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From the 1/14/2022 release of VAERS data:

This is VAERS ID 625933

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Case Details

VAERS ID: 625933 (history)  
Form: Version 1.0  
Age:   
Sex: Male  
Location: Unknown  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 2016-02-18
Entered: 2016-02-26
   Days after submission:8
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH - / UNK UN / SYR

Administered by: Other       Purchased by: Other
Symptoms: Vaccination complication
SMQs:

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:
CDC Split Type: 2016018386

Write-up: This is a spontaneous report from a contactable physician and nurse via a Company representative. This physician and nurse reported for three patients, this is the 1st of 3 reports received for a male patient. A male patient of an unspecified age and ethnicity received TRUMENBA, via an unspecified route of administration at 0.5ml single on an unspecified date for immunisation. The patient medical history was not reported. The patient''s concomitant medications were not reported. The patient experienced reaction to TRUMENBA (vaccination complication) on an unspecified date with outcome of unknown. The Pfizer Sales Representative mentioned that in the doctor''s opinion the reaction was due to TRUMENBA.


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