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Found 593491 cases in entire database

Case Details (Sorted by Age)

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VAERS ID:277203 (history)  Vaccinated:2006-04-09
Age:6.0  Onset:2006-04-12, Days after vaccination: 3
Gender:Male  Submitted:2007-04-13, Days after onset: 366
Location:Hawaii  Entered:2007-04-23, Days after submission: 10
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: URI s/s
Preexisting Conditions: 30 week premie, received syngist - last dose 2/07.
Diagnostic Lab Data: None
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX)GLAXOSMITHKLINE BIOLOGICALSAC21B096CA2IMLL
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURU2165FA0IMRL
PNC: PNEUMO (PREVNAR)PFIZER/WYETHB08670H2IMRL
RV5: ROTAVIRUS (ROTATEQ)MERCK & CO. INC.0023U2PO 
Administered by: Private     Purchased by: Private
Symptoms: Inappropriate schedule of drug administration, Pallor, Pyrexia, Rash erythematous, Rash maculo-papular
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Hypotonic-hyporesponsive episode (broad), Hypersensitivity (narrow), Medication errors (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Fever for 3 days from day of immunization then rash developed (maculopapular, red, blanching).

VAERS ID:277236 (history)  Vaccinated:2007-03-28
Age:6.0  Onset:2007-04-15, Days after vaccination: 18
Gender:Male  Submitted:2007-04-23, Days after onset: 8
Location:Texas  Entered:2007-04-23
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: none
Diagnostic Lab Data: none
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.1501F1SCLL
Administered by: Private     Purchased by: Private
Symptoms: Skin lesion
SMQs:, Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: less than 10 lesions, 2 wks after vaccine, no treatment required

VAERS ID:277253 (history)  Vaccinated:2007-04-17
Age:6.0  Onset:2007-04-19, Days after vaccination: 2
Gender:Female  Submitted:2007-04-20, Days after onset: 1
Location:Virginia  Entered:2007-04-23, 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: None
Current Illness:
Preexisting Conditions: Allergy to Chocolate
Diagnostic Lab Data: None
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEPA: HEP A (VAQTA)MERCK & CO. INC.0123U1 RL
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.0602F1 RL
Administered by: Private     Purchased by: Private
Symptoms: Erythema, Induration, Pruritus
SMQs:, Anaphylactic reaction (broad), Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Patient administrated booster of Varivax 4/17/07 in right outer thigh on 4/17/2007. On 4/18/2007, she experienced, itching, redness + induration 5cm size. I recommended ice, Motrin, Benadryl for this mild adverse.

VAERS ID:277294 (history)  Vaccinated:2007-04-13
Age:6.0  Onset:2007-04-13, Days after vaccination: 0
Gender:Male  Submitted:2007-04-19, Days after onset: 6
Location:Ohio  Entered:2007-04-24, Days after submission: 5
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Pulmicort, Albuterol
Current Illness:
Preexisting Conditions: asthma and allergies (environment) per mom
Diagnostic Lab Data: none
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEPA: HEP A (VAQTA)MERCK & CO. INC.1095F0IMLA
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.0914F1SCRA
Administered by: Public     Purchased by: Other
Symptoms: Cold compress therapy, Immediate post-injection reaction, Injection site pruritus, Injection site urticaria
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow)
Write-up: Administered Varicella vaccine #2 in patient right deltoid. A hive appeared immed. after injection (before a bandaid could be applied) Patient c/o itching. Phone physician and he ordered cool compress and benadryl 25 mg po. Hive on larged to size of a dime and 30 minutes after injection-hive was almost gone and not itching.

VAERS ID:277296 (history)  Vaccinated:2007-02-23
Age:6.0  Onset:2007-02-24, Days after vaccination: 1
Gender:Female  Submitted:0000-00-00
Location:Missouri  Entered:2007-04-24
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: None
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEPA: HEP A (VAQTA)MERCK & CO. INC.1213F1IMLA
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC. 1SCLA
Administered by: Private     Purchased by: Unknown
Symptoms: Back pain, Headache, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Headache, fever 103.5 back pain

VAERS ID:277363 (history)  Vaccinated:2007-04-14
Age:6.0  Onset:2007-04-16, Days after vaccination: 2
Gender:Male  Submitted:2007-04-21, Days after onset: 5
Location:California  Entered:2007-04-25, Days after submission: 4
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? Yes, 2 days
    Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None PMH: frequent nasal congestion, swelling w/insect bites, sinusitis.
Diagnostic Lab Data: CBC, Chem/liver panel, ANA urinalysis, EB Titer, Stool blood all neg. CT presented edema or cellulitis. LABS: ESR 20. Occult blood neg. CBC, Chem & UA were essentially WNL. Urine & blood c/s neg. EBV IgG abnormal. Parvovirus positive. CT of sinus revealed right preseptal periorbital cellulitis.
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.0127U1SCRA
Administered by: Private     Purchased by: Private
Symptoms: Antinuclear antibody negative, Cellulitis, Computerised tomogram abnormal, Epstein-Barr virus test, Erythema multiforme, Full blood count normal, Injection site discomfort, Injection site rash, Laboratory test normal, Listless, Nodular vasculitis, Oedema, Periorbital oedema, Rash pruritic, Skin hyperpigmentation, Urine analysis normal
SMQs:, Cardiac failure (broad), Severe cutaneous adverse reactions (narrow), Anaphylactic reaction (broad), Angioedema (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Depression (excl suicide and self injury) (broad), Vasculitis (narrow), Periorbital and eyelid disorders (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)
Write-up: Pruritic rash, listless, discomfort site rash. Rt periorbital edema. Erythema multiforme rash, cheek, rt arm. Hyperpigmentation almost vasculitic appearing, nodules. 4/27/07 Received medical records from hospital which reveal patient experienced itchy rash of both arms, left cheek & swelling around left eye. Rash then spread to right cheek & right eye & became painful. Seen by PCP who admitted to hospital 4/17-4/18/07. Rash on admit was mostly macular, noted to be angry at Varivax site. Rash had purpuric/vasculitis look. Both eyes swollen & skin pale & tender. Nasal crusty. Tx w/IV antibiotics & d/c to home on continued oral antibiotics FINAL DX: Erythema multiforme rash, most likely allergic reaction, possibly to Varivax; periorbital swelling/cellulitis.

VAERS ID:277396 (history)  Vaccinated:2007-04-23
Age:6.0  Onset:2007-04-24, Days after vaccination: 1
Gender:Female  Submitted:2007-04-25, Days after onset: 1
Location:California  Entered:2007-04-26, Days after submission: 1
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEPA: HEP A (VAQTA)MERCK & CO. INC.0931F1IMRA
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.0115U1SCRA
Administered by: Private     Purchased by: Private
Symptoms: Injection site erythema, Injection site induration, Injection site oedema
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: Back of Rt arm red and edematous. Sl hard to touch, no cellulitis. OTC Benadryl elixir and cool moist compresses to site Q 4 hrs. RTC if SX worsen.

VAERS ID:277436 (history)  Vaccinated:2007-04-20
Age:6.0  Onset:2007-04-20, Days after vaccination: 0
Gender:Male  Submitted:2007-04-26, Days after onset: 6
Location:Virginia  Entered:2007-04-26
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Nansonex q d per private medical doctor; Rx allergies
Current Illness: none
Preexisting Conditions: allergies - dust, cats, seasonal allergies
Diagnostic Lab Data: none
CDC Split Type: VA07006
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEPA: HEP A (HAVRIX)GLAXOSMITHKLINE BIOLOGICALSAHAVB148AA IMRL
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.1146F1SCRA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Injection site erythema, Injection site pruritus
SMQs:, Extravasation events (injections, infusions and implants) (broad)
Write-up: 6:30 pm 4/20/07 Mother reports red, raised area at site of injection on right arm. Area approximately 50 mm size. Itching. gave Benedryl. 4/22: not raised, less red, some itching. 4/24: area red, not raised, no itching per mother report

VAERS ID:277538 (history)  Vaccinated:2007-04-25
Age:6.0  Onset:2007-04-27, Days after vaccination: 2
Gender:Male  Submitted:2007-04-27, Days after onset: 0
Location:Massachusetts  Entered:2007-04-27
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: none
Preexisting Conditions: none
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAP: DTAP (TRIPEDIA)AVENTIS PASTEURU1885AB4 RA
IPV: POLIO VIRUS, INACT. (IPOL)AVENTIS PASTEURZ03244 RA
MMRV: MEASLES + MUMPS + RUBELLA + VARICELLA (PROQUAD)MERCK & CO. INC.1562F1 LA
Administered by: Public     Purchased by: Other
Symptoms: Injection site erythema, Injection site warmth
SMQs:, Extravasation events (injections, infusions and implants) (broad)
Write-up: Right arm pt has redness, no fever, no pain and warmth. 15 x 10 cm. No induration.

VAERS ID:277886 (history)  Vaccinated:2007-04-30
Age:6.0  Onset:2007-05-02, Days after vaccination: 2
Gender:Male  Submitted:2007-05-03, Days after onset: 1
Location:Colorado  Entered:2007-05-03
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: none
Diagnostic Lab Data: none
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEPA: HEP A (HAVRIX)GLAXOSMITHKLINE BIOLOGICALSAHAVB162BA1IMLL
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.1110R1SCRL
Administered by: Private     Purchased by: Private
Symptoms: Injection site induration, Injection site rash, Injection site reaction
SMQs:, Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (narrow)
Write-up: Severe local reaction at injection site within 36 hr. 8cm raised indurated lesion on (R) thigh with vesicles in center more raised area

VAERS ID:278041 (history)  Vaccinated:2006-12-05
Age:6.0  Onset:2006-12-05, Days after vaccination: 0
Gender:Female  Submitted:2007-04-13, Days after onset: 128
Location:Delaware  Entered:2007-05-07, Days after submission: 24
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Singulaire; Loratadine
Current Illness: Loose stools
Preexisting Conditions: Allergic Rhunitis
Diagnostic Lab Data: none
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAP: DTAP (DAPTACEL)SANOFI PASTEURC2521AA4 LL
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME)UNKNOWN MANUFACTURER42510AA2 RL
IPV: POLIO VIRUS, INACT. (POLIOVAX)SANOFI PASTEURY10673 LL
MMRV: MEASLES + MUMPS + RUBELLA + VARICELLA (PROQUAD)MERCK & CO. INC.0301F0 RL
Administered by: Private     Purchased by: Public
Symptoms: Injection site erythema, Injection site rash, Local reaction
SMQs:, Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (narrow)
Write-up: Red blotching rash around IPV injection site small area of redness around Dapt injection site. Local erythematous reaction to IPV

VAERS ID:278080 (history)  Vaccinated:2001-09-27
Age:6.0  Onset:2007-04-25, Days after vaccination: 2036
Gender:Male  Submitted:2007-04-25, Days after onset: 0
Location:Illinois  Entered:2007-05-07, Days after submission: 12
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0596L0 RL
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.0467L0 LL
Administered by: Private     Purchased by: Public
Symptoms: Rash, Varicella
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: 4/25/07 Rash ? chickenpox on face, trunk, back and feet.

VAERS ID:278084 (history)  Vaccinated:2007-04-24
Age:6.0  Onset:0000-00-00
Gender:Male  Submitted:2007-05-02
Location:California  Entered:2007-05-07, 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: Benadryl
Current Illness: URI : Cough
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.0115U1 LA
Administered by: Private     Purchased by: Private
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: 6.5 x 6.0 cm area of erythema with small area of induration

VAERS ID:278176 (history)  Vaccinated:2007-04-30
Age:6.0  Onset:2007-05-01, Days after vaccination: 1
Gender:Female  Submitted:2007-05-01, Days after onset: 0
Location:Ohio  Entered:2007-05-08, Days after submission: 7
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: MIRALAX, TYLENOL
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAP: DTAP (TRIPEDIA)SANOFI PASTEURU1813AB4IMLL
MMRV: MEASLES + MUMPS + RUBELLA + VARICELLA (PROQUAD)MERCK & CO. INC.1562F  LA
OPV: POLIO VIRUS, ORAL (NO BRAND NAME)UNKNOWN MANUFACTURERZ03063 LL
Administered by: Private     Purchased by: Public
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: Area of swelling redness warmth around site of injection left arm and left leg top of thigh.

VAERS ID:278206 (history)  Vaccinated:2007-04-24
Age:6.0  Onset:2007-04-24, Days after vaccination: 0
Gender:Male  Submitted:2007-05-03, Days after onset: 9
Location:Georgia  Entered:2007-05-08, Days after submission: 5
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Asthma
Preexisting Conditions: Asthma
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.01756   
Administered by: Private     Purchased by: Unknown
Symptoms: Hypoaesthesia, Injected limb mobility decreased, Injection site anaesthesia, Pain
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad)
Write-up: When she gave him the shot he said his arm went numb imm after than it was numb for 4 days hardly could move it. So he had to go to the doctor 3 days in a row. It still hurts.

VAERS ID:278208 (history)  Vaccinated:2007-04-23
Age:6.0  Onset:2007-04-24, Days after vaccination: 1
Gender:Male  Submitted:2007-05-02, Days after onset: 8
Location:Illinois  Entered:2007-05-08, Days after submission: 6
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: Redness R Glut~DTaP + HepB + IPV (no brand name)~3~2~In Sibling
Other Medications:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAP: DTAP (INFANRIX)GLAXOSMITHKLINE BIOLOGICALSAC14B027AA4IMLA
Administered by: Private     Purchased by: Public
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: Swelling, red and arm to touch at injection site. Benadryl given with success per pt''s mother.

VAERS ID:278358 (history)  Vaccinated:2007-05-08
Age:6.0  Onset:0000-00-00
Gender:Female  Submitted:2007-05-10
Location:Iowa  Entered:2007-05-10
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAP: DTAP (INFANRIX)GLAXOSMITHKLINE BIOLOGICALSAC14B040CA0IMLA
HEPA: HEP A (HAVRIX)GLAXOSMITHKLINE BIOLOGICALSAHAVB162BA4IMRA
Administered by: Private     Purchased by: Private
Symptoms: Injection site erythema, Injection site warmth
SMQs:, Extravasation events (injections, infusions and implants) (broad)
Write-up: AT INJECTION SITE, REDNESS AND WARM TO TOUCH. RX ZYRTEC BY DOCTOR AND TOLD TO GET RECHECKED IF NO IMPROVEMENT.

VAERS ID:278367 (history)  Vaccinated:2007-05-08
Age:6.0  Onset:2007-05-08, Days after vaccination: 0
Gender:Female  Submitted:2007-05-10, Days after onset: 2
Location:Ohio  Entered:2007-05-10
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: None~ ()~NULL~~In Patient
Other Medications: None
Current Illness: None - she is a very healthy 6-year old.
Preexisting Conditions: Allergic to amoxicillin
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (NO BRAND NAME)UNKNOWN MANUFACTURER 1  
Administered by: Private     Purchased by: Unknown
Symptoms: Croup infectious, Dry throat, Dysphonia, Fatigue, Pyrexia, Sleep disorder
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Parkinson-like events (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Patient was perfectly fine, was evaluated by the physician as a 6-year old checkup. The vaccination was administered at approx 11:30 and by 12:30, she was becoming very hoarse. By the time she returned home from school, she was very tired and was running a slight fever. By bedtime her fever was 100.6. She was awake every 1-1/2 hours or so all night long. usually just to get a drink and then fell back to sleep. I called the doctor the next morning and they had me bring her back in. Her temp was 103. They did a throat culture and after examining her, the doctor said she had croup. He gave her a liquid steroid and told me to use a vaporizor for the next few nights. Tylenol helped bring the fever down and she hasn''t coughed at all. She is still very hoarse and complains a little about a dry throat. Therefore, I don''t feel she has croup. I think she is having a reaction to the vaccination.

VAERS ID:278422 (history)  Vaccinated:2007-04-16
Age:6.0  Onset:2007-04-19, Days after vaccination: 3
Gender:Female  Submitted:2007-04-19, Days after onset: 0
Location:California  Entered:2007-05-11, Days after submission: 22
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data:
CDC Split Type: CA070020
Vaccination
Manufacturer
Lot
Dose
Route
Site
IPV: POLIO VIRUS, INACT. (IPOL)SANOFI PASTEURY1031  LA
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.12795F SCLA
Administered by: Public     Purchased by: Public
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: Erythematous and induration about 15cm X 20cm on left upper arm.

VAERS ID:278424 (history)  Vaccinated:2007-03-06
Age:6.0  Onset:2007-03-08, Days after vaccination: 2
Gender:Female  Submitted:2007-03-08, Days after onset: 0
Location:California  Entered:2007-05-11, Days after submission: 63
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: CA070018
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.1301F1 LA
Administered by: Other     Purchased by: Public
Symptoms: Rash, Skin warm, Tenderness
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Red patch with bumps on right arm by axillary, hot and tender.

VAERS ID:278554 (history)  Vaccinated:2001-06-13
Age:6.0  Onset:2007-02-24, Days after vaccination: 2082
Gender:Male  Submitted:2007-05-09, Days after onset: 73
Location:Ohio  Entered:2007-05-14, Days after submission: 5
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.    
Administered by: Other     Purchased by: Other
Symptoms: Varicella
SMQs:
Write-up: Varicella 50 - 500 lesions

VAERS ID:278556 (history)  Vaccinated:2002-01-28
Age:6.0  Onset:2007-02-07, Days after vaccination: 1836
Gender:Male  Submitted:2007-05-09, Days after onset: 90
Location:Ohio  Entered:2007-05-14, Days after submission: 5
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.    
Administered by: Other     Purchased by: Other
Symptoms: Varicella
SMQs:
Write-up: Varicella < 50 lesions

VAERS ID:278614 (history)  Vaccinated:2007-05-07
Age:6.0  Onset:2007-05-08, Days after vaccination: 1
Gender:Female  Submitted:2007-05-08, Days after onset: 0
Location:North Carolina  Entered:2007-05-15, Days after submission: 7
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: NC07042
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.0111U1SCLA
Administered by: Public     Purchased by: Public
Symptoms: Cold compress therapy, Injection site reaction
SMQs:
Write-up: 50 Cent piece sized area under area where Varivax was given, left deltoid - 5/7/07. May be reaction to circular bandaid - which was removed. This all reported by school nurse via PC today. Denies pain, ice pack applied to area.

VAERS ID:278639 (history)  Vaccinated:2007-04-30
Age:6.0  Onset:2007-05-05, Days after vaccination: 5
Gender:Male  Submitted:2007-05-07, Days after onset: 2
Location:Virginia  Entered:2007-05-15, Days after submission: 8
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: Seasonal allergies
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.0262F1SCLA
Administered by: Private     Purchased by: Public
Symptoms: Cellulitis, Skin lesion, Varicella
SMQs:, Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Varicella Rash $g100 Lesions, cellulitis face - treated with oral antibiotics

VAERS ID:278644 (history)  Vaccinated:2007-05-10
Age:6.0  Onset:2007-05-11, Days after vaccination: 1
Gender:Female  Submitted:2007-05-15, Days after onset: 4
Location:Georgia  Entered:2007-05-15
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEPA: HEP A (VAQTA)MERCK & CO. INC.0320P0IMRA
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.0336U2SCLA
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: Swelling and redness and pain at Hep A injection site. Swelling began within 24 hous of injection and cleared by day 4 post injection.

VAERS ID:278704 (history)  Vaccinated:2007-05-11
Age:6.0  Onset:2007-05-12, Days after vaccination: 1
Gender:Male  Submitted:2007-05-16, Days after onset: 4
Location:Iowa  Entered:2007-05-16
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Adderall XR, Risperdal, Depakote, Fenex
Current Illness: None
Preexisting Conditions: Attention deficit/ hypersensitivity disorder
Diagnostic Lab Data: None
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAP: DTAP (DAPTACEL)SANOFI PASTEURC2570AA5 LA
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.1245F4 RA
HEPA: HEP A (VAQTA)MERCK & CO. INC.0018U1 LA
Administered by: Private     Purchased by: Public
Symptoms: Injection site erythema, Injection site induration
SMQs:, Extravasation events (injections, infusions and implants) (broad)
Write-up: 10 X 10cm area of erythema and induration at site of DTaP vaccine. Area or erythema and induration increased to involve erythema upper arm.

VAERS ID:279008 (history)  Vaccinated:2007-04-23
Age:6.0  Onset:2007-04-24, Days after vaccination: 1
Gender:Male  Submitted:2007-05-18, Days after onset: 24
Location:South Carolina  Entered:2007-05-18
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC Split Type: SC0706
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAP: DTAP (DAPTACEL)SANOFI PASTEURU183BA2IMLA
IPV: POLIO VIRUS, INACT. (POLIOVAX)SANOFI PASTEURZ05272SCLA
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.1503F1SCRA
Administered by: Public     Purchased by: Public
Symptoms: Erythema, Hypersensitivity, Infection, Oedema peripheral, Pain
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Left arm swollen and red. Treated with Benadryl and ice packs. Went to ER due to pian on 4/24/07. ER MD diagnosed as infection and allergic reaction. ER treated with Motrin and Cephalexin 500 mg TID.

VAERS ID:279309 (history)  Vaccinated:2007-05-15
Age:6.0  Onset:2007-05-17, Days after vaccination: 2
Gender:Female  Submitted:2007-05-21, Days after onset: 4
Location:California  Entered:2007-05-22, 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: None
Current Illness: None
Preexisting Conditions:
Diagnostic Lab Data: Visited office
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.1312F1SCLA
Administered by: Public     Purchased by: Public
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: Red, swollen, and warm to touch to site of injection 60 mm.

VAERS ID:279375 (history)  Vaccinated:2007-05-14
Age:6.0  Onset:2007-05-15, Days after vaccination: 1
Gender:Female  Submitted:2007-05-17, Days after onset: 2
Location:California  Entered:2007-05-22, 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: Vomiting, diarrhea
Preexisting Conditions: Penicillin allergy
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.0115U1SCRA
Administered by: Private     Purchased by: Private
Symptoms: Injection site pruritus, Injection site swelling
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: Received Varivax 5-14-07, started with local reaction of swelling, itching about the size of a quarter. Progressed to about 8cm redness

VAERS ID:279380 (history)  Vaccinated:2007-05-15
Age:6.0  Onset:2007-05-16, Days after vaccination: 1
Gender:Female  Submitted:2007-05-17, Days after onset: 1
Location:North Carolina  Entered:2007-05-22, Days after submission: 5
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEPA: HEP A (VAQTA)MERCK & CO. INC.1282F0IMLL
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.0305U1SCLL
Administered by: Private     Purchased by: Public
Symptoms: Cold compress therapy, Injection site erythema, Injection site swelling, Pruritus, Skin warm
SMQs:, Anaphylactic reaction (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: Red and swollen at injection site of golf ball, hot to touch, itching - treated with Benadryl and cool compress.

VAERS ID:279764 (history)  Vaccinated:0000-00-00
Age:6.0  Onset:2006-03-28
Gender:Male  Submitted:2007-05-16, Days after onset: 413
Location:Ohio  Entered:2007-05-24, Days after submission: 8
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Asthma, eczema, hypersensitivity
Diagnostic Lab Data: None
CDC Split Type: WAES0603USA04456
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.  UNUN
Administered by: Other     Purchased by: Other
Symptoms: Rash, Varicella, Varicella post vaccine
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Information has been received from a physician concerning a 6-7 year old male with asthma, eczema and unspecified allergies who in approximately 2000, at 12 months of age, was vaccinated with a dose of Varivax. Concomitant therapy included montelukast sodium (MSD) and inhaled corticosteroids (unspecified). On 28-MAR-2006 the patient presented with a chickenpox rash. There were greater than 50 lesions, but the areas of the body were not specified. There was no fever. The physician prescribed a topical antiviral and BENADRYL. There were no labs done. At the time of this report the patient had not recovered. No product quality complaint was involved. Additional information has been requested.

VAERS ID:279765 (history)  Vaccinated:2000-06-06
Age:6.0  Onset:2006-02-08, Days after vaccination: 2073
Gender:Unknown  Submitted:2007-05-16, Days after onset: 461
Location:Unknown  Entered:2007-05-24, Days after submission: 8
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0603USA04490
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.  UNUN
Administered by: Other     Purchased by: Other
Symptoms: Rash macular, Rash papular, Rash vesicular, Varicella, Varicella post vaccine
SMQs:, Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Information has been received from a health professional concerning a 6 year old child who on 06-JUN-2006 was vaccinated with a dose of Varivax. On 08-FEB-2006 the patient developed chickenpox. The child had too many lesions to count, near 500. The lesions were papular, vesicular and macular. Unspecified medical attention was sought. The patient was treated with acyclovir. There was no product quality complaint involved. The reporter considered the patient''s chickenpox to be an other important medical event. Additional information has been requested.

VAERS ID:279787 (history)  Vaccinated:0000-00-00
Age:6.0  Onset:2005-03-13
Gender:Female  Submitted:2007-05-16, Days after onset: 793
Location:Pennsylvania  Entered:2007-05-24, Days after submission: 8
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Leukaemia, Leukaemia in remission
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0604USA00192
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.0788M0UNUN
Administered by: Public     Purchased by: Public
Symptoms: Diarrhoea, Herpes zoster, Nausea, Rash vesicular
SMQs:, Acute pancreatitis (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypersensitivity (narrow), Noninfectious diarrhoea (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Information has been received from a physician concerning a 6-year-old female with a history of leukaemia, now in remission, who in 1998 was vaccinated in the right arm with a first dose of Varivax (Oka/Merck) (lot# 640725/0788M). It was unknown if there was illness at the time of vaccination and unknown if there was concomitant medications. On 13-MAR-2005 the patient developed a vesicular rash in the L1 dermatome associated with diarrhea and nausea. Unspecified medical attention was sought and she was diagnosed with zoster and treated with acyclovir. Subsequently, the patient recovered from zoster. Additional information is not expected.

VAERS ID:279866 (history)  Vaccinated:2000-05-03
Age:6.0  Onset:2006-03-15, Days after vaccination: 2142
Gender:Female  Submitted:2007-05-16, Days after onset: 426
Location:New York  Entered:2007-05-24, Days after submission: 8
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0604USA00442
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.1461J0SCUN
Administered by: Private     Purchased by: Private
Symptoms: Vaccination failure, Varicella
SMQs:, Lack of efficacy/effect (narrow)
Write-up: Information has been received from a registered nurse concerning a 6 year old female patient who on 03-MAY-2000 was vaccinated SC in the right thigh with a first dose of Varivax (Oka/Merck) (lot # 632369/1461J). The registered nurse indicated that the parent reported to the school nurse that on 15-MAR-2006, her child developed a rash which lasted for five days. Additional information received from the physician indicated that the patient experienced an "apparent vaccine failure", and that she was seen in March of 2006 with a clinical diagnosis of varicella. Subsequently, the patient recovered. No further information was available. Additional information is not expected.

VAERS ID:279872 (history)  Vaccinated:2000-06-20
Age:6.0  Onset:2006-01-30, Days after vaccination: 2050
Gender:Male  Submitted:2007-05-16, Days after onset: 470
Location:New York  Entered:2007-05-24, Days after submission: 8
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0604USA00448
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.  UNUN
Administered by: Other     Purchased by: Other
Symptoms: Vaccination failure
SMQs:, Lack of efficacy/effect (narrow)
Write-up: Information has been received from a health professional concerning a 6-year-old white male who on 20-JUN-2000 was vaccinated with a dose of Varivax. On 30-JAN-2006 the patient experienced vaccine failure. It was noted that the child had known contact with another case of varicella. Follow up information indicated that no further information was available. No additional information is expected.

VAERS ID:279875 (history)  Vaccinated:2000-07-27
Age:6.0  Onset:0000-00-00
Gender:Female  Submitted:2007-05-16
Location:New York  Entered:2007-05-24, Days after submission: 8
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0604USA00453
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.1867J UNUN
Administered by: Other     Purchased by: Other
Symptoms: Vaccination failure
SMQs:, Lack of efficacy/effect (narrow)
Write-up: Information has been received from a woman at the department of health concerning a 6 year old female who on 27-JUL-2000 was vaccinated with Varivax (Oka/Merck) (lot 634842/1867J). Subsequently the patient experienced "suspect vaccine failure". It was unknown if medical attention was sought. No further information was provided. Additional information has been requested.

VAERS ID:280154 (history)  Vaccinated:0000-00-00
Age:6.0  Onset:0000-00-00
Gender:Male  Submitted:2007-05-16
Location:Ohio  Entered:2007-05-24, Days after submission: 8
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: unknown
Current Illness:
Preexisting Conditions: unknown
Diagnostic Lab Data: unknown
CDC Split Type: WAES0604USA01797
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.  UNUN
Administered by: Other     Purchased by: Other
Symptoms: Varicella, Varicella post vaccine
SMQs:
Write-up: Information has been received from a physician concerning her approximately 6-year-old son who in 2001 was vaccinated with a dose of Varivax. Subsequently, on an unspecified date in 2001, the patient experienced mild chickenpox. Unspecified medical attention was sought. It was reported that the patient recovered. No product quality complaint was involved. Additional information has been requested.

VAERS ID:280328 (history)  Vaccinated:2001-09-10
Age:6.0  Onset:2006-03-21, Days after vaccination: 1653
Gender:Female  Submitted:2007-05-16, Days after onset: 420
Location:Kentucky  Entered:2007-05-24, Days after submission: 8
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0604USA02514
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.  UNUN
Administered by: Other     Purchased by: Other
Symptoms: Varicella
SMQs:
Write-up: Information has been received from a medical center concerning a 6 year old female who on 10-SPE-2001 was vaccinated with Varicella. On 21-MAR-2006 the patient experienced chicken pox. She was diagnosed on 23-MAR-2006. No additional information was provided. The patient''s sibling (WAES 0604USA02512) had a similar experience after vaccination with Varivax. Follow-up information from the licensed practical nurse indicated that all information is available.

VAERS ID:280340 (history)  Vaccinated:2000-08-30
Age:6.0  Onset:2006-04-13, Days after vaccination: 2052
Gender:Female  Submitted:2007-05-16, Days after onset: 398
Location:Ohio  Entered:2007-05-24, Days after submission: 8
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC Split Type: WAES0604USA03102
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.0538K0SC 
Administered by: Private     Purchased by: Private
Symptoms: Varicella
SMQs:
Write-up: Information has been received from a health care worker concerning a 6 year old female with no known medical history who on 30-AUG-2000 was vaccinated SC in the right thigh with a first dose of Varivax (lot # 634502/0538K). There was no illness at the time of vaccination. On 13-APR-2006 the patient developed chickenpox. No further information was provided. Additional information was received and indicated that on 13-APR-2006 the patient developed chickenpox and was seen for a doctor''s visit. No laboratory tests were performed. Subsequently in April 2006 the patient made a full recovery. No further information is expected.

VAERS ID:280348 (history)  Vaccinated:2001-04-19
Age:6.0  Onset:2005-07-07, Days after vaccination: 1540
Gender:Female  Submitted:2007-05-16, Days after onset: 678
Location:Ohio  Entered:2007-05-24, Days after submission: 8
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0604USA03516
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC. 1UNUN
Administered by: Other     Purchased by: Other
Symptoms: Varicella
SMQs:
Write-up: Information has been received from a registered nurse concerning a 6-year-old female child who on 19-MAY-2000 and 19-APR-2001 was vaccinated with a first (administered SC) and second doses of Varivax. On 07-JUL-2005, the patient developed Varivax. The outcome was reported as recovered. Additional information has been requested.

VAERS ID:280629 (history)  Vaccinated:2001-12-14
Age:6.0  Onset:2006-05-13, Days after vaccination: 1611
Gender:Male  Submitted:2007-05-16, Days after onset: 368
Location:Unknown  Entered:2007-05-24, Days after submission: 8
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: diagnostic laboratory 05/15/06 - adequate specimen, vaccine strain
CDC Split Type: WAES0605USA02588
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.0791L UNUN
Administered by: Other     Purchased by: Other
Symptoms: Herpes zoster, Skin warm, Viral DNA test positive
SMQs:
Write-up: Information has been received from a physician concerning a 6 year old male with no history of chickenpox who on 14-DEC-2001 was vaccinated on the left side with a 0.5 mL dose of Varivax (lot # 640072/0791L). No rash occurred at the site of injection or elsewhere within 42 days of vaccination. On 31-MAY-2006, the patient developed herpes zoster. His temperature was not taken but he felt warm. He had no other systemic symptoms. At the time of the report, he still had spots. The physician noted that she would like to submit a specimen for varicella zoster virus identification. Additional information was received from a health professional which indicated that a vesicular lesion specimen was obtained on 15-MAY-2006 and sent to the laboratory for varicella zoster virus identification on 16-MAY-2006. Varicella zoster virus DNA was amplified and the interpretation was adequate specimen, vaccine strain. Additional information has been requested.

VAERS ID:280658 (history)  Vaccinated:0000-00-00
Age:6.0  Onset:2006-03-27
Gender:Male  Submitted:2007-05-16, Days after onset: 414
Location:Texas  Entered:2007-05-24, Days after submission: 8
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0605USA03954
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.  SCUN
Administered by: Other     Purchased by: Other
Symptoms: Varicella
SMQs:
Write-up: Information has been received from a physician concerning a 6 year old male who was vaccinated SC with a 0.5ml dose of Varivax. On 27-MAR-2006 the patient experienced breakthrough varicella. Unspecified medical attention was sought. No product quality complaint was involved. Additional information has been requested.

VAERS ID:280783 (history)  Vaccinated:0000-00-00
Age:6.0  Onset:2006-05-31
Gender:Female  Submitted:2007-05-16, Days after onset: 350
Location:Texas  Entered:2007-05-24, Days after submission: 8
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC Split Type: WAES0606USA00994
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.  SCUN
Administered by: Other     Purchased by: Other
Symptoms: Herpes zoster
SMQs:
Write-up: Information has been received from a physician concerning a 6 year old female with no medical history who, at 12 months of age, in approximately 2001, was vaccinated SC with a 0.5 mL dose of Varivax. On 31-MAY-2006, the patient experienced shingles down her right arm. Unspecified medical attention was sought and the patient was given acyclovir and acetaminophen (+) codeine phosphate (TYLENOL WITH CODEINE). No diagnostic laboratory tests were performed. At the time of the report, the patient was getting better. A product quality complaint was not involved. Follow-up information was received from the physician who reported that she did not believe that this event was an "adverse event." Additional information has been requested.

VAERS ID:280793 (history)  Vaccinated:0000-00-00
Age:6.0  Onset:0000-00-00
Gender:Male  Submitted:2007-05-16
Location:Texas  Entered:2007-05-24, Days after submission: 8
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0606USA01458
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.  UNUN
Administered by: Other     Purchased by: Other
Symptoms: Varicella
SMQs:
Write-up: Information has been received from a physician concerning a 6 year old male who was vaccinated with a dose of Varivax. Subsequently the patient broke out with chickenpox. Unspecified medical attention was sought. No product quality complaint was involved. The patient''s 3 brothers experienced chickenpox following vaccination with Varivax (WAES# 0605USA04858, 0606USA01456, 0606USA01457). Additional information has been requested.

VAERS ID:281207 (history)  Vaccinated:0000-00-00
Age:6.0  Onset:2006-04-01
Gender:Female  Submitted:2007-05-16, Days after onset: 409
Location:Pennsylvania  Entered:2007-05-24, Days after submission: 8
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0608USA00303
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.  UNUN
Administered by: Other     Purchased by: Other
Symptoms: Varicella
SMQs:
Write-up: Information has been received from a physician concerning a 6-year-old female who, on an unspecified date, was vaccinated with a dose of Varivax. In April 2006, the patient developed a mild breakthrough case of varicella. Unspecified medical attention was sought. No outcome was reported. No product quality complaint was involved. Additional information has been requested.

VAERS ID:281250 (history)  Vaccinated:1999-07-22
Age:6.0  Onset:2006-08-07, Days after vaccination: 2573
Gender:Male  Submitted:2007-05-16, Days after onset: 282
Location:Maryland  Entered:2007-05-24, Days after submission: 8
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness:
Preexisting Conditions: None
Diagnostic Lab Data: serum immunoglobulin M 08/07/06 <0.90; serum varicella zoster 08/07/06 <0.91
CDC Split Type: WAES0608USA03595
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC. 0UNUN
Administered by: Private     Purchased by: Other
Symptoms: Antibody test negative
SMQs:
Write-up: Information has been received from a physician''s assistant (P.A.) concerning a 13-year-old male with no pertinent medical history or allergies, who on 22-JUL-1999 was vaccinated with a first dose of Varivax. there was no concomitant medication. On 07-AUG-2006 the patient had a titer taken and had a "failure to convert". The titer was less than 0.91 for IgG and the IgM was less than 0.90. Unspecified medical attention was sought. At the time of this report, the patient had not recovered and there was no further information. No product quality complaint was involved. The patient''s brother also experienced "failure to convert" (WAES# 0608USA03682). Additional information is not expected.

VAERS ID:281304 (history)  Vaccinated:0000-00-00
Age:6.0  Onset:0000-00-00
Gender:Unknown  Submitted:2007-05-16
Location:New Mexico  Entered:2007-05-24, Days after submission: 8
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0609USA00464
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.  UNUN
Administered by: Other     Purchased by: Other
Symptoms: Herpes zoster
SMQs:
Write-up: Information has been received from a physician concerning an approximately 6 year old patient who was vaccinated with a dose of Varivax. "Last year", the patient developed shingles. No product quality complaint was involved. No other information was provided. Additional information has been requested.

VAERS ID:281318 (history)  Vaccinated:2001-04-13
Age:6.0  Onset:2006-08-27, Days after vaccination: 1962
Gender:Female  Submitted:2007-05-16, Days after onset: 262
Location:Washington  Entered:2007-05-24, Days after submission: 8
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0609USA01580
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.1133K UNUN
Administered by: Other     Purchased by: Other
Symptoms: Varicella
SMQs:
Write-up: Information has been received fro a consumer concerning her 6 year old female daughter who on 13-APR-2001 was vaccinated with a dose of Varivax (lot # 635192/1133K). About eleven days ago, on approximately 27-AUG-2006 the patient developed chickenpox. About 9 days after the first lesions developed, all of the lesions seemed to clear. Eleven days from when the rash first started, more lesions seemed to form. The lesions were found on her face, back and stomach. No other symptoms were noted. Medical attention was sought. At the time of the report the patient was recovering. There was no product quality complaint involved. Additional information has been requested.

VAERS ID:281327 (history)  Vaccinated:2006-08-01
Age:6.0  Onset:2006-08-31, Days after vaccination: 30
Gender:Male  Submitted:2007-05-16, Days after onset: 258
Location:Texas  Entered:2007-05-24, Days after submission: 8
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0609USA02729
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC. 1SC 
Administered by: Other     Purchased by: Other
Symptoms: Injection site erythema, Injection site nodule, Injection site warmth
SMQs:, Extravasation events (injections, infusions and implants) (broad)
Write-up: Information has been received from a registered nurse (R.N.) concerning a male child ranging in age from 6 to 12, who in the past 2 weeks was vaccinated subcutaneously with a second dose of Varivax. Following vaccination the child experienced a hard nodule from his elbow to his upper arm, as well as redness and warmth around the injection site. Medical attention was sought. No outcome was reported. No product quality complaint was involved. Additional information has been requested.

VAERS ID:281495 (history)  Vaccinated:2001-09-05
Age:6.0  Onset:2006-09-22, Days after vaccination: 1843
Gender:Female  Submitted:2007-05-16, Days after onset: 236
Location:Ohio  Entered:2007-05-24, Days after submission: 8
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Penicillin allergy; Sulfonamide allergy; Allergic reaction to bee sting
Preexisting Conditions:
Diagnostic Lab Data: body temp 09/22/06 98.9, pulse oximetry 09/22/06 96%, respiratory rate 09/22/06 20, total heartbeat count 09/22/06 95
CDC Split Type: WAES0609USA07877
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (NO BRAND NAME)UNKNOWN MANUFACTURER 0UN 
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC. 0UN 
Administered by: Military     Purchased by: Other
Symptoms: Body temperature increased, Oxygen saturation, Respiratory rate, Varicella
SMQs:, Neuroleptic malignant syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Information has been received from a registered nurse concerning a 6 year old female with allergies to penicillin, silver sulfadiazine and bee pollens, and an unspecified past medical history, who on 05-SEP-2001 was vaccinated with a first dose of Varivax. Concomitant vaccination included a first dose of MMR II (manufacturer unspecified). On 22-SEP-2006 at 17:10 the patient presented to the emergency room with breakthrough chickenpox on her torso and groin area, and fever. It was reported that the patient was in no acute distress and did not have a known recent exposure to chickenpox though she is in school. The patient was prescribed over the counter Benadryl for itching. The patient''s medications at the time of chickenpox onset included Tylenol, Reglan, Prevacid, Zyrtec, and albuterol. The patient''s vaccination history included: First, second, third, fourth and fifth doses of DTaP on 12-OCT-2000 (manufacturer unspecified) (lot # U0328BA 8/97), 18-DEC-2000 (manufacturer unspecified) (lot # U0328BA 8/97), 14-FEB-2001 (TRI-IMMUNOL) (lot # 464-305), 26-NOV-2001 (TRIPEDIA) (lot # U0537AB), and 03-DEC-2004 (INFANRIX) (lot # 634B2) respectively, First, second, and third doses of Comvax on 12-OCT-2000 (manufacturer unspecified) (lot # 1034K), 18-DEC-2000 (manufacturer unspecified) and 26-NOV-2001 (lot #639444/0776L) respectively. Does of influenza virus vaccine (unspecified) on 03-DEC-2003 (FLUVIRIN) (lot # 765756), 03-DEC-2004 (FLUZONE) (lot # U1515AA), and 19-NOV-2005 (FLUZONE) (lot # U1916AA), First, second, third, and fourth doses of poliovirus vaccine inactivated (unspecified) on 12-OCT-2000 (manufacturer unspecified) (lot # T01872 1/00), 18-DEC-2000 (manufacturer unspecified) (lot # T01872 1/00), 02-JUL-2001 (IPOL) (lot # T0908) and 03-DEC-2004 (IPOL) (lot # X1212) respectively. The patient received a second dose of MMR II (lot # 646126/0781F) on 03-DEC-2004. First, second, third, and fourth doses of Prevnar on 18-DEC-2000 (manufacturer unspecified), 14-FEB-2001 (manufacturer unspecified), 02-JUL-2001 (manufacturer unspecified) (lot # 473349), and 18-APR-2002 (Prevnar) (lot # 484-151). The patient also had tuberculin purified protein derivative on 24-FEB-2003 and 22-FEB-2005. Additional information from the registered nurse indicated that the patient recovered. No further information was available.

VAERS ID:281511 (history)  Vaccinated:2000-12-21
Age:6.0  Onset:0000-00-00
Gender:Female  Submitted:2007-05-16
Location:Unknown  Entered:2007-05-24, Days after submission: 8
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: unknown
Current Illness:
Preexisting Conditions: unknown
Diagnostic Lab Data: unknown
CDC Split Type: WAES0610USA00322
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.  UNUN
Administered by: Other     Purchased by: Other
Symptoms: Varicella
SMQs:
Write-up: Information has been received from a physician concerning a 6 year old female who on 21 dec 2000 was vaccinated with Varivax. Subsequently the patient experienced breakthrough as she developed 30 lesions on her legs and arms. The outcome was not reported. Additional information has been requested.

VAERS ID:281525 (history)  Vaccinated:2006-09-23
Age:6.0  Onset:2006-09-23, Days after vaccination: 0
Gender:Female  Submitted:2007-05-16, Days after onset: 235
Location:Unknown  Entered:2007-05-24, Days after submission: 8
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0610USA03507
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.0913F1SCUN
Administered by: Other     Purchased by: Other
Symptoms: Injection site erythema, Injection site induration, Injection site pain
SMQs:, Extravasation events (injections, infusions and implants) (broad)
Write-up: Information has been received from a physician concerning a 6 year and 10 month old female who on 23-SEP-2006 was vaccinated SQ with a second dose of Varivax (lot# 654030/0913F). On 23-SEP-2006 the patient developed red "hardening" at the injection site. It was "6 inches in diameter", "looked like a mosquito bite", and was "painful to the touch". The skin surrounding this area was also red. "After 7 day", on 29-Sep-2006, the patient recovered. Additional information has been requested.

VAERS ID:281605 (history)  Vaccinated:0000-00-00
Age:6.0  Onset:2006-10-01
Gender:Male  Submitted:2007-05-16, Days after onset: 227
Location:Texas  Entered:2007-05-24, Days after submission: 8
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0610USA09125
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.  UNUN
Administered by: Other     Purchased by: Other
Symptoms: Varicella
SMQs:
Write-up: Information has been received from a physician concerning his "about 6 year old" nephew who on an unspecified date was vaccinated with a dose of Varivax. "Around last week", in October 2006, the patient "experienced a serious break out of chickenpox". The patient visited the ER though he was not hospitalized. At the time of the report the patient was recovering, it was reported that the patient improved, however it was not known if the patient was on or off therapy. No further information was available. There was no product quality complaint involved. Additional information has been requested.

VAERS ID:281625 (history)  Vaccinated:2006-10-17
Age:6.0  Onset:2006-10-18, Days after vaccination: 1
Gender:Female  Submitted:2007-05-16, Days after onset: 210
Location:Pennsylvania  Entered:2007-05-24, Days after submission: 8
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness:
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC Split Type: WAES0610USA11700
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.1044F1SCUN
Administered by: Private     Purchased by: Private
Symptoms: Injection site erythema, Injection site swelling
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: Information has been received from a health professional concerning a 6 year old white female with no medical history or allergies who on 17-OCT-2006 at 14:00 was vaccinated with a second dose of Varivax (lot # 654528/1044F). There was no concomitant medication. There was no illness at the time of vaccination. On 18-OCT-2006 the patient developed redness and swelling at injection site radiating to elbow. Unspecified medical attention was sought. No laboratory tests were performed. Subsequently, the patient recovered. The patient did not experience any adverse events following prior vaccination. There was no product quality complaint involved. No further information is available.

VAERS ID:281759 (history)  Vaccinated:0000-00-00
Age:6.0  Onset:2006-11-01
Gender:Male  Submitted:2007-05-16, Days after onset: 195
Location:Unknown  Entered:2007-05-24, Days after submission: 8
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data:
CDC Split Type: WAES0611USA01322
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.  UNUN
Administered by: Other     Purchased by: Other
Symptoms: Herpes zoster
SMQs:
Write-up: Information was received from a physician concerning a male, about 6 years old, who was vaccinated with vericella virus vaccine live (Oka/Merck). On 01-November-2006 he "broke out in zoster". The patient''s present status was unknown at the time of this report. There was no concomitant medication. Unspecified medical treatment was sought. This is in follow-up to report(s) previously submitted on 5/16/2007. Information was received from a physician concerning a male about 6 years old who was vaccinated with VARIVAX (Merck). On 01-November-2006 he "broke out in zoster". The patient''s present status was unknown at the time of this report. There was no concomitant medication. Unspecified medical treatment was sought. There was no product quality complaint. No additional information expected.

VAERS ID:281767 (history)  Vaccinated:0000-00-00
Age:6.0  Onset:0000-00-00
Gender:Female  Submitted:2007-05-16
Location:Unknown  Entered:2007-05-24, Days after submission: 8
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0611USA01816
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.  UNUN
Administered by: Other     Purchased by: Other
Symptoms: Varicella, Varicella post vaccine
SMQs:
Write-up: Information has been received from a nurse concerning a 6 year old female who in approximately 2001 at approximately 15 months of age, was vaccinated with a dose of varicella virus vaccine live (Oka/Merck). Subsequently the patient developed chickenpox on her head, neck and underarms. Unspecified medical attention was sought. Subsequently, the patient recovered. No further information was available. There was no product quality complaint involved. Additional information has been requested.

VAERS ID:281839 (history)  Vaccinated:2005-10-01
Age:6.0  Onset:0000-00-00
Gender:Female  Submitted:2007-05-16
Location:Minnesota  Entered:2007-05-24, Days after submission: 8
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0612USA03106
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.  UNUN
Administered by: Other     Purchased by: Other
Symptoms: Herpes zoster
SMQs:
Write-up: Information has been received from a registered nurse concerning a 6-year-old female who in approximately October 2005 was vaccinated with one dose of Varivax. Subsequently, the patient was diagnosed with shingles. There was no product quality complaint. Unspecified medical attention was sought. The outcome was recovered. There was no further information to report. Additional information has been requested.

VAERS ID:282034 (history)  Vaccinated:2007-01-19
Age:6.0  Onset:2007-01-26, Days after vaccination: 7
Gender:Female  Submitted:2007-05-16, Days after onset: 109
Location:Unknown  Entered:2007-05-24, Days after submission: 8
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness:
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC Split Type: WAES0702USA02480
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC. 1SCUN
Administered by: Other     Purchased by: Other
Symptoms: Injection site pain, Injection site reaction, Injection site warmth
SMQs:, Extravasation events (injections, infusions and implants) (broad)
Write-up: Information has been received from a registered nurse concerning a 6 year old female with no known allergies or pertinent medical history who on 19-JAN-2007 was vaccinated SC with a "standard" second dose of Varivax. There was no concomitant medication. About a week after vaccination, on approximately 26-JAN-2007 the patient had a local reaction at the site of injection. The patient''s symptoms included a golf ball sized welt which was warm and tender to the touch. Medical attention was not sought, lab studies were not performed. On an unspecified date the patient''s symptoms subsided and she recovered. There was no product quality complaint involved. No additional information was provided. Additional information has been requested.

VAERS ID:282083 (history)  Vaccinated:2004-01-08
Age:6.0  Onset:2007-02-22, Days after vaccination: 1141
Gender:Male  Submitted:2007-05-16, Days after onset: 82
Location:Unknown  Entered:2007-05-24, Days after submission: 8
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: unknown
Diagnostic Lab Data: unknown
CDC Split Type: WAES0703USA01377
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.  UNUN
Administered by: Other     Purchased by: Other
Symptoms: Blister, Rash, Scab, Varicella post vaccine
SMQs:, Severe cutaneous adverse reactions (broad), Anaphylactic reaction (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Information has been received from a physician concerning a 6 year old male who on 08-JAN-2004 was vaccinated with varicella virus vaccine live (Oka/Merck). On 22-FEB-2007, two days prior to being seen by his physician, the patient developed a rash on his chest and face. He had about 12 lesions in various stages of eruption, with tiny vesicles in addition to bigger scabbed over lesions. He had a few lesions on his body, his forehead, and one on his scalp. Subsequently, the patient was diagnosed with post vaccine chickenpox. The patient was recovered at the time of this report. Additional information is not expected.

VAERS ID:282117 (history)  Vaccinated:2001-11-29
Age:6.0  Onset:2006-03-27, Days after vaccination: 1579
Gender:Male  Submitted:2007-05-16, Days after onset: 414
Location:Ohio  Entered:2007-05-24, Days after submission: 8
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0703USA05016
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.  UNUN
Administered by: Other     Purchased by: Other
Symptoms: Varicella, Varicella post vaccine
SMQs:
Write-up: Information has been received from a nurse concerning a 6 year old male who on 29-NOV-2001 was vaccinated with varicella virus vaccine live (Oka/Merck). On 27-Mar-2006 the patient had on onset of chicken pox break thru. Subsequently the patient recovered. No treatment was necessary, just comfort measures as needed. The nurse also reported on two other patients who experienced adverse events after being vaccinated with varicella virus vaccine live (WAES#060USA05682 and #0703USA05015) Additional information is not expected.

VAERS ID:282129 (history)  Vaccinated:2001-01-24
Age:6.0  Onset:2006-03-14, Days after vaccination: 1875
Gender:Male  Submitted:2007-05-16, Days after onset: 427
Location:Florida  Entered:2007-05-24, Days after submission: 8
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness:
Preexisting Conditions: None
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0703USA05388
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.  UNUN
Administered by: Public     Purchased by: Other
Symptoms: Varicella
SMQs:
Write-up: Information has been received from a registered nurse concerning a white 6 year old male with no known allergies or medical history who on 24-JAN-2001 was vaccinated with varicella virus vaccine live (Oka/Merck). There was no concomitant mediation. On 14-MAR-2006 the patient was diagnosed with chickenpox and by 16-MAR-2006 had 10-20 vesicles. Subsequently, the patient recovered from chickenpox 10-20 vesicles. No further information is available.

VAERS ID:282466 (history)  Vaccinated:2006-04-11
Age:6.0  Onset:2006-04-11, Days after vaccination: 0
Gender:Male  Submitted:2007-05-16, Days after onset: 400
Location:California  Entered:2007-05-24, Days after submission: 8
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: No concurrent medication
Current Illness: Unknown
Preexisting Conditions: The subject had no concomitant medications or relevant medical history. The subject''s concurrent conditions were not reported. This subject had no adverse events following receipt of prior immunizations.
Diagnostic Lab Data: unknown
CDC Split Type: A0607526A
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAP: DTAP (NO BRAND NAME)UNKNOWN MANUFACTURER 4UNUN
Administered by: Other     Purchased by: Other
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: This case was reported by a physician and described the occurrence of a swollen area around the injection site in 5-year-old male subject who was vaccinated with diphtheria and tetanus toxoids and acellular pertussis vaccine (DTPa, unknown manufacturer) for prophylaxis. The subject had no concomitant medications or relevant medical history. The subject''s concurrent conditions were not reported. This subject had no adverse events following receipt of prior immunizations. On 11 April 2005, the subject received the 5th dose of DTPa (lot number, expiration date and route unknown). On an unspecified day in April 2005, after vaccination with DTPa on 11 April 2005, the subject developed an 8-10 inch area around the injection site that was red, swollen, painful and itchy. The subject''s parent notified the physician''s office and stated that topical diphenhydramine (Benadryl) did not work for the subject and oral Benadryl was going to be tried. The events resolved on an unknown date. Follow-up received on 26 July 2006 from the vaccine responsible physician indicated that the events were not serious and possibly related to the diphtheria and tetanus toxoids and acellular pertussis vaccine.

VAERS ID:282499 (history)  Vaccinated:2006-10-03
Age:6.0  Onset:2006-10-03, Days after vaccination: 0
Gender:Male  Submitted:2007-05-16, Days after onset: 225
Location:Indiana  Entered:2007-05-24, Days after submission: 8
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Unknown
Preexisting Conditions: The subject''s medical history, concurrent conditions, and concurrent medications were not provided. The healthcare professional reported that 3 other subjects received an expired dose of Infanrix. Please see cases A0622674A, A0622676A, and A0622686A.
Diagnostic Lab Data: Unknown
CDC Split Type: A0666690A
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAP: DTAP (INFANRIX)GLAXOSMITHKLINE BIOLOGICALSAC14A007BA4UNLA
Administered by: Other     Purchased by: Public
Symptoms: Erythema, 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: This case was reported by a healthcare professional and described the occurrence of arm swollen in a 6-year-old male subject who was vaccinated with diphtheria and tetanus toxoids and acellular pertussis vaccine (Infanrix, GlaxoSmithKline) plus a separate injection of inactivated poliomyelitis virus vaccine (IPOL) for prophylaxis. On 03 October 2006 the subject received 5th dose of Infanrix (lot AC14A007BA) in an unspecified arm. The expiration date for this lot of Infanrix is 11 September 2006. On 03 October 2006 the subject also received 4th dose of IPOL in the opposite arm. On 03 October 2006 and on or before 05 October 2006, the father of the subject reported to the healthcare profession that the subject''s arm was red and swollen. The healthcare professional reported that she did "not recall if the redness and swelling was in the arm in which Infanrix was given." The outcome of redness and swelling was not reported.

VAERS ID:282503 (history)  Vaccinated:2006-10-17
Age:6.0  Onset:2006-10-20, Days after vaccination: 3
Gender:Female  Submitted:2007-05-16, Days after onset: 208
Location:Kansas  Entered:2007-05-24, Days after submission: 8
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: This vaccine had no adverse events following receipt of prior immunizations~ ()~~0~In Patient
Other Medications: No concurrent medication
Current Illness: Unknown
Preexisting Conditions: The subject had no pre-existing medical conditions. The subject''s concurrent conditions were not reported. The healthcare professional reported that the subject''s twin sister also experienced adverse events following receipt of the 4th dose of Infanrix from lot AC14B036CA. Please see case A0624443A.
Diagnostic Lab Data: unknown
CDC Split Type: A0624438A
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAP: DTAP (INFANRIX)GLAXOSMITHKLINE BIOLOGICALSAC14B036CA3UNLA
IPV: POLIO VIRUS, INACT. (IPOL)SANOFI PASTEUR  UNLL
Administered by: Other     Purchased by: Other
Symptoms: Injection site erythema, Injection site warmth, Swelling
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: This case was reported by a healthcare professional and described the occurrence of swelling of limb in a 6-year-old female subject who was vaccinated with diphtheria and tetanus toxoids and acellular pertussis vaccine adsorbed (Infanrix, GlaxoSmithKline) for prophylaxis. The subject''s medical history include birth twin. There were no concurrent medications. On 17 October 2006 the subject received 4th dose of Infanrix in the right thigh. On 17 October 2006, the subject was also injected with inactivated poliomyelitis virus vaccine (IPOL, Aventis Pasteur) in the left thigh. On 20 October 2006, 3 days after vaccination with Infanrix, the subject experienced swelling of the right limb, injection site redness and injection site warmth at the site of the Infanrix injection. The subject was seen at a physician''s office. At the time of initial reporting, 20 October 2006, the events were ongoing. The healthcare professional considered the events probably related to vaccination with Infanrix.

VAERS ID:282504 (history)  Vaccinated:2006-10-17
Age:6.0  Onset:2006-10-20, Days after vaccination: 3
Gender:Female  Submitted:2007-05-16, Days after onset: 208
Location:Kansas  Entered:2007-05-24, Days after submission: 8
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: This vaccinee had no adverse events following receipt of prior immunizations~ ()~~0~In Patient
Other Medications: No concurrent medication
Current Illness: Unknown
Preexisting Conditions: The subject had no pre-existing medical conditions. The subject''s concurrent conditions were not reported. The healthcare professional reported that the subject''s twin sister also experienced adverse events following receipt of the 4th dose of Infanrix from lot Ac14B036CA. Please see case A0624438A.
Diagnostic Lab Data: Unknown
CDC Split Type: A0624443A
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAP: DTAP (INFANRIX)GLAXOSMITHKLINE BIOLOGICALSAC14B036CA3UNLA
IPV: POLIO VIRUS, INACT. (IPOL)SANOFI PASTEUR  UNRL
Administered by: Other     Purchased by: Other
Symptoms: Injection site erythema, Injection site warmth, Swelling
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: This case was reported by a healthcare professional and described the occurrence of swelling of limb in a 6-year-old female subject who was vaccinated with diphtheria and tetanus toxoids and acellular pertussis vaccine adsorbed (Infanrix, GlaxoSmithKline) for prophylaxis. The subject''s medical history included birth twin. There were no concurrent medications. On 17 October 2006 the subject received 4th dose of Infanrix in the right thigh. On 17 October 2006, the subject was also injected with inactivated poliomyelitis virus vaccine (IPOL, Aventis Pasteur) in the left thigh. On 20 October 2006, 3 days after vaccination with Infanrix, the subject experienced swelling of the right limb, injection site redness and injection site warmth at the site of Infanrix injection. the subject was seen at a physician''s office. At the time of initial reporting, 20 October 2006, the events were ongoing. The healthcare professional considered the events were probably related to vaccination with Infanrix.

VAERS ID:279589 (history)  Vaccinated:2007-05-17
Age:6.0  Onset:2007-05-23, Days after vaccination: 6
Gender:Male  Submitted:2007-05-25, Days after onset: 2
Location:Texas  Entered:2007-05-25
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: none
Preexisting Conditions: none
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEPA: HEP A (NO BRAND NAME)UNKNOWN MANUFACTURER  UNLL
Administered by: Private     Purchased by: Unknown
Symptoms: Headache, Rash
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: rash on face and body, headache

VAERS ID:279710 (history)  Vaccinated:2007-05-15
Age:6.0  Onset:2007-05-17, Days after vaccination: 2
Gender:Male  Submitted:2007-05-18, Days after onset: 1
Location:California  Entered:2007-05-25, Days after submission: 7
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Avita topical cream
Current Illness:
Preexisting Conditions: Anemia, Iron deficiency
Diagnostic Lab Data: None Ordered
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.0369U1SCLA
Administered by: Private     Purchased by: Other
Symptoms: Injection site erythema, Injection site induration, Injection site swelling
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: 5/15/2007 child came for well child examination. Child received Varicella vaccine today. 5/17/07 Doctor''s progress notes read as follows: swelling at injection site after varicella vaccine. P.E: 10x4cm area of induration and erythema L arm at injection site. Plans report react -benadryl - rech prn Note: sibling came in same day 5/17/2007 for same findings: reaction to varicella vaccine given 5/15/2007

VAERS ID:279932 (history)  Vaccinated:2007-05-01
Age:6.0  Onset:2007-05-03, Days after vaccination: 2
Gender:Male  Submitted:2007-05-03, Days after onset: 0
Location:Texas  Entered:2007-05-29, Days after submission: 26
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: PPD
Current Illness: Physical
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.0111U1SCLL
Administered by: Public     Purchased by: Public
Symptoms: Injection site erythema, Injection site warmth
SMQs:, Extravasation events (injections, infusions and implants) (broad)
Write-up: Lt arm were varicella vaccine given warm and redness no fever.

VAERS ID:279958 (history)  Vaccinated:2007-05-23
Age:6.0  Onset:2007-05-23, Days after vaccination: 0
Gender:Male  Submitted:2007-05-24, Days after onset: 1
Location:Pennsylvania  Entered:2007-05-29, Days after submission: 5
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.0365U1SC 
Administered by: Private     Purchased by: Private
Symptoms: Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Fever within 8 hours temperature max. 104

VAERS ID:279959 (history)  Vaccinated:2002-09-26
Age:6.0  Onset:2007-05-22, Days after vaccination: 1699
Gender:Male  Submitted:2007-05-23, Days after onset: 1
Location:Kentucky  Entered:2007-05-29, Days after submission: 6
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: ALBUTEROL - asthma Growth hormone, LEVOXYL
Current Illness:
Preexisting Conditions: Growth deficiency, congenital heart defect (to have surgery 6/07).
Diagnostic Lab Data: physician exam
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAP: DTAP (INFANRIX)GLAXOSMITHKLINE BIOLOGICALS522A23IM 
HIBV: HIB (PEDVAXHIB)MERCK & CO. INC.1136L3IM 
PPV: PNEUMO (PNU-IMUNE)PFIZER/WYETH4895883IM 
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.1148L0IM 
Administered by: Public     Purchased by: Public
Symptoms: Varicella
SMQs:
Write-up: Child developed Varicella (chickenpox) received vaccination 9-26-02

VAERS ID:279962 (history)  Vaccinated:2007-05-23
Age:6.0  Onset:2007-05-25, Days after vaccination: 2
Gender:Female  Submitted:2007-05-25, Days after onset: 0
Location:California  Entered:2007-05-29, Days after submission: 4
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
UNK: VACCINE NOT SPECIFIED (NO BRAND NAME)UNKNOWN MANUFACTURER    
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC. 1  
Administered by: Private     Purchased by: Unknown
Symptoms: Injection site erythema, Injection site induration, Injection site pruritus
SMQs:, Extravasation events (injections, infusions and implants) (broad)
Write-up: Varicella vaccine given 2 days ago - today there is red, induration measuring 19 x 19cm (r) upper arm - no pain, but pruritic.

VAERS ID:280019 (history)  Vaccinated:2007-05-02
Age:6.0  Onset:2007-05-03, Days after vaccination: 1
Gender:Male  Submitted:2007-05-22, Days after onset: 19
Location:California  Entered:2007-05-30, Days after submission: 8
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
PNC: PNEUMO (PREVNAR)PFIZER/WYETHB36258A2 RL
Administered by: Private     Purchased by: Public
Symptoms: Erythema
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Red area 8cm.

VAERS ID:280193 (history)  Vaccinated:2007-05-24
Age:6.0  Onset:2007-05-25, Days after vaccination: 1
Gender:Male  Submitted:2007-05-25, Days after onset: 0
Location:Minnesota  Entered:2007-06-01, Days after submission: 7
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: None
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEPA: HEP A (HAVRIX)GLAXOSMITHKLINE BIOLOGICALSAHAVB148AA1IMRL
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.0368U1IMRL
Administered by: Private     Purchased by: Unknown
Symptoms: Induration, Swelling
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: Swollen and indurated approximately 6cm.

VAERS ID:280410 (history)  Vaccinated:2007-05-30
Age:6.0  Onset:2007-05-31, Days after vaccination: 1
Gender:Female  Submitted:2007-06-01, Days after onset: 1
Location:Washington  Entered:2007-06-04, Days after submission: 3
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.0516U1SCLA
Administered by: Private     Purchased by: Public
Symptoms: Erythema, Induration, 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: Left arm erythema x 4" induration x 3" warm to touch not fluctuant. Sx abscess d/w. Keflex 250 TID x 10 days.

VAERS ID:283345 (history)  Vaccinated:2005-08-23
Age:6.0  Onset:2005-08-23, Days after vaccination: 0
Gender:Male  Submitted:2007-05-30, Days after onset: 645
Location:Missouri  Entered:2007-06-04, 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: Penicillin allergy; Hypersensitivity
Preexisting Conditions: Hypersensitivity reaction
Diagnostic Lab Data: allergy test 06/??/05 - results unknown
CDC Split Type: WAES0604USA00979
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAP: DTAP (INFANRIX)GLAXOSMITHKLINE BIOLOGICALSAC4B005AA4IM 
HIBV: HIB (PEDVAXHIB)MERCK & CO. INC.  UNUN
IPV: POLIO VIRUS, INACT. (IPOL)SANOFI PASTEURY03433IM 
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0484R1SC 
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.0421R0UNUN
Administered by: Private     Purchased by: Private
Symptoms: Allergy test, Flushing, Hypersensitivity, Pruritus, Swelling, Urticaria
SMQs:, 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: Information has been received from a consumer and a health professional concerning a 6 year old male with a penicillin allergy an allergy to gelatin and a history of an allergic reaction to a Kosher gelatin candy who on 23-AUG-2005, was vaccinated with a second subcutaneous dose in the right arm of MMR II (lot 647107/0464R(. Concomitant vaccines included a first dose of Varivax (lot 649643/0421R), a dose of PedvaxHib, a fifth intramuscular dose in the left arm of Infanrix (Lot # AC4B005AA) and a fourth intramuscular dose in the left arm of IPOL (Lot# y0343). There was no illness at the time of vaccination and no adverse events following prior vaccination. The patient''s mother reported that in June 2005 the child had an allergic reaction with swelling from head to tow. The health care professional indicated that the child developed hives and itching all over the body. There was no shortness of breath. The Varivax was the only vaccine that the patient had not received in the past. Treatment included Benadryl, ice packs and oral prednisone. The patient recovered in June 2005. No product quality complaint was involved. Follow-up information from a physician indicated that on 23-AUG-2005, the patient left the office but referred in 10 minutes with an allergic reaction, described as flushed with itching especially on the feet and hands. There was no difficulty breathing. The patient was given Benadryl, 2 teaspoons and a cool compress. It was noted that the patient developed a few hives. The patient was sent out on Benadryl and oral prednisone. The patient was reported as recovered on 23-AUG-2005. Additional information has been requested.

VAERS ID:283357 (history)  Vaccinated:0000-00-00
Age:6.0  Onset:2006-04-01
Gender:Male  Submitted:2007-05-30, Days after onset: 423
Location:Minnesota  Entered:2007-06-04, Days after submission: 5
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: clinical serology test 04/??/06 - results not reported; serum immunoglobulin G 04/??/06 - results not reported; serum immunoglobulin M 04/??/06 - high
CDC Split Type: WAES0604USA03412
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC. 0UNUN
Administered by: Other     Purchased by: Other
Symptoms: Blood immunoglobulin G, Blood immunoglobulin M increased, Mumps, Serology test, Testicular swelling
SMQs:, Oropharyngeal infections (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad)
Write-up: Information has been received from a a physician concerning a 6 year old male who was previously vaccinated with two doses of measles virus vaccine live (Enders-Edmonston) (+) mumps virus vaccine live (Jeryl Lynn) (+) rubella virus vaccine live (Wistar RA 27/3). In April 2006, the patient experienced a severe case of mumps. It was reported that the child has swelling on both sides and it is considered a clinically significant case. A serology and IGG were done. A IGM was high and follow up was scheduled for 24-APR-2006. At the time of this report the patient had not recovered. It was noted that the child''s 3 year old sibling only received one shot of measles virus vaccine live (Enders-Edmonston) (+) mumps virus vaccine live (Jeryl Lynn) (+) rubella virus vaccine live (Wistar RA 27/3) and does not have the mumps. Unspecified medical attention was sought. No product quality involved. Additional information has been requested.

VAERS ID:283375 (history)  Vaccinated:0000-00-00
Age:6.0  Onset:0000-00-00
Gender:Male  Submitted:2007-05-30
Location:Unknown  Entered:2007-06-04, Days after submission: 5
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness:
Preexisting Conditions: Hypersensitivity. Allergy to chicken and fish.
Diagnostic Lab Data: Allergy test back pricking with the panel.
CDC Split Type: WAES0605USA00727
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.  SC 
Administered by: Other     Purchased by: Other
Symptoms: Allergy test, Skin test, Vomiting
SMQs:, Acute pancreatitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)
Write-up: Information has been received from a consumer concerning a 6 year old male with an allergy to the protein in chicken and fish and no other medical history who at 13 months of age was vaccinated with a SC dose of measles virus live (Ender-Edmonston) (+) mumps virus vaccine live (Jeryl Lynn)(+) rubella virus vaccine live (Wistar RA 27/3). There was no concomitant medication. Subsequently the patient developed non stop vomiting. Unspecified medical attention was sought. "Back pricking with the panel" was performed. The patient recovered after 2 days. There was no product quality complaint. Additional information has been requested.

VAERS ID:283386 (history)  Vaccinated:0000-00-00
Age:6.0  Onset:2006-05-15
Gender:Female  Submitted:2007-05-30, Days after onset: 380
Location:Texas  Entered:2007-06-04, Days after submission: 5
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0605USA03759
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.  SCUN
Administered by: Other     Purchased by: Other
Symptoms: Mumps
SMQs:, Oropharyngeal infections (narrow)
Write-up: Information has been received from a physician concerning a 6 or 7 year old female who was vaccinated SC with a 0.5 mL dose of measles virus vaccine live (Enders-Edmonston) (+) mumps virus vaccine live (Jeryl Lynn) (+) rubella virus vaccine live (Wistar RA 27/3). On approximately 15-MAY-2006, the patient experienced a break through of mumps. Unspecified medical attention was sought. At the time of the report, the patient was recovered. A product quality complaint was not involved. Additional information has been requested.

VAERS ID:283706 (history)  Vaccinated:1996-09-05
Age:6.0  Onset:0000-00-00
Gender:Female  Submitted:2007-05-30
Location:Virginia  Entered:2007-06-04, Days after submission: 5
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: None
Diagnostic Lab Data: serum measles Ab; serum mumps Ab - <.91; serum rubella IgG Ab
CDC Split Type: WAES0703USA00615
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC. 1UNUN
Administered by: Other     Purchased by: Other
Symptoms: Antibody test negative, Measles antibody, Mumps antibody test negative, Rubella antibody test
SMQs:
Write-up: Information has been received from a physician concerning a female with no allergies or medical history who on 05-SEP-1996 was vaccinated with the second dose of MMR. Subsequently the patient experienced a low titer (< .91) for mumps. Medical attention was sought. At the time of the report, the patient had not recovered. Additional information has been requested.

VAERS ID:280400 (history)  Vaccinated:2007-05-29
Age:6.0  Onset:2007-05-31, Days after vaccination: 2
Gender:Female  Submitted:2007-06-02, Days after onset: 2
Location:Guam  Entered:2007-06-05, 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: None
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.0520U1SCLL
Administered by: Private     Purchased by: Private
Symptoms: Erythema, Induration, 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: Left thigh 2cm x 2cm induration, 7cm x 7cm redness with slightly increased warmth, can move left lower extremity with problems - no other discoloration. No numbness and significant tenderness. No history of trauma. She had no problems with Varicella for vaccine.

VAERS ID:280860 (history)  Vaccinated:2007-05-22
Age:6.0  Onset:2007-05-23, Days after vaccination: 1
Gender:Female  Submitted:2007-05-25, Days after onset: 2
Location:New Jersey  Entered:2007-06-07, Days after submission: 13
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.1303F1 RA
Administered by: Other     Purchased by: Public
Symptoms: Injection site erythema, Injection site warmth
SMQs:, Extravasation events (injections, infusions and implants) (broad)
Write-up: 5/23 patient exhibited 3 cm firm red spot, hot to touch at site of Varivax injection

VAERS ID:280877 (history)  Vaccinated:2007-06-05
Age:6.0  Onset:2007-06-06, Days after vaccination: 1
Gender:Female  Submitted:2007-06-07, Days after onset: 1
Location:California  Entered:2007-06-07
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: Chromosomal abnormality, developmental delay, congenital heart disease
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
PPV: PNEUMO (NO BRAND NAME)UNKNOWN MANUFACTURER 2IMLA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Inflammation, Local reaction
SMQs:
Write-up: Extensive local inflammatory reaction.

VAERS ID:280901 (history)  Vaccinated:2007-06-05
Age:6.0  Onset:2007-06-05, Days after vaccination: 0
Gender:Male  Submitted:2007-06-07, Days after onset: 2
Location:Georgia  Entered:2007-06-07
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: N/A
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAP: DTAP (DAPTACEL)SANOFI PASTEURU1965BA3 RA
IPV: POLIO VIRUS, INACT. (IPOL)SANOFI PASTEURY05762 LA
MMRV: MEASLES + MUMPS + RUBELLA + VARICELLA (PROQUAD)MERCK & CO. INC.0473U2 LA
Administered by: Private     Purchased by: Public
Symptoms: Injection site erythema, Injection site swelling
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: Right arm is swollen red. It started about 1 hour after vaccinating him. Parents reported to us on 2nd day afterwards.

VAERS ID:281046 (history)  Vaccinated:2007-04-30
Age:6.0  Onset:2007-05-01, Days after vaccination: 1
Gender:Male  Submitted:2007-05-02, Days after onset: 1
Location:Pennsylvania  Entered:2007-06-08, Days after submission: 37
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAP: DTAP (DAPTACEL)SANOFI PASTEURC2553AA4IMLA
HEPA: HEP A (VAQTA)MERCK & CO. INC.0001U0IMRA
IPV: POLIO VIRUS, INACT. (IPOL)SANOFI PASTEURZ032423SCLA
MMRV: MEASLES + MUMPS + RUBELLA + VARICELLA (PROQUAD)MERCK & CO. INC.0134U1SCRA
Administered by: Public     Purchased by: Public
Symptoms: Cold compress therapy, Injection site erythema, Injection site swelling, Injection site warmth, Pyrexia, 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), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: 5/1/07-Vomiting in evening; fever 103.2 5/2/07-6:00 a.m. Swelling (R) deltoid area 5-6 inches accompanied by redness (beet red) and warm to the touch. Fever controlled with Motrin and cool compress on deltoid area.

VAERS ID:281057 (history)  Vaccinated:2007-06-05
Age:6.0  Onset:2007-06-08, Days after vaccination: 3
Gender:Female  Submitted:2007-06-08, Days after onset: 0
Location:California  Entered:2007-06-08
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: shingles 5/2007
Diagnostic Lab Data: prior history of recent shingles 5/07
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARZOS: ZOSTER (ZOSTAVAX)MERCK & CO. INC.0461U0SCLA
Administered by: Unknown     Purchased by: Private
Symptoms: Herpes zoster, Inappropriate schedule of drug administration, Limb discomfort, Medication error, Rash erythematous, Rash pruritic
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow), Medication errors (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: red sore itchey arm 7 by 3.5 cm 6/8/7

VAERS ID:281062 (history)  Vaccinated:2007-06-06
Age:6.0  Onset:2007-06-08, Days after vaccination: 2
Gender:Female  Submitted:2007-06-08, Days after onset: 0
Location:Utah  Entered:2007-06-08
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: none
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAP: DTAP (NO BRAND NAME)UNKNOWN MANUFACTURER 0  
Administered by: Unknown     Purchased by: Unknown
Symptoms: Injection site inflammation
SMQs:, Extravasation events (injections, infusions and implants) (broad)
Write-up: 6cm round, raised inflammation at site of vaccination.

VAERS ID:281156 (history)  Vaccinated:2007-06-04
Age:6.0  Onset:2007-06-06, Days after vaccination: 2
Gender:Male  Submitted:2007-06-08, Days after onset: 2
Location:Arizona  Entered:2007-06-11, Days after submission: 3
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (BOOSTRIX)GLAXOSMITHKLINE BIOLOGICALSAC14B047AA0UNLA
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.1260F1SCUN
Administered by: Private     Purchased by: Public
Symptoms: Cellulitis, Wrong drug administered
SMQs:, Medication errors (narrow)
Write-up: Cellulitis (L) upp. extrem. Keflex 250 g/5cc one cap, qid Flu daily until improved

VAERS ID:281203 (history)  Vaccinated:2007-06-08
Age:6.0  Onset:2007-06-09, Days after vaccination: 1
Gender:Male  Submitted:2007-06-11, Days after onset: 2
Location:Wyoming  Entered:2007-06-11
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: SINGULAIR, XOPENEX PRN, PULMICORT PRN
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.059661 LA
Administered by: Private     Purchased by: Private
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: Patient received Varicella booster on 6/8/07. Reported swelling, redness and pain at site of injection on 6/9/07. Ibuprofen PRN discomfort.

VAERS ID:281462 (history)  Vaccinated:2007-05-31
Age:6.0  Onset:2007-06-01, Days after vaccination: 1
Gender:Female  Submitted:2007-06-02, Days after onset: 1
Location:Arizona  Entered:2007-06-12, Days after submission: 10
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.0308U1SCLA
Administered by: Private     Purchased by: Public
Symptoms: Erythema, Skin warm, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: 2 x 3" red whelt on left upper outer arm. Hot to touch. Gave Benadryl.

VAERS ID:281580 (history)  Vaccinated:2007-06-13
Age:6.0  Onset:2007-06-13, Days after vaccination: 0
Gender:Male  Submitted:2007-06-13, Days after onset: 0
Location:Oregon  Entered:2007-06-14, Days after submission: 1
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: innocent heart murmur
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAP: DTAP (INFANRIX)GLAXOSMITHKLINE BIOLOGICALSAC14B051BA4IMLA
HEPA: HEP A (HAVRIX)GLAXOSMITHKLINE BIOLOGICALSAHAVB1620B1IMRA
IPV: POLIO VIRUS, INACT. (IPOL)SANOFI PASTEURZ03263SCLA
MMRV: MEASLES + MUMPS + RUBELLA + VARICELLA (PROQUAD)MERCK & CO. INC.1563F1SCRA
Administered by: Private     Purchased by: Private
Symptoms: Flushing, Hypoventilation, Pyrexia, Tremor
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Parkinson-like events (broad), Acute central respiratory depression (narrow), Noninfectious encephalopathy/delirium (broad), Hypersensitivity (broad), Respiratory failure (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)
Write-up: shallow breathing shakiness fever 102.8 flushed face given Tylenol v.s. checked

VAERS ID:281648 (history)  Vaccinated:2007-06-01
Age:6.0  Onset:2007-06-01, Days after vaccination: 0
Gender:Male  Submitted:2007-06-13, Days after onset: 12
Location:Georgia  Entered:2007-06-14, 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: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0706USA01194
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEPA: HEP A (VAQTA)MERCK & CO. INC.  UNUN
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.  UNUN
Administered by: Other     Purchased by: Other
Symptoms: Dizziness, Respiratory distress
SMQs:, Anaphylactic reaction (broad), Anticholinergic syndrome (broad), Acute central respiratory depression (broad), Vestibular disorders (broad), Hypersensitivity (broad), Respiratory failure (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Information has been received from a physician concerning a 6 year old male with a family history of asthma who on approximately 01-JUN-2007 was vaccinated with a dose of Vaqta. Suspect vaccination on the same day included a dose of Varivax. On approximately 01-JUN-2007, after vaccination the patient experienced dizziness and respiratory distress while leaving the office. The patient returned to the office and was given a breathing treatment and Prednisone. At the time of report, the patient had recovered. A product quality complaint was not involved. The patient''s experiences were considered to be other important medical events by the reporter. Additional information has been requested.

VAERS ID:282207 (history)  Vaccinated:2007-06-18
Age:6.0  Onset:2007-06-18, Days after vaccination: 0
Gender:Male  Submitted:2007-06-18, Days after onset: 0
Location:California  Entered:2007-06-18
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: none
Preexisting Conditions: sinusitis, rhinitis, asthma
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.0534U1 RA
Administered by: Private     Purchased by: Private
Symptoms: Dyspnoea, Flushing, Throat tightness
SMQs:, Anaphylactic reaction (narrow), Angioedema (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Hypersensitivity (broad)
Write-up: Immediate SOB, throat tightening, face flush

VAERS ID:283180 (history)  Vaccinated:2007-05-10
Age:6.0  Onset:2007-05-10, Days after vaccination: 0
Gender:Male  Submitted:2007-06-14, Days after onset: 35
Location:Kansas  Entered:2007-06-18, 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: WAES0705USA02430
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.  UNUN
VARZOS: ZOSTER (ZOSTAVAX)MERCK & CO. INC.0357U SCRL
Administered by: Public     Purchased by: Private
Symptoms: Inappropriate schedule of drug administration, Off label use, Wrong drug administered
SMQs:, Medication errors (narrow)
Write-up: Information has been received from a registered nurse concerning a 6 year old male with no medical history or allergies who on 10-MAY-2007 was vaccinated SC on right thigh with the first 0.5 ml dose of Zostavax (Lot# 656859/0357U) instead of a dose of Varivax. There was no illness at the time of vaccination. It was reported as human error and not a product confusion. The nurse reported that child did not experience any difficulties. Unspecified medical attention was sought. A product quality complaint was not involved. Additional information has been requested. Additional information has been recived from the registered nurse who stated that child had no adverse reaction. It was reported that there was nothing seen on the site of vacccination. No diagnostic laboratory teta were undertaken. No further information is expectcted.

VAERS ID:283244 (history)  Vaccinated:0000-00-00
Age:6.0  Onset:0000-00-00
Gender:Unknown  Submitted:2007-06-14
Location:Iowa  Entered:2007-06-18, 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: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0705USA05316
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.  UNUN
VARZOS: ZOSTER (ZOSTAVAX)MERCK & CO. INC.  UNUN
Administered by: Other     Purchased by: Other
Symptoms: Wrong drug administered
SMQs:, Medication errors (narrow)
Write-up: Information has been received from a registered nurse concerning an 6 year old patient who was vaccinated with a dose of Zostavax instead of Varivax. It was reported that it was due to nursing error. No symptoms were noted. A product quality complaint was not involved. Additional information has been received from the registered nurse who stated that the event occurred because both vaccines were stored in the freezer and an employee grabbed the wrong box. It was noted that the employee was new and was just confused. It was reported that they have now put a tape on Zostavax that says it is for adults only. Additional information has been requested. This is one of several reports received from the same source.

VAERS ID:282222 (history)  Vaccinated:2007-05-07
Age:6.0  Onset:2007-05-09, Days after vaccination: 2
Gender:Female  Submitted:2007-05-30, Days after onset: 21
Location:Ohio  Entered:2007-06-19, Days after submission: 20
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 2 days
    Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: "Runny Nose"
Preexisting Conditions: PMH: allergic rhinitis. Surgical removal of an infected eye duct. NKDA.
Diagnostic Lab Data: None in our office. Labs and Diagnostics: CBC unremarkable. Chemistry with Ca+ of 8.9. Blood culture (-).
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAP: DTAP (DAPTACEL)SANOFI PASTEURC2606AA4IMLL
IPV: POLIO VIRUS, INACT. (IPOL)SANOFI PASTEURZ05483IMRL
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.1325F1SCRL
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.0123U1SCLL
Administered by: Private     Purchased by: Private
Symptoms: Blood culture negative, Cellulitis, Full blood count, Injection site erythema, Injection site induration, Injection site swelling, Injection site warmth, Laboratory test normal, Pruritus
SMQs:, Anaphylactic reaction (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: Pt out of town, mom called to report red, hard, swollen warm "saucer-sized" diameter area on (L) leg. no fever, pt. active and alert. R/T pt in another stated, sent to nearest urgent care or ER for eval. Admitted to hosp x 2 days for cellulitis s/p according to mom. 07/02/2007 MR received for o/n hospital stay for L thigh cellulitis. Child presented with swelling and redness and with c/o itching on the L thigh at the site of vax. PE WNL except redness and swelling to L thigh. Asessment: Left thigh cellulitis.

VAERS ID:282313 (history)  Vaccinated:2007-05-25
Age:6.0  Onset:2007-06-19, Days after vaccination: 25
Gender:Female  Submitted:2007-06-19, Days after onset: 0
Location:New Hampshire  Entered:2007-06-19
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 (VAQTA)MERCK & CO. INC.AHAVB141AA0IMRA
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.0110U1SCLA
Administered by: Private     Purchased by: Public
Symptoms: Pruritus, Rash, Skin lesion
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Mom states patient "woke up this morning with red spots on both legs and complaining they were itchy". Upon entering child was noted to have approximately 20-30 red spots on both legs. Approximately 6 lesions appeared vesicular all others were maculopapular. Vesicular lesions appear to be at injection site only. Treatment: Acyclovir 200mg/5ml 1tsp PO TID x 7 days.

VAERS ID:282341 (history)  Vaccinated:2007-05-31
Age:6.0  Onset:2007-06-11, Days after vaccination: 11
Gender:Male  Submitted:2007-06-11, Days after onset: 0
Location:Kansas  Entered:2007-06-19, Days after submission: 8
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Benadryl
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.0117U1SC 
Administered by: Private     Purchased by: Private
Symptoms: Erythema multiforme, Varicella
SMQs:, Severe cutaneous adverse reactions (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Patient had Varivax booster 2 weeks ago 3 days ago got Varicella lesions on lateral thigh - then today got erythema multiforme lesions on arms, legs, hands, feet.

VAERS ID:282365 (history)  Vaccinated:2007-06-07
Age:6.0  Onset:2007-06-07, Days after vaccination: 0
Gender:Female  Submitted:2007-06-11, Days after onset: 4
Location:Illinois  Entered:2007-06-19, Days after submission: 8
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: Negative
Preexisting Conditions: None
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEPA: HEP A (VAQTA)MERCK & CO. INC.0017U IMLA
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.0367113006U1SCRA
Administered by: Private     Purchased by: Other
Symptoms: Injection site erythema, Injection site pruritus, Injection site warmth
SMQs:, Extravasation events (injections, infusions and implants) (broad)
Write-up: Erythematous warm plogue over left deltoid area, pruritic 1.5 x 3.5cm slightly raised. Right deltoid 0.5 x 0.5cm erythematous plogue. Non-pruritic, not raised.

VAERS ID:282621 (history)  Vaccinated:2007-06-13
Age:6.0  Onset:2007-06-13, Days after vaccination: 0
Gender:Female  Submitted:2007-06-15, Days after onset: 2
Location:Texas  Entered:2007-06-21, Days after submission: 6
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: PPD, Cefdinir and Locoid Lipocream
Current Illness: Has strep pharyngitis 3 days prior to vaccine and on antibiotics.
Preexisting Conditions:
Diagnostic Lab Data: none
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEPA: HEP A (VAQTA)MERCK & CO. INC.0001U1IMRA
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.0536U1SCRA
Administered by: Private     Purchased by: Private
Symptoms: Blister, Pruritus, Rash, Varicella
SMQs:, Severe cutaneous adverse reactions (broad), Anaphylactic reaction (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Received Varivax Wednesday morning. Started getting some bumps with itching that evening. Covered with blistering spots from head to toe by Friday morning. Went to Dermatologist and diagnosed with chicken pox. Was given Atarax and Zovirax.

VAERS ID:282663 (history)  Vaccinated:2007-06-18
Age:6.0  Onset:0000-00-00
Gender:Male  Submitted:2007-06-19
Location:Michigan  Entered:2007-06-22, 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: None
Preexisting Conditions: None
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)GLAXOSMITHKLINE BIOLOGICALSAHBVB443AA1IMLA
TDAP: TDAP (ADACEL)SANOFI PASTEURC2758AA0IMRA
Administered by: Public     Purchased by: Private
Symptoms: Inappropriate schedule of drug administration, Incorrect dose administered
SMQs:, Medication errors (narrow)
Write-up: 16 yrs 5 mo male given adult dose of HCP B vaccine

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