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VAERS ID:479036 (history)  Vaccinated:2012-11-16
Age:84.0  Onset:2012-11-16, Days after vaccination: 0
Gender:Male  Submitted:2012-12-22, Days after onset: 36
Location:West Virginia  Entered:2012-12-22
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE REPORTED
Preexisting Conditions: HYPOTHYROIDISM, BPH, DYSLIPIDEMIA
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARZOS: ZOSTER (ZOSTAVAX)MERCK & CO. INC.H0180880SCLA
Administered by: Other     Purchased by: Private
Symptoms: Dizziness
SMQs:, Anticholinergic syndrome (broad), Vestibular disorders (broad)
Write-up: PATIENT REPORTED FEELING DIZZINESS AFTER VACCINATION.

VAERS ID:479037 (history)  Vaccinated:2012-12-20
Age:46.0  Onset:2012-12-20, Days after vaccination: 0
Gender:Female  Submitted:2012-12-22, Days after onset: 2
Location:California  Entered:2012-12-22
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Nausea, taste of medicine, itching at site, pain, redness, itching extending to hand, waited 40 minutes finally subsided, now had lump, redness and hot to touch size of 2 inches across.
Preexisting Conditions: Penicillin, erythromycin, Macrobid, Ceclor; asthma
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE INTRADERMAL)SANOFI PASTEUR  IDRA
Administered by: Unknown     Purchased by: Other
Symptoms: Erythema, Injection site pruritus, Mass, Nausea, Pain, Pain in extremity, Product taste abnormal, Skin warm, Swelling
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Angioedema (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad), Tendinopathies and ligament disorders (broad)
Write-up: Redness, swelling, itching 40 minute intense itching and then went down hand, finally subsided, still hard, painful and 2 inch lump and hot to touch.

VAERS ID:479038 (history)  Vaccinated:2012-12-21
Age:64.0  Onset:2012-12-21, Days after vaccination: 0
Gender:Female  Submitted:2012-12-22, Days after onset: 1
Location:Colorado  Entered:2012-12-22
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: None yet
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)UNKNOWN MANUFACTURER    
Administered by: Private     Purchased by: Private
Symptoms: Chills, Dizziness, Headache, Pain in extremity, 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), Vestibular disorders (broad), Tendinopathies and ligament disorders (broad)
Write-up: High fever uncontrollable chills, vomiting, aches in arms and legs, headache dizziness and sleepy for 15 hours.

VAERS ID:479039 (history)  Vaccinated:2012-11-17
Age:56.0  Onset:2012-11-17, Days after vaccination: 0
Gender:Female  Submitted:2012-12-22, Days after onset: 35
Location:New York  Entered:2012-12-22
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: Pre-diabetic, osteopaenia
Diagnostic Lab Data: Thus far, two doctor visits. PT has been reccomended. Most likely problem is that injector hit a nerve.
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (AFLURIA)CSL LIMITEDP506080IMLA
Administered by: Other     Purchased by: Private
Symptoms: Drug administered at inappropriate site, Nerve injury, Pain in extremity, Paraesthesia
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Accidents and injuries (narrow), Tendinopathies and ligament disorders (broad)
Write-up: Pain in upper arm, but no swelling or heat at site of injection. Some tingling in fingers of left hand. Shot was given in very upper right arm, very close to shoulder.

VAERS ID:479040 (history)  Vaccinated:2012-12-19
Age:12.0  Onset:2012-12-20, Days after vaccination: 1
Gender:Male  Submitted:2012-12-22, Days after onset: 2
Location:Wisconsin  Entered:2012-12-22
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None. He has Albuterol prescribed PRN, but hadn''t used it recently.
Current Illness: Mild nasal congestion - at tail end of a cold
Preexisting Conditions: Asthma
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)UNKNOWN MANUFACTURER    
Administered by: Private     Purchased by: Private
Symptoms: Cough, Dysphonia, Pyrexia, Wheezing
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Asthma/bronchospasm (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Parkinson-like events (broad), Eosinophilic pneumonia (broad), Hypersensitivity (broad)
Write-up: Barky cough, wheezing, fever, hoarseness - gave 3 puffs of Albuterol inhaler to settle the cough and wheezing. Tried to give Nyquil for cough and fever but the strong cough prevented it from staying down. We are on the third day after and the cough persists. The fevers lasted 2 days.

VAERS ID:479041 (history)  Vaccinated:2012-12-18
Age:59.0  Onset:2012-12-20, Days after vaccination: 2
Gender:Male  Submitted:2012-12-22, Days after onset: 2
Location:California  Entered:2012-12-23, 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: None.
Diagnostic Lab Data: None.
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)UNKNOWN MANUFACTURER    
Administered by: Unknown     Purchased by: Private
Symptoms: Cough, Dizziness, Headache, Myalgia, Rhinorrhoea
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Anticholinergic syndrome (broad), Eosinophilic pneumonia (broad), Vestibular disorders (broad), Tendinopathies and ligament disorders (broad)
Write-up: Lightheadedness, runny nose, muscle aches, headache, cough.

VAERS ID:479042 (history)  Vaccinated:2012-12-12
Age:54.0  Onset:2012-12-15, Days after vaccination: 3
Gender:Female  Submitted:2012-12-21, Days after onset: 6
Location:Colorado  Entered:2012-12-24, Days after submission: 3
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? Yes, 2 days
    Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: Bacterial colitis
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURUH717AA IMUN
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.H013394 IMUN
Administered by: Other     Purchased by: Unknown
Symptoms: Condition aggravated, Enterocolitis bacterial
SMQs:, Pseudomembranous colitis (broad)
Write-up: Patient reported receiving medical treatment for bacterial colitis (on 12-14-12 pt received Rx for Clindamycin 300mg 1 three times daily).

VAERS ID:479043 (history)  Vaccinated:2012-11-06
Age:0.2  Onset:2012-11-09, Days after vaccination: 3
Gender:Male  Submitted:2012-12-23, Days after onset: 44
Location:New York  Entered:2012-12-23
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 4 days
    Extended hospital stay? Yes
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: Ultrasound, sonogram, CT scan, brain scan, every scan, test, blood work imaginable, GI docs, brain docs, every department head saw him. Not one doctor found anything wrong other than he just had his vaccinations.
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAP: DTAP (DAPTACEL)SANOFI PASTEURC4214BA0UNRL
IPV: POLIO VIRUS, INACT. (IPOL)SANOFI PASTEURH16050UNLL
Administered by: Private     Purchased by: Private
Symptoms: Abdominal discomfort, Asthenia, Blood test normal, Computerised tomogram, Computerised tomogram normal, Condition aggravated, Crying, Depressed level of consciousness, Diarrhoea, Diet refusal, Fatigue, Hypotonia, Intensive care, Irritability, Laboratory test, Lethargy, Pallor, Scan brain, Somnolence, Staring, Ultrasound scan normal, Unresponsive to stimuli, Vaccination complication
SMQs:, Peripheral neuropathy (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Pseudomembranous colitis (broad), Gastrointestinal perforation, ulcer, haemorrhage, obstruction non-specific findings/procedures (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hostility/aggression (broad), Depression (excl suicide and self injury) (broad), Hypotonic-hyporesponsive episode (narrow), Generalised convulsive seizures following immunisation (narrow), Noninfectious diarrhoea (narrow)
Write-up: Diarrhea, upset stomach, crying (not usual for this baby at all). Basically out of it and not interested in nursing, fussy. Next morning on Nov 10, baby was pale almost ashen and weak, not interested in nursing at all, overly tired and cranky, fussy, crying which is unusual for him. Not alert, eyes glazed over and staring into space. Then he went limp and lethargic with eyes open, but was not responding. Brought him to hospital immediately. The days prior to this he was also very sleepy and cranky but it escalated from nov 6 when he received the vaccinations to nov 9/10 2012. Perfectly healthy alert and bright baby boy. Had a major adverse reaction to the DTaP. Will not be vaccinating again. He was in ICU for 4 days because of this.

VAERS ID:479044 (history)  Vaccinated:2012-12-06
Age:33.0  Onset:2012-12-06, Days after vaccination: 0
Gender:Female  Submitted:2012-12-23, Days after onset: 17
Location:California  Entered:2012-12-23
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: No
Preexisting Conditions: Papillary Thyroid Cancer; Hashimoto''s Thyroiditis
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)UNKNOWN MANUFACTURER 0 LA
Administered by: Unknown     Purchased by: Private
Symptoms: Blister, Erythema, Induration, Injected limb mobility decreased, Injection site erythema, Injection site exfoliation, Injection site pruritus, Injection site rash, Injection site reaction, Injection site warmth, Muscle twitching, Muscular weakness, Pain in extremity, Pruritus, Urticaria
SMQs:, Rhabdomyolysis/myopathy (broad), Severe cutaneous adverse reactions (broad), Anaphylactic reaction (broad), Angioedema (narrow), Peripheral neuropathy (broad), Dyskinesia (broad), Dystonia (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (narrow), Tendinopathies and ligament disorders (broad)
Write-up: Red, hard itchy blisters appeared on hands and feet. Hives on arms, trunk and legs. Unable to lift arm that received injection above head due to pain; one week later muscle weakness and twitching in left deltoid where injection was received. Red, hot, round, itchy rash appeared around injection site, approximately 4 inches across. The area later peeled like a sunburn.

VAERS ID:479045 (history)  Vaccinated:2012-12-19
Age:3.0  Onset:2012-12-20, Days after vaccination: 1
Gender:Male  Submitted:2012-12-23, Days after onset: 3
Location:Pennsylvania  Entered:2012-12-23
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Recovering from diagnosis of tonsillitis (diagnosed 12/12/2012) and was on day 7 of a 10 day antibiotic.
Preexisting Conditions: Born with cleft lip. Diagnosed with tonsillitis 7 days prior to vaccine.
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEPA: HEP A (NO BRAND NAME)UNKNOWN MANUFACTURER 2SYRLL
Administered by: Unknown     Purchased by: Other
Symptoms: Abnormal behaviour, Erythema, Hypersensitivity, Irritability, Lethargy, Pruritus, Pyrexia, Rash erythematous, Rash generalised, Sluggishness, Urticaria, Vaccination complication
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Psychosis and psychotic disorders (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hostility/aggression (broad), Hypersensitivity (narrow)
Write-up: Started as a low grade fever, sluggish and lethargic after waking from afternoon nap-gave Motrin and he seemed much better. Then, during his bath 8:00 PM that evening, we noticed red circles about half in I diameter on his torso. They blanched when touched and were not raised but rather flush with his skin. Called dr; he said could be viral, allergic reaction or combination. No fever at this time. Recommended Benadryl. Did not have any, and child did not seem bothered, so we chose not to give meds. Next morning, 12/21/2011, tons more spots and they''ve changed in appearance. Some are still small red dots, se have tripled in size and joined together. Child again lethargic and clingy unlike himself. Gave Benadryl. He soon fell asleep. When he woke, he was still whiny and cranky. Gave Motrin and soon was playing and acting normal. Next morning, 12/22/2012, child covered in spots head to toe. Child very irritated and itchy now. Spots on back of head and neck and ears are bothersome to child. Ears dark red. Many of the spots on sides and underarm are raised and look like welts. They also appear to be more of a red raised ring instead of the whole spot being red as they had started. Chose to go to ER. Diagnosed with allergic reaction probably to vaccine. Ran fever again through that night. Ongoing as this reaction is still active in my son.

VAERS ID:479046 (history)  Vaccinated:2012-12-20
Age:51.0  Onset:2012-12-20, Days after vaccination: 0
Gender:Female  Submitted:2012-12-23, Days after onset: 3
Location:New York  Entered:2012-12-23
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: No
Preexisting Conditions: Allergies: Keflex, Ampicillin, Septra, Erythromycin, bees, MMR
Diagnostic Lab Data: N/A
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (NO BRAND NAME)UNKNOWN MANUFACTURER  IMLA
Administered by: Other     Purchased by: Other
Symptoms: Arthralgia, Chills, Cough, Discomfort, Eye pain, Fatigue, Headache, Hypersomnia, Increased upper airway secretion, Injection site pain, Myalgia, Nasal congestion, Neck pain, Sneezing
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Extravasation events (injections, infusions and implants) (broad), Glaucoma (broad), Eosinophilic pneumonia (broad), Depression (excl suicide and self injury) (broad), Hypersensitivity (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad)
Write-up: I am only providing this information to help HHS help other citizens who receive the vaccine. I am slowly recovering from the following: 1. Extreme tiredness-sleep 12-14 hours or more 2. Dry infrequent cough 3. Increased upper respiratory secretions 4. Sneezing 5. Chills 6. Muscle and joint aches 7. Injection site tenderness 8. Stuffy nose 9. Very uncomfortable frontal headache 10. It is painful to open my eyes 11. Neck ache

VAERS ID:479047 (history)  Vaccinated:2012-12-21
Age:1.7  Onset:2012-12-22, Days after vaccination: 1
Gender:Female  Submitted:2012-12-23, Days after onset: 1
Location:New York  Entered:2012-12-23
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:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAP: DTAP (NO BRAND NAME)UNKNOWN MANUFACTURER 0 AR
HIBV: HIB (NO BRAND NAME)UNKNOWN MANUFACTURER 0 AR
Administered by: Private     Purchased by: Other
Symptoms: Heart rate increased, Pyrexia, Vomiting
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)
Write-up: Vomiting, fever (101.5), and rapid heart rate (180 bpm).

VAERS ID:479048 (history)  Vaccinated:0000-00-00
Age:  Onset:0000-00-00
Gender:Male  Submitted:2012-12-20
Location:Foreign  Entered:2012-12-20
Life Threatening? No
Died? Yes
   Date died: 2012-12-11
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: B0853253A
Vaccination
Manufacturer
Lot
Dose
Route
Site
HIBV: HIB (HIBERIX)GLAXOSMITHKLINE BIOLOGICALSYHIBC593B UNUN
Administered by: Other     Purchased by: Other
Symptoms: Death
SMQs:
Write-up: This case was reported by a physician via a Sales Representative and described the occurrence of unknown cause of death in a 4-month-old male subject who was vaccinated with HIBERIX (GlaxoSmithKline). On 9 December 2012, the subject received an unspecified dose of HIBERIX (administration site and route unknown). On 11 December 2101, 2 days after vaccination with HIBERIX, the subject died. The subject died on 11 December 2012, cause of death was not reported. It was unknown whether an autopsy was performed.

VAERS ID:479049 (history)  Vaccinated:2012-12-17
Age:30.0  Onset:2012-12-18, Days after vaccination: 1
Gender:Male  Submitted:2012-12-21, Days after onset: 3
Location:California  Entered:2012-12-21
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
TDAP: TDAP (ADACEL)SANOFI PASTEURU4421AA0IMLA
Administered by: Private     Purchased by: Other
Symptoms: Chills, Injection site pain, Injection site swelling, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: Given 12/17 developed chills that evening. 12/18 fever of 103, pain and swelling at site. Same symptoms 12/19. 12/20 102 fever, continued pain, redness and swelling. MD appt 12/21 tx KEFLEX 500mg qid x 10 days as of 12/21 at appt. Pain and fever swelling less.

VAERS ID:479050 (history)  Vaccinated:2012-12-17
Age:65.0  Onset:2012-12-17, Days after vaccination: 0
Gender:Male  Submitted:2012-12-21, Days after onset: 4
Location:Arizona  Entered:2012-12-21
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: No
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE HIGH-DOSE)SANOFI PASTEURU4489AA0IMRA
Administered by: Other     Purchased by: Public
Symptoms: Feeling hot, Malaise, Rash generalised, Rosacea
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow)
Write-up: Pt became ill and warm all over. He described a rosacea-like rash on chest, armpit, face, neck & back. Pt still had rash on 12/19/12. On 12/20/12 pt was back to normal. Pt saw his practitioner on 12/18/12 & suggest he should take diphenhydramine.

VAERS ID:479051 (history)  Vaccinated:2012-11-20
Age:60.0  Onset:2012-11-21, Days after vaccination: 1
Gender:Female  Submitted:2012-12-21, Days after onset: 30
Location:Washington  Entered:2012-12-21
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: NKA (UTI, incontinence)
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
UNK: VACCINE NOT SPECIFIED (NO BRAND NAME)UNKNOWN MANUFACTURER    
Administered by: Private     Purchased by: Unknown
Symptoms: Chills, Myalgia, Pyrexia, Vomiting
SMQs:, Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad)
Write-up: Chills, myalgia, fever, vomiting x3 days.

VAERS ID:479052 (history)  Vaccinated:2012-12-20
Age:54.0  Onset:2012-12-20, Days after vaccination: 0
Gender:Female  Submitted:2012-12-21, Days after onset: 1
Location:Indiana  Entered:2012-12-21
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Carvedilol; lisinopril; ADVAIR; COMBIVENT; citalopram; gabapentin
Current Illness:
Preexisting Conditions: COPD; HTN; fibromyalgia; cirrhosis of the liver
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURL4481CF IMRA
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.H014282 IMLA
Administered by: Public     Purchased by: Private
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: C/O (L) arm pain and swelling from injection site ((L) deltoid) to elbow. Area is red & warm. Pt advised to go to ER & apply cold pack.

VAERS ID:479053 (history)  Vaccinated:0000-00-00
Age:  Onset:0000-00-00
Gender:Female  Submitted:2012-12-20
Location:Foreign  Entered:2012-12-20
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 2 days
    Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: Unknown
Preexisting Conditions:
Diagnostic Lab Data: Body temperature, 24Oct2012, 38deg.C
CDC Split Type: B0853014A
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAPIPVHIB: DTAP + IPV + HIB (FOREIGN)GLAXOSMITHKLINE BIOLOGICALSA20CA801B0UNUN
RV1: ROTAVIRUS (ROTARIX)GLAXOSMITHKLINE BIOLOGICALSAROLA439AE0PO 
UNK: PNEUMO (FOREIGN)GLAXOSMITHKLINE BIOLOGICALSASPNA047BH0UNUN
Administered by: Other     Purchased by: Other
Symptoms: Body temperature increased, Generalised oedema, Injection site erythema, Injection site oedema, Injection site pain, Insomnia, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Neuroleptic malignant syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow)
Write-up: This case was reported by a physician via a regulatory authority (SI-JAZMP-NCPHV-2012SI0177_455) and described the occurrence of injection site pain in a 3-month-old female subject who was vaccinated with INFANRIX-POLIO-HIB (GlaxoSmithKline), ROTARIX and SYNFLORIX. On 23 October 2012, the subject received 1st dose of INFANRIX-POLIO-HIB (administration site and route unknown), 1st dose of ROTARIX (oral) and 1st dose of SYNFLORIX (administration site and route unknown). On 23 October 2012, in the evening, 1 day after vaccination with INFANRIX-POLIO-HIB, ROTARIX and SYNFLORIX, the subject experienced generalized edema and generalized urticaria on face, neck and feet. On 24 October 2012, 2 days after vaccination with INFANRIX-POLIO-HIB, ROTARIX and SYNFLORIX, the subject experienced injection site pain, injection site redness, injection site edema and body temperature increased (38 deg.C). At an unspecified time after vaccination with INFANRIX-POLIO-HIB, ROTARIX and SYNFLORIX, the subject experienced insomnia. The subject was hospitalised from 24 to 25 October 2012. The subject was discharged afebrile, without edema and urticaria. The subject was treated with FENISTIL. At the time of reporting, the events were resolved. For the future, diet without cow''s milk and ALLERNOVA were advised.

VAERS ID:479054 (history)  Vaccinated:2012-12-20
Age:31.0  Onset:2012-12-20, Days after vaccination: 0
Gender:Male  Submitted:2012-12-21, Days after onset: 1
Location:Idaho  Entered:2012-12-21
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
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)NOVARTIS VACCINES AND DIAGNOSTICS12070210UNLA
Administered by: Other     Purchased by: Other
Symptoms: Feeling hot, Hypoaesthesia
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad)
Write-up: About 5 mins after admin, pt felt hot in face and ears. Feet started to feel numb. Resolved in approx. 10-15 mins.

VAERS ID:479055 (history)  Vaccinated:2012-12-13
Age:3.0  Onset:2012-12-14, Days after vaccination: 1
Gender:Male  Submitted:0000-00-00
Location:Pennsylvania  Entered:2012-12-21
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:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)NOVARTIS VACCINES AND DIAGNOSTICS12059012IMLA
Administered by: Public     Purchased by: Public
Symptoms: Injection site rash
SMQs:, Hypersensitivity (narrow)
Write-up: Rash at site of injection only x 6 days.

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