National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts.org
Search Results

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

This is VAERS ID 630349

Government Disclaimer on use of this data



Case Details

VAERS ID: 630349 (history)  
Form: Version 1.0  
Age: 18.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:2016-03-31
Onset:2016-03-31
   Days after vaccination:0
Submitted: 2016-04-01
   Days after onset:1
Entered: 2016-04-05
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (BEXSERO) / NOVARTIS VACCINES AND DIAGNOSTICS 149001 / 1 LA / IM

Administered by: Private       Purchased by: Public
Symptoms: Hyperhidrosis, Injection site hypoaesthesia, Injection site pain, Nausea, Pyrexia, Swelling
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Angioedema (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (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: FLOVENT; Fluoxetine; Hydroxyzine; Hydrocodone/APAP
Current Illness: 18 yr check up yearly
Preexisting Conditions: ADHD; Mood disorder
Allergies:
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Increasing pain at injection site beginning 4 hours after injection. Pt then developed swelling, nausea, diaphoresis, fever to 102 degrees F, and transient numbness at injection site.


New Search

Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=630349


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