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Found 596268 cases in entire database

Case Details (Sorted by Vaccination Date)

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VAERS ID:83122 (history)  Vaccinated:1996-02-15
Age:0.4  Onset:1996-02-15, Days after vaccination: 0
Gender:Male  Submitted:1996-02-20, Days after onset: 5
Location:California  Entered:1996-02-27, Days after submission: 7
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: albuterol syrup
Current Illness: mild wheezing;
Preexisting Conditions: chronic wheezing
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTP: DTP (NO BRAND NAME)CONNAUGHT LABORATORIES5J610661 LL
HIBV: HIB (ACTHIB)CONNAUGHT LABORATORIES5J610661 LL
OPV: POLIO VIRUS, ORAL (ORIMUNE)LEDERLE LABORATORIES0735H1PO 
Administered by: Private     Purchased by: Private
Symptoms: Bronchitis, Nervousness, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)
Write-up: pt recvd vax; fever, irritability x 2 days;assoc RSV bronchiolitis required 3 days in hosp;

VAERS ID:83222 (history)  Vaccinated:1996-02-15
Age:11.0  Onset:1996-02-15, Days after vaccination: 0
Gender:Male  Submitted:1996-02-19, Days after onset: 4
Location:Washington  Entered:1996-02-28, Days after submission: 9
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: check-up
Preexisting Conditions: short stature-growth hormone deficiency
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.1170B1SCRA
Administered by: Private     Purchased by: Private
Symptoms: Dizziness, Hyperhidrosis, Pallor
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Hypoglycaemia (broad)
Write-up: was noted to be pallid,sweaty @ 440PM,15mins p/vax was placed on exam table w/feet elevated assessed;BP et pulse remained WNL over next 45mins w/color;dizziness;pt recv DPH & Pred;

VAERS ID:83419 (history)  Vaccinated:1996-02-15
Age:47.0  Onset:1996-02-16, Days after vaccination: 1
Gender:Female  Submitted:1996-02-19, Days after onset: 3
Location:North Carolina  Entered:1996-03-04, Days after submission: 14
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: PPD;
Current Illness: none
Preexisting Conditions: pcn
Diagnostic Lab Data:
CDC Split Type: NC96013
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)LEDERLE LABORATORIES4293102IMLA
Administered by: Public     Purchased by: Public
Symptoms: Arthralgia, Chills, Injection site hypersensitivity, Injection site oedema, Injection site pain, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow), Arthritis (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: pt recv vax;exp chills & fever followed by swelling & pain of lt upper arm & joint pain particularly in ankles & shoulders;apap given;lt upper arm remains red & swollen

VAERS ID:83435 (history)  Vaccinated:1996-02-15
Age:5.0  Onset:1996-02-15, Days after vaccination: 0
Gender:Male  Submitted:1996-02-15, Days after onset: 0
Location:Ohio  Entered:1996-03-04, Days after submission: 18
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NA
CDC Split Type: OH96018
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAP: DTAP (TRIPEDIA)CONNAUGHT LABORATORIES5G610014  
OPV: POLIO VIRUS, ORAL (ORIMUNE)LEDERLE LABORATORIES4286823PO 
Administered by: Public     Purchased by: Public
Symptoms: Gaze palsy, Hypertonia, Hypotension, Hypotonia, Nervousness, Pallor, Syncope, Urinary incontinence
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Parkinson-like events (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Cardiomyopathy (broad), Ocular motility disorders (narrow), Hypotonic-hyporesponsive episode (narrow), Generalised convulsive seizures following immunisation (broad), Hypoglycaemia (broad)
Write-up: Pt recvd vax 15FEB96 11AM & pt cooperative, but very nervous;11:03 pt was standing & slumped forward over mom''s lap;very pale;immed jerked backward, arching back w/arms rigid;eyes rolled back, wet pants;nurse assisted pt to floor;BP 94/64;

VAERS ID:83464 (history)  Vaccinated:1996-02-15
Age:1.3  Onset:1996-02-24, Days after vaccination: 9
Gender:Male  Submitted:1996-02-25, Days after onset: 1
Location:Illinois  Entered:1996-03-05, Days after submission: 9
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? Yes, ? days
    Extended hospital stay? No
Previous Vaccinations:
Other Medications: Amoxil
Current Illness: URI & early OM
Preexisting Conditions: poss lactose intolerance on lacto free w/no vomiting
Diagnostic Lab Data: BC, CBC, CXR, tracheal aspirate for c/s & RSV antigen; CXR-early pneumonitis & chem 12
CDC Split Type: IL960022
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTP: DTP (NO BRAND NAME)MICHIGAN DEPT PUB HLTHTR1226BSB3IMLL
HIBV: HIB (PEDVAXHIB)MERCK & CO. INC.0791A3IMRL
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0873B0SCRA
Administered by: Public     Purchased by: Public
Symptoms: Convulsion, Infection, Muscle twitching, Pyrexia, Tremor
SMQs:, Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Convulsions (narrow), Dyskinesia (broad), Dystonia (broad), Parkinson-like events (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Generalised convulsive seizures following immunisation (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)
Write-up: started w/low grade fever 23FEB96;APAP given t103.6 7PM w/tepid bath & APAP but started to tremble & was brought to ER;started to convuls w/twitching of face, started to moan, gen tonic clonic convuls last 3-5mins

VAERS ID:83605 (history)  Vaccinated:1996-02-15
Age:1.1  Onset:1996-02-20, Days after vaccination: 5
Gender:Male  Submitted:1996-02-27, Days after onset: 7
Location:New York  Entered:1996-03-11, Days after submission: 13
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: none
Preexisting Conditions: none
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0878B0 LL
Administered by: Public     Purchased by: Private
Symptoms: Conjunctivitis, Cough, Pyrexia, Rash maculo-papular
SMQs:, Severe cutaneous adverse reactions (broad), Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Conjunctival disorders (narrow), Ocular infections (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: pt recvd vax; fever of 103;macular rash on chest & arms; cough & red conjunctivitis

VAERS ID:83702 (history)  Vaccinated:1996-02-15
Age:36.0  Onset:1996-03-02, Days after vaccination: 16
Gender:Female  Submitted:1996-03-11, Days after onset: 9
Location:Connecticut  Entered:1996-03-15, Days after submission: 4
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: chloroquin
Current Illness:
Preexisting Conditions: NONE
Diagnostic Lab Data: hepatitis screen hep A positive;
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
DT: DT ADSORBED (NO BRAND NAME)UNKNOWN MANUFACTURER  IMLA
HEPA: HEP A (HAVRIX)SMITHKLINE BEECHAMVHA468A60IMRA
Administered by: Private     Purchased by: Private
Symptoms: Abdominal pain, Chills, Jaundice, Nausea
SMQs:, Cholestasis and jaundice of hepatic origin (narrow), Acute pancreatitis (broad), Retroperitoneal fibrosis (broad), Biliary system related investigations, signs and symptoms (narrow), Biliary tract disorders (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: jaundice,abd cramps,chills,nausea 15FEB96 recv Havrix inj

VAERS ID:83715 (history)  Vaccinated:1996-02-15
Age:0.2  Onset:1996-02-15, Days after vaccination: 0
Gender:Female  Submitted:1996-02-21, Days after onset: 6
Location:Iowa  Entered:1996-03-18, Days after submission: 26
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? Yes, 1 days
    Extended hospital stay? No
Previous Vaccinations:
Other Medications: pt recvd hep B vax by MSD lot# 0520B on 16DEC95
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: blood & urine culture nl;
CDC Split Type: IA96010
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTPHIB: DTP + HIB (TETRAMUNE)LEDERLE LABORATORIES9299690IMLL
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.0520B1IMRL
OPV: POLIO VIRUS, ORAL (ORIMUNE)LEDERLE LABORATORIES0728D0PO 
Administered by: Public     Purchased by: Public
Symptoms: Agitation, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hostility/aggression (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)
Write-up: pt recvd vax 15FEB96 & later that noc devel a high fever (101.7) & was irritable;pt was seen by MD the following day 16th because of irritability;adm to hosp for sepsis w/u

VAERS ID:84708 (history)  Vaccinated:1996-02-15
Age:0.2  Onset:1996-02-15, Days after vaccination: 0
Gender:Female  Submitted:1996-03-15, Days after onset: 29
Location:Texas  Entered:1996-04-12, Days after submission: 27
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: TX96045
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTP: DTP (NO BRAND NAME)CONNAUGHT LABORATORIES5G610950 LL
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.1220B1 RL
HIBV: HIB (ACTHIB)CONNAUGHT LABORATORIES5G610950 LL
OPV: POLIO VIRUS, ORAL (ORIMUNE)LEDERLE LABORATORIES0729L0PO 
Administered by: Private     Purchased by: Public
Symptoms: Agitation, Rash, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Anticholinergic syndrome (broad), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hostility/aggression (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)
Write-up: pt recv vax;exp erythema lt leg & arms w/ irritability in the eve;

VAERS ID:84711 (history)  Vaccinated:1996-02-15
Age:41.0  Onset:1996-02-16, Days after vaccination: 1
Gender:Female  Submitted:1996-02-22, Days after onset: 6
Location:Texas  Entered:1996-04-12, Days after submission: 49
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: none
Preexisting Conditions: none
Diagnostic Lab Data:
CDC Split Type: TX96040
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)LEDERLE LABORATORIES430109  LA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Injection site hypersensitivity, Injection site oedema, Pruritus, Pyrexia
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: pt recv vax;itching,redness,swelling on lt upper arm;T 99.2;

VAERS ID:85788 (history)  Vaccinated:1996-02-15
Age:5.0  Onset:1996-03-02, Days after vaccination: 16
Gender:Female  Submitted:0000-00-00
Location:Unknown  Entered:1996-04-23
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: no relevant data
CDC Split Type: WAES96030785
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.    
Administered by: Other     Purchased by: Other
Symptoms: Rash maculo-papular
SMQs:, Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: pt recv vax; devel a mild rash, about 10 bumps on trunk & face;

VAERS ID:85432 (history)  Vaccinated:1996-02-15
Age:0.2  Onset:1996-02-15, Days after vaccination: 0
Gender:Male  Submitted:1996-04-25, Days after onset: 69
Location:Florida  Entered:1996-04-30, Days after submission: 5
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NA
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NA
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTPHIB: DTP + HIB (TETRAMUNE)LEDERLE LABORATORIES4326560IMLL
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM2005A20IMRL
OPV: POLIO VIRUS, ORAL (ORIMUNE)LEDERLE LABORATORIES4312630PO 
Administered by: Private     Purchased by: Private
Symptoms: Screaming
SMQs:, Hostility/aggression (broad)
Write-up: mom comes in today 25APR96 & states pt cried for almost 24hr straight p/the 1st vax given 15FEB96;

VAERS ID:87739 (history)  Vaccinated:1996-02-15
Age:36.0  Onset:0000-00-00
Gender:Female  Submitted:1996-04-19
Location:Connecticut  Entered:1996-06-20, Days after submission: 62
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Chloroquine
Current Illness: NONE
Preexisting Conditions: nONE
Diagnostic Lab Data: 8MAR96 Anti-HAV IGM positive;Anti-HAV IGG + IGM positive;FEB96 BILTOT 6.2;Hepatitis screen hepatitis A positive;
CDC Split Type: 960032581
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEPA: HEP A (HAVRIX)SMITHKLINE BEECHAMVHA468A60IMRA
TD: TD ADSORBED (NO BRAND NAME)UNKNOWN MANUFACTURER 0IMLA
Administered by: Private     Purchased by: Private
Symptoms: Abdominal pain, Anorexia, Drug ineffective, Hepatic function abnormal, Hepatitis, Jaundice, Pyrexia, Urine analysis abnormal
SMQs:, Liver related investigations, signs and symptoms (narrow), Cholestasis and jaundice of hepatic origin (narrow), Hepatitis, non-infectious (narrow), Acute pancreatitis (broad), Lack of efficacy/effect (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Biliary system related investigations, signs and symptoms (narrow), Biliary tract disorders (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: pt recv vax 15FEB96 & a few days p/vax exp fever, chills, abd pain, nausea, anorexia, jaundice;2wk post vax went to Costa Rica;2MAR96 p/returning from trip because of sx pt w/jaundice, chills, t102, dark urine, elevated liver enzymes;

VAERS ID:92021 (history)  Vaccinated:1996-02-15
Age:34.0  Onset:1996-02-15, Days after vaccination: 0
Gender:Female  Submitted:1996-02-28, Days after onset: 13
Location:Maryland  Entered:1996-10-30, Days after submission: 245
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Depo-Provera
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC Split Type: 960025731
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM 1  
Administered by: Private     Purchased by: Other
Symptoms: Palpitations, Tachycardia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad)
Write-up: pt recv vax 15FEB96 & began exp palpitations & a rapid heart rate;sx were worse later in the day, mild in the morning had persisted for 1 wk when was examined by MD;electrocardiogram @ that time showed sinus tachycardia 120 beats per min

VAERS ID:94700 (history)  Vaccinated:1996-02-15
Age:5.0  Onset:1996-02-15, Days after vaccination: 0
Gender:Female  Submitted:1996-12-04, Days after onset: 293
Location:Illinois  Entered:1997-02-03, Days after submission: 61
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: pt was limp, sleepy & crying uncontrolable & had 2 dose of DTP then 2 doses DT;
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: CO6499
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAP: DTAP (TRIPEDIA)CONNAUGHT LABORATORIES5K610154  
Administered by: Unknown     Purchased by: Unknown
Symptoms: Dyspepsia, Face oedema, Pruritus, Rhinitis, Similar reaction on previous exposure to drug, Somnolence
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Anticholinergic syndrome (broad), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific dysfunction (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)
Write-up: sneezing rt as dose given, vaginal itching lt eye swollen, vital signs stable, no hives;given DPH also had upset stomach & very sleepy;

VAERS ID:103540 (history)  Vaccinated:1996-02-15
Age:6.0  Onset:1997-02-28, Days after vaccination: 379
Gender:Female  Submitted:0000-00-00
Location:Missouri  Entered:1997-10-20
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: NONE
Diagnostic Lab Data: No relevant data;
CDC Split Type: WAES97070240
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC. 0  
Administered by: Other     Purchased by: Other
Symptoms: Dermatitis bullous, Infection, Pneumonia, Pyrexia
SMQs:, Severe cutaneous adverse reactions (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Eosinophilic pneumonia (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: pt recv vax 15FEB96 & 28FEB97 pt devel viral pneumonia;16JUN97 pt exp varicella type rash & fever of 103;

VAERS ID:165335 (history)  Vaccinated:1996-02-15
Age:1.0  Onset:2001-01-11, Days after vaccination: 1792
Gender:Female  Submitted:2001-01-17, Days after onset: 6
Location:Georgia  Entered:2001-01-30, Days after submission: 13
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: Mild ROM
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.1128B0SCLL
Administered by: Private     Purchased by: Other
Symptoms: Drug ineffective, Infection
SMQs:, Lack of efficacy/effect (narrow)
Write-up: Chickenpox breakthrough after vaccine administered on 2/15/1996.

VAERS ID:84627 (history)  Vaccinated:1996-02-15
Age:0.2  Onset:0000-00-00
Gender:Female  Submitted:1996-04-04
Location:Foreign  Entered:1996-04-08, Days after submission: 3
Life Threatening? Yes
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: CO6524
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTP: DTP (NO BRAND NAME)UNKNOWN MANUFACTURER    
HIBV: HIB (ACTHIB)CONNAUGHT LABORATORIESK1148 IM 
Administered by: Other     Purchased by: Other
Symptoms: Dyspnoea
SMQs:, Anaphylactic reaction (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad)
Write-up: breathing diff (pt was ventilated);file to be completed

VAERS ID:134451 (history)  Vaccinated:1996-02-15
Age:0.6  Onset:1996-03-09, Days after vaccination: 23
Gender:Male  Submitted:0000-00-00
Location:Foreign  Entered:2000-03-01
Life Threatening? No
Died? Yes
   Date died: 1996-04-07
   Days after onset: 29
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: Hyperparathyroidism, sleep apnea, immunodeficiency congenital
Diagnostic Lab Data: CT-cerebral atrophy; EEG-suspected state after epileptic status; C-reactive protein-46.8; CSF-pressure increased but otherwise normal
CDC Split Type: 1198023FEB
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTPHIB: DTP + HIB (NO BRAND NAME)UNKNOWN MANUFACTURER 2IMLL
HIBV: HIB (HIBTITER)LEDERLE LABORATORIES 1IMLL
IPV: POLIO VIRUS, INACT. (NO BRAND NAME)UNKNOWN MANUFACTURER 1IMRL
Administered by: Unknown     Purchased by: Unknown
Symptoms: Apnoea, Brain oedema, CSF test abnormal, Cardiac arrest, Cerebrovascular disorder, Congenital anomaly, Delirium, Febrile convulsion, Hypoxia, Immune system disorder, Laboratory test abnormal, Pyrexia, Sepsis
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (broad), Agranulocytosis (broad), Asthma/bronchospasm (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Ischaemic central nervous system vascular conditions (narrow), Haemorrhagic central nervous system vascular conditions (narrow), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (narrow), Dementia (broad), Congenital, familial and genetic disorders (narrow), Convulsions (narrow), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Acute central respiratory depression (narrow), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (narrow), Noninfectious meningitis (broad), Hyponatraemia/SIADH (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Generalised convulsive seizures following immunisation (narrow), Respiratory failure (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: On 2/15/96,pt recv''d Hib-Titer & DTAP-HBV-IPV as part of an investigational trial. On 3/9/96,pt dvlped fever and febrile convulsions.He was hospitalized on 3/10/96 w/ cerebral edema. A dx of hypoxic cerebral damage,prolonged fever convuls.,

VAERS ID:192301 (history)  Vaccinated:1996-02-15
Age:42.0  Onset:2002-09-30, Days after vaccination: 2419
Gender:Male  Submitted:2002-10-30, Days after onset: 30
Location:Foreign  Entered:2002-11-01, Days after submission: 2
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? Yes, ? days
    Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: UNK
Preexisting Conditions:
Diagnostic Lab Data: Negative etiologic check-up
CDC Split Type: B0282673A
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)GLAXOSMITHKLINE BIOLOGICALS 0  
Administered by: Other     Purchased by: Other
Symptoms: Arthralgia, Diabetes mellitus
SMQs:, Hyperglycaemia/new onset diabetes mellitus (narrow), Arthritis (broad)
Write-up: A regulatory authority reported the occurrence of diabetes mellitus in a 42 year old male pt treted with hep B vaccine (Engerix B) for hep B prophylaxis. On 2/15/96, the pt received a first dose of hep B vaccine. At an unspecified date, a second dose of hep B vaccine was given. Approximately seven months after the first injection, he received his third dose of hpe B vaccine. On 9/30/96, seven months after the start and eighteen days after the stop of hep B vaccine, the pt developed polyarthralgia and diabetes mellitus, leading to the start of insuline. The etiologic check-up was negative. The most recent info received on 10/14/02 reports the outcome of the event as resolved with sequelae. The regulatory authority considered the events ad dubiously related to hep B vaccine.

VAERS ID:83121 (history)  Vaccinated:1996-02-16
Age:20.0  Onset:1996-02-16, Days after vaccination: 0
Gender:Male  Submitted:1996-02-16, Days after onset: 0
Location:South Carolina  Entered:1996-02-27, Days after submission: 11
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: na
Other Medications: none
Current Illness: none
Preexisting Conditions: none
Diagnostic Lab Data: na
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
YF: YELLOW FEVER (YF-VAX)CONNAUGHT LABORATORIES5K610470IMRA
Administered by: Military     Purchased by: Military
Symptoms: Laryngospasm, Urticaria
SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), Dystonia (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: pt recvd vax; c/o tight feeling in throat; urticaria on arms, head & neck;

VAERS ID:83123 (history)  Vaccinated:1996-02-16
Age:71.0  Onset:1996-02-16, Days after vaccination: 0
Gender:Female  Submitted:0000-00-00
Location:Wisconsin  Entered:1996-02-27
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: hormones
Current Illness: none
Preexisting Conditions: hx of thimerisol sensivity 20 yrs ago, red, no hives;
Diagnostic Lab Data: none
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEPA: HEP A (HAVRIX)SMITHKLINE BEECHAMVHA478B60IMRA
TD: TD ADSORBED (NO BRAND NAME)LEDERLE LABORATORIES394903 IMLA
Administered by: Private     Purchased by: Private
Symptoms: Injection site hypersensitivity, Injection site mass, Injection site pain, Pruritus
SMQs:, Anaphylactic reaction (broad), Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: pt recv vax;became red,pruritic & hard few hrs p/ inject & remains red & painful;to md tx w/ triamcinolone cream to area;instructed not to have Td again;

VAERS ID:83126 (history)  Vaccinated:1996-02-16
Age:0.5  Onset:1996-02-17, Days after vaccination: 1
Gender:Female  Submitted:1996-02-21, Days after onset: 4
Location:Ohio  Entered:1996-02-27, Days after submission: 6
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: viral URI
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTPHIB: DTP + HIB (TETRAMUNE)LEDERLE LABORATORIES4293212IMLL
OPV: POLIO VIRUS, ORAL (ORIMUNE)LEDERLE LABORATORIES730C42PO 
Administered by: Private     Purchased by: Public
Symptoms: Hypotonia, Stupor
SMQs:, Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Hypoglycaemia (broad)
Write-up: pt recvd vax; hypotonic/hyporesponsive episode;

VAERS ID:83132 (history)  Vaccinated:1996-02-16
Age:49.0  Onset:1996-02-18, Days after vaccination: 2
Gender:Female  Submitted:1996-02-20, Days after onset: 2
Location:South Carolina  Entered:1996-02-27, Days after submission: 7
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: apap, percodan
Current Illness: pain pointer finger, rt hand
Preexisting Conditions: alleric to septra
Diagnostic Lab Data: CBC, WBC 8.7;RBC 4.45;HCT 40.2;MCV 88.5;MCHC 34.2;RDW 12.7;PIT 30.5; Dih lymph 34 base 1;ESO 3; Mono 9;
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)LEDERLE LABORATORIES398904 IMLA
Administered by: Other     Purchased by: Public
Symptoms: Face oedema, Injection site oedema, Injection site pain, Lymphadenopathy, Pyrexia
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (narrow)
Write-up: pt recv vax;swelling & tenderness at area of inject;low grade fever & itching;swelling of lower hip & lt side of mouth;in er;given rocephin & dph,apap,advil;large supraclavicular lymph node;

VAERS ID:83215 (history)  Vaccinated:1996-02-16
Age:0.5  Onset:1996-02-19, Days after vaccination: 3
Gender:Female  Submitted:1996-02-27, Days after onset: 8
Location:California  Entered:1996-02-28, Days after submission: 1
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: mom states pt exp similar episode 2mos ago-no apparent relationship to vax @ 1st episode
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTP: DTP (NO BRAND NAME)CONNAUGHT LABORATORIES5J610712IMLL
HIBV: HIB (ACTHIB)CONNAUGHT LABORATORIES5J610712IMLL
OPV: POLIO VIRUS, ORAL (ORIMUNE)LEDERLE LABORATORIES4301772PO 
Administered by: Private     Purchased by: Private
Symptoms: Convulsion, Hypotonia, Pallor, Stupor
SMQs:, Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Convulsions (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (narrow), Hypoglycaemia (broad)
Write-up: pt recvd vax 16FEB96 & 19FEB96 had limpness spells x 1 w/eyes glazed over, pale color;no apnea;? poss sz;seen in office 23FEB96;

VAERS ID:83440 (history)  Vaccinated:1996-02-16
Age:0.9  Onset:1996-02-16, Days after vaccination: 0
Gender:Female  Submitted:1996-02-16, Days after onset: 0
Location:North Carolina  Entered:1996-03-04, Days after submission: 17
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? Yes, ? days
    Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: EEG, Brain Scan, LP all nl
CDC Split Type: NC96020
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTPHIB: DTP + HIB (TETRAMUNE)LEDERLE LABORATORIES3949572IMLL
Administered by: Unknown     Purchased by: Unknown
Symptoms: Coma, Convulsion, Dyspnoea, Encephalitis, Pyrexia
SMQs:, Anaphylactic reaction (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Convulsions (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Noninfectious encephalitis (narrow), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Cardiomyopathy (broad), Generalised convulsive seizures following immunisation (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)
Write-up: pt recv vax & exp t102.7,5 convuls,encephalitis &/or encephalopathy;coma or marked alteration of LOC;pt had sz then resp arrest in postictal stat

VAERS ID:83478 (history)  Vaccinated:1996-02-16
Age:4.0  Onset:1996-02-16, Days after vaccination: 0
Gender:Male  Submitted:1996-02-19, Days after onset: 3
Location:Washington  Entered:1996-03-05, Days after submission: 15
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTP: DTP (NO BRAND NAME)MICHIGAN DEPT PUB HLTHTR1225ASB4 RA
OPV: POLIO VIRUS, ORAL (ORIMUNE)LEDERLE LABORATORIES2084083PO 
Administered by: Private     Purchased by: Public
Symptoms: Anorexia, Chills, Myalgia, Nervousness, Pyrexia, Tremor, Vomiting
SMQs:, Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Parkinson-like events (broad), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)
Write-up: 16FEB96 2PM shaking,goosebumps-APAP repeated;642PM t102 orally,dec appetite,sore arm;17DEC96 emesis,irritable,t103.2 orally;

VAERS ID:83601 (history)  Vaccinated:1996-02-16
Age:31.0  Onset:1996-02-16, Days after vaccination: 0
Gender:Male  Submitted:1996-02-20, Days after onset: 4
Location:California  Entered:1996-03-11, Days after submission: 20
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: none
Preexisting Conditions: denies
Diagnostic Lab Data:
CDC Split Type: CA960023
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)CONNAUGHT LABORATORIES5J71009  LA
Administered by: Public     Purchased by: Public
Symptoms: Oedema peripheral, Pyrexia
SMQs:, Cardiac failure (broad), Angioedema (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: pt recvd vax; swollen lt upper arm; fever of 104;

VAERS ID:84462 (history)  Vaccinated:1996-02-16
Age:0.6  Onset:1996-02-16, Days after vaccination: 0
Gender:Female  Submitted:1996-02-27, Days after onset: 11
Location:Idaho  Entered:1996-04-04, Days after submission: 37
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC Split Type: ID96015
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTP: DTP (NO BRAND NAME)CONNAUGHT LABORATORIES5E610082IMRL
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.1409A2IMLL
HIBV: HIB (ACTHIB)CONNAUGHT LABORATORIES5E610082IMRL
OPV: POLIO VIRUS, ORAL (ORIMUNE)LEDERLE LABORATORIES0722B2PO 
Administered by: Public     Purchased by: Public
Symptoms: Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: a few hrs p/vax pt devel elevated temp of 104.6R;this elevation lasted about 12hrs;pt was seen by pvt MD;17FEB96 inc temp was 102;no other concerns;by 19FEB95 pt was fine;

VAERS ID:84652 (history)  Vaccinated:1996-02-16
Age:1.9  Onset:1996-02-16, Days after vaccination: 0
Gender:Male  Submitted:1996-02-20, Days after onset: 4
Location:New Jersey  Entered:1996-04-08, Days after submission: 47
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: pt''s brother w/t103 & cried 3 days @ 2 1/2mos w/DTP/OPV;t103 w/dose 2,3,4
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: milk allergy drinks lactaid
Diagnostic Lab Data: NONE
CDC Split Type: NJ967
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTPHIB: DTP + HIB (TETRAMUNE)LEDERLE LABORATORIES4280343IMLA
OPV: POLIO VIRUS, ORAL (ORIMUNE)LEDERLE LABORATORIES4301752PO 
Administered by: Public     Purchased by: Public
Symptoms: Injection site hypersensitivity, Injection site oedema, Pyrexia, Similar reaction on previous exposure to drug, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: 835AM pt recv vax;935AM pt returned covered w/bright red hives on face,upper trunk & arm red & swollen,lungs clear;DPH given & pt observed for 1hr w/ice pack to LVA;referred to MD;urticaria relieved w/IM DPH;t103-104

VAERS ID:84679 (history)  Vaccinated:1996-02-16
Age:0.2  Onset:0000-00-00
Gender:Male  Submitted:1996-02-20
Location:South Carolina  Entered:1996-04-11, Days after submission: 50
Life Threatening? No
Died? Yes
   Date died: 1996-02-18
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NONE
Other Medications:
Current Illness: NONE
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTPHIB: DTP + HIB (TETRAMUNE)LEDERLE LABORATORIES4299680 LL
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.1399A1 RL
OPV: POLIO VIRUS, ORAL (ORIMUNE)LEDERLE LABORATORIES4284850PO 
Administered by: Private     Purchased by: Public
Symptoms: Apnoea, Chills
SMQs:, Acute central respiratory depression (narrow), Respiratory failure (narrow)
Write-up: pt recv vax 16FEB96 & to ER p/discovered by mom or grandma to be cold & not breathing;DOA by ER MD 18FEB96;

VAERS ID:85798 (history)  Vaccinated:1996-02-16
Age:2.0  Onset:1996-02-28, Days after vaccination: 12
Gender:Male  Submitted:0000-00-00
Location:California  Entered:1996-04-23
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: in sibling, lesion at age 8 w/ varivax 1;
Other Medications:
Current Illness:
Preexisting Conditions: asthma;
Diagnostic Lab Data: no relevant data
CDC Split Type: WAES96030872
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.0439B0  
Administered by: Private     Purchased by: Private
Symptoms: Dermatitis bullous
SMQs:, Severe cutaneous adverse reactions (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: pt recv vax; broke out in approx 50 lesions; it was reported that pt ''s brother broke out in approx 15 pox;

VAERS ID:85233 (history)  Vaccinated:1996-02-16
Age:1.0  Onset:1996-02-17, Days after vaccination: 1
Gender:Male  Submitted:1996-02-23, Days after onset: 6
Location:Oklahoma  Entered:1996-04-24, Days after submission: 60
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: DPh
Current Illness: had fluid behind ear beginning of inj
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTPHIB: DTP + HIB (NO BRAND NAME)UNKNOWN MANUFACTURER 2 L
MMR: MEASLES + MUMPS + RUBELLA (NO BRAND NAME)UNKNOWN MANUFACTURER 0 L
OPV: POLIO VIRUS, ORAL (ORIMUNE)LEDERLE LABORATORIES 2PO 
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC. 0 L
Administered by: Private     Purchased by: Unknown
Symptoms: Apnoea, Convulsion, Febrile convulsion, Stupor, Tachycardia, Tremor, Vomiting
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Convulsions (narrow), Parkinson-like events (broad), Acute central respiratory depression (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Generalised convulsive seizures following immunisation (narrow), Respiratory failure (narrow), Hypoglycaemia (broad)
Write-up: sz like shaking, staring, heart beating extremely fast, breathing stop;p/mouth to mouth cries, vomit, then seems to be fine

VAERS ID:87243 (history)  Vaccinated:1996-02-16
Age:0.3  Onset:1996-02-16, Days after vaccination: 0
Gender:Male  Submitted:1996-04-23, Days after onset: 66
Location:Arkansas  Entered:1996-06-24, Days after submission: 62
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: NONE
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC Split Type: AR9645
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTPHIB: DTP + HIB (TETRAMUNE)LEDERLE LABORATORIES4326540IMLL
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.0892B1IMRL
OPV: POLIO VIRUS, ORAL (ORIMUNE)LEDERLE LABORATORIES0730H0PO 
Administered by: Public     Purchased by: Other
Symptoms: Apnoea, Crying, Screaming
SMQs:, Acute central respiratory depression (narrow), Hostility/aggression (broad), Depression (excl suicide and self injury) (broad), Respiratory failure (narrow)
Write-up: pt recv vax 16FEB96 930AM & by 11AM pt was crying inconsolably & had stopped breathing twice;saw MD 1130AM & was monitored in office;no other problems in MD office;inconsolable crying lasted 8hr that day

VAERS ID:87605 (history)  Vaccinated:1996-02-16
Age:1.3  Onset:1996-02-25, Days after vaccination: 9
Gender:Male  Submitted:1996-06-28, Days after onset: 123
Location:Illinois  Entered:1996-07-08, Days after submission: 10
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: down''s synd
Diagnostic Lab Data: scrotal ultrasound-consistent w/rt sided epididym orchitis
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0790B0SCRL
Administered by: Private     Purchased by: Public
Symptoms: Epididymitis
SMQs:
Write-up: epididymaorchitis 9 days p/vax-ultrasound, ATB & observations

VAERS ID:88151 (history)  Vaccinated:1996-02-16
Age:35.0  Onset:1996-03-05, Days after vaccination: 18
Gender:Female  Submitted:0000-00-00
Location:Massachusetts  Entered:1996-07-18
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: pt devel higv-like wheat @ the inj site w/dose 1 of varicella;
Other Medications: Birth control pills
Current Illness: NONE
Preexisting Conditions: intolernace, erythromycin
Diagnostic Lab Data: no relevant data;
CDC Split Type: WAES96031720
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.0389B1SC 
Administered by: Private     Purchased by: Private
Symptoms: Conjunctivitis, Eczema, Pruritus, Rash
SMQs:, Severe cutaneous adverse reactions (broad), Anaphylactic reaction (broad), Conjunctival disorders (narrow), Ocular infections (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: pt recv vax 16FEB96 & 5MAR96 exp periorbital rash & itchy, irritated eczematous around the eyelids;tx w/med w/o resolution;exp required a MD visit;

VAERS ID:92024 (history)  Vaccinated:1996-02-16
Age:35.0  Onset:1996-02-17, Days after vaccination: 1
Gender:Male  Submitted:1996-02-28, Days after onset: 11
Location:New Jersey  Entered:1996-10-30, Days after submission: 245
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions: family history of hearing loss
Diagnostic Lab Data:
CDC Split Type: 960025811
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM1966A20IMA
Administered by: Private     Purchased by: Private
Symptoms: Tinnitus
SMQs:, Hearing impairment (narrow)
Write-up: pt recv vax & w/in 24hr post vax pt exp tinnitus;no tx was given; sx persist;

VAERS ID:92026 (history)  Vaccinated:1996-02-16
Age:20.0  Onset:1996-02-16, Days after vaccination: 0
Gender:Female  Submitted:1996-04-04, Days after onset: 48
Location:Wisconsin  Entered:1996-10-30, Days after submission: 209
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Tavist-D
Current Illness:
Preexisting Conditions: environmental allergies;NKDA;
Diagnostic Lab Data:
CDC Split Type: 960027031
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM1443A60IMA
Administered by: Other     Purchased by: Other
Symptoms: Cough, Productive cough, Pyrexia
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: pt recv vax & w/in 12 hr post vax pt exp a fever to 101 & a cough productive of yellow sputum;pt was seen by MD, who prescribed erythromycin;pt has recovered w/therapy;the fever & yellow sputum have resolved;some coughing cont;

VAERS ID:93210 (history)  Vaccinated:1996-02-16
Age:38.0  Onset:1996-02-16, Days after vaccination: 0
Gender:Female  Submitted:1996-04-11, Days after onset: 54
Location:California  Entered:1996-10-30, Days after submission: 202
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC Split Type: 960045771
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM1853A42IMLA
Administered by: Private     Purchased by: Private
Symptoms: Paraesthesia
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad)
Write-up: pt recv vax & exp stinging;pt arm was uncomfortable for 24hr;no tx was given;

VAERS ID:111395 (history)  Vaccinated:1996-02-16
Age:4.0  Onset:0000-00-00
Gender:Male  Submitted:1998-06-01
Location:Virginia  Entered:1998-06-03, Days after submission: 2
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.1122B0SCLA
Administered by: Private     Purchased by: Private
Symptoms: Dermatitis bullous, Rash maculo-papular
SMQs:, Severe cutaneous adverse reactions (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: pt devel erythema papular lesions w/vesicular heads;several lesions were crusted;

VAERS ID:112676 (history)  Vaccinated:1996-02-16
Age:0.0  Onset:1998-02-16, Days after vaccination: 731
Gender:Male  Submitted:1998-07-14, Days after onset: 147
Location:Unknown  Entered:1998-07-17, Days after submission: 3
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 3 days
    Extended hospital stay? No
Previous Vaccinations: No relevant data;
Other Medications: unk
Current Illness:
Preexisting Conditions: Sickle Cell Disease
Diagnostic Lab Data:
CDC Split Type: WAES98070412
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.1106E  LA
Administered by: Private     Purchased by: Public
Symptoms: Cellulitis, Injection site hypersensitivity
SMQs:, Hypersensitivity (narrow)
Write-up: pt recv vax 16FEB96 & pt began to devel a cluster of lesions around the inj site;pt devel a full-blown cellulitis @ the site of the inj & by 28FEB98 pt had approx 15-17 lesions distributed gen over body;28FEB98 pt adm to hosp x 3 days;

VAERS ID:123802 (history)  Vaccinated:1996-02-16
Age:3.0  Onset:1998-04-16, Days after vaccination: 790
Gender:Female  Submitted:1999-05-14, Days after onset: 393
Location:Pennsylvania  Entered:1999-05-21, Days after submission: 7
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: no relevant data
Other Medications: unk
Current Illness:
Preexisting Conditions: unk
Diagnostic Lab Data:
CDC Split Type: WAES98080864
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.0563D0  
Administered by: Private     Purchased by: Other
Symptoms: Rash
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: p/ recv vax in 2/96 pt in 4/98 exp a rash w/a few spots & no complications.

VAERS ID:157116 (history)  Vaccinated:1996-02-16
Age:4.0  Onset:1999-06-26, Days after vaccination: 1226
Gender:Male  Submitted:2000-05-16, Days after onset: 325
Location:Pennsylvania  Entered:2000-07-18, Days after submission: 63
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC Split Type: WAES99060830
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.1122B0SC 
Administered by: Private     Purchased by: Private
Symptoms: Drug ineffective, Infection, Pyrexia
SMQs:, Lack of efficacy/effect (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: On May 26, 1999 the pt developed varicella sx with less than 50 lesions and low-grade fever. It was indicated that treatment with diphenhydramine hydrochloride, was recommended.

VAERS ID:167915 (history)  Vaccinated:1996-02-16
Age:6.0  Onset:2001-03-24, Days after vaccination: 1863
Gender:Female  Submitted:2001-03-26, Days after onset: 2
Location:Pennsylvania  Entered:2001-03-28, Days after submission: 2
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEPA: HEP A (VAQTA)MERCK & CO. INC.1124B0SCRA
Administered by: Private     Purchased by: Private
Symptoms: Drug ineffective, Infection, Pyrexia
SMQs:, Lack of efficacy/effect (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: The pt woke up on 3/24/01 with a fever of 104. By that evening, the pt''s parents noticed pox. She now has greater than 100 pox covering her body.

VAERS ID:172209 (history)  Vaccinated:1996-02-16
Age:6.0  Onset:2001-01-30, Days after vaccination: 1810
Gender:Male  Submitted:2001-05-15, Days after onset: 104
Location:Michigan  Entered:2001-06-01, Days after submission: 17
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: UNK
Diagnostic Lab Data: NONE
CDC Split Type: WAES01022118
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.606319/0404B0IM 
Administered by: 0     Purchased by: 0
Symptoms: Viral infection
SMQs:
Write-up: On 01/30/2001, the patient developed varicella. Subsequently, the patient recovered.

VAERS ID:423616 (history)  Vaccinated:1996-02-16
Age:37.0  Onset:0000-00-00
Gender:Female  Submitted:2011-05-12
Location:New York  Entered:2011-05-18, Days after submission: 6
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: AROMASIN; EFFEXOR; vitamins (unspecified)
Current Illness: Allergic reaction to bee sting; Osteopenia
Preexisting Conditions: Breast cancer
Diagnostic Lab Data: serum varicella zoster, 08/06/10, <0.9
CDC Split Type: WAES1008USA03783
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC. 0IMUN
Administered by: Private     Purchased by: Private
Symptoms: Varicella virus test negative
SMQs:
Write-up: Information has been received from a physician concerning a 38 year old (now 52 year old) female patient with breast cancer and no drug reactions/allergies on 16-FEB-1996, was vaccinated with the first dose of VARIVAX (Merck) (lot# not reported). In May 1996, the patient was vaccinated with the second dose of VARIVAX (Merck) (lot# not reported). On October 2009, the patient was vaccinated with the third dose of VARIVAX (Merck) (lot # 665025/0992Y). Concomitant therapy included AROMASIN, EFFEXOR and multivitamins (unspecified). The patient had antibody titers test performed. The physician stated that the patient continued to have negative titer even after receiving three doses of VARIVAX (Merck). The patient sought medical attention. At the time of the report, the patient''s outcome was unknown. Follow up information has been received from a physician who reported that on 21-OCT-2009, the patient with bee sting allergy and osteopenia and a history of breast cancer, was vaccinated intramuscularly in the left arm with the second or third dose (not sure) of VARIVAX (Merck) (lot # 665025/0992Y). On 06-AUG-2010, a varicella zoster virus IgG test performed was <0.9. Failed to show immune response to vaccine. At the time of the report, the patient''s outcome was unknown. No further information is available.

VAERS ID:84624 (history)  Vaccinated:1996-02-16
Age:0.5  Onset:1996-02-17, Days after vaccination: 1
Gender:Male  Submitted:1996-03-13, Days after onset: 25
Location:Foreign  Entered:1996-04-08, Days after submission: 25
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 2 days
    Extended hospital stay? No
Previous Vaccinations:
Other Medications: unk
Current Illness: unk
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: 896082001L
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTP: DTP (NO BRAND NAME)UNKNOWN MANUFACTURER 2  
HIBV: HIB (HIBTITER)LEDERLE PRAXSIS 1IM 
OPV: POLIO VIRUS, ORAL (ORIMUNE)LEDERLE LABORATORIES 1PO 
Administered by: Other     Purchased by: Other
Symptoms: Conjunctivitis, Pruritus, Rash, Urticaria
SMQs:, Severe cutaneous adverse reactions (broad), Anaphylactic reaction (broad), Angioedema (narrow), Conjunctival disorders (narrow), Ocular infections (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: pt recv vax 16FEB96 & next day devel a rash (exanthem),wheals accompanied by itching & conjunctivitis;was hospitalized for 2 days & recovered;

VAERS ID:83408 (history)  Vaccinated:1996-02-17
Age:0.3  Onset:1996-02-20, Days after vaccination: 3
Gender:Female  Submitted:1996-02-26, Days after onset: 6
Location:Tennessee  Entered:1996-03-04, Days after submission: 7
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: TN96024
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTPHIB: DTP + HIB (TETRAMUNE)LEDERLE LABORATORIES4299691IM 
OPV: POLIO VIRUS, ORAL (ORIMUNE)LEDERLE LABORATORIES0732D1  
Administered by: Public     Purchased by: Public
Symptoms: Injection site mass, Injection site pain
SMQs:, Extravasation events (injections, infusions and implants) (broad)
Write-up: pt recvd vax; hard knot at inject site; tender; fever of 102.7;

VAERS ID:83414 (history)  Vaccinated:1996-02-17
Age:0.5  Onset:1996-02-17, Days after vaccination: 0
Gender:Male  Submitted:1996-02-19, Days after onset: 2
Location:Florida  Entered:1996-03-04, Days after submission: 14
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: in pt, rash at 4 & 6mo w/doses 1 & 2 of DTPH
Other Medications: polio, augmentin
Current Illness:
Preexisting Conditions: thrush
Diagnostic Lab Data: none
CDC Split Type: FL96011
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTPHIB: DTP + HIB (TETRAMUNE)LEDERLE LABORATORIES4299652IMLA
Administered by: Public     Purchased by: Public
Symptoms: Pruritus, Rash, Similar reaction on previous exposure to drug
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: pt recvd vax; exp rash just like previous vax;rash was itchy per mom;

VAERS ID:84718 (history)  Vaccinated:1996-02-17
Age:0.8  Onset:1996-02-17, Days after vaccination: 0
Gender:Male  Submitted:1996-03-26, Days after onset: 38
Location:Kansas  Entered:1996-04-09, Days after submission: 13
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: pt''s sibling exp high pitched cry @ 2,4,6, & 12mos w/DTP doses 1,2,3,4
Other Medications: NONE
Current Illness: nONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC Split Type: KS96014
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTP: DTP (NO BRAND NAME)CONNAUGHT LABORATORIES5H610092 LL
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.1197B2 RL
HIBV: HIB (ACTHIB)CONNAUGHT LABORATORIES5H610092 LL
OPV: POLIO VIRUS, ORAL (ORIMUNE)LEDERLE LABORATORIES0736H2PO 
Administered by: Other     Purchased by: Public
Symptoms: Asthenia, Diarrhoea, Dyspnoea, Gaze palsy, Pharyngitis, Pyrexia, Stupor, Tremor
SMQs:, Anaphylactic reaction (broad), Agranulocytosis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Parkinson-like events (broad), Oropharyngeal infections (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Ocular motility disorders (narrow), Noninfectious diarrhoea (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)
Write-up: 1/2 p/vax pt appeared tired;pt slept 1hr & awoke crying;mom picked pt up form crib & pt began to shiver, then shook hard;breathing became labored; t100 ax;pt unresponsive to tactile stimulating;mom reports eyes rolled around;d, cold sx

VAERS ID:92209 (history)  Vaccinated:1996-02-17
Age:0.8  Onset:0000-00-00
Gender:Female  Submitted:1996-08-23
Location:California  Entered:1996-11-20, Days after submission: 89
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: CA960138
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM1964A2  LL
Administered by: Public     Purchased by: Public
Symptoms: Skin disorder, Skin necrosis
SMQs:, Severe cutaneous adverse reactions (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: adipose necrosis-1x1cm

VAERS ID:123502 (history)  Vaccinated:1996-02-17
Age:1.4  Onset:1998-06-12, Days after vaccination: 846
Gender:Female  Submitted:1999-05-14, Days after onset: 336
Location:Massachusetts  Entered:1999-05-21, Days after submission: 7
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: No Relevant Data
Other Medications: NONE
Current Illness:
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC Split Type: WAES98061035
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.0443B0SC 
Administered by: Private     Purchased by: Public
Symptoms: Dermatitis bullous, Drug ineffective, Infection
SMQs:, Severe cutaneous adverse reactions (narrow), Lack of efficacy/effect (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: pt recv vax & exp chickenpox rash w/approx 30 to 30 lesions;1wk later pt recovered;

VAERS ID:123503 (history)  Vaccinated:1996-02-17
Age:3.0  Onset:1998-06-12, Days after vaccination: 846
Gender:Male  Submitted:1999-05-14, Days after onset: 336
Location:Massachusetts  Entered:1999-05-21, Days after submission: 7
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: No Relevant Data
Other Medications: NONE
Current Illness:
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC Split Type: WAES98061060
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.0443B0SCLA
Administered by: Private     Purchased by: Public
Symptoms: Dermatitis bullous, Drug ineffective, Infection
SMQs:, Severe cutaneous adverse reactions (narrow), Lack of efficacy/effect (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: p/vax pt devel chickenpox w/approx 20 to 30 lesions;1wk later pt recovered;

VAERS ID:123769 (history)  Vaccinated:1996-02-17
Age:1.8  Onset:1998-06-01, Days after vaccination: 835
Gender:Female  Submitted:1999-05-14, Days after onset: 347
Location:Massachusetts  Entered:1999-05-21, Days after submission: 7
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: no relevant data
Other Medications: unk
Current Illness:
Preexisting Conditions: unk
Diagnostic Lab Data:
CDC Split Type: WAES98080319
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.0443B0SCLA
Administered by: Private     Purchased by: Public
Symptoms: Drug ineffective, Infection
SMQs:, Lack of efficacy/effect (narrow)
Write-up: p/ pt recv vax approx 2yrs later the pt exp chickenpox

VAERS ID:309045 (history)  Vaccinated:1996-02-17
Age:25.0  Onset:1997-12-01, Days after vaccination: 653
Gender:Female  Submitted:2008-04-04, Days after onset: 3776
Location:Foreign  Entered:2008-04-07, Days after submission: 3
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? Yes, 0 days
    Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: Unknown
Preexisting Conditions: THYROID DISORDER
Diagnostic Lab Data: UNK
CDC Split Type: B0515187A
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)GLAXOSMITHKLINE BIOLOGICALS1855A62UNUN
Administered by: Other     Purchased by: Other
Symptoms: Diplopia, Multiple sclerosis, Strabismus, Visual acuity reduced
SMQs:, Anticholinergic syndrome (broad), Glaucoma (broad), Optic nerve disorders (broad), Demyelination (narrow), Lens disorders (broad), Retinal disorders (broad), Ocular motility disorders (narrow), Hypoglycaemia (broad)
Write-up: This case was reported by a consumer and described the occurrence of multiple sclerosis in a 27-year-old female subject who was vaccinated with Engerix B adult (GlaxoSmithKline). A physician or other health care professional has not verified this report. Concurrent medical condition included thyroid disorders (NOS) which began before the vaccination. On 11 May 1995, the subject received the first injection of Engerix B Adult (batch reference 1749A6). On 10 June 1995, the subject received the second injection of Engerix B Adult, batch reference 1749A6). On 17 February 1996, the subject received the third injection of Engerix B Adult (batch reference 1855A6). In December 1997, 21 months after the third injection with Engerix B adult, the subject experienced the first signs of multiple sclerosis with loss of visual acuity of the right eye for which she was hospitalised. The subject was treated with corticoids during five days and the event resolved. In 2000, the diagnosis of multiple sclerosis was made. In December 2004, she experienced a new flare up with diplopia and strabismus for which she was hospitalised. The events resolved after five days of treatment with corticoids. At the time of reporting (27 March 2008), multiple sclerosis was unresolved. The subject had no treatment for multiple sclerosis and did not experience any new severe flare-up since 2004.

VAERS ID:83432 (history)  Vaccinated:1996-02-18
Age:24.0  Onset:1996-02-18, Days after vaccination: 0
Gender:Male  Submitted:1996-02-18, Days after onset: 0
Location:California  Entered:1996-03-04, Days after submission: 15
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TYP: TYPHOID VI POLYSACCHARIDE (TYPHIM VI)CONNAUGHT LABORATORIESJ11500IMA
Administered by: Military     Purchased by: Military
Symptoms: Back pain, Chills, Headache, Malaise, Myalgia
SMQs:, Rhabdomyolysis/myopathy (broad), Retroperitoneal fibrosis (broad), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad)
Write-up: h/a, malaise, chills, back pain, muscle aches

VAERS ID:83211 (history)  Vaccinated:1996-02-19
Age:5.0  Onset:1996-02-20, Days after vaccination: 1
Gender:Female  Submitted:1996-02-23, Days after onset: 3
Location:Michigan  Entered:1996-02-28, Days after submission: 5
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAP: DTAP (ACEL-IMUNE)LEDERLE LABORATORIES4326550 LA
Administered by: Other     Purchased by: Other
Symptoms: Dermatitis bullous, Injection site hypersensitivity, Injection site oedema
SMQs:, Severe cutaneous adverse reactions (narrow), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: pt had rxn but mom did not come to office until 23FEB 10 cm long,8cm wide (lt deltoid) local react-pink mildly edematous @ site;ring of vesicles

VAERS ID:83224 (history)  Vaccinated:1996-02-19
Age:0.3  Onset:1996-02-19, Days after vaccination: 0
Gender:Male  Submitted:1996-02-20, Days after onset: 1
Location:Connecticut  Entered:1996-02-28, Days after submission: 8
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: APAP
Current Illness: NONE
Preexisting Conditions: absent rt kidney;lt hydronephrosis
Diagnostic Lab Data: NONE
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTPHIB: DTP + HIB (TETRAMUNE)LEDERLE LABORATORIES4280381 LL
OPV: POLIO VIRUS, ORAL (ORIMUNE)LEDERLE LABORATORIES4267351PO 
Administered by: Private     Purchased by: Public
Symptoms: Crying, Injection site oedema, Injection site reaction, Screaming
SMQs:, Extravasation events (injections, infusions and implants) (broad), Hostility/aggression (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Depression (excl suicide and self injury) (broad)
Write-up: pt had a local rxn on thigh also had 5hrs of screaming the noc of vax w/episodes of screaming the day p/vax (26hrs);by 48hrs pt was back to nl;

VAERS ID:83395 (history)  Vaccinated:1996-02-19
Age:59.0  Onset:1996-02-23, Days after vaccination: 4
Gender:Male  Submitted:1996-02-26, Days after onset: 3
Location:West Virginia  Entered:1996-03-01, Days after submission: 4
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: NONE
Other Medications: NONE
Current Illness: conjunctivitis day of vax
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)CONNAUGHT LABORATORIES5H71005  LA
Administered by: Other     Purchased by: Private
Symptoms: Hypersensitivity, Injection site hypersensitivity, Injection site oedema, Pruritus, Vasodilatation
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: pt states 1st noticed redness,swelling & itchiness lt deltoid,just over inj site Friday 23FEB96-sx progressively worsened during the weekend;upon clinic visit large reddened,sl edematous,warm to touch,itchiness;

VAERS ID:83476 (history)  Vaccinated:1996-02-19
Age:1.9  Onset:1996-02-20, Days after vaccination: 1
Gender:Male  Submitted:1996-02-20, Days after onset: 0
Location:Missouri  Entered:1996-03-05, Days after submission: 14
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTP: DTP (NO BRAND NAME)CONNAUGHT LABORATORIES4A610943IMLL
HIBV: HIB (ACTHIB)CONNAUGHT LABORATORIES4A610943IMLL
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0217B0SCRL
Administered by: Private     Purchased by: Private
Symptoms: Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: t105.1R AM of 20FEB96;fever treated w/Motrin

VAERS ID:83505 (history)  Vaccinated:1996-02-19
Age:30.0  Onset:1996-02-19, Days after vaccination: 0
Gender:Female  Submitted:1996-02-21, Days after onset: 2
Location:South Carolina  Entered:1996-03-06, Days after submission: 14
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: ortho novum
Current Illness: NA
Preexisting Conditions: sickle cell anemia
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
PPV: PNEUMO (PNU-IMUNE)LEDERLE LABORATORIES431806   
Administered by: Unknown     Purchased by: Unknown
Symptoms: Oedema peripheral, Pain
SMQs:, Cardiac failure (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: pt recvd vax 19FEB96 & later that day pt reports rt arm painful & enlarged;21FEB96 remains painful rt arm 2.7cm;lt upper arm 22cm;

VAERS ID:83513 (history)  Vaccinated:1996-02-19
Age:0.2  Onset:1996-02-26, Days after vaccination: 7
Gender:Male  Submitted:1996-02-27, Days after onset: 1
Location:Iowa  Entered:1996-03-07, Days after submission: 9
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? Yes, ? days
    Extended hospital stay? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: none
Diagnostic Lab Data: WBC 15.8
CDC Split Type: IA96007
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTP: DTP (NO BRAND NAME)CONNAUGHT LABORATORIES5F610850 RA
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.1405A0 LA
HIBV: HIB (ACTHIB)CONNAUGHT LABORATORIES5F610850 RA
OPV: POLIO VIRUS, ORAL (ORIMUNE)LEDERLE LABORATORIES0728A0PO 
Administered by: Public     Purchased by: Public
Symptoms: Agitation, Anorexia, Asthma, Cough, Leukopenia, Lung disorder, Pyrexia, Speech disorder
SMQs:, Anaphylactic reaction (broad), Asthma/bronchospasm (narrow), Haematopoietic leukopenia (narrow), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Dementia (broad), Psychosis and psychotic disorders (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hostility/aggression (broad), Eosinophilic pneumonia (broad), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)
Write-up: pt recvd vax; cough w/ tightness, wheezing, fussy, poor appetite; adm to hosp;tx w/ atb,meds for resp; T 100.1; WBC 15.8;

VAERS ID:83520 (history)  Vaccinated:1996-02-19
Age:87.0  Onset:1996-02-23, Days after vaccination: 4
Gender:Female  Submitted:1996-02-26, Days after onset: 3
Location:Florida  Entered:1996-03-07, Days after submission: 10
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Cardiazan, estrogen, voltarian
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NA
CDC Split Type: FL96013
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEPA: HEP A (HAVRIX)SMITHKLINE BEECHAMVHA478B60IMRA
TD: TD ADSORBED (NO BRAND NAME)LEDERLE LABORATORIES4293100IMRA
Administered by: Public     Purchased by: Private
Symptoms: Rash
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: pt was given vax & noted 5 days p/vax devel rash over entire body;states nothing has been changed in her life other than receiving vax; called MD placed on DPH

VAERS ID:83562 (history)  Vaccinated:1996-02-19
Age:4.0  Onset:1996-02-26, Days after vaccination: 7
Gender:Female  Submitted:1996-03-05, Days after onset: 8
Location:Tennessee  Entered:1996-03-11, Days after submission: 6
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: TN96027
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTP: DTP (NO BRAND NAME)CONNAUGHT LABORATORIES5M610784IM 
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.0523B1IM 
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0879M1SC 
OPV: POLIO VIRUS, ORAL (ORIMUNE)LEDERLE LABORATORIES0733M3PO 
Administered by: Public     Purchased by: Public
Symptoms: Pharyngitis, Pyrexia, Rash
SMQs:, Anaphylactic reaction (broad), Agranulocytosis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Oropharyngeal infections (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: pt recvd vax; fever 1 wk later; throat itching; broke out w/ rash on stomach;

VAERS ID:83604 (history)  Vaccinated:1996-02-19
Age:4.0  Onset:1996-02-19, Days after vaccination: 0
Gender:Female  Submitted:1996-02-22, Days after onset: 3
Location:Florida  Entered:1996-03-11, Days after submission: 18
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: in pt, problem with eyes w/ previous vax;
Other Medications: none
Current Illness: sl cold
Preexisting Conditions: allergic to some med per dad
Diagnostic Lab Data: none
CDC Split Type: FL960014
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAP: DTAP (TRIPEDIA)CONNAUGHT LABORATORIES5G610011IMLA
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0874B1SCRA
OPV: POLIO VIRUS, ORAL (ORIMUNE)LEDERLE LABORATORIES0729K3PO 
Administered by: Public     Purchased by: Public
Symptoms: Face oedema
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: pt recvd vax; eyes swollen almost closed; to er; meds given; had similar rxn to previous vax;

VAERS ID:83779 (history)  Vaccinated:1996-02-19
Age:26.0  Onset:1996-02-23, Days after vaccination: 4
Gender:Female  Submitted:1996-03-12, Days after onset: 18
Location:Illinois  Entered:1996-03-19, Days after submission: 7
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC Split Type: IL960030
Vaccination
Manufacturer
Lot
Dose
Route
Site
DT: DT ADSORBED (NO BRAND NAME)LEDERLE LABORATORIES3949030 RA
Administered by: Public     Purchased by: Public
Symptoms: Hypertonia, Injection site hypersensitivity, Injection site pain, Vasodilatation
SMQs:, Neuroleptic malignant syndrome (broad), Parkinson-like events (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (narrow)
Write-up: pt exp redness, pain, stiffness in rt shoulder upper arm;no fevers, SOB;12x12 cm area red warm skin intact;tx ice, DPH, Motrin; f/u 26FEB96 w/o problems almost completely resolved;

VAERS ID:83964 (history)  Vaccinated:1996-02-19
Age:  Onset:1996-02-20, Days after vaccination: 1
Gender:Male  Submitted:1996-03-20, Days after onset: 29
Location:Michigan  Entered:1996-03-26, Days after submission: 6
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: amoxicillin
Current Illness: serious otitis med
Preexisting Conditions: none
Diagnostic Lab Data: none
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTPHIB: DTP + HIB (TETRAMUNE)LEDERLE LABORATORIES4261512IMLL
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0882B0SCRL
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.0389B0SCRA
Administered by: Private     Purchased by: Private
Symptoms: Dermatitis bullous, Skin disorder
SMQs:, Severe cutaneous adverse reactions (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: pt recvd vax; devel scattered varicella-like lesions, marks on skin; no prior exposure to varicella;

VAERS ID:84398 (history)  Vaccinated:1996-02-19
Age:1.3  Onset:1996-02-27, Days after vaccination: 8
Gender:Male  Submitted:0000-00-00
Location:New York  Entered:1996-04-03
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? Yes, ? days
    Extended hospital stay? No
Previous Vaccinations:
Other Medications: Amoxicillin
Current Illness: lt otitis media
Preexisting Conditions: bronchioliits FEB95; allergies wheat, carrots, grapes, dust mites
Diagnostic Lab Data: CT scan neg/SMAC neg; CBC/organic acid screen; EEG WNL on dilantin
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HIBV: HIB (HIBTITER)LEDERLE PRAXSISM005LK3IMLA
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0878B0SCRA
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.0751B0SCLA
Administered by: Private     Purchased by: Private
Symptoms: Convulsion, Febrile convulsion, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Convulsions (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Generalised convulsive seizures following immunisation (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)
Write-up: devel sz w/fever & subsequently afeb,9 days p/being vax w/MMR/HIB/Varivax;currently under care of neurologist,being treated w/Dilantin;

VAERS ID:84474 (history)  Vaccinated:1996-02-19
Age:26.0  Onset:1996-02-21, Days after vaccination: 2
Gender:Male  Submitted:1996-03-08, Days after onset: 16
Location:Georgia  Entered:1996-04-04, Days after submission: 27
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC Split Type: GA96021
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0883D1  
Administered by: Public     Purchased by: Unknown
Symptoms: Pain
SMQs:
Write-up: 2 days p/vax pt exp pain in pectoral area @ rest-irritating dull & pain in lower teeth still persists

VAERS ID:84565 (history)  Vaccinated:1996-02-19
Age:8.0  Onset:1996-02-19, Days after vaccination: 0
Gender:Male  Submitted:1996-03-21, Days after onset: 31
Location:Illinois  Entered:1996-04-05, Days after submission: 15
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NA
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NA
CDC Split Type: IL960035
Vaccination
Manufacturer
Lot
Dose
Route
Site
MEN: MENINGOCOCCAL (MENOMUNE)CONNAUGHT LABORATORIES5J710310SCRA
Administered by: Public     Purchased by: Other
Symptoms: Abdominal pain, Headache, Lymphadenopathy, Myalgia, Neck pain, Pharyngitis, Pyrexia
SMQs:, Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Agranulocytosis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Oropharyngeal infections (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (narrow)
Write-up: 7PM day of vax arm hurt-APAP given 19FEB96;20FEB96 head hurt @ school;t101.6 p/school;c/o h/a,& sore throat,stomachache,aching arms & legs;21FEB96,neck hurt,throat sore-not red,neck glands swollen;recovered 22FEB96

VAERS ID:84819 (history)  Vaccinated:1996-02-19
Age:0.3  Onset:1996-02-19, Days after vaccination: 0
Gender:Male  Submitted:1996-04-10, Days after onset: 50
Location:Colorado  Entered:1996-04-11, Days after submission: 1
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTP: DTP (NO BRAND NAME)CONNAUGHT LABORATORIES5F610551IMLL
HIBV: HIB (ACTHIB)CONNAUGHT LABORATORIES5F610551IMLL
OPV: POLIO VIRUS, ORAL (ORIMUNE)LEDERLE LABORATORIES0735C1PO 
Administered by: Private     Purchased by: Private
Symptoms: Hypotonia, Pallor, Skin discolouration
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad)
Write-up: became pale & limp w/white lips during noc feeding;recovered spontaneously

VAERS ID:85550 (history)  Vaccinated:1996-02-19
Age:15.0  Onset:1996-03-20, Days after vaccination: 30
Gender:Male  Submitted:1996-04-29, Days after onset: 39
Location:Minnesota  Entered:1996-05-06, Days after submission: 7
Life Threatening? No
Died? Yes
   Date died: 1996-03-31
   Days after onset: 11
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? Yes, ? days
    Extended hospital stay? No
Previous Vaccinations:
Other Medications: Anticonvuls, nos;
Current Illness:
Preexisting Conditions: mental retardation;sz;quadriplegia,spastic;microcephaly;pneumonia,aspiration;tracheostomy;thrombocytopenia; infect,yeast;Palsy,cerebral;
Diagnostic Lab Data: platelet count thrombocytopenia;culture :lesions pos for varicella;culture : trachea-enterobacteriaceae;
CDC Split Type: WAES96041438
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.0441B0SC 
Administered by: Other     Purchased by: Other
Symptoms: Cardiac arrest, Drug ineffective, Infection, Pneumonia, Renal failure, Respiratory disorder, Sepsis, Shock
SMQs:, Torsade de pointes/QT prolongation (broad), Rhabdomyolysis/myopathy (broad), Acute renal failure (narrow), Anaphylactic reaction (narrow), Agranulocytosis (broad), Lack of efficacy/effect (narrow), Arrhythmia related investigations, signs and symptoms (broad), Retroperitoneal fibrosis (broad), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (narrow), Torsade de pointes, shock-associated conditions (broad), Hypovolaemic shock conditions (narrow), Toxic-septic shock conditions (narrow), Anaphylactic/anaphylactoid shock conditions (narrow), Hypoglycaemic and neurogenic shock conditions (narrow), Acute central respiratory depression (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Hypotonic-hyporesponsive episode (broad), Chronic kidney disease (narrow), Hypersensitivity (narrow), Tumour lysis syndrome (broad), Respiratory failure (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: pt recv vax;exp inc resp rate&seen by MD;appeared to be in shock;maculopapular rash;to hosp;lab showed dec platelets&pneumonia;vesicles found to be varicella zoster;was fluid resuscitated&tx w/ atbs;culture of trachea pos;resp fail

VAERS ID:85988 (history)  Vaccinated:1996-02-19
Age:0.2  Onset:1996-04-19, Days after vaccination: 60
Gender:Male  Submitted:1996-04-22, Days after onset: 3
Location:North Carolina  Entered:1996-05-13, Days after submission: 21
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NA
Other Medications:
Current Illness: intermitent diarrhea
Preexisting Conditions: NA
Diagnostic Lab Data:
CDC Split Type: NC96034
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTPHIB: DTP + HIB (TETRAMUNE)LEDERLE LABORATORIES4299670IMLL
OPV: POLIO VIRUS, ORAL (ORIMUNE)LEDERLE LABORATORIES0732B0PO 
Administered by: Private     Purchased by: Public
Symptoms: Agitation, Crying, Injection site hypersensitivity, Injection site oedema, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Extravasation events (injections, infusions and implants) (broad), Hostility/aggression (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Depression (excl suicide and self injury) (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)
Write-up: 4hr p/vax pt started high pitched crying, very fussy, temp of 102.7, leg red & swollen, unable to console

VAERS ID:86020 (history)  Vaccinated:1996-02-19
Age:45.0  Onset:1996-03-14, Days after vaccination: 24
Gender:Female  Submitted:1996-05-07, Days after onset: 53
Location:Missouri  Entered:1996-05-14, Days after submission: 7
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NA
Current Illness: NA
Preexisting Conditions: NA
Diagnostic Lab Data: 4 MRI''s
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEPA: HEP A (HAVRIX)SMITHKLINE BEECHAMVHA468A61IMLA
YF: YELLOW FEVER (YF-VAX)CONNAUGHT LABORATORIES5L610121SCLA
Administered by: Private     Purchased by: Private
Symptoms: Dyspnoea, Palpitations, Paraesthesia
SMQs:, Anaphylactic reaction (broad), Peripheral neuropathy (broad), Arrhythmia related investigations, signs and symptoms (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Cardiomyopathy (broad)
Write-up: numbness in hands & feet, SOB, heart palpitations;conditions have since subsided;pt has numbness in rt hand & foot periodically

VAERS ID:86524 (history)  Vaccinated:1996-02-19
Age:1.0  Onset:1996-02-27, Days after vaccination: 8
Gender:Male  Submitted:1996-05-13, Days after onset: 75
Location:Tennessee  Entered:1996-06-03, Days after submission: 21
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: na
Other Medications: none
Current Illness: none
Preexisting Conditions: kidney reflux;
Diagnostic Lab Data: none
CDC Split Type: TN96047
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.1182B0SCLA
Administered by: Public     Purchased by: Other
Symptoms: Pyrexia, Rash
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: pt recv vax; 1 wk p/ MMR fever of 104.2 & rash starting on face going down; ER MD felt high fever & rash were from immunization;

VAERS ID:88140 (history)  Vaccinated:1996-02-19
Age:  Onset:1996-04-18, Days after vaccination: 59
Gender:Female  Submitted:0000-00-00
Location:North Carolina  Entered:1996-07-18
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: 18APR96 varicella antibody
CDC Split Type: WAES96031506
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.0414B1  
Administered by: Other     Purchased by: Other
Symptoms: Drug ineffective
SMQs:, Lack of efficacy/effect (narrow)
Write-up: pt recv vax 19FEB96 & 18APR96 pt had a negative titer;

VAERS ID:88141 (history)  Vaccinated:1996-02-19
Age:  Onset:1996-04-18, Days after vaccination: 59
Gender:Female  Submitted:0000-00-00
Location:North Carolina  Entered:1996-07-18
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: 18APR96 varicella antibody negative;
CDC Split Type: WAES96031507
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.0414B1  
Administered by: Other     Purchased by: Other
Symptoms: Drug ineffective
SMQs:, Lack of efficacy/effect (narrow)
Write-up: pt recv vax 19FEB96 & 18APR96 pt had a negative titer;

VAERS ID:90871 (history)  Vaccinated:1996-02-19
Age:6.0  Onset:1996-05-24, Days after vaccination: 95
Gender:Male  Submitted:0000-00-00
Location:Kentucky  Entered:1996-10-18
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: pharyngitis
Preexisting Conditions: allergy, rondec;hyperactivity;
Diagnostic Lab Data: No relevant data;
CDC Split Type: WAES96061906
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.0747B0SCLA
Administered by: Other     Purchased by: Other
Symptoms: Pruritus, Rash maculo-papular
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: pt recv vax 19FEB96 & 24MAY96 pt devel mild rash w/30-40 papules in different stages w/itching;presented to MD ofc & was treated w/med;

VAERS ID:93366 (history)  Vaccinated:1996-02-19
Age:27.0  Onset:0000-00-00
Gender:Female  Submitted:1996-08-09
Location:Tennessee  Entered:1996-10-30, Days after submission: 82
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: allergic to sulfa
Diagnostic Lab Data: 16APR96 LDH 308; SGOT 52;SGPT 52;LDH 230;SGOT 25;SGPT 36;ALKPH 143, A/F ratio 1 high;creatine kinase 226;
CDC Split Type: 960083091
Vaccination
Manufacturer
Lot
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Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM1723A40IMA
Administered by: Other     Purchased by: Other
Symptoms: Alanine aminotransferase increased, Albumin globulin ratio abnormal, Aspartate aminotransferase increased, Asthenia, Blood alkaline phosphatase increased, Blood creatine phosphokinase increased, Blood lactate dehydrogenase increased, Myasthenic syndrome
SMQs:, Rhabdomyolysis/myopathy (broad), Liver related investigations, signs and symptoms (narrow), Neuroleptic malignant syndrome (broad), Myocardial infarction (broad), Malignancy related conditions (narrow), Biliary system related investigations, signs and symptoms (broad), Guillain-Barre syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: pt recv vax 19FEB96 & exp fatigue & muscle weakness;sx appeared to be assoc w/elevated liver enzymes which were detected on 16APR96 blood test;

VAERS ID:93950 (history)  Vaccinated:1996-02-19
Age:5.0  Onset:1996-02-20, Days after vaccination: 1
Gender:Female  Submitted:1996-02-20, Days after onset: 0
Location:Unknown  Entered:1997-01-21, Days after submission: 336
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: had rxn to DTP in 1994 localized & systemic;
Other Medications:
Current Illness:
Preexisting Conditions: ALL PCN
Diagnostic Lab Data:
CDC Split Type:
Vaccination
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DT: DT ADSORBED (NO BRAND NAME)UNKNOWN MANUFACTURER    
Administered by: Unknown     Purchased by: Unknown
Symptoms: Injection site hypersensitivity, Injection site pain, Pruritus, Pyrexia, Similar reaction on previous exposure to drug, Vasodilatation
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: localized rxn 1 day p/vax 19FEB;t103, arm sore +, erythema, + warmth, blotchy, itching;medicated w/APAP & Ibuprofen;

VAERS ID:97755 (history)  Vaccinated:1996-02-19
Age:1.1  Onset:1997-02-18, Days after vaccination: 365
Gender:Male  Submitted:0000-00-00
Location:Michigan  Entered:1997-04-18
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: No relevant data;
CDC Split Type: WAES97021499
Vaccination
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VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC. 0SC 
Administered by: Other     Purchased by: Other
Symptoms: Dermatitis bullous
SMQs:, Severe cutaneous adverse reactions (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: pt recv vax 19FEB96 & on 18FEB97 pt exp chicken pox w/less than 50 lesions;

VAERS ID:98921 (history)  Vaccinated:1996-02-19
Age:41.0  Onset:1996-02-20, Days after vaccination: 1
Gender:Female  Submitted:1996-02-21, Days after onset: 1
Location:Minnesota  Entered:1997-05-22, Days after submission: 455
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Estrogen;Progesterone
Current Illness: NONE
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: 896060011L
Vaccination
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Lot
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TD: TD ADSORBED (NO BRAND NAME)PFIZER/WYETH  IMLA
Administered by: Public     Purchased by: Other
Symptoms: Injection site hypersensitivity, Injection site oedema, Oedema peripheral, Rash
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: pt recv vax 19FEB96 & exp inj site swelling & erythema extending from the elbow to the shoulder;

VAERS ID:105768 (history)  Vaccinated:1996-02-19
Age:5.0  Onset:0000-00-00
Gender:Male  Submitted:0000-00-00
Location:Nebraska  Entered:1997-12-17
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NONE
Other Medications:
Current Illness: NONE
Preexisting Conditions:
Diagnostic Lab Data: NONE
CDC Split Type:
Vaccination
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VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.0751B0SC 
Administered by: Private     Purchased by: Private
Symptoms: Dermatitis bullous, Vasodilatation
SMQs:, Severe cutaneous adverse reactions (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: red, raised rash-blisters to scabbed over;

VAERS ID:109060 (history)  Vaccinated:1996-02-19
Age:1.0  Onset:0000-00-00
Gender:Male  Submitted:1998-03-27
Location:Missouri  Entered:1998-04-02, Days after submission: 6
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: pt sibling devel chicken pox p/varivax dose 1;
Other Medications: TB TINE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC Split Type:
Vaccination
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MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.1179B0SC 
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.0441B0SC 
Administered by: Private     Purchased by: Private
Symptoms: Drug ineffective, Infection
SMQs:, Lack of efficacy/effect (narrow)
Write-up: chickenpox 23MAR98;brothers also had vax also same lot & also devel chickenpox;

VAERS ID:170274 (history)  Vaccinated:1996-02-19
Age:6.0  Onset:2001-05-19, Days after vaccination: 1916
Gender:Female  Submitted:2001-05-21, Days after onset: 2
Location:Pennsylvania  Entered:2001-05-24, Days after submission: 3
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
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Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.1124B0SCLA
Administered by: Private     Purchased by: 0
Symptoms: Drug ineffective, Infection
SMQs:, Lack of efficacy/effect (narrow)
Write-up: Chickenpox, despite vaccine.

VAERS ID:238863 (history)  Vaccinated:1996-02-19
Age:3.0  Onset:2005-05-20, Days after vaccination: 3378
Gender:Female  Submitted:2005-05-25, Days after onset: 5
Location:Pennsylvania  Entered:2005-06-01, Days after submission: 7
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
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VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.0475B IMRA
Administered by: Private     Purchased by: Private
Symptoms: Cellulitis, Rash
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: $g100 lesions. Cellulitis.

VAERS ID:126853 (history)  Vaccinated:1996-02-19
Age:29.0  Onset:1996-06-01, Days after vaccination: 103
Gender:Female  Submitted:1999-07-29, Days after onset: 1153
Location:Foreign  Entered:1999-08-03, Days after submission: 5
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: gynergene cafeine, nocertone
Current Illness: migraine
Preexisting Conditions: migraine & dysmenorrhea
Diagnostic Lab Data: sed rate 4 & 9; IGG mildly inc; C reactive protein < 3MG/ML; MRI brain nl; cervical & medullary MRI demyelinating area; CBC & UA nl; EKG nl; LP inc IGG; Lyme neg; eye exam & chest x-ray-nl
CDC Split Type: 1999017978
Vaccination
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HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM 3IM 
Administered by: Unknown     Purchased by: Unknown
Symptoms: Hypoaesthesia, Neuropathy, Paraesthesia, Visual disturbance
SMQs:, Peripheral neuropathy (narrow), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Glaucoma (broad), Optic nerve disorders (broad), Lens disorders (broad), Retinal disorders (broad), Hypoglycaemia (broad)
Write-up: approx 4mo p/vax pt devel dec vision (like film before eyes) which regressed w/in 3wk; 9/3/97 pt exp left sided paresthesia; hosp 9/29, dx=demyelinating disease; 6/98 pt exp rt upper limb paresthesia, triceps hypoesthesia tx w/cortisone

VAERS ID:200840 (history)  Vaccinated:1996-02-19
Age:32.0  Onset:0000-00-00
Gender:Female  Submitted:2003-04-01
Location:Foreign  Entered:2003-04-03, Days after submission: 2
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: UNK
Preexisting Conditions:
Diagnostic Lab Data: Encephalic MRI: no precision (unknown date); pulmonary check up: no abnormality; cardiac check up: no abnormality; Holter recording exam: normal (April 1999); urodynamic check up: urethral instability, disinhibited vesicle contraction durin
CDC Split Type: B0295317A
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HEP: HEP B (ENGERIX-B)GLAXOSMITHKLINE BIOLOGICALS    
Administered by: Other     Purchased by: Other
Symptoms: Arthralgia, Cough, Difficulty in walking, Diplopia, Dyspnoea, Fatigue, Hypoaesthesia, Laboratory test abnormal, Multiple sclerosis, Tachycardia, Visual acuity reduced
SMQs:, Anaphylactic reaction (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Parkinson-like events (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Glaucoma (broad), Optic nerve disorders (broad), Cardiomyopathy (broad), Demyelination (narrow), Lens disorders (broad), Retinal disorders (broad), Ocular motility disorders (broad), Arthritis (broad), Hypoglycaemia (broad)
Write-up: This case was reported by manufacturer legal dept. and described the occurrence of a multiple sclerosis in a 32 year old female who received Engerix B for prophylaxis. Medical and drug histories are unknown in this subject. In 1995 and early 1996 the subject received three injections of Engerix B at a dose of 20ug, in the left arm. Few months after injections, the pt experienced rachidian burns, multiple arthralgia, fatigue, walking difficulty, left hemi-body feeling of numbness. At an unspecified date, the pt''s symptomatology worsened. It was also reported left eye decreased visual acuity. In January 1999, she experienced coughing, dyspnea and tachycardia. Cardiac and pulmonary check up was normal. At an unspecified date, she experienced episodes of horizontal diplopia, urinary and transit disorders. A multiple sclerosis was suggested. On 9/30/99, uredynamic check up showed urethral instability, disinhibited vesicle contraction during filling with urinary leak and vesico-sphinoteral dysynergy, compatible with a central neurological disorder. In January 2000, the diagnosis of multiple sclerosis was made. In May 2001, a macrophagic myofascitis was suggested but muscular biopsy was normal. The case was considered as medically serious (OMIC) by manufacturer. At the time of reporting, the subject had not yet recovered. A 15-day follow up report received 04/17/2003 adds: Pt''s medical history included tetany crisis, decreased left eye acuity not improved with correction, episodes of paroxysmal dizziness. Family history of multiple sclerosis in maternal grand-uncle. On 07/11/1995, 08/11/1995 and 02/29/1996 the pt received three injections of Engerix B at a dose of 20 ug, in the left arm. In Sept 1998, clinical exam showed sharp deep tendon reflex with beginning of epileptoid trepidation in left ankle (no Hoffman nor Babinski''s sings). The pt reported left upper and lower limb hypoesthesia. Thermoalgesic and pallesthetic sensitivities were normal. In Oct 1998, visual, auditory, somesthesic and motor evoked potential

VAERS ID:244387 (history)  Vaccinated:1996-02-19
Age:11.0  Onset:2004-05-21, Days after vaccination: 3014
Gender:Female  Submitted:2005-09-20, Days after onset: 487
Location:Foreign  Entered:2005-09-21, Days after submission: 1
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? Yes, 5 days
    Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: Migraine
Preexisting Conditions: Allergy to seafood
Diagnostic Lab Data: Sep 2004: Angiotesin converting enzyme 18.4Nanmol/min; Anti DNA antibody neg; Anti HBs antibody 17May04 neg; Antineutrophil cytoplasmic anti Sep 2004 neg; antinuclear antibody 1/320; blood electrolytes Sep04 normal; blood potassium 3.3mmol/l; Cerebrospinal fluid electropho see text; cerebrospinal fluid glucose normal; cerebrospinal fluid protein normal; cerebrospinal fluid white cell 3/mm3; Coagulation test normal; full blood count normal; liver function test normal; MRI brain abnormal; red blood cells in cerebrospin 53/mm3; renal function test normal; spinal fluid culture negative. In Sept 2004: inflammatory parameters were normal. Anti ENA antibody was negative. Cerebrospinal fluid was normal with normal chloride content, normal value of
CDC Split Type: B0394176A
Vaccination
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Site
HEP: HEP B (ENGERIX-B)GLAXOSMITHKLINE BIOLOGICALS    
Administered by: Other     Purchased by: Other
Symptoms: Blood potassium decreased, Diplopia, Laboratory test abnormal, Multiple sclerosis, Nervous system disorder, Paraesthesia, Sensory disturbance
SMQs:, Peripheral neuropathy (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Optic nerve disorders (broad), Demyelination (narrow), Ocular motility disorders (broad), Hypoglycaemia (broad)
Write-up: This case was reported directly by the regional center and then by another manf and described the occurrence of multiple sclerosis in a 18 yr old female subject who was vaccinated with hep B vaccine (Engerix B) for prophylaxis. The subject''s medical conditions included migraine (no more precision). Co-suspect vaccinations included two doses of hep B vaccine (HBVAX Pro). On 21Aug95, 20Sep95 and 19Feb96, the subject received three doses of Engerix B at 10mcg (unk site, batch numbers not available). On 17May04, she presented with negative anti HBs antibody; she was thus revaccinated with HBVax Pro 10mcg on 21May and 30Jun04. On 21May04, 8 yrs after vaccination with Engerix B pediatric, and the day of first dose of HBVax pro, the subject developed paresthesia in a right lower limb. In July 04, she presented with a second flare up (NOS). On 16Aug04, she presented with positive Lhermitte''s sign, diplopia and paresthesia of right hemiface. In Sept 2004, the subject experienced sensory disorders of hemiface and tongue, then in radial side of right arm. At an unspecified date, brain MRI showed multiple hypersignals in white matter, including one of relatively important size. The subject was hospitalized from 21 to 25Sept04 for check up and treatment. During the hospitalization, full blood count, coagulation, blood electrolytes, renal and liver function tests, inflammatory parameters were normal, blood potassium was decreased at 3.3 mmol/L. Anti DNA, anti cytoplasmic and autoantibody were negative, antinuclear antibodies were at 1/320 mmol/L. Anti DNA, anti cytoplasmic and autoantibody (anti ENA) were negative, antinuclear antibodies were at 1/320, angiotesin converting enzyme was at 18.3 nanmol/min. Cerebrospinal fluid contained 53 red blood cells and 3 white blood cells per mm3. Protein, glucose and chloride content of the cerebrospinal fluid was normal, spinal fluid culture was negative after 48 hrs. Immunochemistry test of CSF showed normal value of IgG and an intact hemato meningeal barrier, CSF electrophoresis evidenced oligoclonal profile of IgG, which was absent in serum and reflected intra thecal IgG synthesis. The subject was diagnosed with multiple sclerosis. A treatment with methylprednisolone sodium succinate (Solumedrol) was applied (5 intravenous infusions of 1g). Also on discharge from the hospital, potassium chloride (Diffu K) was prescribed. From 15 to 16Oct04, she was again hospitalized. At the time of reporting, the outcome of the events and causality relationship assessment was unk. No more information will be available; this case has been closed.

VAERS ID:83466 (history)  Vaccinated:1996-02-20
Age:67.0  Onset:1996-02-20, Days after vaccination: 0
Gender:Female  Submitted:1996-02-21, Days after onset: 1
Location:Massachusetts  Entered:1996-03-05, Days after submission: 13
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NONE
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC Split Type: MA9605
Vaccination
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Lot
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Site
PPV: PNEUMO (PNU-IMUNE)LEDERLE LABORATORIES3949620IMLA
Administered by: Public     Purchased by: Public
Symptoms: Asthenia, Myalgia, Oedema peripheral, Pain, Vasodilatation
SMQs:, Rhabdomyolysis/myopathy (broad), Cardiac failure (broad), Angioedema (broad), Guillain-Barre syndrome (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad)
Write-up: lt deltoid feels heavy & painful upper arm stiffness;some swelling & feels warm

VAERS ID:83678 (history)  Vaccinated:1996-02-20
Age:76.0  Onset:1996-02-21, Days after vaccination: 1
Gender:Female  Submitted:1996-03-08, Days after onset: 16
Location:Pennsylvania  Entered:1996-03-14, Days after submission: 6
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Advil PRN
Current Illness: NONE
Preexisting Conditions: diverticulitis, chronic constipation, sciatica
Diagnostic Lab Data: NONE
CDC Split Type:
Vaccination
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TD: TD ADSORBED (NO BRAND NAME)LEDERLE LABORATORIES4309780IMLA
Administered by: Private     Purchased by: Private
Symptoms: Injection site hypersensitivity, Injection site oedema, Injection site pain, Myalgia
SMQs:, Rhabdomyolysis/myopathy (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Eosinophilic pneumonia (broad), Hypersensitivity (narrow), Tendinopathies and ligament disorders (broad)
Write-up: edema & erythema @ inj site;next day 3/4" in diameter;c/o muscle soreness & soreness & inj site to rt elbow until 3MAR96;site seen 7

VAERS ID:84234 (history)  Vaccinated:1996-02-20
Age:12.0  Onset:1996-02-28, Days after vaccination: 8
Gender:Female  Submitted:1996-03-22, Days after onset: 23
Location:California  Entered:1996-04-01, Days after submission: 10
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC Split Type:
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DT: DT ADSORBED (NO BRAND NAME)CONNAUGHT LABORATORIES5H71003   
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.1196B0IMRA
Administered by: Private     Purchased by: Private
Symptoms: Optic neuritis
SMQs:, Optic nerve disorders (narrow), Demyelination (narrow), Ocular infections (broad)
Write-up: pt recv vax 20FEB96 & devel optic neuritis 28FEB96;

VAERS ID:84479 (history)  Vaccinated:1996-02-20
Age:0.2  Onset:1996-02-20, Days after vaccination: 0
Gender:Male  Submitted:1996-02-20, Days after onset: 0
Location:Georgia  Entered:1996-04-04, Days after submission: 44
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Ceclor for ear infect
Current Illness:
Preexisting Conditions: otitis media, on RV cyclor for this by PP
Diagnostic Lab Data:
CDC Split Type: GA96027
Vaccination
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Site
DTPHIB: DTP + HIB (TETRAMUNE)LEDERLE LABORATORIES3909520IMRL
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.1408A0IMLL
OPV: POLIO VIRUS, ORAL (ORIMUNE)LEDERLE LABORATORIES0720B0PO 
Administered by: Public     Purchased by: Public
Symptoms: Injection site hypersensitivity, Injection site mass, Insomnia, Nausea, Vomiting
SMQs:, Acute pancreatitis (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypersensitivity (narrow)
Write-up: mom called stating pt vomited x 3;mom advised to omit formula, try pedialyte, mom noted knot in leg & redness-advised to bring pt to clinic;knot noted fifty cent piece size;21FEB96 no more n/v;slept better than has since birth

VAERS ID:85525 (history)  Vaccinated:1996-02-20
Age:0.2  Onset:1996-02-21, Days after vaccination: 1
Gender:Male  Submitted:1996-04-23, Days after onset: 61
Location:Florida  Entered:1996-05-03, Days after submission: 10
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: pt exp jitterness & loud sound, t101 w/DTP/HIB dose 1
Other Medications:
Current Illness: NA
Preexisting Conditions: NA
Diagnostic Lab Data:
CDC Split Type:
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DTPHIB: DTP + HIB (TETRAMUNE)LEDERLE LABORATORIES4326550IMRL
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.1197B0IMLL
OPV: POLIO VIRUS, ORAL (ORIMUNE)LEDERLE LABORATORIES4301830PO 
Administered by: Private     Purchased by: Public
Symptoms: Agitation, Crying
SMQs:, Anticholinergic syndrome (broad), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hostility/aggression (broad), Depression (excl suicide and self injury) (broad), Hypoglycaemia (broad)
Write-up: pt recv vax 20FEB96 & voice higher pitched for 2 days but not jittery, febrile or irritable

VAERS ID:86509 (history)  Vaccinated:1996-02-20
Age:1.3  Onset:1996-02-20, Days after vaccination: 0
Gender:Female  Submitted:1996-02-20, Days after onset: 0
Location:Texas  Entered:1996-06-03, Days after submission: 103
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: none
Other Medications: none
Current Illness: none
Preexisting Conditions: none
Diagnostic Lab Data:
CDC Split Type: TX96071
Vaccination
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Lot
Dose
Route
Site
DTP: DTP (NO BRAND NAME)CONNAUGHT LABORATORIES5G610953 LL
HIBV: HIB (ACTHIB)CONNAUGHT LABORATORIES5G610953 LL
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.1127A0 RL
Administered by: Public     Purchased by: Other
Symptoms: Agitation, Stupor
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hostility/aggression (broad), Hypoglycaemia (broad)
Write-up: pt recv vax; became unresponsive for 1-2 sec; starting crying instantly; observed baby for 20 min;

VAERS ID:86646 (history)  Vaccinated:1996-02-20
Age:1.1  Onset:1996-03-01, Days after vaccination: 10
Gender:Male  Submitted:1996-05-13, Days after onset: 72
Location:Minnesota  Entered:1996-06-06, Days after submission: 24
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: na
Current Illness: none
Preexisting Conditions: na
Diagnostic Lab Data:
CDC Split Type: MN96017
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTP: DTP (NO BRAND NAME)CONNAUGHT LABORATORIES4E610771 LL
HIBV: HIB (ACTHIB)CONNAUGHT LABORATORIES4E610771 LL
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.1252A0 RL
OPV: POLIO VIRUS, ORAL (ORIMUNE)LEDERLE LABORATORIES4267351PO 
Administered by: Public     Purchased by: Private
Symptoms: Rash, Vasodilatation
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: pt recv vax; rash covering trunk, back of arms and tops of thighs; bathing inc redness; rash lasted 12 hrs;

VAERS ID:181405 (history)  Vaccinated:1996-02-20
Age:7.0  Onset:2002-02-03, Days after vaccination: 2175
Gender:Male  Submitted:2002-02-13, Days after onset: 10
Location:Georgia  Entered:2002-02-14, Days after submission: 1
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HIBV: HIB (PROHIBIT)AVENTIS PASTEUR5J710790IMRL
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.0747B0SCLA
Administered by: Private     Purchased by: Private
Symptoms: Drug ineffective, Infection
SMQs:, Lack of efficacy/effect (narrow)
Write-up: Chickenpox lesions began on 2/3/02 and by 2/12/02 had over 100 lesions. Some appeared infected. Rx''d Keflex 250 tid X 10 days. Received Varivax on 2/20/96.

VAERS ID:199316 (history)  Vaccinated:1996-02-20
Age:1.3  Onset:2003-03-09, Days after vaccination: 2574
Gender:Male  Submitted:2003-03-11, Days after onset: 2
Location:Pennsylvania  Entered:2003-03-12, Days after submission: 1
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: UNK
Preexisting Conditions:
Diagnostic Lab Data: NONE
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAP: DTAP (NO BRAND NAME)UNKNOWN MANUFACTURER 3  
HIBV: HIB (NO BRAND NAME)UNKNOWN MANUFACTURER 3  
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC. 0  
Administered by: Public     Purchased by: Public
Symptoms: Infection
SMQs:
Write-up: Pt came into clinic and diagnosed with chicken pox.

VAERS ID:229456 (history)  Vaccinated:1996-02-20
Age:1.01  Onset:2004-11-14, Days after vaccination: 3190
Gender:Male  Submitted:2004-11-15, Days after onset: 1
Location:Ohio  Entered:2004-11-19, Days after submission: 4
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.1124B   
Administered by: Private     Purchased by: Private
Symptoms: Drug ineffective, Viral infection
SMQs:, Lack of efficacy/effect (narrow)
Write-up: Developed clinical chicken pox after prior varicella immunization. Non Toxic, Afebrile, less than 50 lesions (day 2).

VAERS ID:315543 (history)  Vaccinated:1996-02-20
Age:1.5  Onset:0000-00-00
Gender:Male  Submitted:2008-05-16
Location:Unknown  Entered:2008-05-23, Days after submission: 7
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0704USA03415
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.  UNUN
Administered by: Other     Purchased by: Other
Symptoms: Varicella post vaccine
SMQs:
Write-up: Information has been received from a registered nurse concerning six patients who were vaccinated with varicella virus vaccine live, 0.5 ml, injection (Oka/Merck) (lot # and route not provided). Subsequently the patients developed chicken pox and had been previously vaccinated. Unspecified medical attention was sought. The patient outcomes were not reported. There was no product quality complaint. Attempts are being made to obtain additional identifying information to distinguish the individual patients mentioned in this report. Additional information will be provided if available. Further information has been received from a school nurse who reported that a male patient was vaccinated with varicella virus vaccine live, on 20-FEB-1996. The nurse reported that the patient developed chickenpox. All of the parents and pediatrician felt the cases were mild with minimal missed time at school (approx 2-3 days out sick). Additional information has been requested. This is one of several reports from the same source. Follow up information was received from a registered nurse who reports no further information is available.

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