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Case Details (Sorted by Age)

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VAERS ID:360777 (history)  Vaccinated:2009-09-23
Age:22  Onset:2009-09-23, Days after vaccination: 0
Gender:Female  Submitted:2009-10-07, Days after onset: 14
Location:Illinois  Entered:2009-10-14, Days after submission: 7
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: SEROQUEL
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEUR63198AA0UNRA
Administered by: Private     Purchased by: Private
Symptoms: Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow)
Write-up: Pt. reports development of hives same day as vaccine administration - Pt. did not contact our office until 10/6/09.

VAERS ID:360823 (history)  Vaccinated:2009-09-22
Age:22  Onset:2009-09-22, Days after vaccination: 0
Gender:Female  Submitted:2009-09-27, Days after onset: 5
Location:Georga  Entered:2009-10-14, Days after submission: 17
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 listed or known
Diagnostic Lab Data: None
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)NOVARTIS VACCINES AND DIAGNOSTICS97839P2 IMLA
Administered by: Other     Purchased by: Other
Symptoms: Pruritus generalised
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (broad)
Write-up: Patient called pharmacy 2 hrs post vaccine administration stating she was" itching all over" with no other symptoms. She was told to take Benadryl and call her MD.

VAERS ID:360888 (history)  Vaccinated:2009-10-14
Age:22  Onset:2009-10-14, Days after vaccination: 0
Gender:Female  Submitted:2009-10-14, Days after onset: 0
Location:Massachusetts  Entered:2009-10-14
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Lo-estrin qd Minocyclin bid Zyrtec 10mg qd
Current Illness: Healthy - no known symptoms of illness
Preexisting Conditions: Allergies to pollen, dust, animals and seasonal allergies
Diagnostic Lab Data: observation and subjective description by patient
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURU3188AA0IDLA
Administered by: Public     Purchased by: Public
Symptoms: Pain, Pruritus, Rash erythematous
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow)
Write-up: Match erythemitis rash on hands traveling to wrist followed by itching and stinging

VAERS ID:361129 (history)  Vaccinated:2009-10-15
Age:22  Onset:2009-10-15, Days after vaccination: 0
Gender:Male  Submitted:2009-10-15, Days after onset: 0
Location:Kentucky  Entered:2009-10-16, 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: No
Current Illness: None
Preexisting Conditions: Asthma
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)NOVARTIS VACCINES AND DIAGNOSTICS98434P10IMRA
Administered by: Other     Purchased by: Other
Symptoms: Blood glucose normal, Dizziness, Feeling abnormal, Feeling hot, Gaze palsy, Muscle twitching, Somnolence, Unresponsive to stimuli
SMQs:, Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Dyskinesia (broad), Dystonia (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Vestibular disorders (broad), Ocular motility disorders (narrow), Hypotonic-hyporesponsive episode (broad)
Write-up: Approx 10 min after receiving flu vaccine Pt states :I feel funny. light headed and hot." Within seconds pt was nonverbal, eyes were open rolled to R side. Arms were contracted and pt was twitching. Lasted approx 60 sec. Pt was then alert and oriented x 3, but drowsy (slightly). Pt refused hospital visit. Pt to visit PMD. Vital signs stable. Blood sugar WNL/

VAERS ID:361413 (history)  Vaccinated:2009-08-10
Age:22  Onset:2009-08-11, Days after vaccination: 1
Gender:Female  Submitted:2009-10-18, Days after onset: 68
Location:Michigan  Entered:2009-10-19, Days after submission: 1
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.0314Y IM 
Administered by: Private     Purchased by: Unknown
Symptoms: Vaginal haemorrhage
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow)
Write-up: On OC with good cycle. Started bleeding after GARDASIL. Bled rest of cycle - Moderate, needed maxi pads (happened to a friend also).

VAERS ID:361492 (history)  Vaccinated:2009-10-14
Age:22  Onset:2009-10-14, Days after vaccination: 0
Gender:Female  Submitted:2009-10-19, Days after onset: 5
Location:California  Entered:2009-10-19
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':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLUN3: INFLUENZA (SEASONAL) (FLUMIST)MEDIMMUNE VACCINES, INC.5006681P   
Administered by: Unknown     Purchased by: Private
Symptoms: Abdominal pain, Nausea, Oropharyngeal pain, Pain, Pyrexia
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)
Write-up: Fever, nausea, body aches, sore throat, abdominal pain

VAERS ID:361508 (history)  Vaccinated:2009-09-23
Age:22  Onset:2009-09-26, Days after vaccination: 3
Gender:Female  Submitted:2009-10-19, Days after onset: 23
Location:Michigan  Entered:2009-10-19
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Depo-Provera
Current Illness: N/A
Preexisting Conditions: Penicillin and Cepholosporins
Diagnostic Lab Data: Chest X-ray
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)UNKNOWN MANUFACTURER 0IMLA
Administered by: Public     Purchased by: Unknown
Symptoms: Arthralgia, Chest X-ray, Chest discomfort, Chills, Hyperhidrosis, Musculoskeletal stiffness, Oedema peripheral, Pruritus, Pyrexia
SMQs:, Cardiac failure (broad), Anaphylactic reaction (narrow), Angioedema (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dystonia (broad), Parkinson-like events (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad), Arthritis (broad)
Write-up: Unbearable stiffness and joint pain, chills, fever, sweating, swollen and itchy hands, and tightness in chest. Joint pain lasted for 2 days, chest tightness lasted for 4 days, and itchy and swollen hands lasted for approximately a week.

VAERS ID:361532 (history)  Vaccinated:2009-10-18
Age:22  Onset:2009-10-19, Days after vaccination: 1
Gender:Female  Submitted:2009-10-19, Days after onset: 0
Location:Ohio  Entered:2009-10-19
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Ortho tricyclin
Current Illness: no
Preexisting Conditions: none
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLUN(H1N1): INFLUENZA (H1N1) (H1N1 (MONOVALENT) (MEDIMMUNE)MEDIMMUNE VACCINES, INC.500764 P0IN 
Administered by: Public     Purchased by: Unknown
Symptoms: Diarrhoea, Nausea, Vomiting
SMQs:, Acute pancreatitis (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (narrow)
Write-up: Diarrhea, Nausea, Vomiting

VAERS ID:361671 (history)  Vaccinated:2009-10-15
Age:22  Onset:2009-10-15, Days after vaccination: 0
Gender:Female  Submitted:2009-10-15, Days after onset: 0
Location:Virginia  Entered:2009-10-20, Days after submission: 5
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLUN(H1N1): INFLUENZA (H1N1) (H1N1 (MONOVALENT) (MEDIMMUNE)MEDIMMUNE VACCINES, INC.500754P0IN 
Administered by: Private     Purchased by: Public
Symptoms: Dizziness, Feeling abnormal, Feeling cold, Feeling hot, Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dementia (broad), Cardiomyopathy (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad)
Write-up: 11:50AM felt hot after receiving FLUMIST then lightheaded and dizzy at 12:10pm fainted when she awoke after about 2-3 minutes felt "out of it" very cold B/P 118/84, P 80. Laid on table did not get up on her own until 2:30pm.

VAERS ID:361911 (history)  Vaccinated:2009-09-29
Age:22  Onset:2009-09-29, Days after vaccination: 0
Gender:Female  Submitted:2009-10-20, Days after onset: 21
Location:Texas  Entered:2009-10-20
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None on file
Current Illness: Dizziness, tightness in throat; dry mouth
Preexisting Conditions: Pregnancy
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)NOVARTIS VACCINES AND DIAGNOSTICS98435P10UNLA
Administered by: Other     Purchased by: Other
Symptoms: Dizziness, Drug exposure during pregnancy, Throat tightness
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Vestibular disorders (broad), Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow), Hypersensitivity (broad)
Write-up: Pt came in for flu shot. She listed allergies to CODEINE-SULFA but no allergies to chicken, eggs, gelatin, NEOMYCIN, etc. When asked if she had a reaction to vacc in the past she said she didn''t know but only had prob w/allergy shots and had never gotten flu shot. We discussed allergic Rxn symptoms, pt said she was pregnant. After shot-pt complained of dizziness, tightness in throat. After monitoring of about 20 min called paramedics to assist and assess. Pt left without giving update on condition.

VAERS ID:362017 (history)  Vaccinated:2009-10-20
Age:22  Onset:2009-10-20, Days after vaccination: 0
Gender:Female  Submitted:2009-10-20, Days after onset: 0
Location:Indiana  Entered:2009-10-21, Days after submission: 1
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: no
Preexisting Conditions: NKA
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU(H1N1): INFLUENZA (H1N1) (H1N1 (MONOVALENT) (SANOFI)SANOFI PASTEURUP001AA0IMLA
Administered by: Private     Purchased by: Other
Symptoms: Facial palsy, Headache, Hypoaesthesia facial, Injection site pain, Pain in extremity, Paraesthesia
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Extravasation events (injections, infusions and implants) (broad)
Write-up: numbness and paraesthesia right side of face with facial drooping at the corner of left side of mouth. Pain at injection site.

VAERS ID:362166 (history)  Vaccinated:2009-07-15
Age:22  Onset:2009-07-18, Days after vaccination: 3
Gender:Male  Submitted:2009-10-22, Days after onset: 96
Location:Pennsylvania  Entered:2009-10-22
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: no
Preexisting Conditions: allergic to soy, tree nuts, tree pollen, flower pollen, ragweed pollen, grass pollen, penicillin
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)UNKNOWN MANUFACTURER 4IJRA
Administered by: Public     Purchased by: Unknown
Symptoms: Cough, Fatigue, Headache, Influenza like illness, Pain, Rhinorrhoea, Sneezing
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (broad)
Write-up: Runny nose, excessive cough that lasted for a few weeks, sneezing, soreness, headache, fatigue. Basically I felt like I had a flu but it only lasted for two days. The cough maintained for the next few weeks, almost a month.

VAERS ID:362326 (history)  Vaccinated:2009-10-08
Age:22  Onset:2009-10-11, Days after vaccination: 3
Gender:Female  Submitted:2009-10-22, Days after onset: 11
Location:California  Entered:2009-10-22
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Topamax 25 mg 2 a day
Current Illness: No active illness at this time
Preexisting Conditions: No known ALLERGIES. Has HX optil glioma
Diagnostic Lab Data: Unknown. Was seen at local hospital. Awaiting medical records.
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURU3186AA IMLA
Administered by: Public     Purchased by: Private
Symptoms: Injection site erythema, Injection site swelling, Rash
SMQs:, Anaphylactic reaction (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow)
Write-up: Patient complained of redness and swelling to arm at the site of the vaccination. Said she had a rash.

VAERS ID:362345 (history)  Vaccinated:2009-10-22
Age:22  Onset:2009-10-22, Days after vaccination: 0
Gender:Female  Submitted:2009-10-22, Days after onset: 0
Location:Illinois  Entered:2009-10-22
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: neurontin, baclofen, zoloft, ditropan xl, elavil, microgestin, daily multi-vitamin, cranberry pills
Current Illness: no
Preexisting Conditions: C5/C6 incomplete quadriplegic. allergic to bactrim and latex.
Diagnostic Lab Data:
CDC 'Split Type': IL
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLUN(H1N1): INFLUENZA (H1N1) (H1N1 (MONOVALENT) (MEDIMMUNE)MEDIMMUNE VACCINES, INC.    
Administered by: Private     Purchased by: Unknown
Symptoms: Dizziness, Headache
SMQs:, Anticholinergic syndrome (broad), Vestibular disorders (broad)
Write-up: dizziness, bad headache that lasted all day

VAERS ID:362392 (history)  Vaccinated:2009-10-22
Age:22  Onset:2009-10-22, Days after vaccination: 0
Gender:Female  Submitted:2009-10-22, Days after onset: 0
Location:Arizona  Entered:2009-10-22
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: None~ ()~~0.00~Patient
Other Medications: None
Current Illness:
Preexisting Conditions: None
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
TTOX: TETANUS TOXOID (NO BRAND NAME)SANOFI PASTEURU2883BA0IMLA
Administered by: Other     Purchased by: Private
Symptoms: Abdominal pain upper, Dizziness, Fear of needles, Feeling hot, Immediate post-injection reaction, Nausea
SMQs:, Acute pancreatitis (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad), Hypersensitivity (narrow)
Write-up: 10/22/09 Immediately after injection c/o dizziness - warm feeling, nausea and stomach cramping. Sx 10/22/09 symp of dizziness lasted approximately 2 mins. Warmth, nausea, cramping/stomach 10 mins. States fear of needles after injection was given and states warmth/stomach cramping 3-4 times since 6/17/09 after check up. Elevated, ice packs.

VAERS ID:362663 (history)  Vaccinated:2009-10-15
Age:22  Onset:2009-10-15, Days after vaccination: 0
Gender:Female  Submitted:2009-10-25, Days after onset: 10
Location:New Hampshire  Entered:2009-10-25
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: Allergy to sulfa
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLUN(H1N1): INFLUENZA (H1N1) (H1N1 (MONOVALENT) (MEDIMMUNE)MEDIMMUNE VACCINES, INC.    
Administered by: Private     Purchased by: Unknown
Symptoms: Body temperature increased, Lethargy, Rhinorrhoea
SMQs:, Neuroleptic malignant syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad)
Write-up: Temp of 102F, runny nose, lethary for four days.

VAERS ID:362678 (history)  Vaccinated:2009-10-24
Age:22  Onset:2009-10-24, Days after vaccination: 0
Gender:Female  Submitted:2009-10-25, Days after onset: 1
Location:Indiana  Entered:2009-10-25
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: No
Preexisting Conditions: Allergic to codeine
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLUX(H1N1): INFLUENZA (H1N1) (H1N1 (MONOVALENT) (UNKNOWN)UNKNOWN MANUFACTURER 0IJLA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Asthenia, Hypersomnia, Lethargy, Somnolence
SMQs:, Anticholinergic syndrome (broad), Dementia (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Depression (excl suicide and self injury) (broad)
Write-up: Lethargic, sleepy. Slept almost the entire day, had very little energy to do anything. Slept intermittently in the afternoon and then from ~5pm until 9am the next morning. These are very, very unusual sleeping patterns for me.

VAERS ID:362721 (history)  Vaccinated:2009-09-23
Age:22  Onset:2009-09-23, Days after vaccination: 0
Gender:Female  Submitted:2009-10-23, Days after onset: 30
Location:Wisconsin  Entered:2009-10-26, Days after submission: 3
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: MIRENA; FLEXERIL
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: Pt refused RA, ANA, Lemne test at Dr. visit
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURU3185AA IMLA
Administered by: Private     Purchased by: Private
Symptoms: Injection site pain, Refusal of treatment by patient
SMQs:, Extravasation events (injections, infusions and implants) (broad)
Write-up: States left deltoid has been sore since flu shot was given on 9/23/09.

VAERS ID:362778 (history)  Vaccinated:2009-10-12
Age:22  Onset:2009-10-14, Days after vaccination: 2
Gender:Female  Submitted:2009-10-23, Days after onset: 9
Location:Indiana  Entered:2009-10-26, Days after submission: 3
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: No
Preexisting Conditions: No
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLUN(H1N1): INFLUENZA (H1N1) (H1N1 (MONOVALENT) (MEDIMMUNE)MEDIMMUNE VACCINES, INC.500751P0IN 
Administered by: Public     Purchased by: Other
Symptoms: Muscular weakness, Paraesthesia
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad)
Write-up: Two days after receiving the flu mist (H1N1) she had weakness in her legs accompanied by tingling and the feeling of her legs falling asleep - last approx 4 days.

VAERS ID:363226 (history)  Vaccinated:2009-10-26
Age:22  Onset:2009-10-26, Days after vaccination: 0
Gender:Female  Submitted:2009-10-26, Days after onset: 0
Location:Wisconsin  Entered:2009-10-27, Days after submission: 1
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.0968Y2IMRA
Administered by: Public     Purchased by: Public
Symptoms: Nausea, Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Acute pancreatitis (broad), Arrhythmia related investigations, signs and symptoms (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad)
Write-up: C/o nausea; syncope observed patient for 20 minutes after syncope, provided water

VAERS ID:363614 (history)  Vaccinated:2009-10-15
Age:22  Onset:2009-10-15, Days after vaccination: 0
Gender:Female  Submitted:2009-10-18, Days after onset: 3
Location:North Carolina  Entered:2009-10-29, Days after submission: 11
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Crestor; Lisinopril; Fish Oil; Birth Control
Current Illness: None
Preexisting Conditions: Hypertension
Diagnostic Lab Data: Follow up at Urgent Care Center
CDC 'Split Type':
Vaccination
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Site
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)UNKNOWN MANUFACTURER98439P11UNLA
PPV: PNEUMO (NO BRAND NAME)UNKNOWN MANUFACTURER0823Y0UNRA
Administered by: Other     Purchased by: Unknown
Symptoms: Erythema, Oedema peripheral, Pain in extremity, Pyrexia
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad)
Write-up: Vaccine was given on 10/15/09. Pain and soreness began the same night and area was red and size of a baseball. On 10/16/09 began running fever of 101.9 degrees F around 5 p.m. and fever broke around 10 p.m. No fever since then, but red area on arm has gotten bigger.

VAERS ID:363688 (history)  Vaccinated:2009-09-29
Age:22  Onset:0000-00-00
Gender:Female  Submitted:2009-10-29
Location:Arizona  Entered:2009-10-29
Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: ADDERALL; Lisinopril; Amlodipine; Gabapentin; LEXAPRO; Trazodone; Promethazine HCl; Quetiapine fumarate; Methocarbamol; Antibiotics
Current Illness: Allodynia; Chronic Proteinuria; Hypertension; Post Herpetic Neuralgia; Wegener''s Granulomatosis
Preexisting Conditions: It was unknown if the subject had previously received influenza vaccinations. The reporter was unaware if the subject had any adverse events following receipt of prior immunizations.
Diagnostic Lab Data: Body temperature, 30Sep2009, 100.3; Body temperature, Oct2009, 99.4
CDC 'Split Type': A0813258A
Vaccination
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FLU3: INFLUENZA (SEASONAL) (FLUARIX)GLAXOSMITHKLINE BIOLOGICALS 0UNUN
Administered by: Private     Purchased by: Private
Symptoms: Body temperature increased, Influenza like illness, Pyrexia, Sinusitis
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad)
Write-up: This case was reported by a physician and described the occurrence of the flu like symptoms in a 22-year-old female subject who was vaccinated with FLUARIX (GlaxoSmithKline). Concurrent medical conditions included allodynia, chronic proteinuria, hypertension, post herpetic neuralgia and Wegener''s granulomatosis. Concurrent medications included ADDERALL, Lisinopril, NORVASC, Gabapentin, LEXAPRO, Trazodone, PHENERGAN, SEROQUEL, ROBAXIN and Antibiotic (unknown). On 29 September 2009 the subject received 1st dose of FLUARIX (.5 ml, left arm). Within 24 hours after vaccination with FLUARIX, the subject experienced mild flu like symptoms. The next day the subject experienced a low grade fever. On an unspecified date in October 2009, one week prior to the time of reporting, the subject developed sinusitis. The subject experienced a fever with the sinus infection. The physician considered the flu like symptoms, low grade fever, sinusitis and fever were disabling. At the time of reporting the flu like symptoms were resolved, low grade fever and fever was unresolved, and sinusitis was improved. The physician considered the flu like symptoms, low grade fever, sinusitis and fever were possibly related to vaccination with FLUARIX. The physician reported that the subject was given FLUARIX and within 24 hours experienced mild flu like symptoms. A low grade fever 100.3 manifested and resolved after three days but returned. About two weeks after vaccination, the subject was treated with antibiotics for sinusitis which she developed one week prior to the time of reporting. Fever was present again with the sinus infection. The physician was going to see the subject on 20 October 2009. The physician noted that the subject had improved, but still reported a low grade fever of 99.4.

VAERS ID:364006 (history)  Vaccinated:2009-10-28
Age:22  Onset:2009-10-28, Days after vaccination: 0
Gender:Female  Submitted:2009-10-30, Days after onset: 2
Location:Kansas  Entered:2009-10-30
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness: no
Preexisting Conditions: iv cipro and iv vancomycin
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
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FLUN(H1N1): INFLUENZA (H1N1) (H1N1 (MONOVALENT) (MEDIMMUNE)MEDIMMUNE VACCINES, INC.500736P0IMRA
Administered by: Private     Purchased by: Public
Symptoms: Wheezing
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Asthma/bronchospasm (broad), Eosinophilic pneumonia (broad), Hypersensitivity (broad)
Write-up: expiratory and inspiratory wheezing lasting 30 minutes. Observed; no treatment necessary as wheezing resolved on its own with no additional symptoms developing

VAERS ID:364007 (history)  Vaccinated:2009-10-21
Age:22  Onset:2009-10-21, Days after vaccination: 0
Gender:Female  Submitted:2009-10-30, Days after onset: 9
Location:Iowa  Entered:2009-10-30
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Medication allergies: "can''t remember what it is".
Current Illness: Denies "no"
Preexisting Conditions: Dx. allergies 2 years ago, environmental
Diagnostic Lab Data: Did not see Dr., no testing was done;
CDC 'Split Type':
Vaccination
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FLUN(H1N1): INFLUENZA (H1N1) (H1N1 (MONOVALENT) (MEDIMMUNE)MEDIMMUNE VACCINES, INC.500783P1IN 
Administered by: Public     Purchased by: Unknown
Symptoms: Asthenia, Confusional state, Dizziness, Malaise, Nasal congestion, Rhinorrhoea, Vomiting
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad)
Write-up: "confusion, dizziness"; "an hour went by and then I threw up"; did not eat before vaccination or after; reports lack of energy; lasted 2 1/2 hours. When asked how she was feeling, "I stopped taking my allergy medicine for 3 days and don''t feel well. My nose and everything is stuffy and runny.

VAERS ID:364022 (history)  Vaccinated:2009-08-04
Age:22  Onset:2009-08-04, Days after vaccination: 0
Gender:Female  Submitted:2009-10-30, Days after onset: 87
Location:Texas  Entered:2009-10-30
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC 'Split Type': TX090029PU
Vaccination
Manufacturer
Lot
Dose
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HEPA: HEP A (HAVRIX)GLAXOSMITHKLINE BIOLOGICALSAHAVB274AA1 RA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Incorrect dose administered
SMQs:
Write-up: PATIENT WAS GIVEN A PEDIATRIC DOSE OF HEPATITIS A INSTEAD OF ADULT HEP A. PATIENT INFORMED. SHE WILL COME BACK TO GET CORRECT DOSE.

VAERS ID:364026 (history)  Vaccinated:2009-10-27
Age:22  Onset:2009-10-28, Days after vaccination: 1
Gender:Female  Submitted:2009-10-30, Days after onset: 2
Location:Illinois  Entered:2009-10-30
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: asthma
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
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FLU(H1N1): INFLUENZA (H1N1) (H1N1 (MONOVALENT) (NOVARTIS)NOVARTIS VACCINES AND DIAGNOSTICS1007390 LA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Cough, Oropharyngeal pain, Pain, Pyrexia
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow)
Write-up: slight fever, coughing, sore throat, soreness/body aches (went to see doctor to get medicine)

VAERS ID:364072 (history)  Vaccinated:2009-10-29
Age:22  Onset:2009-10-29, Days after vaccination: 0
Gender:Female  Submitted:2009-10-30, Days after onset: 1
Location:Texas  Entered:2009-10-30
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: AS PER CLIENT EIGHT MONTH PREGNANT
Preexisting Conditions: NOT SPECIFIED
Diagnostic Lab Data: none reported
CDC 'Split Type':
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FLUN(H1N1): INFLUENZA (H1N1) (H1N1 (MONOVALENT) (MEDIMMUNE)MEDIMMUNE VACCINES, INC.500782P0IN 
Administered by: Unknown     Purchased by: Unknown
Symptoms: Contraindication to vaccination, Drug exposure during pregnancy, No adverse event
SMQs:, Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow)
Write-up: NONE

VAERS ID:364128 (history)  Vaccinated:2009-10-29
Age:22  Onset:2009-10-29, Days after vaccination: 0
Gender:Female  Submitted:2009-10-30, Days after onset: 1
Location:California  Entered:2009-10-30
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness: no
Preexisting Conditions: SMA-Spinal Muscular Atrophy
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
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FLU(H1N1): INFLUENZA (H1N1) (H1N1 (MONOVALENT) (NOVARTIS)NOVARTIS VACCINES AND DIAGNOSTICS10073801 A0IMLA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Dizziness, Headache, Heart rate increased, Myalgia, Nausea
SMQs:, Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad), Vestibular disorders (broad)
Write-up: Severe headache , muscle aches , nausea , dizziness , and fast heart rate.

VAERS ID:364194 (history)  Vaccinated:2009-10-28
Age:22  Onset:2009-10-29, Days after vaccination: 1
Gender:Male  Submitted:2009-11-01, Days after onset: 3
Location:Colorado  Entered:2009-11-01
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: none
Preexisting Conditions: none
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
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Site
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)UNKNOWN MANUFACTURER 0  
Administered by: Unknown     Purchased by: Unknown
Symptoms: Cough, Sneezing, Vomiting
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypersensitivity (broad)
Write-up: Severe cough, vomiting, sneezing.

VAERS ID:364467 (history)  Vaccinated:2009-11-02
Age:22  Onset:2009-11-02, Days after vaccination: 0
Gender:Male  Submitted:2009-11-02, Days after onset: 0
Location:Mississippi  Entered:2009-11-02
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: No
Preexisting Conditions: Alports Syndrome
Diagnostic Lab Data:
CDC 'Split Type':
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FLUX(H1N1): INFLUENZA (H1N1) (H1N1 (MONOVALENT) (UNKNOWN)UNKNOWN MANUFACTURER    
Administered by: Unknown     Purchased by: Unknown
Symptoms: Asthenia, Renal pain
SMQs:, Guillain-Barre syndrome (broad)
Write-up: Severe pain in my sides around kidneys. Very weak feeling.

VAERS ID:364472 (history)  Vaccinated:2009-10-26
Age:22  Onset:2009-10-31, Days after vaccination: 5
Gender:Female  Submitted:2009-11-02, Days after onset: 2
Location:Kentucky  Entered:2009-11-02
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: none known
Preexisting Conditions: allergic to neosporin
Diagnostic Lab Data:
CDC 'Split Type':
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Manufacturer
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DTAP: DTAP (DAPTACEL)SANOFI PASTEURAC52B047EA1IMLA
Administered by: Private     Purchased by: Unknown
Symptoms: Injection site irritation, Injection site pain
SMQs:, Extravasation events (injections, infusions and implants) (broad)
Write-up: irritation and soreness at site.

VAERS ID:364476 (history)  Vaccinated:2009-10-27
Age:22  Onset:2009-10-29, Days after vaccination: 2
Gender:Female  Submitted:2009-11-02, Days after onset: 4
Location:South Dakota  Entered:2009-11-02
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 PMH: pregnant Allergies: NKDA
Diagnostic Lab Data: Serum test for pregnancy was positive at the clinic. Labs: HCG + 11/6/09: HCG Quantitative from received 11/5/09 results 0.2 (L).
CDC 'Split Type':
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FLUN(H1N1): INFLUENZA (H1N1) (H1N1 (MONOVALENT) (MEDIMMUNE)MEDIMMUNE VACCINES, INC.500758P0IN 
Administered by: Unknown     Purchased by: Unknown
Symptoms: Chills, Cough, Drug exposure during pregnancy, Furuncle, Headache, Hidradenitis, Nausea, Oropharyngeal pain, Pregnancy test positive, Vaginal haemorrhage, Viral pharyngitis
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Haemorrhage terms (excl laboratory terms) (narrow), Oropharyngeal infections (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow), Normal pregnancy conditions and outcomes (narrow)
Write-up: Patient came to see Dr. today after doing a home pregnancy test. Pregnancy is confirmed by serum. Patient states she received a H1N1 Flumist last week at the Nursing Home where she works. 11/4/2009 PCP visit for 10/29/2009. Patient did home pregancy test which was + and verified per HCG, no c/o''s at this time. Approx 5 weeks pregnant, received H1 N1 3 weeks prior. OB-GYN MD consulted and tx was observation at this time since asymptomatic. 11/6/09: HCG Quantitative from received 11/5/09 results 0.2 (L).

VAERS ID:364601 (history)  Vaccinated:2009-08-27
Age:22  Onset:2009-08-28, Days after vaccination: 1
Gender:Female  Submitted:2009-08-31, Days after onset: 3
Location:Tennessee  Entered:2009-11-02, Days after submission: 63
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: PPD
Current Illness: None
Preexisting Conditions: Allergies: ASA; NSAID''s; Imitrex; Buspor
Diagnostic Lab Data: None
CDC 'Split Type': TW09018
Vaccination
Manufacturer
Lot
Dose
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Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.0848Y0SCLA
Administered by: Private     Purchased by: Private
Symptoms: Injection site erythema, Injection site swelling, Rash
SMQs:, Anaphylactic reaction (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow)
Write-up: Pt had redness, swelling at inj. site starting 1 day post inj. also had rash on stomach & back 1 day post inj.

VAERS ID:364696 (history)  Vaccinated:2009-11-02
Age:22  Onset:2009-11-02, Days after vaccination: 0
Gender:Male  Submitted:2009-11-03, Days after onset: 1
Location:Kentucky  Entered:2009-11-03
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Clindamycin lotion, & Differin Gel
Current Illness: no
Preexisting Conditions: none
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
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Dose
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FLUN(H1N1): INFLUENZA (H1N1) (H1N1 (MONOVALENT) (MEDIMMUNE)MEDIMMUNE VACCINES, INC. 0IN 
Administered by: Unknown     Purchased by: Unknown
Symptoms: Headache
SMQs:
Write-up: headache

VAERS ID:364738 (history)  Vaccinated:2009-11-01
Age:22  Onset:2009-11-03, Days after vaccination: 2
Gender:Female  Submitted:2009-11-03, Days after onset: 0
Location:California  Entered:2009-11-03
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: ALBUTEROL INHALER PRN LORATADINE OR CETRIZINE PRN SINGULAIR
Current Illness: NONE
Preexisting Conditions: MILD ASTHMA, SEASONAL ALLERGIES, ALLERGIC TO SULFA
Diagnostic Lab Data:
CDC 'Split Type':
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FLUX(H1N1): INFLUENZA (H1N1) (H1N1 (MONOVALENT) (UNKNOWN)UNKNOWN MANUFACTURER  IJ 
Administered by: Unknown     Purchased by: Unknown
Symptoms: Injection site pain, Nausea, Vomiting
SMQs:, Acute pancreatitis (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)
Write-up: NAUSEA AND VOMITING. SOME SORENESS AT INJECTION SITE EARLIER.

VAERS ID:364783 (history)  Vaccinated:2009-10-27
Age:22  Onset:2009-10-27, Days after vaccination: 0
Gender:Female  Submitted:2009-10-29, Days after onset: 2
Location:Michigan  Entered:2009-11-03, Days after submission: 5
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Pregnancy (7 mos GA)
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
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Dose
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FLUN(H1N1): INFLUENZA (H1N1) (H1N1 (MONOVALENT) (MEDIMMUNE)MEDIMMUNE VACCINES, INC.500757P0IN 
Administered by: Public     Purchased by: Other
Symptoms: Contraindication to vaccination, Drug exposure during pregnancy
SMQs:, Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow)
Write-up: Given nasal Influenza A (H1N1) vaccine. Package insert indicates not advisable to administer to pregnant woman. Client did not indicate she was pregnant even when asked if she had any medical condition. 11/9/09: OB/GYN records received for dates of service 10/28/08 Indicate that pt. got H1N1 flu vaccine at the health department

VAERS ID:364828 (history)  Vaccinated:2009-10-23
Age:22  Onset:2009-10-27, Days after vaccination: 4
Gender:Female  Submitted:2009-11-03, Days after onset: 7
Location:Oregon  Entered:2009-11-03
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: NUVA RING
Current Illness: no
Preexisting Conditions: no
Diagnostic Lab Data: did not have any labs drawn or tests done.
CDC 'Split Type':
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FLU(H1N1): INFLUENZA (H1N1) (H1N1 (MONOVALENT) (SANOFI)SANOFI PASTEURUP005AA0IMLA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Headache, Nausea, Neuralgia, Pain
SMQs:, Acute pancreatitis (broad), Peripheral neuropathy (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)
Write-up: Headache, possible brain edema, nerve pain, nausea, body aches.

VAERS ID:364833 (history)  Vaccinated:2009-10-30
Age:22  Onset:2009-10-30, Days after vaccination: 0
Gender:Female  Submitted:2009-11-03, Days after onset: 4
Location:Texas  Entered:2009-11-03
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: CELEXA 40MG ONE TAB DAILY
Current Illness: NONE
Preexisting Conditions: ASTHMA
Diagnostic Lab Data:
CDC 'Split Type':
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FLUX(H1N1): INFLUENZA (H1N1) (H1N1 (MONOVALENT) (UNKNOWN)UNKNOWN MANUFACTURER 0IMLA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Headache, Injection site erythema, Injection site swelling, Myalgia, Vomiting
SMQs:, Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Eosinophilic pneumonia (broad)
Write-up: STARTED WITH A HEADACHE ABOUT 12:30 I TOOK A NAP AND AWOKE AROUND 4:30. INJECTION SITE WAS SWOLLEN AND RED WITH MUSCLE ACHES, AND VOMITING CONTINUING TILL 11/1/09 AT 09:00 PM. PERSISTANT HEADACHE EVER SINCE TAKEN TYLENOL, ADVIL, IBUPROPHEN, ALEVE, BENADRYL, CLARITIN, ICE PACKS, PLENTY OF WATER, DARK AND SILENCE WITH NO SIGNS OF HEADACHE RELIEF.

VAERS ID:364964 (history)  Vaccinated:0000-00-00
Age:22  Onset:2009-04-23
Gender:Female  Submitted:2009-11-03, Days after onset: 194
Location:Wisconsin  Entered:2009-11-04, 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: None
Current Illness: Pregnancy NOS (LMP = 4/27/2009); Penicillin allergy
Preexisting Conditions:
Diagnostic Lab Data: urine beta-human, 07/23/09, positive for pregnancy
CDC 'Split Type': WAES0907USA04172
Vaccination
Manufacturer
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Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.1312X2IMUN
Administered by: Other     Purchased by: Other
Symptoms: Abortion induced, Drug exposure during pregnancy, Fatigue, Myalgia, Nausea, Pain, Urine human chorionic gonadotropin positive, Vomiting
SMQs:, Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Tumour markers (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad), Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow), Termination of pregnancy and risk of abortion (narrow), Normal pregnancy conditions and outcomes (narrow)
Write-up: Information has been received from a medical assistant, for GARDASIL, a Pregnancy Registry product, concerning a 22 year old female with penicillin allergy who on 05-DEC-2008 was vaccinated with the first dose of GARDASIL (lot number unspecified). On 03-FEB-2009 the patient received the second dose of GARDASIL (lot number unspecified). On 10-JUL-2009 the patient received the third dose of GARDASIL (lot number: 661846/1312X, 0.5ml, IM. There was no concomitant medication. The patient''s last documented period was 3 months ago, in approximately April 2009; however, the patient had sporadic periods. On 23-JUL-2009, the patient was seen in the office for symptoms of body aches, fatigue, nausea, vomiting and myalgia. On 23-JUL-2009 a urine pregnancy test was conducted and the result was positive for pregnancy. HCG quantitative test was ongoing (result unknown). The patient''s estimated delivery date would be on 28-JAN-2010. At the report time the patient was pregnant. Follow up information has been received from a medical assistant concerning the 22 year old female who was vaccinated with 3 doses of GARDASIL on 05-DEC-2008, 03-FEB-2009 and 10-JUL-2009 respectively. The reporter noted that the patient terminated pregnancy on an unspecified date. The patient last menstrual period was on 27-APR-2009. The estimated delivery date (EDD) would be on 01-FEB-2010. At the time of the report, the outcome was unknown. No further information is available.

VAERS ID:365003 (history)  Vaccinated:2009-10-01
Age:22  Onset:2009-10-06, Days after vaccination: 5
Gender:Male  Submitted:2009-10-09, Days after onset: 3
Location:Unknown  Entered:2009-11-04, Days after submission: 26
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: None
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JEV: JAPANESE ENCEPHALITIS (JE-VAX)SANOFI PASTEURTJN236A0SCLA
Administered by: Military     Purchased by: Military
Symptoms: Rash
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow)
Write-up: Non itchy rash to chest/abdomen. Noted 6 Oct 09. No other symptoms stated. Seen by provider 9 Oct 09 at 1000.

VAERS ID:365239 (history)  Vaccinated:2009-11-03
Age:22  Onset:2009-11-03, Days after vaccination: 0
Gender:Male  Submitted:2009-11-04, Days after onset: 1
Location:California  Entered:2009-11-04
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions:
Diagnostic Lab Data:
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IPV: POLIO VIRUS, INACT. (IPOL)SANOFI PASTEURB04765SCUN
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.0527Y0IMUN
Administered by: Private     Purchased by: Private
Symptoms: Chills, Injection site rash, Pain in extremity, Wheezing
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Asthma/bronchospasm (broad), Eosinophilic pneumonia (broad), Hypersensitivity (narrow)
Write-up: 11/3 10pm-Woke up with chills, arm painful and rash at site of injection. This a.m. wheezing . Given 600mg ibuprofen at 1100 am. 300pm feeling much better, not wheezing.

VAERS ID:365347 (history)  Vaccinated:2009-10-29
Age:22  Onset:2009-10-29, Days after vaccination: 0
Gender:Female  Submitted:2009-11-05, Days after onset: 7
Location:Kansas  Entered:2009-11-05
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:
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FLUN(H1N1): INFLUENZA (H1N1) (H1N1 (MONOVALENT) (MEDIMMUNE)MEDIMMUNE VACCINES, INC.500756P0IN 
Administered by: Public     Purchased by: Public
Symptoms: Pruritus, Rash
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow)
Write-up: Itching and rash on both lower arms 2 hours after receiving MedImmune Nasal H1N1 vaccine, lot 500756P.

VAERS ID:365388 (history)  Vaccinated:2009-11-05
Age:22  Onset:0000-00-00
Gender:Female  Submitted:2009-11-05
Location:Minnesota  Entered:2009-11-05
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Implanon
Current Illness: Cut finger
Preexisting Conditions: None
Diagnostic Lab Data:
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TDAP: TDAP (ADACEL)SANOFI PASTEURC3247AA1 LA
Administered by: Unknown     Purchased by: Private
Symptoms: Inappropriate schedule of drug administration
SMQs:
Write-up: Patient cut left middle finger 11/4/09 - in for wound care and Tetanus update. Chart noted self reported Td 2000. Tdap updated 11/5/09. (There record noted 9/29/99 last Td record). Previous Tdap given 4/29/09. Unknown at time of visit and vaccine administration.

VAERS ID:365389 (history)  Vaccinated:2009-11-05
Age:22  Onset:2009-11-05, Days after vaccination: 0
Gender:Female  Submitted:2009-11-05, Days after onset: 0
Location:Pennsylvania  Entered:2009-11-05
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Acne Vulgaris 10/14/2009 Allergies - Molds, spores, dogs, cats, pollens 09/28/2009 Amenorrhea - Missed menses x2 1/2 months 10/14/2009 Anxiety - depression - follows with Dr. 11/14/2007 Arthralgias - 09/28/2007 Asthma 10/14/2009 Autonomic seizures 01/22/2009 Depression 10/14/2009 Eczema 10/14/2009 Fibromyalgia 10/14/2009 Headaches - Chronic 10/14/2009 Monon
Diagnostic Lab Data: none
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FLU(H1N1): INFLUENZA (H1N1) (H1N1 (MONOVALENT) (NOVARTIS)NOVARTIS VACCINES AND DIAGNOSTICS1007395P0IMUN
Administered by: Unknown     Purchased by: Unknown
Symptoms: Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad)
Write-up: Fainted, no injury. Taken to clinical area for physician evaluation.

VAERS ID:365398 (history)  Vaccinated:2009-11-05
Age:22  Onset:2009-11-05, Days after vaccination: 0
Gender:Female  Submitted:2009-11-05, Days after onset: 0
Location:Pennsylvania  Entered:2009-11-05
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Allergic Rhinitis 10/22/2009 Anxiety - "per pulmonologist" 10/22/2009 Asthma - moderate to severe, last steroid given IV 4/28/08, triggers: Menses. (Diagnosed about age 18 months. Pt was last in the ER in 2-06 and was prescribed oral steroids at that time. (3-06)) 08/28/2007 Food Allergy - peanut allergy, onset 8/2995 08/28/2007 Gastroesophageal Reflux Disease (GERD) 1
Diagnostic Lab Data: none
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FLU(H1N1): INFLUENZA (H1N1) (H1N1 (MONOVALENT) (NOVARTIS)NOVARTIS VACCINES AND DIAGNOSTICS1007395P0IMLA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Loss of consciousness, Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad)
Write-up: The patient had an episode of syncope after she received her H1N1 immunization at 1pm. She had not had any lunch prior. She usually experiences near - syncopal episodes when she sees blood or has blood work done but never with just a shot. She lost consciousness but was aware of person, place and time.

VAERS ID:365451 (history)  Vaccinated:2009-11-04
Age:22  Onset:2009-11-04, Days after vaccination: 0
Gender:Female  Submitted:2009-11-05, Days after onset: 1
Location:Oregon  Entered:2009-11-05
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data:
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FLU(H1N1): INFLUENZA (H1N1) (H1N1 (MONOVALENT) (SANOFI)SANOFI PASTEURUP015AA IMUN
Administered by: Unknown     Purchased by: Unknown
Symptoms: Chest pain, Dizziness, Dyspnoea, Hyperhidrosis, Nausea, Pyrexia
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Vestibular disorders (broad)
Write-up: Dizzy, sweaty, chest pain, shortness of breath, nausea, feverish. Did not seek medical attention at the time. Came to Health Services on 11-05-2009 at 3:00pm, describing episode of the previous evening, but symptoms had resolved by the time she was seen.

VAERS ID:365499 (history)  Vaccinated:2009-10-02
Age:22  Onset:2009-10-02, Days after vaccination: 0
Gender:Female  Submitted:2009-11-05, Days after onset: 34
Location:Texas  Entered:2009-11-05
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: The only medication taken during the same period of the vaccine and reaction was Ocella, generic brand of Yasmin birth control.
Current Illness: No
Preexisting Conditions: Allergic to sulfa drugs, penicillin, ciprofloxacin
Diagnostic Lab Data:
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FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)UNKNOWN MANUFACTURER 0IMLA
Administered by: Public     Purchased by: Private
Symptoms: Pruritus, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow)
Write-up: My back felt slightly itchy. When I touched the area, which was the center of my back between my shoulder blades, there was a patch of small hives approximately 4 inches in diameter. The hives grew larger over the next hour or two until it was almost one large raised mass of large hives, still around 4 inches in diameter. The hives were not particularly itchy or bothersome, but they remained in the exact location for 5 days, after which they began slowly receding. They were completely gone by one week later, but during day 5 and 6 the hives had become very small pinpoint bumps that felt almost like there were small scabs on them. The patch of hives never oozed, itched significantly, or had broken skin.

VAERS ID:365604 (history)  Vaccinated:2009-10-16
Age:22  Onset:0000-00-00
Gender:Female  Submitted:2009-11-03
Location:Virginia  Entered:2009-11-06, Days after submission: 3
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness: None known
Preexisting Conditions: None known
Diagnostic Lab Data:
CDC 'Split Type':
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FLU(H1N1): INFLUENZA (H1N1) (H1N1 (MONOVALENT) (SANOFI)SANOFI PASTEURUP004AA0IMRA
FLUN(H1N1): INFLUENZA (H1N1) (H1N1 (MONOVALENT) (MEDIMMUNE)MEDIMMUNE VACCINES, INC.500761P0IN 
Administered by: Public     Purchased by: Public
Symptoms: Inappropriate schedule of drug administration
SMQs:
Write-up: None known.

VAERS ID:365668 (history)  Vaccinated:2009-11-04
Age:22  Onset:2009-11-04, Days after vaccination: 0
Gender:Female  Submitted:2009-11-06, Days after onset: 2
Location:Washington  Entered:2009-11-06
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NO, getting over a mild cold, but nothing serious. Have asthma and allergies.
Preexisting Conditions: No allergies other than seasonal
Diagnostic Lab Data: Waiting 2 more days to see if pain worsens.
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FLUX(H1N1): INFLUENZA (H1N1) (H1N1 (MONOVALENT) (UNKNOWN)UNKNOWN MANUFACTURER  IJLA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Condition aggravated, Gait disturbance, Muscular weakness, Pain, Rash
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Hypersensitivity (narrow)
Write-up: Received injection in left arm, started getting weak quad muscles, harder to walk. Left quad started weakening first, now both. The symptoms have worsened and my muscles are weak making it hard to walk without pain. Also a rash developed on my left upper thigh. I am able to walk but it is sore like I have been jogging for hours and pulled muscles.

VAERS ID:365695 (history)  Vaccinated:2009-10-21
Age:22  Onset:0000-00-00
Gender:Female  Submitted:0000-00-00
Location:New Mexico  Entered:2009-11-06
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:
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FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURU3200AA IMUN
Administered by: Unknown     Purchased by: Unknown
Symptoms: Unevaluable event
SMQs:
Write-up: none stated

VAERS ID:365821 (history)  Vaccinated:2009-11-06
Age:22  Onset:2009-11-06, Days after vaccination: 0
Gender:Female  Submitted:2009-11-07, Days after onset: 1
Location:Pennsylvania  Entered:2009-11-07
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: no
Preexisting Conditions: none 11/17/09 ER recs received for date 11/7/09 PMH: migraines, allergy to PCN, depression, HSV
Diagnostic Lab Data: CBC, electrolytes, preg test done in ED 11/17/09 ER recs received for date 11/7/09 Diag/Labs: CBC WNL, CMP WNL.
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FLUN(H1N1): INFLUENZA (H1N1) (H1N1 (MONOVALENT) (MEDIMMUNE)MEDIMMUNE VACCINES, INC.500763P0IN 
Administered by: Unknown     Purchased by: Unknown
Symptoms: Cough, Full blood count, Full blood count normal, Headache, Influenza, Laboratory test, Metabolic function test, Myalgia, Nausea, Oropharyngeal pain, Pain, Pregnancy test, Pyrexia, Vomiting
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad)
Write-up: Headache, sorethroat, body aches, fever, vomiting. 11/17/09 ER recs received for date 11/7/09. DX: flu like syndrome. Chief c/o pt. states received H1N1 vax this AM felt ill rest of day. Pt states c/o sore throat, fever, N/V, myalgias, HA, cough 12/09/09 Immunization records received for DOS 11/06/09.

VAERS ID:366003 (history)  Vaccinated:2009-11-05
Age:22  Onset:2009-11-05, Days after vaccination: 0
Gender:Female  Submitted:2009-11-06, Days after onset: 1
Location:Nebraska  Entered:2009-11-09, Days after submission: 3
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type':
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FLU(H1N1): INFLUENZA (H1N1) (H1N1 (MONOVALENT) (NOVARTIS)NOVARTIS VACCINES AND DIAGNOSTICS1009230UNLA
Administered by: Public     Purchased by: Unknown
Symptoms: Dizziness, Feeling hot, Tremor, Vision blurred
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Parkinson-like events (broad), Noninfectious encephalopathy/delirium (broad), Glaucoma (broad), Lens disorders (broad), Retinal disorders (broad), Vestibular disorders (broad)
Write-up: Dizziness, vision changes (blurry vision), warm, shakiness.

VAERS ID:366005 (history)  Vaccinated:2009-09-21
Age:22  Onset:2009-10-08, Days after vaccination: 17
Gender:Male  Submitted:2009-11-07, Days after onset: 30
Location:Unknown  Entered:2009-11-09, Days after submission: 2
Life Threatening? Yes
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: NKDA
Diagnostic Lab Data: CSF was consistent with viral infection, (No visibility of results). repeat LP on 20 Oct; 08 Oct 2009, 1741, Nasopharyngeal swab, Influenza Virus A+B DNA not detected; 08 Oct 2009, 051, Nasopharyngeal Swab, Influenza A: NEG/Influenza B: NEG; 08 Oct 2009, 2057, Serum, Glucose 125 (H) mg/dL, Urea Nitrogen 12 mg/dL, Creatinine 0.90 mg, Urate 2.5 (L) mg/dL, Sodium 143 mmol/L, Potassium 4.0 mmol/L, Chloride 107 mmol/L, Phosphate 2.4 (L) mg/dL, Calcium 9.3 mg/dl, Protein 6.8 g/dL, Albumin 4.4 g/dL, Alk Phosphatase 56 U/L, AST 17 U/L, LDH 374 U/L, Bilirubin 0.7 mg/dL, Cholesterol 145 mg/dL, ALT 22 U/L, Carbon Dioxide 26.0 mmol/L, Lipase 39 U/L, Amylase 30U/L; 08 Oct 2009, 2057, Serum, Glucose 125 (H) mg/dL, Urea Nitrogen 12 mg/dL, Creatinine 0.90
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FLUN3: INFLUENZA (SEASONAL) (FLUMIST)MEDIMMUNE VACCINES, INC.  IN 
Administered by: Military     Purchased by: Military
Symptoms: Abdominal discomfort, Abdominal pain upper, Alanine aminotransferase normal, Aspartate aminotransferase normal, Band neutrophil count, Basophil count decreased, Basophil percentage decreased, Bilirubin urine, Bladder catheterisation, Blood albumin normal, Blood alkaline phosphatase normal, Blood amylase normal, Blood bilirubin normal, Blood calcium decreased, Blood chloride increased, Blood cholesterol normal, Blood creatinine normal, Blood glucose increased, Blood lactate dehydrogenase increased, Blood lactate dehydrogenase normal, Blood pH normal, Blood phosphorus decreased, Blood potassium normal, Blood product transfusion, Blood sodium normal, Blood test normal, Blood urea normal, Blood uric acid decreased, Blood uric acid increased, Blood urine present, Body temperature increased, CSF test abnormal, Carbon dioxide normal, Chills, Computerised tomogram normal, Diplegia, Dyspnoea, Encephalitis brain stem, Endotracheal intubation, Eosinophil count decreased, Glucose urine absent, Haematocrit normal, Haemoglobin normal, Headache, Influenza serology negative, Intensive care, Lipase normal, Lymphocyte count decreased, Lymphocyte percentage decreased, Mean cell haemoglobin, Mean cell haemoglobin concentration normal, Mean cell haemoglobin normal, Mean cell volume normal, Mean platelet volume normal, Mechanical ventilation, Methicillin-resistant Staphylococcus aureus test positive, Mobility decreased, Monocyte count decreased, Monocyte percentage, Muscular weakness, Nausea, Neutrophil count, Neutrophil count normal, Neutrophil percentage increased, Nitrite urine absent, Normochromic normocytic anaemia, Nuclear magnetic resonance imaging brain abnormal, Parenteral nutrition, Platelet count normal, Productive cough, Protein total normal, Protein urine, Proteinuria, Pyrexia, Red blood cell count normal, Red cell distribution width normal, Respiratory failure, Respiratory tract congestion, Rhinorrhoea, Urine analysis, Urine ketone body present, Viral infection, Vomiting, White blood cell count decreased
SMQs:, Rhabdomyolysis/myopathy (broad), Acute renal failure (broad), Anaphylactic reaction (broad), Acute pancreatitis (broad), Angioedema (broad), Haematopoietic erythropenia (broad), Haematopoietic leukopenia (narrow), Peripheral neuropathy (broad), Haemorrhage terms (excl laboratory terms) (narrow), Haemorrhage laboratory terms (narrow), Hyperglycaemia/new onset diabetes mellitus (narrow), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (narrow), Anticholinergic syndrome (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), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Parkinson-like events (broad), Gastrointestinal perforation, ulcer, haemorrhage, obstruction non-specific findings/procedures (broad), Acute central respiratory depression (narrow), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (narrow), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (broad), Chronic kidney disease (broad), Hypersensitivity (broad), Tumour lysis syndrome (broad)
Write-up: 23 old male who received FLU MIST 21Sep09. He was seen in ED on 8Oct09 for 1 day h/o fever f/b HA, N/V, treated conservatively and discharged home. Sxs continued intermittently, and he was seen ED 2 more times, then visited to local hospital on 15Oct09 with LE weakness, then became respiratory failure requiring intubation. In ICU on vent. Unable to move lower extremities, able to flex both arms and responsive. Foley cath. Received TPN --$gtube feedings. Temp peaked at 102.2 on admission. IV antiviral administered. IVIG started on 19 Oct; dc''d on 22 Oct. 10/08/09, ER note: T 99.9. C/o fever since yesterday. Today felt nauseous and vomited several times. No abd pain. Frontal h/a (10/10). No meningimus. (+) rhinorrhea. Tx''d MOTRIN and received 3L IVFs with almost complete resolution of h/a. 10/9/09, ER: T 98.9, c/o fever, N/V, h/a, abd discomfort for 2 days. Shivering. No neck stiffness. Received IVFs, PHENERGAN, ZANTAC, REGLAN and TYLENOL and prescribed PHENERGAN and MOTRIN. Dx: Viral syndrome. Felt much improved upon discharge. 10/13/09, ER: T 99.9, c/o vomiting x 10 overnight, epigastric pain, h/a and congestion. Int Med Consulted for endoscopy. 24 Oct, sputum MRSA positive. 25 Oct, bloody urine --$g CT kidney, r/o thrombo-embolism. 26 Oct, chest CT and angiogram done to r/o PE. 29 Oct, good movement of UE, communicates by writing, able to move toes. Referral to Nephrologist (+ proteinuria). 2 Nov, some movement of ankles. Nephrology consult - normal. 4 Nov, started SOLUMEDROL 1 gm IV. 5 Nov, 2nd dose of SOLUMEDROL, planning trach. 6 Nov, no change in motor level (ankles). Symptoms: Chills, Fever, Headache, general, Nausea w/ vomiting, Weakness, Dyspnea (shortness of breath).

VAERS ID:366412 (history)  Vaccinated:2009-11-03
Age:22  Onset:2009-11-03, Days after vaccination: 0
Gender:Male  Submitted:2009-11-10, Days after onset: 7
Location:Virginia  Entered:2009-11-10
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: Feeling tired
Preexisting Conditions: None
Diagnostic Lab Data: Blood glucose and ECG were normal
CDC 'Split Type':
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FLUN(H1N1): INFLUENZA (H1N1) (H1N1 (MONOVALENT) (MEDIMMUNE)MEDIMMUNE VACCINES, INC.500761P IN 
Administered by: Unknown     Purchased by: Unknown
Symptoms: Abasia, Asthenia, Blood glucose normal, Dysstasia, Electrocardiogram normal, Feeling abnormal, Feeling drunk, Presyncope, Unresponsive to stimuli
SMQs:, Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Dystonia (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hypotonic-hyporesponsive episode (broad)
Write-up: Patient Complained of like being drunk feeling very weak and like something went direct to his brain. He did not faint but it was hard to get him to talk. Vital signs were stable but he was unable to stand up or walk. He was taken by ambulance to ERD and was diagnosed as vasovagal reaction.

VAERS ID:366499 (history)  Vaccinated:2009-11-10
Age:22  Onset:2009-11-10, Days after vaccination: 0
Gender:Female  Submitted:2009-11-10, Days after onset: 0
Location:Arizona  Entered:2009-11-10
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: severely sick with flu for one week after 2008 flu vaccine ( within 12 hours)~Influenza (Seasonal) (no brand name)~1~21.00~Patie
Other Medications: none
Current Illness: none
Preexisting Conditions: none
Diagnostic Lab Data:
CDC 'Split Type':
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FLU(H1N1): INFLUENZA (H1N1) (H1N1 (MONOVALENT) (SANOFI)SANOFI PASTEURUP006AA0IMLA
Administered by: Private     Purchased by: Unknown
Symptoms: Dizziness, Headache, Hypoaesthesia, Immediate post-injection reaction, Nausea, Paraesthesia, Throat irritation
SMQs:, Acute pancreatitis (broad), Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad), Hypersensitivity (narrow)
Write-up: Left arm numbness, tingling immediately after vaccine. Feeling like she had swallowed something big about 15 minutes later. 30 minutes later severe headache (10/10), nausea, lightheadedness. 10:30 AM The patient took 400mg Motrin and then about 1 1/2 hours later 500mg Excedrin. She was able to eat lunch without difficulty. No chest pain, shortness of breath, trouble swallowing, vision changes, weakness, or decreased movement of her extremities. No loss of balance. She states the sensation in her throat has subsided. 01:30 PM Now the headache is a 4/10. Minimally lightheaded. No nausea. No chest pain or shortness of breath. Feels like she can do her work. Her arm numbness is going away. Stable on exam. No further medications. Functions well.

VAERS ID:366661 (history)  Vaccinated:2009-11-03
Age:22  Onset:2009-11-03, Days after vaccination: 0
Gender:Female  Submitted:2009-11-10, Days after onset: 7
Location:Virginia  Entered:2009-11-10
Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: No concurrent medication.
Current Illness: Unknown
Preexisting Conditions: No relevant medical history. The subject had not previously received Influenza vaccinations.
Diagnostic Lab Data: UNK
CDC 'Split Type': A0815870A
Vaccination
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Site
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)SANOFI PASTEURU3227AA0UNUN
HEP: HEP B (ENGERIX-B)GLAXOSMITHKLINE BIOLOGICALSAHBVB767AA0UNLA
Administered by: Other     Purchased by: Private
Symptoms: Back pain, Chills, Cough, Night sweats, Pain in extremity, Product quality issue, Vomiting
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Retroperitoneal fibrosis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)
Write-up: This case was reported by a healthcare professional and described the occurrence of general back pain in a 22-year-old female subject who was vaccinated with ENGERIX B (GlaxoSmithKline), and seasonal influenza vaccine (non-gsk). There were no concurrent medications. On 3 November 2009 between 09:30 and 10:00 am, the subject received 1st dose of ENGERIX B (1 ml, unknown, left arm). On 3 November 2009 the subject received 1st dose of Seasonal influenza vaccine (Non-GSK, Sanofi Pasteur, unknown). On 3 November 2009 in the evening, less than one day after vaccination with ENGERIX B and Seasonal influenza vaccine (Non-GSK), the subject experienced general aches and pains in the low back and legs, chills, night sweat, and coughed and vomited mucous. The healthcare professional considered the events were disabling. At the time of reporting the events were unresolved. On 05 November 2009, the nurse reported there were three other subjects with the types of aches and pains. The immunization series was discontinued. This makes four out of 10 people with this same lot number of hepatitis B vaccine. See case IDs A0815878A, A0815433A, and A0815453A for more details on the other three subjects). Follow up information was received on 06 November 2009. The health care professional wanted to file a QA (quality assurance) report. She received 20 ENGERIX vials in October 2009. She had distributed six of these vials and four subjects developed severe reactions to the vaccinations. She felt that these vaccines had a quality issue and she will not use the rest of the vials from this lot/shipment. She had the vaccines to return to GSK for investigation.

VAERS ID:366678 (history)  Vaccinated:2009-10-27
Age:22  Onset:2009-10-28, Days after vaccination: 1
Gender:Female  Submitted:0000-00-00
Location:Virginia  Entered:2009-11-10
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: SINGULAIR; Triamcinolone; ALBUTEROL
Current Illness: None
Preexisting Conditions: Asthma, allergies
Diagnostic Lab Data: CT scan, abdomen normal, elevated WBC.
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PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.C3250AA0UNLA
TDAP: TDAP (ADACEL)SANOFI PASTEUR1577X0UNRA
Administered by: Unknown     Purchased by: Public
Symptoms: Abdominal pain, Computerised tomogram normal, Injection site cellulitis, Injection site erythema, Nausea, Pyrexia, Vomiting, White blood cell count increased
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)
Write-up: Arm redness, cellulitis at site of injection developed within 24 hours, high fever, nausea, vomiting, abdominal pain.

VAERS ID:366889 (history)  Vaccinated:2009-11-11
Age:22  Onset:2009-11-11, Days after vaccination: 0
Gender:Female  Submitted:2009-11-12, Days after onset: 1
Location:Rhode Island  Entered:2009-11-12
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: no
Preexisting Conditions: Pregnancy. 11/16/09: Prenatal records received for date of service 11/12/09. PMH: Pregnancy.
Diagnostic Lab Data: None. 11/16/09: Prenatal records received for date of service 11/12/09. Labs and diagnostics: Urine clean catch. Results not available.
CDC 'Split Type':
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FLU(H1N1): INFLUENZA (H1N1) (H1N1 (MONOVALENT) (NOVARTIS)NOVARTIS VACCINES AND DIAGNOSTICS1009232P0IMLA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Drug exposure during pregnancy, Pruritus, Rash generalised
SMQs:, Anaphylactic reaction (broad), Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow), Hypersensitivity (narrow)
Write-up: Rash entire body with itching. 11/16/09: Prenatal records received for date of service 11/12/09. Dx: Hives. Assessment: Hives on arms, legs and back. Itchy. Took Benadryl with no relief.

VAERS ID:366896 (history)  Vaccinated:2009-11-05
Age:22  Onset:2009-11-05, Days after vaccination: 0
Gender:Female  Submitted:2009-11-12, Days after onset: 7
Location:Washington  Entered:2009-11-12
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Cetirizine Tabs-otc 100''s 10MG, Nexium 20MG, Rhinocort Aqua 32MCG, Celebrex 200MG, L-nor/et Est(quasense) Tab 91, Lyrica 150MG, Trazodone Hcl Tabs 50MG, also taking S-Adenosyl-L-Methionine (SAMe), Immunity Take Care, Adrenal Support (don''t
Current Illness: No
Preexisting Conditions: Fibromyalgia; GERD; allergies to trees, cats, dogs, grass, scotchbroom, etc/seasonal allergies; slight contact sensitivity to latex; slight heart murmur
Diagnostic Lab Data: N/A, still yet to be determined.
CDC 'Split Type':
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FLUX(H1N1): INFLUENZA (H1N1) (H1N1 (MONOVALENT) (UNKNOWN)UNKNOWN MANUFACTURER 0IJLA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Asthenia, Burning sensation, Chest discomfort, Chest pain, Chills, Cough, Dyspnoea, Fatigue, Headache, Hypoaesthesia, Immediate post-injection reaction, Injection site pain, Musculoskeletal pain, Nerve injury, Oropharyngeal pain, Pain, Pain in extremity, Paraesthesia, Pyrexia, Rhinorrhoea, Sensation of heaviness, Vision blurred
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Accidents and injuries (narrow), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Glaucoma (broad), Cardiomyopathy (broad), Lens disorders (broad), Retinal disorders (broad), Hypersensitivity (narrow)
Write-up: When H1N1 Flu shot administered (in left shoulder), immediate pain in arm. Stinging, burning, and sharp intense pain mainly around injection site. As time elapsed, pain worsened and spread from injection site down arm to fingertips and across pec. muscle/chest. Arm felt heavy, as if dead or asleep. Tingling down length of arm, feeling of weakness (but not actually weak), and extreme sharp, throbbing pain, which radiated out from injection site. Approximately 2 hours after site was administered, pain had spread and worsened to chest/pec area, leading to intense chest pressure and pain. Slight trouble breathing, due to intensity of pain. Use of Tylenol did not relieve pain, but found that inactivity (and immobilization of shoulder) helped to ease chest pain and help with breathing. Attributed reaction to possible hitting of nerve during administration of shot (mother is a RN). In following week, pain in shoulder (aching, burning, sharp intense pain) continued. Still have feeling of dead or heavy arm. Numbness and tingling. Pain continues to radiate from injection site out, down to fingertips, but chest pain has gone away. Additional symptoms include fatigue, runny nose, cough, body aches, chills, low grade fever, blurred vision (occurred off and on for first 3+ days), bad headache, and sore throat. Was given seasonal flu shot month prior. Have been getting seasonal flu shots for several years. Never have had an adverse reaction to the seasonal flu shot; only have had the normal side effects such as: sore arm, slight fever, and body aches, and those have only lasted a few days at most before clearing up. No treatment has been given yet. But will be visiting doctor''s office soon, should pain not subside within the next week.

VAERS ID:366897 (history)  Vaccinated:2009-11-11
Age:22  Onset:2009-11-11, Days after vaccination: 0
Gender:Male  Submitted:2009-11-12, Days after onset: 1
Location:California  Entered:2009-11-12
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: No
Preexisting Conditions: No
Diagnostic Lab Data: None
CDC 'Split Type':
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FLUX(H1N1): INFLUENZA (H1N1) (H1N1 (MONOVALENT) (UNKNOWN)UNKNOWN MANUFACTURER    
Administered by: Unknown     Purchased by: Unknown
Symptoms: Abdominal discomfort, Burning sensation, Ear discomfort, Headache, Skin warm
SMQs:, Peripheral neuropathy (broad), Gastrointestinal perforation, ulcer, haemorrhage, obstruction non-specific findings/procedures (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)
Write-up: Slight headache, and mild stomach upset, my face had an extreme burning sensation - particularly on the L ear. The skin felt warmer than normal. Headache and stomach upset lasted about an hour or until I took some ibuprofen, the burning sensation to gradually increased in intensity for about 1 hour and than slowly dissipated during the next half hour. The burning sensation returned the following morning at approximately 7:00 am for about 40 minutes.

VAERS ID:367007 (history)  Vaccinated:2009-11-02
Age:22  Onset:2009-11-02, Days after vaccination: 0
Gender:Female  Submitted:2009-11-12, Days after onset: 10
Location:Texas  Entered:2009-11-12
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: N/A
Preexisting Conditions: N/A
Diagnostic Lab Data: N/A
CDC 'Split Type': TX090079PU
Vaccination
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FLUN(H1N1): INFLUENZA (H1N1) (H1N1 (MONOVALENT) (MEDIMMUNE)MEDIMMUNE VACCINES, INC.500778P0IN 
Administered by: Private     Purchased by: Public
Symptoms: Contraindication to vaccination, Drug exposure during pregnancy
SMQs:, Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow)
Write-up: NO EVENTS REPORTED. WANTED TO REPORT MEDICAL ERROR. PT 8 MONTHS PREGNANT RECIEVED H1N1 MIST

VAERS ID:367141 (history)  Vaccinated:2009-11-12
Age:22  Onset:2009-11-12, Days after vaccination: 0
Gender:Female  Submitted:2009-11-13, Days after onset: 1
Location:Illinois  Entered:2009-11-13
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: seizure~Hep B (no brand name)~1~9.00~Patient
Other Medications: Lamictal 150 mg, 1 1/2 @ 2 a.m., 1 @ 3 p.m. and 1 1/2 q p.m. Trilieptal 300 mg 4 tablets q a.m. & 5 tablets q p.m. Brivaracetam 25 mg, 2 tablets a.m. and 2 tablets p.m.(clinical trial)
Current Illness: None
Preexisting Conditions: Seizure Disorder
Diagnostic Lab Data: Chest X-ray Lab work
CDC 'Split Type':
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FLU(H1N1): INFLUENZA (H1N1) (H1N1 (MONOVALENT) (NOVARTIS)NOVARTIS VACCINES AND DIAGNOSTICS1008144P0IMRA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Blood test normal, Chest X-ray normal, Dyspnoea, Heart rate increased, Hypertension, Loss of consciousness
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hypertension (narrow), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad)
Write-up: Client complained of difficulty breathing, fast heart rate and then passed out. Father called 911 and client was taken by ambulance to Hospital. Client had elevated blood pressure and was given Ativan. All x-rays and blood work were negative per mother. Client was released to home at 11:30 PM.

VAERS ID:367203 (history)  Vaccinated:2009-11-12
Age:22  Onset:2009-11-13, Days after vaccination: 1
Gender:Female  Submitted:2009-11-13, Days after onset: 0
Location:New Jersey  Entered:2009-11-13
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: No
Preexisting Conditions: None
Diagnostic Lab Data:
CDC 'Split Type':
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FLU(H1N1): INFLUENZA (H1N1) (H1N1 (MONOVALENT) (SANOFI)SANOFI PASTEURUP015AA1UNLA
Administered by: Military     Purchased by: Public
Symptoms: Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow)
Write-up: Employee rec''d H1N1 vaccine 11-12-09 (multi dose vial) woke up 11-13-09 with hives. generalized entire body. No SOB. No wheezing. No arthralgia. No myalgia. No HA. No fever. Went to her PMD tx with BENADRYL, taper PREDNISONE. We will see her on 11-16-09 as F.U. had reg flu (multi dose vial) - 1 month ago.

VAERS ID:367476 (history)  Vaccinated:2009-10-04
Age:22  Onset:2009-10-23, Days after vaccination: 19
Gender:Female  Submitted:2009-11-04, Days after onset: 12
Location:Florida  Entered:2009-11-13, 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: MOTRIN
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type':
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FLU3: INFLUENZA (SEASONAL) (FLUARIX)GLAXOSMITHKLINE BIOLOGICALSAFLUA456AA IMLA
Administered by: Public     Purchased by: Other
Symptoms: Influenza
SMQs:
Write-up: "I took flu shot on 10/5/2009 and 2 weeks later I came down with a horrible flu." "I took over the counter medications."

VAERS ID:367663 (history)  Vaccinated:2009-11-12
Age:22  Onset:2009-11-15, Days after vaccination: 3
Gender:Female  Submitted:2009-11-16, Days after onset: 1
Location:Minnesota  Entered:2009-11-16
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: denies
Preexisting Conditions: denies
Diagnostic Lab Data:
CDC 'Split Type':
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HPV4: HPV (GARDASIL)MERCK & CO. INC. 2  
Administered by: Private     Purchased by: Unknown
Symptoms: Rash
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow)
Write-up: rash arm, chest, upper back

VAERS ID:367675 (history)  Vaccinated:2009-11-07
Age:22  Onset:2009-11-11, Days after vaccination: 4
Gender:Female  Submitted:2009-11-16, Days after onset: 5
Location:Colorado  Entered:2009-11-16
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: No
Preexisting Conditions: None known
Diagnostic Lab Data: tempurature $g 101.3 lasting 3 days. TMAx = 103
CDC 'Split Type':
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FLUN(H1N1): INFLUENZA (H1N1) (H1N1 (MONOVALENT) (MEDIMMUNE)MEDIMMUNE VACCINES, INC.500764P0IN 
Administered by: Public     Purchased by: Unknown
Symptoms: Body temperature increased, Influenza, Oropharyngeal pain, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow)
Write-up: Patient reported getting the flu starting 4 days after getting the intranasal vaccine. She had no known contacts with anyone with the flu, only the vaccine. She had a sore throat, a fever lasting 3 days (TMax of 103 F) and it resolved 5 days after the symptoms started (8 days after receiving the vaccine.

VAERS ID:367820 (history)  Vaccinated:2009-11-13
Age:22  Onset:2009-11-13, Days after vaccination: 0
Gender:Female  Submitted:2009-11-16, Days after onset: 3
Location:Massachusetts  Entered:2009-11-16
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: Unknown if any done at the ED
CDC 'Split Type':
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FLU(H1N1): INFLUENZA (H1N1) (H1N1 (MONOVALENT) (NOVARTIS)NOVARTIS VACCINES AND DIAGNOSTICS102046P10IMLA
Administered by: Public     Purchased by: Public
Symptoms: Dizziness, Hyperhidrosis, Nausea, Pain in extremity, Pallor
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad)
Write-up: Within 2-5 minutes of receiving H1N1 injection to R deltoid, pt began experiencing pain up and down arm along with feeling dizzy, pale, sweaty, did not improve 30 minutes supine in clinic. + nausea, no vomiting. Taken via ambulance to ED, given IVF, states she is recovered 11/16. She verifies correct IV location.

VAERS ID:367862 (history)  Vaccinated:2009-11-10
Age:22  Onset:2009-11-11, Days after vaccination: 1
Gender:Male  Submitted:2009-11-16, Days after onset: 5
Location:North Carolina  Entered:2009-11-16
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: antihistamines and ibuprofen
Current Illness: no
Preexisting Conditions: no
Diagnostic Lab Data:
CDC 'Split Type':
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FLUN(H1N1): INFLUENZA (H1N1) (H1N1 (MONOVALENT) (MEDIMMUNE)MEDIMMUNE VACCINES, INC. 0IN 
Administered by: Unknown     Purchased by: Unknown
Symptoms: Arthralgia, Bone pain, Chills, Dysuria, Fatigue, Feeling of body temperature change, Hyperhidrosis, Oropharyngeal pain, Productive cough, Pyrexia, Rhinorrhoea, Thirst
SMQs:, Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Osteonecrosis (broad), Arthritis (broad)
Write-up: Started with a sore throat on first day. Next three days had a mucus producing cough and runny nose. The following three days included borderline fever switching from feeling extremely hot and sweaty to cold and shivering. I also can''t seem to stay hydrated, drinking constantly but staying thirsty and barely urinating. I''ve felt very fatigued with aching spine and joints.

VAERS ID:367897 (history)  Vaccinated:2009-11-14
Age:22  Onset:2009-11-14, Days after vaccination: 0
Gender:Female  Submitted:2009-11-14, Days after onset: 0
Location:Oklahoma  Entered:2009-11-16, Days after submission: 2
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: none
Preexisting Conditions: Ativan; Bactrim; Dilaudid; PCN; Reglan PMH: neck fx in 05; Allergies: Ativan, multiple food allergies.
Diagnostic Lab Data: Soft tissue neck x-ray, Chest X-ray; ABG''s; pH 7.42; PCO2 - 24.8; PO2 - 112; HCO3 - 16.1; O2 Sat 99% room air DX studies: O2 sat: high 80s low 90s; CXR.
CDC 'Split Type':
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FLU(H1N1): INFLUENZA (H1N1) (H1N1 (MONOVALENT) (SANOFI)SANOFI PASTEURUP020AA0IMLA
Administered by: Public     Purchased by: Other
Symptoms: Blood bicarbonate decreased, Blood pH normal, Chest X-ray, Chest discomfort, Cold sweat, Dermatitis acneiform, Dyspnoea, Feeling hot, Flushing, Hypersensitivity, Intensive care, PCO2 decreased, PO2 increased, Pruritus, Stridor, Wheezing, X-ray
SMQs:, Anaphylactic reaction (narrow), Angioedema (broad), Asthma/bronchospasm (broad), Lactic acidosis (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Chronic kidney disease (broad), Hypersensitivity (narrow)
Write-up: Approx 1 1/2 hrs post injection pt. became hot and flushed. Hands became clammy. At approx 0630 pt. having difficulty breathing and itching. Pt. seen in ER and treated with IV Solumedrol, BENADRYL, Epi. Pt dc''d home and returned back to ER with chest tightness. Treated with Solumedrol, BENADRYL, Epi and Vistaril. Pt. admitted for observation then transferred to ICU. 12/09/09 MR received for DOS 11/14/09. DX: Allergic reaction. Pt presented with wheezing, stridor, chest tightness, rash, pruritus. tx: EpiSQ, vistaril, Solu-medrol, Methylprednisolone. Pt discharged home in stable condition.

VAERS ID:368051 (history)  Vaccinated:2009-11-14
Age:22  Onset:0000-00-00
Gender:Female  Submitted:2009-11-17
Location:Illinois  Entered:2009-11-17
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: Allergies: Amoxicillin, Septra, Codein (swelling)
Diagnostic Lab Data: DX studies: FM on 12/16/09
CDC 'Split Type':
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FLUN(H1N1): INFLUENZA (H1N1) (H1N1 (MONOVALENT) (MEDIMMUNE)MEDIMMUNE VACCINES, INC.5007IP0IN 
Administered by: Unknown     Purchased by: Unknown
Symptoms: Contraindication to vaccination, Drug exposure during pregnancy, Pyrexia, Ultrasound antenatal screen, Vaginal haemorrhage
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow)
Write-up: Pateint received H1N1 nasal vaccine and she was pregnant at the time. No adverse reactions noted at time of event report. 12/23/09 OB notes received for DOS 12/01/09 and 12/16/09. Although, pt did not report any adverse event during OB visits, Pt had H1N1 vaccine during early pregnancy. Pt reported h/o vaginal spotting 1x 2wks ago and fever. Pt was taking Tamiflu, but stopped when found out pregnancy.

VAERS ID:368099 (history)  Vaccinated:2009-11-02
Age:22  Onset:2009-11-02, Days after vaccination: 0
Gender:Male  Submitted:2009-11-06, Days after onset: 4
Location:Kentucky  Entered:2009-11-17, Days after submission: 11
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Felt well- but on antibiotics for dental work
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC 'Split Type':
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FLUN(H1N1): INFLUENZA (H1N1) (H1N1 (MONOVALENT) (MEDIMMUNE)MEDIMMUNE VACCINES, INC.500758P0IN 
Administered by: Private     Purchased by: Public
Symptoms: Cough, Nasal congestion, Pyrexia
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad)
Write-up: Patient received Nasal H1N1 vaccine Mon 11/2. Reports 6 hrs later developed cough and fever at time of visit on 11/4/09 (2d later) T 99.9 rest of physical. No distress mild nasal congestion.

VAERS ID:368574 (history)  Vaccinated:2009-10-15
Age:22  Onset:2009-10-16, Days after vaccination: 1
Gender:Female  Submitted:2009-11-18, Days after onset: 33
Location:California  Entered:2009-11-18
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: 10/16/09~HPV (Gardasil)~1~22.00~Patient
Other Medications: NuvaRing
Current Illness:
Preexisting Conditions: NkA
Diagnostic Lab Data:
CDC 'Split Type':
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HPV4: HPV (GARDASIL)MERCK & CO. INC.0968Y0IMUN
Administered by: Public     Purchased by: Public
Symptoms: Malaise, Myalgia, Nausea, Vomiting
SMQs:, Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad)
Write-up: Pt relates adverse reactions of malaise and myalgia with GI effects of nausea and vomiting after injection #1 on 10/15/09.

VAERS ID:368661 (history)  Vaccinated:2009-10-30
Age:22  Onset:2009-11-06, Days after vaccination: 7
Gender:Male  Submitted:2009-11-19, Days after onset: 13
Location:Illinois  Entered:2009-11-19
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: History of epilepsy, but last seizure was around age 11.
Diagnostic Lab Data: Patient is still currently underoging treatment
CDC 'Split Type':
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FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURU3214AA IMRA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Neuralgia, Paraesthesia
SMQs:, Peripheral neuropathy (narrow), Guillain-Barre syndrome (broad)
Write-up: Patient began experiencing tingling in his thigh area and has developed into progressive neuropathic pain in his arms and legs.

VAERS ID:368777 (history)  Vaccinated:2009-11-18
Age:22  Onset:2009-11-18, Days after vaccination: 0
Gender:Male  Submitted:2009-11-19, Days after onset: 1
Location:D.C.  Entered:2009-11-19
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Takes LISINOPRIL 10 mg
Current Illness: None
Preexisting Conditions: Hypertension since 2008
Diagnostic Lab Data: None at this time
CDC 'Split Type':
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FLU(H1N1): INFLUENZA (H1N1) (H1N1 (MONOVALENT) (CSL)CSL LIMITED00249611A0IMLA
Administered by: Other     Purchased by: Other
Symptoms: Headache, Ocular hyperaemia, Oropharyngeal pain, Pyrexia, Somnolence
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Glaucoma (broad)
Write-up: Pt had vaccine (H1N1) yesterday morning. In the afternoon states had fever, red eyes, headache and sore throat. Today, he has headache and "sleepy feeling"; temp 97.0 F

VAERS ID:368865 (history)  Vaccinated:2009-11-20
Age:22  Onset:2009-11-20, Days after vaccination: 0
Gender:Male  Submitted:2009-11-20, Days after onset: 0
Location:Unknown  Entered:2009-11-20
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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FLU(H1N1): INFLUENZA (H1N1) (H1N1 (MONOVALENT) (NOVARTIS)NOVARTIS VACCINES AND DIAGNOSTICS102126P1A0IMLA
Administered by: Military     Purchased by: Public
Symptoms: Allergy test, Dizziness, Dysgeusia, Pharyngeal oedema, Sensation of foreign body, Throat tightness
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Taste and smell disorders (narrow), Anticholinergic syndrome (broad), Oropharyngeal allergic conditions (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Vestibular disorders (broad), Hypersensitivity (narrow)
Write-up: Globus sensation and feeling of throat tightness after injection of h1n1 vaccine. Treated with epi pen, ambulance took to ED. Did well, no other signs or symptoms of anaphylaxis. Planning on allergy testing.

VAERS ID:369099 (history)  Vaccinated:2009-11-20
Age:22  Onset:0000-00-00
Gender:Female  Submitted:2009-11-20
Location:California  Entered:2009-11-20
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: 12/02/09 Pregnant
Diagnostic Lab Data: Pregnant 21 week per history. 12/02/09 Labs: GTT: normal
CDC 'Split Type':
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FLUN(H1N1): INFLUENZA (H1N1) (H1N1 (MONOVALENT) (MEDIMMUNE)MEDIMMUNE VACCINES, INC.500803P0IN 
Administered by: Other     Purchased by: Other
Symptoms: Contraindication to vaccination, Drug exposure during pregnancy, Glucose tolerance test normal, Pregnancy
SMQs:, Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow), Normal pregnancy conditions and outcomes (narrow)
Write-up: Received live attenuated H1N1 vaccine 11/20/2009 Lot # 500803P exp 2/21/2010. 12/02/09 Antenatal records received for DOS: 10/05/09; 10/28/09 G1 P0; EDC 03/31/10

VAERS ID:369250 (history)  Vaccinated:2009-11-19
Age:22  Onset:2009-11-20, Days after vaccination: 1
Gender:Female  Submitted:2009-11-21, Days after onset: 1
Location:Arizona  Entered:2009-11-21
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: z pack
Current Illness: sore throat
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type':
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FLUN(H1N1): INFLUENZA (H1N1) (H1N1 (MONOVALENT) (MEDIMMUNE)MEDIMMUNE VACCINES, INC. 0IN 
Administered by: Unknown     Purchased by: Unknown
Symptoms: Cold sweat, Diarrhoea, Dysphonia, Erythema, Pruritus, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Pseudomembranous colitis (broad), Parkinson-like events (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypersensitivity (narrow), Noninfectious diarrhoea (narrow)
Write-up: Itchy red hives on face and arms, hoarseness of voice, cold sweat, diarrhea.

VAERS ID:369429 (history)  Vaccinated:2009-11-14
Age:22  Onset:2009-11-14, Days after vaccination: 0
Gender:Female  Submitted:2009-11-14, Days after onset: 0
Location:Missouri  Entered:2009-11-23, Days after submission: 9
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: No
Preexisting Conditions: No
Diagnostic Lab Data:
CDC 'Split Type':
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FLU(H1N1): INFLUENZA (H1N1) (H1N1 (MONOVALENT) (CSL)CSL LIMITED00349611A0IMLA
Administered by: Other     Purchased by: Private
Symptoms: Pruritus generalised
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (broad)
Write-up: Shot given approx. 0800. Patient began to have "moderate" itching from "Head to Knee''s." No c/o SOB, no rash. This "comes and goes, and is not becoming worse." She has been "itching" before and has taken BENADRYL. "Itching" started approx. 1100. Patient left at 1605. Verbal understanding to seek medical help if sx''s do not go away, and or increase in severity.

VAERS ID:369504 (history)  Vaccinated:2009-10-29
Age:22  Onset:2009-11-07, Days after vaccination: 9
Gender:Female  Submitted:2009-11-19, Days after onset: 12
Location:Florida  Entered:2009-11-23, Days after submission: 4
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None PMH: None Allergies: NKDA
Diagnostic Lab Data: MRI scheduled for 11-19-09
CDC 'Split Type':
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FLU(H1N1): INFLUENZA (H1N1) (H1N1 (MONOVALENT) (SANOFI)SANOFI PASTEURUP012AA0IMRL
Administered by: Private     Purchased by: Other
Symptoms: Facial palsy, Nasopharyngitis, Nuclear magnetic resonance imaging, Paraesthesia
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad)
Write-up: Had H1N1 administered on 10-29-09, developed Bell''s Palsy on 11-07-09, states had a bad cold the previous week. before developing the Bell Palsy. Scheduled for MRIN 11-19-09 is taking prednisone presently being seen by hospital. 12/11/2009 PCP records patient with c/o''s rt sided facial numbness and uneven smile. Dx''d with Bell''s palsy, rx''d prednisone

VAERS ID:369560 (history)  Vaccinated:2009-11-04
Age:22  Onset:2009-11-04, Days after vaccination: 0
Gender:Female  Submitted:2009-11-12, Days after onset: 8
Location:Massachusetts  Entered:2009-11-23, Days after submission: 11
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
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FLUX(H1N1): INFLUENZA (H1N1) (H1N1 (MONOVALENT) (UNKNOWN)UNKNOWN MANUFACTURERAFLLA2557CA UNUN
Administered by: Unknown     Purchased by: Unknown
Symptoms: Headache, Tenderness
SMQs:
Write-up: Headache was a 6 until end of day, arm was tender for one week after injection with no bruising.

VAERS ID:369860 (history)  Vaccinated:2009-11-07
Age:22  Onset:2009-11-08, Days after vaccination: 1
Gender:Female  Submitted:2009-11-09, Days after onset: 1
Location:California  Entered:2009-11-24, Days after submission: 15
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Asthma, Chronic
Preexisting Conditions:
Diagnostic Lab Data: Tx with Diphenhydramine and Ranitidine
CDC 'Split Type':
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FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)NOVARTIS VACCINES AND DIAGNOSTICS9721504  LA
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.1125X0 LA
Administered by: Other     Purchased by: Private
Symptoms: Injection site erythema, Rash
SMQs:, Anaphylactic reaction (broad), Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (narrow)
Write-up: Rash appeared on same arm that was inoculated. Severe erythema from deltoid and spread to elbow. No evidence of respiratory distress. Rash appeared 24 hours post vaccination.

VAERS ID:370043 (history)  Vaccinated:2009-11-10
Age:22  Onset:2009-11-23, Days after vaccination: 13
Gender:Male  Submitted:2009-11-25, Days after onset: 2
Location:Unknown  Entered:2009-11-25
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: None
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SMALL: SMALLPOX (ACAM2000)SANOFI PASTEURVV04003A0OTLA
Administered by: Military     Purchased by: Military
Symptoms: Rash
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow)
Write-up: Pt woke up that morning with rash on torso and back.

VAERS ID:370237 (history)  Vaccinated:2009-11-24
Age:22  Onset:2009-11-24, Days after vaccination: 0
Gender:Female  Submitted:2009-11-25, Days after onset: 1
Location:California  Entered:2009-11-25
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Denied
Preexisting Conditions: Denied
Diagnostic Lab Data:
CDC 'Split Type':
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FLU(H1N1): INFLUENZA (H1N1) (H1N1 (MONOVALENT) (SANOFI)SANOFI PASTEURUP024AA0IMLA
Administered by: Other     Purchased by: Public
Symptoms: Hypoaesthesia, IVth nerve disorder, Paraesthesia
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Ocular motility disorders (narrow)
Write-up: Approx 10 minutes after injection, she reports she had beginning of numbness and tingling of L arm and L leg. She was able to use them but the feeling persisted. She also felt some "nerve tingling" feeling in her back. By 28 hours later, most of the feeling returned to arm and leg.

VAERS ID:370262 (history)  Vaccinated:2009-11-23
Age:22  Onset:2009-11-23, Days after vaccination: 0
Gender:Female  Submitted:2009-11-25, Days after onset: 2
Location:Idaho  Entered:2009-11-25
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: Allergy to Benadryl PMH: None Allergies: benadryl
Diagnostic Lab Data: EKG performed Labs: CBC, CMP and UA wnl Dx studies: None
CDC 'Split Type':
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FLU(H1N1): INFLUENZA (H1N1) (H1N1 (MONOVALENT) (SANOFI)SANOFI PASTEURUP012AA0IMRA
FLU3: INFLUENZA (SEASONAL) (AFLURIA)CSL LIMITED05849111A0IMLA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Dizziness, Dyspnoea, Electrocardiogram, Full blood count normal, Immediate post-injection reaction, Metabolic function test normal, Nausea, Paraesthesia, Rash, Urine analysis normal, Urticaria, Vomiting
SMQs:, Anaphylactic reaction (narrow), Acute pancreatitis (broad), Angioedema (narrow), Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Vestibular disorders (broad), Hypersensitivity (narrow)
Write-up: She recieved the Seasonal Flu vaccine in the left deltoid and the H1N1 vaccine in the right deltoid. Within a few minutes, she had a rash on her left hand. She was sent to health. During transport, she developed SOB and went directly to the ER. At the ER she was given epinephrine 1:1000, iv Solu-Medrol, iv Zantac, iv Ativan, and NS. She was discharged with a Medrol Dose Pak. 12/7/2009 ED visit for 11/23/2009 and 11/25/2009, initial visit for c/o''s hives, SOB, nausea and tingling in the hands, tx''d with steroids, return visit on 11/25 with c/o''s dizziness and nausea/vomiting, tx''d with IV Zofran and Ativan, cardiac monitoring noted no abnormalities

VAERS ID:370381 (history)  Vaccinated:2009-11-19
Age:22  Onset:2009-11-21, Days after vaccination: 2
Gender:Male  Submitted:2009-11-26, Days after onset: 5
Location:Michigan  Entered:2009-11-28, Days after submission: 2
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Zyrtec
Current Illness: none
Preexisting Conditions: allergies to mold and ragweed
Diagnostic Lab Data: none
CDC 'Split Type':
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FLUN(H1N1): INFLUENZA (H1N1) (H1N1 (MONOVALENT) (MEDIMMUNE)MEDIMMUNE VACCINES, INC. 1IN 
Administered by: Unknown     Purchased by: Unknown
Symptoms: Abdominal discomfort, Cough, Diarrhoea, Oropharyngeal pain, Pyrexia, Rhinorrhoea
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Gastrointestinal perforation, ulcer, haemorrhage, obstruction non-specific findings/procedures (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (narrow)
Write-up: 11/21 evening: upset stomach, diarrhea. 11/22: diarrhea, fever, treatment: Immodium. 11/23: diarrhea and sore throat, fever, treatment: Immodium and ibuprofen. 11/24: sore throat and nasal drainage, fever, treatment: ibuprofen and Sudafed. 11/25: sore throat, nasal drainage, fever, coughing, treatment: ibuprofen and Sudafed. 11/26: nasal drainage, coughing treatment: Mucinex DM and ibuprofen 11/27: coughing, treatment: Mucinex DM.

VAERS ID:370746 (history)  Vaccinated:2009-11-30
Age:22  Onset:2009-11-30, Days after vaccination: 0
Gender:Male  Submitted:2009-12-01, Days after onset: 1
Location:Ohio  Entered:2009-12-01
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: Passes out~Vaccine not specified (no brand name)~1~20.00~Patient
Other Medications:
Current Illness: none
Preexisting Conditions: none
Diagnostic Lab Data: none- his Father is a cardiologst and was with him at the time. refused transportation to ER
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TDAP: TDAP (ADACEL)SANOFI PASTEURC3250AA  LA
UNK: VACCINE NOT SPECIFIED (NO BRAND NAME)UNKNOWN MANUFACTURERC3270AA1 LA
Administered by: Public     Purchased by: Private
Symptoms: Loss of consciousness, Muscle tightness
SMQs:, Torsade de pointes/QT prolongation (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dystonia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad)
Write-up: Passed out, muscles were tightened, was eased down to floor

VAERS ID:370907 (history)  Vaccinated:2009-11-23
Age:22  Onset:2009-11-23, Days after vaccination: 0
Gender:Female  Submitted:2009-11-25, Days after onset: 2
Location:Utah  Entered:2009-12-01, 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: SYNBICORT - for asthma, On PREDNISONE for allergic reaction to what?
Current Illness: None
Preexisting Conditions: Many food allergic /Penicillin/ CRELORE - chronic eczema , asthma
Diagnostic Lab Data: None
CDC 'Split Type':
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FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURU3239AA IMLA
Administered by: Other     Purchased by: Unknown
Symptoms: Asthenia, Dizziness, Erythema, Feeling hot, Vision blurred, Wheezing
SMQs:, Anaphylactic reaction (narrow), Angioedema (broad), Asthma/bronchospasm (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Glaucoma (broad), Lens disorders (broad), Eosinophilic pneumonia (broad), Retinal disorders (broad), Vestibular disorders (broad), Hypersensitivity (broad)
Write-up: 1:45 ''p shot felt very weak & dizzy felt hot and face was very red. Pt. ad taken inhaler ''p shot as she felt wheezy. (Went away with inhaler. Eyes were very blurry 1:55 p 120 B/P 162/92 R-24 2:04 p 76 B/P 138/90 R-18 2:13 - took H2 ORSOGAR - feeling better 11/23/09 @ 2:13 vitals - p. 88 R 16 B/P 138/93

VAERS ID:370969 (history)  Vaccinated:2009-11-23
Age:22  Onset:2009-11-23, Days after vaccination: 0
Gender:Female  Submitted:2009-11-23, Days after onset: 0
Location:Kansas  Entered:2009-12-01, Days after submission: 8
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC 'Split Type':
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HEP: HEP B (ENGERIX-B)GLAXOSMITHKLINE BIOLOGICALSAHBVB734AA2UNLA
Administered by: Public     Purchased by: Private
Symptoms: Chest pain, Peripheral coldness, Vaccination complication
SMQs:, Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad)
Write-up: Pt called at 11:30 am to report "my hand is cold, I am having some chest pain" after having received adult dose (1cc Hep B) in L arm this am. Advised to call private health provider with symptoms. Pt stated at 11:50 before call that she is on way to ER. Has no PMD. 245pm - Pt called to report ER MD said she had "mild reaction to vaccine" should not have another Hep B.

VAERS ID:371343 (history)  Vaccinated:2009-12-01
Age:22  Onset:2009-12-01, Days after vaccination: 0
Gender:Female  Submitted:2009-12-03, Days after onset: 2
Location:Tennessee  Entered:2009-12-03
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: Anxiety
Diagnostic Lab Data:
CDC 'Split Type':
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HPV4: HPV (GARDASIL)MERCK & CO. INC.0669Y2IMLA
Administered by: Private     Purchased by: Private
Symptoms: Arthralgia, Chills, Myalgia, Nausea, Pyrexia, Vomiting
SMQs:, Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad), Arthritis (broad)
Write-up: 12/01/09 6:30 pm chills, subjective fevers, 2 episodes of nausea and vomiting with myalgias and arthralgias. 12/02/09 Awoke with fever 100.4. 12/02/09 Appointment in clinic 8:55 am /no further nausea or vomiting, feels better injection site no erythema or exudate nontender. T 97.6. Plan rest, push fluids, Tylenol, return as needed.

VAERS ID:371394 (history)  Vaccinated:2009-12-02
Age:22  Onset:2009-12-03, Days after vaccination: 1
Gender:Male  Submitted:2009-12-03, Days after onset: 0
Location:Indiana  Entered:2009-12-03
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: Stiff arm, body aches~Influenza (Seasonal) (no brand name)~1~22.42~Patient
Other Medications:
Current Illness: None.
Preexisting Conditions: Asthma, allergy to Ceclor, also several minor allergies to many plants and animals.
Diagnostic Lab Data:
CDC 'Split Type':
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FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)UNKNOWN MANUFACTURER  IJLA
Administered by: Public     Purchased by: Public
Symptoms: Headache
SMQs:
Write-up: Persistent headache, more painful than other headaches I''ve experience (which are not that many). I could feel it as soon as I woke up, and I feel it still (~6:00 PM). It''s always there, but the pain is augmented when I am moving around or walking.

VAERS ID:371627 (history)  Vaccinated:2009-12-04
Age:22  Onset:2009-12-04, Days after vaccination: 0
Gender:Male  Submitted:2009-12-04, Days after onset: 0
Location:California  Entered:2009-12-04
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: Asthma
Diagnostic Lab Data:
CDC 'Split Type':
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FLU(H1N1): INFLUENZA (H1N1) (H1N1 (MONOVALENT) (NOVARTIS)NOVARTIS VACCINES AND DIAGNOSTICS102042P1 IJRA
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURU3377AA IJRA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Chest discomfort, Dizziness
SMQs:, Anaphylactic reaction (broad), Anticholinergic syndrome (broad), Vestibular disorders (broad)
Write-up: Tightness in chest and dizziness.

VAERS ID:371706 (history)  Vaccinated:2009-12-04
Age:22  Onset:2009-12-05, Days after vaccination: 1
Gender:Male  Submitted:2009-12-06, Days after onset: 1
Location:Indiana  Entered:2009-12-06
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU(H1N1): INFLUENZA (H1N1) (H1N1 (MONOVALENT) (NOVARTIS)NOVARTIS VACCINES AND DIAGNOSTICS 0IJLA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Fatigue, Oropharyngeal pain, Pain, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow)
Write-up: Sore Throat, Fever, Body ache, Tiredness.

VAERS ID:371905 (history)  Vaccinated:2009-12-03
Age:22  Onset:2009-12-03, Days after vaccination: 0
Gender:Male  Submitted:2009-12-07, Days after onset: 4
Location:Maryland  Entered:2009-12-07
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Not known
Current Illness: None
Preexisting Conditions: Not known
Diagnostic Lab Data: None
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU(H1N1): INFLUENZA (H1N1) (H1N1 (MONOVALENT) (SANOFI)SANOFI PASTEURUP027AB0IMRA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Pruritus, Rash
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow)
Write-up: Within minutes of administration of the H1N1 influenza vaccine patient complained of itching and areas of patchy linear rashes appeared on bilaterally arms.

VAERS ID:371926 (history)  Vaccinated:2009-11-13
Age:22  Onset:2009-11-13, Days after vaccination: 0
Gender:Female  Submitted:2009-12-07, Days after onset: 24
Location:Oklahoma  Entered:2009-12-07
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: oral birth control
Current Illness: none reported
Preexisting Conditions: none known
Diagnostic Lab Data: none
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU(H1N1): INFLUENZA (H1N1) (H1N1 (MONOVALENT) (SANOFI)SANOFI PASTEURUP0220AA0IMRA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Injection site pain
SMQs:, Extravasation events (injections, infusions and implants) (broad)
Write-up: Student presents to clinic on 12/07/2009 stating right deltoid muscle still remains sore from injection of vaccination.

VAERS ID:372107 (history)  Vaccinated:2009-12-04
Age:22  Onset:2009-12-05, Days after vaccination: 1
Gender:Female  Submitted:2009-12-08, Days after onset: 3
Location:New York  Entered:2009-12-08
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: no
Preexisting Conditions: no
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)UNKNOWN MANUFACTURER    
FLUX(H1N1): INFLUENZA (H1N1) (H1N1 (MONOVALENT) (UNKNOWN)UNKNOWN MANUFACTURER    
Administered by: Unknown     Purchased by: Unknown
Symptoms: Bronchitis, Cough, Insomnia, Oropharyngeal pain, Upper respiratory tract congestion
SMQs:, Anaphylactic reaction (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow)
Write-up: Sore throat, chest congestion, dry cough, difficulty to sleep, probably starting bronchitis.

VAERS ID:372727 (history)  Vaccinated:2009-07-22
Age:22  Onset:0000-00-00
Gender:Male  Submitted:2009-11-16
Location:Iowa  Entered:2009-12-08, Days after submission: 22
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Imprisoned
Preexisting Conditions: At the time of reporting, the subject was a prisoner. There was no information provided regarding concomitant medications or medical history.
Diagnostic Lab Data: UNK
CDC 'Split Type': A0801511A
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEPAB: HEP A + HEP B (TWINRIX)GLAXOSMITHKLINE BIOLOGICALSAHABB162AA2UNUN
Administered by: Other     Purchased by: Other
Symptoms: Condition aggravated, Rash generalised
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow)
Write-up: This case was reported by a healthcare professional and described the occurrence of rash aggravated in a male subject of unspecified age who was vaccinated with Twinrix (GlaxoSmithKline). At the time of reporting, the subject was a prisoner. There was no information provided regarding concomitant medications or medical history. Previous vaccination included 1st and 2nd dose of Twinrix (GlaxoSmithKline) given on unknown dates in 2009. The subject has had a worsening rash over the past 6 months. The only thing the healthcare professional could correlate it with was the Twinrix vaccination. The rash seemed to get worse after each injection and then would subside until receiving the next injections. On 23 July 2009 the subject received 3rd dose of Twinrix (detail unknown). On 31 July 2009, 8 days after vaccination with Twinrix, the subject experienced rash aggravated. A the time of reporting the outcome of the event was unspecified. Follow-up information was received on 31 August 2009, via physician''s assistant, who reported a 23 year old male 2009 and it became worse with the 3rd injection. The physician''s assistant considered the event may have been to Twinrix. Further evaluation of his records revealed that his rash wasn''t reported until 01 May 2009, well after the first and second doses". The subject was referred to dermatology.

VAERS ID:372353 (history)  Vaccinated:2009-11-23
Age:22  Onset:2009-12-03, Days after vaccination: 10
Gender:Female  Submitted:2009-12-09, Days after onset: 6
Location:Virginia  Entered:2009-12-09
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: Migraines
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLUN(H1N1): INFLUENZA (H1N1) (H1N1 (MONOVALENT) (MEDIMMUNE)MEDIMMUNE VACCINES, INC.500761P0IN 
Administered by: Unknown     Purchased by: Unknown
Symptoms: Body temperature increased, Chest pain, Dizziness, Dyspnoea, Erythema, Pyrexia, Swelling face, Urticaria
SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (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: swollen red face, chest pain, shortness of breath, hives, temp of 103, b/p140/88, light headed

VAERS ID:372388 (history)  Vaccinated:2009-12-04
Age:22  Onset:2009-12-04, Days after vaccination: 0
Gender:Female  Submitted:2009-12-09, Days after onset: 5
Location:Pennsylvania  Entered:2009-12-09
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: no
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU(H1N1): INFLUENZA (H1N1) (H1N1 (MONOVALENT) (NOVARTIS)NOVARTIS VACCINES AND DIAGNOSTICS1008145PA0IMLA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Dizziness
SMQs:, Anticholinergic syndrome (broad), Vestibular disorders (broad)
Write-up: Felt lightheaded, b/p 110/70. Reclined in bed for 10 min. b/p 118/75. Stated now felt better.

VAERS ID:372516 (history)  Vaccinated:2009-12-10
Age:22  Onset:2009-12-10, Days after vaccination: 0
Gender:Female  Submitted:2009-12-10, Days after onset: 0
Location:Florida  Entered:2009-12-10
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Client denies
Preexisting Conditions: Client reported previous lactose intolerance with NKDA
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEUR97845P2 IMRA
HPV4: HPV (GARDASIL)MERCK & CO. INC.0100Y IMLA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Dry skin, Injection site erythema, Injection site oedema, Rash papular, Skin discolouration, Skin warm
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypotonic-hyporesponsive episode (broad)
Write-up: Client reported redness onto LDT with numerous 3-4 raised areas measuring totaling 40 mm-60 mm. No open areas noted. No itching presented. Vital Signs: 9:25 AM-107/70;75,20-no c/o SOB. No c/o laryngospasm. A/O x3. Skin color-pink/skin-warm & dry. ARNP informed with recommendation of Benadryl IM; Dept Director/Dr. called at 10 AM with continued complaints of local reaction on LDT with Telephone Order for Benadryl 25 mg IM STAT-given to RDT. Tolerated well with good effect. Vital Signs: @ 10:30 AM- 115/75; 84, 20- No SOB, No laryngospasm, Skin Color-pink; skin warm/dry. 11 AM: Noted marked decrease edema and redness at injection site with area. No open areas noted. 11:30 AM Injection site noted with slight pink colored with no redness noted. Vital Signs-115/71; 88, 20. No SOB, No laryngospasm noted. Color-pink/skin-warm/dry. Emergency teaching provided to call EMS/911 for SOB or Emergency TX is required. Client able to repeat with good understanding.

VAERS ID:372577 (history)  Vaccinated:2009-12-05
Age:22  Onset:2009-12-05, Days after vaccination: 0
Gender:Male  Submitted:2009-12-09, Days after onset: 4
Location:California  Entered:2009-12-10, Days after submission: 1
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU(H1N1): INFLUENZA (H1N1) (H1N1 (MONOVALENT) (NOVARTIS)NOVARTIS VACCINES AND DIAGNOSTICS102131P10IMLA
Administered by: Public     Purchased by: Public
Symptoms: Nausea, Vomiting
SMQs:, Acute pancreatitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)
Write-up: With 2 hours of injection began feeling nauseated. N&V for about 24 hours from clinic held 12/5/09.

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