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This is VAERS ID 631843

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History of Changes from the VAERS Wayback Machine

First Appeared on 5/14/2016

VAERS ID: 631843
VAERS Form:
Age:17.0
Sex:Female
Location:Unknown
Vaccinated:2016-03-30
Onset:2016-04-08
Submitted:2016-04-15
Entered:2016-04-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (BEXSERO) / NOVARTIS VACCINES AND DIAGNOSTICS - / - UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Abdominal pain upper, Dizziness, Electrocardiogram normal, Fatigue, Loss of consciousness, Nausea, Syncope, Decreased appetite, Urine analysis normal

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: No other medications
Current Illness: Unknown
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: 04/08/2016, Electrocardiogram, No finding; 04/08/2016, Urine analysis, No finding
CDC 'Split Type': US2016GSK049410

Write-up: This case was reported by a consumer and described the occurrence of passed out in a 17-year-old female patient who received BEXSERO. On 30th March 2016, the patient received BEXSERO. On 8th April 2016, 9 days after receiving BEXSERO, the patient experienced passed out (serious criteria GSK medically significant), nausea, dizziness and fainting. On 9th April 2016, the patient experienced appetite absent, stomach pain and tiredness. On an unknown date, the outcome of the passed out, nausea, dizziness, fainting, appetite absent, stomach pain and tiredness were unknown. It was unknown if the reporter considered the passed out, nausea, dizziness, fainting, appetite absent, stomach pain and tiredness to be related to BEXSERO. Additional details were received as follows: This case was reported by the patient''s mother. On 08 April 2016, 9 days after the vaccination, the patient experienced nausea, dizziness and passed out or fainted for two minutes. The mother took the patient to the emergency room. In emergency room, they did Electrocardiogram and urine test. No findings were observed. On 09 April 2016, the patient was still experiencing nausea, did not want to eat, stomach ache and very tired. In the emergency room, the mother did not remember to tell the physicians that, the patient had received a dose of BEXSERO. When she remembered the vaccine administration, she called the nurse''s line and they advised the events were from BEXSERO. The mother of the patient wanted to know how long the side effects would continue.


Changed on 9/14/2017

VAERS ID: 631843 Before After
VAERS Form:(blank) 1
Age:17.0
Sex:Female
Location:Unknown
Vaccinated:2016-03-30
Onset:2016-04-08
Submitted:2016-04-15
Entered:2016-04-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (BEXSERO) / NOVARTIS VACCINES AND DIAGNOSTICS - / - UNK UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Abdominal pain upper, Dizziness, Electrocardiogram normal, Fatigue, Loss of consciousness, Nausea, Syncope, Decreased appetite, Urine analysis normal

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: No other medications
Current Illness: Unknown
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: 04/08/2016, Electrocardiogram, No finding; 04/08/2016, Urine analysis, No finding
CDC 'Split Type': US2016GSK049410

Write-up: This case was reported by a consumer and described the occurrence of passed out in a 17-year-old female patient who received BEXSERO. On 30th March 2016, the patient received BEXSERO. On 8th April 2016, 9 days after receiving BEXSERO, the patient experienced passed out (serious criteria GSK medically significant), nausea, dizziness and fainting. On 9th April 2016, the patient experienced appetite absent, stomach pain and tiredness. On an unknown date, the outcome of the passed out, nausea, dizziness, fainting, appetite absent, stomach pain and tiredness were unknown. It was unknown if the reporter considered the passed out, nausea, dizziness, fainting, appetite absent, stomach pain and tiredness to be related to BEXSERO. Additional details were received as follows: This case was reported by the patient''s mother. On 08 April 2016, 9 days after the vaccination, the patient experienced nausea, dizziness and passed out or fainted for two minutes. The mother took the patient to the emergency room. In emergency room, they did Electrocardiogram and urine test. No findings were observed. On 09 April 2016, the patient was still experiencing nausea, did not want to eat, stomach ache and very tired. In the emergency room, the mother did not remember to tell the physicians that, the patient had received a dose of BEXSERO. When she remembered the vaccine administration, she called the nurse''s line and they advised the events were from BEXSERO. The mother of the patient wanted to know how long the side effects would continue.


Changed on 2/14/2018

VAERS ID: 631843 Before After
VAERS Form:1
Age:17.0
Sex:Female
Location:Unknown
Vaccinated:2016-03-30
Onset:2016-04-08
Submitted:2016-04-15
Entered:2016-04-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (BEXSERO) / NOVARTIS VACCINES AND DIAGNOSTICS - / UNK UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Abdominal pain upper, Dizziness, Electrocardiogram normal, Fatigue, Loss of consciousness, Nausea, Syncope, Decreased appetite, Urine analysis normal

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: No other medications
Current Illness: Unknown
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: 04/08/2016, Electrocardiogram, No finding; 04/08/2016, Urine analysis, No finding
CDC 'Split Type': US2016GSK049410

Write-up: This case was reported by a consumer and described the occurrence of passed out in a 17-year-old female patient who received BEXSERO. On 30th March 2016, the patient received BEXSERO. On 8th April 2016, 9 days after receiving BEXSERO, the patient experienced passed out (serious criteria GSK medically significant), nausea, dizziness and fainting. On 9th April 2016, the patient experienced appetite absent, stomach pain and tiredness. On an unknown date, the outcome of the passed out, nausea, dizziness, fainting, appetite absent, stomach pain and tiredness were unknown. It was unknown if the reporter considered the passed out, nausea, dizziness, fainting, appetite absent, stomach pain and tiredness to be related to BEXSERO. Additional details were received as follows: This case was reported by the patient''s mother. On 08 April 2016, 9 days after the vaccination, the patient experienced nausea, dizziness and passed out or fainted for two minutes. The mother took the patient to the emergency room. In emergency room, they did Electrocardiogram and urine test. No findings were observed. On 09 April 2016, the patient was still experiencing nausea, did not want to eat, stomach ache and very tired. In the emergency room, the mother did not remember to tell the physicians that, the patient had received a dose of BEXSERO. When she remembered the vaccine administration, she called the nurse''s line and they advised the events were from BEXSERO. The mother of the patient wanted to know how long the side effects would continue.


Changed on 6/14/2018

VAERS ID: 631843 Before After
VAERS Form:1
Age:17.0
Sex:Female
Location:Unknown
Vaccinated:2016-03-30
Onset:2016-04-08
Submitted:2016-04-15
Entered:2016-04-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (BEXSERO) / NOVARTIS VACCINES AND DIAGNOSTICS - / UNK UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Abdominal pain upper, Dizziness, Electrocardiogram normal, Fatigue, Loss of consciousness, Nausea, Syncope, Decreased appetite, Urine analysis normal

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: No other medications
Current Illness: Unknown
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: 04/08/2016, Electrocardiogram, No finding; 04/08/2016, Urine analysis, No finding
CDC 'Split Type': US2016GSK049410

Write-up: This case was reported by a consumer and described the occurrence of passed out in a 17-year-old female patient who received BEXSERO. On 30th March 2016, the patient received BEXSERO. On 8th April 2016, 9 days after receiving BEXSERO, the patient experienced passed out (serious criteria GSK medically significant), nausea, dizziness and fainting. On 9th April 2016, the patient experienced appetite absent, stomach pain and tiredness. On an unknown date, the outcome of the passed out, nausea, dizziness, fainting, appetite absent, stomach pain and tiredness were unknown. It was unknown if the reporter considered the passed out, nausea, dizziness, fainting, appetite absent, stomach pain and tiredness to be related to BEXSERO. Additional details were received as follows: This case was reported by the patient''s mother. On 08 April 2016, 9 days after the vaccination, the patient experienced nausea, dizziness and passed out or fainted for two minutes. The mother took the patient to the emergency room. In emergency room, they did Electrocardiogram and urine test. No findings were observed. On 09 April 2016, the patient was still experiencing nausea, did not want to eat, stomach ache and very tired. In the emergency room, the mother did not remember to tell the physicians that, the patient had received a dose of BEXSERO. When she remembered the vaccine administration, she called the nurse''s line and they advised the events were from BEXSERO. The mother of the patient wanted to know how long the side effects would continue.


Changed on 8/14/2018

VAERS ID: 631843 Before After
VAERS Form:1
Age:17.0
Sex:Female
Location:Unknown
Vaccinated:2016-03-30
Onset:2016-04-08
Submitted:2016-04-15
Entered:2016-04-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (BEXSERO) / NOVARTIS VACCINES AND DIAGNOSTICS - / UNK UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Abdominal pain upper, Dizziness, Electrocardiogram normal, Fatigue, Loss of consciousness, Nausea, Syncope, Decreased appetite, Urine analysis normal

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: No other medications
Current Illness: Unknown
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: 04/08/2016, Electrocardiogram, No finding; 04/08/2016, Urine analysis, No finding
CDC 'Split Type': US2016GSK049410

Write-up: This case was reported by a consumer and described the occurrence of passed out in a 17-year-old female patient who received BEXSERO. On 30th March 2016, the patient received BEXSERO. On 8th April 2016, 9 days after receiving BEXSERO, the patient experienced passed out (serious criteria GSK medically significant), nausea, dizziness and fainting. On 9th April 2016, the patient experienced appetite absent, stomach pain and tiredness. On an unknown date, the outcome of the passed out, nausea, dizziness, fainting, appetite absent, stomach pain and tiredness were unknown. It was unknown if the reporter considered the passed out, nausea, dizziness, fainting, appetite absent, stomach pain and tiredness to be related to BEXSERO. Additional details were received as follows: This case was reported by the patient''s mother. On 08 April 2016, 9 days after the vaccination, the patient experienced nausea, dizziness and passed out or fainted for two minutes. The mother took the patient to the emergency room. In emergency room, they did Electrocardiogram and urine test. No findings were observed. On 09 April 2016, the patient was still experiencing nausea, did not want to eat, stomach ache and very tired. In the emergency room, the mother did not remember to tell the physicians that, the patient had received a dose of BEXSERO. When she remembered the vaccine administration, she called the nurse''s line and they advised the events were from BEXSERO. The mother of the patient wanted to know how long the side effects would continue.


Changed on 9/14/2018

VAERS ID: 631843 Before After
VAERS Form:1
Age:17.0
Sex:Female
Location:Unknown
Vaccinated:2016-03-30
Onset:2016-04-08
Submitted:2016-04-15
Entered:2016-04-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (BEXSERO) / NOVARTIS VACCINES AND DIAGNOSTICS - / UNK UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Abdominal pain upper, Dizziness, Electrocardiogram normal, Fatigue, Loss of consciousness, Nausea, Syncope, Decreased appetite, Urine analysis normal

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: No other medications
Current Illness: Unknown
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: 04/08/2016, Electrocardiogram, No finding; 04/08/2016, Urine analysis, No finding
CDC 'Split Type': US2016GSK049410

Write-up: This case was reported by a consumer and described the occurrence of passed out in a 17-year-old female patient who received BEXSERO. On 30th March 2016, the patient received BEXSERO. On 8th April 2016, 9 days after receiving BEXSERO, the patient experienced passed out (serious criteria GSK medically significant), nausea, dizziness and fainting. On 9th April 2016, the patient experienced appetite absent, stomach pain and tiredness. On an unknown date, the outcome of the passed out, nausea, dizziness, fainting, appetite absent, stomach pain and tiredness were unknown. It was unknown if the reporter considered the passed out, nausea, dizziness, fainting, appetite absent, stomach pain and tiredness to be related to BEXSERO. Additional details were received as follows: This case was reported by the patient''s mother. On 08 April 2016, 9 days after the vaccination, the patient experienced nausea, dizziness and passed out or fainted for two minutes. The mother took the patient to the emergency room. In emergency room, they did Electrocardiogram and urine test. No findings were observed. On 09 April 2016, the patient was still experiencing nausea, did not want to eat, stomach ache and very tired. In the emergency room, the mother did not remember to tell the physicians that, the patient had received a dose of BEXSERO. When she remembered the vaccine administration, she called the nurse''s line and they advised the events were from BEXSERO. The mother of the patient wanted to know how long the side effects would continue.


Changed on 10/14/2018

VAERS ID: 631843 Before After
VAERS Form:1
Age:17.0
Sex:Female
Location:Unknown
Vaccinated:2016-03-30
Onset:2016-04-08
Submitted:2016-04-15
Entered:2016-04-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (BEXSERO) / NOVARTIS VACCINES AND DIAGNOSTICS - / UNK UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Abdominal pain upper, Dizziness, Electrocardiogram normal, Fatigue, Loss of consciousness, Nausea, Syncope, Decreased appetite, Urine analysis normal

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: No other medications
Current Illness: Unknown
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: 04/08/2016, Electrocardiogram, No finding; 04/08/2016, Urine analysis, No finding
CDC 'Split Type': US2016GSK049410

Write-up: This case was reported by a consumer and described the occurrence of passed out in a 17-year-old female patient who received BEXSERO. On 30th March 2016, the patient received BEXSERO. On 8th April 2016, 9 days after receiving BEXSERO, the patient experienced passed out (serious criteria GSK medically significant), nausea, dizziness and fainting. On 9th April 2016, the patient experienced appetite absent, stomach pain and tiredness. On an unknown date, the outcome of the passed out, nausea, dizziness, fainting, appetite absent, stomach pain and tiredness were unknown. It was unknown if the reporter considered the passed out, nausea, dizziness, fainting, appetite absent, stomach pain and tiredness to be related to BEXSERO. Additional details were received as follows: This case was reported by the patient''s mother. On 08 April 2016, 9 days after the vaccination, the patient experienced nausea, dizziness and passed out or fainted for two minutes. The mother took the patient to the emergency room. In emergency room, they did Electrocardiogram and urine test. No findings were observed. On 09 April 2016, the patient was still experiencing nausea, did not want to eat, stomach ache and very tired. In the emergency room, the mother did not remember to tell the physicians that, the patient had received a dose of BEXSERO. When she remembered the vaccine administration, she called the nurse''s line and they advised the events were from BEXSERO. The mother of the patient wanted to know how long the side effects would continue.


Changed on 12/24/2020

VAERS ID: 631843 Before After
VAERS Form:1
Age:17.0
Sex:Female
Location:Unknown
Vaccinated:2016-03-30
Onset:2016-04-08
Submitted:2016-04-15
Entered:2016-04-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (BEXSERO) / NOVARTIS VACCINES AND DIAGNOSTICS - / UNK UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Abdominal pain upper, Dizziness, Electrocardiogram normal, Fatigue, Loss of consciousness, Nausea, Syncope, Decreased appetite, Urine analysis normal

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: No other medications
Current Illness: Unknown
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: 04/08/2016, Electrocardiogram, No finding; 04/08/2016, Urine analysis, No finding
CDC 'Split Type': US2016GSK049410

Write-up: This case was reported by a consumer and described the occurrence of passed out in a 17-year-old female patient who received BEXSERO. On 30th March 2016, the patient received BEXSERO. On 8th April 2016, 9 days after receiving BEXSERO, the patient experienced passed out (serious criteria GSK medically significant), nausea, dizziness and fainting. On 9th April 2016, the patient experienced appetite absent, stomach pain and tiredness. On an unknown date, the outcome of the passed out, nausea, dizziness, fainting, appetite absent, stomach pain and tiredness were unknown. It was unknown if the reporter considered the passed out, nausea, dizziness, fainting, appetite absent, stomach pain and tiredness to be related to BEXSERO. Additional details were received as follows: This case was reported by the patient''s mother. On 08 April 2016, 9 days after the vaccination, the patient experienced nausea, dizziness and passed out or fainted for two minutes. The mother took the patient to the emergency room. In emergency room, they did Electrocardiogram and urine test. No findings were observed. On 09 April 2016, the patient was still experiencing nausea, did not want to eat, stomach ache and very tired. In the emergency room, the mother did not remember to tell the physicians that, the patient had received a dose of BEXSERO. When she remembered the vaccine administration, she called the nurse''s line and they advised the events were from BEXSERO. The mother of the patient wanted to know how long the side effects would continue.


Changed on 12/30/2020

VAERS ID: 631843 Before After
VAERS Form:1
Age:17.0
Sex:Female
Location:Unknown
Vaccinated:2016-03-30
Onset:2016-04-08
Submitted:2016-04-15
Entered:2016-04-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (BEXSERO) / NOVARTIS VACCINES AND DIAGNOSTICS - / UNK UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Abdominal pain upper, Dizziness, Electrocardiogram normal, Fatigue, Loss of consciousness, Nausea, Syncope, Decreased appetite, Urine analysis normal

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: No other medications
Current Illness: Unknown
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: 04/08/2016, Electrocardiogram, No finding; 04/08/2016, Urine analysis, No finding
CDC 'Split Type': US2016GSK049410

Write-up: This case was reported by a consumer and described the occurrence of passed out in a 17-year-old female patient who received BEXSERO. On 30th March 2016, the patient received BEXSERO. On 8th April 2016, 9 days after receiving BEXSERO, the patient experienced passed out (serious criteria GSK medically significant), nausea, dizziness and fainting. On 9th April 2016, the patient experienced appetite absent, stomach pain and tiredness. On an unknown date, the outcome of the passed out, nausea, dizziness, fainting, appetite absent, stomach pain and tiredness were unknown. It was unknown if the reporter considered the passed out, nausea, dizziness, fainting, appetite absent, stomach pain and tiredness to be related to BEXSERO. Additional details were received as follows: This case was reported by the patient''s mother. On 08 April 2016, 9 days after the vaccination, the patient experienced nausea, dizziness and passed out or fainted for two minutes. The mother took the patient to the emergency room. In emergency room, they did Electrocardiogram and urine test. No findings were observed. On 09 April 2016, the patient was still experiencing nausea, did not want to eat, stomach ache and very tired. In the emergency room, the mother did not remember to tell the physicians that, the patient had received a dose of BEXSERO. When she remembered the vaccine administration, she called the nurse''s line and they advised the events were from BEXSERO. The mother of the patient wanted to know how long the side effects would continue.


Changed on 5/7/2021

VAERS ID: 631843 Before After
VAERS Form:1
Age:17.0
Sex:Female
Location:Unknown
Vaccinated:2016-03-30
Onset:2016-04-08
Submitted:2016-04-15
Entered:2016-04-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (BEXSERO) / NOVARTIS VACCINES AND DIAGNOSTICS - / UNK UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Abdominal pain upper, Dizziness, Electrocardiogram normal, Fatigue, Loss of consciousness, Nausea, Syncope, Decreased appetite, Urine analysis normal

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: No other medications
Current Illness: Unknown
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: 04/08/2016, Electrocardiogram, No finding; 04/08/2016, Urine analysis, No finding
CDC 'Split Type': US2016GSK049410

Write-up: This case was reported by a consumer and described the occurrence of passed out in a 17-year-old female patient who received BEXSERO. On 30th March 2016, the patient received BEXSERO. On 8th April 2016, 9 days after receiving BEXSERO, the patient experienced passed out (serious criteria GSK medically significant), nausea, dizziness and fainting. On 9th April 2016, the patient experienced appetite absent, stomach pain and tiredness. On an unknown date, the outcome of the passed out, nausea, dizziness, fainting, appetite absent, stomach pain and tiredness were unknown. It was unknown if the reporter considered the passed out, nausea, dizziness, fainting, appetite absent, stomach pain and tiredness to be related to BEXSERO. Additional details were received as follows: This case was reported by the patient''s mother. On 08 April 2016, 9 days after the vaccination, the patient experienced nausea, dizziness and passed out or fainted for two minutes. The mother took the patient to the emergency room. In emergency room, they did Electrocardiogram and urine test. No findings were observed. On 09 April 2016, the patient was still experiencing nausea, did not want to eat, stomach ache and very tired. In the emergency room, the mother did not remember to tell the physicians that, the patient had received a dose of BEXSERO. When she remembered the vaccine administration, she called the nurse''s line and they advised the events were from BEXSERO. The mother of the patient wanted to know how long the side effects would continue.


Changed on 5/21/2021

VAERS ID: 631843 Before After
VAERS Form:1
Age:17.0
Sex:Female
Location:Unknown
Vaccinated:2016-03-30
Onset:2016-04-08
Submitted:2016-04-15
Entered:2016-04-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (BEXSERO) / NOVARTIS VACCINES AND DIAGNOSTICS - / UNK UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Abdominal pain upper, Dizziness, Electrocardiogram normal, Fatigue, Loss of consciousness, Nausea, Syncope, Decreased appetite, Urine analysis normal

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: No other medications
Current Illness: Unknown
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: 04/08/2016, Electrocardiogram, No finding; 04/08/2016, Urine analysis, No finding
CDC 'Split Type': US2016GSK049410

Write-up: This case was reported by a consumer and described the occurrence of passed out in a 17-year-old female patient who received BEXSERO. On 30th March 2016, the patient received BEXSERO. On 8th April 2016, 9 days after receiving BEXSERO, the patient experienced passed out (serious criteria GSK medically significant), nausea, dizziness and fainting. On 9th April 2016, the patient experienced appetite absent, stomach pain and tiredness. On an unknown date, the outcome of the passed out, nausea, dizziness, fainting, appetite absent, stomach pain and tiredness were unknown. It was unknown if the reporter considered the passed out, nausea, dizziness, fainting, appetite absent, stomach pain and tiredness to be related to BEXSERO. Additional details were received as follows: This case was reported by the patient''s mother. On 08 April 2016, 9 days after the vaccination, the patient experienced nausea, dizziness and passed out or fainted for two minutes. The mother took the patient to the emergency room. In emergency room, they did Electrocardiogram and urine test. No findings were observed. On 09 April 2016, the patient was still experiencing nausea, did not want to eat, stomach ache and very tired. In the emergency room, the mother did not remember to tell the physicians that, the patient had received a dose of BEXSERO. When she remembered the vaccine administration, she called the nurse''s line and they advised the events were from BEXSERO. The mother of the patient wanted to know how long the side effects would continue.

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