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

This is VAERS ID 630252

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Case Details

VAERS ID: 630252 (history)  
Form: Version 1.0  
Age: 17.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:2016-03-29
Onset:2016-03-30
   Days after vaccination:1
Submitted: 2016-04-04
   Days after onset:5
Entered: 2016-04-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH L13514 / 2 RA / IM

Administered by: Private       Purchased by: Public
Symptoms: Diarrhoea, Skin warm, Swelling
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Noninfectious diarrhoea (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Asthma; Allergic rhinitis
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: (R) arm hot to touch. Swollen. Diarrhea x 5-6 QD x 2 days.


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