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This is VAERS ID 629803

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History of Changes from the VAERS Wayback Machine

First Appeared on 4/14/2016

VAERS ID: 629803
VAERS Form:
Age:17.0
Sex:Female
Location:Tennessee
Vaccinated:2016-03-24
Onset:2016-03-24
Submitted:2016-03-29
Entered:2016-03-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (BEXSERO) / NOVARTIS VACCINES AND DIAGNOSTICS 153701 / 0 RA / IM

Administered by: Public      Purchased by: Public
Symptoms: Injection site pain, Pain in extremity, Rash erythematous, Contusion, Injection site swelling, Injected limb mobility decreased

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: Depo
Current Illness: No
Preexisting Conditions: No
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Reported arm and shoulder pain, swelling around the site, difficulty moving arm due to pain on same day as injection. Next day pain, swelling continued also with bruising and red spots. Pt took Advil and Benadryl. Also used cold compresses. Still with minimal swelling and bruising 5 days after.


Changed on 9/14/2017

VAERS ID: 629803 Before After
VAERS Form:(blank) 1
Age:17.0
Sex:Female
Location:Tennessee
Vaccinated:2016-03-24
Onset:2016-03-24
Submitted:2016-03-29
Entered:2016-03-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (BEXSERO) / NOVARTIS VACCINES AND DIAGNOSTICS 153701 / 0 1 RA / IM

Administered by: Public      Purchased by: Public
Symptoms: Injection site pain, Pain in extremity, Rash erythematous, Contusion, Injection site swelling, Injected limb mobility decreased

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: Depo
Current Illness: No
Preexisting Conditions: No
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Reported arm and shoulder pain, swelling around the site, difficulty moving arm due to pain on same day as injection. Next day pain, swelling continued also with bruising and red spots. Pt took Advil and Benadryl. Also used cold compresses. Still with minimal swelling and bruising 5 days after.


Changed on 2/14/2018

VAERS ID: 629803 Before After
VAERS Form:1
Age:17.0
Sex:Female
Location:Tennessee
Vaccinated:2016-03-24
Onset:2016-03-24
Submitted:2016-03-29
Entered:2016-03-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (BEXSERO) / NOVARTIS VACCINES AND DIAGNOSTICS 153701 / 1 RA / IM

Administered by: Public      Purchased by: Public
Symptoms: Injection site pain, Pain in extremity, Rash erythematous, Contusion, Injection site swelling, Injected limb mobility decreased

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: Depo
Current Illness: No
Preexisting Conditions: No
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Reported arm and shoulder pain, swelling around the site, difficulty moving arm due to pain on same day as injection. Next day pain, swelling continued also with bruising and red spots. Pt took Advil and Benadryl. Also used cold compresses. Still with minimal swelling and bruising 5 days after.


Changed on 6/14/2018

VAERS ID: 629803 Before After
VAERS Form:1
Age:17.0
Sex:Female
Location:Tennessee
Vaccinated:2016-03-24
Onset:2016-03-24
Submitted:2016-03-29
Entered:2016-03-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (BEXSERO) / NOVARTIS VACCINES AND DIAGNOSTICS 153701 / 1 RA / IM

Administered by: Public      Purchased by: Public
Symptoms: Injection site pain, Pain in extremity, Rash erythematous, Contusion, Injection site swelling, Injected limb mobility decreased

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: Depo
Current Illness: No
Preexisting Conditions: No
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Reported arm and shoulder pain, swelling around the site, difficulty moving arm due to pain on same day as injection. Next day pain, swelling continued also with bruising and red spots. Pt took Advil and Benadryl. Also used cold compresses. Still with minimal swelling and bruising 5 days after.


Changed on 8/14/2018

VAERS ID: 629803 Before After
VAERS Form:1
Age:17.0
Sex:Female
Location:Tennessee
Vaccinated:2016-03-24
Onset:2016-03-24
Submitted:2016-03-29
Entered:2016-03-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (BEXSERO) / NOVARTIS VACCINES AND DIAGNOSTICS 153701 / 1 RA / IM

Administered by: Public      Purchased by: Public
Symptoms: Injection site pain, Pain in extremity, Rash erythematous, Contusion, Injection site swelling, Injected limb mobility decreased

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: Depo
Current Illness: No
Preexisting Conditions: No
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Reported arm and shoulder pain, swelling around the site, difficulty moving arm due to pain on same day as injection. Next day pain, swelling continued also with bruising and red spots. Pt took Advil and Benadryl. Also used cold compresses. Still with minimal swelling and bruising 5 days after.


Changed on 9/14/2018

VAERS ID: 629803 Before After
VAERS Form:1
Age:17.0
Sex:Female
Location:Tennessee
Vaccinated:2016-03-24
Onset:2016-03-24
Submitted:2016-03-29
Entered:2016-03-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (BEXSERO) / NOVARTIS VACCINES AND DIAGNOSTICS 153701 / 1 RA / IM

Administered by: Public      Purchased by: Public
Symptoms: Injection site pain, Pain in extremity, Rash erythematous, Contusion, Injection site swelling, Injected limb mobility decreased

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: Depo
Current Illness: No
Preexisting Conditions: No
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Reported arm and shoulder pain, swelling around the site, difficulty moving arm due to pain on same day as injection. Next day pain, swelling continued also with bruising and red spots. Pt took Advil and Benadryl. Also used cold compresses. Still with minimal swelling and bruising 5 days after.


Changed on 10/14/2018

VAERS ID: 629803 Before After
VAERS Form:1
Age:17.0
Sex:Female
Location:Tennessee
Vaccinated:2016-03-24
Onset:2016-03-24
Submitted:2016-03-29
Entered:2016-03-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (BEXSERO) / NOVARTIS VACCINES AND DIAGNOSTICS 153701 / 1 RA / IM

Administered by: Public      Purchased by: Public
Symptoms: Injection site pain, Pain in extremity, Rash erythematous, Contusion, Injection site swelling, Injected limb mobility decreased

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: Depo
Current Illness: No
Preexisting Conditions: No
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Reported arm and shoulder pain, swelling around the site, difficulty moving arm due to pain on same day as injection. Next day pain, swelling continued also with bruising and red spots. Pt took Advil and Benadryl. Also used cold compresses. Still with minimal swelling and bruising 5 days after.


Changed on 12/24/2020

VAERS ID: 629803 Before After
VAERS Form:1
Age:17.0
Sex:Female
Location:Tennessee
Vaccinated:2016-03-24
Onset:2016-03-24
Submitted:2016-03-29
Entered:2016-03-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (BEXSERO) / NOVARTIS VACCINES AND DIAGNOSTICS 153701 / 1 RA / IM

Administered by: Public      Purchased by: Public
Symptoms: Injection site pain, Pain in extremity, Rash erythematous, Contusion, Injection site swelling, Injected limb mobility decreased

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: Depo
Current Illness: No
Preexisting Conditions: No
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Reported arm and shoulder pain, swelling around the site, difficulty moving arm due to pain on same day as injection. Next day pain, swelling continued also with bruising and red spots. Pt took Advil and Benadryl. Also used cold compresses. Still with minimal swelling and bruising 5 days after.


Changed on 12/30/2020

VAERS ID: 629803 Before After
VAERS Form:1
Age:17.0
Sex:Female
Location:Tennessee
Vaccinated:2016-03-24
Onset:2016-03-24
Submitted:2016-03-29
Entered:2016-03-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (BEXSERO) / NOVARTIS VACCINES AND DIAGNOSTICS 153701 / 1 RA / IM

Administered by: Public      Purchased by: Public
Symptoms: Injection site pain, Pain in extremity, Rash erythematous, Contusion, Injection site swelling, Injected limb mobility decreased

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: Depo
Current Illness: No
Preexisting Conditions: No
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Reported arm and shoulder pain, swelling around the site, difficulty moving arm due to pain on same day as injection. Next day pain, swelling continued also with bruising and red spots. Pt took Advil and Benadryl. Also used cold compresses. Still with minimal swelling and bruising 5 days after.


Changed on 5/7/2021

VAERS ID: 629803 Before After
VAERS Form:1
Age:17.0
Sex:Female
Location:Tennessee
Vaccinated:2016-03-24
Onset:2016-03-24
Submitted:2016-03-29
Entered:2016-03-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (BEXSERO) / NOVARTIS VACCINES AND DIAGNOSTICS 153701 / 1 RA / IM

Administered by: Public      Purchased by: Public
Symptoms: Injection site pain, Pain in extremity, Rash erythematous, Contusion, Injection site swelling, Injected limb mobility decreased

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: Depo
Current Illness: No
Preexisting Conditions: No
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Reported arm and shoulder pain, swelling around the site, difficulty moving arm due to pain on same day as injection. Next day pain, swelling continued also with bruising and red spots. Pt took Advil and Benadryl. Also used cold compresses. Still with minimal swelling and bruising 5 days after.


Changed on 5/21/2021

VAERS ID: 629803 Before After
VAERS Form:1
Age:17.0
Sex:Female
Location:Tennessee
Vaccinated:2016-03-24
Onset:2016-03-24
Submitted:2016-03-29
Entered:2016-03-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (BEXSERO) / NOVARTIS VACCINES AND DIAGNOSTICS 153701 / 1 RA / IM

Administered by: Public      Purchased by: Public
Symptoms: Injection site pain, Pain in extremity, Rash erythematous, Contusion, Injection site swelling, Injected limb mobility decreased

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: Depo
Current Illness: No
Preexisting Conditions: No
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Reported arm and shoulder pain, swelling around the site, difficulty moving arm due to pain on same day as injection. Next day pain, swelling continued also with bruising and red spots. Pt took Advil and Benadryl. Also used cold compresses. Still with minimal swelling and bruising 5 days after.

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