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This is VAERS ID 630252

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History of Changes from the VAERS Wayback Machine

First Appeared on 4/14/2016

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

Administered by: Private      Purchased by: Public
Symptoms: Diarrhoea, Skin warm, Swelling

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? 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.


Changed on 9/14/2017

VAERS ID: 630252 Before After
VAERS Form:(blank) 1
Age:17.0
Sex:Female
Location:Pennsylvania
Vaccinated:2016-03-29
Onset:2016-03-30
Submitted:2016-04-04
Entered:2016-04-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH L13514 / 1 2 RA / IM

Administered by: Private      Purchased by: Public
Symptoms: Diarrhoea, Skin warm, Swelling

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? 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.


Changed on 2/14/2018

VAERS ID: 630252 Before After
VAERS Form:1
Age:17.0
Sex:Female
Location:Pennsylvania
Vaccinated:2016-03-29
Onset:2016-03-30
Submitted:2016-04-04
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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? 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.


Changed on 6/14/2018

VAERS ID: 630252 Before After
VAERS Form:1
Age:17.0
Sex:Female
Location:Pennsylvania
Vaccinated:2016-03-29
Onset:2016-03-30
Submitted:2016-04-04
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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? 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.


Changed on 8/14/2018

VAERS ID: 630252 Before After
VAERS Form:1
Age:17.0
Sex:Female
Location:Pennsylvania
Vaccinated:2016-03-29
Onset:2016-03-30
Submitted:2016-04-04
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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? 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.


Changed on 9/14/2018

VAERS ID: 630252 Before After
VAERS Form:1
Age:17.0
Sex:Female
Location:Pennsylvania
Vaccinated:2016-03-29
Onset:2016-03-30
Submitted:2016-04-04
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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? 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.


Changed on 10/14/2018

VAERS ID: 630252 Before After
VAERS Form:1
Age:17.0
Sex:Female
Location:Pennsylvania
Vaccinated:2016-03-29
Onset:2016-03-30
Submitted:2016-04-04
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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? 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.


Changed on 12/24/2020

VAERS ID: 630252 Before After
VAERS Form:1
Age:17.0
Sex:Female
Location:Pennsylvania
Vaccinated:2016-03-29
Onset:2016-03-30
Submitted:2016-04-04
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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? 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.


Changed on 12/30/2020

VAERS ID: 630252 Before After
VAERS Form:1
Age:17.0
Sex:Female
Location:Pennsylvania
Vaccinated:2016-03-29
Onset:2016-03-30
Submitted:2016-04-04
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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? 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.


Changed on 5/7/2021

VAERS ID: 630252 Before After
VAERS Form:1
Age:17.0
Sex:Female
Location:Pennsylvania
Vaccinated:2016-03-29
Onset:2016-03-30
Submitted:2016-04-04
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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? 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.


Changed on 5/21/2021

VAERS ID: 630252 Before After
VAERS Form:1
Age:17.0
Sex:Female
Location:Pennsylvania
Vaccinated:2016-03-29
Onset:2016-03-30
Submitted:2016-04-04
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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? 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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