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Found 466004 cases in entire database

Case Details (Sorted by Age)

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VAERS ID:133043 (history)  Vaccinated:0000-00-00
Age:23.0  Onset:0000-00-00
Gender:Female  Submitted:1999-12-30
Location:Unknown  Entered:2000-01-05, Days after submission: 6
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Chest x-ray (plural effusion), wbc=27000 w/26% lymphocytes, serum ANA=1:640,hemoglobin=9.7g/dl. Western erythrocyte sed rate of 52 mm/h; diagnostic laboratory, Sm antigens; diagnostic laboratory, <10, antibodies to double-stranded DNA incre
CDC 'Split Type': WAES99122103
Vaccination
Manufacturer
Lot
Dose
Route
Site
DT: DT ADSORBED (NO BRAND NAME)UNKNOWN MANUFACTURER  IMRA
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)UNKNOWN MANUFACTURER  IMUN
MEN: MENINGOCOCCAL (NO BRAND NAME)UNKNOWN MANUFACTURER  SCUN
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.  IMLA
OPV: POLIO VIRUS, ORAL (NO BRAND NAME)UNKNOWN MANUFACTURER  PO 
Administered by: Other     Purchased by: Other
Symptoms: Alopecia, Anaemia, Arthralgia, Asthenia, Cough, Diarrhoea, Influenza, Leukocytosis, Mouth ulceration, Pleural effusion, Pyrexia, Rash, Red blood cell sedimentation rate increased, Systemic lupus erythematosus, Vomiting
SMQs:, Severe cutaneous adverse reactions (broad), Anaphylactic reaction (narrow), Acute pancreatitis (broad), Haematopoietic erythropenia (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (narrow), Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow), Arthritis (broad), Noninfectious diarrhoea (narrow)
Write-up: Systemic Lupus Erythematosis, 2 days post vaccination, pt developed fever, nausea, vomiting, fatique, and arthralgias. 2 wks post vaccination, pt developed flu-like illness, cough, vomiting, diarrhea, fever, arthralgias, facial rash. 60 day follow-up received on 10/25/00 provided no additional data.

VAERS ID:132445 (history)  Vaccinated:1999-10-26
Age:23.2  Onset:1999-10-26, Days after vaccination: 0
Gender:Female  Submitted:1999-11-01, Days after onset: 6
Location:Georga  Entered:2000-01-06, Days after submission: 66
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: Strep culture negative
CDC 'Split Type': GA99146
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.1750H1SCLA
Administered by: Public     Purchased by: Public
Symptoms: Arthralgia, Hypersensitivity, Lymphadenopathy, Osteoarthritis
SMQs:, Angioedema (broad), Hypersensitivity (narrow), Arthritis (broad)
Write-up: Glands swelling 4-5 hrs post imm. 10/27 neck glands swollen, pain in joints. ER-told allergic reaction to MMR. Temp of 100 & chills.

VAERS ID:133109 (history)  Vaccinated:0000-00-00
Age:23.0  Onset:1999-10-01
Gender:Female  Submitted:1999-10-25, Days after onset: 24
Location:Massachusetts  Entered:2000-01-06, Days after submission: 73
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Zoloft, Cipro
Current Illness: Urinary Bladder infection
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
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Site
UNK: VACCINE NOT SPECIFIED (NO BRAND NAME)UNKNOWN MANUFACTURER    
Administered by: Unknown     Purchased by: Unknown
Symptoms: Dizziness, Dyspnoea, Nausea
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Anticholinergic syndrome (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Vestibular disorders (broad)
Write-up: 10/1, 5-10 mins after vaccination, c/o dizziness & nausea. Vital signs: 90/50, 88, 24, c/o SOB. Pt was lowered to floor x 20 mins, until she felt better & B/P came up to 100/68.

VAERS ID:133242 (history)  Vaccinated:1999-12-20
Age:23.0  Onset:1999-12-21, Days after vaccination: 1
Gender:Male  Submitted:1999-12-22, Days after onset: 1
Location:Unknown  Entered:2000-01-12, Days after submission: 21
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
ANTH: ANTHRAX (BIOTHRAX)EMERGENT BIOSOLUTIONSFAV0374 LA
Administered by: Military     Purchased by: Military
Symptoms: Injection site reaction
SMQs:
Write-up: 6 cm local reaction at site 12 hrs after injection.

VAERS ID:133295 (history)  Vaccinated:1999-11-09
Age:23.0  Onset:1999-11-11, Days after vaccination: 2
Gender:Female  Submitted:1999-11-12, Days after onset: 1
Location:Alaska  Entered:2000-01-14, Days after submission: 63
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: 15.3 weeks pregnant
Preexisting Conditions: Amoxicillin
Diagnostic Lab Data:
CDC 'Split Type': AK200010
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD)PFIZER/WYETH4998209 IMRA
Administered by: Private     Purchased by: Public
Symptoms: Rash
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow)
Write-up: Pt developed rash on abdomen that started 2:00 pm on 11/11/99. At 11:00 p.m. she noticed rash over entire body. Pt instructed to take benadryl. 11/15/99, pt improving, she never picked up benadryl, but rash is leaving.

VAERS ID:133348 (history)  Vaccinated:2000-01-07
Age:23.0  Onset:2000-01-08, Days after vaccination: 1
Gender:Female  Submitted:2000-01-10, Days after onset: 2
Location:Washington  Entered:2000-01-19, Days after submission: 9
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
FLU3: INFLUENZA (SEASONAL) (FLUZONE)CONNAUGHT LABORATORIESU0144AA IMRA
Administered by: Private     Purchased by: Public
Symptoms: Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow)
Write-up: Flu shot given to employee 1/7/00. On set of hives on 1/8/00, 2:00 am. Hives have improved but still present on 1/10/00.

VAERS ID:133386 (history)  Vaccinated:2000-01-03
Age:23.0  Onset:2000-01-04, Days after vaccination: 1
Gender:Male  Submitted:2000-01-06, Days after onset: 2
Location:South Carolina  Entered:2000-01-20, Days after submission: 14
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
ANTH: ANTHRAX (NO BRAND NAME)MICHIGAN DEPT PUB HLTHFAV0314 LA
Administered by: Military     Purchased by: Military
Symptoms: Dermatitis exfoliative, Oedema peripheral, Thrombosis, Vasodilatation
SMQs:, Cardiac failure (broad), Severe cutaneous adverse reactions (narrow), Angioedema (broad), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Thrombophlebitis (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow)
Write-up: Red, swollen entire lt tricep extending up to shoulder and down arm below elbow. Some chaffing around site of injection. Tx w/ aspirin and ice. The next day it got worse w/ some blood clots around the injection site;seen in hosp for tx.

VAERS ID:133599 (history)  Vaccinated:2000-01-09
Age:23.0  Onset:2000-01-09, Days after vaccination: 0
Gender:Female  Submitted:2000-01-09, Days after onset: 0
Location:Oregon  Entered:2000-01-31, Days after submission: 22
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
ANTH: ANTHRAX (NO BRAND NAME)MICHIGAN DEPT PUB HLTHFAV0371SC 
Administered by: Military     Purchased by: Military
Symptoms: Somnolence, Vertigo
SMQs:, Anticholinergic syndrome (broad), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Vestibular disorders (narrow)
Write-up: Vertigo leading to near loss of consciousness.

VAERS ID:133523 (history)  Vaccinated:1999-11-04
Age:23.0  Onset:1999-11-04, Days after vaccination: 0
Gender:Female  Submitted:2000-01-10, Days after onset: 67
Location:Minnesota  Entered:2000-02-01, Days after submission: 22
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM2953A40IMLA
Administered by: Public     Purchased by: Public
Symptoms: Abdominal pain, Diarrhoea, Vasodilatation
SMQs:, Acute pancreatitis (broad), Retroperitoneal fibrosis (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (narrow)
Write-up: About 3 hrs post/vax, symptoms of shooting pains in her abdomen some hot flashes & also diarrhea. Also, had eaten dinner during those 3 hrs. She called ER but was not seen. She states was fine after an hour or so.

VAERS ID:133544 (history)  Vaccinated:1999-07-30
Age:23.0  Onset:2000-01-05, Days after vaccination: 159
Gender:Female  Submitted:2000-01-19, Days after onset: 14
Location:Delaware  Entered:2000-02-01, Days after submission: 13
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Cipro
Current Illness:
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
ANTH: ANTHRAX (NO BRAND NAME)MICHIGAN DEPT PUB HLTHFAV0412 A
Administered by: Military     Purchased by: Military
Symptoms: Amnesia, Asthenia, Dizziness, Nausea, Vertigo
SMQs:, Acute pancreatitis (broad), Anticholinergic syndrome (broad), Dementia (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (narrow)
Write-up: Pt states she started feeling dizziness/vertigo, light headed, room spinning, stomach kind of upset, (nauseous), always fatigue, shor term memory loss and has been going on for a couple of months. Dizziness for only a month.

VAERS ID:133661 (history)  Vaccinated:2000-01-03
Age:23.0  Onset:2000-01-19, Days after vaccination: 16
Gender:Female  Submitted:2000-01-21, Days after onset: 2
Location:Florida  Entered:2000-02-03, Days after submission: 13
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.0879J0SCLA
Administered by: Public     Purchased by: Public
Symptoms: Infection
SMQs:
Write-up: Client broke out with about 60 chicken pox.

VAERS ID:133903 (history)  Vaccinated:2000-01-12
Age:23.0  Onset:2000-01-12, Days after vaccination: 0
Gender:Male  Submitted:2000-01-31, Days after onset: 19
Location:Oklahoma  Entered:2000-02-14, Days after submission: 14
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:
Diagnostic Lab Data: Elevated Blood Sugar, Ketonuria
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
ANTH: ANTHRAX (NO BRAND NAME)MICHIGAN DEPT PUB HLTHFAV0434SCLA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Diabetes mellitus, Hyperglycaemia, Urine analysis abnormal
SMQs:, Hyperglycaemia/new onset diabetes mellitus (narrow)
Write-up: New onset Diabetes Mellitus - insulin dependent.60 day follow-up received on 10/12/00 states the pt has recovered.

VAERS ID:134002 (history)  Vaccinated:2000-02-08
Age:23.0  Onset:2000-02-08, Days after vaccination: 0
Gender:Male  Submitted:2000-02-10, Days after onset: 2
Location:Maryland  Entered:2000-02-15, Days after submission: 5
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: URI (not told by soilder prior to vax)
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (FOREIGN)MERCK & CO. INC.3208550IM 
TYP: TYPHOID VI POLYSACCHARIDE (TYPHIM VI)CONNAUGHT LABORATORIESN10740SCLA
Administered by: Military     Purchased by: Military
Symptoms: Abdominal pain, Headache, Malaise, Nausea, Pharyngitis
SMQs:, Acute pancreatitis (broad), Agranulocytosis (broad), Retroperitoneal fibrosis (broad), Oropharyngeal infections (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)
Write-up: 2-3 hrs post vax, exp abdominal pain, tiredness, HA, nausea. Transported to local hospital.

VAERS ID:134041 (history)  Vaccinated:1999-08-02
Age:23.0  Onset:1999-08-02, Days after vaccination: 0
Gender:Male  Submitted:2000-02-02, Days after onset: 184
Location:Unknown  Entered:2000-02-15, Days after submission: 13
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
ANTH: ANTHRAX (BIOTHRAX)EMERGENT BIOSOLUTIONSFAV0330 LA
MEN: MENINGOCOCCAL (NO BRAND NAME)UNKNOWN MANUFACTURER 0SCLA
Administered by: Military     Purchased by: Military
Symptoms: Injection site mass, Insomnia, Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Arrhythmia related investigations, signs and symptoms (broad), Extravasation events (injections, infusions and implants) (broad), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad)
Write-up: Syncope, persistant chronic insomnia, decreasing after a few weeks, local reaction nodule at injection site.

VAERS ID:134093 (history)  Vaccinated:2000-01-04
Age:23.6  Onset:2000-01-04, Days after vaccination: 0
Gender:Female  Submitted:2000-01-06, Days after onset: 2
Location:Washington  Entered:2000-02-16, Days after submission: 41
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Albuterol inhaler PRN
Current Illness: NONE
Preexisting Conditions: Asthma, No allergies to meds.
Diagnostic Lab Data: NONE
CDC 'Split Type': WA001635
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUOGEN)PARKDALE PHARMACEUTICALS    
Administered by: Public     Purchased by: Public
Symptoms: Injection site hypersensitivity, Injection site mass, Injection site oedema, Injection site pain, Pain
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow)
Write-up: Pt exp pain, swelling at inject site night of vax. No hives, resp problems. Site redness and 50 cent size duration. No streaking or fever. Shoulder ached.

VAERS ID:134458 (history)  Vaccinated:2000-02-15
Age:23.0  Onset:2000-02-17, Days after vaccination: 2
Gender:Female  Submitted:2000-02-17, Days after onset: 0
Location:Unknown  Entered:2000-03-01, Days after submission: 13
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
ANTH: ANTHRAX (NO BRAND NAME)MICHIGAN DEPT PUB HLTHFAV0473SC 
Administered by: Military     Purchased by: Military
Symptoms: Injection site hypersensitivity, Injection site inflammation, Injection site oedema
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow)
Write-up: Left upper arm inflammation, edema, erythema for two days. Pt treated with Benadryl and antibiotic for cellulitis. Follow up 04/20/2000: "Patient recovered from adverse event. "

VAERS ID:134689 (history)  Vaccinated:2000-02-04
Age:23.0  Onset:2000-02-04, Days after vaccination: 0
Gender:Male  Submitted:2000-02-08, Days after onset: 4
Location:Washington  Entered:2000-03-10, Days after submission: 31
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
ANTH: ANTHRAX (NO BRAND NAME)UNKNOWN MANUFACTURER 2SCLA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Pruritus, Vasodilatation
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (broad)
Write-up: Onset of itching & redness about 3 hrs post/vax. Seen in ER & given Corticosteriods & Benadryl.

VAERS ID:134690 (history)  Vaccinated:1999-09-20
Age:23.0  Onset:1999-10-28, Days after vaccination: 38
Gender:Female  Submitted:2000-03-03, Days after onset: 127
Location:Alaska  Entered:2000-03-10, 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: ortho-tricyclen
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
ANTH: ANTHRAX (NO BRAND NAME)MICHIGAN DEPT PUB HLTHFAV0372  
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD)PFIZER/WYETH49982341  
Administered by: Military     Purchased by: Military
Symptoms: Abdominal pain, Headache, Injection site hypersensitivity, Injection site oedema, Injection site pain, Insomnia, Myalgia, Nausea
SMQs:, Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Retroperitoneal fibrosis (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Eosinophilic pneumonia (broad), Hypersensitivity (narrow)
Write-up: Headaches, sleep deprivation, stomach pain (daily), arm swollen, red & sore, muscle aches and nausea. Pt partially recoverd - headaches, muscle and joint aches not as often as in the past. Pt missed 4 work days due to this event. At time of evaluations I wasn''t sure it was ANTHRAX. Pt did not received any furtheer ANTHRAX shots since the reported event Per follow-up: 7/25/00 1601 - 1st attempt to reach pt - message left on answering machine requesting a call back. 7/26/00 1520 - 2nd attempt to reach pt - message left on answering machine requesting a call back. 7/27/00 1355 - Call back from pt - she continues to have severe heaaches and has been seen by doctors - Consent form sent for medical records.

VAERS ID:150127 (history)  Vaccinated:2000-01-07
Age:23.0  Onset:2000-01-15, Days after vaccination: 8
Gender:Female  Submitted:0000-00-00
Location:Texas  Entered:2000-03-15
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: NA
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.0305J0SC 
Administered by: Private     Purchased by: Private
Symptoms: Pyrexia, Rash pustular
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Hypersensitivity (narrow)
Write-up: 01/15 fever of 102.7. 11/16 noticed red spots that looked like bites scattered all over. They itched ad turned into pustules over next few days. Lasted few day and gradually resolved. Had about 100 lesions.

VAERS ID:150234 (history)  Vaccinated:2000-01-07
Age:23.0  Onset:2000-01-15, Days after vaccination: 8
Gender:Male  Submitted:2000-01-25, Days after onset: 10
Location:North Carolina  Entered:2000-03-20, Days after submission: 55
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: Asthma
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
ANTH: ANTHRAX (NO BRAND NAME)MICHIGAN DEPT PUB HLTHFAV0312SCLA
Administered by: Military     Purchased by: Military
Symptoms: Asthma, Rash papular
SMQs:, Anaphylactic reaction (broad), Asthma/bronchospasm (narrow), Eosinophilic pneumonia (broad), Hypersensitivity (broad)
Write-up: Pt began having itchy papules (2MM) and small vesicles on left arm about 8 days, post vax. Then spread to chest, right arm and abdomen. Pt also, seen for symptoms of asthma. Treated with prednisone and Entex LA.

VAERS ID:150321 (history)  Vaccinated:2000-02-25
Age:23.0  Onset:2000-02-25, Days after vaccination: 0
Gender:Female  Submitted:2000-03-13, Days after onset: 17
Location:Missouri  Entered:2000-03-23, 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: Zoloft
Current Illness:
Preexisting Conditions: allergy to Cipro
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
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HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM2888A41IMLA
Administered by: Other     Purchased by: Private
Symptoms: Rash, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow)
Write-up: Pt experienced hives on arms, rash on right side of neck.

VAERS ID:150774 (history)  Vaccinated:2000-03-23
Age:23.0  Onset:2000-03-23, Days after vaccination: 0
Gender:Male  Submitted:2000-03-24, Days after onset: 1
Location:Florida  Entered:2000-04-05, Days after submission: 11
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: CBC, Chem-7, LFT, TSH
CDC 'Split Type':
Vaccination
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ANTH: ANTHRAX (NO BRAND NAME)MICHIGAN DEPT PUB HLTHFAV0474SCLA
Administered by: Military     Purchased by: Military
Symptoms: Fatigue
SMQs:
Write-up: 24 hours of fatigue after 5th Anthrax vaccine.

VAERS ID:150918 (history)  Vaccinated:2000-03-27
Age:23.0  Onset:2000-03-28, Days after vaccination: 1
Gender:Male  Submitted:2000-03-29, Days after onset: 1
Location:Unknown  Entered:2000-04-12, Days after submission: 13
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC 'Split Type':
Vaccination
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ANTH: ANTHRAX (NO BRAND NAME)MICHIGAN DEPT PUB HLTHFAV0472SC 
Administered by: Military     Purchased by: Military
Symptoms: Erythema, Oedema peripheral
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad)
Write-up: Left arm swelling, erythema 2nd day post vax. Erythema/swelling from mid tricep to wrist.

VAERS ID:150922 (history)  Vaccinated:2000-03-31
Age:23.0  Onset:2000-03-31, Days after vaccination: 0
Gender:Female  Submitted:2000-08-03, Days after onset: 124
Location:New Mexico  Entered:2000-04-12, Days after submission: 113
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
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ANTH: ANTHRAX (NO BRAND NAME)MICHIGAN DEPT PUB HLTHFAV0492SCLA
Administered by: Military     Purchased by: Military
Symptoms: Asthenia, Injection site nodule, Migraine, Skin exfoliation, Sluggishness
SMQs:, Severe cutaneous adverse reactions (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (broad)
Write-up: Several hours post vax, pt experienced headaches (migraine), feeling of weakness and sluggishness. Pt has a nodule with discoloration-2 inches in left arm and 1 inch in right arm. Area above nodule starts to peel after approximately 3 days.

VAERS ID:151155 (history)  Vaccinated:2000-02-04
Age:23.0  Onset:0000-00-00
Gender:Male  Submitted:2000-03-09
Location:North Dakota  Entered:2000-05-02, Days after submission: 53
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: Labs pending.
CDC 'Split Type':
Vaccination
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ANTH: ANTHRAX (NO BRAND NAME)MICHIGAN DEPT PUB HLTHFAV0474SC 
Administered by: Military     Purchased by: Military
Symptoms: Headache
SMQs:
Write-up: Headaches started after 5th shot. He was getting 4-5 per day in the bitemporl area. Treated with Motrin and told to follow up with his primary care physician.

VAERS ID:151205 (history)  Vaccinated:2000-03-22
Age:23.0  Onset:2000-03-22, Days after vaccination: 0
Gender:Male  Submitted:2000-03-23, Days after onset: 1
Location:Unknown  Entered:2000-05-03, Days after submission: 40
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: Depression
Diagnostic Lab Data: NONE
CDC 'Split Type':
Vaccination
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ANTH: ANTHRAX (NO BRAND NAME)MICHIGAN DEPT PUB HLTHFAV0472SCRA
Administered by: Military     Purchased by: Military
Symptoms: Injection site oedema, Injection site pain
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: Sore, swollen arm 6cm X 9cm.

VAERS ID:151659 (history)  Vaccinated:2000-04-03
Age:23.0  Onset:2000-04-08, Days after vaccination: 5
Gender:Male  Submitted:2000-05-01, Days after onset: 23
Location:Maryland  Entered:2000-05-08, Days after submission: 7
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions:
Diagnostic Lab Data: CT head, MRI
CDC 'Split Type':
Vaccination
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HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAMENG3212A42IMLA
Administered by: Other     Purchased by: Public
Symptoms: Asthenia, Balance disorder, Hypoaesthesia
SMQs:, Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Vestibular disorders (broad)
Write-up: Symptoms of numbness to hands and feet, general weakness of hands and legs and was not able to open clothespin or climb stairs, loss of balance which started approximately 5-7 days following vaccine for Hep-B. Treatment with physical therapy. 60 day follow-up dated 9/22/00 provided no additional data.

VAERS ID:151845 (history)  Vaccinated:2000-03-27
Age:23.0  Onset:2000-03-28, Days after vaccination: 1
Gender:Female  Submitted:2000-03-30, Days after onset: 2
Location:Texas  Entered:2000-05-11, Days after submission: 41
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
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ANTH: ANTHRAX (NO BRAND NAME)MICHIGAN DEPT PUB HLTHFAV024 SC 
Administered by: Military     Purchased by: Military
Symptoms: Arthralgia, Fatigue, Headache, Influenza like illness, Injection site hypersensitivity, Injection site pain, Myalgia, Pyrexia
SMQs:, Rhabdomyolysis/myopathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Eosinophilic pneumonia (broad), Hypersensitivity (narrow), Arthritis (broad)
Write-up: Pt experienced flu-like symptoms, joint soreness, muscle pain, headache, fatigue and an 8x8cm area of red and tenderness around injection site, and fever.

VAERS ID:151957 (history)  Vaccinated:2000-04-25
Age:23.0  Onset:2000-04-28, Days after vaccination: 3
Gender:Female  Submitted:2000-05-02, Days after onset: 4
Location:Georga  Entered:2000-05-16, Days after submission: 14
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC 'Split Type': GA00048
Vaccination
Manufacturer
Lot
Dose
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Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0946J SCLL
Administered by: Public     Purchased by: Public
Symptoms: Dyskinesia, Heart rate increased, Lymphoedema, Platelet production decreased, Pyrexia, Rash, Vasodilation procedure
SMQs:, Anaphylactic reaction (broad), Haematopoietic thrombocytopenia (narrow), Neuroleptic malignant syndrome (narrow), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Retroperitoneal fibrosis (broad), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Dyskinesia (narrow), Noninfectious encephalopathy/delirium (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow), Myelodysplastic syndrome (narrow)
Write-up: On 5/2/2000, mom called and stated MD told her that pt had a reaction to MMR vaccine. She stated that she had a fever, Friday night. Saturday a rash started all over her body. She was admitted to the hospital on 5/1/2000. Began jerking on 5/1/2000, that night. She was also told that the pt''s lymph nodes were swollen, heart rate was elevated, platelets were low. The pt''s skin was hot to touch but she had no fever.

VAERS ID:152122 (history)  Vaccinated:1998-11-20
Age:23.0  Onset:0000-00-00
Gender:Male  Submitted:2000-03-07
Location:Indiana  Entered:2000-05-19, Days after submission: 72
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: UNK
Diagnostic Lab Data:
CDC 'Split Type': WAES99050100
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC. 1IM 
Administered by: Other     Purchased by: Other
Symptoms: Multiple sclerosis
SMQs:, Optic nerve disorders (broad), Demyelination (narrow)
Write-up: Subsequently post vax, the pt was hospitalized and dx with multiple sclerosis.

VAERS ID:152137 (history)  Vaccinated:1999-05-17
Age:23.0  Onset:1999-05-17, Days after vaccination: 0
Gender:Female  Submitted:2000-03-07, Days after onset: 295
Location:Wisconsin  Entered:2000-05-19, Days after submission: 72
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: UNK
Diagnostic Lab Data:
CDC 'Split Type': WAES99051289
Vaccination
Manufacturer
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HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC. 1IM 
Administered by: Other     Purchased by: Private
Symptoms: Asthenia, Dizziness, Vomiting
SMQs:, Acute pancreatitis (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad)
Write-up: Information has been received from an RN concerning a 23 year old black female pt who was vaccinated with a 1st and 2nd dose of Hep-B vaccine recombinant on 4/20/99 and 5/17/99, respectively. Approximately 1 hour, post vax, the pt experienced nausea, weakness, emesis and light-headedness. There was no evidence of a local reaction at the injection site. The pt was given a cold compress. It was reported that other members of the pt''s family had the flu during this time. Follow-up information from an RN, reported that the pt returned to work 1 day, post-onset, and reported resolution of symptoms within 24 hours of onset.

VAERS ID:152188 (history)  Vaccinated:0000-00-00
Age:23.0  Onset:0000-00-00
Gender:Female  Submitted:2000-03-07
Location:Florida  Entered:2000-05-19, Days after submission: 72
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Provera
Current Illness:
Preexisting Conditions: penicillin allergy
Diagnostic Lab Data:
CDC 'Split Type': WAES99081147
Vaccination
Manufacturer
Lot
Dose
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HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.  IM 
Administered by: Other     Purchased by: Other
Symptoms: Asthenia, Injection site mass, Injection site oedema, Injection site pain, Pallor
SMQs:, Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypotonic-hyporesponsive episode (broad)
Write-up: Subsequently post vax, the pt''s arm swelled up and became hard and sore. She also went pale as a ghost and got weak-kneed. She described her experience as a powerful reaction which forced her to be sent home from work.

VAERS ID:152222 (history)  Vaccinated:1997-06-20
Age:23.0  Onset:1998-03-02, Days after vaccination: 255
Gender:Female  Submitted:2000-05-18, Days after onset: 807
Location:Unknown  Entered:2000-05-23, 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: UNK
Current Illness:
Preexisting Conditions: Pregnancy LMP - unknown.
Diagnostic Lab Data:
CDC 'Split Type': WAES00051561
Vaccination
Manufacturer
Lot
Dose
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MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.  SC 
Administered by: Other     Purchased by: Other
Symptoms: Foetal distress syndrome
SMQs:, Foetal disorders (narrow)
Write-up: Subsequent to vax, the pt learned that she had become pregnant at approximately the time of vax. On 03/02/1998, the pt gave birth to a female who was dx with microcephaly as an infant and with mental retardation in 1999. The infant sought unspecified medical treatment. Additional information has been requested.

VAERS ID:152446 (history)  Vaccinated:2000-03-08
Age:23.0  Onset:2000-03-10, Days after vaccination: 2
Gender:Female  Submitted:2000-03-13, Days after onset: 3
Location:Texas  Entered:2000-05-26, Days after submission: 73
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Prenatal vitamins
Current Illness:
Preexisting Conditions: 22 weeks gestation
Diagnostic Lab Data: NONE
CDC 'Split Type': 00TX33
Vaccination
Manufacturer
Lot
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Site
TD: TD ADSORBED (NO BRAND NAME)CONNAUGHT LABORATORIES09394400IMRA
Administered by: Public     Purchased by: Public
Symptoms: Face oedema, Pruritus, Rash
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow)
Write-up: Spouse of pt called at 8:45 PM on 3/11/00 to say wife had a rash and itching since day before (3/10/00). Had applied alcohol only. Advised to take wife to hospital since face was swollen as well.

VAERS ID:152526 (history)  Vaccinated:2000-04-05
Age:23.0  Onset:2000-04-06, Days after vaccination: 1
Gender:Female  Submitted:2000-05-22, Days after onset: 46
Location:Alaska  Entered:2000-05-30, 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: NONE
Preexisting Conditions:
Diagnostic Lab Data: MRI/MRA-Normal
CDC 'Split Type':
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ANTH: ANTHRAX (NO BRAND NAME)MICHIGAN DEPT PUB HLTHFAV0443IM 
Administered by: Military     Purchased by: Military
Symptoms: Headache
SMQs:
Write-up: Neurology evaluation: Normal MRI/MRA. Temporal relationship of headaches to each vaccine administration with persistence after dose #4. A causal relationship between Anthrax and headaches could not be ruled out. Improved headaches but not resolved.

VAERS ID:152530 (history)  Vaccinated:2000-02-18
Age:23.0  Onset:2000-02-18, Days after vaccination: 0
Gender:Female  Submitted:2000-02-20, Days after onset: 2
Location:Unknown  Entered:2000-05-30, Days after submission: 99
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: bad reactions
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC 'Split Type':
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ANTH: ANTHRAX (NO BRAND NAME)MICHIGAN DEPT PUB HLTH 2SCLA
Administered by: Military     Purchased by: Military
Symptoms: Hypersensitivity, Pruritus, Rash maculo-papular
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Hypersensitivity (narrow)
Write-up: By history from pt, this is the 3rd incident of a significant local reaction associated with Anthrax vaccine. Has numerous papules on erythematous base. Pruritic around area of injection and has increased in severity each successive shot. This reaction is with 50-60 erythematous papular lesions in about .5-1 mm size developed in left triceps, left lumbar and on thighs. Treatment prescribed 2/20/2000, Benadryl. Condition improved but leaves scars as they heal.

VAERS ID:152532 (history)  Vaccinated:2000-03-14
Age:23.0  Onset:2000-03-14, Days after vaccination: 0
Gender:Female  Submitted:0000-00-00
Location:Unknown  Entered:2000-05-30
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC 'Split Type':
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ANTH: ANTHRAX (NO BRAND NAME)MICHIGAN DEPT PUB HLTHFAV0475SCRA
HBHEPB: HIB + HEP B (COMVAX)MERCK & CO. INC.0113H IMLA
HEPA: HEP A (VAQTA)MERCK & CO. INC.1442H IMRA
Administered by: Military     Purchased by: Military
Symptoms: Feeling hot, Hypersensitivity, Injection site mass, Injection site pain, Pruritus
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (narrow)
Write-up: One day, post vax, pt noted pain, redness, itching and warmth in the right triceps of injection site. Pt sought medical care for 10cm X 10cm of indurated area of swelling. Cold compresses applied. Atarax and Motrin. Follow up 10/19/2000: "Patient recovered from adverse event. 3 days missed from work. Did not receive any more shots since the reported event."

VAERS ID:152662 (history)  Vaccinated:2000-02-16
Age:23.0  Onset:2000-02-22, Days after vaccination: 6
Gender:Male  Submitted:2000-05-30, Days after onset: 97
Location:Delaware  Entered:2000-06-05, Days after submission: 6
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: Holter monitor-shows irregular heartbeats
CDC 'Split Type':
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ANTH: ANTHRAX (NO BRAND NAME)MICHIGAN DEPT PUB HLTHFAV0441SC 
Administered by: Military     Purchased by: Military
Symptoms: Heart rate irregular
SMQs:, Cardiac arrhythmia terms, nonspecific (narrow)
Write-up: Pt states, post vax 2nd Anthrax, he started feeling irregular heartbeats. However, he said his had them before. But 2 weeks, post vax, it started again. Pt was seen by a provider and referred to a cardiologist. He suggested he have a stress test and echocardiogram to see whether they are exercise induced or any underlying ischemia. Both test were accomplished with the results being normal on both tests. Holter monitor showed irregular heartbeats. Hook-up on 3/11/2000 at 12:00, pt has results from MD and was referred to a cardiologist.

VAERS ID:152754 (history)  Vaccinated:1997-09-30
Age:23.0  Onset:1997-09-30, Days after vaccination: 0
Gender:Female  Submitted:1998-08-18, Days after onset: 322
Location:New Jersey  Entered:2000-06-07, Days after submission: 659
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: asthma, at age 22, the pt received a Flu-Fluzone unspecified in 1996 and 1997 and experienced itching under her skin, at injection site.
Diagnostic Lab Data: NONE
CDC 'Split Type': U1998004760
Vaccination
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Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)CONNAUGHT LABORATORIES  IM 
Administered by: Private     Purchased by: Private
Symptoms: Anaphylactic reaction, Pruritus, Throat tightness
SMQs:, Anaphylactic reaction (narrow), Angioedema (broad), Anaphylactic/anaphylactoid shock conditions (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Hypersensitivity (narrow)
Write-up: It was reported, "Pt stated that within 20 minutes, post vax, her throat closed. She said she complained of itching in throat area at first, then roof of mouth felt heavy. RN at MD''s office read on chart-swollen throat, anaphylaxis within seven minutes, post vax. Pt was given Prelone and Benadryl at time of treatment." Reportedly the pt recovered from this experience.

VAERS ID:153169 (history)  Vaccinated:2000-04-08
Age:23.0  Onset:2000-04-08, Days after vaccination: 0
Gender:Male  Submitted:2000-04-09, Days after onset: 1
Location:Alaska  Entered:2000-06-08, Days after submission: 60
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: PCN allergy - rash.
Diagnostic Lab Data: NONE
CDC 'Split Type':
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TYP: TYPHOID VI POLYSACCHARIDE (TYPHIM VI)CONNAUGHT LABORATORIESR0064 IMRA
Administered by: Military     Purchased by: Military
Symptoms: Pruritus, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow)
Write-up: Typhoid vax administered on 04/08 and approximately 4 hours post vax, pt noted onset of itching and hives on back of neck, spreading to arms, trunk, and legs by 03:00 on 04/09. Pt reported symptoms at 07:30, 04/09. Benadryl given.

VAERS ID:153299 (history)  Vaccinated:2000-03-21
Age:23.0  Onset:2000-03-22, Days after vaccination: 1
Gender:Female  Submitted:2000-03-28, Days after onset: 6
Location:Maryland  Entered:2000-06-09, Days after submission: 72
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:
CDC 'Split Type': MD2000005
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM2419A10IMRA
TD: TD ADSORBED (NO BRAND NAME)CONNAUGHT LABORATORIES7358AB0IMLA
Administered by: Public     Purchased by: Public
Symptoms: Back pain, Chills, Erythema, Headache, Pyrexia, Vision blurred
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Glaucoma (broad), Lens disorders (broad), Retinal disorders (broad), Hypersensitivity (broad)
Write-up: Pt states that on 3/24/2000, left deltoid was red, hot and sore. She had blurred vision, headache, upper back pain, fever and chills. On 3/28/00, left deltoid red, firm and sore measuring 6.5cm X 4.5cm. On 3/31/00, seen at hospital and given prescription for Keflex. On 4/4/00, left deltoid was 5cm, firm, warm nodule. On 4/4/00, to get Keflex filled. On 4/28/00, arm ok, has scar. Was seen by RN "no soreness, swelling or discharge. Opts not to continue Hep-B series. Referred to PMD/ER.

VAERS ID:153305 (history)  Vaccinated:2000-03-27
Age:23.0  Onset:2000-03-28, Days after vaccination: 1
Gender:Female  Submitted:2000-03-29, Days after onset: 1
Location:Idaho  Entered:2000-06-09, Days after submission: 71
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: BCP
Current Illness: NONE
Preexisting Conditions: Allergy to PCN, sulfa, Erythromycin, Doxycyclin, C-Klor
Diagnostic Lab Data:
CDC 'Split Type': ID00014
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM3351060IMRA
HEPA: HEP A (HAVRIX)SMITHKLINE BEECHAM648A60IMLA
TYP: TYPHOID VI POLYSACCHARIDE (TYPHIM VI)CONNAUGHT LABORATORIESP14260IMRA
Administered by: Public     Purchased by: Unknown
Symptoms: Dyspnoea, Urticaria
SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Hypersensitivity (narrow)
Write-up: The pt states she woke up the following day with hives covering chest and shortness of breath, beginning at 12:00. The pt is taking Benadryl this afternoon.

VAERS ID:153403 (history)  Vaccinated:2000-05-08
Age:23.0  Onset:2000-05-11, Days after vaccination: 3
Gender:Female  Submitted:2000-05-18, Days after onset: 7
Location:Washington  Entered:2000-06-09, Days after submission: 22
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Albuterol, aerobid
Current Illness:
Preexisting Conditions: asthma
Diagnostic Lab Data: spinal tap and cultures, CT of head
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.90439041SCRA
Administered by: Private     Purchased by: Other
Symptoms: Headache, Musculoskeletal stiffness, Nausea, Pyrexia
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dystonia (broad), Parkinson-like events (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Arthritis (broad)
Write-up: The pt went to the ER with a headache for 4 days and a stiff neck, elevated temp and nausea.

VAERS ID:154618 (history)  Vaccinated:1999-09-16
Age:23.0  Onset:1999-09-16, Days after vaccination: 0
Gender:Male  Submitted:1999-11-22, Days after onset: 67
Location:North Carolina  Entered:2000-06-19, Days after submission: 209
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: UNK
Diagnostic Lab Data:
CDC 'Split Type': WAES99091375
Vaccination
Manufacturer
Lot
Dose
Route
Site
RUB: RUBELLA (MERUVAX II)MERCK & CO. INC.  SC 
Administered by: Other     Purchased by: Other
Symptoms: Unevaluable event
SMQs:
Write-up: Pt was supposed to vaccinated with the MMR vaccine; instead he was vaccinated with rubella virus vaccine live.

VAERS ID:155180 (history)  Vaccinated:0000-00-00
Age:23.0  Onset:0000-00-00
Gender:Female  Submitted:2000-05-24
Location:Pennsylvania  Entered:2000-06-21, Days after submission: 28
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: UNK
Diagnostic Lab Data: diagnostic lab-negative mumps antibody titer
CDC 'Split Type': WAES99070846
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.  SC 
Administered by: Other     Purchased by: Other
Symptoms: Drug ineffective
SMQs:, Lack of efficacy/effect (narrow)
Write-up: Pt was vaccinated in 1997. Subsequently, the pt was seen in occupational health clinic for preplacement physical and a titer was drawn which indicated a negative antibody to mumps. The pt reported that she had all childhood vaccines.

VAERS ID:155444 (history)  Vaccinated:2000-06-14
Age:23.0  Onset:2000-06-14, Days after vaccination: 0
Gender:Female  Submitted:2000-06-14, Days after onset: 0
Location:Illinois  Entered:2000-06-27, Days after submission: 13
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: possible seizure
Diagnostic Lab Data: NONE
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEPA: HEP A (HAVRIX)SMITHKLINE BEECHAM651B60IMLA
Administered by: Public     Purchased by: Private
Symptoms: Unevaluable event
SMQs:
Write-up:

VAERS ID:155605 (history)  Vaccinated:2000-06-21
Age:23.0  Onset:2000-06-21, Days after vaccination: 0
Gender:Female  Submitted:2000-06-22, Days after onset: 1
Location:Minnesota  Entered:2000-06-28, Days after submission: 6
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Triphasil
Current Illness: NONE
Preexisting Conditions: allergy to morphine, family hx of high cholesterol and hypertension
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
LYME: LYME (LYMERIX)SMITHKLINE BEECHAMLY128A20IMLA
Administered by: Other     Purchased by: Private
Symptoms: Headache, Hypoaesthesia, Neck pain, Pain, Pyrexia, Tremor
SMQs:, Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Arthritis (broad)
Write-up: About 40 minutes post vax, the pt developed shaking chills and suspected that she was running a fever. She noticed pain in her left arm and also the left side of the neck as well as a headache. She developed numbness or tingling in the left arm. There was not shortness of breath and no chest pain. she had not had any of this previously. She was seen at an ER and her treatment included an IV of normal saline, IV SoluMedrol, Benadryl, Zantac as well as Tylenol. She was afebrile by the time she left the ER. MD states this was an adverse reaction to Lyme vaccine.

VAERS ID:155804 (history)  Vaccinated:2000-02-14
Age:23.0  Onset:2000-02-26, Days after vaccination: 12
Gender:Female  Submitted:2000-05-16, Days after onset: 79
Location:Washington  Entered:2000-06-29, Days after submission: 44
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: spontaneous abortion
Diagnostic Lab Data:
CDC 'Split Type': WAES00022478
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC. 0SC 
Administered by: Other     Purchased by: Other
Symptoms: Dysmenorrhoea, Menstruation irregular
SMQs:, Fertility disorders (broad)
Write-up: Information has been received from a consumer, a 23 year old female with a hx of a spontaneous abortion who on 2/14/00 was vaccinated with one dose of varicella vaccine. On 2/26/00, the pt noticed that her menstrual cycle had began "8 days before cycle due." The pt noted "I have a 27 day cycle, I know this is not right. I am having bleeding and cramping, the bleeding is heavy but that is usual when I start my cycle. In the past I did have a miscarriage." Additional information has been requested.

VAERS ID:156099 (history)  Vaccinated:2000-05-09
Age:23.0  Onset:2000-05-09, Days after vaccination: 0
Gender:Male  Submitted:2000-06-30, Days after onset: 52
Location:Illinois  Entered:2000-07-06, Days after submission: 6
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC. 1IM 
Administered by: Military     Purchased by: Military
Symptoms: Oedema peripheral, Urticaria
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow)
Write-up: Pt experienced generalized, progressive urticaria and swelling to a severe degree of feet and hands.

VAERS ID:156141 (history)  Vaccinated:2000-05-22
Age:23.0  Onset:2000-05-24, Days after vaccination: 2
Gender:Female  Submitted:0000-00-00
Location:Massachusetts  Entered:2000-07-10
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.  SC 
Administered by: Other     Purchased by: Other
Symptoms: Arthralgia, Decreased appetite, Fatigue, Influenza like illness, Lymphadenopathy, Malaise, Myalgia, Pyrexia
SMQs:, Rhabdomyolysis/myopathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Eosinophilic pneumonia (broad), Arthritis (broad)
Write-up: Pt developed flu symptoms, fever, swollen maxillary B1-lateral glands, fatigue, decrease in appetite, malaise, and joint/muscle aches.

VAERS ID:156252 (history)  Vaccinated:1999-09-29
Age:23.0  Onset:1999-10-11, Days after vaccination: 12
Gender:Female  Submitted:2000-05-16, Days after onset: 218
Location:Colorado  Entered:2000-07-10, Days after submission: 55
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Zovia
Current Illness:
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC 'Split Type': WAES99100947
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.  SC 
Administered by: Private     Purchased by: Private
Symptoms: Dermatitis bullous
SMQs:, Severe cutaneous adverse reactions (narrow), Hypersensitivity (narrow)
Write-up: Pt developed a varicella like rash on all parts of her body consisting of approximately 15 total lesions. The lesions vary in size and are pruritic. Pt was treated with Caladryl. The pt reports one or two bumps additional every day for the past few days. It was reported that the pt''s infant was present at the time of vaccination. Physician''s nurse stated that the vaccine should not have been administered.

VAERS ID:156440 (history)  Vaccinated:1999-10-21
Age:23.0  Onset:1999-11-04, Days after vaccination: 14
Gender:Female  Submitted:2000-05-16, Days after onset: 193
Location:California  Entered:2000-07-13, Days after submission: 58
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: UNK
Diagnostic Lab Data:
CDC 'Split Type': WAES99111122
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.0305J0SC 
Administered by: Private     Purchased by: Private
Symptoms: Injection site erythema, Injection site mass, Myalgia, Pyrexia, Skin ulcer
SMQs:, Rhabdomyolysis/myopathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Eosinophilic pneumonia (broad)
Write-up: Approximately two weeks post vax, pt experienced myalgia and fever. The pt developed a large area of erythema around injection site and right forearm about 2-3 diameter with induration. It was noted that the pt had tuberculin skin test at that location a month before vaccination. 4 days later the pt developed 20 generalized skin lesions, on the scalp, torso and extremities. Pt was treated with Tylenol and recovered from the myalgia and fever within 3 days. The pts rash subsided approximately a week and a half later.

VAERS ID:156838 (history)  Vaccinated:2000-06-14
Age:23.0  Onset:2000-06-15, Days after vaccination: 1
Gender:Female  Submitted:2000-06-19, Days after onset: 4
Location:New Mexico  Entered:2000-07-17, Days after submission: 28
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Serzone; Ortho Novum; Tambocor
Current Illness: NONE
Preexisting Conditions: Steroid allergy, Tachycardia, Arrhythmias
Diagnostic Lab Data: NONE
CDC 'Split Type': NM060004
Vaccination
Manufacturer
Lot
Dose
Route
Site
PPV: PNEUMO (PNU-IMUNE)LEDERLE LABORATORIES4681350IMRA
Administered by: Other     Purchased by: Private
Symptoms: Arthralgia, Injection site erythema, Injection site pain, Myalgia, Pyrexia, Rash
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Eosinophilic pneumonia (broad), Hypersensitivity (narrow), Arthritis (broad)
Write-up: 24 hours post vax, pt experienced a local reaction characterized by redness, soreness and rash to right upper arm with fever, myalgia and arthralgias, mostly hip joints. Pt advised to use cold compress to injection site and to take Motrin or Tylenol.

VAERS ID:156933 (history)  Vaccinated:0000-00-00
Age:23.0  Onset:0000-00-00
Gender:Female  Submitted:2000-05-16
Location:New Jersey  Entered:2000-07-17, Days after submission: 62
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: UNK
Diagnostic Lab Data: negative varicella antibody titer
CDC 'Split Type': WAES99050193
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.  SC 
Administered by: Other     Purchased by: Other
Symptoms: Unevaluable event
SMQs:
Write-up: Subsequent to receiving varicella virus vaccine live the pt failed to seroconvert.

VAERS ID:157055 (history)  Vaccinated:1997-07-23
Age:23.0  Onset:1999-05-17, Days after vaccination: 663
Gender:Male  Submitted:2000-05-16, Days after onset: 365
Location:Kansas  Entered:2000-07-17, Days after submission: 62
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: Previous varicella exposure
Diagnostic Lab Data: Serum IGG, 0.54 neg; serum IGM 0.17 neg.
CDC 'Split Type': WAES99051638
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC. 1SC 
Administered by: Public     Purchased by: Public
Symptoms: Drug ineffective, Unevaluable event
SMQs:, Lack of efficacy/effect (narrow)
Write-up: Pt was recently exposed to varicella.

VAERS ID:157205 (history)  Vaccinated:1999-02-05
Age:23.0  Onset:0000-00-00
Gender:Unknown  Submitted:2000-05-16
Location:D.C.  Entered:2000-07-18, Days after submission: 63
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: varicella exposure
Diagnostic Lab Data: negative varicella antibody
CDC 'Split Type': WAES99061187
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC. 1SC 
Administered by: Other     Purchased by: Other
Symptoms: Drug ineffective
SMQs:, Lack of efficacy/effect (narrow)
Write-up: Pt with recent varicella exposure, who was vaccinated with first and second doses of varicella virus vaccine live failed to seroconvert. Although the pt failed to seroconvert there was no evidence of a rash.

VAERS ID:157297 (history)  Vaccinated:1999-07-10
Age:23.0  Onset:1999-07-20, Days after vaccination: 10
Gender:Female  Submitted:2000-05-16, Days after onset: 301
Location:Georga  Entered:2000-07-19, Days after submission: 64
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': WAES99071906
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.1657H0SC 
Administered by: Public     Purchased by: Private
Symptoms: Pyrexia, Rash, Vomiting
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypersensitivity (narrow)
Write-up: 10 days post vax the pt experienced nausea and vomiting with low grade fever. the following day the pt developed five non-vesicular lesions on her arm with low grade fever and nausea. It was noted that the lesions did not become vesicular.

VAERS ID:157585 (history)  Vaccinated:0000-00-00
Age:23.0  Onset:0000-00-00
Gender:Female  Submitted:2000-05-16
Location:North Carolina  Entered:2000-07-20, Days after submission: 65
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: UNK
Diagnostic Lab Data: negative varicella antibody titer
CDC 'Split Type': WAES99090966
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC. 0SC 
Administered by: Other     Purchased by: Other
Symptoms: Drug ineffective
SMQs:, Lack of efficacy/effect (narrow)
Write-up: Subsequent to receiving one dose of varicella virus vaccine live, testing results were negative for VZV antibodies. It was also noted that the pt did not respond to hepatitis B vaccine. Additional information has been requested.

VAERS ID:157711 (history)  Vaccinated:2000-05-15
Age:23.0  Onset:2000-05-15, Days after vaccination: 0
Gender:Female  Submitted:0000-00-00
Location:Georga  Entered:2000-07-21
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: NONE
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.1896H0IMLA
HEPA: HEP A (HAVRIX)SMITHKLINE BEECHAM557B60IMLA
TD: TD ADSORBED (NO BRAND NAME)CONNAUGHT LABORATORIESU0114BA0IMRA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Abdominal pain, Muscle rigidity
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Retroperitoneal fibrosis (broad), Parkinson-like events (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)
Write-up: Pt developed motor rigidity with clenching of teeth and abdominal cramping. Pt treated with Benadryl.

VAERS ID:157850 (history)  Vaccinated:2000-04-07
Age:23.0  Onset:2000-04-10, Days after vaccination: 3
Gender:Female  Submitted:2000-07-17, Days after onset: 98
Location:Kansas  Entered:2000-07-24, Days after submission: 7
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: temperature 99.2; BP 138/80; Pulse 99; resp rate 12
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.1083J IM 
Administered by: Other     Purchased by: Public
Symptoms: Hypoventilation, Injection site erythema, Injection site reaction, Pyrexia, Tachycardia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Acute central respiratory depression (narrow), Extravasation events (injections, infusions and implants) (broad)
Write-up: Pt experienced irritation and erythema at injection site.

VAERS ID:157866 (history)  Vaccinated:2000-01-01
Age:23.0  Onset:2000-07-07, Days after vaccination: 188
Gender:Female  Submitted:2000-07-24, Days after onset: 17
Location:Washington  Entered:2000-07-24
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: albuterol, AeroBid
Current Illness:
Preexisting Conditions: Allergy to erythromycin, bee stings
Diagnostic Lab Data: UNK
CDC 'Split Type': WAES00071543
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.  SC 
Administered by: Other     Purchased by: Other
Symptoms: Encephalitis, Infection
SMQs:, Noninfectious encephalitis (narrow)
Write-up: Information has been received from a 23 year old female pt who in May of 2000 was vaccinated with varicella virus vaccine live. Subsequently, in 2000, the pt went to an ER and was dx''d with infection. "Then she went to her MD and was dx''d with viral encephalitis (considered to be an other medical event). The pt has no medical history prior to this." Additional information has been requested.

VAERS ID:157945 (history)  Vaccinated:0000-00-00
Age:23.0  Onset:0000-00-00
Gender:Male  Submitted:2000-07-06
Location:Unknown  Entered:2000-07-25, Days after submission: 19
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
YF: YELLOW FEVER (YF-VAX)CONNAUGHT LABORATORIESUA055AC0  
Administered by: Military     Purchased by: Military
Symptoms: Erythema, Swelling
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad)
Write-up: Pt experienced redness, swelling to right arm for 24 hours.

VAERS ID:158032 (history)  Vaccinated:2000-04-12
Age:23.0  Onset:2000-04-17, Days after vaccination: 5
Gender:Male  Submitted:2000-05-18, Days after onset: 31
Location:New York  Entered:2000-07-27, Days after submission: 70
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:
CDC 'Split Type': 20000128601
Vaccination
Manufacturer
Lot
Dose
Route
Site
LYME: LYME (LYMERIX)SMITHKLINE BEECHAM 0IMLA
Administered by: Other     Purchased by: Other
Symptoms: Injection site hypersensitivity, Rash pruritic
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow)
Write-up: Post first vax, 5-7 days later, reportedly, he developed a raised red, itchy rash at the injection site. He was treated with Benadryl and cortisone cream at the reaction site and it disappeared in 2-3 days. The most recent information reports the condition as resolved.

VAERS ID:158211 (history)  Vaccinated:1999-04-12
Age:23.0  Onset:1999-04-14, Days after vaccination: 2
Gender:Male  Submitted:2000-07-25, Days after onset: 468
Location:Missouri  Entered:2000-08-01, Days after submission: 7
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
ANTH: ANTHRAX (NO BRAND NAME)MICHIGAN DEPT PUB HLTHFAV0431SC 
Administered by: Military     Purchased by: Military
Symptoms: Injection site reaction
SMQs:
Write-up: Severe local reaction to Anthrax vaccine with 180mm X 80 mm.

VAERS ID:158213 (history)  Vaccinated:0000-00-00
Age:23.0  Onset:0000-00-00
Gender:Male  Submitted:0000-00-00
Location:Pennsylvania  Entered:2000-08-01
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
ANTH: ANTHRAX (NO BRAND NAME)MICHIGAN DEPT PUB HLTHFAV048B2SCLA
Administered by: Military     Purchased by: Military
Symptoms: Feeling hot, Injection site erythema, Injection site mass, Injection site oedema, Injection site pain, Pruritus
SMQs:, Anaphylactic reaction (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad)
Write-up: Itching, red and swollen left tricep, caused by 3rd Anthrax shot. 28cm X 24cm erythematous, warm and indurated left upper arm extending past elbow into forearm, FROM, plus a deep ache.

VAERS ID:158627 (history)  Vaccinated:2000-08-02
Age:23.0  Onset:2000-08-03, Days after vaccination: 1
Gender:Male  Submitted:2000-08-05, Days after onset: 2
Location:Mississippi  Entered:2000-08-08, 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: TB skin test
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type': MS00032
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)CONNAUGHT LABORATORIESU0138BA IMRA
Administered by: Public     Purchased by: Public
Symptoms: Nausea, Pain, Pharyngolaryngeal pain, Pyrexia
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)
Write-up: Pt had fever, chills, sore throat and nausea. No redness or edema at injection site. States "achey feeling all over." Instructed to see PMD. Took BC for fever and achy feeling. Instructed to take Tylenol for fever.

VAERS ID:158718 (history)  Vaccinated:2000-07-05
Age:23.0  Onset:2000-07-19, Days after vaccination: 14
Gender:Female  Submitted:2000-08-07, Days after onset: 19
Location:Indiana  Entered:2000-08-10, Days after submission: 3
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0206K2SCRA
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.0453J0SCLA
Administered by: Private     Purchased by: Private
Symptoms: Dizziness, Infection
SMQs:, Anticholinergic syndrome (broad), Vestibular disorders (broad)
Write-up: About 2 weeks, post vax, pt broke out in pox all over her body. Still with pox, 2 weeks later. Initially pt felt faint for 2-3 days prior to outbreak. Tolerated IZ well when given. Conservative treatment.

VAERS ID:158775 (history)  Vaccinated:1999-12-17
Age:23.0  Onset:1999-12-20, Days after vaccination: 3
Gender:Male  Submitted:1999-12-23, Days after onset: 3
Location:Washington  Entered:2000-08-14, Days after submission: 234
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
ANTH: ANTHRAX (NO BRAND NAME)MICHIGAN DEPT PUB HLTHFAV031 SCRA
Administered by: Military     Purchased by: Military
Symptoms: Cellulitis, Injection site inflammation, Injection site oedema, Injection site pain
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: The pt experienced tenderness, swelling and marked inflammation with cellulitis around the injection site which measured 8x8 cm.

VAERS ID:159848 (history)  Vaccinated:1998-04-06
Age:23.0  Onset:1999-01-01, Days after vaccination: 270
Gender:Female  Submitted:2000-09-11, Days after onset: 618
Location:Wisconsin  Entered:2000-09-18, Days after submission: 7
Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
ANTH: ANTHRAX (NO BRAND NAME)MICHIGAN DEPT PUB HLTHFAV020 SC 
Administered by: Military     Purchased by: Military
Symptoms: Hypersensitivity, Pruritus, Rash, Rash erythematous, Rash papular
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Hypersensitivity (narrow)
Write-up: The pt started getting rashes in 1/99. The first rash was on the outside of her right arm, above the elbow. That lasted in that spot for about 1 week. It then spread to my other arm, shins, chest, and back. Occasionally, she gets a small spot on her right cheek. It has never been on her hands, feet, knees, elbows, or privates. It iches horribly and no cream, pill seems to help. Per doc 204219, patient still gets an itchy/blotchy rash on arms and legs. He occasionaly gets it on face. The creams and pills that the doctors tried with patient still do not work. The rash and the itch usually last one week than go away. 21y/o AD female w 2 wk Hx of very prurutic rash that initially presented on her arms and now has affected her legs as well. Rash sxs occurred initially while home on leave. She doesn''t think it is an allergic reaction to soap she uses as the soap at home is the same she has been using for her laundry here. No new cosmetic problems, creams or foods. No exposure to situations that might result in poison oak or poison ivy contact. No truncal involvement. No involvement of the groin or axillae. Rash is intensely pruritic and occasionally has wakened her in the middle of the night due to itching. She was seen in the ER and given Hydroxyzine tabs that made her sleepy but did not eliminate the itch. Rash consists of 1-2 mm papules, occasionally in clusters that are somewhat erythematous, present on arms and legs. Evidence of some excoriation''s present, especially on the legs.

VAERS ID:159926 (history)  Vaccinated:1999-09-18
Age:23.0  Onset:1999-10-01, Days after vaccination: 13
Gender:Male  Submitted:2000-04-08, Days after onset: 190
Location:California  Entered:2000-09-20, Days after submission: 165
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
ANTH: ANTHRAX (NO BRAND NAME)MICHIGAN DEPT PUB HLTHFAV0430IMUN
Administered by: Military     Purchased by: Military
Symptoms: Arthralgia
SMQs:, Arthritis (broad)
Write-up: Pain in right knee X 1 month and pain in left knee X 6 1/2 months.

VAERS ID:160482 (history)  Vaccinated:1999-08-20
Age:23.0  Onset:1999-08-23, Days after vaccination: 3
Gender:Female  Submitted:1999-10-25, Days after onset: 63
Location:Alaska  Entered:2000-10-11, Days after submission: 352
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: allergy to Amoxicillin, PCN, possible Aleve, darvocet, percodan
Diagnostic Lab Data:
CDC 'Split Type': AK200017
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)LEDERLE LABORATORIES49880333IMRA
Administered by: Private     Purchased by: Other
Symptoms: Arthralgia, Dizziness, Injection site erythema, Injection site mass, Injection site oedema, Injection site pain, Malaise
SMQs:, Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Vestibular disorders (broad), Arthritis (broad)
Write-up: The pt experienced unresolved pain at injection site with 2 small pea sized swelling increasing in size to 30 mm, red, indurated, warm, remains sensitive to the touch. The pt also experienced arthralgia, dizziness, malaise.

VAERS ID:160495 (history)  Vaccinated:2000-09-26
Age:23.0  Onset:2000-09-26, Days after vaccination: 0
Gender:Female  Submitted:2000-10-02, Days after onset: 6
Location:Missouri  Entered:2000-10-12, 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': MO2000072
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)PFIZER/WYETH49981270IMRA
Administered by: Public     Purchased by: Public
Symptoms: Pallor, Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad)
Write-up: Post vax, pt became pale and faint. Pt was laid down with cold cloth to forehead. BP checked then rechecked in 15 minutes to give a normal measurement. Paleness resolved. Pt called office 2 days later to state she was alright.

VAERS ID:162540 (history)  Vaccinated:1999-10-05
Age:23.0  Onset:1999-10-05, Days after vaccination: 0
Gender:Female  Submitted:2000-05-17, Days after onset: 225
Location:Arizona  Entered:2000-10-13, Days after submission: 149
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': U2000003440
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)CONNAUGHT LABORATORIESU0094AA IM 
Administered by: Other     Purchased by: Other
Symptoms: Influenza like illness, Nervousness, Panic reaction
SMQs:
Write-up: 3 hours post vax, the pt developed "flu-like" symptoms, but no fever. The pt also experienced a nervous condition, panic attacks, and developed flu like symptoms when doing any activity. Further information has been requested.

VAERS ID:160777 (history)  Vaccinated:2000-05-23
Age:23.0  Onset:2000-05-25, Days after vaccination: 2
Gender:Female  Submitted:2000-05-30, Days after onset: 5
Location:D.C.  Entered:2000-10-20, Days after submission: 143
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Ortho Novum
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
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Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.0510J3IMLA
Administered by: Other     Purchased by: Other
Symptoms: Pruritus, Rash
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow)
Write-up: The pt developed a rash on her hands 2 days post vax that quickly spread to her arms, abdomen and thighs. It is a fine flesh colored slightly pruritic rash.

VAERS ID:160796 (history)  Vaccinated:2000-09-11
Age:23.0  Onset:2000-09-11, Days after vaccination: 0
Gender:Female  Submitted:2000-09-20, Days after onset: 9
Location:California  Entered:2000-10-23, Days after submission: 33
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: PPD - Pasteur, lot # C0149AA
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: BP - 100/60
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
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Site
TD: TD ADSORBED (NO BRAND NAME)PFIZER/WYETHU0341024 IMLA
Administered by: Private     Purchased by: Private
Symptoms: Hypersensitivity, Hypotension, Rash, Skin burning sensation, Syncope, Vomiting
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (narrow), Acute pancreatitis (broad), Angioedema (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Hypersensitivity (narrow)
Write-up: The pt experienced an allergic reaction to the DT vaccine that was given that morning. Broke out in a rash with a burning sensation. The pt vomited at the clinic and fainted for 1 second. Oxygen was given. Treated with epinephrine and Benadryl.

VAERS ID:162938 (history)  Vaccinated:0000-00-00
Age:23.0  Onset:0000-00-00
Gender:Female  Submitted:2000-10-18
Location:Connecticut  Entered:2000-10-26, 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:
Preexisting Conditions: The pt is a cystic fibrosis carrier.
Diagnostic Lab Data:
CDC 'Split Type': 2000029803
Vaccination
Manufacturer
Lot
Dose
Route
Site
LYME: LYME (LYMERIX)SMITHKLINE BEECHAM 1IM 
Administered by: Other     Purchased by: Other
Symptoms: Unevaluable event
SMQs:
Write-up: Subsequent to receiving two doses of Lymerix, the pt was found to be pregnant. The date of her last menstrual period is 05/13/2000 and the estimated date of delivery is 02/17/2001. As of 08/18/2000 she was 14 weeks pregnant. The outcome of the event is ongoing. A 15-day follow up report received 03/02/2001 adds: The pt developed pregnancy-induced hypertension on an unknown date. Labor was induced and the pt delivered a healthy male at 36 3/7 weeks of gestation on 01/25/2001. The birth weight was 5 lb 11 oz, and the Apgar scores were 8/5/9. The reporter considered the pregnancy-induced hypertension to be unrelated to previous injection with Lymerix. This report is considered medically serious. As of 02/26/2001 mother and infant are doing well. As of 4/15/01, the condition of the mother and child was unknown.

VAERS ID:161034 (history)  Vaccinated:2000-10-04
Age:23.0  Onset:2000-10-05, Days after vaccination: 1
Gender:Female  Submitted:2000-10-20, Days after onset: 15
Location:New York  Entered:2000-10-27, 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: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)AVENTIS PASTEURU0335AB0IMLA
Administered by: Private     Purchased by: Other
Symptoms: Cellulitis, Injection site hypersensitivity, Vasodilation procedure
SMQs:, Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Hypersensitivity (narrow)
Write-up: Post vax, the pt developed a 12 cm cellulitis at injection site. The site was red, hot, and hard for 48 hours.

VAERS ID:161036 (history)  Vaccinated:2000-10-04
Age:23.0  Onset:2000-10-05, Days after vaccination: 1
Gender:Female  Submitted:2000-10-20, Days after onset: 15
Location:New York  Entered:2000-10-27, 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: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)AVENTIS PASTEURU0335AB IMLA
Administered by: Private     Purchased by: Private
Symptoms: Cellulitis, Injection site hypersensitivity, Vasodilation procedure
SMQs:, Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Hypersensitivity (narrow)
Write-up: 10 cm cellulitis at injection site. Red, hot, and hard for 48 hours.

VAERS ID:161115 (history)  Vaccinated:2000-04-03
Age:23.0  Onset:2000-04-03, Days after vaccination: 0
Gender:Male  Submitted:0000-00-00
Location:Texas  Entered:2000-10-31
Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: MRI brain/spine (-); CXR-nml
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
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Site
ANTH: ANTHRAX (NO BRAND NAME)MICHIGAN DEPT PUB HLTH 3SC 
Administered by: Military     Purchased by: Unknown
Symptoms: Optic neuritis
SMQs:, Optic nerve disorders (narrow), Demyelination (narrow), Ocular infections (broad)
Write-up: He has developed a bilateral recurrent optic neuritis following his 6 mo booster.

VAERS ID:161253 (history)  Vaccinated:2000-10-12
Age:23.0  Onset:2000-10-12, Days after vaccination: 0
Gender:Female  Submitted:2000-10-25, Days after onset: 13
Location:Idaho  Entered:2000-11-01, Days after submission: 7
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Norplant, Effexor
Current Illness:
Preexisting Conditions: seasonal allergies
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)AVENTIS PASTEURU0403AA0IM 
Administered by: Public     Purchased by: Public
Symptoms: Hypoaesthesia, Neuropathy peripheral
SMQs:, Peripheral neuropathy (narrow), Guillain-Barre syndrome (broad)
Write-up: Within 6 hours post vax, the pt developed left arm numbness/tingling. Dx as possible brachial plexus neuropathy. Pt started on NSAIDS, ulnar support/protection.

VAERS ID:161640 (history)  Vaccinated:2000-10-20
Age:23.0  Onset:2000-10-29, Days after vaccination: 9
Gender:Male  Submitted:2000-11-03, Days after onset: 5
Location:Ohio  Entered:2000-11-08, 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: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: Blood work-neg; Spinal Fluid-Aseptic meningitis
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.1179K0IM 
Administered by: Private     Purchased by: Private
Symptoms: Back pain, Hyperhidrosis, Meningitis aseptic, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Noninfectious meningitis (narrow)
Write-up: Sudden high fever (105F), backache, profuse sweating, starting on 10/29/00 and is ongoing.

VAERS ID:161760 (history)  Vaccinated:2000-02-18
Age:23.0  Onset:2000-02-25, Days after vaccination: 7
Gender:Female  Submitted:2000-11-06, Days after onset: 255
Location:Washington  Entered:2000-11-10, 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: UNK
Current Illness:
Preexisting Conditions: pregnancy
Diagnostic Lab Data:
CDC 'Split Type': WAES00021862
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.  SC 
Administered by: Other     Purchased by: Other
Symptoms: Abortion
SMQs:, Termination of pregnancy and risk of abortion (narrow)
Write-up: Subsequently post vax, the pt learned that she was pregnant. The pt had a spontaneous abortion at approximately 6 weeks gestation. No further information is expected. Follow up on 03/28/2001: "Lot # for vaccine 1 is not provided."

VAERS ID:161884 (history)  Vaccinated:2000-10-19
Age:23.0  Onset:0000-00-00
Gender:Female  Submitted:2000-11-01
Location:Illinois  Entered:2000-11-14, Days after submission: 13
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)AVENTIS PASTEURU0336BA3IMLA
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.0690K0IMRA
Administered by: Private     Purchased by: Private
Symptoms: Injection site erythema, Injection site pain
SMQs:, Extravasation events (injections, infusions and implants) (broad)
Write-up: Small area of redness at right shoulder injection site. Tenderness at right upper arm and shoulder. Treated with Benadryl and analgesics. He was lost to further follow-up; unable to be contacted.

VAERS ID:163248 (history)  Vaccinated:1999-09-09
Age:23.0  Onset:1999-09-11, Days after vaccination: 2
Gender:Female  Submitted:1999-09-21, Days after onset: 10
Location:Maryland  Entered:2000-11-14, Days after submission: 420
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': 19990249471
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM3080A60IM 
Administered by: Public     Purchased by: Private
Symptoms: Rash
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow)
Write-up: Two days post vax, the pt experienced a rash on her face, trunk and extremities. There were no hives. No treatment was given. The most recent information received reports the symptoms resolved after one week.

VAERS ID:162197 (history)  Vaccinated:2000-11-02
Age:23.0  Onset:2000-11-02, Days after vaccination: 0
Gender:Female  Submitted:2000-11-06, Days after onset: 4
Location:Oklahoma  Entered:2000-11-20, Days after submission: 14
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
ANTH: ANTHRAX (NO BRAND NAME)MICHIGAN DEPT PUB HLTHFAV047 SC 
Administered by: Military     Purchased by: Military
Symptoms: Skin necrosis
SMQs:, Severe cutaneous adverse reactions (narrow), Hypersensitivity (narrow)
Write-up: Anthrax was given intra-dermal, this resulted in a 7 1/2cm X 4 1/2CM reaction with smaller central area of early necrosis (1/2cm X 2cm). Pt was given Atarax and prednisone. Pt followed up on 11/6/00. Her arm was almost all healed.

VAERS ID:162417 (history)  Vaccinated:2000-11-07
Age:23.0  Onset:2000-11-07, Days after vaccination: 0
Gender:Female  Submitted:2000-11-13, Days after onset: 6
Location:New York  Entered:2000-11-21, Days after submission: 8
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
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.1143K IMRA
Administered by: Public     Purchased by: Public
Symptoms: Eyelid oedema, Hypotension, Nasal congestion
SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), Neuroleptic malignant syndrome (broad), Periorbital and eyelid disorders (narrow), Hypersensitivity (narrow)
Write-up: Pt developed stuffy nose and sneezing. These increased in severity and also his eyelids became swollen. Was given Epinepherine. BP 90/50 at discharge O2 Sats-99 and B/P 104/80. Stable

VAERS ID:162464 (history)  Vaccinated:2000-10-30
Age:23.0  Onset:2000-10-30, Days after vaccination: 0
Gender:Female  Submitted:2000-10-30, Days after onset: 0
Location:Utah  Entered:2000-11-22, Days after submission: 23
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)UNKNOWN MANUFACTURER  IMLA
HEP: HEP B (NO BRAND NAME)UNKNOWN MANUFACTURER  IM 
PPV: PNEUMO (NO BRAND NAME)UNKNOWN MANUFACTURER  IM 
TTOX: TETANUS TOXOID (NO BRAND NAME)UNKNOWN MANUFACTURER  IM 
Administered by: Public     Purchased by: Public
Symptoms: Cellulitis, Injection site erythema, Injection site swelling, Injection site warmth, Kidney infection
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: Cellulitis of left arm at site where received flu shot on 10/30/00; received 3 other shots at 13:30 on 10/30/00 (pneumococcal, Hep-B and Tetanus) arm red, immobile, hot and swollen. Dx: Cellulitis left arm and spreading and kidney infection. I received medical attention until 11/11/00. I got cellulitis from shot. I had to have IV treatments and go to the doctor 3 times a day.

VAERS ID:162953 (history)  Vaccinated:2000-10-25
Age:23.0  Onset:2000-10-26, Days after vaccination: 1
Gender:Male  Submitted:2000-11-29, Days after onset: 34
Location:New York  Entered:2000-12-01, Days after submission: 2
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness: NONE
Preexisting Conditions: Pt states he has stress induced asthma.
Diagnostic Lab Data: NONE
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM3350A40IMLA
Administered by: Public     Purchased by: Public
Symptoms: Dizziness, Dyspnoea, Fatigue, Hyperhidrosis
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Vestibular disorders (broad)
Write-up: Pt returned to health dept for Hep-B and stated he developed dizziness, tiredness, shortness of breath and diaphoresis within 24 hours of Hep-B.

VAERS ID:163109 (history)  Vaccinated:2000-10-25
Age:23.0  Onset:2000-10-30, Days after vaccination: 5
Gender:Female  Submitted:2000-11-27, Days after onset: 28
Location:New York  Entered:2000-12-05, Days after submission: 8
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: Juvenile Rheumatoid Arthritis
Diagnostic Lab Data: NONE
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)AVENTIS PASTEURU0334BA0IM 
Administered by: Private     Purchased by: Public
Symptoms: Pharyngolaryngeal pain, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad)
Write-up: Fever, chills and sore throat.

VAERS ID:163151 (history)  Vaccinated:2000-11-13
Age:23.0  Onset:2000-11-13, Days after vaccination: 0
Gender:Female  Submitted:2000-11-28, Days after onset: 15
Location:Kansas  Entered:2000-12-06, 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: Robaxin, Norplant
Current Illness: NONE
Preexisting Conditions: Cortisone, Sulfa
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.0649K0SCRA
Administered by: Private     Purchased by: Private
Symptoms: Angioneurotic oedema, Pyrexia
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Oropharyngeal allergic conditions (narrow), Hypersensitivity (narrow)
Write-up: This patient had giant hives all over entire body, beginning 1 hour after taking vaccine and lasting for 3 days. Her temp 99.8. In the ER she was given Benadryl IM and sent home to take oral Benadryl.

VAERS ID:163823 (history)  Vaccinated:1998-11-12
Age:23.0  Onset:1998-11-12, Days after vaccination: 0
Gender:Female  Submitted:2000-12-11, Days after onset: 760
Location:North Carolina  Entered:2000-12-18, 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:
Preexisting Conditions: allergy to codeine and penicillin (vomit and hives)
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
ANTH: ANTHRAX (NO BRAND NAME)MICHIGAN DEPT PUB HLTHFAV0300SC 
Administered by: Military     Purchased by: Military
Symptoms: Coagulation factor decreased, Erythema, Muscle twitching, Skin nodule
SMQs:, Liver-related coagulation and bleeding disturbances (narrow), Anaphylactic reaction (broad), Haemorrhage laboratory terms (broad), Dyskinesia (broad), Dystonia (broad), Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (broad)
Write-up: 6-8 hours post vax, the pt developed muscle twitching, in addition to E. nodosum. The pt was diagnosed with Von Willebrands type I in 9/99.

VAERS ID:163855 (history)  Vaccinated:2000-09-25
Age:23.0  Onset:2000-09-26, Days after vaccination: 1
Gender:Female  Submitted:2000-10-19, Days after onset: 23
Location:South Carolina  Entered:2000-12-18, Days after submission: 60
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: Allergic to PCN
Diagnostic Lab Data: NONE
CDC 'Split Type': SC00073
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM3231C61IMLA
Administered by: Public     Purchased by: Public
Symptoms: Asthenia, Chest pain, Hypoaesthesia, Injection site pain, Myalgia, Neck pain
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Arthritis (broad)
Write-up: Pt received 2nd Hep-B on 9/25/00 and on 9/26/00 in the evening, had symptoms of left arm pain with intermittent numbness, radiating down arm. Has a squeezing, tight sensation above elbow. Has muscle pain in chest area, neck and arm. Unable to lift arm above shoulder level. Denies shortness of breath or sleeping on left arm.

VAERS ID:163898 (history)  Vaccinated:1999-01-28
Age:23.0  Onset:1999-07-13, Days after vaccination: 166
Gender:Female  Submitted:2000-12-04, Days after onset: 510
Location:Virginia  Entered:2000-12-19, Days after submission: 15
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
ANTH: ANTHRAX (NO BRAND NAME)MICHIGAN DEPT PUB HLTHFAV0340SC 
Administered by: Military     Purchased by: Military
Symptoms: Dermatitis atopic, Rash
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow)
Write-up: Post vax, the pt developed rash throughout body which started out on legs and spread throughout areas on back, arms, trunk, and neck. Dx with atopic dermatitis. Treated with Atarax, Eucerin cream, and Cetaphil skin cleanser.

VAERS ID:163945 (history)  Vaccinated:0000-00-00
Age:23.0  Onset:0000-00-00
Gender:Female  Submitted:2000-12-12
Location:Unknown  Entered:2000-12-20, 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: UNK
Current Illness:
Preexisting Conditions: UNK
Diagnostic Lab Data: WBC-3500 (neuthrophilic predominance); Urine, sputum cultures-neg; Hepatic functions-nml; CBC-nml; skin biopsy X 2-Giant multinucleated cells consistent with viral infection and epidermal destruction; diagnostic lab-6.7 convalescent titers,
CDC 'Split Type': WAES00112224
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.  SC 
Administered by: Unknown     Purchased by: Unknown
Symptoms: Anorexia, Conjunctivitis, Cough, Dermatitis exfoliative, Drug ineffective, Erythema multiforme, Infection, Lung disorder, Lymphadenopathy, Myalgia, Pharyngolaryngeal pain, Prostration, Pyrexia, Tachycardia, Vomiting, White blood cell disorder
SMQs:, Rhabdomyolysis/myopathy (broad), Severe cutaneous adverse reactions (narrow), Anaphylactic reaction (broad), Acute pancreatitis (broad), Haematopoietic leukopenia (broad), Lack of efficacy/effect (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad), Conjunctival disorders (narrow), Ocular infections (broad), Hypersensitivity (narrow)
Write-up: Information has been received concerning a 23 year old white female who in approx. 1984 was vaccinated with MMR II and subsequently the pt experienced a high fever (103F), brightly erythematous eruption on the face, prostration, sore throat, dry cough, myalgia, loss of appetite, occasional vomiting without diarrhea. The symptoms emerged 5 days after her return to the US from Calcutta, India where she worked for 2 weeks, at an orphanage where children had measles. The pt had completed her IZ''s as a child, including 2 doses of MMR, at age 15 months and 7 years, and she received the recommended prophylaxis before traveling. Three days after the onset of fever, vomiting and upper respiratory tract complaints, the pt was admitted with facial erythema. She was tachycardic and had a fever of 104F, but her BP was normal. Fine erythematous papules spread down the anterior of her neck and nape and tiny white papules consistent with Koplik''s spots were seen on the buccal mucosa. Pharyngeal congestion, nonpurulent conjunctivitis, and submandibular lymphadenopathy were also noted. After the pt started treatment with doxycycline and ceftriaxone, the erythematous macular eruption spread progressively over the trunk and extremities and became confluent and pruritic and subsequently desquamated. The fever and constitutional symptoms subsided with desquamation. After a 3 week period, the pt recovered completely without adverse sequela. The differential dx is measles, despite 2 doses of MMR II vaccine. No further information is available.

VAERS ID:164196 (history)  Vaccinated:2000-11-28
Age:23.0  Onset:2000-11-30, Days after vaccination: 2
Gender:Female  Submitted:2000-12-14, Days after onset: 14
Location:Wisconsin  Entered:2000-12-28, Days after submission: 14
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Prednisone, birth control pills, ibuprofen
Current Illness: NONE
Preexisting Conditions: Allergy to Ceclor and Rocephin
Diagnostic Lab Data: WBC-16,900 (inc)
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)AVENTIS PASTEURU0434AA1IM 
PPV: PNEUMO (PNU-IMUNE)LEDERLE LABORATORIES470588 IMLA
Administered by: Private     Purchased by: Private
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Pyrexia, White blood cell count increased
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: Pt seen on 12/1/00 with swollen, red, very tender left shoulder and fever.

VAERS ID:164519 (history)  Vaccinated:2000-12-05
Age:23.0  Onset:2000-12-06, Days after vaccination: 1
Gender:Female  Submitted:2000-12-07, Days after onset: 1
Location:Minnesota  Entered:2001-01-09, Days after submission: 33
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Insulin, Levo-Tabs, BCP
Current Illness: NONE
Preexisting Conditions: Allergic to Sulfa & Mins, Diabetes (when 13 yrs old), Sarcoid Cancer of bone (in remission).
Diagnostic Lab Data:
CDC 'Split Type': MN0008
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD)PFIZER/WYETH40008183 IMRA
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.0945K IMRA
Administered by: Public     Purchased by: Public
Symptoms: Fatigue, Injection site induration, Injection site oedema, Injection site pain, Injection site warmth, Pain, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: The patient had a fever of 102.4, swollen (the size of an orange), hard, hot, painful injection site. The patient also had achiness and feeling "wiped out." On 12/7/00 the fever was 99.6 this morning "feeling better". On 12/11/00 the patient recovered. 3

VAERS ID:164707 (history)  Vaccinated:2000-12-29
Age:23.0  Onset:2000-12-29, Days after vaccination: 0
Gender:Female  Submitted:2000-12-29, Days after onset: 0
Location:Nevada  Entered:2001-01-12, Days after submission: 14
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: Allergy to clindamycin
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
TYP: TYPHOID VI POLYSACCHARIDE (TYPHIM VI)CONNAUGHT LABORATORIESR106042IMLA
Administered by: Military     Purchased by: Military
Symptoms: Dizziness, Dyspnoea, Hot flush, Hypoaesthesia, Hypoventilation, Syncope vasovagal
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (broad), Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Acute central respiratory depression (narrow), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Cardiomyopathy (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad)
Write-up: At 12:35, pt began to feel faint, post vax. At 12:36, pt complained of hot flashes with numbness in left arm and shortness of breath. At 12:37, pt put on O2 at 10LPM via non-rebreather and put on monitor X 1 hour. Pt''s vital signs at onset were BP-110/71, P-66, R-16 and temperature was 96.5F. Pt had a vasovagal reaction to injection.

VAERS ID:165248 (history)  Vaccinated:2001-01-18
Age:23.0  Onset:2001-01-18, Days after vaccination: 0
Gender:Female  Submitted:2001-01-18, Days after onset: 0
Location:Tennessee  Entered:2001-01-26, Days after submission: 8
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: allergies
Diagnostic Lab Data: NONE
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)UNKNOWN MANUFACTURER 0IMLA
HEP: HEP B (NO BRAND NAME)UNKNOWN MANUFACTURER 0IMRA
Administered by: Private     Purchased by: Other
Symptoms: Erythema, Injection site erythema, Injection site oedema, Injection site pain, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow)
Write-up: The pt experienced redness, slightly swollen area with welts. States arms are sore, and chest is red.

VAERS ID:165339 (history)  Vaccinated:2001-01-16
Age:23.0  Onset:2001-01-16, Days after vaccination: 0
Gender:Female  Submitted:2001-01-19, Days after onset: 3
Location:Colorado  Entered:2001-01-30, Days after submission: 11
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: PPD-Tubersol (Pasteur)/C0141AA/ID/RFA/0 previously
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.1566K0IMLA
Administered by: Other     Purchased by: Private
Symptoms: Dyspnoea, Pharyngolaryngeal pain, Rash
SMQs:, Anaphylactic reaction (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Hypersensitivity (narrow)
Write-up: Client received Hep-B #1 (Recombivax) LDT and PPD-TB (Tubersol) in RFA and 10 minutes later, developed rash on neck and a scratchy throat. Went to ER experiencing breathing difficulties. Received Epinephrine and injection of Benadryl and recovered within minutes.

VAERS ID:165497 (history)  Vaccinated:2000-11-21
Age:23.0  Onset:2000-11-26, Days after vaccination: 5
Gender:Female  Submitted:2001-01-23, Days after onset: 58
Location:Texas  Entered:2001-02-01, Days after submission: 9
Life Threatening? No
Died? Yes
   Date died: 2000-11-26
   Days after onset: 0
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Celexa
Current Illness: depression, stress reaction
Preexisting Conditions: seasonal allergies, stress reaction, depression
Diagnostic Lab Data: NONE
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)AVENTIS PASTEUR40428AA IMLA
Administered by: Private     Purchased by: Private
Symptoms: Cerebral haemorrhage, Cerebrovascular disorder, Delirium, Headache, Vein disorder
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Ischaemic cerebrovascular conditions (narrow), Haemorrhagic cerebrovascular conditions (narrow), Dementia (broad), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (narrow), Noninfectious meningitis (broad)
Write-up: The mother states patient had a headache and had been vomiting and collapsed.Mom found her unrepsonsive. Went to ER found blood in head. Went by care flight and 2nd hospital for surgery attempted; didn''t wake, worse bleeding from "abnormal plexus of veins" in cerebellum patient expired. Death certificate states cause of death to be cerebral herniation due to rupture of cerebellar arteriovenous malformation.

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