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Found 533901 cases in entire database

Case Details (Sorted by Vaccination Date)

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VAERS ID:97457 (history)  Vaccinated:1997-04-30
Age:5.1  Onset:1997-05-01, Days after vaccination: 1
Gender:Female  Submitted:1997-05-02, Days after onset: 1
Location:Wisconsin  Entered:1997-05-08, 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:
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAP: DTAP (ACEL-IMUNE)LEDERLE LABORATORIES4349584 RA
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.1246D1 LA
Administered by: Private     Purchased by: Private
Symptoms: Injection site hypersensitivity
SMQs:, Hypersensitivity (narrow)
Write-up: 10 x 7cm redness around inj site;

VAERS ID:98109 (history)  Vaccinated:1997-04-30
Age:1.3  Onset:1997-04-30, Days after vaccination: 0
Gender:Male  Submitted:1997-04-30, Days after onset: 0
Location:Arizona  Entered:1997-05-19, Days after submission: 19
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: AZ9713
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTPHIB: DTP + HIB (TETRAMUNE)LEDERLE LABORATORIES4410993IMRL
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.0415E0SCLL
Administered by: Public     Purchased by: Public
Symptoms: Muscle twitching, Otitis media, Pyrexia, Skin discolouration
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dyskinesia (broad), Dystonia (broad), Hypotonic-hyporesponsive episode (broad)
Write-up: approx 2hr p/vax pt started twitching movements of arms/legs & purplish discoloration of the feet;pt was afeb @ home;911 notified;t105 1hr later in ER:dx OM;

VAERS ID:98132 (history)  Vaccinated:1997-04-30
Age:0.2  Onset:1997-05-01, Days after vaccination: 1
Gender:Female  Submitted:1997-05-08, Days after onset: 7
Location:Minnesota  Entered:1997-05-21, Days after submission: 13
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? Yes, ? days
    Extended hospital stay? No
Previous Vaccinations:
Other Medications: APAP
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: CBC, blood cult, urine cult, LP WNL;
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAP: DTAP (TRIPEDIA)CONNAUGHT LABORATORIES7G814890 LL
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM2165A91 RL
HIBV: HIB (PROHIBIT)CONNAUGHT LABORATORIES7A915610 LL
IPV: POLIO VIRUS, INACT. (POLIOVAX)CONNAUGHT LTD.M09380 RL
Administered by: Private     Purchased by: Private
Symptoms: Agitation, Pyrexia, Somnolence
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (narrow), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hostility/aggression (broad)
Write-up: pt had onset of lethargy, irritability, inc temp 9 hr p/vax;pt adm to hosp to r/o sepsis;as of 8MAY97 pt remains irritable;

VAERS ID:98142 (history)  Vaccinated:1997-04-30
Age:31.7  Onset:1997-05-05, Days after vaccination: 5
Gender:Female  Submitted:1997-05-13, Days after onset: 8
Location:South Dakota  Entered:1997-05-21, Days after submission: 8
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:
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (NO BRAND NAME)UNKNOWN MANUFACTURER    
Administered by: Public     Purchased by: Unknown
Symptoms: Rash, Vasodilatation
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow)
Write-up: skin felt sunburned;sl red rash;

VAERS ID:98249 (history)  Vaccinated:1997-04-30
Age:1.0  Onset:1997-05-15, Days after vaccination: 15
Gender:Male  Submitted:1997-05-21, Days after onset: 6
Location:Texas  Entered:1997-05-27, Days after submission: 6
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: NONE
Other Medications: PPD given by 30APR97;Zantac, Bethanecol;Propulsid;
Current Illness: NONE
Preexisting Conditions: club feet;tibial torsion;GI reflux, eczema;
Diagnostic Lab Data: CBC;Blood c/s;Lumbar puncture;
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAP: DTAP (ACEL-IMUNE)LEDERLE LABORATORIES4402603IMRL
HIBV: HIB (HIBTITER)LEDERLE PRAXSISM195PJ3 LL
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.1446D SCRA
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)
Write-up: 2wk p/vax pt devel high fever of 104 & generalized convuls;fever persisted 3 days;pt had 2 episodes of sz on different occasion;

VAERS ID:98678 (history)  Vaccinated:1997-04-30
Age:2.8  Onset:1997-05-01, Days after vaccination: 1
Gender:Female  Submitted:1997-05-14, Days after onset: 13
Location:Utah  Entered:1997-06-06, Days after submission: 23
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: NONE
Other Medications: unk
Current Illness: thigh length cast rt leg;
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC Split Type: UT971816
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTPHIB: DTP + HIB (TETRAMUNE)LEDERLE LABORATORIES4410993 LL
Administered by: Public     Purchased by: Public
Symptoms: Ecchymosis, Injection site hypersensitivity, Injection site oedema, Injection site pain, Vasodilatation
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow)
Write-up: 1MAY97 red, splotchy area @ site of vax, warm, sl swollen, sl discomfort;splotchiness extending to hips, lt not tender;pt acting OK;6MAY97 site better swelling & splotchiness gone bruising;

VAERS ID:99001 (history)  Vaccinated:1997-04-30
Age:5.1  Onset:1997-04-30, Days after vaccination: 0
Gender:Male  Submitted:1997-05-27, Days after onset: 27
Location:Indiana  Entered:1997-06-12, Days after submission: 16
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: NA
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTP: DTP (NO BRAND NAME)CONNAUGHT LABORATORIES6L711624IMRL
OPV: POLIO VIRUS, ORAL (ORIMUNE)LEDERLE LABORATORIES4400694PO 
Administered by: Private     Purchased by: Private
Symptoms: Injection site pain, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad)
Write-up: severe tenderness rt hip, temp 105 x24hr then dec 101 x 2 days;

VAERS ID:99095 (history)  Vaccinated:1997-04-30
Age:0.1  Onset:1997-04-30, Days after vaccination: 0
Gender:Male  Submitted:1997-05-08, Days after onset: 8
Location:Missouri  Entered:1997-06-17, Days after submission: 40
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NONE
Other Medications:
Current Illness: NA
Preexisting Conditions: NA
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.1555D1 LL
Administered by: Private     Purchased by: Public
Symptoms: Rash
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow)
Write-up: little red rash all over body;

VAERS ID:99175 (history)  Vaccinated:1997-04-30
Age:0.2  Onset:1997-04-30, Days after vaccination: 0
Gender:Male  Submitted:1997-06-16, Days after onset: 47
Location:Utah  Entered:1997-06-24, Days after submission: 8
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:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: EEG nl; MRI nl;
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTP: DTP (NO BRAND NAME)CONNAUGHT LABORATORIES6L711620IM 
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM2237A21IM 
HIBV: HIB (ACTHIB)CONNAUGHT LABORATORIES6B811730IM 
OPV: POLIO VIRUS, ORAL (ORIMUNE)LEDERLE LABORATORIES756F0PO 
Administered by: Private     Purchased by: Unknown
Symptoms: Agitation, Convulsion, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Dementia (broad), Convulsions (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hostility/aggression (broad), Generalised convulsive seizures following immunisation (narrow)
Write-up: crying past hr consolable;later devel fever & sz;

VAERS ID:100199 (history)  Vaccinated:1997-04-30
Age:10.6  Onset:1997-04-30, Days after vaccination: 0
Gender:Female  Submitted:1997-06-19, Days after onset: 50
Location:Arizona  Entered:1997-07-14, Days after submission: 25
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: allergic to codeine
Diagnostic Lab Data:
CDC Split Type: AZ9729
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.1279D0 RA
TD: TD ADSORBED (NO BRAND NAME)CONNAUGHT LABORATORIES6K813660 LA
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.0182E0 RA
Administered by: Public     Purchased by: Public
Symptoms: Injection site mass, Injection site pain, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad)
Write-up: soon p/recv vax devel high temp;mom treated pt w/extra strength APAP for 4 days;pt also devel a painful lump the size of a golf ball @ the inj site;

VAERS ID:100841 (history)  Vaccinated:1997-04-30
Age:  Onset:1997-05-01, Days after vaccination: 1
Gender:Female  Submitted:0000-00-00
Location:North Carolina  Entered:1997-07-23
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: WAES97050138
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.    
Administered by: Other     Purchased by: Other
Symptoms: Injection site hypersensitivity
SMQs:, Hypersensitivity (narrow)
Write-up: pt recv vax 30APR97 & 1MAY97 pt devel bumpiness @ inj site;

VAERS ID:104764 (history)  Vaccinated:1997-04-30
Age:4.4  Onset:1997-05-02, Days after vaccination: 2
Gender:Male  Submitted:1997-05-06, Days after onset: 4
Location:Oregon  Entered:1997-11-14, Days after submission: 192
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:
Diagnostic Lab Data:
CDC Split Type: OR9715
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAP: DTAP (TRIPEDIA)CONNAUGHT LABORATORIES6G710164IMLA
OPV: POLIO VIRUS, ORAL (ORIMUNE)LEDERLE LABORATORIES0746F3PO 
Administered by: Public     Purchased by: Public
Symptoms: Ecchymosis, Headache, Pruritus, Skin nodule, Vasodilatation
SMQs:, Anaphylactic reaction (broad), Haemorrhage terms (excl laboratory terms) (narrow), Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (broad)
Write-up: 1MAY97 in evening had h/a;2MAY97 in morning lt arm was red & purplish, hot & itching;per mom there was a lump the size of a baseball;

VAERS ID:120268 (history)  Vaccinated:1997-04-30
Age:65.4  Onset:1997-05-02, Days after vaccination: 2
Gender:Female  Submitted:1997-06-05, Days after onset: 34
Location:South Dakota  Entered:1999-03-15, Days after submission: 648
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC Split Type: SD99003
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)CONNAUGHT LABORATORIES7B91518 IMLA
Administered by: Other     Purchased by: Public
Symptoms: Injection site hypersensitivity, Injection site oedema, Pruritus, Vasodilatation
SMQs:, Anaphylactic reaction (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow)
Write-up: pt had redness, swelling & itching, warmth to touch of lt deltoid region;5/8"needle was used for vaccination;pt sought family MD 7MAY97;

VAERS ID:156435 (history)  Vaccinated:1997-04-30
Age:1.5  Onset:1999-11-15, Days after vaccination: 929
Gender:Male  Submitted:2000-05-16, Days after onset: 182
Location:Ohio  Entered:2000-07-13, Days after submission: 58
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: NONE
CDC Split Type: WAES99111092
Vaccination
Manufacturer
Lot
Dose
Route
Site
IPV: POLIO VIRUS, INACT. (NO BRAND NAME)UNKNOWN MANUFACTURER    
TD: TD ADSORBED (NO BRAND NAME)UNKNOWN MANUFACTURER  IM 
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.0083E0SC 
Administered by: Other     Purchased by: Other
Symptoms: Drug ineffective, Infection
SMQs:, Lack of efficacy/effect (narrow)
Write-up: Pt developed chickenpox subsequent to receiving one dose of varicella virus vaccine live.

VAERS ID:157120 (history)  Vaccinated:1997-04-30
Age:3.2  Onset:1999-06-09, Days after vaccination: 770
Gender:Male  Submitted:2000-05-16, Days after onset: 342
Location:West Virginia  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:
Current Illness:
Preexisting Conditions: Herpes Zoster Exposure
Diagnostic Lab Data:
CDC Split Type: WAES99060872
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC. 0SC 
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.0181E0SC 
Administered by: Other     Purchased by: Other
Symptoms: Drug ineffective, Infection
SMQs:, Lack of efficacy/effect (narrow)
Write-up: On May 25, 1999 the child was exposed to his mother with herpes zoster. On June 29, 1999 the pt broke out in varicella with 15 lesions on his back.

VAERS ID:176871 (history)  Vaccinated:1997-04-30
Age:5.0  Onset:2001-10-22, Days after vaccination: 1636
Gender:Male  Submitted:2001-10-22, Days after onset: 0
Location:Pennsylvania  Entered:2001-10-30, Days after submission: 8
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: NONE
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.1005D0SCLL
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.1552D0SCRL
Administered by: Private     Purchased by: 0
Symptoms: Drug ineffective, Infection
SMQs:, Lack of efficacy/effect (narrow)
Write-up: Patient caught disease despite vaccination.

VAERS ID:184715 (history)  Vaccinated:1997-04-30
Age:21.0  Onset:0000-00-00
Gender:Female  Submitted:2002-05-15
Location:Unknown  Entered:2002-05-16, Days after submission: 1
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: UNK
Diagnostic Lab Data: Diagnostic lab test-varicella titer still susceptible
CDC Split Type: WAES01040525
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC. 1SC 
Administered by: Other     Purchased by: Other
Symptoms: Drug ineffective
SMQs:, Lack of efficacy/effect (narrow)
Write-up: Information has been received from a physician concerning a 21 year old female with no known drug allergies who on 03/03/1997 and 04/30/1997 was vaccinated with varicella vaccine. "Recently" in approximately 2001, the pt''s titer was drawn and she was still susceptible. Additional information is not expected.

VAERS ID:186403 (history)  Vaccinated:1997-04-30
Age:3.0  Onset:2002-01-09, Days after vaccination: 1715
Gender:Female  Submitted:2002-05-15, Days after onset: 125
Location:Maryland  Entered:2002-06-12, Days after submission: 28
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: Varicella (Varivax);;1;6;In Sibling;;Varicella (Varivax);;1;9;In Sibling
Other Medications: UNK
Current Illness:
Preexisting Conditions: Varicella exposure
Diagnostic Lab Data:
CDC Split Type: WAES0201USA02949
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.1076D0SCLA
Administered by: Private     Purchased by: Private
Symptoms: Drug ineffective, Infection
SMQs:, Lack of efficacy/effect (narrow)
Write-up: Information has been received from a health professional concerning a 7 year old female child who on 04/30/1997 was vaccinated SC in the left arm with a first dose of varicella virus vaccine live. On 01/09/2002 the child developed a rash which was classified as chickenpox. On an unspecified date the child recovered. It was noted that the child was exposed to her sibling (WAES0201USA02950) who developed chickenpox 12 days earlier. Another sibling (WAES0201USA02951) also developed chickenpox following exposure to varicella virus vaccine live. No further info is available.

VAERS ID:196067 (history)  Vaccinated:1997-04-30
Age:2.0  Onset:2003-01-04, Days after vaccination: 2075
Gender:Female  Submitted:0000-00-00
Location:New Hampshire  Entered:2003-01-13
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.1336D0SC 
Administered by: Private     Purchased by: Public
Symptoms: Infection
SMQs:
Write-up: Pt developed chickenpox after vaccine.

VAERS ID:221178 (history)  Vaccinated:1997-04-30
Age:7.0  Onset:0000-00-00
Gender:Male  Submitted:2004-05-14
Location:Unknown  Entered:2004-05-20, Days after submission: 6
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: UNK
Diagnostic Lab Data: UNK
CDC Split Type: WAES0310USA01245
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.    
Administered by: Unknown     Purchased by: Unknown
Symptoms: Drug ineffective, Viral infection
SMQs:, Lack of efficacy/effect (narrow)
Write-up: Information has been received on 07OCT2003 from an elementary school licensed practical nurse concerning a 7 year old male who was vaccinated on 30APR1997 with varicella virus vaccine live. Subsequently, "within the last month," the pt developed chicken pox. The pt sought unspecified medical attention. It was also reported that five other children also developed chicken pox. Additonal info has been requested.

VAERS ID:252951 (history)  Vaccinated:1997-04-30
Age:2.0  Onset:2006-03-10, Days after vaccination: 3236
Gender:Female  Submitted:2006-03-13, Days after onset: 3
Location:Georgia  Entered:2006-03-17, Days after submission: 4
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
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.0088F0SCUN
Administered by: Private     Purchased by: Private
Symptoms: Drug ineffective, Viral infection
SMQs:, Lack of efficacy/effect (narrow)
Write-up: Developed chicken pox and was diagnosed 3-10-06 in office.

VAERS ID:551664 (history)  Vaccinated:1997-04-30
Age:1.0  Onset:1997-04-30, Days after vaccination: 0
Gender:Female  Submitted:2014-10-14, Days after onset: 6376
Location:Unknown  Entered:2014-10-14
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: No other medications
Current Illness: Unknown
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: WAES1410USA006299
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC. 0SCUN
Administered by: Other     Purchased by: Other
Symptoms: Drug administered to patient of inappropriate age, No adverse event
SMQs:
Write-up: This spontaneous report as received from a nurse refers to a 12 month old female patient. On 23-APR-1997, the patient was vaccinated with the first dose of MMR II for prophylaxis (lot#, expiration date, strength, dose and route not reported) and then the patient was vaccinated with her first dose of (Oka/Merck) VARIVAX (lot#, expiration date, strength, dose and route not reported) on 30-APR-1997. The patient received her second dose of MMR II (lot#, expiration date, strength, dose and route not reported) on 21-DEC-2000, and she received her second dose of (Oka/Merck) VARIVAX on 07-JUL-2011. The patient had not experienced any adverse effects. It was unspecified if the patient sought medical attention. Additional information has been requested.

VAERS ID:99039 (history)  Vaccinated:1997-04-30
Age:1.5  Onset:1997-05-07, Days after vaccination: 7
Gender:Male  Submitted:1997-06-16, Days after onset: 40
Location:Foreign  Entered:1997-06-17, Days after submission: 1
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:
CDC Split Type: CO7329
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTP: DTP (NO BRAND NAME)CONNAUGHT LABORATORIES    
HIBV: HIB (ACTHIB)CONNAUGHT LABORATORIESM0279   
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.    
Administered by: Unknown     Purchased by: Unknown
Symptoms: Febrile convulsion, Rash
SMQs:, Anaphylactic reaction (broad), Convulsions (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Generalised convulsive seizures following immunisation (narrow), Hypersensitivity (narrow)
Write-up: pt recv vax on 30APR97 & 7 days post vax pt reportedly exp fever & a febrile convuls;the fever was followed by a rash 2 days after;

VAERS ID:100262 (history)  Vaccinated:1997-04-30
Age:1.6  Onset:1997-05-02, Days after vaccination: 2
Gender:Male  Submitted:1997-07-15, Days after onset: 74
Location:Foreign  Entered:1997-07-16, Days after submission: 1
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:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: CO7411
Vaccination
Manufacturer
Lot
Dose
Route
Site
HIBV: HIB (ACTHIB)CONNAUGHT LABORATORIES 1  
Administered by: Unknown     Purchased by: Unknown
Symptoms: Encephalitis, Infection, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Noninfectious encephalitis (narrow)
Write-up: pt recv vax 30APR97 & 2MAY97 pt devel fever which lasted about 5 days;pt was hosp & lab exam indicated viral encephalitis;It was reported that pt recovered from this exp;

VAERS ID:116841 (history)  Vaccinated:1997-04-30
Age:16.8  Onset:1997-09-01, Days after vaccination: 124
Gender:Female  Submitted:1998-11-23, Days after onset: 448
Location:Foreign  Entered:1998-11-25, 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:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: 19980282481
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM 2  
Administered by: Unknown     Purchased by: Unknown
Symptoms: Systemic lupus erythematosus, Thrombocytopenia, Thrombocytopenic purpura
SMQs:, Haematopoietic thrombocytopenia (narrow), Haemorrhage terms (excl laboratory terms) (narrow), Systemic lupus erythematosus (narrow)
Write-up: pt recv vax 30APR97 & SEP97 exp idiopathic thrombocytopenia purpura described as moderate in intensity;platelets have been as low as 22 & the most recent values were 1157;reporting MD felt ITP was poss r/t vax;

VAERS ID:97347 (history)  Vaccinated:1997-05-01
Age:38.1  Onset:1997-05-01, Days after vaccination: 0
Gender:Female  Submitted:1997-05-05, Days after onset: 4
Location:Michigan  Entered:1997-05-06, Days after submission: 1
Life Threatening? Yes
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Premarin;Theodore;Venalyn Inhaler; Lorvax
Current Illness: NONE
Preexisting Conditions: asthma
Diagnostic Lab Data: NONE
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.IP113   
Administered by: Private     Purchased by: Other
Symptoms: Drug ineffective, Pyrexia, Rash
SMQs:, Anaphylactic reaction (broad), Lack of efficacy/effect (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Hypersensitivity (narrow)
Write-up: temp 104 x 12hr broke out in rash & full blown case of chicken pox by 2MAY97;

VAERS ID:97698 (history)  Vaccinated:1997-05-01
Age:7.0  Onset:1997-05-04, Days after vaccination: 3
Gender:Male  Submitted:1997-05-05, Days after onset: 1
Location:Delaware  Entered:1997-05-09, Days after submission: 4
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Vancenase
Current Illness: well visit
Preexisting Conditions: sinus allergy
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM2233A90IMLA
Administered by: Private     Purchased by: Private
Symptoms: Hypersensitivity, Rash, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow)
Write-up: pt recv vax 1MAY97 devel erythema type rash head to foot w/urticaria dx as allergic rxn;placed on pred course 6 days

VAERS ID:97881 (history)  Vaccinated:1997-05-01
Age:1.1  Onset:1997-05-03, Days after vaccination: 2
Gender:Female  Submitted:1997-05-07, Days after onset: 4
Location:New Jersey  Entered:1997-05-12, 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: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.0182E  LL
Administered by: Private     Purchased by: Unknown
Symptoms: Agitation, Anorexia, Drug ineffective, Infection, Otitis media, Pyrexia, Skin ulcer
SMQs:, Lack of efficacy/effect (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hostility/aggression (broad)
Write-up: pt recv vax 1MAY97 & on 3MAY97 devel temp-extreme irritability-refusal to eat on 4MAY97;devel temp of 104-105;3-4 palpable lesions on abd & groin;mom gave ibuprofen;dx varivax rxn & otitis;prescribed amoxil;

VAERS ID:97882 (history)  Vaccinated:1997-05-01
Age:34.8  Onset:1997-05-03, Days after vaccination: 2
Gender:Female  Submitted:1997-05-05, Days after onset: 2
Location:Texas  Entered:1997-05-12, Days after submission: 7
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: unk
Other Medications: Allegra, ExgestLD, Flagyl;Teraxol
Current Illness: vaginitis
Preexisting Conditions: PCN allergy & pollen allergies;
Diagnostic Lab Data: NONE
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)CONNAUGHT LABORATORIES6K81354  LA
Administered by: Private     Purchased by: Private
Symptoms: Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad)
Write-up: fever x 2 days p/vax temp up to 101.6 oral;OTC ibuprofen;pt notified clinic of this rxn on 5MAY97; no prior hx to Td in pt;

VAERS ID:97975 (history)  Vaccinated:1997-05-01
Age:1.3  Onset:1997-05-01, Days after vaccination: 0
Gender:Male  Submitted:1997-05-06, Days after onset: 5
Location:Pennsylvania  Entered:1997-05-13, 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: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAP: DTAP (TRIPEDIA)CONNAUGHT LABORATORIES6E814363IMRL
HIBV: HIB (PROHIBIT)CONNAUGHT LABORATORIES6E814363IMRL
Administered by: Private     Purchased by: Private
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)
Write-up: same day as vaccine had 2 episodes of irritability, screaming during which time couldn''t be consoled, fretfulness lasting 20min;

VAERS ID:98069 (history)  Vaccinated:1997-05-01
Age:1.0  Onset:1997-05-14, Days after vaccination: 13
Gender:Female  Submitted:1997-05-15, Days after onset: 1
Location:New York  Entered:1997-05-16, 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: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NA
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.1000D0 RL
Administered by: Private     Purchased by: Public
Symptoms: Drug ineffective, Infection, Pyrexia, Rash maculo-papular
SMQs:, Lack of efficacy/effect (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Hypersensitivity (narrow)
Write-up: measles rash, fever devel on 14MAY;pt informed pt was having a measles rxn to MMR shot;

VAERS ID:98148 (history)  Vaccinated:1997-05-01
Age:0.5  Onset:1997-05-01, Days after vaccination: 0
Gender:Male  Submitted:1997-05-15, Days after onset: 14
Location:Arkansas  Entered:1997-05-21, Days after submission: 6
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NONE
Other Medications: Lorabid
Current Illness: developmental delay, ear infect, anemia, lip dysplasia
Preexisting Conditions: bilat hip dysplasia
Diagnostic Lab Data: NONE
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTP: DTP (NO BRAND NAME)CONNAUGHT LABORATORIES08042502IMRL
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.1192D2IMLL
HIBV: HIB (ACTHIB)CONNAUGHT LABORATORIES08042502IMRL
Administered by: Private     Purchased by: Public
Symptoms: Agitation
SMQs:, Anticholinergic syndrome (broad), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hostility/aggression (broad)
Write-up: cried x 1hr;

VAERS ID:98218 (history)  Vaccinated:1997-05-01
Age:1.0  Onset:1997-05-12, Days after vaccination: 11
Gender:Male  Submitted:1997-05-16, Days after onset: 4
Location:California  Entered:1997-05-21, Days after submission: 5
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Lorabid
Current Illness: OM (baby)
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0398D0SCLL
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.0181E0SCRL
Administered by: Unknown     Purchased by: Unknown
Symptoms: Herpes zoster, Infection transmission via personal contact, Injection site hypersensitivity
SMQs:, Hypersensitivity (narrow)
Write-up: pt acquired the customary patch @ inj site w/vesicles;pt father came in w/varicella zoster (shingles) on side where holds baby;

VAERS ID:98438 (history)  Vaccinated:1997-05-01
Age:0.3  Onset:1997-05-01, Days after vaccination: 0
Gender:Female  Submitted:1997-05-09, Days after onset: 8
Location:Georgia  Entered:1997-05-28, Days after submission: 19
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NONE
Other Medications: APAP;ny zorat;aclovate;cuterate;
Current Illness: ringworm & eczema
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTPHIB: DTP + HIB (TETRAMUNE)LEDERLE LABORATORIES4440431IMRL
OPV: POLIO VIRUS, ORAL (ORIMUNE)LEDERLE LABORATORIES0749A1PO 
Administered by: Private     Purchased by: Public
Symptoms: Agitation, Injection site hypersensitivity, Injection site oedema, Injection site pain, Vasodilatation
SMQs:, 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), Hypersensitivity (narrow)
Write-up: pt return to clinic PM w/ c/o swollen rt leg, red & tender to touch, crying/irritable examined pulses;tx cool compresses APAP;f/u 2MAY97 pt fussy when leg is touched, swollen & warm to touch;

VAERS ID:98550 (history)  Vaccinated:1997-05-01
Age:0.5  Onset:1997-05-04, Days after vaccination: 3
Gender:Female  Submitted:1997-05-14, Days after onset: 10
Location:Iowa  Entered:1997-06-02, Days after submission: 19
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: IA97024
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTPHIB: DTP + HIB (TETRAMUNE)LEDERLE LABORATORIES4411011IMRL
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM2196A21IMLL
OPV: POLIO VIRUS, ORAL (ORIMUNE)LEDERLE LABORATORIES0761E1PO 
Administered by: Public     Purchased by: Public
Symptoms: Injection site mass
SMQs:, Extravasation events (injections, infusions and implants) (broad)
Write-up: mom reported lump size pea devel in RAT approx 3 days p/vax & lasted approx 1wk-no other problems & lump now gone;

VAERS ID:98566 (history)  Vaccinated:1997-05-01
Age:1.5  Onset:1997-05-08, Days after vaccination: 7
Gender:Male  Submitted:1997-05-09, Days after onset: 1
Location:Virginia  Entered:1997-06-02, 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: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: UA-observation
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAP: DTAP (TRIPEDIA)CONNAUGHT LABORATORIES6F814453IMLL
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.1244D0SCRA
OPV: POLIO VIRUS, ORAL (ORIMUNE)LEDERLE LABORATORIES737A42PO 
Administered by: Private     Purchased by: Private
Symptoms: Chills, Cyanosis, Pyrexia, Tremor
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Parkinson-like events (broad), Acute central respiratory depression (broad), Noninfectious encephalopathy/delirium (broad), Hypotonic-hyporesponsive episode (broad)
Write-up: 24hr fever, hands & forearms, lips, face bluish, cold, eyes open, no LOC 8-10sec, trembling;

VAERS ID:98664 (history)  Vaccinated:1997-05-01
Age:52.3  Onset:1997-05-02, Days after vaccination: 1
Gender:Male  Submitted:0000-00-00
Location:Washington  Entered:1997-06-04
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Zestril for HTN & col-benemid for gout;
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM2146A42IM 
JEV: JAPANESE ENCEPHALITIS (J-VAX)CONNAUGHT LABORATORIESEJN*1208 SC 
RAB: RABIES (IMOVAX)PASTEUR MERIEUX INST.L0040 SC 
Administered by: Unknown     Purchased by: Unknown
Symptoms: Pain, Skin nodule, Vasodilatation
SMQs:, Extravasation events (injections, infusions and implants) (broad)
Write-up: devel gen rash erythematous maculopapular (not urticaria) p/vax;devel generalized rash next 24-48hr;

VAERS ID:98667 (history)  Vaccinated:1997-05-01
Age:0.2  Onset:1997-05-02, Days after vaccination: 1
Gender:Female  Submitted:1997-05-30, Days after onset: 28
Location:New York  Entered:1997-06-04, 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: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAP: DTAP (TRIPEDIA)CONNAUGHT LABORATORIES6D813960 RL
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM2283A21 RL
HIBV: HIB (HIBTITER)LEDERLE PRAXSISM270PA0 LL
IPV: POLIO VIRUS, INACT. (NO BRAND NAME)PASTEUR MERIEUX INST.M03590 LL
Administered by: Private     Purchased by: Private
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)
Write-up: uncontrollable screaming episodes lasting 15min occurring frequently (q 30min) beginning 10hr p/vax x 2 days;

VAERS ID:98820 (history)  Vaccinated:1997-05-01
Age:42.3  Onset:1997-05-02, Days after vaccination: 1
Gender:Female  Submitted:1997-05-16, Days after onset: 14
Location:Alabama  Entered:1997-06-10, Days after submission: 25
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
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: AL9721
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM2133A42 LA
Administered by: Public     Purchased by: Public
Symptoms: Asthenia, Headache, Injection site hypersensitivity, Injection site oedema, Pruritus
SMQs:, Anaphylactic reaction (broad), Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow)
Write-up: large red, swollen area lt deltoid w/itching;also c/o h/a & feeling weak;advised to see pvt MD;

VAERS ID:99132 (history)  Vaccinated:1997-05-01
Age:0.3  Onset:1997-05-05, Days after vaccination: 4
Gender:Male  Submitted:1997-05-16, Days after onset: 11
Location:Nevada  Entered:1997-06-19, Days after submission: 34
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? Yes, 4 days
    Extended hospital stay? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: ?EEG, EKG, CXR, CT head, septic workup, electrolytes;
CDC Split Type: NV97017
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAP: DTAP (TRIPEDIA)CONNAUGHT LABORATORIES6F814411IMLL
HIBV: HIB (PROHIBIT)CONNAUGHT LABORATORIES7L815021IMRL
OPV: POLIO VIRUS, ORAL (ORIMUNE)LEDERLE LABORATORIES0755D1PO 
Administered by: Private     Purchased by: Other
Symptoms: Convulsion, Cyanosis, Dysphagia
SMQs:, Anaphylactic reaction (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Convulsions (narrow), Acute central respiratory depression (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (narrow)
Write-up: pt had vax 5MAY97 & mom had fed pt & returned to seat, pt had choking episode, turned blue & seized;rash to ER had another sz;parents requested transfer to another hosp;w/u neg;

VAERS ID:100198 (history)  Vaccinated:1997-05-01
Age:19.3  Onset:1997-05-12, Days after vaccination: 11
Gender:Female  Submitted:1997-05-14, Days after onset: 2
Location:Washington  Entered:1997-07-14, Days after submission: 61
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: denies
Other Medications: NONE
Current Illness: denies
Preexisting Conditions: denies
Diagnostic Lab Data: 27MAY saw PMD-nl EKG;has had milder recurrances;
CDC Split Type: WA971358
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEPA: HEP A (HAVRIX)SMITHKLINE BEECHAM0130E0IMRA
TD: TD ADSORBED (NO BRAND NAME)CONNAUGHT LABORATORIES6K81366 IMLA
TYP: TYPHOID LIVE ORAL TY21A (VIVOTIF)BERNA BIOTECH, LTD144771A0PO 
Administered by: Public     Purchased by: Public
Symptoms: Arrhythmia
SMQs:, Cardiomyopathy (broad), Cardiac arrhythmia terms, nonspecific (narrow)
Write-up: 12MAY pt began having irregular heart beat lasting a few seconds occuring every 5-10min originating @ last 3 days;denies syncope, visual or mental disturbances or other physical c/o;no prev occurances or heart palpatations;

VAERS ID:100239 (history)  Vaccinated:1997-05-01
Age:0.4  Onset:1997-05-01, Days after vaccination: 0
Gender:Male  Submitted:1997-07-02, Days after onset: 62
Location:Wisconsin  Entered:1997-07-15, 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: amoxicillin
Current Illness: resolving ear infect
Preexisting Conditions: NA
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAP: DTAP (TRIPEDIA)CONNAUGHT LABORATORIES7G814841IMLL
HIBV: HIB (PROHIBIT)CONNAUGHT LABORATORIES7A915391IMRL
OPV: POLIO VIRUS, ORAL (ORIMUNE)LEDERLE LABORATORIES4407951PO 
Administered by: Private     Purchased by: Unknown
Symptoms: Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow)
Write-up: pt got hives that afternoon;did use Johnsons lotion on baby for first time;seen by MD in afternoon 1MAY97;

VAERS ID:100852 (history)  Vaccinated:1997-05-01
Age:1.7  Onset:1997-05-03, Days after vaccination: 2
Gender:Female  Submitted:0000-00-00
Location:Texas  Entered:1997-07-23
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: WAES97050396
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC. 0  
Administered by: Other     Purchased by: Other
Symptoms: Rash maculo-papular
SMQs:, Hypersensitivity (narrow)
Write-up: pt recv vax 1MAY97 & 3MAY97 pt devel a little mark like a mosquito bite;area was swollen & it had a rash;4MAY97 pt devel another mark & subsequently & devel one on rt hand;

VAERS ID:100892 (history)  Vaccinated:1997-05-01
Age:13.0  Onset:1997-05-07, Days after vaccination: 6
Gender:Male  Submitted:0000-00-00
Location:North Carolina  Entered:1997-07-23
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: WAES97050758
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.    
Administered by: Other     Purchased by: Other
Symptoms: Rash
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow)
Write-up: pt recv vax 1MAY97 & 7MAY97 pt devel a rash consisting of less than 50 lesions;

VAERS ID:100963 (history)  Vaccinated:1997-05-01
Age:29.6  Onset:1997-05-21, Days after vaccination: 20
Gender:Female  Submitted:0000-00-00
Location:Texas  Entered:1997-07-23
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Birth control pills
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: No relevant data;
CDC Split Type: WAES97052068
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.1654B   
Administered by: Other     Purchased by: Other
Symptoms: Dermatitis bullous
SMQs:, Severe cutaneous adverse reactions (narrow), Hypersensitivity (narrow)
Write-up: pt recv vax 1MAY97 & on 21MAY97 pt devel lesions especially on head;felt as if scalp was breaking out;there were five lesions on forehead, one on back & one on leg;reporter felt lesions were r/t to vax w/varicella;

VAERS ID:101116 (history)  Vaccinated:1997-05-01
Age:  Onset:1997-06-01, Days after vaccination: 31
Gender:Female  Submitted:0000-00-00
Location:Unknown  Entered:1997-07-23
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: WAES97061249
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC. 0  
Administered by: Other     Purchased by: Other
Symptoms: Amenorrhoea
SMQs:, Fertility disorders (broad)
Write-up: pt recv vax MAY97 & pt exp missing cycle all together;

VAERS ID:100754 (history)  Vaccinated:1997-05-01
Age:50.3  Onset:1997-05-14, Days after vaccination: 13
Gender:Female  Submitted:1997-07-24, Days after onset: 71
Location:Washington  Entered:1997-07-28, Days after submission: 4
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: NONE
Other Medications: allergy shot;
Current Illness: NONE
Preexisting Conditions:
Diagnostic Lab Data: RA positive results-CRP (c-reactive NH2);negative ANA negative;
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.1249D0SCLA
Administered by: Other     Purchased by: Private
Symptoms: Arthralgia, Laboratory test abnormal, Osteoarthritis, Paraesthesia, Rheumatoid arthritis
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Arthritis (narrow)
Write-up: extreme pain, swelling, tingling & numbness to joints to include bilat wrist, knees, ankles & feet;

VAERS ID:101625 (history)  Vaccinated:1997-05-01
Age:0.4  Onset:1997-05-13, Days after vaccination: 12
Gender:Male  Submitted:1997-07-28, Days after onset: 76
Location:Minnesota  Entered:1997-08-12, Days after submission: 15
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: recurrent OM
Diagnostic Lab Data: 14JUL97 MRI was negative;
CDC Split Type: MN97043
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAP: DTAP (TRIPEDIA)CONNAUGHT LABORATORIES6K711271IMLL
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.1593B1IMRL
HIBV: HIB (HIBTITER)LEDERLE PRAXSISM195PJ1IMRL
OPV: POLIO VIRUS, ORAL (ORIMUNE)LEDERLE LABORATORIES4407301PO 
Administered by: Public     Purchased by: Public
Symptoms: Convulsion, Cyanosis, Gaze palsy, Hypertonia, Muscle twitching, Somnolence
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Dementia (broad), Convulsions (narrow), Dyskinesia (broad), Dystonia (broad), Parkinson-like events (narrow), Acute central respiratory depression (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Ocular motility disorders (narrow), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (narrow)
Write-up: 4 episodes of: body stiffness, jerking movements, eyes roll back, lips & nose turn blue, lasted for 1-2min;occurred on 13MAY97, 28JUN97 3JUL97, 18JUL97 pt is sleepy p/episode currently pt is on tegretol;

VAERS ID:102748 (history)  Vaccinated:1997-05-01
Age:25.1  Onset:1997-05-02, Days after vaccination: 1
Gender:Male  Submitted:1997-08-25, Days after onset: 115
Location:California  Entered:1997-09-24, Days after submission: 30
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: unk
Preexisting Conditions: allergies to PCN, ampicillin & APAP;pt sunburn was described as really bad;
Diagnostic Lab Data:
CDC Split Type: CO7247
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM 0IM 
HEPA: HEP A (HAVRIX)SMITHKLINE BEECHAM 0IM 
RAB: RABIES (IMOVAX ID)PASTEUR MERIEUX INST.L06530 RA
Administered by: Military     Purchased by: Military
Symptoms: Injection site hypersensitivity, Injection site pain, Vasodilatation
SMQs:, Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (narrow)
Write-up: pt recv vax 1MAY97 & 2MAY97 pt c/o a red blister approx 5-6mm @ the inj site that occurred while training;f/u revealed a wheal devel as the dose was given;p/24hr pt c/o a very sore arm (pain) redness over arm & shoulders from sun exposure;

VAERS ID:103555 (history)  Vaccinated:1997-05-01
Age:27.4  Onset:1997-05-01, Days after vaccination: 0
Gender:Female  Submitted:0000-00-00
Location:Massachusetts  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:
Diagnostic Lab Data: No relevant data;
CDC Split Type: WAES97070468
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC. 0  
Administered by: Private     Purchased by: Other
Symptoms: Dermatitis bullous
SMQs:, Severe cutaneous adverse reactions (narrow), Hypersensitivity (narrow)
Write-up: pt recv vax MAY97 & several days later pt devel several pox rash on the ankle & thigh on lt leg;MD was not sure what the bumps were;

VAERS ID:103705 (history)  Vaccinated:1997-05-01
Age:33.0  Onset:0000-00-00
Gender:Female  Submitted:0000-00-00
Location:New York  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:
Diagnostic Lab Data: 1997 varicella antibody low;
CDC Split Type: WAES97080572
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC. 1  
Administered by: Other     Purchased by: Other
Symptoms: Drug ineffective
SMQs:, Lack of efficacy/effect (narrow)
Write-up: pt recv 2 doses of vax FEB97 & MAY97 & lab eval revealed low levels of varicella antibody;

VAERS ID:106071 (history)  Vaccinated:1997-05-01
Age:7.0  Onset:1997-05-03, Days after vaccination: 2
Gender:Male  Submitted:1997-07-17, Days after onset: 75
Location:Delaware  Entered:1997-10-30, Days after submission: 105
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: pt sibling exp hives @ inj site on 3MAY97 w/hep b vax;
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: pt had immunotherapy for seasonal allergies in 1996;
Diagnostic Lab Data:
CDC Split Type: 970144441
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM2233A90IMLA
Administered by: Private     Purchased by: Private
Symptoms: Erythema multiforme, Pruritus, Vasodilatation
SMQs:, Severe cutaneous adverse reactions (narrow), Anaphylactic reaction (broad), Hypersensitivity (narrow)
Write-up: pt recv vax 1MAY97 & 2 days later 3MAY had a redness on face progressing to trunk & extremities;saw a MD on 5MAY & was dx w/a erythema mult type rash w/pruritus over the trunk & extremities;

VAERS ID:106073 (history)  Vaccinated:1997-05-01
Age:35.0  Onset:1997-05-01, Days after vaccination: 0
Gender:Female  Submitted:1997-06-16, Days after onset: 46
Location:Texas  Entered:1997-10-30, Days after submission: 136
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: 970144491
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM 0IMA
Administered by: Private     Purchased by: Private
Symptoms: Vasodilatation
SMQs:
Write-up: pt recv vax MAY97 & exp a warm sensation in the upper body;event lasted approx 4-5hr;

VAERS ID:106113 (history)  Vaccinated:1997-05-01
Age:9.0  Onset:1997-05-03, Days after vaccination: 2
Gender:Female  Submitted:1997-07-17, Days after onset: 75
Location:Delaware  Entered:1997-10-30, Days after submission: 105
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: 970169901
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM2233A90IMA
Administered by: Private     Purchased by: Private
Symptoms: Injection site hypersensitivity
SMQs:, Hypersensitivity (narrow)
Write-up: pt recv vax 1MAY97 & pt exp hives @ the inj site 2 days later on 3MAY97;

VAERS ID:104902 (history)  Vaccinated:1997-05-01
Age:11.9  Onset:1997-05-15, Days after vaccination: 14
Gender:Female  Submitted:1997-06-04, Days after onset: 20
Location:Wisconsin  Entered:1997-11-19, Days after submission: 168
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: pt exp insomnia, arthralgia, syncope, tachycardia, constipation w/HBV dose 2
Other Medications: Ventolin inhaler BID PRN
Current Illness: NONE
Preexisting Conditions: mult allergies, molds, PCN, sulfa, severe allergy to nuts;animals, pollens, asthma;father allergic to yeast;
Diagnostic Lab Data: liver enzymes elevated, strept cult negativeHBvant & HA negative, + HBSamti, mono negative;SGOT 129;SGPT 209;
CDC Split Type: WI97028
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.1722D2IMLA
Administered by: Public     Purchased by: Public
Symptoms: Anorexia, Dermatitis exfoliative, Injection site pain, Lymphadenopathy, Pain, Rash maculo-papular, Tongue discolouration, Tongue disorder
SMQs:, Severe cutaneous adverse reactions (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (narrow)
Write-up: devel rash on abd 15MAY;described by MD as scarlet fever rash, covered entire body had burning of skin, no itching;tongue red, enlarged lymph nodes, skin flaking & peeling especially face & hands;dec appetite;burning & pain @ site;

VAERS ID:106282 (history)  Vaccinated:1997-05-01
Age:  Onset:1997-08-01, Days after vaccination: 92
Gender:Female  Submitted:1997-08-27, Days after onset: 26
Location:Unknown  Entered:1997-12-23, Days after submission: 118
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: 970203551
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEPA: HEP A (HAVRIX)SMITHKLINE BEECHAM 0  
Administered by: Other     Purchased by: Other
Symptoms: Erythema multiforme, Injection site hypersensitivity
SMQs:, Severe cutaneous adverse reactions (narrow), Hypersensitivity (narrow)
Write-up: pt recv vax & 3mo later exp erythema mult @ the inj site;

VAERS ID:106475 (history)  Vaccinated:1997-05-01
Age:25.0  Onset:0000-00-00
Gender:Female  Submitted:1998-01-12
Location:Rhode Island  Entered:1998-01-15, 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: 1997 diagnostic lab varicella antibody neg;
CDC Split Type: WAES97091960
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC. 1  
Administered by: Unknown     Purchased by: Unknown
Symptoms: Drug ineffective
SMQs:, Lack of efficacy/effect (narrow)
Write-up: pt recv vax 1MAY97 & in 1997 pt failed to seroconvert;

VAERS ID:106493 (history)  Vaccinated:1997-05-01
Age:1.2  Onset:1997-09-30, Days after vaccination: 152
Gender:Male  Submitted:1998-01-12, Days after onset: 104
Location:Unknown  Entered:1998-01-15, Days after submission: 3
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
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: WAES97100216
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.    
Administered by: Other     Purchased by: Other
Symptoms: Herpes zoster, Infection
SMQs:
Write-up: pt recv vax MAY97 & 30SEP97 pt devel varicella zoster on arm;

VAERS ID:106553 (history)  Vaccinated:1997-05-01
Age:33.0  Onset:1997-10-16, Days after vaccination: 168
Gender:Female  Submitted:1998-01-12, Days after onset: 88
Location:Unknown  Entered:1998-01-15, Days after submission: 3
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: No relevant data
Other Medications: unk
Current Illness:
Preexisting Conditions: asthma;nitrofurantoin allergy
Diagnostic Lab Data: 16OCT97 laboratory test 0.83 negative varicella antibody
CDC Split Type: WAES97101479
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.0180E1SC 
Administered by: Private     Purchased by: Unknown
Symptoms: Drug ineffective
SMQs:, Lack of efficacy/effect (narrow)
Write-up: pt recv vax 1MAY97 & lab eval on 16OCT97 revealed negative varicella antibody titers (0.83);

VAERS ID:106629 (history)  Vaccinated:1997-05-01
Age:1.0  Onset:1997-11-10, Days after vaccination: 193
Gender:Female  Submitted:1998-01-12, Days after onset: 63
Location:Louisiana  Entered:1998-01-15, 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: unk
Current Illness:
Preexisting Conditions: otic infect
Diagnostic Lab Data:
CDC Split Type: WAES97110614
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.0418E0SC 
Administered by: Unknown     Purchased by: Unknown
Symptoms: Dermatitis bullous, Herpes zoster
SMQs:, Severe cutaneous adverse reactions (narrow), Hypersensitivity (narrow)
Write-up: pt recv vax 1MAY97 & on approx 8NOV97 pt devel shingles;

VAERS ID:106839 (history)  Vaccinated:1997-05-01
Age:  Onset:1997-09-01, Days after vaccination: 123
Gender:Female  Submitted:1998-01-12, Days after onset: 133
Location:Texas  Entered:1998-01-15, Days after submission: 3
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: No relevant data;
Other Medications: unk
Current Illness:
Preexisting Conditions: unk
Diagnostic Lab Data: 1SEP97 laboratory test 0.16 varicella antibodies negative;
CDC Split Type: WAES97120147
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC. 1  
Administered by: Other     Purchased by: Other
Symptoms: Drug ineffective
SMQs:, Lack of efficacy/effect (narrow)
Write-up: pt recv vax MAY97 & 1SEP97 lab eval revealed a lack of seroconversion;

VAERS ID:108358 (history)  Vaccinated:1997-05-01
Age:31.0  Onset:0000-00-00
Gender:Female  Submitted:0000-00-00
Location:Georgia  Entered:1998-03-09
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: No relevant data;
Other Medications: Accupril;Sular;Hydrochlorothiazide;
Current Illness:
Preexisting Conditions: HTN
Diagnostic Lab Data:
CDC Split Type: WAES97050635
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.0063E3IM 
Administered by: Unknown     Purchased by: Unknown
Symptoms: Injection site mass, Injection site pain, Myalgia
SMQs:, Rhabdomyolysis/myopathy (broad), Extravasation events (injections, infusions and implants) (broad), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad)
Write-up: pt recv vax 1MAY97 & MAY97 exp inj site soreness that radiated down arm to forearm, as well as constant deep muscle pain over the deltoid muscle;poss also devel a small knot;pt taken to ER 7MAY97;

VAERS ID:108370 (history)  Vaccinated:1997-05-01
Age:1.6  Onset:1997-05-01, Days after vaccination: 0
Gender:Female  Submitted:0000-00-00
Location:Iowa  Entered:1998-03-09
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? Yes, ? days
    Extended hospital stay? No
Previous Vaccinations: No relevant data;
Other Medications: NONE
Current Illness:
Preexisting Conditions: intolerance, soy;food allergy
Diagnostic Lab Data:
CDC Split Type: WAES97051572
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.0874A IM 
Administered by: Other     Purchased by: Other
Symptoms: Oedema peripheral, Vasodilatation
SMQs:, Cardiac failure (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: pt recv vax 1MAY97 & pt exp swelling, redness, & heat in rt arm, arm which was vaccinated;pt was taken to ER & was hosp;No further details were provided;

VAERS ID:108516 (history)  Vaccinated:1997-05-01
Age:46.9  Onset:1997-08-16, Days after vaccination: 107
Gender:Male  Submitted:0000-00-00
Location:Texas  Entered:1998-03-09
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: No relevant data;
Other Medications: glucophage
Current Illness:
Preexisting Conditions: diabetes mellitus
Diagnostic Lab Data: 1MAR97 serum hepatitis B surface negative;16AUG97 serum hepatitis B surface negative;
CDC Split Type: WAES97081533A
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC. 3IM 
Administered by: Other     Purchased by: Public
Symptoms: Drug ineffective
SMQs:, Lack of efficacy/effect (narrow)
Write-up: pt recv 3 doses of vax & lab eval revealed a lack of response;

VAERS ID:108524 (history)  Vaccinated:1997-05-01
Age:  Onset:0000-00-00
Gender:Unknown  Submitted:1997-07-15
Location:Unknown  Entered:1998-03-09, Days after submission: 237
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: unk
Current Illness: unk
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: 897199015L
Vaccination
Manufacturer
Lot
Dose
Route
Site
TTOX: TETANUS TOXOID (NO BRAND NAME)UNKNOWN MANUFACTURER    
Administered by: Other     Purchased by: Other
Symptoms: Guillain-Barre syndrome
SMQs:, Peripheral neuropathy (narrow), Guillain-Barre syndrome (narrow), Demyelination (narrow)
Write-up: pt recv vax MAY97 & was recently dx w/GBS;

VAERS ID:110031 (history)  Vaccinated:1997-05-01
Age:1.1  Onset:1998-01-14, Days after vaccination: 258
Gender:Male  Submitted:1998-04-15, Days after onset: 90
Location:Illinois  Entered:1998-04-17, Days after submission: 2
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: pt sibling devel chickenpox 2wk prior
Other Medications: Unknown
Current Illness: OTITIS MEDIA
Preexisting Conditions: ASTHMA; VARICELLA EXPOSURE
Diagnostic Lab Data:
CDC Split Type: WAES98010897
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC. 0SC 
Administered by: Private     Purchased by: Private
Symptoms: Dermatitis bullous
SMQs:, Severe cutaneous adverse reactions (narrow), Hypersensitivity (narrow)
Write-up: 01May97 pt recv vax SC 1st dose varicella virus vax live. 14Jan98 pt devel 5 fluid filled lesions on trunk. Pt brother had chickenpox 2 wk prior to pt exp.

VAERS ID:110064 (history)  Vaccinated:1997-05-01
Age:1.1  Onset:1998-01-21, Days after vaccination: 265
Gender:Male  Submitted:1998-04-15, Days after onset: 83
Location:Illinois  Entered:1998-04-17, Days after submission: 2
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: No relevant data
Other Medications:
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data:
CDC Split Type: WAES98011682
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.1251D1SC 
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.0045E1SC 
Administered by: Private     Purchased by: Private
Symptoms: Dermatitis bullous, Pyrexia, Rash
SMQs:, Severe cutaneous adverse reactions (narrow), Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Hypersensitivity (narrow)
Write-up: 01May97 Pt recv 1st dose vax. 21Jan98 Pt devel rash that started on trunk. 1 fluid filled pimple on back & low grade fever. 22Jan98 "p.c. rash gone except face, pin head size blister on back; denies illness; afebrile; probably not c-pox".

VAERS ID:110417 (history)  Vaccinated:1997-05-01
Age:26.0  Onset:1998-01-01, Days after vaccination: 245
Gender:Female  Submitted:1998-04-15, Days after onset: 103
Location:Unknown  Entered:1998-04-17, Days after submission: 2
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: No relevant data
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data:
CDC Split Type: WAES98030882
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC. 1  
Administered by: Unknown     Purchased by: Unknown
Symptoms: Dermatitis bullous, Pyrexia
SMQs:, Severe cutaneous adverse reactions (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Hypersensitivity (narrow)
Write-up: March/97 & May97 pt recv 1 & 2nd doses of vax. 11Mar98 reporter noted pt exp fever & devel mild,varicella-like rash.

VAERS ID:111613 (history)  Vaccinated:1997-05-01
Age:5.0  Onset:0000-00-00
Gender:Male  Submitted:1998-05-29
Location:Unknown  Entered:1998-06-02, Days after submission: 4
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: No relevant data;
Other Medications:
Current Illness:
Preexisting Conditions: unk
Diagnostic Lab Data:
CDC Split Type: WAES97071997
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.    
HIBV: HIB (PEDVAXHIB)MERCK & CO. INC.    
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.    
Administered by: Other     Purchased by: Other
Symptoms: Abscess, Hypersensitivity, Injection site oedema
SMQs:, Angioedema (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow)
Write-up: pt recv vax MAY97 & in 1997 pt devel a sterile abscess w/ 2.5inches of swelling @ the four different inj site in the upper arm;tx w/DPH;pharmacist thought that it may have been an allerg rxn to aluminum phosphate;

VAERS ID:112111 (history)  Vaccinated:1997-05-01
Age:53.9  Onset:1997-05-08, Days after vaccination: 7
Gender:Female  Submitted:1997-05-13, Days after onset: 5
Location:Wisconsin  Entered:1998-06-23, Days after submission: 406
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: unk
Current Illness: NONE
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: 897190011L
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)LEDERLE LABORATORIES438594 IMLA
Administered by: Private     Purchased by: Private
Symptoms: Cellulitis, Injection site reaction
SMQs:
Write-up: pt recv vax & devel cellulitis;pt recovered;

VAERS ID:112738 (history)  Vaccinated:1997-05-01
Age:0.4  Onset:1997-05-01, Days after vaccination: 0
Gender:Female  Submitted:1998-02-09, Days after onset: 284
Location:Connecticut  Entered:1998-07-20, Days after submission: 160
Life Threatening? Yes
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: pt sibling devel fever, crying, vomiting @ infancy w/DTP all 3 shots;
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
IPV: POLIO VIRUS, INACT. (POLIOVAX)CONNAUGHT LTD.L12190  
Administered by: Private     Purchased by: Other
Symptoms: Convulsion, Crying, Hypotonia, 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), Depression (excl suicide and self injury) (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (narrow)
Write-up: pt fell asleep p/vax upon awakening had a sick sounding cry & did not have control of facial muscles, face was drooping & could not smile, & was not as alert as usual;this lasted for about 20min probably a sz;

VAERS ID:112968 (history)  Vaccinated:1997-05-01
Age:1.1  Onset:1998-07-24, Days after vaccination: 449
Gender:Female  Submitted:1998-07-27, Days after onset: 3
Location:Washington  Entered:1998-07-31, Days after submission: 4
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: well child
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0476D0SCLL
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.1340D0SCRL
Administered by: Private     Purchased by: Public
Symptoms: Drug ineffective, Infection
SMQs:, Lack of efficacy/effect (narrow)
Write-up: pt acquired full blown chickenpox w/greater than 50 lesions following varivax given over 1yr ago;chickenpox still active;

VAERS ID:120145 (history)  Vaccinated:1997-05-01
Age:10.5  Onset:0000-00-00
Gender:Female  Submitted:1999-02-15
Location:Illinois  Entered:1999-03-10, Days after submission: 23
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: pt exp sz w/dose 1 of hep b vax;
Other Medications: Depakote;
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: unk
CDC Split Type: IL99007
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.1691D2IMLA
Administered by: Public     Purchased by: Other
Symptoms: Adverse drug reaction, Convulsion, Similar reaction on previous exposure to drug
SMQs:, Systemic lupus erythematosus (broad), Convulsions (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Generalised convulsive seizures following immunisation (narrow)
Write-up: pt recv vax & exp a sz;

VAERS ID:123667 (history)  Vaccinated:1997-05-01
Age:6.0  Onset:1998-07-19, Days after vaccination: 444
Gender:Female  Submitted:1999-05-14, Days after onset: 299
Location:New York  Entered:1999-05-21, Days after submission: 7
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: No Relevant Data
Other Medications: unk
Current Illness:
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC Split Type: WAES98071221
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.1544D0SC 
Administered by: Private     Purchased by: Private
Symptoms: Dermatitis bullous, Drug ineffective, Infection
SMQs:, Severe cutaneous adverse reactions (narrow), Lack of efficacy/effect (narrow), Hypersensitivity (narrow)
Write-up: p/vax devel breakthrough varicella;pt has less than fifty lesions;pt seen by MD who described the varicella as a full blown case;2wk later pt recovered;

VAERS ID:157072 (history)  Vaccinated:1997-05-01
Age:6.0  Onset:1999-05-19, Days after vaccination: 748
Gender:Male  Submitted:2000-05-16, Days after onset: 363
Location:New York  Entered:2000-07-18, Days after submission: 63
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: UNK
Diagnostic Lab Data:
CDC Split Type: WAES99060249
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC. 0SC 
Administered by: Other     Purchased by: Other
Symptoms: Herpes zoster, Infection
SMQs:
Write-up: On approximately May 19, 1999 the pt experienced shingles on the upper arm which subsequently became infected. The pt was treated with antibiotics.

VAERS ID:171240 (history)  Vaccinated:1997-05-01
Age:7.0  Onset:2000-04-20, Days after vaccination: 1085
Gender:Female  Submitted:2001-05-15, Days after onset: 390
Location:Unknown  Entered:2001-06-01, Days after submission: 17
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: UNK
Diagnostic Lab Data:
CDC Split Type: WAES00042325
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.    
Administered by: Unknown     Purchased by: Unknown
Symptoms: Rash
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow)
Write-up: Exanthema - Information has been received from a health care professional concerning a 7 year old female patient who on 01 Jun 1997 was vaccinated with one dose of varicella virus vaccine live. On 20 Apr 2000 the patient developed a varicella rash with about 40 to 50 lesions and no fever. The patient sought medical attention. No further information is available.

VAERS ID:186414 (history)  Vaccinated:1997-05-01
Age:5.0  Onset:2001-12-13, Days after vaccination: 1687
Gender:Female  Submitted:2002-05-15, Days after onset: 152
Location:Unknown  Entered:2002-06-12, Days after submission: 28
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: NONE
Diagnostic Lab Data: Tzanck test-multinucleated giant cells (12/13/01). deoxyribonucleic acid 12/13/01: VZV + non typable. VZV strain 12/13/01: reamplified specimen + WT VZV (Columbia University).
CDC Split Type: WAES0201USA03220
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.    
Administered by: Other     Purchased by: Other
Symptoms: Herpes zoster, Rash papular, Rash vesicular
SMQs:, Hypersensitivity (narrow)
Write-up: Information has been received from a physician concerning a 5 yea rold female who in May 1997 was vaccinated in the arm with one dose of varicella virus vaccine live. There were no concurrent medications. It was noted that a rash did not occur at the site of injection post-vacicnation. On 12/13/2001, the child developed a rash consisting of papules and vesicles. There were approximately 50 lesions. There was not recent exposure to chickenpox or shingles. She presented to the physician who diagnosed her with herpes zoster alogn the right L2 dermatome. On 12/13/2001, the physician obtained a specimen from one of the lesions. A Tzanck test showed multinucleated giant cells. The physician prepared a slide from the specimen, which will be submitted for PCR analysis. The pt subsequently recovered. Additional info has been requested. Follow up information indicated that the interpretation of PCR analysis was "VZV positive, non-typable". Additional follow up information was received on 30OCT2002. The vesicular rash specimen was positive for VZV and PCR analysis of reamplified specimen identified the presence of WT VZV. No further informationn is available.

VAERS ID:198534 (history)  Vaccinated:1997-05-01
Age:55.0  Onset:1997-11-01, Days after vaccination: 184
Gender:Male  Submitted:2003-02-14, Days after onset: 1931
Location:Pennsylvania  Entered:2003-02-28, 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: Prochlorperazine, Tamsulosin HCl, Lactulose, Salbutamol sulphate, Psyllium husk, Chlorpromazine HCl, Omeprazole, Melatonin, Econazole nitrate, Amox.trihyd + pot.clavulan (Amoxicillin trihydrate + Potassium Clavulanate) Esomeprazole
Current Illness: UNK
Preexisting Conditions: Allergy to prednisone, anxiety, benign prostate hypertrophy, bilateral carpal tunnel, bladder dysfunction, carpal tunnel surgery, chronic cough, chronic sinusitis, colon polyp, crying episode, depression, fractured finger, gastritis, low backache, nephrectomy, polypectomy, renal cancer, spinal stenosis, tinnitus, tremor, viral encephalitis, whiplash injury, wrist fracture. The subj
Diagnostic Lab Data: Antinuclear antibody, 9/25/00, result = < 1:40, range - < 1:40; C-reactive protein, 12/7/99, result <0.9mg/dL, range is < 0.9; Erythrocyte sedimentation rate, 9/25/00, result is 1 mm/hr, range 0-20; Rheumatoid factor, 9/25/00, result < 20IU
CDC Split Type: A0364664A
Vaccination
Manufacturer
Lot
Dose
Route
Site
LYME: LYME (LYMERIX)GLAXOSMITHKLINE BIOLOGICALS 1  
Administered by: Private     Purchased by: Private
Symptoms: Affect lability, Amnesia, Arthralgia, Depression, Fibromyalgia, Libido decreased, Muscle twitching, Rash, Tinnitus, Tremor
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Dementia (broad), Dyskinesia (broad), Dystonia (broad), Parkinson-like events (broad), Psychosis and psychotic disorders (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Hostility/aggression (broad), Depression (excl suicide and self injury) (narrow), Hearing impairment (narrow), Hypersensitivity (narrow), Arthritis (broad)
Write-up: The subject''s medical history included allergy to prednisone, a "long" history of low back pain, chronic sinusitis, irritable bladder dysfunction, renal squamous cell carcinoma (95), colon polyps (95), bilateral carpal tunnel syndrome, gastritis, "mild" benign prostatic hypertrophy, spinal stenosis, fractured finger (94), fractured right wrist (94), viral encephalitis (74), whiplash injury (60), chronic cough, anxiety (88), tinnitus, crying spells (88), shaking (88), a fear of going "crazy" (88), a feeling of not being himself (88), fear of losing control (88), and "secondarily convertly depressed" (88). Surgical history included bilateral carpal tunnel release (78, 82), colon polypectomy (95), and right nephrectomy (95). Concurrent medications included prochloperazine (Compazine), chlorpromazine (Thorazine), tamsulosin hydrochloride (Flomax), lactulose (Duphalac) syrup, psyllium (Metamucil), salbutamol (Proventil), melatonin, omeprazole (Prilosec), esomeprazole (Nexium), econazole topical cream (Spectzole), and amoxicillin clavulanate (Augmentin). The subject participated in a Lyme vax clinical trial. He received injections of placebo in 95 and 96. He then received injections of LYMErix in April 97, May 97, and May 98. In a Statement of Injuries, the subject''s attorney alleged that the subject "first suffered from a burning rash on his hands and arms, along with joint pain in his hands. This progressed into overall flushing and burning of the skin, and tingling about the face, as well as cramping and pain in his legs. [The subject] suffers from extreme pain and cramping in his legs and buttocks, and joint pain in his knees, shoulders and hands. [He] suffers from muscle twitches, body tremors, pain and numbness in his arms, and a ''burning nerve'' feeling in his legs. He suffers from forgetfulness, short-term memory loss, difficulty concentrating, exhaustion, constant ear ringing, insomnia, mood swings, depression, decreased libido and emotional outbursts." The following info was obtained from medical records. The

VAERS ID:287753 (history)  Vaccinated:1997-05-01
Age:84.0  Onset:1997-05-01, Days after vaccination: 0
Gender:Female  Submitted:2007-07-30, Days after onset: 3742
Location:Unknown  Entered:2007-08-02, Days after submission: 3
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: PAXIL, ZOCOR
Current Illness: Cholesterol high
Preexisting Conditions:
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0706USA00042
Vaccination
Manufacturer
Lot
Dose
Route
Site
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC. 0UN 
Administered by: Other     Purchased by: Other
Symptoms: Injection site streaking
SMQs:
Write-up: Information has been received from a pharmacist, concerning an 84 year old female with high cholesterol, who in May 1997 (ten years ago), was vaccinated with the first dose of Pneumovax 23. Concomitant therapy included Paxil and Zocor. The patient reported that following the vaccination, she immediately developed red streaks down her arm. Treatment with Benadryl caused the red streaks to subside by the next morning. No further information is expected.

VAERS ID:505718 (history)  Vaccinated:1997-05-01
Age:0.0  Onset:1997-05-01, Days after vaccination: 0
Gender:Male  Submitted:2013-10-04, Days after onset: 6000
Location:Maryland  Entered:2013-10-04
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: He had been through a long labor and they had used a vaccum to extract him but otherwise he was alert and healthy.
Preexisting Conditions: None
Diagnostic Lab Data: Dont have any.
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (NO BRAND NAME)UNKNOWN MANUFACTURER    
Administered by: Public     Purchased by: Private
Symptoms: Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad)
Write-up: High fever and they kept him an additional night for observation.

VAERS ID:98223 (history)  Vaccinated:1997-05-01
Age:23.0  Onset:1997-05-01, Days after vaccination: 0
Gender:Female  Submitted:0000-00-00
Location:Foreign  Entered:1997-05-23
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: Ketoderm
Current Illness:
Preexisting Conditions: genital & axillary mycosis;
Diagnostic Lab Data:
CDC Split Type: 970115961
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM 0IM 
Administered by: Unknown     Purchased by: Unknown
Symptoms: Eczema, Face oedema, Pruritus
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow)
Write-up: pt recv vax MAY97 & exp face edema & pruriginous eczematiform eruption from armpit to feet causing hosp;pt has not yet recovered;

VAERS ID:98229 (history)  Vaccinated:1997-05-01
Age:11.0  Onset:1997-05-01, Days after vaccination: 0
Gender:Male  Submitted:0000-00-00
Location:Foreign  Entered:1997-05-23
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: unk
Current Illness:
Preexisting Conditions: no relevant history
Diagnostic Lab Data: No relevant data;
CDC Split Type: WAES97050949
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.    
Administered by: Unknown     Purchased by: Unknown
Symptoms: Headache, Hypertonia, Hypotension, Malaise, Muscle spasms, Pallor, Syncope, Vomiting
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dystonia (broad), Parkinson-like events (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad)
Write-up: day of vax pt exp vasovagal attack & was hosp;pt c/o h/a & malaise;pt became pale & stiff & was about to fall from the chair;pt had some spasms of arms & legs but no secretions or biting of tongue;pt BP 100/60 & pulse;fatigued;

VAERS ID:98503 (history)  Vaccinated:1997-05-01
Age:25.2  Onset:1997-05-06, Days after vaccination: 5
Gender:Male  Submitted:0000-00-00
Location:Foreign  Entered:1997-06-05
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:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: 970127381
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM    
HEPA: HEP A (HAVRIX)SMITHKLINE BEECHAM    
Administered by: Unknown     Purchased by: Unknown
Symptoms: Erythema multiforme, Mucous membrane disorder
SMQs:, Severe cutaneous adverse reactions (narrow), Hypersensitivity (narrow)
Write-up: approx 6 days p/vax pt devel an erythema mult & was therefore hosp;tx w/med led to improvement;

VAERS ID:98505 (history)  Vaccinated:1997-05-01
Age:50.6  Onset:1997-05-18, Days after vaccination: 17
Gender:Female  Submitted:1997-05-28, Days after onset: 10
Location:Foreign  Entered:1997-06-05, Days after submission: 8
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:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: 970127421
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM    
HEPA: HEP A (HAVRIX)SMITHKLINE BEECHAM    
Administered by: Unknown     Purchased by: Unknown
Symptoms: Anuria, Gait disturbance, Influenza, Myasthenic syndrome, Myelitis, Neuropathy, Paraesthesia, Paralysis
SMQs:, Rhabdomyolysis/myopathy (broad), Acute renal failure (narrow), Peripheral neuropathy (narrow), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (broad), Torsade de pointes, shock-associated conditions (broad), Hypovolaemic shock conditions (broad), Toxic-septic shock conditions (broad), Anaphylactic/anaphylactoid shock conditions (broad), Hypoglycaemic and neurogenic shock conditions (broad), Malignancy related conditions (narrow), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (broad), Tumour lysis syndrome (broad)
Write-up: approx 3wk p/vax pt exp neurological sx assoc w/incomplete paresis;pt has been hosp in the neuro ward;dx of a transverse myelitis made;

VAERS ID:99362 (history)  Vaccinated:1997-05-01
Age:61.1  Onset:1997-05-01, Days after vaccination: 0
Gender:Female  Submitted:1997-06-30, Days after onset: 60
Location:Foreign  Entered:1997-06-30
Life Threatening? Yes
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: immunization against influenza
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC Split Type: DIS97474
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)MEDEVA PHARMA, LTD. 1  
Administered by: Other     Purchased by: Other
Symptoms: Anaphylactoid reaction, Hypersensitivity, Hypotension, Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (narrow), Angioedema (broad), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Anaphylactic/anaphylactoid shock conditions (narrow), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Hypersensitivity (narrow)
Write-up: pt recv vax & exp hypotension followed by unconsciousness p/vax;tx w/med sx resolved p/several min;

VAERS ID:100264 (history)  Vaccinated:1997-05-01
Age:0.2  Onset:1997-05-03, Days after vaccination: 2
Gender:Male  Submitted:1997-07-15, Days after onset: 73
Location:Foreign  Entered:1997-07-16, Days after submission: 1
Life Threatening? No
Died? Yes
   Date died: 1997-05-03
   Days after onset: 0
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: CO7413
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTP: DTP (NO BRAND NAME)UNKNOWN MANUFACTURER 0  
HIBV: HIB (ACTHIB)CONNAUGHT LABORATORIES 0  
Administered by: Unknown     Purchased by: Unknown
Symptoms: Sudden infant death syndrome
SMQs:, Neonatal disorders (narrow)
Write-up: it was reported that pt recv vax 1MAY97 & 3MAY97 pt died;

VAERS ID:103081 (history)  Vaccinated:1997-05-01
Age:8.2  Onset:1997-09-01, Days after vaccination: 123
Gender:Female  Submitted:1997-09-30, Days after onset: 29
Location:Foreign  Entered:1997-10-14, Days after submission: 14
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:
Preexisting Conditions:
Diagnostic Lab Data: SEP97 Cerebral CT Scan cerebellar tumor evoked;EMG neurogenic process of central origin;MRI meningoencephalitis;
CDC Split Type: 970225591
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM 1IM 
Administered by: Unknown     Purchased by: Unknown
Symptoms: Abdominal pain, Bradycardia, Encephalitis, Gastrointestinal disorder, Headache, Neoplasm, Neuropathy, Oesophagitis, Paralysis, Peripheral vascular disorder, Vomiting
SMQs:, Acute pancreatitis (broad), Peripheral neuropathy (narrow), Arrhythmia related investigations, signs and symptoms (broad), Retroperitoneal fibrosis (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (narrow), Gastrointestinal nonspecific inflammation (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (broad), Tumours of unspecified malignancy (narrow)
Write-up: MAY97 pt recv vax & 2mo later SEP97 pt exp h/a;SEP97 also exp abd pain, fever & claudication d/t lateral popliteal sciatic nerve deficit causing hosp;MRI evoked meningoencephalitis;dx made in SEP97 is encephalomyelitis;

VAERS ID:106688 (history)  Vaccinated:1997-05-01
Age:1.0  Onset:1997-08-30, Days after vaccination: 121
Gender:Female  Submitted:1998-01-13, Days after onset: 136
Location:Foreign  Entered:1998-01-21, Days after submission: 8
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? Yes, ? days
    Extended hospital stay? Yes
Previous Vaccinations:
Other Medications: Adepal;HEP B; Yellow given 14MAY97;Lariam;
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: 980005981
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEPA: HEP A (HAVRIX)SMITHKLINE BEECHAM    
Administered by: Unknown     Purchased by: Unknown
Symptoms: Congenital anomaly
SMQs:, Congenital, familial and genetic disorders (narrow)
Write-up: A woman became pregnant FEB97 & discovered pregnancy on 30AUG97;pt recv hep A vax 1MAY97 & yellow fever vax 14MAY;mom given Mefloquine for malaria 1JUN to 30JUN & Adepal for contraception 30JUL;child born 20OCT97 w/neonatal hypotrophia;

VAERS ID:108770 (history)  Vaccinated:1997-05-01
Age:  Onset:1997-07-01, Days after vaccination: 61
Gender:Unknown  Submitted:1998-03-16, Days after onset: 258
Location:Foreign  Entered:1998-03-20, 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: unk
Current Illness:
Preexisting Conditions: unk
Diagnostic Lab Data: JUL97 WBC 24,200 inc;hemoglobin 11.3 decreased;platelet count 560,000 inc;serum C-reactive protein 13.6;ESR 80/90;alpha immunoglobulins inc;
CDC Split Type: WAES98021980
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.    
Administered by: Unknown     Purchased by: Unknown
Symptoms: Anaemia, Hepatosplenomegaly, Immunoglobulins increased, Leukocytosis, Pain, Red blood cell sedimentation rate increased, Thrombocythaemia, Urticaria
SMQs:, Liver related investigations, signs and symptoms (narrow), Anaphylactic reaction (broad), Angioedema (narrow), Haematopoietic erythropenia (broad), Neuroleptic malignant syndrome (broad), Hypersensitivity (narrow)
Write-up: pt recv vax MAY97 & 9JUL97 pt exp fever;JUL97 pt exp hepatosplenomegaly, severe pain in lt lower limb, urticaria exanthema, efflorescence 10x5cm in size;lab eval in JUL97 revealed, inc sed rat 80/90, CRP 13.6, alpha-immunoglobulins inc;

VAERS ID:112292 (history)  Vaccinated:1997-05-01
Age:34.0  Onset:1997-07-01, Days after vaccination: 61
Gender:Male  Submitted:1998-06-26, Days after onset: 360
Location:Foreign  Entered:1998-07-02, 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:
Current Illness:
Preexisting Conditions: cranium trauma, fracture of 1st/2nd/3rd ribs (rt, fracture of clavicle (lt), fracture of fibula (rt), fracture of humerus (rt), vetebral column trauma, wound of the superciliary arch (rt);fracture of lt clavicle;smokes 15 cigaretts per day;
Diagnostic Lab Data: 1997 EMG atrophy of the triceps & serratus anterior muscle;x-ray scapula nl;x-ray vertebral column nl;
CDC Split Type: 19980160181
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM 2  
Administered by: Unknown     Purchased by: Unknown
Symptoms: Back pain, Neck pain, Pain
SMQs:, Retroperitoneal fibrosis (broad), Arthritis (broad)
Write-up: 15JUL97 1.5mo p/vax pt exp pain of rt scapula;to MD;a week later pt devel pain from cervical to rt elbow (burning sensation & melting of the triceps);atrophy of triceps probable Parsonage Turners synd;

VAERS ID:114280 (history)  Vaccinated:1997-05-01
Age:76.0  Onset:1997-05-06, Days after vaccination: 5
Gender:Unknown  Submitted:1998-09-16, Days after onset: 498
Location:Foreign  Entered:1998-09-22, Days after submission: 6
Life Threatening? No
Died? Yes
   Date died: 0000-00-00
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Digitoxin;Erythropoietin;Ferrous gluconate;Furosemide;
Current Illness:
Preexisting Conditions: chronic renal failure;rheumatoid arthritis;
Diagnostic Lab Data: 8APR97 serum alkaline phosphatase-205;serum aspartate aminotransferase 29;6MAY97 serum alk phos 514;serum asparate aminotransferase 185;lab test EBV IgG & IgM positive;blood cult E coli & enterococcae;serum direct bilirubin max value
CDC Split Type: WAES98090386
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM028011   
Administered by: Unknown     Purchased by: Unknown
Symptoms: Aspartate aminotransferase increased, Blood alkaline phosphatase increased, Hepatocellular damage, Immunoglobulins increased, Infection, Jaundice cholestatic, Sepsis, Shock
SMQs:, Liver related investigations, signs and symptoms (narrow), Cholestasis and jaundice of hepatic origin (narrow), Hepatic failure, fibrosis and cirrhosis and other liver damage-related conditions (narrow), Anaphylactic reaction (narrow), Agranulocytosis (broad), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (narrow), Hypovolaemic shock conditions (narrow), Toxic-septic shock conditions (narrow), Anaphylactic/anaphylactoid shock conditions (narrow), Hypoglycaemic and neurogenic shock conditions (narrow), Biliary system related investigations, signs and symptoms (narrow), Biliary tract disorders (narrow), Hypotonic-hyporesponsive episode (broad), Hypersensitivity (narrow)
Write-up: 5 days post vax lab test showed elevated liver enzymes (SGOT-185, AP 514);devel inc jaundice & 23MAY97 adm to hosp;positive IgG & IgM for EBV;30MAY97 showed acute hepatocellular necrosis, intrahepatic cholestasis;septic shock;liver injury

VAERS ID:115256 (history)  Vaccinated:1997-05-01
Age:32.2  Onset:0000-00-00
Gender:Female  Submitted:1998-10-21
Location:Foreign  Entered:1998-10-26, Days after submission: 5
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:
CDC Split Type: 19980251221
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM 2IM 
Administered by: Unknown     Purchased by: Unknown
Symptoms: Depressed level of consciousness, Gait disturbance, Hypokinesia, Neuritis, Paralysis
SMQs:, Peripheral neuropathy (narrow), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad)
Write-up: pt recv vax MAY97 & the middle of 1997 pt devel a disabling acute polyradiculoneuritis;

VAERS ID:118498 (history)  Vaccinated:1997-05-01
Age:  Onset:1997-10-20, Days after vaccination: 172
Gender:Female  Submitted:0000-00-00
Location:Foreign  Entered:1999-02-02
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? Yes, ? days
    Extended hospital stay? Yes
Previous Vaccinations:
Other Medications: Lariam tablets;
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEPA: HEP A (NO BRAND NAME)UNKNOWN MANUFACTURER    
Administered by: Unknown     Purchased by: Unknown
Symptoms: Foetal disorder, Premature labour
SMQs:, Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow), Foetal disorders (narrow)
Write-up: mom recv vax & malaria tablets & gave premature birth to child w/foetal growth retardation;FEB97 estimated conception date;1MAY97 given hep A & B vax;14MAY97 yellow fever vax given;1JUN97 malaria started;

VAERS ID:98094 (history)  Vaccinated:1997-05-02
Age:31.0  Onset:1997-05-13, Days after vaccination: 11
Gender:Male  Submitted:1997-05-14, Days after onset: 1
Location:Florida  Entered:1997-05-19, Days after submission: 5
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: PPD by Connaught lot# 244411 given 2MAY97;
Current Illness: NONE
Preexisting Conditions: kidney dx (glonephritis), gout, BP inc;
Diagnostic Lab Data: NA
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)CONNAUGHT LABORATORIES6L81412 IMLA
Administered by: Public     Purchased by: Unknown
Symptoms: Myalgia, Oedema peripheral
SMQs:, Rhabdomyolysis/myopathy (broad), Cardiac failure (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad)
Write-up: did hard physical labor yesterday;arm sore & swollen (fifty cents size) in lt deltoid;

VAERS ID:98207 (history)  Vaccinated:1997-05-02
Age:1.3  Onset:1997-05-03, Days after vaccination: 1
Gender:Male  Submitted:1997-05-06, Days after onset: 3
Location:California  Entered:1997-05-21, Days after submission: 15
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
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:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HIBV: HIB (PROHIBIT)CONNAUGHT LABORATORIES6D81133IMRL
Administered by: Private     Purchased by: Private
Symptoms: Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad)
Write-up: t103.5 24hr post vax;

VAERS ID:100934 (history)  Vaccinated:1997-05-02
Age:38.3  Onset:1997-05-12, Days after vaccination: 10
Gender:Male  Submitted:0000-00-00
Location:New York  Entered:1997-07-23
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions: allergy, fish;allergy, chocolate;
Diagnostic Lab Data: PCR inadequate specimen;MAY97 varicella antibody inconclusive;
CDC Split Type: WAES97051573
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.0082E1SCLA
Administered by: Other     Purchased by: Other
Symptoms: Dermatitis bullous, Drug ineffective, Infection, Rash maculo-papular
SMQs:, Severe cutaneous adverse reactions (narrow), Lack of efficacy/effect (narrow), Hypersensitivity (narrow)
Write-up: pt recv vax 2MAY97 & 12MAY97 pt devel varicella consisting of 10-15 lesions/papules on erythematous base on hands, wrists, & inner thighs;did not exp fever or lethargy;

VAERS ID:107497 (history)  Vaccinated:1997-05-02
Age:5.4  Onset:1997-05-02, Days after vaccination: 0
Gender:Male  Submitted:1997-10-24, Days after onset: 175
Location:Kentucky  Entered:1998-02-12, Days after submission: 111
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Lorabid;Rynatan
Current Illness: sinusitis
Preexisting Conditions: enviromental allergies
Diagnostic Lab Data:
CDC Split Type: 897303002L
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAP: DTAP (ACEL-IMUNE)LEDERLE LABORATORIES4407641IMRA
Administered by: Private     Purchased by: Private
Symptoms: Injection site hypersensitivity, Injection site oedema
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow)
Write-up: pt recv vax 2MAY97 & that evening devel an inj site rxn characterized by a 3-4inc area of redness & swelling;2 days post vax pt ATB therapy was changed to Augmentin;inj site looked better next day;pt recovered;

VAERS ID:111470 (history)  Vaccinated:1997-05-02
Age:1.2  Onset:1997-05-05, Days after vaccination: 3
Gender:Male  Submitted:1998-05-29, Days after onset: 389
Location:New Jersey  Entered:1998-06-02, Days after submission: 4
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: pt sibling devel pneumonia, pulmonary congestion, v,asthenia,dyspnea,fever;
Other Medications:
Current Illness:
Preexisting Conditions: bronchiolitis
Diagnostic Lab Data:
CDC Split Type: WAES97050969
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0181E0SC 
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.  SC 
Administered by: Private     Purchased by: Other
Symptoms: Agitation, Anorexia, Asthenia, Dyspnoea, Infection
SMQs:, Anaphylactic reaction (broad), Anticholinergic syndrome (broad), Dementia (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hostility/aggression (broad), Cardiomyopathy (broad)
Write-up: pt recv vax 2MAY97 & 5MAY97 pt had trouble breathing & exp was felt to be poss resp syncytial virus (RSV);tx proventil, prelone & cefzil;pt was also cranky, crying, fatigued & had no appetite;

VAERS ID:111471 (history)  Vaccinated:1997-05-02
Age:1.2  Onset:1997-05-05, Days after vaccination: 3
Gender:Male  Submitted:1998-05-29, Days after onset: 389
Location:New Jersey  Entered:1998-06-02, Days after submission: 4
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: pt sibling devel pneumonia, pulmonary congestion,v,asthenia,dyspnea,irritability
Other Medications:
Current Illness:
Preexisting Conditions: unk
Diagnostic Lab Data:
CDC Split Type: WAES97050971
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.1335D0SC 
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.  SC 
Administered by: Private     Purchased by: Other
Symptoms: Agitation, Anorexia, Asthenia, Cough, Dyspnoea, Otitis media, Pyrexia
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hostility/aggression (broad), Cardiomyopathy (broad)
Write-up: pt recv vax 2MAY97 & 5MAY97 pt had trouble breathing;pt was cranky, was not eating well, coughed & was fatigued;8MAY97 pt devel temp of 102.4;9MAY97 pt devel OM;pt presented t MD office & was treated w/Proventil, Motrin, Cefzil;

VAERS ID:304062 (history)  Vaccinated:1997-05-02
Age:1.1  Onset:2008-01-24, Days after vaccination: 3919
Gender:Male  Submitted:2008-01-31, Days after onset: 7
Location:Missouri  Entered:2008-02-01, 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: Hx OM
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0997D0SCRL
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.0773D0SCLL
Administered by: Private     Purchased by: Private
Symptoms: Blister, Pruritus, Skin lesion
SMQs:, Severe cutaneous adverse reactions (broad), Anaphylactic reaction (broad), Hypersensitivity (broad)
Write-up: + 6-8 lesions noted on neck, back and inner thigh on 1/24/08. + Itchy. 1/25 had 15-20 vesicular lesions. Afebrile. Benadryl and Hydrocort prn.

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