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

This is VAERS ID 631868

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Case Details

VAERS ID: 631868 (history)  
Form: Version 1.0  
Age: 20.0  
Sex: Female  
Location: Illinois  
Vaccinated:2016-03-24
Onset:0000-00-00
Submitted: 2016-04-15
Entered: 2016-04-18
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (BEXSERO) / NOVARTIS VACCINES AND DIAGNOSTICS 151401 / 2 UN / IM

Administered by: Other       Purchased by: Other
Symptoms: Unevaluable event
SMQs:

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: Venlafaxin
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: None stated.


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