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Case Details (Sorted by Age)

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VAERS ID:124998 (history)  Vaccinated:1998-06-17
Age:22.0  Onset:1999-03-08, Days after vaccination: 264
Gender:Female  Submitted:1999-06-15, Days after onset: 98
Location:Connecticut  Entered:1999-06-18, Days after submission: 3
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.1574E0SCLL
Administered by: Private     Purchased by: Public
Symptoms: Drug ineffective, Infection
SMQs:, Lack of efficacy/effect (narrow)
Write-up: a cousin of pt visited pt home 3wk prior to 3/8/99 cousin devel chickenpox 2wk later;pt & parents devel chickenpox 3wk p/the cousin''s visit;pt had about 20 to 25 lesions on trunk parents had full blown chickenpox;pr recovered in 3 to 4 days

VAERS ID:125269 (history)  Vaccinated:1999-06-18
Age:22.8  Onset:1999-06-18, Days after vaccination: 0
Gender:Male  Submitted:1999-06-18, Days after onset: 0
Location:Washington  Entered:1999-06-30, Days after submission: 12
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: NA
Other Medications: APAP allergy
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: CBC-nl x/WBC 13.7K, chem 7 nl;amylase nl; LFT''s nl;
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
TYP: TYPHOID VI POLYSACCHARIDE (TYPHIM VI)CONNAUGHT LABORATORIESP13460IMRA
Administered by: Military     Purchased by: Unknown
Symptoms: Abdominal pain, Dehydration, Leukocytosis, Vomiting
SMQs:, Acute pancreatitis (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Retroperitoneal fibrosis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)
Write-up: devel severe abd cramps, nausea, vomiting about 90min p/vax;tx w/Iv hydration, antiemetics & antispasmodic meds w/improvement;

VAERS ID:125505 (history)  Vaccinated:1999-07-06
Age:22.7  Onset:1999-07-07, Days after vaccination: 1
Gender:Male  Submitted:0000-00-00
Location:Idaho  Entered:1999-07-12
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: pt exp abscess w/dose 1&2 of Td vax;
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: bee stings
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEPA: HEP A (NO BRAND NAME)UNKNOWN MANUFACTURER    
TD: TD ADSORBED (NO BRAND NAME)UNKNOWN MANUFACTURER 2 RA
Administered by: Public     Purchased by: Private
Symptoms: Adverse drug reaction, Injection site mass, Injection site oedema, Myalgia, Pyrexia, Vasodilatation
SMQs:, Rhabdomyolysis/myopathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Eosinophilic pneumonia (broad)
Write-up: p/vax pt feverish & achy, swelling & lump on rt arm, heat radiating from arm applied hot & cold doing better but not yet recovered;

VAERS ID:126264 (history)  Vaccinated:1999-05-21
Age:22.7  Onset:1999-06-17, Days after vaccination: 27
Gender:Male  Submitted:1999-06-25, Days after onset: 8
Location:Michigan  Entered:1999-07-22, Days after submission: 27
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: none
Diagnostic Lab Data: none
CDC 'Split Type': MI99069
Vaccination
Manufacturer
Lot
Dose
Route
Site
HIBV: HIB (PEDVAXHIB)MERCK & CO. INC.0430H0IMRA
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.1550H1SCLA
TD: TD ADSORBED (NO BRAND NAME)CONNAUGHT LABORATORIES09772205IMLA
Administered by: Public     Purchased by: Public
Symptoms: Ecchymosis, Paraesthesia, Pyrexia, Vasodilatation
SMQs:, Peripheral neuropathy (broad), Haemorrhage terms (excl laboratory terms) (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad)
Write-up: p/vax pt devel lt arm redness & low grade fever, rt arm had bruised oblong area, had tingling down rt arm but consciously aware of tingling from rt elbow to hand since 6/7/99.

VAERS ID:126796 (history)  Vaccinated:1999-07-22
Age:22.7  Onset:1999-07-22, Days after vaccination: 0
Gender:Female  Submitted:1999-07-23, Days after onset: 1
Location:Mississippi  Entered:1999-08-02, Days after submission: 10
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: n/a
Other Medications: unk
Current Illness: none
Preexisting Conditions: unk
Diagnostic Lab Data:
CDC 'Split Type': MS99028
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.1168H2IMLA
Administered by: Public     Purchased by: Unknown
Symptoms: Ear pain, Eye pain
SMQs:, Glaucoma (broad)
Write-up: while giving pt hepB vax, med squirted mom in the rt eye when needle retracted into syringe. no c/o burning or pain before leaving. that eve pt (mom) was having pain in eye & ear. flushed eye & instructed to use ice pack & see eye MD.

VAERS ID:126939 (history)  Vaccinated:1999-07-19
Age:22.0  Onset:1999-07-20, Days after vaccination: 1
Gender:Female  Submitted:1999-07-21, Days after onset: 1
Location:Florida  Entered:1999-08-05, Days after submission: 15
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: no
Other Medications: none
Current Illness: none
Preexisting Conditions: none
Diagnostic Lab Data: none
CDC 'Split Type': FL99023
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)CONNAUGHT LABORATORIES0970520 IMLA
Administered by: Public     Purchased by: Public
Symptoms: Hypertonia, Injection site hypersensitivity, Injection site mass, Injection site pain, Nausea, Pain, Vomiting
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Parkinson-like events (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypersensitivity (narrow)
Write-up: pt states lt arm @ inject site start turning red & paining on 7/20; pt then noted lump; c/o lt arm cramping & pain w/internals c/o pain & cramping up to shoulder down to middle arm; c/o nausea & vomiting; 2'''' reddened & induration area;

VAERS ID:127018 (history)  Vaccinated:1999-07-09
Age:22.7  Onset:1999-07-15, Days after vaccination: 6
Gender:Female  Submitted:1999-07-16, Days after onset: 1
Location:Minnesota  Entered:1999-08-09, Days after submission: 24
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: vitamins
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: blood tests of some king
CDC 'Split Type': MN99012
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0540J0SCLA
TD: TD ADSORBED (NO BRAND NAME)CONNAUGHT LABORATORIES0997390 IMRA
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.0301J0SCRA
Administered by: Public     Purchased by: Public
Symptoms: Lymphadenopathy, Pain, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad)
Write-up: devel lumps under arms;sore;mild fever @ noc;given 10 days course of ATB;

VAERS ID:127111 (history)  Vaccinated:0000-00-00
Age:22.6  Onset:1999-08-04
Gender:Male  Submitted:1999-08-04, Days after onset: 0
Location:Massachusetts  Entered:1999-08-10, Days after submission: 6
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
LYME: LYME (LYMERIX)SMITHKLINE BEECHAM116A2 IM 
Administered by: Unknown     Purchased by: Unknown
Symptoms: Dystonia, Hypertonia, Tremor
SMQs:, Neuroleptic malignant syndrome (broad), Dystonia (narrow), Parkinson-like events (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad)
Write-up: p/vax pt devel generalized stiffness & shakes w/o fever, chills, nausea, vomiting, urticaria, hives or angioedema;exam c/w cog wheeling w/inc muscle tone dystonic rxn;responded as expected to DPH IM;

VAERS ID:127163 (history)  Vaccinated:0000-00-00
Age:22.0  Onset:1990-01-03
Gender:Female  Submitted:1999-08-12, Days after onset: 3507
Location:Missouri  Entered:1999-08-13, Days after submission: 1
Life Threatening? Yes
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: several med
Current Illness:
Preexisting Conditions: none
Diagnostic Lab Data: unk
CDC 'Split Type':
Vaccination
Manufacturer
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UNK: VACCINE NOT SPECIFIED (NO BRAND NAME)UNKNOWN MANUFACTURER    
Administered by: Unknown     Purchased by: Unknown
Symptoms: Amblyopia, Amnesia, Asthenia, Asthma, Dizziness, Headache, Myalgia, Nausea, Pharyngitis
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Acute pancreatitis (broad), Agranulocytosis (broad), Asthma/bronchospasm (narrow), Anticholinergic syndrome (broad), Dementia (broad), Oropharyngeal infections (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Optic nerve disorders (broad), Eosinophilic pneumonia (broad), Vestibular disorders (broad), Hypersensitivity (broad)
Write-up: sx of gulf war syndrome; asthma; increased migraine h/a; resp recurring infect; fibromyalgia; loss of memory long & short term; fatigue; blurred vision; dizziness; nausea

VAERS ID:127182 (history)  Vaccinated:1999-02-04
Age:22.8  Onset:1999-02-06, Days after vaccination: 2
Gender:Female  Submitted:0000-00-00
Location:Kentucky  Entered:1999-08-13
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: NKA
Diagnostic Lab Data:
CDC 'Split Type': KY990012
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)CONNAUGHT LABORATORIES09705201 LA
Administered by: Public     Purchased by: Unknown
Symptoms: Dysphagia, Oedema peripheral, Pain, Pharyngitis, Pruritus, Urticaria, Vasodilatation
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Agranulocytosis (broad), Angioedema (narrow), Anticholinergic syndrome (broad), Oropharyngeal infections (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow)
Write-up: pt reports arm pain since 2/6/99 & 2/8/99 reports swelling of arm, hives on arm only, itching & redness & then on 2/9/99 c/o scratching of throat & problems swallowing;pt saw MD 2/9/99 given motrin & is having no problems today;

VAERS ID:127342 (history)  Vaccinated:1999-08-04
Age:22.0  Onset:1999-08-05, Days after vaccination: 1
Gender:Male  Submitted:1999-08-13, Days after onset: 8
Location:Maryland  Entered:1999-08-19, Days after submission: 6
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: ~~ ~~In patient
Other Medications: none
Current Illness: no
Preexisting Conditions: no
Diagnostic Lab Data: pending CBC; chem 7; LFT''s; ESR; CK; aldolase; nl PFTs
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
ANTH: ANTHRAX (NO BRAND NAME)UNKNOWN MANUFACTURER441SC 
JEV: JAPANESE ENCEPHALITIS (J-VAX)CONNAUGHT LABORATORIES170A1SC 
Administered by: Unknown     Purchased by: Unknown
Symptoms: Chest pain, Dyspnoea, Myalgia
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (broad)
Write-up: p/vax pt exp chest tightness & dyspnea especially w/exertion & myalgia of lower extremities;pt given 24hour rest; pt has persistence of these symptoms & unable to participate in daily physical fitness activities due to SOB;sx persist

VAERS ID:127442 (history)  Vaccinated:1999-07-24
Age:22.3  Onset:0000-00-00
Gender:Male  Submitted:1990-08-16
Location:Wisconsin  Entered:1999-08-23, Days after submission: 3294
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: migraine headaches
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
ANTH: ANTHRAX (NO BRAND NAME)MICHIGAN DEPT PUB HLTHFAV0411SCLA
Administered by: Military     Purchased by: Military
Symptoms: Dizziness, Injection site oedema, Myasthenic syndrome, Oedema peripheral, Skin discolouration
SMQs:, Cardiac failure (broad), Angioedema (broad), Anticholinergic syndrome (broad), Malignancy related conditions (narrow), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad)
Write-up: p/vax pt c/o whole body weakness; lt arm swelling & discoloration approx 6'''' down from inj site; also c/o dizziness & bed ridden for 2-3 days;

VAERS ID:127445 (history)  Vaccinated:1999-07-10
Age:22.2  Onset:1999-07-12, Days after vaccination: 2
Gender:Male  Submitted:1999-07-12, Days after onset: 0
Location:Wisconsin  Entered:1999-08-23, Days after submission: 42
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: EKG-WNL BP-102/60 p72 lungs clear bilat
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
ANTH: ANTHRAX (NO BRAND NAME)MICHIGAN DEPT PUB HLTHFAV0410SC 
Administered by: Military     Purchased by: Private
Symptoms: Chest pain, Myalgia
SMQs:, Rhabdomyolysis/myopathy (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (broad)
Write-up: p/vax pt devel substantial chest pain; body aches also present;

VAERS ID:127585 (history)  Vaccinated:1999-07-21
Age:22.9  Onset:1999-08-06, Days after vaccination: 16
Gender:Female  Submitted:1999-08-10, Days after onset: 4
Location:Florida  Entered:1999-08-24, Days after submission: 14
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: orthotricyclin
Current Illness: none
Preexisting Conditions: codeine
Diagnostic Lab Data: none
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.1062H0SCLA
Administered by: Private     Purchased by: Other
Symptoms: Injection site hypersensitivity, Injection site pain, Pruritus
SMQs:, Anaphylactic reaction (broad), Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (narrow)
Write-up: p/vax pt exp inj site lt arm itching, redness, pain w/small varicella like rash around inj site

VAERS ID:128371 (history)  Vaccinated:1999-08-26
Age:22.0  Onset:1999-08-26, Days after vaccination: 0
Gender:Male  Submitted:0000-00-00
Location:Unknown  Entered:1999-09-20
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
ANTH: ANTHRAX (NO BRAND NAME)MICHIGAN DEPT PUB HLTH    
Administered by: Unknown     Purchased by: Unknown
Symptoms: Arthralgia, Dizziness, Hepatic neoplasm, Hypoxia, Influenza, Renal failure, Respiratory disorder, Tinnitus
SMQs:, Rhabdomyolysis/myopathy (broad), Acute renal failure (narrow), Asthma/bronchospasm (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (broad), Torsade de pointes, shock-associated conditions (broad), Hypovolaemic shock conditions (broad), Toxic-septic shock conditions (broad), Anaphylactic/anaphylactoid shock conditions (broad), Hypoglycaemic and neurogenic shock conditions (broad), Acute central respiratory depression (broad), Eosinophilic pneumonia (broad), Hearing impairment (narrow), Vestibular disorders (broad), Tumours of unspecified malignancy (narrow), Liver tumours of unspecified malignancy (narrow), Chronic kidney disease (narrow), Arthritis (broad), Tumour lysis syndrome (broad)
Write-up: p/vax pt rpt dizziness; tinnitus;joint pains; seen @ clinic & Dx: flu;home;next day worse; hosp;renal failure; devel liver abscess; has had 2 operations for drainage;being weaned off ventilator;suspected lot contamination;

VAERS ID:128561 (history)  Vaccinated:1998-12-21
Age:22.8  Onset:1999-02-20, Days after vaccination: 61
Gender:Male  Submitted:1999-09-23, Days after onset: 214
Location:Virginia  Entered:1999-09-27, 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: NONE
Current Illness: NONE
Preexisting Conditions: PCN
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.13194   
Administered by: Military     Purchased by: Military
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: p/vax pt had sz;extensive tests have shown no cause;pt had a second sz 9/9/99-more tests-no cause;

VAERS ID:128841 (history)  Vaccinated:1991-07-08
Age:22.0  Onset:0000-00-00
Gender:Female  Submitted:1999-09-30
Location:Arizona  Entered:1999-10-04, 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: birth control pills-NOS; allergy medications- NOS
Current Illness:
Preexisting Conditions: allergic to erythromycin, penicillin, sulfa; bladder infections; heart murmur (NOS); kidney stones; tick fever
Diagnostic Lab Data: endoscopy; ultrasound of gall bladder-numerous gall stonses
CDC 'Split Type': 1999025828
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM 2  
Administered by: Unknown     Purchased by: Unknown
Symptoms: Abdominal pain, Asthenia, Cholelithiasis, Diarrhoea, Hepatic function abnormal, Hyperbilirubinaemia, Hypotension, Hypoventilation, Infection, Jaundice, Laryngospasm, Leukocytosis, Pyrexia, Renal impairment, Tachycardia, Tongue oedema, Urticaria, Vomiting
SMQs:, Rhabdomyolysis/myopathy (broad), Acute renal failure (narrow), Liver related investigations, signs and symptoms (narrow), Cholestasis and jaundice of hepatic origin (narrow), Anaphylactic reaction (narrow), Acute pancreatitis (narrow), Angioedema (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Retroperitoneal fibrosis (broad), Pseudomembranous colitis (broad), Dystonia (broad), Oropharyngeal allergic conditions (narrow), Acute central respiratory depression (narrow), Biliary system related investigations, signs and symptoms (narrow), Gallbladder related disorders (narrow), Biliary tract disorders (narrow), Gallstone related disorders (narrow), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypersensitivity (narrow), Noninfectious diarrhoea (narrow), Tumour lysis syndrome (broad)
Write-up: hosp w/excruciating abd pain;T104;BP 58/34;rapid pulse;shallow breathing;elevated WBC;Dx: severe kidney infect;at disch bilirubin elevated 3x nl;still exp severe pain;found to have gall stones;cholecystectomy performed;pain continues w/D

VAERS ID:128880 (history)  Vaccinated:1999-09-11
Age:22.4  Onset:1999-09-15, Days after vaccination: 4
Gender:Female  Submitted:1999-09-15, Days after onset: 0
Location:Maryland  Entered:1999-10-04, Days after submission: 19
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: pt exp flu sx @ age 22 p/1st dose;
Other Medications:
Current Illness: NONE
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
RAB: RABIES (IMOVAX)PASTEUR MERIEUX INST.P099925IMA
Administered by: Other     Purchased by: Public
Symptoms: Adverse drug reaction, Similar reaction on previous exposure to drug, Vomiting
SMQs:, Acute pancreatitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)
Write-up: n/v 4 days p/vax;

VAERS ID:129215 (history)  Vaccinated:1999-09-28
Age:22.0  Onset:1999-09-28, Days after vaccination: 0
Gender:Male  Submitted:1999-09-30, Days after onset: 2
Location:California  Entered:1999-10-12, Days after submission: 12
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: PPD
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
ANTH: ANTHRAX (NO BRAND NAME)MICHIGAN DEPT PUB HLTHFAV0243 LA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Abdominal pain, Injection site hypersensitivity, Injection site oedema, Vomiting
SMQs:, Acute pancreatitis (broad), Retroperitoneal fibrosis (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow)
Write-up: upper abd pain, nausea & vomiting x 2 days whenever food was ingested;6x7cm erythema/edema to inj site rt upper arm;

VAERS ID:129370 (history)  Vaccinated:1999-10-06
Age:22.2  Onset:1999-10-07, Days after vaccination: 1
Gender:Male  Submitted:1999-10-07, Days after onset: 0
Location:North Carolina  Entered:1999-10-15, Days after submission: 8
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: NONE
Other Medications:
Current Illness: denies
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
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TD: TD ADSORBED (NO BRAND NAME)CONNAUGHT LABORATORIES7301BA IMLA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Nausea, Pyrexia
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)
Write-up: p/vax pt awoke w/ c/o nausea, T101.5 oral;seen by MD but said not to be r/t td;

VAERS ID:129446 (history)  Vaccinated:1999-05-05
Age:22.2  Onset:1999-05-05, Days after vaccination: 0
Gender:Female  Submitted:1999-10-05, Days after onset: 153
Location:Delaware  Entered:1999-10-18, Days after submission: 13
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NONE
Other Medications: pt recv anthrax by MIP lot# FAV043 & FAV042 given 4/21/99 & 4/8/99;
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: tests pending;
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ANTH: ANTHRAX (NO BRAND NAME)MICHIGAN DEPT PUB HLTHFAV0432SCLA
Administered by: Military     Purchased by: Military
Symptoms: Arthralgia, Injection site hypersensitivity, Injection site oedema, Injection site pain, Myalgia, Pruritus
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Eosinophilic pneumonia (broad), Hypersensitivity (narrow), Arthritis (broad)
Write-up: large local rxn upper arm into bicep swollen, faint color rash, tender to touch w/sl itch;joints & shoulder blade area sore/aching;aches into hand;hurts to make a fist in lt hand;bump on inj site;

VAERS ID:129449 (history)  Vaccinated:1999-08-04
Age:22.3  Onset:1999-08-04, Days after vaccination: 0
Gender:Female  Submitted:1999-09-28, Days after onset: 55
Location:Delaware  Entered:1999-10-18, Days after submission: 20
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: NA
Other Medications: Depo Porvera;Claratin, Vancenase
Current Illness: no illness (allergies)
Preexisting Conditions: seasonal allergies
Diagnostic Lab Data: LFT, C-Reactive Protein, BC, RA/RF, ANA, Chem profile 7, sed rate;
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ANTH: ANTHRAX (NO BRAND NAME)MICHIGAN DEPT PUB HLTHFAV0443 LA
Administered by: Military     Purchased by: Military
Symptoms: Anorexia, Anxiety, Arthralgia, Dizziness, Dysgeusia, Ear disorder, Ecchymosis, Headache, Injection site oedema, Malaise, Nervousness, Paraesthesia, Tachycardia, Tinnitus, Vertigo
SMQs:, Peripheral neuropathy (broad), Haemorrhage terms (excl laboratory terms) (narrow), Neuroleptic malignant syndrome (broad), Taste and smell disorders (narrow), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hearing impairment (narrow), Vestibular disorders (narrow), Arthritis (broad)
Write-up: pt exp local swelling w/in hr vax;lt arm turned black & blue;systematic sx began 8/23/99 including inability to clear lt ear as well as throbbing & ringing in ear, dizzy spells, malaise, irritability, extreme joint pain, h/a, numb, vertigo;

VAERS ID:129559 (history)  Vaccinated:1999-09-08
Age:22.9  Onset:1999-09-08, Days after vaccination: 0
Gender:Female  Submitted:1999-10-12, Days after onset: 34
Location:Minnesota  Entered:1999-10-19, 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: ortho-Novum 1/35
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
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VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.0313J0SCLA
Administered by: Private     Purchased by: Private
Symptoms: Pruritus, Pyrexia, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Hypersensitivity (narrow)
Write-up: pt had hives on abd that started 7PM the day of vax;pt stated had a T101 x 24hr;hives were itchy & big x 3 days lasted x 1wk;

VAERS ID:129925 (history)  Vaccinated:1999-10-19
Age:22.8  Onset:1999-10-19, Days after vaccination: 0
Gender:Female  Submitted:1999-10-21, Days after onset: 2
Location:Georga  Entered:1999-10-26, Days after submission: 5
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
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FLU3: INFLUENZA (SEASONAL) (FLUOGEN)PARKDALE PHARMACEUTICALS02979P1IMLA
Administered by: Other     Purchased by: Other
Symptoms: Injection site hypersensitivity, Pruritus, Rash, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow)
Write-up: itching @ inj site;rash thighs;rash on chest, arms & legs;hives-severe on thighs;states applied hydrocortisone ointment;did not take anything by mouth;came to clinic-no hives or rash;

VAERS ID:130030 (history)  Vaccinated:1999-10-25
Age:22.5  Onset:1999-10-25, Days after vaccination: 0
Gender:Male  Submitted:1999-10-27, Days after onset: 2
Location:New York  Entered:1999-10-29, Days after submission: 2
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: NA
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: allergic to cat hair;
Diagnostic Lab Data: NONE
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FLU3: INFLUENZA (SEASONAL) (FLUSHIELD)PFIZER/WYETH49982740IMLA
Administered by: Private     Purchased by: Private
Symptoms: Ear disorder, Pruritus, Vasodilatation
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (broad)
Write-up: itchy eyes, flushed, ears red 4hr p/vax;

VAERS ID:130262 (history)  Vaccinated:1999-10-04
Age:22.0  Onset:1999-10-04, Days after vaccination: 0
Gender:Female  Submitted:1999-10-04, Days after onset: 0
Location:Michigan  Entered:1999-11-03, Days after submission: 30
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: pred;triphasil;flonase;
Current Illness:
Preexisting Conditions: hx of hives from stress;dx ITP;
Diagnostic Lab Data:
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MEN: MENINGOCOCCAL (MENOMUNE)CONNAUGHT LABORATORIESUAD19AA   
Administered by: Unknown     Purchased by: Unknown
Symptoms: Injection site hypersensitivity, Injection site oedema
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow)
Write-up: p/vax pt noted approx 1inch area pink, swelling surrounding inj site w/a hive w/in the area;pt MD notified & oral DPH ordered;

VAERS ID:130290 (history)  Vaccinated:1999-10-29
Age:22.6  Onset:1999-10-30, Days after vaccination: 1
Gender:Female  Submitted:1999-11-03, Days after onset: 4
Location:Ohio  Entered:1999-11-04, Days after submission: 1
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Zoloft;Orthocept
Current Illness: had bronchites 10day prior
Preexisting Conditions: PCN-hive;sulfa-itchy;
Diagnostic Lab Data: NONE
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FLU3: INFLUENZA (SEASONAL) (FLUZONE)CONNAUGHT LABORATORIES00103AA IMLA
Administered by: Private     Purchased by: Unknown
Symptoms: Pain, Paraesthesia
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad)
Write-up: c/o pain & numbness in whole lt arm 9arm where inj given) the day p/vax;

VAERS ID:130568 (history)  Vaccinated:1999-11-02
Age:22.4  Onset:1999-11-02, Days after vaccination: 0
Gender:Female  Submitted:1999-11-04, Days after onset: 2
Location:Nebraska  Entered:1999-11-08, 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: unk
Current Illness: NONE
Preexisting Conditions: gluten allergy
Diagnostic Lab Data: NONE
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FLU3: INFLUENZA (SEASONAL) (FLUSHIELD)PFIZER/WYETH4998293 IMLA
Administered by: Other     Purchased by: Private
Symptoms: Dizziness, Ear pain, Rash, Vasodilatation
SMQs:, Anaphylactic reaction (broad), Anticholinergic syndrome (broad), Vestibular disorders (broad), Hypersensitivity (narrow)
Write-up: 10min post vax pt devel rash on torso neck & upper arm-persisting 20min;pt stated felt hot & ears burned most of evening;also stated felt woozy;

VAERS ID:130948 (history)  Vaccinated:1999-11-02
Age:22.3  Onset:1999-11-02, Days after vaccination: 0
Gender:Female  Submitted:1999-11-02, Days after onset: 0
Location:Missouri  Entered:1999-11-19, Days after submission: 17
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: NA
Other Medications: unk
Current Illness: NONE
Preexisting Conditions: Nubain
Diagnostic Lab Data: unk
CDC 'Split Type': MO99046
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FLU3: INFLUENZA (SEASONAL) (FLUZONE)CONNAUGHT LABORATORIESU0155AA1SCRA
Administered by: Public     Purchased by: Private
Symptoms: Asthenia, Chills, Dizziness, Laryngospasm, Pallor, Tachycardia
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dystonia (broad), Guillain-Barre syndrome (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Hypersensitivity (narrow)
Write-up: p/approx 10min pt very cold, dizzy, weak;EMS personnel were @ the scene & began monitoring pt;color pale, HR 110-120, hands icy cold;throat felt tight & began to get anxious;given epi & taken to ER;

VAERS ID:131471 (history)  Vaccinated:1999-08-24
Age:22.5  Onset:1999-08-25, Days after vaccination: 1
Gender:Female  Submitted:1999-08-26, Days after onset: 1
Location:Idaho  Entered:1999-11-29, Days after submission: 95
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: NONE
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC 'Split Type': ID99021
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TD: TD ADSORBED (NO BRAND NAME)CONNAUGHT LABORATORIES0960580 IMRA
Administered by: Private     Purchased by: Private
Symptoms: Diarrhoea, Injection site oedema, Injection site pain, Vomiting
SMQs:, Acute pancreatitis (broad), Pseudomembranous colitis (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Noninfectious diarrhoea (narrow)
Write-up: inj site rt upper arm 9deltoid mild swelling, tenderness;pt c/o n/v, diarrhea p/vax;dx immunization rxn

VAERS ID:131662 (history)  Vaccinated:1999-10-18
Age:22.7  Onset:1999-10-18, Days after vaccination: 0
Gender:Male  Submitted:1999-11-12, Days after onset: 25
Location:California  Entered:1999-12-02, Days after submission: 20
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NONE
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: bee stings
Diagnostic Lab Data:
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ANTH: ANTHRAX (NO BRAND NAME)MICHIGAN DEPT PUB HLTH 2  
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)UNKNOWN MANUFACTURER    
Administered by: Military     Purchased by: Military
Symptoms: Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad)
Write-up: p/vax pt collapsed immed;no one else in co recv flu vax x/this pt;

VAERS ID:131686 (history)  Vaccinated:1999-08-16
Age:22.5  Onset:1999-08-26, Days after vaccination: 10
Gender:Unknown  Submitted:0000-00-00
Location:California  Entered:1999-12-02
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: pt devel massive hair loss w/dose 1&2 of vax;
Other Medications: NONE
Current Illness:
Preexisting Conditions: NONE
Diagnostic Lab Data:
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ANTH: ANTHRAX (NO BRAND NAME)MICHIGAN DEPT PUB HLTHFAV0373SC 
Administered by: Military     Purchased by: Military
Symptoms: Alopecia, Similar reaction on previous exposure to drug
SMQs:
Write-up: massive hair loss;instant loss of sections of hair approx 10 days p/vax;

VAERS ID:132547 (history)  Vaccinated:1999-11-22
Age:22.0  Onset:1999-11-29, Days after vaccination: 7
Gender:Female  Submitted:1999-12-03, Days after onset: 4
Location:Hawaii  Entered:1999-12-15, Days after submission: 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: NKDA
Diagnostic Lab Data:
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DTP: DTP (NO BRAND NAME)CONNAUGHT LABORATORIES7360BA  LA
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM3073A2  RA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Injection site hypersensitivity, Injection site mass
SMQs:, Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (narrow)
Write-up: DPT inj. at L deltoid on 22 Nov 99. Seen by Dr. 5 cm erythema & 2 cm induration per MD.

VAERS ID:132504 (history)  Vaccinated:1999-10-23
Age:22.1  Onset:1999-10-24, Days after vaccination: 1
Gender:Male  Submitted:1999-10-26, Days after onset: 2
Location:Alaska  Entered:1999-12-20, Days after submission: 55
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions: PCN
Diagnostic Lab Data:
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ANTH: ANTHRAX (NO BRAND NAME)MICHIGAN DEPT PUB HLTHFAV0373SCLA
Administered by: Military     Purchased by: Military
Symptoms: Asthenia, Headache, Injection site hypersensitivity, Injection site mass, Injection site oedema, Pruritus, Pyrexia
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow)
Write-up: swelling,rash,itching injection site, lump noted in center of swelling, fever, chills, fatigue, headaches. Symptoms started 6 hrs after receiving shot.

VAERS ID:132506 (history)  Vaccinated:1998-08-23
Age:22.3  Onset:1998-08-27, Days after vaccination: 4
Gender:Male  Submitted:1999-12-08, Days after onset: 468
Location:New Jersey  Entered:1999-12-20, Days after submission: 12
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: tests pending
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ANTH: ANTHRAX (NO BRAND NAME)MICHIGAN DEPT PUB HLTHFAV0303SC 
Administered by: 0     Purchased by: 0
Symptoms: Amnesia, Arthralgia, Arthropathy, Dizziness, Headache, Pain, Tinnitus
SMQs:, Anticholinergic syndrome (broad), Dementia (broad), Noninfectious encephalopathy/delirium (broad), Hearing impairment (narrow), Vestibular disorders (broad), Arthritis (broad)
Write-up: local soreness, abnormal headaches, dizziness, lightheaded, some ringing in ears, loss of memory, mild joint aches,stiffness in joints. .

VAERS ID:132512 (history)  Vaccinated:1998-04-17
Age:22.0  Onset:1998-04-17, Days after vaccination: 0
Gender:Male  Submitted:1998-09-22, Days after onset: 158
Location:Unknown  Entered:1999-12-20, Days after submission: 454
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 DONE
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ANTH: ANTHRAX (NO BRAND NAME)MICHIGAN DEPT PUB HLTHFAV0203SC 
Administered by: Military     Purchased by: Military
Symptoms: Eye pain, Headache, Pain, Rash
SMQs:, Anaphylactic reaction (broad), Glaucoma (broad), Hypersensitivity (narrow)
Write-up: pt had whole body erythema,severe burning sensation,no frank urticaria. Also,intense ocular burning sensation. Reaction resolved w/benedryl. Had severe headache, resolved after 1 to 2 hrs.

VAERS ID:132627 (history)  Vaccinated:1999-11-11
Age:22.0  Onset:1999-11-11, Days after vaccination: 0
Gender:Female  Submitted:1999-12-06, Days after onset: 25
Location:North Carolina  Entered:1999-12-20, Days after submission: 14
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: Asthma
Diagnostic Lab Data:
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HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM2888A43IMLA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Chest pain, Dizziness, Dyspnoea, Injection site hypersensitivity, Laryngospasm, Urticaria
SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), Anticholinergic syndrome (broad), Dystonia (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Vestibular disorders (broad), Hypersensitivity (narrow)
Write-up: Shortness of breath, chest tightness, and tightness in throat, c/o dizziness, hives, rash at site of injection, starting approx. 10 min. after vax. ER observed, symtoms abated before she was released. She refused any tx. with medications.

VAERS ID:132186 (history)  Vaccinated:1999-11-03
Age:22.8  Onset:1999-11-03, Days after vaccination: 0
Gender:Female  Submitted:1999-11-09, Days after onset: 6
Location:Washington  Entered:1999-12-28, Days after submission: 49
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
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FLU3: INFLUENZA (SEASONAL) (FLUSHIELD)PFIZER/WYETH4998211 IMLA
Administered by: Other     Purchased by: Other
Symptoms: Injection site hypersensitivity, Myasthenic syndrome, Vasodilatation
SMQs:, Malignancy related conditions (narrow), Hypersensitivity (narrow)
Write-up: C/o warmth, redness at injection site; weakness in hand/arm/fingers, approx. 5 mins. after vaccine. Ice applied to site. 11/4/99 a.m., reports sx''s resolved.

VAERS ID:131779 (history)  Vaccinated:1999-10-22
Age:22.9  Onset:1999-10-22, Days after vaccination: 0
Gender:Female  Submitted:1999-11-09, Days after onset: 18
Location:Maryland  Entered:1999-12-29, Days after submission: 50
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: 11/9/99, had itchy thighs but no rash after 1st HEPB vax. Tx''d with Benadryl.
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: Asthma-childhood & gestational
Diagnostic Lab Data:
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UNK: VACCINE NOT SPECIFIED (NO BRAND NAME)UNKNOWN MANUFACTURERU0155AA0IMRA
Administered by: Other     Purchased by: Private
Symptoms: Dyspepsia, Dyspnoea, Laryngospasm, Pain, Pruritus, Pyrexia
SMQs:, Anaphylactic reaction (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dystonia (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific dysfunction (narrow), Cardiomyopathy (broad), Hypersensitivity (narrow)
Write-up: 11:30 face started to itch; 2:00 pm Stomach upset & fever; 6:00 pm Legs itching, throat swelling; 12:00 am Painful, itching, trouble breathing. Was seen at 12:30 am, Triage Nurse told to take Benadryl.

VAERS ID:131800 (history)  Vaccinated:1999-10-21
Age:22.2  Onset:1999-10-24, Days after vaccination: 3
Gender:Female  Submitted:1999-11-11, Days after onset: 18
Location:New York  Entered:1999-12-29, Days after submission: 48
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Ortho Novan
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
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VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.1802H0SCLA
Administered by: Public     Purchased by: Other
Symptoms: Dermatitis bullous
SMQs:, Severe cutaneous adverse reactions (narrow), Hypersensitivity (narrow)
Write-up: Developed chicken-pox rash after 1 dose of varicella vax on 10/21. Rash extended to trunk, back, legs & arms. Employee did not require hospitalization.

VAERS ID:131830 (history)  Vaccinated:1999-10-28
Age:22.8  Onset:1999-10-30, Days after vaccination: 2
Gender:Female  Submitted:1999-11-04, Days after onset: 5
Location:Ohio  Entered:1999-12-29, Days after submission: 55
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
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FLU3: INFLUENZA (SEASONAL) (FLUOGEN)PARKDALE PHARMACEUTICALS02189P0IMLA
Administered by: Other     Purchased by: Private
Symptoms: Diarrhoea, Dizziness, Nausea, Pyrexia, Vasodilatation
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad), Noninfectious diarrhoea (narrow)
Write-up: Pt developed fever 101 degrees, dizziness, flush, nausea and diarrhea.

VAERS ID:131890 (history)  Vaccinated:1999-10-27
Age:22.0  Onset:1999-10-30, Days after vaccination: 3
Gender:Male  Submitted:1999-11-01, Days after onset: 2
Location:Florida  Entered:1999-12-29, Days after submission: 58
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: PNC amoxicillin
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
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FLU3: INFLUENZA (SEASONAL) (FLUSHIELD)PFIZER/WYETH499872342IMLA
Administered by: Military     Purchased by: Military
Symptoms: Cellulitis
SMQs:
Write-up: Superficial cellulitis, treatment / culture and antibiotics.

VAERS ID:131905 (history)  Vaccinated:1999-10-21
Age:22.8  Onset:1999-10-22, Days after vaccination: 1
Gender:Male  Submitted:1999-11-05, Days after onset: 14
Location:Washington  Entered:1999-12-29, Days after submission: 54
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: aneral, prozac, metformin
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
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FLU3: INFLUENZA (SEASONAL) (FLUZONE)CONNAUGHT LABORATORIESU0134AA0IMA
Administered by: Private     Purchased by: Private
Symptoms: Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad)
Write-up: A weak febrile reaction post influenza vaccination, resolved in 6 hours.

VAERS ID:132917 (history)  Vaccinated:1998-10-17
Age:22.4  Onset:1999-02-28, Days after vaccination: 134
Gender:Female  Submitted:1999-12-20, Days after onset: 295
Location:Delaware  Entered:1999-12-29, Days after submission: 9
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: B-12, RPR, TsH,CBC,CHEM 17,ESR
CDC 'Split Type':
Vaccination
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ANTH: ANTHRAX (NO BRAND NAME)MICHIGAN DEPT PUB HLTHFAV0433SC 
Administered by: Military     Purchased by: Military
Symptoms: Alopecia, Amnesia, Arthralgia, Coordination abnormal, Epistaxis, Injection site mass, Injection site pain, Insomnia, Migraine, Myalgia, Thinking abnormal
SMQs:, Rhabdomyolysis/myopathy (broad), Haemorrhage terms (excl laboratory terms) (narrow), Anticholinergic syndrome (broad), Dementia (broad), Psychosis and psychotic disorders (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Extravasation events (injections, infusions and implants) (broad), Eosinophilic pneumonia (broad), Arthritis (broad)
Write-up: 1st vax on 9/25/98, 2nd vax on 10/17/98, 3rd vax on 11/4/98, 4th vax on 4/30/99. Began symptoms end of Feb/1999, insomia, migraine h/a, muscle pain in legs while lying down, joint pain in legs, hair loss (patch in back of head), equilibrium

VAERS ID:132947 (history)  Vaccinated:1999-12-28
Age:22.4  Onset:1999-12-28, Days after vaccination: 0
Gender:Female  Submitted:1999-12-29, Days after onset: 1
Location:California  Entered:1999-12-30, Days after submission: 1
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
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HEPA: HEP A (VAQTA)MERCK & CO. INC.0781J0IMRA
TD: TD ADSORBED (NO BRAND NAME)CONNAUGHT LABORATORIESU0072BA IMLA
YF: YELLOW FEVER (YF-VAX)CONNAUGHT LABORATORIESUA116AA0SCLA
Administered by: 0     Purchased by: 0
Symptoms: Dyspnoea, Tongue oedema, Urticaria
SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), Oropharyngeal allergic conditions (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Hypersensitivity (narrow)
Write-up: Vax at 2:00 pm. Hives at 3:20 pm. Pt at ER stated that she exp SOB and that her tongue felt as though it were swelling. .

VAERS ID:132469 (history)  Vaccinated:1999-10-29
Age:22.0  Onset:1999-10-29, Days after vaccination: 0
Gender:Female  Submitted:1999-11-01, Days after onset: 3
Location:Georga  Entered:2000-01-06, Days after submission: 66
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC 'Split Type': GA99163
Vaccination
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FLU3: INFLUENZA (SEASONAL) (FLUOGEN)PARKDALE PHARMACEUTICALS00199P0IMLA
Administered by: Public     Purchased by: Public
Symptoms: Neck pain, Oedema, Oedema peripheral, Vasodilatation
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Arthritis (broad)
Write-up: Adverse event started a couple of hrs after vax was given; arm became warm to touch & swollen greater than 50 cent piece. Neck also sore and swollen.

VAERS ID:133385 (history)  Vaccinated:1998-11-19
Age:22.0  Onset:1999-01-20, Days after vaccination: 62
Gender:Male  Submitted:1999-12-30, Days after onset: 344
Location:Alaska  Entered:2000-01-20, Days after submission: 21
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions: NONE
Diagnostic Lab Data: Urinalysis negative
CDC 'Split Type':
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ANTH: ANTHRAX (NO BRAND NAME)MICHIGAN DEPT PUB HLTHFAV034 SC 
Administered by: Military     Purchased by: Military
Symptoms: Back pain
SMQs:, Retroperitoneal fibrosis (broad)
Write-up: Pt attributes 10 month hx of R flank pain to Anthrax series. UA negative, appears musculoskeletal in nature.

VAERS ID:133380 (history)  Vaccinated:1999-12-16
Age:22.2  Onset:1999-12-21, Days after vaccination: 5
Gender:Male  Submitted:2000-01-05, Days after onset: 15
Location:Unknown  Entered:2000-01-21, 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: NONE
Current Illness:
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
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HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.ENG3084AZ0IMRA
Administered by: 0     Purchased by: 0
Symptoms: Convulsion, Unevaluable event
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: Pt given Hep B, had HBSAB blood work done, results neg for immunity. 12/21/99 pt was admitted to hospital for new onset seizure of unknown etiology.

VAERS ID:133436 (history)  Vaccinated:2000-01-08
Age:22.0  Onset:2000-01-09, Days after vaccination: 1
Gender:Male  Submitted:2000-01-12, Days after onset: 3
Location:Wisconsin  Entered:2000-02-01, Days after submission: 20
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Aspirin
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
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ANTH: ANTHRAX (NO BRAND NAME)MICHIGAN DEPT PUB HLTHFAV0373SCLA
Administered by: Military     Purchased by: Military
Symptoms: Hypertonia, Neck pain
SMQs:, Neuroleptic malignant syndrome (broad), Parkinson-like events (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Arthritis (broad)
Write-up: Pt c/o neck pain when waking, pain radiating to l/shoulder and arm pain so intense pt was transported to hospital by ambulance, treated and released. Given demoral for pain.

VAERS ID:133543 (history)  Vaccinated:1998-12-17
Age:22.0  Onset:1999-02-14, Days after vaccination: 59
Gender:Male  Submitted:2000-01-18, Days after onset: 338
Location:Delaware  Entered:2000-02-01, Days after submission: 14
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type':
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ANTH: ANTHRAX (NO BRAND NAME)MICHIGAN DEPT PUB HLTHFAV0302 A
Administered by: Military     Purchased by: Military
Symptoms: Agitation, Amnesia, Anxiety, Asthenia, Nausea, Nervousness, Pain, Thinking abnormal
SMQs:, Acute pancreatitis (broad), Anticholinergic syndrome (broad), Dementia (broad), Psychosis and psychotic disorders (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hostility/aggression (broad)
Write-up: Pt states he started experienceing problems with 3rd Anthrax shot and some sx''s were - anxiety, panic attacks, short term memory loss, nausea, inability to concentrate, jittery, sore arm.

VAERS ID:133548 (history)  Vaccinated:2000-01-11
Age:22.0  Onset:0000-00-00
Gender:Female  Submitted:0000-00-00
Location:North Carolina  Entered:2000-02-01
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: URI
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC 'Split Type':
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ANTH: ANTHRAX (NO BRAND NAME)MICHIGAN DEPT PUB HLTHFAV0314  
TYP: TYPHOID VI POLYSACCHARIDE (TYPHIM VI)CONNAUGHT LABORATORIESP1426 IM 
Administered by: Military     Purchased by: Military
Symptoms: Injection site haemorrhage, Injection site mass, Pruritus, Skin disorder
SMQs:, Anaphylactic reaction (broad), Haemorrhage terms (excl laboratory terms) (narrow), Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (broad)
Write-up: Where every anthrax shot was given bleeding occurs. After a month or so a dark brown dot scars my skin. The anthrax shot leaves a bump that itches.

VAERS ID:134045 (history)  Vaccinated:2000-02-08
Age:22.0  Onset:2000-02-08, Days after vaccination: 0
Gender:Male  Submitted:2000-02-10, Days after onset: 2
Location:Maryland  Entered:2000-02-15, Days after submission: 5
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
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ANTH: ANTHRAX (NO BRAND NAME)MICHIGAN DEPT PUB HLTHFAV0310SCRA
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM3073AZ0IMLA
HEPA: HEP A (VAQTA)MERCK & CO. INC.3208550IMRA
TYP: TYPHOID VI POLYSACCHARIDE (TYPHIM VI)CONNAUGHT LABORATORIESN10740SCLA
Administered by: Military     Purchased by: Military
Symptoms: Abdominal pain, Chills, Headache, Nausea
SMQs:, Acute pancreatitis (broad), Retroperitoneal fibrosis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)
Write-up: Approx 2-3 hours after receiving injection for deployment, pt experienced nausea, chills, headache, abdominal pain and was transported to local hospital.

VAERS ID:134137 (history)  Vaccinated:2000-02-01
Age:22.0  Onset:2000-02-02, Days after vaccination: 1
Gender:Female  Submitted:2000-02-09, Days after onset: 7
Location:D.C.  Entered:2000-02-17, Days after submission: 8
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: Hx of syphlis - treated 1995
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
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DT: DT ADSORBED (NO BRAND NAME)CONNAUGHT LABORATORIESU0061AA0SC 
Administered by: Private     Purchased by: Private
Symptoms: Oedema, Pain, Vasodilatation
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad)
Write-up: Vaccine was given subcutaneously instead of intramuscular. 2 days later developed swelling, redness, pain. Treated with antihistamines and antibiotics.

VAERS ID:133411 (history)  Vaccinated:1997-10-28
Age:22.0  Onset:0000-00-00
Gender:Female  Submitted:1999-01-01
Location:Unknown  Entered:2000-02-20, Days after submission: 415
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: PCN allergy
Diagnostic Lab Data:
CDC 'Split Type':
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HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM2398A62IMLA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Alopecia, Anaemia, Endocrine disorder, Hypovitaminosis, Immune system disorder, Infection
SMQs:, Haematopoietic erythropenia (broad)
Write-up: Hair loss post vax, subsided 4-6 wks after each dose. Alopecia post vax lasting 4-6 wks-50% occurred. Regrowth currenty seen. R/O fungal infection on scalp, hormone imbalance, TSH, vitamin dificiency, stress, anemia, immunocompromised.

VAERS ID:134384 (history)  Vaccinated:1999-12-29
Age:22.0  Onset:1999-12-29, Days after vaccination: 0
Gender:Female  Submitted:2000-02-15, Days after onset: 48
Location:Iowa  Entered:2000-02-29, Days after submission: 14
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
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HEPA: HEP A (HAVRIX)SMITHKLINE BEECHAM596C60IM 
TD: TD ADSORBED (NO BRAND NAME)CONNAUGHT LABORATORIESU20010AA0IM 
YF: YELLOW FEVER (YF-VAX)CONNAUGHT LABORATORIESUA088AA0SC 
Administered by: Other     Purchased by: Other
Symptoms: Anxiety, Asthma, Dyspnoea, Infection
SMQs:, Anaphylactic reaction (broad), Asthma/bronchospasm (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Hypersensitivity (broad)
Write-up: 8 hrs post/vaxs, pt had an

VAERS ID:150020 (history)  Vaccinated:2000-02-09
Age:22.0  Onset:2000-02-10, Days after vaccination: 1
Gender:Male  Submitted:2000-02-19, Days after onset: 9
Location:Unknown  Entered:2000-03-13, Days after submission: 23
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC 'Split Type':
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ANTH: ANTHRAX (NO BRAND NAME)MICHIGAN DEPT PUB HLTHFAV0474SC 
Administered by: Military     Purchased by: Military
Symptoms: Injection site oedema, Injection site pain
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: Pt received Anthrax IZ. The next day began having pain and swelling in area. Has received Anthrax shots in the past. Dx is localized reaction.

VAERS ID:150073 (history)  Vaccinated:2000-02-05
Age:22.0  Onset:2000-02-06, Days after vaccination: 1
Gender:Male  Submitted:2000-03-04, Days after onset: 27
Location:West Virginia  Entered:2000-03-14, Days after submission: 10
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':
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UNK: VACCINE NOT SPECIFIED (NO BRAND NAME)UNKNOWN MANUFACTURER    
Administered by: Military     Purchased by: Military
Symptoms: Pain
SMQs:
Write-up: Late Sunday evening, I was having severe pain in the back of my shoulder, radiating from there to my elbow, then into my thumb and first finger. I was treated in ER with pain medicine and told to take anti-inflammatory medication. After about a week, everything returned to normal.

VAERS ID:150075 (history)  Vaccinated:2000-02-01
Age:22.0  Onset:2000-02-03, Days after vaccination: 2
Gender:Male  Submitted:2000-03-06, Days after onset: 32
Location:New Jersey  Entered:2000-03-15, Days after submission: 9
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: elevated creatinine
CDC 'Split Type': 20000061661
Vaccination
Manufacturer
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LYME: LYME (LYMERIX)SMITHKLINE BEECHAM 0  
Administered by: Private     Purchased by: Other
Symptoms: Abdominal pain upper, Blood creatinine increased, Influenza like illness, Pain, Pyrexia, Renal failure, Renal pain
SMQs:, Rhabdomyolysis/myopathy (broad), Acute renal failure (narrow), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (broad), Torsade de pointes, shock-associated conditions (broad), Hypovolaemic shock conditions (broad), Toxic-septic shock conditions (broad), Anaphylactic/anaphylactoid shock conditions (broad), Hypoglycaemic and neurogenic shock conditions (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Chronic kidney disease (narrow), Tumour lysis syndrome (broad)
Write-up: Two days post vax, pt experienced flu-like symptoms with achiness and fever. Seven to ten days later, the pt had stomach pain and pain in his kidneys. He went to the emergency room. It was reported by the pt''s sister that the pt''s doctor stated he has kidney failure. The pt was not hospitalized. Information received on 3/2/00 reports the symptoms are ongoing.

VAERS ID:150086 (history)  Vaccinated:2000-02-17
Age:22.0  Onset:2000-02-18, Days after vaccination: 1
Gender:Male  Submitted:2000-02-23, Days after onset: 5
Location:Unknown  Entered:2000-03-15, 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:
CDC 'Split Type':
Vaccination
Manufacturer
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Dose
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ANTH: ANTHRAX (NO BRAND NAME)MICHIGAN DEPT PUB HLTHFAV0475SCLA
Administered by: Military     Purchased by: Military
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: Pt experienced a local reaction consisting of redness, swelling and pain at injection site.

VAERS ID:150220 (history)  Vaccinated:2000-02-02
Age:22.0  Onset:2000-02-02, Days after vaccination: 0
Gender:Female  Submitted:2000-03-03, Days after onset: 30
Location:Pennsylvania  Entered:2000-03-17, Days after submission: 14
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Pro mantoux, left forearm, lot #2515-11, administered at the same time as vax.
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
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HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM3084A20IMLA
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.1086J1SCRA
Administered by: Private     Purchased by: Private
Symptoms: Abdominal pain, Hypoaesthesia
SMQs:, Acute pancreatitis (broad), Peripheral neuropathy (broad), Retroperitoneal fibrosis (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)
Write-up: Pt experienced numbness of left arm and left leg lasting for 3 days after immunization. Pt also experienced an intermittent stomach cramps for 3 days.

VAERS ID:150265 (history)  Vaccinated:2000-02-08
Age:22.0  Onset:2000-02-08, Days after vaccination: 0
Gender:Female  Submitted:2000-02-14, Days after onset: 6
Location:Nebraska  Entered:2000-03-21, Days after submission: 36
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:
CDC 'Split Type':
Vaccination
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ANTH: ANTHRAX (NO BRAND NAME)MICHIGAN DEPT PUB HLTHFAV0243IMLA
Administered by: Military     Purchased by: Military
Symptoms: Arthralgia, Joint effusion, Pain, Paraesthesia, Pruritus, Rash, Skin discolouration
SMQs:, Anaphylactic reaction (broad), Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypotonic-hyporesponsive episode (broad), Hypersensitivity (narrow), Arthritis (broad)
Write-up: Broke out with itchy red rash all over; joints became swollen and painful; hands and bottoms of feet hurt very much; bottoms of feet had no rash but were very itchy and irritated. Bottoms of feet almost purple, hand bright pink/red. Tingling feeling in chest on day 2. Took Benadryl but itching did not stop.

VAERS ID:150284 (history)  Vaccinated:2000-03-10
Age:22.0  Onset:2000-03-11, Days after vaccination: 1
Gender:Male  Submitted:2000-03-13, Days after onset: 2
Location:Hawaii  Entered:2000-03-22, 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: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
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ANTH: ANTHRAX (NO BRAND NAME)MICHIGAN DEPT PUB HLTHFAV0244SCRA
Administered by: Military     Purchased by: Military
Symptoms: Injection site erythema, Injection site swelling, Pain
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: Anthrax vaccine has swelling and redness extending 5cm to 10cm past elbow. Painful with full extension/pronation. No systemic symptoms.

VAERS ID:150530 (history)  Vaccinated:2000-03-06
Age:22.0  Onset:2000-03-06, Days after vaccination: 0
Gender:Female  Submitted:2000-03-10, Days after onset: 4
Location:Unknown  Entered:2000-03-29, Days after submission: 19
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: costochondritis
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type':
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ANTH: ANTHRAX (NO BRAND NAME)MICHIGAN DEPT PUB HLTHFAV0245IMLA
Administered by: Military     Purchased by: Military
Symptoms: Fatigue, Headache, Nausea, Pain, Pyrexia
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)
Write-up: 10-12 hours post vax, the pt developed fevers, nausea, body aches, headaches, and fatigue.

VAERS ID:150547 (history)  Vaccinated:1999-05-17
Age:22.0  Onset:2000-01-04, Days after vaccination: 232
Gender:Female  Submitted:2000-02-29, Days after onset: 56
Location:Unknown  Entered:2000-03-29, Days after submission: 29
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: strep pharyngitis
Diagnostic Lab Data: lab tests-wnl
CDC 'Split Type':
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ANTH: ANTHRAX (NO BRAND NAME)MICHIGAN DEPT PUB HLTHFAV0413SC 
Administered by: Military     Purchased by: Military
Symptoms: Arthralgia, Movement disorder, Swelling
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Akathisia (broad), Dyskinesia (broad), Dystonia (broad), Parkinson-like events (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Arthritis (broad)
Write-up: The pt experienced joint pain, swelling and immobility starting in early 1/00. Joint involved are right more than left hand, (specifically MCP in the 4th digit), both feet and right elbow. Immobility with the right hand was such that she could not perform many of her activities of daily living. She had no relief from Motrin and then tried Naprosyn, (still no relief). Shw now has much improvement with prednisone.

VAERS ID:150585 (history)  Vaccinated:0000-00-00
Age:22.0  Onset:0000-00-00
Gender:Male  Submitted:2000-01-19
Location:Pennsylvania  Entered:2000-03-29, Days after submission: 70
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: allergy to Sporanox
Diagnostic Lab Data:
CDC 'Split Type': 19990312481
Vaccination
Manufacturer
Lot
Dose
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Site
LYME: LYME (LYMERIX)SMITHKLINE BEECHAM 0IM 
Administered by: Other     Purchased by: Other
Symptoms: Pyrexia, Skin ulcer
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad)
Write-up: Post vax, the pt experienced a fever. Approximately one week later, the pt experienced a non-specific genital lesion that has not resolved. The most recent information received on 11/23/99, reports the condition of the pt as ongoing.

VAERS ID:150586 (history)  Vaccinated:1999-05-01
Age:22.0  Onset:1999-05-01, Days after vaccination: 0
Gender:Female  Submitted:2000-01-19, Days after onset: 263
Location:Wisconsin  Entered:2000-03-29, Days after submission: 70
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: allergy to PCN
Diagnostic Lab Data: Lyme test-neg
CDC 'Split Type': 19990315381
Vaccination
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LYME: LYME (LYMERIX)SMITHKLINE BEECHAM120091IM 
Administered by: Private     Purchased by: Other
Symptoms: Arthralgia, Disturbance in attention, Fatigue, Pain, Pharyngolaryngeal pain
SMQs:, Noninfectious encephalopathy/delirium (broad), Depression (excl suicide and self injury) (broad), Arthritis (broad)
Write-up: The pt received the first and second doses of Lymerix in April, 1999 and May, 1999, respectively. After receiving dose number 2, the pt experienced fatigue, leg and hip pain, achiness, sore throat and inability to concentrate. The most recent information, received on 11/30/99, reports the condition of the pt is ongoing.

VAERS ID:150944 (history)  Vaccinated:1999-09-10
Age:22.0  Onset:1999-09-10, Days after vaccination: 0
Gender:Female  Submitted:2000-04-07, Days after onset: 210
Location:Unknown  Entered:2000-04-13, Days after submission: 6
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type':
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ANTH: ANTHRAX (NO BRAND NAME)MICHIGAN DEPT PUB HLTH 4SCLA
HEPA: HEP A (NO BRAND NAME)UNKNOWN MANUFACTURER 1SCRA
Administered by: Military     Purchased by: Military
Symptoms: Abdominal pain upper, Amnesia, Skin nodule, Somnolence
SMQs:, Acute pancreatitis (broad), Anticholinergic syndrome (broad), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)
Write-up: 15 minutes, post vax, pt experienced stomachache for 2 to 3 days. Since the shot, pt has experienced continuous memory loss. Pt also stated, she developed knots on her thighs, arm and the side of her face. Pt stated she also experienced some drowsiness.

VAERS ID:151050 (history)  Vaccinated:1999-12-15
Age:22.0  Onset:1999-12-17, Days after vaccination: 2
Gender:Male  Submitted:2000-04-06, Days after onset: 110
Location:Unknown  Entered:2000-04-24, Days after submission: 18
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: Throat culture on 6/16/99-4+ beta strep
CDC 'Split Type':
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ANTH: ANTHRAX (NO BRAND NAME)MICHIGAN DEPT PUB HLTHFAV0244SCRA
HBHEPB: HIB + HEP B (NO BRAND NAME)UNKNOWN MANUFACTURER  IM 
Administered by: Unknown     Purchased by: Unknown
Symptoms: Pyrexia, Tonsillitis
SMQs:, Agranulocytosis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Oropharyngeal infections (narrow)
Write-up: Febrile illness with exudative tonsillitis, occurring 2-3 days post vax (4th and 5th dose) of Anthrax. No reaction with 1, 2 and 3 of series. Resolved in 5-7 days on both injections. Was kept out of work 48-72 hours both times.

VAERS ID:151085 (history)  Vaccinated:1998-09-01
Age:22.0  Onset:1998-10-14, Days after vaccination: 43
Gender:Female  Submitted:2000-04-16, Days after onset: 550
Location:New York  Entered:2000-04-25, Days after submission: 9
Life Threatening? Yes
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: 10/28/98 cervical spine MRI found 7mm area of demyelination on left side. 11/08/98 head MRI found several unspecific spot of demyelination.
CDC 'Split Type':
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MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC. 2IM 
Administered by: Private     Purchased by: 0
Symptoms: Demyelination, Headache, Hypoaesthesia, Multiple sclerosis, Musculoskeletal stiffness, Neck pain, Optic neuritis, Paraesthesia, Rash
SMQs:, Anaphylactic reaction (broad), Peripheral neuropathy (broad), Dystonia (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Optic nerve disorders (narrow), Demyelination (narrow), Ocular infections (broad), Hypersensitivity (narrow), Arthritis (broad)
Write-up: Six weeks post vax, which was administered intramuscularly instead of subcutaneously by the nurse, my healthy daughter started experiencing stiff neck, headaches, burning in her neck and tingling, numbness and stiffness in left arm and hand. Also experienced rash on upper chest. Went to physician. A cervical spine MRI, and head MRI. Diagnosed with multiple sclerosis. Neurology put her on intravenous Solu-Medrol for 5 days. Symptoms padded. After initial diagnosis she was placed on Beta Seron which gave her flu symptoms and raised her liver enzymes so it was discontinued. As of 02/20 she has had two bouts of optic neuritis. 60 day follow-up dated 09/27/00 provided no additional data.

VAERS ID:151166 (history)  Vaccinated:1998-07-13
Age:22.0  Onset:1998-07-17, Days after vaccination: 4
Gender:Female  Submitted:1999-12-17, Days after onset: 518
Location:Pennsylvania  Entered:2000-05-02, Days after submission: 136
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: UNK
Diagnostic Lab Data: Parvovirus - positive IgG, equivalent IgM.
CDC 'Split Type': WAES99090630
Vaccination
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MEA: MEASLES (ATTENUVAX)MERCK & CO. INC.0154E SCLA
Administered by: Other     Purchased by: Other
Symptoms: Arthralgia, Laboratory test abnormal, Lymphadenopathy, Oedema peripheral, Viral infection
SMQs:, Cardiac failure (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Arthritis (broad)
Write-up: This 22-year-old female received vax in left arm. Four days post vax, pt experienced adenopathy and hand swelling and arthralgia. Three months post vax, 10/98, pt experienced swollen knees and also experienced swelling in right hip and adenopathy was noted more on the right side. Follow up information reported that the pt was referred to a rheumatologist who dxed Parvovirus. The pt tested positive. The physician felt symptoms were not related to the vax. Additional information has been requested.

VAERS ID:151801 (history)  Vaccinated:2000-04-29
Age:22.0  Onset:2000-04-29, Days after vaccination: 0
Gender:Female  Submitted:2000-05-04, Days after onset: 5
Location:Florida  Entered:2000-05-10, Days after submission: 6
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: Latex, Benadryl
Diagnostic Lab Data:
CDC 'Split Type':
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HEPA: HEP A (HAVRIX)SMITHKLINE BEECHAM639A40IM 
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.133J1SC 
TD: TD ADSORBED (NO BRAND NAME)CONNAUGHT LABORATORIESU0003BA1IM 
Administered by: Military     Purchased by: Military
Symptoms: Dyspnoea, Pallor, Urticaria
SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Hypersensitivity (narrow)
Write-up: Urticaria, dyspnea, pallor, approximately 15 minutes, post vax. Treated with epinephrine, IM, and Atarax, albuterol and Solu-Medrol in ER all in right deltoid. Follow-up with allergist is recommended.

VAERS ID:151862 (history)  Vaccinated:1998-12-12
Age:22.0  Onset:1998-12-13, Days after vaccination: 1
Gender:Male  Submitted:2000-05-03, Days after onset: 506
Location:Unknown  Entered:2000-05-12, Days after submission: 9
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':
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ANTH: ANTHRAX (NO BRAND NAME)MICHIGAN DEPT PUB HLTHFAV0342SCLA
Administered by: Military     Purchased by: Military
Symptoms: Erythema, Swelling
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad)
Write-up: Pt developed $g 10 cm swelling, redness after 1st and 2nd shots that lasted longer than 3 weeks. No systemic symptoms.

VAERS ID:151866 (history)  Vaccinated:2000-04-18
Age:22.0  Onset:2000-04-19, Days after vaccination: 1
Gender:Male  Submitted:2000-04-21, Days after onset: 2
Location:California  Entered:2000-05-12, Days after submission: 21
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: allergy to caffeine, congestion
Diagnostic Lab Data: Photographs - pending
CDC 'Split Type':
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ANTH: ANTHRAX (NO BRAND NAME)MICHIGAN DEPT PUB HLTHFAV0472SCRA
Administered by: Military     Purchased by: Military
Symptoms: Erythema, Eyelid oedema, Oedema, Pruritus
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Periorbital and eyelid disorders (narrow), Hypersensitivity (narrow)
Write-up: Pt experienced a rash/erythema, pruritis, edema approximately 30 hours post injection. Pt also experienced a swollen eyelid, 5 x 9 cm on right lower quarter patch of abdomen. 7x7 cm left lower quarter of abdomen. No wheezing, no pharyngeal edema. Symptoms resolved with steroid treatment. No systemic involvement.

VAERS ID:152164 (history)  Vaccinated:1999-05-21
Age:22.0  Onset:0000-00-00
Gender:Male  Submitted:2000-03-07
Location:Michigan  Entered:2000-05-19, Days after submission: 72
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: UNK
Diagnostic Lab Data:
CDC 'Split Type': WAES99070243
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.  IM 
Administered by: Other     Purchased by: Other
Symptoms: Asthenia, Paraesthesia
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad)
Write-up: Subsequently post vax, the pt experienced arm tingling that extends to his hand. The pt also reports a loss of strength in the hand.

VAERS ID:152291 (history)  Vaccinated:1999-09-03
Age:22.0  Onset:1999-09-04, Days after vaccination: 1
Gender:Female  Submitted:2000-03-07, Days after onset: 185
Location:Wyoming  Entered:2000-05-23, Days after submission: 76
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: allergy to amoxicillin
Diagnostic Lab Data:
CDC 'Split Type': WAES99101581
Vaccination
Manufacturer
Lot
Dose
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Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC. 0IM 
Administered by: Public     Purchased by: Other
Symptoms: Breast mass, Injection site vesicles, Lymphadenopathy, Rash
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow)
Write-up: Information has been received from a physician concerning a 22 year old female who on 9/3/99 was vaccinated IM with the first dose of Hep B vaccine. On 9/4/99, the pt developed a blister at the injection site and on her chest and a rash on both wrists. Additionally the pt developed a lump in the right and left neck lymph nodes, and a small lump in her left breast. The pt was treated with Benadryl and her symptoms resolved within a week. No further information is available.

VAERS ID:152533 (history)  Vaccinated:2000-03-22
Age:22.0  Onset:2000-03-22, Days after vaccination: 0
Gender:Unknown  Submitted:2000-03-24, Days after onset: 2
Location:Unknown  Entered:2000-05-30, Days after submission: 66
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':
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ANTH: ANTHRAX (NO BRAND NAME)MICHIGAN DEPT PUB HLTHFAV0424IM 
Administered by: Military     Purchased by: Military
Symptoms: Injection site erythema, Injection site haemorrhage, Injection site oedema
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: 30 minutes post vax, the pt developed swelling and bruising at injection site. Pt went to ER on 3/23/00 when symptoms worsened. The site increased in size and became red. Pt denies SOB or other systemic reactions. Treated with ice pack and Motrin. Pt recovered from the reaction.

VAERS ID:152827 (history)  Vaccinated:2000-03-28
Age:22.0  Onset:2000-04-04, Days after vaccination: 7
Gender:Female  Submitted:2000-04-11, Days after onset: 7
Location:Maryland  Entered:2000-06-08, Days after submission: 58
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC 'Split Type': MD2000002
Vaccination
Manufacturer
Lot
Dose
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Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0546J1SCLA
Administered by: Private     Purchased by: Private
Symptoms: Feeling hot, Injection site swelling, Pruritus, Sluggishness
SMQs:, Anaphylactic reaction (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad)
Write-up: Pt experienced a pruritic 3-4 cm circular raised area at injection site. Complained of feeling hot and sluggish, pt was afebrile. Resolved with application of Hydrocortisone cream.

VAERS ID:152899 (history)  Vaccinated:2000-04-24
Age:22.0  Onset:2000-04-25, Days after vaccination: 1
Gender:Female  Submitted:2000-04-29, Days after onset: 4
Location:Oregon  Entered:2000-06-08, Days after submission: 40
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Ortho-Cyclen
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC 'Split Type':
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HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAMENG3203A41IMLA
Administered by: Other     Purchased by: Other
Symptoms: Tremor, Vomiting
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Parkinson-like events (broad), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)
Write-up: 8 hours post vax, the pt vomited 4 or more times. Now feeling shaky, no headache or chest tightness. She feels different than when she had food poisoning-very little nausea or warning of vomiting.

VAERS ID:152927 (history)  Vaccinated:2000-03-21
Age:22.0  Onset:2000-04-02, Days after vaccination: 12
Gender:Male  Submitted:2000-04-21, Days after onset: 18
Location:Unknown  Entered:2000-06-08, Days after submission: 48
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':
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MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0349 SC 
Administered by: Other     Purchased by: Unknown
Symptoms: Skin nodule
SMQs:, Extravasation events (injections, infusions and implants) (broad)
Write-up: The pt experienced firm tender nodules (4-5) on scalp beginning on 4/2/00.

VAERS ID:153066 (history)  Vaccinated:1998-10-27
Age:22.0  Onset:1998-11-10, Days after vaccination: 14
Gender:Male  Submitted:2000-04-13, Days after onset: 519
Location:Alaska  Entered:2000-06-08, Days after submission: 56
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: Patch testing:2+ Q-15 and formaldehyde
CDC 'Split Type':
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ANTH: ANTHRAX (NO BRAND NAME)MICHIGAN DEPT PUB HLTH  SC 
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD)PFIZER/WYETH4988247 IM 
Administered by: Military     Purchased by: Military
Symptoms: Dermatitis
SMQs:, Hypersensitivity (narrow)
Write-up: Onset of chronic dermatitis associated within initiation of Anthrax vaccine. Persistent flares in dermatitis, 4 1/2 months since last dose.

VAERS ID:153077 (history)  Vaccinated:2000-03-31
Age:22.0  Onset:2000-04-01, Days after vaccination: 1
Gender:Female  Submitted:2000-04-06, Days after onset: 4
Location:California  Entered:2000-06-08, Days after submission: 63
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC 'Split Type':
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HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.0001K2IMLA
Administered by: Private     Purchased by: Other
Symptoms: Erythema multiforme
SMQs:, Severe cutaneous adverse reactions (narrow), Hypersensitivity (narrow)
Write-up: Erythema Multiforme, onset 4/1/00 of erythematous lesions (.4-.8mm papular) on hands, feet and on 4/3/00, had a few lesions on elbows. Not pruritic , but tender if palpated. Seen on 4/3/00 with negative exam, other than rash. No other symptoms. Pt had received her 3rd Hep-B the prior day to the onset of rash. 1st vaccine on 9/28/99, 2nd on 10/29/99. Rash clearing when seen on 4/10/00.

VAERS ID:153089 (history)  Vaccinated:2000-04-04
Age:22.0  Onset:2000-04-04, Days after vaccination: 0
Gender:Male  Submitted:2000-04-07, Days after onset: 3
Location:Colorado  Entered:2000-06-08, Days after submission: 62
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: Bee-stings, PCN
Diagnostic Lab Data:
CDC 'Split Type': WAES00040676
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.0706J0SCRA
Administered by: Public     Purchased by: Unknown
Symptoms: Feeling hot, Injection site mass, Injection site pain
SMQs:, Extravasation events (injections, infusions and implants) (broad)
Write-up: About 12 hours, post vax, client has nickle-sized swollen welt at injection site which progressed to half-dollar sized. Now, today, 4/7/00, it is a 6" band around arm 3" in diameter, swollen, hot and painful. Client''s symptoms resolved after 4 days.

VAERS ID:153594 (history)  Vaccinated:1999-11-05
Age:22.0  Onset:1999-11-05, Days after vaccination: 0
Gender:Female  Submitted:1999-11-10, Days after onset: 5
Location:Arkansas  Entered:2000-06-09, Days after submission: 211
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC 'Split Type': AR0005
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)CONNAUGHT LABORATORIESU0129AA0IMLA
Administered by: Public     Purchased by: Public
Symptoms: Rash macular
SMQs:, Hypersensitivity (narrow)
Write-up: Post vax, red macules appeared on abdomen, chest and neck, 1/4 cm circumference, 8-9 hours later, no itching, denies SOB, saw MD 11/8/1999 who stated rash probably from immunization. Had already began Benadryl.

VAERS ID:153769 (history)  Vaccinated:2000-04-12
Age:22.0  Onset:2000-04-23, Days after vaccination: 11
Gender:Male  Submitted:2000-05-24, Days after onset: 31
Location:Pennsylvania  Entered:2000-06-09, 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: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.1047J0IMRA
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.1450J0SCLA
Administered by: Other     Purchased by: Other
Symptoms: Rash maculo-papular, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow)
Write-up: Developed 5 hive like maculopapular rash - red, raised on back, leg, hip, face.

VAERS ID:153911 (history)  Vaccinated:2000-05-17
Age:22.0  Onset:2000-05-18, Days after vaccination: 1
Gender:Male  Submitted:2000-05-19, Days after onset: 1
Location:South Carolina  Entered:2000-06-12, Days after submission: 24
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
ANTH: ANTHRAX (NO BRAND NAME)MICHIGAN DEPT PUB HLTHFAV048B5SCRA
Administered by: Military     Purchased by: Military
Symptoms: Injection site erythema, Injection site oedema, Pruritus
SMQs:, Anaphylactic reaction (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad)
Write-up: Erythema, 20cm on right upper arm and swelling/itching.

VAERS ID:154253 (history)  Vaccinated:0000-00-00
Age:22.0  Onset:0000-00-00
Gender:Female  Submitted:2000-05-12
Location:Ohio  Entered:2000-06-15, Days after submission: 34
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness: UNK
Preexisting Conditions: UNK
Diagnostic Lab Data:
CDC 'Split Type': WAES97040040
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC. 0SC 
Administered by: Other     Purchased by: Other
Symptoms: Rheumatoid arthritis
SMQs:, Arthritis (narrow)
Write-up: Pt. developed rheumatoid arthritis shortly after the 1st MMR.

VAERS ID:154625 (history)  Vaccinated:1998-07-22
Age:22.0  Onset:1998-07-23, Days after vaccination: 1
Gender:Female  Submitted:1998-09-04, Days after onset: 43
Location:Wisconsin  Entered:2000-06-19, Days after submission: 654
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Provera, Synthroid, Spironolactone
Current Illness: NONE
Preexisting Conditions: Sulfa allergy; thyroid problems
Diagnostic Lab Data:
CDC 'Split Type': U199800434
Vaccination
Manufacturer
Lot
Dose
Route
Site
DT: DT ADSORBED (NO BRAND NAME)CONNAUGHT LTD.923820 IM 
IPV: POLIO VIRUS, INACT. (POLIOVAX)CONNAUGHT LTD.M0146   
MEN: MENINGOCOCCAL (MENOMUNE)CONNAUGHT LABORATORIES0912390 IM 
RAB: RABIES (IMOVAX)PASTEUR MERIEUX INST.M105331  
Administered by: Private     Purchased by: Other
Symptoms: Dyspnoea, Lymphadenopathy, Musculoskeletal stiffness
SMQs:, Anaphylactic reaction (broad), Dystonia (broad), Parkinson-like events (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Cardiomyopathy (broad), Arthritis (broad)
Write-up: 1 day post vax pt experienced stiff neck, shortness of breath and enlarged lymph gland. Pt woke up with swollen node around clavicle area and was painful.

VAERS ID:154946 (history)  Vaccinated:2000-06-01
Age:22.0  Onset:2000-06-02, Days after vaccination: 1
Gender:Male  Submitted:0000-00-00
Location:California  Entered:2000-06-21
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
ANTH: ANTHRAX (NO BRAND NAME)MICHIGAN DEPT PUB HLTHFAV0083SCRA
Administered by: Military     Purchased by: Military
Symptoms: Headache, Injection site mass, Nausea, Somnolence
SMQs:, Acute pancreatitis (broad), Anticholinergic syndrome (broad), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)
Write-up: Pt complained of nausea, prolonged sleeping (9-10 hours), headache, no vomiting, post vax. Pt has a large knot on right arm at injection site.

VAERS ID:155261 (history)  Vaccinated:0000-00-00
Age:22.0  Onset:0000-00-00
Gender:Female  Submitted:2000-05-24
Location:Missouri  Entered:2000-06-22, Days after submission: 29
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: UNK
Diagnostic Lab Data:
CDC 'Split Type': WAES99080968
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.    
Administered by: Other     Purchased by: Other
Symptoms: Eye pain, Headache
SMQs:, Glaucoma (broad)
Write-up: This nurse, while administering vax, "inadvertently got the vax in her eye." Subsequently she experienced burning which went away and a headache.

VAERS ID:155474 (history)  Vaccinated:1999-10-20
Age:22.0  Onset:1999-10-20, Days after vaccination: 0
Gender:Male  Submitted:2000-02-10, Days after onset: 113
Location:Oregon  Entered:2000-06-27, Days after submission: 137
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)MEDEVA PHARMA, LTD.E27989HA IM 
Administered by: Military     Purchased by: Public
Symptoms: Headache
SMQs:
Write-up: Headache for four days immediately post vax.

VAERS ID:155540 (history)  Vaccinated:1999-04-10
Age:22.0  Onset:1999-04-10, Days after vaccination: 0
Gender:Female  Submitted:1999-05-04, Days after onset: 24
Location:New York  Entered:2000-06-28, Days after submission: 421
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC 'Split Type': U1999002370
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)CONNAUGHT LABORATORIES09671000IMLA
Administered by: Private     Purchased by: Private
Symptoms: Diarrhoea, Injection site erythema, Injection site mass, Injection site oedema, Injection site pain
SMQs:, Pseudomembranous colitis (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Noninfectious diarrhoea (narrow)
Write-up: On April 10, 1999, the pt had TD on left deltoid. On 4/12/99, she was seen because of pain, redness, swelling of left deltoid area (swelling 6.5cm X 7cm with redness and induration), also some diarrhea.

VAERS ID:155678 (history)  Vaccinated:1999-05-01
Age:22.0  Onset:0000-00-00
Gender:Female  Submitted:2000-05-16
Location:California  Entered:2000-06-28, Days after submission: 43
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: UNK
Diagnostic Lab Data: Serum varicella zoster in 1995 and May, 1999 are both negative.
CDC 'Split Type': WAES00011782
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC. 1SC 
Administered by: Other     Purchased by: Other
Symptoms: Drug ineffective, Laboratory test abnormal
SMQs:, Lack of efficacy/effect (narrow)
Write-up: Information has been received from a 22 year old female who in 1995 was vaccinated with the 1st and 2nd doses of varicella virus vaccine live. In 1995 and May, 1999, laboratory evaluation revealed a lack of response. No further information is available.

VAERS ID:155680 (history)  Vaccinated:1999-12-01
Age:22.0  Onset:2000-01-01, Days after vaccination: 31
Gender:Female  Submitted:2000-05-16, Days after onset: 135
Location:Michigan  Entered:2000-06-28, Days after submission: 43
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: UNK
Diagnostic Lab Data: Serum varicella zoster - seronegative.
CDC 'Split Type': WAES00011818
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC. 3SC 
Administered by: Other     Purchased by: Other
Symptoms: Drug ineffective, Laboratory test abnormal
SMQs:, Lack of efficacy/effect (narrow)
Write-up: This pt was IZ with her 4th dose of varicella vax in 12/99. She tested negative for varicella antibodies on 2 occasions, the second in 01/00.

VAERS ID:155899 (history)  Vaccinated:2000-05-17
Age:22.0  Onset:2000-05-17, Days after vaccination: 0
Gender:Male  Submitted:2000-05-18, Days after onset: 1
Location:Unknown  Entered:2000-07-03, Days after submission: 46
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: PCN allergy, PPD converter
Diagnostic Lab Data: NONE
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
ANTH: ANTHRAX (NO BRAND NAME)MICHIGAN DEPT PUB HLTHFAV048B0SCLA
Administered by: Military     Purchased by: Military
Symptoms: Pruritus, Rash papular
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (broad)
Write-up: Pruritic rash to upper back and arms noted last night. Scattered papules; small 1mm, no erythema.

VAERS ID:156221 (history)  Vaccinated:1998-08-13
Age:22.0  Onset:1998-10-23, Days after vaccination: 71
Gender:Female  Submitted:2000-05-16, Days after onset: 571
Location:Kentucky  Entered:2000-07-10, Days after submission: 55
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: UNK
Diagnostic Lab Data: serum varicella zoster 10/23/1998 - negative
CDC 'Split Type': WAES99100418
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.0315H1SC 
Administered by: Other     Purchased by: Other
Symptoms: Drug ineffective
SMQs:, Lack of efficacy/effect (narrow)
Write-up: Pt was vaccinated with the first and second doses of varicella virus live on 07/16/1998 and 08/13/1998. On 10/23/1998 laboratory evaluation revealed a lack of response.

VAERS ID:156244 (history)  Vaccinated:1998-08-13
Age:22.0  Onset:1998-10-23, Days after vaccination: 71
Gender:Female  Submitted:2000-05-16, Days after onset: 571
Location:Kentucky  Entered:2000-07-10, Days after submission: 55
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: UNK
Diagnostic Lab Data: serum varicella zoster 10/23/1998 negative - ELISA testing with 60 days post vax with 2
CDC 'Split Type': WAES99100784
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.1109E1SC 
Administered by: Other     Purchased by: Other
Symptoms: Drug ineffective
SMQs:, Lack of efficacy/effect (narrow)
Write-up: Pt received second dose of varicella virus vaccine live on 08/13/1998. ELISA testing on 10/23/1998 revealed negative seroconversion.

VAERS ID:156514 (history)  Vaccinated:2000-06-09
Age:22.0  Onset:2000-06-09, Days after vaccination: 0
Gender:Male  Submitted:2000-06-09, Days after onset: 0
Location:Washington  Entered:2000-07-13, Days after submission: 34
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC 'Split Type': WA001666
Vaccination
Manufacturer
Lot
Dose
Route
Site
TYP: TYPHOID VI POLYSACCHARIDE (TYPHIM VI)CONNAUGHT LABORATORIESR10590IMLA
YF: YELLOW FEVER (YF-VAX)CONNAUGHT LABORATORIESUA117AA0SCRA
Administered by: Private     Purchased by: Private
Symptoms: Dizziness, Feeling jittery, Nasal congestion, Somnolence, Swelling face, Tachycardia, Throat tightness, Urticaria
SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dementia (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Vestibular disorders (broad), Hypersensitivity (narrow)
Write-up: Approximately 40 minutes post vax, pt reports feeling lump in throat and nose plugging up. Pt then developed hives on face and trunk, and puffiness below eyes, and became lightheaded. Physician noted tachycardia. Pt treated with albuterol and diphenydramine. Pt had a jittery and sleepy feeling. Hives began to clear.

VAERS ID:156820 (history)  Vaccinated:1998-08-17
Age:22.0  Onset:1999-01-11, Days after vaccination: 147
Gender:Female  Submitted:2000-05-16, Days after onset: 490
Location:Massachusetts  Entered:2000-07-14, Days after submission: 59
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: UNk
Current Illness:
Preexisting Conditions: UNK
Diagnostic Lab Data: serum varicella zoster negative titers
CDC 'Split Type': WAES99041122
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.1574E1SC 
Administered by: Other     Purchased by: Other
Symptoms: Drug ineffective
SMQs:, Lack of efficacy/effect (narrow)
Write-up: Subsequent to receiving first and second dose of varicella virus vaccine live the pts serum VZV antibody test revealed a lack of seroconversion.

VAERS ID:156936 (history)  Vaccinated:0000-00-00
Age:22.0  Onset:1999-05-01
Gender:Female  Submitted:2000-05-16, Days after onset: 381
Location:Florida  Entered:2000-07-17, Days after submission: 62
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: albuterol
Current Illness:
Preexisting Conditions: varicella; anxiety; asthma; smoking
Diagnostic Lab Data:
CDC 'Split Type': WAES99050218
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.  SC 
Administered by: Other     Purchased by: Other
Symptoms: Pruritus, Rash, Rash erythematous, Skin exfoliation
SMQs:, Severe cutaneous adverse reactions (broad), Anaphylactic reaction (broad), Hypersensitivity (narrow)
Write-up: Pt was exposed to her 2 year old daughter who was vaccinated with varicella virus vaccine live on 04/19/1999. On approximately 05/01/1999 the pt experienced itchy bumps that look like bug bites under her right breast and on the right side of her neck. She also experienced bumps around the right side of her waist. The pt also developed scattered lesions under the left breast, on the left side of the neck and on the left side of her waist. The bumps were pink and raised, and some were composed of dry skin that was peeling. Pt was treated with Aveeno. Pt was diagnosed with a dermatitis rash.

VAERS ID:156941 (history)  Vaccinated:1999-04-19
Age:22.0  Onset:0000-00-00
Gender:Female  Submitted:2000-05-16
Location:Michigan  Entered:2000-07-17, Days after submission: 62
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: vitamins
Current Illness:
Preexisting Conditions: hayfever
Diagnostic Lab Data:
CDC 'Split Type': WAES99050359
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.1663H0SC 
Administered by: Public     Purchased by: Other
Symptoms: Injection site rash, Pruritus
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow)
Write-up: Subsequent to receiving one dose of varicella virus vaccine live the pt experienced a rash at the injection site and on her body a few days later. The rash at the injection site consisted of 15 red, raised bumps with a slight itch and the rash on her body consisted of 12 spots on her back and chest. The pt sought unspecified medical treatment. The physician noted that the rash resolved after 10 days, however, the pt is still experiencing a red itch. On 05/19/1999 the pt was vaccinated with the second dose of varicella virus vaccine live. It was noted not reaction as of 06/23/1999. No further information is available.

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