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Found 588667 cases in entire database

Case Details (Sorted by Age)

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VAERS ID:111317 (history)  Vaccinated:1998-05-26
Age:5.3  Onset:1998-05-26, Days after vaccination: 0
Gender:Male  Submitted:1998-05-29, Days after onset: 3
Location:New Jersey  Entered:1998-06-01, Days after submission: 3
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: pt exp urticaria on 20FEB96 w/varivax dose 1;
Other Medications:
Current Illness: NONE
Preexisting Conditions: similar rxn to varivax;
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0234H1SCA
Administered by: Private     Purchased by: Private
Symptoms: Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: gen urticaria immed p/vax;resolved w/DPH in 24hr;

VAERS ID:111327 (history)  Vaccinated:1998-05-12
Age:5.4  Onset:1998-05-14, Days after vaccination: 2
Gender:Female  Submitted:1998-05-14, Days after onset: 0
Location:Iowa  Entered:1998-06-01, 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:
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAP: DTAP (TRIPEDIA)CONNAUGHT LABORATORIES7B918244IMLA
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM2513A20IMLA
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.1237A1SCLA
OPV: POLIO VIRUS, ORAL (ORIMUNE)LEDERLE LABORATORIES4485023PO 
Administered by: Public     Purchased by: Other
Symptoms: Injection site hypersensitivity, Injection site oedema, Vasodilatation
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow)
Write-up: mom brought pt in redness, swelling, warmth @ inj site;sent to MD office exam;no other s/s noted-no temp;MD dx was inflammation of lt leg;apply cool packs & use Ibuprofen as needed;

VAERS ID:111332 (history)  Vaccinated:1998-05-21
Age:5.1  Onset:1998-05-21, Days after vaccination: 0
Gender:Female  Submitted:1998-05-22, Days after onset: 1
Location:California  Entered:1998-06-01, Days after submission: 10
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NA
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAP: DTAP (TRIPEDIA)CONNAUGHT LABORATORIES09157804IMA
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0230H1SCLA
OPV: POLIO VIRUS, ORAL (ORIMUNE)LEDERLE LABORATORIES789H13PO 
Administered by: Private     Purchased by: Private
Symptoms: Injection site hypersensitivity, Injection site mass, Injection site oedema, Injection site pain, Vasodilatation
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow)
Write-up: c/o pain & swelling, redness @ inj site;site warm;complete ROM w/o diff;4cm induration by 5 cm induration;

VAERS ID:111336 (history)  Vaccinated:1998-02-12
Age:5.2  Onset:1998-02-23, Days after vaccination: 11
Gender:Female  Submitted:1998-05-22, Days after onset: 87
Location:Pennsylvania  Entered:1998-06-01, 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:
Preexisting Conditions: allergic to Motrin & Penicillin
Diagnostic Lab Data:
CDC Split Type: 19980063931
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAP: DTAP (INFANRIX)SMITHKLINE BEECHAM826A24IMA
Administered by: Private     Purchased by: Private
Symptoms: Cellulitis, Injection site hypersensitivity
SMQs:, Hypersensitivity (narrow)
Write-up: Pt recv booster vax & 11 days later to MD w/cellulitis @ inj site (right deltoid). Pt allergic to Penicillin & Motrin tx w/Keflex & Benadryl. Cellulitis resolved.

VAERS ID:111343 (history)  Vaccinated:1998-04-21
Age:5.0  Onset:0000-00-00
Gender:Male  Submitted:1998-05-22
Location:Pennsylvania  Entered:1998-06-01, 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:
Current Illness:
Preexisting Conditions: NKDA
Diagnostic Lab Data:
CDC Split Type: 19980115421
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAP: DTAP (INFANRIX)SMITHKLINE BEECHAM847A20IM 
Administered by: Private     Purchased by: Other
Symptoms: Cellulitis, Injection site hypersensitivity, Injection site oedema, Oedema, Rash
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Within 24 hr of vax pt devel severe swelling from shoulder to elbow w/erythema. Pt devel cellulitis. Pt seen by MD tx/Keflex & Atarax.

VAERS ID:111373 (history)  Vaccinated:1998-03-12
Age:5.6  Onset:1998-03-19, Days after vaccination: 7
Gender:Female  Submitted:1998-04-22, Days after onset: 33
Location:Texas  Entered:1998-06-01, Days after submission: 40
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: TX98063
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.0064H0SCLA
Administered by: Public     Purchased by: Public
Symptoms: Drug ineffective, Infection
SMQs:, Lack of efficacy/effect (narrow)
Write-up: chickenpox (vesicular);

VAERS ID:111378 (history)  Vaccinated:1998-04-13
Age:5.8  Onset:1998-04-14, Days after vaccination: 1
Gender:Female  Submitted:1998-04-15, Days after onset: 1
Location:Texas  Entered:1998-06-01, Days after submission: 47
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NONE
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NKDA
Diagnostic Lab Data: NA
CDC Split Type: TX98060
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAP: DTAP (TRIPEDIA)CONNAUGHT LABORATORIES78816033 A
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0465E1 LA
Administered by: Private     Purchased by: Public
Symptoms: Injection site hypersensitivity, Injection site mass, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: c/o redness & induration @ inj site;rt deltoid mom instructed to give DPH as directed, apply compress & given APAP as directed from temp;

VAERS ID:111364 (history)  Vaccinated:1998-05-05
Age:5.1  Onset:1998-05-07, Days after vaccination: 2
Gender:Female  Submitted:1998-05-15, Days after onset: 8
Location:Ohio  Entered:1998-06-02, Days after submission: 18
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: OH98031
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAP: DTAP (ACEL-IMUNE)LEDERLE LABORATORIES4514954IMRL
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0602E1SCLL
OPV: POLIO VIRUS, ORAL (ORIMUNE)LEDERLE LABORATORIES4485033PO 
Administered by: Public     Purchased by: Public
Symptoms: Injection site hypersensitivity
SMQs:, Hypersensitivity (narrow)
Write-up: 12cm x 7cm area of erythema about site lt thigh;

VAERS ID:111365 (history)  Vaccinated:1998-04-22
Age:5.3  Onset:1998-05-01, Days after vaccination: 9
Gender:Female  Submitted:1998-05-22, Days after onset: 21
Location:Ohio  Entered:1998-06-02, 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: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: EEG
CDC Split Type: OH98032
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAP: DTAP (TRIPEDIA)CONNAUGHT LABORATORIES4484514IMLA
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0283E1SCA
OPV: POLIO VIRUS, ORAL (ORIMUNE)LEDERLE LABORATORIES0769L3PO 
Administered by: Public     Purchased by: Public
Symptoms: Convulsion
SMQs:, Systemic lupus erythematosus (broad), Convulsions (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Generalised convulsive seizures following immunisation (narrow), Hypoglycaemia (broad)
Write-up: pt recv vax 22APR98 & had sz 1MAY98 taken to pediatrician then 5 more sz from 1MAY98-11MAY98;seen by neurologist;EEG gone & dx of epilepsy;

VAERS ID:111375 (history)  Vaccinated:1996-03-01
Age:5.6  Onset:1996-05-22, Days after vaccination: 82
Gender:Female  Submitted:1998-05-27, Days after onset: 735
Location:Maryland  Entered:1998-06-02, 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: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.    
Administered by: Private     Purchased by: Unknown
Symptoms: Infection
SMQs:
Write-up: break through chickenpox rash on 23MAY98;

VAERS ID:111444 (history)  Vaccinated:0000-00-00
Age:5.0  Onset:0000-00-00
Gender:Male  Submitted:1998-05-29
Location:North Carolina  Entered:1998-06-02, Days after submission: 4
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: no relevant data
Other Medications: unknown
Current Illness:
Preexisting Conditions: antibiotic allergy
Diagnostic Lab Data:
CDC Split Type: WAES97041947
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.    
Administered by: Unknown     Purchased by: Unknown
Symptoms: Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: 5 to 7 days p/vax pt devel fever 105f. no further info available

VAERS ID:111567 (history)  Vaccinated:1997-05-15
Age:5.3  Onset:1997-05-16, Days after vaccination: 1
Gender:Female  Submitted:1998-05-29, Days after onset: 378
Location:California  Entered:1998-06-02, Days after submission: 4
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: pt sibling devel lymphadenopathy @ 5yr w/MMR vax;
Other Medications: unk
Current Illness:
Preexisting Conditions: unk
Diagnostic Lab Data:
CDC Split Type: WAES97051709
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0991D   
Administered by: Public     Purchased by: Other
Symptoms: Lymphadenopathy
SMQs:, Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: pt recv vax 15MAY97 & 16MAY97 pt devel a swollen gland;

VAERS ID:111568 (history)  Vaccinated:1997-05-15
Age:5.3  Onset:1997-05-16, Days after vaccination: 1
Gender:Female  Submitted:1998-05-29, Days after onset: 378
Location:California  Entered:1998-06-02, Days after submission: 4
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: pt sibling devel lymphadenopathy @ 5yr old w/MMR
Other Medications: unk
Current Illness:
Preexisting Conditions: unk
Diagnostic Lab Data:
CDC Split Type: WAES97051710
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0991D   
Administered by: Public     Purchased by: Other
Symptoms: Lymphadenopathy
SMQs:, Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: pt recv vax 15MAY97 & 16MAY97 pt devel a swollen gland;

VAERS ID:111579 (history)  Vaccinated:0000-00-00
Age:5.0  Onset:0000-00-00
Gender:Male  Submitted:1998-05-29
Location:Unknown  Entered:1998-06-02, Days after submission: 4
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: No relevant data;
Other Medications: unk
Current Illness:
Preexisting Conditions: unk
Diagnostic Lab Data:
CDC Split Type: WAES97060663
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.  SC 
Administered by: Other     Purchased by: Other
Symptoms: Congenital anomaly, Eye disorder
SMQs:, Congenital, familial and genetic disorders (narrow), Corneal disorders (broad), Retinal disorders (broad)
Write-up: mom recv vax w/child in utero;child was born w/severe eye problems & md were attempting to figure out exactly what was wrong;it was reported that the MD who gave shot stated nothing to worry about;another MD counseled on getting an abortion

VAERS ID:111610 (history)  Vaccinated:1997-07-18
Age:5.1  Onset:1997-07-18, Days after vaccination: 0
Gender:Female  Submitted:1998-05-29, Days after onset: 315
Location:Massachusetts  Entered:1998-06-02, Days after submission: 4
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: No relevant data;
Other Medications:
Current Illness:
Preexisting Conditions: unk
Diagnostic Lab Data:
CDC Split Type: WAES97071446
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTP: DTP (NO BRAND NAME)UNKNOWN MANUFACTURER    
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.1003D2  
Administered by: Unknown     Purchased by: Unknown
Symptoms: Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: pt recv 2nd dose vax JUN97 & 18JUL97 pt was inadvertently given a 3rd dose of vax & devel a fever of 100.2;

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

VAERS ID:111622 (history)  Vaccinated:1997-08-04
Age:5.6  Onset:1997-08-04, Days after vaccination: 0
Gender:Male  Submitted:1998-05-29, Days after onset: 298
Location:California  Entered:1998-06-02, Days after submission: 4
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: No relevant data;
Other Medications: unk
Current Illness:
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC Split Type: WAES97080556
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0464E1SC 
Administered by: Unknown     Purchased by: Unknown
Symptoms: Injection site hypersensitivity, Injection site mass, Pruritus, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: pt recv vax & approx 10hr p/vax pt exp a rash @ the site of inj, itching, red welts on lt upper arm;upon exam 6AUG97 pt had an approx 1.5cm area of induration & erythema w/local heat around the puncture wound @ inj site;

VAERS ID:111639 (history)  Vaccinated:1997-08-29
Age:5.2  Onset:1997-08-29, Days after vaccination: 0
Gender:Male  Submitted:1998-05-29, Days after onset: 273
Location:Pennsylvania  Entered:1998-06-02, Days after submission: 4
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: No relevant data;
Other Medications:
Current Illness:
Preexisting Conditions: allergic rhinitis
Diagnostic Lab Data: NONE
CDC Split Type: WAES97090460
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTP: DTP (TRI-IMMUNOL)LEDERLE LABORATORIES 4IM 
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.074131SC 
OPV: POLIO VIRUS, ORAL (ORIMUNE)LEDERLE LABORATORIES 3PO 
Administered by: Unknown     Purchased by: Unknown
Symptoms: Agitation, Asthenia, Diarrhoea, Lymphadenopathy, Mouth ulceration, Pharyngitis, Pyrexia, Sialoadenitis
SMQs:, Severe cutaneous adverse reactions (broad), Agranulocytosis (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Dementia (broad), Pseudomembranous colitis (broad), Oropharyngeal infections (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hostility/aggression (broad), Hypersensitivity (broad), Noninfectious diarrhoea (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (narrow), Hypoglycaemia (broad)
Write-up: 2SEP97 pt looked like broke out w/mumps;pt exp tiredness, irritability, devel T102-104 & swollen glands;mom reported pt devel diarrhea x 1-2d on 29AUG97;warm to touch w/swollen fluids in neck,exudate & mouth ulcers;dx pharyngitis & adenitis

VAERS ID:111657 (history)  Vaccinated:1997-06-17
Age:5.2  Onset:1997-06-20, Days after vaccination: 3
Gender:Male  Submitted:1998-05-29, Days after onset: 343
Location:Virginia  Entered:1998-06-02, Days after submission: 4
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: No relevant data;
Other Medications: NONE
Current Illness:
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC Split Type: WAES97100264
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0605E1SC 
Administered by: Private     Purchased by: Private
Symptoms: Infection, Sialoadenitis
SMQs:, Oropharyngeal infections (narrow)
Write-up: pt recv vax 17JUN97 & 20JUN97 pt exp rt parotitis which was suspected as being of bacterial origin;it was reported that pt did not respond to ATB & was always afeb;

VAERS ID:111716 (history)  Vaccinated:1997-11-20
Age:5.3  Onset:1997-12-04, Days after vaccination: 14
Gender:Female  Submitted:1998-05-29, Days after onset: 175
Location:Utah  Entered:1998-06-02, Days after submission: 4
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: No relevant data;
Other Medications: unk
Current Illness:
Preexisting Conditions: unk
Diagnostic Lab Data:
CDC Split Type: WAES97120468
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.    
Administered by: Other     Purchased by: Other
Symptoms: Rash maculo-papular
SMQs:, Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: pt recv vax 20NOV97 & 4DEC97 pt devel a rash that looked like measles;

VAERS ID:111386 (history)  Vaccinated:1998-05-15
Age:5.2  Onset:1998-05-16, Days after vaccination: 1
Gender:Female  Submitted:1998-05-28, Days after onset: 12
Location:Georgia  Entered:1998-06-03, 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: chickenpox-approx 5 days scabbed lesions
Preexisting Conditions:
Diagnostic Lab Data: NONE
CDC Split Type: GA98044
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAP: DTAP (TRIPEDIA)CONNAUGHT LABORATORIES841A24IMA
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.1250D1SCLA
OPV: POLIO VIRUS, ORAL (ORIMUNE)LEDERLE LABORATORIES0771D3PO 
Administered by: Public     Purchased by: Public
Symptoms: Dermatitis bullous, Guillain-Barre syndrome, Infection, Myasthenic syndrome, Pyrexia, Urticaria
SMQs:, Severe cutaneous adverse reactions (narrow), Anaphylactic reaction (broad), Angioedema (narrow), Peripheral neuropathy (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Malignancy related conditions (narrow), Guillain-Barre syndrome (narrow), Demyelination (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: pt recv vax 15MAY98 & devel local body urticaria;mom brought to clinic on 18MAY98-urticaria still present-tested + for strep;recheck 20MAY98 leg weakness-referred to MD dx w/probable GBS;when pt seen in clinic 18MAY had chickenpox;

VAERS ID:111492 (history)  Vaccinated:1997-06-03
Age:5.0  Onset:1998-05-25, Days after vaccination: 356
Gender:Female  Submitted:1998-05-26, Days after onset: 1
Location:Michigan  Entered:1998-06-05, 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
DTAP: DTAP (TRIPEDIA)CONNAUGHT LABORATORIES0012E1 A
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.6C813494 A
OPV: POLIO VIRUS, ORAL (ORIMUNE)LEDERLE LABORATORIES760F13PO 
Administered by: Private     Purchased by: Private
Symptoms: Dermatitis bullous, Pyrexia
SMQs:, Severe cutaneous adverse reactions (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: low grade fever, rash vesicular & pustular distribution, thorax, buttocks, abd (day 2);

VAERS ID:111500 (history)  Vaccinated:1998-04-16
Age:5.5  Onset:1998-05-09, Days after vaccination: 23
Gender:Unknown  Submitted:0000-00-00
Location:Florida  Entered:1998-06-08
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: NONE
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: CAT scans, spinal taps, blood work (unk);
CDC Split Type: FL98021
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAP: DTAP (TRIPEDIA)CONNAUGHT LABORATORIES9164703IMLA
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.1013E1SCLA
OPV: POLIO VIRUS, ORAL (ORIMUNE)LEDERLE LABORATORIES0769C3PO 
Administered by: Public     Purchased by: Public
Symptoms: Blindness, Optic neuritis
SMQs:, Glaucoma (broad), Optic nerve disorders (narrow), Demyelination (narrow), Retinal disorders (broad), Ocular infections (broad)
Write-up: 2wk post vax pt lost vision in both eyes;taken to hosp dx optic neuritis;loss vision 9MAY98;

VAERS ID:111522 (history)  Vaccinated:1998-04-10
Age:5.2  Onset:1998-04-11, Days after vaccination: 1
Gender:Female  Submitted:1998-05-05, Days after onset: 24
Location:Nevada  Entered:1998-06-08, Days after submission: 34
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: well child
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC Split Type: NV98006
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAP: DTAP (ACEL-IMUNE)LEDERLE LABORATORIES4514984 LA
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.1015E1 A
OPV: POLIO VIRUS, ORAL (ORIMUNE)LEDERLE LABORATORIES7551D14PO 
Administered by: Private     Purchased by: Public
Symptoms: Injection site hypersensitivity, Injection site oedema, Injection site pain
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow)
Write-up: pt recv vax & lt deltoid became swollen, tender, painful, red;rx keflex, redness gone 10 day, still sl swollen;

VAERS ID:111523 (history)  Vaccinated:1998-05-20
Age:5.0  Onset:1998-05-21, Days after vaccination: 1
Gender:Male  Submitted:1998-05-22, Days after onset: 1
Location:Missouri  Entered:1998-06-08, Days after submission: 17
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: MO98030
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM1308D1IM 
HEPA: HEP A (HAVRIX)SMITHKLINE BEECHAM194A20IMLA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Rash, Urticaria, Vasodilatation
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: pt recv vax 20MAY98 @ PM mom noticed whelps on cheeks, 22MAY98 red area moving around neck toward back of ears, no pain, no fever, no itching;

VAERS ID:111525 (history)  Vaccinated:1998-05-12
Age:5.1  Onset:1998-05-12, Days after vaccination: 0
Gender:Male  Submitted:1998-05-13, Days after onset: 1
Location:Arkansas  Entered:1998-06-08, Days after submission: 26
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:
CDC Split Type: AR9829
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAP: DTAP (INFANRIX)SMITHKLINE BEECHAM841A22IMA
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.1306E2SCLA
OPV: POLIO VIRUS, ORAL (ORIMUNE)LEDERLE LABORATORIES0785K2PO 
Administered by: Public     Purchased by: Unknown
Symptoms: Abdominal pain, Chills, Hyperhidrosis, Nausea, Pyrexia, Somnolence, Syncope, Tremor
SMQs:, Torsade de pointes/QT prolongation (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Retroperitoneal fibrosis (broad), Dementia (broad), Parkinson-like events (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)
Write-up: mom reports around 8PM pt had temp 102.5 ax, cold sweats & shaking;tried to get pt to car & pt collapsed & had to be carried to car;when got home 915PM T104.8;c/o stomach cramps & nausea; T105 to ER;lethargic;T102.8;advised no more pertussi

VAERS ID:111531 (history)  Vaccinated:1998-06-04
Age:5.9  Onset:1998-06-04, Days after vaccination: 0
Gender:Female  Submitted:1998-06-04, Days after onset: 0
Location:Indiana  Entered:1998-06-09, Days after submission: 5
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? Yes, ? days
    Extended hospital stay? No
Previous Vaccinations: NA
Other Medications: Vanceril Inhaler 2 puffs BID);PPD by Connaught lot# 246711 given 6JUN98;
Current Illness: NA
Preexisting Conditions: Reactive Airways Disease;
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAP: DTAP (ACEL-IMUNE)LEDERLE LABORATORIES4514960IMLL
OPV: POLIO VIRUS, ORAL (ORIMUNE)LEDERLE LABORATORIES4532243PO 
Administered by: Private     Purchased by: Private
Symptoms: Bradycardia, Hyperhidrosis, Hypotension, Hypotonia, Hypoxia, Muscle twitching, Pallor, Vomiting
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Asthma/bronchospasm (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dyskinesia (broad), Dystonia (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Respiratory failure (broad), Hypoglycaemia (broad)
Write-up: 4JUN98 1140AM pt recv vax & vomited in room, twitched x 2-3sec;went limp, no LOC;pale, forehead diaphoretic, HR 50-60, BP 60/40;02 given by mask;HR 80''s, BP 88/50;remained oriented;hosp for observation;

VAERS ID:111537 (history)  Vaccinated:1998-05-19
Age:5.2  Onset:1998-05-20, Days after vaccination: 1
Gender:Male  Submitted:1998-05-29, Days after onset: 9
Location:California  Entered:1998-06-09, 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:
Current Illness: NONE
Preexisting Conditions: unk
Diagnostic Lab Data: CBC nl
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAP: DTAP (INFANRIX)SMITHKLINE BEECHAM839A24  
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.1595E1  
OPV: POLIO VIRUS, ORAL (ORIMUNE)LEDERLE LABORATORIES0787D3PO 
Administered by: Public     Purchased by: Other
Symptoms: Febrile convulsion
SMQs:, Convulsions (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Generalised convulsive seizures following immunisation (narrow)
Write-up: febrile sz w/in 24hr of vax-no other illness noted;taken to ER; nl exam;

VAERS ID:111538 (history)  Vaccinated:1996-06-13
Age:5.4  Onset:1998-06-03, Days after vaccination: 720
Gender:Female  Submitted:0000-00-00
Location:Pennsylvania  Entered:1998-06-09
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: NA
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAP: DTAP (TRIPEDIA)CONNAUGHT LABORATORIES5B71724IM 
OPV: POLIO VIRUS, ORAL (ORIMUNE)LEDERLE LABORATORIES0736A3PO 
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.1505B0SC 
Administered by: Private     Purchased by: Private
Symptoms: Drug ineffective, Infection
SMQs:, Lack of efficacy/effect (narrow)
Write-up: devel varicella 50 vesicles on 3JUN98;

VAERS ID:111543 (history)  Vaccinated:1998-05-08
Age:5.2  Onset:1998-05-15, Days after vaccination: 7
Gender:Male  Submitted:1998-05-15, Days after onset: 0
Location:Minnesota  Entered:1998-06-09, Days after submission: 25
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NA
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAP: DTAP (TRIPEDIA)CONNAUGHT LABORATORIES7H815070IMLA
OPV: POLIO VIRUS, ORAL (ORIMUNE)LEDERLE LABORATORIES449087 PO 
Administered by: Private     Purchased by: Public
Symptoms: Urticaria, Vasodilatation
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: hives 2" x 1 1/4" warm to touch, reddened;mom noticed evening of 15MAY98-gone 16MAYY98;

VAERS ID:111549 (history)  Vaccinated:1998-05-28
Age:5.1  Onset:1998-05-29, Days after vaccination: 1
Gender:Female  Submitted:1998-06-01, Days after onset: 3
Location:Illinois  Entered:1998-06-09, 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: TB tine by connaught lot# M03542 given 28MAY98;
Current Illness: NONE
Preexisting Conditions:
Diagnostic Lab Data: NONE
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.1235E1SCA
OPV: POLIO VIRUS, ORAL (ORIMUNE)LEDERLE LABORATORIES4501403PO 
Administered by: Private     Purchased by: Public
Symptoms: Rash, Skin nodule, Vasodilatation
SMQs:, Anaphylactic reaction (broad), Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: 2 days p/vax pt had red patch about 4", warm to touch, hard area in center;tx apply cool compress & advil;

VAERS ID:111689 (history)  Vaccinated:1998-04-23
Age:5.6  Onset:1998-04-24, Days after vaccination: 1
Gender:Male  Submitted:1998-06-09, Days after onset: 46
Location:Montana  Entered:1998-06-10, Days after submission: 1
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NONE
Other Medications: NKA
Current Illness: NO
Preexisting Conditions: hayfer
Diagnostic Lab Data: NONE
CDC Split Type: MT98912
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAP: DTAP (TRIPEDIA)CONNAUGHT LABORATORIES9164704IMLA
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.1679E0SCLA
OPV: POLIO VIRUS, ORAL (ORIMUNE)LEDERLE LABORATORIES776A123PO 
Administered by: Public     Purchased by: Public
Symptoms: Injection site hypersensitivity, Injection site pain, Vasodilatation
SMQs:, Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (narrow)
Write-up: w/in 24hr of vax arm became red, hot & painful & hurt for 2 wk;seen 8 days later still red in the area between DTAP site & MMR site;

VAERS ID:111789 (history)  Vaccinated:1998-06-05
Age:5.2  Onset:1998-06-06, Days after vaccination: 1
Gender:Male  Submitted:1998-06-08, Days after onset: 2
Location:Texas  Entered:1998-06-11, 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: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAP: DTAP (ACEL-IMUNE)LEDERLE LABORATORIES4442550 A
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.1306E1SC 
OPV: POLIO VIRUS, ORAL (ORIMUNE)LEDERLE LABORATORIES4508433PO 
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.1658B0SC 
Administered by: Private     Purchased by: Private
Symptoms: Drug ineffective, Infection
SMQs:, Lack of efficacy/effect (narrow)
Write-up: devel chickenpox p/vax;rash started saturday still breaking out w/new pox on day 3;tx of sx calamine lotion topically;antihistamine orally;aveeno bath;

VAERS ID:111857 (history)  Vaccinated:1998-02-11
Age:5.1  Onset:1998-02-16, Days after vaccination: 5
Gender:Female  Submitted:1998-02-18, Days after onset: 2
Location:Wisconsin  Entered:1998-06-15, Days after submission: 116
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: WI98042
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAP: DTAP (INFANRIX)SMITHKLINE BEECHAM826A23IMLA
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0741E1SC 
OPV: POLIO VIRUS, ORAL (ORIMUNE)LEDERLE LABORATORIES783A3PO 
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.1324E0SCLA
Administered by: Public     Purchased by: Public
Symptoms: Injection site hypersensitivity, Vasodilatation
SMQs:, Hypersensitivity (narrow)
Write-up: arm red, hot @ site of vax;went to acute care & had MD examine;given antihistamine & ice pack, improvement noted;pt denied discomfort or pain;

VAERS ID:111863 (history)  Vaccinated:1998-02-28
Age:5.2  Onset:1998-03-06, Days after vaccination: 6
Gender:Male  Submitted:1998-03-06, Days after onset: 0
Location:Wisconsin  Entered:1998-06-15, Days after submission: 100
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: born w/fused skull-surgery to correct
Diagnostic Lab Data: NONE
CDC Split Type: WI98016
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAP: DTAP (INFANRIX)SMITHKLINE BEECHAM839A21IMLL
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM2498A20IMLA
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.1020E0SCA
OPV: POLIO VIRUS, ORAL (ORIMUNE)LEDERLE LABORATORIES0731A1PO 
Administered by: Public     Purchased by: Unknown
Symptoms: Hypothermia, Injection site hypersensitivity, Injection site oedema, Injection site pain, Pruritus, Vasodilatation
SMQs:, Anaphylactic reaction (broad), Accidents and injuries (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: day of & day p/vax had sl swelling & tenderness @ site of DTAP;over night devel redness, swelling & itching @ site;mom brought pt to clinic;pt had 12cm by 9.5cm red, raised, hot, swollen, tender & itchy area on lt thigh @ site;T98.4;

VAERS ID:111866 (history)  Vaccinated:1998-02-02
Age:5.4  Onset:1998-02-09, Days after vaccination: 7
Gender:Male  Submitted:1998-02-10, Days after onset: 1
Location:Wisconsin  Entered:1998-06-15, Days after submission: 124
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: NONE
Other Medications: flouride tablet
Current Illness: NONE
Preexisting Conditions: sensitivity to sulfa as an infant
Diagnostic Lab Data: NONE
CDC Split Type: WI98005
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAP: DTAP (TRIPEDIA)CONNAUGHT LABORATORIES7H815074IMLA
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0623E1SCA
OPV: POLIO VIRUS, ORAL (ORIMUNE)LEDERLE LABORATORIES0769C4PO 
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.1321E0SCLA
Administered by: Public     Purchased by: Public
Symptoms: Erythema multiforme, Injection site hypersensitivity, Injection site oedema, Oedema peripheral, Rash, Vasodilatation
SMQs:, Cardiac failure (broad), Severe cutaneous adverse reactions (narrow), Anaphylactic reaction (broad), Angioedema (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: pt recv vax 2FEB98 & 3FEB98 & 4FEB98 lt arm had redness & mild swelling from elbow to shoulder;no rash 5FEB98;930AM 9FEB98 mom noticed rash beginning on ankles;big circular rash to knees;erythema multiforme;

VAERS ID:111877 (history)  Vaccinated:1998-05-01
Age:5.2  Onset:0000-00-00
Gender:Female  Submitted:1998-06-10
Location:Montana  Entered:1998-06-15, 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, PT, PTT bleeding time all nl;
CDC Split Type: MT98017
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAP: DTAP (TRIPEDIA)CONNAUGHT LABORATORIES9164704IMLA
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.744E1SCLA
OPV: POLIO VIRUS, ORAL (ORIMUNE)LEDERLE LABORATORIES789B123PO 
Administered by: Unknown     Purchased by: Public
Symptoms: Ecchymosis, Injection site hypersensitivity
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Hypersensitivity (narrow)
Write-up: large bruise on lt arm below inj site;bruising extended across joint into forearm;

VAERS ID:111879 (history)  Vaccinated:1998-04-28
Age:5.6  Onset:1998-04-28, Days after vaccination: 0
Gender:Male  Submitted:1998-04-30, Days after onset: 2
Location:Louisiana  Entered:1998-06-15, Days after submission: 46
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: NA
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NA
CDC Split Type: LA980603
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAP: DTAP (TRIPEDIA)CONNAUGHT LABORATORIES09157804 RL
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.1012E1 A
OPV: POLIO VIRUS, ORAL (ORIMUNE)LEDERLE LABORATORIES0769K3PO 
Administered by: Public     Purchased by: Unknown
Symptoms: Confusional state, Hypotonia, Tremor
SMQs:, Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Hypoglycaemia (broad)
Write-up: 210PM pt was pushing shopping cart-became disoriented, sl tremors, hypotonia,temp nl in ER;

VAERS ID:111880 (history)  Vaccinated:1998-05-19
Age:5.2  Onset:1998-05-20, Days after vaccination: 1
Gender:Male  Submitted:1998-06-08, Days after onset: 19
Location:Illinois  Entered:1998-06-15, 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: TB tine test given 19MAY98
Current Illness: NONE-well child visit
Preexisting Conditions: NA
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAP: DTAP (INFANRIX)SMITHKLINE BEECHAM839A20IMLA
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0995D0SCA
OPV: POLIO VIRUS, ORAL (ORIMUNE)LEDERLE LABORATORIES4479293PO 
Administered by: Private     Purchased by: Public
Symptoms: Cellulitis, Hypersensitivity, Rash, Skin nodule
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: lt arm +induration 3-4inch;+erythema;no abscess formation;allerg rxn to DTAP in lt arm;cellulitis in lt arm;ice & dph & duricef;

VAERS ID:111888 (history)  Vaccinated:1998-05-20
Age:5.2  Onset:1998-05-27, Days after vaccination: 7
Gender:Female  Submitted:0000-00-00
Location:Maryland  Entered:1998-06-15
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: hayfever
Diagnostic Lab Data:
CDC Split Type: MD98005
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAP: DTAP (TRIPEDIA)CONNAUGHT LABORATORIES7L816734IMA
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.1237E1SCLA
OPV: POLIO VIRUS, ORAL (ORIMUNE)LEDERLE LABORATORIES0770D3PO 
Administered by: Public     Purchased by: Public
Symptoms: Injection site hypersensitivity, Injection site oedema, Injection site pain
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow)
Write-up: mom reports that on evening of 21MAY98 noticed a small area of redness on rt deltoid;this AM redness had enlarged to about 20x20mm;daycare called mom because of swelling @ site;to hlth dept w/redness, swelling & tenderness;

VAERS ID:111925 (history)  Vaccinated:1998-06-09
Age:5.5  Onset:1998-06-10, Days after vaccination: 1
Gender:Male  Submitted:1998-06-11, Days after onset: 1
Location:California  Entered:1998-06-16, 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: localized small wound infect - knee
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAP: DTAP (TRIPEDIA)CONNAUGHT LABORATORIES09327101 A
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0901E1SCLA
OPV: POLIO VIRUS, ORAL (ORIMUNE)LEDERLE LABORATORIES0787K3PO 
Administered by: Private     Purchased by: Public
Symptoms: Injection site hypersensitivity, Injection site oedema, Injection site pain
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow)
Write-up: Pt devel large,red & tender & swelling of inj site rxn.Tx w/IV steroid & oral steroid & oral benadryl

VAERS ID:111967 (history)  Vaccinated:1998-05-04
Age:5.9  Onset:1998-05-04, Days after vaccination: 0
Gender:Male  Submitted:1998-06-09, Days after onset: 36
Location:Arizona  Entered:1998-06-18, Days after submission: 9
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: AZ9826
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAP: DTAP (TRIPEDIA)CONNAUGHT LABORATORIES7G814914IMLA
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM2497A20IMA
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.1682E1IMA
OPV: POLIO VIRUS, ORAL (ORIMUNE)LEDERLE LABORATORIES0778A3PO 
Administered by: Public     Purchased by: Public
Symptoms: Pain, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: pt recv vax 4MAY98 & had T103.9 that noc;it was controlled w/APAP & cool shower;had soreness in lt arm;

VAERS ID:111997 (history)  Vaccinated:1998-03-30
Age:5.7  Onset:1998-04-01, Days after vaccination: 2
Gender:Female  Submitted:1998-05-05, Days after onset: 33
Location:Colorado  Entered:1998-06-19, Days after submission: 45
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: CO98016
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTP: DTP (NO BRAND NAME)CONNAUGHT LABORATORIES7J916854 LL
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.1038E2 RL
HIBV: HIB (ACTHIB)CONNAUGHT LABORATORIES7K816464 LL
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.1682E1 RL
OPV: POLIO VIRUS, ORAL (ORIMUNE)LEDERLE LABORATORIES786B63PO 
Administered by: Private     Purchased by: Public
Symptoms: Hypersensitivity, Injection site hypersensitivity
SMQs:, Angioedema (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: severe local allergic rxn 10x15cm area of redness, no sign of infect on lt thigh;

VAERS ID:112025 (history)  Vaccinated:1998-05-12
Age:5.0  Onset:1998-05-17, Days after vaccination: 5
Gender:Female  Submitted:1998-06-01, Days after onset: 15
Location:Wisconsin  Entered:1998-06-22, 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: Ditropan taking for about 1mo
Current Illness: sl cold
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: WI98049
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAP: DTAP (INFANRIX)SMITHKLINE BEECHAM847A24IMLA
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.1009E1SCA
OPV: POLIO VIRUS, ORAL (ORIMUNE)LEDERLE LABORATORIES0769C3PO 
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.1568E0SCLA
Administered by: Public     Purchased by: Unknown
Symptoms: Dermatitis bullous, Drug ineffective, Infection, Lymphadenopathy, Pyrexia
SMQs:, Severe cutaneous adverse reactions (narrow), Lack of efficacy/effect (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (narrow)
Write-up: 17MAY98 devel 20 pox on face & 5 pox on body-fluid filled lasted 1wk;31MAY98 devel swelling (mumps like) on both sides of jaw w/fever;very irritable;will see MD 315PM this afternoon;pt seen by MD 11JUN98 dx tonsillitis;

VAERS ID:112072 (history)  Vaccinated:1998-06-11
Age:5.0  Onset:1998-06-16, Days after vaccination: 5
Gender:Female  Submitted:1998-06-18, Days after onset: 2
Location:Arizona  Entered:1998-06-23, Days after submission: 5
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NONE
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAP: DTAP (INFANRIX)SMITHKLINE BEECHAM847A23 LA
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.1015E1 A
OPV: POLIO VIRUS, ORAL (ORIMUNE)LEDERLE LABORATORIES078604PO 
Administered by: Private     Purchased by: Private
Symptoms: Oedema, Pain, Skin nodule, Vasodilatation
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)
Write-up: swelling & redness 5inches long x 2inches wide;thumb-sized knot in middle, painful to the touch;

VAERS ID:112075 (history)  Vaccinated:1998-06-10
Age:5.0  Onset:0000-00-00
Gender:Male  Submitted:1998-06-18
Location:New York  Entered:1998-06-23, 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:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
DT: DT ADSORBED (NO BRAND NAME)CONNAUGHT LABORATORIES6K814462 LA
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM2516A21 A
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.1682E1 A
OPV: POLIO VIRUS, ORAL (ORIMUNE)LEDERLE LABORATORIES790H43PO 
Administered by: Private     Purchased by: Private
Symptoms: Injection site hypersensitivity, Injection site oedema
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow)
Write-up: red swollen arm p/vax;

VAERS ID:112157 (history)  Vaccinated:1998-05-26
Age:5.0  Onset:1998-05-27, Days after vaccination: 1
Gender:Male  Submitted:1998-05-28, Days after onset: 1
Location:Idaho  Entered:1998-06-24, 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: ID98023
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAP: DTAP (TRIPEDIA)CONNAUGHT LABORATORIES7G814895IMLA
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.0399E2IMA
OPV: POLIO VIRUS, ORAL (ORIMUNE)LEDERLE LABORATORIES0787M5PO 
Administered by: Public     Purchased by: Public
Symptoms: Headache, Malaise, Vomiting
SMQs:, Acute pancreatitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)
Write-up: approx 3PM became listless, vomited about 15min later & c/o h/a;vomited x 5-last time about 430PM;no other neuro sx;did not require med to stop vomiting;by AM on 28MAY98 pt appears to be fully recovered;

VAERS ID:112165 (history)  Vaccinated:1998-06-08
Age:5.2  Onset:1998-06-09, Days after vaccination: 1
Gender:Male  Submitted:1998-06-10, Days after onset: 1
Location:Illinois  Entered:1998-06-24, Days after submission: 14
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NA
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAP: DTAP (INFANRIX)SMITHKLINE BEECHAM852A20IMLA
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.D024H1SCA
OPV: POLIO VIRUS, ORAL (ORIMUNE)LEDERLE LABORATORIES4515213PO 
Administered by: Private     Purchased by: Private
Symptoms: Injection site hypersensitivity, Injection site mass, Injection site pain, Pruritus, Vasodilatation
SMQs:, Anaphylactic reaction (broad), Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: 9x11cm redness, warmth, induration, itchy, sore lt arm;

VAERS ID:112173 (history)  Vaccinated:0000-00-00
Age:5.1  Onset:1998-05-29
Gender:Male  Submitted:1998-06-09, Days after onset: 11
Location:Missouri  Entered:1998-06-24, Days after submission: 15
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
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
DTPHIB: DTP + HIB (TETRAMUNE)LEDERLE LABORATORIES449099 IM 
Administered by: Unknown     Purchased by: Unknown
Symptoms: Injection site hypersensitivity, Injection site mass
SMQs:, Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (narrow)
Write-up: mottled erythematous area of induration 8x12cm over upper arm;

VAERS ID:112217 (history)  Vaccinated:1998-05-05
Age:5.0  Onset:1998-05-12, Days after vaccination: 7
Gender:Female  Submitted:1998-06-24, Days after onset: 43
Location:Unknown  Entered:1998-06-29, Days after submission: 5
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? Yes, ? days
    Extended hospital stay? No
Previous Vaccinations: No relevant data;
Other Medications: unk
Current Illness:
Preexisting Conditions: unk
Diagnostic Lab Data:
CDC Split Type: WAES98051707
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC. 0  
Administered by: Other     Purchased by: Other
Symptoms: Vasculitis
SMQs:, Vasculitis (narrow)
Write-up: pt recv vax 5MAY98 & 12MAY98 pt devel Henoch-Schonlein purpura & was hosp & reported stable;

VAERS ID:112234 (history)  Vaccinated:1998-04-22
Age:5.1  Onset:1998-04-23, Days after vaccination: 1
Gender:Male  Submitted:1998-04-24, Days after onset: 1
Location:California  Entered:1998-06-29, Days after submission: 66
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NONE
Other Medications: clinic
Current Illness: NONE
Preexisting Conditions: NKA
Diagnostic Lab Data: NA
CDC Split Type: CA980062
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAP: DTAP (INFANRIX)SMITHKLINE BEECHAMA839A2 IM 
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.0748E IM 
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0110E SC 
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.1580E SC 
Administered by: Public     Purchased by: Public
Symptoms: Injection site hypersensitivity, Injection site mass, Injection site oedema
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow)
Write-up: rt arm swollen hard & warm to touch, refer to MD, no new orders;

VAERS ID:112236 (history)  Vaccinated:1998-06-22
Age:5.5  Onset:1998-06-22, Days after vaccination: 0
Gender:Female  Submitted:1998-06-26, Days after onset: 4
Location:Florida  Entered:1998-06-29, 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:
Current Illness: earache & cold
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAP: DTAP (TRIPEDIA)CONNAUGHT LABORATORIES09164903 RL
IPV: POLIO VIRUS, INACT. (POLIOVAX)CONNAUGHT LTD.N02913 RL
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.1600E1 LL
Administered by: Private     Purchased by: Other
Symptoms: Pyrexia, Rhinitis
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: fever, purulent rhinitis;ATB & decongestant;

VAERS ID:112242 (history)  Vaccinated:1997-09-15
Age:5.2  Onset:1997-09-17, Days after vaccination: 2
Gender:Female  Submitted:1998-03-31, Days after onset: 195
Location:Minnesota  Entered:1998-06-29, Days after submission: 89
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: MN98010
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAP: DTAP (TRIPEDIA)CONNAUGHT LABORATORIES7H815074IMRL
OPV: POLIO VIRUS, ORAL (ORIMUNE)LEDERLE LABORATORIES4440623PO 
Administered by: Public     Purchased by: Public
Symptoms: Injection site hypersensitivity, Pruritus, Vasodilatation
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: 2 days p/vax leg where recv DTAP was reddened, inflamed & itched;mom stated it had improved from the day before-the inflammation was from the top of the knee to the upper thigh groin area;no tx given

VAERS ID:112245 (history)  Vaccinated:1998-05-21
Age:5.0  Onset:1998-05-27, Days after vaccination: 6
Gender:Male  Submitted:1998-05-28, Days after onset: 1
Location:Oregon  Entered:1998-06-29, Days after submission: 32
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: OR9814
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.1566E0SCLA
Administered by: Public     Purchased by: Unknown
Symptoms: Headache, Pyrexia, Rash
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: pt c/o h/a, mild fever, spots on back (13-14) 27MAY98;28MAY98 spots have spread (16) back, (2) underarm, (4-5) groin & 2 on bottom of feet;

VAERS ID:112267 (history)  Vaccinated:1998-06-23
Age:5.0  Onset:1998-06-24, Days after vaccination: 1
Gender:Male  Submitted:1998-06-24, Days after onset: 0
Location:Michigan  Entered:1998-07-01, 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: MI98067
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAP: DTAP (ACEL-IMUNE)LEDERLE LABORATORIES4480714IM 
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0030H1SC 
OPV: POLIO VIRUS, ORAL (ORIMUNE)LEDERLE LABORATORIES0787L3PO 
Administered by: Public     Purchased by: Public
Symptoms: Rash, Vasodilatation
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: has rash over chest, back & legs;body felt warmer than usual but mom did not take temp;

VAERS ID:112284 (history)  Vaccinated:1998-06-01
Age:5.4  Onset:1998-06-02, Days after vaccination: 1
Gender:Male  Submitted:1998-06-03, Days after onset: 1
Location:Tennessee  Entered:1998-07-01, Days after submission: 28
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: allergic to PCN-causes a rash;
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAP: DTAP (TRIPEDIA)CONNAUGHT LABORATORIES09157804IMLA
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0990E1SCA
OPV: POLIO VIRUS, ORAL (ORIMUNE)LEDERLE LABORATORIES0787H3PO 
Administered by: Public     Purchased by: Other
Symptoms: Injection site hypersensitivity, Injection site mass, Injection site oedema, Vasodilatation
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow)
Write-up: mom called states lt upper arm is swollen, red & feverish;states has a knot in it the size of a baseball;

VAERS ID:112289 (history)  Vaccinated:1998-06-22
Age:5.0  Onset:1998-06-22, Days after vaccination: 0
Gender:Female  Submitted:1998-06-23, Days after onset: 1
Location:Alaska  Entered:1998-07-01, Days after submission: 8
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: allergic to sulfa
Diagnostic Lab Data: NONE
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAP: DTAP (ACEL-IMUNE)LEDERLE LABORATORIES4502950IMLA
HEPA: HEP A (HAVRIX)SMITHKLINE BEECHAM525A20IM 
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0900E1SC 
OPV: POLIO VIRUS, ORAL (ORIMUNE)LEDERLE LABORATORIES4495213PO 
Administered by: Unknown     Purchased by: Unknown
Symptoms: Injection site hypersensitivity, Rash maculo-papular, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: devel hives @ site of DTAP, neck, ankles;blotchy rash on back;

VAERS ID:112311 (history)  Vaccinated:1998-06-19
Age:5.2  Onset:1998-06-19, Days after vaccination: 0
Gender:Male  Submitted:1998-06-19, Days after onset: 0
Location:South Carolina  Entered:1998-07-02, Days after submission: 13
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: hx of isolated sz, occurring on 20FEB
Diagnostic Lab Data:
CDC Split Type: SC98033
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.0080E0SCLA
Administered by: Public     Purchased by: Public
Symptoms: Hypotension, Hypotonia, Hypoventilation, Muscle twitching, Stupor
SMQs:, Anaphylactic reaction (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dyskinesia (broad), Dystonia (broad), Acute central respiratory depression (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Respiratory failure (narrow), Hypoglycaemia (broad)
Write-up: pt recv vax 19JUN98 1108AM & 1110AM pt was noted to be on lab room floor & had dazed stare w/mouth open-would not respond to verbal stimuli;also noted jerky body movements;no incontinence of bowel & bladder noted;BP 90/62; resp 20;

VAERS ID:112312 (history)  Vaccinated:1998-06-09
Age:5.3  Onset:1998-06-13, Days after vaccination: 4
Gender:Female  Submitted:1998-06-15, Days after onset: 2
Location:Oklahoma  Entered:1998-07-02, Days after submission: 17
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:
CDC Split Type: OK9815
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAP: DTAP (NO BRAND NAME)UNKNOWN MANUFACTURER8414 LL
HEPA: HEP A (HAVRIX)SMITHKLINE BEECHAM1454E0 RL
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0596E1SC 
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.1322E0SCLA
Administered by: Public     Purchased by: Public
Symptoms: Infection, Injection site hypersensitivity, Injection site mass
SMQs:, Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (narrow)
Write-up: pt recv vax 9JUN98 & 55cm x 60cm indurated area on lt leg 13JUN98;saw MD who gave script for augmentin;MD feels sl infect @ inj site;

VAERS ID:112330 (history)  Vaccinated:1998-05-01
Age:5.0  Onset:1998-05-01, Days after vaccination: 0
Gender:Unknown  Submitted:1998-05-14, Days after onset: 13
Location:New York  Entered:1998-07-02, Days after submission: 49
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: unk
Current Illness: NONE
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: 898162001L
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAP: DTAP (ACEL-IMUNE)LEDERLE LABORATORIES450294 IMA
Administered by: Private     Purchased by: Private
Symptoms: Injection site hypersensitivity, Injection site oedema
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow)
Write-up: pt recv vax & 1-2 days later devel a huge area of redness @ the inj site;

VAERS ID:112360 (history)  Vaccinated:1998-06-24
Age:5.2  Onset:1998-06-28, Days after vaccination: 4
Gender:Male  Submitted:1998-06-30, Days after onset: 2
Location:Virginia  Entered:1998-07-06, 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:
Diagnostic Lab Data: NONE
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAP: DTAP (TRIPEDIA)CONNAUGHT LABORATORIES09327104IM 
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0507H1 LA
OPV: POLIO VIRUS, ORAL (ORIMUNE)LEDERLE LABORATORIES0789H4PO 
Administered by: Private     Purchased by: Other
Symptoms: Injection site hypersensitivity, Injection site pain
SMQs:, Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (narrow)
Write-up: redness, tenderness @ site 5 days p/vax;

VAERS ID:112418 (history)  Vaccinated:1998-06-29
Age:5.2  Onset:1998-06-29, Days after vaccination: 0
Gender:Male  Submitted:1998-07-01, Days after onset: 2
Location:Missouri  Entered:1998-07-09, Days after submission: 8
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: APAP
Current Illness: NONE
Preexisting Conditions: premie, 31wk gestation
Diagnostic Lab Data: BP 88/50;HR 100;exam gen hives;
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAP: DTAP (TRIPEDIA)CONNAUGHT LABORATORIES9327104 LA
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0231H1 A
OPV: POLIO VIRUS, ORAL (ORIMUNE)LEDERLE LABORATORIES4515183PO 
Administered by: Private     Purchased by: Private
Symptoms: Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: pt recv vax & p/4hr was noted to have gen hives, no pruritus, cough , wheezing, or SOB;mom did not call until 26hr later & was seen immed;

VAERS ID:112424 (history)  Vaccinated:1998-06-30
Age:5.0  Onset:1998-07-01, Days after vaccination: 1
Gender:Female  Submitted:1998-07-02, Days after onset: 1
Location:Pennsylvania  Entered:1998-07-09, 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: suprax allergies
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTPHIB: DTP + HIB (TETRAMUNE)LEDERLE LABORATORIES4468344IMLA
OPV: POLIO VIRUS, ORAL (ORIMUNE)LEDERLE LABORATORIES4495263PO 
Administered by: Private     Purchased by: Other
Symptoms: Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: mom states pt woke up w/hives on 1JUL98;advised pt bring pt to MD office;pt currently on med for hives;

VAERS ID:112442 (history)  Vaccinated:1998-06-19
Age:5.6  Onset:1998-06-25, Days after vaccination: 6
Gender:Female  Submitted:1998-07-08, Days after onset: 13
Location:Indiana  Entered:1998-07-10, Days after submission: 2
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTP: DTP (NO BRAND NAME)UNKNOWN MANUFACTURERA852A2  LL
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.123391 RL
OPV: POLIO VIRUS, ORAL (ORIMUNE)LEDERLE LABORATORIES0772H PO 
Administered by: Private     Purchased by: Private
Symptoms: Ecchymosis, Injection site hypersensitivity, Injection site mass
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (narrow)
Write-up: rt thigh:bruised area min erythema, small nodule, non tender;

VAERS ID:112450 (history)  Vaccinated:1998-06-24
Age:5.0  Onset:1998-06-25, Days after vaccination: 1
Gender:Male  Submitted:1998-07-01, Days after onset: 6
Location:Connecticut  Entered:1998-07-10, Days after submission: 9
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAP: DTAP (TRIPEDIA)CONNAUGHT LABORATORIES75815354IMLA
OPV: POLIO VIRUS, ORAL (ORIMUNE)LEDERLE LABORATORIES4508563PO 
Administered by: Private     Purchased by: Public
Symptoms: Injection site hypersensitivity, Injection site mass, Injection site oedema, Injection site pain, Myalgia, Pruritus, Vasodilatation
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Eosinophilic pneumonia (broad), Hypersensitivity (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: 25JUN98 pt devel soreness of lt arm next day 26JUN98 arm red, swollen, pruritic also warm;26JUN98 exam deltoid region w/erythema of 9x6cm;warm to touch, sl indurated;non-tender w/no edema noted;

VAERS ID:112612 (history)  Vaccinated:1998-07-01
Age:5.7  Onset:1998-07-01, Days after vaccination: 0
Gender:Female  Submitted:1998-07-02, Days after onset: 1
Location:Ohio  Entered:1998-07-14, Days after submission: 12
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: OH98047
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAP: DTAP (ACEL-IMUNE)LEDERLE LABORATORIES4514954IMLA
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.0745E0IMRL
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.1596E1SCA
OPV: POLIO VIRUS, ORAL (ORIMUNE)LEDERLE LABORATORIES0771K1PO 
Administered by: Public     Purchased by: Public
Symptoms: Back pain, Headache, Injection site hypersensitivity, Injection site oedema, Neck pain, Pyrexia, Vasodilatation
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow), Arthritis (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: 11PM 1JUL98 c/o throbbing h/a, rt arm @ inj site red, swollen, warm to touch, back pain from neck to buttocks, T103-took to ER 2JUL98 in AM-no orders from MD except APAP for temp;

VAERS ID:112636 (history)  Vaccinated:1998-07-07
Age:5.0  Onset:1998-07-07, Days after vaccination: 0
Gender:Female  Submitted:1998-07-08, Days after onset: 1
Location:West Virginia  Entered:1998-07-14, Days after submission: 6
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Mon o vax (TB skin test) given 7JUL98
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC Split Type: WV9813
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAP: DTAP (ACEL-IMUNE)LEDERLE LABORATORIES445540L4IMLA
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0289E1SCA
OPV: POLIO VIRUS, ORAL (ORIMUNE)LEDERLE LABORATORIES450141L3PO 
Administered by: Public     Purchased by: Public
Symptoms: Dysphonia, Injection site hypersensitivity, Pyrexia, Vasodilatation
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Parkinson-like events (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: T98.1 parents states has had no temp c/o hoarseness that began around 4PM 7JUL98 p/vax;around 10PM small sl pink area on lt deltoid @ DPT inj site;lt arm dark pink area @ site of MMR inj;warm to touch;red area noted below inj site 3"x1" ;

VAERS ID:112643 (history)  Vaccinated:1998-07-10
Age:5.6  Onset:1998-07-11, Days after vaccination: 1
Gender:Male  Submitted:1998-07-13, Days after onset: 2
Location:Indiana  Entered:1998-07-15, Days after submission: 2
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: reactive airway disease
Diagnostic Lab Data: NONE
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAP: DTAP (INFANRIX)SMITHKLINE BEECHAM852A24 RL
HIBV: HIB (HIBTITER)LEDERLE PRAXSISM240RK  LL
OPV: POLIO VIRUS, ORAL (ORIMUNE)LEDERLE LABORATORIES0772H PO 
Administered by: Private     Purchased by: Private
Symptoms: Infection, Injection site hypersensitivity
SMQs:, Hypersensitivity (narrow)
Write-up: 6 1/2" x 13" area of erythema;infected inj site rx keflex;

VAERS ID:112673 (history)  Vaccinated:1998-06-10
Age:5.8  Onset:1998-06-29, Days after vaccination: 19
Gender:Unknown  Submitted:0000-00-00
Location:Arizona  Entered:1998-07-16
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NA
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC Split Type: AZ9830
Vaccination
Manufacturer
Lot
Dose
Route
Site
HIBV: HIB (PEDVAXHIB)MERCK & CO. INC.1221E2IMLA
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.0052H0SCA
Administered by: Public     Purchased by: Public
Symptoms: Dermatitis bullous, Drug ineffective, Infection, Pyrexia
SMQs:, Severe cutaneous adverse reactions (narrow), Lack of efficacy/effect (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: varicella-approx 20 spots 1 day prior to breakout;sl fever;pt recv vax 10JUN98;

VAERS ID:112704 (history)  Vaccinated:0000-00-00
Age:5.0  Onset:0000-00-00
Gender:Male  Submitted:1998-07-09
Location:California  Entered:1998-07-17, 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: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAP: DTAP (INFANRIX)SMITHKLINE BEECHAM852A23 A
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.1598E1SCLA
OPV: POLIO VIRUS, ORAL (ORIMUNE)LEDERLE LABORATORIES0789D3PO 
Administered by: Private     Purchased by: Public
Symptoms: Injection site hypersensitivity, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: urticarial rash devel over/around MMR inj site;occurred 5min p/vax;

VAERS ID:112707 (history)  Vaccinated:1998-07-09
Age:5.0  Onset:1998-07-10, Days after vaccination: 1
Gender:Female  Submitted:1998-07-13, Days after onset: 3
Location:Maine  Entered:1998-07-17, 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: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAP: DTAP (INFANRIX)SMITHKLINE BEECHAM840A24IMLA
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0482F1SCA
OPV: POLIO VIRUS, ORAL (ORIMUNE)LEDERLE LABORATORIES7830A13PO 
Administered by: Private     Purchased by: Public
Symptoms: Injection site mass, Injection site oedema, Injection site pain
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: pt recv vax lt arm sore 1st day, second day arm sore, swollen & hard @ site took child APAP & did cold packs on arm x 3 days;

VAERS ID:112751 (history)  Vaccinated:1998-06-08
Age:5.4  Onset:1998-06-10, Days after vaccination: 2
Gender:Female  Submitted:1998-06-10, Days after onset: 0
Location:Virginia  Entered:1998-07-20, Days after submission: 40
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: pt sibling devel swollen legs @ 18mo w/DTP dose 3;
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC Split Type: VA98041
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAP: DTAP (TRIPEDIA)CONNAUGHT LABORATORIES7B918240IMLA
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0598E1SCA
OPV: POLIO VIRUS, ORAL (ORIMUNE)LEDERLE LABORATORIES0775K3PO 
Administered by: Public     Purchased by: Public
Symptoms: Injection site hypersensitivity, Injection site oedema
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow)
Write-up: large area of redness 1-2" below inj site & area swollen;

VAERS ID:112801 (history)  Vaccinated:1998-07-07
Age:5.4  Onset:1998-07-11, Days after vaccination: 4
Gender:Female  Submitted:1998-07-13, Days after onset: 2
Location:Virginia  Entered:1998-07-21, Days after submission: 8
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: PPD by Parke Davis lot# 01207P given 7JUL98;
Current Illness: NONE
Preexisting Conditions: bactrim
Diagnostic Lab Data: NONE
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAP: DTAP (TRIPEDIA)CONNAUGHT LABORATORIES7C919354IMLA
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0033H1SCA
OPV: POLIO VIRUS, ORAL (ORIMUNE)LEDERLE LABORATORIES4481663PO 
Administered by: Private     Purchased by: Private
Symptoms: Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: temp elevation started 11JUL98 no other complaints of;

VAERS ID:112815 (history)  Vaccinated:1998-07-06
Age:5.0  Onset:1998-07-06, Days after vaccination: 0
Gender:Male  Submitted:1998-07-08, Days after onset: 2
Location:California  Entered:1998-07-22, Days after submission: 14
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: pt sibling devel rxn @ 2yr old w/DTP/HIB dose 4
Other Medications: unk
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: CBC, WBC not elevated;
CDC Split Type: CA980064
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAP: DTAP (TRIPEDIA)CONNAUGHT LABORATORIES09164704IMLA
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0031H1SC 
OPV: POLIO VIRUS, ORAL (ORIMUNE)LEDERLE LABORATORIES4480743PO 
Administered by: Public     Purchased by: Public
Symptoms: Cellulitis, Myalgia, Oedema peripheral, Rash, Vasodilatation
SMQs:, Rhabdomyolysis/myopathy (broad), Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Eosinophilic pneumonia (broad), Hypersensitivity (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: pt recv vax 6JUL98 the noc of 6JUL98 lt arm was very sore;by Tuesday evening/noc lt arm edematous to below elbow & twice it''s usual size;MD notified by parents who told them to go to urgent care;dx cellulitis;10JUL98 arm red & swollen;

VAERS ID:112826 (history)  Vaccinated:1998-06-25
Age:5.2  Onset:1998-06-26, Days after vaccination: 1
Gender:Female  Submitted:1998-07-06, Days after onset: 10
Location:Michigan  Entered:1998-07-23, Days after submission: 17
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: amoxicillin
Current Illness: tx for sinus infection
Preexisting Conditions: no allergies known
Diagnostic Lab Data:
CDC Split Type: MI98070
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAP: DTAP (TRIPEDIA)CONNAUGHT LABORATORIES09073804IMLA
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.1315E1SCLA
OPV: POLIO VIRUS, ORAL (ORIMUNE)LEDERLE LABORATORIES0787L3PO 
Administered by: Public     Purchased by: Public
Symptoms: Injection site hypersensitivity, Injection site mass, Injection site oedema, Oedema peripheral
SMQs:, Cardiac failure (broad), Angioedema (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow)
Write-up: DTAP inj site red & swollen 25-50cent size concern r/t hard, red, circular swollen area down from inj site;ice & motrin no effect;27JUN saw MD @ after hours clinic-tx w/ATB effective;

VAERS ID:112831 (history)  Vaccinated:1998-06-25
Age:5.0  Onset:1998-06-26, Days after vaccination: 1
Gender:Female  Submitted:1998-06-29, Days after onset: 3
Location:Michigan  Entered:1998-07-23, Days after submission: 24
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:
CDC Split Type: MI98071
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAP: DTAP (TRIPEDIA)CONNAUGHT LABORATORIES09073804IMLA
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0030H1SCA
OPV: POLIO VIRUS, ORAL (ORIMUNE)LEDERLE LABORATORIES4501403PO 
Administered by: Public     Purchased by: Public
Symptoms: Injection site hypersensitivity, Injection site mass, Injection site oedema, Injection site pain, Vasodilatation
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow)
Write-up: pt recv vax & <24hr p/vax arm @ site where DTAP given became red-swollen, hot, tender circumference of red area @ site size of baseball w/ sl edema;advised pt to cont APAP & cool soaks-comfort measures to seek MD care if condition worsens;

VAERS ID:112919 (history)  Vaccinated:1998-07-06
Age:5.3  Onset:1998-07-08, Days after vaccination: 2
Gender:Unknown  Submitted:1998-07-22, Days after onset: 14
Location:New York  Entered:1998-07-28, 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:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAP: DTAP (TRIPEDIA)CONNAUGHT LABORATORIES09058804 RL
Administered by: Private     Purchased by: Unknown
Symptoms: Injection site hypersensitivity, Injection site mass
SMQs:, Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (narrow)
Write-up: 9x9cm area of redness/induration @ site of DTAP vax on rt thigh 2 days p/vax;

VAERS ID:112950 (history)  Vaccinated:1998-07-09
Age:5.1  Onset:1998-07-24, Days after vaccination: 15
Gender:Male  Submitted:1998-07-27, Days after onset: 3
Location:Illinois  Entered:1998-07-30, Days after submission: 3
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NA
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: asthma
Diagnostic Lab Data: NONE
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAP: DTAP (ACEL-IMUNE)LEDERLE LABORATORIES4480715IMRA
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0995D2SCRA
OPV: POLIO VIRUS, ORAL (ORIMUNE)LEDERLE LABORATORIES4525994PO 
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.0061H1SCLA
Administered by: Other     Purchased by: Other
Symptoms: Dermatitis bullous
SMQs:, Severe cutaneous adverse reactions (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: mom reported pt recv vax & 2wk later had lesions staes has not run a fever has not felt bad, has lesions on stomach, back & one face;

VAERS ID:112952 (history)  Vaccinated:1998-07-17
Age:5.0  Onset:1998-07-17, Days after vaccination: 0
Gender:Male  Submitted:1998-07-23, Days after onset: 6
Location:Hawaii  Entered:1998-07-30, 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: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC Split Type: HI9807
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAP: DTAP (TRIPEDIA)CONNAUGHT LABORATORIES09164704IMLA
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0104E1SCRA
OPV: POLIO VIRUS, ORAL (ORIMUNE)LEDERLE LABORATORIES0789F3PO 
Administered by: Public     Purchased by: Public
Symptoms: Injection site hypersensitivity, Injection site oedema
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow)
Write-up: pt recv vax & MD noticed lt arm DTAP site red, swollen (about 2 1/2 x 2 1/2") soft, no pain, no fever & child appeared well;mom reported that sweling started noc of vax;APAP given;

VAERS ID:112996 (history)  Vaccinated:1998-07-20
Age:5.6  Onset:1998-07-21, Days after vaccination: 1
Gender:Female  Submitted:1998-07-24, Days after onset: 3
Location:Missouri  Entered:1998-08-03, Days after submission: 10
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: dx w/UTI @ ER visit
Preexisting Conditions: allergies: pollen, other airborne allergies;
Diagnostic Lab Data: blood work;urine test;
CDC Split Type: MO98037
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAP: DTAP (TRIPEDIA)CONNAUGHT LABORATORIES4514954IMLA
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.1236E1SCLA
OPV: POLIO VIRUS, ORAL (ORIMUNE)LEDERLE LABORATORIES4485063PO 
Administered by: Public     Purchased by: Public
Symptoms: Muscle twitching, Pyrexia, Somnolence, Stupor, Urinary tract infection
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Dyskinesia (broad), Dystonia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)
Write-up: 105 fever-twitching @ 2AM 21JUL98, stared out in space-would wake up & go back out to ER dx w/UTI;prescribed bactrim by MD;24JUL98 phone f/u pt well now;

VAERS ID:113011 (history)  Vaccinated:1998-07-20
Age:5.7  Onset:1998-07-22, Days after vaccination: 2
Gender:Female  Submitted:1998-07-29, Days after onset: 7
Location:Texas  Entered:1998-08-03, 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: pt recv TBST by Connaught lot# 248411 given lt foreamr dose 1 20JUL98;
Current Illness: rhinitis
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTP: DTP (NO BRAND NAME)CONNAUGHT LABORATORIES7J816762IMLA
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0623E1SCRA
OPV: POLIO VIRUS, ORAL (ORIMUNE)LEDERLE LABORATORIES787A42PO 
Administered by: Private     Purchased by: Other
Symptoms: Injection site hypersensitivity, Vasodilatation
SMQs:, Hypersensitivity (narrow)
Write-up: pt recv vax 20JUL98 pt returned to office on 22JUL98 w/large red sl warm area around site of inj;pt was advised to use DPH q 4hr & call if anymore problems;

VAERS ID:113017 (history)  Vaccinated:1998-07-07
Age:5.2  Onset:1998-07-08, Days after vaccination: 1
Gender:Male  Submitted:1998-07-24, Days after onset: 16
Location:Michigan  Entered:1998-08-03, Days after submission: 10
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: MI98073
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAP: DTAP (TRIPEDIA)CONNAUGHT LABORATORIES09073800 LL
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.1317E1 RA
OPV: POLIO VIRUS, ORAL (ORIMUNE)LEDERLE LABORATORIES0787L3PO 
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.1569E0 LA
Administered by: Public     Purchased by: Public
Symptoms: Injection site hypersensitivity, Injection site oedema, Vasodilatation
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow)
Write-up: 9JUL98 into office lt leg swollen about 4" in diameter, hot to touch;has been using APAP;

VAERS ID:113229 (history)  Vaccinated:1995-07-10
Age:5.9  Onset:1998-07-27, Days after vaccination: 1113
Gender:Female  Submitted:1998-07-31, Days after onset: 4
Location:Washington  Entered:1998-08-04, 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: NONE
Current Illness: NONE
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.0418B0SCLA
Administered by: Private     Purchased by: Public
Symptoms: Dermatitis bullous, Drug ineffective, Infection, Pyrexia, Skin ulcer, Vasodilatation
SMQs:, Severe cutaneous adverse reactions (narrow), Lack of efficacy/effect (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: low grade temp 26JUL98 followed by red lesions 27JUL98, a few lesions devel into vesicular lesions like varicella 28JUL98;new lesions 27JUL97 & 28JUL98;total of 10 lesion;

VAERS ID:113230 (history)  Vaccinated:1998-06-25
Age:5.5  Onset:1998-06-26, Days after vaccination: 1
Gender:Female  Submitted:1998-06-26, Days after onset: 0
Location:Wyoming  Entered:1998-08-04, Days after submission: 39
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: pt exp rxn @ 61/2mo w/DTP dose 2;
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: PCN, sulfa;
Diagnostic Lab Data: NONE
CDC Split Type: WY9817
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM2612A20 LA
Administered by: Public     Purchased by: Public
Symptoms: Pruritus, Rash maculo-papular
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: wake up this AM itching, w/fine, sl raised rash on back & stomach;tx OTC DPH;

VAERS ID:113270 (history)  Vaccinated:1998-02-22
Age:5.2  Onset:1998-07-20, Days after vaccination: 148
Gender:Female  Submitted:1998-08-03, Days after onset: 14
Location:Pennsylvania  Entered:1998-08-06, Days after submission: 3
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NONE
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.1126B0 LA
Administered by: Private     Purchased by: Private
Symptoms: Dermatitis bullous, Herpes zoster, Infection, Pain, Pyrexia, Rash, Somnolence
SMQs:, Severe cutaneous adverse reactions (narrow), Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)
Write-up: 21JUL98 pt devel vesicular rash on rt arm painful & burning;seen by MD-dermatologist;Tzanck smear negative but felt this was herpes zoster;pt still having pain in arm c/w herpes zoster clinically;rash, lethargic, listless, fever;

VAERS ID:113285 (history)  Vaccinated:1998-07-31
Age:5.1  Onset:1998-07-31, Days after vaccination: 0
Gender:Female  Submitted:1998-08-03, Days after onset: 3
Location:West Virginia  Entered:1998-08-07, Days after submission: 4
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? Yes, 3 days
    Extended hospital stay? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: head CT-questionable lesion in rt temporal area;
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAP: DTAP (ACEL-IMUNE)LEDERLE LABORATORIES4480714IM 
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.1229E1SC 
OPV: POLIO VIRUS, ORAL (ORIMUNE)LEDERLE LABORATORIES0756K3PO 
Administered by: Private     Purchased by: Public
Symptoms: Convulsion, Skin ulcer, Thinking abnormal
SMQs:, Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Dementia (broad), Convulsions (narrow), Psychosis and psychotic disorders (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Generalised convulsive seizures following immunisation (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)
Write-up: 1hr p/vax pt returned to the office obtunded, devel gen sz;on further eval it was determined that pt had new onset of partial complex sz unrelated to the vax;

VAERS ID:113327 (history)  Vaccinated:1998-07-17
Age:5.3  Onset:1998-07-17, Days after vaccination: 0
Gender:Female  Submitted:1998-07-17, Days after onset: 0
Location:Arkansas  Entered:1998-08-10, Days after submission: 24
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: PCN
Diagnostic Lab Data:
CDC Split Type: AR9844
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAP: DTAP (ACEL-IMUNE)LEDERLE LABORATORIES4538464 RA
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0025H2 LA
OPV: POLIO VIRUS, ORAL (ORIMUNE)LEDERLE LABORATORIES0772B123PO 
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.1565E1 RA
Administered by: Public     Purchased by: Public
Symptoms: Hyperhidrosis, Vomiting
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypoglycaemia (broad)
Write-up: pt became diaphoretic-nauseated then vomited;applied cold rag;laid on exam table;

VAERS ID:113365 (history)  Vaccinated:1997-09-05
Age:5.1  Onset:1998-08-04, Days after vaccination: 333
Gender:Female  Submitted:1998-08-06, Days after onset: 2
Location:New Mexico  Entered:1998-08-11, Days after submission: 5
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
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.0545E0SCLL
Administered by: Private     Purchased by: Public
Symptoms: Drug ineffective, Infection
SMQs:, Lack of efficacy/effect (narrow)
Write-up: 6AUG98 mom reported pt had blister like lesions on lower abd & legs & that pt had these for 2-3 days;mom advised to bring child to office;dx chickenpox;

VAERS ID:113374 (history)  Vaccinated:1998-07-15
Age:5.2  Onset:1998-07-15, Days after vaccination: 0
Gender:Female  Submitted:1998-07-24, Days after onset: 9
Location:Arizona  Entered:1998-08-11, Days after submission: 18
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NA
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC Split Type: AZ9831
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAP: DTAP (TRIPEDIA)CONNAUGHT LABORATORIES09164902 LL
HIBV: HIB (PEDVAXHIB)MERCK & CO. INC.328H2 RL
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0031H0SC 
OPV: POLIO VIRUS, ORAL (ORIMUNE)LEDERLE LABORATORIES789K2PO 
Administered by: Other     Purchased by: Public
Symptoms: Muscle twitching, Tachycardia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dyskinesia (broad), Dystonia (broad)
Write-up: twitching & jerks;paroxysmal brief episodes;

VAERS ID:113386 (history)  Vaccinated:1998-08-03
Age:5.8  Onset:1998-08-09, Days after vaccination: 6
Gender:Female  Submitted:1998-08-11, Days after onset: 2
Location:Oklahoma  Entered:1998-08-12, Days after submission: 1
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: NKA
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (NO BRAND NAME)UNKNOWN MANUFACTURER1165E2IMLA
HEPA: HEP A (NO BRAND NAME)UNKNOWN MANUFACTURER0783H0IMRA
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.0647H0SCRA
Administered by: Public     Purchased by: Unknown
Symptoms: Rash
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: rash on trunk, neck & upper extremities 6 days p/vax;

VAERS ID:113390 (history)  Vaccinated:1996-02-29
Age:5.7  Onset:1998-07-31, Days after vaccination: 883
Gender:Male  Submitted:1998-08-03, Days after onset: 3
Location:Washington  Entered:1998-08-12, 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: NA
Current Illness: nose bleeds
Preexisting Conditions: NA
Diagnostic Lab Data: NONE
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.0744B  LA
Administered by: Private     Purchased by: Public
Symptoms: Drug ineffective, Infection
SMQs:, Lack of efficacy/effect (narrow)
Write-up: chickenpox;

VAERS ID:113410 (history)  Vaccinated:1998-07-30
Age:5.0  Onset:1998-07-31, Days after vaccination: 1
Gender:Female  Submitted:1998-08-03, Days after onset: 3
Location:Colorado  Entered:1998-08-13, Days after submission: 10
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: well child
Preexisting Conditions: RAD
Diagnostic Lab Data: NONE
CDC Split Type: CO98035
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAP: DTAP (TRIPEDIA)CONNAUGHT LABORATORIES09164904IMLL
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.0643H0SCLL
Administered by: Private     Purchased by: Private
Symptoms: Injection site hypersensitivity, Injection site mass
SMQs:, Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (narrow)
Write-up: noted 2 days later red & hard local rxn;7x5cm oval area of redness w/sl induration on anterior lateral thigh;

VAERS ID:113415 (history)  Vaccinated:1998-06-15
Age:5.6  Onset:1998-06-16, Days after vaccination: 1
Gender:Female  Submitted:1998-06-19, Days after onset: 3
Location:Washington  Entered:1998-08-13, Days after submission: 55
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: WA981473
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTP: DTP (NO BRAND NAME)CONNAUGHT LABORATORIES7G814894IMLA
OPV: POLIO VIRUS, ORAL (ORIMUNE)LEDERLE LABORATORIES775K63PO 
Administered by: Private     Purchased by: Public
Symptoms: Injury, Insomnia, Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Arrhythmia related investigations, signs and symptoms (broad), Accidents and injuries (narrow), Hostility/aggression (broad), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Hypoglycaemia (broad)
Write-up: about 20hr post vax pt rose earlier than usual in the morning requesting to eat;sat @ table to eat & suddenly fell over backwards & was unconscious x1min;

VAERS ID:113423 (history)  Vaccinated:1998-07-02
Age:5.0  Onset:1998-07-09, Days after vaccination: 7
Gender:Male  Submitted:1998-08-10, Days after onset: 32
Location:North Carolina  Entered:1998-08-14, Days after submission: 4
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? Yes, 1 days
    Extended hospital stay? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: AMOXICILLIN ALLERGY; HX OF ASTHMA
Diagnostic Lab Data: 7/14/98-PLT 72; 7/17/98-PLT 297
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAP: DTAP (ACEL-IMUNE)LEDERLE LABORATORIES4538465IM 
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.1587E1SC 
OPV: POLIO VIRUS, ORAL (ORIMUNE)LEDERLE LABORATORIES0780A3PO 
Administered by: Private     Purchased by: Public
Symptoms: Ecchymosis, Thrombocytopenia, Thrombocytopenic purpura
SMQs:, Haematopoietic thrombocytopenia (narrow), Haemorrhage terms (excl laboratory terms) (narrow), Systemic lupus erythematosus (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: On 7/2/98 pt recv vax and on 7/9/98 pt exp large bruises on legs and trunk. Pt hosp for one day. Pt tx=I.V. gamma globulin twice. Pt dx idiopathic thrombocytopenic purpura.

VAERS ID:113447 (history)  Vaccinated:1998-08-06
Age:5.1  Onset:1998-08-06, Days after vaccination: 0
Gender:Male  Submitted:1998-08-06, Days after onset: 0
Location:Florida  Entered:1998-08-17, 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:
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC Split Type: FL98037
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAP: DTAP (TRIPEDIA)CONNAUGHT LABORATORIES09258804 LA
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.1600E1 RA
OPV: POLIO VIRUS, ORAL (ORIMUNE)LEDERLE LABORATORIES4508473PO 
Administered by: Public     Purchased by: Unknown
Symptoms: Chills, Hyperhidrosis, Hypertension, Movement disorder, Pallor, Stupor, Syncope, Vasodilatation
SMQs:, Torsade de pointes/QT prolongation (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Akathisia (broad), Dyskinesia (broad), Dystonia (broad), Parkinson-like events (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hypertension (narrow), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Hypoglycaemia (broad)
Write-up: pt exp vasovagal like rxn, pale, cold, clammy, moving extremities & head from side to side & did not respond to questioning;BP 96/60;warm;

VAERS ID:113483 (history)  Vaccinated:1998-08-10
Age:5.5  Onset:1998-08-11, Days after vaccination: 1
Gender:Unknown  Submitted:1998-08-13, Days after onset: 2
Location:Illinois  Entered:1998-08-18, Days after submission: 5
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NA
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC Split Type: IL98055
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAP: DTAP (INFANRIX)SMITHKLINE BEECHAM852A23 RA
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.1236E1 LA
OPV: POLIO VIRUS, ORAL (NO BRAND NAME)UNKNOWN MANUFACTURERM107023PO 
Administered by: Public     Purchased by: Public
Symptoms: Injection site hypersensitivity, Injection site oedema, Pyrexia, Rash maculo-papular
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: 10AUG98 pt recv vax pt had swelling w/in 24hr which circumvented lt upper arm;pt also w/dec grade temp, redness approx 4" in length around arm;3 small pinhead size bumps on leg, neck & groin;

VAERS ID:113496 (history)  Vaccinated:1998-08-04
Age:5.9  Onset:1998-08-04, Days after vaccination: 0
Gender:Male  Submitted:1998-08-12, Days after onset: 8
Location:Arizona  Entered:1998-08-18, 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: NONE
Current Illness: NONE
Preexisting Conditions:
Diagnostic Lab Data: NONE
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.0928E2 RA
Administered by: Private     Purchased by: Private
Symptoms: Headache, Rash
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: pt exp h/a 1hr p/vax;rash, face, chest & back;

VAERS ID:113547 (history)  Vaccinated:1998-08-03
Age:5.4  Onset:1998-08-14, Days after vaccination: 11
Gender:Female  Submitted:1998-08-20, Days after onset: 6
Location:Ohio  Entered:1998-08-21, Days after submission: 1
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: throat cult negative;WBC 8.6, IPC 4.45 hemocrit 34.2;
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC. 0  
Administered by: Public     Purchased by: Public
Symptoms: Cellulitis, Dermatitis bullous, Injection site hypersensitivity, Injection site oedema, Injection site pain, Vasodilatation
SMQs:, Severe cutaneous adverse reactions (narrow), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: sore arm @ inj site devel into red, hot, swollen spot size of quarter;progressed to size of half dollar-hotter & redder & then progressed again larger, hotter, redder;pt devel temp up to 102.4-dx cellulitis;devel varicella type lesions;

VAERS ID:113554 (history)  Vaccinated:1998-08-10
Age:5.6  Onset:1998-08-12, Days after vaccination: 2
Gender:Female  Submitted:1998-08-13, Days after onset: 1
Location:Washington  Entered:1998-08-21, Days after submission: 8
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE x/APAP
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAP: DTAP (TRIPEDIA)CONNAUGHT LABORATORIES7B918214IMLA
OPV: POLIO VIRUS, ORAL (ORIMUNE)LEDERLE LABORATORIES0775K3PO 
Administered by: Private     Purchased by: Public
Symptoms: Injection site hypersensitivity, Injection site oedema, Pruritus, Vasodilatation
SMQs:, Anaphylactic reaction (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: approx 36hr p/vax 3x3cm area @ inj site of erythema, warmth & edema w/itch;afeb;pt also c/o bug bites;

VAERS ID:113556 (history)  Vaccinated:1998-07-29
Age:5.3  Onset:1998-07-30, Days after vaccination: 1
Gender:Female  Submitted:1998-08-03, Days after onset: 4
Location:Alabama  Entered:1998-08-21, 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: singular
Current Illness: NONE
Preexisting Conditions: allergic to sulfa;has asthma;
Diagnostic Lab Data:
CDC Split Type: AL988
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM852A24IMRA
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0622E1SCRA
OPV: POLIO VIRUS, ORAL (ORIMUNE)LEDERLE LABORATORIES0787C3PO 
Administered by: Public     Purchased by: Public
Symptoms: Pyrexia, Rash maculo-papular, Vomiting
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: mom stated pt ran low grade fever wednesday by thursday lunch temp was 105.4;mom gave motrin & APAP;had raised rash all over body;had n/v twice;

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