MedAlerts Home
  Read the MedAlerts Blog Subscribe to the MedAlerts Blog 

Found 493323 cases in entire database

Case Details (Sorted by Age)

This is page 2479 out of 4934

Result pages: prev   2380 2381 2382 2383 2384 2385 2386 2387 2388 2389 2390 2391 2392 2393 2394 2395 2396 2397 2398 2399 2400 2401 2402 2403 2404 2405 2406 2407 2408 2409 2410 2411 2412 2413 2414 2415 2416 2417 2418 2419 2420 2421 2422 2423 2424 2425 2426 2427 2428 2429 2430 2431 2432 2433 2434 2435 2436 2437 2438 2439 2440 2441 2442 2443 2444 2445 2446 2447 2448 2449 2450 2451 2452 2453 2454 2455 2456 2457 2458 2459 2460 2461 2462 2463 2464 2465 2466 2467 2468 2469 2470 2471 2472 2473 2474 2475 2476 2477 2478 2479 2480 2481 2482 2483 2484 2485 2486 2487 2488 2489 2490 2491 2492 2493 2494 2495 2496 2497 2498 2499 2500 2501 2502 2503 2504 2505 2506 2507 2508 2509 2510 2511 2512 2513 2514 2515 2516 2517 2518 2519 2520 2521 2522 2523 2524 2525 2526 2527 2528 2529 2530 2531 2532 2533 2534 2535 2536 2537 2538 2539 2540 2541 2542 2543 2544 2545 2546 2547 2548 2549 2550 2551 2552 2553 2554 2555 2556 2557 2558 2559 2560 2561 2562 2563 2564 2565 2566 2567 2568 2569 2570 2571 2572 2573 2574 2575 2576 2577 2578   next


VAERS ID:276624 (history)  Vaccinated:2007-03-06
Age:12.0  Onset:2007-03-06, Days after vaccination: 0
Gender:Female  Submitted:2007-04-17, Days after onset: 41
Location:California  Entered:2007-04-17
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: ZOPENEX
Current Illness: None
Preexisting Conditions: Asthma
Diagnostic Lab Data: N/A
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.0962F0IMRA
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA)AVENTIS PASTEURU2082AA0IMRA
TDAP: TDAP (BOOSTRIX)GLAXOSMITHKLINE BIOLOGICALSAC52B007AA0IMLA
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.1085F1SCLA
Administered by: Public     Purchased by: Private
Symptoms: Hypoaesthesia, Malaise, Nausea, Pain in extremity
SMQs:, Acute pancreatitis (broad), Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)
Write-up: Pain and numbeness in arm for 2 days after vaccine administered. Malaise and intermittant nausea since day of vaccination.

VAERS ID:276626 (history)  Vaccinated:2006-09-13
Age:12.0  Onset:2007-04-10, Days after vaccination: 209
Gender:Female  Submitted:2007-04-17, Days after onset: 7
Location:Washington  Entered:2007-04-17
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
VARZOS: ZOSTER (ZOSTAVAX)MERCK & CO. INC.1033B0SCRA
Administered by: Private     Purchased by: Public
Symptoms: Herpes zoster, Varicella post vaccine
SMQs:
Write-up: Shingles r arm, vaccine related, no prior h/o chickenpox

VAERS ID:276629 (history)  Vaccinated:2007-01-17
Age:12.0  Onset:2007-02-12, Days after vaccination: 26
Gender:Female  Submitted:2007-04-17, Days after onset: 63
Location:Maine  Entered:2007-04-17
Life Threatening? Yes
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 2 days
    Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: Migraine Records received 4/24/07-PMH: meconium aspiration ventilated for 10 days, full term. Several episodes of dehydration as a toddler required ER visits and IV hydration.
Diagnostic Lab Data: Available Records received 4/24/07-hemoglobin 5.4 and hematocrit 17. WBC 3.6. Platelets 211,000. LDH 493. Total Bilirubin 3.8. DAT Coombs found to have IgG anti-e antibody. Retic count elevated.
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.0954F1IMLA
Administered by: Private     Purchased by: Private
Symptoms: Anaemia haemolytic autoimmune, Blood bilirubin increased, Blood immunoglobulin G, Blood lactate dehydrogenase increased, Coombs direct test positive, Fatigue, Haematocrit decreased, Haemoglobin decreased, Pallor, Reticulocyte count increased, White blood cell count decreased
SMQs:, Liver related investigations, signs and symptoms (narrow), Haemolytic disorders (narrow), Acute pancreatitis (broad), Haematopoietic erythropenia (broad), Haematopoietic leukopenia (narrow), Haemorrhage laboratory terms (broad), Systemic lupus erythematosus (broad), Biliary system related investigations, signs and symptoms (narrow), Hypotonic-hyporesponsive episode (broad)
Write-up: Acute onset Autoimmune hemolytic anemia requiring IV steroids and hospitalization.Records received 4/24/07-from facility for DOS 02/13-02/15/07- DC DX: warm agglutinin autoimmune hemolytic anemia. Found at routine visit to be anemic by PCP. RX with high dose steroids. Two week HX of fatigue pallor, nauseated. 4-6 weeks prior had URI .

VAERS ID:276756 (history)  Vaccinated:2007-02-28
Age:12.0  Onset:2007-02-28, Days after vaccination: 0
Gender:Female  Submitted:2007-04-18, Days after onset: 48
Location:California  Entered:2007-04-18
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: Penicillin Allergy
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.024EU0IMLA
Administered by: Private     Purchased by: Private
Symptoms: Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow)
Write-up: Urticaria on lower arm after HPV immunization

VAERS ID:276763 (history)  Vaccinated:2007-04-12
Age:12.0  Onset:2007-04-13, Days after vaccination: 1
Gender:Male  Submitted:2007-04-18, Days after onset: 5
Location:North Carolina  Entered:2007-04-18
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: WBC - WNL, Ultrasound (-) fn abscess at ER 4/14/07
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)MASS. PUB HLTH BIOL LABTD1640IMLA
Administered by: Private     Purchased by: Public
Symptoms: Chills, Dizziness, Erythema, Fatigue, Headache, Oedema peripheral, Pain in extremity, Pyrexia, White blood cell disorder
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Haematopoietic leukopenia (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Vestibular disorders (broad), Hypersensitivity (broad)
Write-up: Patient''s mother states he had reaction to Td given Thursday 4/12/07, started Friday - fever, dizziness, localized swelling and redness in left deltoid, fatigue. Seen in ER 4/14 - ultrasound (-) fn abscess. S/S include chills, fever. WBC WNL. 4/16 Mild residual occipital HA, left deltoid mildly sore "like a bruise", and erythema. Rec''d Tylenol, Amoxicillin at ER.

VAERS ID:276977 (history)  Vaccinated:2007-04-17
Age:12.0  Onset:2007-04-18, Days after vaccination: 1
Gender:Female  Submitted:2007-04-19, Days after onset: 1
Location:Minnesota  Entered:2007-04-19
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMRV: MEASLES + MUMPS + RUBELLA + VARICELLA (PROQUAD)MERCK & CO. INC.1393F0SCRA
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA)AVENTIS PASTEUR41875AA0 RA
Administered by: Private     Purchased by: Public
Symptoms: Chills, Injection site erythema, Injection site induration, Injection site swelling
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: Patient had extremely sore inferior deltoid area with 6cm diameter of redness and swelling with 8cm area of subcutaneous induration. No drainage for shot site. Patient had chills nut no fever. No other infections signs/ symptoms at time of complaint.

VAERS ID:276993 (history)  Vaccinated:2007-04-18
Age:12.0  Onset:2007-04-19, Days after vaccination: 1
Gender:Male  Submitted:2007-04-19, Days after onset: 0
Location:Florida  Entered:2007-04-19
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: none
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA)AVENTIS PASTEURU1995AA0IMRA
TDAP: TDAP (ADACEL)AVENTIS PASTEURC2456AA IMLA
Administered by: Public     Purchased by: Public
Symptoms: Body temperature increased, Headache
SMQs:, Neuroleptic malignant syndrome (broad)
Write-up: Began with a headache around 10:00am 4/19/07. Presented to health room at school with Temp. 101 and headache at approx 2:30pm.

VAERS ID:277188 (history)  Vaccinated:2007-03-30
Age:12.0  Onset:2007-03-30, Days after vaccination: 0
Gender:Female  Submitted:2007-03-30, Days after onset: 0
Location:Texas  Entered:2007-04-23, Days after submission: 24
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Type II Diabetes
Preexisting Conditions: No known drug allergies, just diagnosed with Type II Diabetes
Diagnostic Lab Data: No test performed at the office on 3-30-07.
CDC Split Type: TX07027
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.1424F0IMUN
Administered by: Private     Purchased by: Other
Symptoms: Dizziness, Headache
SMQs:, Anticholinergic syndrome (broad), Vestibular disorders (broad)
Write-up: 3/30/07 10:00 AM HPV vaccine was administered on her left upper arm sitting on an exam table. 2-3 minutes after administering vaccine, pt. c/o a headache and dizziness. Pt. was placed on exam table in a laying position.

VAERS ID:277195 (history)  Vaccinated:2007-04-17
Age:12.0  Onset:2007-04-17, Days after vaccination: 0
Gender:Female  Submitted:2007-04-18, Days after onset: 1
Location:Alaska  Entered:2007-04-23, 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: Paroxetine, Nasonex
Current Illness: Allergic Rhinitis
Preexisting Conditions: Allergic Rhinitis, Anxiety NOS, ADHD
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.1427F1 LA
Administered by: Public     Purchased by: Other
Symptoms: Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow)
Write-up: Patient developed hives on her arm and then on trunk approximately 3 hours after administration of 2nd HPV vaccine.

VAERS ID:277319 (history)  Vaccinated:2007-04-13
Age:12.0  Onset:2007-04-13, Days after vaccination: 0
Gender:Female  Submitted:2007-04-24, Days after onset: 11
Location:New Mexico  Entered:2007-04-24
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Unknown
Preexisting Conditions: The subject was reported to be "otherwise healthy". The subject experienced no adverse events following previous vaccinations.
Diagnostic Lab Data: UNK
CDC Split Type: A0647898A
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEPA: HEP A (HAVRIX)GLAXOSMITHKLINE BIOLOGICALSAHAVB148AA0IJLA
HPV4: HPV (GARDASIL)MERCK & CO. INC.0187U0IJUN
Administered by: Private     Purchased by: Other
Symptoms: Dizziness, Loss of consciousness, Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Cardiomyopathy (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad)
Write-up: This case was reported by a physician and described the occurrence of unconscious in a 12-year-old female subject who was vaccinated with Havrix, Gardasil for prophylaxis. The subject was reported to be "otherwise healthy". The subject experienced on adverse events following previous vaccinations. There were no concurrent medications. On 13 April 2007 at 11:00, the subject received the 1st dose of Havrix (.5 ml, unknown, left arm). On 13 April 2007 at an unspecified time, the subject received the 1st dose of Gardasil. On 13 April 2007, 2 minutes after vaccination with Havrix and an unspecified time after vaccination with Gardasil, the subject experienced two episodes of dizziness and fainting within five minutes of dosing. The subject was unconscious for a minute or less with each episode. This case was assessed as medically serious by manufacturer. On 13 April 2007, the events were resolved. 06/17/10 Follow-up information was identified from a line listing obtained on request by the Company from the FDA under the Freedom of Information Act. It was reported that on 13-Apr-2007 a 12 year old female was vaccinated with the first dose of GARDASIL (lot# 656049/0187U) 0.5 mL, injection. Concomitant therapy included HAVRIX, (Lot # AHAVB148AA). On 13-APR-2007, the patient fainted and had pseudo seizure like symptoms. The patient had dreams about receiving the shot and the physician felt that the reaction was anxiety related. The patient had the following laboratory diagnostic tests performed after the incident: glucose 85, blood pressure 135/75 mm Hg, pulse 85 and one hour later, after the incident the blood pressure was 97/63 mm Hg, pulse 73, oxygen saturation (pulse oximetry) was 99% and serum glucose was 85. No BENADRYL was given to the patient. Subseqeuntly the patient recovered from the events that same day. Conversion disorder, Nightmare and syncope were considered non-serious. VAERS # 277319. This is a consolidation of two reports concerning the same patient. Additional information has been requested.

VAERS ID:277331 (history)  Vaccinated:2007-04-16
Age:12.0  Onset:2007-04-17, Days after vaccination: 1
Gender:Female  Submitted:2007-04-24, Days after onset: 7
Location:Virginia  Entered:2007-04-24
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NONE~~NULL~~In Patient|NONE~~NULL~~In Sibling1|NONE~~NULL~~In Sibling2
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEPA: HEP A (VAQTA)MERCK & CO. INC.0001U0IMRA
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.1498F1SCLA
Administered by: Private     Purchased by: Private
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Injection site rash
SMQs:, Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (narrow)
Write-up: 2X3 RASH RED RAISED REACTION AROUND SHOT INJECTION SITE ON POSTERIOR ASPECT OF RIGHT UPPER ARM WITH TENDERNESS. TREATMENT: MONITOR SITE, RETURN TO PROVIDER IF WORSENS.

VAERS ID:277366 (history)  Vaccinated:2007-04-17
Age:12.0  Onset:2007-04-17, Days after vaccination: 0
Gender:Female  Submitted:0000-00-00
Location:Colorado  Entered:2007-04-25
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: CF
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEPA: HEP A (HAVRIX)GLAXOSMITHKLINE BIOLOGICALSAHAVB162CB IMRA
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.1496F SCRA
Administered by: Private     Purchased by: Private
Symptoms: Erythema, Induration, Pyrexia
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (broad)
Write-up: localized area of redness and induration, ? low grade fever

VAERS ID:277378 (history)  Vaccinated:2007-04-23
Age:12.0  Onset:2007-04-23, Days after vaccination: 0
Gender:Female  Submitted:2007-04-25, Days after onset: 2
Location:Pennsylvania  Entered:2007-04-25
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Singulair 5mg tablet qhs, Flovent 110 mcq-2 puffs BID, Albuterol prn, Benadryl prn
Current Illness: none
Preexisting Conditions: Asthma, Dairy Allergy, Mold Allergy
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA)AVENTIS PASTEUR 0IMLA
TDAP: TDAP (ADACEL)AVENTIS PASTEUR  IMLA
Administered by: Private     Purchased by: Unknown
Symptoms: Chest discomfort, Cough, Erythema, Eye pruritus, Rash generalised, Rhinorrhoea, Throat irritation, Tremor
SMQs:, Anaphylactic reaction (narrow), Neuroleptic malignant syndrome (broad), Parkinson-like events (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Noninfectious encephalopathy/delirium (broad), Hypersensitivity (narrow)
Write-up: 15 minutes after injection: c/o itching throat, chest tightness. 20 minutes: cough, itching eyes,nasal discharge. 25 minutes: bright red rash over entire body and shaking. Medications given at onset of reaction: Benadryl 50mg po, Prednisone 40mg po(1 tablet chewed other swallowed), Zantac 150mg po, Albuterol Inhaler-2 puffs. Symptoms relieved with above meds.

VAERS ID:277391 (history)  Vaccinated:2007-03-29
Age:12.0  Onset:2007-04-12, Days after vaccination: 14
Gender:Female  Submitted:2007-04-25, Days after onset: 13
Location:Maryland  Entered:2007-04-25
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: Sulfa allergy, causes rash
Diagnostic Lab Data: MRI theraco lumbar spine/brain WNL LABS: CT of brain was WNL. CBC, chem & UA all WNL EMG done 4/20/07 was WNL. Referred for MRI to r/ocentral demyelinating disease. head computed axial - 04/12/07 - normal. neurological - 04/20/07 - normal. nerve conduction study - 04/20/07 - normal. magnetic resonance - 04/20/07 - lumbar - negat. magnetic resonance - 04/20/07 - thoracic - negat.
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.0186U   
Administered by: Private     Purchased by: Private
Symptoms: Abasia, Computerised tomogram normal, Electromyogram normal, Fall, Full blood count normal, Gait disturbance, Hypoaesthesia, Laboratory test normal, Muscular weakness, Neurological examination normal, Nuclear magnetic resonance imaging brain normal, Nuclear magnetic resonance imaging normal, Pain in extremity, Scan brain, Tremor, Urinary incontinence, Urine analysis normal, Weight bearing difficulty
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dystonia (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Accidents and injuries (narrow)
Write-up: Lower extremity weakness, frequent falls, lower extremity paraesthesia 5/1/07 Received medical records from 1st hospital where pt seen in ER & then transferred to higher level of care. Pt experienced bilateral LE weaness & numbness of both legs while at school. She tried to brace herself up against a wall but was unable to remain upright. Exam revealed she was unable to bear weight secondary to weakness FINAL DX: paresthesia & motor weakness of bilateral legs, etiology unknown. 5/22/07 Received hospital Neuro clinic medical records which reveal patient evaluated 4/20/07 by MD who had seen her in ER week before for legs shaking w/weakness & numbness since 4/12/07. Seen at outlying hospital ER & d/c. On approx 4/10 had an episode of urinary incontinence. Neuro exam was WNL except for slightly antalgic gait. 06/11/2009: This is in follow-up to report(s) previously submitted on 7/6/2007. Initial and follow-up information has been received from a immunization coordinator and a physician concerning a 12 year old female student with a sulfa allergy with a rash many years ago and no other medical history who on 27-MAR-2007 at 11:30 was vaccinated intramuscularly in the left arm with a first dose of HPV rL1 6 11 16 18 VLP vaccine (yeast) (Lot #655618/0186U). There was no concomitant medication. ON 12-APR-2007, the patient presented with progressive weakness of her lower extremities, one episode of incontinence and paraesthesias of both legs. On 12-APR-2007, at school, the patient noted that her legs started to shake and that she could not feel her legs well. She went to the nurse and was transferred to the hospital emergency room because of numbness in her legs and associated weakness. These events were also reported as "about two months post vaccination, sometime in May 2007, the patient could not walk and was complaining of leg pain." Over the course of that day, the patient was aware of numbness along both of her shins and persistence of that numbness over the following week though it spread to the anterior distal aspect of both thighs. It was largely symmetric. She still had some problem with the shaking of her legs when she went up or down the stairs and had been using crutches to help her walk. It was also noted that a couple of nights before this event occurred, the patient had a urinary accident at night which was very unusual for her. On 12-APR-2007, a CT of the brain was performed and was normal. On 20-APR-2007, the patient presented to the reporting physician for a visit. Nerve conduction studies and neurologic exam were performed and were all normal. ON 20-APR-2007, an MRI of the lumbar and thoracic spine was performed and was negative. About 2 to 3 weeks after the onset of progressive weakness of her lower extremities, incontinence and paraesthesias of both legs, the patient recovered. At the time of this report, the outcome of the leg pain, inability to walk, numbness along both shins/could not feel legs and shaking of legs was unknown. No product quality complaint was involved. According to the reporting physician, there was a concern about possible myelopathy and neuropathy such as Guillan-Barre syndrome. However, the reporting physician stated that "this has clearly not developed in the interval." Upon internal review, the patient''s experience of "could not walk" was considered disabling. Additional information is not expected.

VAERS ID:277450 (history)  Vaccinated:2006-08-14
Age:12.0  Onset:2006-09-01, Days after vaccination: 18
Gender:Female  Submitted:2007-04-26, Days after onset: 237
Location:Pennsylvania  Entered:2007-04-26
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: none
Preexisting Conditions: none
Diagnostic Lab Data: neurology consult
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX)GLAXOSMITHKLINE BIOLOGICALSAC21B0711AA  RA
TDAP: TDAP (BOOSTRIX)GLAXOSMITHKLINE BIOLOGICALSAC52B004AA  LA
Administered by: Private     Purchased by: Private
Symptoms: Dizziness, Medication error, Neurological examination
SMQs:, Anticholinergic syndrome (broad), Vestibular disorders (broad)
Write-up: Patient was ordered the Hep A vaccine and the Boostrix. The Pediarix and Boostrix was given in error. c/o dizziness one month later

VAERS ID:277453 (history)  Vaccinated:2007-04-26
Age:12.0  Onset:0000-00-00
Gender:Female  Submitted:2007-04-26
Location:New Hampshire  Entered:2007-04-26
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: NH0719
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.1425F0IMLL
Administered by: Private     Purchased by: Public
Symptoms: Inappropriate schedule of drug administration, Medication error, Unevaluable event
SMQs:
Write-up: Sisters in same exam room; both due to receive HPV vaccine and Menactra. 12 y/o patient received 1 dose of HPV vaccine in each arm, I''m simultaneously, instead of 1 dose HPV and 1 dose Menactra.

VAERS ID:277494 (history)  Vaccinated:2007-04-06
Age:12.0  Onset:2007-04-06, Days after vaccination: 0
Gender:Female  Submitted:2007-04-26, Days after onset: 20
Location:Florida  Entered:2007-04-27, Days after submission: 1
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 2 days
    Extended hospital stay? No
Previous Vaccinations:
Other Medications: Atarax
Current Illness: None
Preexisting Conditions: H/O Multiple Food Allergies, RAD, Eczema, Anaphylaxis (not to vaccines)
Diagnostic Lab Data: None
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEPA: HEP A (VAQTA)MERCK & CO. INC.024960IMRA
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA)SANOFI PASTEURU1968AA IMLA
TDAP: TDAP (ADACEL)SANOFI PASTEURC2644AA IMLA
Administered by: Private     Purchased by: Private
Symptoms: Angioedema, Dizziness, Hypersensitivity, Hypotension, Urticaria, Vaccination complication, Wheezing
SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), Asthma/bronchospasm (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Oropharyngeal allergic conditions (narrow), Eosinophilic pneumonia (broad), Vestibular disorders (broad), Hypersensitivity (narrow)
Write-up: Rapid onset wheezing, hypotension and urticaria within 15 minutes of vaccines. 5/15/07 Received hospital medical records which reveal patient experienced wheezing, dizziness & itching. Admitted for observation 4/6-4/8/07. Kept on steroids & antihistamines as well as IVF. Progressed well & d/c home on steroids & antihistamine & local skin care. FINAL DX: allergic reaction to vaccines & angioedema, both resolved.

VAERS ID:277495 (history)  Vaccinated:2007-04-23
Age:12.0  Onset:2007-04-24, Days after vaccination: 1
Gender:Male  Submitted:2007-04-26, Days after onset: 2
Location:Washington  Entered:2007-04-27, 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: Zithromax 250 mg, Concerta 36 mg
Current Illness: Sinusitis
Preexisting Conditions: NKDA
Diagnostic Lab Data: none
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA)AVENTIS PASTEURU2183AA IMLA
TDAP: TDAP (BOOSTRIX)GLAXOSMITHKLINE BIOLOGICALSAC52B013AA IMLA
Administered by: Private     Purchased by: Public
Symptoms: Injection site pruritus, Injection site rash, Injection site swelling
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow)
Write-up: patch L deltoid swelling pruritic

VAERS ID:277536 (history)  Vaccinated:2007-04-25
Age:12.0  Onset:2007-04-26, Days after vaccination: 1
Gender:Female  Submitted:2007-04-27, Days after onset: 1
Location:Oklahoma  Entered:2007-04-27
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
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA)AVENTIS PASTEURU2181AA0 LA
TDAP: TDAP (ADACEL)AVENTIS PASTEURC2572AA0 LA
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.0173U1 RA
Administered by: Private     Purchased by: Private
Symptoms: Erythema, Skin warm
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (broad)
Write-up: Red, firm area approx 2 cm x 4 cm to right arm that is warm to touch

VAERS ID:277596 (history)  Vaccinated:2007-03-27
Age:12.0  Onset:2007-03-27, Days after vaccination: 0
Gender:Female  Submitted:2007-03-29, Days after onset: 2
Location:California  Entered:2007-04-30, Days after submission: 32
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: ADD
Diagnostic Lab Data: none
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (ADACEL)SANOFI PASTEURC2689AA6IMLA
Administered by: Private     Purchased by: Unknown
Symptoms: Excoriation, Injection site erythema, Injection site induration, Injection site pain, Injection site swelling, Muscle spasms, Paraesthesia, Pyrexia, Viral upper respiratory tract infection
SMQs:, Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dystonia (broad), Guillain-Barre syndrome (broad), Accidents and injuries (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: After receiving Tdap 3-27-07 for knee abrasion that occurred 2d. prior, pt. developed red, swollen induration at injection site which became sensitive and painful resulting in muscle spasm and tingling. Also had concomitant Id. Hx fever to 105 w/viral URI.

VAERS ID:277639 (history)  Vaccinated:2007-04-24
Age:12.0  Onset:2007-04-25, Days after vaccination: 1
Gender:Female  Submitted:2007-04-30, Days after onset: 5
Location:Pennsylvania  Entered:2007-04-30
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Apparently healthy
Preexisting Conditions: None -- she does have a bit of hayfever
Diagnostic Lab Data: Strep test was negative. Afternoon temperature tests by Dr. office on 4/27 and 4/30 showed no fever. AM temperature at home on 4/30 showed no fever.
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPVX: HPV (NO BRAND NAME)UNKNOWN MANUFACTURERHPV0 RA
Administered by: Private     Purchased by: Unknown
Symptoms: Body temperature, Cough, Dizziness, Headache, Pharyngolaryngeal pain, Pyrexia, Streptococcus identification test negative, Viral infection
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Vestibular disorders (broad)
Write-up: Within 12 hours of vaccine, patient had 102 degree fever. First day symptoms were also headache, dizzy, sore throat. Morning fever last multiple days. Today, 6 days later, fever is gone, throat is raw with cough, strep test is negative, patient is ill. Dr. believes it is a viral infection, but cannot determine if related to vaccine or independent cause.

VAERS ID:277735 (history)  Vaccinated:2007-04-23
Age:12.0  Onset:2007-04-24, Days after vaccination: 1
Gender:Male  Submitted:2007-04-25, Days after onset: 1
Location:Minnesota  Entered:2007-05-01, 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: Hx of severe allergies and asthma
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.0126U1SCRA
Administered by: Public     Purchased by: Unknown
Symptoms: Asthma, Injection site reaction, Multiple allergies, Skin lesion
SMQs:, Anaphylactic reaction (broad), Asthma/bronchospasm (narrow), Eosinophilic pneumonia (broad), Hypersensitivity (narrow)
Write-up: 1x4cm red round lesion right over her injection site - 5x5cm.

VAERS ID:277739 (history)  Vaccinated:2007-04-10
Age:12.0  Onset:2007-04-12, Days after vaccination: 2
Gender:Male  Submitted:2007-04-26, Days after onset: 14
Location:Michigan  Entered:2007-05-01, 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: PPD
Current Illness: generalized weakness; rt upper arm painful
Preexisting Conditions: None
Diagnostic Lab Data: 2 week antibiotic treatment, and required urgent care MD exam
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)UNKNOWN MANUFACTURER   RA
Administered by: Private     Purchased by: Unknown
Symptoms: Injection site pain, Injection site swelling
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: Gross swelling, redness, pain and soreness at site (rt deltoid)

VAERS ID:277747 (history)  Vaccinated:2007-03-30
Age:12.0  Onset:2007-03-31, Days after vaccination: 1
Gender:Male  Submitted:2007-05-01, Days after onset: 31
Location:Maryland  Entered:2007-05-01
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Sore throat and cold symptoms for 2 days. No fever.
Preexisting Conditions: none
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA)AVENTIS PASTEURU2141AA0IMLA
TDAP: TDAP (BOOSTRIX)GLAXOSMITHKLINE BIOLOGICALSAC52B018BR0IMRA
Administered by: Private     Purchased by: Private
Symptoms: Hallucination, Mental status changes, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Psychosis and psychotic disorders (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Cardiomyopathy (broad)
Write-up: Patient developed fever, hallucinations, and mental status changes about 20 hours after receiving Menactra and Tdap.

VAERS ID:277778 (history)  Vaccinated:2007-04-17
Age:12.0  Onset:2007-04-19, Days after vaccination: 2
Gender:Male  Submitted:2007-05-02, Days after onset: 13
Location:Florida  Entered:2007-05-02
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (ADACEL)AVENTIS PASTEURC2730AA IMLA
Administered by: Private     Purchased by: Private
Symptoms: Erythema, Oedema peripheral
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad)
Write-up: LEFT ARM SWOLLEN AND RED

VAERS ID:277804 (history)  Vaccinated:2007-04-30
Age:12.0  Onset:2007-05-01, Days after vaccination: 1
Gender:Male  Submitted:2007-05-02, Days after onset: 1
Location:Texas  Entered:2007-05-02
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.0109U1 RA
Administered by: Private     Purchased by: Other
Symptoms: Erythema, Skin warm, Swelling
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad)
Write-up: Redness, swelling, warm to touch

VAERS ID:277858 (history)  Vaccinated:2007-05-02
Age:12.0  Onset:2007-05-02, Days after vaccination: 0
Gender:Female  Submitted:2007-05-03, Days after onset: 1
Location:Florida  Entered:2007-05-03
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: none
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA)AVENTIS PASTEURU1997AA0IMRA
Administered by: Public     Purchased by: Public
Symptoms: Oedema peripheral, Pain in extremity
SMQs:, Cardiac failure (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: Pain and swelling right deltoid.

VAERS ID:277871 (history)  Vaccinated:2007-04-05
Age:12.0  Onset:2007-04-05, Days after vaccination: 0
Gender:Male  Submitted:2007-05-03, Days after onset: 28
Location:Pennsylvania  Entered:2007-05-03
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: Recieved some tests in ER, but I don''t know which ones
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
YF: YELLOW FEVER (YF-VAX)AVENTIS PASTEURUE890AA/UE913AA1SCLA
Administered by: Private     Purchased by: Private
Symptoms: Laboratory test, Pruritus genital, Rash
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow)
Write-up: Rash, itching penis

VAERS ID:278020 (history)  Vaccinated:2007-01-15
Age:12.0  Onset:2007-01-15, Days after vaccination: 0
Gender:Female  Submitted:2007-04-23, Days after onset: 97
Location:New Hampshire  Entered:2007-05-07, Days after submission: 14
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: Eval by ENT. No otologic cause. ANA titer 1:1280 (speckled pattern) to berev
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (ADACEL)SANOFI PASTEURAC52B012AA UNRL
Administered by: Private     Purchased by: Public
Symptoms: Antinuclear antibody positive, Asthenia, Dizziness
SMQs:, Systemic lupus erythematosus (narrow), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Vestibular disorders (broad)
Write-up: Dizzy and weak - "Feels flimsy" Everything Spinning. Still with symptoms 3 mo after vaccine.

VAERS ID:278025 (history)  Vaccinated:2007-02-15
Age:12.0  Onset:2007-04-16, Days after vaccination: 60
Gender:Male  Submitted:2007-04-30, Days after onset: 14
Location:Texas  Entered:2007-05-07, 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:
Current Illness:
Preexisting Conditions: History of no know allergies. He has the influenza vaccine annually.
Diagnostic Lab Data:
CDC Split Type: 200701399
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEUR  IM 
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA)SANOFI PASTEURU1922A1IM 
TDAP: TDAP (ADACEL)SANOFI PASTEURC2631A IM 
Administered by: Private     Purchased by: Private
Symptoms: Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow)
Write-up: Hives, Cluster of 2 patients (patient identification provided) with generalized hives throughout the entire body, after receiving Adacel (lot number C2631AA); Fluzone (lot number unknown) and Menactra (lot number U1922AB); received from a health care professional in the USA on 24 April 2007. Case 1: A 12 year old, male patient (with a history of no known allergies) developed generalized hives throughout the entire body, 2 months after she received Adacel (lot number C2631AA), Fluzone (lot number unknown) and Menactra (lot number U1922AB) on 15 February 2007. He has the influenza vaccine annually. The patient denies any illness or medications at the time of the vaccinations. He was treated with Cortisone, Singular and Atarax. It was reported the hives resolved and the patient recovered. The second case ( the patient''s sister) is detailed in Case 2007-01400.

VAERS ID:278152 (history)  Vaccinated:2007-04-27
Age:12.0  Onset:2007-04-27, Days after vaccination: 0
Gender:Female  Submitted:2007-05-04, Days after onset: 7
Location:North Carolina  Entered:2007-05-08, 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 known
Preexisting Conditions: allergy testing and injection (weekly) Tree, grass, and + allergy injection
Diagnostic Lab Data: Temp 97.5, BP 102/58, AHR 90 Resp. 24 Schedule for allergy tests with allergist in approximately one month
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEPA: HEP A (VAQTA)MERCK & CO. INC.1282F0IMRA
HPV4: HPV (GARDASIL)MERCK & CO. INC.0960F0IMRA
TDAP: TDAP (BOOSTRIX)GLAXOSMITHKLINE BIOLOGICALSAC52B002AA0IMLA
Administered by: Public     Purchased by: Public
Symptoms: Heart rate, Heart rate normal, Rash pruritic, Respiratory rate increased
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow)
Write-up: Student came to Student Health Center at 105 pm complaining of a pruritic rash on arms, back stomach and neck - denies any additional symptoms of concern. Have appt. today already scheduled with allergist (state first noted itching at about 11:45 am) rash eased within 15 minutes of Benadryl.

VAERS ID:278268 (history)  Vaccinated:2007-04-24
Age:12.0  Onset:2007-04-25, Days after vaccination: 1
Gender:Female  Submitted:2007-05-08, Days after onset: 13
Location:Texas  Entered:2007-05-09, Days after submission: 1
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 3 days
    Extended hospital stay? Yes
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Unknown PMH: hemolytic uremic syndrome requiring hospitalization & blood transfusions out of country, shingles 4/24/07. right wrist tendon injury & fracture of growth plate.
Diagnostic Lab Data: diagnostic laboratory 04/25/07 - negative LABS: WBC 4.4, AST 43, Mag 2.5. CK 292, MBs neg. CSF WBC 55, RBC 10, lymphs 86, monos 14, protein 28, glucose 44, pleocytosis of CSF. CSF herpes & VZ was neg. Blood & urine c/s neg. CT of head
CDC Split Type: WAES0705USA00797
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEPA: HEP A (VAQTA)MERCK & CO. INC.  UNUN
HIBV: HIB (PEDVAXHIB)MERCK & CO. INC.  UNUN
HPV4: HPV (GARDASIL)MERCK & CO. INC. 0UNUN
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA)SANOFI PASTEUR  UNUN
Administered by: Other     Purchased by: Other
Symptoms: Blood culture negative, CSF culture negative, CSF test normal, Computerised tomogram normal, Culture urine negative, Groin pain, Headache, Herpes zoster, Laboratory test normal, Meningitis viral, Nausea, Photosensitivity reaction, Rash
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Systemic lupus erythematosus (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Osteonecrosis (broad), Hypersensitivity (narrow)
Write-up: Information has been received from a physician, via a company representative, concerning a 12 year old female patient who on 24-APR-2007 was vaccinated with the first dose of Gardasil. Concomitant therapy included hepatitis A virus vaccine (manufacturer unspecified), PedvaxHib and Menactra. On 25-APR-2007, the day following the vaccinations, the patient returned to the office with complaints of groin pain; blood work (unspecified) testing was performed, and was negative. On 30-APR-2007 the patient experienced a headache and a rash on her leg, and again returned to the physician''s office; the patient was diagnosed with zoster, and was given Tylenol and codeine for treatment of the symptoms. On 03-MAY-2007, the patient presented that the patient may have viral meningitis. At the time of this report, the physician reported that the patient may have viral meningitis. At the time of this report, the patient had not recovered from the events. Additional information has been requested. 5/18/2007 Received medical records from hospital which reveal patient experienced shingles, severe HA which continued to worsen, photosensitivity, nausea. Opthal exam prior to admit was WNL. Admitted 5/3-5/6/07. ID consult obtained. Treated w/IV antibiotics & antivirals. Symptoms resolved day after treatment started & patient continued to progress well. D/C home on no meds w/close outpatient PCP f/u. FINAL DX: meninigitis, presumed viral (aseptic), final c/s pending; HA, resolved; herpes zoster right leg suspected. 6/8/07 Received note from PCP stating CSF PCRs for HSV & entervirus were neg. Also included name of admitting physician at hospital where PCP does not have privileges.

VAERS ID:278325 (history)  Vaccinated:2007-05-09
Age:12.0  Onset:0000-00-00
Gender:Female  Submitted:0000-00-00
Location:Massachusetts  Entered:2007-05-10
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
TDAP: TDAP (BOOSTRIX)GLAXOSMITHKLINE BIOLOGICALSAC52B012AA0IMLA
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.0117U1SCRA
Administered by: Private     Purchased by: Private
Symptoms: Injection site pain, Injection site swelling
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: Pain; Swelling; Right Arm

VAERS ID:278328 (history)  Vaccinated:2007-05-03
Age:12.0  Onset:2007-05-03, Days after vaccination: 0
Gender:Male  Submitted:2007-05-04, Days after onset: 1
Location:Michigan  Entered:2007-05-10, Days after submission: 6
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: allergic rhinitis
Preexisting Conditions: mild asthma, allergic rhinitis
Diagnostic Lab Data: none
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA)SANOFI PASTEURU1853880IMRA
Administered by: Private     Purchased by: Unknown
Symptoms: Asthenia, Neck pain, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Arthritis (broad)
Write-up: 60-75 hours after Menactra, elevated fever and weakness. Progressed to high fever 103 and neck pain. Fever resolved after 24 hours. Other child in family got fevers after immunizations.

VAERS ID:278331 (history)  Vaccinated:2007-05-01
Age:12.0  Onset:2007-05-03, Days after vaccination: 2
Gender:Male  Submitted:2007-05-03, Days after onset: 0
Location:Michigan  Entered:2007-05-10, 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:
Diagnostic Lab Data: none
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA)SANOFI PASTEURU2226AA0IMRA
TDAP: TDAP (ADACEL)SANOFI PASTEURC2632AA0IMLA
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.1300F1SCLA
Administered by: Public     Purchased by: Other
Symptoms: Injection site rash, Migraine, Rash erythematous, Rash vesicular
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow)
Write-up: 5/3/07 developed rash 4 1/2 x 5 1/2 cm at site of varicella vaccination (booster dose), erythematous sl rash and diffuse sl raised vesicular rash on ant chest, bilat arms not itchy (+) F/C on 5/2 had recurrent migraine on 5/2 and received ibuprofen

VAERS ID:278333 (history)  Vaccinated:2007-05-07
Age:12.0  Onset:0000-00-00
Gender:Female  Submitted:2007-05-08
Location:Pennsylvania  Entered:2007-05-10, Days after submission: 2
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEPA: HEP A (VAQTA)MERCK & CO. INC.0654F1IMRA
HPV4: HPV (GARDASIL)MERCK & CO. INC.0960F1IMLA
Administered by: Public     Purchased by: Public
Symptoms: Inappropriate schedule of drug administration
SMQs:
Write-up: pt given Hep A 0.5 ml injection too early from initial injection. Only 2 months apart instead of 6

VAERS ID:278511 (history)  Vaccinated:2007-04-26
Age:12.0  Onset:2007-04-27, Days after vaccination: 1
Gender:Female  Submitted:2007-05-01, Days after onset: 4
Location:Maryland  Entered:2007-05-14, 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:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (ADACEL)SANOFI PASTEURC2610AA IMLA
Administered by: Private     Purchased by: Private
Symptoms: Erythema, Tenderness
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (broad)
Write-up: 10 x 7 1/2 cm erythema with central raised area tender to touch

VAERS ID:278594 (history)  Vaccinated:2007-05-02
Age:12.0  Onset:2007-05-03, Days after vaccination: 1
Gender:Male  Submitted:2007-05-06, Days after onset: 3
Location:Kansas  Entered:2007-05-15, Days after submission: 9
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Synthroid, Insulin
Current Illness: none
Preexisting Conditions: Diabetes Mellitus-under good control, hypothyroidism
Diagnostic Lab Data: None
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEPA: HEP A (VAQTA)MERCK & CO. INC.0017U0IMRA
TDAP: TDAP (BOOSTRIX)GLAXOSMITHKLINE BIOLOGICALSAC52B008AA0IMLA
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.0117U1SCRA
Administered by: Private     Purchased by: Unknown
Symptoms: Injection site rash, Pain in extremity, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Hypersensitivity (narrow)
Write-up: Arm started getting sore within 24 hrs. then ran temp up to 103 for the next 2 days. He developed a rash at the site of the injection. He was seen in the ER 5-4-07 and given Benadryl. It is almost gone, except for at the sorearm 1,5627

VAERS ID:278623 (history)  Vaccinated:2007-05-07
Age:12.0  Onset:2007-05-07, Days after vaccination: 0
Gender:Male  Submitted:2007-05-09, Days after onset: 2
Location:New York  Entered:2007-05-15, 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: None
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEPA: HEP A (HAVRIX)GLAXOSMITHKLINE BIOLOGICALSAHAVB620B0 LA
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.030741 RA
Administered by: Private     Purchased by: Private
Symptoms: Injection site erythema, Injection site swelling
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: 3.5cm Erythematous swollen area surrounding injection site right deltoid.

VAERS ID:278653 (history)  Vaccinated:2007-04-23
Age:12.0  Onset:2007-05-13, Days after vaccination: 20
Gender:Female  Submitted:2007-05-15, Days after onset: 2
Location:Illinois  Entered:2007-05-15
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
HPV4: HPV (GARDASIL)MERCK & CO. INC.1447F1IMLA
Administered by: Public     Purchased by: Public
Symptoms: Erythema, Oedema peripheral, Pain, Skin warm
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad)
Write-up: 5/15/2007 Mother reports that Shantel''s arm is red, swollen and warm to touch. Denies any fever. States school nurse put cool compress on it 5/14/2007 and Shantel complained that it hurt worse.Instr to try a warm compress and take tylnol or motrin for the pain and swelling. Also instr to f/u with MD. Question if it may have been a bite of some sort. Mother unsure.

VAERS ID:278665 (history)  Vaccinated:2007-03-13
Age:12.0  Onset:2007-04-08, Days after vaccination: 26
Gender:Female  Submitted:2007-05-15, Days after onset: 37
Location:Minnesota  Entered:2007-05-15
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAP: DTAP (DAPTACEL)SANOFI PASTEURC2688AA1IMLA
HPV4: HPV (GARDASIL)MERCK & CO. INC.1427F0IMLA
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA)SANOFI PASTEURU2108AA0IMRA
Administered by: Private     Purchased by: Private
Symptoms: Diarrhoea, Fatigue, Headache, Malaise, Nausea, Vomiting, Wrong drug administered
SMQs:, Acute pancreatitis (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (narrow)
Write-up: ILLNESS WITH HEADACHE, NAUSEA, VOMITING DIARRHEA AND FATIGUE FROM 4/8/07 - 4/13/07; RECEIVED GARDASIL VACCINATION ON 3/13/07; NO TREATMENT

VAERS ID:278717 (history)  Vaccinated:2007-05-14
Age:12.0  Onset:0000-00-00
Gender:Unknown  Submitted:2007-05-16
Location:New Mexico  Entered:2007-05-16
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
TDAP: TDAP (ADACEL)SANOFI PASTEURC2521AA IM 
Administered by: Unknown     Purchased by: Unknown
Symptoms: Wrong drug administered
SMQs:
Write-up: Given Adacel Tdap, instead of Boostrix Tdap.

VAERS ID:278788 (history)  Vaccinated:2007-04-01
Age:12.0  Onset:2007-04-06, Days after vaccination: 5
Gender:Female  Submitted:2007-05-16, Days after onset: 40
Location:Pennsylvania  Entered:2007-05-17, Days after submission: 1
Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: Hypersensitivity
Preexisting Conditions:
Diagnostic Lab Data: complete blood cell 04/06?/07 - results not reported, total serum bilirubin 04/06?/07 - bilirubin was elevated
CDC Split Type: WAES0705USA02024
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC. 1UNUN
Administered by: Other     Purchased by: Other
Symptoms: Abdominal pain upper, Blood bilirubin increased, Dysstasia, Full blood count, Hypoventilation
SMQs:, Liver related investigations, signs and symptoms (narrow), Acute pancreatitis (narrow), Acute central respiratory depression (narrow), Biliary system related investigations, signs and symptoms (narrow), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)
Write-up: Information has been received from a mother concerning her 12 year old daughter with hypersensitivity to red dye who in February 2007, was vaccinated with a first dose of Gardasil. In April 2007, the patient was vaccinated with her second dose of Gardasil there were no concomitant medications. On approximately 06-APR-2007 the patient experienced stomach pain, difficulty standing, and shallow breathing. The patient went to the emergency room where laboratory data revealed bilirubin was elevated. At the time of the report, the patient was recovering from the stomach pain, difficulty standing, shallow breathing, and elevated bilirubin. The consumer considered stomach pain, difficulty standing, shallow breathing, and elevated bilirubin to be disabling. Additional information has been requested.

VAERS ID:279041 (history)  Vaccinated:2007-03-24
Age:12.0  Onset:2007-03-26, Days after vaccination: 2
Gender:Female  Submitted:2007-05-14, Days after onset: 49
Location:California  Entered:2007-05-17, Days after submission: 3
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0704USA00365
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC. 1UNUN
Administered by: Other     Purchased by: Other
Symptoms: Genital rash, Vulvovaginal pruritus
SMQs:, Hypersensitivity (broad)
Write-up: Information has been received from a physician concerning a 12 year old female patient who on 24-MAR-2007 was vaccinated with a second dose of Gardasil. On 26-MAR-2007 the patient developed a rash around the genital area and vaginal itch. It was unknown whether the physician plan to administer the third dose. Unspecified medical attention was sought. At the time of this report, the patient''s outcome was unknown. Additional information has been requested.

VAERS ID:279048 (history)  Vaccinated:2007-01-24
Age:12.0  Onset:2007-01-24, Days after vaccination: 0
Gender:Female  Submitted:2007-05-14, Days after onset: 109
Location:Unknown  Entered:2007-05-17, Days after submission: 3
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Unk
Diagnostic Lab Data: Unk
CDC Split Type: WAES0704USA00527
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEPA: HEP A (NO BRAND NAME)UNKNOWN MANUFACTURER  IMUN
HPV4: HPV (GARDASIL)MERCK & CO. INC.1427F IMUN
Administered by: Other     Purchased by: Other
Symptoms: Arthralgia, Musculoskeletal stiffness
SMQs:, Dystonia (broad), Parkinson-like events (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Arthritis (broad)
Write-up: Information has been received from a health professional concerning a 12 year old white female patient who on 24-JAN-2007 was vaccinated IM with a first dose 0.5 mL of Gardasil lot #655619/1427F. Concomitant therapy included hepatitis A virus vaccine (unspecified) also administered IM on 24-JAN-2007. In approximately 27-JAN-2007, the patient developed joint pain and stiffness after receiving the vaccination. Subsequently, the patient recovered from joint pain and stiffness after few weeks. Additional information has been requested.

VAERS ID:279164 (history)  Vaccinated:0000-00-00
Age:12.0  Onset:2007-03-23
Gender:Female  Submitted:2007-05-14, Days after onset: 52
Location:Unknown  Entered:2007-05-17, Days after submission: 3
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data:
CDC Split Type: WAES0704USA01049
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC. 0IM 
Administered by: Other     Purchased by: Other
Symptoms: Menorrhagia
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow)
Write-up: Information has been received from a physician concerning a 12 year old female who on an unspecified date was vaccinated with the first dose of Gardasil, IM. Concomitant medication was not reported. On 23-MAR-2007, the patient got her period, it has not ended and it has been 14 days as of today. The patient sought unspecified medical attention. The outcome and action taken were not reported. Additional information has been requested.

VAERS ID:279236 (history)  Vaccinated:2007-04-10
Age:12.0  Onset:2007-04-10, Days after vaccination: 0
Gender:Female  Submitted:2007-05-14, Days after onset: 34
Location:Massachusetts  Entered:2007-05-17, Days after submission: 3
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness:
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC Split Type: WAES0704USA03491
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.0244U0IM 
Administered by: Other     Purchased by: Other
Symptoms: Injection site pruritus
SMQs:
Write-up: Information has been received from a physician, concerning a 12 year old female patient who on 10-APR-2007, was vaccinated with the first dose, 0.5ml, IM, of Gardasil (Lot #656051/0244U). There was no concomitant medication. The physician reported that the patient developed pruritus at the injection site within minutes of the vaccine administration. Treatment included Benadryl. At the time of this report, the physician confirmed that the patient had recovered (date not specified). Additional information has been requested.

VAERS ID:279536 (history)  Vaccinated:2006-11-29
Age:12.0  Onset:2006-11-29, Days after vaccination: 0
Gender:Female  Submitted:2007-05-14, Days after onset: 165
Location:New Hampshire  Entered:2007-05-17, Days after submission: 3
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: None
CDC Split Type: WAES0704USA04861
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.0954F0IMUN
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA)SANOFI PASTEUR 0IMUN
UNK: VACCINE NOT SPECIFIED (NO BRAND NAME)UNKNOWN MANUFACTURER 0IMUN
Administered by: Private     Purchased by: Public
Symptoms: Dizziness, Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad)
Write-up: This is in follow-up to report(s) previously submitted on 5/14/2007. Information has been received from a physician concerning a 13 years old premenarchal female student with no drug allergies, "constitutional growth delay", bumpy/itchy rash on anterior chest wall after showering (that resolved after drying self), and warts on an unspecified date, was vaccinated intramuscularly with a 0.5 mL dose of Gardasil. Subsequently, on an unspecified date, the patient felt dizzy and fainted. It was noted that the patient received at least one other vaccine on the same date as when Gardasil was administered. The patient sought unspecified medical attention. No laboratory diagnostic studies were performed. The patient recovered on the same day as when the injection was given. No product quality complaint was involved. This is one of several reports from the same source. Additional information has been requested.

VAERS ID:279541 (history)  Vaccinated:2007-04-18
Age:12.0  Onset:2007-04-23, Days after vaccination: 5
Gender:Female  Submitted:2007-05-14, Days after onset: 21
Location:Massachusetts  Entered:2007-05-17, Days after submission: 3
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Plantar warts
Preexisting Conditions: Plantar warts; Gastrooesophageal reflux
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0704USA05154
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.0960F0IMRA
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.  UNUN
Administered by: Private     Purchased by: Public
Symptoms: Condition aggravated, Oedema peripheral
SMQs:, Cardiac failure (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: This is in follow-up to report(s) previously submitted on 5/14/2007. Initial and follow-up information has been received from a physician concerning a 12 year old female with no known drug allergies, plantar warts on hand/fingers at the time of vaccination and a history of gastrooesophageal reflux who on 18-APR-2007 at 16:15 was vaccinated with intramuscularly into the right deltoid with a first 0.5 mL dose of GARDASIL (lot #654535/0960F). Concomitant therapy included VARIVAX given at the same visit using a different site. On 23-APR-2007 at 07:00 (also reported as "a short time after the vaccination"), the patient developed swelling and pain in the fingers of the hand near the pre-existing plantar warts on the hand of the arm in which she received the GARDASIL (also reported as swelling in both of her hands but mostly in the right). The patient sought unspecified medical attention. No laboratory diagnostic tests were performed. The symptoms resolved over 5 days and "are now gone." No further information was provided. No product quality complaint was involved. Additional information is not expected.

VAERS ID:279658 (history)  Vaccinated:2007-04-10
Age:12.0  Onset:2007-04-11, Days after vaccination: 1
Gender:Female  Submitted:2007-05-14, Days after onset: 33
Location:Minnesota  Entered:2007-05-17, Days after submission: 3
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: None
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0705USA00082
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEPA: HEP A (VAQTA)MERCK & CO. INC.0001U0IMRA
HPV4: HPV (GARDASIL)MERCK & CO. INC.0187U0IMRA
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA)SANOFI PASTEURU1922AB0IMLA
TDAP: TDAP (ADACEL)SANOFI PASTEURC2688AA0IMLA
Administered by: Private     Purchased by: Other
Symptoms: Headache, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad)
Write-up: Information has been received from a company representative and a nurse concerning a 11 year old female who was vaccinated with a 0.5 ml dose of Gardasil. The patient developed a fever and missed at least one day aft school. The interval between administration of the vaccine and the onset of the fever is unknown. The nurse mentioned that the patient also received four additional injections at the same office visit. Subsequently, the patient recovered from the fever. Unspecified medical attention was sought. Additional information has been requested. 07/06/07 This is in follow-up to report(s) previously submitted on 5/14/2007. Information has been received from a nurse and a physician concerning a 12 year old female who had no illness at the time of being vaccinated. On 10-APR-2007, the patient was vaccinated with a first dose of GARDASIL (lot # 656049/0187U) 0.5 ml, IM in the right upper arm. Also on 10-APR-2007, the patient was vaccinated with a first dose of ADACEL (lot # C2688AA) IM in the left upper arm; a first dose of VAQTA (MSD) (lot # 656993/0001U) IM in the right upper arm; and a first dose of MENACTRA (lot # U1922AB) IM in the left upper arm. On 11-APR-2007, at HS, the patient developed a fever for 24 hours. The patient sought medical attention. She also experienced a headache which was not resolved with MOTRIN and missed school on 12-APR-2007. On 13-APR-2007, the patient recovered. No additional information is expected.

VAERS ID:278978 (history)  Vaccinated:2007-03-28
Age:12.0  Onset:2007-05-03, Days after vaccination: 36
Gender:Male  Submitted:2007-05-17, Days after onset: 14
Location:Wyoming  Entered:2007-05-18, Days after submission: 1
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Adderall XR, Fluoxatine
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.1311F1SCRA
Administered by: Private     Purchased by: Public
Symptoms: Injection site erythema, Injection site vesicles
SMQs:, Extravasation events (injections, infusions and implants) (broad)
Write-up: R arm red and blistery at Varivax inj site. Valtrex 500 BID x 5 days Denavir cream.

VAERS ID:278983 (history)  Vaccinated:2007-05-03
Age:12.0  Onset:2007-05-04, Days after vaccination: 1
Gender:Male  Submitted:2007-05-10, Days after onset: 6
Location:California  Entered:2007-05-18, Days after submission: 8
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: Allergic rhinitis
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEPA: HEP A (VAQTA)MERCK & CO. INC.0017U1IMRA
TDAP: TDAP (ADACEL)SANOFI PASTEURC2631AA IMLA
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.0363N1SCLA
Administered by: Private     Purchased by: Private
Symptoms: Injection site induration, Injection site swelling
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: Swelling and induration over site of Varicella Vaccine resulting in two ER visits

VAERS ID:279013 (history)  Vaccinated:2007-05-16
Age:12.0  Onset:2007-05-18, Days after vaccination: 2
Gender:Male  Submitted:2007-05-18, Days after onset: 0
Location:Colorado  Entered:2007-05-18
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: NKDA NO other allergies
Diagnostic Lab Data: NONE
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA)SANOFI PASTEURU2222AA IMRA
Administered by: Public     Purchased by: Unknown
Symptoms: Injection site erythema, Injection site haemorrhage, Injection site induration, Injection site swelling
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: Menactra (MCV4) administered 5/16. Noticed erythema, slight induration and swelling 5/18. Slight ecchymosis around site. Erythema extends approx 8cm in diameter, roughly circular. No SOB/fever/ataxia. Feels well. No TTP.

VAERS ID:279018 (history)  Vaccinated:2007-04-30
Age:12.0  Onset:2007-05-01, Days after vaccination: 1
Gender:Female  Submitted:2007-05-18, Days after onset: 17
Location:Colorado  Entered:2007-05-18
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: none known
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.0308U1SCLA
Administered by: Public     Purchased by: Public
Symptoms: Erythema, Skin warm, Swelling
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad)
Write-up: received VAR #2 vaacine. Next day had redness, swelling, hot but soft to touch. The following day redness was twice as large and center was firm to touch. Patient was put on Cephalexin 500 mg PO TID x 10 days and recovered.

VAERS ID:279125 (history)  Vaccinated:2007-05-14
Age:12.0  Onset:2007-05-14, Days after vaccination: 0
Gender:Female  Submitted:2007-05-15, Days after onset: 1
Location:Rhode Island  Entered:2007-05-21, Days after submission: 6
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.0011U1IM 
Administered by: Public     Purchased by: Public
Symptoms: Malaise, Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad)
Write-up: Child received Gardasil - within 3-4 minutes stated "I don''t feel good" - within 7-8 minutes after injection, child fainted to the floor. Child woke right away.

VAERS ID:279130 (history)  Vaccinated:2007-05-07
Age:12.0  Onset:2007-05-08, Days after vaccination: 1
Gender:Male  Submitted:2007-05-10, Days after onset: 2
Location:California  Entered:2007-05-21, Days after submission: 11
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA)SANOFI PASTEURU2221AA0SCRA
Administered by: Other     Purchased by: Public
Symptoms: Injection site discolouration, Injection site swelling
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: Swollen R arm from shoulder to elbow, mildly pink, not warm or tender given Advil and Benadryl

VAERS ID:279153 (history)  Vaccinated:2007-03-19
Age:12.0  Onset:2007-03-20, Days after vaccination: 1
Gender:Female  Submitted:2007-05-16, Days after onset: 57
Location:Vermont  Entered:2007-05-21, 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: None
Preexisting Conditions: Nephrolithiasis; UTI; Sulfa allergy
Diagnostic Lab Data: None
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (BOOSTRIX)GLAXOSMITHKLINE BIOLOGICALSAC52B12AA5IMRA
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.1334F1SCLA
Administered by: Private     Purchased by: Public
Symptoms: Injection site erythema, Nausea, Pyrexia, Rash macular
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypersensitivity (narrow)
Write-up: Tdap - local red area right deltoid and blotchy also nausea, fever.

VAERS ID:279154 (history)  Vaccinated:2007-05-11
Age:12.0  Onset:2007-05-11, Days after vaccination: 0
Gender:Female  Submitted:2007-05-16, Days after onset: 5
Location:Vermont  Entered:2007-05-21, 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: Nephrolithiasis; UTI''s; Sulfa allergy
Diagnostic Lab Data: None
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA)SANOFI PASTEURU2182AA0 LA
Administered by: Private     Purchased by: Public
Symptoms: Headache, Injection site erythema, Injection site pain, Nausea, Pyrexia
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)
Write-up: Soreness at injection site 4 x 6cm erythema, fever, headache, nausea.

VAERS ID:279275 (history)  Vaccinated:2007-05-11
Age:12.0  Onset:2007-05-11, Days after vaccination: 0
Gender:Male  Submitted:2007-05-15, Days after onset: 4
Location:Utah  Entered:2007-05-22, Days after submission: 7
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEPA: HEP A (VAQTA)MERCK & CO. INC.1213F0IMLA
TDAP: TDAP (ADACEL)SANOFI PASTEURC2491AA0IMLA
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.0494F1SCLA
Administered by: Public     Purchased by: Public
Symptoms: Feeling abnormal, Headache
SMQs:, Dementia (broad)
Write-up: Headache onset 8-9 pm 5/11/07. Persisted 5/12, 5/13, 5/14 went to school 5/14/07, but felt awful after school. No fever or vomiting. Headache is in both temples and across top of head. 5/15/07 headache is improved w/use of Ibuprofen alternating w/Tylenol.

VAERS ID:279289 (history)  Vaccinated:2007-05-14
Age:12.0  Onset:2007-05-15, Days after vaccination: 1
Gender:Male  Submitted:2007-05-22, Days after onset: 7
Location:Iowa  Entered:2007-05-22
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Metadate CD
Current Illness: none
Preexisting Conditions: None
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA)SANOFI PASTEURU2181AA0IMLA
TDAP: TDAP (ADACEL)SANOFI PASTEURC2559AA0IMRA
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.0127U1SCRA
Administered by: Private     Purchased by: Public
Symptoms: Injection site erythema, Injection site pain
SMQs:, Extravasation events (injections, infusions and implants) (broad)
Write-up: Within 48 hours of injection, pt. developed redness and tenderness at site of varivax. Redness of approximately 6 cm in diameter, firm and tender in center of swelling.

VAERS ID:279415 (history)  Vaccinated:2007-05-21
Age:12.0  Onset:2007-05-22, Days after vaccination: 1
Gender:Male  Submitted:2007-05-23, Days after onset: 1
Location:North Carolina  Entered:2007-05-23
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: none
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA)SANOFI PASTEURU1967AA0IMLA
Administered by: Private     Purchased by: Private
Symptoms: Headache, Malaise, Myalgia, Pyrexia
SMQs:, Rhabdomyolysis/myopathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Eosinophilic pneumonia (broad)
Write-up: Within 24 hours of receiving Menactra, developed fever to 102.6 max, headache, myalgia and malaise which responded fairly well to ibuprofen until complete resolution of symptoms within 24 hours from onset.

VAERS ID:279474 (history)  Vaccinated:2007-05-15
Age:12.0  Onset:2007-05-17, Days after vaccination: 2
Gender:Female  Submitted:2007-05-18, Days after onset: 1
Location:California  Entered:2007-05-24, 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: Retin-A 0.1% Topical cream
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: None ordered
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.0384U0IMLA
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.0369U1SCLA
Administered by: Private     Purchased by: Other
Symptoms: Body temperature, Injection site erythema, Injection site induration
SMQs:, Extravasation events (injections, infusions and implants) (broad)
Write-up: 5/15/07 Child came in for well child exam visit; receiving Varicella and HPV vaccine. 5/17/07: Doctor visit progress notes read as follows: immunization 2 days ago, HPV and Varicella. Sibling also here with similar reaction. Temp 97.2F. Physical examination: 1/2 dollar sized area of induration and erythema left arm at injection site. Adv- Benadryl, rech prn.

VAERS ID:279606 (history)  Vaccinated:2007-05-19
Age:12.0  Onset:2007-05-22, Days after vaccination: 3
Gender:Female  Submitted:2007-05-25, Days after onset: 3
Location:Nevada  Entered:2007-05-24, 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:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)SANOFI PASTEURU1676CA  LA
Administered by: Private     Purchased by: Unknown
Symptoms: Local swelling, Pain
SMQs:, Angioedema (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: Local arm swelling, pain

VAERS ID:279726 (history)  Vaccinated:0000-00-00
Age:12.0  Onset:2005-03-18
Gender:Male  Submitted:2007-05-16, Days after onset: 788
Location:Unknown  Entered:2007-05-24, Days after submission: 8
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness:
Preexisting Conditions: none
Diagnostic Lab Data: none
CDC Split Type: WAES0603USA03354
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.  UNUN
Administered by: Other     Purchased by: Other
Symptoms: Pain, Rash, Skin lesion
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow)
Write-up: Information has been received from a father concerning his 12 year old son with no medical history or allergies who in 1995 was vaccinated with a dose of Varivax. There was no concomitant therapy. The father reported that on 18 Mar 2006, his son developed a breakthrough rash characterized by about 50 lesions with associated pain at each lesion site. The father noted that the most painful lesions had the largest surface area. The patient was taken to the Emergency Room, but was not admitted. No laboratory/diagnostic tests were performed. It was also noted that the scabbing began "almost immediately." At the time of this report, the patient''s breakthrough rash persisted. Additional information has been requested.

VAERS ID:280625 (history)  Vaccinated:0000-00-00
Age:12.0  Onset:0000-00-00
Gender:Female  Submitted:2007-05-16
Location:Massachusetts  Entered:2007-05-24, Days after submission: 8
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Crohn''s disease
Preexisting Conditions:
Diagnostic Lab Data: serum varicella zoster - Negative.
CDC Split Type: WAES0605USA02533
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.  UNUN
Administered by: Other     Purchased by: Other
Symptoms: Antibody test negative
SMQs:
Write-up: Information has been received from a physician concerning a 12-year-old female with Crohn''s disease, auto immune suppressed, with no known drug allergies, who at 3 years of age was vaccinated with a dose of Varivax. Subsequently, on an unspecified date, the patient underwent a serum varicella zoster virus antibody test that was negative. Unspecified medical attention was sought. No product quality complaint was involved. At the time of this report, the patient was on methotrexate. Additional information has been requested.

VAERS ID:280626 (history)  Vaccinated:1996-02-01
Age:12.0  Onset:2006-05-10, Days after vaccination: 3751
Gender:Male  Submitted:2007-05-16, Days after onset: 371
Location:Ohio  Entered:2007-05-24, Days after submission: 8
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness:
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC Split Type: WAES0605USA02547
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.  SCUN
Administered by: Other     Purchased by: Other
Symptoms: Skin lesion, Varicella post vaccine
SMQs:
Write-up: Information has been received from a physician concerning a 12-year-old male with no medical history or allergies who on 01-FEB-1996 was vaccinated SC with a 0.5 mL dose of Varivax. There was no concomitant therapy. The physician reported that on 10-MAY-2006, the patient developed breakthrough characterized by over 200 lesions above his chest. Unspecified medical attention was sought and the patient was treated with acyclovir. No laboratory/diagnostic tests were performed. At the time of this report, the patient''s breakthrough persisted. The reporting physician considered breakthrough to be an other important medical event. Additional information has been requested.

VAERS ID:280800 (history)  Vaccinated:1997-03-26
Age:12.0  Onset:2006-06-12, Days after vaccination: 3365
Gender:Female  Submitted:2007-05-16, Days after onset: 338
Location:Washington  Entered:2007-05-24, Days after submission: 8
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness:
Preexisting Conditions: Drug hypersensitivity
Diagnostic Lab Data: None
CDC Split Type: WAES0606USA02250
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.1343D0IMUN
Administered by: Private     Purchased by: Public
Symptoms: Erythema, Exposure to communicable disease, Rash pruritic, Rash vesicular
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow)
Write-up: Information has been received from a physician and a consumer concerning her 11-year-old daughter who had a reaction to albuterol and no pertinent medical history who on 26-MAR-1997 at 10:30AM was vaccinated IM with a first dose of Varivax (Lot # 620625/1343D). There was no illness at the time of vaccination. There was no concomitant medication. On 11-JUN-2006 the patient experienced "100-200 lesions" all over her body. The lesions were fluid filled, but not breaking open and scabbing. No other information was provided. There were no lab diagnostic studies performed. Unspecified medical attention was sought. There was no product quality complaint. The patient''s lesions persisted. Follow up information received from a physician indicated that on 12-JUN-2006 at 9:15AM, the physician received a phone call from the mother indicating that the child was exposed to varicella one month prior, and now had red bumps that were itchy. The physician questioned if this was chickenpox, and advised symptomatic treatment. He advised to be seen if concerned. No further information was available. The outcome was unknown. There were no relevant diagnostic tests or laboratory data. There were no adverse events following prior vaccinations of the patient or siblings. The outcome was unknown. Additional information has been requested.

VAERS ID:280812 (history)  Vaccinated:1995-06-01
Age:12.0  Onset:2006-04-01, Days after vaccination: 3957
Gender:Female  Submitted:2007-05-16, Days after onset: 409
Location:New Hampshire  Entered:2007-05-24, Days after submission: 8
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? Yes, 0 days
    Extended hospital stay? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0606USA02844
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC. 0UNUN
Administered by: Other     Purchased by: Other
Symptoms: Herpes zoster, Pain
SMQs:
Write-up: Information has been received from a physician concerning a 12-year-old female who in June 1995, was vaccinated with one 0.5mL dose of Varivax. The physician reported that in April 2006, the patient presented with a case of shingles. The patient was hospitalized and she needed "pain injections" for a "couple of weeks". A couple of weeks after onset, the patient''s shingles resolved. Additional information has been requested.

VAERS ID:280814 (history)  Vaccinated:1995-10-24
Age:12.0  Onset:2006-06-04, Days after vaccination: 3876
Gender:Male  Submitted:2007-05-16, Days after onset: 346
Location:Pennsylvania  Entered:2007-05-24, Days after submission: 8
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0606USA03139
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.  SCUN
Administered by: Other     Purchased by: Other
Symptoms: Varicella
SMQs:
Write-up: Information has been received from a physician concerning a 12 year old male who on 24-OCT-1995 was vaccinated SC with a dose of Varivax. On 04-JUN-2006 the patient developed a breakthrough case of chickenpox. Unspecified medical attention was sought. At the time of the report the patient was recovering. There was no product quality complaint involved. Additional information has been requested.

VAERS ID:280990 (history)  Vaccinated:0000-00-00
Age:12.0  Onset:0000-00-00
Gender:Male  Submitted:2007-05-16
Location:Unknown  Entered:2007-05-24, 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: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0607USA0406
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.  UNUN
Administered by: Other     Purchased by: Other
Symptoms: Varicella
SMQs:
Write-up: Information has been received from a registered nurse concerning a 12 year old male who in approximately 1999, at the age of 5-years-old was vaccinated with Varivax. On an unspecified date, the patient experienced "breakthrough varicella rash". It was reported that the patient had "more than 50 rashes on upper parts of the body including scalp, face, shoulder and back". At the time of this report, the outcome of the event was unknown. It was reported that the patient had a 11 year old brother, who at the age of 5-years-old was vaccinated with varicella virus vaccine at a different place and different time and subsequently experienced "breakthrough varicella rash" (MSD, WAES# 0607USA02437). Additional information has been requested.

VAERS ID:281008 (history)  Vaccinated:0000-00-00
Age:12.0  Onset:2006-07-26
Gender:Female  Submitted:2007-05-16, Days after onset: 294
Location:Virginia  Entered:2007-05-24, Days after submission: 8
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0607USA05227
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.  UNUN
Administered by: Other     Purchased by: Other
Symptoms: Varicella
SMQs:
Write-up: Information has been received from a physician concerning her 12 year old daughter who on an unspecified date was vaccinated with a 0.5 ml dose of Varivax. On 26-JUL-2006 the patient developed possible breakthrough varicella. Unspecified medical attention was sought. At the time of the report the patient had not recovered. No further information was provided. There was no product quality complaint involved. Additional information has been requested.

VAERS ID:281244 (history)  Vaccinated:2006-07-26
Age:12.0  Onset:2006-08-07, Days after vaccination: 12
Gender:Female  Submitted:2007-05-16, Days after onset: 282
Location:Unknown  Entered:2007-05-24, Days after submission: 8
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness:
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC Split Type: WAES0608USA02757
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.0247F SCUN
Administered by: Other     Purchased by: Other
Symptoms: Skin lesion, Varicella, Varicella post vaccine
SMQs:
Write-up: Information has been received from a nurse practitioner (NP) concerning a 12-year-old female with no medical history or allergies, who on 26-JUL-2006 was vaccinated subcutaneously with a 0.5 ml dose of Varivax (lot# 652630/0247F). There was no concomitant medication. On 07-AUG-2006 the patient began the first day of symptoms of breakthrough chickenpox. At the time of the report the patient''s symptoms had worsened and the patient had about 26 lesions. Unspecified medical attention was sought and oral diphenhydramine hydrochloride (BENADRYL) was administered. The patient had not recovered. No product quality complaint was involved. The reporter considered the patient''s breakthrough chickenpox to be an other important medical event. Additional information has been requested.

VAERS ID:281245 (history)  Vaccinated:2006-07-26
Age:12.0  Onset:2006-07-26, Days after vaccination: 0
Gender:Female  Submitted:2007-05-16, Days after onset: 294
Location:Ohio  Entered:2007-05-24, Days after submission: 8
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: None
CDC Split Type: WAES0608USA02786
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (BOOSTRIX)GLAXOSMITHKLINE BIOLOGICALS  UNUN
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.0249F1SCUN
Administered by: Other     Purchased by: Other
Symptoms: Injection site erythema
SMQs:, Extravasation events (injections, infusions and implants) (broad)
Write-up: Information has been received from a physician concerning a 12 year old female who on approximately 26-JUL-2006 was vaccinated SQ with a 0.5 ml second dose of Varivax (lot# 652725/0249F). Concomitant vaccination included BOOSTRIX. On 26-JUL-2006 the patient developed erythema at the injection site. Unspecified medical attention was sought. At the time of the report the patient was recovering. There was no product quality complaint involved. Additional information has been requested.

VAERS ID:281281 (history)  Vaccinated:0000-00-00
Age:12.0  Onset:2006-08-17
Gender:Female  Submitted:2007-05-16, Days after onset: 272
Location:Delaware  Entered:2007-05-24, Days after submission: 8
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: None
Diagnostic Lab Data: VZV strain 08/??/06 - results not available yet
CDC Split Type: WAES0609USA00086
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.  UNUN
Administered by: Other     Purchased by: Other
Symptoms: Herpes zoster, Pain
SMQs:
Write-up: Information has been received from a physician concerning a 12 year old female, with no medical history and no allergies, who, "10 years ago", in approximately 1996, was vaccinated with a dose of Varivax. On 17-AUG-2006 the patient developed shingles on her right arm. The rash presented as hundreds of vesicular lesions following a dermatomal distribution. The patient also reported pain. The patient was treated with VALTREX, 1000mg, TID, for 7 days. At the time of the report the patient was recovering. No product quality complaint was involved. Additional information has been requested.

VAERS ID:281310 (history)  Vaccinated:0000-00-00
Age:12.0  Onset:0000-00-00
Gender:Female  Submitted:2007-05-16
Location:Unknown  Entered:2007-05-24, Days after submission: 8
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0609USA00925
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.  UNUN
Administered by: Other     Purchased by: Other
Symptoms: Varicella, Varicella post vaccine
SMQs:
Write-up: Information has been received from a consumer concerning her sister, a 12 year old female who was vaccinated with Varivax. After the first dose of Varivax, the patient "broke out in chickenpox spots all over; there were quite a few." The consumer stated that the patient was taken back to the physician for follow-up. The patient''s chickenpox spots persisted. No further information is available.

VAERS ID:281647 (history)  Vaccinated:0000-00-00
Age:12.0  Onset:2006-10-20
Gender:Female  Submitted:2007-05-16, Days after onset: 208
Location:Massachusetts  Entered:2007-05-24, Days after submission: 8
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness:
Preexisting Conditions: None
Diagnostic Lab Data: diagnostic laboratory 10/25/2006 - results not reported
CDC Split Type: WAES0610USA13724
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC. 0SCUN
Administered by: Other     Purchased by: Other
Symptoms: Laboratory test, Varicella
SMQs:
Write-up: Information has been received from a physician concerning a 12 year old female with no pertinent medical history, who in 1998 was vaccinated SC with a first, one time 0.5 ml dose of Varivax. There was no concomitant medication. ON approximately 20-OCT-2006 the patient developed chickenpox and on 25-OCT-2006 the patient presented to the office "covered head to toe with chickenpox". Unspecified medical attention was sought and "blood work" was performed (results not reported). At the time of the report the patient was recovering. There was no product quality complaint involved. No further information was available. Additional information has been requested.

VAERS ID:281837 (history)  Vaccinated:1985-01-01
Age:12.0  Onset:2006-12-10, Days after vaccination: 8013
Gender:Male  Submitted:2007-05-16, Days after onset: 156
Location:Unknown  Entered:2007-05-24, 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: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0612USA02928
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.  UNUN
Administered by: Other     Purchased by: Other
Symptoms: Varicella
SMQs:
Write-up: Information has been received from a school medical assistant concerning a 12-year-old male who in approximately 1985, at the age of 12 months, was vaccinated with a dose of Varivax. On approximately 10-DEC-2006, the patient developed varicella disease. No medical attention was sought. There was not known. There was no other information to report. No additional information is expected.

VAERS ID:281866 (history)  Vaccinated:2006-08-21
Age:12.0  Onset:2006-08-23, Days after vaccination: 2
Gender:Female  Submitted:2007-05-16, Days after onset: 266
Location:Texas  Entered:2007-05-24, 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: Unknown
Current Illness:
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC Split Type: WAES0701USA01209
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.0266F UNUN
Administered by: Private     Purchased by: Private
Symptoms: Injection site discomfort, Injection site erythema, Injection site mass, Injection site pain, Injection site pruritus, Injection site swelling, Injection site warmth
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: Information has been received from a licensed visiting nurse concerning a 12 year old female with no medical history or allergies who on 21-AUG-2006 was vaccinated in the left arm with a second dose of Varivax (lot # 652807/0266F). Illness at the time of vaccination included a "local reaction". On 23-AUG-2006 at 17:00 the patient developed a golf sized bump with redness, swelling warmth and tenderness on the posterior left upper arm. She also developed swelling and redness from the left elbow up to the shoulder area with itching and discomfort. There was no fever or drainage. Medical attention was not sought. No laboratory diagnostic tests were performed. The patient recovered on an unspecified date. Additional information is not expected.

VAERS ID:282109 (history)  Vaccinated:2007-03-02
Age:12.0  Onset:2007-03-04, Days after vaccination: 2
Gender:Male  Submitted:2007-05-16, Days after onset: 72
Location:Louisiana  Entered:2007-05-24, Days after submission: 8
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: Unknown
Diagnostic Lab Data: None
CDC Split Type: WAES0703USA03724
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC. 1UNUN
Administered by: Other     Purchased by: Other
Symptoms: Erythema, Vaccine positive rechallenge
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (broad)
Write-up: Information has been received from a nurse concerning a 12 year old male who on 02-MAR-2007 was vaccinated with the second dose of Varivax. There was no concomitant medication. On approximately 04-MAR-2007 the patient''s upper arm was red (in between his elbow and up to his shoulder). Unspecified medical attention was sought. There were no laboratory tests performed. Subsequently, the patient recovered from the redness on his upper arm. It was reported that the patient had a similar reaction the first time he was vaccinated with Varivax. Additional information has been requested. Additional information indicated that the patient was vaccinated in the right arm with a dose of VARIVAX (lot # 655066/1141F) on 09-MAR-2007 (previously reported as 02-MAR-2007). It was reported that the patient had no known medical history. No further information was provided. No additional information is available.

VAERS ID:279931 (history)  Vaccinated:2007-04-26
Age:12.0  Onset:2007-04-27, Days after vaccination: 1
Gender:Female  Submitted:2007-05-04, Days after onset: 7
Location:Texas  Entered:2007-05-29, Days after submission: 25
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (BOOSTRIX)GLAXOSMITHKLINE BIOLOGICALSC2556A4IMRA
Administered by: Other     Purchased by: Public
Symptoms: Injection site pain, Injection site swelling, Sensory loss
SMQs:, Peripheral neuropathy (narrow), Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: Pain, swelling at site (R arm) and loss of sensation of fingers of R hand. Symptoms Resolved.

VAERS ID:279938 (history)  Vaccinated:2007-05-21
Age:12.0  Onset:2007-05-22, Days after vaccination: 1
Gender:Female  Submitted:2007-05-23, Days after onset: 1
Location:Illinois  Entered:2007-05-29, 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: none
Current Illness: none
Preexisting Conditions: Penicillin, Sulfa
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (ADACEL)SANOFI PASTEURC2632AA IMLA
Administered by: Private     Purchased by: Private
Symptoms: Urticaria, Vaccination complication
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow)
Write-up: Received Tdap vaccine 5/2/07 IM into (L) arm. Woke on 5/22/07 with hives on back, chest, stomach and thigh. Resolved with Benadryl -$gevaluated in office after developed hives under her eye. No fever or s/s illness. Possible reaction to Tdap. No resp distress or swelling anywhere

VAERS ID:279945 (history)  Vaccinated:2007-05-23
Age:12.0  Onset:2007-05-24, Days after vaccination: 1
Gender:Female  Submitted:2007-05-25, Days after onset: 1
Location:Virginia  Entered:2007-05-29, Days after submission: 4
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness: well child
Preexisting Conditions: Allergic to Amox, Auditory recessive dysfunction
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA)SANOFI PASTEURU1967AA0UNRA
Administered by: Private     Purchased by: Private
Symptoms: Injection site warmth, Rash macular
SMQs:, Hypersensitivity (narrow)
Write-up: Received Menactra 5/23/07. (R) Arm with raised Blotchy Bumps-Warm to touch

VAERS ID:279984 (history)  Vaccinated:2007-05-23
Age:12.0  Onset:2007-05-24, Days after vaccination: 1
Gender:Male  Submitted:2007-05-25, Days after onset: 1
Location:Colorado  Entered:2007-05-30, Days after submission: 5
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Nose spray for allergies
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA)SANOFI PASTEURU1995AA0 RA
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.1510F1 LA
Administered by: Public     Purchased by: Other
Symptoms: Cellulitis, Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: On left deltoid one day after receipt of second Varicella and Menactra, patient developed redness, swelling and tenderness at the site. Also had warmth at the site - redness about 10cm diameter. Seen in Urgent Care 2 days after vaccination - prescribed 10 day course of Keflex for suspected cellulitis.

VAERS ID:280058 (history)  Vaccinated:2007-05-29
Age:12.0  Onset:2007-05-30, Days after vaccination: 1
Gender:Male  Submitted:2007-05-30, Days after onset: 0
Location:Colorado  Entered:2007-05-30
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Albuterol MDI
Current Illness: none
Preexisting Conditions:
Diagnostic Lab Data: None
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.0308U1SCLA
Administered by: Public     Purchased by: Public
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: Hot, red, swollen area of LTR at site of VAR #2 administration 1 day ago. No fever. Otherwise healthy. Treatment: Ice, Ibuprofen 400-600 mg PO TID. If much worse in 2 more days go to Urgent Care Clinic.

VAERS ID:280062 (history)  Vaccinated:2007-05-22
Age:12.0  Onset:2007-05-26, Days after vaccination: 4
Gender:Female  Submitted:2007-05-31, Days after onset: 5
Location:Pennsylvania  Entered:2007-05-31
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: zyrtec
Current Illness: none
Preexisting Conditions: none other than seasonal allergies ie sneezing, runny nose etc.- springtime.
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEPA: HEP A (NO BRAND NAME)UNKNOWN MANUFACTURER    
Administered by: Public     Purchased by: Unknown
Symptoms: Abdominal pain, Diarrhoea, Eating disorder
SMQs:, Acute pancreatitis (broad), Retroperitoneal fibrosis (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (narrow)
Write-up: abdominal pain particularly center and right side; dark watery diarrhea; unable to consistently maintain food consumption without having diarrhea. Two on-call doctors notified & gave recommendations, left messages for pediatrician to contact me(call has not been returned yet); nurse notified & gave recommendations. Recommendations were to treat with dry starchy bland diet, water, and electrolyte liquids. child is always hungry. * I do not know the name of the manufacturer- pediatrician has not yet returned my calls.

VAERS ID:280085 (history)  Vaccinated:2007-05-25
Age:12.0  Onset:2007-05-27, Days after vaccination: 2
Gender:Female  Submitted:2007-05-30, Days after onset: 3
Location:California  Entered:2007-05-31, 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:
Current Illness: none
Preexisting Conditions: Asthma
Diagnostic Lab Data: none
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEPA: HEP A (HAVRIX)GLAXOSMITHKLINE BIOLOGICALSAHAVB129AA1IMLA
HPV4: HPV (GARDASIL)MERCK & CO. INC.ME0181U0IMRA
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA)SANOFI PASTEURU2183AA0IMRA
TDAP: TDAP (ADACEL)SANOFI PASTEURC2720AA0IMLA
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.0337U1SCLA
Administered by: Public     Purchased by: Public
Symptoms: Pyrexia, Rash, Varicella
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Hypersensitivity (narrow)
Write-up: Outbreak of Varicella illness-rash, low grade fever.

VAERS ID:280259 (history)  Vaccinated:2007-02-26
Age:12.0  Onset:2007-02-27, Days after vaccination: 1
Gender:Female  Submitted:2007-06-04, Days after onset: 96
Location:Louisiana  Entered:2007-06-04
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: None
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.0960F0IMLA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Cheilitis, Lip blister, Oral herpes
SMQs:, Oropharyngeal infections (narrow)
Write-up: Mom stated red lips 24 hours post injection. Mom stated fever blisters around lips 48 hours post injection. Mom called md today; Doctor, who stated not to give second vaccine.

VAERS ID:280275 (history)  Vaccinated:2007-05-22
Age:12.0  Onset:2007-05-23, Days after vaccination: 1
Gender:Unknown  Submitted:0000-00-00
Location:Pennsylvania  Entered:2007-06-04
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
TDAP: TDAP (ADACEL)SANOFI PASTEURC2734AA UNLA
Administered by: Private     Purchased by: Private
Symptoms: Erythema, Oedema peripheral, Pain
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad)
Write-up: (L) arm swollen, red sore

VAERS ID:280404 (history)  Vaccinated:1999-05-26
Age:12.0  Onset:0000-00-00
Gender:Female  Submitted:2007-06-04
Location:Arizona  Entered:2007-06-04
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: None
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.0534U1SC 
Administered by: Private     Purchased by: Unknown
Symptoms: Erythema, Local reaction, Pain
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (broad)
Write-up: Localized reaction on day three 2 x 2cm localized redness and 10-11 cm area of pain.

VAERS ID:284102 (history)  Vaccinated:1994-01-01
Age:12.0  Onset:2006-04-01, Days after vaccination: 4473
Gender:Male  Submitted:2007-05-30, Days after onset: 423
Location:Unknown  Entered:2007-06-04, Days after submission: 5
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: serum mumps IgG ?/?/06 no antibodies
CDC Split Type: WAES0604USA03022
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC. 1UNUN
Administered by: Other     Purchased by: Other
Symptoms: Mumps antibody test negative
SMQs:
Write-up: Information has been received from a registered nurse concerning a 24 year old male who was vaccinated with a first and second dose of MMR II in "1980''s" and in 1994. In approximately April 2006, the patient was found to have no antibodies to mumps. It was noted that he was revaccinated on 18-APR-2006. Unspecified medical attention was sought. There was no product quality complaint involved. Additional information has been requested.

VAERS ID:280445 (history)  Vaccinated:2007-05-30
Age:12.0  Onset:2007-05-31, Days after vaccination: 1
Gender:Female  Submitted:2007-05-31, Days after onset: 0
Location:Texas  Entered:2007-06-05, 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: Wellbutrin Sr 150mg, Zoloft 25mg
Current Illness: None
Preexisting Conditions: ADD, Anxiety
Diagnostic Lab Data: None
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA)SANOFI PASTEURU2181AA0IMLA
TDAP: TDAP (ADACEL)SANOFI PASTEURC2638AA0IMLA
Administered by: Private     Purchased by: Private
Symptoms: Chills, Headache, Hot flush, Injection site pain, Nausea
SMQs:, Acute pancreatitis (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)
Write-up: 5-30-07 At 1:00am began with body chills and hot flashes very nauseated worsen at 4am no fever started headache continued this morning with headaches nausea and chills but feels a little better. Site tender to touch no swelling. Tylenol and Motrin.

VAERS ID:280470 (history)  Vaccinated:2007-06-04
Age:12.0  Onset:2007-06-04, Days after vaccination: 0
Gender:Female  Submitted:2007-06-05, Days after onset: 1
Location:Idaho  Entered:2007-06-05
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: No illness at time of vaccination
Preexisting Conditions: amoxicillin
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.0384U0IMRA
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA)SANOFI PASTEURU2170AA0IMRA
TDAP: TDAP (BOOSTRIX)GLAXOSMITHKLINE BIOLOGICALSAC52B014AA0IMLA
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.1049F0SCLA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Convulsion, Fall, Malaise, Pallor
SMQs:, Systemic lupus erythematosus (broad), Convulsions (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Accidents and injuries (narrow), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (narrow)
Write-up: Client received vaccines, has passed out before from immunizations mother reported. After receiving vaccines client turned a little pale, client was laid down on a bed and given apple juice to drink. She stayed down for approximately 10 minutes, then mother and daughter left, stating that she was feeling fine.More than 20 minutes after vaccination, Client returned to clinic with mother and sister to have sister receive vaccinations. Client stated that she didn''t feel well and laid down on the chairs in waiting area. She mumbled something to mother and had a seizure and rolled off the chairs she was laying on. Mother caught her and eased her to the floor. The seizure lasted less than a minute. Offer to call an ambulance was refused. Cold cloth was applied to forehead and arms. Mother was encouraged to take her to the doctor. Mother was called 06-05-07 am, mother stated that patient had a doctors appointment today to be seen. She stated that she was acting normal today and that she would call if the doctor stated anything wrong.

VAERS ID:280705 (history)  Vaccinated:2007-06-05
Age:12.0  Onset:2007-06-05, Days after vaccination: 0
Gender:Male  Submitted:2007-06-06, Days after onset: 1
Location:Texas  Entered:2007-06-06
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:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEPA: HEP A (HAVRIX)GLAXOSMITHKLINE BIOLOGICALSAHAVB099AA1IMLA
TYP: TYPHOID VI POLYSACCHARIDE (TYPHIM VI)SANOFI PASTEURA02210IMLA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Body temperature increased, Erythema, Pruritus, Rash, Somnolence, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hypersensitivity (narrow)
Write-up: Got shot at 11:15, went out to lunch and for a haircut, about 2:00 pm c/o extreme itching on upper thighs and Mom discovered an angry bright red raised rash that mottled and began all joining together into one large solid welt covering the thighs bilaterally from hip to knee. Took him to the pediatrician immediately and by then the rash existed on both forearms and the forehead in addition to the thighs. Given 4 fast melt tablets of Benadryl (adult dose since weight 110 lbs) and observed for 45 minutes in doctor''s office. Temp was 100 degrees. Examined by Drs and allowed to go home after rash subsided. Parents instructed to give Benadryl q 4-6 hours for the next four days. Mother reports on 6/6/07 that some redness was starting again last night but went away after Benadryl was administered. Patient is sleepy from the Benadryl but is doing well.

VAERS ID:282528 (history)  Vaccinated:2006-07-01
Age:12.0  Onset:2006-07-01, Days after vaccination: 0
Gender:Male  Submitted:2007-05-25, Days after onset: 328
Location:Unknown  Entered:2007-06-06, Days after submission: 12
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0608USA00214
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEPA: HEP A (VAQTA)MERCK & CO. INC.  IMUN
Administered by: Other     Purchased by: Other
Symptoms: Rash erythematous
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow)
Write-up: Information has been received from a pharmacist concerning a 12 year old male who was vaccinated about 1 month ago with Vaqta. In approximately July 2006, a week after the vaccination, the patient experienced a red rash on his chest that "seemed to form in lines." "The rash seems to have come and gone several times over the last three weeks". Unspecified medical attention was sought. No other symptoms were noted. There was no product quality complaint. Additional information has been requested.

VAERS ID:282535 (history)  Vaccinated:2006-09-01
Age:12.0  Onset:2006-09-01, Days after vaccination: 0
Gender:Male  Submitted:2007-05-25, Days after onset: 266
Location:New Jersey  Entered:2007-06-06, Days after submission: 12
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness:
Preexisting Conditions: None
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0609USA00453
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEPA: HEP A (VAQTA)MERCK & CO. INC.  SCUN
Administered by: Other     Purchased by: Other
Symptoms: Incorrect route of drug administration, Loss of consciousness
SMQs:, Torsade de pointes/QT prolongation (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad)
Write-up: Information has been received from a healthcare professional concerning a 12 year old male who on 01-SEP-2006 was vaccinated subcutaneously with a dose of Vaqta. There was no concomitant medication. It was reported that on 01-SEP-2006 the patient "passed out" within a minute of receiving Vaqta. Patient woke up after a minute and a half. Patient received the vaccination via a subcutaneous injection. An ambulance was called. Unspecified medical attention was sought. It was reported that the adverse event improved, "yes, on therapy". No product quality complaint. Current status was not recovered. Additional information has been requested.

VAERS ID:280902 (history)  Vaccinated:2007-06-04
Age:12.0  Onset:2007-06-05, Days after vaccination: 1
Gender:Male  Submitted:2007-06-07, Days after onset: 2
Location:Pennsylvania  Entered:2007-06-07
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:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA)SANOFI PASTEURU2276BA0IMLA
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.0365U1SCLA
Administered by: Private     Purchased by: Private
Symptoms: Injection site erythema, Injection site warmth
SMQs:, Extravasation events (injections, infusions and implants) (broad)
Write-up: 8x4 area of warmth, redness in left arm

VAERS ID:281045 (history)  Vaccinated:2007-05-29
Age:12.0  Onset:2007-05-31, Days after vaccination: 2
Gender:Female  Submitted:2007-06-05, Days after onset: 5
Location:Virginia  Entered:2007-06-08, 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: None
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.0389U0IMLA
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.0126U1SCRA
Administered by: Private     Purchased by: Private
Symptoms: Injection site cellulitis, Injection site induration, Injection site pain, Pain
SMQs:, Extravasation events (injections, infusions and implants) (broad)
Write-up: seen 5/31/07 4cm x 5 cm area with induration-severe tenderness (L) deltoid area. Diagnosed with Cellulitis secondary to Gardasil injection. Treated with antibiotic-Augmentin 400 mg chews Ztabs po BID x 10 days. Motrin 2 tabs Q6hrs, as needed for pain.

VAERS ID:281089 (history)  Vaccinated:2007-06-04
Age:12.0  Onset:2007-06-04, Days after vaccination: 0
Gender:Female  Submitted:2007-06-04, Days after onset: 0
Location:Ohio  Entered:2007-06-08, Days after submission: 4
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Zithromax, Diflucan
Current Illness: otitis yeast infection
Preexisting Conditions: Amoxicillin
Diagnostic Lab Data: CBC w/diff (awaiting results)
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.0388U0IMLA
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA)SANOFI PASTEURU1974AB0IMRA
TDAP: TDAP (BOOSTRIX)GLAXOSMITHKLINE BIOLOGICALSAC52B013AA0IMLA
Administered by: Private     Purchased by: Private
Symptoms: Decreased appetite, Flushing, Full blood count, Muscular weakness, Nausea, Pain, Pyrexia
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Acute pancreatitis (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypersensitivity (broad)
Write-up: fever (102.F), flushed cheeks, leg/arm pain, weakness in legs, nausea, poor appetite x 2 days

VAERS ID:281130 (history)  Vaccinated:2007-06-04
Age:12.0  Onset:2007-06-04, Days after vaccination: 0
Gender:Male  Submitted:2007-06-08, Days after onset: 4
Location:Minnesota  Entered:2007-06-08
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.1152F1SCUN
Administered by: Private     Purchased by: Unknown
Symptoms: Cold compress therapy, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow)
Write-up: local urticarial/hive type reaction. cold packs and Clarinex

VAERS ID:281418 (history)  Vaccinated:2007-06-08
Age:12.0  Onset:2007-06-08, Days after vaccination: 0
Gender:Female  Submitted:2007-06-08, Days after onset: 0
Location:South Dakota  Entered:2007-06-12, Days after submission: 4
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.0384U0UNLA
Administered by: Private     Purchased by: Unknown
Symptoms: Dizziness, Dyspnoea, Hyperhidrosis, Nausea, Pallor
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad)
Write-up: Patient developed difficulty breathing, light-headed, dizzy skin-diaphoretic,pale nauseated-felt like she was going to faint. Symptoms started 2-3 minutes after vaccination.

Result pages: prev   2380 2381 2382 2383 2384 2385 2386 2387 2388 2389 2390 2391 2392 2393 2394 2395 2396 2397 2398 2399 2400 2401 2402 2403 2404 2405 2406 2407 2408 2409 2410 2411 2412 2413 2414 2415 2416 2417 2418 2419 2420 2421 2422 2423 2424 2425 2426 2427 2428 2429 2430 2431 2432 2433 2434 2435 2436 2437 2438 2439 2440 2441 2442 2443 2444 2445 2446 2447 2448 2449 2450 2451 2452 2453 2454 2455 2456 2457 2458 2459 2460 2461 2462 2463 2464 2465 2466 2467 2468 2469 2470 2471 2472 2473 2474 2475 2476 2477 2478 2479 2480 2481 2482 2483 2484 2485 2486 2487 2488 2489 2490 2491 2492 2493 2494 2495 2496 2497 2498 2499 2500 2501 2502 2503 2504 2505 2506 2507 2508 2509 2510 2511 2512 2513 2514 2515 2516 2517 2518 2519 2520 2521 2522 2523 2524 2525 2526 2527 2528 2529 2530 2531 2532 2533 2534 2535 2536 2537 2538 2539 2540 2541 2542 2543 2544 2545 2546 2547 2548 2549 2550 2551 2552 2553 2554 2555 2556 2557 2558 2559 2560 2561 2562 2563 2564 2565 2566 2567 2568 2569 2570 2571 2572 2573 2574 2575 2576 2577 2578   next

New Search

Link To This Search Result:
http://www.medalerts.org/vaersdb/findfield.php?EVENTS=ON&PAGENO=2479&PERPAGE=100&ESORT=A
GE


Copyright © 2015 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166