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From the 1/14/2016 release of VAERS data (an older release, current is 11/19/2021):

This is VAERS ID 616637

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Case Details

VAERS ID: 616637 (history)  
Form: Version .0  
Age:   
Sex: Male  
Location: Unknown  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 2015-10-29
Entered: 2015-12-29
   Days after submission:61
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR - / - UN / SYR
MENB: MENINGOCOCCAL B (BEXSERO) / NOVARTIS VACCINES AND DIAGNOSTICS 148901 / - UN / SYR

Administered by: Other       Purchased by: Other
Symptoms: Diarrhoea, Somnolence
SMQs:, Anticholinergic syndrome (broad), Dementia (broad), Pseudomembranous colitis (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (narrow)

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 orher medications
Current Illness: Unknown
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: PHEH2015US021291

Write-up: Case number PHEH20015US021291 is an initial spontaneous report from a health care professional received on 15 Oct 2015. This report refers to a male patient of an unknown age. The patient was vaccinated with BEXSERO (batch number: 148901, expiry date: 30 Sep 2016) along with FLUZONE (other manufacturer, batch number: not reported) on an unknown date. After vaccinations, he experienced falling sleeping and diarrhea. The outcome of the events was unknown. The seriousness and causality of the events were not reported.


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