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From the 5/14/2021 release of VAERS data (an older release, current is 11/19/2021):

This is VAERS ID 616667

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Case Details

VAERS ID: 616667 (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: Headache, Pain, Vomiting
SMQs:, Acute pancreatitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (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 other medications
Current Illness: Unknown
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: PHEH2015US015227

Write-up: Case number PHEH2015US015227 is an initial spontaneous report from a nurse received on 03 Aug 2015. This report refers of unspecified age and gender. Medical history and concomitant medications were not reported. The patient was vaccinated with BEXSERO, (batch number: unknown) on an unknown date. On an unknown date after the vaccination the patient had vomiting, pain and headache. The outcome, seriousness and causality assessment of the events was unknown.


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