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

This is VAERS ID 626959

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Case Details

VAERS ID: 626959 (history)  
Form: Version 1.0  
Age: 17.0  
Sex: Female  
Location: South Carolina  
Vaccinated:2016-03-10
Onset:2016-03-10
   Days after vaccination:0
Submitted: 2016-03-11
   Days after onset:1
Entered: 2016-03-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH M37315 / 2 LA / IM

Administered by: Private       Purchased by: Private
Symptoms: Body temperature increased, Fatigue, Pain in extremity, Vomiting
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), 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: DEPO PROVERA
Current Illness: None
Preexisting Conditions: Mono
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: A few hours after receiving vaccine, pt c/o extreme arm pain, temp 100.5, abd pain, and vomited 3 times. Woke up next day with fatigue.


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