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Case Details (Sorted by Age)

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VAERS ID: 309605 (history)  
Age: 10.0  
Gender: Female  
Location: Indiana  
Vaccinated:2008-03-29
Onset:2008-04-02
   Days after vaccination:4
Submitted: 2008-04-09
   Days after onset:7
Entered: 2008-04-16
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
TDAP: TDAP (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 UN / UN

Administered by: Public       Purchased by: Other
Symptoms: Rash generalised, Vomiting
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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:

Write-up: Had rash-all over body started on stomach-had her soak in oatmeal. Vomited-just gave her water. Shot on Saturday-symptoms on Wednesday.


VAERS ID: 309657 (history)  
Age: 10.0  
Gender: Female  
Location: California  
Vaccinated:2008-04-14
Onset:2008-04-14
   Days after vaccination:0
Submitted: 2008-04-16
   Days after onset:2
Entered: 2008-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 0 LA / UN

Administered by: Unknown       Purchased by: Unknown
Symptoms: Headache, Myalgia, Pyrexia
SMQs:, Rhabdomyolysis/myopathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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:

Write-up: Didn''t feel well that night, headache, fever (101) next morning, stomach muscles hurt.


VAERS ID: 309684 (history)  
Age: 10.0  
Gender: Female  
Location: Florida  
Vaccinated:2008-04-09
Onset:2008-04-09
   Days after vaccination:0
Submitted: 2008-04-09
   Days after onset:0
Entered: 2008-04-16
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / GLAXOSMITHKLINE BIOLOGICALS AHAVB256AA / 0 RA / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 1918U / 1 RA / SC

Administered by: Private       Purchased by: Private
Symptoms: Anxiety, Dizziness, Loss of consciousness
SMQs:, Torsade de pointes/QT prolongation (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Hypoglycaemia (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: No
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Pt does not handle getting shots very well. Pt "worked herself up", and caused her to feel dizzy and light-headed, which lead to her "passing out".


VAERS ID: 309739 (history)  
Age: 10.0  
Gender: Male  
Location: Pennsylvania  
Vaccinated:2008-03-18
Onset:2008-04-14
   Days after vaccination:27
Submitted: 2008-04-16
   Days after onset:2
Entered: 2008-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / GLAXOSMITHKLINE BIOLOGICALS AHAVB216AA / 0 LA / UN
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 1795U / 1 RA / UN

Administered by: Private       Purchased by: Private
Symptoms: Facial palsy
SMQs:, Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Hearing impairment (broad)

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: Amoxicillin gives rash
Diagnostic Lab Data:
CDC Split Type:

Write-up: Varicella and Hep A given 3/18/08. Facial symptom 4/14/08. Seen 4/15/08 diagnosed with (L) Facial Bell''s Palsy. Treated with steroids and Acyclovir.


VAERS ID: 310639 (history)  
Age: 10.0  
Gender: Female  
Location: Texas  
Vaccinated:2008-03-17
Onset:2008-03-17
   Days after vaccination:0
Submitted: 2008-04-14
   Days after onset:28
Entered: 2008-04-16
   Days after submission:2
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 UN / UN

Administered by: Other       Purchased by: Other
Symptoms: Dizziness, Dyskinesia, Presyncope
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dyskinesia (narrow), Noninfectious encephalopathy/delirium (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Hypoglycaemia (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0803USA03518

Write-up: Information has been received from a physician concerning a 10 year old female who on 17-MAR-2008 was vaccinated with her first dose of GARDASIL (lot# not reported). After receiving the dose, the patient experienced dizziness, near fainting and jerky movements. She was taken to the ER to be treated. Subsequently, the patient recovered from dizziness, near fainting and jerky movements on an unspecified date. Additional information has been requested.


VAERS ID: 310684 (history)  
Age: 10.0  
Gender: Female  
Location: Unknown  
Vaccinated:0000-00-00
Onset:2008-03-05
Submitted: 2008-04-14
   Days after onset:39
Entered: 2008-04-16
   Days after submission:2
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 UN / UN

Administered by: Other       Purchased by: Other
Symptoms: Injection site erythema, Injection site irritation, Injection site mass, Injection site swelling, Injection site warmth, Vaccine positive rechallenge
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC Split Type: WAES0803USA02052

Write-up: Information has been received from a nurse practitioner concerning a 10 year old female who on unspecified dates was vaccinated with her first two doses of Gardasil (Lot # and route not reported). The patient experienced burning at the injection site during her second vaccination with Gardasil. The injection site became fevered, red and swollen with 2x3" knot after the second vaccination. The patient was treated with and ice pack and MOTRIN. The patient recovered in 4 days. On 05-MAR-2008 the patient was vaccinated intramuscularly in the left deltoid with her third vaccination of Gardasil (Lot # not reported). The patient experienced burning at the injection site during her third vaccination. The injection site became fevered, red and swollen with a 2x3" knot after the third vaccination. The patient was treated with ice pack and MOTRIN. The patient recovered in 4 days. The patient sought unspecified medical attention by calling the office. Additional information has been requested.


VAERS ID: 309876 (history)  
Age: 10.0  
Gender: Male  
Location: Missouri  
Vaccinated:2008-04-09
Onset:2008-04-14
   Days after vaccination:5
Submitted: 2008-04-17
   Days after onset:3
Entered: 2008-04-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
ANTH: ANTHRAX (BIOTHRAX) / EMERGENT BIOSOLUTIONS FAV174 / 1 RA / SC

Administered by: Military       Purchased by: Military
Symptoms: Injection site induration, Rash pruritic
SMQs:, Anaphylactic reaction (broad), Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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:

Write-up: Patient came into the clinic with a large induration around the right deltoid and a itchy rash the extended to the elbow after the 2nd Anthrax shot. The patient was directed by the doctor to take Tylenol or Motrin prior to next Anthrax immunizations and to take Benadryl after the vaccination.


VAERS ID: 309908 (history)  
Age: 10.0  
Gender: Male  
Location: Pennsylvania  
Vaccinated:2008-04-15
Onset:2008-04-16
   Days after vaccination:1
Submitted: 2008-04-17
   Days after onset:1
Entered: 2008-04-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / GLAXOSMITHKLINE BIOLOGICALS AHAVB5225AA / 0 RA / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 1784U / 1 RA / SC

Administered by: Private       Purchased by: Public
Symptoms: Injection site erythema, Injection site pruritus
SMQs:, Extravasation events (injections, infusions and implants) (broad)

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:

Write-up: Developed erythema and itching at site of Varivax injection - approximately 3 cm. diameter. Put on Keflex 250 mg qid.


VAERS ID: 310148 (history)  
Age: 10.0  
Gender: Female  
Location: California  
Vaccinated:2008-04-16
Onset:2008-04-17
   Days after vaccination:1
Submitted: 2008-04-18
   Days after onset:1
Entered: 2008-04-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / GLAXOSMITHKLINE BIOLOGICALS AHAVB211AA / 0 RA / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 1793U / 1 LA / SC

Administered by: Private       Purchased by: Private
Symptoms: Injection site erythema, Injection site induration, Injection site pain
SMQs:, Extravasation events (injections, infusions and implants) (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Amoxicillin x 2 days; Prednisone
Current Illness: Treatment for Otitis media
Preexisting Conditions: Tonsillar Hypertrophy; Overweight
Diagnostic Lab Data:
CDC Split Type:

Write-up: Left upper arm 2 x 4 cm indurated, erythematous patch, slight tender to palpation, no limitation of arm movement.


VAERS ID: 310173 (history)  
Age: 10.0  
Gender: Female  
Location: Washington  
Vaccinated:2008-04-11
Onset:2008-04-11
   Days after vaccination:0
Submitted: 2008-04-14
   Days after onset:3
Entered: 2008-04-18
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / GLAXOSMITHKLINE BIOLOGICALS AHAVB222AA / 0 LA / UN
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 1592U / 1 LA / UN

Administered by: Private       Purchased by: Unknown
Symptoms: Injection site erythema, Injection site inflammation, Injection site pain, Injection site pruritus, Injection site swelling
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)

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:

Write-up: Inflammation, swelling, pruritic, painful, erythematous area to L upper arm.


VAERS ID: 310331 (history)  
Age: 10.0  
Gender: Male  
Location: Texas  
Vaccinated:2008-04-18
Onset:2008-04-19
   Days after vaccination:1
Submitted: 2008-04-21
   Days after onset:2
Entered: 2008-04-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. AHAVB214AA / 1 LA / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 1785U / 1 LA / SC

Administered by: Unknown       Purchased by: Unknown
Symptoms: Injection site erythema, Injection site swelling
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: no
Preexisting Conditions: no
Diagnostic Lab Data:
CDC Split Type:

Write-up: Vaccines given on 4/18/2008. Patient followed up on 4/21/2008 with complaint of redness and swelling at injection site. Treated with compresses, Benadryl, and Keflex.


VAERS ID: 310531 (history)  
Age: 10.0  
Gender: Female  
Location: North Carolina  
Vaccinated:2008-04-16
Onset:0000-00-00
Submitted: 2008-04-16
Entered: 2008-04-22
   Days after submission:6
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
TDAP: TDAP (ADACEL) / SANOFI PASTEUR C2888AA / 0 RA / IM

Administered by: Public       Purchased by: Public
Symptoms: Inappropriate schedule of drug administration
SMQs:, Medication errors (narrow)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: none
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: NC08048

Write-up: Adacel approved for ages 11-64yrs; was given 2 months before turning 11 years. No adverse reaction.


VAERS ID: 310756 (history)  
Age: 10.0  
Gender: Male  
Location: North Carolina  
Vaccinated:2008-04-08
Onset:0000-00-00
Submitted: 2008-04-24
Entered: 2008-04-23
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (TRIPEDIA) / SANOFI PASTEUR U2290AA / 5 LA / UN

Administered by: Private       Purchased by: Other
Symptoms: Wrong drug administered
SMQs:, Medication errors (narrow)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC Split Type:

Write-up: None. Patient should have gotten TDAP instead but DTAP can be used as booster for Tetanus.


VAERS ID: 324819 (history)  
Age: 10.0  
Gender: Female  
Location: Pennsylvania  
Vaccinated:2008-04-23
Onset:2008-04-25
   Days after vaccination:2
Submitted: 2008-04-25
   Days after onset:0
Entered: 2008-04-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 1789U / 1 LA / UN

Administered by: Private       Purchased by: Private
Symptoms: Injection site discolouration, Injection site pruritus, Injection site swelling, Injection site warmth
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)

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:

Write-up: Varivax Local reaction at injection site - approximately 4 cm x 5 cm pink, puffy, warm, pruritic


VAERS ID: 311108 (history)  
Age: 10.0  
Gender: Male  
Location: Texas  
Vaccinated:2008-01-28
Onset:2008-01-29
   Days after vaccination:1
Submitted: 2008-04-21
   Days after onset:82
Entered: 2008-04-28
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. - / 1 UN / UN

Administered by: Public       Purchased by: Unknown
Symptoms: Injection site swelling
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Conjunctivitis
Preexisting Conditions: ADD
Diagnostic Lab Data:
CDC Split Type:

Write-up: Severe swelling of arm where vaccine was administered. Patient seen in ER afterwards


VAERS ID: 311279 (history)  
Age: 10.0  
Gender: Female  
Location: Arizona  
Vaccinated:2008-04-15
Onset:2008-04-17
   Days after vaccination:2
Submitted: 2008-04-24
   Days after onset:7
Entered: 2008-04-30
   Days after submission:6
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0388U / 2 RA / UN

Administered by: Private       Purchased by: Private
Symptoms: Cellulitis, Erythema, Skin warm
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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: Scar on left thigh
Diagnostic Lab Data:
CDC Split Type:

Write-up: Cellulitis - right arm 5cm x 5cm erythema plus warmth. On Augmentin 400mg PO BID for 7 days.


VAERS ID: 311302 (history)  
Age: 10.0  
Gender: Female  
Location: Unknown  
Vaccinated:2008-04-22
Onset:2008-04-24
   Days after vaccination:2
Submitted: 2008-04-24
   Days after onset:0
Entered: 2008-04-30
   Days after submission:6
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / GLAXOSMITHKLINE BIOLOGICALS AHAVB225BB / 0 LL / UN
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 1806U / 1 LA / UN

Administered by: Private       Purchased by: Public
Symptoms: Injection site erythema, Injection site induration
SMQs:, Extravasation events (injections, infusions and implants) (broad)

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:

Write-up: + 1.5" erythematous induration area at post aspect Lt. arm


VAERS ID: 311451 (history)  
Age: 10.0  
Gender: Male  
Location: Massachusetts  
Vaccinated:2008-05-01
Onset:2008-05-01
   Days after vaccination:0
Submitted: 2008-05-02
   Days after onset:1
Entered: 2008-05-01
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 1997U / 1 RA / SC

Administered by: Private       Purchased by: Private
Symptoms: Injection site erythema, Injection site rash, Pain, Pharyngeal oedema, Rash macular
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Oropharyngeal allergic conditions (narrow), Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: ~Measles + Mumps + Rubella (no brand name)~2~5.00~In Patient
Other Medications:
Current Illness: none
Preexisting Conditions: reaction to MMR vaccine 5 yrs prior, PDD-NOS, cleft lip/palate
Diagnostic Lab Data:
CDC Split Type:

Write-up: Pt given vaccine (Varivax) approx 5 min later c/o throat swelling, lip stinging, red blotchy rash noted on R arm where vaccine given. Administered Benadryl, epi. Sent pt to local ER via ambulance.


VAERS ID: 312056 (history)  
Age: 10.0  
Gender: Male  
Location: New Hampshire  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 2007-10-02
Entered: 2008-05-01
   Days after submission:212
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RAB: RABIES (IMOVAX) / SANOFI PASTEUR A0017 / 1 UN / UN

Administered by: Unknown       Purchased by: Unknown
Symptoms: Chest pain, Headache, Nausea, Wrong drug administered
SMQs:, Acute pancreatitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Medication errors (narrow)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Interferon
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: 200702721

Write-up: This case was reported by a consumer (the patient''s mother) on 02 August 2007. A 10-year-old male patient with no reported medical history received IMOVAX (lot number A0017-2) after being exposed to a bat in his house. According to the reporter, after the second dose of IMOVAX the patient began experiencing mild headaches and nausea. After the fourth dose of IMOVAX, the patient experienced left sided chest pain, described as "sharp" and lasting 10 to 15 minutes. All events were reported as persisting "occasionally". The patient''s mother reported that he "may have received at least one dose of RABAVERT" but was unsure as to which dose it may have been. Additionally, upon presenting for his second dose of IMOVAX, the patient was inadvertently given INTERFERON. Per the patient''s mother, the patient was "late getting a few of those doses" and "still needs one additional dose"; he had received a total of four doses (dates not provided). No additional information was provided. Follow-up information received on 19 September 2007 from a health care professional. Although the patient was a patient in the reporter''s practice, his vaccination and follow-up care for the adverse event were provided by another facility. Per the reporter, "I had nothing to do with this incident."


VAERS ID: 311479 (history)  
Age: 10.0  
Gender: Female  
Location: Minnesota  
Vaccinated:2008-01-29
Onset:0000-00-00
Submitted: 2008-04-29
Entered: 2008-05-02
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 0800U / - LA / SC
TDAP: TDAP (ADACEL) / SANOFI PASTEUR C2825AA / - LA / IM

Administered by: Private       Purchased by: Private
Symptoms: Inappropriate schedule of drug administration
SMQs:, Medication errors (narrow)

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:

Write-up: Adacel was given too soon at age 10 yr. 8 mo. instead of age 11 yr.


VAERS ID: 311484 (history)  
Age: 10.0  
Gender: Female  
Location: North Carolina  
Vaccinated:2008-04-28
Onset:2008-04-30
   Days after vaccination:2
Submitted: 2008-05-02
   Days after onset:2
Entered: 2008-05-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / GLAXOSMITHKLINE BIOLOGICALS HAVB223AA / - LA / IM
TDAP: TDAP (BOOSTRIX) / GLAXOSMITHKLINE BIOLOGICALS AC52B021AA / - LA / IM

Administered by: Private       Purchased by: Public
Symptoms: Erythema, Swelling
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:

Write-up: 9.5 cm x 14 cm redness and mild swelling to left upper outer arm.


VAERS ID: 311556 (history)  
Age: 10.0  
Gender: Female  
Location: California  
Vaccinated:2008-04-29
Onset:2008-04-30
   Days after vaccination:1
Submitted: 2008-05-02
   Days after onset:2
Entered: 2008-05-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 1796U / 1 LA / SC

Administered by: Private       Purchased by: Private
Symptoms: Injection site cellulitis
SMQs:

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Zyrtec; Motrin; Benadryl and Cephlexin
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data:
CDC Split Type:

Write-up: Pt. developed cellulitis at IZ site and was treated the following day with an antibiotic, Motrin and antihistamines.


VAERS ID: 311613 (history)  
Age: 10.0  
Gender: Female  
Location: Unknown  
Vaccinated:2008-04-16
Onset:0000-00-00
Submitted: 2008-05-01
Entered: 2008-05-05
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPAB: HEP A + HEP B (TWINRIX) / GLAXOSMITHKLINE BIOLOGICALS AHABB095AQ / 1 UN / IM

Administered by: Other       Purchased by: Other
Symptoms: Inappropriate schedule of drug administration
SMQs:, Medication errors (narrow)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:

Write-up: 10 yr. old presents to TCPH for immunization. This 10 yr old given Twinrix (Hep A & B) x2 dosage on 3/16/08 & 4/16/08. CDC called. Recommended to give Hep A #3 10-17-08 & Hep B #3 7-16-08. Dr., medical director TCPH also agrees with recommendations. Parent reports no reaction or side effects-adverse reaction from Twinrix.


VAERS ID: 311742 (history)  
Age: 10.0  
Gender: Male  
Location: Virginia  
Vaccinated:2008-04-30
Onset:2008-05-02
   Days after vaccination:2
Submitted: 2008-05-06
   Days after onset:4
Entered: 2008-05-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
TDAP: TDAP (BOOSTRIX) / GLAXOSMITHKLINE BIOLOGICALS AC528024CA / 0 LA / IM

Administered by: Unknown       Purchased by: Public
Symptoms: Erythema, Injection site pain, Oedema peripheral, Skin warm
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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: VA08:007

Write-up: L arm slightly swollen, red, slightly warm to touch. Pain at site. Grandmother had applied ice & given motrin at 3 pm. She said arm looked better. Pt. stated arm hurts when he does any jerky movement; otherwise no pain. Will continue to follow up with telephone call on Sunday.


VAERS ID: 311773 (history)  
Age: 10.0  
Gender: Female  
Location: Alaska  
Vaccinated:2008-04-29
Onset:2008-04-29
   Days after vaccination:0
Submitted: 2008-05-02
   Days after onset:3
Entered: 2008-05-06
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 1561U / 1 RA / SC

Administered by: Other       Purchased by: Public
Symptoms: Injection site erythema, Injection site streaking, Injection site swelling
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)

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 known
Preexisting Conditions:
Diagnostic Lab Data: None; Patient given Septra and ceftrioxone via injection
CDC Split Type:

Write-up: Red swelling 6-8 hrs post vaccination 4" x 2" at injection site R upper arm. Developed to 8x8" flaming red swollen area with red streaks to R forearm as described by attending health aid in village and picture via AFHCAN.


VAERS ID: 311798 (history)  
Age: 10.0  
Gender: Female  
Location: North Carolina  
Vaccinated:2008-04-29
Onset:2008-05-01
   Days after vaccination:2
Submitted: 2008-05-01
   Days after onset:0
Entered: 2008-05-07
   Days after submission:6
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 175711 / 1 LA / UN

Administered by: Private       Purchased by: Private
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Injection site warmth
SMQs:, Extravasation events (injections, infusions and implants) (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Daytrana 10 mg
Current Illness: None
Preexisting Conditions: Drug allergies to Septra; Duricef band aids
Diagnostic Lab Data:
CDC Split Type:

Write-up: Pt returned to the clinic 48 hours post-vaccine with 2.5 x 3 cm area of red, hot, very tender induration with 3x4 cm surrounding erythema, LUE at injection site


VAERS ID: 311816 (history)  
Age: 10.0  
Gender: Female  
Location: Minnesota  
Vaccinated:2008-05-02
Onset:2008-05-03
   Days after vaccination:1
Submitted: 2008-05-07
   Days after onset:4
Entered: 2008-05-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (INFANRIX) / GLAXOSMITHKLINE BIOLOGICALS AR52BB021AA / - LA / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U2567AA / - RA / IM

Administered by: Unknown       Purchased by: Unknown
Symptoms: Burning sensation, Chills, Musculoskeletal stiffness, Pyrexia
SMQs:, Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dystonia (broad), Parkinson-like events (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Arthritis (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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:

Write-up: 18 hours later patient woke up feeling stiffness in legs, shivering profusely, burning in head and neck. Fever went from 100 to 103 degrees in twenty minutes treatment included blankets, cold compresses, ice chips in mouth and Advil. Patient better 10 hours later.


VAERS ID: 311946 (history)  
Age: 10.0  
Gender: Female  
Location: California  
Vaccinated:2008-05-02
Onset:2008-05-03
   Days after vaccination:1
Submitted: 2008-05-05
   Days after onset:2
Entered: 2008-05-09
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0092X / 1 LA / SC

Administered by: Private       Purchased by: Private
Symptoms: Injection site erythema, Injection site pain
SMQs:, Extravasation events (injections, infusions and implants) (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: No
Current Illness: None
Preexisting Conditions: PCN allergy
Diagnostic Lab Data: None
CDC Split Type:

Write-up: 1 day after receiving Varivax (L) upper arm, site became reddened and painful. Seen in our office 3 days afterwards, 5" circum. warm, erythematous and tender site.


VAERS ID: 312105 (history)  
Age: 10.0  
Gender: Male  
Location: Wisconsin  
Vaccinated:2008-05-05
Onset:2008-05-07
   Days after vaccination:2
Submitted: 2008-05-08
   Days after onset:1
Entered: 2008-05-12
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 1092U / 1 LA / SC

Administered by: Public       Purchased by: Other
Symptoms: Injection site erythema, Injection site warmth
SMQs:, Extravasation events (injections, infusions and implants) (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: Red, warm to touch~Varicella (Varivax)~2~0.00~In Sibling
Other Medications: Methylprednidate
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Red around injection site, warm to touch.


VAERS ID: 312112 (history)  
Age: 10.0  
Gender: Male  
Location: Idaho  
Vaccinated:2008-04-30
Onset:2008-05-01
   Days after vaccination:1
Submitted: 2008-05-03
   Days after onset:2
Entered: 2008-05-12
   Days after submission:9
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 1972U / 1 LA / SC

Administered by: Private       Purchased by: Public
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)

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: ADD, Sensory integration disorder
Diagnostic Lab Data: None
CDC Split Type: ID08022

Write-up: Erythema, swelling, warmth, beginning approx. 24 hours after administration of Varicella vaccine.


VAERS ID: 312138 (history)  
Age: 10.0  
Gender: Female  
Location: North Carolina  
Vaccinated:2008-04-28
Onset:2008-04-28
   Days after vaccination:0
Submitted: 2008-04-28
   Days after onset:0
Entered: 2008-05-12
   Days after submission:14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
TDAP: TDAP (ADACEL) / SANOFI PASTEUR C2904AA / 0 LA / UN

Administered by: Public       Purchased by: Public
Symptoms: Inappropriate schedule of drug administration
SMQs:, Medication errors (narrow)

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: NC08055

Write-up: At approximately 8:45 am-pt. brought into health center for Tdap shot- No contraindications and consent form signed and Tdap given. Due to pt''s age NCIR stated not valid.


VAERS ID: 312178 (history)  
Age: 10.0  
Gender: Male  
Location: North Carolina  
Vaccinated:2007-11-16
Onset:2007-11-16
   Days after vaccination:0
Submitted: 2008-05-02
   Days after onset:167
Entered: 2008-05-13
   Days after submission:11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR U2486AA / 2 RA / IM
TDAP: TDAP (ADACEL) / SANOFI PASTEUR C2862AA / 0 LA / IM

Administered by: Private       Purchased by: Private
Symptoms: Inappropriate schedule of drug administration
SMQs:, Medication errors (narrow)

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: NC08056

Write-up: Adacel (Tdap) was given to <11 yo pt 10 y & 10 months.


VAERS ID: 312213 (history)  
Age: 10.0  
Gender: Male  
Location: South Carolina  
Vaccinated:2008-04-21
Onset:2008-04-21
   Days after vaccination:0
Submitted: 2008-05-08
   Days after onset:17
Entered: 2008-05-13
   Days after submission:5
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0091X / 1 UN / SC

Administered by: Private       Purchased by: Public
Symptoms: Erythema, Local reaction, Pain in extremity, Swelling
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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: Amoxicillin
Diagnostic Lab Data:
CDC Split Type:

Write-up: Child had painful arm for 2 days 4/21-4/23 & noted (local) swelling - (local 10-15 cm right arm red) & erythema 4/22 - seen in clinic 4/23. Mom gave BENADRYL, 4/22 PM.


VAERS ID: 312220 (history)  
Age: 10.0  
Gender: Male  
Location: Washington  
Vaccinated:2008-04-29
Onset:2008-04-29
   Days after vaccination:0
Submitted: 2008-05-07
   Days after onset:8
Entered: 2008-05-13
   Days after submission:6
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / GLAXOSMITHKLINE BIOLOGICALS AHAVB222AA / 0 RA / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 1514U / 1 RA / SC

Administered by: Private       Purchased by: Public
Symptoms: Erythema, Swelling, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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:

Write-up: Hives, swelling, and redness.


VAERS ID: 312241 (history)  
Age: 10.0  
Gender: Female  
Location: Louisiana  
Vaccinated:2008-04-29
Onset:2008-04-30
   Days after vaccination:1
Submitted: 2008-05-01
   Days after onset:1
Entered: 2008-05-13
   Days after submission:12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 1917U / 1 LA / SC

Administered by: Public       Purchased by: Unknown
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: None~ ()~~0.00~In Patient|None~ ()~~0.00~In Sibling
Other Medications:
Current Illness: None
Preexisting Conditions: NKA
Diagnostic Lab Data: None
CDC Split Type: LA080501

Write-up: Reports redness and swelling with itching at injection site day after immunization given. Nothing applied to injection site-reports scratching the site.


VAERS ID: 312243 (history)  
Age: 10.0  
Gender: Female  
Location: Florida  
Vaccinated:2008-05-02
Onset:2008-05-02
   Days after vaccination:0
Submitted: 2008-05-13
   Days after onset:11
Entered: 2008-05-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / GLAXOSMITHKLINE BIOLOGICALS AHAVB233AA / 1 RA / UN

Administered by: Private       Purchased by: Private
Symptoms: Blood pressure, Fall, Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Arrhythmia related investigations, signs and symptoms (broad), Accidents and injuries (narrow), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Hypoglycaemia (broad)

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: BP 98/60
CDC Split Type:

Write-up: Syncope episode ~20 min after vaccine given-while pt in parking lot-fell to ground -$g carried back to office VSS-got rest, elevate legs, fluids.


VAERS ID: 312337 (history)  
Age: 10.0  
Gender: Female  
Location: Wisconsin  
Vaccinated:2008-04-28
Onset:0000-00-00
Submitted: 2008-05-08
Entered: 2008-05-14
   Days after submission:6
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
TDAP: TDAP (ADACEL) / SANOFI PASTEUR C289AA / 0 LA / UN

Administered by: Public       Purchased by: Public
Symptoms: Inappropriate schedule of drug administration
SMQs:, Medication errors (narrow)

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 noted
Diagnostic Lab Data:
CDC Split Type:

Write-up: Administered 0.5 ml of ADACEL into client''s left deltoid on 04-28-2008. Client was 10 years 11 months 13 days of age at time of administration. ADACEL is licensed for 11 years and older.


VAERS ID: 312366 (history)  
Age: 10.0  
Gender: Male  
Location: Georgia  
Vaccinated:2008-01-16
Onset:2008-01-16
   Days after vaccination:0
Submitted: 2008-05-09
   Days after onset:113
Entered: 2008-05-15
   Days after submission:6
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / GLAXOSMITHKLINE BIOLOGICALS AHAVB217BA / 1 LA / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 1493U / 1 LA / SC

Administered by: Private       Purchased by: Private
Symptoms: Injection site erythema, Injection site induration, Injection site warmth
SMQs:, Extravasation events (injections, infusions and implants) (broad)

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:

Write-up: (R) Lateral upper arm is indurated 8 x 5 cm with mild warmth/redness afebrile- patients mother said reaction lasted several days but he made a full recovery


VAERS ID: 312414 (history)  
Age: 10.0  
Gender: Female  
Location: California  
Vaccinated:2008-05-13
Onset:2008-05-14
   Days after vaccination:1
Submitted: 2008-05-15
   Days after onset:1
Entered: 2008-05-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0097X / 1 RA / SC

Administered by: Private       Purchased by: Private
Symptoms: Injection site erythema, Injection site pain, Injection site warmth
SMQs:, Extravasation events (injections, infusions and implants) (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness: folliculitis
Preexisting Conditions: none
Diagnostic Lab Data: none
CDC Split Type:

Write-up: Pt developed a 4 x 4cm area of redness, tenderness, & warmth around the vaccine site. She was treated with KEFLEX for 10 days.


VAERS ID: 312510 (history)  
Age: 10.0  
Gender: Female  
Location: Wisconsin  
Vaccinated:2008-04-28
Onset:0000-00-00
Submitted: 2008-05-06
Entered: 2008-05-16
   Days after submission:10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
TDAP: TDAP (ADACEL) / SANOFI PASTEUR C2899AA / 0 LA / IM

Administered by: Public       Purchased by: Public
Symptoms: Wrong drug administered
SMQs:, Medication errors (narrow)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: No
Preexisting Conditions: None
Diagnostic Lab Data:
CDC Split Type:

Write-up: None. (ADACEL given IM to 10 yr old instead of BOOSTRIX).


VAERS ID: 312511 (history)  
Age: 10.0  
Gender: Female  
Location: Wisconsin  
Vaccinated:2008-04-28
Onset:0000-00-00
Submitted: 2008-05-06
Entered: 2008-05-16
   Days after submission:10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
TDAP: TDAP (ADACEL) / SANOFI PASTEUR C2899AA / 0 LA / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0086X / 1 LA / SC

Administered by: Public       Purchased by: Public
Symptoms: Inappropriate schedule of drug administration, Wrong drug administered
SMQs:, Medication errors (narrow)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: No
Preexisting Conditions: No
Diagnostic Lab Data: N/A
CDC Split Type:

Write-up: None. ADACEL given to 10 yr old girl instead of BOOSTRIX.


VAERS ID: 312512 (history)  
Age: 10.0  
Gender: Female  
Location: Wisconsin  
Vaccinated:2008-04-28
Onset:0000-00-00
Submitted: 2008-05-06
Entered: 2008-05-16
   Days after submission:10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
TDAP: TDAP (ADACEL) / SANOFI PASTEUR C2899AA / 0 LA / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0086X / 1 LA / SC

Administered by: Public       Purchased by: Public
Symptoms: Wrong drug administered
SMQs:, Medication errors (narrow)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: No
Preexisting Conditions: amoxicillin
Diagnostic Lab Data:
CDC Split Type:

Write-up: None. ADACEL given to 10 yr old instead of BOOSTRIX.


VAERS ID: 312565 (history)  
Age: 10.0  
Gender: Male  
Location: Georgia  
Vaccinated:2008-05-13
Onset:2008-05-13
   Days after vaccination:0
Submitted: 2008-05-13
   Days after onset:0
Entered: 2008-05-19
   Days after submission:6
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 1789U / 1 LA / IM

Administered by: Private       Purchased by: Public
Symptoms: Cough, Sneezing, Urticaria, Vomiting
SMQs:, Anaphylactic reaction (narrow), Acute pancreatitis (broad), Angioedema (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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: Penicillin - angioedema
Diagnostic Lab Data: None
CDC Split Type:

Write-up: 5 minutes after administration - vomiting. 15 minutes after administration - face, trunk and extremities developed erythematous bullae and hives. 20 minutes after administration - coughing, sneezing and vomiting. Adverse reaction to varicella immunization.


VAERS ID: 312586 (history)  
Age: 10.0  
Gender: Male  
Location: Ohio  
Vaccinated:2008-05-14
Onset:2008-05-15
   Days after vaccination:1
Submitted: 2008-05-19
   Days after onset:4
Entered: 2008-05-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0390X / 1 RA / SC

Administered by: Private       Purchased by: Private
Symptoms: Injection site erythema, Injection site induration, Injection site pruritus
SMQs:, Extravasation events (injections, infusions and implants) (broad)

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:

Write-up: 3cm X 3cm area of induration at injection site overlayed by a 8.5cm X 8.5 cm area of pruritic erythema; afebrile. Rxn began 05/15/08, worse on 05/16/08, seen in our office on 05/16/08. Advised Motrin PRN for discomfort. Area circled, mom to call if it enlarged, no call from mom after visit.


VAERS ID: 313319 (history)  
Age: 10.0  
Gender: Female  
Location: Unknown  
Vaccinated:2008-04-22
Onset:2008-04-22
   Days after vaccination:0
Submitted: 2008-05-14
   Days after onset:22
Entered: 2008-05-19
   Days after submission:5
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / UN

Administered by: Private       Purchased by: Other
Symptoms: Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Hypoglycaemia (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data:
CDC Split Type: WAES0805USA00022

Write-up: Information has been received from a physician concerning a 10 year old female who on approximately 22-APR-2008 (a week ago) was vaccinated with a dose of GARDASIL, 0.5 mL. Concomitant medication was not reported. While in the physician''s office, the patient experienced syncopal episode after receiving the GARDASIL. The outcome and causality of the event were not reported. Additional information has been requested.


VAERS ID: 312682 (history)  
Age: 10.0  
Gender: Female  
Location: Florida  
Vaccinated:2008-05-02
Onset:2008-05-02
   Days after vaccination:0
Submitted: 2008-05-13
   Days after onset:11
Entered: 2008-05-20
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / GLAXOSMITHKLINE BIOLOGICALS AHAVB233AA / 1 RA / IM

Administered by: Private       Purchased by: Private
Symptoms: Blood pressure, Fall, Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Arrhythmia related investigations, signs and symptoms (broad), Accidents and injuries (narrow), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Hypoglycaemia (broad)

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: BP 98/60; patient had not had breakfast that AM
CDC Split Type:

Write-up: Syncope episode ~20 min after vaccine given - while pt in parking lot - fell to ground -$g carried back to office VSS - got rest, elevate legs, fluids.


VAERS ID: 312705 (history)  
Age: 10.0  
Gender: Female  
Location: North Carolina  
Vaccinated:2008-05-06
Onset:2008-05-06
   Days after vaccination:0
Submitted: 2008-05-08
   Days after onset:2
Entered: 2008-05-20
   Days after submission:12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 1759U / 1 LA / SC

Administered by: Private       Purchased by: Public
Symptoms: Injection site erythema
SMQs:, Extravasation events (injections, infusions and implants) (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions:
Diagnostic Lab Data: None
CDC Split Type: NC08063

Write-up: 17x16cm erythema surrounding site of vaccine in (L) mid outer forearm. Onset was 1-2 hours after administration of vaccine.


VAERS ID: 312724 (history)  
Age: 10.0  
Gender: Female  
Location: Texas  
Vaccinated:2007-08-07
Onset:2007-08-15
   Days after vaccination:8
Submitted: 2008-05-20
   Days after onset:279
Entered: 2008-05-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0843U / 1 RA / SC

Administered by: Unknown       Purchased by: Unknown
Symptoms: Computerised tomogram normal, Convulsion, Electroencephalogram abnormal, Nuclear magnetic resonance imaging normal
SMQs:, Systemic lupus erythematosus (broad), Convulsions (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Generalised convulsive seizures following immunisation (narrow), Hypoglycaemia (broad)

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: Arnold Chiari Type 1; Pervasive Development Disorder - NOS 6/2/08-records received-PMH:Arnold Chiari malformation with repair six years ago. Autistic.
Diagnostic Lab Data: CT scans from ER visits - two total; MRI from October 17, 2007; two EEGs, one normal results, one abnormal results. 6/26/08-records received-MRI stable changes associated with a suboccipital craniectomy for treatment of Chiari I malformation, persistent syrinx within the cervical cord at C4 through C6 is minimally less conspicuous than previously noted. Parasinal sinus disease.EEG abnormal, epileptiform.
CDC Split Type:

Write-up: Patient began having seizures 8 days after receiving the Varicella vaccine. Seizures have continued to the present. Patient has had 20 seizures from August 15, 2007 to the time of the filing of this report on May 20, 2008. MRI and CT scans show no physical damage, and two EEGs have been performed, one showing normal, one showing abnormal electrical brain activity. 6/2/08-records received ER visit 8/24/07-altered mental status, seizure then fell and hit head, positive for urinary incontinenece. Seen in ER seizure. Transferred to another facility. 6/26/08-records received for DOS 8/23/07-ER visit. Impression 2 events consistent with unprovoked complex partail seizures. Given history patient has complex seizure disorder.


VAERS ID: 312996 (history)  
Age: 10.0  
Gender: Female  
Location: Pennsylvania  
Vaccinated:2008-05-06
Onset:0000-00-00
Submitted: 2008-05-13
Entered: 2008-05-22
   Days after submission:9
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0167X / 1 RA / UN

Administered by: Private       Purchased by: Private
Symptoms: Erythema, Induration, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data:
CDC Split Type:

Write-up: 5/6/08 given VARIVAX; 5/8/08 seen with 9x4.5 cm area induration/erythema (wheal like) on upper arm; treated with ice & observation with improvement.


VAERS ID: 313015 (history)  
Age: 10.0  
Gender: Male  
Location: Alabama  
Vaccinated:2008-05-14
Onset:2008-05-15
   Days after vaccination:1
Submitted: 2008-05-22
   Days after onset:7
Entered: 2008-05-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / GLAXOSMITHKLINE BIOLOGICALS AHAVB223AA / 0 LA / IM

Administered by: Public       Purchased by: Public
Symptoms: Injection site vesicles, Skin lesion
SMQs:, Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: trauma (R)knee
Preexisting Conditions: asthma
Diagnostic Lab Data:
CDC Split Type: AL0812

Write-up: Blister (approx. 3/4 inch long) around site (left arm) where vaccine was administered with track of smaller lesions below.


VAERS ID: 313107 (history)  
Age: 10.0  
Gender: Female  
Location: Texas  
Vaccinated:2008-04-08
Onset:2008-04-08
   Days after vaccination:0
Submitted: 2008-05-14
   Days after onset:36
Entered: 2008-05-23
   Days after submission:9
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 UN / UN

Administered by: Other       Purchased by: Other
Symptoms: Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Hypoglycaemia (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness: Concurrent Conditions: Syncope
Preexisting Conditions:
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0804USA02598

Write-up: Information has been received from a physician concerning a 10 year old female with a history of fainting when receiving shots, who on 08-APR-2008 was vaccinated with the first dose of Gardasil vaccine. After receiving the vaccination the patient fainted. Also, the patient had a history of disliking shots and she had fainted before and after receiving vaccinations, unknown medical attention was sought. The patient was recovered. Additional information is not expected.


VAERS ID: 313573 (history)  
Age: 10.0  
Gender: Female  
Location: California  
Vaccinated:2007-12-18
Onset:0000-00-00
Submitted: 2008-05-16
Entered: 2008-05-23
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 659113/1360U / 1 UN / UN

Administered by: Other       Purchased by: Other
Symptoms: Inappropriate schedule of drug administration, Injection site rash
SMQs:, Hypersensitivity (narrow), Medication errors (narrow)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: Injection site rash~Varicella (Varivax)~2~12.00~Sibling|Injection site rash~Varicella (Varivax)~2~7.00~Sibling
Other Medications:
Current Illness:
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC Split Type: WAES0803USA02016

Write-up: Information has been received from a health professional concerning an approximately 10 year old female patient who on 10-AUG-1998 was vaccinated with the first dose of varicella virus vaccine live (Oka/Merck)(lot number not provided). On 18-DEC-2007, the patient was vaccinated with the second dose of varicella virus vaccine live (Oka/Merck) (lot number 659113/1360U, route, dose unknown). Concomitant therapy included hepatitis A virus vaccine (unspecified)(manufacturer unknown). On an unspecified date, the patient developed a localized rash at the injection site. The physician''s office was contacted regarding this experience. This is the second of three reports of rash with the same varicella virus vaccine live (Oka/Merck) (lot number 659113/1360U). The patient recovered from injection site rash on an unspecified date. The caller requested a lot check for this lot number. There was no product quality complaint reported. A lot check has been requested. Additional information has been requested. A standard lot check investigation was performed. All in-process quality checks for the lot number in question were satisfactory. The lot met the requirements and was released.


VAERS ID: 313586 (history)  
Age: 10.0  
Gender: Female  
Location: Unknown  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 2008-05-16
Entered: 2008-05-23
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. - / 1 - / SC

Administered by: Other       Purchased by: Other
Symptoms: Blood immunoglobulin G normal, Blood immunoglobulin M normal, Varicella
SMQs:

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: chickenpox~Varicella (Varivax)~2~7.00~In Sibling|Inappropriate schedule of~Varicella (Varivax)~2~7.00~In Sibling
Other Medications: None
Current Illness:
Preexisting Conditions: None
Diagnostic Lab Data: Serum immunoglobulin G 02/20/08-negative; serum immunoglobulin M 02/20/08-negative
CDC Split Type: WAES0803USA02974

Write-up: Information has been received from a physician concerning a 10-year-old female with no pertinent medical history or drug allergies who "had received the two doses of varicella virus vaccine live (Oka/Merck)". The last subcutaneous dose of 0.5 mL was "over a year a year ago". There was no concomitant medication. On an unspecified date, she developed episodes of clusters of blisters. Medical attention was sought via an office visit. The patient''s pediatrician states that "these are chicken pox", however it was reported that an infectious disease doctor was not sure if the blisters were chicken pox. On 20-FEB-2008, the patient had IgG and IgM testing performed and had negative results. The outcome was reported as recovering. No product quality complaint was involved. The physician also reported that the patient''s brother developed an adverse event following vaccine administration (WAES numbers: 0803USA02523). Additional information has been requested.


VAERS ID: 313592 (history)  
Age: 10.0  
Gender: Female  
Location: North Carolina  
Vaccinated:2008-03-07
Onset:2008-03-09
   Days after vaccination:2
Submitted: 2008-05-16
   Days after onset:67
Entered: 2008-05-23
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 1587U / 1 - / UN

Administered by: Other       Purchased by: Other
Symptoms: Blister, Erythema
SMQs:, Severe cutaneous adverse reactions (broad), Anaphylactic reaction (broad), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness:
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC Split Type: WAES0803USA01460

Write-up: Information has been received from a physician concerning a 10 year old female with no medical history or allergies, who on 07-MAR-2008 was vaccinated with a booster dose of varicella virus vaccine live (Oka/Merck) (lot# 659430/1587U). There was no concomitant medication. On 09-MAR-2008, the patient developed a large erythematous area approximately 4X4 inches that had a vesicle in the middle. It was reported that there were no other symptoms. It was also reported that the patient went to the office. No diagnostic laboratory studies were performed. The patient''s large erythematous area persisted. No product quality was involved. Additional information has been requested.


VAERS ID: 313684 (history)  
Age: 10.0  
Gender: Male  
Location: Maryland  
Vaccinated:2008-02-07
Onset:2008-02-07
   Days after vaccination:0
Submitted: 2008-05-16
   Days after onset:98
Entered: 2008-05-23
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 1781U / 1 - / SC

Administered by: Private       Purchased by: Private
Symptoms: Anger, Injection site erythema, Injection site inflammation, Injection site swelling, Injection site warmth, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Hostility/aggression (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness:
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC Split Type: WAES0803USA00120

Write-up: Information has been received from a health professional concerning a 10 year old male, with no medical history and no allergies, who was vaccinated with subcutaneous 0.5 ml doses of varicella virus vaccine live (Oka/Merck) on 17-SEP-1998 and 07-FEB-2008 (Lot# 659730/1781U). There was no concomitant medication. On 09-FEB-2008, the patient''s mother called into the office to report that the patient had a hot patch on his left arm at the injection site, beginning on 07-FEB-2008. It was also reported that he had a low grade fever for 2 days, was very angry, and had a red inflamed area at the injection site. The patient was treated with ice and elevation. Subsequently the patient recovered. No laboratory or diagnostic tests were performed. No product quality complaint was involved. No other information was provided. Follow up information from the healthcare professional indicated that at 10:00 on 09-FEB-2008, the patient developed a low grade fever (specific values not reported), "angry" red reaction, and swelling. It was indicated the patient experienced the fever for two days. Additional follow-up information from the reporting health professional indicated that on 07-FEB-2008 at 14:00 (also reported as 15:00) the patient was vaccinated with his second dose of VARIVAX (lot # 659730/17910) in the left arm. On 08-FEB-2008 9 also reported as 09-FEB-2008 at 10:00) the patient experienced a low grade temperature for 2 days and was angry. The patient also developed a red, swollen upper arm. On 15-FEB-2008 the patient recovered. This is one of several reports from the same source. Additional information has been requested.


VAERS ID: 313688 (history)  
Age: 10.0  
Gender: Male  
Location: Maryland  
Vaccinated:2008-02-14
Onset:2008-02-15
   Days after vaccination:1
Submitted: 2008-05-16
   Days after onset:90
Entered: 2008-05-23
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 1781U / 1 UN / UN

Administered by: Private       Purchased by: Other
Symptoms: Injection site erythema, Injection site swelling, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0803USA00370

Write-up: Initial and follow up information has been received from a physician concerning a 10 year old male who on 14-FEB-2008, at 14:45, was vaccinated into the left arm with a first dose of varicella virus vaccine live (Oka/Merck) (lot # 659730/1781U). On 15-FEB-2008, the patient developed redness and swelling at the injection site (also reported as red swollen large area) as well as a low grade fever. At the time of reporting it was noted that the patient had recovered (date unspecified) from the redness and swelling at the injection site. The outcome of the low grade fever was not reported. Unspecified medical attention was sought. There was no product quality complaint. This is one of several reports from the same source. Additional information is not expected.


VAERS ID: 313689 (history)  
Age: 10.0  
Gender: Female  
Location: Maryland  
Vaccinated:0000-00-00
Onset:2008-01-10
Submitted: 2008-05-16
   Days after onset:126
Entered: 2008-05-23
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 659610/1654U / - UN / UN

Administered by: Other       Purchased by: Other
Symptoms: Injection site erythema, Injection site swelling
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0803USA00372

Write-up: Information has been received from a health professional concerning a 10 year old female who was vaccinated with a dose of varicella virus vaccine live (Oka/Merck) (Lot# 659610/1654U). On 10-JAN-2008 the patient experienced injection site redness and swelling. Subsequently, the patient recovered. No product quality complaint was involved. This is one of several reports from the same source. Additional information has been requested. Follow up information from a health care professional indicated that on 11-Jan-2008, the patient developed red, large, swelling upper arm area that was also hot. Treatment was reported, on 14-JAN-2008, the patient had recovered. This is one of several reports from the same source. Additional information is not expected.


VAERS ID: 313698 (history)  
Age: 10.0  
Gender: Female  
Location: Arizona  
Vaccinated:2007-09-13
Onset:2007-09-13
   Days after vaccination:0
Submitted: 2008-05-16
   Days after onset:246
Entered: 2008-05-23
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 657999/1005U / 1 LA / SC

Administered by: Private       Purchased by: Private
Symptoms: Dry skin, Erythema, Injection site erythema, Injection site scab, Injection site swelling, Pruritus, Scab, Skin warm
SMQs:, Anaphylactic reaction (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness: Penicillin allergy
Preexisting Conditions: Injection site reaction
Diagnostic Lab Data: None
CDC Split Type: WAES0710USA00029

Write-up: Information has been received from a representative concerning a 10 year old 150 lb. 4 oz, 58 inch female with an allergy to penicillin and history of similar injection site reactions to other unidentified vaccines who on 13-SEP-2007 received her second dose of 0.5 ml subcutaneous dose in the left arm of varicella virus vaccine live (Oka/Merck) (lot # 657999/1005U). It was reported that she was well at the time of the vaccination. 5-6 days after receiving her second dose (dates not reported) she experienced swelling at the injection site. She was seen by the physician who implemented therapy with diphenhydramine (BENADRYL), and topical hydrocortisone cream. The patient fully recovered. No product quality complaint was received. No further information was available. Follow up information by a registered nurse reported that on 13-SEP-2007, she developed a three inch area of redness, warmth, dry crusty feeling, light red area encircling it from arm pit to elbow, itchy, and that the puncture site was dark red, and crusted. Vaccination history included influenza virus vaccine (FLUZONE) (lot# 02512AA) intramuscular in the left deltoid (20-OCT-2007). Additional information has been requested.


VAERS ID: 313745 (history)  
Age: 10.0  
Gender: Male  
Location: Michigan  
Vaccinated:2007-08-28
Onset:2007-08-30
   Days after vaccination:2
Submitted: 2008-05-16
   Days after onset:260
Entered: 2008-05-23
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / GLAXOSMITHKLINE BIOLOGICALS AHAVB18ZAA / 1 LA / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 1012U / 1 RA / SC

Administered by: Private       Purchased by: Private
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: General symptom; Tracheo-oesophageal fistula; Multiple congenital abnormalities; Macrosomia; Hydrocephalus
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0711USA06399

Write-up: Information has been received from a registered nurse concerning a 10-year-old male with a history of "NKAM", tracheo-oesophageal fistula, multiple congenital abnormalities, macrosomia and hydrocephalus who on 28-AUG-2007 was vaccinated subcutaneous in the left arm with a second dose of varicella virus vaccine live (Oka/Merck) (Lot# 658177/1012U). Concomitant vaccine administered on 28-AUG-2007 included a second intramuscular dose of Havrix (lot # AHAVB18ZAA) administered in the left arm. On 30-AUG-2007, the patient developed a red, swollen painful local at injection site (duration 24-48 hours) that was treat with a cool compress and ibuprofen (manufacturer unknown). On an unspecified date the patient recovered. This is one of several reports from the same source. Additional information is not expected.


VAERS ID: 313747 (history)  
Age: 10.0  
Gender: Male  
Location: Virginia  
Vaccinated:2007-10-31
Onset:2007-11-02
   Days after vaccination:2
Submitted: 2008-05-16
   Days after onset:196
Entered: 2008-05-23
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 1357U / 1 LA / SC

Administered by: Private       Purchased by: Private
Symptoms: Headache, Injection site erythema, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0711USA06672

Write-up: Information has been received from a health professional concerning a 10 year old male who on 31-OCT-2007 was vaccinated subcutaneously into the left arm with a second dose of varicella virus vaccine live (Oka/Merck) (Lot #659064/1357U). On 02-NOV-2007, the patient developed a red area near the injection site the size of a quarter, a low grade fever and a headache. The patient recovered on an undisclosed date. Additional information is not expected.


VAERS ID: 313793 (history)  
Age: 10.0  
Gender: Male  
Location: Pennsylvania  
Vaccinated:2007-11-01
Onset:2007-11-01
   Days after vaccination:0
Submitted: 2008-05-16
   Days after onset:197
Entered: 2008-05-23
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 659204/1470U / - UN / UN

Administered by: Other       Purchased by: Other
Symptoms: Injection site erythema, Injection site scab, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0712USA02170

Write-up: Information has been received from a physician concerning a 10-year-old male who in approximately November 2007 (within the last month), was vaccinated with a dose of varicella virus vaccine live (Oka/Merck) (lot # 659204/1470U). In approximately November 2007 (within the last month), the patient experienced injection site redness, fever, and crusting around the injection site area. The patient was taken to the emergency room twice. The office suspected the diluent and disposed of all diluent of that lot number (lot number unavailable). On an unspecified date the patient recovered. A product quality complaint was not involved. This is one of two reports received from the same source. Additional information has been requested.


VAERS ID: 313918 (history)  
Age: 10.0  
Gender: Female  
Location: Ohio  
Vaccinated:1998-05-29
Onset:2007-10-31
   Days after vaccination:3442
Submitted: 2008-05-16
   Days after onset:198
Entered: 2008-05-23
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0537E / 0 - / SC

Administered by: Public       Purchased by: Other
Symptoms: Rash vesicular
SMQs:, Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0712USA07185

Write-up: Information has been received from a public health registered nurse who was told by the local school system, concerning a 10-year-old female who on 29-MAY-1998 was vaccinated with a dose of varicella virus vaccine live (Oka/Merck) (lot# 622850/0537E). On 31-OCT-2007, the patient developed a rash with 50-500 chicken pox like lesions. It was unspecified if medical attention was sought. On an unspecified date, the patient recovered. No product quality complaint was involved. Follow-up information has been received which indicates that the patient was vaccinated in the right arm with a subcutaneous first dose of varicella virus vaccine live (Oka/Merck) in the AM. This is one of several reports from the same reporter. Additional information is not expected.


VAERS ID: 313934 (history)  
Age: 10.0  
Gender: Female  
Location: Michigan  
Vaccinated:2007-12-19
Onset:2007-12-20
   Days after vaccination:1
Submitted: 2008-05-16
   Days after onset:147
Entered: 2008-05-23
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. - / 1 UN / UN

Administered by: Other       Purchased by: Other
Symptoms: Injection site erythema, Injection site induration, Injection site pruritus
SMQs:, Extravasation events (injections, infusions and implants) (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: Penicillin allergy, Hay fever
Preexisting Conditions:
Diagnostic Lab Data: None
CDC Split Type: WAES0712USA08417

Write-up: Information has been received from a physician concerning his 10 year old daughter with no pertinent medical history and an allergy to penicillin and hay fever who at approximately one to one and a half years of age, in approximately 1997, was vaccinated with a first dose of varicella virus vaccine live (Oka/Merck). The physician reported that his daughter received "a booster dose" of varicella virus vaccine live (Oka/Merck) (date unspecified) and the "next day" her arm was itchy at the injection site. On that same day, later at night, it was reported that the area was indurated with a red half dollar size area. The physician reported "that is morning (20 DEC 2007) the area is twice the size of yesterday. It was reported that the patient had already been seen by her pediatrician, and there are plans for her to be seen by an allergist that day. There were no symptoms after her first dose of varicella virus vaccine live (Oka/Merck). There was no concomitant therapy. Unspecified medical attention was sought. There was no product quality complaint. There were no lab diagnostic studies performed. At the time of reporting the patient had not yet recovered. Additional information has been requested.


VAERS ID: 313941 (history)  
Age: 10.0  
Gender: Female  
Location: Virginia  
Vaccinated:1998-05-13
Onset:2007-10-04
   Days after vaccination:3431
Submitted: 2008-05-16
   Days after onset:225
Entered: 2008-05-23
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 625378/0066H / - UN / UN

Administered by: Other       Purchased by: Other
Symptoms: Herpes zoster
SMQs:

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness:
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC Split Type: WAES0710USA01272

Write-up: Information has been received from a consumer reporting on her 10-year-old female daughter with no pertinent medical history or allergies who on 13-MAY-1998 (when she was 14 months old) was vaccinated with a dose of varicella virus vaccine live (Oka/Merck) (lot # 625378/0066H). There was no concomitant medication. On 04-OCT-2007 the patient was diagnosed with shingle. The patient sought unspecified medical attention. No diagnostic labs were performed. At the time of the report the patient''s status was not recovered. A product quality complaint was not involved. Follow-up information received on a barely legible medical record indicated there are no childhood records on the patient. On 04-OCT-2007 the patient had an office visit and her chief complaint were blisters on the left upper back (herpes zoster on left upper back). The patient was treated with acyclovir 500 mg for 21 days and ibuprofen 600 mg (frequency and duration illegible). Additional information has been requested.


VAERS ID: 313975 (history)  
Age: 10.0  
Gender: Male  
Location: Unknown  
Vaccinated:2006-07-19
Onset:2006-07-21
   Days after vaccination:2
Submitted: 2008-05-16
   Days after onset:665
Entered: 2008-05-23
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0428F / 1 UN / UN

Administered by: Other       Purchased by: Other
Symptoms: Blister, Blood test normal, Electroencephalogram normal, Gait disturbance, Head banging, Hypoaesthesia, Musculoskeletal stiffness, Nerve conduction studies normal, Nuclear magnetic resonance imaging normal, Rash vesicular, Scab, Scar, Tic, X-ray normal
SMQs:, Severe cutaneous adverse reactions (broad), Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Dyskinesia (broad), Dystonia (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Hypersensitivity (narrow), Arthritis (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Ritalin
Current Illness:
Preexisting Conditions: Attention deficit/hyperactivity disorder, Ear infection, Cold symptoms, Bronchiolitis, Febrile convulsion
Diagnostic Lab Data: lower extremity x-ray - to rule of cysts - negative, diagnostic laboratory - molluscum negative, magnetic resonance - negative for seizure/tumor, electroencephalography - negative for seizure/tumor, neurological examination - Unspecified - negative
CDC Split Type: WAES0801USA01571

Write-up: Information has been received from a dentist concerning her 10 year old son with PMH significant for ADHD since kindergarten, ear infections, colds, bronchiolitis at 6 months of age, and febrile seizures (previously reported as no pertinent medical history), who on 19-JUL-2006 was vaccinated with a second dose of varicella virus vaccine live (Oka/Merck) (lot number: 652727/0428F). Concomitant therapy included methylphenidate hydrochloride (RITALIN) twice a day was discontinued, (reporter noted that the methylphenidate hydrochloride (RITALIN) was discontinued on 2 occasions with no change in symptoms). On 21-JUL-2006, two days post vaccination, the patient experienced uncontrolled "ticks" throughout the whole body (tongue sticking out, arms waving, leg banging) that caused head "thrashing" for weeks and interfered with walking. The most severe period of the "ticks" was 2 weeks post vaccination on 02-AUG-2006 and was accompanied by a stiff neck and numbness in 1 leg (pins and needles, "could barely walk"). At approximately 3 weeks post vaccination, the patient developed vesicular rash with 10 total lesions. By September 2006, he had an x-ray of the legs which was negative. During this time frame, he developed round, large, red, ulcerated, fluid-filled, outbreaks (vesicles) sporadically throughout his body. He continued with the "outbreaks" and "ticks" until December 2006 when the "ticks" subsided and the "outbreaks" improved (still with some "ticks" mostly in his face and shaking of his head (in a "no" Motion). In May 2007, the cycle began again with tremendous "ticks" and a severe "outbreak" in arms, face, head and all through his inner thighs bilaterally, similar in appearance to previous rash, although more "aggressive" and was accompanied by crusting over of lesions and scarring. The "outbreak" spread to his arms and back but those areas were not as bad as his legs. The patient was taken to several specialists and had extensive neurological testing including for molluscum - all negative. It was noted that a pediatrician thought the rash resembled shingles. "Two weeks ago", the patient also developed 1 lesion on the arm and 1 lesion on his back. Over the past month, the "ticks" were still present and seemed to be linked to the "outbreak". The more severe the "outbreak", the more severe the "ticks". No further information was available. Lab diagnostic studies performed included: x-ray of the legs to rule out cysts (negative). MRI and EEG negative for seizure/tumor, unspecified neurologic testing negative. Unspecified medical attention was sought through multiple office visits and specialists. The outcome was reported as not recovered. There was no product quality complaint. Additional information has been requested.


VAERS ID: 314169 (history)  
Age: 10.0  
Gender: Female  
Location: Unknown  
Vaccinated:2007-10-15
Onset:2007-10-15
   Days after vaccination:0
Submitted: 2008-05-16
   Days after onset:214
Entered: 2008-05-23
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. - / - UN / UN

Administered by: Other       Purchased by: Other
Symptoms: Face injury, Loss of consciousness
SMQs:, Torsade de pointes/QT prolongation (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Accidents and injuries (narrow), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Hypoglycaemia (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0710USA04439

Write-up: Information has been received from a health professional concerning a 10 year old female who "sometime last week" on approximately 15-OCT-2007 was vaccinated with varicella virus vaccine live (Oka/Merck) and hepatitis A vaccine (inactive) (VAQTA). The patient was sitting on the exam table when vaccinated. Post vaccination she "passed out, fell on her face, and hit her lip". The patient was monitored at the office and recovered. There was no product quality complaint. This is one of several reports received from the same source. Additional information has been requested.


VAERS ID: 314225 (history)  
Age: 10.0  
Gender: Female  
Location: Unknown  
Vaccinated:2007-09-07
Onset:2007-09-08
   Days after vaccination:1
Submitted: 2008-05-16
   Days after onset:251
Entered: 2008-05-23
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 1095U / 1 - / IM

Administered by: Other       Purchased by: Other
Symptoms: Cellulitis, Incorrect route of drug administration, Injection site erythema, Injection site pain, Injection site pruritus, Injection site rash
SMQs:, Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (narrow), Medication errors (narrow)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness:
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC Split Type: WAES0709USA02210

Write-up: Information has been received from a physician concerning a 10 year old female with no pertinent medical history, drug reactions or allergies who on 07-SEP-2007 was vaccinated intramuscularly with a second dose , 0.5 mL, of varicella virus vaccine live (Oka/Merck) (lot # 658194/1095U). There was no concomitant medication. On approximately 08-SEP-2007, within 24 hours of receiving the vaccine, the patient developed erythema, soreness, pruritus and a rash at the injection site. The patient was diagnosed with cellulitis and treatment with cephalexin (Keflex). No lab diagnostic tests were performed. Unspecified medical attention was sought. There was no product quality complaint. Additional information has been requested.


VAERS ID: 314226 (history)  
Age: 10.0  
Gender: Female  
Location: Unknown  
Vaccinated:2007-09-10
Onset:2007-09-11
   Days after vaccination:1
Submitted: 2008-05-16
   Days after onset:248
Entered: 2008-05-23
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. - / 1 - / IM

Administered by: Other       Purchased by: Other
Symptoms: Incorrect route of drug administration, Injection site erythema, Injection site pain, Injection site pruritus, Injection site rash
SMQs:, Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (narrow), Medication errors (narrow)

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: WAES0709USA02214

Write-up: Information has been received from a physician concerning a 10 year old female with no pertinent medical history, drug reactions or allergies who on 10-SEP-2007 was vaccinated intramuscularly with a second dose , 0.5 mL , of varicella virus vaccine live (Oka/Merck) (Lot # "10954U). There was no concomitant medication. On approximately 11-SEP-2007, within 24 hours of receiving the vaccine, the patient developed erythema, soreness, pruritus, and a rash at the injection site. No lab diagnostic tests were performed. Unspecified medical attention was sought. There was no product quality complaint. Additional information has been requested.


VAERS ID: 314247 (history)  
Age: 10.0  
Gender: Female  
Location: Unknown  
Vaccinated:2002-01-01
Onset:0000-00-00
Submitted: 2008-05-16
Entered: 2008-05-23
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. - / - UN / UN

Administered by: Other       Purchased by: Other
Symptoms: Varicella post vaccine
SMQs:

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness: Eczema; Immunosuppression
Preexisting Conditions:
Diagnostic Lab Data: None
CDC Split Type: WAES0709USA03285

Write-up: Information has been received from a nurse concerning her 10 year old daughter with eczema and who had been immunosuppressed, was vaccinated "5 years ago" in 2002, with varicella virus vaccine live (Oka/Merck). Subsequently, the patient experienced four chickenpox episodes after receiving the varicella virus live vaccine (Oka/Merck). Each episode occurred about a year apart from each other, and the chickenpox appeared only on the patient''s trunk area. The patient saw her physician, specific treatment not reported. The patient has recovered. A product quality complaint was not reported. No further information was available. Follow up information from the physician provided no further information. Additional information is not expected.


VAERS ID: 314281 (history)  
Age: 10.0  
Gender: Female  
Location: Unknown  
Vaccinated:2007-11-05
Onset:2007-11-07
   Days after vaccination:2
Submitted: 2008-05-16
   Days after onset:190
Entered: 2008-05-23
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. - / 1 UN / UN

Administered by: Other       Purchased by: Other
Symptoms: Erythema, Hypokinesia, Injection site vesicles, Pain in extremity, Pruritus, Pyrexia
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Hypotonic-hyporesponsive episode (broad), Hypersensitivity (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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: WAES0711USA01965

Write-up: Information has been received from a registered nurse concerning a 10-year-old female with no pertinent medical history or allergies who on 05-NOV-2007 was vaccinated with a second dose of varicella virus vaccine live (Oka/Merck). There was no concomitant medication. On 07-NOV-2007, the patient developed a blister at the injection site; 15X14cm "erythematous"; "her arm was itchy", hurting and couldn''t move; and a fever of 106 degrees after getting the second dose of varicella virus vaccine live (Oka/Merck). No diagnostic labs were performed. The patient sought unspecified medical attention. At the time of the report the patient''s status was recovering. A product quality complaint was not involved. Additional information has been requested.


VAERS ID: 314297 (history)  
Age: 10.0  
Gender: Female  
Location: Unknown  
Vaccinated:2007-09-06
Onset:2007-09-06
   Days after vaccination:0
Submitted: 2008-05-16
   Days after onset:253
Entered: 2008-05-23
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR - / - UN / UN
UNK: VACCINE NOT SPECIFIED (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - UN / UN
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. - / 1 UN / UN

Administered by: Other       Purchased by: Other
Symptoms: Back pain, Dehydration, Dizziness, Dyspnoea, Rash, Skin disorder
SMQs:, Anaphylactic reaction (narrow), Hyperglycaemia/new onset diabetes mellitus (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Vestibular disorders (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0711USA03073

Write-up: Information has been received from a licensed practical nurse (LPN) concerning a 10-year-old female who on 06-Sep-2007 was vaccinated with a second dose of varicella virus vaccine live (Oka/Merck). Concomitant vaccination included meningococcal ACYW conj vaccine (dip toxoid) (MENACTRA) and "PEDAP". Subsequently, on an unspecified date, the patient developed dots that turned into a quarter (25 cents) sized raised rash. The rash started on the shoulders and arms. It spread to her neck, chest and legs. The condition progressed and the patient developed shortness of breath and dizziness which resulted in an Emergency Room visit on 19-Sep-2007. She is still complaining of a sore back and dehydration. No additional information was provided. This is one of several reports from the same source. Additional information has been requested.


VAERS ID: 314437 (history)  
Age: 10.0  
Gender: Female  
Location: Colorado  
Vaccinated:2007-05-14
Onset:2007-05-15
   Days after vaccination:1
Submitted: 2008-05-16
   Days after onset:367
Entered: 2008-05-23
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0115U / 1 UN / UN

Administered by: Private       Purchased by: Private
Symptoms: Erythema, Pruritus, Swelling, Tenderness
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0708USA00350

Write-up: Information has been received concerning a 10 year old female who on 14-MAY-2007 was vaccinated with a second dose of varicella virus vaccine live (Oka/Merck) (lot#656572/0115U). There was no concomitant medication. On 15-MAY-2007, the patient developed a red swollen area, which was very itchy and tender. Unspecified medical attention was sought. Subsequently, the patient recovered. There was no other information provided. Additional information has been requested. This is one of several reports from the same source.


VAERS ID: 314462 (history)  
Age: 10.0  
Gender: Female  
Location: Unknown  
Vaccinated:2007-07-18
Onset:2007-07-18
   Days after vaccination:0
Submitted: 2008-05-16
   Days after onset:303
Entered: 2008-05-23
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 656079/1306F / 1 LA / UN

Administered by: Private       Purchased by: Other
Symptoms: Cellulitis, Injection site erythema, Injection site induration, Injection site swelling, Muscular weakness, Pain in extremity, Pyrexia
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: None
CDC Split Type: WAES0708USA00654

Write-up: Information has been received from a nurse concerning a 10 year old female who on 17-JUL-2007 was vaccinated with varicella virus vaccine live (Oka/Merck) (lot # 656079/1306F). On 18-JUL-2007 the patient developed a rash all over, a four inch round red spot around the injection site, a fever of 99-100, and weakness, especially in her legs. Unspecified medical attention was sought. There was no product quality complaint. Additional information has been requested. Follow-up information received stated that the patient was vaccinated with a second dose of varicella virus vaccine live (Oka/Merck) on 18-JUL-2007 in the left arm. There was no illness at the time of vaccination. On 18-JUL-2007, the patient developed a 3X3 indurated area that was red and swollen at the injection site. The patient complained of weakness in the legs, and achy arms. Cellulitis developed and the patient was treated with cephalexin (KEFLEX) 500mg three times a day. The patient did not have a rash. No laboratory or diagnostic tests were performed. Subsequently, the patient recovered.


VAERS ID: 314463 (history)  
Age: 10.0  
Gender: Male  
Location: Unknown  
Vaccinated:1998-06-25
Onset:0000-00-00
Submitted: 2008-05-16
Entered: 2008-05-23
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 625375/0065H / - UN / UN

Administered by: Other       Purchased by: Other
Symptoms: Herpes zoster
SMQs:

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness:
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC Split Type: WAES0708USA00656

Write-up: Information has been received from a physician concerning a 10 year old male, with no pertinent medical history, drug reactions or allergies, who at 15 months of age, on 25-JUN-1998, was vaccinated with varicella virus vaccine live (Oka/Merck) (Lot # 625375/0065H). There was no concomitant medication. In approximately 2006, at nine years of age, the patient developed shingles. In 2007, at ten years of age, the patient developed a second episode of shingles. The shingles was treated with acyclovir. The duration of the episode was one week. The shingles rash was described as covering the shoulder and on the neck. At the time of reporting the patient was considered to be "recovering". Unspecified medical attention was sought. There was no product quality complaint. Additional information has been requested.


VAERS ID: 314508 (history)  
Age: 10.0  
Gender: Male  
Location: Texas  
Vaccinated:2007-08-03
Onset:2007-08-04
   Days after vaccination:1
Submitted: 2008-05-16
   Days after onset:286
Entered: 2008-05-23
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 657194/0364U / - UN / UN

Administered by: Other       Purchased by: Other
Symptoms: Adverse drug reaction, Erythema
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0708USA01580

Write-up: Information has been received from a physician concerning a 10 year old male who on 03-AUG-2007 was vaccinated with a dose of varicella virus vaccine live (Oka/Merck) (Lot # 657194/0364U). On 04-AUG-2007 the patient experienced a "severe shot reaction and erythema". The patient was taken to the emergency room but was not hospitalized. Subsequently, the patient recovered from all adverse experiences. A product quality complaint was not involved. Additional information has been requested.


VAERS ID: 314544 (history)  
Age: 10.0  
Gender: Female  
Location: Pennsylvania  
Vaccinated:2007-08-14
Onset:2007-08-14
   Days after vaccination:0
Submitted: 2008-05-16
   Days after onset:276
Entered: 2008-05-23
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. - / 1 - / IM

Administered by: Unknown       Purchased by: Unknown
Symptoms: Immediate post-injection reaction, Pain
SMQs:, Hypersensitivity (narrow)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness:
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC Split Type: WAES0708USA02607

Write-up: Information has been received from a pharmacist concerning her 10 year old daughter who on 14-AUG-2007 was vaccinated IM with the second dose of varicella virus vaccine live (Oka/Merck). There was no concomitant medication. On 14-AUG-2007, the patient experienced pain immediately after vaccination. As of 14-AUG-2007, the patient had not recovered. No further information is available.


VAERS ID: 314549 (history)  
Age: 10.0  
Gender: Female  
Location: Unknown  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 2008-05-16
Entered: 2008-05-23
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. - / 1 - / IM

Administered by: Other       Purchased by: Other
Symptoms: Incorrect route of drug administration, Injection site erythema, Injection site pain
SMQs:, Extravasation events (injections, infusions and implants) (broad), Medication errors (narrow)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0708USA02968

Write-up: Information has been received from a pharmacy student concerning a 10 year old female who on an unspecified date was vaccinated with her second dose of varicella virus vaccine live (Oka/Merck) intramuscularly. Subsequently the patient developed soreness and redness at the injection site. Unspecified medical attention was sought. No further information was provided. There was no product quality complaint involved. Additional information is not available.


VAERS ID: 314635 (history)  
Age: 10.0  
Gender: Male  
Location: Pennsylvania  
Vaccinated:2007-08-13
Onset:2007-08-15
   Days after vaccination:2
Submitted: 2008-05-16
   Days after onset:275
Entered: 2008-05-23
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 658021/0827U / - UN / UN

Administered by: Other       Purchased by: Other
Symptoms: Injection site erythema, Injection site swelling
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: None
CDC Split Type: WAES0708USA03518

Write-up: Information has been received from a physician concerning a 10 year old male with no pertinent medical history or drug allergies, who on 13-AUG-2007 was vaccinated with a 0.5ml dose of varicella virus vaccine live (Oka/Merck) (Lot# 658021/0827U). There was no concomitant medication. On 15-AUG-2007 the patient developed injection site redness and swelling. Medical attention was sought through the reporting physician. No labs or diagnostic studies were performed. A cold compress was recommended as treatment for the patient. Subsequently, the patient recovered. There was no product quality complaint. This is one of three reports from the same source. Additional information has been requested.


VAERS ID: 314644 (history)  
Age: 10.0  
Gender: Male  
Location: Tennessee  
Vaccinated:2007-08-08
Onset:2007-08-09
   Days after vaccination:1
Submitted: 2008-05-16
   Days after onset:281
Entered: 2008-05-23
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / GLAXOSMITHKLINE BIOLOGICALS AHAVB186AA / - RA / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0362U / - LA / SC

Administered by: Private       Purchased by: Private
Symptoms: Injection site induration, Injection site oedema, Injection site swelling
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Penicillin allergy
Preexisting Conditions:
Diagnostic Lab Data: None
CDC Split Type: WAES0708USA03595

Write-up: Information has been received from a registered nurse concerning a 10 year old male with no medical history or allergies who on 07-AUG-2007 was vaccinated SC with a 0.5 mL dose of varicella virus vaccine live (Oka/Merck). On approximately 07-AUG-2007, (within 24 hours of vaccination, the patient experienced an injection site reaction. The patient had a hard raised swelling area the size of a "half dollar" following the varicella virus vaccine live (Oka/Merck) vaccination. The overall size of the swelling was about 6 to 8 inches in diameter on the arm. It was reported the patient contacted their physician. No diagnostic laboratory tests were performed. At the time of the report the patient was recovering. A product quality complaint was not involved. Follow-up information received on 11-OCT-2007 from a registered nurse concerning a 10-year old male with an allergy to penicillin who on 08-AUG-2007 was vaccinated subcutaneous in the left arm with his second 0.5 mL dose of varicella virus vaccine live (Oka/Merck) (lot# 657192/0362U). There were no illnesses at the time of vaccination. Concomitant vaccine administered intramuscularly on 08-AUG-2007 in the right arm included Havrix A (lot# AHAVB186AA). On 09-AUG-2007, the patient developed a hard raised edematous area at the injection site approximately about the size of a half dollar with overall reaction approximately 6-8 inches in diameter. The patient sought unspecified medical attention. No diagnostic labs were performed. On an unspecified date the patient recovered from all adverse events. This is one of several reports received from the same source. Additional information is not expected.


VAERS ID: 314647 (history)  
Age: 10.0  
Gender: Female  
Location: Virginia  
Vaccinated:2007-08-13
Onset:2007-08-15
   Days after vaccination:2
Submitted: 2008-05-16
   Days after onset:275
Entered: 2008-05-23
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0851U / 1 - / SC

Administered by: Private       Purchased by: Private
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0708USA03627

Write-up: Information has been received from a physician concerning a 10 year old female who on 13-AUG-2007 was vaccinated SC (left) with a second dose of varicella virus vaccine live (Oka/Merck) (657944/0851U). On 15-AUG-2007, the patient developed injection site redness; injection site swelling 3 inches in diameter; injection site warmth to the touch; and a mildly painful injection site reaction. Additional information has been requested.


VAERS ID: 314658 (history)  
Age: 10.0  
Gender: Male  
Location: Unknown  
Vaccinated:2007-07-25
Onset:2007-08-14
   Days after vaccination:20
Submitted: 2008-05-16
   Days after onset:276
Entered: 2008-05-23
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
UNK: VACCINE NOT SPECIFIED (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - UN / UN
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. - / - UN / UN

Administered by: Other       Purchased by: Other
Symptoms: Lymphocyte count abnormal
SMQs:, Haematopoietic leukopenia (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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: lymphocyte count 08/14/07 - abn lymph
CDC Split Type: WAES0708USA03923

Write-up: Information has been received concerning a 10 year old male with no medical history or allergies who on 25-JUL-2007 were vaccinated with a booster dose of varicella virus vaccine live (Oka/Merck). Concomitant vaccination included a hepatitis virus vaccine (unspecified) that was administered on 25-JUL-2007. On 14-AUG-2007 routine blood tests revealed the patient experienced an abnormal lymphocyte count. It was reported the patient called their physician and was advised that a repeat blood test would be performed to confirm the abnormal lymphocyte count. A product quality complaint was not involved. No further information is available.


VAERS ID: 314685 (history)  
Age: 10.0  
Gender: Female  
Location: Unknown  
Vaccinated:2007-08-02
Onset:0000-00-00
Submitted: 2008-05-16
Entered: 2008-05-23
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 657796/0842U / 1 UN / SC

Administered by: Other       Purchased by: Other
Symptoms: Injection site pain, Injection site swelling, Nodule
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: HAVRIX
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data:
CDC Split Type: WAES0708USA04609

Write-up: Information has been received from a physician and a nurse concerning a 10 year old female who on 02-AUG-2007 was vaccinated with varicella virus vaccine live (Oka/Merck), lot# 657796/0842U), second dose, single dose vial. Concomitant therapy included hepatitis A vaccine (inactive) (HAVRIX) and human papillomavirus vaccine (MSD). In 2007, the patient developed a nodule and experienced injection site pain and swelling. As of 23-AUG-2007, the patient recovered. An initial dose was administered however not reported. Additional information has been requested.


VAERS ID: 314686 (history)  
Age: 10.0  
Gender: Male  
Location: Illinois  
Vaccinated:2007-06-26
Onset:0000-00-00
Submitted: 2008-05-16
Entered: 2008-05-23
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 656177/0675U / 1 UN / SC

Administered by: Other       Purchased by: Other
Symptoms: Injection site pain, Injection site swelling, Nodule, Tuberculin test
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: TUBERCULIN, OLD
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: tuberculin skin test, tine test
CDC Split Type: WAES0708USA04613

Write-up: Information has been received from a physician and a nurse concerning a male who on 26-JUN-2007 was vaccinated with his second SC dose of varicella virus vaccine live (Oka/Merck) (Lot# 656177/0675U). Subsequently the patient developed a nodule and experienced local injection site pain and swelling after vaccination. Medical attention was sought via physician office visit on 10-JUL-2007. Lab diagnostic studies included a TB skin test. The patient was treated with sulfamethoxazole and trimethoprim (SEPTRA) 2 teaspoonfuls BID for 10 days. The patient''s recovery status was unknown. There was no product quality complaint. Additional information has been requested.


VAERS ID: 314688 (history)  
Age: 10.0  
Gender: Female  
Location: Illinois  
Vaccinated:2007-07-17
Onset:0000-00-00
Submitted: 2008-05-16
Entered: 2008-05-23
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 656177/0675U / 1 UN / SC

Administered by: Other       Purchased by: Other
Symptoms: Injection site pain, Injection site swelling, Nodule
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0708USA04655

Write-up: Information has been received from a physician and a nurse concerning a female who on 17-JUL-2007 was vaccinated with her second SC dose of varicella virus vaccine life (Oka/Merck) (Lot# 656177/0675U). Subsequently the patient developed a nodule and experienced local injection site pain and swelling after vaccination. Unspecified medical attention was sought. Subsequently, the patient recovered. There was no product quality complaint. Additional information has been requested.


VAERS ID: 314690 (history)  
Age: 10.0  
Gender: Male  
Location: Pennsylvania  
Vaccinated:2007-08-13
Onset:2007-08-15
   Days after vaccination:2
Submitted: 2008-05-16
   Days after onset:275
Entered: 2008-05-23
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 658021/0827U / - UN / UN

Administered by: Other       Purchased by: Other
Symptoms: Injection site erythema, Injection site swelling
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: None
CDC Split Type: WAES0708USA04668

Write-up: Information has been received from a physician concerning a 10 year old male with no pertinent medical history or drug allergies who on 13-AUG-2007 were vaccinated with a 0.5ml dose of varicella virus vaccine live (Oka/Merck) (Lot# 658021/0827U). There was no concomitant medication. On 15-AUG-2007 the patient developed injection site redness and swelling. Medical attention was sought through the reporting physician. No labs or diagnostic studies were performed. Subsequently, the patient recovered. There was no product quality complaint. This is one of three reports from the same source. Additional information has been requested.


VAERS ID: 314696 (history)  
Age: 10.0  
Gender: Unknown  
Location: Unknown  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 2008-05-16
Entered: 2008-05-23
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. - / 1 UN / UN

Administered by: Other       Purchased by: Other
Symptoms: Injection site pain, Injection site swelling
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0708USA04811

Write-up: Information has been received from a registered nurse concerning a 10 year old patient who on an unspecified date was vaccinated with a 0.5 ml second dose of varicella virus vaccine live (Oka/Merck). Subsequently the patient developed injection site swelling and pain. Unspecified medical attention was sought. Subsequently, the patient recovered. No further information was provided. There was no product quality complaint involved. Additional information has been requested. This is one of several reports from the same source.


VAERS ID: 314697 (history)  
Age: 10.0  
Gender: Male  
Location: Texas  
Vaccinated:2007-08-23
Onset:2007-08-24
   Days after vaccination:1
Submitted: 2008-05-16
   Days after onset:266
Entered: 2008-05-23
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0837U / 1 LA / SC

Administered by: Private       Purchased by: Public
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness:
Preexisting Conditions: Convulsions
Diagnostic Lab Data: None
CDC Split Type: WAES0708USA04832

Write-up: Information has been received from a licensed visiting nurse concerning a 10 year old male with no pertinent medical history or drug allergies, who on 23-AUG-2007 was vaccinated with a SC dose of varicella virus vaccine live (Oka/Merck) (Lot# 658058/0837U) in the left arm. There was no concomitant medication. ON 24-AUG-2007, the patient experienced 1.5'' X 1'' area of injection site swelling, redness and itching. The patient sought medical attention through a telephone call to the physician''s office. No lab diagnostic studies were performed. The patient was treated with Motrin, Benadryl, and warm compresses. The patient was not recovered. There was no product quality complaint. Follow-up information has been received from a licensed visiting nurse indicating that the 10 year old male with a history of seizures who on 23-AUG-2007 was vaccinated SC with his second dose of varicella virus vaccine live (Oka/Merck) (lot# 658058/0837U). There was no illness at the time of vaccination. The patient recovered from redness, itching and swelling. Additional information has been requested.


VAERS ID: 314858 (history)  
Age: 10.0  
Gender: Unknown  
Location: Unknown  
Vaccinated:2006-07-01
Onset:0000-00-00
Submitted: 2008-05-16
Entered: 2008-05-23
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 1491F / 1 - / SC

Administered by: Other       Purchased by: Other
Symptoms: Erythema, Pain, Skin warm
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0709USA00010

Write-up: Initial and follow up information has been received from a physician concerning a 10 year old child who, on an unknown date between July 2006 to 05-MAR-2007 was vaccinated with the second dose of varicella virus vaccine live (Oka/Merck) (Lot number 656077/1491F). Subsequently, within two to three days post vaccination, the patient developed a 10 cm area of redness and/ or 6 X 6 cm area with a circular pattern with redness, warm to touch and pain. The reaction lasted approximately 1 week. Unspecified medical attention was sought; no treatment was required. The outcome was reported as recovered. No additional information to report. There was no product quality complaint involved. This is one of several reports received from the same source. Additional information is not expected.


VAERS ID: 314862 (history)  
Age: 10.0  
Gender: Unknown  
Location: Unknown  
Vaccinated:2006-07-01
Onset:0000-00-00
Submitted: 2008-05-16
Entered: 2008-05-23
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0779U / 1 - / SC

Administered by: Other       Purchased by: Other
Symptoms: Injection site reaction
SMQs:

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0709USA00014

Write-up: Information has been received from a physician concerning a 15 year old patient, who on an unknown date between July 2006 to 05-MAR-2007 was vaccinated with the second dose of varicella vaccine live (Oka/Merck) (Lot number 657751/0779U). Subsequently, within two to three days post vaccination, the patient developed a large, two to three inch injection sit reaction on the upper arm. The reaction lasted approximately one week. Unspecified medical attention was sought; no treatment was required. No additional information to report. There was no product quality complaint involved. This is one of several reports received from the same source. Additional information is not expected.


VAERS ID: 314870 (history)  
Age: 10.0  
Gender: Male  
Location: California  
Vaccinated:2007-08-07
Onset:2007-09-09
   Days after vaccination:33
Submitted: 2008-05-16
   Days after onset:250
Entered: 2008-05-23
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. - / 1 UN / UN

Administered by: Other       Purchased by: Other
Symptoms: Rash pustular, Varicella
SMQs:, Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: ZYRTEC, SINGULAIR
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: None
CDC Split Type: WAES0709USA01543

Write-up: Information has been received from a physician concerning a 10 year old male who on 07-AUG-2007 was vaccinated with the second dose of varicella virus vaccine live (Oka/Merck). Concomitant therapy included cetirizine hydrochloride (ZYRTEC) and montelukast sodium (MSD). On approximately 09-SEP-2007 the patient developed chickenpox. The patient sought medical attention at the physician''s office. The patient had large pustules and the physician prescribed acyclovir and cephalexin (Keflex). No labs were performed. Additional information has been requested.


VAERS ID: 314927 (history)  
Age: 10.0  
Gender: Male  
Location: New York  
Vaccinated:2007-08-28
Onset:2007-08-28
   Days after vaccination:0
Submitted: 2008-05-16
   Days after onset:262
Entered: 2008-05-23
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. - / 1 UN / UN

Administered by: Private       Purchased by: Private
Symptoms: Blister, Erythema, Pruritus, Rash maculo-papular
SMQs:, Severe cutaneous adverse reactions (broad), Anaphylactic reaction (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Sudafed
Current Illness: Hypersensitivity
Preexisting Conditions:
Diagnostic Lab Data: None
CDC Split Type: WAES0709USA01081

Write-up: Information has been received from a physician concerning a 10-year-old male student with an allergy and no known drug allergies who on 28-AUG-2007 was vaccinated with a second dose of varicella virus vaccine live (Oka/Merck). There was no illness at the time of vaccination. Concomitant therapy included Sudafed. The physician reported that on the evening of 28-AUG-2007, the patient developed pruritus around the legs, a red macular area over the right ankle as well as papules and a vesicle. The physician also reported that, at the time of the follow up appointment, the patient also had papules on the back and shoulder which were itchy, but non were scabbed. A dermatologist examined the patient and indicated that it was probably a varicella-like rash. The patient had no fever with this reaction. No laboratory/diagnostic tests were performed. The patient subsequently recovered. Additional information is not expected.


VAERS ID: 314932 (history)  
Age: 10.0  
Gender: Male  
Location: Texas  
Vaccinated:2007-07-13
Onset:2007-07-14
   Days after vaccination:1
Submitted: 2008-05-16
   Days after onset:307
Entered: 2008-05-23
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 657647/0535U / 1 RA / SC

Administered by: Private       Purchased by: Private
Symptoms: Erythema, Skin warm, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0709USA01414

Write-up: Information has been received from a licensed visiting nurse concerning a 10 year old white male who on 13-JUL-2007 at 9:30 AM was vaccinated SC on right arm with a second dose of varicella virus vaccine live (Oka/Merck) (Lot # 657647/0535U). It was reported that on 14-JUL-2007 the patient developed 2 inch non-vesicular whelp that was red and warm to touch. No medical attention was sought. No further information is expected. This is one of several reports from the same source.


VAERS ID: 314954 (history)  
Age: 10.0  
Gender: Female  
Location: Maryland  
Vaccinated:0000-00-00
Onset:2007-04-27
Submitted: 2008-05-16
   Days after onset:385
Entered: 2008-05-23
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. - / - UN / UN

Administered by: Other       Purchased by: Other
Symptoms: Varicella
SMQs:

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0709USA01852

Write-up: Information has been received from a health professional concerning a 10 year old patient who was vaccinated with a dose of varicella virus vaccine live (Oka/Merck). On 27-Apr-2007, the patient was diagnosed with chickenpox. Medical attention was sought. The patient''s outcome was unknown. No product quality complaint was involved. This is one of several from same source. Additional information is expected.


VAERS ID: 315043 (history)  
Age: 10.0  
Gender: Female  
Location: Unknown  
Vaccinated:2007-06-15
Onset:2007-06-15
   Days after vaccination:0
Submitted: 2008-05-16
   Days after onset:336
Entered: 2008-05-23
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. - / - UN / SC

Administered by: Unknown       Purchased by: Unknown
Symptoms: Injection site reaction
SMQs:

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0706USA03093

Write-up: Information has been received from a physician concerning a 10 year old female who on 15-JUN-2007 was vaccinated with varicella virus vaccine live (Oka/Merck). On 15-JUN-2007 the patient experienced injection site reaction. The patient''s injection site reaction persisted. No further information is available.


VAERS ID: 315180 (history)  
Age: 10.0  
Gender: Unknown  
Location: Illinois  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 2008-05-16
Entered: 2008-05-23
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0451U / 1 - / SC

Administered by: Other       Purchased by: Other
Symptoms: Body temperature, Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: body tem - afebrile
CDC Split Type: WAES0707USA01084

Write-up: Information has been received from a medical student concerning one 10 year old patient who was vaccinated with a second 0.5mL subcutaneous dose varicella virus vaccine live (Oka/Merck) (Lot #656923/0451U). The patient developed injection site reaction with redness, swelling, warm and tender to touch that lasted 3-4 days. The patient was afebrile. This patient had a sibling who received the same lot number and did not have a reaction to the second dose. Unspecified medical attention was sought. This is one of three reports received from the same source. The physician is requesting a lot check. A review of the release testing lots revealed that the lot in question conformed to all required testing at the time of product release. The lot complies with the standards of the center for Biologics Evaluation and Research and was released. Additional information has been requested.


VAERS ID: 315187 (history)  
Age: 10.0  
Gender: Unknown  
Location: Unknown  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 2008-05-16
Entered: 2008-05-23
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. - / - UN / UN

Administered by: Other       Purchased by: Other
Symptoms: Varicella post vaccine
SMQs:

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0707USA01531

Write-up: Information has been received from a physician concerning a 10 year old patient who at 15 months of age, in approximately 1998, was vaccinated with varicella virus vaccine live (Oka/Merck). Two months post vaccination, in approximately 1998, the patient developed chickenpox.


VAERS ID: 315342 (history)  
Age: 10.0  
Gender: Unknown  
Location: Unknown  
Vaccinated:2007-07-02
Onset:2007-07-13
   Days after vaccination:11
Submitted: 2008-05-16
   Days after onset:308
Entered: 2008-05-23
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. - / - UN / UN

Administered by: Other       Purchased by: Other
Symptoms: Varicella
SMQs:

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0707USA02630

Write-up: Information has been received from a health care worker concerning a 10 year old patient who on 02-JUL-2007 was vaccinated with an unspecified vaccine, possibly varicella virus vaccine live (Oka/Merck). On 13-JUL-2007, patient sought medical attention due to spots all over. Subsequently, the patient experienced vaccine-related case of chickenpox. No titers have been drawn. Patient''s recovery status was unknown. No product quality complaint reported. No further information is available.


VAERS ID: 315348 (history)  
Age: 10.0  
Gender: Female  
Location: Unknown  
Vaccinated:2007-06-15
Onset:2007-06-16
   Days after vaccination:1
Submitted: 2008-05-16
   Days after onset:335
Entered: 2008-05-23
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0518U / 1 - / SC

Administered by: Other       Purchased by: Other
Symptoms: Erythema, Pyrexia
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data:
CDC Split Type: WAES0707USA02806

Write-up: Information has been received from a physician concerning a 10 year old female who on 15-JUN-2007 was vaccinated with varicella virus vaccine live (Oka/Merck) (Lot Number 657446/0518U). On 16-JUN-2007, the patient developed a reaction after receiving her second dose of varicella virus vaccine live (Oka/Merck). The patient developed redness of her arm within 24 hours of vaccination, accompanied by a fever. On 17-JUN-2007, the red area on her arm worsened and spread which required a visit to the emergency room where she was given clindamycin and Benadryl. The patient was not hospitalized. On 19-JUN-2007, the patient was considered to be fully recovered post vaccination. Additional information has been requested.


VAERS ID: 315349 (history)  
Age: 10.0  
Gender: Male  
Location: Unknown  
Vaccinated:2007-07-12
Onset:2007-07-14
   Days after vaccination:2
Submitted: 2008-05-16
   Days after onset:307
Entered: 2008-05-23
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. - / 1 - / SC

Administered by: Unknown       Purchased by: Unknown
Symptoms: Delirium, Erythema, Oedema peripheral, Pyrexia
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (narrow), Noninfectious meningitis (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data:
CDC Split Type: WAES0707USA02821

Write-up: Information has been received from a physician concerning a 10 year old male who on 12-JUL-2007 was vaccinated with varicella virus vaccine live (Oka/Merck). After receiving his second dose of varicella virus vaccine live (Oka/Merck), on 14-JUL-2007, the patient developed redness and swelling of his arm from the deltoid (where the vaccination was given) down to his elbow. This reaction prompted a visit to the emergency room. The patient was not admitted to the hospital. The patient went back to the emergency room on 15-JUL-2007 for a second visit. The patient also experienced a low grade fever and was said to be "delirious." The patient was not admitted to the hospital. The patient was prescribed Augmentin during one of the emergency room visits. As of 16-JUL-2007, the patient was said to be recovering. Additional information has been requested.


VAERS ID: 315354 (history)  
Age: 10.0  
Gender: Male  
Location: Ohio  
Vaccinated:2007-07-15
Onset:2007-07-15
   Days after vaccination:0
Submitted: 2008-05-16
   Days after onset:306
Entered: 2008-05-23
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 657751/0779U / 1 UN / SC

Administered by: Other       Purchased by: Other
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: None
CDC Split Type: WAES0707USA02960

Write-up: Information has been received from a physician concerning a 10 year old male who on approximately 15-JUL-2007 was vaccinated subcutaneously with a second 0.5 ml dose of varicella virus vaccine live (Oka/Merck) (lot#657751/0779U). On approximately 15-JUL-2007 the patient developed an injection site reaction which included redness, soreness and swelling of the injection site area. The patient sought medical attention and was treated with ice, acetaminophen (TYLENOL) and ibuprofen for relief of symptoms. No labs were performed. At the time of this report the patient''s status was not reported. There was no product quality complaint involved. Additional information has been requested. This is one of several reports from the same source.


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