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

This is VAERS ID 629941

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Case Details

VAERS ID: 629941 (history)  
Form: Version 1.0  
Age: 18.0  
Sex: Male  
Location: California  
Vaccinated:2016-01-16
Onset:2016-01-17
   Days after vaccination:1
Submitted: 2016-03-30
   Days after onset:72
Entered: 2016-03-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH M13066 / 1 LA / SYR

Administered by: Private       Purchased by: Private
Symptoms: Influenza like illness, Injection site pain, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (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: None
Current Illness: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Fever to 101, soreness at injection site with flu like symptoms that started 24hrs after injection.


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