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VAERS ID:359647 (history)  Vaccinated:2009-10-01
Age:62.0  Onset:2009-10-02, Days after vaccination: 1
Gender:Female  Submitted:2009-10-06, Days after onset: 4
Location:Illinois  Entered:2009-10-06
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: zyrtec, fluticasone propionate 2 days earlier had cortisone injection in rt hand for granular anulare
Current Illness: No
Preexisting Conditions: respiratory allergies
Diagnostic Lab Data: none
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME)UNKNOWN MANUFACTURER  IJLA
Administered by: Unknown     Purchased by: Private
Symptoms: Feeling of body temperature change, Headache, Induration, Lacrimation increased, Nausea, Pain, Pain in extremity
SMQs:, Acute pancreatitis (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Lacrimal disorders (narrow), Tendinopathies and ligament disorders (broad)
Write-up: headache, cold, hot, stomach queasy, overall soreness, tearing eyes, arm hurt

VAERS ID:359648 (history)  Vaccinated:2009-09-21
Age:36.0  Onset:2009-09-24, Days after vaccination: 3
Gender:Female  Submitted:2009-10-06, Days after onset: 12
Location:North Dakota  Entered:2009-10-06
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Buproprion
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: Influenza rapid screen was negative
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
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Site
FLUN3: INFLUENZA (SEASONAL) (FLUMIST)MEDIMMUNE VACCINES, INC. 2  
Administered by: Public     Purchased by: Unknown
Symptoms: Arthralgia, Diarrhoea, Headache, Influenza serology negative, Pain, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Arthritis (broad), Noninfectious diarrhoea (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: bodyaches (hips mostly), headache for first 18 hours then developed a fever $g103.5 for the next 48 hours. Also developed moderate diarrhea on 09/26/2009 which continued through 09/28/2009. Treated with tylenol and ibuprofen, fever did not go lower than 100.5 until the evening of 09/27/2009.

VAERS ID:359649 (history)  Vaccinated:2009-09-06
Age:47.0  Onset:2009-09-06, Days after vaccination: 0
Gender:Male  Submitted:2009-10-06, Days after onset: 30
Location:Virginia  Entered:2009-10-06
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: none reported to this pharmacy
Current Illness: no
Preexisting Conditions: no
Diagnostic Lab Data: none yet.
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
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Site
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)NOVARTIS VACCINES AND DIAGNOSTICS96030 5P IMLA
Administered by: Unknown     Purchased by: Private
Symptoms: Injected limb mobility decreased, Injection site pain
SMQs:, Extravasation events (injections, infusions and implants) (broad)
Write-up: patient says he has had continued pain in his arm at the site of the injection since the day he received it and has trouble lifting it above his head without pain. He states it is worse at night and has not changed much over the last month. I advised him that this was not a typical reaction and that if the pain continues or worsens to contact his physician for evaluation. He stated that if the pain is still present he will see a dr in 2 weeks.

VAERS ID:359650 (history)  Vaccinated:2009-10-04
Age:54.0  Onset:2009-10-04, Days after vaccination: 0
Gender:Female  Submitted:2009-10-06, Days after onset: 2
Location:Georgia  Entered:2009-10-06
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: valtrex - numbness,hives
Current Illness: no
Preexisting Conditions: none
Diagnostic Lab Data:
CDC Split Type:
Vaccination
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FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)NOVARTIS VACCINES AND DIAGNOSTICS960342P0IMRA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Throat tightness, Urticaria
SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: severe hives, called on Dr, throat was feeling tight ,went to emergency room was given oral cortisone

VAERS ID:359651 (history)  Vaccinated:2009-10-06
Age:67.0  Onset:2009-10-06, Days after vaccination: 0
Gender:Female  Submitted:2009-10-06, Days after onset: 0
Location:Florida  Entered:2009-10-06
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Atenolol, Crestor
Current Illness: None
Preexisting Conditions: HTN, Hyperlipidemia
Diagnostic Lab Data: Flu test A/B negative
CDC Split Type:
Vaccination
Manufacturer
Lot
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Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURU3213AA0IMLA
Administered by: Unknown     Purchased by: Public
Symptoms: Chills, Diarrhoea, Fatigue, Hyperhidrosis, Influenza serology negative, Nausea, Ocular hyperaemia, Pain in extremity, Pyrexia, Vomiting
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Glaucoma (broad), Noninfectious diarrhoea (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)
Write-up: Red eyes, "goopy", feverish/ chills/ sweats, achiness in legs, fatigue, N&V and diarrhea

VAERS ID:359652 (history)  Vaccinated:2009-09-29
Age:89.0  Onset:2009-09-30, Days after vaccination: 1
Gender:Male  Submitted:2009-10-06, Days after onset: 6
Location:California  Entered:2009-10-06
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: Epistaxis and septal erosions Allergic rhinitis
Diagnostic Lab Data: photographs of lesions available
CDC Split Type:
Vaccination
Manufacturer
Lot
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FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME)UNKNOWN MANUFACTURER    
VARZOS: ZOSTER (NO BRAND NAME)UNKNOWN MANUFACTURER    
Administered by: Unknown     Purchased by: Unknown
Symptoms: Skin haemorrhage
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow)
Write-up: Developed hemorrhagic lesions left side of posterior neck. No pain or tingling.

VAERS ID:359653 (history)  Vaccinated:2009-09-22
Age:67.0  Onset:2009-09-30, Days after vaccination: 8
Gender:Male  Submitted:2009-10-06, Days after onset: 6
Location:California  Entered:2009-10-06
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NORTRIPTYLINE 10 MG ORAL CAP, Sig: Take 3 capsules orally every bedtime for nerve pain. GLIPIZIDE 10 MG ORAL TAB, Sig: Take 2 tablets orally 2 times a day for diabetes. AMIODARONE 200 MG ORAL TAB, Sig: Take 1/2 tablet orally daily FAM
Current Illness: no
Preexisting Conditions: penicillin, tetracycline Diabetes with nephropathy, neuropathy, retinopathy hypertension, CHF, coronary artery disease, hyperlipidemia
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
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VARZOS: ZOSTER (ZOSTAVAX)MERCK & CO. INC.0742V0SCLA
Administered by: Private     Purchased by: Private
Symptoms: Herpes zoster
SMQs:
Write-up: shingles broke out R flank T8 level

VAERS ID:359654 (history)  Vaccinated:2009-09-30
Age:15.0  Onset:2009-09-30, Days after vaccination: 0
Gender:Female  Submitted:2009-10-06, Days after onset: 6
Location:Vermont  Entered:2009-10-06
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: no
Preexisting Conditions: no
Diagnostic Lab Data:
CDC Split Type:
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Manufacturer
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FLUN3: INFLUENZA (SEASONAL) (FLUMIST)MEDIMMUNE VACCINES, INC.    
Administered by: Private     Purchased by: Public
Symptoms: Discomfort, Erythema, Facial pain, Headache, Oedema, Rhinalgia
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Glaucoma (broad), Cardiomyopathy (broad), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: given nasal flu vaccine - had nose pain, felling of needing to sneeze, later medial face discomfort left greater than right, no runny nose, no cough, some headache bilat temples and some throat clearing. Exam 10/6 reveals erythema and edema of nasal mucosa left $g right. treated with nasal steroid spray

VAERS ID:359655 (history)  Vaccinated:2009-09-16
Age:64.0  Onset:2009-09-17, Days after vaccination: 1
Gender:Male  Submitted:2009-10-05, Days after onset: 18
Location:Arizona  Entered:2009-10-06, Days after submission: 1
Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 3 days
    Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: Osteomyelitis. 10/21/09 Hospital and ED records received DOS 9/17/09 to 9/19/09. Hypertension.
Diagnostic Lab Data: 10/21/09 Hospital and ED records received DOS 9/17/09 to 9/19/09. LABS and DIAGNOSTICS: EKG - Abnormal. CHEM - Potassium 3.3 mmol/L (L) Glucose 178 mg/dL (H). CBC - HGB 17.1 g/dL (H). Echocardiogram - Abnormal. Chest X-ray - Abnormal for interstitial prominence in the bases. 12/22/09 Diagnostics: Carotid Duplex scan: negative; CT Brain: normal
CDC Split Type:
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FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURU3211AA UNLA
Administered by: Public     Purchased by: Unknown
Symptoms: Blood glucose increased, Blood potassium decreased, Chest X-ray abnormal, Diabetes mellitus, Echocardiogram abnormal, Electrocardiogram abnormal, Fatigue, Gait disturbance, Guillain-Barre syndrome, Haemoglobin increased, Hypertension, Malignant hypertension, Muscular weakness, Paralysis, Polyneuropathy, Scan brain, Ultrasound Doppler
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (narrow), Hyperglycaemia/new onset diabetes mellitus (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Parkinson-like events (broad), Guillain-Barre syndrome (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Hypertension (narrow), Cardiomyopathy (broad), Demyelination (narrow), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (broad), Hypoglycaemia (broad)
Write-up: Muscle weakness, partial paralysis. Fatigue, high blood pressure, Guillain-Barre syndrome. 10/21/09 Hospital and ED records received DOS 9/17/09 to 9/19/09. Assessment: Malignant hypertension. Diabetes mellitus, new onset. Patient presented with generalized weakness, more to his left side. BP 236/145 Heart rate 90. 11/12/09 Medical records received for date 9/19/09 DX: HTN. Assessment: no c/o SOB. pt. d/c home 12/22/09 Duplicate ED/ Hospital records received for DOS 9/17/09-09/19/09. 12/22/09 PCP Medical records received for DOS 11/20/09. Pt. presents with h/o continued fatigue but improved strength; is able to walk, but needs to stop and rest frequently. Assessment: recovering from Guillain-Barre syndrome; hypertension 12/22/09 Neurology consult records for DOS 10/01/09. Pt. gives h/o inability to walk up flight of stairs due to fatigue one day after getting flu shot. Drove himself to ED and was hospitalized for hypertension management . Did not have neurology consult or nerve conduction studies in hospital. Symptoms of weakness gradually improving. Assessment: polyneuropathy

VAERS ID:359656 (history)  Vaccinated:2009-09-30
Age:71.0  Onset:2009-10-01, Days after vaccination: 1
Gender:Male  Submitted:2009-10-06, Days after onset: 5
Location:California  Entered:2009-10-06
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)NOVARTIS VACCINES AND DIAGNOSTICS97840P1 UNLA
Administered by: Public     Purchased by: Public
Symptoms: Hypoaesthesia facial, Mobility decreased
SMQs:, Peripheral neuropathy (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Tendinopathies and ligament disorders (broad)
Write-up: The patient experienced numbness on his face the day after the vaccine was administered which progressed to loss of functions of his right eyebrow. Pt was seen in ER 2 days after vaccine administered.

VAERS ID:359657 (history)  Vaccinated:2009-10-06
Age:63.0  Onset:2009-10-06, Days after vaccination: 0
Gender:Male  Submitted:2009-10-06, Days after onset: 0
Location:Maine  Entered:2009-10-06
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: Mechanical heart valve
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
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FLU3: INFLUENZA (SEASONAL) (AFLURIA)CSL LIMITED01749211A0IMLA
Administered by: Private     Purchased by: Unknown
Symptoms: Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Fever 30 minutes after vaccine administration.

VAERS ID:359658 (history)  Vaccinated:2009-09-29
Age:44.0  Onset:2009-10-01, Days after vaccination: 2
Gender:Female  Submitted:2009-10-06, Days after onset: 5
Location:Arizona  Entered:2009-10-06
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
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Route
Site
TDAP: TDAP (ADACEL)SANOFI PASTEURUF471CA IMLA
Administered by: Private     Purchased by: Unknown
Symptoms: Injection site erythema, Injection site pruritus
SMQs:, Extravasation events (injections, infusions and implants) (broad)
Write-up: Erythema surrounding injection site 14 x 14 cm, no induration, itching.

VAERS ID:359659 (history)  Vaccinated:2009-10-06
Age:47.0  Onset:2009-10-06, Days after vaccination: 0
Gender:Female  Submitted:2009-10-06, Days after onset: 0
Location:Pennsylvania  Entered:2009-10-06
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:
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Manufacturer
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FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)NOVARTIS VACCINES AND DIAGNOSTICS98432P10UNLA
Administered by: Other     Purchased by: Private
Symptoms: Consciousness fluctuating, Dizziness, Hyperhidrosis, Loss of consciousness, Nausea, Pallor
SMQs:, Torsade de pointes/QT prolongation (broad), Acute pancreatitis (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Hypoglycaemia (broad)
Write-up: Pt complained of dizziness and nausea. She looked pale, broke out in a sweat. Had a pulse and was still breathing. Pt was in and out of consciousness 3 X w/in 15 min. loss of consciousness lasted no longer than 1 minute. EMT responded and took vitals. All normal. Pt''s father came to store to drive her home.

VAERS ID:359660 (history)  Vaccinated:2009-10-03
Age:68.0  Onset:2009-10-04, Days after vaccination: 1
Gender:Female  Submitted:2009-10-06, Days after onset: 2
Location:Tennessee  Entered:2009-10-06
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
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FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)NOVARTIS VACCINES AND DIAGNOSTICS97846P2A UNLA
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.0632Y UNRA
Administered by: Public     Purchased by: Unknown
Symptoms: Erythema, Injection site erythema, Injection site swelling, Pruritus
SMQs:, Anaphylactic reaction (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Received shot 10-3-09 (Sat. afternoon). Had some itching and redness Sun.10/4/09. Came into store Mon. 10/5/09; upper arm (R) swelling and redness 3-4 inches in shot area from PNEUMOVAX. FLUVIRIN in other arm. Given ADVIL.

VAERS ID:359661 (history)  Vaccinated:2009-10-06
Age:0.2  Onset:2009-10-06, Days after vaccination: 0
Gender:Male  Submitted:2009-10-06, Days after onset: 0
Location:Texas  Entered:2009-10-06
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:
Vaccination
Manufacturer
Lot
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DTAPIPVHIB: DTAP + IPV + HIB (PENTACEL)SANOFI PASTEURC3388AB UNRL
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.1070U UNLL
PNC: PNEUMO (PREVNAR)PFIZER/WYETHD37052 UNLL
Administered by: Private     Purchased by: Public
Symptoms: Crying, Immediate post-injection reaction, Musculoskeletal stiffness, Respiratory arrest
SMQs:, Anaphylactic reaction (broad), Dystonia (broad), Parkinson-like events (broad), Acute central respiratory depression (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Depression (excl suicide and self injury) (broad), Hypersensitivity (narrow), Arthritis (broad), Respiratory failure (narrow)
Write-up: This is a 2 month old boy. He got 1st set of shots. ROTATEQ po, no problem. PENTACEL right thigh, no problem. RECOMBIVAX HB left thigh. Right after the pt stopped breathing, stiffened. Pt pink after stimulation, started to cry, OK. This lasted about 1/2 minute.

VAERS ID:359662 (history)  Vaccinated:2009-10-02
Age:73.0  Onset:2009-10-02, Days after vaccination: 0
Gender:Female  Submitted:0000-00-00
Location:Virginia  Entered:2009-10-06
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: None
CDC Split Type:
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Manufacturer
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PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.1162X IMLA
Administered by: Private     Purchased by: Private
Symptoms: Chills, Erythema, Pain, Pain in extremity, Pyrexia
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Hypersensitivity (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Left arm painful, sore, red, had fever, chills. Took ADVIL and TYLENOL. Use ice. Has gotten better with each day but wanted it. Still had soreness when raising arm above head.

VAERS ID:359663 (history)  Vaccinated:2009-09-29
Age:38.0  Onset:2009-09-30, Days after vaccination: 1
Gender:Female  Submitted:2009-10-06, Days after onset: 6
Location:California  Entered:2009-10-06
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: nexium 40 mg QD claritin 10 mg QD Asmanex 1 puff QD Seasonique birth control mobic 7.5 mg QD wellbutrin 150 QD singulair 10 mg QD
Current Illness: no
Preexisting Conditions: Asthma,allergic rhinitis/seasonal allergies,GERD,
Diagnostic Lab Data:
CDC Split Type:
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FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME)UNKNOWN MANUFACTURERI DONT KNOW IJRA
Administered by: Public     Purchased by: Public
Symptoms: Chills, Cough, Diarrhoea, Dizziness, Fatigue, Flatulence, Headache, Hyperhidrosis, Increased upper airway secretion, Joint stiffness, Lethargy, Myalgia, Pyrexia, Rhinorrhoea, Sputum increased, Upper respiratory tract congestion
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad), Vestibular disorders (broad), Arthritis (broad), Noninfectious diarrhoea (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)
Write-up: woke for work with headache and extremem fatigue,ended up leaving work early with diarhea that started at about 9 AM. Was lethargic on 10/1/09, and just slept, 10/2 still very lethargic and tired with a headache so stayed down and slept most of the day, by 10/3 head congestion and runny nose started and by 10/4 I developed a fever all day and night with a high of 102, muscles aches, joint stiffness, diarrhea, headache, chilles, sweating, dizzyness when standing, and very very fatigued, same symptoms on 10/5 though less severe causing me to miss work again and sleep all day taking tylenol cold and flu and sleep all day and force fluids and take baths,..today the fever has broken but the headache persists as does the fatigue and joint stiffness, and I missed work again today. I only have a mild cough when I get up and start moving around and am bringing up some dark phlegm but the runny nose stopped yesterday as did the head congestion.My intestines still feel sick though the diarrhea has stopped there is just a lot of flatulence.

VAERS ID:359664 (history)  Vaccinated:2009-05-21
Age:0.2  Onset:2009-05-24, Days after vaccination: 3
Gender:Male  Submitted:2009-10-06, Days after onset: 135
Location:New Jersey  Entered:2009-10-06
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:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
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6VAX-F: DTAP+IPV+HEPB+HIB (HEXAVAX)SANOFI PASTEURC3082AA2IMRA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Convulsion, Muscle twitching, Staring
SMQs:, Systemic lupus erythematosus (broad), Convulsions (narrow), Dyskinesia (broad), Dystonia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Generalised convulsive seizures following immunisation (narrow), Hypoglycaemia (broad)
Write-up: My son started having some type of seizure, my first reaction was a stroke. His entire left side of his body was twitching, his eye, arm, wrist, leg, foot.... It lasted a minute before he snapped out of it. It has since happend again 11/5/2009 records from PCP, child with c/o''s lt sided body twitching, staring episodes, eyes crosssing. PE: was normal, refurred to Pediatric Neurologist and Opthalmologist

VAERS ID:359665 (history)  Vaccinated:2009-10-06
Age:29.0  Onset:2009-10-06, Days after vaccination: 0
Gender:Female  Submitted:2009-10-06, Days after onset: 0
Location:Oklahoma  Entered:2009-10-06
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: Medical Cond. - Asthma, Allergies - Sulfa, Zyrtec, Imitrex
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME)UNKNOWN MANUFACTURER 0IMLA
Administered by: Private     Purchased by: Unknown
Symptoms: Dizziness, Hyperhidrosis, Pruritus, Skin warm
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Vestibular disorders (broad), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)
Write-up: Itchy all over, felt dizzy and very warm, sweaty hands.

VAERS ID:359666 (history)  Vaccinated:2009-09-21
Age:51.0  Onset:2009-09-22, Days after vaccination: 1
Gender:Female  Submitted:2009-10-01, Days after onset: 9
Location:Massachusetts  Entered:2009-10-06, Days after submission: 5
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: LEXAPRO 10mg; Acyclovir 800mg
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: None
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (ADACEL)SANOFI PASTEURUF499A0UNLA
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.0861Y1UNRA
Administered by: Private     Purchased by: Private
Symptoms: Pruritus, Rash papular, Tenderness
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Developed papular vesicular rash, itchy and tender across back, buttocks and abdomen 30-50 spots.

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