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

This is VAERS ID 625932

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Case Details

VAERS ID: 625932 (history)  
Form: Version 1.0  
Age: 24.0  
Sex: Male  
Location: Unknown  
Vaccinated:2015-10-12
Onset:2015-10-12
   Days after vaccination:0
Submitted: 2016-02-18
   Days after onset:129
Entered: 2016-02-26
   Days after submission:8
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH J28923 / UNK RA / IM

Administered by: Other       Purchased by: Other
Symptoms: Headache, Myalgia, Pyrexia
SMQs:, Rhabdomyolysis/myopathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (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: Spherocytes
Preexisting Conditions: Asplenia; 05/06/1991, Red blood cell spherocytes present
Allergies:
Diagnostic Lab Data:
CDC Split Type: 2016021549

Write-up: This is a spontaneous report from a contactable pediatrician via a company sales representative. A male patient in his 80s received TRUMENBA (lot# J28923, exp date Jun2016), intramuscularly in right deltoid, on 12Oct2015, at 0.5 ml single. Relevant medical history included ongoing asplenic and spherocytes from 06May2991 and unknown if ongoing. Concomitant medications were none. ON 12Oct2015 the patient experienced high fever, headache and overall myalgia. It was unknown if the patient took any treatment for high fever. The patient recovered from the events on 14Oct2015. The physician believed that the event was related to the vaccine. The reporter considered the event as related to TRUMENBA. Follow-up (29Jan2016): New information received from a contactable physician includes: vaccination site, new events, medical history added, causality assessment.


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