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Case Details (Sorted by Age)

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VAERS ID:427676 (history)  Vaccinated:2011-07-13
Age:19.0  Onset:2011-07-13, Days after vaccination: 0
Gender:Female  Submitted:2011-07-14, Days after onset: 1
Location:Texas  Entered:2011-07-19, Days after submission: 5
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: NKA; ADHD; Allergic rhinitis
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.0768Z2IMLA
Administered by: Private     Purchased by: Unknown
Symptoms: Dizziness, Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad)
Write-up: After vaccine administered, pt fainted on exam table. She then quickly was layed on table. Was given cold compress on forehead. Given water & crackers. Pt stated she felt dizzy.

VAERS ID:427717 (history)  Vaccinated:2011-07-12
Age:19.0  Onset:2011-07-18, Days after vaccination: 6
Gender:Female  Submitted:2011-07-19, Days after onset: 1
Location:Texas  Entered:2011-07-19
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Hives; Abnormal pain
Preexisting Conditions: Asthma
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (NO BRAND NAME)UNKNOWN MANUFACTURER 2UNUN
Administered by: Other     Purchased by: Other
Symptoms: Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow)
Write-up: On the 12th of July I got the last shot of the Hepatitis B vaccine. When I got the second shot I had a allergic reaction, but they still gave it to me. This time the hives were on my face.

VAERS ID:427890 (history)  Vaccinated:2003-10-23
Age:19.0  Onset:2003-10-23, Days after vaccination: 0
Gender:Female  Submitted:2011-07-21, Days after onset: 2828
Location:Unknown  Entered:2011-07-21
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: IBS; chronic sinusitis; anxiety/depression; reactive hypoglycemia keratosis pilaris; migraine
Diagnostic Lab Data: None found
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
SMALL: SMALLPOX (DRYVAX)PFIZER/WYETHWAL4020071 IDUN
Administered by: Military     Purchased by: Military
Symptoms: Blister, Headache, Pyrexia, Rash, Rash erythematous, Rash generalised, Rash pruritic, Urticaria, Vaccination complication
SMQs:, Severe cutaneous adverse reactions (broad), Anaphylactic reaction (broad), Angioedema (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Hypersensitivity (narrow)
Write-up: Pt received her primary smallpox vaccination (WAL 4020071) on 10/23/2003. That evening while out to dinner with her family, she complained of a headache, fever 103-104, and multiple red itchy bumpy skin patches and lesions (she called hives) all over her body. She reported being taken to near-by hospital where she was treated with BENADRYL, NSAIDs, and TYLENOL. She said her diagnosis was a reaction to her vaccination. All symptoms resolved within 24-48 hours. She also stated her SPV developed a pin size vesicle one day after vaccination that resolved by day 3. She remembers no scab or scarring experienced by others (her husband got vaccine at same time). [A request for any medical records between 2002-2004 at area hospital found no medical records for this time period (she was unable to remember name of hospital or if went to an urgent care facility). ] No JENNERIAN (smallpox vaccination) scar was visible to either deltoid on exam despite documentation of receipt in 10/2003. On 11/20/2003 she received her annual influenza vaccination (split - IM unknown manuf). Approximately 24 hours later she complained of a fever to 101, nausea, headache and red dots (she calls hives) to her chest. These dots were similar to SPV reaction but not as pronounced or severe as they were localized to chest only. She went to nearby ER being told it was a reaction to the vaccine and given oral BENADRYL and TYLENOL. All symptoms resolved within 1-2 days. Medical records of this event were requested from ER; however there were no records of any visit from Oct-Dec 2003. There were 4 visits earlier that year ending in September 2003 for other medically related issues (c/o fever, nausea, chills, back pain and diagnosed with kidney infection and treated with MOTRIN and CIPRO).

VAERS ID:428131 (history)  Vaccinated:2011-07-25
Age:19.0  Onset:2011-07-25, Days after vaccination: 0
Gender:Female  Submitted:2011-07-25, Days after onset: 0
Location:Kentucky  Entered:2011-07-25
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (ADACEL)SANOFI PASTEURU3281BA UNRA
Administered by: Public     Purchased by: Public
Symptoms: Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad)
Write-up: Pt. fainted in the lobby following Tdap/ADACEL vaccine et Mantoux TST. BP 114/20, pulse 60. After pt laid down for approximately 10 min. helped her into a wheelchair et out to her father''s car.

VAERS ID:428380 (history)  Vaccinated:2011-07-26
Age:19.0  Onset:0000-00-00
Gender:Male  Submitted:2011-07-29
Location:Ohio  Entered:2011-07-29
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: n/a
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)GLAXOSMITHKLINE BIOLOGICALSAHBVB832BB0IMRA
HEPA: HEP A (HAVRIX)GLAXOSMITHKLINE BIOLOGICALSAHAVB518BA1IMRA
MNQ: MENINGOCOCCAL CONJUGATE (MENVEO)NOVARTIS VACCINES AND DIAGNOSTICSA10059   
Administered by: Unknown     Purchased by: Private
Symptoms: Incorrect drug dosage form administered
SMQs:
Write-up: Patient was given Menveo vaccine ON 07/26/2011 Lot# A10059 was mixed with the wrong sterile diluent (Merck lot # g00151 ep 3/12) instead of the correct conjugate component for the Menveo vaccine.

VAERS ID:428423 (history)  Vaccinated:0000-00-00
Age:19.0  Onset:0000-00-00
Gender:Female  Submitted:2011-07-29
Location:Texas  Entered:2011-07-31, Days after submission: 2
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: Asthma problem
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.0595AA IMLA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Injection site pain, Oedema peripheral
SMQs:, Cardiac failure (broad), Angioedema (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: Sore injection site on first day, swelling of both arms on second day she took BENADRYL and Ibuprofen for pain.

VAERS ID:428499 (history)  Vaccinated:2011-07-13
Age:19.0  Onset:2011-07-13, Days after vaccination: 0
Gender:Female  Submitted:2011-08-01, Days after onset: 19
Location:Florida  Entered:2011-08-01
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: No
Preexisting Conditions: Allergies to brazilian nuts, milk, eggs, oak, dust
Diagnostic Lab Data: Blood work was done at Hospital
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC. 2IJLA
Administered by: Private     Purchased by: Unknown
Symptoms: Blood test, Hypersensitivity, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow)
Write-up: After given 3rd Gardasil shot, my daughter broke out in hives. Hives began on her arm then spread to rest of her body. Called the doctor first but was informed by the nurse that I should take her to a new doctor. Called another doctor, but the treatment that was given was not strong enough to combat what was happening to my daughter. Took her to the emergency room the following day. Recieved IV meds to combat allergic reaction. 2 days later had to return to the emergency room and another series of IV meds 125 mg were given. Sent home with more prescriptions. Doctor at the emergency stated that she had an allergic reaction to the Gardasil shot and and she still is having problems.

VAERS ID:428697 (history)  Vaccinated:2011-07-22
Age:19.0  Onset:2011-07-22, Days after vaccination: 0
Gender:Female  Submitted:2011-08-03, Days after onset: 12
Location:Michigan  Entered:2011-08-03
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: no
Preexisting Conditions: Allergic to doxycycline
Diagnostic Lab Data: None - urgent care visit only
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.0298AA1IMRA
Administered by: Unknown     Purchased by: Private
Symptoms: Immediate post-injection reaction, Injection site pain, Injection site swelling, Mobility decreased, Pain
SMQs:, Parkinson-like events (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow)
Write-up: Initial pain and swelling at site immediately after injection, however those symptoms did improve. Approximately 4 days after injection the swelling got worse, pain increased with difficulty moving arm.

VAERS ID:428803 (history)  Vaccinated:2011-06-06
Age:19.0  Onset:2011-06-21, Days after vaccination: 15
Gender:Male  Submitted:2011-07-14, Days after onset: 23
Location:North Carolina  Entered:2011-08-04, Days after submission: 21
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: See HPI
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
ANTH: ANTHRAX (NO BRAND NAME)UNKNOWN MANUFACTURER 0UNUN
SMALL: SMALLPOX (NO BRAND NAME)UNKNOWN MANUFACTURER 0 UN
TYP: TYPHOID VI POLYSACCHARIDE (TYPHIM VI)SANOFI PASTEUR  UNUN
Administered by: Military     Purchased by: Military
Symptoms: Blood creatine phosphokinase MB normal, Blood creatine phosphokinase increased, C-reactive protein normal, Cardiac function test, Chest pain, Dyspnoea, Electrocardiogram P wave normal, Electrocardiogram PR interval, Electrocardiogram normal, Extrasystoles, Full blood count normal, Metabolic function test, Myopericarditis, Nausea, Presyncope, Red blood cell sedimentation rate normal, Syncope, Vaccinia virus infection
SMQs:, Torsade de pointes/QT prolongation (broad), Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Myocardial infarction (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Tachyarrhythmia terms, nonspecific (narrow), Hypotonic-hyporesponsive episode (broad)
Write-up: 19 y/o male received primary Smallpox Vaccine (SPV), Anthrax (AVA#1), Typhoid VICPs o 06JUN11 in preparation for deployment in SEP 2011. He experienced a syncopal episode & nausea during PT on 21JUN2011 (Day #15 s/p receipt SPV). SM reports presyncopal episode & nausea the next day (22JUN11) while doing inventory at work- on feet, bending, lifting, etc. Went to ED for evaluation. Treated for "Possible Heat Exhaustion" with IV 2L NS IV fluids and ZOFRAN. No cardiac enzymes, ESR or CRP drawn. CBC and CMP WNL. EKG obtained in ED interpreted as "normal" NSR, normal p axis, V-rate 50-99, " consider left atrial abnormality- wide or notched P waves, PR 120 with baseline wander in Lead V4. SM experienced a recurrent sensation of presyncope & nausea after participating in 4-mile run on 01JUL11. SM also reports a rather atypical history of occasional, intermittent, sharp, midsternal chest pain lasting seconds to a few minutes w/o radiation to jaw, throat, neck or left arm, accompanied by SOB and sensation of heart "skipping a beat". Cardiac Panel (08JUL11) with + CK of 524 U/L (55-170); CKMB of 5.0 U/L WNL (2-16); CRP 0.1 WNL (Ref. 1.0 mg/dl) and ESR was 6 WNL (0-15 mm/hr). SM initially denied positional worsening of CP/SOB in supine position, but reported a recurrent episode of similar CP on SAT 09JUL11 when lying down on bed in barracks, which last 5-10 minutes. Cardiology Consult to r/o underlying cardiac dysfunction, valvular dz, or dysrhythmias. Clinical presentation of SM''s CP does not seen c/w Vaccinia Myopericarditis, but this must be considered in Differential Dx, as SM''s sx occurred w/in a 30-day window of primary SPV immunization & other vaccines mentioned. Therefore, could plausibly be associated with peak cytokine/inflammatory effect of the vaccinations, in particular the SPV. However, clinical presentation and diagnostic criteria must support this consideration as well. Typically, Vaccinia Myopericarditis is confirmed not only by temporal association with receipt of SPV, but by presence of elevated Troponin, CK, CKMB, as well as ST/T wave abnormalities and/or depressed LV function on echocardiogram.

VAERS ID:428957 (history)  Vaccinated:2011-07-11
Age:19.0  Onset:2011-07-11, Days after vaccination: 0
Gender:Male  Submitted:2011-08-05, Days after onset: 25
Location:Missouri  Entered:2011-08-05
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEPAB: HEP A + HEP B (TWINRIX)GLAXOSMITHKLINE BIOLOGICALS  IMUN
Administered by: Military     Purchased by: Military
Symptoms: Fall, 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)
Write-up: Patient received TWINRIX vaccine w/o incident. After walking away from immediate shot area, patient lost consciousness and fell.

VAERS ID:429110 (history)  Vaccinated:2011-06-06
Age:19.0  Onset:0000-00-00
Gender:Female  Submitted:2011-07-21
Location:Michigan  Entered:2011-08-05, Days after submission: 15
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA)SANOFI PASTEURU3832AA0IMRA
TDAP: TDAP (ADACEL)SANOFI PASTEURC3899AA IMLA
Administered by: Private     Purchased by: Unknown
Symptoms: Drug administered to patient of inappropriate age, No adverse event
SMQs:
Write-up: No adverse event. Patient''s birthday was wrong in chart so she was given Hep A peds instead of adult dosing.

VAERS ID:430596 (history)  Vaccinated:2010-12-29
Age:19.0  Onset:0000-00-00
Gender:Male  Submitted:2011-08-04
Location:Illinois  Entered:2011-08-09, Days after submission: 5
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Penicillin allergy
Diagnostic Lab Data: Unknown
CDC Split Type: WAES1104USA03506
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC. 0UNUN
Administered by: Other     Purchased by: Other
Symptoms: Unevaluable event
SMQs:
Write-up: Information has been received from a consumer concerning her 19 year old son with penicillin allergy and no other pertinent medical history who on 29-DEC-2010, was vaccinated with the first dose of GARDASIL (lot number, dose and site of administration not reported). The consumer reported that her son never received the second or third dose due to illness not related to GARDASIL. The consumer mentioned that her son''s physician did not want to administer any vaccine until he was better. At the time of the report, the patient outcome was unknown. Additional information has been requested.

VAERS ID:431365 (history)  Vaccinated:2010-10-29
Age:19.0  Onset:2010-10-29, Days after vaccination: 0
Gender:Female  Submitted:2011-08-04, Days after onset: 279
Location:Louisiana  Entered:2011-08-09, Days after submission: 5
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Sulfonamide allergy
Preexisting Conditions: Ovarian cyst ruptured
Diagnostic Lab Data: Unknown
CDC Split Type: WAES1011USA00493
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.0097Z0IMLA
Administered by: Private     Purchased by: Private
Symptoms: Injection site rash, Rash, Smear cervix
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow)
Write-up: Information has been received from a licensed practical nurse concerning a 19 year old female patient with allergy to sulfa drugs and a history of ruptured ovarian cyst, who on 29-OCT-2010 was vaccinated with a first of three doses of GARDASIL (Lot # 666596/0097Z) in the left deltoid IM. Concomitant therapy included SPRINTEC. Nurse reported that between the date of administration and 02-NOV-2010 the patient developed a rash at the injection site that progressed down her left arm, across her chest, onto her right arm and was now on her chin. Patient would use BENADRYL. On an unspecified date, a PAP smear was performed (results not provided). The patient did not seek medical attention. At the time of the report, the patient had not recovered. Follow up information was received from a physician who indicated that that patient was a homemaker female with no pre-existing allergies, birth defects or medical conditions who experienced a rash beginning at site of injection (left deltoid) which spread to the chest and to the other arm. There were no illnesses at the time of vaccination or diagnostic laboratory tests performed. On 07-NOV-2010, the patient recovered. No further information is available.

VAERS ID:431710 (history)  Vaccinated:0000-00-00
Age:19.0  Onset:0000-00-00
Gender:Female  Submitted:2011-08-04
Location:Tennessee  Entered:2011-08-09, Days after submission: 5
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: diagnostic laboratory, Test results determined the woman to be at high risk for HPV with mild dysplasia
CDC Split Type: WAES1012USA02023
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC. 2IMUN
Administered by: Other     Purchased by: Other
Symptoms: Dysplasia, Human papilloma virus test positive, Papilloma viral infection
SMQs:, Premalignant disorders, general conditions and other site specific disorders (narrow)
Write-up: Information has been received from a physician concerning a 19 year old female patient who on unspecified date received three doses of GARDASIL (Lot# not reported), IM. The physician stated that the patient experienced test results that had determined the woman to be at high risk for Human Papillomavirus (HPV) with mild dysplasia after being administered GARDASIL. At the time of the report the patient''s outcome was unknown. The patient did not seek medical attention. This is one from several reports received from the same source. Additional information has been requested.

VAERS ID:431724 (history)  Vaccinated:2010-04-02
Age:19.0  Onset:2010-04-02, Days after vaccination: 0
Gender:Female  Submitted:2011-08-04, Days after onset: 489
Location:Unknown  Entered:2011-08-09, Days after submission: 5
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC Split Type: WAES1007USA03114
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.0311Y0IMUN
Administered by: Other     Purchased by: Other
Symptoms: Nausea, Vomiting
SMQs:, Acute pancreatitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)
Write-up: Information has been received from a nurse practitioner concerning a 19 year old female patient with no other pertinent medical history who on 02-APR-2010 was vaccinated intramuscularly with the first 0.5ml dose of GARDASIL (lot# 659054/0311Y). There was no concomitant medication. The patient came to the office today, 23-JUL-2010, to receive the second dose of GARDASIL. The patient mentioned that on 02-APR-2010, 2 hours after receiving the first dose of GARDASIL, she developed nausea and vomiting. No medical attention was sought. There were no laboratory diagnostics studies performed. The nausea and vomiting resolved spontaneously that day without requiring treatment. Follow up information has been received from the nurse practitioner who stated that she did not remember who this patient was. She had nausea and vomiting post first dose of GARDASIL. The patient had no problems with the second dose of GARDASIL. So she doubted that the nausea and vomiting were related to the first dose of GARDASIL. Additional information is not expected.

VAERS ID:431752 (history)  Vaccinated:2009-10-08
Age:19.0  Onset:2009-10-09, Days after vaccination: 1
Gender:Female  Submitted:2011-08-04, Days after onset: 664
Location:Virginia  Entered:2011-08-09, Days after submission: 5
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC Split Type: WAES1006USA03180
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC. 2IMLA
Administered by: Private     Purchased by: Other
Symptoms: Injection site induration, Injection site mass, Injection site pain, Oedema peripheral, Urticaria
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (narrow), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow)
Write-up: Information has been received from a physician concerning a 21 year old female patient who on unspecified date was vaccinated with a third dose of GARDASIL (Lot# unknown) 0.5mL, IM. Series completed. The physician reported that an unspecified date "the patient had a welt from swelling on her arm and experienced soreness at the injection site after receiving the GARDASIL injection. The adverse experienced lasted for three weeks and went away without any additional treatment. The patient experienced welt from swelling on her arm and soreness at the injection site only on the third injection of the GARDASIL series". At the time of the report patient had recovered from swelling on her arm and soreness at the injection site (date unknown). The patient did not sought medical attention. Follow up information has been received from a health professional who reported that the patient was vaccinated in the left upper arm with the third dose of GARDASIL (lot number was reported as 664242/0908Y, valid for ROTATEQ not for GARDASIL) on 08-OCT-2009 at 9:40. In the morning of 09-OCT-2009 a lump developed on the injection site. The site was hard and very hard to touch. The health professional reported that it went away after 2-3 weeks (approximately on 30-OCT-2009). No further information is expected.

VAERS ID:431756 (history)  Vaccinated:0000-00-00
Age:19.0  Onset:0000-00-00
Gender:Female  Submitted:2011-08-04
Location:Unknown  Entered:2011-08-09, Days after submission: 5
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: serum betavalent HPV 16, along with many others strains of HPV; Pap test, positive for HPV
CDC Split Type: WAES1006USA03489
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC. 2UNUN
Administered by: Other     Purchased by: Other
Symptoms: Human papilloma virus test positive, Papilloma viral infection, Smear cervix abnormal
SMQs:
Write-up: Information has been received from a register nurse concerning a 19 years old female patient, who was vaccinated with the complete doses of GARDASIL. The nurse reported that on an unspecified date a PAP smear test was performed, the patient tested positive for HPV. One of the strains she tested positive was strain 16 (along with many other strains of HPV). No further information is available.

VAERS ID:431762 (history)  Vaccinated:2010-07-14
Age:19.0  Onset:2010-07-14, Days after vaccination: 0
Gender:Unknown  Submitted:2011-08-04, Days after onset: 386
Location:Florida  Entered:2011-08-09, Days after submission: 5
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC Split Type: WAES1007USA02108
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.0968Y2UNUN
Administered by: Other     Purchased by: Other
Symptoms: Abdominal pain, Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Acute pancreatitis (broad), Arrhythmia related investigations, signs and symptoms (broad), Retroperitoneal fibrosis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad)
Write-up: Information has been received from a physician concerning an 19 year old patient who on 14-JUL-2010 was vaccinated with a third dose of GARDASIL (route not reported and lot number: 661758/0968Y, expiration date: 14-FEB-2011). On 14-JUL-2010 after vaccination the patient experienced a syncopal episode. Also, the patient had severe abdominal pain after the syncopal episode. The patient went to the Emergency Room, but the pain resolved within 1 hour after the GARDASIL was given. The patient was not admitted to the hospital. The physician reported that the patient received the second and third dose late (second dose date unspecified). On 14-JUL-2010, the patient recovered. Additional information has been requested.

VAERS ID:431787 (history)  Vaccinated:2010-06-16
Age:19.0  Onset:2010-06-16, Days after vaccination: 0
Gender:Female  Submitted:2011-08-04, Days after onset: 414
Location:Unknown  Entered:2011-08-09, Days after submission: 5
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC Split Type: WAES1006USA04388
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.1539Y1IMUN
Administered by: Other     Purchased by: Other
Symptoms: Arthralgia, Musculoskeletal pain, Pain in extremity, Pyrexia, Rash, Vomiting
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypersensitivity (narrow), Arthritis (broad)
Write-up: Information has been received from a nurse practitioner concerning a now 19 year old female who in 2008 was vaccinated with the first dose of GARDASIL, IM. On 16-JUN-2010 the patient received the second dose (lot # 666118/1539Y), IM. On 16-JUN-2010, the patient experienced pain radiating "over the shoulder, to the elbow and finger tips" since the second dose was given, in addition, the patient experienced a rash, vomiting and fever. The patient did not have any reaction from the first dose, the patient went to urgent care center for medical attention. At the time of the reporting, the patient''s status was unknown. Additional information has been requested.

VAERS ID:431855 (history)  Vaccinated:2009-01-01
Age:19.0  Onset:0000-00-00
Gender:Female  Submitted:2011-08-04
Location:California  Entered:2011-08-09, Days after submission: 5
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Pregnancy NOS (LMP = 01/05/2009)
Preexisting Conditions:
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0904USA01189
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC. 1UNUN
Administered by: Other     Purchased by: Other
Symptoms: Maternal exposure during pregnancy, Nausea, Normal newborn, Pregnancy test positive, Vomiting
SMQs:, Acute pancreatitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow), Normal pregnancy conditions and outcomes (narrow)
Write-up: Information has been received from a consumer concerning her 19 year old daughter, for GARDASIL, a pregnancy Registry product, who with no pertinent medical history and drug reactions/allergies in November 2008, was vaccinated with the first dose of GARDASIL. In January 2009 the patient was vaccinated with the second dose of GARDASIL. There were no concomitant medication. The patient sought unspecified medical attention. In January 2009 (about 12 weeks ago), the patient performed a pregnancy test which showed pregnant. The patient''s LMP (last menstrual period) was 05-JAN-2009 and her EDD was 12-OCT-2009. Follow-up information was received on 15-SEP-2010. The mother of the patient reported that her daughter''s pregnancy was complicated only by "lots of nausea- she had hyperemesis". The patient was not hospitalized, but she was treated (not specified). She had a normal vaginal birth on 26-SEP-2009, 37 weeks from her last menstrual period, and delivered a boy who was healthy and normal. The boy was a year old and was "just fine" at the time of reporting. Additional information is not expected.

VAERS ID:431943 (history)  Vaccinated:0000-00-00
Age:19.0  Onset:2010-07-01
Gender:Female  Submitted:2011-08-04, Days after onset: 399
Location:Unknown  Entered:2011-08-09, Days after submission: 5
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: None
Diagnostic Lab Data: Unknown
CDC Split Type: WAES1008USA00847
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.  UNUN
Administered by: Other     Purchased by: Other
Symptoms: Biopsy, Human papilloma virus test positive, Papilloma viral infection
SMQs:
Write-up: Information has been received from a reporter concerning a 19 year old female with no medical history or drug reactions/allergies who in approximately 2007 (2-3 years ago) was vaccinated with GARDASIL (lot# not reported). There was no concomitant medication. It was reported that the vaccine did not work because in July 2010 the patient experienced contracted the HPV virus. Unspecified medical attention was sought. HPV testing and biopsies were performed. At the time of the report the patient had not recovered. No further information is available.

VAERS ID:432040 (history)  Vaccinated:2010-12-30
Age:19.0  Onset:2011-01-02, Days after vaccination: 3
Gender:Female  Submitted:2011-08-04, Days after onset: 213
Location:California  Entered:2011-08-09, Days after submission: 5
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: None
Diagnostic Lab Data: Unknown
CDC Split Type: WAES1101USA00028
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC. 0IMUN
Administered by: Other     Purchased by: Other
Symptoms: Chills, Dizziness, Fatigue, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Vestibular disorders (broad)
Write-up: Information has been received from a consumer concerning her 19 year old daughter with no medical history and no drug reactions/allergies who on 30-DEC-2010 was vaccinated intramuscularly with the first 0.5 ml dose of GARDASIL (lot number not reported). There was no concomitant medication. On 02-JAN-2011 the patient was complaining of fever, chills, dizziness and fatigue. The patient did not seek medical attention. The patient''s fever and chills and dizziness and fatigue persisted. Additional information has been requested.

VAERS ID:432180 (history)  Vaccinated:2011-04-25
Age:19.0  Onset:2011-04-25, Days after vaccination: 0
Gender:Female  Submitted:2011-08-04, Days after onset: 101
Location:Connecticut  Entered:2011-08-09, Days after submission: 5
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Drug hypersensitivity
Preexisting Conditions:
Diagnostic Lab Data: None
CDC Split Type: WAES1104USA04062
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.0057AA0UNLA
Administered by: Private     Purchased by: Private
Symptoms: Headache, Nausea, Vision blurred
SMQs:, Acute pancreatitis (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Glaucoma (broad), Lens disorders (broad), Retinal disorders (broad)
Write-up: Information has been received from a physician concerning a 19 year old female patient who on 25-APR-2011 was vaccinated with the first dose of GARDASIL (Lot number not reported) and on the same day the patient experienced headache, nausea and blurry vision. At the time of the report, the patient''s outcome was unknown. The patient did not seek medical attention. Follow up information has been received from a licensed practical nurse reporting that the 19 year old female patient with drug allergy to BETADINE, codeine and nonsteroidal anti-inflammatory drug (NSAID''s) and no illness at time of vaccination, on 25-APR-2011 was vaccinated in her left deltoid, with the first dose of GARDASIL (Lot number 0057AA) at 10:00 a.m. and on the same day at 13:30 (also reported around 12:39 p.m) the patient experienced headache, nausea and blurry vision. No lab diagnostics studies were performed. It was reported that on an unspecified date the patient recovered. No further information is available.

VAERS ID:432231 (history)  Vaccinated:2011-01-27
Age:19.0  Onset:0000-00-00
Gender:Female  Submitted:2011-08-04
Location:North Carolina  Entered:2011-08-09, Days after submission: 5
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: None
Diagnostic Lab Data: Unknown
CDC Split Type: WAES1103USA02555
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.1437Z0UNUN
Administered by: Other     Purchased by: Other
Symptoms: Asthenia, Fall, Fatigue, Laboratory test, Laceration, Malaise, Suture insertion, Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Arrhythmia related investigations, signs and symptoms (broad), Guillain-Barre syndrome (broad), Accidents and injuries (narrow), Hostility/aggression (broad), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad)
Write-up: Information has been received from a physician concerning a 19 year old female patient with no pertinent medial history, no concurrent conditions and no known drug allergies, who on 27-JAN-2011 was vaccinated with the first dose of GARDASIL (lot #667866/1437Z). The medical assistant stated that there was no concomitant medication and no other vaccines were given on that day. The physician stated that the patient''s parents reported that "after getting the GARDASIL", on an unspecified date, the patient had experienced malaise and feeling weak, lack of energy and tired. The physician also reported that on 28-FEB-2011, the patient was at home and experienced syncope, during which she fell and lacerated her chin on a table. Patient received sutures to treat the laceration. The physician stated that on 18-MAR-2011, the patient was referred to Infectious Disease and on 19-MAR-2011 went through the ER for lab work (results not available at the time of the report). The physician did not know if the patient was admitted At the time of the report, the adverse events did not improve and the patient present status was unknown. The physician stated that the adverse events were not disabling or life threatening, but could change with lab results. No further information is available.

VAERS ID:432289 (history)  Vaccinated:2009-07-01
Age:19.0  Onset:0000-00-00
Gender:Female  Submitted:2011-08-04
Location:Unknown  Entered:2011-08-09, Days after submission: 5
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: None
Diagnostic Lab Data: Unknown
CDC Split Type: WAES1103USA01592
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC. 0IMUN
Administered by: Other     Purchased by: Other
Symptoms: Arthralgia, Asthenia, Back pain, Blood electrolytes, Blood thyroid stimulating hormone, Chronic fatigue syndrome, Fibromyalgia, Full blood count, Malaise, Myalgia, Pain in extremity
SMQs:, Rhabdomyolysis/myopathy (broad), Retroperitoneal fibrosis (broad), Guillain-Barre syndrome (broad), Eosinophilic pneumonia (broad), Arthritis (broad)
Write-up: Information has been received from a Nurse Practitioner concerning a 20 year old female patient who was recently diagnosed with chronic fatigue syndrome. In July 2010, the patient was vaccinated with a first dose of GARDASIL and she was vaccinated with the second dose of GARDASIL again in August 2010. Concomitant therapy included KLONOPIN. In August 2010, one month after the first dose of vaccine the patient experienced "joint pain, chronic fatigue and weakness, leg pain, and aching muscles". It was reported that the patient sought medical treatment which was "methadone" and MOBIC. She had thyroid level, complete blood count and electrolytes lab was drawn but the results were not reported. The patient''s joint pain, chronic fatigue and weakness, leg pain and aching muscles was not subsided at the time of this report. The patient sought unspecified medical attention. Follow up information was received from the Nurse Practitioner (N.P) who reported that the patient had no medical history and experienced low back pain a few weeks after dose one in July 2010. After dose 2, she began experiencing symptoms of arthralgia, myalgia, weakness and fatigue. It was reported that the patient had been evaluated by neurologist, endocrinologist and was also seen at the clinic. She had been diagnosed with chronic fatigue syndrome and fibromyalgia. The office nurse reported that the vaccines were given elsewhere. She checked and could not find reference to the physician or office where GARDASIL was administered. Nurse Practitioner was looking for information pertaining to GARDASIL and similar reports. The health care professional contacted during telephone follow up could not supply the following information; exact dates of vaccination, Lot #, and other healthcare provider name contact information. Follow up information received from the nurse practitioner, stated that the patient received GARDASIL in July 2009 (also reported as July 2010) with complaints of back pain and myalgias within 2-3 weeks of injection. It was also stated that the patient then received her second injection the following month with complaints of worsening myalgias in addition to arthralgias, muscle weakness, persistent fatigue, leg pain and generalized unwell feeling. The nurse indicated that the patient was diagnosed with fibromyalgia in September 2009 and chronic fatigue syndrome in February 2011. It was indicated that the patient was a healthy, vibrant 18 year old prior to the GARDASIL injection with persistent pain and fatigue over the last 1.5 year, post injection. The patient''s function overall was reported as poor with chronic pain regimen. No further information is available.

VAERS ID:432305 (history)  Vaccinated:2011-03-14
Age:19.0  Onset:2011-03-14, Days after vaccination: 0
Gender:Female  Submitted:2011-08-04, Days after onset: 143
Location:Unknown  Entered:2011-08-09, Days after submission: 5
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC Split Type: WAES1103USA02568
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.0992Z1UNUN
Administered by: Other     Purchased by: Other
Symptoms: Headache, Pain, Pyrexia, Restlessness
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Akathisia (broad), Noninfectious encephalopathy/delirium (broad)
Write-up: Information has been received from a physician concerning a "19 years old" female with no known drug allergies/reactions who on 14-MAR-2011 was vaccinated with the second dose of GARDASIL (dose not reported) (Lot number: 666595/0992Z). There was no concomitant medication. On 14-MAR-2011, the patient presented to the physicians office with a fever of 101.3, headache, body aches and restlessness. The patient was given unspecified treatment. Upon the time of report, the patient present status was unknown. Additional information has been requested.

VAERS ID:432463 (history)  Vaccinated:0000-00-00
Age:19.0  Onset:2010-01-29
Gender:Female  Submitted:2011-08-04, Days after onset: 551
Location:Pennsylvania  Entered:2011-08-09, Days after submission: 5
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC Split Type: WAES1012USA00995
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC. 2UNUN
Administered by: Other     Purchased by: Other
Symptoms: Cervical dysplasia, Papilloma viral infection, Smear cervix abnormal
SMQs:, Reproductive premalignant disorders (narrow), Uterine and fallopian tube malignant tumours (broad)
Write-up: Information has been received from the physician concerning a 19 year old female patient who prior to 2008 was vaccinated with three doses of GARDASIL (Lots# not reported). On 29-JAN-2010 the patient experienced LGSIL (Low Grade Squamous Intraepitheliel Lesion) and HR (high risk) HPV PAP. At the time of this report, the patient''s outcome was unknown. This is one of the reports received from same source. Additional information has been requested.

VAERS ID:432472 (history)  Vaccinated:0000-00-00
Age:19.0  Onset:2010-10-03
Gender:Female  Submitted:2011-08-04, Days after onset: 305
Location:Pennsylvania  Entered:2011-08-09, Days after submission: 5
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Cervical smear, 10/03/10, HGSIL, HR HPV, CIN II Bx
CDC Split Type: WAES1012USA01005
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC. 0UNUN
Administered by: Other     Purchased by: Other
Symptoms: Biopsy cervix, Biopsy site unspecified abnormal, Cervical dysplasia, Human papilloma virus test positive, Papilloma viral infection, Smear cervix abnormal
SMQs:, Reproductive premalignant disorders (narrow), Malignancy related therapeutic and diagnostic procedures (narrow), Uterine and fallopian tube malignant tumours (broad)
Write-up: Information has been received from a physician concerning a 19 year old female who in 2008 was vaccinated with the first dose of GARDASIL (lot # not reported). The patient did not complete the series. On 03-OCT-2010 the patient was found high grade squamous intraepithelial lesion (HGSIC) High Risk HPV, CIN II Bx by cervical smear (PAP). The patient''s outcome was unknown. Additional information has been requested. This is one of several reports from the same source.

VAERS ID:432484 (history)  Vaccinated:2011-04-07
Age:19.0  Onset:2011-04-08, Days after vaccination: 1
Gender:Female  Submitted:2011-08-04, Days after onset: 118
Location:New York  Entered:2011-08-09, Days after submission: 5
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Papilloma viral infection
Diagnostic Lab Data: None
CDC Split Type: WAES1104USA01698
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.1016Z0IMUN
Administered by: Other     Purchased by: Other
Symptoms: Vulvovaginal pain
SMQs:
Write-up: Information has been received from a physician concerning a 19 year old female patient with a history of papilloma virus infection (HPV) and no drug reaction or allergies who on 07-APR-2011 was vaccinated IM with a first 0.5ml dose of GARDASIL (lot # 666987/1016Z, exp date 22-NOV-2011). There was no concomitant medication. The patient had no HPV lesions present at the time of vaccination and the following day, on 08-APR-2011, the patient felt sore in the vaginal area. The lesions found were consistent with HPV. The patient was treated with ALDARA 5% cream. No laboratory diagnostics studies performed. At the time of reporting, the patient was recovering. The patient sought medical attention by phone call and office visit. No further information is available.

VAERS ID:432488 (history)  Vaccinated:0000-00-00
Age:19.0  Onset:0000-00-00
Gender:Female  Submitted:2011-08-04
Location:Connecticut  Entered:2011-08-09, Days after submission: 5
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC Split Type: WAES1104USA03541
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.  UNUN
Administered by: Other     Purchased by: Other
Symptoms: Cervical dysplasia, Papilloma viral infection, Smear cervix abnormal
SMQs:, Reproductive premalignant disorders (narrow), Uterine and fallopian tube malignant tumours (broad)
Write-up: Information has been received from a pediatrician concerning a 19 year old female patient who "within the last year" was vaccinated with a dose of GARDASIL (route and lot number not reported). On an unspecified date, the patient developed warts on her head. This was reported to the pediatrician by the mother of the patient, who stated that her daughter went to see a dermatologist who stated that it was "probably a venereal wart caused by GARDASIL". the patient received unspecified treatment for the event. At the time of the report the outcome of the patient was unknown. Additional information has been requested.

VAERS ID:432613 (history)  Vaccinated:0000-00-00
Age:19.0  Onset:0000-00-00
Gender:Female  Submitted:2011-08-04
Location:Unknown  Entered:2011-08-09, Days after submission: 5
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: cervical smear, abnor, high risk of HPV. She was repapped.
CDC Split Type: WAES1011USA00210
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC. 2IMUN
Administered by: Other     Purchased by: Other
Symptoms: Papilloma viral infection, Smear cervix abnormal
SMQs:
Write-up: Information has been received from a consumer concerning a 19 year old female patient who "approximately 3 years ago" (in approximately 2007) received all series GARDASIL (lot # and expire date not reported), intramuscularly. Concomitant medication included "on birth control". "Recently" (on an unspecified date), the patient had an abnormal pap smear. She was repapped. The outcome of both pap smears were for a high risk of HPV. The patient sought unspecified medical attention. At the time of the report, the patient had not recovered. No further information is available.

VAERS ID:432620 (history)  Vaccinated:2007-05-22
Age:19.0  Onset:2007-06-01, Days after vaccination: 10
Gender:Female  Submitted:2011-08-04, Days after onset: 1525
Location:Unknown  Entered:2011-08-09, Days after submission: 5
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Drug hypersensitivity; acquired immunodeficiency syndrome
Preexisting Conditions:
Diagnostic Lab Data: None
CDC Split Type: WAES1011USA00018
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC. 0UNUN
Administered by: Other     Purchased by: Other
Symptoms: Alopecia
SMQs:
Write-up: Information has been received from a physician''s assistant concerning a 19 year old female patient, with allergy to abacavir and acquired immunodeficiency syndrome, who on 22-MAY-2007 was vaccinated with her first dose of GARDASIL, (lot # expire date and route not reported). About one month after her first vaccination, on approximately June 2007, the patient developed a nickel size area of alopecia. In November 2007, the patient received her second dose of GARDASIL, (lot #, expire date and route not reported). She did not develop alopecia after her second vaccination. There were no laboratory diagnostics studies performed. The patient did not seek medical attention. On an unspecified date, the patient recovered from a nickel sized area of alopecia. Additional information has been requested.

VAERS ID:432637 (history)  Vaccinated:2010-10-12
Age:19.0  Onset:2010-10-12, Days after vaccination: 0
Gender:Female  Submitted:2011-08-04, Days after onset: 296
Location:Illinois  Entered:2011-08-09, Days after submission: 5
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC Split Type: WAES1010USA01527
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC. 1IMUN
Administered by: Other     Purchased by: Other
Symptoms: Dizziness, Gaze palsy, Muscle spasms
SMQs:, Anticholinergic syndrome (broad), Dystonia (broad), Vestibular disorders (broad), Ocular motility disorders (narrow)
Write-up: Information has been received from a physician concerning a 19 year old female who on 12-OCT-2010 was vaccinated IM with the second 0.5 ml dose of GARDASIL (lot # not reported). While the patient was checking out on 12-OCT-2010, she felt faint. The nurse then brought the patient back to a room where the patient''s eyes rolled back in her head and she had involuntary muscle spasms". On 12-OCT-2010 the patient recovered before the physician allowed her to go home. Additional information has been requested.

VAERS ID:429530 (history)  Vaccinated:2011-07-06
Age:19.0  Onset:2011-07-08, Days after vaccination: 2
Gender:Male  Submitted:2011-08-11, Days after onset: 34
Location:New Hampshire  Entered:2011-08-11
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: No illness
Preexisting Conditions: None
Diagnostic Lab Data:
CDC Split Type: NH0811201111
Vaccination
Manufacturer
Lot
Dose
Route
Site
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA)SANOFI PASTEURU3754AA1UNLA
Administered by: Unknown     Purchased by: Other
Symptoms: Pruritus, Rash generalised
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow)
Write-up: Body-widerash & itching. Temp 36.8 Celsius. Pulse 58. Respirations 16. BP 124/78. Seen in ER. Treatment in ER: SOLU MEDROL 125 ml IM, BENADRYL 25-50 ml q 6 hrs, PEPCID 20ml 2qd.

VAERS ID:429566 (history)  Vaccinated:2011-08-05
Age:19.0  Onset:2011-08-06, Days after vaccination: 1
Gender:Female  Submitted:2011-08-08, Days after onset: 2
Location:Connecticut  Entered:2011-08-12, Days after submission: 4
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: None
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA)SANOFI PASTEUR3678AA UNLA
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.0030AA UNLA
Administered by: Public     Purchased by: Other
Symptoms: Induration, Pain, Pruritus, Swelling
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad)
Write-up: Lt arm 3x3in induration. Itchiness, swelling, pain. Improved with MOTRIN.

VAERS ID:429659 (history)  Vaccinated:2011-08-12
Age:19.0  Onset:2011-08-12, Days after vaccination: 0
Gender:Female  Submitted:2011-08-12, Days after onset: 0
Location:Virginia  Entered:2011-08-12
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: none
Preexisting Conditions: none
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)NOVARTIS VACCINES AND DIAGNOSTICS11002010IMLA
Administered by: Unknown     Purchased by: Private
Symptoms: Cold sweat, Disorientation, Hypopnoea, Hypotonia, Immediate post-injection reaction, Vomiting
SMQs:, Acute pancreatitis (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Acute central respiratory depression (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Hypersensitivity (narrow)
Write-up: Injected 0.5ml FLUVIRIN into pt left arm IM 8/12/11 4:35p. Pt became disoriented immediately and went limp. Her breathing was shallow. Injected 0.3 mg epi into left thigh. She became oriented again and vomited 3-4 times. Pt was clammy and cool to the touch.

VAERS ID:430771 (history)  Vaccinated:2010-12-13
Age:19.0  Onset:2010-12-13, Days after vaccination: 0
Gender:Female  Submitted:2011-02-14, Days after onset: 63
Location:Pennsylvania  Entered:2011-08-15, Days after submission: 181
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: MEDI0011933
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLUN3: INFLUENZA (SEASONAL) (FLUMIST)MEDIMMUNE VACCINES, INC.501019P IN 
Administered by: Public     Purchased by: Other
Symptoms: Expired drug administered, No adverse event
SMQs:
Write-up: A non-serious, spontaneous report of administered expired FLUMIST was received from a other health professional concerning a 19-year-old female. Neither medical history nor concomitant medications were provided. The product expired on 12-Dec-2010. On 13-Dec-2010, the patient received expired product. There was no adverse event associated with this medication error; therefore, treatment and reporter/sponsor causality assessments are not applicable, and the event is considered resolved. 14-Feb-2011: Follow up call was conducted on 14-Feb-2011, no adverse events were reported following administration of the expired FLUMIST.

VAERS ID:431071 (history)  Vaccinated:2010-12-20
Age:19.0  Onset:2010-12-20, Days after vaccination: 0
Gender:Female  Submitted:2010-12-23, Days after onset: 3
Location:North Carolina  Entered:2011-08-15, Days after submission: 234
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: MEDI0012045
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLUN3: INFLUENZA (SEASONAL) (FLUMIST)MEDIMMUNE VACCINES, INC.501022P IN 
Administered by: Private     Purchased by: Other
Symptoms: Expired drug administered, No adverse event
SMQs:
Write-up: A non-serious spontaneous report of inadvertently administered expired FLUMIST was received from a health professional concerning a 19-year-old female patient. Neither relevant medical history nor concomitant medications have been reported for this patient. The vaccine expired on 15-Dec-2010. The patient received the expired FLUMIST on 20-Dec-2010. There was no adverse event associated with this medication error; therefore, treatment and reporter causality assessments are not applicable, and the event is considered resolved.

VAERS ID:431201 (history)  Vaccinated:2010-12-20
Age:19.0  Onset:2010-12-20, Days after vaccination: 0
Gender:Female  Submitted:2010-12-23, Days after onset: 3
Location:North Carolina  Entered:2011-08-15, Days after submission: 234
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: MEDI0012051
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLUN3: INFLUENZA (SEASONAL) (FLUMIST)MEDIMMUNE VACCINES, INC.501022P IN 
Administered by: Other     Purchased by: Other
Symptoms: Expired drug administered, No adverse event
SMQs:
Write-up: A non-serious spontaneous report of inadvertently administered expired FLUMIST was received from a health professional concerning a 19-year-old female. Neither the patient''s past medical history nor any concomitant medications were reported. The product expired on 15-Dec-2010. The patient received the expired FLUMIST on 20-Dec-2010. There was no adverse event associated with this medication error; therefore, treatment and reporter causality assessments are not applicable, and the event was considered resolved.

VAERS ID:431453 (history)  Vaccinated:0000-00-00
Age:19.0  Onset:0000-00-00
Gender:Unknown  Submitted:2011-01-19
Location:Maryland  Entered:2011-08-15, Days after submission: 207
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: MEDI0012284
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLUN3: INFLUENZA (SEASONAL) (FLUMIST)MEDIMMUNE VACCINES, INC.  IN 
Administered by: Other     Purchased by: Other
Symptoms: Dizziness
SMQs:, Anticholinergic syndrome (broad), Vestibular disorders (broad)
Write-up: A non-serious spontaneous report of dizziness has been received from a physician concerning a 19-year-old patient, subsequent to FLUMIST. Neither relevant medical history nor concomitant medications have been reported for this patient. On an unknown date, the patient received FLUMIST. On an unknown date in 2010, the patient experienced dizziness. The outcome of the event of dizziness was unknown.

VAERS ID:431456 (history)  Vaccinated:2011-01-19
Age:19.0  Onset:2011-01-19, Days after vaccination: 0
Gender:Female  Submitted:2011-06-10, Days after onset: 141
Location:North Carolina  Entered:2011-08-15, Days after submission: 66
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: MEDI0012292
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLUN3: INFLUENZA (SEASONAL) (FLUMIST)MEDIMMUNE VACCINES, INC.501024P IN 
Administered by: Other     Purchased by: Other
Symptoms: Expired drug administered, No adverse event
SMQs:
Write-up: A non-serious spontaneous report of administered expired FLUMIST was received from a health professional concerning a 19-year-old female. Neither past medical history nor concomitant medications were reported for this patient. The FLUMIST expired on 22-Dec-2010. On 19-Jan-2011, the patient received the expired FLUMIST. There was no adverse event associated with this medication error; therefore, treatment and reporter causality assessments are not applicable, and the event is considered resolved. Additional information was received on 10-Jun-2011: The patient did not have any late occurring adverse events.

VAERS ID:429947 (history)  Vaccinated:2011-08-02
Age:19.0  Onset:2011-08-08, Days after vaccination: 6
Gender:Male  Submitted:2011-08-16, Days after onset: 8
Location:Hawaii  Entered:2011-08-16
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: I was wrestling with someone that had recently received the Smallpox vaccination. Approx 1 wk later I developed lesions consistent with cowpox on both wrists and left temple.
Preexisting Conditions: NKDA, no medical issues.
Diagnostic Lab Data: AEROBIC CULTURE
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
SMALL: SMALLPOX (ACAM2000)SANOFI PASTEURVV04003A0OTRA
Administered by: Other     Purchased by: Military
Symptoms: Culture, Skin lesion
SMQs:
Write-up: I developed cowpox like lesions, 2 on my right wrist, 1 on my left wrist, and one on my left temple. I was placed on Bactrim and Bactroban to prevent possible secondary bacterial infection.

VAERS ID:429963 (history)  Vaccinated:2011-08-12
Age:19.0  Onset:2011-08-12, Days after vaccination: 0
Gender:Male  Submitted:2011-08-16, Days after onset: 4
Location:Arizona  Entered:2011-08-16
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
MNQ: MENINGOCOCCAL CONJUGATE (MENVEO)NOVARTIS VACCINES AND DIAGNOSTICSA100610IMLA
Administered by: Private     Purchased by: Private
Symptoms: Pruritus, Rash generalised
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow)
Write-up: Rash all over body; itchy skin. Tx - over the counter allergy meds, creams, and Rx for prednisone to calm down reaction.

VAERS ID:430294 (history)  Vaccinated:2011-08-06
Age:19.0  Onset:2011-08-11, Days after vaccination: 5
Gender:Female  Submitted:2011-08-18, Days after onset: 7
Location:Alabama  Entered:2011-08-18
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 Post Partum
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (NO BRAND NAME)UNKNOWN MANUFACTURER    
Administered by: Private     Purchased by: Other
Symptoms: Pruritus, Rash, Swelling
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow)
Write-up: Rash, Itching, Swelling

VAERS ID:430328 (history)  Vaccinated:2011-08-08
Age:19.0  Onset:2011-08-08, Days after vaccination: 0
Gender:Male  Submitted:2011-08-19, Days after onset: 11
Location:Virginia  Entered:2011-08-19
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: none
Preexisting Conditions: NKA or medical conditions
Diagnostic Lab Data: NA
CDC Split Type: VA11009
Vaccination
Manufacturer
Lot
Dose
Route
Site
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA)SANOFI PASTEURU3555AA1IMLA
Administered by: Public     Purchased by: Public
Symptoms: Fall, Pupillary light reflex tests normal
SMQs:, Accidents and injuries (narrow)
Write-up: 19 y/o male into clinic for MCV4 to complete college entrance immunizations. Denied any problems with vaccine in past - actually had MCV4 on 8/5/05 @ 13 y/o. Administered vaccine and as PHN applying Band-Aid, client began to slump over. Ammonia wafted below nose and another PHN assisted in lowering client to floor. Woke up during transfer. BP 128/66, P 76,reg. Kept client lying still for 10 minutes. BP 120/70; pupils reactive to light. Slowly assisted to sit, then to stand. Had not eated breakfast - crackers and juice given. Client left clinc on own. Called end of day - doing well. Called 8/9/11 - doing well.

VAERS ID:430782 (history)  Vaccinated:2011-08-23
Age:19.0  Onset:2011-08-23, Days after vaccination: 0
Gender:Male  Submitted:2011-08-23, Days after onset: 0
Location:Arizona  Entered:2011-08-23
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.0692AA IMLA
Administered by: Private     Purchased by: Private
Symptoms: Dizziness, Pallor, Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad)
Write-up: Patient began to fell dizzy approximately 3 minutes post injection, then promptly fainted. Pt was laid down on exam table at which time he was noted to appear pale. Pt was at this time speaking and answered questions appropriately.

VAERS ID:430895 (history)  Vaccinated:0000-00-00
Age:19.0  Onset:2011-08-05
Gender:Male  Submitted:2011-08-23, Days after onset: 18
Location:Unknown  Entered:2011-08-23
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Unknown
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: PHEH2011US01456
Vaccination
Manufacturer
Lot
Dose
Route
Site
MNQ: MENINGOCOCCAL CONJUGATE (MENVEO)NOVARTIS VACCINES AND DIAGNOSTICSA10047 IMUN
Administered by: Other     Purchased by: Other
Symptoms: Convulsion
SMQs:, Systemic lupus erythematosus (broad), Convulsions (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Generalised convulsive seizures following immunisation (narrow)
Write-up: Case number PHEH2011US01456 is an initial spontaneous report received from a health care professional (medical assistant) on 11 Aug 2011. This report refers to a 19 year old male patient. He was vaccinated with MENVEO (batch number: A10047) intramuscularly on an unspecified date. He experienced a seizure after vaccination on 05 Aug 2011. The outcome was not reported.

VAERS ID:430975 (history)  Vaccinated:2011-08-05
Age:19.0  Onset:2011-08-06, Days after vaccination: 1
Gender:Female  Submitted:2011-08-08, Days after onset: 2
Location:Arizona  Entered:2011-08-24, Days after submission: 16
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.0610Z1SCUN
Administered by: Private     Purchased by: Private
Symptoms: Injection site erythema, Injection site rash, Injection site swelling
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow)
Write-up: Swelling, redness, 1" bump at injection site (L) SQ.

VAERS ID:432394 (history)  Vaccinated:2011-02-26
Age:19.0  Onset:2011-03-12, Days after vaccination: 14
Gender:Male  Submitted:2011-08-29, Days after onset: 169
Location:Unknown  Entered:2011-08-31, Days after submission: 2
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: The subject had no significant medical history.
Diagnostic Lab Data:
CDC Split Type: 201107357
Vaccination
Manufacturer
Lot
Dose
Route
Site
ANTH: ANTHRAX (NO BRAND NAME)UNKNOWN MANUFACTURER  UNUN
SMALL: SMALLPOX (ACAM2000)SANOFI PASTEUR  IDUN
Administered by: Unknown     Purchased by: Unknown
Symptoms: Echocardiogram abnormal, Electrocardiogram abnormal, Pericardial disease, Pericarditis, Troponin I increased
SMQs:, Systemic lupus erythematosus (broad), Myocardial infarction (narrow), Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad), Chronic kidney disease (broad)
Write-up: This study case was received from the investigator in a trial on 19 August 2011. A 19-year-old male subject who had no significant medical history had received ACAM2000 (lot number not reported) on 26 February 2011. Concomitant vaccines consisted of Anthrax 1 (other manufacturer, lot number not reported) received on 26 February 2011 and TYPHIM VI (manufacturer sanofi pasteur SA, lot number not reported) received on 24 February 2011. On 12 March 2011, the subject had both an ECG and Echocardiogram with abnormal findings and abnormal troponin I (00.67). That same day, the subject was diagnosed with Acute pericarditis, unspecified and Unspecified disease of pericardium. Outcome was not reported. Additional information will be requested from the investigator. Note: There is no reporter causality assessment as this is a safety surveillance (data mining, non-interventional) study. Documents held by sender: None.

VAERS ID:432545 (history)  Vaccinated:2011-08-31
Age:19.0  Onset:2011-08-31, Days after vaccination: 0
Gender:Male  Submitted:2011-08-31, Days after onset: 0
Location:Pennsylvania  Entered:2011-08-31
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Skipped breakfast
Preexisting Conditions: Asthma; allergy
Diagnostic Lab Data: None
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLUN3: INFLUENZA (SEASONAL) (FLUMIST)MEDIMMUNE VACCINES, INC.501094P IN 
HPV4: HPV (GARDASIL)MERCK & CO. INC.1569Z0UNLA
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA)SANOFI PASTEURU3712AA1UNRA
TDAP: TDAP (ADACEL)SANOFI PASTEURU3052BA0UNLA
Administered by: Private     Purchased by: Unknown
Symptoms: Muscle twitching, Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Arrhythmia related investigations, signs and symptoms (broad), Dyskinesia (broad), Dystonia (broad), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad)
Write-up: Faint, twitch approx. 10 sec.

VAERS ID:432872 (history)  Vaccinated:2011-08-25
Age:19.0  Onset:2011-08-25, Days after vaccination: 0
Gender:Male  Submitted:2011-08-30, Days after onset: 5
Location:Georgia  Entered:2011-09-02, Days after submission: 3
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: No
Preexisting Conditions: No
Diagnostic Lab Data: None
CDC Split Type: GA11017
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEPA: HEP A (HAVRIX)GLAXOSMITHKLINE BIOLOGICALSAHAVB509BA1UNRA
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA)SANOFI PASTEURU3778AA1UNRA
TDAP: TDAP (BOOSTRIX)GLAXOSMITHKLINE BIOLOGICALSAC52B067GA1UNLA
Administered by: Public     Purchased by: Other
Symptoms: Fall, Feeling abnormal
SMQs:, Dementia (broad), Accidents and injuries (narrow)
Write-up: Approximately 20 minutes after vaccination patient stood up and stated "I feel weird". Assisted client to chair and part of his buttocks missed the seat. He fell onto the floor and landed on his bottom. Provided first aid, cool compress to forehead, back and chest. Gave him soda & crackers. Monitored pt for additional 10-15 mins. Patient left with family w/o any complaints.

VAERS ID:433240 (history)  Vaccinated:2011-08-24
Age:19.0  Onset:2011-08-24, Days after vaccination: 0
Gender:Female  Submitted:2011-08-26, Days after onset: 2
Location:Rhode Island  Entered:2011-09-06, Days after submission: 11
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: (No)
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURLUH442AB IMUN
Administered by: Other     Purchased by: Other
Symptoms: Chest pain, Dyspnoea, Pain, Painful respiration, Pyrexia
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad)
Write-up: Received vaccine at about 3:30 p.m., chest cavity began aching around 8:00 p.m. By the next morning, it was difficult to breathe and was painful. Hurt to stand up. Had a fever of 99.5.

VAERS ID:433252 (history)  Vaccinated:2011-09-05
Age:19.0  Onset:2011-09-05, Days after vaccination: 0
Gender:Female  Submitted:2011-09-07, Days after onset: 2
Location:New York  Entered:2011-09-07
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions:
Diagnostic Lab Data: Dr sent to ER for imaging: Dx: Whiplash
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (AFLURIA)CSL LIMITED13849121A0IMLA
Administered by: Other     Purchased by: Unknown
Symptoms: Fall, Fatigue, Headache, Imaging procedure, Loss of consciousness, Post-traumatic neck syndrome
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)
Write-up: Patient blacked out, fell knees to the floor & then face from a sitting position 2 minutes after vaccine administration. She was tired, had a headache and saw Dr on 9-6 -$g ER for imaging -$g no problems. Dx: whiplash. Pt good now.

VAERS ID:433465 (history)  Vaccinated:2011-09-07
Age:19.0  Onset:2011-09-07, Days after vaccination: 0
Gender:Female  Submitted:2011-09-07, Days after onset: 0
Location:Tennessee  Entered:2011-09-07
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: States had a "cold" on 9-6-11.
Preexisting Conditions: Long QT Syndrome
Diagnostic Lab Data: Completed at ER. Results unavailable at time of this report.
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)GLAXOSMITHKLINE BIOLOGICALSAHBVC004AA1IMLA
Administered by: Other     Purchased by: Private
Symptoms: Blood pressure increased, Chest pain, Dizziness, Feeling hot, Laboratory test, Nausea, Vision blurred
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Glaucoma (broad), Hypertension (narrow), Cardiomyopathy (broad), Lens disorders (broad), Retinal disorders (broad), Vestibular disorders (broad)
Write-up: Approx. 1 hr after vaccine employee stated her vision was going blurry, head was dizzy and she was hot. She was laid down with feet elevated and ice packs applied. B/P continued to elevate. Ambulance called. Employee started to experience chest pain and nausea.

VAERS ID:433477 (history)  Vaccinated:2011-08-01
Age:19.0  Onset:2011-09-03, Days after vaccination: 33
Gender:Male  Submitted:2011-09-07, Days after onset: 4
Location:Mississippi  Entered:2011-09-07
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
ANTH: ANTHRAX (NO BRAND NAME)UNKNOWN MANUFACTURER  UNUN
FLUN3: INFLUENZA (SEASONAL) (FLUMIST)MEDIMMUNE VACCINES, INC.  IN 
SMALL: SMALLPOX (NO BRAND NAME)UNKNOWN MANUFACTURER   UN
TYP: TYPHOID VI POLYSACCHARIDE (NO BRAND NAME)UNKNOWN MANUFACTURER  UNUN
Administered by: Military     Purchased by: Military
Symptoms: Blister, Rash
SMQs:, Severe cutaneous adverse reactions (broad), Anaphylactic reaction (broad), Hypersensitivity (narrow)
Write-up: Rash/blisters on joints of fingers/fingertips also only on elbows and knees. Tx: ATARAX pills, local cream for itching.

VAERS ID:433536 (history)  Vaccinated:2011-07-22
Age:19.0  Onset:2011-08-01, Days after vaccination: 10
Gender:Male  Submitted:0000-00-00
Location:Unknown  Entered:2011-09-08
Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: No
Preexisting Conditions: None
Diagnostic Lab Data: MRI Brain; Lumbar puncture; VEP; MRI- spine
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
ANTH: ANTHRAX (BIOTHRAX)EMERGENT BIOSOLUTIONSFAV283 UNUN
Administered by: Military     Purchased by: Military
Symptoms: Demyelination, Lumbar puncture, Nuclear magnetic resonance imaging, Nuclear magnetic resonance imaging brain, Optic neuritis, Visual evoked potentials
SMQs:, Guillain-Barre syndrome (broad), Optic nerve disorders (narrow), Demyelination (narrow), Ocular infections (broad)
Write-up: Pt developed optic neuritis and diffuse demyelinating disease of the brain around the time of his vaccination.

VAERS ID:433604 (history)  Vaccinated:2011-08-19
Age:19.0  Onset:2011-08-22, Days after vaccination: 3
Gender:Male  Submitted:2011-09-02, Days after onset: 11
Location:New York  Entered:2011-09-08, Days after submission: 6
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.0963AA0IMUN
Administered by: Private     Purchased by: Private
Symptoms: Paraesthesia
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad)
Write-up: Tingling of all fingers 3 days after receiving 1st dose of GARDASIL - no other vaccines given.

VAERS ID:433891 (history)  Vaccinated:2011-09-09
Age:19.0  Onset:2011-09-10, Days after vaccination: 1
Gender:Male  Submitted:2011-09-10, Days after onset: 0
Location:Unknown  Entered:2011-09-10
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPVX: HPV (NO BRAND NAME)UNKNOWN MANUFACTURER    
Administered by: Public     Purchased by: Other
Symptoms: Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow)
Write-up: Urticaria (hives) covering abdomen, arms, legs, face

VAERS ID:434085 (history)  Vaccinated:2011-09-07
Age:19.0  Onset:2011-09-07, Days after vaccination: 0
Gender:Female  Submitted:2011-09-12, Days after onset: 5
Location:Texas  Entered:2011-09-12
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: Stated " all lab work normal was sent home from ER a few hours later with no further problems
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEPA: HEP A (HAVRIX)GLAXOSMITHKLINE BIOLOGICALSAHAVB408BA1IMRA
Administered by: Public     Purchased by: Unknown
Symptoms: Dizziness, Hypotension, Laboratory test normal, Malaise, Pallor, Syncope, Unresponsive to stimuli
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Cardiomyopathy (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad)
Write-up: Pt. was administered Hep A in (RD) - approx. 2-3 minutes later - nurse was called to waiting room by pt.''s friend "that she didn''t feel - well". Nurse arrived in waiting room pt fainted was lifted from chair to floor - pt. was not responsive for approx. 2-3 seconds awaken oriented x3 - appeared skin pale B/P 70/50 - P-58 - R-20 - observed for approx 45 min B/P remained low with c/o dizziness transferred by ambulance to ER for evaluation.

VAERS ID:434269 (history)  Vaccinated:2011-09-06
Age:19.0  Onset:2011-09-06, Days after vaccination: 0
Gender:Male  Submitted:2011-09-09, Days after onset: 3
Location:New York  Entered:2011-09-13, Days after submission: 4
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)NOVARTIS VACCINES AND DIAGNOSTICS11007010IMRA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Injection site rash
SMQs:, Hypersensitivity (narrow)
Write-up: Rash at site injection site Rt upper arm (plue) and (L) FA.

VAERS ID:434579 (history)  Vaccinated:2011-09-15
Age:19.0  Onset:2011-09-15, Days after vaccination: 0
Gender:Female  Submitted:2011-09-15, Days after onset: 0
Location:North Carolina  Entered:2011-09-15
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURUT448AA0IMRA
Administered by: Public     Purchased by: Private
Symptoms: Injection site papule, Papule, Pruritus, Rash
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow)
Write-up: Pt given flu vaccine approx. 2:15 pm 9-15-11 approximately 15-20 min later pt c/o "itching and bumps". Observed papules 2-3 mm in size to area of injection site 1-2 same on legs not on chest, back or abd. Pt stated "I feel ok". "I just itch". CNM instructed to ER if worsened.

VAERS ID:435112 (history)  Vaccinated:2011-09-20
Age:19.0  Onset:2011-09-20, Days after vaccination: 0
Gender:Female  Submitted:2011-09-21, Days after onset: 1
Location:Florida  Entered:2011-09-21
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.0306AA2IMLA
Administered by: Other     Purchased by: Other
Symptoms: Injection site induration, Injection site swelling
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: Admin injection to LA IM at 10:30am; at 10:55am LA: noted 3cm hard swollen area at injection site. No signs/symptoms noted of any resp distress. Scheduled with Dr. for further evaluation and final disposition.

VAERS ID:435487 (history)  Vaccinated:2011-09-23
Age:19.0  Onset:2011-09-23, Days after vaccination: 0
Gender:Female  Submitted:2011-09-23, Days after onset: 0
Location:Pennsylvania  Entered:2011-09-23
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: none
Preexisting Conditions: none
Diagnostic Lab Data: None
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.0477222IMAR
Administered by: Private     Purchased by: Private
Symptoms: Immediate post-injection reaction, Presyncope, Vomiting
SMQs:, Acute pancreatitis (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypotonic-hyporesponsive episode (broad), Hypersensitivity (narrow)
Write-up: Patient had near syncopal episode immediately after administration of vaccine. Had episode of vomiting. Was able to eat an ice pop and pretzels in office and was able to leave office ambulatory on her own.

VAERS ID:435668 (history)  Vaccinated:2011-09-19
Age:19.0  Onset:2011-09-19, Days after vaccination: 0
Gender:Female  Submitted:2011-09-19, Days after onset: 0
Location:California  Entered:2011-09-23, Days after submission: 4
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Hypertension (taking metoprolol); Psychosis (taking ZYPREXA)
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURUH456AB1IMLA
Administered by: Private     Purchased by: Unknown
Symptoms: Dizziness, Hypotension
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Vestibular disorders (broad)
Write-up: Dizziness, hypotension within minutes after injection. Trendelenburg position for 20 minutes. BP stabilized.

VAERS ID:435792 (history)  Vaccinated:2011-09-07
Age:19.0  Onset:2011-09-08, Days after vaccination: 1
Gender:Male  Submitted:2011-09-21, Days after onset: 13
Location:Unknown  Entered:2011-09-27, Days after submission: 6
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
SMALL: SMALLPOX (ACAM2000)SANOFI PASTEURVV04003A0 RA
Administered by: Military     Purchased by: Military
Symptoms: Vaccination complication
SMQs:
Write-up: Patient received vaccine 3 weeks prior to presentation on 9/20. 2 sites of vaccination?: 1st obvious vaccine inoculation, 2nd nearby, smaller c/w vaccinia reaction.

VAERS ID:436386 (history)  Vaccinated:0000-00-00
Age:19.0  Onset:0000-00-00
Gender:Male  Submitted:2011-09-28
Location:Unknown  Entered:2011-09-30, Days after submission: 2
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: The patient had symptoms of mononucleosis at the time of vaccination.
Diagnostic Lab Data: Not reported
CDC Split Type: 201109112
Vaccination
Manufacturer
Lot
Dose
Route
Site
MEN: MENINGOCOCCAL (NO BRAND NAME)UNKNOWN MANUFACTURER  UNUN
Administered by: Unknown     Purchased by: Unknown
Symptoms: Condition aggravated, Infectious mononucleosis, Oropharyngeal pain
SMQs:, Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow)
Write-up: Initial report was received on 21 September 2011 from another manufacturer national service center (service request number 1-4487450697), who received the report from a consumer who is also the patient''s parent. A 19 year-old male patient (name not reported) who had symptoms of mononucleosis and received the meningococcal vaccine (manufacturer, lot number, route, site and date of administration not reported). Two days later the patient was diagnosed with mononucleosis and then a week later he was admitted to the hospital with a "very sore throat". Treatments were given but the type of not reported. According to the parent, she did not feel the meningitis vaccine resulted in the mononucleosis. No further information was available at the time of the report. No contact information was provided for the reporter. The patient''s outcome was not reported. Document held by sender: none.

VAERS ID:437081 (history)  Vaccinated:2011-10-06
Age:19.0  Onset:2011-10-06, Days after vaccination: 0
Gender:Female  Submitted:2011-10-07, Days after onset: 1
Location:Kansas  Entered:2011-10-07
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: None significantly abnormal.
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)UNKNOWN MANUFACTURER    
Administered by: Other     Purchased by: Other
Symptoms: Chills, Flushing, Laboratory test normal, Tremor
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Parkinson-like events (broad), Noninfectious encephalopathy/delirium (broad), Hypersensitivity (broad)
Write-up: Significant uncontrollable tremulousness/shaking, intermittent chills, intermittent flushing, Temp 100 deg F in ER

VAERS ID:437142 (history)  Vaccinated:0000-00-00
Age:19.0  Onset:0000-00-00
Gender:Female  Submitted:2011-10-06
Location:Unknown  Entered:2011-10-07, Days after submission: 1
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Drug hypersensitivity
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: WAES1109USA03092
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC. 0UNUN
Administered by: Other     Purchased by: Other
Symptoms: Amnesia, Encephalitis, Fatigue, Hydrocephalus, Laboratory test, Nervous system disorder
SMQs:, Dementia (broad), Noninfectious encephalitis (narrow), Noninfectious encephalopathy/delirium (broad)
Write-up: Information has been received from a 21 year old female with rituximab allergy who who in 2009 was vaccinated with a series of 3 doses of GARDASIL (lot # not unknown), as encouraged by her physician. Concomitant therapy included CELEXA, LAMICTAL, CONCERTA, lorazepam, rituximab and prednisone. The patient was tired after the first dose of GARDASIL. Six months after the vaccination series she experienced limbic encephalitis, shrinkage of the right hippocampus, short-term memory loss, tiredness and fluid build-up on the temporal lobe and was hospitalized and treated (not further specified). Lab and diagnostics studies were performed (results unknown). The patient stated that her physicians did not know if she could be healed. The patient reported that she was told that if the shrinkage of her brain were to continue, she would be required to have brain surgery. At the time of the report, the patient had not recovered. Additional information has been requested.

VAERS ID:437423 (history)  Vaccinated:2011-10-08
Age:19.0  Onset:0000-00-00
Gender:Female  Submitted:2011-10-08
Location:Connecticut  Entered:2011-10-08
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: Unknown
Diagnostic Lab Data: Unknown
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)NOVARTIS VACCINES AND DIAGNOSTICS11004010IMLA
Administered by: Other     Purchased by: Other
Symptoms: Dyspnoea, Feeling hot
SMQs:, Anaphylactic reaction (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad)
Write-up: Patient came in for flu shot for the first time. After I administered it, I told her to stay around the area for 10 min, she came back telling me she was feeling hot and had difficulty breathing but not to the point where she was in anaphylaxis. 20 minutes of monitoring she felt as if we should call 911, so they came and said she was fine.

VAERS ID:437371 (history)  Vaccinated:2011-10-08
Age:19.0  Onset:2011-10-08, Days after vaccination: 0
Gender:Female  Submitted:2011-10-09, Days after onset: 1
Location:New Jersey  Entered:2011-10-09
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLULAVAL)GLAXOSMITHKLINE BIOLOGICALSAFLLA681AA2IMLA
Administered by: Private     Purchased by: Other
Symptoms: Injection site pain, Pyrexia, Wrong drug administered
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad)
Write-up: A vaccine was injected in my left deltoid that should not have been. The RN administering this vaccine had not pulled my chart or asked my name and this is why I raised the question asking what I had just been injected with. I had in fact been there to receive a Varicella booster to be ready for my nursing courses at school, but all the staff had written down for me to receive that day was "vaccine." Adverse symptoms are temporary, but include arm pain beginning from the injection site to my left cubital fossa and a low fever.

VAERS ID:437605 (history)  Vaccinated:2011-08-03
Age:19.0  Onset:2011-09-22, Days after vaccination: 50
Gender:Female  Submitted:2011-10-07, Days after onset: 15
Location:South Dakota  Entered:2011-10-11, Days after submission: 4
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Pregnancy NOS (LMP = 6/26/2011); Smoker
Preexisting Conditions:
Diagnostic Lab Data: Ultrasound, 08?/??/11, 14 weeks pregnant; Beta-human chorionic, Pregnant
CDC Split Type: WAES1109USA03015
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.1569Z1UNUN
Administered by: Other     Purchased by: Other
Symptoms: Abortion spontaneous, Human chorionic gonadotropin positive, Maternal exposure during pregnancy, Ultrasound antenatal screen, Vaginal haemorrhage
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Tumour markers (narrow), Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow), Termination of pregnancy and risk of abortion (narrow), Normal pregnancy conditions and outcomes (narrow)
Write-up: Information has been received from a patient and a nurse practitioner via pregnancy questionnaire for GARDASIL, a Pregnancy Registry product, concerning herself, a 20 year old female patient smoker, with no allergies or drug reactions, a history of 0 pregnancies and 0 live births and no pertinent medical history who on 03-AUG-2011 was vaccinated by a nurse practitioner with 0.5 mL of the second dose (also reported by the patient that was the first dose) of GARDASIL (Lot# 668229/1569Z, expiration date not reported). There was no concomitant medication. It was reported that after the dose was administered on 03-AUG-2011, the office did a blood test and it was determined she was pregnant. The date of her last menstrual period was 26-JUN-2011. On 22-SEP-2011 she went to an unspecified emergency room with spotting and bleeding, an ultrasound was scheduled for 23-SEP-2011. On the way to the ultrasound test she miscarriage. It was determined that she was 10 weeks pregnant (also reported by the patient as 14 weeks pregnant). It was reported that there was unknown if the products of conception were examined. The patient had not yet had the first pregnant visit, the first visit was scheduled 28-SEP-2011. The patient sought medical attention. At the time of reporting the patient was recovering. Upon internal review, miscarriage was determined to be an other important medical event. Additional information has been requested.

VAERS ID:437743 (history)  Vaccinated:2011-10-10
Age:19.0  Onset:2011-10-11, Days after vaccination: 1
Gender:Female  Submitted:2011-10-11, Days after onset: 0
Location:Virginia  Entered:2011-10-11
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: none
Preexisting Conditions: Penicillin, Ceclor
Diagnostic Lab Data: MD that patient saw at her college infirmary said that she either developed an infection or had a reaction to the vaccine.
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)NOVARTIS VACCINES AND DIAGNOSTICS11013011IMLA
Administered by: Other     Purchased by: Other
Symptoms: Infection, Injection site discolouration, Injection site erythema, Injection site streaking, Injection site swelling, Rash erythematous, Vaccination complication, Vaccination site reaction
SMQs:, Anaphylactic reaction (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow)
Write-up: Patient complained of redness, purple color, swelling and red streaking from the injection site. Pt also saw a red bump where the vaccine was administered. Patient received needle free vaccine this year, which was different from previous years.

VAERS ID:437797 (history)  Vaccinated:0000-00-00
Age:19.0  Onset:0000-00-00
Gender:Female  Submitted:2011-10-11
Location:Unknown  Entered:2011-10-12, Days after submission: 1
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Magnetic resonance, MRI of cervical and thoracic spine: three lesions with characteristic demyelinating appearance; magnetic resonance, MRI brain: one additional white matter lesion also consistent with a demyelinating process; serum ANA, negative; clinical serology test, serology with Treponema pallidum and Borrelia burgdorferi: negative; serum ACE, normal; serum vitamin B{12}, normal; serum folate, normal
CDC Split Type: WAES1110USA00902
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC. 1UNUN
Administered by: Other     Purchased by: Other
Symptoms: Angiotensin converting enzyme, Antinuclear antibody negative, Back pain, Blood folate normal, Borrelia test negative, Central nervous system lesion, Demyelination, Hypoaesthesia, Neurological examination abnormal, Nuclear magnetic resonance imaging brain abnormal, Nuclear magnetic resonance imaging spinal cord abnormal, Reflex test normal, Treponema test negative, Vitamin B12 normal
SMQs:, Peripheral neuropathy (broad), Retroperitoneal fibrosis (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Optic nerve disorders (broad), Demyelination (narrow)
Write-up: Information has been received from a published literature article. Since its inception, the polyvalent vaccine against the human papilloma virus (HPV), GARDASIL, has generated some controversies as a temporal relationship between the administrations of the vaccine and the development of a few autoimmune diseases, such as acute disseminated encephalomyelitis (ADEM), multiple sclerosis (MS) and Guillain-Barre syndrome have been reported. There are two cases whose initial presentation of CNS demyelination followed in close time relationship the administration of GARDASIL. The patient in this report is the first case- a 19 year old woman who received two doses of GARDASIL, 3 months apart, and approximately 1 month after the second dose, she developed numbness to the right foot that within 1 day extended to the contralateral foot and was associated with mid-thoracic back pain. Her neurological examination was only significant for the altered perception to touch to the feet. Deep tendon reflexes were normal and plantar reflexes in flexion. MRI of cervical and thoracic spine revealed a total of three lesions with characteristic demyelinating appearance, one of those in the thoracic spine was contrast-enhancing. MRI brain demonstrated one additional white matter lesion also consistent with a demyelinating process. Antinuclear antibody titres and serology for Treponema pallidum and Borrelia burgdorferi were negative; ACE levels, vitamin B12 and folate levels were normal. CSF was never tested. The patient was treated in the acute setting with high doses of intravenous methylprednisolone and clinical improvement ensued. Demyelinating disease was felt to be the likely diagnosis and approximately 4 months later treatment with natalizumab was initiated. The patient has remained clinically asymptomatic afterwards but the repeated MRI brain at 1 year showed new lesions in the white matter of both hemispheres and a small contrast enhancing area in the right frontal lobe. The patient tested positive for anti-natalizumab antibodies and the medication was discontinued. Alternative therapy for MS has been instituted. Since FDA approval in June 2006, GARDASIL has been implicated in the development of acute inflammatory polyneuropathy, MS and ADEM. It has been reported that 12 million doses of HPV vaccines have been distributed and 7802 adverse events were recorded. Of the 10 confirmed cases of Guillain-Barre syndrome, five had received concurrent administration of MENACTRA. The first case reported here is concerning for causality, as no medical problems were present prior to the administration of the vaccine and the McDonald criteria for the diagnosis of MS are met on follow-up MRI scan. In the second case, the development of sensory symptoms approximately 3 weeks before exposure to GARDASIL poses the question of a pre-existing condition, unmasked by the trauma, reaching its full expression in coincidence with the vaccination. Administration of GARDASIL exacerbated the clinical course of three patients who had already manifested neurological symptoms consistent with clinically isolated syndrome and converted to clinically definite MS after the vaccination. A case of ADEM and MS share some pathophysiological and clinical features, it is conceivable that an immunological stimulus capable of inducing a monophasic deregulated immune response in the CNS could potentially lead to a relapsing-remitting chronic course. It is plausible that in genetically predisposed individuals, the immunological stimulus of a vaccine or even some immunomodulatory therapies may lead to a deranged immune response that could theoretically trigger an autoimmune disease. In this view, the particularly aggressive course of disease demonstrated by the patient in case No 2 could be the result of such a stimulation that could not be controlled with a firstline immunomodulatory therapy. GARDASIL has raised no concerns about the risks of transmission of the HPV and the benefits of v

VAERS ID:437822 (history)  Vaccinated:2003-10-15
Age:19.0  Onset:2003-10-15, Days after vaccination: 0
Gender:Female  Submitted:2011-10-12, Days after onset: 2919
Location:Texas  Entered:2011-10-12
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: No
Preexisting Conditions: None
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
6VAX-F: DTAP+IPV+HEPB+HIB (NO BRAND NAME)UNKNOWN MANUFACTURER  IJUN
ANTH: ANTHRAX (NO BRAND NAME)UNKNOWN MANUFACTURER  IJUN
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)UNKNOWN MANUFACTURER  IJUN
HBPV: HIB POLYSACCHARIDE (NO BRAND NAME)UNKNOWN MANUFACTURER  IJUN
IPV: POLIO VIRUS, INACT. (NO BRAND NAME)UNKNOWN MANUFACTURER  IJUN
MMRV: MEASLES + MUMPS + RUBELLA + VARICELLA (NO BRAND NAME)UNKNOWN MANUFACTURER  IJUN
Administered by: Military     Purchased by: Military
Symptoms: Attention deficit/hyperactivity disorder, Bipolar disorder, Cognitive disorder, Confusional state, Depression, Ear infection, Fatigue, Injection site anaesthesia, Memory impairment, Musculoskeletal stiffness, Pyrexia, Upper respiratory tract infection
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Dystonia (broad), Parkinson-like events (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hostility/aggression (broad), Depression (excl suicide and self injury) (narrow), Arthritis (broad)
Write-up: High Fever, Confusion, Fatigue, Stiffened muscles, forgetfulness, numbness at injection sites x4, inability to follow simple commands. From 10/15/2003 to present has been diagnosed with depression, bi-polar disorder, and ADHD/ADD. Ear Infections, Chronic Upper Respiratory infections, continued loss of sensation at vaccine sites x2.

VAERS ID:437848 (history)  Vaccinated:2011-10-12
Age:19.0  Onset:2011-10-12, Days after vaccination: 0
Gender:Female  Submitted:2011-10-12, Days after onset: 0
Location:Illinois  Entered:2011-10-12
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Denied illness at time of vaccine.
Preexisting Conditions: Anxiety-treated with medication daily. Stated history of SVT.
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)NOVARTIS VACCINES AND DIAGNOSTICS11020010IMLA
Administered by: Other     Purchased by: Private
Symptoms: Burning sensation, Dizziness, Flushing, Injection site erythema, Injection site warmth
SMQs:, Anaphylactic reaction (broad), Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Vestibular disorders (broad), Hypersensitivity (broad)
Write-up: Returned to clinic w/c/o feeling dizzy, burning sensation to left outer ear and skin flushed. Approximate 3-4 inch circular red warm area to injection site (left deltoid). Cool packs placed to injection and left outer ear. Benadryl 50mg mg given po. Pt monitored for 30 minutes. Symptoms resolving.

VAERS ID:437912 (history)  Vaccinated:2011-10-12
Age:19.0  Onset:2011-10-12, Days after vaccination: 0
Gender:Female  Submitted:2011-10-12, Days after onset: 0
Location:Minnesota  Entered:2011-10-12
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: no
Preexisting Conditions: no
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (AFLURIA)CSL LIMITEDN571070IMLA
Administered by: Other     Purchased by: Private
Symptoms: Dizziness, Vision blurred
SMQs:, Anticholinergic syndrome (broad), Glaucoma (broad), Lens disorders (broad), Retinal disorders (broad), Vestibular disorders (broad)
Write-up: dizzy, blurred vision

VAERS ID:438226 (history)  Vaccinated:2011-10-12
Age:19.0  Onset:2011-10-12, Days after vaccination: 0
Gender:Female  Submitted:2011-10-13, Days after onset: 1
Location:Colorado  Entered:2011-10-13
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.1644Z SCLA
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.1747Y SCRA
Administered by: Private     Purchased by: Unknown
Symptoms: Local swelling, Pruritus, Skin warm
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad)
Write-up: Pt. states that approximately 8 hours after vaccines both areas began to itch severely & become swollen & hard. Hot to touch - approximately 2-3 inches in diameter. BENADRYL given in clinic.

VAERS ID:438705 (history)  Vaccinated:2011-10-16
Age:19.0  Onset:2011-10-16, Days after vaccination: 0
Gender:Female  Submitted:2011-10-16, Days after onset: 0
Location:Georgia  Entered:2011-10-17, Days after submission: 1
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Seizure disorder; Asthma
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURUH454AD0UNLA
Administered by: Other     Purchased by: Private
Symptoms: Condition aggravated, Convulsion, Unresponsive to stimuli
SMQs:, Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Convulsions (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (narrow)
Write-up: Patient had seizure and was unresponsive for several minutes. Blood pressure monitored and EPI PEN given, then became responsive. EMTS arrived & transported to hospital.

VAERS ID:439155 (history)  Vaccinated:2011-10-18
Age:19.0  Onset:2011-10-18, Days after vaccination: 0
Gender:Female  Submitted:2011-10-19, Days after onset: 1
Location:Massachusetts  Entered:2011-10-19
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: none
Preexisting Conditions: none
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURUH460AC2IMLA
Administered by: Public     Purchased by: Private
Symptoms: Body temperature decreased, Injection site erythema, Injection site oedema, Injection site pain, Malaise, Pain
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: LOCAL LEFT UPPER DELTOID 4 X 3CM ERYTHEMATOUS, mild edema, + tenderness, overall feeling of illness, achiness, low grade temp.

VAERS ID:439883 (history)  Vaccinated:2011-07-01
Age:19.0  Onset:2011-07-01, Days after vaccination: 0
Gender:Male  Submitted:2011-08-23, Days after onset: 53
Location:Unknown  Entered:2011-10-21, Days after submission: 59
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Unknown
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: PHHY2011US60202
Vaccination
Manufacturer
Lot
Dose
Route
Site
MNQ: MENINGOCOCCAL CONJUGATE (MENVEO)NOVARTIS VACCINES AND DIAGNOSTICS090701 IMUN
Administered by: Other     Purchased by: Other
Symptoms: Incorrect drug dosage form administered, No adverse event
SMQs:
Write-up: Case number PHHY2011US60202 is an initial spontaneous report received from a registered nurse on 01 Jul 2011. This report refers to a 19 year old male patient. He was vaccinated with MENVEO (batch number: 090701) intramuscularly on 01 Jul 2011. But he received only Men CYW liquid component without reconstituting it with Men A powder component. No adverse events were reported following this drug administration error.

VAERS ID:439975 (history)  Vaccinated:2010-11-26
Age:19.0  Onset:2010-11-26, Days after vaccination: 0
Gender:Female  Submitted:2011-08-23, Days after onset: 269
Location:Unknown  Entered:2011-10-21, Days after submission: 59
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Unknown
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: PHHY2011US43961
Vaccination
Manufacturer
Lot
Dose
Route
Site
MNQ: MENINGOCOCCAL CONJUGATE (MENVEO)NOVARTIS VACCINES AND DIAGNOSTICS091201 IMRA
Administered by: Other     Purchased by: Other
Symptoms: Incorrect drug dosage form administered, No adverse event
SMQs:
Write-up: Case number PHHY2011US43961 is an initial spontaneous report received from a nurse on 19 May 2011 with a combined follow up report received from nurse on 01 Jun 2011 and 07 Jun 2011. This report refers to a 19 year old female patient. She was given only the CYW-135 liquid component of MENVEO vaccine (batch number 091201, expiry date: Sep 2012) intramuscularly in the right arm deltoid on 26 Nov 2010. She came back alter and received the full dose. No other adverse reaction was reported. Combined follow up information received on 01 Jun 2011 and 07 Jun 2011: Further vaccination details were provided.

VAERS ID:440484 (history)  Vaccinated:2011-07-11
Age:19.0  Onset:2011-07-11, Days after vaccination: 0
Gender:Male  Submitted:2011-08-23, Days after onset: 43
Location:Unknown  Entered:2011-10-21, Days after submission: 59
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Unknown
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: PHHY2011US63525
Vaccination
Manufacturer
Lot
Dose
Route
Site
MNQ: MENINGOCOCCAL CONJUGATE (MENVEO)NOVARTIS VACCINES AND DIAGNOSTICSM10034 IMUN
Administered by: Other     Purchased by: Other
Symptoms: Incorrect drug dosage form administered, No adverse event
SMQs:
Write-up: Case number PHHY2011US63525 is an initial spontaneous report received from a nurse on 13 Jul 2011. This report refers to a 19 year old male patient. He was vaccinated with MENVEO (batch number: M10034) intramuscularly on 11 Jul 2011. However, the patient received only the Men CYW-135 liquid conjugate without reconstituting it with Men A powder conjugate. No adverse event was reported following this drug administration error.

VAERS ID:439764 (history)  Vaccinated:2011-10-03
Age:19.0  Onset:2011-10-04, Days after vaccination: 1
Gender:Female  Submitted:2011-10-15, Days after onset: 11
Location:Massachusetts  Entered:2011-10-24, Days after submission: 9
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (AFLURIA)CSL LIMITEDN57307 IMUN
Administered by: Unknown     Purchased by: Unknown
Symptoms: Erythema, Oedema peripheral
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad)
Write-up: Arm was swollen, red, puffy.

VAERS ID:440763 (history)  Vaccinated:2011-10-27
Age:19.0  Onset:2011-10-28, Days after vaccination: 1
Gender:Female  Submitted:2011-10-31, Days after onset: 3
Location:New York  Entered:2011-10-31
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: Seasonal Allergies
Diagnostic Lab Data: None
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (AFLURIA)CSL LIMITEDN551050IMLA
Administered by: Other     Purchased by: Private
Symptoms: Nausea, Vomiting
SMQs:, Acute pancreatitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)
Write-up: Nausea the day following the vaccine administration. Pt reported vomiting as well. As of today, 10/31/2011, pt reports resolution of nausea and vomiting and that she is feeling better.

VAERS ID:440975 (history)  Vaccinated:2011-10-28
Age:19.0  Onset:2011-10-29, Days after vaccination: 1
Gender:Female  Submitted:2011-11-01, Days after onset: 3
Location:Texas  Entered:2011-11-01
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: none known
Preexisting Conditions: seasonal allergies, anemia
Diagnostic Lab Data: none
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.0626AA1IMRA
Administered by: Private     Purchased by: Private
Symptoms: Injection site erythema, Injection site pruritus, Injection site rash
SMQs:, Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (narrow)
Write-up: Patient complained of itching, erythema, and a rash on her right arm at the site of her Gardasil vaccine and reports the symptoms began one day after receiving the vaccine. She reports the itching resolved after use of an OTC hydrocortisone cream and states the rash has not spread.

VAERS ID:441459 (history)  Vaccinated:2010-07-08
Age:19.0  Onset:0000-00-00
Gender:Female  Submitted:2011-11-06
Location:Indiana  Entered:2011-11-06
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Just a slight hematoma at sight of injection
Preexisting Conditions: Asthma; spondylothesis
Diagnostic Lab Data: Blood test, endoscopy, colonoscopy, Pap smear, CT Scan, Laparoscopy.
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
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Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.1377Y1UNRA
Administered by: Unknown     Purchased by: Private
Symptoms: Blood test, Colonoscopy, Computerised tomogram, Crohn's disease, Depression, Endometriosis, Endoscopy, Injection site haematoma, Laparoscopy, Malaise, Pain, Precancerous cells present, Smear cervix abnormal, Suicide attempt, Surgery
SMQs:, Suicide/self-injury (narrow), Haemorrhage terms (excl laboratory terms) (narrow), Gastrointestinal premalignant disorders (narrow), Ischaemic colitis (broad), Depression (excl suicide and self injury) (narrow)
Write-up: Since the vaccine patient has been diagnosed with Endometriosis, Crohn''s. Had 4 surgeries, MULTIPLE hospitalizations from generalized pain, abnormal Pap smear with pre-cancerous cells, depression, attempted suicide, and overall feeling of being sick.

VAERS ID:441752 (history)  Vaccinated:2011-10-31
Age:19.0  Onset:2011-11-01, Days after vaccination: 1
Gender:Female  Submitted:2011-11-03, Days after onset: 2
Location:California  Entered:2011-11-08, Days after submission: 5
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: NKDA
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURUH455AA UNLA
HPV4: HPV (GARDASIL)MERCK & CO. INC.0840AA2UNLA
MNQ: MENINGOCOCCAL CONJUGATE (MENVEO)NOVARTIS VACCINES AND DIAGNOSTICSA10053 UNLA
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.0467AA UNLA
Administered by: Private     Purchased by: Public
Symptoms: Eye swelling, Lip pain, Lip swelling, Swelling face
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow)
Write-up: Pt states had swelling of (R) cheek, and swelling of left eye, and mild swelling and pain to lips.

VAERS ID:441833 (history)  Vaccinated:2011-10-10
Age:19.0  Onset:2011-10-16, Days after vaccination: 6
Gender:Female  Submitted:2011-11-03, Days after onset: 18
Location:South Carolina  Entered:2011-11-08, Days after submission: 5
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None noted
Preexisting Conditions: Penicillin (rash)
Diagnostic Lab Data: MRI; UDS
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURUH476AC UNUN
Administered by: Other     Purchased by: Unknown
Symptoms: Drug screen, Myelitis transverse, Nuclear magnetic resonance imaging
SMQs:, Drug abuse and dependence (broad), Demyelination (narrow)
Write-up: Transverse myelitis. Received Flu shot on 10/10/11 at local pharmacy. Seen in ED 10/17/11 got oral steroids. Saw Dr. 11 days later on 10/21/11. Referred to neurologist shortly after for tx w/ IV steroids.

VAERS ID:442560 (history)  Vaccinated:2011-11-12
Age:19.0  Onset:2011-11-13, Days after vaccination: 1
Gender:Male  Submitted:2011-11-15, Days after onset: 2
Location:South Carolina  Entered:2011-11-15
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: No
Preexisting Conditions: No
Diagnostic Lab Data: Was given steroids. Discharged approx 6:00pm.
CDC Split Type:
Vaccination
Manufacturer
Lot
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FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEUR492810388150IJLA
Administered by: Public     Purchased by: Private
Symptoms: Dizziness, Dyspnoea, Headache, Urticaria
SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), Anticholinergic syndrome (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Vestibular disorders (broad), Hypersensitivity (narrow)
Write-up: Sunday 11/13 felt slightly dizzy and headache. On 11/14 approx 1:45pm began to have trouble breathing, felt faint, broke out in hives and very dizzy.

VAERS ID:442589 (history)  Vaccinated:2011-10-26
Age:19.0  Onset:2011-11-07, Days after vaccination: 12
Gender:Female  Submitted:2011-11-15, Days after onset: 8
Location:Washington  Entered:2011-11-15
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: No
Preexisting Conditions: None
Diagnostic Lab Data: Serum HCG test was negative.
CDC Split Type:
Vaccination
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ANTH: ANTHRAX (BIOTHRAX)EMERGENT BIOSOLUTIONSFAV294 UNGM
FLUN3: INFLUENZA (SEASONAL) (FLUMIST)MEDIMMUNE VACCINES, INC.501094P IN 
SMALL: SMALLPOX (ACAM2000)SANOFI PASTEURVV04003A IDUN
Administered by: Military     Purchased by: Military
Symptoms: Human chorionic gonadotropin negative, Secondary transmission
SMQs:
Write-up: Patient is the spouse of an Active Duty Service member who was given the Smallpox Vaccine on 26OCT2011. The patient developed a similar sore to that of her husband more than 1 week later. She states that he did keep it clean and covered as instructed, but they share bed sheets, towels, etc. Now the patient has a typical "major reaction" to a smallpox vaccine on her Right Forearm.

VAERS ID:442703 (history)  Vaccinated:2011-11-08
Age:19.0  Onset:2011-11-08, Days after vaccination: 0
Gender:Female  Submitted:2011-11-09, Days after onset: 1
Location:Oklahoma  Entered:2011-11-16, Days after submission: 7
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: No
Preexisting Conditions: NKA; Epilepsy; Tonsillectomy; Tendonitis (L) foot
Diagnostic Lab Data: None
CDC Split Type:
Vaccination
Manufacturer
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Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURUH453AC0IMRA
Administered by: Other     Purchased by: Private
Symptoms: Dyspnoea, Nasal congestion
SMQs:, Anaphylactic reaction (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad)
Write-up: Onset of dyspnea approx 3 hours after injection. Pt had managed was not breathing and nasal congestion as well. O2 Sat 97% RA. She was tx with KENALOG 40 mg IM with rapid improvement of symptoms. Discharge home with albuterol/HFA and BENADRYL instructing.

VAERS ID:442835 (history)  Vaccinated:2011-11-14
Age:19.0  Onset:2011-11-14, Days after vaccination: 0
Gender:Female  Submitted:2011-11-16, Days after onset: 2
Location:California  Entered:2011-11-16
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: None
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLULAVAL)GLAXOSMITHKLINE BIOLOGICALSAFLLA673AA IMLA
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.1071AA IMLA
Administered by: Private     Purchased by: Private
Symptoms: Headache, Injection site erythema, Injection site pain, Injection site swelling, Nausea, Pyrexia
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: Pt has left upper arm soreness, redness 4 inches x 3 inches of swelling nausea, headache, fever 102.5 tympanic.

VAERS ID:442922 (history)  Vaccinated:2011-10-20
Age:19.0  Onset:2011-11-15, Days after vaccination: 26
Gender:Female  Submitted:2011-11-17, Days after onset: 2
Location:Wisconsin  Entered:2011-11-17
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None reported
Preexisting Conditions: Anxiety, depression, GERD
Diagnostic Lab Data: No follow up since regarding resolution of symptoms.
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURUT448AA1IMLA
Administered by: Private     Purchased by: Other
Symptoms: Culture urine positive, Escherichia test positive, Urinary tract infection
SMQs:
Write-up: Patient with onset of UTI symptoms (unclear when), Urine positive, cx positive for E. coli, treated with antibiotics.

VAERS ID:443217 (history)  Vaccinated:2011-08-04
Age:19.0  Onset:2011-08-18, Days after vaccination: 14
Gender:Male  Submitted:2011-11-21, Days after onset: 95
Location:California  Entered:2011-11-21
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
SMALL: SMALLPOX (ACAM2000)SANOFI PASTEURVV04003A0IDLA
Administered by: Military     Purchased by: Military
Symptoms: Pruritus, Rash
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow)
Write-up: MILD RASH ON UPPER TORSO. PT COMPLAINED OF ITCHINESS. VSS. AFEBRILE, NO ACUTE DISTRESS. PT GIVEN BENADRYL WITH MILD TO NO AFFECT. PT LATER GIVEN ATARAX AND RASH DECREASED.

VAERS ID:443231 (history)  Vaccinated:2011-11-19
Age:19.0  Onset:2011-11-19, Days after vaccination: 0
Gender:Female  Submitted:2011-11-21, Days after onset: 2
Location:California  Entered:2011-11-21
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (AFLURIA)CSL LIMITED04849211A  RA
Administered by: Military     Purchased by: Military
Symptoms: Maternal exposure during pregnancy, No adverse event
SMQs:, Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow)
Write-up: NO ADVERSE REACTION HOWEVER PATIENT IS 2 MONTHS PREGNANT AND VACCINE ADMIN DID NOT SCREENED THE RECORDS PROPERLY AND GAVE THE IMMUNIZATION REGARDLESS. SHE WAS GIVEN AFLURIA. LOT NO 04849211A

VAERS ID:443730 (history)  Vaccinated:2011-11-14
Age:19.0  Onset:2011-11-14, Days after vaccination: 0
Gender:Male  Submitted:2011-11-14, Days after onset: 0
Location:Tennessee  Entered:2011-11-22, Days after submission: 8
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)NOVARTIS VACCINES AND DIAGNOSTICS402601 UNRA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Dizziness, Erythema, Malaise, Paraesthesia, Skin discolouration
SMQs:, Anaphylactic reaction (broad), Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Hypersensitivity (broad)
Write-up: Flu shot per patient. 2-3 minutes after receiving vaccine, pts friend said he was not doing well. Stretched out on floor. Stated felt light headed, breathing OK. Face bright red then white then normal. B.P. 87/73. Wet towels to face, then set on floor, then in chair at location, then in waiting area -$g stated hands felt normal, then tingling, then almost normal. Left after approx 15-20 minutes stating OK. Advised to let friend drive.

VAERS ID:444075 (history)  Vaccinated:2011-11-17
Age:19.0  Onset:0000-00-00
Gender:Female  Submitted:2011-11-30
Location:Georgia  Entered:2011-11-30
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: No
Preexisting Conditions: None
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)GLAXOSMITHKLINE BIOLOGICALSAHBVB976AA1IMRA
IPV: POLIO VIRUS, INACT. (IPOL)SANOFI PASTEURE09502SCLA
TDAP: TDAP (ADACEL)SANOFI PASTEURU4090AA0IMLA
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.0412AA1SCRA
Administered by: Public     Purchased by: Private
Symptoms: Unevaluable event
SMQs:
Write-up: None.

VAERS ID:444158 (history)  Vaccinated:2011-12-01
Age:19.0  Onset:2011-12-01, Days after vaccination: 0
Gender:Male  Submitted:2011-12-01, Days after onset: 0
Location:New York  Entered:2011-12-01
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: none
Preexisting Conditions: none
Diagnostic Lab Data: none
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
ANTH: ANTHRAX (BIOTHRAX)EMERGENT BIOSOLUTIONSFAV2970IMRA
SMALL: SMALLPOX (ACAM2000)SANOFI PASTEURVV04003A0IDLA
TYP: TYPHOID VI POLYSACCHARIDE (TYPHIM VI)SANOFI PASTEURE054910IMLA
Administered by: Military     Purchased by: Military
Symptoms: Wrong technique in drug usage process
SMQs:
Write-up: Gave soldier the small vaccination. After soldier left the nurses station another nurse told me that the smallpox vaccine that I had used had to much dilutent in it. I checked with the person who made it and she said that she had put 1ml more dilutent in it than it was supposed to have. Found patient in P.A.''s office and let the patient and P.A. know what had happened. I was told P.A. would find out what was to be done about it, patient was watched for 15 minutes and P.A. Patient was asked to come back in 10 days so that we can check on smallpox reaction. If there is none we will revaccinate. and was let go. Then P.A. came and told me that they had let patient go and he was coming back to get reaction checked.

VAERS ID:444493 (history)  Vaccinated:2011-10-20
Age:19.0  Onset:2011-10-22, Days after vaccination: 2
Gender:Female  Submitted:2011-12-05, Days after onset: 44
Location:Tennessee  Entered:2011-12-05
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)NOVARTIS VACCINES AND DIAGNOSTICS1100801 IMRA
Administered by: Other     Purchased by: Private
Symptoms: Local swelling
SMQs:, Angioedema (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: Swelling around the right upper collar bone and neck.

VAERS ID:444750 (history)  Vaccinated:1976-11-24
Age:19.0  Onset:1976-11-26, Days after vaccination: 2
Gender:Female  Submitted:2011-10-12, Days after onset: 12737
Location:Michigan  Entered:2011-12-07, Days after submission: 56
Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: Anemia
Diagnostic Lab Data: Unknown
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLUX(H1N1): INFLUENZA (H1N1) (H1N1 (MONOVALENT) (UNKNOWN)UNKNOWN MANUFACTURER 0UNLA
Administered by: Other     Purchased by: Other
Symptoms: Activities of daily living impaired, Body temperature increased, Hemiplegia, Injected limb mobility decreased, Upper respiratory tract infection
SMQs:, Neuroleptic malignant syndrome (broad), Dementia (broad), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (narrow)
Write-up: Fri after Thanksgiving, I ran 102-104 temp, (L) side paralyzed. 2 wks with URI, unable to move (L) arm at all. Off work 2 wk. Company had all their employees vaccinated.

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