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

This is VAERS ID 629967

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Case Details

VAERS ID: 629967 (history)  
Form: Version 1.0  
Age: 23.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:2016-03-29
Onset:2016-03-29
   Days after vaccination:0
Submitted: 2016-03-30
   Days after onset:1
Entered: 2016-03-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH M37315 / UNK LA / UN

Administered by: Private       Purchased by: Unknown
Symptoms: Erythema, Pain, Skin warm, Tenderness
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (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:
Current Illness: Acne
Preexisting Conditions: Shrimp; Melon; Chlorhexidine; Gluconate
Allergies:
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Soreness, tender, red, warm. TYLENOL, ice TID. Is on doxycycline for acne.


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