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Found 2156 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:239638 (history)  Vaccinated:2003-08-13
Age:5.0  Onset:2005-01-12, Days after vaccination: 518
Gender:Female  Submitted:2005-05-27, Days after onset: 134
Location:Unknown  Entered:2005-06-03, Days after submission: 7
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Serum amylase test 01/2005 - value 314
CDC 'Split Type': WAES0501USA04338
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.642704/1178M1SC 
Administered by: Other     Purchased by: Other
Symptoms: Drug ineffective, Infection, Lymphadenopathy
SMQs:, Lack of efficacy/effect (narrow)
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)  Vaccinated:2005-05-19
Age:5.0  Onset:2005-05-21, Days after vaccination: 2
Gender:Female  Submitted:2005-06-27, Days after onset: 37
Location:Michigan  Entered:2005-06-27
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':
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAP: DTAP (DAPTACEL)AVENTIS PASTEURC2104AA4 RA
IPV: POLIO VIRUS, INACT. (IPOL)AVENTIS PASTEURY02983 RA
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.1069P1 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)
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)  Vaccinated:2005-08-25
Age:5.0  Onset:2005-08-26, Days after vaccination: 1
Gender:Female  Submitted:2005-08-26, Days after onset: 0
Location:Pennsylvania  Entered:2005-08-26
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':
Vaccination
Manufacturer
Lot
Dose
Route
Site
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)
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)  Vaccinated:2005-08-24
Age:5.0  Onset:2005-08-26, Days after vaccination: 2
Gender:Male  Submitted:2005-08-26, Days after onset: 0
Location:Wisconsin  Entered:2005-09-01, Days after submission: 6
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: Mild viral URI
Preexisting Conditions: Keratosis pilaris, eczema
Diagnostic Lab Data: Physical exam
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAP: DTAP (INFANRIX)GLAXOSMITHKLINE BIOLOGICALSAC14A009CA4 RA
IPV: POLIO VIRUS, INACT. (IPOL)AVENTIS PASTEURY024123 RA
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0029R1 LA
Administered by: Private     Purchased by: Private
Symptoms: Cellulitis, Injection site reaction, Lymphadenopathy
SMQs:
Write-up: R arm cellulitis at site of Dtap and right axillary reactive adenopathy.

VAERS ID:243964 (history)  Vaccinated:2005-08-24
Age:5.0  Onset:2005-08-31, Days after vaccination: 7
Gender:Female  Submitted:2005-09-08, Days after onset: 8
Location:Iowa  Entered:2005-09-09, Days after submission: 1
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAP: DTAP (INFANRIX)GLAXOSMITHKLINE BIOLOGICALS639B24 LA
IPV: POLIO VIRUS, INACT. (IPOL)SANOFI PASTEURV024023 LA
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.91045101 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)
Write-up: Left cervical adenopathy with torticollis, redness and warmth, 5 cm.

VAERS ID:253779 (history)  Vaccinated:2006-04-05
Age:5.0  Onset:2006-04-06, Days after vaccination: 1
Gender:Male  Submitted:2006-04-06, Days after onset: 0
Location:New Mexico  Entered:2006-04-06
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':
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAP: DTAP (DAPTACEL)AVENTIS PASTEURC2325AA4IMLA
IPV: POLIO VIRUS, INACT. (IPOL)AVENTIS PASTEURY06383SCLA
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0827R1SCRA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Erythema, 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)
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)  Vaccinated:2006-10-02
Age:5.0  Onset:2006-10-02, Days after vaccination: 0
Gender:Female  Submitted:2006-10-04, Days after onset: 2
Location:Montana  Entered:2006-11-16, Days after submission: 43
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
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAP: DTAP (DAPTACEL)AVENTIS PASTEURC2277AA3 LA
IPV: POLIO VIRUS, INACT. (IPOL)AVENTIS PASTEUR408243 LA
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.6538F1 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)
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)  Vaccinated:2008-04-21
Age:5.0  Onset:2008-04-22, Days after vaccination: 1
Gender:Female  Submitted:2008-05-15, Days after onset: 23
Location:North Carolina  Entered:2008-05-15
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.1671U1SCRA
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.1768U1SCLA
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)
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)  Vaccinated:2008-08-19
Age:5.0  Onset:2008-08-20, Days after vaccination: 1
Gender:Male  Submitted:2008-08-20, Days after onset: 0
Location:Virginia  Entered:2008-09-03, Days after submission: 14
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: 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':
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAP: DTAP (DAPTACEL)SANOFI PASTEURC2956BA4IMLL
FLUN3: INFLUENZA (SEASONAL) (FLUMIST)MEDIMMUNE VACCINES, INC.500543P1IN 
IPV: POLIO VIRUS, INACT. (IPOL)SANOFI PASTEURA04913SCLL
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0239X1SCRL
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.0102X1SCRL
Administered by: Private     Purchased by: Private
Symptoms: Lymphadenopathy, Pyrexia, Rash papular
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad)
Write-up: Posterior neck lymphadenopathy; Fever (low grade); Papular rash on trunk/lower extremities; Start 24 hours ago

VAERS ID:348529 (history)  Vaccinated:2008-05-07
Age:5  Onset:2008-05-08, Days after vaccination: 1
Gender:Male  Submitted:2009-05-01, Days after onset: 358
Location:California  Entered:2009-06-05, Days after submission: 35
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
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAP: DTAP (INFANRIX)GLAXOSMITHKLINE BIOLOGICALSAC14B073AA4IMUN
IPV: POLIO VIRUS, INACT. (IPOL)SANOFI PASTEURA03013IMRA
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.1314U1UNLA
UNK: VACCINE NOT SPECIFIED (NO BRAND NAME)UNKNOWN MANUFACTURERC2812AA1UNUN
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)
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)  Vaccinated:2010-03-31
Age:5.0  Onset:2010-03-31, Days after vaccination: 0
Gender:Female  Submitted:2010-04-06, Days after onset: 6
Location:Ohio  Entered:2010-04-06
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':
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAP: DTAP (DAPTACEL)SANOFI PASTEURC3192BA4UNRL
IPV: POLIO VIRUS, INACT. (IPOL)SANOFI PASTEUR9424403UNLL
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.1118Y2UNLL
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)
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)  Vaccinated:2011-05-06
Age:5.0  Onset:2011-05-15, Days after vaccination: 9
Gender:Male  Submitted:2011-05-17, Days after onset: 2
Location:New York  Entered:2011-05-17
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':
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (NO BRAND NAME)UNKNOWN MANUFACTURER 0IJLA
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)
Write-up: Fever 103, swollen glands, joint pain, headache, coughing

VAERS ID:424047 (history)  Vaccinated:2009-09-15
Age:5.0  Onset:2009-09-15, Days after vaccination: 0
Gender:Male  Submitted:2011-05-26, Days after onset: 618
Location:Pennsylvania  Entered:2011-05-26
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None documented
Preexisting Conditions: None documented.
Diagnostic Lab Data: None documented
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAP: DTAP (INFANRIX)GLAXOSMITHKLINE BIOLOGICALSAC14B065AA3IMLA
IPV: POLIO VIRUS, INACT. (IPOL)SANOFI PASTEURD00423IMRA
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.044940SCRA
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.088640SCLA
Administered by: Public     Purchased by: Public
Symptoms: Lymphadenopathy, Oropharyngeal pain
SMQs:, Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow)
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)  Vaccinated:2011-08-10
Age:5.0  Onset:2011-08-11, Days after vaccination: 1
Gender:Male  Submitted:2011-08-16, Days after onset: 5
Location:New York  Entered:2011-08-16
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: Thus far - NormaL CBC Normal urinalysis Negative Strep test
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAPIPV: DTAP + IPV (KINRIX)GLAXOSMITHKLINE BIOLOGICALSAC20B168AA4IMLA
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.1508Z1SCRA
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)
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)  Vaccinated:2012-06-18
Age:5.0  Onset:2012-06-19, Days after vaccination: 1
Gender:Female  Submitted:2012-06-27, Days after onset: 8
Location:Wisconsin  Entered:2012-07-05, Days after submission: 8
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Dental caries
Preexisting Conditions: No known allergies; Dental caries
Diagnostic Lab Data: Strep that cx --$g negative
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAPIPV: DTAP + IPV (KINRIX)GLAXOSMITHKLINE BIOLOGICALSAC20B196CA0IMLL
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.1506AA1SCLL
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.1061AA1SCLL
Administered by: Private     Purchased by: Private
Symptoms: Cellulitis, Culture throat negative, Injection site erythema, Injection site induration, Injection site pain, Injection site swelling, Injection site warmth, Lymph node pain, Lymphadenopathy, Oropharyngeal pain, Pyrexia, Vaccination complication
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: Developed redness increased warmth, swelling, tenderness, and firmness of (L) thigh after vaccinations The largest area of redness 7-8 cm across. When seen urgent care 6-20-12, also body fever, sore throat enlarged tender cervical lymph node. Started on sulfa-trimeth 6-20-12, amoxicillin added 6-22-12 much improved by 6-25-12 assessment -$g cellulitis vs vaccine reaction.

VAERS ID:479069 (history)  Vaccinated:2012-12-11
Age:5.0  Onset:2012-12-11, Days after vaccination: 0
Gender:Female  Submitted:2012-12-11, Days after onset: 0
Location:Tennessee  Entered:2012-12-21, Days after submission: 10
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: See attached document; Barley; Carrot; Corn; Oats; Peanut; Potato starch; Soy; Chronic problem
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAP: DTAP (DAPTACEL)SANOFI PASTEURC4310AA4IMLL
IPV: POLIO VIRUS, INACT. (IPOL)SANOFI PASTEURH13403SCLL
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.H0101341SCLL
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.H0166001SCLL
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)
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)  Vaccinated:2013-04-22
Age:5.0  Onset:2013-04-23, Days after vaccination: 1
Gender:Female  Submitted:2013-04-24, Days after onset: 1
Location:Minnesota  Entered:2013-04-24
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':
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEPA: HEP A (NO BRAND NAME)UNKNOWN MANUFACTURER 2UNLL
MMR: MEASLES + MUMPS + RUBELLA (NO BRAND NAME)UNKNOWN MANUFACTURER 2UNRL
VARCEL: VARICELLA (NO BRAND NAME)UNKNOWN MANUFACTURER 2UNLL
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)
Write-up: Swelling of the face, fever, face pain on cheeks, swelling of lymph glands, redness on face.

VAERS ID:501537 (history)  Vaccinated:2013-08-17
Age:5.0  Onset:2013-08-18, Days after vaccination: 1
Gender:Male  Submitted:2013-08-19, Days after onset: 1
Location:Georga  Entered:2013-09-04, Days after submission: 16
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data:
CDC 'Split Type': GA1312
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAP: DTAP (DAPTACEL)SANOFI PASTEURC4383AA3IMRA
IPV: POLIO VIRUS, INACT. (IPOL)SANOFI PASTEURJ12844SCRA
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.H0174321SCLA
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.J0001922SCLA
Administered by: Public     Purchased by: Other
Symptoms: Lymphadenopathy, Rash
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow)
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)  Vaccinated:2012-08-08
Age:5.0  Onset:2012-08-10, Days after vaccination: 2
Gender:Female  Submitted:2013-11-08, Days after onset: 455
Location:New Mexico  Entered:2013-11-08
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: Chest X-rays. Blood test for tumor markers. Rectal exam. Ultrasound of neck mass. Surgical biopsy under general anesthesia with intubation.
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.1732AA0SCRA
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)
Write-up: In neck same side as arm injection site two lymph nodes became hot, painful, and then massively swollen.

VAERS ID:222824 (history)  Vaccinated:2004-05-24
Age:5.0  Onset:2004-05-31, Days after vaccination: 7
Gender:Unknown  Submitted:2004-06-15, Days after onset: 15
Location:Foreign  Entered:2004-06-18, Days after submission: 3
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: UNK
Diagnostic Lab Data: UNK
CDC 'Split Type': WAES0406KOR00006
Vaccination
Manufacturer
Lot
Dose
Route
Site
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)
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)  Vaccinated:2011-02-04
Age:5.0  Onset:2011-02-14, Days after vaccination: 10
Gender:Female  Submitted:2011-03-17, Days after onset: 30
Location:Foreign  Entered:2011-03-17
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
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAPIPV: DTAP + IPV (FOREIGN)GLAXOSMITHKLINE BIOLOGICALS  IMUN
MMR: MEASLES + MUMPS + RUBELLA (PRIORIX)GLAXOSMITHKLINE BIOLOGICALSA69CC198A IMLA
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)
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)  Vaccinated:2011-04-26
Age:5.0  Onset:2011-04-26, Days after vaccination: 0
Gender:Male  Submitted:2011-05-23, Days after onset: 27
Location:Foreign  Entered:2011-05-24, Days after submission: 1
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES1105USA02983
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAPIPV: DTAP + IPV (FOREIGN)GLAXOSMITHKLINE BIOLOGICALSG00740IMLA
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.  SCUN
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)
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)  Vaccinated:2011-08-30
Age:5.0  Onset:2011-09-01, Days after vaccination: 2
Gender:Unknown  Submitted:2011-10-04, Days after onset: 33
Location:Foreign  Entered:2011-10-05, Days after submission: 1
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Medical history and concomitant medications were not reported.
Diagnostic Lab Data: Not reported
CDC 'Split Type': 201108918
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAP: DTAP (TRIPEDIA)SANOFI PASTEURC3546AE UNLA
OPV: POLIO VIRUS, ORAL (NO BRAND NAME)UNKNOWN MANUFACTURERAOPVB841AA 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)
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)  Vaccinated:2011-12-01
Age:5.0  Onset:2011-12-02, Days after vaccination: 1
Gender:Unknown  Submitted:2012-01-12, Days after onset: 41
Location:Foreign  Entered:2012-01-13, Days after submission: 1
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Not reported
Diagnostic Lab Data: No data
CDC 'Split Type': 201200081
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAP: DTAP (TRIPEDIA)SANOFI PASTEURC3546AE IMUN
OPV: POLIO VIRUS, ORAL (NO BRAND NAME)UNKNOWN MANUFACTURERAOPVB841AA 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)
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)  Vaccinated:2012-11-21
Age:5.0  Onset:2012-11-22, Days after vaccination: 1
Gender:Unknown  Submitted:2013-01-31, Days after onset: 70
Location:Foreign  Entered:2013-01-31
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
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAP: DTAP (INFANRIX)GLAXOSMITHKLINE BIOLOGICALSAC14B147AI IMLA
OPV: POLIO VIRUS, ORAL (NO BRAND NAME)UNKNOWN MANUFACTURERAOPVB901BA 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)
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)  Vaccinated:2013-04-09
Age:5.0  Onset:2013-04-10, Days after vaccination: 1
Gender:Male  Submitted:2013-08-14, Days after onset: 126
Location:Foreign  Entered:2013-08-14
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
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAP: DTAP (INFANRIX)GLAXOSMITHKLINE BIOLOGICALSAC14B142DC SCRA
OPV: POLIO VIRUS, ORAL (NO BRAND NAME)UNKNOWN MANUFACTURERAOPVB901BA 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)
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)  Vaccinated:2014-04-17
Age:5.0  Onset:2014-04-17, Days after vaccination: 0
Gender:Female  Submitted:2014-05-16, Days after onset: 29
Location:Foreign  Entered:2014-05-16
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Immunisation
Preexisting Conditions:
Diagnostic Lab Data: 04/17/2014, Body temperature, $g39.5 degrees C
CDC 'Split Type': WAES1405ITA006920
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAPIPV: DTAP + IPV (FOREIGN)GLAXOSMITHKLINE BIOLOGICALSA20B269AF IMUN
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.J012171 IMUN
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)
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)  Vaccinated:1991-03-01
Age:6.1  Onset:1991-03-03, Days after vaccination: 2
Gender:Male  Submitted:1991-03-04, Days after onset: 1
Location:Texas  Entered:1991-04-01, Days after submission: 28
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': TX9113
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTP: DTP (TRI-IMMUNOL)LEDERLE LABORATORIES2899633IMLA
OPV: POLIO VIRUS, ORAL (ORIMUNE)LEDERLE LABORATORIES0619A3PO 
Administered by: Public     Purchased by: Public
Symptoms: Lymphadenopathy, Pain
SMQs:
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)  Vaccinated:1991-09-03
Age:6.3  Onset:1991-09-03, Days after vaccination: 0
Gender:Male  Submitted:1991-09-16, Days after onset: 13
Location:New Hampshire  Entered:1991-09-30, Days after submission: 14
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: n/a
Diagnostic Lab Data: n/a
CDC 'Split Type': NH91014
Vaccination
Manufacturer
Lot
Dose
Route
Site
OPV: POLIO VIRUS, ORAL (ORIMUNE)LEDERLE LABORATORIES0637E4PO 
TD: TD ADSORBED (NO BRAND NAME)CONNAUGHT LABORATORIES1F310580IM 
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)
Write-up: White patches, slight lingual swelling; swollen lymph nodes - neck; low grade fever - 100;

VAERS ID:35901 (history)  Vaccinated:1991-08-05
Age:6.5  Onset:1991-08-05, Days after vaccination: 0
Gender:Male  Submitted:0000-00-00
Location:Kansas  Entered:1991-10-29
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: WBC & lymphs -normal;
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTP: DTP (TRI-IMMUNOL)LEDERLE LABORATORIES2979094IMLA
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.1292S1SCRA
OPV: POLIO VIRUS, ORAL (ORIMUNE)LEDERLE LABORATORIES2939223PO 
Administered by: Public     Purchased by: Public
Symptoms: Arthralgia, Lymphadenopathy, Pyrexia, Splenomegaly
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arthritis (broad)
Write-up: Highest temp 104.8; Generalized lymphadenopathy, arthralgia, splenomegaly duration 7 days;

VAERS ID:39423 (history)  Vaccinated:1991-12-30
Age:6.5  Onset:1992-01-10, Days after vaccination: 11
Gender:Male  Submitted:1992-01-15, Days after onset: 5
Location:Georga  Entered:1992-02-11, Days after submission: 27
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;
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: problems w/fever & leg swelling
Diagnostic Lab Data:
CDC 'Split Type': GA9201
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0943T1SCLA
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)
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)  Vaccinated:1991-12-10
Age:6.8  Onset:1991-12-15, Days after vaccination: 5
Gender:Female  Submitted:1991-12-18, Days after onset: 3
Location:California  Entered:1992-02-18, Days after submission: 62
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: NONE
Other Medications:
Current Illness: swollen glands
Preexisting Conditions: sinus allergies
Diagnostic Lab Data: NONE
CDC 'Split Type': CA9212
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0754T1 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)
Write-up: Pt had sore throat, swollen glands, fever 105.9, pale, weak;

VAERS ID:46683 (history)  Vaccinated:1992-10-26
Age:6.1  Onset:1992-10-27, Days after vaccination: 1
Gender:Female  Submitted:1992-10-27, Days after onset: 0
Location:Virginia  Entered:1992-11-03, Days after submission: 7
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type': VA92112
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTP: DTP (NO BRAND NAME)CONNAUGHT LABORATORIES2A411271 LA
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.02T2V1 LA
OPV: POLIO VIRUS, ORAL (ORIMUNE)LEDERLE LABORATORIES3369211PO 
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)
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)  Vaccinated:1993-11-04
Age:6.4  Onset:1993-11-12, Days after vaccination: 8
Gender:Male  Submitted:1993-12-15, Days after onset: 33
Location:Nebraska  Entered:1994-01-26, Days after submission: 42
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;
Other Medications:
Current Illness: NONE
Preexisting Conditions: allergic to pertussis
Diagnostic Lab Data:
CDC 'Split Type': NE9328
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0118W0 RA
OPV: POLIO VIRUS, ORAL (ORIMUNE)LEDERLE LABORATORIES0677F2PO 
Administered by: Public     Purchased by: Public
Symptoms: Lymphadenopathy, Pruritus, Pyrexia, Rash
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Hypersensitivity (narrow)
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)  Vaccinated:1994-05-09
Age:6.3  Onset:1994-05-15, Days after vaccination: 6
Gender:Male  Submitted:1994-06-27, Days after onset: 43
Location:Idaho  Entered:1994-10-21, Days after submission: 116
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: throat culture for strept;
CDC 'Split Type': ID94042
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTP: DTP (NO BRAND NAME)CONNAUGHT LABORATORIES3J410614IMLA
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.1332S1SCRA
OPV: POLIO VIRUS, ORAL (ORIMUNE)LEDERLE LABORATORIES0698B3PO 
Administered by: Public     Purchased by: Public
Symptoms: Headache, Infection, Lymphadenopathy, Nuchal rigidity, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad)
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)  Vaccinated:1995-01-03
Age:6.9  Onset:1995-01-08, Days after vaccination: 5
Gender:Male  Submitted:1995-01-09, Days after onset: 1
Location:Georga  Entered:1995-02-07, Days after submission: 29
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
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: Asthma
Diagnostic Lab Data: NONE
CDC 'Split Type': GA95004
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAP: DTAP (TRIPEDIA)CONNAUGHT LABORATORIES3D510594IMRA
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0551A1SCLA
OPV: POLIO VIRUS, ORAL (ORIMUNE)LEDERLE LABORATORIES0706C4PO 
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)
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)  Vaccinated:1995-06-09
Age:6.4  Onset:1995-06-11, Days after vaccination: 2
Gender:Female  Submitted:1995-06-13, Days after onset: 2
Location:Tennessee  Entered:1995-09-19, Days after submission: 98
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: NONE
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC 'Split Type': TN95084
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTPHIB: DTP + HIB (TETRAMUNE)LEDERLE LABORATORIES4261214 LA
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.1374A1 RA
OPV: POLIO VIRUS, ORAL (ORIMUNE)LEDERLE LABORATORIES0721F4PO 
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)
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)  Vaccinated:1996-07-25
Age:6.0  Onset:1996-07-25, Days after vaccination: 0
Gender:Male  Submitted:1996-07-26, Days after onset: 1
Location:Minnesota  Entered:1996-08-02, Days after submission: 7
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: strep test negative;
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAP: DTAP (ACEL-IMUNE)LEDERLE LABORATORIES4309564IMA
OPV: POLIO VIRUS, ORAL (ORIMUNE)LEDERLE LABORATORIES07393PO 
Administered by: Private     Purchased by: Private
Symptoms: Lymphadenopathy, Pharyngitis, Pyrexia
SMQs:, Agranulocytosis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Oropharyngeal infections (narrow)
Write-up: fever to 103.7 p/vax & acute tonsillitis & ant lymphadenopathy;felt fever d/t tonsillitis ? vaccine rxn;

VAERS ID:90637 (history)  Vaccinated:1996-08-22
Age:6.7  Onset:1996-09-15, Days after vaccination: 24
Gender:Male  Submitted:1996-10-03, Days after onset: 18
Location:Missouri  Entered:1996-10-09, Days after submission: 6
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':
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0105D1SCLL
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)
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)  Vaccinated:1997-07-08
Age:6.3  Onset:1997-07-09, Days after vaccination: 1
Gender:Male  Submitted:1997-08-12, Days after onset: 34
Location:Pennsylvania  Entered:1997-09-08, Days after submission: 27
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NONE
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE DONE
CDC 'Split Type': PA9755
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAP: DTAP (TRIPEDIA)CONNAUGHT LABORATORIES6D813963 LA
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM2206A20 RA
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0895D1 RA
OPV: POLIO VIRUS, ORAL (ORIMUNE)LEDERLE LABORATORIES0757M3PO 
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)
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)  Vaccinated:2001-03-20
Age:6.0  Onset:2001-03-21, Days after vaccination: 1
Gender:Male  Submitted:2001-03-21, Days after onset: 0
Location:Colorado  Entered:2001-04-17, Days after submission: 26
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
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAP: DTAP (INFANRIX)GLAXOSMITHKLINE BIOLOGICALS983A21IMLA
HEP: HEP B (ENGERIX-B)GLAXOSMITHKLINE BIOLOGICALS5176A20IMRA
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.1511K1SCRA
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)
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)  Vaccinated:2002-05-30
Age:6.0  Onset:2002-06-05, Days after vaccination: 6
Gender:Male  Submitted:0000-00-00
Location:Unknown  Entered:2002-07-02
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
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)
Write-up: Fever, lymphadenopathy, headache.

VAERS ID:188112 (history)  Vaccinated:2002-04-10
Age:6.0  Onset:2002-04-11, Days after vaccination: 1
Gender:Female  Submitted:2002-07-22, Days after onset: 102
Location:Kansas  Entered:2002-07-29, Days after submission: 7
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: Seasonal allergies
Diagnostic Lab Data: NONE
CDC 'Split Type': KS200220
Vaccination
Manufacturer
Lot
Dose
Route
Site
IPV: POLIO VIRUS, INACT. (IPOL)AVENTIS PASTEURU034423SCLL
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.1250L1SCRL
Administered by: Public     Purchased by: Public
Symptoms: Eye swelling, Lymphadenopathy, Rash
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow)
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)  Vaccinated:2003-07-21
Age:6.0  Onset:2003-07-22, Days after vaccination: 1
Gender:Female  Submitted:2003-07-28, Days after onset: 6
Location:Ohio  Entered:2003-08-15, Days after submission: 18
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAP: DTAP (TRIPEDIA)AVENTIS PASTEURU0857DA4IMLA
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0130N1SCRA
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)
Write-up: 8cm erythema, induration, warmth, itching, pain + lymphadenopathy-axillary. Given Benadryl PO.

VAERS ID:214650 (history)  Vaccinated:1997-07-01
Age:6.0  Onset:1997-07-01, Days after vaccination: 0
Gender:Male  Submitted:2002-06-02, Days after onset: 1797
Location:Texas  Entered:2004-01-06, Days after submission: 583
Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: Hep B (unknown mfr);;;0;In Sibling
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
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)
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)  Vaccinated:0000-00-00
Age:6.0  Onset:0000-00-00
Gender:Male  Submitted:2004-08-07
Location:Colorado  Entered:2004-08-17, Days after submission: 10
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAP: DTAP (TRIPEDIA)AVENTIS PASTEURU1028CA3 RL
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.1103M3 LL
HEPA: HEP A (VAQTA)MERCK & CO. INC.0123P0 LL
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0810N0 RA
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.1351N0 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)
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)  Vaccinated:2000-09-05
Age:6.0  Onset:2000-09-15, Days after vaccination: 10
Gender:Female  Submitted:2005-01-14, Days after onset: 1582
Location:Alabama  Entered:2005-01-14
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: 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
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAP: DTAP (NO BRAND NAME)UNKNOWN MANUFACTURER922A  UN
IPV: POLIO VIRUS, INACT. (IPOL)AVENTIS PASTEURT0025   
MMR: MEASLES + MUMPS + RUBELLA (NO BRAND NAME)UNKNOWN MANUFACTURER0998K1 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)
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)  Vaccinated:2007-08-14
Age:6.0  Onset:0000-00-00
Gender:Male  Submitted:2007-08-20
Location:Indiana  Entered:2007-08-27, Days after submission: 7
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAP: DTAP (INFANRIX)GLAXOSMITHKLINE BIOLOGICALSAC14B044AA4IMRL
IPV: POLIO VIRUS, INACT. (IPOL)SANOFI PASTEURZ10693IMLL
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.028361IMLL
Administered by: Other     Purchased by: Public
Symptoms: Lymphadenopathy, Pain, Rash
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow)
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)  Vaccinated:2007-10-02
Age:6.0  Onset:2007-10-03, Days after vaccination: 1
Gender:Female  Submitted:2007-10-05, Days after onset: 2
Location:Michigan  Entered:2007-10-10, Days after submission: 5
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None physical
Preexisting Conditions: Milk when younger (drunks now)
Diagnostic Lab Data: Ran U/A, and Throat cultures - both neg.
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0284U1UNLA
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.1177U1UNRA
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)
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)  Vaccinated:2009-07-20
Age:6.0  Onset:2009-07-25, Days after vaccination: 5
Gender:Male  Submitted:2010-05-14, Days after onset: 293
Location:Unknown  Entered:2010-05-18, Days after submission: 4
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
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
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.  UNUN
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)
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)  Vaccinated:2011-06-17
Age:6.0  Onset:2011-06-27, Days after vaccination: 10
Gender:Female  Submitted:2011-06-29, Days after onset: 2
Location:Vermont  Entered:2011-07-05, Days after submission: 6
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0409Z0SCUN
Administered by: Private     Purchased by: Public
Symptoms: Arthralgia, Lymphadenopathy, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arthritis (broad)
Write-up: 10 days after vaccine developed fever 0f 101-102. Swollen glands at neck - achey joints.

VAERS ID:127255 (history)  Vaccinated:1999-03-11
Age:6.0  Onset:1999-04-13, Days after vaccination: 33
Gender:Male  Submitted:1999-08-11, Days after onset: 120
Location:Foreign  Entered:1999-08-16, Days after submission: 5
Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? No
Hospitalized? 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
Vaccination
Manufacturer
Lot
Dose
Route
Site
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)
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)  Vaccinated:2005-08-25
Age:6.0  Onset:2005-09-10, Days after vaccination: 16
Gender:Male  Submitted:2006-09-11, Days after onset: 366
Location:Foreign  Entered:2006-09-13, Days after submission: 2
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: 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
CDC 'Split Type': WAES0602USA04404
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAP: DTAP (NO BRAND NAME)UNKNOWN MANUFACTURER  IMRA
IPV: POLIO VIRUS, INACT. (NO BRAND NAME)UNKNOWN MANUFACTURER  IMRA
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.  SCLA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Anorexia, Blister, Dry mouth, Erythema, Laboratory test abnormal, Lymphadenopathy, Mucous membrane disorder, Musculoskeletal stiffness, Pain, Pharyngitis, Pyrexia, Red blood cell sedimentation rate decreased, Respiratory tract infection, Stevens-Johnson syndrome, 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)
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 tre

VAERS ID:490011 (history)  Vaccinated:2013-03-18
Age:6.0  Onset:2013-03-18, Days after vaccination: 0
Gender:Unknown  Submitted:2013-04-24, Days after onset: 37
Location:Foreign  Entered:2013-04-25, Days after submission: 1
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: The patient''s past medical history was not reported.
Diagnostic Lab Data: Not reported.
CDC 'Split Type': 201305151
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAP: DTAP (TRIPEDIA)SANOFI PASTEURC4007AK IMRA
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)
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)  Vaccinated:2013-05-22
Age:6.0  Onset:0000-00-00
Gender:Male  Submitted:2013-08-15
Location:Foreign  Entered:2013-08-15
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
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
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.J0005830UNUN
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.1487AA1UNUN
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)
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)  Vaccinated:2013-05-22
Age:6.0  Onset:2013-05-26, Days after vaccination: 4
Gender:Male  Submitted:2013-08-19, Days after onset: 85
Location:Foreign  Entered:2013-08-19
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
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
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (FOREIGN)MERCK & CO. INC.J0005830UNUN
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.1487AA1UNUN
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)
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)  Vaccinated:1992-03-23
Age:7.7  Onset:1992-03-27, Days after vaccination: 4
Gender:Female  Submitted:1992-03-27, Days after onset: 0
Location:Virginia  Entered:1992-04-20, Days after submission: 23
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: APAP; PPD recvd 20MAR92;
Current Illness: sore throat, t99
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC 'Split Type': VA92034
Vaccination
Manufacturer
Lot
Dose
Route
Site
OPV: POLIO VIRUS, ORAL (ORIMUNE)LEDERLE LABORATORIES06544PO 
TD: TD ADSORBED (NO BRAND NAME)CONNAUGHT LABORATORIES1K311454IMA
Administered by: Public     Purchased by: Public
Symptoms: Lymphadenopathy, Pruritus, Rash
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow)
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)  Vaccinated:1996-08-15
Age:7.3  Onset:1996-08-21, Days after vaccination: 6
Gender:Female  Submitted:1996-08-28, Days after onset: 7
Location:Texas  Entered:1996-09-04, Days after submission: 7
Life Threatening? Yes
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: Blood test for mono test negative;
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
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)
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)  Vaccinated:1998-08-10
Age:7.9  Onset:1998-08-17, Days after vaccination: 7
Gender:Male  Submitted:1998-08-26, Days after onset: 9
Location:Indiana  Entered:1998-08-26
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: NONE
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
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.1593E1 LA
Administered by: Public     Purchased by: Public
Symptoms: Arthralgia, Leukocytosis, Lymphadenopathy, Lymphocytosis, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arthritis (broad)
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)  Vaccinated:0000-00-00
Age:7.0  Onset:0000-00-00
Gender:Male  Submitted:2013-06-01
Location:Unknown  Entered:2013-06-01
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? 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
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTP: DTP (NO BRAND NAME)UNKNOWN MANUFACTURER  UNUN
HEP: HEP B (NO BRAND NAME)UNKNOWN MANUFACTURER  UNUN
HIBV: HIB (NO BRAND NAME)UNKNOWN MANUFACTURER  UNUN
IPV: POLIO VIRUS, INACT. (NO BRAND NAME)UNKNOWN MANUFACTURER  UNUN
MMR: MEASLES + MUMPS + RUBELLA (NO BRAND NAME)UNKNOWN MANUFACTURER  UNUN
VARCEL: VARICELLA (NO BRAND NAME)UNKNOWN MANUFACTURER  UNUN
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)
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:72144 (history)  Vaccinated:1994-12-12
Age:7.0  Onset:0000-00-00
Gender:Female  Submitted:1995-03-13
Location:Foreign  Entered:1995-03-21, Days after submission: 8
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: no relevant hx
Diagnostic Lab Data: C Reactive 1.8 MG/dl;WBC count 13900,all in dec94;
CDC 'Split Type': WAES95030302
Vaccination
Manufacturer
Lot
Dose
Route
Site
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)
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)  Vaccinated:2013-06-17
Age:7.0  Onset:2013-06-19, Days after vaccination: 2
Gender:Female  Submitted:2013-08-12, Days after onset: 54
Location:Foreign  Entered:2013-08-12
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
Vaccination
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Lot
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HEPAB: HEP A + HEP B (TWINRIX)GLAXOSMITHKLINE BIOLOGICALSAHABB258BI1IMLA
Administered by: Other     Purchased by: Other
Symptoms: Erysipelas, Erythema, Lymphadenopathy
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (broad)
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)  Vaccinated:1991-08-05
Age:8.0  Onset:1991-08-08, Days after vaccination: 3
Gender:Male  Submitted:1991-08-21, Days after onset: 13
Location:Washington  Entered:1991-09-17, Days after submission: 27
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': WA91611
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.1910S1IMLA
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)
Write-up: t102 on 8AUG91, conjunctivitis & post cervical adenopathy present, as well as rash; recovered by 16AUG91

VAERS ID:34852 (history)  Vaccinated:1990-08-23
Age:8.4  Onset:1990-09-02, Days after vaccination: 10
Gender:Female  Submitted:1991-07-20, Days after onset: 321
Location:New Mexico  Entered:1991-09-19, Days after submission: 61
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: NONE
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':
Vaccination
Manufacturer
Lot
Dose
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Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.1039S0SCA
Administered by: Other     Purchased by: Other
Symptoms: Abdominal pain, Lymphadenopathy
SMQs:, Acute pancreatitis (broad), Retroperitoneal fibrosis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)
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)  Vaccinated:1991-10-29
Age:8.2  Onset:1991-10-31, Days after vaccination: 2
Gender:Female  Submitted:1991-11-04, Days after onset: 4
Location:Oregon  Entered:1991-11-15, Days after submission: 11
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: NONE
Other Medications:
Current Illness:
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC 'Split Type': OR9151
Vaccination
Manufacturer
Lot
Dose
Route
Site
OPV: POLIO VIRUS, ORAL (ORIMUNE)LEDERLE LABORATORIES3089603PO 
TD: TD ADSORBED (NO BRAND NAME)CONNAUGHT LABORATORIES0K210464IMLA
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)
Write-up: Pt devel very sore arm @ inject site was seen by MD who dx sterile abscess @ inject site & lymphopharyngitis;

VAERS ID:130258 (history)  Vaccinated:1999-08-12
Age:8.3  Onset:1999-08-24, Days after vaccination: 12
Gender:Male  Submitted:1999-08-26, Days after onset: 2
Location:Illinois  Entered:1999-11-03, Days after submission: 69
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: NONE
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: heart song (valve disorder) required @ birth;no problems now;
Diagnostic Lab Data: amylase 34;
CDC 'Split Type': IL99069
Vaccination
Manufacturer
Lot
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Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM2626A21IMRA
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0794H1SCLA
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)
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)  Vaccinated:2003-04-25
Age:8.0  Onset:2003-04-26, Days after vaccination: 1
Gender:Male  Submitted:2003-05-05, Days after onset: 9
Location:Unknown  Entered:2003-05-19, Days after submission: 14
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':
Vaccination
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Site
HEPA: HEP A (HAVRIX)GLAXOSMITHKLINE BIOLOGICALS753060IMLA
TYP: TYPHOID VI POLYSACCHARIDE (TYPHIM VI)AVENTIS PASTEURU151120IMLA
Administered by: Private     Purchased by: Private
Symptoms: Lymphadenopathy, Pruritus, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow)
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)  Vaccinated:0000-00-00
Age:8.0  Onset:0000-00-00
Gender:Male  Submitted:2006-05-26
Location:Foreign  Entered:2006-05-31, Days after submission: 5
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
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
Vaccination
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Lot
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Route
Site
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), 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)
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)  Vaccinated:1990-08-07
Age:9.0  Onset:1990-08-17, Days after vaccination: 10
Gender:Male  Submitted:0000-00-00
Location:Virginia  Entered:1991-06-03
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
Other Medications: UNK
Current Illness:
Preexisting Conditions: No relevant hx
Diagnostic Lab Data: No relevant data
CDC 'Split Type': WAES90080831
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.1503S1  
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)
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)  Vaccinated:1992-05-07
Age:9.3  Onset:1992-05-08, Days after vaccination: 1
Gender:Male  Submitted:1992-05-08, Days after onset: 0
Location:Missouri  Entered:1992-05-13, Days after submission: 5
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: none
Other Medications: none
Current Illness: none
Preexisting Conditions: none
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
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MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0983T1IMLA
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)
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)  Vaccinated:1993-10-25
Age:9.4  Onset:1994-02-15, Days after vaccination: 113
Gender:Female  Submitted:0000-00-00
Location:Tennessee  Entered:1994-06-03
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: PCN, COmdex, Bromhist
Current Illness:
Preexisting Conditions: allergy, lactose
Diagnostic Lab Data: No relevant data;
CDC 'Split Type': WAES94021123
Vaccination
Manufacturer
Lot
Dose
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Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.1027W1IM 
Administered by: Private     Purchased by: Private
Symptoms: Drug ineffective, Infection, Lymphadenopathy, Rash
SMQs:, Anaphylactic reaction (broad), Lack of efficacy/effect (narrow), Hypersensitivity (narrow)
Write-up: pt recvd vax on 25OCT93 & 16FEB94 devel measles; No further details were provided;

VAERS ID:119472 (history)  Vaccinated:1999-02-08
Age:9.4  Onset:1999-02-09, Days after vaccination: 1
Gender:Male  Submitted:1999-02-10, Days after onset: 1
Location:Georga  Entered:1999-03-01, Days after submission: 19
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': GA99014
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM2726A2 IMRA
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0954H SCRA
OPV: POLIO VIRUS, ORAL (ORIMUNE)LEDERLE LABORATORIES0792A PO 
TD: TD ADSORBED (NO BRAND NAME)CONNAUGHT LABORATORIES0944780 IMLA
Administered by: Public     Purchased by: Public
Symptoms: Lymphadenopathy, Pain, Rash, Rash maculo-papular, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow)
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)  Vaccinated:2002-02-15
Age:9.0  Onset:2002-02-17, Days after vaccination: 2
Gender:Male  Submitted:2002-04-11, Days after onset: 52
Location:Colorado  Entered:2002-04-17, Days after submission: 6
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;In Patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
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Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.1426K0IMRA
IPV: POLIO VIRUS, INACT. (IPOL)AVENTIS PASTEUR14500SCLA
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0906L0SCRA
TD: TD ADSORBED (NO BRAND NAME)AVENTIS PASTEURU0385AA0IMLA
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)
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)  Vaccinated:2005-12-01
Age:9.0  Onset:0000-00-00
Gender:Female  Submitted:2006-05-19
Location:Unknown  Entered:2006-05-22, Days after submission: 3
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: UNK
Diagnostic Lab Data: UNK
CDC 'Split Type': WAES0603USA04639
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.  UNUN
Administered by: Other     Purchased by: Other
Symptoms: Lymphadenopathy
SMQs:
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)  Vaccinated:2011-02-02
Age:9.0  Onset:2011-02-08, Days after vaccination: 6
Gender:Male  Submitted:2011-02-10, Days after onset: 2
Location:Nebraska  Entered:2011-02-15, Days after submission: 5
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Allergic to: clindamycin
Diagnostic Lab Data: Tested for influenza - Neg - according to Guardian
CDC 'Split Type':
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Site
HEPA: HEP A (HAVRIX)GLAXOSMITHKLINE BIOLOGICALSAHAVB461AA0IMLA
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0601Z1SCRA
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.0995Z1SCLA
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)
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:152748 (history)  Vaccinated:1991-01-19
Age:9.0  Onset:1991-01-19, Days after vaccination: 0
Gender:Female  Submitted:1999-12-08, Days after onset: 3245
Location:Foreign  Entered:2000-06-07, Days after submission: 181
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
Vaccination
Manufacturer
Lot
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Site
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)
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)  Vaccinated:2008-04-03
Age:9.0  Onset:2008-04-10, Days after vaccination: 7
Gender:Unknown  Submitted:2008-07-08, Days after onset: 89
Location:Foreign  Entered:2008-07-09, Days after submission: 1
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0806POL00006
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0324U IMUN
Administered by: Unknown     Purchased by: Unknown
Symptoms: Incorrect route of drug administration, Lymphadenopathy
SMQs:
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:30700 (history)  Vaccinated:1991-04-25
Age:10.3  Onset:1991-04-29, Days after vaccination: 4
Gender:Female  Submitted:1991-04-30, Days after onset: 1
Location:South Carolina  Entered:1991-05-20, Days after submission: 20
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: PCN
Diagnostic Lab Data: NONE
CDC 'Split Type': IL9129
Vaccination
Manufacturer
Lot
Dose
Route
Site
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)
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)  Vaccinated:1992-04-22
Age:10.2  Onset:1992-04-24, Days after vaccination: 2
Gender:Female  Submitted:1992-04-24, Days after onset: 0
Location:Texas  Entered:1992-06-08, Days after submission: 45
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': TX9286
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.1824T1SCLA
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)
Write-up: Pt devel swelling on both sides of neck below ears; t101; pain & painful to swalllow specially tart foods;

VAERS ID:57333 (history)  Vaccinated:1993-09-16
Age:10.9  Onset:1993-09-18, Days after vaccination: 2
Gender:Male  Submitted:1993-11-09, Days after onset: 52
Location:Connecticut  Entered:1993-11-12, Days after submission: 3
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NONE
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':
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0537001IMLA
Administered by: Private     Purchased by: Public
Symptoms: Lymphadenopathy
SMQs:
Write-up: intermittent cervical adenopathy devel 48 hrs p/vax lasted x 1 month;

VAERS ID:59140 (history)  Vaccinated:1993-06-21
Age:10.2  Onset:1993-06-29, Days after vaccination: 8
Gender:Male  Submitted:1993-07-09, Days after onset: 10
Location:Illinois  Entered:1994-01-18, Days after submission: 193
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': IL93071
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0338W1SC 
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)
Write-up: fever 102-104, nausea, vomiting, swollen lymph nodes on neck & groin, pain in both areas & lethargy;

VAERS ID:73609 (history)  Vaccinated:1995-04-08
Age:10.4  Onset:1995-04-17, Days after vaccination: 9
Gender:Male  Submitted:1995-04-21, Days after onset: 4
Location:Utah  Entered:1995-05-01, Days after submission: 10
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: NONE
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
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0988A1SCLA
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)
Write-up: devel measle-like sx-rash, fever, swollen glands, sore throat; rash covered entire body; t104;

VAERS ID:75293 (history)  Vaccinated:1995-05-12
Age:10.5  Onset:1995-05-15, Days after vaccination: 3
Gender:Female  Submitted:1995-06-13, Days after onset: 29
Location:Colorado  Entered:1995-06-22, Days after submission: 9
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: none
Other Medications:
Current Illness: none
Preexisting Conditions: none
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
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Dose
Route
Site
DT: DT ADSORBED (NO BRAND NAME)CONNAUGHT LABORATORIES4L61153  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)
Write-up: pt recv vax; rt clavicle area swollen; lymphadenitis in region of DT boost;cervical & axillary

VAERS ID:92380 (history)  Vaccinated:1996-09-17
Age:10.8  Onset:1996-09-19, Days after vaccination: 2
Gender:Female  Submitted:1996-09-20, Days after onset: 1
Location:Georga  Entered:1996-11-25, Days after submission: 66
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: NA
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
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.1167B1SCLA
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)
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)  Vaccinated:1997-05-09
Age:10.8  Onset:1997-05-19, Days after vaccination: 10
Gender:Male  Submitted:1997-06-05, Days after onset: 17
Location:Kentucky  Entered:1997-06-09, Days after submission: 4
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: 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
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.1251D1  
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)
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)  Vaccinated:1999-03-05
Age:10.3  Onset:1999-03-06, Days after vaccination: 1
Gender:Male  Submitted:1999-03-09, Days after onset: 3
Location:Alaska  Entered:1999-04-08, Days after submission: 29
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: blood drawn-physicl done @ that time;
CDC 'Split Type': AK9908
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM2811A2 IMRA
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0956H1SCRA
OPV: POLIO VIRUS, ORAL (ORIMUNE)LEDERLE LABORATORIES0796L PO 
TD: TD ADSORBED (NO BRAND NAME)CONNAUGHT LABORATORIES09239101IMLA
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)
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)  Vaccinated:1999-08-23
Age:10.8  Onset:1999-08-29, Days after vaccination: 6
Gender:Male  Submitted:1999-09-07, Days after onset: 9
Location:Kentucky  Entered:1999-09-28, Days after submission: 21
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
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':
Vaccination
Manufacturer
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Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM2948A21 LA
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0349J0 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)
Write-up: p/vax pt exp swelling & tenderness lt jaw area; fever to 102.4

VAERS ID:193129 (history)  Vaccinated:2002-09-09
Age:10.0  Onset:2002-09-18, Days after vaccination: 9
Gender:Female  Submitted:2002-10-02, Days after onset: 14
Location:Oregon  Entered:2002-11-13, Days after submission: 42
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
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM5352A22IMLA
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0027M1SCLA
TD: TD ADSORBED (NO BRAND NAME)AVENTIS PASTEURU0524AA IMRA
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)
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)  Vaccinated:2005-03-18
Age:10.0  Onset:2005-03-19, Days after vaccination: 1
Gender:Female  Submitted:2005-03-30, Days after onset: 11
Location:Minnesota  Entered:2005-03-30
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':
Vaccination
Manufacturer
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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)
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)  Vaccinated:0000-00-00
Age:10  Onset:0000-00-00
Gender:Male  Submitted:2009-05-29
Location:Unknown  Entered:2009-06-17, Days after submission: 19
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
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.  UNUN
Administered by: Other     Purchased by: Other
Symptoms: Immune system disorder
SMQs:
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)  Vaccinated:1991-02-13
Age:11.5  Onset:1991-02-14, Days after vaccination: 1
Gender:Male  Submitted:1991-02-19, Days after onset: 5
Location:West Virginia  Entered:1991-03-27, Days after submission: 36
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Not known - strept was dx 19FEB91
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type': WV916
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.2247S1SC 
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)
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)  Vaccinated:1991-08-08
Age:11.0  Onset:1991-08-12, Days after vaccination: 4
Gender:Male  Submitted:1991-08-15, Days after onset: 3
Location:Indiana  Entered:1991-08-19, Days after submission: 4
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: NA
Other Medications: NONE
Current Illness: NONe
Preexisting Conditions: Polycystic kidney removed age 3 mos
Diagnostic Lab Data: None
CDC 'Split Type':
Vaccination
Manufacturer
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Dose
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Site
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)
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)  Vaccinated:1992-04-22
Age:11.4  Onset:1992-05-06, Days after vaccination: 14
Gender:Female  Submitted:0000-00-00
Location:Kentucky  Entered:1992-09-01
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: NA
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: allergies to milk & corn products/tubes inears adnoids removed;
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
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Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0228V1 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), Conjunctival disorders (narrow), Lacrimal disorders (narrow), Ocular infections (broad), Hypersensitivity (narrow)
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)  Vaccinated:1992-08-12
Age:11.0  Onset:1992-09-16, Days after vaccination: 35
Gender:Female  Submitted:1992-09-22, Days after onset: 6
Location:Texas  Entered:1992-10-13, Days after submission: 21
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: TB by Sclavo lot# 49A02 given 12AUG92;
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC 'Split Type': TX92189
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0670V1SCLA
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)
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)  Vaccinated:1992-09-08
Age:11.4  Onset:1992-09-16, Days after vaccination: 8
Gender:Male  Submitted:0000-00-00
Location:Washington  Entered:1992-10-23
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: dx strep throat, referred to MD for rx;
CDC 'Split Type': WA92772
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0558V1  
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)
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)  Vaccinated:1992-08-07
Age:11.1  Onset:1992-08-25, Days after vaccination: 18
Gender:Female  Submitted:1992-08-26, Days after onset: 1
Location:Maryland  Entered:1992-10-26, Days after submission: 61
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: NONE
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: allergic to PCN
Diagnostic Lab Data:
CDC 'Split Type': MD92069
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0762T1 RA
Administered by: Public     Purchased by: Public
Symptoms: Headache, Lymphadenopathy, Pain
SMQs:
Write-up: swollen gland on lt side-sore to touch-no fever; h/a 25AUG92;

VAERS ID:52942 (history)  Vaccinated:1993-05-03
Age:11.7  Onset:1993-05-05, Days after vaccination: 2
Gender:Female  Submitted:1993-05-17, Days after onset: 12
Location:Ohio  Entered:1993-05-20, Days after submission: 3
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: NONE
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC 'Split Type':
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MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.1053V1 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)
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)  Vaccinated:1994-07-27
Age:11.9  Onset:1994-07-28, Days after vaccination: 1
Gender:Male  Submitted:1994-07-29, Days after onset: 1
Location:South Carolina  Entered:1994-08-19, Days after submission: 21
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: NA
Diagnostic Lab Data: NONE
CDC 'Split Type':
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DT: DT ADSORBED (NO BRAND NAME)LEDERLE LABORATORIES360913 IMLA
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0340A1SCLA
Administered by: Private     Purchased by: Private
Symptoms: Injection site hypersensitivity, Lymphadenopathy, Pain
SMQs:, Hypersensitivity (narrow)
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)  Vaccinated:1994-09-19
Age:11.2  Onset:1994-09-21, Days after vaccination: 2
Gender:Female  Submitted:1994-09-22, Days after onset: 1
Location:Georga  Entered:1994-10-18, Days after submission: 26
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': GA94148
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0079A1SCRA
Administered by: Public     Purchased by: Public
Symptoms: Bronchitis, Lymphadenopathy, Pharyngitis, Rhinitis
SMQs:, Agranulocytosis (broad), Oropharyngeal infections (narrow)
Write-up: pt recvd vax & c/o sneezing; had sore throat & swollen glands in neck; to MD; dx of bronchitis;

VAERS ID:68108 (history)  Vaccinated:1994-09-14
Age:11.2  Onset:1994-10-18, Days after vaccination: 34
Gender:Female  Submitted:1994-11-01, Days after onset: 14
Location:Pennsylvania  Entered:1994-11-07, Days after submission: 6
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
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MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0546A0SCRA
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)
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)  Vaccinated:1995-04-25
Age:11.3  Onset:1995-04-29, Days after vaccination: 4
Gender:Female  Submitted:1995-05-04, Days after onset: 5
Location:Alabama  Entered:1995-05-10, Days after submission: 6
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;
Other Medications: NONE
Current Illness: NA
Preexisting Conditions: NA
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
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MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.1052A1SCLA
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)
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)  Vaccinated:1995-03-16
Age:11.5  Onset:0000-00-00
Gender:Male  Submitted:1995-05-09
Location:Wisconsin  Entered:1995-05-12, Days after submission: 3
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: allergic to PCN
Diagnostic Lab Data:
CDC 'Split Type': WI95024
Vaccination
Manufacturer
Lot
Dose
Route
Site
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)
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)  Vaccinated:1995-07-21
Age:11.7  Onset:1995-08-06, Days after vaccination: 16
Gender:Male  Submitted:1995-10-22, Days after onset: 77
Location:New York  Entered:1995-10-26, Days after submission: 4
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: 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':
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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)
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)  Vaccinated:1999-07-26
Age:11.4  Onset:1999-07-30, Days after vaccination: 4
Gender:Male  Submitted:1999-08-11, Days after onset: 12
Location:Texas  Entered:1999-08-19, Days after submission: 8
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NONE
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC 'Split Type':
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MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.1753H1SCLA
Administered by: Public     Purchased by: Other
Symptoms: Lymphadenopathy, Neck pain, Pain
SMQs:, Arthritis (broad)
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)  Vaccinated:2000-03-27
Age:11.0  Onset:2000-03-28, Days after vaccination: 1
Gender:Female  Submitted:2000-04-03, Days after onset: 5
Location:North Carolina  Entered:2000-04-06, Days after submission: 3
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
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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:
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)  Vaccinated:2000-05-09
Age:11.0  Onset:2000-05-12, Days after vaccination: 3
Gender:Male  Submitted:2000-05-12, Days after onset: 0
Location:Maine  Entered:2000-06-09, Days after submission: 28
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':
Vaccination
Manufacturer
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Site
DT: DT ADSORBED (NO BRAND NAME)CONNAUGHT LABORATORIESU0154AA0IMLA
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM3068A20IMRA
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)
Write-up: Local swelling deltoid, 1cm tender left axillary adenopathy.

VAERS ID:155178 (history)  Vaccinated:1999-07-05
Age:11.0  Onset:1999-07-08, Days after vaccination: 3
Gender:Male  Submitted:2000-05-24, Days after onset: 321
Location:Connecticut  Entered:2000-06-21, Days after submission: 28
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
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC. 1SC 
Administered by: Other     Purchased by: Other
Symptoms: Lymphadenopathy
SMQs:
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)  Vaccinated:2000-08-29
Age:11.0  Onset:2000-08-29, Days after vaccination: 0
Gender:Male  Submitted:2000-09-06, Days after onset: 8
Location:Kentucky  Entered:2000-10-10, Days after submission: 34
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
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0577K1IMLA
Administered by: Public     Purchased by: Other
Symptoms: Infection, Lymphadenopathy, Pharyngitis, Pyrexia
SMQs:, Agranulocytosis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Oropharyngeal infections (narrow)
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)  Vaccinated:2000-08-31
Age:11.0  Onset:2000-09-12, Days after vaccination: 12
Gender:Female  Submitted:2001-01-12, Days after onset: 122
Location:Massachusetts  Entered:2001-01-24, Days after submission: 12
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':
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MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0131J2SC 
Administered by: Private     Purchased by: Other
Symptoms: Abdominal pain, Confusional state, Constipation, Dizziness, Impaired gastric emptying, Lethargy, Lymphadenopathy, Migraine, 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)
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)  Vaccinated:2001-05-24
Age:11.0  Onset:2001-05-26, Days after vaccination: 2
Gender:Male  Submitted:2001-05-29, Days after onset: 3
Location:Ohio  Entered:2001-06-19, Days after submission: 21
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':
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Site
HEP: HEP B (ENGERIX-B)GLAXOSMITHKLINE BIOLOGICALS5223A90IMLA
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.1392 K1 RA
Administered by: Private     Purchased by: Private
Symptoms: Lymphadenopathy
SMQs:
Write-up: Cervical Lymphadenopathy, tender right greater than left.

VAERS ID:212879 (history)  Vaccinated:2003-11-14
Age:11.0  Onset:2003-11-17, Days after vaccination: 3
Gender:Male  Submitted:2003-11-19, Days after onset: 2
Location:California  Entered:2003-11-24, Days after submission: 5
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC 'Split Type':
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FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)EVANS VACCINES7659790IMLA
HEPA: HEP A (HAVRIX)GLAXOSMITHKLINE BIOLOGICALS777A20IMRA
TYP: TYPHOID VI POLYSACCHARIDE (TYPHIM VI)AVENTIS PASTEURW15820IMLA
YF: YELLOW FEVER (YF-VAX)AVENTIS PASTEURUB492AA0SCLA
Administered by: Private     Purchased by: Private
Symptoms: Lymphadenopathy, Malaise
SMQs:
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)  Vaccinated:2004-03-29
Age:11.0  Onset:2004-03-29, Days after vaccination: 0
Gender:Female  Submitted:2004-04-01, Days after onset: 3
Location:Indiana  Entered:2004-04-02, Days after submission: 1
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: Swelling to mosquito bites. Rash= Ceclor
Diagnostic Lab Data:
CDC 'Split Type':
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MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0807N1SCRA
TD: TETANUS DIPHTHERIA (NO BRAND NAME)AVENTIS PASTEURU1017BA5IMLA
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)
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)  Vaccinated:2005-11-16
Age:11.0  Onset:2005-11-17, Days after vaccination: 1
Gender:Male  Submitted:2006-02-14, Days after onset: 89
Location:New York  Entered:2008-06-17, Days after submission: 853
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
Vaccination
Manufacturer
Lot
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Site
DT: DT ADSORBED (DECAVAC)SANOFI PASTEURU1620AA IMLA
Administered by: Private     Purchased by: Private
Symptoms: Chills, Lymphadenitis, Lymphadenopathy, Pain in extremity
SMQs:
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)  Vaccinated:1998-11-06
Age:11.0  Onset:1998-11-11, Days after vaccination: 5
Gender:Female  Submitted:2004-01-05, Days after onset: 1881
Location:Foreign  Entered:2004-01-06, Days after submission: 1
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
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
CDC 'Split Type': D0042742A
Vaccination
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Site
HEP: HEP B (ENGERIX-B)GLAXOSMITHKLINE BIOLOGICALS2540B6   
MMR: MEASLES + MUMPS + RUBELLA (PRIORIX)GLAXOSMITHKLINE BIOLOGICALS690014PD   
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)
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

VAERS ID:34828 (history)  Vaccinated:1991-08-23
Age:12.3  Onset:1991-08-24, Days after vaccination: 1
Gender:Male  Submitted:1991-08-27, Days after onset: 3
Location:Georga  Entered:1991-09-19, Days after submission: 23
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NONE
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: Throat Culture
CDC 'Split Type': GA91247
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0769T1SCLA
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)
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)  Vaccinated:1993-04-14
Age:12.0  Onset:1993-04-21, Days after vaccination: 7
Gender:Female  Submitted:1993-05-17, Days after onset: 26
Location:Minnesota  Entered:1993-05-24, Days after submission: 7
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NONE
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC 'Split Type': MN93024
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0062W1SCLA
Administered by: Other     Purchased by: Other
Symptoms: Lymphadenopathy, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad)
Write-up: temp of 102, all lymph nodes in neck swollen seen by MD-APAP as treatment;

VAERS ID:56983 (history)  Vaccinated:1993-08-27
Age:12.1  Onset:1993-08-30, Days after vaccination: 3
Gender:Female  Submitted:1993-09-22, Days after onset: 23
Location:Ohio  Entered:1993-11-03, Days after submission: 42
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': OH93079
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.1825T1SCLA
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)
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)  Vaccinated:1994-02-18
Age:12.0  Onset:1994-03-09, Days after vaccination: 19
Gender:Female  Submitted:1994-03-22, Days after onset: 13
Location:Ohio  Entered:1994-03-28, Days after submission: 6
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: NA
Current Illness: NA
Preexisting Conditions: has had problems w/ear in past
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
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)
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)  Vaccinated:1994-04-20
Age:12.0  Onset:1994-05-16, Days after vaccination: 26
Gender:Male  Submitted:1994-06-09, Days after onset: 24
Location:Colorado  Entered:1994-07-13, Days after submission: 34
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': CO94043
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.1053V0SCRA
Administered by: Public     Purchased by: Public
Symptoms: Influenza, Lymphadenopathy, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad)
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)  Vaccinated:1994-07-19
Age:12.0  Onset:1994-07-21, Days after vaccination: 2
Gender:Male  Submitted:1994-07-25, Days after onset: 4
Location:Nebraska  Entered:1994-07-27, Days after submission: 2
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NONE
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
DT: DT ADSORBED (NO BRAND NAME)LEDERLE LABORATORIES360912 IMLA
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0548A1SCRA
Administered by: Private     Purchased by: Private
Symptoms: Cellulitis, Lymphadenopathy, Rash
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow)
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)  Vaccinated:1994-08-15
Age:12.1  Onset:1994-08-16, Days after vaccination: 1
Gender:Male  Submitted:1994-08-18, Days after onset: 2
Location:Texas  Entered:1994-08-24, Days after submission: 6
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: asthma
Diagnostic Lab Data:
CDC 'Split Type': TX94202
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0401A1SCLA
TD: TD ADSORBED (NO BRAND NAME)CONNAUGHT LABORATORIES47610594IMLA
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)
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)  Vaccinated:1995-01-06
Age:12.9  Onset:1995-01-09, Days after vaccination: 3
Gender:Male  Submitted:1995-03-30, Days after onset: 80
Location:New Hampshire  Entered:1995-04-06, Days after submission: 6
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: ritalin;
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type': NH95006
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0175A2 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)
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)  Vaccinated:1994-08-29
Age:12.9  Onset:1994-09-15, Days after vaccination: 17
Gender:Female  Submitted:0000-00-00
Location:Ohio  Entered:1995-05-12
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
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
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0083A1IM 
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)
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)  Vaccinated:1995-04-18
Age:12.5  Onset:1995-04-28, Days after vaccination: 10
Gender:Male  Submitted:1995-05-08, Days after onset: 10
Location:Ohio  Entered:1995-05-30, Days after submission: 22
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': OH95058
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0775A1SC 
TD: TD ADSORBED (NO BRAND NAME)CONNAUGHT LABORATORIES4F610454IM 
Administered by: Public     Purchased by: Public
Symptoms: Arthralgia, Epistaxis, Lymphadenopathy, Osteoarthritis
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Arthritis (broad)
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)  Vaccinated:1995-05-21
Age:12.0  Onset:1995-05-22, Days after vaccination: 1
Gender:Male  Submitted:1995-05-22, Days after onset: 0
Location:Unknown  Entered:1995-09-29, Days after submission: 130
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: brconhitis; PCN allergy
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
DT: DT ADSORBED (NO BRAND NAME)LEDERLE LABORATORIES372960   
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)
Write-up: pharynx red, cervical nodes, occasional rhonchi, no rales/wheezes, fever, arm pain, cough, sore throat, swollen lips;

VAERS ID:80089 (history)  Vaccinated:1995-10-18
Age:12.2  Onset:1995-10-29, Days after vaccination: 11
Gender:Female  Submitted:1995-11-08, Days after onset: 10
Location:Texas  Entered:1995-12-15, Days after submission: 37
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC 'Split Type': TX95244
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0220B1SCRA
TD: TD ADSORBED (NO BRAND NAME)CONNAUGHT LABORATORIES5B710484IMLA
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)
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)  Vaccinated:1996-01-04
Age:12.0  Onset:1996-01-26, Days after vaccination: 22
Gender:Male  Submitted:1996-01-26, Days after onset: 0
Location:Texas  Entered:1996-02-29, Days after submission: 34
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: unk
CDC 'Split Type': TX96015
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.1250A1SCRA
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)
Write-up: pt recv vax;2 wk later,rt cervical neck gland became enlarged & swollen;to MD;

VAERS ID:83571 (history)  Vaccinated:1996-02-23
Age:12.0  Onset:1996-02-24, Days after vaccination: 1
Gender:Male  Submitted:1996-02-28, Days after onset: 4
Location:Texas  Entered:1996-03-11, Days after submission: 12
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': TX96036
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.1166B   
TD: TD ADSORBED (NO BRAND NAME)CONNAUGHT LABORATORIES5L71095   
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)
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)  Vaccinated:1996-04-02
Age:12.0  Onset:1996-04-16, Days after vaccination: 14
Gender:Female  Submitted:1996-04-18, Days after onset: 2
Location:Ohio  Entered:1996-04-19, Days after submission: 1
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: NA
Other Medications:
Current Illness: NONE
Preexisting Conditions: hayfever
Diagnostic Lab Data: NONE
CDC 'Split Type': OH96051
Vaccination
Manufacturer
Lot
Dose
Route
Site
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)
Write-up: 2wk post vax pt exp t103, dizziness, rash (face/arms, back stomach);neck glands swollen, h/a

VAERS ID:89390 (history)  Vaccinated:1996-07-02
Age:12.1  Onset:1996-07-05, Days after vaccination: 3
Gender:Female  Submitted:1996-08-16, Days after onset: 42
Location:Ohio  Entered:1996-08-29, Days after submission: 13
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: unk
Other Medications: unk
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: rapid strep neg;CBC norm, monospot positive all done 11JUL96;
CDC 'Split Type': OH96114
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0617B   
Administered by: Public     Purchased by: Other
Symptoms: Lymphadenopathy, Nausea, Pharyngitis, Pyrexia, Urticaria
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Agranulocytosis (broad), Angioedema (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Oropharyngeal infections (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypersensitivity (narrow)
Write-up: 3 days p/vax devel fever, sore throat, swollen glands, nausea;seen @ clinic 9 days post vax;also had hives the prev day;

VAERS ID:111712 (history)  Vaccinated:1997-10-14
Age:12.0  Onset:1997-10-26, Days after vaccination: 12
Gender:Female  Submitted:1998-05-29, Days after onset: 215
Location:Ohio  Entered:1998-06-02, Days after submission: 4
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: No relevant data;
Other Medications: unk
Current Illness:
Preexisting Conditions: unk
Diagnostic Lab Data: 7NOV97 Epstein Barr virus antibody negative;erythrocyte sed rate 78;throat cult negative x 2;WBC count 9.5;WBC differential nl;
CDC 'Split Type': WAES97111608
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.  SC 
Administered by: Private     Purchased by: Private
Symptoms: Conjunctivitis, Headache, Infection, Lymphadenopathy, Parotid gland enlargement, Pyrexia, Red blood cell sedimentation rate increased, Vomiting
SMQs:, Severe cutaneous adverse reactions (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Conjunctival disorders (narrow), Ocular infections (broad), Hypersensitivity (broad)
Write-up: pt recv vax 14OCT97 & 26OCT97 pt exp measles viral illness w/a fever, lymphadenopathy, h/a, vomiting, parotid swelling, conjunctivitis, morbilliform eruption, pharyngitis;lab eval 7NOV97 revealed ESR 78, WBC 9.5 nl diff, monospot negative;

VAERS ID:113326 (history)  Vaccinated:1998-07-22
Age:12.5  Onset:1998-07-23, Days after vaccination: 1
Gender:Male  Submitted:1998-07-29, Days after onset: 6
Location:California  Entered:1998-08-10, Days after submission: 12
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
DT: DT ADSORBED (NO BRAND NAME)UNKNOWN MANUFACTURER09394405IMLA
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.095541IMRA
Administered by: Private     Purchased by: Private
Symptoms: Lymphadenopathy
SMQs:
Write-up: pt rxn was a swollen lt axillary node;require some tx;MD spoke w/parent over phone for f/u;pt on ATB

VAERS ID:114208 (history)  Vaccinated:1998-08-17
Age:12.0  Onset:1998-08-25, Days after vaccination: 8
Gender:Male  Submitted:1998-08-31, Days after onset: 6
Location:Pennsylvania  Entered:1998-09-18, Days after submission: 18
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: unk
Current Illness:
Preexisting Conditions: beta thalassemia minor
Diagnostic Lab Data: 27AUG98 throat cult positive for strep throat
CDC 'Split Type': WAES98090478A
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0955H1SCLA
Administered by: Private     Purchased by: Private
Symptoms: Abdominal pain, Lymphadenopathy, Pyrexia
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)
Write-up: pt recv vax 17AUG98 & 25AUG98 T102, abd cramps, swollen lymph nodes & dizziness;pt fever inc to 104 & hosp for 2 dyas;MD stated that pt hosp mainly d/t high fever which would not come down;max temp 105;c/o sore throat;positive strep throat;

VAERS ID:116357 (history)  Vaccinated:1998-10-09
Age:12.1  Onset:1998-10-17, Days after vaccination: 8
Gender:Female  Submitted:1998-10-20, Days after onset: 3
Location:Wyoming  Entered:1998-11-13, Days after submission: 24
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: erythromycin
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.1557E1 LA
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0233H1 RA
Administered by: Public     Purchased by: Public
Symptoms: Back pain, Lymphadenopathy, Neck pain, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Arthritis (broad)
Write-up: pain in back & neck started 17OCT98-lymph nodes swollen;T99-101 then decreased;treat w/APAP every 4hr & rest, to return to MD 22OCT98 if not better;saw MD 20OCT98

VAERS ID:123240 (history)  Vaccinated:0000-00-00
Age:12.3  Onset:1999-05-23
Gender:Male  Submitted:1999-05-23, Days after onset: 0
Location:Minnesota  Entered:1999-06-02, Days after submission: 10
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':
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (NO BRAND NAME)UNKNOWN MANUFACTURER    
Administered by: Private     Purchased by: Unknown
Symptoms: Infection, Lymphadenopathy
SMQs:
Write-up: after vax pt exp swelling rt arm. no treatment

VAERS ID:128073 (history)  Vaccinated:1999-08-05
Age:12.8  Onset:1999-08-12, Days after vaccination: 7
Gender:Male  Submitted:1999-08-20, Days after onset: 8
Location:Mississippi  Entered:1999-09-07, Days after submission: 18
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: none
Other Medications: none
Current Illness: none
Preexisting Conditions: none
Diagnostic Lab Data:
CDC 'Split Type': MS99034
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM293C90IM 
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0540J1SC 
OPV: POLIO VIRUS, ORAL (ORIMUNE)LEDERLE LABORATORIES4618993PO 
TD: TD ADSORBED (NO BRAND NAME)CONNAUGHT LABORATORIES09671000IM 
Administered by: Public     Purchased by: Public
Symptoms: Lymphadenopathy, Pain, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad)
Write-up: p/vax pt exp sore lymph nodes on lt jaw bone; had swelling & pain on lt jaw only; low grade fever 99-100; seen in ER; MD stated pt had symptomatic lymph node swelleing caused by mumps vax

VAERS ID:150687 (history)  Vaccinated:2000-03-07
Age:12.0  Onset:2000-03-08, Days after vaccination: 1
Gender:Male  Submitted:2000-03-22, Days after onset: 14
Location:Colorado  Entered:2000-03-31, Days after submission: 9
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: same;MMR II;1;1.00;In Patient
Other Medications:
Current Illness: NONE
Preexisting Conditions: allergies but not to eggs or gelatin
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0373J1SCLA
Administered by: Public     Purchased by: Public
Symptoms: Cough, Dizziness, Lymphadenopathy, Malaise, Nausea, Pharyngolaryngeal pain, Urticaria
SMQs:, Anaphylactic reaction (narrow), Acute pancreatitis (broad), Angioedema (narrow), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad), Hypersensitivity (narrow)
Write-up: Two days post vax, the pt experienced malaise, sore throat, dizziness, cough, nausea, lymphadenopathy. Four days post vax, the pt developed hives.

VAERS ID:167159 (history)  Vaccinated:2001-02-22
Age:12.0  Onset:2001-03-13, Days after vaccination: 19
Gender:Female  Submitted:2001-03-13, Days after onset: 0
Location:California  Entered:2001-03-15, Days after submission: 2
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEPA: HEP A (NO BRAND NAME)UNKNOWN MANUFACTURER  IM 
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.1085J SCRA
Administered by: Public     Purchased by: Public
Symptoms: Lymphadenopathy
SMQs:
Write-up: Swelling of glands in the cheeks and neck.

VAERS ID:177300 (history)  Vaccinated:1997-08-14
Age:12.0  Onset:1997-11-04, Days after vaccination: 82
Gender:Male  Submitted:2001-12-06, Days after onset: 1493
Location:Pennsylvania  Entered:2001-11-07, Days after submission: 29
Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions: Allergy to molds (PCN); cleft palate at birth; large for his age; Striae over his lateral "obese" abdomen and back; purulence in the posterior pharynx; headaches and pain under his eyes; cleft palate repair; digestive gas symptoms; epigastric pain; speech rehabilitation
Diagnostic Lab Data: Cranial nerve exam revealed decreased movement of the palate but was otherwise nml. Stool specimens were positive for C. diff. UA was sent; CT of the sinuses revealed some mild inflammation; MRI of the brain-nml; CXR-nml; CBC-nml except for
CDC 'Split Type': WAES01082207
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0217D2SC 
Administered by: Private     Purchased by: Private
Symptoms: Abdominal pain, Anorexia, Aspartate aminotransferase increased, Bacterial infection, Blood albumin decreased, Blood thyroid stimulating hormone decreased, CSF test abnormal, Cough, Dehydration, Diarrhoea, Dizziness, Fungal infection, Headache, Hepatomegaly, Hypothyroidism, Immunoglobulins increased, Laboratory test abnormal, Lymphadenopathy, Myopathy, Pharyngeal oedema, Pharyngolaryngeal pain, Pyrexia, Sinusitis, Skull malformation, Speech disorder, Splenomegaly, Vomiting
SMQs:, Rhabdomyolysis/myopathy (narrow), Liver related investigations, signs and symptoms (narrow), Anaphylactic reaction (broad), Acute pancreatitis (broad), Angioedema (narrow), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Dementia (broad), Congenital, familial and genetic disorders (narrow), Pseudomembranous colitis (broad), Oropharyngeal allergic conditions (narrow), Psychosis and psychotic disorders (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Hypothyroidism (narrow), Hyperthyroidism (broad), Vestibular disorders (broad), Hypersensitivity (narrow), Noninfectious diarrhoea (narrow)
Write-up: Information has been received from a consumer concerning her 12 year old white son who on 8/14/97 was vaccinated with a 3rd dose of MMRII (lot 617553/0217D). In 2/98, the pt told his mother, "I haven''t felt very good for a long time". It was reported that the child was evaluated for depression, at that time, but that "different doctors had different opinions as to the child''s dx". His mother further reported that he had "problems with his legs that come and go", and that the child''s current physician feels that the symptoms might be caused by a virus. It was also reported that the child is currently taking "low dose" prednisone. Follow-up information, received from a physician on 9/4/01, revealed that the pt is currently under evaluation for neuropathy and myopathy. It was reported that he is presently seeing both a neurologist and an endocrinologist, however, he is still in the process of being evaluated and "worked-up". The physician stated that they have not yet identified any etiology behind the neuropathy/myopathy, with the possible exception of hypothyroidism, which was identified in the child (timeframe/date unk) and which has been "corrected for a while". The reporter felt that there is "a possibility" that the neuropathy and myopathy are related to vaccination with MMRII, however, "cannot say this for certain". Additional follow-up received on 9/25/01, indicated that the physician was administered the vaccine was retired and that the reporting physician did not have any additional information. Medical records were received from the vaccinating physician''s office on 10/16/01. The child was frequently seen between 11/4/97 and 5/14/98 and during this time, his complaints included vomiting, diarrhea, sinus inflammation and congestion, dizziness, throat swelling and irritation, abdominal pain, loss of appetite, cough, headache, fever and swollen glands. He was treated with various antibiotics, including Zithromax, Pen-VEE K, Vibramycin, Cefzil, Levaquin, Cedax, Ceftin and Dynabac. It was noted that the antibi

VAERS ID:196503 (history)  Vaccinated:2003-01-06
Age:12.0  Onset:2003-01-10, Days after vaccination: 4
Gender:Female  Submitted:2003-01-14, Days after onset: 4
Location:Georga  Entered:2003-01-21, Days after submission: 7
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: triamcinolone; Zyrtec
Current Illness: NONE
Preexisting Conditions: Eczema
Diagnostic Lab Data: NONE
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.0678K0IMLA
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0434M1SCRA
Administered by: Private     Purchased by: Unknown
Symptoms: Injection site swelling, Lymphadenopathy, Rash morbilliform
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow)
Write-up: Swelling at site on right arm and swelling of her neck. Measle-type rash, onset of symptoms Friday 1/10/03. Pt''s mother contacted MD. He prescribed Zyrtec 10mg 1 daily, Benadryl and Tagamet. Pt''s mother called back on Monday 1/13/03 and MD ordered a 6 day DS of Steripred dose-pack.

VAERS ID:227028 (history)  Vaccinated:2004-08-17
Age:12.0  Onset:2004-09-02, Days after vaccination: 16
Gender:Female  Submitted:2004-09-22, Days after onset: 20
Location:Ohio  Entered:2004-09-27, Days after submission: 5
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: CBC and diff
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.1031N1 LA
Administered by: Public     Purchased by: Unknown
Symptoms: Fatigue, Lymphadenopathy, Pallor, Pharyngolaryngeal pain, Pyrexia, Vomiting
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypotonic-hyporesponsive episode (broad)
Write-up: 9/2 came home from school tired and slight fever event up to 100 degrees and vomited 1 time, fever maintained 1 week. Treated with Ibuprofen. 94 degrees; lump under left ear lobe, glands swollen. Sore throat and mouth white. Went to doctor on 9/15/04 and was given Penicillin 3x day 250 mg 3 tabs. Out of school for two weeks.

VAERS ID:251444 (history)  Vaccinated:2006-01-31
Age:12.0  Onset:2006-02-03, Days after vaccination: 3
Gender:Female  Submitted:2006-02-13, Days after onset: 10
Location:Texas  Entered:2006-02-13
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: unknown
Current Illness: denied any
Preexisting Conditions: never given pertussis vaccine due to another child having a bad reaction to it
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAMAHBVB134AA IMRA
IPV: POLIO VIRUS, INACT. (IPOL)AVENTIS PASTEURY0326 SCRA
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0302R SCLA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Cough, Lymphadenopathy, Ocular hyperaemia, Pharyngolaryngeal pain, Pyrexia, Rash erythematous, Rhinorrhoea
SMQs:, Anaphylactic reaction (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Glaucoma (broad), Hypersensitivity (narrow)
Write-up: Mother states child had temp of 100.5 for 4 days, giving fever reducing medication only at night. States has running nose, cough (did not say if productive or not), sore throat, swollen glands in neck, redness in eyeballs with irritated eyes, and raised red spots on back chest and face.

VAERS ID:324678 (history)  Vaccinated:2008-08-28
Age:12.0  Onset:2008-09-06, Days after vaccination: 9
Gender:Male  Submitted:2008-09-09, Days after onset: 3
Location:Colorado  Entered:2008-09-09
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Had a cold the week prior
Preexisting Conditions: None
Diagnostic Lab Data: MD interpreted blood work to reveal viral infection; strep was negative
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
IPV: POLIO VIRUS, INACT. (NO BRAND NAME)UNKNOWN MANUFACTURERUNKNOWN0IMLA
MMR: MEASLES + MUMPS + RUBELLA (NO BRAND NAME)UNKNOWN MANUFACTURERUNKNOWN0IMRA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Amnesia, Confusional state, Dizziness, Feeling hot, Headache, Hypoaesthesia, Laboratory test abnormal, Lymphadenopathy, Oedema peripheral, Streptococcus identification test negative, Viral infection
SMQs:, Cardiac failure (broad), Angioedema (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Vestibular disorders (broad)
Write-up: 9/6/08, 6:00 p.m., Patient began complaining of feeling dizzy. The next morning the dizziness was increased, he complained of a severe headache and right arm numbness [the arm in which the MMR was given], and he exhibited memory loss and confusion when trying to read. He also reported that his right arm had been swollen at some time in the night. On physical exam, the MD noted significantly enlarged lymph nodes in his neck. Patient felt warm to me, despite a normal oral temperature. He had spent the night with a friend, and because I had not been with him to observe the development of his complaints, and because of the complaint of severe headache and arm numbness, I called the on-call pediatric office, who referred us to the ER.

VAERS ID:420745 (history)  Vaccinated:2011-03-23
Age:12.0  Onset:2011-04-02, Days after vaccination: 10
Gender:Female  Submitted:2011-04-04, Days after onset: 2
Location:South Carolina  Entered:2011-04-11, Days after submission: 7
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Pt has had localized reactions previously to DTaP
Diagnostic Lab Data: CBC, WBC 2.2; HgB 15.2; HCT 44.8; Platelet count 119; Ly 56%; M 12%; Gr 33%
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0788Z0SCLA
Administered by: Private     Purchased by: Private
Symptoms: Dizziness, Full blood count, Headache, Injection site haemorrhage, Injection site pain, Injection site swelling, Lymphadenopathy, Myalgia, Pyrexia, Rash
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Haemorrhage terms (excl laboratory terms) (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Eosinophilic pneumonia (broad), Vestibular disorders (broad), Hypersensitivity (narrow)
Write-up: Pt developed myalgia (generalized), swelling, pain and ecchymosis at injection site, fever, headache, rash & dizziness. All sx occurred 10 d after the injection. Fever, rash & adenopathy persisted 48 hours.

VAERS ID:439885 (history)  Vaccinated:2011-10-05
Age:12.0  Onset:2011-10-11, Days after vaccination: 6
Gender:Male  Submitted:0000-00-00
Location:Illinois  Entered:2011-10-25
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
DT: DT ADSORBED (NO BRAND NAME)UNKNOWN MANUFACTURER  UNUN
VARCEL: VARICELLA (NO BRAND NAME)UNKNOWN MANUFACTURER  UNUN
Administered by: Public     Purchased by: Public
Symptoms: Cough, Lymphadenopathy, Oropharyngeal pain, Pyrexia
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow)
Write-up: 102.4 degree fever, swollen lymph at neck, sore throat, lungs, cough.

VAERS ID:520689 (history)  Vaccinated:0000-00-00
Age:12.0  Onset:0000-00-00
Gender:Male  Submitted:2014-01-27
Location:Unknown  Entered:2014-01-27
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Prophylaxis; Juvenile idiopathic arthritis; Tetralogy of Fallot repair; DiGeorge''s syndrome
Preexisting Conditions:
Diagnostic Lab Data: Lymphocyte count (On an unknown date in JAN2014): was 1100 x 10^9 cells/L, of which the lymphocyte subsets were normal. The lymphocyte mitogen and antigen studies included low normal responses to Candida and phytohemagglutinin and normal responses to tetanus, concanavalin A and pokeweed mitogen; Antibody titers to prior inactivated vaccines were normal; reverse transcription polymerase chain reaction (unknown date): Both urine and skin samples were positive in triplicate for measles virus by reverse transcription polymerase chain reaction with 100% matched identity to each other and phylogenetically clustered as genotype A with Edmonston reference strain.
CDC 'Split Type': WAES1401USA010300
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (NO BRAND NAME)UNKNOWN MANUFACTURER  UNUN
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.  UNUN
Administered by: Other     Purchased by: Other
Symptoms: Antibody test normal, Blood test abnormal, Candida test positive, Clostridium test positive, Conjunctivitis, Drug administration error, Lymphadenopathy, Lymphocyte count decreased, Measles antibody, Morbillivirus test positive, Mouth haemorrhage, Oropharyngeal pain, Pallor, Pharyngeal erythema, Polymerase chain reaction, Pyrexia, Rash, Rash morbilliform
SMQs:, Severe cutaneous adverse reactions (broad), Anaphylactic reaction (broad), Haematopoietic leukopenia (narrow), Haemorrhage terms (excl laboratory terms) (narrow), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Pseudomembranous colitis (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Conjunctival disorders (narrow), Ocular infections (broad), Hypotonic-hyporesponsive episode (broad), Hypersensitivity (narrow)
Write-up: This literature marketed report as received from a physician refers to a 12 years old male patient. Patient''s past medical history was remarkable for DiGeorge syndrome, repaired Tetralogy of Fallot and juvenile idiopathic arthritis diagnosed at 15 months of age, which had been controlled for the past 5 years with weekly injections of the tumor necrosis factor inhibitor etanercept. On an unknown date ten days earlier, the patient was inadvertently vaccinated with MMR (Manufacturer unknown) and VARIVAX (Merck) (Manufacturer unknown), during a well-child visit. With the exception of live virus vaccines, he was otherwise up-to-date with his immunizations. On an unknown date, the patient was admitted to hospital with a 2-day history of tactile fevers, sore throat, rash and conjunctivitis. After he developed the tactile fevers his mother held further doses of etanercept, and he was directly admitted to the hospital. On admission, he was afebrile and appeared well. His examination was remarkable for mild conjunctivitis, palatal petechiae with posterior pharyngeal erythema and a blanching morbilliform rash that was present behind the ears, on the face, neck, back, chest and limbs. Mild post auricular cervical lymphadenopathy was present. There were no Koplik spots or vesicular lesions. Due to the possibility of an atypical varicella rash in a patient on a biologic immunomodulatory medication, intravenous acyclovir was initiated. Both urine and skin samples were positive in triplicate for measles virus by reverse transcription polymerase chain reaction with 100% matched identity. He had recently undergone immune evaluation with a lymphocyte count of 1100 x 109 cells/L, of which the lymphocyte subsets were normal. The lymphocyte mitogen and antigen studies included low normal responses to Candida and phytohemagglutinin and normal responses to tetanus, concanavalin A and pokeweed mitogen. Antibody titers to prior inactivated vaccines were normal. The outcome of tactile fever was unknown. The author stated that although excretion of measles virus in his urine enabled detection and sequencing of the virus as a measles vaccine strain, the diagnosis of vaccine-associated disease was determined from the skin scrapings. Measles virus is present in the skin rash during illness; however, to our knowledge, this is the first reported measles vaccine case in which the vaccine strain was detected and genotyped from the skin rash. Additional information has been requested.

VAERS ID:132227 (history)  Vaccinated:1991-02-19
Age:12.0  Onset:0000-00-00
Gender:Male  Submitted:1999-12-03
Location:Foreign  Entered:1999-12-07, Days after submission: 4
Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: unk
Current Illness:
Preexisting Conditions: giardiassi;jaundice;
Diagnostic Lab Data: colonoscopy-mild granularity of the rectum;colonoscopy-sl distention of the vascular pattern;colonoscopy-Ileum showed dense lymphoid aggregate;electrocardiogram-nl;electroencephalography-nothing definate abn is evident;MRI;PE-heart sounds
CDC 'Split Type': WAES99031445
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.    
Administered by: Unknown     Purchased by: Unknown
Symptoms: Abdominal pain, Coordination abnormal, Diarrhoea, Eczema, Gastrointestinal disorder, Hostility, Hyperkinesia, Injury, Insomnia, Laboratory test abnormal, Lymphadenopathy, Mental retardation severity unspecified, Rash, Somnolence, Speech disorder, Weight decreased
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Dementia (broad), Pseudomembranous colitis (broad), Akathisia (broad), Psychosis and psychotic disorders (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Accidents and injuries (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hostility/aggression (narrow), Hypersensitivity (narrow), Noninfectious diarrhoea (narrow)
Write-up: p/vax pt began to lose words & developmental disintegration appears to have taken place from then;play skills did not devel further;extremely hyperactive & indulged in destructive play;head banging & kicking out;lost eating skills;clumsier;

VAERS ID:168148 (history)  Vaccinated:1997-03-21
Age:12.0  Onset:1997-11-01, Days after vaccination: 225
Gender:Male  Submitted:0000-00-00
Location:Foreign  Entered:2001-04-03
Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Asthma-like bronchitis; recurrent otitis; supernumerary toe (right and left sides) foot deformity
Diagnostic Lab Data: CXR-neg; Biological check-up-revealed probable presence of a non-specific coagulation inhibiting factor because the factors II, VII and X were decreased; ANA-positive; Homogenous-160; anti-cardiolipin antibodies-high levels; Cryoglobulins-n
CDC 'Split Type': WAES01032393
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (NO BRAND NAME)UNKNOWN MANUFACTURER    
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.    
Administered by: 0     Purchased by: 0
Symptoms: Antinuclear antibody positive, Coagulation factor decreased, Immune system disorder, Laboratory test abnormal, Raynaud's phenomenon, Special senses congenital anomaly, Visual acuity reduced
SMQs:, Liver-related coagulation and bleeding disturbances (narrow), Haemorrhage laboratory terms (broad), Systemic lupus erythematosus (narrow), Anticholinergic syndrome (broad), Congenital, familial and genetic disorders (narrow), Glaucoma (broad), Optic nerve disorders (broad), Lens disorders (broad), Retinal disorders (broad)
Write-up: Information has been received from a health authority concerning a 12 year old male who on 3/21/97 was vaccinated with MMRII. On 12/12/96, 01/16/97 and 6/24/97 he had 1st, 2nd and 3rd doses of Hep-B (GENHEVAC B). In 1/98, the pt was seen by a hospital pediatrician for a Raynaud''s Syndrome check-up developing for 2 months which occurred spontaneously or after cold exposition. A treatment with acetylsalicylic acid was introduced. In 6/98, the blood cell count showed that some coagulation factors were still decreasing. In 12/99, the Raynaud''s phenomenon was still present and anti-cardiolipin antibodies were still increasing. In 6/00, the pt was consulted in ophthalmology because the visual acuity was decreasing. The dx was hereditary macular dystrophia of flavimacular type. On 10/25/00, a corticotherapy and visual acuity of right eye increased from 2/10 to 5/10. The angiography also improved. In front of these results, the hereditary origin of this syndrome was rediscussed and an auto-immune disorder induced by the vaccine was invoked, according to the information transmitted by the CRPV. The pt''s experiences involved persistence or significant disability or incapacity. The pt has not recovered. No further information is available.

VAERS ID:446586 (history)  Vaccinated:0000-00-00
Age:12.0  Onset:0000-00-00
Gender:Female  Submitted:2011-12-30
Location:Foreign  Entered:2012-01-03, Days after submission: 4
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES1112USA02971
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.  SYRUN
MMR: MEASLES + MUMPS + RUBELLA (PRIORIX)GLAXOSMITHKLINE BIOLOGICALS  SYRUN
Administered by: Unknown     Purchased by: Unknown
Symptoms: Fatigue, Lymphadenopathy, Pyrexia, Rash morbilliform, Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Hypersensitivity (narrow)
Write-up: Case found in quarterly report published on the health authority website on 19-DEC-2011. The HA considered GARDASIL to be concomitant and no reference number had been received. Case medically confirmed. A 12 year old female patient had received an injection of GARDASIL (batch number not reported) and concomitantly and injection of PRIORIX (batch number not reported) on an unspecified date and one day later she experienced syncope. Three days post-vaccination she developed morbiliform rash, and swollen glands. 13 days post-vaccination she developed tiredness and fever for four days. At the time of the reporting, the outcome was recovered. According to the reporter, the reaction was only suspected to be related to PRIORIX, not HPV. Rash morbilliform and Syncope were considered to be an other medical event by the agency. Other business partner numbers include # E2011-08286. No further information is available.

VAERS ID:46214 (history)  Vaccinated:1992-09-17
Age:13.6  Onset:1992-09-18, Days after vaccination: 1
Gender:Male  Submitted:1992-09-24, Days after onset: 6
Location:Massachusetts  Entered:1992-10-13, Days after submission: 19
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: pt''s brother exp inc pain-not erythema @ 11 w/Td #2;
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: lt ear external malformation congenital
Diagnostic Lab Data:
CDC 'Split Type': MA9210
Vaccination
Manufacturer
Lot
Dose
Route
Site
OPV: POLIO VIRUS, ORAL (ORIMUNE)LEDERLE LABORATORIES 2PO 
TD: TD ADSORBED (NO BRAND NAME)MASS. PUB HLTH BIOL LABTD492IMLA
Administered by: Public     Purchased by: Public
Symptoms: Hypokinesia, Injection site hypersensitivity, Lymphadenopathy, Vasodilatation
SMQs:, Parkinson-like events (broad), Guillain-Barre syndrome (broad), Hypotonic-hyporesponsive episode (broad), Hypersensitivity (narrow)
Write-up: 24 hrs p/vax was seen w/hot, erythematous lt deltoid w/tender, enlarged ax node, causing dec motion of arm;

VAERS ID:48738 (history)  Vaccinated:1992-08-13
Age:13.5  Onset:1992-09-05, Days after vaccination: 23
Gender:Female  Submitted:1992-09-10, Days after onset: 5
Location:Ohio  Entered:1993-01-08, Days after submission: 120
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: NONE
CDC 'Split Type': OH92089
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.1825T1SCLA
Administered by: Public     Purchased by: Public
Symptoms: Lymphadenopathy, Pharyngitis, Pyrexia
SMQs:, Agranulocytosis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Oropharyngeal infections (narrow)
Write-up: pt had swollen glands plus a fever of 103; seen by MD 8SEP92 & stated did not believe this was a reaction to the vax; pt had severe tonsillitis;

VAERS ID:97104 (history)  Vaccinated:1997-04-08
Age:13.7  Onset:1997-04-09, Days after vaccination: 1
Gender:Male  Submitted:1997-04-14, Days after onset: 5
Location:Utah  Entered:1997-04-21, Days after submission: 7
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NONE
Other Medications: NA
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC 'Split Type': UT971811
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0894D1SCRA
TD: TD ADSORBED (NO BRAND NAME)CONNAUGHT LABORATORIES6H812694IMLA
Administered by: Other     Purchased by: Public
Symptoms: Headache, Hypokinesia, Lymphadenopathy, Nausea, Oedema peripheral, Pain, Vasodilatation
SMQs:, Cardiac failure (broad), Acute pancreatitis (broad), Angioedema (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Hypotonic-hyporesponsive episode (broad)
Write-up: pt recv vax & arm turned pink swollen & pain Saturday p/vax;pain radiating down to the arm pit;Thursday became sick to stomach, h/a, refused to move arm;parent called MD ordered rest, DPH, ice & rest;pinkness & swelling went away Saturday

VAERS ID:125486 (history)  Vaccinated:1999-02-22
Age:13.3  Onset:1999-02-22, Days after vaccination: 0
Gender:Female  Submitted:1999-02-25, Days after onset: 3
Location:Georga  Entered:1999-07-12, Days after submission: 136
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: NONE
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: No test done
CDC 'Split Type': GA99065
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0798H1SCLA
Administered by: Public     Purchased by: Public
Symptoms: Asthenia, Lymphadenopathy, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad)
Write-up: p/vax pt later had swollen glands, fever of 102.6;APAP given for fever last dose given 2/24/99 T98.7 on 2/25/99;pt seen by MD dx poss mumps;took pt long time to get strength back;

VAERS ID:152412 (history)  Vaccinated:2000-02-29
Age:13.0  Onset:0000-00-00
Gender:Male  Submitted:2000-03-02
Location:California  Entered:2000-05-25, Days after submission: 83
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: CBC normal, CRP pending
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
DT: DT ADSORBED (NO BRAND NAME)LEDERLE LABORATORIES4657155IMLA
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.1008J0SCRA
Administered by: Other     Purchased by: Other
Symptoms: Dizziness, Erythema, Headache, Lymphadenopathy, Pain, Swelling
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Anticholinergic syndrome (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Vestibular disorders (broad), Hypersensitivity (broad)
Write-up: Redness, swelling, and pain. Also, lymphadenopathy, headache, body ache, and dizziness.

VAERS ID:182030 (history)  Vaccinated:2001-11-16
Age:13.0  Onset:0000-00-00
Gender:Male  Submitted:2002-02-26
Location:Unknown  Entered:2002-03-06, Days after submission: 8
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness: UNK
Preexisting Conditions: UNK
Diagnostic Lab Data:
CDC 'Split Type': B00182002
Vaccination
Manufacturer
Lot
Dose
Route
Site
BCG: BCG (TICE)ORGANON-TEKNIKA  SC 
Administered by: 0     Purchased by: 0
Symptoms: Injection site mass, Injection site reaction, Injection site swelling, Lymphadenopathy, Skin ulcer
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: A 13 year old male received BCG immunization on 11/16/2001. He developed a large swelling and ulceration at the injection site, lasting 2-3 weeks. Lymphadenopathy in left axilla and lumps around test site. The reporter considered the reaction to be serious for the following reason: "Medically Significant". The pt has been referred to an infectious disease specialist.

VAERS ID:202975 (history)  Vaccinated:2003-04-25
Age:13.0  Onset:2003-05-07, Days after vaccination: 12
Gender:Female  Submitted:2003-05-07, Days after onset: 0
Location:Texas  Entered:2003-05-13, Days after submission: 6
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (FOREIGN)MERCK & CO. INC.1030M0IMLA
HEPA: HEP A (VAQTA)MERCK & CO. INC.0010N0IMLA
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0812M2SCRA
Administered by: Public     Purchased by: Public
Symptoms: Lymphadenopathy, Nausea, Pyrexia, Rash, Vomiting
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypersensitivity (narrow)
Write-up: Mother stated nausea, vomiting, rash, fever swollen lymph nodes x2 days.

VAERS ID:262283 (history)  Vaccinated:2006-08-21
Age:13.0  Onset:2006-08-23, Days after vaccination: 2
Gender:Female  Submitted:2006-08-24, Days after onset: 1
Location:Iowa  Entered:2006-08-29, Days after submission: 5
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAMAHBVB172AA0IMLA
IPV: POLIO VIRUS, INACT. (IPOL)SANOFI PASTEURY09910SCRA
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.1048R0SCLA
Administered by: Public     Purchased by: Unknown
Symptoms: Injection site rash, Lymphadenopathy, Nausea, Pyrexia
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypersensitivity (narrow)
Write-up: Swollen glands, nausea, sore neck, rash mostly at injection site, had temperature of 100-101 symptoms starting afternoon of 08/23/2006 per mother. Mother advised to call family physician.

VAERS ID:298374 (history)  Vaccinated:2007-11-15
Age:13.0  Onset:2007-11-23, Days after vaccination: 8
Gender:Male  Submitted:2007-11-30, Days after onset: 7
Location:California  Entered:2007-11-30
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0867U1SCLA
Administered by: Private     Purchased by: Private
Symptoms: Arthralgia, Lymphadenopathy, Pyrexia, Rash
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Hypersensitivity (narrow), Arthritis (broad)
Write-up: Fever, mild rash, lymphadenopathy, mild joint pain

VAERS ID:398206 (history)  Vaccinated:2009-06-19
Age:13.0  Onset:2009-06-30, Days after vaccination: 11
Gender:Female  Submitted:2010-08-04, Days after onset: 400
Location:Texas  Entered:2010-09-08, Days after submission: 35
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Latex allergy
Preexisting Conditions:
Diagnostic Lab Data: Hematology
CDC 'Split Type': WAES0907USA01288
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC. 0IMLA
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.  UNRA
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.  UNRA
Administered by: Other     Purchased by: Other
Symptoms: Haematology test, Lymphadenopathy
SMQs:
Write-up: Information has been received from a consumer concerning her daughter, with latex allergy and no medical pertinent history, who on 19-JUN-2009 was vaccinated with 0.5 ml of the first dose of GARDASIL intramuscularly in her left arm. On the same day the patient received one dose of MMR II (manufacturer unknown) and VARIVAX (manufacturer unknown) in her right arm. There was no concomitant medication. The reporter stated that she noticed "swelling" in the left side of her daughter''s neck on 30-JUN2009. She took her daughter to see her doctor that day and the swelling was diagnosed as swollen lymph nodes. The reporter did not know when the swelling actually started. The swelling has "gone up and down" since it first started, and at the time of reporting on 09-JUL-2009 "I think it''s the worst that it''s ever been". Since GARDASIL was given in her left arm the reported thought that the symptoms may be due to GARDASIL. Additional information is not expected.

VAERS ID:92456 (history)  Vaccinated:1996-09-20
Age:13.0  Onset:1996-09-22, Days after vaccination: 2
Gender:Female  Submitted:1996-11-25, Days after onset: 64
Location:Foreign  Entered:1996-11-29, Days after submission: 4
Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Sodium Levothyroxine;
Current Illness:
Preexisting Conditions: infection, bacterial;hypothyreosis
Diagnostic Lab Data: 27SEP96 ongoing movement disorder;11OCT96 IGM (borrelia AB) positive;IGG (borrelia AB) negative;ENA antibodies positive;SS-A/RO antibody positive;IGG (parvovirus W19 positive;IGM (Parvovirus W19) negative;autoimmune antibody inc;CSF
CDC 'Split Type': WAES96111370
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.    
Administered by: Unknown     Purchased by: Unknown
Symptoms: Agitation, Anxiety, Hypokinesia, Immune system disorder, Laboratory test abnormal, Movement disorder, Speech disorder, Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dementia (broad), Akathisia (broad), Dyskinesia (broad), Dystonia (broad), Parkinson-like events (broad), Psychosis and psychotic disorders (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hostility/aggression (broad), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad)
Write-up: pt recv vax 20SEP96 & 22SEP96 pt fell down, on 23SEP96 pt exp movement disorder of rt foot & arm (chorea), agitation & anxiety;neuro exam 27SEP96 revealed ongoing movement disorder;lab eval 11OCT96 revealed borrelia antibodies IgM + ;

VAERS ID:222636 (history)  Vaccinated:2004-04-22
Age:13.0  Onset:2004-05-04, Days after vaccination: 12
Gender:Male  Submitted:2004-06-11, Days after onset: 38
Location:Foreign  Entered:2004-06-15, Days after submission: 4
Life Threatening? No
Died? Yes
   Date died: 2004-05-12
   Days after onset: 8
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: Platelet count decreased; Bone marrow biopsy: marrow hyperplasia: I, Granulocyte count decreased to 4.5%, red blood cell count decreased to 3.5% and lymphocyte count increased to 92%; Blood pressure measurement 110/70; WBC increased; Hemato
CDC 'Split Type': WAES0406CHN00008
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.D2499 IM 
Administered by: Unknown     Purchased by: Unknown
Symptoms: Acute leukaemia, Dizziness, Epistaxis, Gingival bleeding, Lymphadenopathy, Parotid gland enlargement, Pyrexia, Red blood cell count decreased, Thrombocytopenia, Vomiting, White blood cell count increased
SMQs:, Acute pancreatitis (broad), Haematopoietic erythropenia (narrow), Haematopoietic thrombocytopenia (narrow), Haemorrhage terms (excl laboratory terms) (narrow), Haemorrhage laboratory terms (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Gingival disorders (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad), Malignant tumours (narrow)
Write-up: Information has been received from an agency official concerning a 13 year old male who on approximately 4/22/04 was vaccinated with MMR, 0.5 ml, IM. On approximately 5/4/04, the boy experienced vomiting, dizziness, fever, lymph nodes swelling, teeth bleeding, nasal bleeding, parotid swelling and platelet count decreased (detail unknown). On 5/4/04, the boy was diagnosed with possible acute leukemia and was hospitalized. Subsequently (date unknown), the boy died. Follow up information was received from the reporting official on 6/4/04. It was on 4/21/04 that the boy was vaccinated with MMR, 0.5ml, IM. On approximately 4/25/04, the boy developed dizziness, weakness and vomiting without coffee-like contents and projective. On 5/2/04, the boy developed fever, rhinorrhoea and epistaxis and he was plaaced on therapies with fosfomycin and ibuprofen. Subsequently, he developed sternal pain, lymph nodes swelling and teeth bleeding when brushing. On 5/4/04, the boy was hospitalized. On the same day, the physical examination showed swelling of retruauricular lymph nodes, cervical lymph nodes, submaxillary lymph nodes, subaxillary lymph nodes and inguinal lymph nodes. The biggest lymph node was soybean-like, middle texture, movable and no tenderness. On 5/5/04, the bone marrow biopsy revealed level I of marrow hyperplasia, 4.5 of granulocute count, 3.5 of red blood cell count and 92 of lymphocyte count. The lymphoblast and prolymphocyte count was 80.5 and they were similar size, round or round-like, less volume of cytoplasm, bice color and opaque. Their nucleus was round and chromatin was crude. Pitting and fold could be observed and there were 2 to 4 nucleoli in some cells. On 5/8/04, the blood examination revealed 109.1 of white blood cells count, 0.246 of neutrophil count, 0.558 of blood lymphocyte count, 142 of blood hemoglobin, 29.4 of blood hematocrit and 70 of blood platelet count. On 5/9/04, he was placed on therapy with prednisone, 20mg three times a day. On 5/10/04, his blood examination showed 440.1 of white bloo

VAERS ID:407659 (history)  Vaccinated:2010-10-01
Age:13.0  Onset:2010-10-05, Days after vaccination: 4
Gender:Female  Submitted:2010-11-05, Days after onset: 31
Location:Foreign  Entered:2010-11-08, Days after submission: 3
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Asthma
Diagnostic Lab Data: WBC count, 06Oct10, 13.3; body temp, 06Oct10, 38.6 degrees C; platelet count, 06Oct10, 306; serum C-reactive protein, 06Oct10, <1; erythrocyte sedimentation rate, 06Oct10, 6
CDC 'Split Type': WAES1010USA03416
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.  UNUN
Administered by: Unknown     Purchased by: Unknown
Symptoms: Body temperature increased, C-reactive protein normal, Lymphadenopathy, Mastication disorder, Mumps, Odynophagia, Pain, Platelet count normal, Pyrexia, Red blood cell sedimentation rate normal, Respiration abnormal, Swelling face, Throat irritation, White blood cell count increased
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Oropharyngeal infections (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Acute central respiratory depression (broad), Hypersensitivity (narrow)
Write-up: Case received from the Health Authorities in a foreign country on 27-OCT-2010 under the reference number NO-NOMAADVRE-FHI-2010-11297, 10-2209. Case medically confirmed. A 13 year old female patient with a history of asthma as child had received an injection of MMR II (manufacturer unknown, batch number not reported) 1 df parentera on 01-OCT-2010. HA coded fever, glands swollen, onset 06-OCT-2010 and throat irritation with onset on 05-OCT-2010. Symptoms in the beginning: throat irritation, swelling cheeks, breathing slightly affected. Further symptoms: Fever, swelling of gl. Submandibularis and gl. Parotis bilat. Pain when chewing and swallowing. Hospitalization on 06-OCT-2010 to 08-OCT-2010. Conclusion according to the discharge summary: all the four large glands were affected. The symptoms were most compatible to mumps. The MMR II vaccine might explain the case. Treatment: PARACET and VOLTAREN (no details reported). Tests carried out on 06-OCT-2010 (reference ranges not provided): Body temperature: 38.6 degrees C, Red blood cell sedimentation rate: 6, C-reactive protein: <1, Thrombocyte count: 306, White blood cell count: 13.3. According to the reporter the reactions were possibly related to the vaccine. At the time of report the outcome was recovering. No further information expected. Other business partner numbers included: E2010-06444.

VAERS ID:32693 (history)  Vaccinated:1991-06-28
Age:14.7  Onset:1991-06-29, Days after vaccination: 1
Gender:Female  Submitted:1991-07-05, Days after onset: 6
Location:Illinois  Entered:1991-07-19, Days after submission: 14
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: PPD, CONNAUGHT, Lot # 231813, Intrdermal
Current Illness: NONE
Preexisting Conditions: NKDA
Diagnostic Lab Data: CBC results unk to person completing form
CDC 'Split Type': IL9154
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.1697S1IMRA
TD: TD ADSORBED (NO BRAND NAME)CONNAUGHT LABORATORIESS210370IMLA
Administered by: Public     Purchased by: Public
Symptoms: Lymphadenopathy, Somnolence
SMQs:, Anticholinergic syndrome (broad), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad)
Write-up: Pt awoke 29JUN AM in very somnolent state; Seen @ hosp ER; PE found enlarged lymph nodes on lt side of neck; CBC done & told pt had viral infect; tx anti-inflammation med only;

VAERS ID:56526 (history)  Vaccinated:1993-08-13
Age:14.6  Onset:1993-08-17, Days after vaccination: 4
Gender:Male  Submitted:1993-08-24, Days after onset: 7
Location:Georga  Entered:1993-10-12, Days after submission: 49
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: NONE
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC 'Split Type': GA93169
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.1024V SCRA
TD: TD ADSORBED (NO BRAND NAME)LEDERLE LABORATORIES3449130IMLA
Administered by: Public     Purchased by: Public
Symptoms: Hyperhidrosis, Hypokinesia, Lymphadenopathy, Mouth ulceration, Nuchal rigidity, Oedema, Pyrexia
SMQs:, Cardiac failure (broad), Severe cutaneous adverse reactions (broad), Anaphylactic reaction (broad), Angioedema (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Parkinson-like events (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Hypersensitivity (broad)
Write-up: pt woke up & not able to move neck; had sweats & fever on 17AUG93; neck was puffy & stiff & had mouth ulcers; seen by MD same day; enlarged A.C nodes-aphthous ulcers;

VAERS ID:59145 (history)  Vaccinated:1993-06-25
Age:14.4  Onset:1993-07-13, Days after vaccination: 18
Gender:Female  Submitted:1993-07-27, Days after onset: 14
Location:Illinois  Entered:1994-01-18, Days after submission: 175
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: NONE
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC 'Split Type': IL93076
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0540W1SCLA
TD: TD ADSORBED (NO BRAND NAME)LEDERLE LABORATORIES346911 IMLA
Administered by: Public     Purchased by: Public
Symptoms: Lymphadenopathy, Neck pain
SMQs:, Arthritis (broad)
Write-up: 20 days p/vax lt gland in node became very swollen; no fever, no rash; c/o discomfort in neck area; next morning it became very swollen APAP given;

VAERS ID:71823 (history)  Vaccinated:1995-01-31
Age:14.1  Onset:1995-02-02, Days after vaccination: 2
Gender:Male  Submitted:1995-02-03, Days after onset: 1
Location:North Carolina  Entered:1995-02-28, Days after submission: 25
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: NONE
Other Medications: APA PRN
Current Illness: fracture of rt wrist, wearing small cast
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC 'Split Type': NC95022
Vaccination
Manufacturer
Lot
Dose
Route
Site
OPV: POLIO VIRUS, ORAL (ORIMUNE)LEDERLE LABORATORIES0709L4PO 
TD: TD ADSORBED (NO BRAND NAME)CONNAUGHT LABORATORIES4G610804IMRA
Administered by: Public     Purchased by: Unknown
Symptoms: Cellulitis, Chest pain, Injection site hypersensitivity, Injection site mass, Injection site oedema, Injection site pain, Lymphadenopathy
SMQs:, Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Hypersensitivity (narrow)
Write-up: 1 1/2-2" hard elongated knot @ inject site sl red & warmth-c/o pain under rt arm & lateral chest wall-seen by pvt MD on 02FEB95 cellulitis & abscess secondary to vax & secondary to lymphadenitis in axilla; tx Keflex-heat;

VAERS ID:109054 (history)  Vaccinated:1998-02-10
Age:14.2  Onset:1998-02-19, Days after vaccination: 9
Gender:Female  Submitted:1998-03-02, Days after onset: 11
Location:South Carolina  Entered:1998-04-02, Days after submission: 31
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: NONE
Other Medications: APAP & premsyn PRN
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: 25FEB98 throat cult for strep, mono spot test;
CDC 'Split Type': SC98016
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.1450D0IMLA
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.1240D1SCRA
Administered by: Public     Purchased by: Public
Symptoms: Lymphadenopathy, Pharyngitis, Pruritus, Pyrexia, Rash
SMQs:, Anaphylactic reaction (broad), Agranulocytosis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Oropharyngeal infections (narrow), Hypersensitivity (narrow)
Write-up: morning of 19th pt broke out in itchy, red rash;morning of 20th pt went to family hlth center & was put on zyrtec;that evening pt had swollen glands & temp up to 101.8;23rd pt went to clinic also had reddened areas on soft palate of mouth;

VAERS ID:109770 (history)  Vaccinated:1998-04-09
Age:14.7  Onset:1998-04-09, Days after vaccination: 0
Gender:Female  Submitted:1998-04-14, Days after onset: 5
Location:South Carolina  Entered:1998-04-16, Days after submission: 2
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: puffer, ortho (BC) , iron
Current Illness: NONE
Preexisting Conditions: asthma, anemia
Diagnostic Lab Data: UA-non convlusive;blood sugar 78;
CDC 'Split Type': SC98022
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (NO BRAND NAME)UNKNOWN MANUFACTURER    
TTOX: TETANUS TOXOID (NO BRAND NAME)UNKNOWN MANUFACTURER    
Administered by: Public     Purchased by: Public
Symptoms: Anorexia, Asthenia, Dysphagia, Hypoglycaemia, Lymphadenopathy, Malaise, Pyrexia, Somnolence
SMQs:, Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad)
Write-up: temp, not able to swallow, sugars went low, not feeling well, glands swollen, not eating well, weak, not active, sleeps a lot;

VAERS ID:128567 (history)  Vaccinated:1999-09-17
Age:14.6  Onset:1999-09-18, Days after vaccination: 1
Gender:Female  Submitted:1999-09-21, Days after onset: 3
Location:South Carolina  Entered:1999-09-27, Days after submission: 6
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:
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM3092A90 LA
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.1353H1 LA
TD: TD ADSORBED (NO BRAND NAME)LEDERLE LABORATORIES7341AA0 RA
Administered by: Public     Purchased by: Public
Symptoms: Injection site hypersensitivity, Injection site oedema, Injection site pain, Lymphadenopathy, Myalgia, Pyrexia, Vasodilatation
SMQs:, Rhabdomyolysis/myopathy (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)
Write-up: arm became sore @ site of T2-aching, puffy, red area size of fifty cent piece;fever 100;looked like sunburn, bright red;taken to hosp ER;lymph glands increased;

VAERS ID:153963 (history)  Vaccinated:2000-06-05
Age:14.0  Onset:2000-06-07, Days after vaccination: 2
Gender:Male  Submitted:2000-06-08, Days after onset: 1
Location:Kentucky  Entered:2000-06-13, Days after submission: 5
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC 'Split Type': KY2000018
Vaccination
Manufacturer
Lot
Dose
Route
Site
DT: DT ADSORBED (NO BRAND NAME)CONNAUGHT LABORATORIESU0003BA0IMLA
Administered by: Public     Purchased by: Public
Symptoms: Hypokinesia, Injection site reaction, Lymphadenopathy, Pain
SMQs:, Parkinson-like events (broad), Guillain-Barre syndrome (broad), Hypotonic-hyporesponsive episode (broad)
Write-up: Pt presented on 6/7/00 with local reaction. No redness at injection site, however, swelling noted in axillary area also painful with movement, afebrile.

VAERS ID:165192 (history)  Vaccinated:2000-09-22
Age:14.0  Onset:2000-09-24, Days after vaccination: 2
Gender:Male  Submitted:2000-09-25, Days after onset: 1
Location:Texas  Entered:2001-01-24, Days after submission: 121
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: 09/25/00 blood sent to TDH for Cat scratch fever, Toxoplasmosis, Parainfluenza. Temp 97.4, P 82, R 20, BP 120/80.
CDC 'Split Type': TX00165
Vaccination
Manufacturer
Lot
Dose
Route
Site
DT: DT ADSORBED (NO BRAND NAME)CONNAUGHT LTD.7345AA IMRA
Administered by: Public     Purchased by: Public
Symptoms: Injury, Lymphadenopathy, Pain, Subcutaneous nodule
SMQs:, Accidents and injuries (narrow), Extravasation events (injections, infusions and implants) (broad), Hostility/aggression (broad)
Write-up: This patient states he woke up on 09/24/00 with a "lump" under his right arm and sore to move. No SOB, rash, or other symptoms, sickness or complaints. Able to touch top of head with that arm; 4-5 cm lymph node noted and right arm. No history of adverse reaction to shots in the past. Complains of cat in the house patient with a scratch.

VAERS ID:243359 (history)  Vaccinated:2005-06-22
Age:14.0  Onset:2005-07-06, Days after vaccination: 14
Gender:Female  Submitted:2005-08-24, Days after onset: 49
Location:Colorado  Entered:2005-08-24
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: Whole limb swelling;Td Adsorbed, Adult (no brand name);3;0;In Patient
Other Medications: None
Current Illness: Seasonal allergies - pollen, stuffy nose
Preexisting Conditions: none
Diagnostic Lab Data: None done
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.8781P0SCRA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Arthralgia, Hyperhidrosis, Lymphadenopathy, Malaise, Neck pain, Pyrexia, Rash papular
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arthritis (broad)
Write-up: Two weeks after the MMR immunization was received, the child complained of severe neck pain. She developed a papular rash on her face that spread to her neck, chest, arms, then over her whole body. She experienced joint pains, and the mother reports she had pus on her right tonsil. She also had swelling of sub lingual lymph glands. She had a low grade fever, malaise and sweats. She felt sick for 5 days, but the rash didn''t clear for 14 days. She still has a slightly swollen lymph node behind her ear, but otherwise feels fine.

VAERS ID:125143 (history)  Vaccinated:1998-09-01
Age:14.0  Onset:1998-09-10, Days after vaccination: 9
Gender:Male  Submitted:1999-06-21, Days after onset: 284
Location:Foreign  Entered:1999-06-24, Days after submission: 3
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: pt felt "sickness & freezing" 3 days p/vax recv on 8/17/98 (box 17)
Other Medications: 8/17/98 vax w/ "oral virelon" & "td-pur"
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: 9/98 MRI peri-ventricular focals;
CDC 'Split Type': WAES99061123
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.    
OPV: POLIO VIRUS, ORAL (NO BRAND NAME)UNKNOWN MANUFACTURER    
TD: TD ADSORBED (NO BRAND NAME)UNKNOWN MANUFACTURER    
Administered by: Unknown     Purchased by: Unknown
Symptoms: Asthenia, Brain stem syndrome, Central nervous system neoplasm, Coordination abnormal, Cushing's syndrome, Delirium, Diplopia, Dysphonia, Encephalitis, Facial palsy, Hyperglycaemia, Hypokinesia, Hyporeflexia, Hypoxia, Immune system disorder, Infection, Laboratory test abnormal, Leukopenia, Lymphocytosis, Multiple sclerosis, Myasthenic syndrome, Neuropathy, Nystagmus, Paraesthesia, Pyrexia, Tremor, Vomiting
SMQs:, Acute pancreatitis (broad), Asthma/bronchospasm (broad), Haematopoietic leukopenia (narrow), Peripheral neuropathy (narrow), Hyperglycaemia/new onset diabetes mellitus (narrow), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (narrow), Dementia (broad), Malignancy related conditions (narrow), Parkinson-like events (broad), Acute central respiratory depression (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (narrow), Noninfectious encephalopathy/delirium (narrow), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Optic nerve disorders (broad), Demyelination (narrow), Eosinophilic pneumonia (broad), Vestibular disorders (broad), Ocular motility disorders (narrow), Tumours of unspecified malignancy (narrow), Hypotonic-hyporesponsive episode (broad)
Write-up: 10 days p/vax pt exp cerebral deficit & was hosp;Dx= brain stem encephalitis

VAERS ID:294636 (history)  Vaccinated:2006-03-02
Age:14.0  Onset:2006-03-17, Days after vaccination: 15
Gender:Female  Submitted:2007-10-26, Days after onset: 587
Location:Foreign  Entered:2007-10-29, Days after submission: 3
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: fluocinolone acetonide (+) neomycin sulf Unk - Unk
Current Illness:
Preexisting Conditions: Chronic rhinitis
Diagnostic Lab Data: body temp 17Mar06 $g39 C
CDC 'Split Type': WAES0710USA03903
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.  SCUN
Administered by: Unknown     Purchased by: Unknown
Symptoms: Body temperature increased, Lymphadenopathy, Pruritus, Pyrexia, Serum sickness, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Hypersensitivity (narrow)
Write-up: Information has been received from a health authority concerning a 14 year old female with a history of chronic rhinitis, who on 02-MAR-2006, was vaccinated with a first dose of MMR II (lot # "Y9587-1"). Concomitant therapy included fluocinolone acetonide (+) neomycin sulfate (DORICUM). On 17-MAR-2006, she developed serum sickness, lateral cervical and axillary lymphadenopathy, fever ($g 39 degrees centigrade), urticaria, and itching. It was reported that she was hospitalized. The patient was treated with clanthromycin (MACLADIN), cetirizine hydrochloride (ZIRTEC), chlorphenamine maleate (TRIMETON), and prednisone (DELTACORTENE). The outcome was recovered on 25-APR-2006. The case is closed. Other business partner numbers included: E2007-07021, 77738, and IT366/07.

VAERS ID:327897 (history)  Vaccinated:0000-00-00
Age:14.0  Onset:0000-00-00
Gender:Female  Submitted:2008-10-09
Location:Foreign  Entered:2008-10-09
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Unknown
Preexisting Conditions:
Diagnostic Lab Data: UNK
CDC 'Split Type': A0750346A
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEPAB: HEP A + HEP B (TWINRIX)GLAXOSMITHKLINE BIOLOGICALS  UNUN
HPV4: HPV (GARDASIL)MERCK & CO. INC.  UNUN
Administered by: Other     Purchased by: Other
Symptoms: Chills, Dizziness, Fatigue, Hypoaesthesia, Influenza like illness, Lymphadenopathy, Malaise, Migraine, Nausea, Paraesthesia, Paralysis, Rash, Syncope, Tinnitus, Vomiting
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (broad), Acute pancreatitis (broad), Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (broad), Hearing impairment (narrow), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Hypersensitivity (narrow)
Write-up: This case was reported by a manufacturer via regulatory authority and described the occurrence of paralysis in a 14-year-old female subject who was vaccinated with TWINRIX (GlaxoSmithKline) and GARDASIL (Merck). On an unspecified date the subject received unspecified dose of TWINRIX (unknown), GARDASIL (unknown). At an unspecified time after vaccination with TWINRIX and GARDASIL, the subject experienced paralysis, syncope, dizziness, rigors, paresthesia, hypoesthesia, fatigue, tinnitus and migraine. Three days after vaccination with TWINRIX and GARDASIL, the subject experienced rash. Four days after vaccination with TWINRIX and GARDASIL, the subject experienced lymphadenopathy. Five days after vaccination with TWINRIX and GARDASIL, the subject experienced influenza like symptoms. Nine days after vaccination with TWINRIX and GARDASIL, the subject experienced malaise, nausea and vomiting. This case was assessed as medically serious by GSK. At the time of reporting the outcome of the events were unspecified.

VAERS ID:481766 (history)  Vaccinated:2012-09-28
Age:14.0  Onset:2012-10-07, Days after vaccination: 9
Gender:Male  Submitted:2013-01-18, Days after onset: 103
Location:Foreign  Entered:2013-01-18
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: No other medications
Current Illness: Immunisation
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type': WAES1301GBR008519
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (NO BRAND NAME)UNKNOWN MANUFACTURER  UNUN
Administered by: Other     Purchased by: Other
Symptoms: Aphonia, Ear pain, Lethargy, Lymphadenopathy
SMQs:, Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad)
Write-up: This case was received from the health authority on 10-Jan-2013. GB-MHRA-ADR 21881247. This case is not medically confirmed as it was reported by consumer. A 14 year old male patient, with no reported medical history or concomitant medication, received an injection of MMR (manufacturer unknown; batch number, dose, site and route of administration not reported) on 28-Sep-2012. Six days after the vaccination, on 04-Oct-2012, he experienced swollen glands and was lethargic. Eight days after the vaccination, on 06-Oct-2012, he had ear ache and 9 days after the vaccination, on 07-Oct-2012, he experienced voicelessness. At the time of reporting, the patient was not recovered. The patient''s parents also reported that their two other children experienced very similar reactions at exactly the same time. All three children received the vaccine at the same time. The other cases are described in linked cases # E2013-00301 and E2013-00302. The agency considered this case to be serious as an other medically important condition.

VAERS ID:54824 (history)  Vaccinated:1993-06-23
Age:15.8  Onset:1993-07-07, Days after vaccination: 14
Gender:Male  Submitted:1993-07-14, Days after onset: 7
Location:Florida  Entered:1993-07-26, Days after submission: 12
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: TB skin test 23JUN93;
Current Illness: not ill @ time;
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC 'Split Type': FL93045
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0061W1SCRA
Administered by: Public     Purchased by: Public
Symptoms: Lymphadenopathy, Pruritus, Pyrexia, Rash
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Hypersensitivity (narrow)
Write-up: pc from mom 8JUL93 pt recvd vax 23JUN93 sick since fever & swollen glands 2 days p/shot; rash all over head to toe; feels OK now just itches;

VAERS ID:65837 (history)  Vaccinated:1994-07-26
Age:15.4  Onset:1994-07-26, Days after vaccination: 0
Gender:Female  Submitted:1994-07-29, Days after onset: 3
Location:Texas  Entered:1994-08-09, Days after submission: 11
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: allergy to codeine
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
DT: DT ADSORBED (NO BRAND NAME)CONNAUGHT LABORATORIES4B61052  RA
Administered by: Private     Purchased by: Private
Symptoms: Injection site hypersensitivity, Injection site mass, Lymphadenopathy, Malaise, Pain
SMQs:, Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (narrow)
Write-up: pt recvd vax 26JUL94 area of reddness & induration (5x6 cm) upper rt arm; swollen & painful glands under rt arm & rt elbow; no fever; genl malaise; instructed pt & mom to use ice pack;

VAERS ID:86936 (history)  Vaccinated:1996-05-13
Age:15.0  Onset:1996-05-14, Days after vaccination: 1
Gender:Female  Submitted:1996-05-17, Days after onset: 3
Location:Idaho  Entered:1996-06-13, Days after submission: 27
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': ID96036
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEPA: HEP A (HAVRIX)SMITHKLINE BEECHAM165A20IMRA
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0465B0SCRA
OPV: POLIO VIRUS, ORAL (ORIMUNE)LEDERLE LABORATORIES0735D2PO 
TD: TD ADSORBED (NO BRAND NAME)CONNAUGHT LABORATORIES6A810073IMLA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Injection site hypersensitivity, Injection site oedema, Injection site pain, Lymphadenopathy, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow)
Write-up: fever & swollen lymph nodes lt side of neck-pain swelling & redness @ inj site (LD) w/in 24hr of vax;22MAY96 parent states all sx resolved x/still has swollen lymph nodes

VAERS ID:90761 (history)  Vaccinated:1996-08-05
Age:15.7  Onset:1996-08-05, Days after vaccination: 0
Gender:Male  Submitted:1996-10-02, Days after onset: 58
Location:Michigan  Entered:1996-10-21, Days after submission: 19
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: NONE
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: WBC high;
CDC 'Split Type': MI96156
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.20440IMRA
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.13251SCLA
TD: TD ADSORBED (NO BRAND NAME)MICHIGAN DEPT PUB HLTHTD61321IMLA
Administered by: Public     Purchased by: Public
Symptoms: Injection site oedema, Leukocytosis, Lymphadenopathy, Malaise, Pain, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: pt recv vax 5AUG96 w/PE done in usual fashion;mom stated soreness in that arm, then pain in armpit; to MD & swollen gland in armpit noted-? immun technique & put on ATB;pt ill;pt hosp w/high fever, WBC high;allerg to ATB & rxn to vax;

VAERS ID:111518 (history)  Vaccinated:1998-03-17
Age:15.3  Onset:1998-03-22, Days after vaccination: 5
Gender:Female  Submitted:1998-04-06, Days after onset: 14
Location:Nevada  Entered:1998-06-08, Days after submission: 63
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: CBC, chem panel, strep test, autoimmune;
CDC 'Split Type': NV98005
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.1248D1SCLA
TD: TD ADSORBED (NO BRAND NAME)CONNAUGHT LABORATORIES6L813920IMLA
Administered by: Other     Purchased by: Public
Symptoms: Headache, Lymphadenopathy, Nausea, Nuchal rigidity, Pyrexia
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)
Write-up: pt recv vax 17MAR98 & exp nausea & stiff neck 22MAR98;missed school 25,26,27MAR;went to MD placed on ATB;returned to MD 30MAR98 sx swelling @ rt side of neck, rt ear fever 103, h/a, nausea, stiff neck;condition getting worse;went to MD;

VAERS ID:127026 (history)  Vaccinated:1999-06-29
Age:15.3  Onset:1999-07-04, Days after vaccination: 5
Gender:Male  Submitted:1999-07-06, Days after onset: 2
Location:California  Entered:1999-08-09, Days after submission: 34
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: NONE
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: allergies to honey & chocolate;ATB, PCN group;12-12yrs ketotyfen-inc rash;allergy meds from hungary;
Diagnostic Lab Data:
CDC 'Split Type': CA990077
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM2948A20IMLA
IPV: POLIO VIRUS, INACT. (POLIOVAX)CONNAUGHT LTD.M10692IMLA
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0119J0SCRA
TD: TD ADSORBED (NO BRAND NAME)CONNAUGHT LABORATORIES7258BA2IMRA
Administered by: Public     Purchased by: Public
Symptoms: Lymphadenopathy, Pruritus, Rash
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow)
Write-up: p/vax possible delayed adverse rxn started 7/4 in AM w/axillary pain & sl lymph gland enlargement under both arms;progressed to rash w/itching 7/5/99 MA;

VAERS ID:128510 (history)  Vaccinated:1999-08-02
Age:15.0  Onset:1999-09-05, Days after vaccination: 34
Gender:Male  Submitted:1999-09-17, Days after onset: 12
Location:Mississippi  Entered:1999-09-27, Days after submission: 10
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: mild asthma
Diagnostic Lab Data: amylase
CDC 'Split Type': MS99039
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.1304E  RA
Administered by: Private     Purchased by: Public
Symptoms: Face oedema, Lymphadenopathy, Pharyngitis
SMQs:, Anaphylactic reaction (broad), Agranulocytosis (broad), Angioedema (narrow), Oropharyngeal infections (narrow), Hypersensitivity (narrow)
Write-up: swelling of parotid glands bilat p/vax;this happened w/in 3wk of vax;sore throat;cold x 1wk;to ER;c/o swelling glands rt neck & lt eye swollen;swelling also noted lt neck;dx mumps parotitis

VAERS ID:150274 (history)  Vaccinated:1997-01-31
Age:15.0  Onset:1997-04-26, Days after vaccination: 85
Gender:Female  Submitted:2000-02-23, Days after onset: 1033
Location:New York  Entered:2000-03-22, Days after submission: 28
Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Augmentin, Zithromax
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.1183P SC 
Administered by: Public     Purchased by: Other
Symptoms: Arthralgia, Congenital joint malformation, Lymphadenopathy, Pyrexia, Rash
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Congenital, familial and genetic disorders (narrow), Hypersensitivity (narrow), Arthritis (broad)
Write-up: Rash, joint soreness resulting in joint deformity, fever, swollen glands. Pt was prescribed various medications including antibiotics, methotrexate, prednisone, Naprosyn, folic acid and Tylenol.

VAERS ID:160677 (history)  Vaccinated:2000-07-26
Age:15.0  Onset:0000-00-00
Gender:Male  Submitted:2000-08-29
Location:Michigan  Entered:2000-10-18, Days after submission: 50
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: CT Scan; Bone scan-neg
CDC 'Split Type': MI2000064
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAMENG3199B90IMRA
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.1511J1IMLA
TD: TD ADSORBED (NO BRAND NAME)CONNAUGHT LABORATORIESU0162AA0IMLA
Administered by: Public     Purchased by: Public
Symptoms: Lymphadenopathy
SMQs:
Write-up: Lymph node on affected arm was swollen just below the clavicle. It was the arm where he received the TD and Hep-B. .

VAERS ID:187528 (history)  Vaccinated:0000-00-00
Age:15.0  Onset:0000-00-00
Gender:Female  Submitted:2002-05-30
Location:Unknown  Entered:2002-07-15, Days after submission: 46
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: UNK
Diagnostic Lab Data:
CDC 'Split Type': WAES01052282
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)GLAXOSMITHKLINE BIOLOGICALS 1  
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC. 1  
Administered by: Other     Purchased by: Other
Symptoms: Lymphadenopathy, Malaise, Pyrexia, Rash morbilliform
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Hypersensitivity (narrow)
Write-up: Information has been received from a registered nurse concerning a 15 year old female who in March 2001, was vaccinated with the first dose of MMR II. Concomitant vaccination the same day included the first dose of hepatitis b vaccine, recombinant (Engerix B). Four days after the first vaccinations, the pt was inadvertently vaccinated with a second dose of MMR II and a second dose of hepatitis b vaccine, recombinant (Engerix B). This does not comply with the recommended dosage schedule. Within a week of the second doses, the pt developed a measles-like rash, fever and swollen glands. "Two months later" on 05/23/2001, it was reported that the pt still had swollen glands and did not feel well. Unspecified medical attention was sought. Additional info has been requested.

VAERS ID:226355 (history)  Vaccinated:2004-04-29
Age:15.0  Onset:2004-04-30, Days after vaccination: 1
Gender:Male  Submitted:2004-05-19, Days after onset: 19
Location:Wisconsin  Entered:2004-09-08, Days after submission: 112
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': WI0409
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)GLAXOSMITHKLINE BIOLOGICALS5393A30IMRA
IPV: POLIO VIRUS, INACT. (IPOL)AVENTIS PASTEURX05660SCLA
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0809N0SCRA
TD: TETANUS DIPHTHERIA (NO BRAND NAME)AVENTIS PASTEURU010AA0IMLA
Administered by: Public     Purchased by: Public
Symptoms: Erythema, Infection, Lymphadenopathy, Oedema, Tenderness
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Hypersensitivity (broad)
Write-up: On 05/01/2004, Dr. reported: some erythema, swelling, mild tenderness. Could be localizing infection from the immunization, though a high probability of simple immunization reaction to the immunization. Augmentin and Clarinex prescribed 5/6/04. Left deltoid slightly swollen. ? Lymph node left side. 5/14/04 spoke with dad-completely resolved.

VAERS ID:251537 (history)  Vaccinated:2006-02-03
Age:15.0  Onset:2006-02-05, Days after vaccination: 2
Gender:Male  Submitted:2006-02-15, Days after onset: 10
Location:Texas  Entered:2006-02-15
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE KNOWN
Preexisting Conditions: UNKNOWN
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAMAHBVB134AA1IMLA
HEPA: HEP A (VAQTA)MERCK & CO. INC.0400R1IMLA
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0233R1SCRA
TD: TD ADSORBED (NO BRAND NAME)AVENTIS PASTEURU1596DA1IMRA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Injection site erythema, Injection site swelling, Lymphadenopathy
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: REDNESS, SWELLING TO SITE. LYMPH NODES SWOLLEN.

VAERS ID:252978 (history)  Vaccinated:2006-01-13
Age:15.0  Onset:2006-02-04, Days after vaccination: 22
Gender:Male  Submitted:2006-02-06, Days after onset: 2
Location:Florida  Entered:2006-03-20, Days after submission: 42
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)GLAXOSMITHKLINE BIOLOGICALSAHBVB156AA1IMLA
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0301R1SCRA
TD: TETANUS DIPHTHERIA (NO BRAND NAME)AVENTIS PASTEURU1576BA1IMLA
Administered by: Other     Purchased by: Public
Symptoms: Dry mouth, Lymphadenopathy, Pain, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow)
Write-up: Fever (low), swollen gland, dry mouth, blood taste, painful chewing.

VAERS ID:447115 (history)  Vaccinated:2011-10-04
Age:15.0  Onset:2011-10-04, Days after vaccination: 0
Gender:Female  Submitted:2012-01-05, Days after onset: 93
Location:Ohio  Entered:2012-01-10, Days after submission: 5
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: The patient has no reported past medical history, is taking no concomitant medications and illness at the time of vaccination was denied. The patient had a TD nine years ago.
Diagnostic Lab Data: The patient had blood tests including "WBC and connective tissue" results not reported.
CDC 'Split Type': 201110871
Vaccination
Manufacturer
Lot
Dose
Route
Site
DT: DT ADSORBED (DECAVAC)SANOFI PASTEURU3421DA SYRLA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Activities of daily living impaired, Blood test, Facial pain, Fatigue, Feeling abnormal, Gait disturbance, Laboratory test, Lymphadenopathy, Mononucleosis heterophile test negative, Myalgia, Pain in extremity,