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This is VAERS ID 625933

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History of Changes from the VAERS Wayback Machine

First Appeared on 4/14/2016

VAERS ID: 625933
VAERS Form:
Age:
Sex:Male
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 - / - UN / SYR

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

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:
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.


Changed on 9/14/2017

VAERS ID: 625933 Before After
VAERS Form:(blank) 1
Age:
Sex:Male
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 - / - UNK UN / SYR

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

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:
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.


Changed on 2/14/2018

VAERS ID: 625933 Before After
VAERS Form:1
Age:
Sex:Male
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 - / UNK UN / SYR

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

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:
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.


Changed on 6/14/2018

VAERS ID: 625933 Before After
VAERS Form:1
Age:
Sex:Male
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 - / UNK UN / SYR

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

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:
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.


Changed on 8/14/2018

VAERS ID: 625933 Before After
VAERS Form:1
Age:
Sex:Male
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 - / UNK UN / SYR

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

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:
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.


Changed on 9/14/2018

VAERS ID: 625933 Before After
VAERS Form:1
Age:
Sex:Male
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 - / UNK UN / SYR

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

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:
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.


Changed on 10/14/2018

VAERS ID: 625933 Before After
VAERS Form:1
Age:
Sex:Male
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 - / UNK UN / SYR

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

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:
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.


Changed on 12/24/2020

VAERS ID: 625933 Before After
VAERS Form:1
Age:
Sex:Male
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 - / UNK UN / SYR

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

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:
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.


Changed on 12/30/2020

VAERS ID: 625933 Before After
VAERS Form:1
Age:
Sex:Male
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 - / UNK UN / SYR

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

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:
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.


Changed on 5/7/2021

VAERS ID: 625933 Before After
VAERS Form:1
Age:
Sex:Male
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 - / UNK UN / SYR

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

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:
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.


Changed on 5/21/2021

VAERS ID: 625933 Before After
VAERS Form:1
Age:
Sex:Male
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 - / UNK UN / SYR

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

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:
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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