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This is VAERS ID 631701

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History of Changes from the VAERS Wayback Machine

First Appeared on 5/14/2016

VAERS ID: 631701
VAERS Form:
Age:18.0
Sex:Male
Location:Texas
Vaccinated:2016-04-14
Onset:2016-04-14
Submitted:2016-04-15
Entered:2016-04-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH - / 0 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Arthralgia, Headache, Injection site pain, Nausea, 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: None
Current Illness: NO
Preexisting Conditions: NO
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Soreness at injection site, fever (103F), headache, joint aches, nausea.


Changed on 9/14/2017

VAERS ID: 631701 Before After
VAERS Form:(blank) 1
Age:18.0
Sex:Male
Location:Texas
Vaccinated:2016-04-14
Onset:2016-04-14
Submitted:2016-04-15
Entered:2016-04-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH - / 0 1 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Arthralgia, Headache, Injection site pain, Nausea, 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: None
Current Illness: NO
Preexisting Conditions: NO
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Soreness at injection site, fever (103F), headache, joint aches, nausea.


Changed on 2/14/2018

VAERS ID: 631701 Before After
VAERS Form:1
Age:18.0
Sex:Male
Location:Texas
Vaccinated:2016-04-14
Onset:2016-04-14
Submitted:2016-04-15
Entered:2016-04-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH - / 1 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Arthralgia, Headache, Injection site pain, Nausea, 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: None
Current Illness: NO
Preexisting Conditions: NO
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Soreness at injection site, fever (103F), headache, joint aches, nausea.


Changed on 6/14/2018

VAERS ID: 631701 Before After
VAERS Form:1
Age:18.0
Sex:Male
Location:Texas
Vaccinated:2016-04-14
Onset:2016-04-14
Submitted:2016-04-15
Entered:2016-04-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH - / 1 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Arthralgia, Headache, Injection site pain, Nausea, 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: None
Current Illness: NO
Preexisting Conditions: NO
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Soreness at injection site, fever (103F), headache, joint aches, nausea.


Changed on 8/14/2018

VAERS ID: 631701 Before After
VAERS Form:1
Age:18.0
Sex:Male
Location:Texas
Vaccinated:2016-04-14
Onset:2016-04-14
Submitted:2016-04-15
Entered:2016-04-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH - / 1 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Arthralgia, Headache, Injection site pain, Nausea, 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: None
Current Illness: NO
Preexisting Conditions: NO
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Soreness at injection site, fever (103F), headache, joint aches, nausea.


Changed on 9/14/2018

VAERS ID: 631701 Before After
VAERS Form:1
Age:18.0
Sex:Male
Location:Texas
Vaccinated:2016-04-14
Onset:2016-04-14
Submitted:2016-04-15
Entered:2016-04-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH - / 1 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Arthralgia, Headache, Injection site pain, Nausea, 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: None
Current Illness: NO
Preexisting Conditions: NO
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Soreness at injection site, fever (103F), headache, joint aches, nausea.


Changed on 10/14/2018

VAERS ID: 631701 Before After
VAERS Form:1
Age:18.0
Sex:Male
Location:Texas
Vaccinated:2016-04-14
Onset:2016-04-14
Submitted:2016-04-15
Entered:2016-04-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH - / 1 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Arthralgia, Headache, Injection site pain, Nausea, 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: None
Current Illness: NO
Preexisting Conditions: NO
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Soreness at injection site, fever (103F), headache, joint aches, nausea.


Changed on 12/24/2020

VAERS ID: 631701 Before After
VAERS Form:1
Age:18.0
Sex:Male
Location:Texas
Vaccinated:2016-04-14
Onset:2016-04-14
Submitted:2016-04-15
Entered:2016-04-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH - / 1 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Arthralgia, Headache, Injection site pain, Nausea, 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: None
Current Illness: NO
Preexisting Conditions: NO
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Soreness at injection site, fever (103F), headache, joint aches, nausea.


Changed on 12/30/2020

VAERS ID: 631701 Before After
VAERS Form:1
Age:18.0
Sex:Male
Location:Texas
Vaccinated:2016-04-14
Onset:2016-04-14
Submitted:2016-04-15
Entered:2016-04-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH - / 1 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Arthralgia, Headache, Injection site pain, Nausea, 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: None
Current Illness: NO
Preexisting Conditions: NO
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Soreness at injection site, fever (103F), headache, joint aches, nausea.


Changed on 5/7/2021

VAERS ID: 631701 Before After
VAERS Form:1
Age:18.0
Sex:Male
Location:Texas
Vaccinated:2016-04-14
Onset:2016-04-14
Submitted:2016-04-15
Entered:2016-04-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH - / 1 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Arthralgia, Headache, Injection site pain, Nausea, 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: None
Current Illness: NO
Preexisting Conditions: NO
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Soreness at injection site, fever (103F), headache, joint aches, nausea.


Changed on 5/21/2021

VAERS ID: 631701 Before After
VAERS Form:1
Age:18.0
Sex:Male
Location:Texas
Vaccinated:2016-04-14
Onset:2016-04-14
Submitted:2016-04-15
Entered:2016-04-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH - / 1 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Arthralgia, Headache, Injection site pain, Nausea, 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: None
Current Illness: NO
Preexisting Conditions: NO
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Soreness at injection site, fever (103F), headache, joint aches, nausea.

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