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

This is VAERS ID 631094

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Case Details

VAERS ID: 631094 (history)  
Form: Version 1.0  
Age: 13.0  
Sex: Male  
Location: California  
Vaccinated:2016-03-28
Onset:2016-03-28
   Days after vaccination:0
Submitted: 2016-04-05
   Days after onset:8
Entered: 2016-04-12
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. L024993 / 3 RA / IM
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH L13514 / 2 LA / IM

Administered by: Private       Purchased by: Other
Symptoms: Chills, Dehydration, Hypotension, Tinnitus, Vomiting
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hearing impairment (narrow), Dehydration (narrow), Hypokalaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Low weight
Preexisting Conditions: Syncope; Dizziness
Allergies:
Diagnostic Lab Data: ED - Dehydration, low BP
CDC Split Type:

Write-up: Chills, vomiting, ringing in ears - IV fluids in ER.


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