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Found 2296 cases where Vaccine is BCG or DT or HEPAB or MMR or OPV or TYP and Symptom is Immune system disorder or Immunodeficiency or Immunoglobulins decreased or Lymphadenopathy

Case Details (Sorted by Age)

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VAERS ID: 89908 (history)  
Age: 5.0  
Gender: Female  
Location: Illinois  
Vaccinated:1996-08-21
Onset:0000-00-00
Submitted: 1996-08-23
Entered: 1996-09-16
   Days after submission:24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (ACEL-IMUNE) / PFIZER/WYETH 433360 / 4 LA / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1176B / 1 LA / SC

Administered by: Public       Purchased by: Public
Symptoms: Injection site hypersensitivity, Injection site oedema, Lymphadenopathy, Pain
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness: NONE
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: IL960087

Write-up: lt deltoid red, swollen in 4" area circumference;c/o pain mom giving APAP lt ax was swollen;sx started day p/vax again;


VAERS ID: 91311 (history)  
Age: 5.0  
Gender: Unknown  
Location: Michigan  
Vaccinated:1996-09-20
Onset:1996-10-07
   Days after vaccination:17
Submitted: 0000-00-00
Entered: 1996-10-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0400D / - - / SC

Administered by: Unknown       Purchased by: Unknown
Symptoms: Arthralgia, Lymphadenopathy, Myalgia, Pyrexia, Rash
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Eosinophilic pneumonia (broad), Hypersensitivity (narrow), Arthritis (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (narrow)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:

Write-up: pt exp myalgia, arthralgia, low grade temp, fine lacy erythematous rash, cervical adenopathy, ? 2wk post vax;


VAERS ID: 97442 (history)  
Age: 5.0  
Gender: Male  
Location: Pennsylvania  
Vaccinated:1997-04-09
Onset:1997-04-10
   Days after vaccination:1
Submitted: 1997-04-17
   Days after onset:7
Entered: 1997-05-07
   Days after submission:20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (TRIPEDIA) / CONNAUGHT LABORATORIES 6C81349 / 1 LA / IM
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 15530 / 1 RA / IM
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 0750F / 3 - / PO

Administered by: Public       Purchased by: Public
Symptoms: Diarrhoea, Lymphadenopathy, Pyrexia, Vomiting
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: Cefzel
Current Illness: swollen gland of neck
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC Split Type: PA9726

Write-up: 11APR97 3PM mom called pt has had a swollen neck gland & was on Cefzel;p/shots started w/severe vomiting & diarrhea;t103-referred to MD called 15APR97 MD said give clear liquids;pt OK;


VAERS ID: 98137 (history)  
Age: 5.0  
Gender: Male  
Location: Michigan  
Vaccinated:1997-05-10
Onset:1997-05-10
   Days after vaccination:0
Submitted: 1997-05-12
   Days after onset:2
Entered: 1997-05-21
   Days after submission:9
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DT: DT ADSORBED (NO BRAND NAME) / MICHIGAN DEPT PUB HLTH DT4176 / 4 LA / IM

Administered by: Public       Purchased by: Public
Symptoms: Injection site hypersensitivity, Injection site mass, Injection site oedema, Injection site pain, Lymphadenopathy, Vasodilatation
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC Split Type: MI97051

Write-up: 10MAY97 c/o sore arm p/inj given;6hr later red, swollen, hard, warm/hot to touch-size of swelling approx 4" circular area from inj site;11MAY97 lt lymph node in neck visibly swollen;


VAERS ID: 100101 (history)  
Age: 5.0  
Gender: Male  
Location: North Carolina  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 0000-00-00
Entered: 1997-06-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / - - / -

Administered by: Other       Purchased by: Other
Symptoms: Autism, Lymphadenopathy, Mental retardation severity unspecified
SMQs:, Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: learning impairment
Diagnostic Lab Data: No relevant data;
CDC Split Type: WAES97031119

Write-up: pt recv vax & devel worsening of the learning disability & swollen glands;f/u from MD;parents were concerned about autism being a side effect of MMR;


VAERS ID: 101805 (history)  
Age: 5.0  
Gender: Male  
Location: Pennsylvania  
Vaccinated:1997-07-25
Onset:1997-08-15
   Days after vaccination:21
Submitted: 1997-08-16
   Days after onset:1
Entered: 1997-08-21
   Days after submission:5
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (ACEL-IMUNE) / PFIZER/WYETH 444260 / 4 RA / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH M270PA / 3 LA / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0103E / 1 LA / SC
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 75605 / 3 - / PO

Administered by: Private       Purchased by: Private
Symptoms: Lymphadenopathy, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: poly vi flor
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: throat nl;parotid glands, axillary nodes nl;
CDC Split Type:

Write-up: painless swelling of submandibular glands onset 15AUG97 (3cm) non-tender;suspect mumps vax rxn;t97.2;


VAERS ID: 102217 (history)  
Age: 5.0  
Gender: Male  
Location: Mississippi  
Vaccinated:1997-08-04
Onset:1997-08-15
   Days after vaccination:11
Submitted: 1997-08-15
   Days after onset:0
Entered: 1997-09-08
   Days after submission:24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 6K71127 / 4 LL / -
IPV: POLIO VIRUS, INACT. (NO BRAND NAME) / PASTEUR MERIEUX INST. M0938 / 3 RL / SC
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0289E / 1 RL / -

Administered by: Public       Purchased by: Unknown
Symptoms: Leukocytosis, Lymphadenopathy, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: mom states pt had elevated WBC;
CDC Split Type: MS97032

Write-up: t100 ax; lt side of neck swollen below ear


VAERS ID: 102536 (history)  
Age: 5.0  
Gender: Female  
Location: New Jersey  
Vaccinated:1997-08-25
Onset:1997-09-11
   Days after vaccination:17
Submitted: 1997-09-12
   Days after onset:1
Entered: 1997-09-16
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (INFANRIX) / SMITHKLINE BEECHAM 816A2 / 4 LA / -
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0624E / 1 LA / -
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 0760K / 3 - / PO

Administered by: Private       Purchased by: Private
Symptoms: Lymphadenopathy, Sialoadenitis
SMQs:, Oropharyngeal infections (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: ceclor allergy
Diagnostic Lab Data: CBC, ESR, rapid strep (all WNL)
CDC Split Type:

Write-up: parotitis secondary to MMR?;swelling & tenderness above parotid gland & jaw angle rt side;


VAERS ID: 104048 (history)  
Age: 5.0  
Gender: Male  
Location: Pennsylvania  
Vaccinated:1997-07-23
Onset:1997-07-28
   Days after vaccination:5
Submitted: 1997-10-15
   Days after onset:79
Entered: 1997-10-29
   Days after submission:14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (TRIPEDIA) / CONNAUGHT LABORATORIES 6F81445 / 4 RA / -
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 0399E / 0 LA / -
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0014F / 1 - / -
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 0761A / 3 - / PO

Administered by: Public       Purchased by: Public
Symptoms: Laryngitis, Lymphadenopathy, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: seen in ER dx LA
CDC Split Type: PA9764

Write-up: fever next day following vax 5-7 had large balls both side of neck;seen in ER dx w/laryngitis about 7 days p/shots;


VAERS ID: 105383 (history)  
Age: 5.0  
Gender: Female  
Location: Massachusetts  
Vaccinated:1997-11-25
Onset:1997-11-29
   Days after vaccination:4
Submitted: 1997-12-01
   Days after onset:2
Entered: 1997-12-04
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0993D / 1 LA / IM

Administered by: Private       Purchased by: Public
Symptoms: Hypothermia, Lymphadenopathy, Pharyngitis, Rhinitis, Tachycardia
SMQs:, Agranulocytosis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Oropharyngeal infections (narrow), Accidents and injuries (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: URI
Preexisting Conditions: NONE
Diagnostic Lab Data: NA;rapid strep negative
CDC Split Type:

Write-up: clear nasal/discharge;pharyngitis w/+erythema;VS 100,20,97.5;ant cerv nodes sl enlarged, NT;R$gL;rt parotid w/+edema & tender;


VAERS ID: 105418 (history)  
Age: 5.0  
Gender: Male  
Location: Michigan  
Vaccinated:1997-10-20
Onset:1997-11-12
   Days after vaccination:23
Submitted: 1997-11-17
   Days after onset:5
Entered: 1997-12-05
   Days after submission:18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 3034 / 1 - / SC

Administered by: Public       Purchased by: Public
Symptoms: Ear disorder, Infection, Lymphadenopathy, Nuchal rigidity, Pain, Pharyngitis
SMQs:, Agranulocytosis (broad), Oropharyngeal infections (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: pt had local redness @ inj site w/DT dose 4;~ ()~~~In patient
Other Medications: Biaxin (ATB for glands currently)
Current Illness: 1wk prior to immun on 20OCT97 had ear infect
Preexisting Conditions: atopic dermatitis as infant
Diagnostic Lab Data: NONE
CDC Split Type: MI97147

Write-up: approx 12NOV pt exp painful, swollen neck glands & cont w/stiff neck 7 swollen neck glands;/ ?rt arm sl pain;12NOV no c/o arm pain today; rt leg & knee hurt;ill since OCT97 w/URI & bilat ear infect;


VAERS ID: 105762 (history)  
Age: 5.0  
Gender: Male  
Location: Louisiana  
Vaccinated:1997-11-10
Onset:1997-11-17
   Days after vaccination:7
Submitted: 1997-12-12
   Days after onset:25
Entered: 1997-12-17
   Days after submission:5
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (TRIPEDIA) / CONNAUGHT LABORATORIES 7H81507 / 3 LA / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0744E / 0 RA / SC
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 0770A / 2 - / PO

Administered by: Public       Purchased by: Public
Symptoms: Injection site hypersensitivity, Lymphadenopathy, Pyrexia, Rash, Urticaria, Vasodilatation
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (narrow)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: sl asthma, hx of hives d/t allergies w/fever
Diagnostic Lab Data: strep test @ MD 18NOV97 test was negative;
CDC Split Type:

Write-up: 17NOV97 rash on face & ears were red & swelling behind one ear lasted approx 2 1/2hr then hives on chest for 1hr;18NOV febrile 104 temp ax-spoke w/MD & saw MD;19NOV rash fever & hives intermittently;12NOV redness & swelling @ site of MMR


VAERS ID: 107197 (history)  
Age: 5.0  
Gender: Male  
Location: Alaska  
Vaccinated:1997-08-27
Onset:0000-00-00
Submitted: 1997-09-02
Entered: 1998-02-02
   Days after submission:153
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (TRIPEDIA) / CONNAUGHT LABORATORIES 6D81391 / 4 LA / -
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1443D / 1 LA / -
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 0766K / 3 - / PO

Administered by: Public       Purchased by: Public
Symptoms: Injection site hypersensitivity, Lymphadenopathy, Pharyngitis, Vasodilatation
SMQs:, Agranulocytosis (broad), Oropharyngeal infections (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: al heart murmur-mproving;
Diagnostic Lab Data:
CDC Split Type: AK97017

Write-up: pt appeared last noc, pale, pink raised rash surrounding site where vax given-3"-4" diameter;took to ER told nothing they could do & to take pt home;pt denies itching or pain @ site;throat sl red & gland palpable under lt mandible;


VAERS ID: 108864 (history)  
Age: 5.0  
Gender: Female  
Location: Illinois  
Vaccinated:1998-03-12
Onset:1998-03-12
   Days after vaccination:0
Submitted: 1998-03-17
   Days after onset:5
Entered: 1998-03-24
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (TRIPEDIA) / CONNAUGHT LABORATORIES 7B9182 / 0 LA / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0286E / 1 RA / SC
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 0778A / 3 - / PO

Administered by: Public       Purchased by: Public
Symptoms: Ecchymosis, Infection, Injection site hypersensitivity, Injection site mass, Lymphadenopathy, Oedema peripheral
SMQs:, Cardiac failure (broad), Angioedema (broad), Haemorrhage terms (excl laboratory terms) (narrow), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC Split Type:

Write-up: mom reported that pt had been to MD to assess rxn to vax;lt arm swelled w/in 2hr p/inj;w/in 2 days firm, red area size of softball had raised up @ inj site;MD noted some lymph node edema;tx ATB for suspicion of infect;bruising noted;


VAERS ID: 110519 (history)  
Age: 5.0  
Gender: Male  
Location: Georgia  
Vaccinated:1998-04-25
Onset:1998-04-28
   Days after vaccination:3
Submitted: 1998-04-28
   Days after onset:0
Entered: 1998-04-30
   Days after submission:2
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (INFANRIX) / SMITHKLINE BEECHAM A841A2 / 4 RA / -
MMR: MEASLES + MUMPS + RUBELLA (MMR I) / MERCK & CO. INC. 0209E / 1 RA / -
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 0775L / 3 - / PO

Administered by: Public       Purchased by: Public
Symptoms: Agitation, Anorexia, Lymphadenopathy, Pharyngitis, Pyrexia, Somnolence
SMQs:, Agranulocytosis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (narrow), Dementia (broad), Oropharyngeal infections (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hostility/aggression (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (narrow), Hypoglycaemia (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: acetominophen
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC Split Type: GA98061

Write-up: T103.2, sore throat, red glands swollen, fussy, drowsy, no appetite;


VAERS ID: 111567 (history)  
Age: 5.0  
Gender: Female  
Location: California  
Vaccinated:1997-05-15
Onset:1997-05-16
   Days after vaccination:1
Submitted: 1998-05-29
   Days after onset:378
Entered: 1998-06-02
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0991D / - - / -

Administered by: Public       Purchased by: Other
Symptoms: Lymphadenopathy
SMQs:, Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: pt sibling devel lymphadenopathy @ 5yr w/MMR vax;~ ()~~~In Sibling
Other Medications: unk
Current Illness:
Preexisting Conditions: unk
Diagnostic Lab Data:
CDC Split Type: WAES97051709

Write-up: pt recv vax 15MAY97 & 16MAY97 pt devel a swollen gland;


VAERS ID: 111568 (history)  
Age: 5.0  
Gender: Female  
Location: California  
Vaccinated:1997-05-15
Onset:1997-05-16
   Days after vaccination:1
Submitted: 1998-05-29
   Days after onset:378
Entered: 1998-06-02
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0991D / - - / -

Administered by: Public       Purchased by: Other
Symptoms: Lymphadenopathy
SMQs:, Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: pt sibling devel lymphadenopathy @ 5yr old w/MMR~ ()~~~In Sibling
Other Medications: unk
Current Illness:
Preexisting Conditions: unk
Diagnostic Lab Data:
CDC Split Type: WAES97051710

Write-up: pt recv vax 15MAY97 & 16MAY97 pt devel a swollen gland;


VAERS ID: 111639 (history)  
Age: 5.0  
Gender: Male  
Location: Pennsylvania  
Vaccinated:1997-08-29
Onset:1997-08-29
   Days after vaccination:0
Submitted: 1998-05-29
   Days after onset:273
Entered: 1998-06-02
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES - / 4 - / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 07413 / 1 - / SC
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH - / 3 - / PO

Administered by: Unknown       Purchased by: Unknown
Symptoms: Agitation, Asthenia, Diarrhoea, Lymphadenopathy, Mouth ulceration, Pharyngitis, Pyrexia, Sialoadenitis
SMQs:, Severe cutaneous adverse reactions (broad), Agranulocytosis (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Dementia (broad), Pseudomembranous colitis (broad), Oropharyngeal infections (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hostility/aggression (broad), Hypersensitivity (broad), Noninfectious diarrhoea (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (narrow), Hypoglycaemia (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: No relevant data;~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: allergic rhinitis
Diagnostic Lab Data: NONE
CDC Split Type: WAES97090460

Write-up: 2SEP97 pt looked like broke out w/mumps;pt exp tiredness, irritability, devel T102-104 & swollen glands;mom reported pt devel diarrhea x 1-2d on 29AUG97;warm to touch w/swollen fluids in neck,exudate & mouth ulcers;dx pharyngitis & adenitis


VAERS ID: 112025 (history)  
Age: 5.0  
Gender: Female  
Location: Wisconsin  
Vaccinated:1998-05-12
Onset:1998-05-17
   Days after vaccination:5
Submitted: 1998-06-01
   Days after onset:15
Entered: 1998-06-22
   Days after submission:21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (INFANRIX) / SMITHKLINE BEECHAM 847A2 / 4 LA / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1009E / 1 - / SC A
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 0769C / 3 - / PO
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 1568E / 0 LA / SC

Administered by: Public       Purchased by: Unknown
Symptoms: Dermatitis bullous, Drug ineffective, Infection, Lymphadenopathy, Pyrexia
SMQs:, Severe cutaneous adverse reactions (narrow), Lack of efficacy/effect (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (narrow)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Ditropan taking for about 1mo
Current Illness: sl cold
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: WI98049

Write-up: 17MAY98 devel 20 pox on face & 5 pox on body-fluid filled lasted 1wk;31MAY98 devel swelling (mumps like) on both sides of jaw w/fever;very irritable;will see MD 315PM this afternoon;pt seen by MD 11JUN98 dx tonsillitis;


VAERS ID: 113840 (history)  
Age: 5.0  
Gender: Male  
Location: Oklahoma  
Vaccinated:1998-08-03
Onset:1998-08-04
   Days after vaccination:1
Submitted: 1998-08-19
   Days after onset:15
Entered: 1998-09-02
   Days after submission:14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (TRIPEDIA) / CONNAUGHT LABORATORIES 0932710 / 4 RA / IM
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 0783H / 0 LA / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0032H / 0 LA / SC
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 0788M / 3 - / PO
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0647H / 0 RA / SC

Administered by: Public       Purchased by: Public
Symptoms: Lymphadenopathy, Oedema peripheral, Pyrexia
SMQs:, Cardiac failure (broad), Angioedema (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC Split Type: OK9827

Write-up: T103 4AUG98 noticed lt arm swollen below arm pit 5AUG or 6AUG;recv APAP 2-3X;19AUG98 swollen area remains below lt arm pit;referred to PMD;


VAERS ID: 115626 (history)  
Age: 5.0  
Gender: Male  
Location: Florida  
Vaccinated:1998-10-09
Onset:1998-10-15
   Days after vaccination:6
Submitted: 1998-10-23
   Days after onset:8
Entered: 1998-11-03
   Days after submission:11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (ACEL-IMUNE) / PFIZER/WYETH 456817 / 4 LA / -
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0818H / 1 LA / SC
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 453806 / 4 - / PO

Administered by: Private       Purchased by: Private
Symptoms: Headache, Infection, Lymphadenopathy, Pharyngitis, Pyrexia
SMQs:, Agranulocytosis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Oropharyngeal infections (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (narrow)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions:
Diagnostic Lab Data: strep cult negative
CDC Split Type:

Write-up: 6-7days p/vax pt devel h/a, fever, few anterior cervical notes rt submandibular, pharyngeal hyperemia;Strongly suspect a viral illness, mom requests this from be sent;


VAERS ID: 116573 (history)  
Age: 5.0  
Gender: Male  
Location: Massachusetts  
Vaccinated:1998-11-09
Onset:1998-11-10
   Days after vaccination:1
Submitted: 1998-11-16
   Days after onset:6
Entered: 1998-11-20
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 0916490 / 4 RA / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR I) / MERCK & CO. INC. 1019E / 1 LA / IM
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH D790F / 3 - / PO
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 12454 / 0 LA / IM

Administered by: Private       Purchased by: Public
Symptoms: Injection site hypersensitivity, Injection site oedema, Lymphadenopathy, Rash, Vasodilatation
SMQs:, Anaphylactic reaction (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: Albuterol syrup-prn & HHN: none recent
Current Illness: Asthma/URI x5dy
Preexisting Conditions: Asthma
Diagnostic Lab Data: NONE
CDC Split Type:

Write-up: Pt recv vax on 11/9/98; on 11/10/98 pt exp lt arm 6 in area of erythema, warmth, edema between shoulder &elbow; left axillary node enlarged; tx=ice, elevate,Keflex


VAERS ID: 117108 (history)  
Age: 5.0  
Gender: Male  
Location: Georgia  
Vaccinated:1998-08-18
Onset:1998-08-19
   Days after vaccination:1
Submitted: 1998-08-20
   Days after onset:1
Entered: 1998-12-07
   Days after submission:109
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (INFANRIX) / SMITHKLINE BEECHAM 847A2 / 1 RA / IM
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. N0348 / 2 RA / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0029H / 1 LA / SC

Administered by: Public       Purchased by: Public
Symptoms: Lymphadenopathy, Pain
SMQs:, Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: denies~ ()~~~In patient
Other Medications: NA
Current Illness: NA
Preexisting Conditions: cyst removed 93 occipitus
Diagnostic Lab Data: NA
CDC Split Type: GA98105

Write-up: mom stated approx 3" x 1/2" tender area under rt armpit;grandma noticed today;child says was there yesterday;denies fever or any other sx;advised mom to bring to clinic for check;arm hurting;cyst removed;lymphadenitis;


VAERS ID: 117203 (history)  
Age: 5.0  
Gender: Female  
Location: Maryland  
Vaccinated:1998-09-22
Onset:1998-09-23
   Days after vaccination:1
Submitted: 1998-10-02
   Days after onset:9
Entered: 1998-12-08
   Days after submission:67
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (ACEL-IMUNE) / PFIZER/WYETH 456816 / 4 - / IM A
MMR: MEASLES + MUMPS + RUBELLA (NO BRAND NAME) / UNKNOWN MANUFACTURER 1009H / 1 - / SC A
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 450849 / 3 - / PO

Administered by: Private       Purchased by: Other
Symptoms: Anorexia, Dysphagia, Dyspnoea, Lymphadenopathy, Pharyngitis, Pyrexia, Rash maculo-papular, Splenomegaly
SMQs:, Anaphylactic reaction (broad), Agranulocytosis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Oropharyngeal infections (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (narrow)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: Wax problem in one ear
Diagnostic Lab Data: Throat culture-negative; CBC & Mono spot test
CDC Split Type:

Write-up: Pt recv vax on 9/22/98; on 9/23/98 pt exp fever (103F),no appetite, laid around,sore throat w/ swelling, purple &white spots, couldn''t breathe, difficulty swallowing &sleeping, sweating, measlesx5dy, enlarged spleen;dx=tonsillitis;tx=Durace


VAERS ID: 118892 (history)  
Age: 5.0  
Gender: Female  
Location: New York  
Vaccinated:1999-01-25
Onset:1999-02-02
   Days after vaccination:8
Submitted: 1999-02-05
   Days after onset:3
Entered: 1999-02-11
   Days after submission:6
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 2726A2 / - GM / -
MMR: MEASLES + MUMPS + RUBELLA (MMR I) / MERCK & CO. INC. 1537H / 0 GM / -

Administered by: Public       Purchased by: Private
Symptoms: Lymphadenopathy, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: MMR titer & CBC
CDC Split Type:

Write-up: Pt recv vax on 1/25/99; on 2/2/99 pt exp swollen neck gland, fever (100); tx=warm compress & Tylenol


VAERS ID: 122481 (history)  
Age: 5.0  
Gender: Male  
Location: Florida  
Vaccinated:1998-05-27
Onset:1998-05-30
   Days after vaccination:3
Submitted: 1999-05-21
   Days after onset:356
Entered: 1999-05-24
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - - / -
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / 1 - / -
OPV: POLIO VIRUS, ORAL (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - - / PO

Administered by: Other       Purchased by: Other
Symptoms: Lymphadenopathy
SMQs:, Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: No relevant data;~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: unk
Diagnostic Lab Data:
CDC Split Type: WAES98060187

Write-up: pt recv vax & exp swollen saliva glands above the curve of jaw;pt was examined by two MD;one of the MD reported that pt exp was related to vax & the other dx a swollen lymph gland;


VAERS ID: 123367 (history)  
Age: 5.0  
Gender: Female  
Location: Indiana  
Vaccinated:1999-05-06
Onset:1999-05-20
   Days after vaccination:14
Submitted: 1999-06-01
   Days after onset:12
Entered: 1999-06-07
   Days after submission:6
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (INFANRIX) / SMITHKLINE BEECHAM 862A2 / 4 LL / IM
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 0793E / 3 - / PO

Administered by: Private       Purchased by: Private
Symptoms: Dysphagia, Lymphadenopathy
SMQs:, Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: N/A~ ()~~~In patient
Other Medications: n/a
Current Illness: uri (2nd wk)
Preexisting Conditions: none
Diagnostic Lab Data: none
CDC Split Type:

Write-up: after vax approx 7p exp r parotid gland, swollen & tender, difficulty swallowing.


VAERS ID: 125201 (history)  
Age: 5.0  
Gender: Female  
Location: Colorado  
Vaccinated:1999-06-07
Onset:1999-06-10
   Days after vaccination:3
Submitted: 1999-06-16
   Days after onset:6
Entered: 1999-06-28
   Days after submission:12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (TRIPEDIA) / CONNAUGHT LABORATORIES 7388AA / 4 LL / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 01285 / 1 RL / SC
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 801F1 / 3 - / PO

Administered by: Private       Purchased by: Private
Symptoms: Cellulitis, Injection site hypersensitivity, Injection site mass, Lymphadenopathy
SMQs:, Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness: NONE
Preexisting Conditions: hives to eggs;
Diagnostic Lab Data: CBC: WBC 10.8;73% westrophils;toxic graulocytes;
CDC Split Type:

Write-up: spreading erythema, induration w/tender erythematous proximal lymph node 3 days p/vax; rxn vs cellulitis DTAP site;


VAERS ID: 127832 (history)  
Age: 5.0  
Gender: Male  
Location: Unknown  
Vaccinated:1999-05-14
Onset:1999-05-19
   Days after vaccination:5
Submitted: 1999-08-26
   Days after onset:99
Entered: 1999-08-31
   Days after submission:5
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1785H / - - / SC

Administered by: Unknown       Purchased by: Unknown
Symptoms: Anorexia, Dyspnoea, Lymphadenopathy, Pyrexia, Testicular disorder
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Fertility disorders (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: rapid sttedp, neg
CDC Split Type:

Write-up: p/vax pt devel difficulty breathing; fever; and dec appetite; findings on exam include: pos posterior cervical adenopathy to corner of mandibular ramus; lt testes mildly tender to palpation; dx: probable mumps; pt given ibuprofen & APAP


VAERS ID: 128693 (history)  
Age: 5.0  
Gender: Male  
Location: Wyoming  
Vaccinated:1999-07-26
Onset:0000-00-00
Submitted: 0000-00-00
Entered: 1999-09-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (ACEL-IMUNE) / PFIZER/WYETH 462317 / 3 RL / -
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1352 / 1 LL / -
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 456272 / 3 - / PO

Administered by: Public       Purchased by: Other
Symptoms: Infection, Lymphadenopathy, Nausea, Pharyngitis, Purpura, Pyrexia, Rash, Rash maculo-papular
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Agranulocytosis (broad), Haemorrhage terms (excl laboratory terms) (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Oropharyngeal infections (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (narrow)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness: none
Preexisting Conditions: none
Diagnostic Lab Data:
CDC Split Type: WY998

Write-up: p/vax pt exp temp inc; nausea; rash on arms; pustules present; 2+ cervical adenopathy; strep pharyngitis;maculopapular rashes


VAERS ID: 129145 (history)  
Age: 5.0  
Gender: Male  
Location: Mississippi  
Vaccinated:1999-08-03
Onset:1999-08-22
   Days after vaccination:19
Submitted: 1999-09-30
   Days after onset:39
Entered: 1999-10-08
   Days after submission:8
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (ACEL-IMUNE) / PFIZER/WYETH - / 4 - / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0547J / 1 - / SC
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 462367 / 3 - / PO

Administered by: Private       Purchased by: Private
Symptoms: Asthenia, Dermatitis bullous, Ecchymosis, Immune system disorder, Pruritus, Somnolence
SMQs:, Severe cutaneous adverse reactions (narrow), Anaphylactic reaction (broad), Haemorrhage terms (excl laboratory terms) (narrow), Anticholinergic syndrome (broad), Dementia (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: hep b given 1994
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: complete blood workup & exam by MD
CDC Split Type: MS99040

Write-up: blister w/red ring began on ankle-redness & swelling inc;many more spots appeared;tx w/Zyrtec & claritin w/no help;spots itch & gets extremely tired & sleeps;volleyball size & appear as bruise;MD states something lit up immune system;


VAERS ID: 130152 (history)  
Age: 5.0  
Gender: Female  
Location: Oklahoma  
Vaccinated:1999-09-01
Onset:1999-09-17
   Days after vaccination:16
Submitted: 1999-09-23
   Days after onset:6
Entered: 1999-11-02
   Days after submission:40
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (CERTIVA) / NORTH AMERICAN VACCINES C010 / 4 LA / -
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 1148J / 0 RA / -
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0541J / 1 RA / SC
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 0799C / 3 - / PO

Administered by: Public       Purchased by: Other
Symptoms: Dental caries, Ear pain, Infection, Lymphadenopathy, Vasodilatation
SMQs:, Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: tooth cavity-x-rays head 9/20/99 no prlblems found
Diagnostic Lab Data: 9/20/99 mumps titer;Md dx vaccine induced rxn MMR;
CDC Split Type: OK9947

Write-up: c/o rt ear hurting & redness;swelling behind rt ear;to ER swelling & pain; next day swelling worse;swelling over rt jaw to behind rt pinna;mom states swelling down onto neck;tenderness to even light palpation;dental caries on rt side;viral


VAERS ID: 131532 (history)  
Age: 5.0  
Gender: Female  
Location: Idaho  
Vaccinated:1999-10-20
Onset:1999-10-27
   Days after vaccination:7
Submitted: 1999-11-01
   Days after onset:5
Entered: 1999-11-29
   Days after submission:28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (INFANRIX) / SMITHKLINE BEECHAM 913A2 / 4 LA / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1792B / 1 RA / SC
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 0802K / 3 - / PO

Administered by: Private       Purchased by: Public
Symptoms: Lymphadenopathy
SMQs:, Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NA~ ()~~~In patient
Other Medications: NONE
Current Illness: NA
Preexisting Conditions: hx uritcaria
Diagnostic Lab Data: NA
CDC Split Type: ID99028

Write-up: lt parotid gland inflammation-clinical mumps 7 days p/vax;


VAERS ID: 131594 (history)  
Age: 5.0  
Gender: Male  
Location: Oregon  
Vaccinated:1999-09-17
Onset:1999-09-26
   Days after vaccination:9
Submitted: 1999-09-27
   Days after onset:1
Entered: 1999-11-30
   Days after submission:64
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (INFANRIX) / SMITHKLINE BEECHAM 912A2 / 3 LA / IM
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 2948A2 / 2 RA / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0545J / 0 RA / SC
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 79904 / 3 - / PO

Administered by: Public       Purchased by: Public
Symptoms: Lymphadenopathy, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications:
Current Illness: NONE
Preexisting Conditions: allergic to PCN, asthma hx
Diagnostic Lab Data: NONE
CDC Split Type: OR9935

Write-up: mom of child indicated had T99.9;swelling along both sides of neck;more so on rt side than lt yesterday evening 9/26/99;temp is nl; today but swelling persists;child denies sore throat;no rash apparent, per MOC;


VAERS ID: 131931 (history)  
Age: 5.0  
Gender: Female  
Location: Michigan  
Vaccinated:1999-10-11
Onset:1999-11-05
   Days after vaccination:25
Submitted: 1999-11-16
   Days after onset:11
Entered: 1999-12-29
   Days after submission:43
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0956H / 2 LA / SC

Administered by: Other       Purchased by: Other
Symptoms: Blood amylase increased, Lymphadenopathy, Lymphoedema
SMQs:, Acute pancreatitis (broad), Retroperitoneal fibrosis (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: NONE
Diagnostic Lab Data: 11/10/99 Serum Amylase 425
CDC Split Type:

Write-up: On 11/5/99, noted swelling by angle of jaw L. Seen 11/6/99, mildly tender L parotid angle of jaw and down, midly large. Stensen''s duct, irritated. No fever.


VAERS ID: 155187 (history)  
Age: 5.0  
Gender: Male  
Location: Iowa  
Vaccinated:1999-07-15
Onset:1999-07-22
   Days after vaccination:7
Submitted: 2000-05-24
   Days after onset:307
Entered: 2000-06-21
   Days after submission:28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / 1 - / IM

Administered by: Private       Purchased by: Other
Symptoms: Erythema, Eye discharge, Infection, Irritability, Lymphadenopathy, Mouth ulceration, Photophobia, Pruritus, Pyrexia, Rash erythematous, Rhinorrhoea
SMQs:, Severe cutaneous adverse reactions (broad), Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (narrow), Hostility/aggression (broad), Glaucoma (broad), Corneal disorders (broad), Retinal disorders (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (narrow), Hypoglycaemia (broad)

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: Serous otitis media
Diagnostic Lab Data:
CDC Split Type: WAES99071620

Write-up: Pt was vaccinated with a 1st and 2nd dose of MMR in 1996 and on 7/15/99, respectively. On 7/22/99, the pt presented to a physician with a "rash break out on entire body. The pt''s cheeks were red, there was a yellow discharge from the eyes and a fever of 103F on the night of 7/22/99 and 99.1F on the morning of 7/23/99." The physician stated that it is her strong opinion that this is a case of measles. Follow-up from the physician, indicated that the pt developed an erythematous rash that started on his face and extended down to his trunk, arms and legs. The pt was sensitive to light and very irritable with a pruritic rash. The pt was treated with Benadryl. Yellow mattering present in both eyes. Oral cavity with small 1-2mm white spots on the inner aspect of his lower lip. Neck with mild cervical lymphadenopathy. Clear nasal discharge noted. On an unspecified date, the pt recovered. No further information is available.


VAERS ID: 156485 (history)  
Age: 5.0  
Gender: Male  
Location: Washington  
Vaccinated:2000-05-10
Onset:2000-05-13
   Days after vaccination:3
Submitted: 2000-05-23
   Days after onset:10
Entered: 2000-07-13
   Days after submission:51
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (INFANRIX) / SMITHKLINE BEECHAM 913A2 / 3 LL / IM
IPV: POLIO VIRUS, INACT. (NO BRAND NAME) / PASTEUR MERIEUX INST. P0473 / 3 RL / SC
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0554J / 1 LL / SC

Administered by: Public       Purchased by: Public
Symptoms: Listless, Lymphadenopathy, Otitis media, Pyrexia, Rash
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Depression (excl suicide and self injury) (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (narrow), Hypoglycaemia (broad)

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: milk and pollen allergies
Diagnostic Lab Data: NONE
CDC Split Type: WA001659

Write-up: 05/10/2000 - pt received vax; 05/13/2000 - pt experienced fever; 05/14/2000 - pt was listless and still had fever; 05/15/2000 symptoms continued and pt developed swollen glands, seen by physician; 05/17/2000 pt developed a rash; 05/18/2000 pt seen by physician who diagnosed an ear infection and treated with Trimox.


VAERS ID: 174664 (history)  
Age: 5.0  
Gender: Male  
Location: Texas  
Vaccinated:2001-08-06
Onset:2001-08-06
   Days after vaccination:0
Submitted: 2001-08-08
   Days after onset:2
Entered: 2001-08-24
   Days after submission:16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (TRIPEDIA) / CONNAUGHT LABORATORIES U0356AA / 4 RA / IM
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. T02662 / 3 LA / SC
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1282K / 0 RA / SC
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 1899K / 0 LA / SC

Administered by: Public       Purchased by: Public
Symptoms: Lymphadenopathy, Muscle spasms, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dystonia (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: Unspecified reaction~DTP (no brand name)~2~0.30~In Patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: Hypospadias; repaired surgically at 6 months of age
Diagnostic Lab Data:
CDC Split Type: TX01114

Write-up: On 8/6/01, pt was inadvertently given DTAP, instead of DT and mom was instructed to watch child closely and let us know how the child is doing tomorrow. On 8/7/01, mom here and states that child had a temperature of 104F last PM and was treated with Tylenol and cool baths. Had doctor''s visit today and was instructed to continue with fever medication and heat treatments to right axillary area. They are to call LMD if rash develops. On 8/8/01, per telephone call from mother; she states that the pt''s temperature is down to normal range and that now he has muscle cramps and that the lymph nodes are still swollen under his right arm. Asked mother to continue to observe and notify LMD if condition worsens or further questions.


VAERS ID: 175411 (history)  
Age: 5.0  
Gender: Male  
Location: Massachusetts  
Vaccinated:2001-09-05
Onset:2001-09-06
   Days after vaccination:1
Submitted: 2001-09-07
   Days after onset:1
Entered: 2001-09-17
   Days after submission:10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (TRIPEDIA) / CONNAUGHT LABORATORIES U0278CA / 5 RA / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0405K / 2 LA / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH 477172 / 0 RA / IM

Administered by: Private       Purchased by: Public
Symptoms: Blister, Hypersensitivity, Injection site erythema, Injection site inflammation, Injection site warmth, Lymphadenopathy
SMQs:, Severe cutaneous adverse reactions (broad), Angioedema (broad), Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations: Unspecified reaction~DTaP (no brand name)~5~4.00~In Patient
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: Temperature-97.8F; Peripheral pulses (+); Patch test negative to thimerosal.
CDC Split Type:

Write-up: Pt''s skin on left upper arm with erythema, warmth, inflammation and vesicles. The area is 3/4 circumflexed around his arm. There is some mild (L) axillary adenopathy. The right arm with small area of 2.3cm in diameter of erythema, mild inflammation but no vesicles. FU recv''d from allergy consultation 11/27/01 states diagnosis of delayed type hypersensitivity reaction to vaccination.


VAERS ID: 183112 (history)  
Age: 5.0  
Gender: Male  
Location: Massachusetts  
Vaccinated:2002-03-21
Onset:2002-03-24
   Days after vaccination:3
Submitted: 2002-03-26
   Days after onset:2
Entered: 2002-04-03
   Days after submission:8
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (TRIPEDIA) / SANOFI PASTEUR U0536AA / 4 RA / -
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0589K / 1 LA / -

Administered by: Private       Purchased by: Other
Symptoms: Discomfort, Erythema, Lymphadenopathy
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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:
CDC Split Type:

Write-up: A five year old had the 2nd MMR on 03/21/2002. On 03/24/2002 had glands swelling, discomfort, erythemetous. Went to local ER and treated with Tylenol.


VAERS ID: 185829 (history)  
Age: 5.0  
Gender: Male  
Location: Minnesota  
Vaccinated:2002-05-03
Onset:2002-05-06
   Days after vaccination:3
Submitted: 2002-05-21
   Days after onset:15
Entered: 2002-05-31
   Days after submission:10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (TRIPEDIA) / SANOFI PASTEUR U0543CA / - - / IM
IPV: POLIO VIRUS, INACT. (IPOL) / SANOFI PASTEUR U0613 / - - / SC
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1375L / - - / SC

Administered by: Unknown       Purchased by: Unknown
Symptoms: Cellulitis, Immune system disorder, Injection site swelling, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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: NONE
Current Illness:
Preexisting Conditions: History of "infections, boils, etc"; Pt is a twin
Diagnostic Lab Data: Culturing vials. Blood cultures 0.
CDC Split Type:

Write-up: Arm swollen from elbow to axilla and temperature 102F. Temperature was 106F on admission to the hospital. No other pts experienced this reaction. Immunity problems and further tests are being done. A follow up report received 6/6/2002 adds: Diagnosis was cellulitis.


VAERS ID: 187935 (history)  
Age: 5.0  
Gender: Male  
Location: New York  
Vaccinated:2001-11-30
Onset:2001-12-18
   Days after vaccination:18
Submitted: 2002-05-30
   Days after onset:162
Entered: 2002-07-23
   Days after submission:54
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1093L / 1 - / SC

Administered by: Private       Purchased by: Private
Symptoms: Erythema, Lymphadenopathy, Mouth ulceration, Pruritus, Rash papular, Skin ulcer
SMQs:, Severe cutaneous adverse reactions (broad), Anaphylactic reaction (broad), Systemic lupus erythematosus (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC Split Type: WAES0112USA02047

Write-up: Information has been received from 2 physicians concerning a 5 year old white male with no known allergies and no prior medical history who on 11/30/01 was vaccinated with the 2nd dose of MMRII (lot 640634/1093L). There was no concomitant medication. On 12/18/01, the pt developed a pruritic rash on his face and trunk and a papular, erythematous rash on his arms, palms and soles bilaterally. He did not have a fever. The physician also reported that the pt developed a "target lesion" on a foot and lesions on his posterior pharynx and buccal areas. On 12/19/01, the pt presented to the physician''s office with a pruritic and papular rash on his face and trunk; red areas on his buccal mucosa and pharynx and his post/anterior nodes behind his ears were enlarged. The pt was treated with Benadryl, 2 teaspoons 3 X daily for 8 days. Subsequently, in 12/01, the pt recovered from the papular erythematous and pruritic rash, pharyngeal and buccal lesions and target lesion on the foot. Additional information is not expected.


VAERS ID: 188721 (history)  
Age: 5.0  
Gender: Male  
Location: Texas  
Vaccinated:2002-04-11
Onset:2002-04-19
   Days after vaccination:8
Submitted: 2002-07-25
   Days after onset:97
Entered: 2002-08-12
   Days after submission:18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / 0 LA / -

Administered by: Public       Purchased by: Public
Symptoms: Headache, Joint swelling, Lymphadenopathy, Malaise, Oedema, Pyrexia
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: Fever/pain~Hib (no brand name)~1~0.04~In Patient
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC Split Type:

Write-up: Received vac. 4/11/02. Began running fever-feeling ill 4/19/02. Fever spiked 105 degrees 4/21/02 resulting in ER visit. Headache, swollen glands and joints-all over body.


VAERS ID: 202165 (history)  
Age: 5.0  
Gender: Female  
Location: Mississippi  
Vaccinated:2003-04-14
Onset:2003-04-15
   Days after vaccination:1
Submitted: 2003-04-17
   Days after onset:2
Entered: 2003-04-25
   Days after submission:8
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (TRIPEDIA) / SANOFI PASTEUR U0853CA / 3 RA / -
IPV: POLIO VIRUS, INACT. (POLIOVAX) / SANOFI PASTEUR W0625 / 3 RA / -
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1201M / 2 LA / -

Administered by: Public       Purchased by: Other
Symptoms: Injection site erythema, Injection site swelling, Lymphadenopathy
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: denies
Preexisting Conditions: Chronic ear infections
Diagnostic Lab Data: NONE
CDC Split Type:

Write-up: Administered DTaP in right deltoid 4/14/03. Pt''s mom called clinic 4/16/03 - stated right upper arm red, swollen, enlarged lymph node in axillary. Took to PMD 4/16/03. Dx - localized reaction.


VAERS ID: 203014 (history)  
Age: 5.0  
Gender: Female  
Location: Colorado  
Vaccinated:2003-04-23
Onset:2003-04-23
   Days after vaccination:0
Submitted: 2003-05-01
   Days after onset:8
Entered: 2003-05-13
   Days after submission:12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (TRIPEDIA) / SANOFI PASTEUR 8490A / 4 LA / IM
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. W0010 / 3 LA / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0530M / 1 RA / SC

Administered by: Public       Purchased by: Public
Symptoms: Injection site erythema, Injection site swelling, Lymphadenopathy
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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:

Write-up: Redness, swelling from left shoulder to elbow. Slight lymph node enlargement-axilla.


VAERS ID: 204449 (history)  
Age: 5.0  
Gender: Male  
Location: Unknown  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 2003-05-30
Entered: 2003-06-04
   Days after submission:5
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / 0 - / -

Administered by: Other       Purchased by: Other
Symptoms: Lymphadenopathy, Viral infection
SMQs:, Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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: WAES0301USA01668

Write-up: Information has been received from a registered nurse concerning a 5 year old male pt who was vaccinated with his first dose of MMR II. Subsequently, the pt developed mumps-like symptoms, including regional lymphadenopathy. No further info was available. Unspecified medical attention was sought. Additional info has been requested.


VAERS ID: 219434 (history)  
Age: 5.0  
Gender: Female  
Location: Indiana  
Vaccinated:2004-03-19
Onset:2004-03-26
   Days after vaccination:7
Submitted: 2004-04-06
   Days after onset:10
Entered: 2004-04-23
   Days after submission:17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 4 - / -
IPV: POLIO VIRUS, INACT. (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 3 - / -
MMR: MEASLES + MUMPS + RUBELLA (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 - / -

Administered by: Public       Purchased by: Public
Symptoms: Abdominal pain upper, Lymphadenopathy, Pyrexia, Similar reaction on previous exposure to drug
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: FEVER~Measles + Mumps + Rubella (no brand name)~1~0.00~In Patient|~Measles + Mumps + Rubella (no brand name)~1~0.00~In Sibling
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: Hayfever;
Diagnostic Lab Data: NONE
CDC Split Type:

Write-up: 1st day: Low fever 99.7, swollen glands. Afternoon stomach ache. 2nd day: high fever 102.9, swollen glands. 3rd day: low fever in morning, afternoon broke.


VAERS ID: 222231 (history)  
Age: 5.0  
Gender: Male  
Location: Michigan  
Vaccinated:2004-05-11
Onset:2004-05-15
   Days after vaccination:4
Submitted: 2004-05-25
   Days after onset:10
Entered: 2004-06-02
   Days after submission:8
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 9104509 / 0 LL / -

Administered by: Private       Purchased by: Private
Symptoms: Arthritis, Headache, Lymphadenopathy, Pain, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Arthritis (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: ~Measles + Mumps (MM-Vax)~1~1.00~In Sibling
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: Strep A culture done on 5/18-result negative
CDC Split Type:

Write-up: High fever$g103 from 5-18 to 5-21, lymph nodes in neck very swollen, headache and arthritic pain in legs. Low fever from 5/15 to 5/17. Pt missed one week of school. Siblings did not get ill, therefore confirming this was reaction from vaccination.


VAERS ID: 223479 (history)  
Age: 5.0  
Gender: Male  
Location: Unknown  
Vaccinated:2004-06-11
Onset:2004-06-16
   Days after vaccination:5
Submitted: 2004-06-24
   Days after onset:8
Entered: 2004-06-29
   Days after submission:5
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (TRIPEDIA) / SANOFI PASTEUR U1029CA / 4 LL / IM
IPV: POLIO VIRUS, INACT. (IPOL) / SANOFI PASTEUR X0707 / 3 RA / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0948N / 1 RL / SC

Administered by: Private       Purchased by: Public
Symptoms: Lymphadenopathy, Pain in jaw
SMQs:, Osteonecrosis (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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: Rapid strep negative.
CDC Split Type:

Write-up: Bilat submandio lymph edema & mandible pain.


VAERS ID: 227192 (history)  
Age: 5.0  
Gender: Female  
Location: Illinois  
Vaccinated:2004-06-24
Onset:2004-06-25
   Days after vaccination:1
Submitted: 2004-09-29
   Days after onset:96
Entered: 2004-09-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 3 - / -
IPV: POLIO VIRUS, INACT. (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 2 - / -
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / 1 - / -

Administered by: Unknown       Purchased by: Unknown
Symptoms: Bacterial infection, Lymphadenopathy, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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: Throat culture 7/7/04
CDC Split Type:

Write-up: Day after and second day after experienced spiking fever of 103.5; treated with tylenol. Ten days after, swollen neck glands and fever; diagnosed with strep and treated with antibiotics.


VAERS ID: 235355 (history)  
Age: 5.0  
Gender: Female  
Location: North Carolina  
Vaccinated:2005-03-17
Onset:2005-03-18
   Days after vaccination:1
Submitted: 2005-03-23
   Days after onset:5
Entered: 2005-03-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (TRIPEDIA) / SANOFI PASTEUR U1300CA / 4 - / IM
IPV: POLIO VIRUS, INACT. (POLIOVAX) / SANOFI PASTEUR APX1040 / 3 - / SC
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1299N / 1 - / SC

Administered by: Public       Purchased by: Public
Symptoms: Lymphadenopathy, Pruritus, Pyrexia, Rash
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (narrow)

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: UNC Hospital-strep throat culture
CDC Split Type:

Write-up: Fever, rash, swollen neck glands, after 2-3 days of injections. Referred to VNC MD for evaluation. Rapid Strep negative, throat culture pending. Sent home with instructions to take Tylenol and Benadryl. Reportedly somewhat better by 03/23/2005, decreased rash, fever, but still has itching and swollen glands.


VAERS ID: 237668 (history)  
Age: 5.0  
Gender: Female  
Location: Oregon  
Vaccinated:2005-05-11
Onset:2005-05-12
   Days after vaccination:1
Submitted: 2005-05-13
   Days after onset:1
Entered: 2005-05-20
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (DAPTACEL) / SANOFI PASTEUR C2184AA / 4 LL / IM
HEPA: HEP A (HAVRIX) / GLAXOSMITHKLINE BIOLOGICALS 814A2 / 1 RL / IM
IPV: POLIO VIRUS, INACT. (IPOL) / SANOFI PASTEUR X1213 / 3 LL / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0550P / 1 RL / SC

Administered by: Private       Purchased by: Unknown
Symptoms: Erythema, Lymphadenitis, Lymphadenopathy, Pain
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC Split Type:

Write-up: About 30 hours after vaccine, patient complained of pain, erythema, and large right groin lymphadenitis versus lymphadenopathy and right thigh erythema.


VAERS ID: 239638 (history)  
Age: 5.0  
Gender: Female  
Location: Unknown  
Vaccinated:2003-08-13
Onset:2005-01-12
   Days after vaccination:518
Submitted: 2005-05-27
   Days after onset:134
Entered: 2005-06-03
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 642704/1178M / 1 - / SC

Administered by: Other       Purchased by: Other
Symptoms: Drug ineffective, Infection, Lymphadenopathy
SMQs:, Lack of efficacy/effect (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Serum amylase test 01/2005 - value 314
CDC Split Type: WAES0501USA04338

Write-up: Information has been received from a physician concerning a 6 year old white female patient with no known drug allergies who on 08/05/1999 and 08/13/2003 was vaccinated with a first and second dose, respectively, of measles virus vaccine live, mumps virus vaccine live, rubella virus vaccine live and tested positive for mumps after showing undisclosed symptoms. Unspecified medical attention was sought. No product quality complaint was involved. Follow up information indicated that the patient had a right swollen parotid on 01/12/2005. Her serum amylase was 314 and MMR was noted. The patient recovered on January 2005 and the experience is no longer being treated. Additional information is not expected.


VAERS ID: 240697 (history)  
Age: 5.0  
Gender: Female  
Location: Michigan  
Vaccinated:2005-05-19
Onset:2005-05-21
   Days after vaccination:2
Submitted: 2005-06-27
   Days after onset:37
Entered: 2005-06-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (DAPTACEL) / SANOFI PASTEUR C2104AA / 4 RA / -
IPV: POLIO VIRUS, INACT. (IPOL) / SANOFI PASTEUR Y0298 / 3 RA / -
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1069P / 1 LA / -

Administered by: Private       Purchased by: Private
Symptoms: Cellulitis, Injection site pain, Injection site swelling, Lymphadenopathy, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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: Allergy to citrus, oats.
Diagnostic Lab Data:
CDC Split Type:

Write-up: Developed right arm swelling and tenderness at site of vaccination, progressive, clearly Cellulitic / right axillary adenopathy. Given Keflex with resolution. Temp increase to 103 degrees.


VAERS ID: 243497 (history)  
Age: 5.0  
Gender: Female  
Location: Pennsylvania  
Vaccinated:2005-08-25
Onset:2005-08-26
   Days after vaccination:1
Submitted: 2005-08-26
   Days after onset:0
Entered: 2005-08-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - - / -
IPV: POLIO VIRUS, INACT. (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - - / -
MMR: MEASLES + MUMPS + RUBELLA (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - - / -

Administered by: Private       Purchased by: Private
Symptoms: Erythema, Fatigue, Headache, Injection site swelling, Lymphadenopathy, Pyrexia, Viral infection, Vomiting
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (narrow)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: No
Current Illness: No
Preexisting Conditions: NO
Diagnostic Lab Data: Strep test - negative
CDC Split Type:

Write-up: Patient had 103 degrees fever, vomiting, swollen neck gland, tired. Mom observed jerky movements while sleeping. Severe headache, redness, swelling at injection site, fussy. Given Tylenol to help sleep. Taken to doctor at 2PM and strep test was negative and diagnosed it as viral, but Mom disagrees.


VAERS ID: 243728 (history)  
Age: 5.0  
Gender: Male  
Location: Wisconsin  
Vaccinated:2005-08-24
Onset:2005-08-26
   Days after vaccination:2
Submitted: 2005-08-26
   Days after onset:0
Entered: 2005-09-01
   Days after submission:6
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (INFANRIX) / GLAXOSMITHKLINE BIOLOGICALS AC14A009CA / 4 RA / -
IPV: POLIO VIRUS, INACT. (IPOL) / SANOFI PASTEUR Y02412 / 3 RA / -
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0029R / 1 LA / -

Administered by: Private       Purchased by: Private
Symptoms: Cellulitis, Injection site reaction, Lymphadenopathy
SMQs:, Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: Mild viral URI
Preexisting Conditions: Keratosis pilaris, eczema
Diagnostic Lab Data: Physical exam
CDC Split Type:

Write-up: R arm cellulitis at site of Dtap and right axillary reactive adenopathy.


VAERS ID: 243964 (history)  
Age: 5.0  
Gender: Female  
Location: Iowa  
Vaccinated:2005-08-24
Onset:2005-08-31
   Days after vaccination:7
Submitted: 2005-09-08
   Days after onset:8
Entered: 2005-09-09
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (INFANRIX) / GLAXOSMITHKLINE BIOLOGICALS 639B2 / 4 LA / -
IPV: POLIO VIRUS, INACT. (IPOL) / SANOFI PASTEUR V02402 / 3 LA / -
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 9104510 / 1 LA / -

Administered by: Private       Purchased by: Other
Symptoms: Erythema, Feeling hot, Lymphadenopathy, Torticollis
SMQs:, Anaphylactic reaction (broad), Dystonia (narrow), Ocular motility disorders (broad), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC Split Type:

Write-up: Left cervical adenopathy with torticollis, redness and warmth, 5 cm.


VAERS ID: 253779 (history)  
Age: 5.0  
Gender: Male  
Location: New Mexico  
Vaccinated:2006-04-05
Onset:2006-04-06
   Days after vaccination:1
Submitted: 2006-04-06
   Days after onset:0
Entered: 2006-04-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (DAPTACEL) / SANOFI PASTEUR C2325AA / 4 LA / IM
IPV: POLIO VIRUS, INACT. (IPOL) / SANOFI PASTEUR Y0638 / 3 LA / SC
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0827R / 1 RA / SC

Administered by: Unknown       Purchased by: Unknown
Symptoms: Erythema, Feeling hot, Injection site induration, Lymphadenopathy, Swelling
SMQs:, Anaphylactic reaction (broad), Angioedema (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)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: na
Current Illness: na
Preexisting Conditions: na
Diagnostic Lab Data:
CDC Split Type:

Write-up: Left arm will swelling, redness, warm to the touch; there is a 3 1/2 by 1/2 area inflamed, induration, tender to touch with axillary nodes.


VAERS ID: 267005 (history)  
Age: 5.0  
Gender: Female  
Location: Montana  
Vaccinated:2006-10-02
Onset:2006-10-02
   Days after vaccination:0
Submitted: 2006-10-04
   Days after onset:2
Entered: 2006-11-16
   Days after submission:43
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (DAPTACEL) / SANOFI PASTEUR C2277AA / 3 LA / -
IPV: POLIO VIRUS, INACT. (IPOL) / SANOFI PASTEUR 40824 / 3 LA / -
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 6538F / 1 RA / -

Administered by: Public       Purchased by: Other
Symptoms: Abdominal pain upper, Anorexia, Delusion, Dyskinesia, Hearing impaired, Lymphadenopathy, Myalgia, Pharyngolaryngeal pain, Pyrexia
SMQs:, Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Dyskinesia (narrow), Psychosis and psychotic disorders (narrow), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad), Hearing impairment (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC Split Type: MT0605

Write-up: 4 hours after immunization had stomach ache, low grade fever. 10:30 PM had high fever, delusional, jerky motions for 2 hours. Swollen glands and could not hear out of left ear. Achy muscles, sore throat and not eating.


VAERS ID: 312413 (history)  
Age: 5.0  
Gender: Female  
Location: North Carolina  
Vaccinated:2008-04-21
Onset:2008-04-22
   Days after vaccination:1
Submitted: 2008-05-15
   Days after onset:23
Entered: 2008-05-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1671U / 1 RA / SC
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 1768U / 1 LA / SC

Administered by: Private       Purchased by: Unknown
Symptoms: Local swelling, Lymphadenopathy, Pain, Parotitis, Rash, Swelling face
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Oropharyngeal infections (narrow), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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:

Write-up: 4/22/08-Developed rash on thighs & c/o aches. 4/23/08-Rt. side of face & neck swollen, rash resolved. 4/25/08-Rt cheek & gland under rt ear swollen. Referred to ENT, Dr and who diagnosed her with viral parotitis.


VAERS ID: 324043 (history)  
Age: 5.0  
Gender: Male  
Location: Virginia  
Vaccinated:2008-08-19
Onset:2008-08-20
   Days after vaccination:1
Submitted: 2008-08-20
   Days after onset:0
Entered: 2008-09-03
   Days after submission:14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (DAPTACEL) / SANOFI PASTEUR C2956BA / 4 LL / IM
FLUN3: INFLUENZA (SEASONAL) (FLUMIST) / MEDIMMUNE VACCINES, INC. 500543P / 1 - / IN
IPV: POLIO VIRUS, INACT. (IPOL) / SANOFI PASTEUR A0491 / 3 LL / SC
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0239X / 1 RL / SC
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0102X / 1 RL / SC

Administered by: Private       Purchased by: Private
Symptoms: Lymphadenopathy, Pyrexia, Rash papular
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (narrow)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Folic Acid
Current Illness: None
Preexisting Conditions: 1. Single gene mutation on the MTHFR gene. 2. Allergy testing (+) Allergic Dust mites and cat
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Posterior neck lymphadenopathy; Fever (low grade); Papular rash on trunk/lower extremities; Start 24 hours ago


VAERS ID: 348529 (history)  
Age: 5.0  
Gender: Male  
Location: California  
Vaccinated:2008-05-07
Onset:2008-05-08
   Days after vaccination:1
Submitted: 2009-05-01
   Days after onset:358
Entered: 2009-06-05
   Days after submission:35
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (INFANRIX) / GLAXOSMITHKLINE BIOLOGICALS AC14B073AA / 4 UN / IM
IPV: POLIO VIRUS, INACT. (IPOL) / SANOFI PASTEUR A0301 / 3 RA / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1314U / 1 LA / UN
UNK: VACCINE NOT SPECIFIED (NO BRAND NAME) / UNKNOWN MANUFACTURER C2812AA / 1 UN / UN

Administered by: Private       Purchased by: Private
Symptoms: Erythema, Incorrect dose administered, Lymph node pain, Lymphadenopathy, Pruritus, Swelling
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad), Medication errors (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Unknown
Preexisting Conditions: The subject was born at 39 weeks gestation. The newborn was taken to the NICU for possible sepsis, RA sats in the 80''s, with a dusky spell. Echo showed PDA the next day. Resolved on it''s own. Blood cultures were negative. PCXR was negative. The subject has a milk allergy. It causes allergic rhinitis. There is no history of adverse events previous vaccinations.
Diagnostic Lab Data: UNK
CDC Split Type: A0729267A

Write-up: This case was reported by a healthcare professional and described the occurrence of swollen axillary nodes in a 5-year-old male subject who was vaccinated with INFANRIX, MMR II (Merck). Concurrent vaccination included IPOL and unspecified vaccine PPD both given on 7 May 2008. On 7 May 2008 at 09:45 the subject received 5th booster dose of INFANRIX at 0.5 ml, intramuscularly in the left arm and 2nd dose of MMR II vaccine at 0.5 ml subcutaneously in the right tricep. Approximately 12 to 24 hours later, on 8 May 2008, the subject experienced swollen axillary nodes, erythema, swelling and itching. Also reported was pain in axillary node and a warm axillary node. Erythema, swelling and itching resolved at an unspecified time. Swelling of the axillary node was unresolved. The outcome of the axillary node tenderness and warm axillary node was not specified. While being seen for these events in the physician''s office, it was noted that the subject received a 4th dose of INFANRIX intramuscularly in the left deltoid on 30 March 2007. According to the reporter, this dose of INFANRIX was not needed. This was considered to be an extra dose administered. The healthcare professional considered the events of swollen axillary node, erythema, swelling and itching to be probably related to vaccination with INFANRIX and MMR II vaccine. Follow-up information received on 16 June 2008 indicated that the events were unresolved and possibly related to treatment with INFANRIX. The subject''s mother reportedly called the reporter on 23 May 2008 and stated that her daughter''s axillary node was still enlarged. She also mentioned that it was not tender. Swollen axillary gland was documented in follow-up.


VAERS ID: 384305 (history)  
Age: 5.0  
Gender: Female  
Location: Ohio  
Vaccinated:2010-03-31
Onset:2010-03-31
   Days after vaccination:0
Submitted: 2010-04-06
   Days after onset:6
Entered: 2010-04-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (DAPTACEL) / SANOFI PASTEUR C3192BA / 4 RL / UN
IPV: POLIO VIRUS, INACT. (IPOL) / SANOFI PASTEUR 942440 / 3 LL / UN
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1118Y / 2 LL / UN

Administered by: Private       Purchased by: Private
Symptoms: Body temperature increased, Fatigue, Irritability, Lacrimation increased, Lethargy, Lymphadenopathy, Mood altered, Nasal congestion, Oropharyngeal pain
SMQs:, Neuroleptic malignant syndrome (broad), Dementia (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hostility/aggression (broad), Depression (excl suicide and self injury) (broad), Lacrimal disorders (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

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:

Write-up: Temperature 105 started right after injection lasted x 4 days of temp $g 101 increased lethargy fatigue. Excessive tearing, nasal congestion and sore throat. Swollen glands, fussiness and moodiness.


VAERS ID: 423038 (history)  
Age: 5.0  
Gender: Male  
Location: New York  
Vaccinated:2011-05-06
Onset:2011-05-15
   Days after vaccination:9
Submitted: 2011-05-17
   Days after onset:2
Entered: 2011-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 0 LA / IJ

Administered by: Unknown       Purchased by: Other
Symptoms: Arthralgia, Cough, Headache, Lymphadenopathy, Pyrexia
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arthritis (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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:

Write-up: Fever 103, swollen glands, joint pain, headache, coughing


VAERS ID: 424047 (history)  
Age: 5.0  
Gender: Male  
Location: Pennsylvania  
Vaccinated:2009-09-15
Onset:2009-09-15
   Days after vaccination:0
Submitted: 2011-05-26
   Days after onset:618
Entered: 2011-05-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (INFANRIX) / GLAXOSMITHKLINE BIOLOGICALS AC14B065AA / 3 LA / IM
IPV: POLIO VIRUS, INACT. (IPOL) / SANOFI PASTEUR D0042 / 3 RA / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 04494 / 0 RA / SC
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 08864 / 0 LA / SC

Administered by: Public       Purchased by: Public
Symptoms: Lymphadenopathy, Oropharyngeal pain
SMQs:, Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None documented
Current Illness: None documented
Preexisting Conditions: None documented.
Diagnostic Lab Data: None documented
CDC Split Type:

Write-up: On 05/25/2011, Mother informed me after child received MMR from 09/15/2009, he started to c/o of sore throat and then he devoleped swollen glands at the throat. Symptoms lasted "several hours, then went away."


VAERS ID: 429834 (history)  
Age: 5.0  
Gender: Male  
Location: New York  
Vaccinated:2011-08-10
Onset:2011-08-11
   Days after vaccination:1
Submitted: 2011-08-16
   Days after onset:5
Entered: 2011-08-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPIPV: DTAP + IPV (KINRIX) / GLAXOSMITHKLINE BIOLOGICALS AC20B168AA / 4 LA / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1508Z / 1 RA / SC

Administered by: Public       Purchased by: Other
Symptoms: Abdominal pain upper, Body temperature fluctuation, Decreased activity, Diet refusal, Dizziness, Fatigue, Feeling hot, Full blood count normal, Headache, Lymphadenopathy, Malaise, Oral disorder, Oral herpes, Pyrexia, Skin warm, Streptococcus test negative, Urine analysis normal, White blood cell count normal
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Oropharyngeal infections (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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: Thus far - NormaL CBC Normal urinalysis Negative Strep test
CDC Split Type:

Write-up: Started low grade fever Thursday afternoon. Still wanted to eat and play. Friday early in the day he was warm to the touch but still playing and eating and drinking. Complained of headache about 4pm. The fever was still present - measured 101.F around 5pm. And glands in neck looked swollen. Overnight felt very hot. Woke up and gave Tylenol. Saturday the fever was still present yet low grade (100F) still eating, drinking and playing. Saturday evening around 7pm the fever spiked to 104F. Put in a tepid bath. Gave Tylenol and ice water. Cool washcloths and layed on couch together. He was responsive yet complained of dizzy. Sunday a.m. - fever still present. He was tired and general malaise. Not wanting to eat or drink much. Not very active. Temp varied throughout the day between 100F and 103F. Alternating Ibuprofen and Tylenol every 4 hours. Pushing fluids, and he showed me a sore in his mouth on the inside of his lip that looked like a cold sore. Glands in neck swollen. Sunday night still fever overnight. Still using Tylenol and ibuprofen alternating every 4 hrs. Monday morning I called the doctor. Child didn''t want to eat or drink. Said his belly hurt. Still fever. 11:45am appt with pediatric NP. She was not convinced this was vaccine related, although the Strep test was negative. His ears looked good. No coughing, no sneezing, no vomiting or diarrhea. Urinalysis was normal. Temp measured 101F in office. Blood drawn for CBC to look at WBC and rule out bacterial infection. Went home to continue nursing care of fever. Gave Tylenol after he ate some apples and drank milk. The temp was 102F. Waited for Dr office to call. At 4pm I was told that the CBC was normal. And, no other signs of bacterial infection. Again, I asked if this is vaccine related given I have read the package insert for the MMRII vaccine and been on the CDC website indicating this as a side effect. The NP said she wasn''t sure, and that if the fever hadn''t broke by lunch time on Tuesday that she would need to re-evaluate him. As it is, Monday evening he did drink and eat and played. Temp was 100F with Ibuprofen on board. At bed time, he felt low grade fever, but we woke up at 3am to a 103.7F fever. Gave Milk and Tylenol. Some ice water. A cool cloth on forehead. I am convinced this is vaccine related.


VAERS ID: 458727 (history)  
Age: 5.0  
Gender: Female  
Location: Wisconsin  
Vaccinated:2012-06-18
Onset:2012-06-19
   Days after vaccination:1
Submitted: 2012-06-27
   Days after onset:8
Entered: 2012-07-05
   Days after submission:8
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPIPV: DTAP + IPV (KINRIX) / GLAXOSMITHKLINE BIOLOGICALS AC20B196CA / 0 LL / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1506AA / 1 LL / SC
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 1061AA / 1 LL / SC

Administered by: Private       Purchased by: Private
Symptoms: Cellulitis, Culture throat negative, Injection site erythema, Injection site induration, Injection site pain, Injection site swelling, Injection site warmth, Lymph node pain, Lymphadenopathy, Oropharyngeal pain, Pyrexia, Vaccination complication
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: At time of vaccine: Lovastatin prn; Multivit.; Fluoride; Nystatin topical prn
Current Illness: Dental caries
Preexisting Conditions: No known allergies; Dental caries
Diagnostic Lab Data: Strep that cx --$g negative
CDC Split Type:

Write-up: Developed redness increased warmth, swelling, tenderness, and firmness of (L) thigh after vaccinations The largest area of redness 7-8 cm across. When seen urgent care 6-20-12, also body fever, sore throat enlarged tender cervical lymph node. Started on sulfa-trimeth 6-20-12, amoxicillin added 6-22-12 much improved by 6-25-12 assessment -$g cellulitis vs vaccine reaction.


VAERS ID: 479069 (history)  
Age: 5.0  
Gender: Female  
Location: Tennessee  
Vaccinated:2012-12-11
Onset:2012-12-11
   Days after vaccination:0
Submitted: 2012-12-11
   Days after onset:0
Entered: 2012-12-21
   Days after submission:10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (DAPTACEL) / SANOFI PASTEUR C4310AA / 4 LL / IM
IPV: POLIO VIRUS, INACT. (IPOL) / SANOFI PASTEUR H1340 / 3 LL / SC
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. H010134 / 1 LL / SC
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. H016600 / 1 LL / SC

Administered by: Private       Purchased by: Military
Symptoms: Injection site erythema, Injection site reaction, Lymph node pain, Lymphadenopathy, Macular oedema
SMQs:, Extravasation events (injections, infusions and implants) (broad), Retinal disorders (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: See attached document; Budesonide; Carafate; Albuterol sulfate HFA; FLOVENT HFA; Omeprazole; MIRALAX
Current Illness: None
Preexisting Conditions: See attached document; Barley; Carrot; Corn; Oats; Peanut; Potato starch; Soy; Chronic problem
Diagnostic Lab Data:
CDC Split Type:

Write-up: Round, erythematous, macular edema measuring approximately 5 inches diameter on left anterior upper thigh. Inguinal lymph node enlargement, tenderness left side. After 48 hours patient treated with ORAPRED PO BID. Symptoms resolved at follow-up after 24 hours ORAPRED.


VAERS ID: 489925 (history)  
Age: 5.0  
Gender: Female  
Location: Minnesota  
Vaccinated:2013-04-22
Onset:2013-04-23
   Days after vaccination:1
Submitted: 2013-04-24
   Days after onset:1
Entered: 2013-04-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 2 LL / UN
MMR: MEASLES + MUMPS + RUBELLA (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 2 RL / UN
VARCEL: VARICELLA (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 2 LL / UN

Administered by: Public       Purchased by: Private
Symptoms: Erythema, Facial pain, Lymphadenopathy, Pyrexia, Streptococcus test, Swelling face
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Glaucoma (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (narrow)

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: Strep throat test.
CDC Split Type:

Write-up: Swelling of the face, fever, face pain on cheeks, swelling of lymph glands, redness on face.


VAERS ID: 501537 (history)  
Age: 5.0  
Gender: Male  
Location: Georgia  
Vaccinated:2013-08-17
Onset:2013-08-18
   Days after vaccination:1
Submitted: 2013-08-19
   Days after onset:1
Entered: 2013-09-04
   Days after submission:16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (DAPTACEL) / SANOFI PASTEUR C4383AA / 3 RA / IM
IPV: POLIO VIRUS, INACT. (IPOL) / SANOFI PASTEUR J1284 / 4 RA / SC
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. H017432 / 1 LA / SC
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. J000192 / 2 LA / SC

Administered by: Public       Purchased by: Other
Symptoms: Lymphadenopathy, Rash
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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: GA1312

Write-up: Mother called stating child had a mild rash and swelling of the glands behind ears, neck and the cheeks. Instructed caregiver to take pt to ER.


VAERS ID: 512065 (history)  
Age: 5.0  
Gender: Female  
Location: New Mexico  
Vaccinated:2012-08-08
Onset:2012-08-10
   Days after vaccination:2
Submitted: 2013-11-08
   Days after onset:455
Entered: 2013-11-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1732AA / 0 RA / SC

Administered by: Unknown       Purchased by: Other
Symptoms: Biopsy, Chest X-ray, Endotracheal intubation, Feeling hot, Lymph node pain, Lymphadenopathy, Rectal examination, Tumour marker test, Ultrasound scan
SMQs:, Angioedema (broad), Respiratory failure (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 1 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: Chest X-rays. Blood test for tumor markers. Rectal exam. Ultrasound of neck mass. Surgical biopsy under general anesthesia with intubation.
CDC Split Type:

Write-up: In neck same side as arm injection site two lymph nodes became hot, painful, and then massively swollen.


VAERS ID: 542082 (history)  
Age: 5.0  
Gender: Female  
Location: California  
Vaccinated:2014-08-25
Onset:2014-08-26
   Days after vaccination:1
Submitted: 2014-08-28
   Days after onset:2
Entered: 2014-09-02
   Days after submission:5
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPIPV: DTAP + IPV (KINRIX) / GLAXOSMITHKLINE BIOLOGICALS JP2HD / 0 RL / UN
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. J010158 / 1 RL / UN
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. J009167 / 1 LL / UN

Administered by: Private       Purchased by: Private
Symptoms: Injection site erythema, Injection site induration, Injection site pruritus, Lymphadenopathy
SMQs:, Extravasation events (injections, infusions and implants) (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: Reaction to varicella, egg allergy~Varicella (no brand name)~UN~0.00~Sibling
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Pt developed itching and induration (R) upper thigh and redness extending to ant abd. - by 2nd day seen urgent care given antibiotic - seen in office 3-4th day reaction persist only locally. Also lymphadenopathy (R) groin.


VAERS ID: 588358 (history)  
Age: 5.0  
Gender: Male  
Location: California  
Vaccinated:2015-01-27
Onset:2015-02-12
   Days after vaccination:16
Submitted: 2015-07-22
   Days after onset:159
Entered: 2015-07-28
   Days after submission:6
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. K001231 / 0 AR / UN

Administered by: Private       Purchased by: Private
Symptoms: Abdominal tenderness, Blood test normal, Decreased appetite, Headache, Local swelling, Lymphadenopathy, Nausea
SMQs:, Acute pancreatitis (broad), Angioedema (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: Ill, fever~DTaP (no brand name)~1~1.00~Patient|Ill, ear infections, colds, fever, site tenderness~DTaP (no brand name)~4~5.00~Si
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: All normal blood tests.
CDC Split Type:

Write-up: Headaches daily, swollen lymph and neck, loss of appetite, nausea, tender belly. Blood tests reveal nothing. Chiropractic and lymph massage provides temporary relief. Can''t afford neuro feedback treatment.


VAERS ID: 592581 (history)  
Age: 5.0  
Gender: Male  
Location: Oregon  
Vaccinated:2015-02-20
Onset:2015-03-05
   Days after vaccination:13
Submitted: 2015-09-02
   Days after onset:180
Entered: 2015-09-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. K009956 / 0 LL / IM

Administered by: Unknown       Purchased by: Public
Symptoms: Lymphadenopathy, Pyrexia, Rash
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (narrow)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: No
Preexisting Conditions: No
Diagnostic Lab Data:
CDC Split Type:

Write-up: Fever, lymphadenopathy, rash.


VAERS ID: 648374 (history)  
Age: 5.0  
Gender: Male  
Location: Virginia  
Vaccinated:2016-08-17
Onset:2016-08-17
   Days after vaccination:0
Submitted: 2016-08-18
   Days after onset:1
Entered: 2016-08-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 - / -

Administered by: Unknown       Purchased by: Private
Symptoms: Lymphadenopathy
SMQs:, Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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: Doctor had no response, said it might be strep. It is not strep.
CDC Split Type:

Write-up: Swollen lymph nodes all around neck. 4 larges one.


VAERS ID: 222824 (history)  
Age: 5.0  
Gender: Unknown  
Location: Foreign  
Vaccinated:2004-05-24
Onset:2004-05-31
   Days after vaccination:7
Submitted: 2004-06-15
   Days after onset:15
Entered: 2004-06-18
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / - - / -

Administered by: Unknown       Purchased by: Unknown
Symptoms: Lymphadenopathy, Purpura, Splenomegaly
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (narrow)

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: UNK
CDC Split Type: WAES0406KOR00006

Write-up: Information has been received from a physician concerning a 5 year old patient who on 5/24/04 was vaccinated with MMR. On approximately 5/31/04 the patient experienced splenomegaly, lymphadenopathy and purpura. The reporter felt that splenomegaly, lymphadenopathy and purpura were related to therapy with MMR. And the physician reported that splenomegaly required medical or surgical intervention. It was determined to be OME upon internal review (OMIC). Additional information has been requested.


VAERS ID: 419022 (history)  
Age: 5.0  
Gender: Female  
Location: Foreign  
Vaccinated:2011-02-04
Onset:2011-02-14
   Days after vaccination:10
Submitted: 2011-03-17
   Days after onset:30
Entered: 2011-03-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPIPV: DTAP + IPV (INFANRIX TETRA) / GLAXOSMITHKLINE BIOLOGICALS - / - UN / IM
MMR: MEASLES + MUMPS + RUBELLA (PRIORIX) / GLAXOSMITHKLINE BIOLOGICALS A69CC198A / - LA / IM

Administered by: Other       Purchased by: Other
Symptoms: Lethargy, Lymphadenopathy, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Unknown
Preexisting Conditions:
Diagnostic Lab Data: UNK
CDC Split Type: B0706041A

Write-up: This case was reported by a physician via a regulatory authority (# 2011-002489) and described the occurrence of lethargy in a 5-year-old female subject who was vaccinated with (new strain) PRIORIX (GlaxoSmithKline), INFANRIX-IPV. On 4 February 2011, the subject received unspecified dose of PRIORIX (.05 ml, intramuscular, injection site unknown) and unspecified dose of INFANRIX-IPV (intramuscular, injection site unknown, batch number not provided). On 14 February 2011, 10 days after vaccination with INFANRIX-IPV and PRIORIX, the subject experienced lethargy, submandibular lymphadenopathy and fever. The reaction lasted 5 days. The regulatory authority reported that the events were clinically significant (or requiring intervention). The subject was treated with antipyretic. At the time of reporting, the events were resolved. Information not correctly recorded at the initial report: The event "submandibular swelling" was changed to "submandibular lymphadenopathy".


VAERS ID: 423865 (history)  
Age: 5.0  
Gender: Male  
Location: Foreign  
Vaccinated:2011-04-26
Onset:2011-04-26
   Days after vaccination:0
Submitted: 2011-05-23
   Days after onset:27
Entered: 2011-05-24
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPIPV: DTAP + IPV (INFANRIX TETRA) / GLAXOSMITHKLINE BIOLOGICALS G0074 / 0 LA / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / - UN / SC

Administered by: Unknown       Purchased by: Unknown
Symptoms: Injection site inflammation, Injection site movement impairment, Injection site pain, Lymphadenopathy, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Amoxicillin
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC Split Type: WAES1105USA02983

Write-up: Case received from Health Authorities on 13-MAY-2011 under the reference number L201105-158. Case medically confirmed. A 5 year old male patient, without known clinical history, received the first dose of TETRAVAC (batch n. G0074-2) via intramuscular route in the left arm and a dose of MMR II (MFR UNK) via subcutaneous route (unspecified site) on 26-APR-2011. From 30-MAR-2011 to an unspecified date in April 2011, the patient had been treated with oral amoxicillin trihydrate for an unknown indication. To be noted that only TETRAVAC was coded as suspect by the HAs. On 26-APR-2011, within hours post vaccination, the patient presented signs of inflammation in his left arm with pain increasing, functional disability, axillary adenopathy and fever. On 28-APR-2011, the patient was observed by the nurse, with improvement of symptoms. The patient received corrective treatment with betamethasone 60 drops twice a day orally. The AEs had improved with treatment. There was no suspicion of interaction between drugs. There was no known previous reactions to other drugs. At the time of reporting, the patient was recovering. Upon medical review, the company judged relevant to code the following adverse "functional disability" which was mentioned in the narrative by HA but not coded. Case is closed. No further information is available. The agency considered that all the adverse events were other important medical events. Other business partner numbers include E2011-02966.


VAERS ID: 436796 (history)  
Age: 5.0  
Gender: Unknown  
Location: Foreign  
Vaccinated:2011-08-30
Onset:2011-09-01
   Days after vaccination:2
Submitted: 2011-10-04
   Days after onset:33
Entered: 2011-10-05
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (TRIPEDIA) / SANOFI PASTEUR C3546AE / - LA / UN
OPV: POLIO VIRUS, ORAL (NO BRAND NAME) / UNKNOWN MANUFACTURER AOPVB841AA / - - / PO

Administered by: Unknown       Purchased by: Unknown
Symptoms: Injection site erythema, Injection site extravasation, Injection site inflammation, Lymphadenopathy
SMQs:, Extravasation events (injections, infusions and implants) (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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: Medical history and concomitant medications were not reported.
Diagnostic Lab Data: Not reported
CDC Split Type: 201108918

Write-up: Initial report received on 20 September 2011 from a Health Authority via an affiliate in a foreign country under the Authority reference number PL-URPL-OCR-20110907006 and URPL paper id N801/2011. The local reference number for this case is 2011/0277. This case was originally reported by a health professional (physician). A 5 year old child, whose medical history and concomitant medications were not reported, received a dose of TRIPACEL (lot number C3546AE) and an oral dose of POLIO SABIN (manufacturer unknown, lot number AOPVB841AA) on 30 August 2011. On 01 September 2011, the parents brought the child in for medical assessment. The patient''s symptoms included injection site inflammatory infiltration with injection site erythema on the left upper limb which measured approximately 10 cm in diameter. At that time, the patient also had lymphadenopathy of the retroauricular lymph nodes, without fever. That day, the patient was referred to a Paediatric Center. The reporting physician assessed the reaction to be serious. The patient required hospitalization (no details provided). The outcome of each event was unknown. Documents held by sender: None.


VAERS ID: 447331 (history)  
Age: 5.0  
Gender: Unknown  
Location: Foreign  
Vaccinated:2011-12-01
Onset:2011-12-02
   Days after vaccination:1
Submitted: 2012-01-12
   Days after onset:41
Entered: 2012-01-13
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (TRIPEDIA) / SANOFI PASTEUR C3546AE / - UN / IM
OPV: POLIO VIRUS, ORAL (NO BRAND NAME) / UNKNOWN MANUFACTURER AOPVB841AA / - - / PO

Administered by: Unknown       Purchased by: Unknown
Symptoms: Erythema, Extravasation, Inflammation, Injection site reaction, Lymphadenopathy, Pain in extremity, Skin warm
SMQs:, Anaphylactic reaction (broad), Extravasation events (injections, infusions and implants) (narrow), Hypersensitivity (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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: Not reported
Diagnostic Lab Data: No data
CDC Split Type: 201200081

Write-up: Case received from the Health Authorities in a foreign country on 04 January 2012 under the HA reference number PL-URPL-OCR-20111219004 through the affiliates under the local reference number 2012/0004. A 05-year-old patient (gender not specified) had received an intramuscular dose of TRIPACEL (batch number C3546AE) and an oral dose of POLIO SABIN (other manufacturer, batch number AOPVB841AA) on 01 December 2011. On 01 December 2011, the patient experienced an intensified reaction at the injection site for more than 10 cm (20X30 cm) reaching to the left elbow in diameter reaching to the elbow joint, lasting for more than 3 days. Left axillary lymph nodes were enlarged. The left arm was painful with inflammatory infiltration with redness and warmth for 20 x 30 cm. The patient was hospitalized. The patient recovered on an unspecified date. Axillary lymphadenitis, injection site reaction, injection site pain, injection site inflammation and injection site warmth were coded by the Health Authorities.


VAERS ID: 483158 (history)  
Age: 5.0  
Gender: Unknown  
Location: Foreign  
Vaccinated:2012-11-21
Onset:2012-11-22
   Days after vaccination:1
Submitted: 2013-01-31
   Days after onset:70
Entered: 2013-01-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (INFANRIX) / GLAXOSMITHKLINE BIOLOGICALS AC14B147AI / - LA / IM
OPV: POLIO VIRUS, ORAL (NO BRAND NAME) / UNKNOWN MANUFACTURER AOPVB901BA / - - / PO

Administered by: Other       Purchased by: Other
Symptoms: Diarrhoea, Extensive swelling of vaccinated limb, Injection site erythema, Injection site pain, Injection site warmth, Lymph node pain, Lymphadenopathy, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Noninfectious diarrhoea (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Unknown
Preexisting Conditions:
Diagnostic Lab Data: Body temperature, 22Nov2012, 38.38.4deg. C
CDC Split Type: B0863759A

Write-up: This case was reported by a physician via a regulatory authority (# PL-URPL-N1478/2012) and described the occurrence of extensive swelling of vaccinated limb in a 5-year-old subject of unspecified gender who was vaccinated with INFANRIX (GlaxoSmithKline), oral POLIO SABIN. On 21 November 2012, the subject received unspecified dose of INFANRIX (.5 ml, intramuscular, left arm), unspecified dose of POLIO SABIN (oral). On 22 November 2012, 1 day after vaccination with INFANRIX and POLIO SABIN, the subject experienced extensive swelling of vaccination limb (diameter 6-9 cm), injection site pain, injection site redness, fever (38-38.4 deg. C) maintained up to 48 hours, enlarged lymph node sites (local), pain of lymph node, diarrhea and injection site warmth. The regulatory authority reported that the events were clinically significant (or requiring intervention). At the time of reporting the events were resolved. The regulatory authority reported that the events were possibly related to vaccination with INFANRIX and POLIO SABIN. No further information is expected, the Regulatory Authority has provided us with all the available information for the time being, if they ever get any further they will send it to us.


VAERS ID: 499476 (history)  
Age: 5.0  
Gender: Male  
Location: Foreign  
Vaccinated:2013-04-09
Onset:2013-04-10
   Days after vaccination:1
Submitted: 2013-08-14
   Days after onset:126
Entered: 2013-08-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (INFANRIX) / GLAXOSMITHKLINE BIOLOGICALS AC14B142DC / - RA / SC
OPV: POLIO VIRUS, ORAL (NO BRAND NAME) / UNKNOWN MANUFACTURER AOPVB901BA / - - / PO

Administered by: Other       Purchased by: Other
Symptoms: Arthralgia, Extensive swelling of vaccinated limb, Injection site erythema, Injection site oedema, Injection site pain, Lymph node pain, Lymphadenopathy, Pain in extremity
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Arthritis (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Unknown
Preexisting Conditions:
Diagnostic Lab Data: UNK
CDC Split Type: B0907787A

Write-up: This case was reported by a regulatory authority (# N414/2012) and described the occurrence of lymph node pain in a 5-year-old male subject who was vaccinated with INFANRIX (GlaxoSmithKline), POLIO SABIN. On 9 April 2013, the subject received unspecified dose of INFANRIX (unknown route, left arm) and unspecified dose of POLIO SABIN (oral). At an unspecified time after vaccination with INFANRIX and POLIO SABIN, the subject experienced injection site edema, injection site redness and pain of the arm and elbow (left hand). The subject was without fever and was in good general condition. At the time of reporting, the outcome of the events was unspecified. The regulatory authority reported that injection site edema, injection site redness were possibly related to vaccination with INFANRIX and arm pain was possibly related to vaccination with INFANRIX and POLIO SABIN. No further information was expected, the regulatory Authority has provided GSK with all the available information for the time being, if they ever get any further information they will send it to GSK. Therefore the case has been closed. Case upgraded to serious upon follow-up information received on 9 August 2013 from a physician via a regulatory authority (# PL-URPL-N414/2013): On 9 April 2013, the subject received unspecified dose of INFANRIX (subcutaneous, right arm) and unspecified dose of POLIO SABIN (oral). On 10 April 2013, approximately 16 hours after vaccination with INFANRIX and POLIO SABIN, the subject experienced edema, redness and pain all at the injection site of INFANRIX. The subject also experienced extensive swelling of the vaccinated limb (diameter larger than 10 cm). In addition of the severe injection site reaction, lymph nodes of the subject were enlarged and painful. The regulatory authority reported that the events were clinically significant (or requiring intervention). At the time of reporting, the events were resolved. The regulatory authority reported that the events were possibly related to vaccination with INFANRIX and POLIO SABIN.


VAERS ID: 531033 (history)  
Age: 5.0  
Gender: Female  
Location: Foreign  
Vaccinated:2014-04-17
Onset:2014-04-17
   Days after vaccination:0
Submitted: 2014-05-16
   Days after onset:29
Entered: 2014-05-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPIPV: DTAP + IPV (INFANRIX TETRA) / GLAXOSMITHKLINE BIOLOGICALS A20B269AF / - UN / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. J012171 / - UN / IM

Administered by: Other       Purchased by: Other
Symptoms: Injection site vesicles, Lymphadenopathy, Nausea, Pyrexia, Somnolence, Stomatitis haemorrhagic, Urticaria, Vomiting
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Angioedema (narrow), Haemorrhage terms (excl laboratory terms) (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (narrow), Hypoglycaemia (broad)

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: BE TOTAL
Current Illness: Immunisation
Preexisting Conditions:
Diagnostic Lab Data: 04/17/2014, Body temperature, $g39.5 degrees C
CDC Split Type: WAES1405ITA006920

Write-up: Information has been received from SP MSD (manufacturer control # E2014-04014) on 13-MAY-2014. Case received from Health Authority (case n. 249956) on 08-MAY-2014 through SPMSD. Case initially reported by the vaccination center. Case medically confirmed. A 5 year old female patient was vaccinated on 17-APR-14 with one dose of MMRVAXPRO rHA (batch/lot n. J012171) i.m., injection site not reported and with one dose of POLIOINFANRIX (Mfr. GSK, batch n. A20B269AF) i.m., injection site not reported. On the same day she presented with fever $g39.5 degrees C, hemorrhagic stomatitis, vomiting, nausea, somnolence, axillary, laterocervical and submandibular lymphadenopathy, urticaria and injection site vesicles. She was hospitalized. The outcome is recovered with sequelae. Upon medical review by the Company judged relevant to code the adverse event "injection site vesicles" which was mentioned in the narrative but not coded by HA. The case is closed.


VAERS ID: 29468 (history)  
Age: 6.0  
Gender: Male  
Location: Texas  
Vaccinated:1991-03-01
Onset:1991-03-03
   Days after vaccination:2
Submitted: 1991-03-04
   Days after onset:1
Entered: 1991-04-01
   Days after submission:28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 289963 / 3 LA / IM
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 0619A / 3 - / PO

Administered by: Public       Purchased by: Public
Symptoms: Lymphadenopathy, Pain
SMQs:, Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC Split Type: TX9113

Write-up: Rec''d DTP on 1MAR91 in LA; 3MAR91 child c/o soreness in lt arm; On exam, mom found hard tender lump in lt axilla;


VAERS ID: 35064 (history)  
Age: 6.0  
Gender: Male  
Location: New Hampshire  
Vaccinated:1991-09-03
Onset:1991-09-03
   Days after vaccination:0
Submitted: 1991-09-16
   Days after onset:13
Entered: 1991-09-30
   Days after submission:14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 0637E / 4 - / PO
TD: TD ADSORBED (NO BRAND NAME) / CONNAUGHT LABORATORIES 1F31058 / 0 - / IM

Administered by: Public       Purchased by: Public
Symptoms: Lymphadenopathy, Pyrexia, Skin discolouration, Tongue oedema
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Oropharyngeal allergic conditions (narrow), Hypotonic-hyporesponsive episode (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (narrow)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: n/a
Diagnostic Lab Data: n/a
CDC Split Type: NH91014

Write-up: White patches, slight lingual swelling; swollen lymph nodes - neck; low grade fever - 100;


VAERS ID: 35901 (history)  
Age: 6.0  
Gender: Male  
Location: Kansas  
Vaccinated:1991-08-05
Onset:1991-08-05
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 1991-10-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 297909 / 4 LA / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1292S / 1 RA / SC
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 293922 / 3 - / PO

Administered by: Public       Purchased by: Public
Symptoms: Arthralgia, Lymphadenopathy, Pyrexia, Splenomegaly
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arthritis (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: WBC & lymphs -normal;
CDC Split Type:

Write-up: Highest temp 104.8; Generalized lymphadenopathy, arthralgia, splenomegaly duration 7 days;


VAERS ID: 39423 (history)  
Age: 6.0  
Gender: Male  
Location: Georgia  
Vaccinated:1991-12-30
Onset:1992-01-10
   Days after vaccination:11
Submitted: 1992-01-15
   Days after onset:5
Entered: 1992-02-11
   Days after submission:27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0943T / 1 LA / SC

Administered by: Public       Purchased by: Public
Symptoms: Dyspnoea, Infection, Influenza, Lymphadenopathy, Pharyngitis, Pyrexia, Sinusitis
SMQs:, Anaphylactic reaction (broad), Agranulocytosis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Oropharyngeal infections (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (narrow)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: pt exp rxn 18NOV85 @ 6mos w/DTP #1 & 17AUG87 @ 26mos w/MMR #1;~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: problems w/fever & leg swelling
Diagnostic Lab Data:
CDC Split Type: GA9201

Write-up: 10JAN92 pt had t102 last night & it was 99 today; pt has no rash but has bilateral swollen glands, sore throat when swallows & mom said had trouble breathing; MD felt pt had sinus infect & the flu & not due to vax;


VAERS ID: 39568 (history)  
Age: 6.0  
Gender: Female  
Location: California  
Vaccinated:1991-12-10
Onset:1991-12-15
   Days after vaccination:5
Submitted: 1991-12-18
   Days after onset:3
Entered: 1992-02-18
   Days after submission:62
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0754T / 1 RA / -

Administered by: Public       Purchased by: Public
Symptoms: Asthenia, Lymphadenopathy, Pallor, Pharyngitis, Pyrexia
SMQs:, Agranulocytosis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Oropharyngeal infections (narrow), Guillain-Barre syndrome (broad), Hypotonic-hyporesponsive episode (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (narrow)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications:
Current Illness: swollen glands
Preexisting Conditions: sinus allergies
Diagnostic Lab Data: NONE
CDC Split Type: CA9212

Write-up: Pt had sore throat, swollen glands, fever 105.9, pale, weak;


VAERS ID: 46683 (history)  
Age: 6.0  
Gender: Female  
Location: Virginia  
Vaccinated:1992-10-26
Onset:1992-10-27
   Days after vaccination:1
Submitted: 1992-10-27
   Days after onset:0
Entered: 1992-11-03
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 2A41127 / 1 LA / -
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 02T2V / 1 LA / -
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 336921 / 1 - / PO

Administered by: Public       Purchased by: Unknown
Symptoms: Injection site hypersensitivity, Injection site pain, Injection site reaction, Lymphadenopathy, Oedema, Pyrexia, Rash
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (narrow)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: VA92112

Write-up: fever & swelling of lt upper arm; temp in clinic 101.6, erythema & mild tenderness 4" diameter lt arm, palpable lt ax lymph node; also rash; imp: ? secondary infect inject site;


VAERS ID: 59283 (history)  
Age: 6.0  
Gender: Male  
Location: Nebraska  
Vaccinated:1993-11-04
Onset:1993-11-12
   Days after vaccination:8
Submitted: 1993-12-15
   Days after onset:33
Entered: 1994-01-26
   Days after submission:42
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0118W / 0 RA / -
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 0677F / 2 - / PO

Administered by: Public       Purchased by: Public
Symptoms: Lymphadenopathy, Pruritus, Pyrexia, Rash
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (narrow)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: pt exp adverse rxn in 1988 @ 18 mos w/DTP #2;~ ()~~~In patient
Other Medications:
Current Illness: NONE
Preexisting Conditions: allergic to pertussis
Diagnostic Lab Data:
CDC Split Type: NE9328

Write-up: rash started 11-12 pruritic-febrile usually AM & PM; rash over entire body, enlarged cervical nodes; lungs clear; APAP for fever; rash improved over time;


VAERS ID: 67458 (history)  
Age: 6.0  
Gender: Male  
Location: Idaho  
Vaccinated:1994-05-09
Onset:1994-05-15
   Days after vaccination:6
Submitted: 1994-06-27
   Days after onset:43
Entered: 1994-10-21
   Days after submission:116
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 3J41061 / 4 LA / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1332S / 1 RA / SC
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 0698B / 3 - / PO

Administered by: Public       Purchased by: Public
Symptoms: Headache, Infection, Lymphadenopathy, Nuchal rigidity, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: throat culture for strept;
CDC Split Type: ID94042

Write-up: 16MAY94 mom called stating pt c/o h/a & stiff neck; pt has elevated temp & enlarged nodes from below each ear & down neck; ref to MD; 17MAY94 pt was seen by MD who took a throat culture for strept;


VAERS ID: 71341 (history)  
Age: 6.0  
Gender: Male  
Location: Georgia  
Vaccinated:1995-01-03
Onset:1995-01-08
   Days after vaccination:5
Submitted: 1995-01-09
   Days after onset:1
Entered: 1995-02-07
   Days after submission:29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (TRIPEDIA) / CONNAUGHT LABORATORIES 3D51059 / 4 RA / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0551A / 1 LA / SC
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 0706C / 4 - / PO

Administered by: Public       Purchased by: Public
Symptoms: Dermatitis bullous, Infection, Lymphadenopathy, Pyrexia
SMQs:, Severe cutaneous adverse reactions (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (narrow)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: pt''s sibling exp swollen glands & fever @ 6yrs w/MMR #2 dose~ ()~~~In Sibling
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: Asthma
Diagnostic Lab Data: NONE
CDC Split Type: GA95004

Write-up: 9JAN95 started having watery blisters last nite swollen glands-fever of 100 this AM; watery blisters all over body; pc to mom dx chicken pox


VAERS ID: 77524 (history)  
Age: 6.0  
Gender: Female  
Location: Tennessee  
Vaccinated:1995-06-09
Onset:1995-06-11
   Days after vaccination:2
Submitted: 1995-06-13
   Days after onset:2
Entered: 1995-09-19
   Days after submission:98
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTPHIB: DTP + HIB (TETRAMUNE) / PFIZER/WYETH 426121 / 4 LA / -
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1374A / 1 RA / -
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 0721F / 4 - / PO

Administered by: Public       Purchased by: Public
Symptoms: Injection site hypersensitivity, Injection site oedema, Lymphadenopathy, Oedema
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC Split Type: TN95084

Write-up: lt deltoid area very swollen & red; mom says swelling extends to shoulder & below inj site; lymph node under arm swollen-saw MD today; was given rx for ATB as precaution;


VAERS ID: 88432 (history)  
Age: 6.0  
Gender: Male  
Location: Minnesota  
Vaccinated:1996-07-25
Onset:1996-07-25
   Days after vaccination:0
Submitted: 1996-07-26
   Days after onset:1
Entered: 1996-08-02
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (ACEL-IMUNE) / PFIZER/WYETH 430956 / 4 - / IM A
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 0739 / 3 - / PO

Administered by: Private       Purchased by: Private
Symptoms: Lymphadenopathy, Pharyngitis, Pyrexia
SMQs:, Agranulocytosis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Oropharyngeal infections (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (narrow)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: strep test negative;
CDC Split Type:

Write-up: fever to 103.7 p/vax & acute tonsillitis & ant lymphadenopathy;felt fever d/t tonsillitis ? vaccine rxn;


VAERS ID: 90637 (history)  
Age: 6.0  
Gender: Male  
Location: Missouri  
Vaccinated:1996-08-22
Onset:1996-09-15
   Days after vaccination:24
Submitted: 1996-10-03
   Days after onset:18
Entered: 1996-10-09
   Days after submission:6
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0105D / 1 LL / SC

Administered by: Public       Purchased by: Unknown
Symptoms: Cough, Infection, Lymphadenopathy, Pain, Pharyngitis, Pyrexia, Rhinitis, Scrotal oedema
SMQs:, Anaphylactic reaction (broad), Agranulocytosis (broad), Angioedema (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Oropharyngeal infections (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (narrow)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC Split Type:

Write-up: p/vax & to ER w/fever & swollen & tender testicles;t102.4;had URI sx (nasal congestion), sore throat & non productive cough;PE by MD noted green nasal discharge, erythematous throat, diffuse adenopathy painful;dx viral synd w/bacterial URI


VAERS ID: 102212 (history)  
Age: 6.0  
Gender: Male  
Location: Pennsylvania  
Vaccinated:1997-07-08
Onset:1997-07-09
   Days after vaccination:1
Submitted: 1997-08-12
   Days after onset:34
Entered: 1997-09-08
   Days after submission:27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (TRIPEDIA) / CONNAUGHT LABORATORIES 6D81396 / 3 LA / -
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 2206A2 / 0 RA / -
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0895D / 1 RA / -
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 0757M / 3 - / PO

Administered by: Public       Purchased by: Public
Symptoms: Face oedema, Lymphadenopathy, Oedema peripheral, Vasodilatation
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE DONE
CDC Split Type: PA9755

Write-up: pt recv vax 8JUL97 & mom states 24hr later pt devel swelling of rt upper arm & redness, swelling extended to neck on rt side & then to lt side of neck including facial swelling & redness;


VAERS ID: 168781 (history)  
Age: 6.0  
Gender: Male  
Location: Colorado  
Vaccinated:2001-03-20
Onset:2001-03-21
   Days after vaccination:1
Submitted: 2001-03-21
   Days after onset:0
Entered: 2001-04-17
   Days after submission:26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (INFANRIX) / GLAXOSMITHKLINE BIOLOGICALS 983A2 / 1 LA / IM
HEP: HEP B (ENGERIX-B) / GLAXOSMITHKLINE BIOLOGICALS 5176A2 / 0 RA / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1511K / 1 RA / SC

Administered by: Public       Purchased by: Unknown
Symptoms: Flushing, Lymphadenopathy, Oedema
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Viral infection.
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC Split Type: CO01005

Write-up: Swollen lymph node under his right arm pit, no redness noted. Doctors appt today at 4 PM. He had a temp of 99.7 with Tylenol, flushed cheeks, and swollen tonsils. Throat culture done, no Strept, no redness, or swelling at the injection site.


VAERS ID: 187128 (history)  
Age: 6.0  
Gender: Male  
Location: Unknown  
Vaccinated:2002-05-30
Onset:2002-06-05
   Days after vaccination:6
Submitted: 0000-00-00
Entered: 2002-07-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / - - / -

Administered by: Unknown       Purchased by: Unknown
Symptoms: Headache, Lymphadenopathy, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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:

Write-up: Fever, lymphadenopathy, headache.


VAERS ID: 188112 (history)  
Age: 6.0  
Gender: Female  
Location: Kansas  
Vaccinated:2002-04-10
Onset:2002-04-11
   Days after vaccination:1
Submitted: 2002-07-22
   Days after onset:102
Entered: 2002-07-29
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
IPV: POLIO VIRUS, INACT. (IPOL) / SANOFI PASTEUR U03442 / 3 LL / SC
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1250L / 1 RL / SC

Administered by: Public       Purchased by: Public
Symptoms: Eye swelling, Lymphadenopathy, Rash
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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: Seasonal allergies
Diagnostic Lab Data: NONE
CDC Split Type: KS200220

Write-up: Fine sand paper type rash developed with swollen glands 24-48 hours after administration of #2 MMR and #4 IPV. Client''s mother states the rash was similar to fine grit sand paper and covered her upper chest, cheek area, front and back of neck, her face and upper back. She could not get a hold of health dept so she called another health dept and doctor. Since there was no fever present she was to give Benadryl. Mother also noted swollen eyes. Resolved in 3-4 days. Time of onset not reported. Reported event to health department on 07/22/02.


VAERS ID: 207911 (history)  
Age: 6.0  
Gender: Female  
Location: Ohio  
Vaccinated:2003-07-21
Onset:2003-07-22
   Days after vaccination:1
Submitted: 2003-07-28
   Days after onset:6
Entered: 2003-08-15
   Days after submission:18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (TRIPEDIA) / SANOFI PASTEUR U0857DA / 4 LA / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0130N / 1 RA / SC

Administered by: Private       Purchased by: Public
Symptoms: Feeling hot, Injection site erythema, Injection site induration, Lymphadenopathy, Pain, Pruritus
SMQs:, Anaphylactic reaction (broad), Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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:
Diagnostic Lab Data:
CDC Split Type:

Write-up: 8cm erythema, induration, warmth, itching, pain + lymphadenopathy-axillary. Given Benadryl PO.


VAERS ID: 214650 (history)  
Age: 6.0  
Gender: Male  
Location: Texas  
Vaccinated:1997-07-01
Onset:1997-07-01
   Days after vaccination:0
Submitted: 2002-06-02
   Days after onset:1797
Entered: 2004-01-06
   Days after submission:583
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 3 - / -
HIBV: HIB (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - - / -
IPV: POLIO VIRUS, INACT. (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 5 - / -
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / 3 - / -
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. - / 1 - / -

Administered by: Private       Purchased by: Private
Symptoms: Abasia, Apathy, Aphasia, Autism, Cognitive disorder, Convulsion, Diarrhoea, Gastrointestinal disorder, Hostility, Hypersensitivity, Immune system disorder, Insomnia, Lethargy, Mental retardation severity unspecified, Nervous system disorder, Pyrexia, Rash, Viral infection, Vomiting
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Angioedema (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Dementia (broad), Convulsions (narrow), Pseudomembranous colitis (broad), Dystonia (broad), Psychosis and psychotic disorders (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hostility/aggression (narrow), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (broad), Depression (excl suicide and self injury) (broad), Generalised convulsive seizures following immunisation (narrow), Hypersensitivity (narrow), Noninfectious diarrhoea (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: ~Hep B (no brand name)~~0.00~In Sibling
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC Split Type:

Write-up: Lethargy of severe nature, rash, fever, poor immunity to minor ailments, seizures, loss of speech. All vaccines make him ill: fever, loose bowels, vomiting, lethargy, apathy, seizures, neuro deficit, allergies to foods, weird viruses ie. herpangina-after varicella shot. All reactions were reported-many ER visits ensued. Hep B-caused chronic rash-not responsive to any meds. Worst reaction was at age 2- almost died-regression, seizures, aggression, insomnia, lost ability to speak, stopped walking. Diagnosis was autism and mental retardation. He was healthy and normal at birth-was a premie but only needed one week hospital stay following birth. The shots have caused neurological, immunological, digestive and developmental problems-he will never recover and there is no cure. The medical record received on 3/23/04 states autism, mental retardation, behavior problems, ADHD, sleep problems and self injury.


VAERS ID: 225506 (history)  
Age: 6.0  
Gender: Male  
Location: Colorado  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 2004-08-07
Entered: 2004-08-17
   Days after submission:10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (TRIPEDIA) / SANOFI PASTEUR U1028CA / 3 RL / -
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 1103M / 3 LL / -
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 0123P / 0 LL / -
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0810N / 0 RA / -
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 1351N / 0 LA / -

Administered by: Public       Purchased by: Public
Symptoms: Dysphagia, Lymphadenopathy
SMQs:, Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC Split Type:

Write-up: Nontender, swollen anterior and posterior cervicle nodes, began the evening vaccine administered, enlarged over 203 days, have remained same size for past 2 days. (+) Dysphagia, neck with FROM, no headaches. Largest node 3x4cm, post 2x4cm.


VAERS ID: 232369 (history)  
Age: 6.0  
Gender: Female  
Location: Alabama  
Vaccinated:2000-09-05
Onset:2000-09-15
   Days after vaccination:10
Submitted: 2005-01-14
   Days after onset:1582
Entered: 2005-01-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (NO BRAND NAME) / UNKNOWN MANUFACTURER 922A / - UN / -
IPV: POLIO VIRUS, INACT. (IPOL) / SANOFI PASTEUR T0025 / - - / -
MMR: MEASLES + MUMPS + RUBELLA (NO BRAND NAME) / UNKNOWN MANUFACTURER 0998K / 1 UN / -

Administered by: Unknown       Purchased by: Unknown
Symptoms: Coma, Convulsion, Encephalitis, Encephalopathy, Immune system disorder, Laboratory test abnormal, Nystagmus, Pyrexia, Vomiting
SMQs:, Acute pancreatitis (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Convulsions (narrow), Noninfectious encephalitis (narrow), Noninfectious encephalopathy/delirium (narrow), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad), Ocular motility disorders (narrow), Generalised convulsive seizures following immunisation (narrow), Chronic kidney disease (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 17 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: Lumbar puncture on 10-8-00 with 315 WBC (66% segs, 21% lymphs, 12% monos, 1% eos), 20 RBC, protein 100, glu 71. All cultures negative. Neg PCR for herpes, enterovirus MRI performed on October 11, 2000, showed white matter abnormalities in the left cerebellum and left centrum semiovale, as well as gray matter abnormalities in the left occipital and parietal cortex. No comment was made of abnormalities in deep, gray matter. Repeat MRI performed on October 18, 2000, showed increased enhancement in the second scan. EEG showed generalized slowing.
CDC Split Type:

Write-up: Pt developed fever 10 days after immunization, then had fever for 21 days, hospitalized 10-4-00 then transferred to another hospital on 10-8-00 due to seizures and encephalopathy. MRI showed white matter changes consistent with acute disseminated encephalomyelitis (ADEM). Pt treated with Solumedrol (20 mg/kg x 5 day) then prednisone taper. Improved markedly on steroids. Returned to baseline. Developed complex partial seizures in April 2004, is now on Lamictal and seizure-free but school performance has declined. Discharge Summary received on 3/11/2005 states nystagmus, vomiting, autoimmune disorder, and unresponsive.


VAERS ID: 289133 (history)  
Age: 6.0  
Gender: Male  
Location: Indiana  
Vaccinated:2007-08-14
Onset:0000-00-00
Submitted: 2007-08-20
Entered: 2007-08-27
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (INFANRIX) / GLAXOSMITHKLINE BIOLOGICALS AC14B044AA / 4 RL / IM
IPV: POLIO VIRUS, INACT. (IPOL) / SANOFI PASTEUR Z1069 / 3 LL / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 02836 / 1 LL / IM

Administered by: Other       Purchased by: Public
Symptoms: Lymphadenopathy, Pain, Rash
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data:
CDC Split Type:

Write-up: Went to ED 8/16/07 - Pain and rash started 8/15/07 enlarging with increasing redness right thigh, 2 enlarged lymph nodes. Keflex 250mg/5ml give TID x 10 days.


VAERS ID: 292655 (history)  
Age: 6.0  
Gender: Female  
Location: Michigan  
Vaccinated:2007-10-02
Onset:2007-10-03
   Days after vaccination:1
Submitted: 2007-10-05
   Days after onset:2
Entered: 2007-10-10
   Days after submission:5
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0284U / 1 LA / UN
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 1177U / 1 RA / UN

Administered by: Private       Purchased by: Other
Symptoms: Chest pain, Culture throat negative, Headache, Lymphadenopathy, Muscle twitching, Neck pain, Pyrexia, Tremor, Urine analysis normal
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dyskinesia (broad), Dystonia (broad), Parkinson-like events (broad), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Arthritis (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

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 physical
Preexisting Conditions: Milk when younger (drunks now)
Diagnostic Lab Data: Ran U/A, and Throat cultures - both neg.
CDC Split Type:

Write-up: Pt was fine prior to vaccines. After developed high fever 105, shaking, twitching, complained of severe head and neck pain, also chest pain. Symptoms lasted around 36 hrs. Gave pt Tylenol, Motrin, fluids. Tylenol and Motrin given around the clock to keep fever down. Also next day swollen neck glands and red throat was noted by physician.


VAERS ID: 388264 (history)  
Age: 6.0  
Gender: Male  
Location: Unknown  
Vaccinated:2009-07-20
Onset:2009-07-25
   Days after vaccination:5
Submitted: 2010-05-14
   Days after onset:293
Entered: 2010-05-18
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / - UN / UN

Administered by: Other       Purchased by: Other
Symptoms: Body temperature increased, Lymphadenopathy, Measles, Measles antibody negative, Pyrexia, Rash generalised
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (narrow)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: Penicillin allergy
Preexisting Conditions:
Diagnostic Lab Data: Diagnostic laboratory, measles rash; Body temp, 103 degree; Body temp, 102 degree; Body temp, 100 degree
CDC Split Type: WAES0908USA01535

Write-up: Information has been received from a consumer concerning her a 6 year old son with allergic to penicillin and ''sephacillin''s" and no medical history who on 20-JUL-2009 was vaccinated with single dose of MMR II. There was no concomitant medication. On 25-Jul-2009 the patient developed a rash on his legs, arms and a slight rash on his trunk, had swollen lymph nodes that last about 24 to 48 hours and had a 103 degree fever for about three days. The patient saw his physician who did a blood test and a flu test and was told that the rash was a measles rash. The patient has been to the physician''s office about four times now and was running a 100 degree to 102 degree fever on and off now for about two weeks. The patient had not recovered. Follow-up information has been received from the consumer who reported that tests had confirmed that her son did not have immunity to mumps. She also stated that he did have immunity to Rubella and that they are waiting on the test results regarding Measles. No further information is available.


VAERS ID: 426662 (history)  
Age: 6.0  
Gender: Female  
Location: Vermont  
Vaccinated:2011-06-17
Onset:2011-06-27
   Days after vaccination:10
Submitted: 2011-06-29
   Days after onset:2
Entered: 2011-07-05
   Days after submission:6
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0409Z / 0 UN / SC

Administered by: Private       Purchased by: Public
Symptoms: Arthralgia, Lymphadenopathy, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arthritis (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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:

Write-up: 10 days after vaccine developed fever 0f 101-102. Swollen glands at neck - achey joints.


VAERS ID: 534761 (history)  
Age: 6.0  
Gender: Male  
Location: Iowa  
Vaccinated:2014-06-05
Onset:2014-06-16
   Days after vaccination:11
Submitted: 2014-06-23
   Days after onset:7
Entered: 2014-06-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. J007156 / 0 RA / IM

Administered by: Private       Purchased by: Private
Symptoms: Lymphadenopathy, Mumps antibody test negative, Neck mass
SMQs:, Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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: Mumps Ab, IgM results 0.30 IV Negative for active infection
CDC Split Type:

Write-up: Lumps on front and back of neck. Dx: Lymphadenopathy. Amoxicillin 40 mg/5 ml take 10 ml BID. *Pt was seen at express care.


VAERS ID: 567304 (history)  
Age: 6.0  
Gender: Male  
Location: Arizona  
Vaccinated:2015-02-17
Onset:2015-02-25
   Days after vaccination:8
Submitted: 2015-02-27
   Days after onset:2
Entered: 2015-02-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
IPV: POLIO VIRUS, INACT. (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - - / -
MMR: MEASLES + MUMPS + RUBELLA (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - - / -

Administered by: Unknown       Purchased by: Other
Symptoms: Local swelling, Lymphadenopathy, Pyrexia, Tenderness
SMQs:, Angioedema (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Children''s chewable vitamin (taken daily for a at least 6 months prior to vaccine. The MMR was given at same time as final polio vaccine. I don''t know manufacturer. I am sure the office does.
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data:
CDC Split Type:

Write-up: For a couple of days after immunization low grade fever then on 25th complained of bump in groin that was tender. Child has firm swollen glands in both sides of neck and right side of groin. No other apparent side effects.


VAERS ID: 605860 (history)  
Age: 6.0  
Gender: Male  
Location: California  
Vaccinated:2015-03-05
Onset:2015-03-06
   Days after vaccination:1
Submitted: 2015-10-29
   Days after onset:236
Entered: 2015-10-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / 0 - / -

Administered by: Public       Purchased by: Other
Symptoms: Crying, Lymphadenopathy, Oropharyngeal pain, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Depression (excl suicide and self injury) (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: same symptoms~Measles + Mumps + Rubella (MMR II)~1~9.75~Sibling
Other Medications:
Current Illness: No
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Bad sore throat, 102.5 fever, swollen lymph nodes in neck. Lots of crying.


VAERS ID: 127255 (history)  
Age: 6.0  
Gender: Male  
Location: Foreign  
Vaccinated:1999-03-11
Onset:1999-04-13
   Days after vaccination:33
Submitted: 1999-08-11
   Days after onset:120
Entered: 1999-08-16
   Days after submission:5
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / - LA / -

Administered by: Unknown       Purchased by: Unknown
Symptoms: Anorexia, CSF test abnormal, Condition aggravated, Coordination abnormal, Delirium, Gait disturbance, Guillain-Barre syndrome, Headache, Hyporeflexia, Immune system disorder, Laboratory test abnormal, Myasthenic syndrome, Nausea, Nervousness, Pain, Photophobia, Pneumonia, Weight decreased
SMQs:, Acute pancreatitis (broad), Peripheral neuropathy (narrow), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (narrow), Dementia (broad), Malignancy related conditions (narrow), Parkinson-like events (broad), Guillain-Barre syndrome (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (narrow), Noninfectious meningitis (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Glaucoma (broad), Demyelination (narrow), Corneal disorders (broad), Eosinophilic pneumonia (broad), Retinal disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? No
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: unk
Current Illness:
Preexisting Conditions: hypokinesia since age 4yrs; pneumonia; varicella; papular exanthema
Diagnostic Lab Data: EEG-no cutaneous efflorescence of inject site; discrete reduction of coarse strength; CSF- dissociation cytoalbumin; serum test WNL; (+) IgG & IgM-Ab for HHV6 & chlamydia pneumonia; other blood tests WNL
CDC Split Type: WAES99080287

Write-up: approx 1mo p/vax pt hosp w/frontal h/a, photophobia, nocturnal calf cramps, excitations, gait unsteadiness; disgust for food w/nausea; weight loss;ataxia;dec strength; transient papular exanthema lower legs; dx w/GBS & chlamydia pneumonia


VAERS ID: 262989 (history)  
Age: 6.0  
Gender: Male  
Location: Foreign  
Vaccinated:2005-08-25
Onset:2005-09-10
   Days after vaccination:16
Submitted: 2006-09-11
   Days after onset:366
Entered: 2006-09-13
   Days after submission:2
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - RA / IM
IPV: POLIO VIRUS, INACT. (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - RA / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / - LA / SC

Administered by: Unknown       Purchased by: Unknown
Symptoms: Anorexia, Blister, Dermatitis exfoliative, Dry mouth, Erythema, Laboratory test abnormal, Lymphadenopathy, Mucous membrane disorder, Musculoskeletal stiffness, Pain, Pemphigus, Pharyngitis, Pyrexia, Red blood cell sedimentation rate decreased, Respiratory tract infection, Stevens-Johnson syndrome, Tonsillitis, Viral infection
SMQs:, Severe cutaneous adverse reactions (narrow), Anaphylactic reaction (broad), Agranulocytosis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dystonia (broad), Parkinson-like events (broad), Oropharyngeal infections (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Hypersensitivity (narrow), Arthritis (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (narrow)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 0 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: Diagnostic lab test sample one present of fairly new infection 9/10/05, sample two no further rise in antibody levels, all other antibody test were negative, Monosticon negative, M group mycoplasma antibodies positive, WBC count 11.0, serum C reactive protein <5, throat culture negative, erythrocyte sedimentation rate low, blood culture negative, urine culture negative,
CDC Split Type: WAES0602USA04404

Write-up: Information has been received from a health authority concerning a 6 year old male with no reported medical history, who on 8/25/05 was vaccinated SC with a dose of MMR II. Secondary suspect vaccination included a dose of diphtheria toxoid+ pertussis acellular 2 component vaccine + poliovirus vaccine inactivated + tetanus toxoid (Tetravac) given IM. On 9/10/05, 16 days after the vaccinations, the pt developed Stevens Johnson syndrome and was hospitalized. The aetiological factor was thought to be a mycoplasma infection, because sample one suggested the presence of a fairly new infection. Sample two revealed no further rise in antibody levels. All other antibody test were negative. Subsequently, the pt recovered. Additional information received on 8/28/06 from the health authority reported that the MMR batch number was NA16550 and the DTaP/IPV (Tetravac) batch number was 40985. Follow up information was received on 8/31/06 from hospital records. The final evaluation indicated that the diagnosis was Stevens Johnson syndrome and mycoplasma infection. The MMR II vaccine was given in the left shoulder and the DTaP/IPV was given in the right shoulder. A basically healthy boy was referred from an emergency clinic to the hospital due to pharyngitis and painful swollen glands in the neck and underarms. The pt was hospitalized from 9/11/2005 until 9/19/2005. The onset of symptoms began on 9/10/05, loss of appetite and soreness in the underarms,neck and groin. The pt did not experience fever. A throat culture was taken in the referring unit and was negative; Monosticon was negative, the CRP was under 5, leukocytes were 11. When the boy arrived at the hospital he seemed to be in pain, no fever, swollen glands in the neck and thick green cover on the right tonsil. He also had swollen glands in the groin area. He had broken skin in the right armpit and erythema in the left armpit. Erythema also in the neck and groin areas. The skin at the corners of the mouth were broken and his lips were dry. A blood culture was taken and treatment with IV fluids and cefuroxime antibiotics were initiated (11-14 SEP 2005). The initial working diagnosis was mononucleosis. Thorax and sinus images were clean. It was reported that the pain continued after he was admitted and he had a mild fever. Erythrodermia expanded and covered his skin entirely, the mucosal membrane of his lips was broken, there was redness in the entire mouth and the mucosal membranes were swollen. The pt has pemphigus type blisters on his forehead. His anal region and genitals were unaffected. The pts neck was stiff and a CSF sample was taken but was clean. The pt was diagnosed with Stevens Johnson syndrome due to skin and mucosal membrane symptoms. IV methylprednisolone (Solumedrol) treatment was initiated after which the clinical situation began to calm down quickly. In addition, treatment with acyclovir (Acyrax) was initiated. The pt was also given azithromycin (Zithromax) perorally for three days due to the possible mycoplasma etiology. The pts skin started calming down after the cortisone treatment was initiated and the pts general condition improved. The abdominal ultrasound was normal, herpes antigen was negative and acyclovir (Acyrax) was discontinued. The CRP value stayed low and the sedimentation rate was low as well (9-14). The pt was sent home for a break on 9/16/05 and was readmitted to the hospital on 9/19/05. At the time of readmittance, the pt no longer had nay erythrodermia, no new blisters, all of his old blisters were completely dried up and because of this the skin in the underarm, groin and forehead were flaking. No general symptoms were present. In Etiological test, fecal virus electron microscopy proved negative. No findings in CSF of virus antibody package and CSF picorna PCR was negative. Also, CSF herpes PCR was negative. Blood culture and urine culture were negative. Streptodornase and ASO low, and also tularemia antibodies were negative. Toxoplasma and Epstein B


VAERS ID: 490011 (history)  
Age: 6.0  
Gender: Unknown  
Location: Foreign  
Vaccinated:2013-03-18
Onset:2013-03-18
   Days after vaccination:0
Submitted: 2013-04-24
   Days after onset:37
Entered: 2013-04-25
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (TRIPEDIA) / SANOFI PASTEUR C4007AK / - RA / IM
OPV: POLIO VIRUS, ORAL (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - - / PO

Administered by: Unknown       Purchased by: Unknown
Symptoms: Injection site erythema, Injection site oedema, Injection site pain, Injection site reaction, Lymph node palpable, Lymphadenopathy, Wound
SMQs:, Accidents and injuries (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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: The patient''s past medical history was not reported.
Diagnostic Lab Data: Not reported.
CDC Split Type: 201305151

Write-up: Initial report received from the Health Authority on 15 April 2013, under the reference number PL-URPL-N391/2013. A six-year-old patient (gender not reported) received a right arm intramuscular injection of TRIPACEL, Sanofi Pasteur Ltd., lot number C4007AK, unit dose 0.5 milliliters (dose in series not reported); and (reported as concomitant vaccine), an oral dose of POLIO SABIN Oral (OPV), other manufacturer, (lot number and dose in series not reported) on 18 March 2013 at 5:20pm. On same day, 18 March 2013 at 7:00pm, the patient experienced an intensified injection site reaction, more than 10 centimeters (cm) in diameter, which lasted for more than three days, including painfulness, enlargement of regional lymph nodes with palpable axillary lymph node. According to doctor reporter narrative, the patient had right upper limb oedema from upper elbow area to epiphysis of humeral bone, redness and painfulness; and a visible puncture site. One single enlarged axillary lymph node was approximately (approx.) 0.5 cm. The patient''s past medical history was not reported. Laboratory or diagnostic testing or treatments were not reported. The patient''s outcome was reported as full recovery on unspecified date. According to the reporter''s comments, Simultaneous vaccination with OPV did not have an impact on adverse post vaccine reaction occurrence. Child was under constant care of "allergologist". The patient had an outpatient clinic visit on 20 March 2013, for "local reaction, pain and oedema, redness up to humeral joint, without fever". The patient was not hospitalized. According to sender''s comments, "Large reactions at the injection site are mostly related with administration of boosters contained pertussis component. It was not reported which dose it was, the age of the child indicates that it was a booster (V dose). Large oedema, painfulness, and redness of the limb are expected reaction for TRIPACEL. Painfulness and enlargement of axillary lymph nodes are unexpected reaction, although in the WHO data base, 28 case of enlargement of lymph nodes and six painfulness of lymph nodes were reported since 2000-2011". Documents held by sender: None.


VAERS ID: 499567 (history)  
Age: 6.0  
Gender: Male  
Location: Foreign  
Vaccinated:2013-05-22
Onset:0000-00-00
Submitted: 2013-08-15
Entered: 2013-08-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. J000583 / 0 UN / UN
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1487AA / 1 UN / UN

Administered by: Other       Purchased by: Other
Symptoms: Abscess, Abscess drainage, Bacterial test positive, Body temperature increased, C-reactive protein increased, Inflammation, Lymphadenitis, Lymphadenopathy, Oedema, Pyrexia, Smear test, Staphylococcal abscess, Surgery
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? Yes, 14 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: No other medications
Current Illness: Unknown
Preexisting Conditions:
Diagnostic Lab Data: Body temperature: 39 grade Celsius; Histology: reactive lymphadenitis; C-reactive protein (26-MAY-2013): 9.2
CDC Split Type: WAES1308SVN006257

Write-up: This is a spontaneous case report received from a pediatrician and concerns a 6 year old male patient who received MMRVAXPRO, batch number H002960, lot number 1487AA (as second revaccination) and HBVAXPRO, batch/lot number J000583 (as the first dose), concomitantly, on 22 May 2013. On 26 May 2013 his parents noticed oedema below right lower jaw and they took him to the emergency department. He did not have elevated body temperature, laboratory results showed CRP was 9.2. The child was prescribed OSPEN. On 30 May 2013 no improvement was seen, so he was taken to the hospital again. Apart from enlarged lymph nodes (2.5x1.5 cm) in the right submandibular area and slightly increased inflammatory parameters, no other pathology was revealed. The child was given AMOKSIKLAV i.v. and this time he was hospitalised. During hospitalisation, which lasted until 12 June 2013, increased body temperature was measured (up to 39 grade Celsius). The child underwent surgery. Incision of enlarged lymph code revealed abscess, drainage was assured and abscess smear was taken. Bacterial culture showed presence of S. aureus and the patient''s therapy was changed with clindamycin. Afterwards, the fever abated and inflammatory parameters began to decline. Lymph node histology result showed reactive lymphadenitis. The child completely recovered from the events on 12 June 2013. No further data on the case was provided by the reporting physician.


VAERS ID: 499723 (history)  
Age: 6.0  
Gender: Male  
Location: Foreign  
Vaccinated:2013-05-22
Onset:2013-05-26
   Days after vaccination:4
Submitted: 2013-08-19
   Days after onset:85
Entered: 2013-08-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (FOREIGN) / MERCK & CO. INC. J000583 / 0 UN / UN
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1487AA / 1 UN / UN

Administered by: Other       Purchased by: Other
Symptoms: Abscess drainage, Bacterial test positive, Body temperature increased, C-reactive protein, Histology abnormal, Inflammatory marker increased, Lymph node abscess, Lymphadenitis, Lymphadenopathy, Oedema, Staphylococcus test positive
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Neuroleptic malignant syndrome (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? Yes, 12 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: No other medications
Current Illness: Unknown
Preexisting Conditions:
Diagnostic Lab Data: In June 2013 body temperature was 39 degrees C, increased; 06/2013, Bacterial test, showed presence of S. aureus; 05/2013, Body temperature, did not have elevated body temperature; 06/2013, Body temperature, 39 degrees C, increased; 05/26/2013, C-reactive protein, 9.2 not provided; 06/2013, Histology, reactive lymphadenitis
CDC Split Type: WAES1308SVN006494

Write-up: This is a spontaneous case report received from a pediatrician via agency concerning a 6 year old male patient who received MMRVAXPRO (Batch# H002960, Lot# 1487AA) as second revaccination and HBVAXPRO (Lot/Batch# J000583) as the first dose, concomitantly, on 22-MAY-2013. On 26-MAY-2013 his parents noticed oedema below right lower jaw and they took him to the emergency department. He did not have elevated body temperature and laboratory results showed C-reactive protein (CRP) was 9.2. The child was prescribed OSPEN (component unspecified). On 30-MAY-2013 no improvement was seen, so he was taken to the hospital again. Apart from enlarged lymph nodes (2.5x1.5 cm) in the right submandibular area and slightly increased inflammatory parameters, no other pathology was revealed. The child was given AMOKSIKLAV intravenously (i.v.) and this time he was hospitalized. During hospitalisation, which lasted until 12-JUN-2013, increased body temperature was measured (up to 39 grade Celsius). The child underwent surgery. Incision of enlarge lymph node revealed abscess, drainage was assured and abscess smear was taken. Bacterial culture showed presence of S. aureus and the patient''s therapy was changed to clindamycin. Afterwards, the fever abated and inflammatory parameters began to decline. Lymph node histology result showed reactive lymphadenitis. The child completely recovered from the events on 12-JUN-2013. Upon internal review, incision of the lymph node abscess was determined to be medial significant. Additional information is not expected.


VAERS ID: 41305 (history)  
Age: 7.0  
Gender: Female  
Location: Virginia  
Vaccinated:1992-03-23
Onset:1992-03-27
   Days after vaccination:4
Submitted: 1992-03-27
   Days after onset:0
Entered: 1992-04-20
   Days after submission:23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 0654 / 4 - / PO
TD: TD ADSORBED (NO BRAND NAME) / CONNAUGHT LABORATORIES 1K31145 / 4 - / IM A

Administered by: Public       Purchased by: Public
Symptoms: Lymphadenopathy, Pruritus, Rash
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: APAP; PPD recvd 20MAR92;
Current Illness: sore throat, t99
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC Split Type: VA92034

Write-up: Generalized body rash, small swollen gland lt ear, since 7AM 27MAR92; total body rash, fine-"head to toe" w/itching; denies SOB, dyspnea;


VAERS ID: 89569 (history)  
Age: 7.0  
Gender: Female  
Location: Texas  
Vaccinated:1996-08-15
Onset:1996-08-21
   Days after vaccination:6
Submitted: 1996-08-28
   Days after onset:7
Entered: 1996-09-04
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 - / -

Administered by: Other       Purchased by: Private
Symptoms: Infection, Insomnia, Lymphadenopathy, Lymphocytosis, Pain, Pharyngitis, Weight decreased
SMQs:, Agranulocytosis (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Oropharyngeal infections (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (narrow)

Life Threatening? Yes
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: Blood test for mono test negative;
CDC Split Type:

Write-up: approx 1 wk p/vax pt exp swollen glands in neck, cheek & under jaw;MD dx strep or throat infect;rx ATB could not eat or drink w/o pain;another MD dx mononucleosis could not sleep or rest;pt loss 7lbs;


VAERS ID: 113654 (history)  
Age: 7.0  
Gender: Male  
Location: Indiana  
Vaccinated:1998-08-10
Onset:1998-08-17
   Days after vaccination:7
Submitted: 1998-08-26
   Days after onset:9
Entered: 1998-08-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1593E / 1 LA / -

Administered by: Public       Purchased by: Public
Symptoms: Arthralgia, Leukocytosis, Lymphadenopathy, Lymphocytosis, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arthritis (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: CBC elevated lymphorcyte & monocyte;IGG negative;mono spot & strep scream negative;
CDC Split Type: IN98024

Write-up: mom described the child as having joint pain, low grade fever & swollen glands;described as looking like a chipmunk;child taken to pvt MD;


VAERS ID: 493012 (history)  
Age: 7.0  
Gender: Male  
Location: Unknown  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 2013-06-01
Entered: 2013-06-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - UN / UN
HEP: HEP B (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - UN / UN
HIBV: HIB (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - UN / UN
IPV: POLIO VIRUS, INACT. (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - UN / UN
MMR: MEASLES + MUMPS + RUBELLA (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - UN / UN
VARCEL: VARICELLA (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - UN / UN

Administered by: Other       Purchased by: Other
Symptoms: Antibody test negative, Antinuclear antibody positive, Arthralgia, Arthritis bacterial, Aspiration joint, Bacteraemia, Biopsy bone normal, Blood culture positive, Blood immunoglobulin G normal, Body temperature increased, Bone marrow oedema, C-reactive protein increased, CD4 lymphocytes, CD8 lymphocytes, Clostridium test negative, Culture negative, Differential white blood cell count normal, Full blood count normal, Gait disturbance, Haemophilus infection, Haemophilus test positive, Hepatitis B antibody negative, Immune system disorder, Immunoglobulins normal, Joint effusion, Lymphocyte count normal, Measles antibody negative, Mumps antibody test negative, Musculoskeletal discomfort, Natural killer cell count, Nuclear magnetic resonance imaging abnormal, Osteomyelitis, Rubella antibody negative, T-lymphocyte count normal, Tenderness, Urine analysis normal, Weight bearing difficulty
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (narrow), Anticholinergic syndrome (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Osteonecrosis (broad), Arthritis (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

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:
Current Illness: Prophylaxis
Preexisting Conditions: Central venous catheter removal; Central venous catheterisation; Acute lymphocytic leukaemia recurrent, Diagnosed at the age of 2 years and was treated per chemotherapy protocol, he had been in complete remission for more than 1 year; Chemotherapy at the age of 2 years and was treated per chemotherapy protocol COG-AALL0331 and at 4 years of age he received additional treatment per chemotherapy protocol COG-AALL02P2; Femur fracture healed after closed reduction and casting
Diagnostic Lab Data: Blood cultures in clinic revealed Gram-negative diplococci; Body temperature: 100.2 degrees F (elevated); Physical examination (date unspecified): the patient was afebrile with normal vital signs, unremarkable except for tenderness to palpation in the right groin without warmth, swelling or erythema; Range of motion at the hip was normal, although there was discomfort with extension and abduction of the right leg; The gait was antalgic, favoring the left side. Complete blood count and manual differential (date unspecified): within normal limits. Urinalysis (date unspecified): Normal; Magnetic resonance imaging (MRI) of right hip (date unspecified): a large right hip joint effusion and bone marrow edema of the femoral neck that was interpret
CDC Split Type: WAES1305USA016104

Write-up: This literature marketed report was received from a physician concerning to a 7 year old male patient with a history of recurrent acute lymphoblastic leukemia (ALL) which was initially diagnosed at the age of 2 years and was treated per chemotherapy protocol COG-AALL0331. He was then in remission for more than 1 year until he relapsed at 4 years of age and received treatment per chemotherapy protocol COG-AALL02P2. The medical history of the patient included femur fracture that healed after closed reduction and casting and insertion and subsequent removal of a port-a-cath. Family history is noncontributory. There was no recent history of nausea, vomiting, diarrhea, cough, ear pain, dysuria, weakness, malaise, confusion, or syncope. In addition, there was no recent history of travel or camping, no known sick contacts, and no known trauma. The patient had received all recommended vaccines up to 18 months of age according to the Centers for Disease Control and Preventions Advisory Committee on Immunization Practices recommended schedule. On an unknown date, the patient was vaccinated with MMR (manufacturer unknown) 1 dose (lot number, expiry date, dose and route unspecified), Hib (manufacturer unknown) 4 doses (lot number, expiry date, dose and route unspecified), varicella virus vaccine live (manufacturer unknown) 1 dose (lot number, expiry date, dose and route unspecified) and Hep B Vaccine (manufacturer unknown) 3 doses (lot number, expiry date, dose and route unspecified). Concomitant therapies included DTP (manufacturer unknown) 4 doses, IPV (manufacturer unknown) 3 doses. All the vaccines were given more than 6 month before his diagnosis of ALL. Varicella-Zoster Virus (VZV) immunity was documented before initiation of chemotherapy, although anti-Hib antibody testing was not performed before chemotherapy. On an unknown date, the patient presented to his primary care pediatrician clinic with a 2-day history of worsening right hip pain with weight-bearing activities. 6 days previously, the patient had a single elevated temperature of 100.2 degree Fahrenheit (F), which resolved the same day and he had since remained afebrile. The patient was transferred to the hospital for admission and started on intravenous (IV) antibiotics for Gram-negative diplococci revealed by blood cultures. On physical examination the patient was afebrile with normal vital signs. The physical examination was unremarkable except for tenderness to palpation in the right groin without warmth, swelling or erythema. Range of motion at the hip was normal, although there was discomfort with extension and abduction of the right leg. The gait was antalgic, favoring the left side. The complete blood count and manual differential were within normal limits. The urine analysis was normal and patient''s serum C-reactive protein was elevated at 7.0 mg/dl. Magnetic resonance imaging (MRI) of right hip showed a large right hip joint effusion and bone marrow edema of the femoral neck that was interpreted as suspicious for osteomyelitis and septic arthritis. Arthrocentesis of the right hip and bone biopsy of the femoral neck revealed no pathologic evidence of malignancy and minimally inflammatory joint fluid (3100 white blood cells per cubic millimeter). Although cultures (after initiation of antibiotics) were negative, osteomyelitis was presumed to be the cause of bone marrow edema. After 6 days of improvement in the patient''s symptoms and a decrease in his C-reactive protein, the patient was discharged to home to complete 10 days of IV antibiotic therapy followed by another 32 days of oral therapy. The pathogen on the initial blood cultures was identified as Hib. The patient returned to clinic, and titers were drawn to assess his immunity to previous vaccinations. The patient had negative serum IgG for varicella zoster virus (VZV), measles, hepatitis B, tetanus, pertussis, and diphtheria, although he did still retain evidence of immunity to polio, with titers of 1:8 (poli


VAERS ID: 547921 (history)  
Age: 7.0  
Gender: Female  
Location: Unknown  
Vaccinated:2013-12-04
Onset:0000-00-00
Submitted: 2014-10-07
Entered: 2014-10-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / - UN / SC

Administered by: Other       Purchased by: Other
Symptoms: Breast enlargement, Lymphadenopathy
SMQs:, Lipodystrophy (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
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: WAES1410USA002041

Write-up: This spontaneous report as received from a nurse practitioner via field representative refers to a female patient of unknown date. No pertinent history was reported. On 04-DEC-2013 (also reported as 05-DEC-2013) the patient was vaccinated with MMR II 1 single shot for the prevention of MMR II. Concomitant medications was reported as none. On an unknown date, the patient experienced lymph node enlargement in the sub occipital region on the left side of her neck and on the left auxillary, mammary gland enlargement on the left side and the lymph nodes in the post cervical region was enlarged. Patient sought medical attention. No treatment was given. The outcome of events was reported as recovered on an unknown date. Causality assessment was not provided by the reporter. No Product Quality Complaint (PQC) was involved. Additional information has been requested.


VAERS ID: 567875 (history)  
Age: 7.0  
Gender: Male  
Location: Michigan  
Vaccinated:2015-02-19
Onset:2015-02-26
   Days after vaccination:7
Submitted: 2015-03-03
   Days after onset:5
Entered: 2015-03-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 0 RA / SC

Administered by: Private       Purchased by: Private
Symptoms: Abnormal behaviour, Axillary pain, Body temperature increased, Chills, Fatigue, Lymphadenopathy, Pain in extremity, Skin warm
SMQs:, Neuroleptic malignant syndrome (broad), Dementia (broad), Psychosis and psychotic disorders (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Hostility/aggression (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: No, he was having ear wax removed at an appointment, but not ill.
Preexisting Conditions: None
Diagnostic Lab Data:
CDC Split Type:

Write-up: Complained starting on Monday of arm pit pain....continued saying it bothered him on and off for the next 3-4 days---I did not notice anything apparent when I looked at it, but am suspecting swollen gland. On March 2, 2014 patient started getting the chills and complained of fatigue. On March 3 he complained that his legs ached and were sore. He felt warm to the touch and complained of the chills and was not playing as he normally does. I checked his temperature at 1:00 PM and it was 100.4 F axillary. At that point I called the doctor to report.


VAERS ID: 72144 (history)  
Age: 7.0  
Gender: Female  
Location: Foreign  
Vaccinated:1994-12-12
Onset:0000-00-00
Submitted: 1995-03-13
Entered: 1995-03-21
   Days after submission:8
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / - - / IM
TD: TD ADSORBED (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - - / IM

Administered by: Unknown       Purchased by: Unknown
Symptoms: Injection site hypersensitivity, Injection site oedema, Laboratory test abnormal, Leukocytosis, Lymphadenopathy, Vasodilatation
SMQs:, Neuroleptic malignant syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: no relevant hx
Diagnostic Lab Data: C Reactive 1.8 MG/dl;WBC count 13900,all in dec94;
CDC Split Type: WAES95030302

Write-up: pt recvd vax;devel swelling,redness & hyperthermia on rt upper arm;swelling of axillary lymph node;pt hosp;lab eval revealed leukocytes w/ WBC to 13900;tx w/ "Rivanol-compresses",sxs abated;exps poss related to vax;


VAERS ID: 499209 (history)  
Age: 7.0  
Gender: Female  
Location: Foreign  
Vaccinated:2013-06-17
Onset:2013-06-19
   Days after vaccination:2
Submitted: 2013-08-12
   Days after onset:54
Entered: 2013-08-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPAB: HEP A + HEP B (TWINRIX) / GLAXOSMITHKLINE BIOLOGICALS AHABB258BI / 1 LA / IM

Administered by: Other       Purchased by: Other
Symptoms: Erysipelas, Erythema, Lymphadenopathy
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Unknown
Preexisting Conditions:
Diagnostic Lab Data: UNK
CDC Split Type: D0080260A

Write-up: This case was reported by a pharmacist (subject''s mother) and described the occurrence of erysipelas in a 7-year-old female subject who was vaccinated with TWINRIX PEDIATRIC (GlaxoSmithKline). Historic vaccination included TWINRIX PEDIATRIC (GlaxoSmithKline) given on 22 May 2013. On 17 June 2013 the subject received 2nd dose of TWINRIX PEDIATRIC (unknown route and application site). Shortly afterwards the subject experienced swelling behind ears and after one week erythema which was spreading to forehead. At the time of reporting, on 25 June 2013, the outcome of the events was unspecified. Follow-up information was received on 06 August 2013 from pharmacist. The subject had no underlying or concurrent medical conditions or other risk factors and received no concomitant medication. On 17 June 2013 the subject received 2nd dose of TWINRIX PEDIATRIC 9intramuscular, left deltoid). On 19 June 2013, 2 days after vaccination with TWINRIX PEDIATRIC, the subject experienced swollen lymph node behind ear. On 22 June 2013 the subject experienced erythema (ear, forehead and head) which was diagnosed as erysipelas. This case was assessed as medically serious by GSK. The subject was treated with Antibiotic. Swollen lymph node was resolved on 9 July 2013 and erythema/erysipelas on 04 July 2013. The pharmacist considered swollen lymph node was possibly related to vaccination with TWINRIX PEDIATRIC and erythema/erysipelas were unlikely related to vaccination with TWINRIX PEDIATRIC. No further information will be available.


VAERS ID: 34806 (history)  
Age: 8.0  
Gender: Male  
Location: Washington  
Vaccinated:1991-08-05
Onset:1991-08-08
   Days after vaccination:3
Submitted: 1991-08-21
   Days after onset:13
Entered: 1991-09-17
   Days after submission:27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1910S / 1 LA / IM

Administered by: Military       Purchased by: Military
Symptoms: Conjunctivitis, Lymphadenopathy, Pyrexia, Rash
SMQs:, Severe cutaneous adverse reactions (broad), Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Conjunctival disorders (narrow), Ocular infections (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (narrow)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC Split Type: WA91611

Write-up: t102 on 8AUG91, conjunctivitis & post cervical adenopathy present, as well as rash; recovered by 16AUG91


VAERS ID: 34852 (history)  
Age: 8.0  
Gender: Female  
Location: New Mexico  
Vaccinated:1990-08-23
Onset:1990-09-02
   Days after vaccination:10
Submitted: 1991-07-20
   Days after onset:321
Entered: 1991-09-19
   Days after submission:61
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1039S / 0 - / SC A

Administered by: Other       Purchased by: Other
Symptoms: Abdominal pain, Lymphadenopathy
SMQs:, Acute pancreatitis (broad), Retroperitoneal fibrosis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications:
Current Illness: NONE
Preexisting Conditions: Asthma, allergic rhinitis, food allergies (milk, wheat)
Diagnostic Lab Data: Negative work up for septic process, appendicitis, hip disease, ovarian torsion, UTI w/normal hip xrays, ultrasound, blood counts, urine UA/C&S
CDC Split Type:

Write-up: Acute abdominal pain, lower rt abdomen, 4 days after all tests was believed to be inflammation of lymph nodes on intestine; tx ATB for 24 hrs;


VAERS ID: 36442 (history)  
Age: 8.0  
Gender: Female  
Location: Oregon  
Vaccinated:1991-10-29
Onset:1991-10-31
   Days after vaccination:2
Submitted: 1991-11-04
   Days after onset:4
Entered: 1991-11-15
   Days after submission:11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 308960 / 3 - / PO
TD: TD ADSORBED (NO BRAND NAME) / CONNAUGHT LABORATORIES 0K21046 / 4 LA / IM

Administered by: Public       Purchased by: Unknown
Symptoms: Injection site abscess, Injection site pain, Lymphadenopathy, Pharyngitis
SMQs:, Agranulocytosis (broad), Oropharyngeal infections (narrow), Extravasation events (injections, infusions and implants) (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC Split Type: OR9151

Write-up: Pt devel very sore arm @ inject site was seen by MD who dx sterile abscess @ inject site & lymphopharyngitis;


VAERS ID: 130258 (history)  
Age: 8.0  
Gender: Male  
Location: Illinois  
Vaccinated:1999-08-12
Onset:1999-08-24
   Days after vaccination:12
Submitted: 1999-08-26
   Days after onset:2
Entered: 1999-11-03
   Days after submission:69
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 2626A2 / 1 RA / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0794H / 1 LA / SC

Administered by: Private       Purchased by: Public
Symptoms: Blood amylase increased, Headache, Lymphadenopathy, Pain, Pyrexia
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (narrow)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: heart song (valve disorder) required @ birth;no problems now;
Diagnostic Lab Data: amylase 34;
CDC Split Type: IL99069

Write-up: p/vax pt devel swollen glands on lt;c/o pain on eating;temp elevated @ home but did not have thermometer;gave APAP;also c/o h/a;


VAERS ID: 203281 (history)  
Age: 8.0  
Gender: Male  
Location: Unknown  
Vaccinated:2003-04-25
Onset:2003-04-26
   Days after vaccination:1
Submitted: 2003-05-05
   Days after onset:9
Entered: 2003-05-19
   Days after submission:14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / GLAXOSMITHKLINE BIOLOGICALS 75306 / 0 LA / IM
TYP: TYPHOID VI POLYSACCHARIDE (TYPHIM VI) / SANOFI PASTEUR U15112 / 0 LA / IM

Administered by: Private       Purchased by: Private
Symptoms: Lymphadenopathy, Pruritus, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Cortizone cream
Current Illness: NONE
Preexisting Conditions: Possible seasonal allergies - per mother
Diagnostic Lab Data:
CDC Split Type:

Write-up: 24 hours post injection (4/25/03) Hepatitis A and Typhoid pt developed hives, itching on face and neck and mouth - swollen lymph nodes neck. Pt had yellow fever vax 4/17/03.


VAERS ID: 257078 (history)  
Age: 8.0  
Gender: Male  
Location: Foreign  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 2006-05-26
Entered: 2006-05-31
   Days after submission:5
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / - UN / -

Administered by: Unknown       Purchased by: Unknown
Symptoms: Asthenia, Bacterial infection, Balance disorder, Conjunctivitis, Convulsion, Depressed level of consciousness, Diarrhoea, Dysarthria, Dyskinesia, Dysphagia, Electroencephalogram abnormal, Encephalitis, Gait disturbance, Headache, Hemiparesis, Hypoxia, Immune system disorder, Laboratory test abnormal, Malaise, Myoclonus, Nephrotic syndrome, Neurological symptom, Ophthalmoplegia, Paraesthesia, Paralysis, Pharyngitis, Pyrexia, Rash maculo-papular, Renal disorder, Renal failure, Somnolence, Vasculitis, Viral infection
SMQs:, Rhabdomyolysis/myopathy (broad), Acute renal failure (narrow), Severe cutaneous adverse reactions (broad), Agranulocytosis (broad), Asthma/bronchospasm (broad), Peripheral neuropathy (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (narrow), Systemic lupus erythematosus (broad), 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), Dementia (broad), Convulsions (narrow), Pseudomembranous colitis (broad), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Dyskinesia (narrow), Parkinson-like events (broad), Oropharyngeal infections (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (narrow), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (narrow), Vestibular disorders (broad), Vasculitis (narrow), Conjunctival disorders (narrow), Ocular infections (broad), Ocular motility disorders (narrow), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (narrow), Chronic kidney disease (narrow), Hypersensitivity (narrow), Noninfectious diarrhoea (narrow), Tumour lysis syndrome (broad), Proteinuria (broad), Respiratory failure (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

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: Renal transplant, congenital nephrotic syndrome.
Diagnostic Lab Data: Chest X ray bilateral streaky shadowing, Electroencephalography rhythmic slow waves with intermittent focal sharp waves. JC virus PCR negative, measles virus strain wild type D8, computed axial tomography normal, magnetic resonance imaging progression in abn of right lentiform nucleus, changes in subthalmic nuclei, Rt cerebral peduncle, MRI altered signal in right basal ganglia, predominantly in the lentiform nucleus. Epstein Bar virus PCR Toxoplasma gondii PCR Cytomegalovirus PCR serum measles IgG antibody serum varicella zoster virus antibody herpes simplex virus culture and herpes simplex virus antigen test all negative.
CDC Split Type: WAES0605USA03372

Write-up: It was reported in a published article, title as stated above that an 8 year old male with a history of renal transplant as a result of congential nephrotic syndrome was vaccinated with a first dose of measles virus vaccine live (+) mumps virus vaccine live (+) rubella virus vaccine live (manufacturer unknown) at 10 months of age. On an unspecified date, he presented with headache and focal neurological signs (day 0). He had developed nephrotic syndrome in association with diffuse mesangial sclerosis at 7 months and at 18 months received a live related renal transplant. Post transplant induction therapy included anti lymphocyte globulin followed by maintenance cyclosporine, azathioprine and prednisolone. Seventy two days prior to neurological presentation, MMF was substituted for azathioprine to facilitate CsA withdrawal because of chronic allograft nephropathy. On day 44 he was treated with amoxicillin and clavulanic acid for pharyngitis. Five days later he was more unwell with fever, increasing drowsiness, diarrhea, bilateral conjunctivitis and a fleeting diffuse, maculopapular rash over his trunk, chest and arms. Chest X ray showed bilateral streaking shadowing for which he was treated with IV antibiotics. Six weeks later day 2, he presented with a weeks history of drowsiness, worsening right frontal headaches and unsteadiness. He was afebrile with a normal neurological examination. MMF was discontinued. On day 0, he was admitted with weakness of his left leg with associated paresthesia and myoclonic jerks. An initial computed tomography CT brain scan was normal and he was commenced empirically on cefotaxime, clarithromycin and acyclovir. By day 3, he had developed dysarthria, intermittent ophtalmophlegia and an evolving left hemiparesis with associated myoclonus. He suffered a generalized tonic clonic seizure and was commenced on phenytoin and sodium valproate. Electroencephalogram EEG showed rhythmic slow waves with intermittent focal sharp waves and magnetic resonance imaging MRI revealed altered signal in the right basal ganglia, predominantly in the lentiform nucleus. Laboratory indices of cerebrospinal fluid were unremarkable. Microscopy, bacterial culture, cryptococcal ag and CSF polymerase chain reaction PCR for herpes simplex virus, varicella zoster virus, entero viruses, cytomegalovirus, Epstein Bull virus, JC virus, Human herpes virus 6 and toxoplasma gondii were negative. By day 4, he required assisted ventilation for fluctuation conscious level and bulbar palsy. Repeat MRI showed marked progression in the abnormality of the right lentiform nucleus with new changes in the subthalmic nuclei, the right cerebral peduncle, the left basal ganglia and the medulla oblongata. Encephalitis, vasculitis or pediatric autoimmune neuropsychiatric disorders associated with streptococcal infection were considered. On day +10, a single dose of IVIG was commenced in view of slight elevation of markers of streptococcal infection. Clinical improvement coincided with this. He showed no further neurological deterioration, but required a tracheostomy on +12 for continuing bulbar palsy. On day 17 serum from day 1 tested measles immunoglobulin IgM positive and IgG equivocal. Sequential samples collected prior to IVIG, confirmed recent seroconversion. There was evidence of ongoing infection with measles RNA detected in multiple samples, including serum form day 44 later genotype as wild type measles virus strain D8. No CSF was available for measles PCR testing. CsA was discontinued. Intravenous ribavirin (33 mg/kg loading dose then 16 mg/kg 6 hourly for 4 days followed by 8 mg/kg 8 hourly was administered for 3 weeks. Despite this, measles RNA remained detectable in multiple clinical samples. Retrospective testing showed him to be seronegative for measles when transplanted despite a single dose of measles virus vaccine live (+) mumps virus vaccine live (+) rubella virus vaccine live (manufacturer unknown). Over the next 12 months, he ste


VAERS ID: 33451 (history)  
Age: 9.0  
Gender: Male  
Location: Virginia  
Vaccinated:1990-08-07
Onset:1990-08-17
   Days after vaccination:10
Submitted: 0000-00-00
Entered: 1991-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1503S / 1 - / -

Administered by: Unknown       Purchased by: Unknown
Symptoms: Lymphadenopathy, Oedema, Pruritus, Rash maculo-papular
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: Pt exp rash following 1st MMR vax~ ()~~~In patient
Other Medications: UNK
Current Illness:
Preexisting Conditions: No relevant hx
Diagnostic Lab Data: No relevant data
CDC Split Type: WAES90080831

Write-up: Pt revaxed w/booster dose MMR 07AUG90; 10 to 14 days p/vax devel generalized, diffuse, pruritic papular rash w/enlarged cervical nodes; hands & feet were swollen from scratching them; On 21AUG90 seen by MD & rash had started fading;


VAERS ID: 41922 (history)  
Age: 9.0  
Gender: Male  
Location: Missouri  
Vaccinated:1992-05-07
Onset:1992-05-08
   Days after vaccination:1
Submitted: 1992-05-08
   Days after onset:0
Entered: 1992-05-13
   Days after submission:5
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0983T / 1 LA / IM

Administered by: Private       Purchased by: Private
Symptoms: Lymphadenopathy, Oedema, Pain
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: none~ ()~~~In patient
Other Medications: none
Current Illness: none
Preexisting Conditions: none
Diagnostic Lab Data:
CDC Split Type:

Write-up: 24 hrs p/ admin, devel rt cervical lymph node swelling & rt submandibular gland tenderness & swelling. No fever, no other nodes & no ear s/s.


VAERS ID: 66397 (history)  
Age: 9.0  
Gender: Female  
Location: Tennessee  
Vaccinated:1993-10-25
Onset:1994-02-15
   Days after vaccination:113
Submitted: 0000-00-00
Entered: 1994-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1027W / 1 - / IM

Administered by: Private       Purchased by: Private
Symptoms: Drug ineffective, Infection, Lymphadenopathy, Rash
SMQs:, Anaphylactic reaction (broad), Lack of efficacy/effect (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: PCN, COmdex, Bromhist
Current Illness:
Preexisting Conditions: allergy, lactose
Diagnostic Lab Data: No relevant data;
CDC Split Type: WAES94021123

Write-up: pt recvd vax on 25OCT93 & 16FEB94 devel measles; No further details were provided;


VAERS ID: 119472 (history)  
Age: 9.0  
Gender: Male  
Location: Georgia  
Vaccinated:1999-02-08
Onset:1999-02-09
   Days after vaccination:1
Submitted: 1999-02-10
   Days after onset:1
Entered: 1999-03-01
   Days after submission:19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 2726A2 / - RA / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0954H / - RA / SC
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 0792A / - - / PO
TD: TD ADSORBED (NO BRAND NAME) / CONNAUGHT LABORATORIES 0944780 / - LA / IM

Administered by: Public       Purchased by: Public
Symptoms: Lymphadenopathy, Pain, Rash, Rash maculo-papular, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC Split Type: GA99014

Write-up: pt recv vax 8FEB99 & broke out w/hives & rash to bilat arm pits on 9FEB99 7-8PM;pt c/o tender to touch;welt like areas noted;light red mild rash to underneath arms, tender to touch;


VAERS ID: 183654 (history)  
Age: 9.0  
Gender: Male  
Location: Colorado  
Vaccinated:2002-02-15
Onset:2002-02-17
   Days after vaccination:2
Submitted: 2002-04-11
   Days after onset:52
Entered: 2002-04-17
   Days after submission:6
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 1426K / 0 RA / IM
IPV: POLIO VIRUS, INACT. (IPOL) / SANOFI PASTEUR 1450 / 0 LA / SC
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0906L / 0 RA / SC
TD: TD ADSORBED (NO BRAND NAME) / SANOFI PASTEUR U0385AA / 0 LA / IM

Administered by: Public       Purchased by: Private
Symptoms: Anorexia, Headache, Lymphadenopathy, Mouth ulceration, Pyrexia
SMQs:, Severe cutaneous adverse reactions (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (narrow)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~Measles + Rubella (MR-Vax II)~~0.00~In Patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC Split Type:

Write-up: The pt received the immunizations on 2/15/02. These were his 1st shots ever. By 2/17/02 PM, he had a 100F fever. From 2/18/02 to 2/25/02, the fevers ranged from 100F to 104F. He was very ill, developed sores around the inside of his mouth and throat. He had a headache, no appetite and had very swollen glands in his neck. He slowly recovered.


VAERS ID: 258132 (history)  
Age: 9.0  
Gender: Female  
Location: Unknown  
Vaccinated:2005-12-01
Onset:0000-00-00
Submitted: 2006-05-19
Entered: 2006-05-22
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / - UN / UN

Administered by: Other       Purchased by: Other
Symptoms: Lymphadenopathy
SMQs:, Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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: WAES0603USA04639

Write-up: Information has been received from a registered nurse concerning a 9 year old female who in December 2005, was vaccinated with a dose of MMR II. Subsequently the patient experienced lymphadenopathy. Unspecified medical attention was sought. There was no product quality complaint. Additional information has been requested.


VAERS ID: 416845 (history)  
Age: 9.0  
Gender: Male  
Location: Nebraska  
Vaccinated:2011-02-02
Onset:2011-02-08
   Days after vaccination:6
Submitted: 2011-02-10
   Days after onset:2
Entered: 2011-02-15
   Days after submission:5
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / GLAXOSMITHKLINE BIOLOGICALS AHAVB461AA / 0 LA / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0601Z / 1 RA / SC
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0995Z / 1 LA / SC

Administered by: Public       Purchased by: Public
Symptoms: Influenza virus test negative, Lymphadenopathy, Pyrexia, Rash, Tonsillar hypertrophy
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (narrow)

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: Allergic to: clindamycin
Diagnostic Lab Data: Tested for influenza - Neg - according to Guardian
CDC Split Type:

Write-up: 8 days after receiving MMR, varicella & Hep A, clients'' guardian reported client had a rash on his fingers, fever, and swollen glands in his neck. Guardian took him to Dr. He was tested for influenza- Neg. Guardian states "tonsils were swollen".


VAERS ID: 554560 (history)  
Age: 9.0  
Gender: Male  
Location: Michigan  
Vaccinated:2014-10-15
Onset:2014-10-17
   Days after vaccination:2
Submitted: 2014-10-30
   Days after onset:13
Entered: 2014-11-03
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. K002577 / 0 LA / SC
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. K003405 / 1 LA / SC

Administered by: Private       Purchased by: Private
Symptoms: Epstein-Barr virus test negative, Full blood count normal, Lymphadenopathy, Red blood cell sedimentation rate normal, Streptococcus test negative
SMQs:, Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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: Innocent heart murmur; Food allergies; Medication allergy to cefdinir
Diagnostic Lab Data: CBC; Sed Rate; EBV panel; Strep negative
CDC Split Type:

Write-up: Swollen, lymph nodes behind ears and axillae - mom noticed they started 2 days after vaccines.


VAERS ID: 605859 (history)  
Age: 9.0  
Gender: Male  
Location: California  
Vaccinated:2015-03-05
Onset:2015-03-06
   Days after vaccination:1
Submitted: 2015-10-29
   Days after onset:236
Entered: 2015-10-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / 0 - / -

Administered by: Public       Purchased by: Other
Symptoms: Crying, Lymphadenopathy, Oropharyngeal pain, Pain, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Depression (excl suicide and self injury) (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: same symptoms~ ()~1~6.42~Sibling
Other Medications:
Current Illness: No
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Very bad sore throat, 102 fever, swollen lymph nodes in neck. Lots of crying. Could not talk without pain.


VAERS ID: 152748 (history)  
Age: 9.0  
Gender: Female  
Location: Foreign  
Vaccinated:1991-01-19
Onset:1991-01-19
   Days after vaccination:0
Submitted: 1999-12-08
   Days after onset:3245
Entered: 2000-06-07
   Days after submission:181
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / - - / SC

Administered by: Unknown       Purchased by: Unknown
Symptoms: Agitation, Hyperplasia, Insomnia, Lymphadenopathy, Neurodevelopmental disorder, Rash, Speech disorder
SMQs:, Anaphylactic reaction (broad), Anticholinergic syndrome (broad), Dementia (broad), Psychosis and psychotic disorders (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hostility/aggression (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

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: History of otic infection
Diagnostic Lab Data: Physical exam-nml, hearing test - nml
CDC Split Type: WAES99031596

Write-up: Information has been received from a foreign legal firm concerning a 9 year old female with a history of otic infection who on 01/19/1991


VAERS ID: 318550 (history)  
Age: 9.0  
Gender: Unknown  
Location: Foreign  
Vaccinated:2008-04-03
Onset:2008-04-10
   Days after vaccination:7
Submitted: 2008-07-08
   Days after onset:89
Entered: 2008-07-09
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0324U / - UN / IM

Administered by: Unknown       Purchased by: Unknown
Symptoms: Incorrect route of drug administration, Lymphadenopathy
SMQs:, Medication errors (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? Yes, 0 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0806POL00006

Write-up: Information has been received from a physician via an Agency (Authority number: PL-URPL-OCR-20080610005; URPL paper id: N352/2008) concerning a 9 year old patient who on 03-APR-2008 was vaccinated with MMR II (Lot number was validated as 656665/0324U). On 10-APR-2008 the patient experienced neck and submandibular lymphadenopathy (numerous lymph nodules, 5 centimeters in diameter) and was hospitalized. The patient experienced incorrect route of administration (IM). The patient is recovering from neck and submandibular lymphadenopathy. The reporter felt that lymphadenopathy was related to therapy with MMR II. Additional information is not expected. This is an amended report. Lot number was validated as 656665/0324U. This is a corrected report as amended.


VAERS ID: 535432 (history)  
Age: 9.0  
Gender: Unknown  
Location: Foreign  
Vaccinated:2013-05-14
Onset:2013-06-14
   Days after vaccination:31
Submitted: 2014-06-29
   Days after onset:380
Entered: 2014-06-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. H010334 / - AR / IM

Administered by: Other       Purchased by: Other
Symptoms: Lymphadenopathy, Pyrexia, Rash generalised, Rash morbilliform
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (narrow)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: No other medications
Current Illness: Unknown
Preexisting Conditions:
Diagnostic Lab Data: Body temperature, 39.9 C
CDC Split Type: WAES1307POL012366

Write-up: This spontaneous report as received from a physician via a regulatory authority (PL-URPL-N805/2013) refers to a 9 year old patient with unknown gender. The patient did not experience any post vaccination reaction in the past. On 14-MAY-2013 the patient was vaccinated with MMRVAXPRO, 0.5 ml intramuscular in the arm, with valid lot # H010334 (expiry date May 2014) and therapy type rHA. No concomitant medication was reported. On 14-JUN-2013 at 06:00 the patient experienced fever of 39.9 degrees Celsius, generalized rash, rubella-like rash and enlarged cervical and submandibular lymph nodes. No treatment information was provided. On an unknown date the patient recovered fully. The reporter suggested a causal relationship between fever of 39.9 degrees Celsius, generalized rash, rubella-like rash, enlarged cervical and submandibular lymph nodes and the vaccine. The reporter considered the events to be medically significant (due to high body temperature). Additional information is not expected.


VAERS ID: 30700 (history)  
Age: 10.0  
Gender: Female  
Location: South Carolina  
Vaccinated:1991-04-25
Onset:1991-04-29
   Days after vaccination:4
Submitted: 1991-04-30
   Days after onset:1
Entered: 1991-05-20
   Days after submission:20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1692S / - RA / -

Administered by: Public       Purchased by: Unknown
Symptoms: Cough, Lymphadenopathy, Pharyngitis, Rhinitis
SMQs:, Anaphylactic reaction (broad), Agranulocytosis (broad), Oropharyngeal infections (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: PCN
Diagnostic Lab Data: NONE
CDC Split Type: IL9129

Write-up: ER visit 29th both sides of neck swollen; cough; head congestion; afeb; green nasal drainage; mom thought had upper resp infect; MD in ER felt it was a rxn to MMR;


VAERS ID: 42608 (history)  
Age: 10.0  
Gender: Female  
Location: Texas  
Vaccinated:1992-04-22
Onset:1992-04-24
   Days after vaccination:2
Submitted: 1992-04-24
   Days after onset:0
Entered: 1992-06-08
   Days after submission:45
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1824T / 1 LA / SC

Administered by: Public       Purchased by: Public
Symptoms: Dysphagia, Lymphadenopathy, Pain, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC Split Type: TX9286

Write-up: Pt devel swelling on both sides of neck below ears; t101; pain & painful to swalllow specially tart foods;


VAERS ID: 57333 (history)  
Age: 10.0  
Gender: Male  
Location: Connecticut  
Vaccinated:1993-09-16
Onset:1993-09-18
   Days after vaccination:2
Submitted: 1993-11-09
   Days after onset:52
Entered: 1993-11-12
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 053700 / 1 LA / IM

Administered by: Private       Purchased by: Public
Symptoms: Lymphadenopathy
SMQs:, Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: Tine by Lederle 16SEP93; Topical ATB cream;
Current Illness: excoriated area on foreskin;
Preexisting Conditions: NONE
Diagnostic Lab Data: complete blood count pending;
CDC Split Type:

Write-up: intermittent cervical adenopathy devel 48 hrs p/vax lasted x 1 month;


VAERS ID: 59140 (history)  
Age: 10.0  
Gender: Male  
Location: Illinois  
Vaccinated:1993-06-21
Onset:1993-06-29
   Days after vaccination:8
Submitted: 1993-07-09
   Days after onset:10
Entered: 1994-01-18
   Days after submission:193
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0338W / 1 - / SC

Administered by: Public       Purchased by: Public
Symptoms: Lymphadenopathy, Nausea, Neck pain, Pelvic pain, Pyrexia, Somnolence, Vomiting
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Arthritis (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC Split Type: IL93071

Write-up: fever 102-104, nausea, vomiting, swollen lymph nodes on neck & groin, pain in both areas & lethargy;


VAERS ID: 73609 (history)  
Age: 10.0  
Gender: Male  
Location: Utah  
Vaccinated:1995-04-08
Onset:1995-04-17
   Days after vaccination:9
Submitted: 1995-04-21
   Days after onset:4
Entered: 1995-05-01
   Days after submission:10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0988A / 1 LA / SC

Administered by: Other       Purchased by: Public
Symptoms: Lymphadenopathy, Pharyngitis, Pyrexia, Rash
SMQs:, Anaphylactic reaction (broad), Agranulocytosis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Oropharyngeal infections (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (narrow)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: Vancine inhaler; allergy shots, Clartin, Guaifed, Acular eye drops
Current Illness: NONE
Preexisting Conditions: allergy to pollens, grass
Diagnostic Lab Data: strep culture of throat; PE
CDC Split Type: UT951807

Write-up: devel measle-like sx-rash, fever, swollen glands, sore throat; rash covered entire body; t104;


VAERS ID: 75293 (history)  
Age: 10.0  
Gender: Female  
Location: Colorado  
Vaccinated:1995-05-12
Onset:1995-05-15
   Days after vaccination:3
Submitted: 1995-06-13
   Days after onset:29
Entered: 1995-06-22
   Days after submission:9
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DT: DT ADSORBED (NO BRAND NAME) / CONNAUGHT LABORATORIES 4L61153 / - LA / -

Administered by: Private       Purchased by: Other
Symptoms: Lymphadenopathy, Oedema
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: none~ ()~~~In patient
Other Medications:
Current Illness: none
Preexisting Conditions: none
Diagnostic Lab Data:
CDC Split Type:

Write-up: pt recv vax; rt clavicle area swollen; lymphadenitis in region of DT boost;cervical & axillary


VAERS ID: 92380 (history)  
Age: 10.0  
Gender: Female  
Location: Georgia  
Vaccinated:1996-09-17
Onset:1996-09-19
   Days after vaccination:2
Submitted: 1996-09-20
   Days after onset:1
Entered: 1996-11-25
   Days after submission:66
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1167B / 1 LA / SC

Administered by: Public       Purchased by: Public
Symptoms: Dysphagia, Lymphadenopathy, Pharyngitis, Pyrexia, Rash, Rash maculo-papular, Rhinitis
SMQs:, Anaphylactic reaction (broad), Agranulocytosis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Oropharyngeal infections (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (narrow)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: NA~ ()~~~In patient
Other Medications: PCN for sinusitis
Current Illness: finish ATB tx for sinusitis
Preexisting Conditions: allerrgy to theoflin
Diagnostic Lab Data: 20SEP96 strep;
CDC Split Type: GA96146

Write-up: pt recv vax 17SEP96 returned to office 20SEP96 pt exp sore throat, reported low fever, swallowing lymph nodes @ throat;tonsils enlarged & deep red;rash on face, trunk, spreading to arms & legs;maculopapular to confluent discharged;nasal con


VAERS ID: 98593 (history)  
Age: 10.0  
Gender: Male  
Location: Kentucky  
Vaccinated:1997-05-09
Onset:1997-05-19
   Days after vaccination:10
Submitted: 1997-06-05
   Days after onset:17
Entered: 1997-06-09
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1251D / 1 - / -

Administered by: Other       Purchased by: Other
Symptoms: Injection site hypersensitivity, Injection site inflammation, Injection site oedema, Injection site pain, Lymphadenopathy, Myalgia, Oedema peripheral, Pyrexia
SMQs:, Rhabdomyolysis/myopathy (broad), Cardiac failure (broad), Angioedema (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Eosinophilic pneumonia (broad), Hypersensitivity (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Zyrtec;Cromolyn;
Current Illness:
Preexisting Conditions: lymphoma which was in remission @ time of vax 9MAY97;
Diagnostic Lab Data: No relevant data;
CDC Split Type: WAES97052284

Write-up: pt recv vax 9MAY97 & 19MAY97 pt devel swelling around the inj site that proceeded to become inflamed & sore;It was noted not well distinguished whole upper arm;pt hosp; sx persisted;


VAERS ID: 121046 (history)  
Age: 10.0  
Gender: Male  
Location: Alaska  
Vaccinated:1999-03-05
Onset:1999-03-06
   Days after vaccination:1
Submitted: 1999-03-09
   Days after onset:3
Entered: 1999-04-08
   Days after submission:29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 2811A2 / - RA / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0956H / 1 RA / SC
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 0796L / - - / PO
TD: TD ADSORBED (NO BRAND NAME) / CONNAUGHT LABORATORIES 0923910 / 1 LA / IM

Administered by: Public       Purchased by: Public
Symptoms: Dysphagia, Headache, Lymphadenopathy, Pyrexia, Vomiting
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: blood drawn-physicl done @ that time;
CDC Split Type: AK9908

Write-up: pt recv vax 5MAR saturday AM child woke w/h/a, swollen parotid glands, fever, diff swallowing;vomited x 1;no rash;sick through 9MAR today fever dec easier swallowing & less neck swelling;


VAERS ID: 128703 (history)  
Age: 10.0  
Gender: Male  
Location: Kentucky  
Vaccinated:1999-08-23
Onset:1999-08-29
   Days after vaccination:6
Submitted: 1999-09-07
   Days after onset:9
Entered: 1999-09-28
   Days after submission:21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 2948A2 / 1 LA / -
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0349J / 0 RA / -

Administered by: Private       Purchased by: Public
Symptoms: Face oedema, Lymphadenopathy, Pain, Pyrexia
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (narrow)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: clartin alderau
Current Illness: croupy cough w/pharyngitis
Preexisting Conditions:
Diagnostic Lab Data: thyroid anti-microsound; antibodies; anylase; thyroid profile; mumps titer
CDC Split Type:

Write-up: p/vax pt exp swelling & tenderness lt jaw area; fever to 102.4


VAERS ID: 193129 (history)  
Age: 10.0  
Gender: Female  
Location: Oregon  
Vaccinated:2002-09-09
Onset:2002-09-18
   Days after vaccination:9
Submitted: 2002-10-02
   Days after onset:14
Entered: 2002-11-13
   Days after submission:42
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 5352A2 / 2 LA / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0027M / 1 LA / SC
TD: TD ADSORBED (NO BRAND NAME) / SANOFI PASTEUR U0524AA / - RA / IM

Administered by: Public       Purchased by: Public
Symptoms: Chills, Cough, Headache, Lymphadenopathy, Pharyngolaryngeal pain, Pyrexia, Skin ulcer
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (narrow)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
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: OR200239

Write-up: Fever, chills, sore throat, headache, swollen glands. Broke out on mouth, cheeks and chin open lesions. 10/2/02 Still has swollen glands and cough. Mother became ill on 9/29/02 with similar symptoms. Referred to PCP by PHN on 10/02/2002.


VAERS ID: 235577 (history)  
Age: 10.0  
Gender: Female  
Location: Minnesota  
Vaccinated:2005-03-18
Onset:2005-03-19
   Days after vaccination:1
Submitted: 2005-03-30
   Days after onset:11
Entered: 2005-03-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / 1 LL / -

Administered by: Unknown       Purchased by: Unknown
Symptoms: Arrhythmia, Dyspnoea, Headache, Hyperventilation, Injection site erythema, Injection site swelling, Lymphadenopathy, Musculoskeletal stiffness, Neck pain, Palpitations, Pyrexia, Rash erythematous
SMQs:, Anaphylactic reaction (narrow), Asthma/bronchospasm (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dystonia (broad), Parkinson-like events (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Cardiac arrhythmia terms, nonspecific (narrow), Hypersensitivity (narrow), Arthritis (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (narrow)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: ZOMIG FOR MIGAINE H/A''S LAST DOSE 3/14/2005
Current Illness: NO
Preexisting Conditions: NO
Diagnostic Lab Data: NO TESTS DONE DURING OR AFTER THE 3/28/2005 URGENT CARE VISIT
CDC Split Type:

Write-up: -RASH ON LEFT THIGH, 1-2 INCHES NEXT TO INJECTION SITE(RED RAISED) -99 TEMP -MANY LEFT GROIN LYMPH NODES ENLARGED AND PAINFUL -HEADACHES FOR 3 DAYS FOLLOWING -STIFF, SORE NECK -PALPITATION 3-5 TIMES AVG DAILY FOR 5-10 MIN HEART RATE 102-120. VARIOUS TIMES IN THE DAY. -SOB/"HEAVY BREATHING" WHEN HAVING PALPITATIONS -ARRYTHMIA NOTICED ON OCCASION WITH PALPITATIONS


VAERS ID: 350220 (history)  
Age: 10.0  
Gender: Male  
Location: Unknown  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 2009-05-29
Entered: 2009-06-17
   Days after submission:19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / - UN / UN

Administered by: Other       Purchased by: Other
Symptoms: Immune system disorder
SMQs:

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0903USA02334

Write-up: Information has been received from a consumer concerning her 10 year old son who on an unspecified date was vaccinated with a dose of MMR II (Lot # not reported). It was reported that the patient had an impaired immune system after getting MMR II. It was reported that the patient had recovered at the time of the report. The patient did not seek medical attention. No further information is available.


VAERS ID: 29402 (history)  
Age: 11.0  
Gender: Male  
Location: West Virginia  
Vaccinated:1991-02-13
Onset:1991-02-14
   Days after vaccination:1
Submitted: 1991-02-19
   Days after onset:5
Entered: 1991-03-27
   Days after submission:36
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 2247S / 1 - / SC

Administered by: Public       Purchased by: Public
Symptoms: Asthma, Infection, Injection site mass, Injection site pain, Lymphadenopathy, Pharyngitis, Pyrexia, Rash
SMQs:, Anaphylactic reaction (narrow), Agranulocytosis (broad), Asthma/bronchospasm (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Oropharyngeal infections (narrow), Extravasation events (injections, infusions and implants) (broad), Eosinophilic pneumonia (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (narrow)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness: Not known - strept was dx 19FEB91
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: WV916

Write-up: Running fever day p/inject; temp 102F, 2 days p/inject c/o sore throat, local rxn - lump & pain x 2 days; Rash in "hot spots" - inside elbows, neck; Wheeze, glands inside throat & parotid glands swelled; Seen by MD dx Strept throat;


VAERS ID: 33918 (history)  
Age: 11.0  
Gender: Male  
Location: Indiana  
Vaccinated:1991-08-08
Onset:1991-08-12
   Days after vaccination:4
Submitted: 1991-08-15
   Days after onset:3
Entered: 1991-08-19
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 - / -

Administered by: Public       Purchased by: Unknown
Symptoms: Dermatitis bullous, Lymphadenopathy
SMQs:, Severe cutaneous adverse reactions (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: NA~ ()~~~In patient
Other Medications: NONE
Current Illness: NONe
Preexisting Conditions: Polycystic kidney removed age 3 mos
Diagnostic Lab Data: None
CDC Split Type:

Write-up: 4 days post vax exp cervical & occipital adenopathy 3/4-1cm, occipital nodes w/overlying grouped vesicles, single addtl group of vesicles lower face, given ATB & DPH;


VAERS ID: 44642 (history)  
Age: 11.0  
Gender: Female  
Location: Kentucky  
Vaccinated:1992-04-22
Onset:1992-05-06
   Days after vaccination:14
Submitted: 0000-00-00
Entered: 1992-09-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0228V / 1 LA / -

Administered by: Public       Purchased by: Public
Symptoms: Ageusia, Conjunctivitis, Ear disorder, Facial palsy, Lacrimal disorder, Lymphadenopathy, Pharyngitis, Rash
SMQs:, Severe cutaneous adverse reactions (broad), Anaphylactic reaction (broad), Agranulocytosis (broad), Taste and smell disorders (narrow), Oropharyngeal infections (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Hearing impairment (broad), Conjunctival disorders (narrow), Lacrimal disorders (narrow), Ocular infections (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? Yes, 1 days
   Extended hospital stay? No
Previous Vaccinations: NA~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: allergies to milk & corn products/tubes inears adnoids removed;
Diagnostic Lab Data:
CDC Split Type:

Write-up: Pt recvd vax 22APR92 6MAY92 rt eye red & watery, rt side of lips not feeling nl, congestion, sore throat, rash; 7MAY92 total rt side of face unresponsive, no taste; dx Bell''s palsy, swelling of neck glands, fluid in rt ear;


VAERS ID: 46144 (history)  
Age: 11.0  
Gender: Female  
Location: Texas  
Vaccinated:1992-08-12
Onset:1992-09-16
   Days after vaccination:35
Submitted: 1992-09-22
   Days after onset:6
Entered: 1992-10-13
   Days after submission:21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0670V / 1 LA / SC

Administered by: Public       Purchased by: Public
Symptoms: Asthenia, Lymphadenopathy, Pharyngitis, Pyrexia, Somnolence, Vasodilatation
SMQs:, Agranulocytosis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Oropharyngeal infections (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (narrow), Hypoglycaemia (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: TB by Sclavo lot# 49A02 given 12AUG92;
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC Split Type: TX92189

Write-up: 16SEP92 sore throat, flushed in PM 6PM t102-103 through Friday 18SEP92; 19SEP92 no temp 16SEP92 swollen gland rt to behind ear; 20SEP92 tired no temp cont lethargy through 22SEP92;


VAERS ID: 46409 (history)  
Age: 11.0  
Gender: Male  
Location: Washington  
Vaccinated:1992-09-08
Onset:1992-09-16
   Days after vaccination:8
Submitted: 0000-00-00
Entered: 1992-10-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0558V / 1 - / -

Administered by: Public       Purchased by: Public
Symptoms: Headache, Infection, Lymphadenopathy, Pharyngitis, Pyrexia, Rash
SMQs:, Anaphylactic reaction (broad), Agranulocytosis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Oropharyngeal infections (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (narrow)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: dx strep throat, referred to MD for rx;
CDC Split Type: WA92772

Write-up: fever & swollen glands given APAP every 4-6 hrs h/a, very swollen gland lt side; not seen by MD very inflamed tonsil on lt side 20SEp92; rash fine pimply irrupted fever continues-referred to clinic for eval;


VAERS ID: 46465 (history)  
Age: 11.0  
Gender: Female  
Location: Maryland  
Vaccinated:1992-08-07
Onset:1992-08-25
   Days after vaccination:18
Submitted: 1992-08-26
   Days after onset:1
Entered: 1992-10-26
   Days after submission:61
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0762T / 1 RA / -

Administered by: Public       Purchased by: Public
Symptoms: Headache, Lymphadenopathy, Pain
SMQs:, Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: allergic to PCN
Diagnostic Lab Data:
CDC Split Type: MD92069

Write-up: swollen gland on lt side-sore to touch-no fever; h/a 25AUG92;


VAERS ID: 52942 (history)  
Age: 11.0  
Gender: Female  
Location: Ohio  
Vaccinated:1993-05-03
Onset:1993-05-05
   Days after vaccination:2
Submitted: 1993-05-17
   Days after onset:12
Entered: 1993-05-20
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1053V / 1 LA / -

Administered by: Public       Purchased by: Other
Symptoms: Injection site hypersensitivity, Injection site mass, Injection site oedema, Lymphadenopathy, Somnolence, Vasodilatation
SMQs:, Anticholinergic syndrome (broad), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC Split Type:

Write-up: redness of arm starting MAY93 by 8MAY93 became red hard & very swollen over entire upper lt arm 2-3" & slept most of weekend; seen by MD on 10MAY93; lymph nodes under arm swollen;


VAERS ID: 66025 (history)  
Age: 11.0  
Gender: Male  
Location: South Carolina  
Vaccinated:1994-07-27
Onset:1994-07-28
   Days after vaccination:1
Submitted: 1994-07-29
   Days after onset:1
Entered: 1994-08-19
   Days after submission:21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DT: DT ADSORBED (NO BRAND NAME) / LEDERLE LABORATORIES 360913 / - LA / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0340A / 1 LA / SC

Administered by: Private       Purchased by: Private
Symptoms: Injection site hypersensitivity, Lymphadenopathy, Pain
SMQs:, Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness: NONE
Preexisting Conditions: NA
Diagnostic Lab Data: NONE
CDC Split Type:

Write-up: pt recvd vax 27JUL94 w/in 10 mins minor wheal flare over shot site; not known if secondary MMR or Dt; resolved w/in 1hr p/DPH; 24hrs later swelling lt axilla w/regional axillary adenopathy; tender; no erythema; rx DPH, Advil;


VAERS ID: 67402 (history)  
Age: 11.0  
Gender: Female  
Location: Georgia  
Vaccinated:1994-09-19
Onset:1994-09-21
   Days after vaccination:2
Submitted: 1994-09-22
   Days after onset:1
Entered: 1994-10-18
   Days after submission:26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0079A / 1 RA / SC

Administered by: Public       Purchased by: Public
Symptoms: Bronchitis, Lymphadenopathy, Pharyngitis, Rhinitis
SMQs:, Agranulocytosis (broad), Oropharyngeal infections (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: none;
Current Illness: none;
Preexisting Conditions: none;
Diagnostic Lab Data: none;
CDC Split Type: GA94148

Write-up: pt recvd vax & c/o sneezing; had sore throat & swollen glands in neck; to MD; dx of bronchitis;


VAERS ID: 68108 (history)  
Age: 11.0  
Gender: Female  
Location: Pennsylvania  
Vaccinated:1994-09-14
Onset:1994-10-18
   Days after vaccination:34
Submitted: 1994-11-01
   Days after onset:14
Entered: 1994-11-07
   Days after submission:6
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0546A / 0 RA / SC

Administered by: Private       Purchased by: Private
Symptoms: Drug ineffective, Infection, Lymphadenopathy, Pain, Parotid gland enlargement, Salivary gland enlargement, Sialoadenitis
SMQs:, Lack of efficacy/effect (narrow), Oropharyngeal infections (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC Split Type:

Write-up: pt recvd vax 14SEP94 & presented to office on 20OCT94 c/o pain & swelling over lt parotid gland & lt sl gland; sx first noted 18OCT94; t98.8 oral; dx acute parotitis w/reactive lymphadenitis put on Cephalexin 250mg tid, APAP & warm compres;


VAERS ID: 73974 (history)  
Age: 11.0  
Gender: Female  
Location: Alabama  
Vaccinated:1995-04-25
Onset:1995-04-29
   Days after vaccination:4
Submitted: 1995-05-04
   Days after onset:5
Entered: 1995-05-10
   Days after submission:6
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1052A / 1 LA / SC

Administered by: Other       Purchased by: Public
Symptoms: Dysphagia, Hypokinesia, Laryngospasm, Lymphadenopathy, Pyrexia, Rash
SMQs:, Anaphylactic reaction (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dystonia (broad), Parkinson-like events (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), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (narrow)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: pt''s sibling exp fever @5mos & 15mos w/MMR doses 1 & 2;~ ()~~~In Sibling
Other Medications: NONE
Current Illness: NA
Preexisting Conditions: NA
Diagnostic Lab Data:
CDC Split Type:

Write-up: MMR given 25APR95 pt felt warm & was given APAP 29APR95 pt unable to lift head, unable to swallow neck & glands swollen; t102-103; MD stated to give more APAP; 4MAY95 pt still has rash; gland, throat still swollen; t100 today;


VAERS ID: 74021 (history)  
Age: 11.0  
Gender: Male  
Location: Wisconsin  
Vaccinated:1995-03-16
Onset:0000-00-00
Submitted: 1995-05-09
Entered: 1995-05-12
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0986A / - LA / -

Administered by: Public       Purchased by: Public
Symptoms: Hypertonia, Lymphadenopathy, Pain, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Parkinson-like events (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness: NONE
Preexisting Conditions: allergic to PCN
Diagnostic Lab Data:
CDC Split Type: WI95024

Write-up: 12-36 hr p/vax stiffness, arm pain; 36-48 hr p/vax low fever, swelling of glands in chest under the jaw-MD suspect strep throat ATBs started; throat culture neg strep throat;


VAERS ID: 78396 (history)  
Age: 11.0  
Gender: Male  
Location: New York  
Vaccinated:1995-07-21
Onset:1995-08-06
   Days after vaccination:16
Submitted: 1995-10-22
   Days after onset:77
Entered: 1995-10-26
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0468B / - - / -

Administered by: Private       Purchased by: Private
Symptoms: Laryngospasm, Lymphadenopathy, Pyrexia, Salivary hypersecretion, Weight decreased
SMQs:, Anaphylactic reaction (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dystonia (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: throat checked by specialist, tubes down stomach (gastorligiso), upper GI series, allergist-all neg-no findings-blood workdone-slightly high white blood count & bilirubin
CDC Split Type:

Write-up: felt as though couldn''t swallow food, low fever, swollen glands under ears, very excessive secretion of saliva;Now @ 2mos just starting to eat fairly nl;lost 8pounds since onset & could not eat any solids x 6 wks;


VAERS ID: 127331 (history)  
Age: 11.0  
Gender: Male  
Location: Texas  
Vaccinated:1999-07-26
Onset:1999-07-30
   Days after vaccination:4
Submitted: 1999-08-11
   Days after onset:12
Entered: 1999-08-19
   Days after submission:8
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1753H / 1 LA / SC

Administered by: Public       Purchased by: Other
Symptoms: Lymphadenopathy, Neck pain, Pain
SMQs:, Arthritis (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC Split Type:

Write-up: p/vax devel pain under lt axilla & on chest around pectoral muscle;no fever or skin changes;seen by MD w/2-3 swollen nodule lymph node along anterior lt axillary line;mildly tender, no red or warm o/w normal w/other lymphadenopathy;


VAERS ID: 150812 (history)  
Age: 11.0  
Gender: Female  
Location: North Carolina  
Vaccinated:2000-03-27
Onset:2000-03-28
   Days after vaccination:1
Submitted: 2000-04-03
   Days after onset:5
Entered: 2000-04-06
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DT: DT ADSORBED (NO BRAND NAME) / CONNAUGHT LABORATORIES - / - - / IM
HEP: HEP B (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - - / IM

Administered by: Other       Purchased by: Public
Symptoms: Lymphadenopathy, Rash papular
SMQs:, Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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:

Write-up: Pt was given TD at school on 3/27/00. On 3/28/00 pt developed a local papule and walnut sized adenopathy (axillary). Pt was seen by MD on 3/29/00, node still large but resolving. No treatment was given.


VAERS ID: 153298 (history)  
Age: 11.0  
Gender: Male  
Location: Maine  
Vaccinated:2000-05-09
Onset:2000-05-12
   Days after vaccination:3
Submitted: 2000-05-12
   Days after onset:0
Entered: 2000-06-09
   Days after submission:28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DT: DT ADSORBED (NO BRAND NAME) / CONNAUGHT LABORATORIES U0154AA / 0 LA / IM
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 3068A2 / 0 RA / IM

Administered by: Public       Purchased by: Public
Symptoms: Injection site oedema, Lymphadenopathy
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Vomiting
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Local swelling deltoid, 1cm tender left axillary adenopathy.


VAERS ID: 155178 (history)  
Age: 11.0  
Gender: Male  
Location: Connecticut  
Vaccinated:1999-07-05
Onset:1999-07-08
   Days after vaccination:3
Submitted: 2000-05-24
   Days after onset:321
Entered: 2000-06-21
   Days after submission:28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / 1 - / SC

Administered by: Other       Purchased by: Other
Symptoms: Lymphadenopathy
SMQs:, Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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: WAES99070659

Write-up: On 7/8/99, the pt experienced enlarged glands on one side of neck with right carotid tenderness. It was noted that the pt did not experience fever on rash. It was also indicated that the physician ruled out mumps vs salivary duct stone. The pt sought medical attention.


VAERS ID: 160418 (history)  
Age: 11.0  
Gender: Male  
Location: Kentucky  
Vaccinated:2000-08-29
Onset:2000-08-29
   Days after vaccination:0
Submitted: 2000-09-06
   Days after onset:8
Entered: 2000-10-10
   Days after submission:34
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0577K / 1 LA / IM

Administered by: Public       Purchased by: Unknown
Symptoms: Infection, Lymphadenopathy, Pharyngitis, Pyrexia, Viral infection
SMQs:, Agranulocytosis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Oropharyngeal infections (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (narrow)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: strep test - neg
CDC Split Type: KY2000034

Write-up: The pt experienced a fever up to 103.8 for two days then it dropped to 100 - 101 for 2 days. The fever began the same day as vax. Throat was red, glands were swollen. No rash was noted. MD states he cannot rule out that the MMR vax as cause however it could also be viral.


VAERS ID: 165147 (history)  
Age: 11.0  
Gender: Female  
Location: Massachusetts  
Vaccinated:2000-08-31
Onset:2000-09-12
   Days after vaccination:12
Submitted: 2001-01-12
   Days after onset:122
Entered: 2001-01-24
   Days after submission:12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0131J / 2 - / SC

Administered by: Private       Purchased by: Other
Symptoms: Abdominal pain, Confusional state, Constipation, Dizziness, Impaired gastric emptying, Lethargy, Lymphadenopathy, Migraine, Nausea, Obsessive-compulsive disorder, Vomiting
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Dementia (broad), Gastrointestinal obstruction (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific dysfunction (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: TB
Current Illness: NONE
Preexisting Conditions: allergies to dogs, cats, trees, grass
Diagnostic Lab Data: CBC-Cat Scan-Upper GI-Digestive X-ray
CDC Split Type:

Write-up: On 9/12/00, had migraine headache, swollen glands, dizzy, nausea, constipation, lethargy, confusion, vomiting, obsessive behavior and abdominal pain. Treated with migranol, Reglan, Zyrtec, Rhinocort, Prilosec, Agoral. 60 day follow-up states the pt still has viral gastroparesis.


VAERS ID: 172016 (history)  
Age: 11.0  
Gender: Male  
Location: Ohio  
Vaccinated:2001-05-24
Onset:2001-05-26
   Days after vaccination:2
Submitted: 2001-05-29
   Days after onset:3
Entered: 2001-06-19
   Days after submission:21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / GLAXOSMITHKLINE BIOLOGICALS 5223A9 / 0 LA / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1392 K / 1 RA / -

Administered by: Private       Purchased by: Private
Symptoms: Lymphadenopathy
SMQs:, Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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:

Write-up: Cervical Lymphadenopathy, tender right greater than left.


VAERS ID: 212879 (history)  
Age: 11.0  
Gender: Male  
Location: California  
Vaccinated:2003-11-14
Onset:2003-11-17
   Days after vaccination:3
Submitted: 2003-11-19
   Days after onset:2
Entered: 2003-11-24
   Days after submission:5
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN) / EVANS VACCINES 765979 / 0 LA / IM
HEPA: HEP A (HAVRIX) / GLAXOSMITHKLINE BIOLOGICALS 777A2 / 0 RA / IM
TYP: TYPHOID VI POLYSACCHARIDE (TYPHIM VI) / SANOFI PASTEUR W1582 / 0 LA / IM
YF: YELLOW FEVER (YF-VAX) / SANOFI PASTEUR UB492AA / 0 LA / SC

Administered by: Private       Purchased by: Private
Symptoms: Lymphadenopathy, Malaise
SMQs:, Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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:

Write-up: 4 vaccines on Friday, 11/11/2003. On Monday morning (11/17/2003) patient''s mother phoned and said that patient was not feeling well on Saturday morning and that he had swollen lymph glands under his left arm and on left side of neck. Patient did not have a fever.


VAERS ID: 218467 (history)  
Age: 11.0  
Gender: Female  
Location: Indiana  
Vaccinated:2004-03-29
Onset:2004-03-29
   Days after vaccination:0
Submitted: 2004-04-01
   Days after onset:3
Entered: 2004-04-02
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0807N / 1 RA / SC
TD: TETANUS DIPHTHERIA (NO BRAND NAME) / AVENTIS PASTEUR U1017BA / 5 LA / IM

Administered by: Public       Purchased by: Public
Symptoms: Erythema, Lymphadenopathy, Pain, Swelling
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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: Swelling to mosquito bites. Rash= Ceclor
Diagnostic Lab Data:
CDC Split Type:

Write-up: Received Td in LD on 3/29/04. Mother of patient called 4/1/04 complained of redness, swelling of left upper arm. Mother also stated swollen lymph node under left arm. Patient complained of rib pain on left side on 3/30/2004.


VAERS ID: 317817 (history)  
Age: 11.0  
Gender: Male  
Location: New York  
Vaccinated:2005-11-16
Onset:2005-11-17
   Days after vaccination:1
Submitted: 2006-02-14
   Days after onset:89
Entered: 2008-06-17
   Days after submission:853
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DT: DT ADSORBED (DECAVAC) / SANOFI PASTEUR U1620AA / - LA / IM

Administered by: Private       Purchased by: Private
Symptoms: Chills, Lymphadenitis, Lymphadenopathy, Pain in extremity
SMQs:, Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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: The patient has no known allergies. No medical conditions. Denies being on medication or having any illness at the time of vaccination.
Diagnostic Lab Data:
CDC Split Type: 200502511

Write-up: Initial report received from a physician on 18/Nov/2005. An 11-year-old male patient developed left axillary swelling, adenopathy extending upper part of the chest wall, subjective chills and his arm was painful upon movement within 24 hours of receiving the intramuscular injection of DECAVAC, lot number U1620AA in the left deltoid on 16/Nov/2005. There was no fever or rash. The patient denies any illness at the time of vaccination. Treatment and recovery status was not reported. Follow-up information received on 13/Feb/2006 from a health care provider. The patient recovered, and there is no additional information at this time.


VAERS ID: 214648 (history)  
Age: 11.0  
Gender: Female  
Location: Foreign  
Vaccinated:1998-11-06
Onset:1998-11-11
   Days after vaccination:5
Submitted: 2004-01-05
   Days after onset:1881
Entered: 2004-01-06
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / GLAXOSMITHKLINE BIOLOGICALS 2540B6 / - - / -
MMR: MEASLES + MUMPS + RUBELLA (PRIORIX) / GLAXOSMITHKLINE BIOLOGICALS 690014PD / - - / -

Administered by: Other       Purchased by: Other
Symptoms: Back pain, Ear pain, Electroencephalogram abnormal, Facial palsy, Headache, Infection, Laboratory test abnormal, Lymphadenopathy, Neuralgia, Oedema
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Peripheral neuropathy (narrow), Retroperitoneal fibrosis (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Hearing impairment (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 8 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: UNK
Preexisting Conditions:
Diagnostic Lab Data: Serologic examination (prior to hospitalization): hints of a previous RSV infection, no borrelia infection. 11/19/98: X-ray of paranasal sinuses and head: slightly increased number of nasopharyngeal adenoids. Serum parameters: within normal ranges. Liquor: cell count was 19/3; glucose, protein and lactate: uneventful; culture: sterile. 11/20/98: EEG: mild to moderate but mostly rhythmic slowing of activity. Serology at hospital: Herpes IgG and IgM: negative
CDC Split Type: D0042742A

Write-up: A physician reported the occurrence of left facial paresis in an 11 year old female who was vaccinated with MMR (Priorix) and hepatitis b vaccine (Engerix-B) for prophylaxis. The pt''s medical history included scarlet fever and varicella. The first dose MMR (MMR-Vax, by AP) was administered on 09/04/1989. The first dose of hepatitis B vaccine was administered on 09/14/1998. Both vaccines were well tolerated. A tick bite could not be remembered. On 11/06/1998 the subject received a booster dose of MMR vaccine and the second dose of hepatitis B vaccine. Lot numbers provided are ENG254B9 and 690014PD. Four days post vaccination the subject developed ear pain and submandubular swelling on the left side. On 11/11/1998 the subject had a lop-sided mouth and lymph node swelling. She was afebrile and felt subjectively well. In serologic examination hints of a previous EBV infection were found, but no borrelia infection: X-ray of paranasal sinuses and head on 11/19/1998 at the pediatrician''s were uneventful except for a slightly increased number of nasopharyngeal adenoids. Later the same day the subject was hospitalized for further diagnostics. In the hospital record only MMR was mentioned. Serum parameters were within normal ranges. In liquor cell count was 19/3, glucose, protein and lactate were uneventful. Liquor culture was sterile. EEG examination on 11/20 showed mild to moderate but mostly rhythmic slowing of activity. Though Herpes IgG and IgM were both negative herpes infection was suspected at hospital and the subject was treated with aciclovir and prednisolone sodium succinate (Solu-Decortin). During therapy there were additional hints on trigeminal neuralgia, more on the left than on the right side. In further progress the facial paresis improved. Shortly before discharge the subject complaint about post-functional headache and back pain which ceased after treatment with paracetamol + codein (Talvosilen). On 11/26/1998 the subject was discharged from hospital with distinctly improved facial paresis. Subsequently the subject recovered. The reporting physician suspected that the subject had developed an abortive mumps infection following vaccination and therefore considered the events as probably related to the vaccination.


VAERS ID: 34828 (history)  
Age: 12.0  
Gender: Male  
Location: Georgia  
Vaccinated:1991-08-23
Onset:1991-08-24
   Days after vaccination:1
Submitted: 1991-08-27
   Days after onset:3
Entered: 1991-09-19
   Days after submission:23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0769T / 1 LA / SC

Administered by: Public       Purchased by: Public
Symptoms: Face oedema, Lymphadenopathy, Nausea, Pruritus
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Angioedema (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: Throat Culture
CDC Split Type: GA91247

Write-up: Generalized edema over entire rt maxilla & mandible beginning 24AUG91, w/nausea, pruritis of hands x 1 day beginning 27AUG91; tender enlarged firm rt submaxillary node to 1.5cm w/o discoloration; nose w/generalized edema of mucous membranes


VAERS ID: 53169 (history)  
Age: 12.0  
Gender: Female  
Location: Minnesota  
Vaccinated:1993-04-14
Onset:1993-04-21
   Days after vaccination:7
Submitted: 1993-05-17
   Days after onset:26
Entered: 1993-05-24
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0062W / 1 LA / SC

Administered by: Other       Purchased by: Other
Symptoms: Lymphadenopathy, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC Split Type: MN93024

Write-up: temp of 102, all lymph nodes in neck swollen seen by MD-APAP as treatment;


VAERS ID: 56983 (history)  
Age: 12.0  
Gender: Female  
Location: Ohio  
Vaccinated:1993-08-27
Onset:1993-08-30
   Days after vaccination:3
Submitted: 1993-09-22
   Days after onset:23
Entered: 1993-11-03
   Days after submission:42
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1825T / 1 LA / SC

Administered by: Public       Purchased by: Public
Symptoms: Asthenia, Eye pain, Lymphadenopathy, Myalgia, Pharyngitis, Pruritus, Pyrexia, Rash maculo-papular
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Agranulocytosis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Oropharyngeal infections (narrow), Guillain-Barre syndrome (broad), Glaucoma (broad), Eosinophilic pneumonia (broad), Hypersensitivity (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (narrow)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC Split Type: OH93079

Write-up: swollen glands, sore throat, t100-101 for 3 days starting 3rd day p/vax; pt broke out in rash, raised patch; itching/burning eyes; achey feeling; lasted about 2 wks; very tired;


VAERS ID: 61066 (history)  
Age: 12.0  
Gender: Female  
Location: Ohio  
Vaccinated:1994-02-18
Onset:1994-03-09
   Days after vaccination:19
Submitted: 1994-03-22
   Days after onset:13
Entered: 1994-03-28
   Days after submission:6
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - - / -

Administered by: Other       Purchased by: Other
Symptoms: Arthropathy, Deafness, Lymphadenopathy, Rash
SMQs:, Anaphylactic reaction (broad), Hearing impairment (narrow), Hypersensitivity (narrow), Arthritis (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: NA
Current Illness: NA
Preexisting Conditions: has had problems w/ear in past
Diagnostic Lab Data:
CDC Split Type:

Write-up: rash lt arm-1 wk, Triamicinolone cream; swelling glands-2 days; joint stiffness 2 days; hearing loss-4 wks, Ceclor, Guiatex, ATB ear suspension;


VAERS ID: 64685 (history)  
Age: 12.0  
Gender: Male  
Location: Colorado  
Vaccinated:1994-04-20
Onset:1994-05-16
   Days after vaccination:26
Submitted: 1994-06-09
   Days after onset:24
Entered: 1994-07-13
   Days after submission:34
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1053V / 0 RA / SC

Administered by: Public       Purchased by: Public
Symptoms: Influenza, Lymphadenopathy, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC Split Type: CO94043

Write-up: mom called today to report 2-3 wks p/receiving vax had flu-like sx plus very swollen glands in neck; Pt was out of school 3 days; t101; believes it lasted about 5 days; did not take pt to see MD:


VAERS ID: 65087 (history)  
Age: 12.0  
Gender: Male  
Location: Nebraska  
Vaccinated:1994-07-19
Onset:1994-07-21
   Days after vaccination:2
Submitted: 1994-07-25
   Days after onset:4
Entered: 1994-07-27
   Days after submission:2
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DT: DT ADSORBED (NO BRAND NAME) / LEDERLE LABORATORIES 360912 / - LA / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0548A / 1 RA / SC

Administered by: Private       Purchased by: Private
Symptoms: Cellulitis, Lymphadenopathy, Rash
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC Split Type:

Write-up: 3cm of erythema 5x9 swelling in axilla node 2 cm distal to ax @ 72 hrs post administration of vax; inflammatory react vs cellulitis


VAERS ID: 66130 (history)  
Age: 12.0  
Gender: Male  
Location: Texas  
Vaccinated:1994-08-15
Onset:1994-08-16
   Days after vaccination:1
Submitted: 1994-08-18
   Days after onset:2
Entered: 1994-08-24
   Days after submission:6
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0401A / 1 LA / SC
TD: TD ADSORBED (NO BRAND NAME) / CONNAUGHT LABORATORIES 4761059 / 4 LA / IM

Administered by: Public       Purchased by: Public
Symptoms: Injection site hypersensitivity, Lymphadenopathy, Petechiae, Pruritus, Pyrexia, Rash, Rash maculo-papular, Rhinitis
SMQs:, Anaphylactic reaction (broad), Haemorrhage terms (excl laboratory terms) (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (narrow)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: asthma
Diagnostic Lab Data:
CDC Split Type: TX94202

Write-up: pt recvd vax 15AUG94 & 16AUG94 devel granular, papular, itch rash @ inject site in LA; rash spread to trunk, face, & all extremities over next 2 days; seen in clinic 18AUg94 for rash, t99 & rhinorrhea, petechial & adenopathy;


VAERS ID: 72979 (history)  
Age: 12.0  
Gender: Male  
Location: New Hampshire  
Vaccinated:1995-01-06
Onset:1995-01-09
   Days after vaccination:3
Submitted: 1995-03-30
   Days after onset:80
Entered: 1995-04-06
   Days after submission:6
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0175A / 2 - / A

Administered by: Private       Purchased by: Public
Symptoms: Abdominal distension, Abdominal pain, Arthralgia, Diarrhoea, Headache, Lymphadenopathy, Pyrexia, Rash
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypersensitivity (narrow), Arthritis (broad), Noninfectious diarrhoea (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (narrow)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: ritalin;
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: NH95006

Write-up: pt recvd vax;abdo discomfort; N/V;later rash on face, on back;severe HA, spiking T; some joint pain, hard, enlarged abd;swollen glands rt side of neck;


VAERS ID: 75337 (history)  
Age: 12.0  
Gender: Female  
Location: Ohio  
Vaccinated:1994-08-29
Onset:1994-09-15
   Days after vaccination:17
Submitted: 0000-00-00
Entered: 1995-05-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0083A / 1 - / IM

Administered by: Private       Purchased by: Private
Symptoms: Laboratory test abnormal, Leukocytosis, Lymphadenopathy, Myalgia, Neck pain, Red blood cell sedimentation rate increased, Thrombocythaemia, White blood cell disorder
SMQs:, Rhabdomyolysis/myopathy (broad), Haematopoietic leukopenia (broad), Neuroleptic malignant syndrome (broad), Eosinophilic pneumonia (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Rynatan;
Current Illness: drip, nasal cough
Preexisting Conditions:
Diagnostic Lab Data: WBC=15.4; Platelet=432;granulocytes=80.6;segmented neutrophils=74;lymphocytes=14;bands=1;eosinophils=1;atypical lymphocytes=3;ESR=29;RUN=8;epstein-Barr antibody neg;monospot neg;chest X-Ray=nl;
CDC Split Type: WAES94100014

Write-up: pt recv vax;devel sore arm,sore neck & swollen glands;swollen nodes;inc level of WBC, platelets,granulocytes;segmented neutrophils & atypical lymphocytes;low levels of monocytes, lymphocytes,bands & eosinophils;ESR was elevated; low BUN


VAERS ID: 74334 (history)  
Age: 12.0  
Gender: Male  
Location: Ohio  
Vaccinated:1995-04-18
Onset:1995-04-28
   Days after vaccination:10
Submitted: 1995-05-08
   Days after onset:10
Entered: 1995-05-30
   Days after submission:22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0775A / 1 - / SC
TD: TD ADSORBED (NO BRAND NAME) / CONNAUGHT LABORATORIES 4F61045 / 4 - / IM

Administered by: Public       Purchased by: Public
Symptoms: Arthralgia, Epistaxis, Lymphadenopathy, Osteoarthritis
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Arthritis (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness: none
Preexisting Conditions: none
Diagnostic Lab Data:
CDC Split Type: OH95058

Write-up: pt recv vax; swelling glands neck 28apr95 x 3 days;epistaxis 24apr;joint pain 5may95, knees & ankles swelling;seen by MD;physician feels rxn unrelated to vax;


VAERS ID: 77819 (history)  
Age: 12.0  
Gender: Male  
Location: Unknown  
Vaccinated:1995-05-21
Onset:1995-05-22
   Days after vaccination:1
Submitted: 1995-05-22
   Days after onset:0
Entered: 1995-09-29
   Days after submission:130
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DT: DT ADSORBED (NO BRAND NAME) / LEDERLE LABORATORIES 372960 / - - / -

Administered by: Unknown       Purchased by: Unknown
Symptoms: Cough, Face oedema, Lung disorder, Lymphadenopathy, Pain, Pharyngitis, Pyrexia
SMQs:, Anaphylactic reaction (narrow), Agranulocytosis (broad), Angioedema (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Oropharyngeal infections (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (narrow)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: brconhitis; PCN allergy
Diagnostic Lab Data:
CDC Split Type:

Write-up: pharynx red, cervical nodes, occasional rhonchi, no rales/wheezes, fever, arm pain, cough, sore throat, swollen lips;


VAERS ID: 80089 (history)  
Age: 12.0  
Gender: Female  
Location: Texas  
Vaccinated:1995-10-18
Onset:1995-10-29
   Days after vaccination:11
Submitted: 1995-11-08
   Days after onset:10
Entered: 1995-12-15
   Days after submission:37
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0220B / 1 RA / SC
TD: TD ADSORBED (NO BRAND NAME) / CONNAUGHT LABORATORIES 5B71048 / 4 LA / IM

Administered by: Public       Purchased by: Public
Symptoms: Infection, Injection site hypersensitivity, Lymphadenopathy, Malaise, Pyrexia, Rash maculo-papular
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (narrow)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC Split Type: TX95244

Write-up: pt recvd vax 18OCT95 & 27OCT95 pt feeling bad-general;29OCT95 broke out in a rash, red raised bumps, around the inj site & moved to face, fever over 102 & swollen glands; 30OCT95 rash & fever persist;advised to call MD;31OCT95 dx viral syn


VAERS ID: 83307 (history)  
Age: 12.0  
Gender: Male  
Location: Texas  
Vaccinated:1996-01-04
Onset:1996-01-26
   Days after vaccination:22
Submitted: 1996-01-26
   Days after onset:0
Entered: 1996-02-29
   Days after submission:34
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1250A / 1 RA / SC

Administered by: Public       Purchased by: Public
Symptoms: Lymphadenopathy, Oedema
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness: none
Preexisting Conditions: none
Diagnostic Lab Data: unk
CDC Split Type: TX96015

Write-up: pt recv vax;2 wk later,rt cervical neck gland became enlarged & swollen;to MD;


VAERS ID: 83571 (history)  
Age: 12.0  
Gender: Male  
Location: Texas  
Vaccinated:1996-02-23
Onset:1996-02-24
   Days after vaccination:1
Submitted: 1996-02-28
   Days after onset:4
Entered: 1996-03-11
   Days after submission:12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1166B / - - / -
TD: TD ADSORBED (NO BRAND NAME) / CONNAUGHT LABORATORIES 5L71095 / - - / -

Administered by: Public       Purchased by: Public
Symptoms: Lymphadenopathy, Oedema, Vasodilatation
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness: none
Preexisting Conditions: none
Diagnostic Lab Data: none
CDC Split Type: TX96036

Write-up: pt recv vax;lt arm became swollen red,hot to touch;enlarged lymph nodes under lt arm;to MD & given ATB


VAERS ID: 84993 (history)  
Age: 12.0  
Gender: Female  
Location: Ohio  
Vaccinated:1996-04-02
Onset:1996-04-16
   Days after vaccination:14
Submitted: 1996-04-18
   Days after onset:2
Entered: 1996-04-19
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - - / -

Administered by: Public       Purchased by: Public
Symptoms: Dizziness, Headache, Lymphadenopathy, Pyrexia, Rash
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Vestibular disorders (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (narrow)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: NA~ ()~~~In patient
Other Medications:
Current Illness: NONE
Preexisting Conditions: hayfever
Diagnostic Lab Data: NONE
CDC Split Type: OH96051

Write-up: 2wk post vax pt exp t103, dizziness, rash (face/arms, back stomach);neck glands swollen, h/a


VAERS ID: 89390 (history)  
Age: 12.0  
Gender: Female  
Location: Ohio  
Vaccinated:1996-07-02
Onset:1996-07-05
   Days after vaccination:3
Submitted: 1996-08-16
   Days after onset:42
Entered: 1996-08-29
   Days after submission:13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0617B / - - / -

Administered by: Public       Purchased by: Other
Symptoms: Lymphadenopathy, Nausea, Pharyngitis, Pyrexia,