National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts.org
Search Results

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

This is VAERS ID 630287

Government Disclaimer on use of this data



Case Details

VAERS ID: 630287 (history)  
Form: Version 1.0  
Age: 19.0  
Sex: Female  
Location: New York  
Vaccinated:2016-04-02
Onset:2016-04-02
   Days after vaccination:0
Submitted: 2016-04-04
   Days after onset:2
Entered: 2016-04-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH M37315 / 2 LA / IM

Administered by: Private       Purchased by: Private
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus
SMQs:, Extravasation events (injections, infusions and implants) (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NO
Preexisting Conditions: MIGRAINE, VERTIGO
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Pt received Trumenba vaccine on Saturday - that night noted redness to the area. Today co increased erythema, pruritis, and tenderness. No increase in size. No fevers, pain, cough, sob, vomiting. Good appetite. Feeding well with good urine output. Active, happy, sleeping well.


New Search

Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=630287


Copyright © 2022 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166