MedAlerts Home
  Read the MedAlerts Blog Subscribe to the MedAlerts Blog 

Found 583703 cases in entire database

Case Details (Sorted by Age)

This is page 2684 out of 5838

Result pages: prev   2585 2586 2587 2588 2589 2590 2591 2592 2593 2594 2595 2596 2597 2598 2599 2600 2601 2602 2603 2604 2605 2606 2607 2608 2609 2610 2611 2612 2613 2614 2615 2616 2617 2618 2619 2620 2621 2622 2623 2624 2625 2626 2627 2628 2629 2630 2631 2632 2633 2634 2635 2636 2637 2638 2639 2640 2641 2642 2643 2644 2645 2646 2647 2648 2649 2650 2651 2652 2653 2654 2655 2656 2657 2658 2659 2660 2661 2662 2663 2664 2665 2666 2667 2668 2669 2670 2671 2672 2673 2674 2675 2676 2677 2678 2679 2680 2681 2682 2683 2684 2685 2686 2687 2688 2689 2690 2691 2692 2693 2694 2695 2696 2697 2698 2699 2700 2701 2702 2703 2704 2705 2706 2707 2708 2709 2710 2711 2712 2713 2714 2715 2716 2717 2718 2719 2720 2721 2722 2723 2724 2725 2726 2727 2728 2729 2730 2731 2732 2733 2734 2735 2736 2737 2738 2739 2740 2741 2742 2743 2744 2745 2746 2747 2748 2749 2750 2751 2752 2753 2754 2755 2756 2757 2758 2759 2760 2761 2762 2763 2764 2765 2766 2767 2768 2769 2770 2771 2772 2773 2774 2775 2776 2777 2778 2779 2780 2781 2782 2783   next


VAERS ID:384799 (history)  Vaccinated:2009-12-02
Age:7.0  Onset:2009-12-02, Days after vaccination: 0
Gender:Female  Submitted:2009-12-04, Days after onset: 2
Location:Pennsylvania  Entered:2010-04-09, Days after submission: 125
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
FLUX(H1N1): INFLUENZA (H1N1) (H1N1 (MONOVALENT) (UNKNOWN)UNKNOWN MANUFACTURER  UNUN
Administered by: Public     Purchased by: Unknown
Symptoms: Pruritus, Rash, Swelling face
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Child itching face and rash noted by child''s teacher after the Flumist was given. Rash noted by school nurse on neck, bridge of nose, forehead and rash and some swelling on both cheeks. Tsp Benadryl given and parents notified. Rash gone the next day.

VAERS ID:385053 (history)  Vaccinated:2010-04-01
Age:7.0  Onset:2010-04-02, Days after vaccination: 1
Gender:Male  Submitted:2010-04-10, Days after onset: 8
Location:Tennessee  Entered:2010-04-14, 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:
Current Illness: None
Preexisting Conditions: Peanuts, Seafood
Diagnostic Lab Data: None
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.1252X1UNLA
Administered by: Private     Purchased by: Private
Symptoms: Rash maculo-papular, Rash pruritic
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Maculopapular, pruritic rash over neck, shoulders and trunk. Started: 24 hr after vaccine given. For itch (used x 2 days prn) BENADRYL. Mostly resolved and no itch 9 days after vaccine.

VAERS ID:385330 (history)  Vaccinated:2010-04-14
Age:7.0  Onset:2010-04-14, Days after vaccination: 0
Gender:Male  Submitted:2010-04-16, Days after onset: 2
Location:California  Entered:2010-04-16
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions:
Diagnostic Lab Data: None
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAP: DTAP (DAPTACEL)SANOFI PASTEURC3358AA3UNLA
IPV: POLIO VIRUS, INACT. (IPOL)SANOFI PASTEURDC1232UNLA
Administered by: Private     Purchased by: Private
Symptoms: Vomiting
SMQs:, Acute pancreatitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)
Write-up: Emesis

VAERS ID:385364 (history)  Vaccinated:2010-03-30
Age:7.0  Onset:2010-03-30, Days after vaccination: 0
Gender:Male  Submitted:2010-04-19, Days after onset: 20
Location:Minnesota  Entered:2010-04-19
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
FLUN(H1N1): INFLUENZA (H1N1) (H1N1 (MONOVALENT) (MEDIMMUNE)MEDIMMUNE VACCINES, INC.500851P1IN 
Administered by: Public     Purchased by: Other
Symptoms: Expired drug administered
SMQs:, Medication errors (narrow)
Write-up: Expired vaccine given

VAERS ID:385365 (history)  Vaccinated:2010-03-30
Age:7.0  Onset:2010-03-30, Days after vaccination: 0
Gender:Male  Submitted:2010-04-19, Days after onset: 20
Location:Minnesota  Entered:2010-04-19
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
FLUN(H1N1): INFLUENZA (H1N1) (H1N1 (MONOVALENT) (MEDIMMUNE)MEDIMMUNE VACCINES, INC.500851P1IN 
Administered by: Public     Purchased by: Other
Symptoms: Expired drug administered
SMQs:, Medication errors (narrow)
Write-up: Expired Vaccine Given

VAERS ID:385513 (history)  Vaccinated:2010-04-13
Age:7.0  Onset:2010-04-14, Days after vaccination: 1
Gender:Male  Submitted:2010-04-20, Days after onset: 6
Location:Illinois  Entered:2010-04-20
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None noted. Pt was only at office for vaccine.
Preexisting Conditions: Allergic to Amoxicillin Allergic Rhinitis Overweight Asthma Chronic Sinusitis Chronic Pansinusitis Eczema
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.1191Y0IMLA
Administered by: Private     Purchased by: Private
Symptoms: Abdominal pain upper, Cellulitis, Injection site erythema, Injection site swelling, Injection site warmth, Pain in extremity, Pyrexia, Skin warm, Vomiting
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), Haemodynamic oedema, effusions and fluid overload (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: 4/14 PM, Pt c/o of arm hurting after school, 2 inch area of redness, swelling and heat at injection site. No fever. Advised to apply ice and use Tylenol or ibuprofen for discomfort. 4/15 6 am Pt vomiting and complaining of stomach ache. Temp 100.7, area of redness at injection site is now 2.5 inches, arm warm and painful to the touch. Advised appointment. 4/15, approximately 9am, appt. with Dr., arm painful, 4.5-5cm area of erythema and swelling at injection site. Keflex 250mg bid x5 days for cellulitis. Instructed to contact if continued fever or increase in pain. 4/15, PM Redness has spread, fever 102.8 1 hour after 400mg ibuprofen administered. Arm hot and painful, referred to ER. 4/16 appt with Dr. in allergy. Rx alternating Tylenol and ibuprofen and icing the area as much as possible. Prednisone 20mg x 3 days prescribed. Rx go to ER if symptoms/fever worsen over weekend, f/u appt. made for 4/20 with Dr.

VAERS ID:385942 (history)  Vaccinated:2010-01-14
Age:7.0  Onset:2010-02-06, Days after vaccination: 23
Gender:Female  Submitted:2010-04-26, Days after onset: 78
Location:Tennessee  Entered:2010-04-26
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: no
Preexisting Conditions: no
Diagnostic Lab Data: She did not have a fungus causing the hair loss and she does not have thyroid problems. Both of these were tested for and were negative
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLUX(H1N1): INFLUENZA (H1N1) (H1N1 (MONOVALENT) (UNKNOWN)UNKNOWN MANUFACTURER249611A1UNAR
Administered by: Private     Purchased by: Public
Symptoms: Alopecia, Alopecia areata, Fungal test negative, Thyroid function test normal
SMQs:
Write-up: I noticed a bald spot on the top of patient''s head. Within days I noticed more balding spots and thinning. I took her to her pediatrician who referred me to a dermatologist who referred me to our current Pediatric Dermatologist Specialist. Patient has used/ is using 2 different medications on her scalp and received injection in her scalp on April 23, 2010. She has lost about 35% of her hair. It falls out every day by the handfuls. She has been diagnosed with alopecia areata. It was caused by the H1N1 shot.

VAERS ID:386539 (history)  Vaccinated:2010-04-29
Age:7.0  Onset:2010-04-30, Days after vaccination: 1
Gender:Male  Submitted:2010-05-03, Days after onset: 3
Location:South Carolina  Entered:2010-05-03
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:
Diagnostic Lab Data: CBC unremarkable; other labs pending
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.1701Y1SCLA
Administered by: Private     Purchased by: Public
Symptoms: Blood culture, C-reactive protein, Cellulitis, Full blood count normal, Injection site erythema, Injection site swelling, Laboratory test
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: Mom complains that injection site is red and swollen size: 3cm x 2.5 cm Dx: Post vaccination cellulitis. Tx: Augmentin Labs: CBC, Blood cultures, CRP

VAERS ID:386894 (history)  Vaccinated:2010-04-30
Age:7.0  Onset:2010-04-30, Days after vaccination: 0
Gender:Male  Submitted:2010-04-30, Days after onset: 0
Location:Oklahoma  Entered:2010-05-06, Days after submission: 6
Life Threatening? Yes
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: ADHD; Asthma; Allergic rhinitis; Hearing loss
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU(H1N1): INFLUENZA (H1N1) (H1N1 (MONOVALENT) (SANOFI)SANOFI PASTEURUP100AA1IMRA
Administered by: Private     Purchased by: Public
Symptoms: Eye swelling, Respiratory distress, Swelling face, Urticaria, Wheezing
SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), Asthma/bronchospasm (broad), Acute central respiratory depression (broad), Eosinophilic pneumonia (broad), Hypersensitivity (narrow), Respiratory failure (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Patient had facial swelling - especially eyes, hives, and wheezing/respiratory distress 25 min after shot. Pt had eaten pecans 30 min prior but has no food allergy. Pt had a sat of 92%. BENADRYL, steroids and albuterol were given.

VAERS ID:387141 (history)  Vaccinated:0000-00-00
Age:7.0  Onset:2010-04-22
Gender:Male  Submitted:2010-05-10, Days after onset: 18
Location:Kansas  Entered:2010-05-10
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: No
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (NO BRAND NAME)UNKNOWN MANUFACTURER 1UNUN
Administered by: Private     Purchased by: Other
Symptoms: Varicella
SMQs:
Write-up: Patient received two doses of Varicella. On 04/22/2010, Patient broke out with chickenpox #1 12/29/2003 #2 11/16/2007.

VAERS ID:387206 (history)  Vaccinated:2010-04-29
Age:7.0  Onset:2010-05-05, Days after vaccination: 6
Gender:Female  Submitted:2010-05-06, Days after onset: 1
Location:Massachusetts  Entered:2010-05-11, Days after submission: 5
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: Eczema
Diagnostic Lab Data: None
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAP: DTAP (DAPTACEL)SANOFI PASTEURU3009BA0IMRA
Administered by: Private     Purchased by: Public
Symptoms: Injection site swelling, Injection site urticaria
SMQs:, Anaphylactic reaction (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow)
Write-up: Swelling, urticaria at site (only).

VAERS ID:387392 (history)  Vaccinated:2001-05-12
Age:7.0  Onset:0000-00-00
Gender:Male  Submitted:2010-05-13
Location:Unknown  Entered:2010-05-13
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: No
Preexisting Conditions: No
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
MEN: MENINGOCOCCAL (MENOMUNE)SANOFI PASTEURU3102AA1 RA
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.1656Y1 LA
Administered by: Other     Purchased by: Public
Symptoms: Unevaluable event
SMQs:
Write-up: None. Child received 2nd dose of Menactra. Had first Menactra in 2007.

VAERS ID:387401 (history)  Vaccinated:2010-05-11
Age:7.0  Onset:2010-05-13, Days after vaccination: 2
Gender:Female  Submitted:2010-05-13, Days after onset: 0
Location:Texas  Entered:2010-05-13
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Sinusitis acute; Insect bites
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.1207Y SCLA
Administered by: Private     Purchased by: Public
Symptoms: Injection site swelling
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: Swollen on left arm of sight.

VAERS ID:387415 (history)  Vaccinated:2009-10-23
Age:7.0  Onset:2009-10-29, Days after vaccination: 6
Gender:Female  Submitted:2010-05-13, Days after onset: 196
Location:Missouri  Entered:2010-05-13
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: no
Preexisting Conditions: allergic to penicillin
Diagnostic Lab Data: Blood work, stool samples, upper endoscopy all results came back normal
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLUN(H1N1): INFLUENZA (H1N1) (H1N1 (MONOVALENT) (MEDIMMUNE)MEDIMMUNE VACCINES, INC.500763P1IN 
Administered by: Unknown     Purchased by: Other
Symptoms: Abdominal pain upper, Blood test normal, Endoscopy upper gastrointestinal tract normal, Stool analysis normal
SMQs:, Acute pancreatitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)
Write-up: Stomach ache - daily every since some days are worse than others. After running tests the Dr. have tried Miralax, Pepcid & Prevacid none of them help.

VAERS ID:387875 (history)  Vaccinated:2009-07-29
Age:7.0  Onset:0000-00-00
Gender:Male  Submitted:2010-05-14
Location:Texas  Entered:2010-05-17, 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:
Current Illness:
Preexisting Conditions: Chickenpox
Diagnostic Lab Data: None
CDC Split Type: WAES0908USA00037
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC. 1SCUN
Administered by: Other     Purchased by: Other
Symptoms: Headache, Injection site erythema, Injection site pruritus, Injection site swelling, Injection site vesicles, Nausea
SMQs:, Acute pancreatitis (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: Information has been received from a nurse concerning a 7 year old male who on 29-JUL-2009 was vaccinated subcutaneously with the second dose of VARIVAX (Merck) (Lot# 0508Y). The patient''s mother called the office on 30-JUL-2009 and stated that on 27-Jul-2009 her son developed a headache and nausea. On 28-JUL-2009, when the patient awoke, the injection site was red, swollen, and itchy and there was a blister (one pox) at the site. The patient''s mother had called about a year ago and mentioned that she thought her son had had a breakthrough case of the chicken pox. The patient was never seen in the office to have a diagnosis made. The patient was recovering. Additional information has been requested.

VAERS ID:387906 (history)  Vaccinated:0000-00-00
Age:7.0  Onset:0000-00-00
Gender:Male  Submitted:2010-05-14
Location:Pennsylvania  Entered:2010-05-17, 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: None
CDC Split Type: WAES0908USA00590
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC. 0SCUN
Administered by: Other     Purchased by: Other
Symptoms: Herpes zoster
SMQs:
Write-up: Information has been received from a registered nurse concerning a male patient who at the age of one in approximately 1999 was vaccinated subcutaneously with the first dose of VARIVAX (Merck). There was no concomitant medication. In 2005 when the patient was approximately 7 years old, the patient developed shingles as confirmed by physician. The patient had sought medical attention via office visit and had recovered (date unknown). There was no laboratory studies performed. Additional information has been requested.

VAERS ID:388137 (history)  Vaccinated:2007-12-19
Age:7.0  Onset:2009-04-02, Days after vaccination: 470
Gender:Male  Submitted:2010-05-14, Days after onset: 407
Location:Unknown  Entered:2010-05-17, 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:
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0904USA03220
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.1568U1SCUN
Administered by: Other     Purchased by: Other
Symptoms: Rash erythematous, Rash papular, Rash pruritic, Varicella
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Information has been received from a health professional concerning an 8 year old male at approximately 12 moths of age, who on 02-OCT-2001 was vaccinated subcutaneously with a first dose of VARIVAX (Merck) (lot # 657408/0517U) and on 19-Dec-2007 was vaccinated subcutaneously with a second dose of VARIVAX (Merck) (lot # 659358/1568U). On 02-APR-2009 the patient called the office to complain of red, itchy rash and was seen in the office on the same day. The patient had pink papules on chest, neck, arms and legs and one clear vesicle on trunk. Nothing had ever been crushed over yet. The patient was diagnosed with chicken pox. At the time of reporting, the outcome was not reported. No further information is available.

VAERS ID:387829 (history)  Vaccinated:2008-07-15
Age:7.0  Onset:2009-06-21, Days after vaccination: 341
Gender:Female  Submitted:2010-05-14, Days after onset: 327
Location:Massachusetts  Entered:2010-05-18, Days after submission: 4
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: None
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0906USA05059
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.1797U1UNUN
Administered by: Other     Purchased by: Other
Symptoms: Blister
SMQs:, Severe cutaneous adverse reactions (broad), Hypersensitivity (broad)
Write-up: Information has been received from a registered nurse concerning a 12 month old female who on 05-JUN-2002 was vaccinated with the first dose of VARIVAX (Merck) and on 15-JUL-2008 was vaccinated with the second dose of VARIVAX (Merck) (Lot # 659942/1797U). The registered nurse reported that on 21-JUN-2009, the patient had numerous scattered and crushed vesicles mainly on her legs. The patient also had some on her left anterior shoulder, trunk and upper arm. Some lesions were vesicular. The patient was receiving topical symptomatic relief. At the time of the report, the patient had not recovered. The patient sought medical attention at the physician''s office. Additional information has been requested.

VAERS ID:387871 (history)  Vaccinated:0000-00-00
Age:7.0  Onset:0000-00-00
Gender:Male  Submitted:2010-05-14
Location:Unknown  Entered:2010-05-18, Days after submission: 4
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? Yes, ? days
    Extended hospital stay? Yes
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0911USA01021
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.  UNUN
Administered by: Other     Purchased by: Other
Symptoms: Herpes zoster, Pain of skin, Pyrexia, Rash
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: It was reported in a published article that a 7 year old male experienced fever and severe herpes zoster pain with facial rash and was hospitalized who was vaccinated with VARIVAX (Merck) 6 years previously. The varicella-zoster virus (VZV) vaccine strain may reactivate to cause herpes zoster. Limited data suggest that the risk of herpes zoster in vaccinated children could be lower than in children with naturally acquired varicella. The authors examine incidence trends, risk, and epidemiologic and clinical features of herpes zoster disease among children and adolescents by vaccination status. Population-based active surveillance was conducted among 20 year old residents from 2000 through 2006, structured telephone interviews collected demographic, varicella vaccination and disease histories, and clinical information. From 2000 to 2006, the incidence of herpes zoster among children less than 10 years of age declined by 55%, from 42 cases reported in 2000 (74.8/100,000 persons; 95% confidence interval [95% CI]: 55.3-101.2) to 18 reported in 2006 (933.3/100,000; 95% CI: 20.9-52.8; P less than 0.001). During the same period, the incidence of herpes zoster among 10- to 19-year-old increased by 63%, from 35 cases reported in 2000 (59.5/100,000 persons; 95% CI: 42.7-82.9) to 64 reported in 2006 (96.7/100,000; 95% CI: 75.7-123.6; P less than 0.02). Among children aged less than 10 years, those with a history of varicella vaccination had a 4 to 12 times lower risk for developing herpes zoster compared with children with history of varicella disease. Varicella vaccine substantially decreases the risk of herpes zoster among vaccinated children and its widespread use will likely reduce overall herpes zoster burden. The increase in herpes zoster incidence among 10- to 19-year-olds could be confidently explained and needs to be confirmed from other data sources. The patient was a healthy 7-year-old boy who was vaccinated 6 years previously and had no history of varicella. He was admitted with fever and severe herpes zoster pain with facial rash. Overall, the rate of herpes zoster-related hospitalization per 100,000 population aged, 20 years was 0.6 (95% CI: 0.25-146), and the rate of hospitalization per 1000 herpes zoster cases was 10.9 (95% CI: 4.5-26.2). No further information is available.

VAERS ID:387968 (history)  Vaccinated:0000-00-00
Age:7.0  Onset:2008-05-27
Gender:Unknown  Submitted:2010-05-14, Days after onset: 717
Location:Texas  Entered:2010-05-18, Days after submission: 4
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0908USA00990
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.  UNUN
Administered by: Other     Purchased by: Other
Symptoms: Skin lesion
SMQs:, Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Information has been received from a health professional concerning an approximately 7 year old patient who was vaccinated with a dose of VARIVAX (Merck) (lot #, route and site of administration not reported). On approximately 27-MAY-2008 the patient developed 5-10 lesions. At the time of the reporting, the patient''s outcome was unknown. This is one of several reports from the same source. No further information is available.

VAERS ID:387980 (history)  Vaccinated:2003-05-09
Age:7.0  Onset:2009-07-13, Days after vaccination: 2257
Gender:Female  Submitted:2010-05-14, Days after onset: 305
Location:California  Entered:2010-05-18, Days after submission: 4
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0908USA01133
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.0593M0UNUN
Administered by: Other     Purchased by: Other
Symptoms: Impetigo, Pyrexia, Varicella post vaccine
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Information has been received from a physician and a consumer (patient''s mother) concerning a 7 year old female who on 09-MAY-2003, was vaccinated with first dose of VARIVAX (Merck) (route not reported, lot number 643082/0593M). The patient''s mother reported that her daughter received two doses, but the physician reported that patient only received one dose. On 13-JUL-2009 the patient experienced chickenpox (the patient was diagnosed with chickenpox on 22-JUL-2009). On 27-JUL-2009, the patient was seen again and she was diagnosed with impetigo. On 02-AUG-2009, the patient was seen again and she was diagnosed with impetigo. On 02-AUG-2009, the patient had a fever. The patient current status was unknown. The patient sought medical attention by contracting the pediatrician. Additional information has been requested.

VAERS ID:388005 (history)  Vaccinated:2008-10-01
Age:7.0  Onset:2009-08-12, Days after vaccination: 315
Gender:Male  Submitted:2010-05-14, Days after onset: 275
Location:Unknown  Entered:2010-05-18, Days after submission: 4
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC Split Type: WAES0908USA02428
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.1136X1UNUN
Administered by: Other     Purchased by: Other
Symptoms: Rash
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Information has been received from a physician and a nurse concerning an 8 year old male patient who in 2002, "sometime in 2002" was vaccinated with the first dose of VARIVAX (Merck) and the second dose of VARIVAX (Merck) (lot # 661659/1136X) in October, 2008. On 12-AUG-2009 the patient developed a painful rash located on the left side of the front torso, on the knee, arms and legs. The physician and nurse reported that the patient came into the office on 13-AUG-2009 and was prescribed acyclovir (manufacturer unknown) for the rash. At the time of the report, the patient had not recovered. Additional information has been requested.

VAERS ID:388258 (history)  Vaccinated:2003-10-10
Age:7.0  Onset:2007-11-16, Days after vaccination: 1498
Gender:Unknown  Submitted:2010-05-14, Days after onset: 909
Location:Texas  Entered:2010-05-18, Days after submission: 4
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0908USA00980
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.  UNUN
Administered by: Other     Purchased by: Other
Symptoms: Skin lesion
SMQs:, Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Information has been received from a licensed practical nurse concerning an approximately 10 year old patient who on 10-OCT-2003 was vaccinated with a dose of VARIVAX (Merck). On approximately 16-NOV-2007 the patient developed more than 100 lesions. At the time of the report, the patients'' outcome was unknown. This is one of several reports received from the same source. No further information is available.

VAERS ID:388313 (history)  Vaccinated:0000-00-00
Age:7.0  Onset:0000-00-00
Gender:Female  Submitted:2010-05-14
Location:Unknown  Entered:2010-05-18, Days after submission: 4
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0904USA00231
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.  UNUN
Administered by: Other     Purchased by: Other
Symptoms: Varicella post vaccine
SMQs:
Write-up: Information has been received from a nurse practitioner concerning her 7 year old daughter who was vaccinated with two doses of VARIVAX (Merck). On unknown date, the patient developed a mild case of chicken pox. The patient was seen by the nurse practitioner. At the time of reporting, the patient''s a mild case of chicken pox persisted. Additional information has been requested.

VAERS ID:388535 (history)  Vaccinated:0000-00-00
Age:7.0  Onset:0000-00-00
Gender:Female  Submitted:2010-05-14
Location:Unknown  Entered:2010-05-18, 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:
Current Illness: Egg allergy
Preexisting Conditions:
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0910USA01905
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.  UNUN
Administered by: Other     Purchased by: Other
Symptoms: Hypersensitivity
SMQs:, Angioedema (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Information has been received from a consumer concerning her 7 year old daughter with "a severe egg allergy" who "a while back" was vaccinated with a dose of MMR II. Subsequently (a while back), the patient had severe reaction. At the time of this report, the patient''s outcome was unspecified. It was unknown if the patient has sought medical attention. No further information is available.

VAERS ID:388560 (history)  Vaccinated:2009-04-27
Age:7.0  Onset:2009-08-21, Days after vaccination: 116
Gender:Male  Submitted:2010-05-14, Days after onset: 266
Location:Unknown  Entered:2010-05-18, 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:
Current Illness:
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC Split Type: WAES0909USA00637
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.1019R1UNUN
Administered by: Other     Purchased by: Other
Symptoms: Face oedema, Scab, Skin lesion, Varicella post vaccine
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Information has been received from a registered nurse concerning a 7 year old male patient with no pertinent medical history and no drug reactions/allergies who on 18-DEC-2008 was vaccinated with the first dose of VARIVAX (Merck) (lot #641709/0330M), and on 27-APR-2009 received the second dose of VARIVAX (Merck) (lot #652456/1019R). There was no concomitant medication. It was reported on 21-AUG-2009 experienced chicken pox. The patient developed a few lesions and by the next morning he had 50 - 500 lesions covering his body and a fever. The patient was seen by his primary care physician on 24-AUG-2009 with lesions crusting over. The doctor confirmed diagnosis of chicken pox. There were no complications and no treatment was required. No lab tests were performed. On an unspecified date. the patient had recovered and had returned to school. Additional information has been requested.

VAERS ID:388641 (history)  Vaccinated:1997-12-03
Age:7.0  Onset:2009-12-01, Days after vaccination: 4381
Gender:Female  Submitted:2010-05-14, Days after onset: 163
Location:New York  Entered:2010-05-18, 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:
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: body temp, 11/10/09, 102F; serum immunoglobulin M, 12/02/09, 0.34; serum immunoglobulin G, 12/02/09, 5.69; serum amylase test, 12/02/09, 66; serum immunoglobulin M, 01/12/10, <1:10; serum immunoglobulin G, 01/12/10, 4.91; serum amylase test, 01/22/10, 172; serum amylase test, 01/22/10, 245; serum immunoglobulin G, 01/22/10, 6.45; serum immunoglobulin M, 01/22/10, <1:10; serum immunoglobulin M, 11/10/09, 1:10:; serum immunoglobulin G, 11/10/09, 0.72; serum amylase test, 11/10/09, 204
CDC Split Type: WAES1001USA02048
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC. 1UNUN
Administered by: Other     Purchased by: Other
Symptoms: Blood amylase increased, Blood immunoglobulin G, Blood immunoglobulin M, Body temperature increased, Diarrhoea, Exposure to communicable disease, Headache, Mumps, Parotitis, Pyrexia
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Oropharyngeal infections (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Information has been received from a physician concerning a 19 year old female who on 10-JUN-1991 (also reported on 10-JUN-1997) and 03-DEC-1997 was vaccinated with the first and second doses of MMR II (LOT# not reported), respectively. On 24-NOV-2009 the patient experienced onset of mumps. Mumps diagnosis reported as 10-NOV-2009. The patient also experienced headache, fever of 102F and diarrhea twice a day. On 10-NOV-2009, the patient had blood work was done that revealed IgM was 1:10:10, IgG was 0.72 and serum amylase was 204. The patient''s outcome was unknown. Follow-up information has been received from a physician concerning the 19 year old female patient who on 02-DEC-2009 had blood work done that revealed IgM was 0.34, IgG was 5.69 and serum amylase was 66. On 12-JAN-2010, blood work was done that revealed IgM was <1:10, IgG was 4.91 and serum amylase was 172; and on 22-JAN-2010, blood work was done that revealed IgM was <1:10, IgG was 6.45 and serum amylase was 245. At the time of the report, the patient''s status was unknown. Follow-up information has been received from a physician concerning the 19 year old female patient who on 01-DEC-2009 (previously reported as 24-NOV-2009) experienced onset of symptoms. On 02-DEC-2009 (previously reported as 10-NOV-2009), the patient was diagnosed with mumps. The patient was afebrile and had right parotitis. On 11-JAN-2010 the patient experienced onset of symptoms. On 12-JAN-2010, the patient was diagnosed with mumps. The patient was afebrile, had right parotitis and history mumps exposure in school. On 20-JAN-2010 the patient experienced onset of symptoms. On 22-JAN-2010, the patient was diagnosed with mumps. The patient was swelling under right ear and had right parotitis. At the time of report, the patient''s status was unknown. No further information is available.

VAERS ID:388860 (history)  Vaccinated:1997-09-25
Age:7.0  Onset:2009-11-10, Days after vaccination: 4429
Gender:Male  Submitted:2010-05-14, Days after onset: 184
Location:New York  Entered:2010-05-18, 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:
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Serum immunoglobulin M, 11/10/09, <1:10; serum immunoglobulin G, 11/10/09, 9.29; serum amylase test, 11/10/09, 725
CDC Split Type: WAES1001USA01965
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC. 1UNUN
Administered by: Other     Purchased by: Other
Symptoms: Mumps, Parotitis, Vaccine breakthrough infection
SMQs:, Oropharyngeal infections (narrow)
Write-up: Information has been received from a physician concerning a 19 year old male patient who on 31-MAR-1992 was vaccinated with the first dose of MMR II. On 25-SEP-1997, the patient was vaccinated with the second dose of MMR II. On 10-NOV-2009 the patient was diagnosed with mumps. Parotitis was on right side. The patient did not experience fever. Blood work was performed with a result of IgM<1:10, IgG 9.29 and serum amylase 725. At the time of the report, the patient''s status was unknown. Additional information has been requested.

VAERS ID:389045 (history)  Vaccinated:1997-10-14
Age:7.0  Onset:2009-11-22, Days after vaccination: 4422
Gender:Male  Submitted:2010-05-14, Days after onset: 172
Location:Unknown  Entered:2010-05-18, 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:
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: serum immunoglobulin M, 12/03/09, <1:10; serum immunoglobulin G, 12/03/09, 4.29; serum amylase test, 12/03/09, 273; serum immunoglobulin M, 11/23/09, <1:10; serum immunoglobulin G, 11/23/09, 3.94; serum amylase test, 11/23/09, 190
CDC Split Type: WAES1001USA02172
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC. 1UNUN
Administered by: Other     Purchased by: Other
Symptoms: Blood amylase, Blood immunoglobulin G, Blood immunoglobulin M, Mumps, Parotitis
SMQs:, Oropharyngeal infections (narrow)
Write-up: Information has been received from a physician concerning an 19 year old male patient who on 27-MAY-1992 was vaccinated with the first dose of MMR II (route, site, dose and lot number not reported). On 14-OCT-1997, the patient was vaccinated with the second dose of MMR II (route, site, dose and lot number not reported). On 30-NOV-2009 the patient experienced mumps (date diagnosed was reported as 03-DEC-2009). The patient was afebrile and had parotitis. On 03-DEC-2009, the laboratory tests showed IgM <1:10, IgG 4.29 and serum amylase 273. The outcome for mumps was not reported. Follow up information has been received from the physician who reported that the 15 year old patient at symptoms onset date experienced mumps on 22-NOV-2009 (previously reported as 30-NOV-2009). The date diagnosed was reported as 23-NOV-2009 (previously reported as 03-DEC-2009). The patient was afebrile and had bilateral parotitis. On 23-Nov-2009, the blood work test showed IgM <1:10, IgG 3.94 and serum amylase 190. At the time of the report the patient''s outcome was unknown. This is one of several reports from the same source. No further information is available.

VAERS ID:389182 (history)  Vaccinated:0000-00-00
Age:7.0  Onset:0000-00-00
Gender:Male  Submitted:2010-05-10
Location:Kansas  Entered:2010-05-24, 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: Unknown
Preexisting Conditions:
Diagnostic Lab Data: UNK
CDC Split Type: A0803584A
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAP: DTAP (INFANRIX)GLAXOSMITHKLINE BIOLOGICALS  UNUN
Administered by: Other     Purchased by: Military
Symptoms: Oedema peripheral, Wrong drug administered
SMQs:, Cardiac failure (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Medication errors (narrow)
Write-up: This case was reported by healthcare professional and described the occurrence of wrong vaccine administration in a 7-year-old male subject who was vaccinated with INFANRIX (GlaxoSmithKline). On an unspecified date the subject inadvertently received unspecified dose of INFANRIX (unknown). This was considered to be the wrong vaccine for administration. The child should not have received INFANRIX at the age of 7. At an unspecified time after vaccination with INFANRIX, the child developed a swollen arm. At the time or reporting the outcome of the event was unspecified.

VAERS ID:389559 (history)  Vaccinated:2010-05-19
Age:7.0  Onset:2010-05-20, Days after vaccination: 1
Gender:Male  Submitted:2010-05-24, Days after onset: 4
Location:Minnesota  Entered:2010-05-28, 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:
Current Illness: None
Preexisting Conditions: Down''s Syndrome; asthma; congenital mitral insuf.
Diagnostic Lab Data: None
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEPA: HEP A (HAVRIX)GLAXOSMITHKLINE BIOLOGICALSAHAVB365AA0IMLL
PNC13: PNEUMO (PREVNAR13)PFIZER/WYETHE523530IMLL
Administered by: Private     Purchased by: Private
Symptoms: Injection site erythema, Injection site warmth
SMQs:, Extravasation events (injections, infusions and implants) (broad)
Write-up: At site of Hep A injection - red area approx 10cm in diameter noted at injection site (L thigh) area warm to touch noted on ED record.

VAERS ID:390112 (history)  Vaccinated:2010-04-14
Age:7.0  Onset:2010-05-22, Days after vaccination: 38
Gender:Male  Submitted:2010-05-27, Days after onset: 5
Location:Michigan  Entered:2010-06-07, Days after submission: 11
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
IPV: POLIO VIRUS, INACT. (IPOL)SANOFI PASTEURD041323IMLA
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0775Y1SCRA
TD: TD ADSORBED (NO BRAND NAME)SANOFI PASTEURU3059AA0IMLA
Administered by: Private     Purchased by: Private
Symptoms: Erythema, Pallor, Rash generalised, Rash maculo-papular, Skin discolouration
SMQs:, Anaphylactic reaction (broad), Hypotonic-hyporesponsive episode (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Received Td, MMR, IPV 4-14-10; 5-22-10 onset of rubella like rash, no prodrome, no fever, active, in NAD. Rash located entire body, pink/red, maculopapular, rash blanches except on face where rash is coalesced. Rash progressed cephalocaupally. No lymphadenopathy.

VAERS ID:390278 (history)  Vaccinated:2008-05-02
Age:7.0  Onset:0000-00-00
Gender:Female  Submitted:2010-06-08
Location:New York  Entered:2010-06-09, Days after submission: 1
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEPA: HEP A (NO BRAND NAME)UNKNOWN MANUFACTURER  UNUN
Administered by: Unknown     Purchased by: Unknown
Symptoms: Unevaluable event
SMQs:
Write-up: "None stated".

VAERS ID:390756 (history)  Vaccinated:2010-06-16
Age:7.0  Onset:2010-06-16, Days after vaccination: 0
Gender:Female  Submitted:2010-06-16, Days after onset: 0
Location:Florida  Entered:2010-06-16
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 (HAVRIX)GLAXOSMITHKLINE BIOLOGICALSAHAVB417BA0IMLA
Administered by: Public     Purchased by: Public
Symptoms: Gaze palsy, Loss of consciousness, Muscle rigidity
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), Parkinson-like events (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Ocular motility disorders (narrow), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Hypoglycaemia (broad)
Write-up: Pt loss conciousness, eyes rolled to back of head, some muscle rigidity.

VAERS ID:390975 (history)  Vaccinated:2010-06-07
Age:7.0  Onset:2010-06-17, Days after vaccination: 10
Gender:Male  Submitted:2010-06-17, Days after onset: 0
Location:Tennessee  Entered:2010-06-18, 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:
Current Illness: Leg laceration
Preexisting Conditions: Allergies: latex, clear tape; Non-febrile seizures
Diagnostic Lab Data: 5 stitches removed from leg 15 min. prior to vaccination.
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEPA: HEP A (HAVRIX)GLAXOSMITHKLINE BIOLOGICALSAHAVB431BA1IMLA
Administered by: Public     Purchased by: Public
Symptoms: Immediate post-injection reaction, Staring, Suture removal, Unresponsive to stimuli
SMQs:, Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hypotonic-hyporesponsive episode (broad), Hypersensitivity (narrow), Hypoglycaemia (broad)
Write-up: Vaccine given at 1600, immediately after pt had blank stare and was unresponsive to verbal stimulation. Pt unable to fix gaze and respond to verbal or stimuli for 60 seconds. Vitals taken. Pt started making eye contact and speaking, juice and chips given. Pt then playful.

VAERS ID:391024 (history)  Vaccinated:2010-06-16
Age:7.0  Onset:2010-06-18, Days after vaccination: 2
Gender:Female  Submitted:2010-06-18, Days after onset: 0
Location:New Jersey  Entered:2010-06-18
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Anal fissure; Hematuria
Preexisting Conditions: Obesity
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEPA: HEP A (HAVRIX)GLAXOSMITHKLINE BIOLOGICALSAHAVB3628A1UNRA
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.1710Y1UNRA
Administered by: Public     Purchased by: Other
Symptoms: Erythema, Induration
SMQs:, Anaphylactic reaction (broad), Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: 4x4 cm induration, no fluctuation (+) erythema on (R) deltoid area.

VAERS ID:391061 (history)  Vaccinated:2010-05-18
Age:7.0  Onset:2010-05-19, Days after vaccination: 1
Gender:Male  Submitted:2010-06-11, Days after onset: 23
Location:Illinois  Entered:2010-06-21, Days after submission: 10
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: (R) costal hemangioma
Diagnostic Lab Data: None
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAPIPV: DTAP + IPV (KINRIX)GLAXOSMITHKLINE BIOLOGICALSAC20B141BA0IMLA
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.1566Y IMRA
Administered by: Public     Purchased by: Public
Symptoms: Local reaction
SMQs:
Write-up: Vaccination given 5/18/10 - evaluated 5/20 and treated for local reaction (BENADRYL).

VAERS ID:391125 (history)  Vaccinated:2010-06-16
Age:7.0  Onset:2010-06-16, Days after vaccination: 0
Gender:Female  Submitted:0000-00-00
Location:Florida  Entered:2010-06-21
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEPA: HEP A (NO BRAND NAME)UNKNOWN MANUFACTURER 0UNUN
Administered by: Public     Purchased by: Public
Symptoms: Asthenia, Convulsion, Decreased appetite, Decreased interest, Fatigue, Gaze palsy, Salivary hypersecretion, Somnolence, Syncope, Unresponsive to stimuli
SMQs:, Torsade de pointes/QT prolongation (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dementia (broad), Convulsions (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Cardiomyopathy (broad), Depression (excl suicide and self injury) (narrow), Ocular motility disorders (narrow), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (narrow), Hypoglycaemia (broad)
Write-up: After the shot a minute after: hands twisted seizures, convulsions, eyes rolled over, saliva on her mouth, fainted, tiredness, then after episode: fatigue, weakness, loss appetite, somnolence, lack of interest, non responsive.

VAERS ID:391490 (history)  Vaccinated:2010-01-25
Age:7.0  Onset:2010-01-25, Days after vaccination: 0
Gender:Female  Submitted:2010-06-25, Days after onset: 150
Location:Texas  Entered:2010-06-25
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NO APPARENT ILLNESS
Preexisting Conditions: NONE KNOWN
Diagnostic Lab Data: NONE LISTED
CDC Split Type: TX20100047PU
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU(H1N1): INFLUENZA (H1N1) (H1N1 (MONOVALENT) (SANOFI)SANOFI PASTEURUP063AA0IMRA
Administered by: Other     Purchased by: Public
Symptoms: Dizziness, Fall, Nausea, Pallor, Vaccination complication
SMQs:, Acute pancreatitis (broad), Anticholinergic syndrome (broad), Accidents and injuries (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad)
Write-up: WITHIN A FEW MINUTES OF RECEIVING VACCINE, WHILE STANDING IN LINE, PATIENT BECAME DIZZY AND STARTED TO FALL TO FLOOR. SHE WAS CAUGHT BY OTHERS AND SAT ON FLOOR. COLOR PALE, ALERT/ORIENTED, BP 100/60, P 88 REG, COMPLAIN OF NAUSEA, MOTHER PRESENT. MOTHER TOOK CHILD TO MD. STATED REACTION TO H1N1 VACCINE AND GAVE "MEDS". MOTHER DID NOT KNOW NAME OF MEDS. PATIENT RETURNED TO SCHOOL THE NEXT DAY.

VAERS ID:391592 (history)  Vaccinated:2009-10-27
Age:7.0  Onset:0000-00-00
Gender:Male  Submitted:2010-06-28
Location:Pennsylvania  Entered:2010-06-28
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
DTAPIPV: DTAP + IPV (KINRIX)GLAXOSMITHKLINE BIOLOGICALSAC20B141BA0IMRA
HEPA: HEP A (VAQTA)MERCK & CO. INC.0913Y0IMLA
VARCEL: VARICELLA (VARILRIX)GLAXOSMITHKLINE BIOLOGICALS0971Y1SCLA
Administered by: Private     Purchased by: Private
Symptoms: Inappropriate schedule of drug administration, Wrong drug administered
SMQs:, Medication errors (narrow)
Write-up: No reaction - form completed due to wrong age group. Date of vaccination applies, no reaction just incorrect vaccine given.

VAERS ID:391668 (history)  Vaccinated:2009-11-13
Age:7.0  Onset:2009-11-13, Days after vaccination: 0
Gender:Female  Submitted:2010-06-29, Days after onset: 227
Location:California  Entered:2010-06-29
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: no
Preexisting Conditions: no
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLUN(H1N1): INFLUENZA (H1N1) (H1N1 (MONOVALENT) (MEDIMMUNE)MEDIMMUNE VACCINES, INC.500796P IN 
Administered by: Public     Purchased by: Private
Symptoms: Incorrect dose administered
SMQs:, Medication errors (narrow)
Write-up: Half of vaccine dosage was administered.

VAERS ID:391671 (history)  Vaccinated:2009-11-16
Age:7.0  Onset:2009-11-16, Days after vaccination: 0
Gender:Female  Submitted:2010-06-29, Days after onset: 224
Location:California  Entered:2010-06-29
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: no
Preexisting Conditions: no
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLUN(H1N1): INFLUENZA (H1N1) (H1N1 (MONOVALENT) (MEDIMMUNE)MEDIMMUNE VACCINES, INC.500796P IN 
Administered by: Public     Purchased by: Private
Symptoms: Incorrect dose administered
SMQs:, Medication errors (narrow)
Write-up: Nurse administered half of vaccine dosage.

VAERS ID:391715 (history)  Vaccinated:2009-11-16
Age:7.0  Onset:2009-11-16, Days after vaccination: 0
Gender:Male  Submitted:2010-06-29, Days after onset: 224
Location:California  Entered:2010-06-29
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: no
Preexisting Conditions: no
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLUN(H1N1): INFLUENZA (H1N1) (H1N1 (MONOVALENT) (MEDIMMUNE)MEDIMMUNE VACCINES, INC.500796P IN 
Administered by: Public     Purchased by: Private
Symptoms: Incorrect dose administered
SMQs:, Medication errors (narrow)
Write-up: Nurse only administered half of vaccine dosage.

VAERS ID:391721 (history)  Vaccinated:2009-11-16
Age:7.0  Onset:2009-11-16, Days after vaccination: 0
Gender:Female  Submitted:2010-06-29, Days after onset: 224
Location:California  Entered:2010-06-29
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: no
Preexisting Conditions: no
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLUN(H1N1): INFLUENZA (H1N1) (H1N1 (MONOVALENT) (MEDIMMUNE)MEDIMMUNE VACCINES, INC.500796P IN 
Administered by: Public     Purchased by: Private
Symptoms: Incorrect dose administered
SMQs:, Medication errors (narrow)
Write-up: Nurse only administered half of the vaccine dosage.

VAERS ID:391722 (history)  Vaccinated:2009-11-16
Age:7.0  Onset:2009-11-16, Days after vaccination: 0
Gender:Female  Submitted:2010-06-29, Days after onset: 224
Location:California  Entered:2010-06-29
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: no
Preexisting Conditions: no
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLUN(H1N1): INFLUENZA (H1N1) (H1N1 (MONOVALENT) (MEDIMMUNE)MEDIMMUNE VACCINES, INC.500796P IN 
Administered by: Public     Purchased by: Private
Symptoms: Incorrect dose administered
SMQs:, Medication errors (narrow)
Write-up: Nurse only administered half of the vaccine dosage.

VAERS ID:391755 (history)  Vaccinated:2010-06-22
Age:7.0  Onset:2010-06-28, Days after vaccination: 6
Gender:Female  Submitted:2010-06-29, Days after onset: 1
Location:Minnesota  Entered:2010-06-29
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAP: DTAP (DAPTACEL)SANOFI PASTEURC3446AA4IMRL
IPV: POLIO VIRUS, INACT. (IPOL)SANOFI PASTEURD01233IMLL
Administered by: Unknown     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: 2 inch diameter swollen and tender area around injections site.

VAERS ID:392464 (history)  Vaccinated:2009-08-08
Age:7.0  Onset:2010-07-07, Days after vaccination: 333
Gender:Female  Submitted:2010-07-08, Days after onset: 1
Location:Missouri  Entered:2010-07-08
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.086341SCLA
Administered by: Private     Purchased by: Public
Symptoms: Blister, Rash papular, Skin lesion
SMQs:, Severe cutaneous adverse reactions (broad), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Scattered papular, sl. vesicular lesions scattered back, chest, abd, and prox extremities.

VAERS ID:392956 (history)  Vaccinated:2010-07-02
Age:7.0  Onset:2010-07-03, Days after vaccination: 1
Gender:Male  Submitted:2010-07-15, Days after onset: 12
Location:Texas  Entered:2010-07-15
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
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.1705Y1UNRL
Administered by: Private     Purchased by: Unknown
Symptoms: Rash generalised
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Rash all over body.

VAERS ID:393717 (history)  Vaccinated:2010-07-26
Age:7.0  Onset:2010-07-26, Days after vaccination: 0
Gender:Male  Submitted:2010-07-27, Days after onset: 1
Location:Oklahoma  Entered:2010-07-27
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: No Known Illness
Preexisting Conditions: No Known Pre-existings
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HIBV: HIB (NO BRAND NAME)UNKNOWN MANUFACTURER 3 LA
Administered by: Unknown     Purchased by: Other
Symptoms: Abdominal pain upper, Vomiting projectile
SMQs:, Acute pancreatitis (broad), Gastrointestinal perforation, ulcer, haemorrhage, obstruction non-specific findings/procedures (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)
Write-up: 40 minutes after receiving the vaccine, My son complained that his stomach hurt and began projectile vomitting. He then continued to vomit forcefully approximately 2-3 times per hour. This lasted until aproximately 11:45 PM. At that time, he was hungry, and claiming he was fine. No other symptoms before, during or after. When he receives Augmentin, he also will projectile vomit off and on for approximately 12hrs. He never runs a fever nor are there any other symptoms. 12 hrs later he is fine. I did not treat the vomitting, simply called the pediatrician and spoke to his Nurse at approximately 1:26 PM then watched him closely counting the hours until he was better. When the pattern followed the same reactions that he gets with Augmentin, I then called the Pediatrician the next day (07-27-2010) and spoke with him to report it.

VAERS ID:393932 (history)  Vaccinated:2010-07-27
Age:7.0  Onset:0000-00-00
Gender:Male  Submitted:2010-07-29
Location:Oklahoma  Entered:2010-07-30, Days after submission: 1
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: CBC; CMP
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEPA: HEP A (VAQTA)MERCK & CO. INC.0261Z0UNUN
Administered by: Public     Purchased by: Public
Symptoms: Abdominal pain upper, Back pain, Full blood count, Headache, Metabolic function test, Vomiting
SMQs:, Acute pancreatitis (broad), Retroperitoneal fibrosis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)
Write-up: He was complaining of his stomach hurting about a hr after the shot, he threw up twice before I took him to the ER - I even feed him but he still threw up and comp about a headache and back ache.

VAERS ID:394386 (history)  Vaccinated:2010-08-05
Age:7.0  Onset:2010-08-05, Days after vaccination: 0
Gender:Female  Submitted:2010-08-05, Days after onset: 0
Location:Arizona  Entered:2010-08-05
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: No
Preexisting Conditions: No
Diagnostic Lab Data: none
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEPA: HEP A (VAQTA)MERCK & CO. INC.0415ZZ0IMRA
TD: TD ADSORBED (NO BRAND NAME)SANOFI PASTEURU2591BA IMLA
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.0160Z0SCLA
Administered by: Public     Purchased by: Public
Symptoms: Contusion, Fall
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Accidents and injuries (narrow)
Write-up: Child had verbalized to her mother that she was nervous about receiving vaccinations today. Child received three vaccines and appeared to have tolerated them well. Upon leaving our clinic with her mother she said good-bye to two staff members. Mother states as she was opening the car door, child sunk to the ground. Mother picked child up and brought her into the clinic. Child was awake and able to respond to questions. Mother denies that child hit her head. The only appears to be a small scrape on the left elbow.

VAERS ID:394537 (history)  Vaccinated:2009-11-18
Age:7.0  Onset:2009-11-19, Days after vaccination: 1
Gender:Male  Submitted:2010-07-29, Days after onset: 251
Location:Unknown  Entered:2010-08-06, Days after submission: 8
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 0 days
    Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: Chronic sinusitis; Asthma; Immunoglobulins decreased; Immune system disorder
Preexisting Conditions:
Diagnostic Lab Data: WBC count, 8.3
CDC Split Type: WAES0911USA04605
Vaccination
Manufacturer
Lot
Dose
Route
Site
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.  UNUN
Administered by: Other     Purchased by: Other
Symptoms: Chest X-ray, Injection site cellulitis, Injection site reaction, Injection site swelling, White blood cell count normal
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: Information has been received from a physician concerning a 7 year old male patient with chronic sinusitis, asthma, low immunoglobulin and immunocompromized who on approximately 18-NOV-2009 (18-NOV-2009 or 19-NOV-2009) was vaccinated with PNEUMOVAX 23 (Lot # not provided). Concomitant therapy included montelukast sodium (MSD), SYMBICORT, FLONASE and BACTRIM. The physician reported that the patient received PNEUMOVAX 23 and on 19-NOV-2009 experienced an injection site reaction with cellulitis. The patient was treated with BENADRYL. The patient was admitted to the hospital on 23-NOV-2009 when there was no improvement. He has been treated with 2 doses of IV vancomycin but the area of the arm has increased in size with increased swelling, afebrile, White count was 8.3. It was not known if the patient received PNEUMOVAX 23 prior to this. Patient remained in the hospital. Chest x-rays were performed without results. Injection site reaction and cellulitis were considered to be an other important medical event by the physician. Additional information has been requested.

VAERS ID:395647 (history)  Vaccinated:2009-10-21
Age:7.0  Onset:2009-10-22, Days after vaccination: 1
Gender:Female  Submitted:2009-10-22, Days after onset: 0
Location:Indiana  Entered:2010-08-06, Days after submission: 288
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: MEDI0009184
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLUN3: INFLUENZA (SEASONAL) (FLUMIST)MEDIMMUNE VACCINES, INC.  IN 
Administered by: Other     Purchased by: Other
Symptoms: Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: A non-serious spontaneous report of fever has been received from a consumer/patient''s parent concerning a seven-year-old female, subsequent to FLUMIST. Neither relevant medical history nor concomitant medications have been reported from this patient. The patient received FLUMIST on 21-Oct-2009 at about 3:30pm. On 22-Oct-2009, the patient woke up with a fever. Treatment was not provided. The outcome of the event was not reported.

VAERS ID:394470 (history)  Vaccinated:2008-09-24
Age:7.0  Onset:2008-09-29, Days after vaccination: 5
Gender:Female  Submitted:2010-08-07, Days after onset: 677
Location:New York  Entered:2010-08-07
Life Threatening? Yes
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? Yes, 16 days
    Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: Blood test and physical check-up on: (09/24/2008)
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEPA: HEP A (HAVRIX)SMITHKLINE BEECHAMAHAVB2910IMRA
Administered by: Public     Purchased by: Other
Symptoms: Abdominal pain upper, Asthenia, Blood test, Immune system disorder, Injection site pain, Mass, Renal disorder, Weight decreased
SMQs:, Acute pancreatitis (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: On (09/24/2008) Dr. gave our daughter the Hep. A shot which is not required by the state to take. The doctor on the day of her annual physical check-up told us that she was "fine" and can play sports. A few days later she became weak, had stomach pain, and was losing a lot weight this leads us to believe that Hep. A caused this to happen. Still up to this day the right arm where the shot was injected causes her pain. We believe that this shot attack her organs and damaged her immune system resulting in her having mass, losing a part of her kidney, and undergo multiple treatments. At first we were told that this is curable but now a doctor has admitted to us that the cure rate is only twenty-five percent. She is now living day to day for survival.

VAERS ID:394778 (history)  Vaccinated:2010-07-26
Age:7.0  Onset:2010-07-28, Days after vaccination: 2
Gender:Female  Submitted:2010-08-04, Days after onset: 7
Location:Florida  Entered:2010-08-10, Days after submission: 6
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAP: DTAP (DAPTACEL)SANOFI PASTEURC3381AA4IMRL
IPV: POLIO VIRUS, INACT. (IPOL)SANOFI PASTEURB10903IMLL
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.1355Y1SCLA
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.022671SCRA
Administered by: Private     Purchased by: Unknown
Symptoms: Injection site erythema, Injection site pruritus
SMQs:, Extravasation events (injections, infusions and implants) (broad)
Write-up: Redness and itch around injection site of MMR 2 days following imm.

VAERS ID:395944 (history)  Vaccinated:2009-10-11
Age:7.0  Onset:2009-10-12, Days after vaccination: 1
Gender:Male  Submitted:2009-10-12, Days after onset: 0
Location:Unknown  Entered:2010-08-16, Days after submission: 308
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: MEDI0009051
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLUN3: INFLUENZA (SEASONAL) (FLUMIST)MEDIMMUNE VACCINES, INC.  IN 
Administered by: Other     Purchased by: Other
Symptoms: Pain in extremity
SMQs:, Tendinopathies and ligament disorders (broad)
Write-up: A non-serious spontaneous report of arms and legs hurting badly has been received from a patient parent involving a 7.5 year old male subsequent to FLUMIST. The patient''s medical history and concomitant medications were not reported. The patient received FLUMIST on 11-Oct-2009. On 12-Oct-2009, the patient reported that his legs and arms were hurting badly. The outcome of the event was not reported.

VAERS ID:395965 (history)  Vaccinated:0000-00-00
Age:7.0  Onset:0000-00-00
Gender:Male  Submitted:2009-09-24
Location:Unknown  Entered:2010-08-16, Days after submission: 326
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: MEDI0008933
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLUN3: INFLUENZA (SEASONAL) (FLUMIST)MEDIMMUNE VACCINES, INC.  IN 
Administered by: Other     Purchased by: Other
Symptoms: Chills, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: A non-serious spontaneous report of chills and fever has been received from a physician''s assistant concerning a seven-year-old male subject subsequent to FLUMIST. No medical history or concomitant medications were provided. On an unknown date, the patient received FLUMIST. Two days later, the patient developed chills and fever. No outcome was provided.

VAERS ID:396077 (history)  Vaccinated:2009-10-23
Age:7.0  Onset:2009-10-23, Days after vaccination: 0
Gender:Female  Submitted:2009-10-26, Days after onset: 3
Location:Florida  Entered:2010-08-16, Days after submission: 294
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: H1N1 influenza (Aug-2009); Lymphadenopathy in left side of the neck since 2006, following influenza.
Diagnostic Lab Data:
CDC Split Type: MEDI0009587
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLUN3: INFLUENZA (SEASONAL) (FLUMIST)MEDIMMUNE VACCINES, INC. 0IN 
Administered by: Public     Purchased by: Other
Symptoms: Abdominal pain, Arthralgia, Chills, Cough, Dizziness, Fatigue, Influenza like illness, Muscle strain, Oropharyngeal pain, Pallor, Peripheral coldness, Rhinorrhoea
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Accidents and injuries (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad)
Write-up: A non-serious, spontaneous report of muscle strain, dizziness, paleness, flu like symptoms, chills, sore throat and pain in the abdomen, runny nose, cough, fatigue and cold extremities was received from a consumer concerning a seven-year-old female subsequent to FLUMIST. The patient''s past medical history included H1N1 influenza in Aug-2009 and lymphadenopathy in left side of the neck following influenza since 2006. The patient was not taking any concomitant medications. The patient received FLUMIST on 23-Oct-2009 for flu vaccination. On 23-Oct-2009 following the vaccination the patient experienced flu-like-symptoms including dizziness, paleness, chills, sore throat, pain in the abdomen, runny nose, cough, fatigue and cold extremities. On 30-Oct-2009 the patient experienced left hip pain and was seen by physician on 04-Nov-2009 and diagnosed with a muscle strain. The patient participates in gymnastics. The patient recovered from the events of dizziness, paleness, flu like symptoms, chills, sore throat and pain in the abdomen, runny nose, cough, fatigue and cold extremities on 28-Oct-2009. The event of muscle strain improved although was ongoing.

VAERS ID:396524 (history)  Vaccinated:2009-09-12
Age:7.0  Onset:2009-09-17, Days after vaccination: 5
Gender:Male  Submitted:2009-09-17, Days after onset: 0
Location:Missouri  Entered:2010-08-16, Days after submission: 333
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: Influenza antibody test, 09/17/09, positive
CDC Split Type: MEDI0008893
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLUN3: INFLUENZA (SEASONAL) (FLUMIST)MEDIMMUNE VACCINES, INC.500709P IN 
Administered by: Other     Purchased by: Other
Symptoms: Influenza, Influenza like illness, Influenza virus test positive
SMQs:
Write-up: A non-serious spontaneous report of positive influenza test has been received from a registered nurse concerning a seven-year-old male child, subsequent to FLUMIST. No medical history or concomitant medications were reported for this child. The patient received a single dose of FLUMIST on 12-Sep-2009. On 17-Sep-2009 the patient presented with flu like symptoms, an influenza test was positive. No outcome has been reported.

VAERS ID:396536 (history)  Vaccinated:2009-09-17
Age:7.0  Onset:2009-09-18, Days after vaccination: 1
Gender:Male  Submitted:2009-09-18, Days after onset: 0
Location:Connecticut  Entered:2010-08-16, Days after submission: 332
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: MEDI0008906
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLUN3: INFLUENZA (SEASONAL) (FLUMIST)MEDIMMUNE VACCINES, INC.  IN 
Administered by: Other     Purchased by: Other
Symptoms: Nausea
SMQs:, Acute pancreatitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)
Write-up: A non-serious, spontaneous report of nausea has been received from a patient''s mother concerning her seven-year-old son subsequent to FLUMIST. The patient''s medical history and concomitant medications were not reported. The patient received FLUMIST on 17-Sep-2009. On 18-Sep-2009, the patient had nausea. On the same day, the reporter''s dog was also sick. The outcome of the patient''s adverse event is unknown.

VAERS ID:396545 (history)  Vaccinated:0000-00-00
Age:7.0  Onset:2009-09-21
Gender:Unknown  Submitted:2009-09-21, Days after onset: 0
Location:Arkansas  Entered:2010-08-16, Days after submission: 329
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: MEDI0008916
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLUN3: INFLUENZA (SEASONAL) (FLUMIST)MEDIMMUNE VACCINES, INC.  IN 
Administered by: Other     Purchased by: Other
Symptoms: Contusion, Nasal discomfort
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Accidents and injuries (narrow)
Write-up: A non-serious, spontaneous report of sore and "bruise" on the nose has been received from a patient''s mother concerning her seven-year-old child subsequent to FLUMIST. The patient''s medical history and concomitant medications were not reported. The patient received FLUMIST on an unspecified date. On 21-Sep-2009, the patient developed a sore and "bruise" on the nose. The outcome of the adverse events is unknown.

VAERS ID:397010 (history)  Vaccinated:2009-09-22
Age:7.0  Onset:2009-09-22, Days after vaccination: 0
Gender:Male  Submitted:2009-09-23, Days after onset: 1
Location:New York  Entered:2010-08-16, Days after submission: 327
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: MEDI0008924
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLUN3: INFLUENZA (SEASONAL) (FLUMIST)MEDIMMUNE VACCINES, INC.500715P IN 
Administered by: Private     Purchased by: Other
Symptoms: Rash
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: A non serious spontaneous report of rash has been received from a physician concerning a seven-year-old male, subsequent to FLUMIST. No medical history or concomitant medications were reported. The patient received a single dose of FLUMIST on 22-Sep-2009. An hour after receiving FLUMIST he had a rash on his chest of tiny raised bumps. There was no itching or other signs or symptoms. The following day the reporter indicated the event had resolved.

VAERS ID:397076 (history)  Vaccinated:2009-08-17
Age:7.0  Onset:2009-09-13, Days after vaccination: 27
Gender:Male  Submitted:2009-09-15, Days after onset: 2
Location:Maryland  Entered:2010-08-16, Days after submission: 335
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: MEDI0008872
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLUN3: INFLUENZA (SEASONAL) (FLUMIST)MEDIMMUNE VACCINES, INC.   UN
Administered by: Other     Purchased by: Other
Symptoms: Cough, Fatigue, Influenza, Pyrexia, Respiratory tract congestion, Sneezing, Vomiting
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: A non-serious spontaneous report of influenza and vomiting was received from a consumer concerning a seven-year-old male, subsequent to FLUMIST. Neither relevant medical history nor concomitant medications have been reported for this patient. The patient received FLUMIST on 17-Aug-2009. On 13-Sep-2009, the patient developed fever of 100.8. On 14-Sep-2009, temperature was 103. The patient also experienced some coughing, sneezing, with some congestion. On 14-Sep-2009, the patient tested positive for Influenza A and seemed tired. The patient was treated with oseltamivir, which resulted in vomiting. Outcome and causality were not reported.

VAERS ID:397158 (history)  Vaccinated:2010-01-20
Age:7.0  Onset:2010-01-20, Days after vaccination: 0
Gender:Male  Submitted:2010-01-21, Days after onset: 1
Location:Texas  Entered:2010-08-16, Days after submission: 206
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: MEDI0010279
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLUN3: INFLUENZA (SEASONAL) (FLUMIST)MEDIMMUNE VACCINES, INC.500721P IN 
Administered by: Other     Purchased by: Other
Symptoms: Expired drug administered, No adverse event
SMQs:, Medication errors (narrow)
Write-up: A non-serious spontaneous report of inadvertent administration of expired FLUMIST was received from a licensed practical nurse concerning a sever-year-old male. The product expired on 19-Jan-2010. On 20-Jan-2010, the patient received expired product. There was no adverse event associated with this medication error; therefore, treatment and reporter/sponsor causality assessment are not applicable, and the event is considered resolved.

VAERS ID:396566 (history)  Vaccinated:2010-08-19
Age:7.0  Onset:2010-08-20, Days after vaccination: 1
Gender:Male  Submitted:2010-08-20, Days after onset: 0
Location:New York  Entered:2010-08-26, Days after submission: 6
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURU3562CA2IMLA
HEPA: HEP A (VAQTA)MERCK & CO. INC.0850Z1IMLA
Administered by: Private     Purchased by: Unknown
Symptoms: Injection site discolouration, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: 3 1/2" x 3 " area of pink surrounding injection site, no induration, no pain. Scattered urticaria & welts over trunk, arms, legs, face & head.

VAERS ID:396596 (history)  Vaccinated:2010-08-25
Age:7.0  Onset:2010-08-26, Days after vaccination: 1
Gender:Female  Submitted:2010-08-26, Days after onset: 0
Location:New Jersey  Entered:2010-08-26
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: peanut allergies
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURU3567BA2IMLA
Administered by: Other     Purchased by: Other
Symptoms: Injection site erythema, Injection site pruritus
SMQs:, Extravasation events (injections, infusions and implants) (broad)
Write-up: local redness, itching same happened to sibling

VAERS ID:396669 (history)  Vaccinated:2010-08-24
Age:7.0  Onset:2010-08-25, Days after vaccination: 1
Gender:Male  Submitted:2010-08-27, Days after onset: 2
Location:Pennsylvania  Entered:2010-08-27
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: No
Preexisting Conditions: Asthma, Allergic Rhinitis, Esophageal Reflux, Atopic Dermatitis, Recurrent Upper Respiratory Tract Infections, Sleep Disturbance (Snoring)
Diagnostic Lab Data: chest x-ray at ER
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.1426Y0IMRA
Administered by: Unknown     Purchased by: Private
Symptoms: Back pain, Body temperature increased, Burning sensation, Chest X-ray, Chest discomfort, Dyspnoea, Fatigue, Injection site erythema, Injection site induration, Injection site pain
SMQs:, Anaphylactic reaction (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Retroperitoneal fibrosis (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Extravasation events (injections, infusions and implants) (broad), Cardiomyopathy (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Red indurated area at and below injection site with upper arm tenderness; On 08/26/10 developed temp of 103.9F, complained of: shortness of breath, chest tightness, sensation burning feet, low back pain and fatigue.

VAERS ID:397132 (history)  Vaccinated:2010-07-27
Age:7.0  Onset:0000-00-00
Gender:Male  Submitted:2010-09-01
Location:Michigan  Entered:2010-09-01
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: none
Preexisting Conditions: none
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAP: DTAP (INFANRIX)GLAXOSMITHKLINE BIOLOGICALSAC14B091AA IMLA
Administered by: Private     Purchased by: Public
Symptoms: Inappropriate schedule of drug administration, No adverse event
SMQs:, Medication errors (narrow)
Write-up: none

VAERS ID:398054 (history)  Vaccinated:2010-09-11
Age:7.0  Onset:2010-09-12, Days after vaccination: 1
Gender:Male  Submitted:0000-00-00
Location:Illinois  Entered:2010-09-13
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: Peanut allergy; Amoxicillin
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEPA: HEP A (HAVRIX)GLAXOSMITHKLINE BIOLOGICALSAHAVB382AA1IMUN
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.0549Z1SCUN
Administered by: Private     Purchased by: Private
Symptoms: Pain, Pain in extremity, Pruritus, Swelling
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Chicken pox booster shots on 9/11, swelling in the middle of the night due to itch, the swelling grow bigger (size like a egg broke in a pot) on 9/12, on 9/13, the right arm also grow a blister can''t put arm naturally down because pain.

VAERS ID:398156 (history)  Vaccinated:2010-09-11
Age:7.0  Onset:2010-09-12, Days after vaccination: 1
Gender:Male  Submitted:2010-09-14, Days after onset: 2
Location:Indiana  Entered:2010-09-14
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: TRILEPTAL; MIRALAX
Current Illness: None
Preexisting Conditions: Cerebral Palsy; Seizure Disorder
Diagnostic Lab Data: None
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURU3562AA0IMLL
Administered by: Private     Purchased by: Private
Symptoms: Complex partial seizures, Convulsion, Irritability
SMQs:, Systemic lupus erythematosus (broad), Convulsions (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hostility/aggression (broad), Generalised convulsive seizures following immunisation (narrow), Hypoglycaemia (broad)
Write-up: Received FLUZONE 9/11. Cranky on 9/12 and started seizing at 5AM on 9/12. Was given DIASTAT 5 mg rectal. Seized for one hour - partial/complex. During that time he also was talking but not making sense. No problem since then. No fever.

VAERS ID:398660 (history)  Vaccinated:2010-09-13
Age:7.0  Onset:0000-00-00
Gender:Male  Submitted:2010-09-17
Location:New York  Entered:2010-09-17
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? Yes, 2 days
    Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: asthma
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAP: DTAP (NO BRAND NAME)UNKNOWN MANUFACTURER    
HEP: HEP B (NO BRAND NAME)UNKNOWN MANUFACTURER    
Administered by: Private     Purchased by: Unknown
Symptoms: Oedema peripheral
SMQs:, Cardiac failure (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: entire left arm swollen shoulder to wrist

VAERS ID:400742 (history)  Vaccinated:2010-09-22
Age:7.0  Onset:2010-09-22, Days after vaccination: 0
Gender:Male  Submitted:2010-09-27, Days after onset: 5
Location:Connecticut  Entered:2010-09-27
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: none
Preexisting Conditions: asthma
Diagnostic Lab Data: Hospital ED reports EKG was WNL
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURUH180AA1IMRA
Administered by: Public     Purchased by: Public
Symptoms: Blood glucose normal, Disorientation, Electrocardiogram normal, Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Hypoglycaemia (broad)
Write-up: 1.5 hours after administration, pt fainted in school hallway. Was disoriented with no recollection of event. Otherwise stable. ED eval showed no abnormality in EKG or blood sugar.

VAERS ID:400914 (history)  Vaccinated:2010-09-25
Age:7.0  Onset:2010-09-26, Days after vaccination: 1
Gender:Male  Submitted:2010-09-27, Days after onset: 1
Location:Indiana  Entered:2010-09-28, Days after submission: 1
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: Asthma
Diagnostic Lab Data: No
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURU3568AA UNLA
Administered by: Private     Purchased by: Private
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth, Local reaction
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: Local reaction - redness, swelling, warmth of entire left upper arm. No systemic symptoms.

VAERS ID:401221 (history)  Vaccinated:2010-09-27
Age:7.0  Onset:2010-09-27, Days after vaccination: 0
Gender:Female  Submitted:2010-09-29, Days after onset: 2
Location:Oklahoma  Entered:2010-09-29
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
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME)UNKNOWN MANUFACTURER    
FLUX(H1N1): INFLUENZA (H1N1) (H1N1 (MONOVALENT) (UNKNOWN)UNKNOWN MANUFACTURER    
Administered by: Public     Purchased by: Unknown
Symptoms: Erythema, Oedema peripheral, Skin warm, Tenderness
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Swelling/redness on arm the size of an adult fist. Fever in arm/tenderness.

VAERS ID:401435 (history)  Vaccinated:2010-09-28
Age:7.0  Onset:2010-09-29, Days after vaccination: 1
Gender:Male  Submitted:2010-09-30, Days after onset: 1
Location:Massachusetts  Entered:2010-09-30
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
IPV: POLIO VIRUS, INACT. (IPOL)SANOFI PASTEURE01233SCLA
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0588Z1SCRA
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.0812Z1SCLA
Administered by: Private     Purchased by: Public
Symptoms: Injection site erythema, Injection site induration
SMQs:, Extravasation events (injections, infusions and implants) (broad)
Write-up: 8x8 cm area of redness, 4x4 cm area of induration around Varicella injection.

VAERS ID:401467 (history)  Vaccinated:2010-09-30
Age:7.0  Onset:2010-09-30, Days after vaccination: 0
Gender:Male  Submitted:2010-10-01, Days after onset: 1
Location:Ohio  Entered:2010-10-01
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: no
Preexisting Conditions: Duchenne Muscular Dystrophy
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME)UNKNOWN MANUFACTURER 0IMLL
Administered by: Public     Purchased by: Other
Symptoms: Asthenia, Decreased appetite, Fatigue, Feeling abnormal, Hallucination, Heart rate increased, Nausea, Nightmare, Poor quality sleep, Pyrexia, Thinking abnormal, Vomiting
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dementia (broad), Psychosis and psychotic disorders (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Depression (excl suicide and self injury) (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Pt felt tired and weak, had a high fever. Throughout the entire night he continued with high fever, vomiting, rapid heartbeat, nightmares, and hallucinations. We are from out of town, so we had no thermometer, but we medicated him with Motrin at 12:30 AM and then when there was no reduction in fever we gave him a dose of Tylenol bought from the hotel. Pt felt badly and had restless sleep with nightmares and hallucinations until approximately 5:00 AM, when the fever finally broke and he was able to sleep. He woke up feeling tired with no appetite, but no further fever or nausea/vomiting. He remembers feeling as if his "mind was playing tricks on him."

VAERS ID:401494 (history)  Vaccinated:2010-09-25
Age:7.0  Onset:2010-09-28, Days after vaccination: 3
Gender:Male  Submitted:2010-10-01, Days after onset: 3
Location:Illinois  Entered:2010-10-01
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
FLU(H1N1): INFLUENZA (H1N1) (H1N1 (MONOVALENT) (SANOFI)SANOFI PASTEURUT3570DA0IMRL
Administered by: Unknown     Purchased by: Unknown
Symptoms: Headache, Vomiting
SMQs:, Acute pancreatitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)
Write-up: Vomiting and really bad Headache.

VAERS ID:401586 (history)  Vaccinated:2010-09-29
Age:7.0  Onset:2010-09-29, Days after vaccination: 0
Gender:Female  Submitted:2010-10-02, Days after onset: 3
Location:South Dakota  Entered:2010-10-02
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: no
Preexisting Conditions: no
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLUX(H1N1): INFLUENZA (H1N1) (H1N1 (MONOVALENT) (UNKNOWN)UNKNOWN MANUFACTURER    
Administered by: Other     Purchased by: Public
Symptoms: Eye pain, Headache, Paraesthesia
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Glaucoma (broad)
Write-up: 103 temp, severe headache, eye pain, tingling in hands childrens ibuprofen administered to reduce temp.

VAERS ID:401783 (history)  Vaccinated:2010-09-27
Age:7.0  Onset:2010-09-27, Days after vaccination: 0
Gender:Male  Submitted:2010-10-04, Days after onset: 7
Location:Oregon  Entered:2010-10-04
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: no
Preexisting Conditions: no
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
MNQ: MENINGOCOCCAL CONJUGATE (MENVEO)NOVARTIS VACCINES AND DIAGNOSTICS    
Administered by: Unknown     Purchased by: Unknown
Symptoms: Erythema, Pain, Pruritus, Swelling
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: 5" x 4" square area swollen, red, itchy, and very sore

VAERS ID:401964 (history)  Vaccinated:2010-09-23
Age:7.0  Onset:2010-10-02, Days after vaccination: 9
Gender:Male  Submitted:2010-10-05, Days after onset: 3
Location:Texas  Entered:2010-10-05
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAP: DTAP (INFANRIX)SMITHKLINE BEECHAM596B91UNUN
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.0928N2UNUN
IPV: POLIO VIRUS, INACT. (IPOL)SANOFI PASTEURD067411UNUN
Administered by: Public     Purchased by: Public
Symptoms: Bed rest, Oropharyngeal pain, Pain in jaw, Urticaria, Wrong drug administered
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Osteonecrosis (broad), Hypersensitivity (narrow), Medication errors (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Mom came to main clinic to address/notify Immunization Center that her child received a DTaP and not a Td as per age. Stated nurses gave shots and received sore throat, hives to upper chest (no fever) and pain to jaw when tried to speak. All on 10/1/10. Mom took child to PMD office. On bed rest x 3 days.

VAERS ID:402117 (history)  Vaccinated:2010-10-04
Age:7.0  Onset:2010-10-05, Days after vaccination: 1
Gender:Male  Submitted:2010-10-06, Days after onset: 1
Location:Kentucky  Entered:2010-10-06
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
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURUH180AA0IMLA
Administered by: Private     Purchased by: Public
Symptoms: Injection site erythema, Injection site oedema
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: Circular erythema and mild edema around injection site.

VAERS ID:402341 (history)  Vaccinated:2010-09-30
Age:7.0  Onset:2010-10-01, Days after vaccination: 1
Gender:Male  Submitted:2010-10-07, Days after onset: 6
Location:Texas  Entered:2010-10-07
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: No
Preexisting Conditions: seasonal allergies
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU(H1N1): INFLUENZA (H1N1) (H1N1 (MONOVALENT) (SANOFI)SANOFI PASTEUR   LA
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEUR   LA
Administered by: Unknown     Purchased by: Private
Symptoms: Erythema, Induration, Oedema peripheral, Pruritus
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Upper arm severely swollen, hard, red and itchy for 36 hours. Gave Benadryl and Tylenol.

VAERS ID:402347 (history)  Vaccinated:2010-10-05
Age:7.0  Onset:0000-00-00
Gender:Male  Submitted:2010-10-07
Location:Texas  Entered:2010-10-07
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: Allergy to Amoxicillin
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURUH184AA IMLA
Administered by: Public     Purchased by: Other
Symptoms: Induration, Oedema peripheral, Skin warm
SMQs:, Cardiac failure (broad), Angioedema (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: Massive swelling, from the shoulder to just above elbow. Extreme heat and hardness in the area.

VAERS ID:402667 (history)  Vaccinated:2010-09-30
Age:7.0  Onset:2010-10-01, Days after vaccination: 1
Gender:Female  Submitted:2010-10-03, Days after onset: 2
Location:Unknown  Entered:2010-10-08, 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:
Preexisting Conditions: No known allergies or problems.
Diagnostic Lab Data: Laboratory tests in hospital were normal.
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLUN3: INFLUENZA (SEASONAL) (FLUMIST)MEDIMMUNE VACCINES, INC.5010220 IN 
Administered by: Unknown     Purchased by: Unknown
Symptoms: Dehydration, Laboratory test normal, Vomiting
SMQs:, Acute pancreatitis (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)
Write-up: 7 year old female received first vaccination of FLUMIST on 9/30/2010 at 4:30 p.m. At 4:00 p.m. on 10/1/2010 she started vomiting profusely. Child vomited 3 times initially, but continued vomiting due to dehydration and needed to go to the E.R. for rehydration and 2 infusions of ZOFRAN. Child recovered within 15 hours of onset of vomiting with no other symptoms.

VAERS ID:403350 (history)  Vaccinated:2010-10-12
Age:7.0  Onset:2010-10-12, Days after vaccination: 0
Gender:Male  Submitted:2010-10-14, Days after onset: 2
Location:Kansas  Entered:2010-10-14
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: PDD and ADHD
Preexisting Conditions:
Diagnostic Lab Data: Results review: Rapid Strep Negative, Culture Pending, ASO titer pending.
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURU3580AA2UNLL
Administered by: Private     Purchased by: Other
Symptoms: Abnormal behaviour, Compulsions, Crying, Streptococcus test, Streptococcus test negative, Tic
SMQs:, Dementia (broad), Dyskinesia (broad), Dystonia (broad), Psychosis and psychotic disorders (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Hostility/aggression (broad), Depression (excl suicide and self injury) (broad)
Write-up: The patient presents with tics and compulsions that began several days ago. Pt. received his flu shot on Tuesday 10/12 am. Four hours later, he began having head tics (moving head to right side). He started having an arm tic as well. They were seen by their PCP and told to monitor over the next few days but by Tuesday evening, patient was constantly moving around, feeling as though he had to continually go touch the fence, then the wall, etc. His tics resolve when he is sleeping. However, mother states that he has been upset and cying because he can''t get the tics to stop. He has had no fevers, V/D, headache, sore throat..

VAERS ID:403450 (history)  Vaccinated:2010-10-13
Age:7.0  Onset:2010-10-13, Days after vaccination: 0
Gender:Male  Submitted:2010-10-14, Days after onset: 1
Location:Illinois  Entered:2010-10-14
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: Functional murmur
Diagnostic Lab Data: none (consulted care with infectious disease physician)
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURU366BA5IMLA
Administered by: Private     Purchased by: Private
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: (L) deltoid area - red - warm - swelling 8 x 8.5 cm.

VAERS ID:403810 (history)  Vaccinated:2010-10-12
Age:7.0  Onset:2010-10-13, Days after vaccination: 1
Gender:Female  Submitted:2010-10-18, Days after onset: 5
Location:Kentucky  Entered:2010-10-18
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NO
Preexisting Conditions: NO
Diagnostic Lab Data: none
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURU3573DA2IMRA
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.0998Z1SCLA
Administered by: Unknown     Purchased by: Private
Symptoms: Eye swelling, Injection site erythema, Injection site pruritus, Injection site swelling
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Injection site, Left upper arm, swollen red and itchy 20mm x 20mm of redness. Rt eye swollen.

VAERS ID:403841 (history)  Vaccinated:2010-08-10
Age:7.0  Onset:2010-08-10, Days after vaccination: 0
Gender:Male  Submitted:2010-10-18, Days after onset: 69
Location:Maryland  Entered:2010-10-18
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
IPV: POLIO VIRUS, INACT. (NO BRAND NAME)UNKNOWN MANUFACTURER  UNLA
Administered by: Private     Purchased by: Private
Symptoms: Arthralgia, Injection site pain, Injection site urticaria, Pain in extremity, Skin warm
SMQs:, Anaphylactic reaction (broad), Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (narrow), Arthritis (broad), Tendinopathies and ligament disorders (broad)
Write-up: Raised hives one inch down from injection site to elbow. The hives were an irregular shape about the size of a dime. They reminded me of a topographical map of South America. Soreness in arm that lasted approx 24 hours. Pain and soreness radiated from injection site to wrist. Arm warm to touch. Our dentist offered a homeopathic remedy that made symptoms lessen on 8/10/11 at 4p. I think the remedy was hypericum.

VAERS ID:403850 (history)  Vaccinated:2010-10-15
Age:7.0  Onset:2010-10-16, Days after vaccination: 1
Gender:Male  Submitted:2010-10-18, Days after onset: 2
Location:Maryland  Entered:2010-10-18
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: no
Preexisting Conditions: none
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU(H1N1): INFLUENZA (H1N1) (H1N1 (MONOVALENT) (SANOFI)SANOFI PASTEURUH184AA  LA
Administered by: Unknown     Purchased by: Private
Symptoms: Erythema, Injection site erythema, Injection site warmth, Skin warm
SMQs:, Anaphylactic reaction (broad), Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Erythema and warmth extending from the injection site on the left arm to the left chest and below the left elbow. Improved within two days. Pt given Motrin and Zyrtec by Mom.

VAERS ID:403980 (history)  Vaccinated:2010-10-13
Age:7.0  Onset:2010-10-14, Days after vaccination: 1
Gender:Male  Submitted:2010-10-18, Days after onset: 4
Location:Rhode Island  Entered:2010-10-18
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Known
Preexisting Conditions: ZITHROMAX
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME)UNKNOWN MANUFACTURER 2UNUN
Administered by: Other     Purchased by: Other
Symptoms: Erythema, Oedema peripheral, Urticaria
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Red, swollen right arm with some hives.

VAERS ID:404167 (history)  Vaccinated:2010-10-12
Age:7.0  Onset:0000-00-00
Gender:Female  Submitted:0000-00-00
Location:Kentucky  Entered:2010-10-19
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 known
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLUN3: INFLUENZA (SEASONAL) (FLUMIST)MEDIMMUNE VACCINES, INC.501040P0IN 
Administered by: Military     Purchased by: Unknown
Symptoms: Periorbital oedema
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Periorbital and eyelid disorders (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Paraorbital edema SINGULAR PRELONE.

VAERS ID:404789 (history)  Vaccinated:2010-10-20
Age:7.0  Onset:2010-10-20, Days after vaccination: 0
Gender:Male  Submitted:2010-10-20, Days after onset: 0
Location:California  Entered:2010-10-21, Days after submission: 1
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)GLAXOSMITHKLINE BIOLOGICALSAHBVB789BA1IMLA
HEPA: HEP A (HAVRIX)GLAXOSMITHKLINE BIOLOGICALSAHAVB444AA1IMRA
Administered by: Public     Purchased by: Public
Symptoms: Fall, Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Arrhythmia related investigations, signs and symptoms (broad), Accidents and injuries (narrow), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Hypoglycaemia (broad)
Write-up: About 4:20pm patient received vaccines. Ambulated with mother to lobby. While mother was paying per clerk, child fainted/fell to the floor. Patient was brought into the room 911 was initiated. Child was assessed by medical personnel. Mother declined child to be transported to hospital for further evaluation.

VAERS ID:404875 (history)  Vaccinated:2010-10-13
Age:7.0  Onset:2010-10-17, Days after vaccination: 4
Gender:Female  Submitted:2010-10-19, Days after onset: 2
Location:Pennsylvania  Entered:2010-10-22, 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: None
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLUN3: INFLUENZA (SEASONAL) (FLUMIST)MEDIMMUNE VACCINES, INC.501043P0IN 
HEPA: HEP A (VAQTA)MERCK & CO. INC.1087Z0IMLA
Administered by: Private     Purchased by: Private
Symptoms: Eye swelling, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Receive FLUMIST 4 days prior to developing hives on back. Next day awoke with hives on abdomen. At school developed hives on face and mild swelling of eyes. No uri symptoms, cough, bellyache. Treated with ZYRTEC 10mg. daily and BENADRYL as needed.

VAERS ID:404929 (history)  Vaccinated:2010-10-19
Age:7.0  Onset:2010-10-21, Days after vaccination: 2
Gender:Female  Submitted:2010-10-22, Days after onset: 1
Location:Arizona  Entered:2010-10-22
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: none
Preexisting Conditions: none that I was aware of
Diagnostic Lab Data: none
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURU3566AA1IJLA
Administered by: Public     Purchased by: Public
Symptoms: Injection site haematoma
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow)
Write-up: Pinpoint resolving hematoma where shot was given to left arm surrounded by a quarter size bruise. No redness or swelling. Explained to parent (mother) to apply warm compress if tolerable and Motrin. Will do follow-up call to see how child is doing. Explained to parent that VAERS report would be completed.

VAERS ID:405259 (history)  Vaccinated:2010-10-21
Age:7.0  Onset:2010-10-21, Days after vaccination: 0
Gender:Male  Submitted:2010-10-25, Days after onset: 4
Location:Arizona  Entered:2010-10-25
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: UNKNOWN ILLNESS AT TIME OF FLU MIST GIVEN AT SCHOOL
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLUN3: INFLUENZA (SEASONAL) (FLUMIST)MEDIMMUNE VACCINES, INC. 0IN 
Administered by: Unknown     Purchased by: Public
Symptoms: Vomiting
SMQs:, Acute pancreatitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)
Write-up: VOMITING AFTER FLU MIST

VAERS ID:405407 (history)  Vaccinated:2010-10-20
Age:7.0  Onset:2010-10-21, Days after vaccination: 1
Gender:Female  Submitted:2010-10-26, Days after onset: 5
Location:Maine  Entered:2010-10-26
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Stated no.
Preexisting Conditions: KNDA, and no pre existing dx, at time of vaccination.
Diagnostic Lab Data: Patients mom stated on 10/22/2010 at 8:24 am that the rash is lighter and no itching. Patient returned to school that day.
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE HIGH-DOSE)SANOFI PASTEURU3575EA1IMLA
Administered by: Unknown     Purchased by: Other
Symptoms: Rash, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Patients mom called our office at 8:30 am and stated the patient had hives on abdomen red raised rash, with no temp. Tx was Calamine lotion and Benadryl.

VAERS ID:405409 (history)  Vaccinated:2010-10-25
Age:7.0  Onset:2010-10-25, Days after vaccination: 0
Gender:Female  Submitted:2010-10-26, Days after onset: 1
Location:Ohio  Entered:2010-10-26
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
IPV: POLIO VIRUS, INACT. (IPOL)SANOFI PASTEURD054813IMRA
Administered by: Public     Purchased by: Public
Symptoms: Eyelid oedema, Injection site discomfort, Lip swelling, Rash generalised, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Periorbital and eyelid disorders (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Hives appeared generalized over body, upper lip very swollen, lower eyelids puffy, c/o discomfort at site of injection. Taken to ER for evaluation. Given Benadryl, Prednisone at ER. Prescriptions given to mother for Zyrtec, oral Prednisolone.

VAERS ID:405497 (history)  Vaccinated:2010-10-21
Age:7.0  Onset:2010-10-23, Days after vaccination: 2
Gender:Male  Submitted:2010-10-26, Days after onset: 3
Location:California  Entered:2010-10-26
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: No
Preexisting Conditions: None
Diagnostic Lab Data: None as of 10/26/10
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLUN3: INFLUENZA (SEASONAL) (FLUMIST)MEDIMMUNE VACCINES, INC.501017P0IN 
Administered by: Other     Purchased by: Public
Symptoms: Syncope, Vomiting
SMQs:, Torsade de pointes/QT prolongation (broad), Acute pancreatitis (broad), Arrhythmia related investigations, signs and symptoms (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Hypoglycaemia (broad)
Write-up: Received Flumist morning of 10/21/10. Evening of 10/23 vomiting started. Appeared better next morning, but more vomiting after awake a few hours. Appeared better 10/25 so went to school. After school at home pt. collapsed & fell for no apparent reason. Mom says no loss of consciousness. Vomiting again that evening. No fever, no lethargy. No one else in family ill. Able to eat some and drink. Kept home from school 10/26 with no vomiting as of 2PM. Mother made doctor appointment for 11/3.

VAERS ID:405578 (history)  Vaccinated:2010-10-26
Age:7.0  Onset:2010-10-27, Days after vaccination: 1
Gender:Female  Submitted:2010-10-27, Days after onset: 0
Location:North Carolina  Entered:2010-10-27
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: no
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURUH180AA0IMLA
Administered by: Public     Purchased by: Private
Symptoms: Injection site erythema, Injection site oedema
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: Redness, edema size of 2 fifty cent pieces in length and 1 fifty cent piece in width at injection site.

VAERS ID:405661 (history)  Vaccinated:2010-10-15
Age:7.0  Onset:2010-10-15, Days after vaccination: 0
Gender:Male  Submitted:2010-10-27, Days after onset: 12
Location:California  Entered:2010-10-27
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: No, completely healthy
Preexisting Conditions: none
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME)UNKNOWN MANUFACTURER  IJRA
FLUX(H1N1): INFLUENZA (H1N1) (H1N1 (MONOVALENT) (UNKNOWN)UNKNOWN MANUFACTURER 4IJRA
Administered by: Other     Purchased by: Private
Symptoms: Headache, Pyrexia, Vomiting
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Onset time is approximate as I don''t think patient complained as the fever began to creep up. At 11PM he woke up to use the bathroom and complained of a severe headache and then immediately began to vomit. His temperature, taken by temporal thermometer, read as high as 104.2F. Fever brought down to low grade with Tylenol, dosed at 12AM and 5AM. Patient felt better by morning, but wasn''t fever free until at least 11AM on 10/16/2010.

Result pages: prev   2585 2586 2587 2588 2589 2590 2591 2592 2593 2594 2595 2596 2597 2598 2599 2600 2601 2602 2603 2604 2605 2606 2607 2608 2609 2610 2611 2612 2613 2614 2615 2616 2617 2618 2619 2620 2621 2622 2623 2624 2625 2626 2627 2628 2629 2630 2631 2632 2633 2634 2635 2636 2637 2638 2639 2640 2641 2642 2643 2644 2645 2646 2647 2648 2649 2650 2651 2652 2653 2654 2655 2656 2657 2658 2659 2660 2661 2662 2663 2664 2665 2666 2667 2668 2669 2670 2671 2672 2673 2674 2675 2676 2677 2678 2679 2680 2681 2682 2683 2684 2685 2686 2687 2688 2689 2690 2691 2692 2693 2694 2695 2696 2697 2698 2699 2700 2701 2702 2703 2704 2705 2706 2707 2708 2709 2710 2711 2712 2713 2714 2715 2716 2717 2718 2719 2720 2721 2722 2723 2724 2725 2726 2727 2728 2729 2730 2731 2732 2733 2734 2735 2736 2737 2738 2739 2740 2741 2742 2743 2744 2745 2746 2747 2748 2749 2750 2751 2752 2753 2754 2755 2756 2757 2758 2759 2760 2761 2762 2763 2764 2765 2766 2767 2768 2769 2770 2771 2772 2773 2774 2775 2776 2777 2778 2779 2780 2781 2782 2783   next

New Search

Link To This Search Result:
http://www.medalerts.org/vaersdb/findfield.php?EVENTS=ON&PAGENO=2684&PERPAGE=100&ESORT=AGE


Copyright © 2017 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166