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

This is VAERS ID 631647

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Case Details

VAERS ID: 631647 (history)  
Form: Version 1.0  
Age: 20.0  
Sex: Female  
Location: Minnesota  
Vaccinated:2016-03-30
Onset:2016-03-30
   Days after vaccination:0
Submitted: 2016-04-15
   Days after onset:16
Entered: 2016-04-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (BEXSERO) / NOVARTIS VACCINES AND DIAGNOSTICS 149001 / 1 LA / IM

Administered by: Other       Purchased by: Private
Symptoms: Dizziness, Local reaction, Pyrexia, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Vestibular disorders (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (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: Cetirizine, Femhrt, Maxair, Bactroban ointment
Current Illness: None
Preexisting Conditions: Bacitracin, Ibuprofen, Morphine, Peanut and Tree Nut
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Large local reaction and hives occurring few hours after vaccine. Hives noted on neck, forearm and legs. States had 2 or 3 in each area. Felt lightheaded and feverish for 3 hours post vaccine.


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