed on 2/14/2018

VAERS ID: 625929 Before After
VAERS Form:1
Age:
Sex:Unknown
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 M13066 / 1 UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Abdominal pain upper, Dizziness, Headache, Injection site erythema, Nausea, Pain in extremity, Pyrexia, Vomiting, Injection site 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: Body temperature, 101 Fahrenheit
CDC 'Split Type': 2016034252

Write-up: This is a spontaneous report from two contactable nurses via a Pfizer sales representative. The nurses reported similar events for 3 patients. This is the first of 3 reports. A patient of unspecified age, gender and ethnicity received the first dose of TRUMENBA (lot M13066) via an unspecified route of administration, on unknown date, at single dose. Relevant medical history and concomitant medications were not reported. On unknown date the patient experienced faint redness and swollen at sight, fever at 101 F, stomach pain, vomiting, dizzy, severe headache, severe soreness of arm and she was nauseous. The outcome of the events was unknown. No follow up attempts possible. No further information expected.


Changed on 6/14/2018

VAERS ID: 625929 Before After
VAERS Form:1
Age:
Sex:Unknown
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 M13066 / 1 UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Abdominal pain upper, Dizziness, Headache, Injection site erythema, Nausea, Pain in extremity, Pyrexia, Vomiting, Injection site 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: Body temperature, 101 Fahrenheit
CDC 'Split Type': 2016034252

Write-up: This is a spontaneous report from two contactable nurses via a Pfizer sales representative. The nurses reported similar events for 3 patients. This is the first of 3 reports. A patient of unspecified age, gender and ethnicity received the first dose of TRUMENBA (lot M13066) via an unspecified route of administration, on unknown date, at single dose. Relevant medical history and concomitant medications were not reported. On unknown date the patient experienced faint redness and swollen at sight, fever at 101 F, stomach pain, vomiting, dizzy, severe headache, severe soreness of arm and she was nauseous. The outcome of the events was unknown. No follow up attempts possible. No further information expected.


Changed on 8/14/2018

VAERS ID: 625929 Before After
VAERS Form:1
Age:
Sex:Unknown
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 M13066 / 1 UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Abdominal pain upper, Dizziness, Headache, Injection site erythema, Nausea, Pain in extremity, Pyrexia, Vomiting, Injection site 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: Body temperature, 101 Fahrenheit
CDC 'Split Type': 2016034252

Write-up: This is a spontaneous report from two contactable nurses via a Pfizer sales representative. The nurses reported similar events for 3 patients. This is the first of 3 reports. A patient of unspecified age, gender and ethnicity received the first dose of TRUMENBA (lot M13066) via an unspecified route of administration, on unknown date, at single dose. Relevant medical history and concomitant medications were not reported. On unknown date the patient experienced faint redness and swollen at sight, fever at 101 F, stomach pain, vomiting, dizzy, severe headache, severe soreness of arm and she was nauseous. The outcome of the events was unknown. No follow up attempts possible. No further information expected.


Changed on 9/14/2018

VAERS ID: 625929 Before After
VAERS Form:1
Age:
Sex:Unknown
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 M13066 / 1 UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Abdominal pain upper, Dizziness, Headache, Injection site erythema, Nausea, Pain in extremity, Pyrexia, Vomiting, Injection site 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: Body temperature, 101 Fahrenheit
CDC 'Split Type': 2016034252

Write-up: This is a spontaneous report from two contactable nurses via a Pfizer sales representative. The nurses reported similar events for 3 patients. This is the first of 3 reports. A patient of unspecified age, gender and ethnicity received the first dose of TRUMENBA (lot M13066) via an unspecified route of administration, on unknown date, at single dose. Relevant medical history and concomitant medications were not reported. On unknown date the patient experienced faint redness and swollen at sight, fever at 101 F, stomach pain, vomiting, dizzy, severe headache, severe soreness of arm and she was nauseous. The outcome of the events was unknown. No follow up attempts possible. No further information expected.


Changed on 10/14/2018

VAERS ID: 625929 Before After
VAERS Form:1
Age:
Sex:Unknown
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 M13066 / 1 UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Abdominal pain upper, Dizziness, Headache, Injection site erythema, Nausea, Pain in extremity, Pyrexia, Vomiting, Injection site 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: Body temperature, 101 Fahrenheit
CDC 'Split Type': 2016034252

Write-up: This is a spontaneous report from two contactable nurses via a Pfizer sales representative. The nurses reported similar events for 3 patients. This is the first of 3 reports. A patient of unspecified age, gender and ethnicity received the first dose of TRUMENBA (lot M13066) via an unspecified route of administration, on unknown date, at single dose. Relevant medical history and concomitant medications were not reported. On unknown date the patient experienced faint redness and swollen at sight, fever at 101 F, stomach pain, vomiting, dizzy, severe headache, severe soreness of arm and she was nauseous. The outcome of the events was unknown. No follow up attempts possible. No further information expected.


Changed on 12/24/2020

VAERS ID: 625929 Before After
VAERS Form:1
Age:
Sex:Unknown
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 M13066 / 1 UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Abdominal pain upper, Dizziness, Headache, Injection site erythema, Nausea, Pain in extremity, Pyrexia, Vomiting, Injection site 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: Body temperature, 101 Fahrenheit
CDC 'Split Type': 2016034252

Write-up: This is a spontaneous report from two contactable nurses via a Pfizer sales representative. The nurses reported similar events for 3 patients. This is the first of 3 reports. A patient of unspecified age, gender and ethnicity received the first dose of TRUMENBA (lot M13066) via an unspecified route of administration, on unknown date, at single dose. Relevant medical history and concomitant medications were not reported. On unknown date the patient experienced faint redness and swollen at sight, fever at 101 F, stomach pain, vomiting, dizzy, severe headache, severe soreness of arm and she was nauseous. The outcome of the events was unknown. No follow up attempts possible. No further information expected.


Changed on 12/30/2020

VAERS ID: 625929 Before After
VAERS Form:1
Age:
Sex:Unknown
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 M13066 / 1 UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Abdominal pain upper, Dizziness, Headache, Injection site erythema, Nausea, Pain in extremity, Pyrexia, Vomiting, Injection site 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: Body temperature, 101 Fahrenheit
CDC 'Split Type': 2016034252

Write-up: This is a spontaneous report from two contactable nurses via a Pfizer sales representative. The nurses reported similar events for 3 patients. This is the first of 3 reports. A patient of unspecified age, gender and ethnicity received the first dose of TRUMENBA (lot M13066) via an unspecified route of administration, on unknown date, at single dose. Relevant medical history and concomitant medications were not reported. On unknown date the patient experienced faint redness and swollen at sight, fever at 101 F, stomach pain, vomiting, dizzy, severe headache, severe soreness of arm and she was nauseous. The outcome of the events was unknown. No follow up attempts possible. No further information expected.


Changed on 5/7/2021

VAERS ID: 625929 Before After
VAERS Form:1
Age:
Sex:Unknown
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 M13066 / 1 UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Abdominal pain upper, Dizziness, Headache, Injection site erythema, Nausea, Pain in extremity, Pyrexia, Vomiting, Injection site 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: Body temperature, 101 Fahrenheit
CDC 'Split Type': 2016034252

Write-up: This is a spontaneous report from two contactable nurses via a Pfizer sales representative. The nurses reported similar events for 3 patients. This is the first of 3 reports. A patient of unspecified age, gender and ethnicity received the first dose of TRUMENBA (lot M13066) via an unspecified route of administration, on unknown date, at single dose. Relevant medical history and concomitant medications were not reported. On unknown date the patient experienced faint redness and swollen at sight, fever at 101 F, stomach pain, vomiting, dizzy, severe headache, severe soreness of arm and she was nauseous. The outcome of the events was unknown. No follow up attempts possible. No further information expected.


Changed on 5/21/2021

VAERS ID: 625929 Before After
VAERS Form:1
Age:
Sex:Unknown
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 M13066 / 1 UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Abdominal pain upper, Dizziness, Headache, Injection site erythema, Nausea, Pain in extremity, Pyrexia, Vomiting, Injection site 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: Body temperature, 101 Fahrenheit
CDC 'Split Type': 2016034252

Write-up: This is a spontaneous report from two contactable nurses via a Pfizer sales representative. The nurses reported similar events for 3 patients. This is the first of 3 reports. A patient of unspecified age, gender and ethnicity received the first dose of TRUMENBA (lot M13066) via an unspecified route of administration, on unknown date, at single dose. Relevant medical history and concomitant medications were not reported. On unknown date the patient experienced faint redness and swollen at sight, fever at 101 F, stomach pain, vomiting, dizzy, severe headache, severe soreness of arm and she was nauseous. The outcome of the events was unknown. No follow up attempts possible. No further information expected.

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