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From the 9/14/2017 release of VAERS data (an older release, current is 10/15/2021):

This is VAERS ID 611805



Case Details

VAERS ID: 611805 (history)  
Form: Version 1.0  
Age: 18.0  
Sex: Female  
Location: Unknown  
Vaccinated:2015-08-09
Onset:0000-00-00
Submitted: 2015-11-11
Entered: 2015-11-25
   Days after submission:14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH - / UNK UN / UN

Administered by: Other       Purchased by: Other
Symptoms: Headache, Neck pain
SMQs:, Arthritis (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: No other medications
Current Illness: Unknown
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: 2015270394

Write-up: This is a spontaneous report from a contactable consumer. A 18-year-old female patient (reporter friend''s daughter) received a single dose of TRUMENBA on 09Aug2015. Concomitant medications and medical history were not reported. In Aug2015 (unknown if 09Aug2015 or 10Aug2015) the patient was having headache and neck pain. Subsequently, the family contacted the physician who advised them to give her TYLENOL to manage the symptoms. Outcome was unknown. Follow-up (09Oct2015): Follow-up attempts completed. No further information expected. Follow-up (16Oct2015): New information from the same contactable consumer includes: reporter type detail. Follow-up attempts completed. No further information expected.


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https://www.medalerts.org/vaersdb/findfield.php?SNAPSHOT=20170914&IDNUMBER=611805

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