National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts.org
Search Results

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

This is VAERS ID 628710

Government Disclaimer on use of this data



Case Details

VAERS ID: 628710 (history)  
Form: Version 1.0  
Age: 16.0  
Sex: Female  
Location: New York  
Vaccinated:2016-03-21
Onset:2016-03-21
   Days after vaccination:0
Submitted: 2016-03-23
   Days after onset:2
Entered: 2016-03-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH M37314 / 1 LA / IM

Administered by: Private       Purchased by: Public
Symptoms: Chills, Muscle spasms, Tremor
SMQs:, Neuroleptic malignant syndrome (broad), Dystonia (broad), Parkinson-like events (broad), Noninfectious encephalopathy/delirium (broad), Hypoglycaemia (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: Lantus 100Unit/ml, Proair HFA 108mcg, Simvastatin 10MG, Vitamin D-3 1000 Unit, Calcium 600 and Vit D3 600-800MG
Current Illness: No
Preexisting Conditions: Type 1 Diabetes Mellitus, Asthma, Mixed Hyperlipidemia
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Chills, leg cramps, shaky.


New Search

Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=628710


Copyright © 2022 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166