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

This is VAERS ID 630713

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Case Details

VAERS ID: 630713 (history)  
Form: Version 1.0  
Age: 20.0  
Sex: Male  
Location: California  
Vaccinated:2016-04-06
Onset:2016-04-07
   Days after vaccination:1
Submitted: 2016-04-08
   Days after onset:1
Entered: 2016-04-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (BEXSERO) / NOVARTIS VACCINES AND DIAGNOSTICS - / 2 LA / IM

Administered by: Public       Purchased by: Other
Symptoms: Asthenia, Delirium, Pain, Pain in extremity, Pyrexia, Vaccination site pain, Vomiting
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (narrow), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Dehydration (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:
Current Illness: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Body pain and aches at onset with extreme pain at and around vaccination site (unable to move arm at all without pain). Starting at 2:00 PM, fever and weakness began to develop. Fever grew to 105F in cyclic spurts with accompanying delirium and vomiting at the peak. All symptoms resolved by 9AM 04/08/2016.


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