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

This is VAERS ID 626863

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Case Details

VAERS ID: 626863 (history)  
Form: Version 1.0  
Age: 16.0  
Sex: Female  
Location: Arizona  
Vaccinated:2016-03-11
Onset:2016-03-12
   Days after vaccination:1
Submitted: 2016-03-14
   Days after onset:1
Entered: 2016-03-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MEN: MENINGOCOCCAL (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 2 RA / SYR
MENB: MENINGOCOCCAL B (BEXSERO) / NOVARTIS VACCINES AND DIAGNOSTICS - / 1 LA / SYR

Administered by: Public       Purchased by: Other
Symptoms: Abdominal pain, Chills, Cough, Decreased appetite, Disturbance in attention, Dizziness, Dysphagia, Fatigue, Headache, Injection site induration, Injection site mass, Injection site pain, Lacrimation increased, Lethargy, Myalgia, Palpitations, Pharyngeal oedema, Wheezing
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Acute pancreatitis (broad), Angioedema (narrow), Asthma/bronchospasm (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Retroperitoneal fibrosis (broad), Oropharyngeal allergic conditions (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Depression (excl suicide and self injury) (broad), Vestibular disorders (broad), Lacrimal disorders (narrow), Hypersensitivity (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

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: Singulair, Flonase, Claritin
Current Illness: No
Preexisting Conditions: Asthma, environmental allergies, Zithromax allergy
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Sensation of throat swelling and difficulty swallowing, mild wheezing and coughing, pounding headache, dizziness, fatigue and lethargy, abdominal cramps, extreme pain at site of injection, hard lump at site, fever of 100 degrees, chills, muscle pain, pounding of heart in her ears, watery eyes, difficulty concentrating because so lethargic, loss of appetite, muscle aches and pains.


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