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From the 9/14/2017 release of VAERS data (an older release, current is 11/19/2021):

This is VAERS ID 616640

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Case Details

VAERS ID: 616640 (history)  
Form: Version 1.0  
Age:   
Sex: Unknown  
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
MENB: MENINGOCOCCAL B (BEXSERO) / NOVARTIS VACCINES AND DIAGNOSTICS - / UNK UN / SYR

Administered by: Other       Purchased by: Other
Symptoms: Influenza like illness, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (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: No other medications
Current Illness: Unknown
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: PHEH2015US015245

Write-up: Case number PHEH2015US015245 is an initial spontaneous report from a physician via a pharmaceutical company (reference nr. A201401552) received on 03 Aug 2015. This report refers to a patient of an unknown age and gender. Medical history and concomitant medications were not reported. The patient was vaccinated with BEXSERO (batch number: not reported) on an unknown date. Post vaccination the patient presented with fever and flu like symptoms. The outcome, seriousness and causality of the events were not reported.


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