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This is VAERS ID 630715

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History of Changes from the VAERS Wayback Machine

First Appeared on 4/14/2016

VAERS ID: 630715
VAERS Form:
Age:20.0
Sex:Male
Location:California
Vaccinated:2016-02-04
Onset:2016-02-05
Submitted:2016-04-08
Entered:2016-04-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (BEXSERO) / NOVARTIS VACCINES AND DIAGNOSTICS - / 0 RA / IM

Administered by: Public      Purchased by: Other
Symptoms: Pain, Pain in extremity, Pyrexia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Body aches and pains progressing to fever that peaked on 02/05 at 11 PM. Aches persisted as well as a low grade fever for three days. Extreme pain on the injection arm was also present for nearly two weeks.


Changed on 9/14/2017

VAERS ID: 630715 Before After
VAERS Form:(blank) 1
Age:20.0
Sex:Male
Location:California
Vaccinated:2016-02-04
Onset:2016-02-05
Submitted:2016-04-08
Entered:2016-04-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (BEXSERO) / NOVARTIS VACCINES AND DIAGNOSTICS - / 0 1 RA / IM

Administered by: Public      Purchased by: Other
Symptoms: Pain, Pain in extremity, Pyrexia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Body aches and pains progressing to fever that peaked on 02/05 at 11 PM. Aches persisted as well as a low grade fever for three days. Extreme pain on the injection arm was also present for nearly two weeks.


Changed on 2/14/2018

VAERS ID: 630715 Before After
VAERS Form:1
Age:20.0
Sex:Male
Location:California
Vaccinated:2016-02-04
Onset:2016-02-05
Submitted:2016-04-08
Entered:2016-04-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (BEXSERO) / NOVARTIS VACCINES AND DIAGNOSTICS - / 1 RA / IM

Administered by: Public      Purchased by: Other
Symptoms: Pain, Pain in extremity, Pyrexia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Body aches and pains progressing to fever that peaked on 02/05 at 11 PM. Aches persisted as well as a low grade fever for three days. Extreme pain on the injection arm was also present for nearly two weeks.


Changed on 6/14/2018

VAERS ID: 630715 Before After
VAERS Form:1
Age:20.0
Sex:Male
Location:California
Vaccinated:2016-02-04
Onset:2016-02-05
Submitted:2016-04-08
Entered:2016-04-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (BEXSERO) / NOVARTIS VACCINES AND DIAGNOSTICS - / 1 RA / IM

Administered by: Public      Purchased by: Other
Symptoms: Pain, Pain in extremity, Pyrexia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Body aches and pains progressing to fever that peaked on 02/05 at 11 PM. Aches persisted as well as a low grade fever for three days. Extreme pain on the injection arm was also present for nearly two weeks.


Changed on 8/14/2018

VAERS ID: 630715 Before After
VAERS Form:1
Age:20.0
Sex:Male
Location:California
Vaccinated:2016-02-04
Onset:2016-02-05
Submitted:2016-04-08
Entered:2016-04-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (BEXSERO) / NOVARTIS VACCINES AND DIAGNOSTICS - / 1 RA / IM

Administered by: Public      Purchased by: Other
Symptoms: Pain, Pain in extremity, Pyrexia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Body aches and pains progressing to fever that peaked on 02/05 at 11 PM. Aches persisted as well as a low grade fever for three days. Extreme pain on the injection arm was also present for nearly two weeks.


Changed on 9/14/2018

VAERS ID: 630715 Before After
VAERS Form:1
Age:20.0
Sex:Male
Location:California
Vaccinated:2016-02-04
Onset:2016-02-05
Submitted:2016-04-08
Entered:2016-04-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (BEXSERO) / NOVARTIS VACCINES AND DIAGNOSTICS - / 1 RA / IM

Administered by: Public      Purchased by: Other
Symptoms: Pain, Pain in extremity, Pyrexia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Body aches and pains progressing to fever that peaked on 02/05 at 11 PM. Aches persisted as well as a low grade fever for three days. Extreme pain on the injection arm was also present for nearly two weeks.


Changed on 10/14/2018

VAERS ID: 630715 Before After
VAERS Form:1
Age:20.0
Sex:Male
Location:California
Vaccinated:2016-02-04
Onset:2016-02-05
Submitted:2016-04-08
Entered:2016-04-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (BEXSERO) / NOVARTIS VACCINES AND DIAGNOSTICS - / 1 RA / IM

Administered by: Public      Purchased by: Other
Symptoms: Pain, Pain in extremity, Pyrexia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Body aches and pains progressing to fever that peaked on 02/05 at 11 PM. Aches persisted as well as a low grade fever for three days. Extreme pain on the injection arm was also present for nearly two weeks.


Changed on 12/24/2020

VAERS ID: 630715 Before After
VAERS Form:1
Age:20.0
Sex:Male
Location:California
Vaccinated:2016-02-04
Onset:2016-02-05
Submitted:2016-04-08
Entered:2016-04-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (BEXSERO) / NOVARTIS VACCINES AND DIAGNOSTICS - / 1 RA / IM

Administered by: Public      Purchased by: Other
Symptoms: Pain, Pain in extremity, Pyrexia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Body aches and pains progressing to fever that peaked on 02/05 at 11 PM. Aches persisted as well as a low grade fever for three days. Extreme pain on the injection arm was also present for nearly two weeks.


Changed on 12/30/2020

VAERS ID: 630715 Before After
VAERS Form:1
Age:20.0
Sex:Male
Location:California
Vaccinated:2016-02-04
Onset:2016-02-05
Submitted:2016-04-08
Entered:2016-04-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (BEXSERO) / NOVARTIS VACCINES AND DIAGNOSTICS - / 1 RA / IM

Administered by: Public      Purchased by: Other
Symptoms: Pain, Pain in extremity, Pyrexia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Body aches and pains progressing to fever that peaked on 02/05 at 11 PM. Aches persisted as well as a low grade fever for three days. Extreme pain on the injection arm was also present for nearly two weeks.


Changed on 5/7/2021

VAERS ID: 630715 Before After
VAERS Form:1
Age:20.0
Sex:Male
Location:California
Vaccinated:2016-02-04
Onset:2016-02-05
Submitted:2016-04-08
Entered:2016-04-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (BEXSERO) / NOVARTIS VACCINES AND DIAGNOSTICS - / 1 RA / IM

Administered by: Public      Purchased by: Other
Symptoms: Pain, Pain in extremity, Pyrexia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Body aches and pains progressing to fever that peaked on 02/05 at 11 PM. Aches persisted as well as a low grade fever for three days. Extreme pain on the injection arm was also present for nearly two weeks.


Changed on 5/21/2021

VAERS ID: 630715 Before After
VAERS Form:1
Age:20.0
Sex:Male
Location:California
Vaccinated:2016-02-04
Onset:2016-02-05
Submitted:2016-04-08
Entered:2016-04-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (BEXSERO) / NOVARTIS VACCINES AND DIAGNOSTICS - / 1 RA / IM

Administered by: Public      Purchased by: Other
Symptoms: Pain, Pain in extremity, Pyrexia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Body aches and pains progressing to fever that peaked on 02/05 at 11 PM. Aches persisted as well as a low grade fever for three days. Extreme pain on the injection arm was also present for nearly two weeks.

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