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This is VAERS ID 570840

(NOTE: This result is from the 2/14/2018 version of the VAERS database)

Case Details

VAERS ID: 570840 (history)  
Form: Version 1.0  
Age: 19.0  
Sex: Male  
Location: Unknown  
Vaccinated:2015-02-08
Onset:2015-02-08
   Days after vaccination:0
Submitted: 2015-02-08
   Days after onset:0
Entered: 2015-03-18
   Days after submission:37
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH - / UNK UN / SYR

Administered by: Other       Purchased by: Unknown
Symptoms: Injection site pain
SMQs:, Extravasation events (injections, infusions and implants) (broad)

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

Write-up: Pain at injection site.


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Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?SNAPSHOT=20180214&IDNUMBER=570840


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