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This is VAERS ID 630287

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History of Changes from the VAERS Wayback Machine

First Appeared on 4/14/2016

VAERS ID: 630287
VAERS Form:
Age:19.0
Sex:Female
Location:New York
Vaccinated:2016-04-02
Onset:2016-04-02
Submitted:2016-04-04
Entered:2016-04-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH M37315 / 1 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus

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


Changed on 9/14/2017

VAERS ID: 630287 Before After
VAERS Form:(blank) 1
Age:19.0
Sex:Female
Location:New York
Vaccinated:2016-04-02
Onset:2016-04-02
Submitted:2016-04-04
Entered:2016-04-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH M37315 / 1 2 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus

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


Changed on 2/14/2018

VAERS ID: 630287 Before After
VAERS Form:1
Age:19.0
Sex:Female
Location:New York
Vaccinated:2016-04-02
Onset:2016-04-02
Submitted:2016-04-04
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

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


Changed on 6/14/2018

VAERS ID: 630287 Before After
VAERS Form:1
Age:19.0
Sex:Female
Location:New York
Vaccinated:2016-04-02
Onset:2016-04-02
Submitted:2016-04-04
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

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


Changed on 8/14/2018

VAERS ID: 630287 Before After
VAERS Form:1
Age:19.0
Sex:Female
Location:New York
Vaccinated:2016-04-02
Onset:2016-04-02
Submitted:2016-04-04
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

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


Changed on 9/14/2018

VAERS ID: 630287 Before After
VAERS Form:1
Age:19.0
Sex:Female
Location:New York
Vaccinated:2016-04-02
Onset:2016-04-02
Submitted:2016-04-04
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

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


Changed on 10/14/2018

VAERS ID: 630287 Before After
VAERS Form:1
Age:19.0
Sex:Female
Location:New York
Vaccinated:2016-04-02
Onset:2016-04-02
Submitted:2016-04-04
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

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


Changed on 12/24/2020

VAERS ID: 630287 Before After
VAERS Form:1
Age:19.0
Sex:Female
Location:New York
Vaccinated:2016-04-02
Onset:2016-04-02
Submitted:2016-04-04
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

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


Changed on 12/30/2020

VAERS ID: 630287 Before After
VAERS Form:1
Age:19.0
Sex:Female
Location:New York
Vaccinated:2016-04-02
Onset:2016-04-02
Submitted:2016-04-04
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

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


Changed on 5/7/2021

VAERS ID: 630287 Before After
VAERS Form:1
Age:19.0
Sex:Female
Location:New York
Vaccinated:2016-04-02
Onset:2016-04-02
Submitted:2016-04-04
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

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


Changed on 5/21/2021

VAERS ID: 630287 Before After
VAERS Form:1
Age:19.0
Sex:Female
Location:New York
Vaccinated:2016-04-02
Onset:2016-04-02
Submitted:2016-04-04
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

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

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