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This is VAERS ID 631868

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History of Changes from the VAERS Wayback Machine

First Appeared on 5/14/2016

VAERS ID: 631868
VAERS Form:
Age:20.0
Sex:Female
Location:Michigan
Vaccinated:2016-03-24
Onset:0000-00-00
Submitted:2016-04-15
Entered:2016-04-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (BEXSERO) / NOVARTIS VACCINES AND DIAGNOSTICS 151401 / 1 UN / IM

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

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

Write-up: None stated.


Changed on 9/14/2017

VAERS ID: 631868 Before After
VAERS Form:(blank) 1
Age:20.0
Sex:Female
Location:Michigan
Vaccinated:2016-03-24
Onset:0000-00-00
Submitted:2016-04-15
Entered:2016-04-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (BEXSERO) / NOVARTIS VACCINES AND DIAGNOSTICS 151401 / 1 2 UN / IM

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

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

Write-up: None stated.


Changed on 2/14/2018

VAERS ID: 631868 Before After
VAERS Form:1
Age:20.0
Sex:Female
Location:Michigan
Vaccinated:2016-03-24
Onset:0000-00-00
Submitted:2016-04-15
Entered:2016-04-18
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

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

Write-up: None stated.


Changed on 6/14/2018

VAERS ID: 631868 Before After
VAERS Form:1
Age:20.0
Sex:Female
Location:Michigan
Vaccinated:2016-03-24
Onset:0000-00-00
Submitted:2016-04-15
Entered:2016-04-18
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

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

Write-up: None stated.


Changed on 8/14/2018

VAERS ID: 631868 Before After
VAERS Form:1
Age:20.0
Sex:Female
Location:Michigan
Vaccinated:2016-03-24
Onset:0000-00-00
Submitted:2016-04-15
Entered:2016-04-18
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

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

Write-up: None stated.


Changed on 9/14/2018

VAERS ID: 631868 Before After
VAERS Form:1
Age:20.0
Sex:Female
Location:Michigan
Vaccinated:2016-03-24
Onset:0000-00-00
Submitted:2016-04-15
Entered:2016-04-18
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

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

Write-up: None stated.


Changed on 10/14/2018

VAERS ID: 631868 Before After
VAERS Form:1
Age:20.0
Sex:Female
Location:Michigan
Vaccinated:2016-03-24
Onset:0000-00-00
Submitted:2016-04-15
Entered:2016-04-18
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

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

Write-up: None stated.


Changed on 12/10/2020

VAERS ID: 631868 Before After
VAERS Form:1
Age:20.0
Sex:Female
Location:Michigan Illinois
Vaccinated:2016-03-24
Onset:0000-00-00
Submitted:2016-04-15
Entered:2016-04-18
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

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

Write-up: None stated.


Changed on 12/24/2020

VAERS ID: 631868 Before After
VAERS Form:1
Age:20.0
Sex:Female
Location:Illinois
Vaccinated:2016-03-24
Onset:0000-00-00
Submitted:2016-04-15
Entered:2016-04-18
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

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

Write-up: None stated.


Changed on 12/30/2020

VAERS ID: 631868 Before After
VAERS Form:1
Age:20.0
Sex:Female
Location:Illinois
Vaccinated:2016-03-24
Onset:0000-00-00
Submitted:2016-04-15
Entered:2016-04-18
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

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

Write-up: None stated.


Changed on 5/7/2021

VAERS ID: 631868 Before After
VAERS Form:1
Age:20.0
Sex:Female
Location:Illinois
Vaccinated:2016-03-24
Onset:0000-00-00
Submitted:2016-04-15
Entered:2016-04-18
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

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

Write-up: None stated.


Changed on 5/21/2021

VAERS ID: 631868 Before After
VAERS Form:1
Age:20.0
Sex:Female
Location:Illinois
Vaccinated:2016-03-24
Onset:0000-00-00
Submitted:2016-04-15
Entered:2016-04-18
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

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

Write-up: None stated.

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