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Case Details (Sorted by Age)

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VAERS ID:276934 (history)  Vaccinated:2007-02-14
Age:24.0  Onset:2007-02-17, Days after vaccination: 3
Gender:Female  Submitted:2007-04-13, Days after onset: 54
Location:Unknown  Entered:2007-04-16, Days after submission: 3
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness: Sulfonamide allergy; Allergic reaction to antibiotics
Preexisting Conditions:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0703USA05680
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.  IM 
Administered by: Other     Purchased by: Other
Symptoms: Erythema, Malaise, Rash
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow)
Write-up: Information has been received from a registered nurse concerning a 24 year old female with sulfonamide allergy and allergic reaction to antibiotics who on 14-FEB-2007 was vaccinated intramuscularly with Gardasil (yeast) (0.5 ml). On 17-FEB-2007 the patient developed facial redness, malaise and an intermittent widespread rash. The patient was evaluated at a local emergency room and prescribed a course of steroids. The patient was not hospitalized. The patient fully recovered (date unspecified). Additional information has been requested.

VAERS ID:276544 (history)  Vaccinated:2007-04-06
Age:24.0  Onset:2007-04-08, Days after vaccination: 2
Gender:Female  Submitted:2007-04-11, Days after onset: 3
Location:Alaska  Entered:2007-04-17, Days after submission: 6
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Rx: Doxycycline given at visit
Current Illness: none
Preexisting Conditions: Amoxicillin, Sulfa
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (ADACEL)AVENTIS PASTEURC2609AA0IMRA
Administered by: Other     Purchased by: Public
Symptoms: Body temperature increased, Injection site erythema, Injection site swelling, Injection site warmth
SMQs:, Neuroleptic malignant syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: Tdap given 4-6-07 (Friday) Sunday night 4/8/07 T=101, redness noted distal to injection site, swelling, warmth. Monday-no fever until Monday night T=100. 4/11/07 1130 Redness, warmth, swelling, persistent-distral to injection site 3-4 cm. Redness measures 10x 11 cm. Ice/heat, elevation of arm.

VAERS ID:276597 (history)  Vaccinated:2007-04-01
Age:24.0  Onset:2007-04-01, Days after vaccination: 0
Gender:Female  Submitted:2007-04-12, Days after onset: 11
Location:Florida  Entered:2007-04-17, 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: rash and welt at site
Preexisting Conditions: None
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
ANTH: ANTHRAX (NO BRAND NAME)UNKNOWN MANUFACTURER 0  
Administered by: Military     Purchased by: Military
Symptoms: Abdominal pain upper, Back pain, Injection site rash, Injection site urticaria, Pyrexia
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypersensitivity (narrow)
Write-up: rash and welt at site (immediate reaction and still there) fever that lasted 2 days (began April 10, 2007) back aches (began April 10, 2007-continue) stomach pains (began April 10, 2007 and continue)

VAERS ID:277341 (history)  Vaccinated:2007-04-06
Age:24.0  Onset:2007-04-23, Days after vaccination: 17
Gender:Male  Submitted:2007-04-23, Days after onset: 0
Location:Unknown  Entered:2007-04-24, 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:
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
ANTH: ANTHRAX (BIOTHRAX)EMERGENT BIOSOLUTIONSFAV1062SCUN
Administered by: Military     Purchased by: Military
Symptoms: Dyspnoea, Fatigue, Oedema peripheral, Rash
SMQs:, Cardiac failure (broad), Anaphylactic reaction (narrow), Angioedema (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Hypersensitivity (narrow)
Write-up: SHORTNESS OF BREATH, RASH, ARM SWELLING, FATIGUE

VAERS ID:277383 (history)  Vaccinated:2007-04-22
Age:24.0  Onset:2007-04-22, Days after vaccination: 0
Gender:Female  Submitted:2007-04-25, Days after onset: 3
Location:Unknown  Entered:2007-04-25
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: seasonal allergies
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
ANTH: ANTHRAX (NO BRAND NAME)UNKNOWN MANUFACTURER1083SCLA
Administered by: Military     Purchased by: Military
Symptoms: Injection site erythema, Injection site induration, Injection site oedema, Injection site swelling
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: Noticable swelling and erythma, edema, Induration around site of injection. Pt''s left arm. Tricep area

VAERS ID:277429 (history)  Vaccinated:2007-04-23
Age:24.0  Onset:2007-04-24, Days after vaccination: 1
Gender:Female  Submitted:2007-04-26, Days after onset: 2
Location:Virginia  Entered:2007-04-26
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: none known
Current Illness: none
Preexisting Conditions: none known
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
RAB: RABIES (IMOVAX)AVENTIS PASTEURZ094312IMLA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Lymphadenopathy, Pain in extremity, Paraesthesia
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad)
Write-up: Patient was nauseated and vomitted for 24 hours post RIG and vaccination. No symptoms after second vaccine. A few hours after 3rd vaccine patient began to complain of arm pain, tingling sensation and axillary lymph node swelling. Pt was seen and treated at Internal Medicine with Celebrex for 30 days and recommended by physician to continue post exposure vaccines.

VAERS ID:277552 (history)  Vaccinated:2007-04-20
Age:24.0  Onset:2007-04-20, Days after vaccination: 0
Gender:Female  Submitted:2007-04-25, Days after onset: 5
Location:Michigan  Entered:2007-04-30, Days after submission: 5
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Ortho Tricyclen, Claritin, Calcium, Omega 3
Current Illness: Stuffy nose from allergies (environmental).
Preexisting Conditions: No listed allergies.
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
YF: YELLOW FEVER (YF-VAX)SANOFI PASTEURUF044AA0SCRA
Administered by: Other     Purchased by: Public
Symptoms: Chest discomfort, Hypersensitivity, Rhinorrhoea, Sneezing
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Hypersensitivity (narrow)
Write-up: At travel clinic about 10 min after yellow fever vaccine pt started having frequent sneezing and nasal discharge (clear-color), sx continued about 20 min later though "chest felt a little tight, breath sounds clear with good air movement, pt walked to clinic where given IM Benadryl, epinephrine and Solu Medrol. Sent to ER, Pt given IV Tagamet. Discharge with DX allergic reaction.

VAERS ID:277626 (history)  Vaccinated:2007-04-25
Age:24.0  Onset:2007-04-25, Days after vaccination: 0
Gender:Female  Submitted:2007-04-30, Days after onset: 5
Location:Wisconsin  Entered:2007-04-30
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Hydrocorizone Cream 0.05% prn
Current Illness: Dermatitis
Preexisting Conditions: Chronic non specific dermatitis x 15-20 years.
Diagnostic Lab Data: None
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
ANTH: ANTHRAX (BIOTHRAX)EMERGENT BIOSOLUTIONSFAV1022SCUN
SMALL: SMALLPOX (DRYVAX)PFIZER/WYETH40200760IDUN
TYP: TYPHOID VI POLYSACCHARIDE (TYPHIM VI)SANOFI PASTEURZ06632 21IMUN
Administered by: Military     Purchased by: Military
Symptoms: No adverse effect, Wrong drug administered
SMQs:
Write-up: Soldier was given Smallpox vaccination on 4/24/07 in error. SM has diagnoses of dermatitis. No adverse events have been noted since vaccine administration. Orders given for Claritin, Hydrocortizone 0.05% cream bid as needed.

VAERS ID:277720 (history)  Vaccinated:2007-04-17
Age:24.0  Onset:2007-04-19, Days after vaccination: 2
Gender:Female  Submitted:2007-04-25, Days after onset: 6
Location:Unknown  Entered:2007-05-01, 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: Desogen
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
ANTH: ANTHRAX (BIOTHRAX)EMERGENT BIOSOLUTIONSFAV1021SCLA
Administered by: Military     Purchased by: Military
Symptoms: Induration, Pruritus, Rash, Skin warm, Swelling
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow)
Write-up: Received anthrax shot on 17APR07. Two days later developed hard bump and rash. Area has increased in size daily. Area red, itchy, swollen, and warm to touch.

VAERS ID:277742 (history)  Vaccinated:2007-04-12
Age:24.0  Onset:2007-04-12, Days after vaccination: 0
Gender:Female  Submitted:0000-00-00
Location:Unknown  Entered:2007-05-01
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Danotricyclen
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
ANTH: ANTHRAX (BIOTHRAX)EMERGENT BIOSOLUTIONSFAV108 SC 
HEPA: HEP A (HAVRIX)GLAXOSMITHKLINE BIOLOGICALS1278F2IM 
UNK: VACCINE NOT SPECIFIED (NO BRAND NAME)UNKNOWN MANUFACTURER307224SC 
Administered by: Military     Purchased by: Military
Symptoms: Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow)
Write-up: Patient urticaria around face, neck occurred same day as Anthrax injection. Patient also received Hep A.

VAERS ID:277872 (history)  Vaccinated:2007-05-01
Age:24.0  Onset:2007-05-02, Days after vaccination: 1
Gender:Male  Submitted:2007-05-04, Days after onset: 2
Location:Unknown  Entered:2007-05-03, 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:
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
JEV: JAPANESE ENCEPHALITIS (JE-VAX)SANOFI PASTEUREJN229A1SCRA
Administered by: Military     Purchased by: Unknown
Symptoms: Erythema, Oedema, Oedema peripheral, Skin warm
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Hypersensitivity (broad)
Write-up: Pt c/o swelling of right arm after receiving his 2nd JEV injection on Monday. Pt had some swelling from distal half of upper arm to proximal half of forearm. Swelling continued to increase over the past 2 days. Positive warmth, edema and erythema. No fever/chills/nausea/vomiting.

VAERS ID:277993 (history)  Vaccinated:2007-04-23
Age:24.0  Onset:2007-04-23, Days after vaccination: 0
Gender:Female  Submitted:2007-05-04, Days after onset: 11
Location:Missouri  Entered:2007-05-04
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: BCPs, Bladder med
Current Illness: none
Preexisting Conditions: PCN
Diagnostic Lab Data: unk
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.  UNUN
Administered by: Public     Purchased by: Public
Symptoms: Asthenia, Nausea
SMQs:, Acute pancreatitis (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)
Write-up: 4-24-07 9:10 am PC from client, states she felt nauseated about 1 hr after receiving Gardasil. Today she states she continues to feel very weak-advised to see PMD or ER. 12:30pm PC from client states she cancelled DR appt because she felt better after lunch

VAERS ID:278066 (history)  Vaccinated:2007-05-03
Age:24.0  Onset:2007-05-04, Days after vaccination: 1
Gender:Female  Submitted:2007-05-07, Days after onset: 3
Location:New York  Entered:2007-05-07
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: none
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.0012U0IMLA
Administered by: Military     Purchased by: Military
Symptoms: Pruritus generalised
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (broad)
Write-up: Pt states she started itching Friday on the buttocks and itching has now spread to abdomen and thighs. Pt took Benadryl and was instructed to continue with Benadryl today and call me tomorrow unless it becomes worse and was then told to seek medical attention after discussing this with Dr.

VAERS ID:278159 (history)  Vaccinated:2007-04-09
Age:24.0  Onset:2007-04-09, Days after vaccination: 0
Gender:Female  Submitted:2007-05-03, Days after onset: 24
Location:Minnesota  Entered:2007-05-08, Days after submission: 5
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Oral contraceptives
Current Illness: None
Preexisting Conditions: PCN, Vancomycin, Sulfa, Amox. Naproxen
Diagnostic Lab Data: None other than Vital signs = Physical exam
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.018841IMLA
Administered by: Other     Purchased by: Private
Symptoms: Dizziness, Immediate post-injection reaction, Physical examination, Throat irritation
SMQs:, Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Vestibular disorders (broad), Hypersensitivity (narrow)
Write-up: Immediately after injection Pt felt lightheaded x 10 min. She was observed x 45 - 60 min. Recovered + d/c home. 1.5 - 2 hrs after shot c/o sensation of "splinters" in her throat. Returned to clinic 4/10/07 for evaluation = was seen in urgent care. Sx had slightly improved. Observed no tx.

VAERS ID:278290 (history)  Vaccinated:2007-04-26
Age:24.0  Onset:2007-04-26, Days after vaccination: 0
Gender:Female  Submitted:2007-05-09, Days after onset: 13
Location:Pennsylvania  Entered:2007-05-09
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: Non life-threatening arrhythmia: Lown-Ganong-Levine (LGL) syndrome.
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC. 0 LA
Administered by: Private     Purchased by: Private
Symptoms: Blood pressure decreased, Disorientation, Dizziness, Hearing impaired, Heart rate decreased, Pallor, Palpitations, Syncope vasovagal
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Cardiomyopathy (broad), Hearing impairment (narrow), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad)
Write-up: Vagal reaction: immediately after injection, I felt my heart palpitating, I felt light-headed, and I heard distorted noises. I became disoriented for a moment or two, then heard clearly again. The nurse helped me lay down for about 5 minutes and gave me water and juice to drink. She said I looked pale; my blood pressure was lower than my normal reading, and my heart rate was 50. After resting for a few moments, I felt fine, and I have not felt any faintness or pain at the injection site since. The nurse did not report this reaction, because in her judgment it was simply a vagal reaction and unrelated to the vaccine. I shared this information with two employees of Merck; one of them asked me to report this reaction anyway, and the other may have reported it separately.

VAERS ID:278379 (history)  Vaccinated:2007-03-19
Age:24.0  Onset:2007-03-19, Days after vaccination: 0
Gender:Female  Submitted:2007-05-10, Days after onset: 52
Location:Pennsylvania  Entered:2007-05-11, 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: Hormonal contraceptives
Current Illness:
Preexisting Conditions: Cervical laser therapy
Diagnostic Lab Data:
CDC 'Split Type': WAES0704USA01265
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.0188U0IMLA
Administered by: Private     Purchased by: Private
Symptoms: Rash
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow)
Write-up: Information has been received from a registered nurse concerning a 24 year old female student (weight 113) who on 19-MAR-2007 was vaccinated with the first dose of Gardasil, IM in the left deltoid (Lot number 657006/0188U). Concomitant medication was not reported. On 19-MAR-2007 in the evening, the patient developed a rash on her neck and abdomen. There was not reaction at the injection site. The patient was treated with Benadryl. Subsequently on 30-MAR-2007, the patient recovered from a rash on her neck and abdomen. Follow-up from a dermatologist indicated that the patient had a medical history of laser treatment to the cervix and was on birth control pill concomitantly. The patient was seen in the office on 02-APR-2007 with multiforme rash of the torso and neck. The dermatologist reported that the patient indicated that the rash began the evening that the patient was vaccinated. The rash started 2 weeks before it was assessed by the dermatologist. The physician reported that the patient was treated with oral steroids to prevent serious criteria. The patient has recovered. The dermatologist reported that the multiforme rash was an other important medical event. Additional information is not expected.

VAERS ID:278789 (history)  Vaccinated:2007-05-04
Age:24.0  Onset:2007-05-04, Days after vaccination: 0
Gender:Female  Submitted:2007-05-16, Days after onset: 12
Location:Unknown  Entered:2007-05-17, Days after submission: 1
Life Threatening? Yes
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: cholestyramine resin, NUVARING, PRILOSEC, probiotics (unspecified), vitamins (unspecified) tablet
Current Illness: Gastrooesophageal reflux disease; Drug hypersensitivity
Preexisting Conditions: Anaphylactic reaction
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0705USA02132
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.0388U SC 
Administered by: Other     Purchased by: Other
Symptoms: Dysphagia, Dyspnoea, Incorrect route of drug administration, Throat tightness
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Hypersensitivity (broad)
Write-up: Information has been received from a registered nurse concerning a 24 year old female with gastrooesophageal reflux disease and a history of anaphylactic reaction while on therapy with VICODIN who on 04-MAR-2007 was vaccinated subcutaneously with a 0.5 mL dose of Gardasil (lot 657622/0388U). Concomitant therapy included NUVARING, PRILOSEC, cholestyramine resin, vitamins (unspecified) and probiotics "PB8". The patient left the office after receiving the dose of Gardasil. Within 15 minutes, the patient started to have shortness of breath, difficulty swallowing, and a feeling of her throat tightening. The patient was never unconscious and had no other symptoms. The patient went to the emergency room where she received possibly prednisone, BENADRYL, and TAGAMET IV. The patient was discharged to home after 4 hours. Subsequently, the patient recovered and was not receiving further treatment for the event. Shortness of breath, difficulty swallowing and throat tightness were considered to be immediately life-threatening by the reporter. Additional information has been requested.

VAERS ID:279047 (history)  Vaccinated:2007-03-14
Age:24.0  Onset:2007-03-16, Days after vaccination: 2
Gender:Female  Submitted:2007-05-14, Days after onset: 59
Location:Ohio  Entered:2007-05-17, 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: (therapy unspecified), LIPITOR, calcium (unspecified), HUMULIN, SYNTHROID, vitamins (unspecified)
Current Illness: Diabetes cellulitis juvenile onset; Penicillin allergy; Diabetes mellitus insulin-dependent; Drug hypersensitivity
Preexisting Conditions:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0704USA00522
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.0187U0IMRA
Administered by: Private     Purchased by: Other
Symptoms: Blood glucose increased
SMQs:, Hyperglycaemia/new onset diabetes mellitus (narrow)
Write-up: Initial and follow-up information has been received from a registered nurse concerning a 24 year old, female, receptionist, whose reported weight was 130 pounds and whose reported height was 62.5 inches with juvenile onset diabetes, insulin dependent diabetic with penicillin allergy and atropine allergy, who at 10:00 a.m. on 14-MAR-2007 was vaccinated into the right deltoid muscle with the first dose of Gardasil, (lot # 656049/0187U). Concomitant therapy included insulin human (Humulin), Synthroid, Lipitor, and calcium (unspecified), "zelnoim", vitamins (unspecified), "yazmin". It was reported that the patient had 4-5 days of increased blood sugars in the range of 500-600. This began 1 1/2 days, approximately on 16-MAR-2007, after receiving Gardasil. The patient''s blood sugars. "The patient did constant, intermittent blood sugars using a bolus of insulin to counteract". It was reported that it took several days to stablize the patient''s blood sugars. Additional information has been requested.

VAERS ID:279064 (history)  Vaccinated:2007-01-26
Age:24.0  Onset:2007-01-27, Days after vaccination: 1
Gender:Female  Submitted:2007-05-14, Days after onset: 106
Location:Pennsylvania  Entered:2007-05-17, Days after submission: 3
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness:
Preexisting Conditions: Unk
Diagnostic Lab Data: Unk
CDC 'Split Type': WAES0704USA00843
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC. 1UNUN
Administered by: Other     Purchased by: Other
Symptoms: Diarrhoea, Nausea, Vomiting
SMQs:, Acute pancreatitis (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (narrow)
Write-up: Initial and follow up information has been received from a physician and a nurse concerning a 24 year old female patient, who on 26-JAN-2007 (reported by the nurse as 25-JAN-2007) was vaccinated with the first dose, 0.5ml, of Gardasil, and on approximately 26-MAR-2007 ("two months later") with the second dose of Gardasil. There was no concomitant medication. On 27-JAN-2007 the patient developed diarrhea, nausea and vomiting. The patient recovered from the events (date unspecified); following the second vaccination, the physician reported that there were "no ill effects." The patient sought unspecified medical attention. No further information is expected.

VAERS ID:279191 (history)  Vaccinated:2006-11-01
Age:24.0  Onset:2006-11-01, Days after vaccination: 0
Gender:Female  Submitted:2007-05-14, Days after onset: 193
Location:Unknown  Entered:2007-05-17, 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: allergenic extract, hormonal contraceptives
Current Illness: Environmental allergy; Migraine
Preexisting Conditions:
Diagnostic Lab Data: computed axial - Results unknown magnetic resonance - Results unknown
CDC 'Split Type': WAES0704USA01772
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC. 0UNUN
Administered by: Other     Purchased by: Other
Symptoms: Balance disorder, Computerised tomogram, Dizziness, Headache, Nausea, Nuclear magnetic resonance imaging, Vomiting
SMQs:, Acute pancreatitis (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad)
Write-up: Information has been received from a health professional concerning a 24 year old female patient with environmental allergy and migraine syndrome who in November 2006, was vaccinated with a first dose of Gardasil. Concomitant therapy included hormonal contraceptives (unspecified) and allergenic extract. In November 2006, the patient developed episodes of headache and dizziness after receiving the first injection. The episodes lasted 10 minutes and reoccurred 1-2 times per week for unknown number of weeks. In December 2006, the patient was vaccinated with the second dose of Gardasil and then she experienced severe dizziness, nausea, vomiting lasting one week. Since the end of December 2006, the patient had experienced episodes of intermittent imbalance with increasing frequency. The patient had medical evaluation with blood studies, computed axial tomography (CT) scan and magnetic resonance imaging (MRI) of brain. Results of the testing was unknown. The patient has not recovered. Additional information has been requested.

VAERS ID:279194 (history)  Vaccinated:2007-02-19
Age:24.0  Onset:2007-02-19, Days after vaccination: 0
Gender:Female  Submitted:2007-05-14, Days after onset: 83
Location:New York  Entered:2007-05-17, Days after submission: 3
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness:
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC 'Split Type': WAES0704USA02181
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.0186U UNUN
Administered by: Other     Purchased by: Other
Symptoms: Headache, Nausea
SMQs:, Acute pancreatitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)
Write-up: Information has been received from a registered nurse concerning a 24 year old female with no pertinent medical history or drug reactions/allergies, who on 19-FEB-2007 was vaccinated with Gardasil (lot # 655618/0186U). There was no concomitant medication. On 19-FEB-2007, "about 2 hours after vaccination" the patient experienced a severe headache and nausea. The patient stayed home from work and took Tylenol. The patient subsequently recovered from the severe headache and nausea on 20-FEB-2007. Additional information has been requested.

VAERS ID:279195 (history)  Vaccinated:2007-03-29
Age:24.0  Onset:2007-03-29, Days after vaccination: 0
Gender:Female  Submitted:2007-05-14, Days after onset: 46
Location:Texas  Entered:2007-05-17, 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:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0704USA02205
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC. 2UNUN
Administered by: Other     Purchased by: Other
Symptoms: Feeling hot
SMQs:
Write-up: Information has been received from a certified medical assistant concerning a 24 year old female who on unspecified dates was vaccinated with the first and second doses of Gardasil. On 29-MAR-2007, the patient was vaccinated with a third dose of Gardasil. On 29-MAR-2007, the patient was feeling fine at first, within the next five minutes or so, the patient was feeling very hot. The outcome was not reported. Additional information has been requested.

VAERS ID:279492 (history)  Vaccinated:2007-04-12
Age:24.0  Onset:2007-04-12, Days after vaccination: 0
Gender:Female  Submitted:2007-05-14, Days after onset: 32
Location:Unknown  Entered:2007-05-17, 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: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data:
CDC 'Split Type': WAES0704USA04053
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC. 1UNUN
Administered by: Unknown     Purchased by: Unknown
Symptoms: Rash, Reaction to previous exposure to any vaccine
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow)
Write-up: Information has been received from a 24 year old female who on an unspecified date, was vaccinated with her first dose of Gardasil. Subsequently the patient experienced rash that went up from her arm to her shoulders. On 12-APR-2007 was vaccinated with her second dose of Gardasil. On 12-APR-2007 the patient experienced rash that went up from her arm to her shoulders. Subsequently, the patient recovering. Additional information has been requested.

VAERS ID:279559 (history)  Vaccinated:2007-04-23
Age:24.0  Onset:2007-04-23, Days after vaccination: 0
Gender:Female  Submitted:2007-05-14, Days after onset: 21
Location:Unknown  Entered:2007-05-17, Days after submission: 3
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data:
CDC 'Split Type': WAES0704USA05279
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.0384U1UNUN
Administered by: Other     Purchased by: Other
Symptoms: Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad)
Write-up: Information has been received from a physician concerning a 24 year old female who on 23-APR-2007 was vaccinated with Gardasil (Lot# 657617/0384U). On 23-APR-2007 the patient fainted before receiving dose two. The patient recovered and received the second dose that same day. Additional information is not expected.

VAERS ID:279657 (history)  Vaccinated:2007-02-23
Age:24.0  Onset:0000-00-00
Gender:Female  Submitted:2007-05-14
Location:Unknown  Entered:2007-05-17, 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: NUVARING
Current Illness: Papilloma viral infection
Preexisting Conditions:
Diagnostic Lab Data: None
CDC 'Split Type': WAES0705USA00077
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.0011U IMLA
Administered by: Other     Purchased by: Other
Symptoms: Erythema, Injection site mass, Oedema peripheral, Pain in extremity, Pruritus
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad)
Write-up: Information has been received from a 24 year old female with papilloma viral infection who on 23-FEB-2007 was vaccinated with Gardasil (lot #654702/0011U). Concomitant therapy Nuvaring. Subsequently the patient experienced arm pain, swelling, itchiness, redness, and lump at injection site on left deltoid. Unspecified medical attention was sought. The patient status was reported as recovering. No product quality complaint was involved. Additional information has been requested.

VAERS ID:279131 (history)  Vaccinated:2007-04-25
Age:24.0  Onset:2007-05-01, Days after vaccination: 6
Gender:Female  Submitted:2007-05-15, Days after onset: 14
Location:Delaware  Entered:2007-05-21, Days after submission: 6
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Ortho tricycles
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.0089U1IMRA
Administered by: Private     Purchased by: Private
Symptoms: Dizziness, Feeling abnormal, Weight decreased
SMQs:, Hyperglycaemia/new onset diabetes mellitus (broad), Anticholinergic syndrome (broad), Dementia (broad), Vestibular disorders (broad)
Write-up: fogginess of head, dizziness weight loss

VAERS ID:279432 (history)  Vaccinated:2007-04-18
Age:24.0  Onset:2007-04-18, Days after vaccination: 0
Gender:Female  Submitted:2007-05-23, Days after onset: 35
Location:North Carolina  Entered:2007-05-23
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.0388U IMLA
Administered by: Private     Purchased by: Private
Symptoms: Injection site nodule
SMQs:, Extravasation events (injections, infusions and implants) (broad)
Write-up: Approximately 3/4cm nodule at injection site

VAERS ID:281834 (history)  Vaccinated:2006-11-06
Age:24.0  Onset:2006-11-08, Days after vaccination: 2
Gender:Female  Submitted:2007-05-16, Days after onset: 188
Location:California  Entered:2007-05-24, Days after submission: 8
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: None
CDC 'Split Type': WAES0612USA02874
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.0408R0SCUN
Administered by: Private     Purchased by: Private
Symptoms: Erythema, Pain, Varicella
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (broad)
Write-up: Information has been received from a nurse practitioner concerning a 24 year old female volunteer with unknown medical history who on 06-NOV-2006 was vaccinated SC in the left deltoid with a 0.5 ml first dose of Varivax (lot 3 651280/0408R). It was unknown if there was illness at the time of vaccination. Two days after the injection, on 08-NOV-2006 she experienced soreness, redness and pox marks (also reported as fluid filled vesicles) across her chest and abdomen. She did not have a fever. The patient recovered spontaneously 10 days later on 18-NOV-2006 (also reported as on an unknown date) and the pox crusted over. It was reported that the patient''s symptoms were observed by a relative who is a nurse, not by clinic personnel. There were no labs performed. There was no product quality complaint involved. It was unknown if the patient had any adverse experiences following prior vaccination. No further information was available. Additional information is not expected.

VAERS ID:280034 (history)  Vaccinated:2007-05-10
Age:24.0  Onset:2007-05-13, Days after vaccination: 3
Gender:Female  Submitted:2007-05-23, Days after onset: 10
Location:Massachusetts  Entered:2007-05-30, 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: Motrin
Current Illness: Burn on R hand
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)MASS. PUB HLTH BIOL LABTD180 IMRA
Administered by: Private     Purchased by: Other
Symptoms: Muscular weakness, Paraesthesia, Radiculitis brachial
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad)
Write-up: (R) arm weakness and paresthesia, possible brachial neuritis

VAERS ID:283445 (history)  Vaccinated:0000-00-00
Age:24.0  Onset:0000-00-00
Gender:Female  Submitted:2007-05-30
Location:Unknown  Entered:2007-06-04, Days after submission: 5
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: unknown
Current Illness:
Preexisting Conditions: none
Diagnostic Lab Data:
CDC 'Split Type': WAES0608USA05810
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC. 1UNUN
Administered by: Other     Purchased by: Other
Symptoms: Seroconversion test negative
SMQs:
Write-up: Information has been received from a medical assistant concerning a 24 year old female with no pertinent medical history and no drug reactions/allergies who in 1983 and 1991 was vaccinated with the first and second dose of MMR II. Subsequently the patient has not seroconverted for the measles component of the vaccine. This was discovered during routine blood work to check immunization titers. No other information was available at that time. Unspecified medical attention was sought. There was no product quality complaint. Additional information has been requested.

VAERS ID:281118 (history)  Vaccinated:2007-04-17
Age:24.0  Onset:2007-04-17, Days after vaccination: 0
Gender:Male  Submitted:2007-04-17, Days after onset: 0
Location:South Carolina  Entered:2007-06-11, Days after submission: 55
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Zithromax 1gm Suspension
Current Illness: none known
Preexisting Conditions: none known or aware of
Diagnostic Lab Data: NONE
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURU2259AA0IMLA
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA)SANOFI PASTEURU2106AA0IMRA
TDAP: TDAP (ADACEL)SANOFI PASTEURU1944BA0IMRA
Administered by: Military     Purchased by: Military
Symptoms: Dizziness, Dyspnoea, Respiratory rate increased, Vomiting
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Anticholinergic syndrome (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Vestibular disorders (broad)
Write-up: Patient felt dizzy and light-headed shortly after immunizations. After 5 minutes, he began throwing up. After an additional 2 minutes, he began breathing quickly and deeply. At this time he stated feeling short of breath.

VAERS ID:281411 (history)  Vaccinated:2007-06-07
Age:24.0  Onset:2007-06-08, Days after vaccination: 1
Gender:Male  Submitted:2007-06-12, Days after onset: 4
Location:Texas  Entered:2007-06-12
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: No
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
DT: DT ADSORBED (NO BRAND NAME)SANOFI PASTEURU1759AA1IMLA
Administered by: Private     Purchased by: Private
Symptoms: Dizziness
SMQs:, Anticholinergic syndrome (broad), Vestibular disorders (broad)
Write-up: Received Td vaccine on 06/07/07 at approximately 3:30 pm. Patient reports feeling uneasy the following morning with slight dizziness. Feelings of uneasiness continued and worsened by 1:00 pm on 06/08/07 at which time he reported to employee health to report symptoms. Patient sent to ER for evaluation. Patient seen and released from ER on 06/08/07. No treatment indicated.

VAERS ID:281653 (history)  Vaccinated:2007-04-01
Age:24.0  Onset:2007-04-01, Days after vaccination: 0
Gender:Female  Submitted:2007-06-13, Days after onset: 73
Location:New York  Entered:2007-06-14, 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: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: medical observation 04/??/07 - Blood Pressure Monitoring
CDC 'Split Type': WAES0706USA00814
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC. 0IMUN
Administered by: Other     Purchased by: Other
Symptoms: Blood pressure, Chest pain, Heart rate irregular, Medical observation, Nausea, Throat tightness
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Angioedema (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Cardiac arrhythmia terms, nonspecific (narrow), Hypersensitivity (broad)
Write-up: Information has been received from a nurse concerning a 24 year old female patient who in April 2007, "about two months ago" was vaccinated IM with a first dose of Gardasil. Within about a half an hour, the patient experienced chest pains, nausea, tightening of the throat, and an irregular heartbeat. The nurse reported that the patient has been hospitalized twice for the irregular heartbeat since receiving Gardasil. The nurse also reported that the patient has no prior history of heartbeat irregularities. Laboratory diagnostic studies included blood pressure and monitoring. At the time of this report, the patient''s outcome was unknown. No product quality complaint was involved. Additional information has been requested.

VAERS ID:282163 (history)  Vaccinated:2007-06-08
Age:24.0  Onset:2007-06-08, Days after vaccination: 0
Gender:Female  Submitted:2007-06-11, Days after onset: 3
Location:Oregon  Entered:2007-06-18, Days after submission: 7
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Patient past out during last injection
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)GLAXOSMITHKLINE BIOLOGICALSAHBVB340AA0 LA
UNK: VACCINE NOT SPECIFIED (NO BRAND NAME)UNKNOWN MANUFACTURER9010260  
Administered by: Unknown     Purchased by: Unknown
Symptoms: Unevaluable event
SMQs:
Write-up: None

VAERS ID:283748 (history)  Vaccinated:2007-04-24
Age:24.0  Onset:2007-04-25, Days after vaccination: 1
Gender:Female  Submitted:2007-06-14, Days after onset: 50
Location:Mississippi  Entered:2007-06-18, Days after submission: 4
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Concomitant therapy included PAXIL, LOESTRIN and ALLEGRA
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0705USA00651
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.1447F0IMUN
Administered by: Other     Purchased by: Other
Symptoms: Diarrhoea, Nausea, Vomiting
SMQs:, Acute pancreatitis (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (narrow)
Write-up: Initial and follow-up information has been received from a licensed practical nurse (LPN), concerning a 20 year old (previously reported as 24 year old) female patient with no significant medical history, who on 24-APR-2007 was vaccinated IM in the left deltoid, with the first dose of Gardasil (lot # 655617/1447F). On 25-APR-2007, the patient experienced nausea, started vomiting and had diarrhea. The patient''s vomiting resolved after 4 days, on approximately, 29-APR-207, the date of recovery for nausea abd diarrhea was reported 01-MAY-2007. The nurse clarified that the evets did not require an office visit or emergency room treatment. No further information is expected.

VAERS ID:283764 (history)  Vaccinated:2007-01-26
Age:24.0  Onset:2007-01-26, Days after vaccination: 0
Gender:Female  Submitted:2007-06-14, Days after onset: 138
Location:Unknown  Entered:2007-06-18, Days after submission: 4
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data:
CDC 'Split Type': WAES0705USA01053
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.0014U0IMUN
Administered by: Private     Purchased by: Private
Symptoms: Limb immobilisation, Paraesthesia, Vaccine positive rechallenge
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad)
Write-up: Information has been received from a nurse practitioner concerning a 24 year old white female who on 26-JAN-2007 at 1:45 PM was vaccinated IM in the deltoid with the first dose of Gardasil (lot # 653736/0014U). On 26-JAN-2007, at 1:45 PM, during the first injection, the patient complained of tingling and dead arm. It lasted only a short time and was better the same day. On 04-APR-2007 at 10:00 AM, the patient was vaccinated IM in the deltoid with the second dose of Gardasil (lot # 657617/0384U). On 04-APR-2007, at approximately 10:00 AM, with the second injection, the patient experienced the same exact complaints. The patient recovered on the same day. No further information is available. The patient recovered on the same day. It was reported that the "patent was fine when she got home". This is a consolidation of two reports concerning the same patient. No further information is available. Follow-up information indicated that WAES#0705USA00161 is a duplicate of WAES # 0705USA01053. Therefore, WAES # 0705USA0016 is being deleted from our files and the reports consolidated into WAES 0705uSA01053.

VAERS ID:283930 (history)  Vaccinated:2007-04-23
Age:24.0  Onset:2007-04-23, Days after vaccination: 0
Gender:Female  Submitted:2007-06-14, Days after onset: 52
Location:New Jersey  Entered:2007-06-18, Days after submission: 4
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Blood pressure 04/23/07 130/70.
CDC 'Split Type': WAES0705USA02126
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.0384U0IMAR
Administered by: Private     Purchased by: Private
Symptoms: Blood pressure, Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad)
Write-up: This is in follow-up to report (s) previously submitted on 6/14/2007. Information has been received from a registered nurse concerning a 24 year old female teacher (weight 133#, height 62") who on 23-APR-2007 was vaccinated with the first dose (also reported as the second dose) of GARDASIL (lot #657617/0384U), IM in the deltoid. Concomitant medication was not reported. On 23-APR-2007 approximately 5 minutes after vaccine was administered, the patient fainted. The patient was treated with a cold pack to her head and she was instructed to lie down. The patient''s blood pressure was 130/70. Subsequently that same day, the patient recovered from fainting and left the physicians office unassisted. Additional information has been requested.

VAERS ID:283933 (history)  Vaccinated:2007-05-08
Age:24.0  Onset:2007-05-10, Days after vaccination: 2
Gender:Female  Submitted:2007-06-14, Days after onset: 35
Location:Pennsylvania  Entered:2007-06-18, Days after submission: 4
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness: Sulfonamide allergy; drug hypersensitivity; adhesive tape allergy
Preexisting Conditions:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0705USA02192
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.0384U1IMRA
Administered by: Private     Purchased by: Private
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Nausea, Pyrexia
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: Initial and follow up information has been received from a registered nurse concerning a Caucasian 24 year old female student with sulfonamide allergy, drug hypersensitivity and surgical tape allergy who on 08-MAY-2007 at PM was vaccinated IM in the right deltoid with her second dose of Gardasil (Lot #657617/0384U). On 10-MAY-2007 at AM the patient experienced pain and developed swelling at the injection site, patient also had a fever and felt nauseous after receiving Gardasil. The nurse recommended TYLENOL and BENADRYL and to use an ice pack at the injection site. In follow up it was reported that on 10-MAY-2007 at AM the patient also developed redness at the injection site and took BENADRYL and TYLENOL and ice to the injection site. On 11-MAY-2007 it was reported that the patient''s condition improved. Additional information is not expected.

VAERS ID:283942 (history)  Vaccinated:0000-00-00
Age:24.0  Onset:0000-00-00
Gender:Female  Submitted:2007-06-14
Location:Unknown  Entered:2007-06-18, Days after submission: 4
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data:
CDC 'Split Type': WAES0705USA02340
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.  UNUN
Administered by: Unknown     Purchased by: Unknown
Symptoms: Drooling, Hypoaesthesia oral, Paraesthesia
SMQs:, Peripheral neuropathy (broad), Dyskinesia (broad), Dystonia (broad), Parkinson-like events (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad)
Write-up: Information has been received from a physician concerning a 24 year old female who was vaccinated with Gardasil. Subsequently the patient experienced numbness in her lips and drooling. This occurred mostly on the side of the body where the injection was given (not further specified). The numbness lasted 2 hours but a tingling sensation lasted for the rest of the day. Subsequently, the patient recovered from numbness in her lips and drooling. The patient sought medical attention. Additional information has been requested.

VAERS ID:283954 (history)  Vaccinated:2007-03-09
Age:24.0  Onset:2007-03-09, Days after vaccination: 0
Gender:Female  Submitted:2007-06-14, Days after onset: 96
Location:Illinois  Entered:2007-06-18, Days after submission: 4
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0705USA02663
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.0188U0IMUN
Administered by: Unknown     Purchased by: Unknown
Symptoms: Chest pain, Diarrhoea, Nausea, Rash
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Hypersensitivity (narrow), Noninfectious diarrhoea (narrow)
Write-up: Information has been received from a health professional concerning a 24 year old female who on 09-MAR-2007 was vaccinated, IM 0.5 ml first dose, with Gardasil (lot# 657006/0188U). On 09-MAR-2007 the patient experienced nausea and diarrhea. On 12-MAR-2007 the patient experienced a rash on her chest and chest pain. Subsequently, the patient recovered from nausea, diarrhea, rash and chest pain. The patient sought unspecified medical attention. Additional information has been requested.

VAERS ID:283982 (history)  Vaccinated:2007-04-09
Age:24.0  Onset:2007-04-09, Days after vaccination: 0
Gender:Female  Submitted:2007-06-14, Days after onset: 66
Location:Missouri  Entered:2007-06-18, Days after submission: 4
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness: Sulfonamide allergy
Preexisting Conditions:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0705USA03109
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.0384U IMUN
Administered by: Public     Purchased by: Public
Symptoms: Injection site rash
SMQs:, Hypersensitivity (narrow)
Write-up: Information has been received from a health professional concerning a female with sulfonamide allergy who was vaccinated with Gardasil. The nurse reported that the patient experienced a really bad injection site rash. No further information was provided. Additional information has been requested. This is in follow-up to report (s) previously submitted on 6/14/2007.

VAERS ID:284150 (history)  Vaccinated:2007-03-02
Age:24.0  Onset:2007-05-09, Days after vaccination: 68
Gender:Female  Submitted:2007-06-14, Days after onset: 36
Location:Florida  Entered:2007-06-18, Days after submission: 4
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0705USA03613
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.0187U1IMUN
Administered by: Private     Purchased by: Private
Symptoms: Injection site induration, Injection site swelling
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: Information has been received from a female who in March 2007, was vaccinated with Gardasil. She had no adverse experience at that time. On 07-MAY-2007 the patient had her second dose of Gardasil. On approximately 09-MAY-2007 the patient experienced a "hard swelling" at the injection site. The patient reported that she sought unspecified medical attention. The patient''s hard swelling at the injection site persisted. No further details were provided. Additional information has been requested. This is in follow-up to report(s) previously submitted on 6/174/2007. Information has been received from a registered nurse and a 24 year olf female (weight 130P, height 60") who on 02-MAR-2007 at 08:45 am was vaccinated with the second dose of GARDASIL vaccine (Lot #656049/0187U), IM. She had no adverse experience at that time. On 07-MAY-2007 at 9 am, the patient had her third dose of GARDASIL vaccine (Lot #657736/0389U), IM. concomitant medications was not reported. On approximately 09-MAY-2007, the patient experienced a "hard swelling" at the injection site. The patient reported that she sought unspecified medical attention and treatment with warm soaks was recommended. On an unspecified date, the patient recovered from the hard swelling at the injection site. No further details were provided. Additional information is not expected.

VAERS ID:284510 (history)  Vaccinated:2007-04-16
Age:24.0  Onset:2007-04-16, Days after vaccination: 0
Gender:Female  Submitted:2007-06-14, Days after onset: 59
Location:Unknown  Entered:2007-06-18, 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: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0705USA05428
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.0384U1IM 
Administered by: Unknown     Purchased by: Unknown
Symptoms: Injection site pain, Wrong technique in drug usage process
SMQs:, Extravasation events (injections, infusions and implants) (broad)
Write-up: Information has been received from a physician assistant concerning a 24 year old female who on 16-APR-2007 was vaccinated IM with 0.5 ml of the second dose of Gardasil (Lot #657617/0384U). On 16-APR-2007 the patient received the vaccine but the needle hit the bone in her upper arm an she has has soreness and pain in the site since then. The patient did not have any adverse symptoms after the first dose. Medical attention was sought. Additional information has been requested.

VAERS ID:282233 (history)  Vaccinated:2007-06-01
Age:24.0  Onset:2007-06-11, Days after vaccination: 10
Gender:Male  Submitted:2007-06-11, Days after onset: 0
Location:Unknown  Entered:2007-06-19, Days after submission: 8
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Rash on groin
Preexisting Conditions: None
Diagnostic Lab Data: Viral Rash - penis
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
SMALL: SMALLPOX (DRYVAX)PFIZER/WYETH40200720 LA
Administered by: Military     Purchased by: Military
Symptoms: Rash
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow)
Write-up: Rash on private area x 1 Day.

VAERS ID:282288 (history)  Vaccinated:2007-06-09
Age:24.0  Onset:2007-06-18, Days after vaccination: 9
Gender:Male  Submitted:2007-06-19, Days after onset: 1
Location:Maryland  Entered:2007-06-19
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness: no
Preexisting Conditions: none
Diagnostic Lab Data: benydryl 25 mgm 1 Qid prn, Motrin 800 mgm 1 q6h prn
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
ANTH: ANTHRAX (BIOTHRAX)EMERGENT BIOSOLUTIONSFAV1056IDLA
SMALL: SMALLPOX (DRYVAX)PFIZER/WYETH40200720OTRA
Administered by: Military     Purchased by: Military
Symptoms: Lymph node pain, Lymphadenopathy, Pain, Paraesthesia, Swelling
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: finger tingling, swelling, pain, swollen lymph nodes with pain

VAERS ID:282329 (history)  Vaccinated:2007-06-13
Age:24.0  Onset:2007-06-14, Days after vaccination: 1
Gender:Male  Submitted:2007-06-16, Days after onset: 2
Location:New Jersey  Entered:2007-06-19, 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: PPD
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
ANTH: ANTHRAX (BIOTHRAX)EMERGENT BIOSOLUTIONSFAV1092UNRA
Administered by: Military     Purchased by: Military
Symptoms: Injection site erythema, Injection site induration, Injection site warmth
SMQs:, Extravasation events (injections, infusions and implants) (broad)
Write-up: Anthrax injection site-rt upper arm is hot to touch, erythema present, center of reddened area hard-area is 3 x 3 1/2 cm.

VAERS ID:282664 (history)  Vaccinated:2007-06-18
Age:24.0  Onset:2007-06-18, Days after vaccination: 0
Gender:Female  Submitted:2007-06-18, Days after onset: 0
Location:New York  Entered:2007-06-22, Days after submission: 4
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness: None
Preexisting Conditions: Penicillin
Diagnostic Lab Data: None
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.0523U2IMRA
Administered by: Private     Purchased by: Private
Symptoms: Injection site discolouration, Injection site rash
SMQs:, Hypersensitivity (narrow)
Write-up: Fine unraised pink rash immediately after Gardasil injection on her right deltoid. Rash resolved in 10 minutes. No other complaints. #3 Gardasil - No prior reactions.

VAERS ID:282740 (history)  Vaccinated:2007-05-21
Age:24.0  Onset:2007-05-23, Days after vaccination: 2
Gender:Female  Submitted:2007-06-25, Days after onset: 33
Location:California  Entered:2007-06-25
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Ortho tri cyclen lo
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC. 1 LA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Erythema, Injection site rash, Pruritus, Rash generalised, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow)
Write-up: Received first Gardasil HPV vaccine on 3/19/07, received second vaccine on 5/21/07 by 5/23/07 had a rash on upper arms and shins (front bottom legs), worsened and spread as each week went on. Took Claritin, went to Urgent Care on 6/13/07 received steroid shot in rear and 6 day Predizone pack, rash continued to spread and worsen all over body (arms, legs, stomach, back, butt, hands, neck etc. (not currently on face or feet)- thousands of small bumps, circular patches, hive type bumps (raised and dry) - very itchy and red) went to primary care physican on 6/22/07 told to continue with Claritin during the day and Benedryl at night, also applying Coritizone Cream and Cortaid sent to lab for blood work and urine sample will have results on 6/25/07.

VAERS ID:282915 (history)  Vaccinated:2007-05-29
Age:24.0  Onset:2007-06-02, Days after vaccination: 4
Gender:Female  Submitted:2007-06-26, Days after onset: 24
Location:New Hampshire  Entered:2007-06-27, 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: Yasmin, Lexapro
Current Illness: Contraception; Drug hypersensitivity
Preexisting Conditions:
Diagnostic Lab Data: abdominal ultrasound 06/06/07 - stable splenic cyst; no evidence of gallstones or dilated intra-, extrahepatic biliary ducts, serum alanine 06/06/07 486 U/L 0-65, mean corpuscular volume 06/06/07 75 fl 80-100, mean corpuscular 06/06/07 26 p
CDC 'Split Type': WAES0706USA02113
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.0384U0IMUN
Administered by: Private     Purchased by: Private
Symptoms: Alanine aminotransferase increased, Aspartate aminotransferase increased, Back pain, Epstein-Barr virus antibody positive, Headache, Hepatic enzyme increased, Infection, Lymphocyte count decreased, Malaise, Mean cell volume decreased, Neutrophil count decreased, Pyrexia, Ultrasound abdomen normal, White blood cell count increased
SMQs:, Liver related investigations, signs and symptoms (narrow), Haematopoietic leukopenia (narrow), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad)
Write-up: Initial and follow-up information has been received from a nurse and a physician concerning a 24 year old female assistant manager with a drug allergy to DILANTIN who was vaccinated intramuscularly into the left deltoid with the first dose of Gardasil (lot # 657617/0684U) on 29-MAY-2007. Concomitant therapy included LEXAPRO and YASMIN. On 02-JUN-2007, the patient "became sick" and went to the emergency room (ER). It was reported that she experienced headache, elevated liver enzymes, fever, severe back pain and a complete blood count that revealed infectious process. The nurse reported that the patient had a variety of tests performed on her in the ER, including a liver function test (LFT) which showed that the patient''s liver enzymes were high. On 06-JUN-2007, the patient underwent the following laboratory test: Lyme disease enzyme-linked immunosorbent assay, negative; absolute blood band neutrophil count, 2.35 K/uL, blood lymphocyte count, 10%; mean corpuscular volume, 75 fL, serum Epstein-Barr viral capsid antigen immunoglobulin G antibody test, positive; serum alanine aminotransferase test (ALT (SGPT), 486 U/L; serum aspartate aminotransferase test (AST (SGOT), 311 U/L; mean corpuscular hemoglobin (MCH), 26 pg. On 06-JUN-2007, the patient also underwent an abdominal ultrasound. The physician''s impression was that there was no evidence of gallstones or dilated intra-, extrahepatic biliary ducts and there was a stable splenic cyst present. On 11-JUN-2007, the patient underwent the following laboratory tests: MCH, 26 pg, WBC count, 10.8 x 10E3/uL; AST (SGOT), 49 IU/L; ALT (SGPT), 147 IU/L. The nurse reported that the patient was doing better, but her liver enzyme levels were still elevated. At the time of the report, the outcome of severe back pain, headache, infectious process and fever were unknown. The reporting physician considered elevated liver enzymes, severe back pain, headache, fever, and complete blood count revealing infectious process to be other important medical events. Additional information is not

VAERS ID:283113 (history)  Vaccinated:2007-06-06
Age:24.0  Onset:2007-06-13, Days after vaccination: 7
Gender:Male  Submitted:2007-06-20, Days after onset: 7
Location:California  Entered:2007-06-28, Days after submission: 8
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None known.
Preexisting Conditions: None known.
Diagnostic Lab Data: None
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
ANTH: ANTHRAX (BIOTHRAX)EMERGENT BIOSOLUTIONSFAV1050SCUN
TYP: TYPHOID VI POLYSACCHARIDE (TYPHIM VI)SANOFI PASTEURA02210IMUN
Administered by: Military     Purchased by: Military
Symptoms: Rash
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow)
Write-up: Received Typhoid and Anthrax injection w/ subsequent rash to lower extremities after 7 days. Rash progressed to arms. Denied SOB or cough; afebrile. ER MD prescribed Triamcinalone 0.1% 4 times/day and Benadryl 50mg po every 6 hrs prn.

VAERS ID:283298 (history)  Vaccinated:2003-03-18
Age:24.0  Onset:0000-00-00
Gender:Male  Submitted:2007-06-30
Location:Puerto Rico  Entered:2007-06-30
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
ANTH: ANTHRAX (NO BRAND NAME)UNKNOWN MANUFACTURER  UNUN
Administered by: Military     Purchased by: Military
Symptoms: Abdominal pain upper, Arthralgia, Headache
SMQs:, Acute pancreatitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Arthritis (broad)
Write-up: headadache, stomacache, jointache

VAERS ID:283303 (history)  Vaccinated:2007-06-29
Age:24.0  Onset:2007-06-29, Days after vaccination: 0
Gender:Female  Submitted:2007-06-30, Days after onset: 1
Location:Wisconsin  Entered:2007-06-30
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (ADACEL)SANOFI PASTEURC2631AA0IMLA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Chills, Dizziness, Headache, Nausea, Pain, Pain in extremity, Pyrexia
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad)
Write-up: Symptoms started several hours after recieving injection on 6/29/07. C/o chills, severe headache, nausea, mild fever, body aches, and dizziness. Also c/o arm soreness. Pt continues to have these symptoms in equal intensity today (6/30/07).

VAERS ID:283522 (history)  Vaccinated:2007-06-17
Age:24.0  Onset:2007-06-20, Days after vaccination: 3
Gender:Female  Submitted:2007-07-02, Days after onset: 12
Location:North Carolina  Entered:2007-07-02
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: IMMUNOGLOBULIN HUMAN ANTI-RABIES
Current Illness: Unknown
Preexisting Conditions: Bat hit on right shoulder
Diagnostic Lab Data:
CDC 'Split Type': MA20070600
Vaccination
Manufacturer
Lot
Dose
Route
Site
RAB: RABIES (RABAVERT)NOVARTIS VACCINES AND DIAGNOSTICS 0UNUN
Administered by: Public     Purchased by: Other
Symptoms: Abnormal sensation in eye, Ear discomfort, Full blood count
SMQs:, Corneal disorders (broad)
Write-up: We received via Vaccine Information Service the following information: A 24-year-old female patient, born on 9 JUL 1982, had a bat in her house that did not bite her, however it did hit her on the right shoulder. Therefore she received her first dose of RabAvert with one dose of HRIG on 17 JUN 2007. On 20 JUN 2007 at 1 a.m. the patient was presented to hospital with pressure behind her eyes and ears. A CBC was done which showed 8000 WBC and 50% lymphocytes. A dose of Solumedrol was administered. We are awaiting further information. Preliminary company assessment. Seriousness criterion: hospitalisation. Causality: pending. Expectedness assessment according to SPC: The reported symptoms are not expected after vaccination with RabAvert. No change in benefit-risk-ratio. No measure necessary. VIS no. NA07-002157

VAERS ID:283599 (history)  Vaccinated:2007-06-25
Age:24.0  Onset:2007-06-25, Days after vaccination: 0
Gender:Female  Submitted:2007-07-02, Days after onset: 7
Location:Nebraska  Entered:2007-07-02
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: Amoxicillin Bactrim
Diagnostic Lab Data: No tests or lab work
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0282U SCRA
Administered by: Private     Purchased by: Private
Symptoms: Dizziness, Dry mouth
SMQs:, Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Vestibular disorders (broad)
Write-up: Mouth became dry and she was dizzy starting 10 minutes after was given MMR06

VAERS ID:283653 (history)  Vaccinated:2007-06-27
Age:24.0  Onset:2007-06-27, Days after vaccination: 0
Gender:Female  Submitted:2007-06-27, Days after onset: 0
Location:New Jersey  Entered:2007-07-03, 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:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: Examined at 1213, no neuro defects, advised to go to TMC
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
ANTH: ANTHRAX (BIOTHRAX)EMERGENT BIOSOLUTIONSFAV109  RA
HEPA: HEP A (HAVRIX)GLAXOSMITHKLINE BIOLOGICALSAHAVB1HAN1 RA
TYP: TYPHOID LIVE ORAL TY21A (VIVOTIF)BERNA BIOTECH, LTD20443  LA
UNK: VACCINE NOT SPECIFIED (NO BRAND NAME)UNKNOWN MANUFACTURER39147  LA
Administered by: Military     Purchased by: Military
Symptoms: Pain
SMQs:
Write-up: Left arm - (entire) postop vaccines is (+) for pain traveling up to neck, fingers swollen.

VAERS ID:283889 (history)  Vaccinated:2007-06-22
Age:24.0  Onset:2007-06-22, Days after vaccination: 0
Gender:Female  Submitted:2007-06-22, Days after onset: 0
Location:South Carolina  Entered:2007-07-05, Days after submission: 13
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: LEXAPRO 2mg QD (1), Anti-Depressant, Topamax - migraine II QD
Current Illness:
Preexisting Conditions: Allergies: Codeine, med hx: depression, migraines
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)GLAXOSMITHKLINE BIOLOGICALSAHBVB287BA  LA
Administered by: Other     Purchased by: Private
Symptoms: Cold compress therapy, Dizziness, Nausea
SMQs:, Acute pancreatitis (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad)
Write-up: 15 Minutes after injection c/o lightheaded, dizzy, feels like she is going to faint at 6-22-07. 1445 in nurse''s office, lying on exam bed, feels nauseated ice pack, increase legs, T - 98.6, BP 118/97, P 133, extra ice pack 1500, BP 117/69, P 64 states did not eat before vaccination. 1530 114/67, P65 sent home at 1645 6-22-07.

VAERS ID:284068 (history)  Vaccinated:2007-02-25
Age:24.0  Onset:2007-02-26, Days after vaccination: 1
Gender:Female  Submitted:2007-04-27, Days after onset: 59
Location:Connecticut  Entered:2007-07-06, Days after submission: 70
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Clean needle stick
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)UNKNOWN MANUFACTURER   RA
Administered by: Public     Purchased by: Other
Symptoms: Back pain, Chills, Muscle spasms, Pain
SMQs:, Retroperitoneal fibrosis (broad), Dystonia (broad)
Write-up: Patient described body aches, muscle cramps with back pain. Febrile with chills. No nausea, no vomiting or headache. Lasted for 12 hrs.

VAERS ID:284283 (history)  Vaccinated:2007-06-25
Age:24.0  Onset:2007-06-25, Days after vaccination: 0
Gender:Female  Submitted:2007-07-11, Days after onset: 16
Location:Pennsylvania  Entered:2007-07-11
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Trisprintec
Current Illness: None
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.0524U1IMLA
Administered by: Private     Purchased by: Private
Symptoms: Injection site pain
SMQs:, Extravasation events (injections, infusions and implants) (broad)
Write-up: Pain at injection site - lasted 2 weeks post-injection

VAERS ID:284605 (history)  Vaccinated:2007-05-18
Age:24.0  Onset:2007-05-21, Days after vaccination: 3
Gender:Female  Submitted:2007-07-06, Days after onset: 46
Location:Pennsylvania  Entered:2007-07-13, Days after submission: 7
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (ADACEL)SANOFI PASTEUR 0IM 
Administered by: Public     Purchased by: Private
Symptoms: Ecchymosis, Pain
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow)
Write-up: LUE ecchymosis, body aches

VAERS ID:284839 (history)  Vaccinated:2007-02-14
Age:24.0  Onset:0000-00-00
Gender:Female  Submitted:2007-07-06
Location:South Carolina  Entered:2007-07-13, Days after submission: 7
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Pregnancy NOS (LMP = Unknown)
Preexisting Conditions:
Diagnostic Lab Data: None
CDC 'Split Type': WAES0706USA00203
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAP: DTAP (NO BRAND NAME)UNKNOWN MANUFACTURER  UNUN
HEPAB: HEP A + HEP B (TWINRIX)GLAXOSMITHKLINE BIOLOGICALSAHABB050AA UNUN
MMRV: MEASLES + MUMPS + RUBELLA + VARICELLA (PROQUAD)MERCK & CO. INC.1386F SCUN
Administered by: Other     Purchased by: Other
Symptoms: Dizziness, Medication error, Nausea, Pregnancy
SMQs:, Acute pancreatitis (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad), Normal pregnancy conditions and outcomes (narrow)
Write-up: Information has been received through a Merck pregnancy registry concerning a female patient with no medical history or allergies who on 14-FEB-2007 was vaccinated SC with a 0.5mL dose of Proquad (lot number 655847/1386F). Concomitant vaccines given that day included a dose of diphtheria toxoid (+) pertussis acellular vaccine (unspecified) (+) tetanus toxoid and a dose of hepatitis A virus vaccine (unspecified (+) hepatitis B virus vaccine (unspecified) (lot number AHABB050AA). It was reported that the patient is now 6 weeks pregnant. The nurse stated that the vaccination record lists "MMRV" and she believes that the name of the vaccine was Proquad. Subsequently, about six weeks ago the patient experienced nausea, queasiness and dizziness related to her pregnancy. Unspecified medical attention was sought. The patient''s status is not recovered. No diagnostic laboratory tests were performed. No product quality complaint was involved. Additional information has been requested.

VAERS ID:284895 (history)  Vaccinated:2006-11-08
Age:24.0  Onset:2007-03-23, Days after vaccination: 135
Gender:Female  Submitted:2007-07-06, Days after onset: 105
Location:Unknown  Entered:2007-07-13, 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: Unknown
Current Illness: Pregnancy NOS (LMP = 2/27/2007)
Preexisting Conditions:
Diagnostic Lab Data: Ultrasound 03/26/07 - "early IOP"
CDC 'Split Type': WAES0705USA00321
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC. 1UNUN
Administered by: Other     Purchased by: Other
Symptoms: Drug exposure during pregnancy, Intraocular pressure test, Metrorrhagia, Nausea, Pregnancy, Ultrasound abdomen
SMQs:, Acute pancreatitis (broad), Haemorrhage terms (excl laboratory terms) (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: Initial and follow up information has been received for a Merck Pregnancy Registry via a health professional concerning a female who on 06-SEP-2006 was vaccinated with the first dose of Gardasil (lot not reported). On 08-NOV-2006, the patient was vaccinated with the second dose of Gardasil (lot reported as "9725101"). The patient was found to be pregnant after receiving her second dose, and it was noted as "second trimester". Routine vital signs were noted to be performed. The patient sought unspecified medical attention. Additional information has been received concerning the 24 year old female who had her last menstrual period on 27-FEB-2007 (estimated date of delivery, 04-NOV-2007). From 23-MAR-2007 to 03-MAY-2007 the patient was treated with PROMETRIUM, 200 mg BID, for low progesterone. From 23-MAR-2007 to the present she was treated with PHENERGAN, 25 mg PRN for nausea. On 26-MAR-2007 an ultrasound was performed due to "spotting". The results of test were "Early IOP". Additional information has been requested.

VAERS ID:284905 (history)  Vaccinated:2007-05-25
Age:24.0  Onset:2007-05-25, Days after vaccination: 0
Gender:Female  Submitted:2007-07-06, Days after onset: 42
Location:Pennsylvania  Entered:2007-07-13, Days after submission: 7
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Depo-Provera
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: None
CDC 'Split Type': WAES0706USA00316
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.0389U1UNUN
Administered by: Other     Purchased by: Other
Symptoms: Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad)
Write-up: Information has been received from a physician concerning a female who on 25-MAY-2007 was vaccinated with the second dose of GARDASIL (Lot #657736/0389U). Concomitant therapy included medroxyprogesterone acetate (DEPO-PROVERA). On 25-MAY-2007 the patient fainted after receiving the vaccination. The patient recovered that day and plans to receive the third injection of the vaccine. Medical attention was sought. Additional information has been requested.

VAERS ID:284927 (history)  Vaccinated:2007-05-30
Age:24.0  Onset:2007-06-02, Days after vaccination: 3
Gender:Female  Submitted:2007-07-06, Days after onset: 34
Location:Unknown  Entered:2007-07-13, 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: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0706USA00859
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.  UNUN
Administered by: Other     Purchased by: Other
Symptoms: Oral mucosal exfoliation
SMQs:, Severe cutaneous adverse reactions (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Hypersensitivity (broad)
Write-up: Information has been received from an office manager concerning a 24 year old female patient who on 30-MAY-2007 was vaccinated with a dose of Gardasil. On approximately 02-JUN-2007 the patient developed "peeling in the mouth". Medical attention was sought. The patient had not recovered. Additional information has been requested.

VAERS ID:285077 (history)  Vaccinated:2007-06-07
Age:24.0  Onset:2007-06-08, Days after vaccination: 1
Gender:Female  Submitted:2007-07-06, Days after onset: 28
Location:Wisconsin  Entered:2007-07-13, 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: None
Current Illness:
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC 'Split Type': WAES0706USA01675
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.0688F0IMUN
Administered by: Other     Purchased by: Other
Symptoms: Pain
SMQs:
Write-up: Information has been received from a registered nurse concerning a 24 year old female with no pertinent medical history, drug reactions or allergies who on 07-JUN-2007 was vaccinated with the first dose of GARDASIL vaccine (yeast) (653735/0688F) 0.5 mL IM. There was no concomitant medication used. The patient experienced a dull ache in her wrist, neck and back on 08-JUN-2007 the day after the first dose of GARDASIL vaccine (yeast) (653735/0688F) was administered. Medical attention was sought. No further information is available. At the time of reporting, the patient was recovering. Additional information has been requested. This is in follow-up to report(s) previously submitted on 7/6/2007. Additional information is not expected.

VAERS ID:284770 (history)  Vaccinated:2007-06-05
Age:24.0  Onset:2007-06-06, Days after vaccination: 1
Gender:Female  Submitted:2007-06-28, Days after onset: 22
Location:Pennsylvania  Entered:2007-07-17, Days after submission: 19
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: ORTHO TRI-CYCLEN LO
Current Illness: None
Preexisting Conditions: Seasonal allergies, otherwise none
Diagnostic Lab Data: None
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.0245U0IMLA
Administered by: Private     Purchased by: Private
Symptoms: Injection site rash, Pruritus, Rash erythematous, Rash pruritic
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow)
Write-up: GARDASIL shot on 6/5, 6/6 noticed bumps above shot area, (+) itch, 6/7 bumps spread across chest area. Patchy area on chest, red and bumpy. (+) itch Tx with hydrocortisone cream, CALADRYL cream + oatmeal baths. OTC itch cream. This is in follow-up to report (s) previously submitted on 7/16/2007. Information has been received from a consumer concerning her 24 year old daughter (also reported as 25) with no pertinent medical history or drug reactions and seasonal allergies who on 05-JUN-2007 was vaccinated with first dose of GARDASIL (lot# 656050/0245U) 0.5 ml in the left arm IM. Concomitant medication included ORTHO TRI-CYCLEN LO. The consumer reported that on 06-JUN-2007, the next day her daughter broke out in a rash all over her chest. Medical attention was not sought. At the time of reporting, the patient was recovering. Follow-up information was received from the Feedom of Information Act. The age, concomitant medication. lot number and allergies were updated. On 06-JUN-2007 bumps over the shot area was noticed and was itchy. On 07-JUN-2007 and bumps spread across the chest area. The patcy area on the chest was red, itchy and bumpy. Treatment for the rash include hydrocortisone cream, CALADRYL cream, and over the counter itch cream and oatmeal baths. The VAERS ID number is 284770. No additional information is expected.

VAERS ID:284960 (history)  Vaccinated:2007-07-10
Age:24.0  Onset:2007-07-11, Days after vaccination: 1
Gender:Female  Submitted:2007-07-17, Days after onset: 6
Location:North Carolina  Entered:2007-07-17
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~0~~In Patient
Other Medications: PPD,coumadin, lexapro, ADEK, Mirena IUD
Current Illness: none
Preexisting Conditions: verrucous anticoagulant, prothrombin G20210 mutation, panic disorder w depression, s/p pulmonary embolus
Diagnostic Lab Data: none
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
DT: DT ADSORBED (DECAVAC)SANOFI PASTEURU1953CA1IMRA
UNK: VACCINE NOT SPECIFIED (NO BRAND NAME)UNKNOWN MANUFACTURER 1SCRA
Administered by: Private     Purchased by: Private
Symptoms: Injection site cellulitis, Injection site lymphadenopathy
SMQs:
Write-up: cellulitis at site w lymphadenopathy

VAERS ID:285364 (history)  Vaccinated:2006-12-11
Age:24.0  Onset:2007-05-01, Days after vaccination: 141
Gender:Female  Submitted:2007-07-16, Days after onset: 76
Location:Unknown  Entered:2007-07-18, Days after submission: 2
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Advair
Current Illness:
Preexisting Conditions: Anaemia; Low grade squamous intraepithelial lesion; Cryocautery of cervix
Diagnostic Lab Data: ultrasound 05/23/07 19 weeks, amniocentesis 05/09/07 negative, serum alpha-fetoprotein, blood glucose 05/07 239
CDC 'Split Type': WAES0702USA03600
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC. 0IMUN
Administered by: Other     Purchased by: Other
Symptoms: Alpha 1 foetoprotein, Amniocentesis normal, Blood glucose increased, Drug exposure during pregnancy, Foetal disorder, Gestational diabetes, Pollakiuria, Ultrasound scan
SMQs:, Hyperglycaemia/new onset diabetes mellitus (narrow), Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow), Foetal disorders (narrow), Normal pregnancy conditions and outcomes (narrow)
Write-up: Information has been received for the pregnancy registry for Gardasil from a 24 year old female healthcare worker with a childhood history of anaemia who on 11-DEC-2006 was vaccinated IM with a first dose Gardasil. Concomitant therapy included fluticasone propionate (+) salmeterol xinafoate (ADVAIR). Subsequently the patient found out she was about 5 weeks pregnant (estimated LMP 10-JAN-2007, EDD 17-OCT-2007). The patient was scheduled to see her physician on 26-FEB-2007. On 22-JUN-2007 follow up information was received from a physician concerning the hispanic patient with a history of low grade squamous intraepithelial lesion (August 2004) and cryosurgery to cervix (September 2004) and 0 previous pregnancies. The patient underwent amniocentesis on 09-MAY-2007 (negative) and ultrasound on 23-MAY-2007 (19 weeks). Maternal serum alpha-fetoprotein (MSAFP) was 4; the patient also had an increased random glucose of 239. She was put on a 2000 kcl ADA diet. Her outcome was not reported. Additional information has been requested. Follow up information has ben received from an obstetrician concerning the patient with gestational diabetes since 09-MAY-2007 when screening chemistry panel revealed glocuse 239. On that date she received MACROBID 100 mg BID x 7 days as empiric Rx for urinary frequency. The patinet received glyburide 2.5 mg BID from 31-AUG-2007 to 12-SEP-2007, and 5 mg BID from 13-SEP-2007 to 13-OCT-2007. On 13-OCT-2007 a liveborn female infant was delivered at 39 plus weeks from LMP. Weight was 8 pounds, length 18 1/2 inches, APGAR score 3/3. The patient received prenatal vitamins from 26-FEB-2007 to 15-OCT-2007. Pediatric medical records were received and reviewed and the following experience was identified: the child was born with the congenital anomaly of mongolian spots. The infant subsequently experienced adverse events following vaccination with hepatitis B vaccine. Additional information is not expected.

VAERS ID:285458 (history)  Vaccinated:0000-00-00
Age:24.0  Onset:0000-00-00
Gender:Female  Submitted:2007-07-16
Location:Unknown  Entered:2007-07-18, 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: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0706USA02770
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC. 1UNUN
Administered by: Other     Purchased by: Other
Symptoms: Anogenital warts
SMQs:
Write-up: Information has been received from a nurse practitioner concerning a 24 year old female who on an unspecified date was vaccinated with the first dose of Gardasil (lot number unknown). On an unspecified date, the patient was vaccinated with her second dose of Gardasil and developed genital warts. Medical attention was sought. At the time of reporting the patient was recovering. Additional information has been requested.

VAERS ID:285632 (history)  Vaccinated:2007-06-18
Age:24.0  Onset:2007-06-18, Days after vaccination: 0
Gender:Female  Submitted:2007-07-16, Days after onset: 28
Location:New York  Entered:2007-07-18, Days after submission: 2
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:
Preexisting Conditions: Unknown
Diagnostic Lab Data: None
CDC 'Split Type': WAES0706USA03240
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.0523U2IMUN
Administered by: Other     Purchased by: Other
Symptoms: Injection site erythema, Injection site rash
SMQs:, Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (narrow)
Write-up: Information has been received from a licensed practical nurse concerning a 24 year old female who on approximately 18-JUN-2007 was vaccinated IM with a third 0.5 ml dose of Gardasil (lot# 657868/0523U). Concomitant therapy included medroxyprogesterone acetate (DEPO-PROVERA). On 18-JUN-2007, the patient experienced redness and a rash at the injection site. Unspecified medical attention was sought. No diagnostic laboratory studies were performed. On 18-JUN-2007, the patient recovered. No product quality complaint was involved. Additional information has been requested.

VAERS ID:285638 (history)  Vaccinated:2007-06-05
Age:24.0  Onset:2007-06-18, Days after vaccination: 13
Gender:Female  Submitted:2007-07-16, Days after onset: 28
Location:Oregon  Entered:2007-07-18, 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: Amoxicillin, Zoloft; Depo-Provera
Current Illness: Acne; Stress; Papilloma viral infection; Cervical intraepithelial neoplasia
Preexisting Conditions: Unknown
Diagnostic Lab Data: None
CDC 'Split Type': WAES0706USA03289
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.0384U0IMUN
Administered by: Other     Purchased by: Other
Symptoms: Erythema, Rash
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow)
Write-up: This is in follow-up to report(s) previously submitted on 7/16/2007. Initial and follow-up information has been received from a physician concerning a 24 year old female with stress, human papilloma 5B and cervical intraepithelial neoplasic I who on 05-JUN-2007 was vaccinated intramuscularly with the first 0.5 ml dose of Gardasil (lot # 657617/0384U). Concomitant therapy included sertraline HCl (ZOLOFT) and amoxicillin. On 18-JUN-2007, the patient developed a red rash on her chest and back. The patient sought unspecified medical attention. No other symptoms were noted. At the time of the report, the patient was recovering. There were no laboratory or diagnostic tests performed. Additional information is not expected.

VAERS ID:285675 (history)  Vaccinated:2007-05-25
Age:24.0  Onset:2007-05-26, Days after vaccination: 1
Gender:Female  Submitted:2007-07-16, Days after onset: 51
Location:Minnesota  Entered:2007-07-18, 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: nertraline hydrochloride mg
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0706USA04016
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.0388U0IMUN
Administered by: Private     Purchased by: Private
Symptoms: Lip swelling, Swelling face
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow)
Write-up: Initial and follow-up information has been received from a physician concerning a female who in approximately April 2007, was vaccinated IM with the first dose of Gardasil. The day after vaccination, the patient experienced swelling of her lips and a member of the patient''s family thought that her face was a little puffy too. The patient''s outcome was not reported. Medical attention was sought. The patient was instructed to got to the emergency room. The patient has not followed-up with the office nor returned my telephone messages. The office is unaware if the patient went to the emergency room. The patient''s outcome was unknown. Additional information has been requested. This is in follow-up to report (s) previously submittedon 7/16/2007. Additional information is not expected.

VAERS ID:285833 (history)  Vaccinated:2007-01-01
Age:24.0  Onset:2007-01-01, Days after vaccination: 0
Gender:Female  Submitted:2007-07-16, Days after onset: 195
Location:New York  Entered:2007-07-18, Days after submission: 2
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Hormonal contraceptives
Current Illness: Contraception
Preexisting Conditions:
Diagnostic Lab Data: None
CDC 'Split Type': WAES0706USA04517
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC. 1IMUN
Administered by: Other     Purchased by: Other
Symptoms: Myalgia, Vaccine positive rechallenge
SMQs:, Rhabdomyolysis/myopathy (broad), Eosinophilic pneumonia (broad)
Write-up: Information has been received from a 25 year old female consumer with no pertinent medical history or drug reactions/allergies who in January 2007, was vaccinated with a first dose of GARDASIL (lot number unknown) and in March 2007 was vaccinated with a second dose of GARDASIL (lot number unknown). Concomitant therapy included hormonal contraceptives (unspecified). The consumer reported that the next day after she received her first and second dose of the vaccinations she had a sharp muscle pain that ran through the left arm all the way up and through her "next" on the left side. The pain lasted for about a month after the injection. The patient recovered about a month after each injection. Medical attention was sought. Additional information has been requested. This is in follow-up to repport (s) previously submitted on 7/16/2007. Follow-up information was received on 9-JUL-2007 via telephone. The patient wanted to know if she should get the third dose of GARDASIL vaccine. No additional adverse event information was provided. Additionla information has been requested.

VAERS ID:285159 (history)  Vaccinated:2003-11-06
Age:24.0  Onset:0000-00-00
Gender:Male  Submitted:2007-06-21
Location:Unknown  Entered:2007-07-19, Days after submission: 28
Life Threatening? Yes
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: LABS: MRI of brain 1/05 revealed probable tortuous vessel of right MCA bifurcation & paranasal mucous retention cyst right maxillary sinus, eye refractive error. Hearing test 5/05 was WNL. C-spine x-ray 12/04 revealed paravertebral muscle spasm & DJD.
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
ANTH: ANTHRAX (NO BRAND NAME)UNKNOWN MANUFACTURER    
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)UNKNOWN MANUFACTURER    
HEP: HEP B (NO BRAND NAME)UNKNOWN MANUFACTURER    
SMALL: SMALLPOX (DRYVAX)PFIZER/WYETH402007   
TYP: TYPHOID VI POLYSACCHARIDE (NO BRAND NAME)UNKNOWN MANUFACTURER    
Administered by: Military     Purchased by: Military
Symptoms: Abnormal behaviour, Acne, Acoustic stimulation tests normal, Arthralgia, Arthritis, Back pain, Cyst, Fall, Flat feet, Headache, Hypertriglyceridaemia, Migraine, Muscle spasms, Myositis, Neck pain, Nuclear magnetic resonance imaging brain abnormal, Osteoarthritis, Pain, Photophobia, Rash, Skin discolouration, Spinal X-ray abnormal, Toe deformity, Visual acuity reduced
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Dyslipidaemia (narrow), Hyperglycaemia/new onset diabetes mellitus (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Dementia (broad), Dystonia (broad), Psychosis and psychotic disorders (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (narrow), Accidents and injuries (narrow), Hostility/aggression (broad), Glaucoma (broad), Optic nerve disorders (broad), Lens disorders (broad), Corneal disorders (broad), Retinal disorders (broad), Lipodystrophy (broad), Hypotonic-hyporesponsive episode (broad), Hypersensitivity (narrow), Arthritis (narrow)
Write-up: Severe body pain and joint, severe acne, spot of skin, rash, migraine, changes of behavior, severe back pain, etc. 7/31/07 Received medical records from VAMC for 9/04-7/07 which reveal patient experienced chronic neck & LBP s/p fall in 2004, hallux valgus deformity & severe pes planus deformity & arthritis of bilat feet, acne, hypertriglyceridemia, headaches w/photophobia, myositis, left knee pain Tx w/PT for neck & back pain. 8/3/07 Received vax record from patient. Does not include lot #s. VAERS database updated w/same.

VAERS ID:285202 (history)  Vaccinated:2007-06-05
Age:24.0  Onset:2007-06-18, Days after vaccination: 13
Gender:Male  Submitted:2007-07-11, Days after onset: 23
Location:Wisconsin  Entered:2007-07-19, Days after submission: 8
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.1029F  RA
TDAP: TDAP (ADACEL)SANOFI PASTEURC2688AA  RA
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.1048F  LA
Administered by: Public     Purchased by: Public
Symptoms: Chills, Dizziness, Headache, Pyrexia, Rash, Varicella
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Vestibular disorders (broad), Hypersensitivity (narrow)
Write-up: Two weeks after vaccine given developed headache, fever, chills, dizziness. Two days later "mosquito bite like" bumps on body, thought to be chicken pox. Developed approx. 100 pox to entire body. Lasted about 2 weeks, then resolved.

VAERS ID:285334 (history)  Vaccinated:2007-06-12
Age:24.0  Onset:2007-06-12, Days after vaccination: 0
Gender:Female  Submitted:2007-06-15, Days after onset: 3
Location:Georga  Entered:2007-07-20, Days after submission: 35
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data:
CDC 'Split Type': GA07027
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (ADACEL)SANOFI PASTEURC2572AA0IMRA
Administered by: Public     Purchased by: Public
Symptoms: Erythema, Headache, Influenza like illness, Joint swelling, Skin warm
SMQs:, Anaphylactic reaction (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad), Arthritis (broad)
Write-up: Shoulder swollen and red - warm to touch c/o headache and flu like symptoms began 7 PM on 6/12/2007. Tdap given AM 6/12/2007. Checked by MD 6/15/07 - will treat with antibiotic.

VAERS ID:285518 (history)  Vaccinated:2007-07-18
Age:24.0  Onset:2007-07-18, Days after vaccination: 0
Gender:Female  Submitted:2007-07-18, Days after onset: 0
Location:Virginia  Entered:2007-07-23, 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: NONE
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.0469U2IMRA
Administered by: Private     Purchased by: Private
Symptoms: Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad)
Write-up: After 3rd injection of Gardasil vaccine, pt fainted. There had not been any problems with 2 prior injections.

VAERS ID:285565 (history)  Vaccinated:2007-07-23
Age:24.0  Onset:2007-07-23, Days after vaccination: 0
Gender:Female  Submitted:2007-07-23, Days after onset: 0
Location:New Mexico  Entered:2007-07-23
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~HPV (Gardasil)~1~0~In Patient
Other Medications:
Current Illness: None
Preexisting Conditions: Celiac disease, allergy to gluten
Diagnostic Lab Data: None
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.0263U1IMLA
Administered by: Private     Purchased by: Private
Symptoms: Asthenia, Dizziness, Hypersensitivity, Hypotonia, Paraesthesia, Visual disturbance
SMQs:, Angioedema (broad), Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Optic nerve disorders (broad), Lens disorders (broad), Retinal disorders (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Hypersensitivity (narrow)
Write-up: Pt seen in am and describes what appeared like an allergic response after 1st inj. anyway. Pt was given Betamethasone 6 mg IM at approx 1000 this am, Pt returned at 1340 and was given Gardasil. 5 ml IM to (L) deltoid. Within one minute pt c/o tingling to bilat. arms and fingers and dizziness. Pt was laying down and became weak with decreased muscle tone. c/o visual disturbance. Maintained BP + O2 Sat + Pulse all WNL. (1350) No improvement, Pt was given Benadryl 50 mg IM at 1410. Took 20 minutes for slight improvement. Approx 35 min after Benadryl, pt was improving. Pt. had bee recommended not to receive further doses and will take Benadryl 50mg P.O. daily x 2-3 days per Dr. Pt. d/c''d to home with boyfriend.

VAERS ID:285578 (history)  Vaccinated:2007-05-29
Age:24.0  Onset:0000-00-00
Gender:Female  Submitted:2007-07-23
Location:New York  Entered:2007-07-23
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)GLAXOSMITHKLINE BIOLOGICALSAHBVB301AA1IMLA
Administered by: Private     Purchased by: Private
Symptoms: Incorrect dose administered
SMQs:
Write-up: Pt was administered 2 pediatric doses of Hep. B Engerix B 10 mcg/0.5 ml. 1st dose 5/4/07. 2nd dose 5/29/07 instead of an adult dose. No adverse events noted

VAERS ID:286089 (history)  Vaccinated:2007-06-28
Age:24.0  Onset:2007-07-09, Days after vaccination: 11
Gender:Male  Submitted:2007-07-27, Days after onset: 18
Location:Iowa  Entered:2007-07-27
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: N/A
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (ADACEL)SANOFI PASTEURC2734AA IMLA
Administered by: Other     Purchased by: Other
Symptoms: Hypoaesthesia, Paraesthesia
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad)
Write-up: Pt stated numbness and tingly left arm x 7 days on 7-16-07 that radiates to palm (left).

VAERS ID:286117 (history)  Vaccinated:2007-07-03
Age:24.0  Onset:2007-07-04, Days after vaccination: 1
Gender:Female  Submitted:2007-07-25, Days after onset: 21
Location:Texas  Entered:2007-07-27, 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: Orth-Evra
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: Diagnostic Tests: None; Labs: None
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
ANTH: ANTHRAX (NO BRAND NAME)MICHIGAN DEPT PUB HLTHFAV1051IMLA
SMALL: SMALLPOX (DRYVAX)PFIZER/WYETH40200760 LA
TDAP: TDAP (ADACEL)SANOFI PASTEURC2632AA0IMRA
TYP: TYPHOID VI POLYSACCHARIDE (TYPHIM VI)SANOFI PASTEURZ06640IMRA
Administered by: Military     Purchased by: Military
Symptoms: Asthenia, Headache, Injected limb mobility decreased, Injection site pain, Lymphadenopathy, Oedema peripheral
SMQs:, Cardiac failure (broad), Angioedema (broad), Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: 24 y/o who received primary SPV, AVA #1 (left arm) and Typhoid, Tdap (right arm) on 7/3/2007. The following day she noticed pain in her left upper arm, limited to the injection site areas, lasting approximately 4 days, then resolving completely. About 48 hours post vaccinations she noticed non-tender swelling in her right hand only, w/o redness, pain, or itching. She described this swelling as ''difficulty making a clenched fist''. This resolved in 24hrs after taking Motrin and Benadryl - no recurrence to date. During same time frame she also felt an enlarged lymph gland in her left neck, non-tender, and which is decreasing in size. SM then received AVA #2 in her left arm on 7/17/2007, noting recurrent pain in the same area within 24 hours and which persists to date. The pain is worsened with arm movements, which is what she describes as ''weakness'', but there is no loss of strength. SM has noticed increased frequency of headaches since AVA#2. Headache onset was about a week before AVA#1, and occurred about 3 times per week. Since AVA#2, she has had daily headaches, located in the temples, up to intensity 7/10, lasting no more than 3 hours and relieved with Motrin.

VAERS ID:286372 (history)  Vaccinated:2007-07-27
Age:24.0  Onset:2007-07-30, Days after vaccination: 3
Gender:Female  Submitted:2007-07-31, Days after onset: 1
Location:Nebraska  Entered:2007-07-31
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAP: DTAP (INFANRIX)GLAXOSMITHKLINE BIOLOGICALSAC14B040AA  GM
UNK: VACCINE NOT SPECIFIED (NO BRAND NAME)UNKNOWN MANUFACTURERC2512AC   
Administered by: Private     Purchased by: Unknown
Symptoms: Erythema, Inappropriate schedule of drug administration, Off label use, Pruritus
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (broad)
Write-up: 7/30/2007 Patient was in office and showed a 8" long reaction x 2" red and itchy area.

VAERS ID:286404 (history)  Vaccinated:2007-07-21
Age:24.0  Onset:2007-07-29, Days after vaccination: 8
Gender:Male  Submitted:2007-08-01, Days after onset: 3
Location:Unknown  Entered:2007-08-01
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: MIDRIN
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
SMALL: SMALLPOX (DRYVAX)PFIZER/WYETH40200720OTLA
Administered by: Military     Purchased by: Military
Symptoms: Cellulitis
SMQs:
Write-up: Patient developed cellulitis of his shoulder upper arm and chest 10 days after vaccination. Patient given antibiotics due to severity of cellulitis.

VAERS ID:286429 (history)  Vaccinated:2007-03-15
Age:24.0  Onset:2007-04-07, Days after vaccination: 23
Gender:Female  Submitted:2007-07-27, Days after onset: 111
Location:Florida  Entered:2007-08-01, 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: Excedrin migraine prn
Current Illness: None
Preexisting Conditions: Seasonal allergies, Migraine HA (?)
Diagnostic Lab Data: Diagnostic Tests: 21 May 07 - Colpscopy - Impression: CIN 1-full squamocolumnar junction was seen a small amount of thin acetowhite epithelium at one o''clock area mosaicism or palpation. No biopsies or ECC done as patient is pregnant. Follow-up colposcopy recommended at 6 week postpartum
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
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Site
ANTH: ANTHRAX (NO BRAND NAME)MICHIGAN DEPT PUB HLTHFAV1035UNUN
Administered by: Military     Purchased by: Military
Symptoms: Colposcopy, Human papilloma virus test positive, Injection site nodule, Injection site pain, Papilloma viral infection, Pregnancy test positive
SMQs:, Extravasation events (injections, infusions and implants) (broad), Normal pregnancy conditions and outcomes (narrow)
Write-up: Received AVA #6 on 15 Mar 07 with no untoward result except for the usual soreness with a small lump at the injection site. On 9 Apr 07 she had an HCG test which was positive. On 31 May she had a OB PAP test done which was positive for epithelium cell abnormalities. Atypical squamous cells of undetermined significance (ASCUS) with positive HPV, high risk. EDC 18 Dec 07.

VAERS ID:286528 (history)  Vaccinated:2007-07-26
Age:24.0  Onset:2007-07-26, Days after vaccination: 0
Gender:Female  Submitted:2007-07-26, Days after onset: 0
Location:California  Entered:2007-08-02, Days after submission: 7
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
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.0212U0IMRA
Administered by: Other     Purchased by: Private
Symptoms: Pruritus
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (broad)
Write-up: 2-3 hrs after given vaccine, pt began itching-chest, abdomen, buttocks, thighs, feet. No dyspnea or swelling at time of examination (4 hrs after vaccinated). No hives developed no cyanosis. bump clear. Started Benadryl 50 mg po

VAERS ID:286952 (history)  Vaccinated:2006-10-14
Age:24.0  Onset:2006-10-14, Days after vaccination: 0
Gender:Female  Submitted:2007-07-30, Days after onset: 289
Location:Unknown  Entered:2007-08-02, 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: hormonal contraceptives
Current Illness: Drug hypersensitivity
Preexisting Conditions:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0610USA10738
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)UNKNOWN MANUFACTURER  UNUN
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.0486F SCUN
Administered by: Other     Purchased by: Other
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth, Pain in extremity
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: Information has been received fro a pharmacist concerning a 24 year old female with an allergy to cephalosporins and no medical history, who on 14-OCT-2006 was vaccinated SC with a 0.5 mL dose of Pneumovax 23 (lot# 651399/0486F) and influenza virus vaccine (unspecified). Concomitant therapy included hormonal contraceptives (unspecified). Several hours later, the patient experienced tenderness, warmth, swelling, and redness at the injection site and soreness of the whole arm with movement. The patient was treated with BENADRYL and TYLENOL. ON 16-OCT-2006 the patient saw a doctor who ordered AUGMENTIN and VICODIN. It was noted that the patient was being referred to an Infectious Disease Specialist. At the time of this report, the patient had not recovered. No product quality complaint was involved. Additional information has been requested.

VAERS ID:287505 (history)  Vaccinated:2007-01-17
Age:24.0  Onset:2007-01-18, Days after vaccination: 1
Gender:Female  Submitted:2007-07-30, Days after onset: 192
Location:Maine  Entered:2007-08-02, Days after submission: 3
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: albuterol; FLOVENT; hormonal contraceptives
Current Illness: Asthma
Preexisting Conditions:
Diagnostic Lab Data: None
CDC 'Split Type': WAES0701USA03508
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)UNKNOWN MANUFACTURER  UNUN
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.0888F0UNUN
Administered by: Private     Purchased by: Private
Symptoms: Chills, Headache, Injection site pain, Injection site swelling, Nausea, Pyrexia, Tremor
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Parkinson-like events (broad), Noninfectious encephalopathy/delirium (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: Information has been received from a physician concerning a 24 year old female with asthma who on 17-JAN-2007, at 14:00, was vaccinated with a first dose of Pneumovax 23 (lot #654977/0888F) concomitantly with a dose of influenza virus vaccine (unspecified). Other concomitant therapy included FLOVENT, albuterol and hormonal contraceptives (unspecified). On 18-JAN-2007, at 15:00, the patient developed a fever as high as 103 and shaking chills despite therapy with TYLENOL. The patient also experienced nausea, headaches, and pain and mild swelling at the injection site. The patient sought medical attention and was treated with ADVIL, TYLENOL and supportive measures. There were no laboratory or diagnostic tests performed. On 19-JAN-2007, the patient recovered. Additional information has been requested.

VAERS ID:287742 (history)  Vaccinated:2007-05-14
Age:24.0  Onset:2007-05-15, Days after vaccination: 1
Gender:Female  Submitted:2007-07-30, Days after onset: 76
Location:New Jersey  Entered:2007-08-02, 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: Unknown
Current Illness:
Preexisting Conditions: Rash
Diagnostic Lab Data: temperature measurement 05/16/07 103., temperature measurement 05/16/07 99.2 - After taking acetaminophen (TYLENOL), temperature measurement measurement 05/16/07 102.0
CDC 'Split Type': WAES0705USA03258
Vaccination
Manufacturer
Lot
Dose
Route
Site
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.0888F IM 
Administered by: Other     Purchased by: Other
Symptoms: Body temperature fluctuation, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad)
Write-up: Information has been received from a practice manager concerning a 24 year old female patient with rash who on 14-MAY-2007 was vaccinated IM in left gluteus with Pneumovax 23 lot# 654977/0888F. The reporter stated that patient was having increasing fevers after getting the Pneumovax 23. The fever started out as mild then went really high. Since 15-MAY-2007 patient had been taking Advil. As soon as the Advil wears off the fever comes back and then goes up. On 16-MAY-2007 patient had a temperature of 103 F then she took Advil and fever went down to 99.2 F then the fever started going up to 102F. The patient''s fever persisted. The reporter has requested A lot check on behalf of the physician. The reporter indicated there was "other patients" who received Pneumovax 23 lot#654977/0888F and subsequently "got ill". The records of testing prior to release of the lot in question, having been rechecked and found to be satisfactory. The lot complies with the standards, and was released. Additional information has been requested.

VAERS ID:286711 (history)  Vaccinated:2007-05-01
Age:24.0  Onset:2007-05-01, Days after vaccination: 0
Gender:Female  Submitted:2007-08-02, Days after onset: 93
Location:South Carolina  Entered:2007-08-03, 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: Unknown
Current Illness: Pregnancy NOS (LMP = 6/27/2007)
Preexisting Conditions:
Diagnostic Lab Data: Serum alpha-human - Quantitative HCG
CDC 'Split Type': WAES0707usa04531
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC. 1UNUN
Administered by: Other     Purchased by: Other
Symptoms: Abortion spontaneous, Blood human chorionic gonadotropin positive, Drug exposure during pregnancy, Ectopic pregnancy
SMQs:, Tumour markers (narrow), Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow), Termination of pregnancy and risk of abortion (narrow), Normal pregnancy conditions and outcomes (narrow)
Write-up: Information has been received from a Registered Nurse, through the Merck pregnancy registry, concerning a 24 year old female patient who in March 2007, was vaccinated with a first dose of Gardasil and in May 2007 received the second dose of Gardasil. On 25-JUN-2007 Methotrexate was given for treatment of the ectopic pregnancy. Pregnancy was confirmed 1 week before 25-JUN-2007. No further information was available. Upon internal review, ectopic pregnancy, spontaneous abortion was determined to be an other Important Medical Event. Additional information has been requested.

VAERS ID:287889 (history)  Vaccinated:2007-03-09
Age:24.0  Onset:2007-04-09, Days after vaccination: 31
Gender:Female  Submitted:2007-08-10, Days after onset: 123
Location:Unknown  Entered:2007-08-13, 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: amoxicillin, carbamazepine, diuretic (unspecified), ORTHO TRI-CYCLEN, ibuprofen, levothyroxine sodium, spironolactone, venlafaxine hydrochloride
Current Illness: Pregnancy NOS (LMP = 3/4/2007); Bipolar disorder; Depression; Oedema hands; Foot oedema; Hypertension; Sore throat; Hypothyroidi
Preexisting Conditions: Early onset of delivery
Diagnostic Lab Data: beta-human chorionic 04/09/07 posit
CDC 'Split Type': WAES0708USA00308
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC. 0IMUN
Administered by: Other     Purchased by: Other
Symptoms: Abortion spontaneous, Blood human chorionic gonadotropin positive, Drug exposure during pregnancy, Uterine dilation and curettage
SMQs:, Tumour markers (narrow), Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow), Termination of pregnancy and risk of abortion (narrow), Normal pregnancy conditions and outcomes (narrow)
Write-up: Information has been received from an investigator from GLAXOSMITHKLINE (GSK) BIOLOGICS (manufacturer control # B0465767A) regarding a 24 year old female with bipolar disorder, depression, oedema hands and feet, hypertension, sore throat, hypothyroidism and viral infection with a history of 1 pre-term pregnancy and with a normal birth who entered a GSK clinical sponsored trial. On 09-MAR-2007 the patient was vaccinated IM with a first dose of Gardasil. Concomitant therapy included Ortho Tri-Cyclen, venlafaxine HCl, spironolactone, levothyroxine Na, carbamazepine, ibuprofen, diuretic (unspecified) and amoxicillin. On 09-APR-2007, a pregnancy test was positive. Her LMP was on 04-MAR-2007 and Ortho Tri-Cyclen, was used for contraception until 16-MAR-2007. On 01-MAY-2007 the patient experienced spontaneous abortion at 8.2 weeks of pregnancy. She was hospitalized for 2 days and the event was considered clinically significant. She was treated with dilation and curettage and the event resolved on 01-MAY-2007. It was noted that her partner had no abnormal medical or family history. The investigator considered that there was a reasonable possibility that the spontaneous abortion may have been caused by Gardasil because the patient received the injection within 30 days of the pregnancy. The patient was withdrawn from the study due to the spontaneous abortion and subsequent study administration discontinued. No further information is available.

VAERS ID:287916 (history)  Vaccinated:2007-06-14
Age:24.0  Onset:2007-06-17, Days after vaccination: 3
Gender:Male  Submitted:2007-08-12, Days after onset: 56
Location:Texas  Entered:2007-08-13, 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: Ibuprofen 800 mg
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: Inpatient CXR neg; ECHO normal left ventricular size & function dilated right atrium & right ventricle in some views; VQ perfusion scan neg; EKG report with T-wave inversion aVR & V1 no ST changes Labs: Troponin-I peak .22 CRP 4.0 Records received 8/23/07-Echo normal LV size and function with normal LVB diastolic function and mild TR with PASP 26 and mild RA enlargement and no pericaridal effusion. DX: myopericarditis. Labs: CK 95, CK-MB 2.3, troponin I 0.06 and 0.08.
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
ANTH: ANTHRAX (BIOTHRAX)EMERGENT BIOSOLUTIONSFAV1091SC 
SMALL: SMALLPOX (DRYVAX)PFIZER/WYETH40200761ID 
TYP: TYPHOID VI POLYSACCHARIDE (TYPHIM VI)SANOFI PASTEURZ06642IM 
Administered by: Military     Purchased by: Military
Symptoms: Axillary pain, Blood creatine phosphokinase MB, Blood creatine phosphokinase increased, C-reactive protein increased, Chest X-ray normal, Chest pain, Chills, Dyspnoea, Dyspnoea exertional, Echocardiogram abnormal, Electrocardiogram, Electrocardiogram T wave inversion, Fatigue, Headache, Heart rate increased, Injection site erythema, Injection site swelling, Musculoskeletal discomfort, Myocarditis, Myopericarditis, Pain in extremity, Palpitations, Syncope, Tenderness, Troponin I increased, Ventilation/perfusion scan normal
SMQs:, Torsade de pointes/QT prolongation (broad), Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Myocardial infarction (narrow), Arrhythmia related investigations, signs and symptoms (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Other ischaemic heart disease (broad), Hypotonic-hyporesponsive episode (broad)
Write-up: 24 y/o male who received primary SPV L) arm & AVA #1 R) arm on 6/14/2007. 3 days post vaccination, he noticed increasing redness & swelling at SPV site, which progressed to involvement of "whole upper arm" with associated L) axillary tenderness, chills & HA; from 6/18-6/24/2007, he experienced mild DOE, described as "difficulty getting a deep breath" and steady substernal chest pain, described as an "ache" w/intensity up to "5/10", with pain radiating to his L) arm. During this time frame, he also noted L) shoulder & neck discomfort and palpitations described as his "heart pounding hard and fast; SM was admitted to hospital 6/24/2007 & subsequently diagnosed with myocarditis Symptom: Chest Pain Start: 06/18/2007 Comment: substernal Symptom: Dyspnea (shortness of breath) Start: 06/18/2007 Symptoms: Dyspnea on exertion Start: 06/18/2007 Symptoms: Palpitations Start: 06/18/2007 8/23/07-records received vaccinated on 6/14/07- and on 6/17/07-developed gradually worsening dull substernal chest pain without radiation and lasting 5 days continuously developed SOB with pain during inspiration and activity and worse pain laying down. Somewhat relieved with sitting up. 6/24/07-sent to ED diagnosed with vaccinia associated myopericarditis. Continues with residual intermittent complaints of chest pain mostly with exertion. Syncope and C/O fatigue after discharge.

VAERS ID:288025 (history)  Vaccinated:2007-07-24
Age:24.0  Onset:2007-07-24, Days after vaccination: 0
Gender:Female  Submitted:2007-08-13, Days after onset: 20
Location:Maryland  Entered:2007-08-14, Days after submission: 1
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness:
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC 'Split Type': WAES0708USA01340
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.0524U1IMUN
Administered by: Other     Purchased by: Other
Symptoms: Hypoaesthesia facial, Throat tightness
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Peripheral neuropathy (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Hypersensitivity (broad)
Write-up: Information has been received from a registered nurse, concerning a 24 year old female patient, who on 22-MAY-2007 was vaccinated IM, with the first dose, 0.5ml, of Gardasil (Lot # 657621/0387U), and on 24-JUL-2007 was vaccinated IM, with the second dose, 0.5ml, of Gardasil (Lot # 658094/0524U). There was no concomitant medication. On 24-JUL-2007, about two hours after the vaccination, the patient experienced numbness in her left cheek and "slight tightening of her throat." She was instructed to take Benadryl, 50mg, and the symptoms resolved (duration not specified). The reporting nurse considered one or both of the events to be serious as an other important medical event, as intervention to prevent serious criteria was required. Additional information has been requested.

VAERS ID:288107 (history)  Vaccinated:2007-08-10
Age:24.0  Onset:0000-00-00
Gender:Female  Submitted:2007-08-14
Location:Illinois  Entered:2007-08-14
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAP: DTAP (DAPTACEL)SANOFI PASTEURC2628AA IMLA
Administered by: Private     Purchased by: Unknown
Symptoms: Wrong drug administered
SMQs:
Write-up: Doctor ordered DTaP. I administered the shot. Pt is 13.5 years old and should have received Tdap instead.

VAERS ID:288259 (history)  Vaccinated:2007-08-14
Age:24.0  Onset:2007-08-15, Days after vaccination: 1
Gender:Female  Submitted:2007-08-15, Days after onset: 0
Location:Pennsylvania  Entered:2007-08-16, 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: BCP
Current Illness: No
Preexisting Conditions: NKA - no medical
Diagnostic Lab Data: None known
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)GLAXOSMITHKLINE BIOLOGICALSAHBVB367AA2IMRA
TDAP: TDAP (BOOSTRIX)GLAXOSMITHKLINE BIOLOGICALSC2770AA0IMLA
Administered by: Public     Purchased by: Public
Symptoms: Chills, Headache, Malaise, Pain, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad)
Write-up: Developed h.a., fever 101.7, chills, malaise, local soreness LA 12-24 hours after administration of vaccines. Had colposcopy 10am the morning of vaccines; reported sxs to both clinics - has F/U appt for colposcopy 8/16/07 - recommended antipyretics and cold compress. TC to pt: 8/16 for F/U: Message taken. TC from pt: 8/16 - feels better - fever gone, soreness in arm improving.

VAERS ID:288296 (history)  Vaccinated:2007-08-14
Age:24.0  Onset:2007-08-15, Days after vaccination: 1
Gender:Female  Submitted:2007-08-16, Days after onset: 1
Location:Michigan  Entered:2007-08-16
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NAUSEA, VOMITING~Influenza (no brand name)~1~22~In Patient
Other Medications: BIRTH CONTROL, MULTIVITAMIN, ALLEGRA 180MG
Current Illness: NONE
Preexisting Conditions: SEASONAL ALLERGIES
Diagnostic Lab Data: NONE
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAP: DTAP (NO BRAND NAME)UNKNOWN MANUFACTURER0000000IMRA
Administered by: Public     Purchased by: Private
Symptoms: Adverse event, Anorexia, Arthralgia, Chills, Cold sweat, Dizziness, Fatigue, Headache, Hot flush, Hyperhidrosis, Injection site pain, Injection site swelling, Myalgia, Nausea, Pyrexia
SMQs:, Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Eosinophilic pneumonia (broad), Vestibular disorders (broad), Arthritis (broad)
Write-up: DIZZINESS, HEADACHE, JOINT PAIN, MUSCLE ACHES, FEVER 101F, CHILLS, CLAMMY SKIN, HOT FLASHES, SWEATS, NAUSEA, LOSS OF APPETITE, EXTREME EXHAUSTION, SEVERE PAIN WHERE VACCINATION ADMINISTERED, VACCINE LOCATION SWOLLEN - ADVERSE REACTION OCCURRED WITHIN 16 HOURS OF ADMINISTRATION, AND LASTED 36 HOURS CAUSING ME TO MISS A DAY OF WORK

VAERS ID:289288 (history)  Vaccinated:2007-06-13
Age:24.0  Onset:2007-06-13, Days after vaccination: 0
Gender:Female  Submitted:2007-08-14, Days after onset: 62
Location:Unknown  Entered:2007-08-16, 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: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0707USA01989
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC. 2UNUN
Administered by: Other     Purchased by: Other
Symptoms: Hypoaesthesia, Immediate post-injection reaction, Musculoskeletal pain
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Hypersensitivity (narrow)
Write-up: Information has been received from a physician concerning a 24 year old female patient who on 13-JUN-2007, was vaccinated high into the shoulder with a third dose of Gardasil. Right after the vaccination, the patient''s shoulder went numb. It was reported that the pain in her shoulder has been intermittent since she received the vaccine. Unspecified medical attention was sought. At the time of this report, the patient had not recovered. No product quality complaint was involved. Additional information has been requested.

VAERS ID:289438 (history)  Vaccinated:2007-07-05
Age:24.0  Onset:2007-07-13, Days after vaccination: 8
Gender:Female  Submitted:2007-08-14, Days after onset: 32
Location:Texas  Entered:2007-08-16, Days after submission: 2
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: DIFLUCAN; LANTUS; HUMALOG; SYNTHROID; REGLAN; FLAGYL
Current Illness: Vaginosis bacterial; Depression; Diabetes; Gastooesophageal reflux disease; Hypothyroidism; Psoriasis; Syncope
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0707USA02368
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.0524U0IMLA
Administered by: Private     Purchased by: Other
Symptoms: Injection site pain, Pain in extremity
SMQs:, Extravasation events (injections, infusions and implants) (broad)
Write-up: Information has been received from a nurse practitioner concerning a 24 year old female who was vaccinated with Gardasil. After the patient received Gardasil, on 05-JUL-2007, she developed pain in the injection site on her arm, which she had for more than a week. As of 13-JUL-2007, the patient had not recovered from the pain in the injection site on her arm. Additional information has been requested. 10/08/07 This is in follow-up to report(s) previously submitted on 8/14/2007. Initial and follow-up information has been received from a nurse practitioner and a consumer concerning a 24 year old female with hypothyroidism, diabetes, gastrooesophageal reflux disease, psoriasis, syncope and depression, who on 05-JUL-2007 was vaccinated intramuscularly in the left arm with a first dose of GARDASIL (Lot # 658094/0524U). Illness at the time of the vaccine included bacterial vaginosis. Concomitant therapy included SYNTHROID, LANTUS, HUMALOG, DIFLUCAN, FLAGYL and REGLAN. On 13-JUL-2007 (previously reported as 05-JUL-2007) the patient experienced a sore left arm. There was no redness, swelling, warmth, or fever reported. The patient was taking TYLENOL per label and three ibuprofen three times a day for pain. The patient was informed to switch to ALEVE two times a day with food and to continue TYLENOL per the label. At the time of the report, the patient''s outcome was unknown. This is a consolidation of two reports concerning the same patient. Additional information is not expected.

VAERS ID:289465 (history)  Vaccinated:2007-02-01
Age:24.0  Onset:2007-02-01, Days after vaccination: 0
Gender:Female  Submitted:2007-08-14, Days after onset: 193
Location:Unknown  Entered:2007-08-16, 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: [therapy unspecified]
Current Illness:
Preexisting Conditions: Migraine
Diagnostic Lab Data: None
CDC 'Split Type': WAES0707USA02927
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC. 1IMUN
Administered by: Other     Purchased by: Other
Symptoms: Influenza like illness, Migraine
SMQs:
Write-up: Information has been received from a consumer mother concerning her 24 year old daughter with no pertinent medical history or drug/reactions and allergies who in December 2006, was vaccinated with her first dose of Gardasil (lot# unknown). Concomitant therapy included medication for migraine headaches. In February 2007, the patient was vaccinated with her second dose of Gardasil 0.5mL IM in the deltoid muscle and developed flu like symptoms. Medical attention was not sought. The reporters daughter plans on receiving the third dose. At the time of reporting the patient recovered. Additional information has been requested.

VAERS ID:289479 (history)  Vaccinated:2007-05-15
Age:24.0  Onset:2007-05-16, Days after vaccination: 1
Gender:Female  Submitted:2007-08-14, Days after onset: 90
Location:North Carolina  Entered:2007-08-16, Days after submission: 2
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: CLARITIN
Current Illness:
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC 'Split Type': WAES0707USA03130
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.0384U1IMUN
Administered by: Private     Purchased by: Private
Symptoms: Blister, Erythema, Pruritus, Vaccine positive rechallenge
SMQs:, Severe cutaneous adverse reactions (broad), Anaphylactic reaction (broad), Hypersensitivity (broad)
Write-up: Information has been received from a nurse practitioner concerning a 24 year old female, who on 15-MAY-2007 was vaccinated intramuscularly with a 0.5mL first dose of Gardasil (lot# 657617/0384U). Concomitant therapy included CLARITIN as needed. On 16-MAY-2007 the patient developed an itchy, red, raised blisters. The patient stated that one of the blisters appeared on her back. At that time the patient did not think that it was related to the vaccination, so she did not call the office to report this. On 14-JUL-2007 the patient was vaccinated intramuscularly in the left arm with a second dose of Gardasil (Lot# 657617/0384U). On 15-JUL-2007 the patient developed the same type of blisters. The blisters were located on the left axilla, left forearm, right shoulder, and back. The patient was being treated with BENADRYL. The patient recovered on an unspecified date. No product quality complaint was involved. Additional information has been requested. This is in follow-up to report (s) previously submitted on 8/14/2007. Additional information is not expected.

VAERS ID:289489 (history)  Vaccinated:2007-01-08
Age:24.0  Onset:2007-01-08, Days after vaccination: 0
Gender:Female  Submitted:2007-08-14, Days after onset: 217
Location:Unknown  Entered:2007-08-16, Days after submission: 2
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: hormonal contraceptives
Current Illness:
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC 'Split Type': WAES0707USA032440
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.0088U1UNUN
Administered by: Other     Purchased by: Other
Symptoms: Pain, Vaccine positive rechallenge
SMQs:
Write-up: Information has been received from a physician assistant concerning a 24 year old female patient with no medical history or allergies who on 08-JAN-2007, was vaccinated IM with a first dose of Gardasil (Lot # 655165/1425F). On 15-MAR-2007, the patient was vaccinated with a second dose of Gardasil (Lot# 655324/0088U). Concomitant therapy included hormonal contraceptives (unspecified). Subsequently, after both vaccinations the patient experienced shooting pains in the arm and neck on the side of the injection. The pain lasted for about a month each time. The physician assistant did not know which arm was used for the injections. Unspecified medical attention was sought. No laboratory diagnostic studies were performed. No product quality complaint was involved. Additional information has been requested.

VAERS ID:289806 (history)  Vaccinated:2007-06-13
Age:24.0  Onset:2007-07-04, Days after vaccination: 21
Gender:Female  Submitted:2007-08-14, Days after onset: 41
Location:Connecticut  Entered:2007-08-16, 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: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0707USA04948
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.0387U0UN 
Administered by: Other     Purchased by: Other
Symptoms: Condition aggravated, Erythema multiforme
SMQs:, Severe cutaneous adverse reactions (narrow), Hypersensitivity (narrow)
Write-up: Information has been received from a physician concerning a 24 year old female patient who on 13-JUN-2007, was vaccinated into the left deltoid with a first dose of Gardasil (Lot # 657621/0387U). On 04-JUL-2007 about three weeks after injection, the patient experienced a recurrence of erythema multiforme. Unspecified medical attention was sought. At the time of this report, the patient''s outcome was unknown. No product quality complaint was involved. Additional information has been requested.

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