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From the 1/7/2022 release of VAERS data:

This is VAERS ID 625931

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Case Details

VAERS ID: 625931 (history)  
Form: Version 1.0  
Age: 18.0  
Sex: Female  
Location: Florida  
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 AR / IM

Administered by: Private       Purchased by: Private
Symptoms: Injection site swelling, Injection site warmth, Pain in extremity
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: No other medications
Current Illness: No
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: 2016018220

Write-up: This is a spontaneous report from a contactable physician through a Pfizer sales representative. A 18-year-old female patient received the first dose of TRUMENBA intramuscular, in deltoid, on 28Dec2015, at 0.5 ml, single. The patient medical history was not reported. The patient''s concomitant medications were not reported. No other vaccines received on the same date. The patient experienced soreness in the injected arm, hot area around the injection site and a two inch area around the injection site raised, all in Dec2015 (on 28Dec2015 or 29Dec2015). The reporter recommended ice and ibuprofen as needed. The events resolved on 30Dec2015. The reporter considered there was a reasonable possibility that the events were related to the vaccine. No follow-ups attempts are needed. No further information expected.


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