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This is VAERS ID 570833

(NOTE: This result is from the 8/14/2018 version of the VAERS database)

Case Details

VAERS ID: 570833 (history)  
Form: Version 1.0  
Age: 18.0  
Sex: Male  
Location: Oregon  
Vaccinated:2015-03-04
Onset:2015-03-05
   Days after vaccination:1
Submitted: 2015-03-05
   Days after onset:0
Entered: 2015-03-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH J28923 / 1 LA / IM

Administered by: Unknown       Purchased by: Unknown
Symptoms: Back pain, Headache, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient''s mother called said he had a 100.5 fever and giving TYLENOL. Also he has back pain and a headache.


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https://www.medalerts.org/vaersdb/findfield.php?SNAPSHOT=20180814&IDNUMBER=570833


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