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Found 588667 cases in entire database

Case Details (Sorted by Vaccination Date)

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VAERS ID:280412 (history)  Vaccinated:2007-05-23
Age:9.0  Onset:2007-05-24, Days after vaccination: 1
Gender:Male  Submitted:2007-05-25, Days after onset: 1
Location:Virginia  Entered:2007-06-04, Days after submission: 10
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Albuterol, Singulair
Current Illness: None
Preexisting Conditions: Asthma
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.0457U1SCLA
Administered by: Private     Purchased by: Private
Symptoms: Injection site cellulitis, Injection site erythema, Injection site swelling, Injection site warmth
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: 9cm x 7.5cm cellulitis at site of injections. Augmentin x 10 days, warm compresses. Redness, swelling, warmth to site.

VAERS ID:280848 (history)  Vaccinated:2007-05-23
Age:7.0  Onset:2007-05-24, Days after vaccination: 1
Gender:Male  Submitted:2007-06-01, Days after onset: 8
Location:Colorado  Entered:2007-06-07, Days after submission: 6
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Concerta, Singulair
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.1249F1SCRA
Administered by: Private     Purchased by: Public
Symptoms: Cellulitis, Injection site warmth, Local reaction
SMQs:
Write-up: Large local reaction on R upper arm warm to touch covered upper 1/2 of arm. Given Augmentin 500 mg PO 1 tam Bid cool compresses. Questionable Cellulitis.

VAERS ID:280857 (history)  Vaccinated:2007-05-23
Age:18.0  Onset:2007-05-23, Days after vaccination: 0
Gender:Female  Submitted:0000-00-00
Location:Virginia  Entered:2007-06-07
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: none
Diagnostic Lab Data: none
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
MEN: MENINGOCOCCAL (MENOMUNE)SANOFI PASTEURUE860AA0SCLA
Administered by: Public     Purchased by: Public
Symptoms: Diarrhoea, Feeling hot, Headache, Hyperhidrosis, Neck pain
SMQs:, Neuroleptic malignant syndrome (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Arthritis (broad), Noninfectious diarrhoea (narrow), Hypoglycaemia (broad)
Write-up: patient reports feeling hot and sweaty the evening after she received Menommune. Patient states she did not have fever, did have 2 episodes diarrhea that PM. Next day, had pounding headache and neck pain. Neck pain next day _$g went to PMD given muscle relaxer and pain med. Recovered 5/26/07.

VAERS ID:284837 (history)  Vaccinated:2007-05-23
Age:  Onset:0000-00-00
Gender:Unknown  Submitted:2007-07-06
Location:Unknown  Entered:2007-07-13, 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:
Preexisting Conditions: Unknown
Diagnostic Lab Data:
CDC Split Type: WAES0705USA05781
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMRV: MEASLES + MUMPS + RUBELLA + VARICELLA (PROQUAD)MERCK & CO. INC.  UNUN
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.  UNUN
Administered by: Other     Purchased by: Other
Symptoms: Wrong drug administered
SMQs:, Medication errors (narrow)
Write-up: Information has been received from a medical assistant concerning a patient who on 23-MAY-2007 was vaccinated with a dose of ProQuad. Concomitant vaccines administered the same day included a dose of Varivax. It was reported that the patient was vaccinated inadvertently with ProQuad instead of a dose of MMR II. There was no product confusion, it was a mistake on the part of the medical assistant. The patient is not experiencing any known symptoms. No product quality complaint was involved. Additional information has been requested.

VAERS ID:284903 (history)  Vaccinated:2007-05-23
Age:22.0  Onset:2007-05-24, Days after vaccination: 1
Gender:Female  Submitted:2007-07-06, Days after onset: 43
Location:Unknown  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: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0706USA00293
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.  UNUN
Administered by: Other     Purchased by: Other
Symptoms: Musculoskeletal chest pain
SMQs:
Write-up: Information has been received from a 22 year old female nurse who on 23-MAY-2007 was vaccinated with the first dose of Gardasil. On 24-MAY-2007 the patient experienced pain in her oblique muscles of her rib area. Subsequently, the patient recovered from pain in her oblique muscles of her rib area. No further information is available.

VAERS ID:286754 (history)  Vaccinated:2007-05-23
Age:0.2  Onset:2007-05-26, Days after vaccination: 3
Gender:Female  Submitted:2007-08-03, Days after onset: 69
Location:North Carolina  Entered:2007-08-03
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: none
Diagnostic Lab Data: none
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAP: DTAP (NO BRAND NAME)UNKNOWN MANUFACTURER    
HEP: HEP B (NO BRAND NAME)UNKNOWN MANUFACTURER    
IPV: POLIO VIRUS, INACT. (NO BRAND NAME)UNKNOWN MANUFACTURER    
PNC: PNEUMO (PREVNAR)PFIZER/WYETH    
RV5: ROTAVIRUS (ROTATEQ)MERCK & CO. INC.    
Administered by: Private     Purchased by: Unknown
Symptoms: Diarrhoea, Faeces discoloured, Gastrointestinal disorder, Mucous stools
SMQs:, Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (narrow)
Write-up: Adverse reaction apparent significant gastrointestinal discomfort for one week, beginning approximately 2-3 days after vaccination date, and diarrhea for 2.5 weeks, also beginning 2-3 days after vaccination date. Diarrhea was dark green and mucousy, 8-12X per day, child still had plenty of wet diapers and did not require hospitalization.

VAERS ID:293907 (history)  Vaccinated:2007-05-23
Age:  Onset:2007-05-28, Days after vaccination: 5
Gender:Female  Submitted:2007-09-24, Days after onset: 119
Location:Unknown  Entered:2007-09-27, 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: WAES0706USA00811
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARZOS: ZOSTER (ZOSTAVAX)MERCK & CO. INC.  UNUN
Administered by: Other     Purchased by: Other
Symptoms: Herpes zoster
SMQs:
Write-up: Information has been received from a female patient who on 23-MAY-2007 was vaccinated with a dose of Zostavax (Oka/Merck). She reported that on 28-MAY-2007, she developed shingles. A product quality complaint was not involved. No further information is available.

VAERS ID:315374 (history)  Vaccinated:2007-05-23
Age:11.0  Onset:2007-05-25, Days after vaccination: 2
Gender:Female  Submitted:2008-05-16, Days after onset: 357
Location:Virginia  Entered:2008-05-23, 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: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0707USA04114
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.0457U SCRA
Administered by: Private     Purchased by: Other
Symptoms: Injection site erythema, Injection site pruritus
SMQs:, Extravasation events (injections, infusions and implants) (broad)
Write-up: Information has been received from a health professional concerning an 11 year old female who on 23-MAY-2007 was vaccinated with a dose of varicella virus vaccine live (Oka/Merck) (656692/0457U) subcutaneously in the right arm. On 25-MAY-2007, the patient experienced red area and itching at injection site. No illness at the time of vaccination. Outcome of the patient not reported. No further information is available.

VAERS ID:280067 (history)  Vaccinated:2007-05-23
Age:  Onset:2007-05-23, Days after vaccination: 0
Gender:Unknown  Submitted:2007-05-29, Days after onset: 6
Location:Foreign  Entered:2007-05-31, Days after submission: 2
Life Threatening? No
Died? Yes
   Date died: 2007-05-23
   Days after onset: 0
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: not reported
Diagnostic Lab Data: not reported
CDC Split Type: 200701884
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (NO BRAND NAME)UNKNOWN MANUFACTURERUVA06014   
HIBV: HIB (ACTHIB)SANOFI PASTEURZ0789   
Administered by: Unknown     Purchased by: Unknown
Symptoms: Death
SMQs:
Write-up: Case received from a healthcare professional on 24 May 2007. Manufacturer is EVX20070524-03. A child (age and gender not reported) died on 23 May 2007, within 24 hours after giving a dose of Act-Hib*, lot Z0789-1 with the first dose of DTP vaccine lot 20905010C and the second dose of Euvax B* vaccine, lot UVA06014.

VAERS ID:282852 (history)  Vaccinated:2007-05-23
Age:0.3  Onset:2007-05-23, Days after vaccination: 0
Gender:Female  Submitted:2007-06-22, Days after onset: 30
Location:Foreign  Entered:2007-06-26, Days after submission: 4
Life Threatening? No
Died? Yes
   Date died: 2007-05-23
   Days after onset: 0
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: None Provided.
CDC Split Type: DEWYE882720JUN07
Vaccination
Manufacturer
Lot
Dose
Route
Site
PNC: PNEUMO (PREVNAR)PFIZER/WYETH 1IM 
Administered by: Unknown     Purchased by: Unknown
Symptoms: Crying, Respiratory arrest, Sudden infant death syndrome
SMQs:, Anaphylactic reaction (broad), Acute central respiratory depression (narrow), Guillain-Barre syndrome (broad), Depression (excl suicide and self injury) (broad), Neonatal disorders (narrow), Hypersensitivity (broad), Respiratory failure (narrow)
Write-up: Information regarding Prevnar was received from a pediatrician via a regulatory authority regarding a 3-month-old female patient who experienced sudden infant death syndrome. The patient received the second dose on 23-May-2007. Due to information of the department the patient started crying in the evening following vaccination administration and was fetched out of bed. She was calmed down and laid back to bed and placed prone. Shortly later the patient was found without breathing. The patient was diagnosed with sudden infant death syndrome on 23-May-2007. The treating physician questioned the causality relatedness between the death and the vaccinations. The cause of death was reported as sudden infant death syndrome. No additional information was available at the time of this report.

VAERS ID:283009 (history)  Vaccinated:2007-05-23
Age:33.0  Onset:2007-05-30, Days after vaccination: 7
Gender:Male  Submitted:2007-06-22, Days after onset: 23
Location:Foreign  Entered:2007-06-27, 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: Intermittent loose stool 4-6 wks
Preexisting Conditions:
Diagnostic Lab Data: skin biopsy-Eczematous drug eruption
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
JEV: JAPANESE ENCEPHALITIS (JE-VAX)SANOFI PASTEURE2N824A1SCRA
RAB: RABIES (RABIPUR)NOVARTIS VACCINES AND DIAGNOSTICS13931IMRA
Administered by: Other     Purchased by: Other
Symptoms: Biopsy skin, Pruritus, Rash
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Skin rashes and itching, 1 week after received JEV #2 and spreading to abdomen and legs in 3 days. Rx for candidiasis. Worse with itchy given Benadryl 25 mg and referred to dermatologist Rx. Steroids, antihistamines

VAERS ID:284592 (history)  Vaccinated:2007-05-23
Age:0.2  Onset:2007-05-25, Days after vaccination: 2
Gender:Male  Submitted:2007-07-12, Days after onset: 48
Location:Foreign  Entered:2007-07-13, Days after submission: 1
Life Threatening? Yes
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? Yes, ? days
    Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: UNK
Diagnostic Lab Data: Blood glucose 29-May-2007 142 mg/dL 07-Jun-2007 88 mg/dL (normal range 74 -110), C-reactive protein 29-May-2007 209.6 mg/L 30-May-2007 104.8 mg/L 04-Jun-2007 2.6 mg/L 07-Jun-2007 0.8 mg/L (normal range -5); CSF bacteria test 29-May-2007 positive for cocci; CSF protein 29-May-2007 1151 mg/L (normal range 150-450); CSF white blood cell count 29-May-2007 235,000/3 cells; electroencephalogram sleep EEG without any findings; Haematocrit 29-May-2007 26.7% 30-May-2007 27.5% 04-Jun-2007 29.3% 07-Jun-2007 32.0% (normal range 41.0 - 53.0); Haemoglobin 29-May-2007 9.0 g/dL 30-May-2007 9.2 g/dL 04-Jun-2007 9.7 g/dL 07-Jun-2007 10.4 g/dL (normal range 9.2 - 15.0); Lymphocyte count 29-May-2007 21.80% 30-May-2007 07-Jun-2007 47.20% (normal range 24.00 - 4
CDC Split Type: DEWYE001211JUL07
Vaccination
Manufacturer
Lot
Dose
Route
Site
6VAX-F: DTAP+IPV+HEPB+HIB (FOREIGN)GLAXOSMITHKLINE BIOLOGICALSA21CA234A0IM 
PNC: PNEUMO (PREVNAR)PFIZER/WYETH254700IM 
Administered by: Unknown     Purchased by: Unknown
Symptoms: Blood culture negative, Blood glucose increased, Blood glucose normal, C-reactive protein decreased, C-reactive protein increased, C-reactive protein normal, CSF bacteria identified, CSF culture positive, CSF protein increased, CSF white blood cell count increased, Electroencephalogram normal, Haematocrit decreased, Haematocrit increased, Haemoglobin decreased, Haemoglobin increased, Haemoglobin normal, High-pitched crying, Hypersensitivity, Inflammation, Lymphocyte count decreased, Lymphocyte count increased, Meningitis bacterial, Meningitis tuberculous, Nuclear magnetic resonance imaging normal, Platelet count increased, Pyrexia, Serology test, Urine analysis normal, White blood cell count increased
SMQs:, Angioedema (broad), Haematopoietic erythropenia (broad), Haematopoietic leukopenia (narrow), Haemorrhage laboratory terms (broad), Hyperglycaemia/new onset diabetes mellitus (narrow), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Depression (excl suicide and self injury) (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (narrow)
Write-up: Information regarding Prevenar was received from a healthcare professional via a regulatory authority regarding a 2-month-old male patient who experienced suspected bacterial meningitis, fever up to 40 C, hypersensitivity and high-pitched crying. The patient received the first dose on 23-May-2007. The patient experienced fever up to 40 C on 25-May-2007 and was treated with paracetamol without success. Due to lasting high fever, hypersensitivity and high-pitched crying on 29-May-2007 the patient was brought to hospital. In hospital the patient was diagnosed with suspected bacterial meningitis. His condition was considered life threatening. The patient was treated with cefotaxime, ampicilline and gentamycine as antibiotics and with dexamethasone. The CSF results did not show specific signs neither for bacterial meningitis nor for viral meningitis. Due to possible tuberculous meningitis the patient''s medication were changed to streptomycine, isoniazide, rifampicine, pyrazinamid and ongoing cefotaxime on 30-May-2007. The patient''s general condition improved and his fever resolved by 29-May-2007. The inflammation parameters decreased. On 05-Jun-2007 the tuberculostatic treatment was stopped and on 09-Jun-2007 as well the antibiotic treatment with cefotaxime. Dexamethasone was tapered. Although all tests and pathogen detections were negative the healthcare professional assumed suspected early stage of bacterial meningitis as the most appropriate diagnosis. The patient recovered completely and was discharged from hospital on 11-Jun-2007. The healthcare professional assessment of relatedness between the adverse events and Prevenar and Infanrix Hexa was possibly related. On 29-May-2007 test results were: CSF bacteria test (results: positive for cocci); lymphocyte count (results: 21.80%); CSF white blood cell count (results: 235,000/3 cells); haemoglobin (results: 9.0 g/dL); c-reactive protein (results: 209.6 mg/L); white blood cell count (results: 16.3X10E3/uL (reference: 4.3 - 10.0)); urinalysis (results: without any findings); CSF protein (results: 1151 mg/L); blood glucose (results: 142 mg/dL); and haematocrit (results: 26.7 %). On 30-May-2007 test results were: lymphocyte count (results: 10.00 %); haematocrit (results: 27.5%); white blood cell count (results: 10.8x10E3/uL (reference: 4.3 - 10.0)); haemoglobin (results: 9.2 g/dL); and c-reactive protein (results: 104.8 mg/L). Serology test (results: Liquor: 1.) blood culture: aerob and anaerob no growth 2.) liquor culture: aerob and anaerob no growth) was done in Jun-2007. On 04-Jun-2007 test results were: white blood cell count (results: 10.4x10E3/uL (reference: 4.6 - 10.0)); platelet count (results: 1117x10E3/uL (reference: 217 - 497); haemoglobin (results: 9.7 g/dL); c-reactive protein (results: 2.6 mg/dL); white blood cell count (results: 12.5X510E3 uL (reference: 4.3 - 10.0)); haematocrit: (results: 32.0%); blood glucose (results: 88 mg/dL): lymphocyte count (results: 47.0 %); c-reactive protein (results: 0.8 mg/L); and platelet count (results: 968x10E3/uL (reference: 217 - 497). Additionally, nuclear magnetic resonance imaging brain (results: no signs for meningitis, normal ageing of the brain) and electroencephalogram (results: sleep EEG without any findings) were done on an unspecified date.

VAERS ID:286187 (history)  Vaccinated:2007-05-23
Age:62.0  Onset:2007-06-01, Days after vaccination: 9
Gender:Female  Submitted:2007-07-27, Days after onset: 56
Location:Foreign  Entered:2007-07-30, Days after submission: 3
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? Yes, ? days
    Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Immunisation
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0707USA02930
Vaccination
Manufacturer
Lot
Dose
Route
Site
IPV: POLIO VIRUS, INACT. (NO BRAND NAME)UNKNOWN MANUFACTURERZ08321UNUN
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.1095R IMUN
Administered by: Unknown     Purchased by: Unknown
Symptoms: Muscular weakness, Myalgia, Yersinia infection
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad)
Write-up: Initial and follow up information has been received from a physician concerning a 62 year old female patient with a history of previous vaccination with tetanus vaccine on 20-Jan-2005, who on 23-MAY-2007 was vaccinated IM in the upper arm with a dose of PNEUMOVAX 23(batch #ND42390) (lot #653875/1095R). Concomitant suspect therapy included poliovirus vaccine inactivated (unspecified) lot #Z0832. In beginning of June 2007, the patient developed myalgia first in both legs, later also in shoulder girdle. In following weeks the patient also developed muscle weakness. Follow-up information was received which stated that the patient was hospitalized from 03-JUL-2007 until 13--JUL2007 and a Diagnosis of yersinia-infection was established. Duration and outcome not reported. Other business partner includes E2007-04257. Previous vaccination with poliovirus vaccine inactivated (unspecified) was well tolerated. Additional information is not expected.

VAERS ID:286271 (history)  Vaccinated:2007-05-23
Age:  Onset:2007-05-23, Days after vaccination: 0
Gender:Female  Submitted:2007-07-30, Days after onset: 68
Location:Foreign  Entered:2007-07-31, Days after submission: 1
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0707AUS00224
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.0138U IMUN
Administered by: Unknown     Purchased by: Unknown
Symptoms: Deafness, Dizziness, Nausea, Vision blurred
SMQs:, Acute pancreatitis (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Glaucoma (broad), Lens disorders (broad), Retinal disorders (broad), Hearing impairment (narrow), Vestibular disorders (broad), Hypoglycaemia (broad)
Write-up: Information was obtained on request by the Company from the agency via a Case Line Listing and a Public Case Detail form. The patient was a female who on 23-MAY-2007 was vaccinated with Gardasil (Lot No. 655742/0138U, Batch No. J0799, Expiry date, 07-AUG-2009). On 23-MAY-2007 the patient experienced nausea, dizziness, blurred vision and loss of hearing post vaccination. The agency considered that nausea, dizziness, deafness and blurred vision were possibly related to therapy with Gardasil. The original reporting source was not provided. Upon internal review, deafness was considered to be an other important medical event. Additional information is not expected.

VAERS ID:286314 (history)  Vaccinated:2007-05-23
Age:0.3  Onset:2007-05-24, Days after vaccination: 1
Gender:Female  Submitted:2007-07-31, Days after onset: 68
Location:Foreign  Entered:2007-07-31
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 1 days
    Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: Unknown
Preexisting Conditions:
Diagnostic Lab Data: Bacteria stool test 31May2007 negative; Body temperature 24May2005 39Dec C; Coagulation test 31May2007 normal; Hemoglobin 31May2007 8.3g/dl; Ultrasound abdomen 31May2007 normal; Virus stool test 31May2007 negative
CDC Split Type: B0480737A
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAP: DTAP (INFANRIX)GLAXOSMITHKLINE BIOLOGICALSA20CA262A IMRL
HIBV: HIB (HIBERIX)GLAXOSMITHKLINE BIOLOGICALSA20CA262A IMRL
IPV: POLIO VIRUS, INACT. (NO BRAND NAME)UNKNOWN MANUFACTURERA20CA262A IMRL
PNC: PNEUMO (PREVNAR)PFIZER/WYETH21633 UNUN
Administered by: Other     Purchased by: Other
Symptoms: Abdominal pain, Bacteria stool test, Body temperature increased, Coagulation test normal, Diarrhoea, Faeces discoloured, Haematochezia, Haemoglobin decreased, Pain, Pyrexia, Rectal haemorrhage, Ultrasound abdomen normal, Virus stool test negative
SMQs:, Acute pancreatitis (broad), Haematopoietic erythropenia (broad), Haemorrhage terms (excl laboratory terms) (narrow), Haemorrhage laboratory terms (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Pseudomembranous colitis (broad), Gastrointestinal haemorrhage (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Ischaemic colitis (broad), Noninfectious diarrhoea (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: This case was reported by a healthcare professional and described the occurrence of bleeding in the rectal area in a 3-month-old female subject who was vaccinated with Infanrix-polio-HIB, pneumococcal vaccine and Prevenar for prophylaxis. On 23 May 2007, the subject received 1st dose of Infanrix-polio-HIB, 1st dose of Prevenar (unknown route and injection site). On 24 May 2007, 1 day after vaccination with Infanrix-polio-HIB and Prevenar, the subject experienced fever (39 Deg C) followed by bleeding in the rectal area with loose bloody stools up to 16 daily, leading to hospitalization on 31 May 2007. The first loose was preceded by slight colic pain. At admission, the laboratory test performed showed hemoglobin 8.3 g/dl. The subject still had approximately 6 dark loose slimy stools. At clinical examination, the stools were yellow greenish with blood. There was no sign of intussusception, malrotation or other acute abdominal disease. No bacterial or virus was found in the stools. Abdomen ultrasound, haemolytical, coagulation and bleeding factor were normal as well as hematological and infectious status. Later, hemoglobin value were 10.8 and 11.3 g/dl. The next day, the subject was discharged from hospital in good condition. No specified treatment was given as the subject recovered spontaneously. She was just put under observation. At the time of reporting the events were resolved. The healthcare professional considered the events were unrelated to vaccination with Infanrix-polio-HIB and Prevenar. No contra-indication against repeated use of the same vaccine was given.

VAERS ID:286496 (history)  Vaccinated:2007-05-23
Age:  Onset:2007-05-24, Days after vaccination: 1
Gender:Female  Submitted:2007-08-01, Days after onset: 69
Location:Foreign  Entered:2007-08-02, Days after submission: 1
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 0 days
    Extended hospital stay? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: UNK
Diagnostic Lab Data: Acid hemolysin test negative (LLT: Acid hemolysin test negative), Bacteria stool no organisms observed (LLT: Bacteria stool no organisms observed), Coagulation test normal (LLT: Coagulation test normal), Haematology test normal (LLT: Hemato
CDC Split Type: SEWYE092326JUL07
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAP: DTAP (INFANRIX)GLAXOSMITHKLINE BIOLOGICALSA20CA262A UNUN
HIBV: HIB (HIBERIX)GLAXOSMITHKLINE BIOLOGICALSA20CA262A UNUN
IPV: POLIO VIRUS, INACT. (NO BRAND NAME)UNKNOWN MANUFACTURERA20CA262A UNUN
PNC: PNEUMO (PREVNAR)PFIZER/WYETH216330IMUN
Administered by: Unknown     Purchased by: Unknown
Symptoms: Acid hemolysin test negative, Bacteria stool no organisms observed, Coagulation test normal, Haematology test normal, Haemoglobin, Melaena, Pyrexia, Ultrasound abdomen normal, Virus stool test negative
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal haemorrhage (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Information regarding Prevenar was received from a healthcare professional regarding a female patient who experienced fever and melena. The patient received a dose on 23-May-2007. The patient experienced fever on 24-May-2007. The patient also experienced melena. At the time of this report, the patient had recovered. Haemoglobin (results: ) was done on 31-May-2007. Additionally, the following tests were done on an unspecified date: haemoglobin; bacteria stool no organisms observed; coagulation test normal; ultrasound abdomen normal: haematology test normal: inflammation scan: acid hemolysin test negative: haemoglobin and virus stool test negative. No additional information was available at the time of this report.

VAERS ID:286778 (history)  Vaccinated:2007-05-23
Age:27.0  Onset:2007-05-23, Days after vaccination: 0
Gender:Female  Submitted:2007-08-03, Days after onset: 72
Location:Foreign  Entered:2007-08-03
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Unknown
Preexisting Conditions: FOOD INTOLERANCE
Diagnostic Lab Data: UNK
CDC Split Type: B0473591A
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEPAB: HEP A + HEP B (TWINRIX)GLAXOSMITHKLINE BIOLOGICALSAHABB079AA2IMRA
Administered by: Other     Purchased by: Other
Symptoms: Contusion, Erythema, Fatigue, Feeling hot, Injection site nodule, Malaise, Oedema peripheral, Pain in extremity, Sensation of heaviness, Skin warm
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Haemorrhage terms (excl laboratory terms) (narrow), Accidents and injuries (narrow), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: This case was reported by a physician and described the occurrence of arm soreness in a 27-year-old female subject who was vaccinated with Twinrix adult, GlaxoSmithKline for prophylaxis. Concurrent medical conditions included food intolerance. On 23 May 2007 the subject received 3rd dose of Twinrix adult (intramuscular, right deltoid). In May 2007, less than one month after vaccination with Twinrix adult, the subject experienced soreness, heaviness, swelling, heat, redness and sensation of bruising in the arm. She also felt unwell and tired. The subject was treated with Phenergan and Panafen. On 30 May 2007, the subject went to a health centre. The events improved, there was still some slight swelling (palpable nodule at injection site), but no heat, nor pain. There was some residual soreness when raising the right arm above shoulder. At the time of reporting the events were improved. The physician considered the events were possibly related to vaccination with Twinrix adult. Further information has been requested, but no additional details could be obtained so the case has been closed. Follow up information received on 31 July 2007 from physician;The case was upgraded to serious by the reporter who considered the events were clinically significant (or requiring intervention). The events started on 23 May 2007 and were resolved on 6 June 2007. The physician considered the events were probably related to vaccination with Twinrix adult.

VAERS ID:341044 (history)  Vaccinated:2007-05-23
Age:0.3  Onset:2007-05-24, Days after vaccination: 1
Gender:Female  Submitted:2009-03-03, Days after onset: 649
Location:Foreign  Entered:2009-03-04, Days after submission: 1
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Concomitant medications were not reported.
Current Illness: The patient''s concurrent illnesses include nasopharygngitis, diarrhoea and pyrexia (38.5 deg. C)
Preexisting Conditions:
Diagnostic Lab Data: None Provided.
CDC Split Type: NLWYEG03196409
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAP: DTAP (INFANRIX)GLAXOSMITHKLINE BIOLOGICALS  IMUN
HEP: HEP B (ENGERIX-B)GLAXOSMITHKLINE BIOLOGICALS  IMUN
HIBV: HIB (HIBERIX)GLAXOSMITHKLINE BIOLOGICALS  IMUN
IPV: POLIO VIRUS, INACT. (NO BRAND NAME)UNKNOWN MANUFACTURER  IMUN
PNC: PNEUMO (PREVNAR)PFIZER/WYETH 2IMUN
Administered by: Unknown     Purchased by: Unknown
Symptoms: Condition aggravated, Gaze palsy, Hyperhidrosis, Hypotonia, Loss of consciousness, Pyrexia
SMQs:, Torsade de pointes/QT prolongation (broad), Peripheral neuropathy (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Ocular motility disorders (narrow), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)
Write-up: This case was considered medically important regarding the hypotonia and the unconsciousness. Information regarding PREVENAR was received from a healthcare professional regarding a 4-month-old female patient who experienced fever aggravated, hypotonia, sweating, unconsciousness and eyes turning away. The patient received the third dose on 23-May-2007. The patient experienced fever aggravated on 24-May-2007. The temperature kept raising during the following day. The GP prescribed an unspecified antibiotic treatment. The patient experienced hypotonia, sweating, unconsciousness and eyes turning away on 25-May-2007. This lasted for 30 minutes. The GP was called and paracetamol was given. It is unknown whether the patient has recovered. No additional information was available at the time of this report.

VAERS ID:279585 (history)  Vaccinated:2007-05-24
Age:17.0  Onset:2007-05-24, Days after vaccination: 0
Gender:Female  Submitted:2007-05-24, Days after onset: 0
Location:Missouri  Entered:2007-05-24
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: Unknown
Diagnostic Lab Data: None completed
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA)SANOFI PASTEURU2888AA0IMRA
Administered by: Public     Purchased by: Public
Symptoms: Cold compress therapy, Dizziness, Hyperhidrosis, Skin warm, Unresponsive to stimuli, Vomiting
SMQs:, Acute pancreatitis (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Hypoglycaemia (broad)
Write-up: Patient stood up after receiving the immunization, felt faint and sat back down in chair. Moments later, slumped to her right side. Unresponsive for aprox 30 seconds. When she awoke, she vomited, was hot and sweaty. BP 108/80 after awakening. Ice pack applied to back of neck. White soda given. BP upon sitting up 10 minutes after incident 110/60. Was able to walk to the family car on her own.

VAERS ID:279812 (history)  Vaccinated:2007-05-24
Age:1.0  Onset:2007-05-25, Days after vaccination: 1
Gender:Male  Submitted:2007-05-25, Days after onset: 0
Location:Texas  Entered:2007-05-25
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: Allergic Rhinitis/Hayfever
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMRV: MEASLES + MUMPS + RUBELLA + VARICELLA (NO BRAND NAME)UNKNOWN MANUFACTURER    
Administered by: Public     Purchased by: Unknown
Symptoms: Rash vesicular
SMQs:, Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Varicella like rash appeared on torso, arms, legs @18 hours after recieving vaccine. Patient''s mother denied possibility of insect bites. Child was afebrile and in otherwise good health.

VAERS ID:279813 (history)  Vaccinated:2007-05-24
Age:0.4  Onset:2007-05-24, Days after vaccination: 0
Gender:Male  Submitted:2007-05-25, Days after onset: 1
Location:California  Entered:2007-05-25
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: No illness, Drieu was perfectly fine and had not been around any sick people. In fact he does not attend a public daycare.
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAP: DTAP (INFANRIX)GLAXOSMITHKLINE BIOLOGICALS 1IMUN
HIBV: HIB (HIBTITER)PFIZER/WYETH 1IMUN
PPV: PNEUMO (PNU-IMUNE)PFIZER/WYETH 1IMUN
TD: TETANUS DIPHTHERIA (NO BRAND NAME)UNKNOWN MANUFACTURER 1IMUN
Administered by: Unknown     Purchased by: Unknown
Symptoms: Abnormal behaviour, Crying, Diarrhoea, Diet refusal, Irritability, Pyrexia, Rhinorrhoea, Wrong drug administered
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Pseudomembranous colitis (broad), Psychosis and psychotic disorders (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hostility/aggression (broad), Depression (excl suicide and self injury) (broad), Noninfectious diarrhoea (narrow), Medication errors (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)
Write-up: Pt had his 4 month vac (DTaP-HBV-POL and HIBPRP-OMP and PNUcn)) at approx.12pm. At approx. 3:20 pm he started a fever (102 degrees), diarrhea(from approx 3:30pm to 10pm he had 5-6 extremely runny, bright green bowel movements),there was an abundance of mucus in his nose, he was fussy and he had a on his chest, back, shoulders and upper arms. He was fussy, cranky and cried for extrememly long periords of time. Nothing conforted him, not even me nursing him because he did not want to eat and did not want me to touch his stomach.

VAERS ID:279822 (history)  Vaccinated:2007-05-24
Age:4.0  Onset:2007-05-25, Days after vaccination: 1
Gender:Unknown  Submitted:2007-05-26, Days after onset: 1
Location:New York  Entered:2007-05-26
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: tylenol varivax vaccines and PPD
Current Illness: no systemic symptoms
Preexisting Conditions: none known
Diagnostic Lab Data: cellulitis
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAP: DTAP (INFANRIX)GLAXOSMITHKLINE BIOLOGICALSAC14B0C33A4IMLA
Administered by: Public     Purchased by: Public
Symptoms: Cellulitis, Erythema, Pain, Swelling, Tenderness
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: large area of erythema, swelling, tenderness. cellulitis and pain. occured approximately 24 hours after vaccine administration. treated with warm compress and Keflex. to return for follow up in 24 hours.

VAERS ID:279827 (history)  Vaccinated:2007-05-24
Age:1.2  Onset:2007-05-27, Days after vaccination: 3
Gender:Male  Submitted:2007-05-27, Days after onset: 0
Location:California  Entered:2007-05-27
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Prevacid 15mg po BID; Albuterol 0.083% prn; Pulmicort 0.25mg/2mL qd; VSL DS - 1 qd
Current Illness: Exposed to RSV through 56-year-old roommate 5/8/07 (patient coughed in her face at work).
Preexisting Conditions: GERD, digestive problems (cannot digest solid foods), apnea, respiratory distress, failure to thrive, possibility of DiGeorge Syndrome
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEPA: HEP A (NO BRAND NAME)UNKNOWN MANUFACTURERUNKNOWN0IMUN
MMRV: MEASLES + MUMPS + RUBELLA + VARICELLA (NO BRAND NAME)UNKNOWN MANUFACTURERUNKNOWN0IMUN
PNC: PNEUMO (PREVNAR)PFIZER/WYETHUNKNOWN3IMUN
Administered by: Unknown     Purchased by: Unknown
Symptoms: Abnormal faeces, Bowel movement irregularity, Rash generalised, Rhinorrhoea, Vaccination complication
SMQs:, Anaphylactic reaction (broad), Biliary system related investigations, signs and symptoms (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypersensitivity (narrow), Noninfectious diarrhoea (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Increased nasal drainage and stooling throughout the course of the day of 5/27/07 - received vaccine the morning of 5/24/07. Sudden onset of full-body rash (with the only exceptions being the hands and feet) at 1830 hrs following diaper change, bath, and dressing since 1800 hrs. Red spot appeared at the spine in the low back at 1900 hrs; we are watching for more. I believe this is a rare reaction to the Varicella - this is reported over Memorial Day weekend; not all information is available at the time of submission.

VAERS ID:279854 (history)  Vaccinated:2007-05-24
Age:3.0  Onset:2007-05-24, Days after vaccination: 0
Gender:Male  Submitted:2007-05-26, Days after onset: 2
Location:New York  Entered:2007-05-29, Days after submission: 3
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAP: DTAP (DAPTACEL)SANOFI PASTEURC2651AA4IMLA
IPV: POLIO VIRUS, INACT. (IPOL)SANOFI PASTEURZ08724SC 
Administered by: Private     Purchased by: Private
Symptoms: Erythema, Pain, Swelling
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Marked erythema, pain, swelling from R side of neck to just below elbow.

VAERS ID:279915 (history)  Vaccinated:2007-05-24
Age:28.0  Onset:2007-05-29, Days after vaccination: 5
Gender:Female  Submitted:2007-05-29, Days after onset: 0
Location:Georgia  Entered:2007-05-29
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: None
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TETANUS DIPHTHERIA (TENIVAC)SANOFI PASTEURU1953CA1IMLA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: Redness/pain/swelling/itching at injection site 5 days after injection. Instructed to take Benadryl, apply cool compress & see PCP in am if no improvement. Manufacturer (Aventis)unable to enter in section 13.

VAERS ID:279939 (history)  Vaccinated:2007-05-24
Age:1.1  Onset:2007-05-24, Days after vaccination: 0
Gender:Male  Submitted:2007-05-25, Days after onset: 1
Location:Virginia  Entered:2007-05-29, Days after submission: 4
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: none
Diagnostic Lab Data: none
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
IPV: POLIO VIRUS, INACT. (IPOL)SANOFI PASTEURZ05481SCRL
MMRV: MEASLES + MUMPS + RUBELLA + VARICELLA (PROQUAD)MERCK & CO. INC.0487U0SCLL
PNC: PNEUMO (PREVNAR)PFIZER/WYETHB08692F2IMRL
Administered by: Private     Purchased by: Private
Symptoms: Body temperature increased, Rash, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Neuroleptic malignant syndrome (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Rash started on (L) leg and rapidly progressed-Parent took patient to urgent care center-patient was given steroid injection and Benadryl. Also given 1 tsp of prednisolone x 2 doses Q 6 hr after visit. Patient also with temp 101 deg last noc. seen in office today-Dx with urticaria and prescribed Orapred 15 mg/5 ml-3ml BID x 5 days and Benadryl

VAERS ID:279920 (history)  Vaccinated:2007-05-24
Age:19.0  Onset:2007-05-28, Days after vaccination: 4
Gender:Female  Submitted:2007-05-30, Days after onset: 2
Location:California  Entered:2007-05-30
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
HPV4: HPV (GARDASIL)MERCK & CO. INC.    
Administered by: Private     Purchased by: Private
Symptoms: Chills, Fatigue, Headache, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: High fever (102)/chills, headache, fatigue

VAERS ID:280055 (history)  Vaccinated:2007-05-24
Age:9.0  Onset:2007-05-24, Days after vaccination: 0
Gender:Male  Submitted:2007-05-30, Days after onset: 6
Location:Wisconsin  Entered:2007-05-30
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: denies
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.0919 SC 
Administered by: Public     Purchased by: Public
Symptoms: Injection site erythema, Injection site inflammation, Injection site warmth, Oedema peripheral
SMQs:, Cardiac failure (broad), Angioedema (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: received sq varicella in L arm after site cleaned on 5/24/07 without incident. client went to play baseball after clinic. Parent{Mom} states by 5pm site was baseball sized, red, and inflamed, and hot. Parent states no fever. Parent states next day entire upper arm was red and swollen. Mom states took to MD and client was placed on amoxicilan 400 mg BID for 7 days.

VAERS ID:280114 (history)  Vaccinated:2007-05-24
Age:61.0  Onset:2007-05-27, Days after vaccination: 3
Gender:Female  Submitted:2007-05-31, Days after onset: 4
Location:Illinois  Entered:2007-05-31
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: HTN, arthritis (generalized), Sjogren''s Syndrome, sleep apnea
Preexisting Conditions: None
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.1168F0IMLA
TDAP: TDAP (ADACEL)SANOFI PASTEURC2610AA0IMLA
Administered by: Military     Purchased by: Military
Symptoms: Injection site erythema, Injection site induration, Injection site pruritus
SMQs:, Extravasation events (injections, infusions and implants) (broad)
Write-up: Developed erythema, induration, and pruritis around vaccination area (Tdap) on left upper anterior arm, 72 hours after vaccination. No treatment, symptoms have begun to resolve now (one week later) though some redness, induration, and pruritis remain. No other effect on left upper extremity.

VAERS ID:280193 (history)  Vaccinated:2007-05-24
Age:6.0  Onset:2007-05-25, Days after vaccination: 1
Gender:Male  Submitted:2007-05-25, Days after onset: 0
Location:Minnesota  Entered:2007-06-01, 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: None
Preexisting Conditions:
Diagnostic Lab Data: None
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEPA: HEP A (HAVRIX)GLAXOSMITHKLINE BIOLOGICALSAHAVB148AA1IMRL
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.0368U1IMRL
Administered by: Private     Purchased by: Unknown
Symptoms: Induration, Swelling
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: Swollen and indurated approximately 6cm.

VAERS ID:280217 (history)  Vaccinated:2007-05-24
Age:51.0  Onset:2007-05-25, Days after vaccination: 1
Gender:Female  Submitted:2007-06-03, Days after onset: 9
Location:Unknown  Entered:2007-06-03
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: n0
Preexisting Conditions: allergy to Penicillin
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
ANTH: ANTHRAX (NO BRAND NAME)UNKNOWN MANUFACTURERSEE MEDPROS1SCRA
Administered by: Military     Purchased by: Unknown
Symptoms: Erythema, Induration, Injection site mass, Injection site pruritus
SMQs:, Anaphylactic reaction (broad), Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Second anthrax vaccine received 24 May 07. Area of induration and erythema and itching minimum 3 by 4 inches in dimension lasting greater than 9 days. Site of first vaccination on left arm also continues to itch and with marble sized lump in each site.

VAERS ID:280407 (history)  Vaccinated:2007-05-24
Age:43.0  Onset:2007-05-24, Days after vaccination: 0
Gender:Female  Submitted:2007-06-04, Days after onset: 11
Location:Wisconsin  Entered:2007-06-04
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions:
Diagnostic Lab Data: Injection reaction
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TYP: TYPHOID VI POLYSACCHARIDE (TYPHIM VI)SANOFI PASTEURZ11021IMRA
Administered by: Other     Purchased by: Other
Symptoms: Chest discomfort, Cough, Reaction to preservatives
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow)
Write-up: Had Typhoid injection on 5/24/07 at 0830. Called clinic with symptoms of chest pressure and cough at 1150. Denied SOB. Instructed to F/U in ER and did so.

VAERS ID:280417 (history)  Vaccinated:2007-05-24
Age:5.0  Onset:2007-05-25, Days after vaccination: 1
Gender:Female  Submitted:2007-05-26, Days after onset: 1
Location:Pennsylvania  Entered:2007-06-04, Days after submission: 9
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAP: DTAP (INFANRIX)GLAXOSMITHKLINE BIOLOGICALSAC14B056BA4IMLA
IPV: POLIO VIRUS, INACT. (IPOL)SANOFI PASTEURZ05483SCLA
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0807F1SCRA
Administered by: Private     Purchased by: Private
Symptoms: Blister, Erythema, Induration, Injection site swelling, Tenderness
SMQs:, Severe cutaneous adverse reactions (broad), Anaphylactic reaction (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Injection site swollen, indurated, red, tender, edge not well defined size approximately 5 x 10cm a few blister, no treatment given.

VAERS ID:280443 (history)  Vaccinated:2007-05-24
Age:4.0  Onset:2007-05-26, Days after vaccination: 2
Gender:Male  Submitted:2007-05-30, Days after onset: 4
Location:Missouri  Entered:2007-06-05, Days after submission: 6
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Eczema
Preexisting Conditions: Eczema, asthma
Diagnostic Lab Data: None
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX)GLAXOSMITHKLINE BIOLOGICALSAC216090AA1 LA
HEPA: HEP A (VAQTA)MERCK & CO. INC.1280F1 LA
MMRV: MEASLES + MUMPS + RUBELLA + VARICELLA (PROQUAD)MERCK & CO. INC.0226U0 RA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Fever 1/2 day following immunizations 2 days after immunization - redness, swelling, pain on right arm at site of MMR. Spontaneous resolution of symptoms by 3 days following immunization.

VAERS ID:280448 (history)  Vaccinated:2007-05-24
Age:27.0  Onset:2007-05-25, Days after vaccination: 1
Gender:Female  Submitted:0000-00-00
Location:North Dakota  Entered:2007-06-05
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
TDAP: TDAP (ADACEL)SANOFI PASTEURC2731AA0IMRA
Administered by: Other     Purchased by: Private
Symptoms: Arthralgia, Body temperature increased, Injection site erythema, Injection site pain, Injection site swelling, Myalgia, Pyrexia
SMQs:, Rhabdomyolysis/myopathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Eosinophilic pneumonia (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: 14 Hours after receiving Tdap patient developed severe myalgias, followed by fever and moderate arthralgias. Patient examined 24 hours after injection. On exam temperature 101.2 F, joint exam normal without swelling. Injection site remarkable for moderate pain, minimal swelling and erythema.

VAERS ID:280478 (history)  Vaccinated:2007-05-24
Age:0.3  Onset:2007-05-24, Days after vaccination: 0
Gender:Female  Submitted:2007-06-05, Days after onset: 12
Location:Texas  Entered:2007-06-05
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Mylicon, Zantac
Current Illness: None
Preexisting Conditions: Gastroesophageal reflux
Diagnostic Lab Data: stool culture, rotavirus EIA, giardia, O&P, occult blood, c difficile, fecal WBC,
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
RV5: ROTAVIRUS (ROTATEQ)MERCK & CO. INC.050700PO 
Administered by: Unknown     Purchased by: Unknown
Symptoms: Clostridium difficile toxin test, Culture stool, Diarrhoea, Occult blood, Parasite blood test, Parasite stool test, Rash, Rotavirus test, Urticaria, White blood cell count
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypersensitivity (narrow), Noninfectious diarrhoea (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Patient developed a rash (welts) on buttocks the evening that the vaccine was given. Rotavirus vaccine was given on 5/24/07. She developed diarrhea on 5/26/07. She had 1-3 episodes of diarrhea per day from 5/26-6/4/07.

VAERS ID:280480 (history)  Vaccinated:2007-05-24
Age:9.0  Onset:2007-05-24, Days after vaccination: 0
Gender:Female  Submitted:2007-06-05, Days after onset: 12
Location:North Carolina  Entered:2007-06-05
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Grasses, trees, weeds.
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (NO BRAND NAME)UNKNOWN MANUFACTURER    
Administered by: Private     Purchased by: Unknown
Symptoms: Erythema, Rash pustular, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Large (1") whelt from Chick Pox vaccine within 1 hour. 4-5" within 24 hours. Redness covering 12", and multiply pustuiles within 36 hours. Treatment: Ibuprofen and cold compresses. Sister presented with chicken pox virus within 10 days and missed last 3 days of school. Confirmed by Dr. visit.

VAERS ID:281133 (history)  Vaccinated:2007-05-24
Age:3.0  Onset:2007-05-31, Days after vaccination: 7
Gender:Female  Submitted:2007-05-31, Days after onset: 0
Location:California  Entered:2007-06-08, Days after submission: 8
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEPA: HEP A (HAVRIX)GLAXOSMITHKLINE BIOLOGICALSAHAVB148AA0UNLL
Administered by: Other     Purchased by: Private
Symptoms: Dyskinesia, Eyelid disorder, Facial palsy, Muscular weakness
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Dyskinesia (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hearing impairment (broad), Periorbital and eyelid disorders (narrow)
Write-up: 5/31/07 developed weakness of right lower arm. Unable to completely close right eye, unable to smile or _. C/W Bells Palsy

VAERS ID:281143 (history)  Vaccinated:2007-05-24
Age:1.0  Onset:2007-05-24, Days after vaccination: 0
Gender:Male  Submitted:2007-05-25, Days after onset: 1
Location:New York  Entered:2007-06-08, Days after submission: 14
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: GERD
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0699F0UNLL
Administered by: Private     Purchased by: Private
Symptoms: Dyskinesia, Gaze palsy, Lethargy, Pallor
SMQs:, Neuroleptic malignant syndrome (broad), Dyskinesia (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Ocular motility disorders (narrow), Hypotonic-hyporesponsive episode (broad), Hypoglycaemia (broad)
Write-up: Approx 3:00 PM on day of Immunization-child was happing-began thrashing, eyes rolling back, pale, lethargic, limp-taken to medical center ER by mother

VAERS ID:281109 (history)  Vaccinated:2007-05-24
Age:1.4  Onset:2007-05-25, Days after vaccination: 1
Gender:Female  Submitted:2007-06-05, Days after onset: 11
Location:California  Entered:2007-06-11, 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:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMRV: MEASLES + MUMPS + RUBELLA + VARICELLA (PROQUAD)MERCK & CO. INC.04744 SCRL
PNC: PNEUMO (PREVNAR)PFIZER/WYETHB08679H2IMLL
Administered by: Private     Purchased by: Private
Symptoms: Erythema, Pyrexia, Rash maculo-papular
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Febrile for 9d starting the day after vaccine and rash (diffuse confluent erythema, maculopapular rash on trunk, back, ext, palms, soles) X 2 days.

VAERS ID:281111 (history)  Vaccinated:2007-05-24
Age:1.0  Onset:2007-05-29, Days after vaccination: 5
Gender:Male  Submitted:2007-06-05, Days after onset: 7
Location:Iowa  Entered:2007-06-11, Days after submission: 6
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMRV: MEASLES + MUMPS + RUBELLA + VARICELLA (PROQUAD)MERCK & CO. INC.1393F0SCLL
PNC: PNEUMO (PREVNAR)PFIZER/WYETHB08679D3IMLL
Administered by: Public     Purchased by: Other
Symptoms: Crying, Irritability, Pruritus, Rash generalised
SMQs:, Anaphylactic reaction (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hostility/aggression (broad), Depression (excl suicide and self injury) (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)
Write-up: Rash over entire body with itching. Dr called this office and gave details about possible adverse reaction from immunization - (Child seen by Dr - Rx for rash given today). 1 wk ago rash, fussiness, crying and itching.

VAERS ID:281392 (history)  Vaccinated:2007-05-24
Age:1.0  Onset:2007-06-01, Days after vaccination: 8
Gender:Female  Submitted:2007-06-07, Days after onset: 6
Location:Nevada  Entered:2007-06-12, 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: Motrin/Tylenol
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEPA: HEP A (NO BRAND NAME)UNKNOWN MANUFACTURER 0  
MMR: MEASLES + MUMPS + RUBELLA (NO BRAND NAME)UNKNOWN MANUFACTURER 0  
PNC: PNEUMO (PREVNAR)PFIZER/WYETH 3  
VARCEL: VARICELLA (NO BRAND NAME)UNKNOWN MANUFACTURER 0  
Administered by: Private     Purchased by: Other
Symptoms: Adverse event, Erythema, Pyrexia
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: 1 week after her MMRV vaccination, my baby developed a fever, it spiked to 103.2 F at 3am and then dropped to 101F. 2 days after that; Sun 6/3; she woke up covered in red dots; we went to urgent care and they said it was an adverse reaction to her shots.

VAERS ID:281449 (history)  Vaccinated:2007-05-24
Age:3.0  Onset:2007-05-24, Days after vaccination: 0
Gender:Male  Submitted:2007-05-25, Days after onset: 1
Location:Illinois  Entered:2007-06-12, Days after submission: 18
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: redness, swelling~DTaP (no brand name)~5~4~In Sibling
Other Medications: none
Current Illness: none
Preexisting Conditions: none
Diagnostic Lab Data: none
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAP: DTAP (DAPTACEL)SANOFI PASTEURC2553954 RL
IPV: POLIO VIRUS, INACT. (IPOL)SANOFI PASTEURZ03263 LL
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.1323F1 LL
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.1060F1 RL
Administered by: Private     Purchased by: Private
Symptoms: Erythema, Pyrexia, Swelling
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Reaction to redness and swelling-measure 41/2 cmx3cm. Low grade fever.

VAERS ID:281942 (history)  Vaccinated:2007-05-24
Age:30.0  Onset:2007-05-27, Days after vaccination: 3
Gender:Female  Submitted:0000-00-00
Location:Unknown  Entered:2007-06-15
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: None
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
ANTH: ANTHRAX (NO BRAND NAME)UNKNOWN MANUFACTURERFAV1091  
Administered by: Other     Purchased by: Other
Symptoms: Injection site rash, Injection site swelling, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Shot area has rash, fever (left side) swollen.

VAERS ID:284514 (history)  Vaccinated:2007-05-24
Age:16.0  Onset:2007-05-24, Days after vaccination: 0
Gender:Female  Submitted:2007-06-14, Days after onset: 21
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:
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data:
CDC Split Type: WAES0705USA05443
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.  SC 
Administered by: Other     Purchased by: Other
Symptoms: Discomfort, Incorrect route of drug administration, Injection site haematoma
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Medication errors (narrow)
Write-up: Information has been received from a medical assistant concerning a 16 year old female who on 24-MAY-2007 was vaccinated with Gardasil vaccine(yeast) subcutaneously. The patient experienced an injection site hematoma and reported the injection was "uncomfortable". Subsequently, the patient recovered. Additional information has been requested. This in follow-up to report(s) previuously submitted on 6/14/2007. Follow up information received from the medical assistant stated that on 25-MAY-2007, the patient developed a sight hematoma. It was reported that on an unspecified daie the patient had recovered and was "fine". Additional information is not expected.

VAERS ID:284547 (history)  Vaccinated:2007-05-24
Age:18.0  Onset:2007-05-24, Days after vaccination: 0
Gender:Female  Submitted:2007-06-14, Days after onset: 21
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:
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data:
CDC Split Type: WAES0706USA00013
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC. 0IMUN
TDAP: TDAP (NO BRAND NAME)UNKNOWN MANUFACTURER  UNUN
Administered by: Other     Purchased by: Other
Symptoms: Nausea
SMQs:, Acute pancreatitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)
Write-up: Information has been received from a nurse practitioner concerning an 18 year old female who on 24-MAY-2007 was vaccinated with Gardasil. Concomitant therapy included Tdap, given at the same time. On 24-MAY-2007 the patient was extremely nauseous after her vaccinations. Subsequently, the patient recovered. Additional information has been requested. 10/08/07 This is in follow-up to report(s) previously submitted on 6/14/2007. Information has been received from a nurse practitioner concerning an 18 year old female who on 24-MAY-2007 was vaccinated with a first dose of GARDASIL (lot # unknown). Concomitant therapy included Tdap (manufacturer unknown), given at the same time. On 24-MAY-2007 the patient was extremely nauseous post-vaccinations. Medical attention was sought. On 24-MAY-2007 the patient recovered. Further information is not available.

VAERS ID:282226 (history)  Vaccinated:2007-05-24
Age:18.0  Onset:2007-05-24, Days after vaccination: 0
Gender:Male  Submitted:2007-06-19, Days after onset: 26
Location:Ohio  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: Claritin, Albuterol MDI
Current Illness: Allergies, URI, back pain
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)GLAXOSMITHKLINE BIOLOGICALSAHBVB359AA1 RA
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA)SANOFI PASTEURU2329AA0 RA
TDAP: TDAP (ADACEL)SANOFI PASTEURC2730AA0 LA
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.1507F0 LA
Administered by: Private     Purchased by: Public
Symptoms: Blister, Rash papular
SMQs:, Severe cutaneous adverse reactions (broad), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: ''In various stages of healing papules with crust, vesicles on face." (per ED note 6/9/07)

VAERS ID:282632 (history)  Vaccinated:2007-05-24
Age:54.0  Onset:2007-05-31, Days after vaccination: 7
Gender:Male  Submitted:2007-06-15, Days after onset: 15
Location:Illinois  Entered:2007-06-21, Days after submission: 6
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: GI illness~Influenza (no brand name)~1~52~In Patient
Other Medications: Prozac, Hydralazine, Norvasc, Doxazosin, Prevacid, Synthroid, Vitamins, Toprol, Singulair, Imdur, Lisinopril, Diovan, Aspirin, Sucralfate, Potassium, Vicodin
Current Illness: finger laceration
Preexisting Conditions: Hypothyroidism, Peripheral neuropathy, GERD, HBP, Asthma, Sleep apnea
Diagnostic Lab Data: None
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAP: DTAP (TRIPEDIA)SANOFI PASTEURU1820FA IMLA
Administered by: Private     Purchased by: Private
Symptoms: Arthralgia
SMQs:, Arthritis (broad)
Write-up: arthralgias shoulder, wrist after IM injection deltoid

VAERS ID:282782 (history)  Vaccinated:2007-05-24
Age:45.0  Onset:2007-06-04, Days after vaccination: 11
Gender:Male  Submitted:2007-06-07, Days after onset: 3
Location:Texas  Entered:2007-06-25, Days after submission: 18
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Exposed to chemicals
Preexisting Conditions: Virus previous week
Diagnostic Lab Data: results on chemical still not in.
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)SANOFI PASTEUR    
Administered by: Private     Purchased by: Private
Symptoms: Asthenia, Medical device complication, Medication error, Sensation of heaviness
SMQs:, Guillain-Barre syndrome (broad), Medication errors (narrow)
Write-up: Pt said needle came off first shot and nurse gave him a second shot of same vaccine in same arm because she didn''t know how much went in. He was in ER for chemical spill. Says now his legs are heavy and he''s weak all over.

VAERS ID:282785 (history)  Vaccinated:2007-05-24
Age:9.0  Onset:2007-05-24, Days after vaccination: 0
Gender:Female  Submitted:2007-05-31, Days after onset: 7
Location:Texas  Entered:2007-06-25, Days after submission: 25
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NKA
Diagnostic Lab Data:
CDC Split Type: TX07054
Vaccination
Manufacturer
Lot
Dose
Route
Site
RAB: RABIES (RABAVERT)NOVARTIS VACCINES AND DIAGNOSTICS411011A1IMRA
Administered by: Private     Purchased by: Public
Symptoms: Chills, Headache, Pharyngolaryngeal pain, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: 5-28-07 (Day 7) Mother reported that pt had run fever of 103.8 on 5-24-07 (Day 3) after second dose of Rabavert. Also complained of chills and sore throat and headache CDC consulted and regimen resumed. Patient tolerated next dose well.

VAERS ID:283099 (history)  Vaccinated:2007-05-24
Age:8.0  Onset:0000-00-00
Gender:Male  Submitted:2007-06-28
Location:Michigan  Entered:2007-06-28
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: Frequest OM, ADHD
Diagnostic Lab Data: FYI ~ Was told by health dept at routine site visit that this child was lacking a DTAP and it should be administered at his next visit.
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAP: DTAP (INFANRIX)GLAXOSMITHKLINE BIOLOGICALSAC14B033AA4IMLA
Administered by: Private     Purchased by: Public
Symptoms: Unevaluable event, Wrong drug administered
SMQs:, Medication errors (narrow)
Write-up: No Problems

VAERS ID:283567 (history)  Vaccinated:2007-05-24
Age:32.0  Onset:2007-05-25, Days after vaccination: 1
Gender:Female  Submitted:2007-06-20, Days after onset: 26
Location:D.C.  Entered:2007-07-02, Days after submission: 12
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: Penicillin allergy, atopic dermatitis history
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
ANTH: ANTHRAX (BIOTHRAX)EMERGENT BIOSOLUTIONSFAV1050 LA
Administered by: Military     Purchased by: Military
Symptoms: Arthralgia, Disorientation, Dizziness, Mass
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Vestibular disorders (broad), Arthritis (broad), Hypoglycaemia (broad)
Write-up: For over two weeks after vaccine 1 suffered from dizziness, disorientation, hot and cold sweats, joint pain and had a lump in my arm. These are not acceptable side effects.

VAERS ID:284055 (history)  Vaccinated:2007-05-24
Age:0.5  Onset:2007-05-24, Days after vaccination: 0
Gender:Female  Submitted:0000-00-00
Location:Texas  Entered:2007-07-06
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: TX07063
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAP: DTAP (TRIPEDIA)SANOFI PASTEURU198BA2 RL
HIBV: HIB (ACTHIB)SANOFI PASTEURUE973AA2 LL
IPV: POLIO VIRUS, INACT. (IPOL)SANOFI PASTEURZ02402 LA
PNC: PNEUMO (PREVNAR)PFIZER/WYETHB08674D2 LL
Administered by: Public     Purchased by: Public
Symptoms: Pyrexia, Rash, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Mom states child broke out in hives. Mom denies any problems with breathing. Instructed to call doctor''s office and take to doctor''s office to get checked. Prior to giving vaccine client with rash to face noted stated had fever of 101 on 5-21 denies fever within lasted 24 hours. States hives to face and states are lessened.

VAERS ID:284320 (history)  Vaccinated:2007-05-24
Age:0.3  Onset:2007-05-25, Days after vaccination: 1
Gender:Male  Submitted:2007-07-03, Days after onset: 39
Location:California  Entered:2007-07-11, 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:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HIBV: HIB (ACTHIB)SANOFI PASTEURUF0005AA1IMRL
IPV: POLIO VIRUS, INACT. (IPOL)SANOFI PASTEURZ05271SCLL
PNC: PNEUMO (PREVNAR)PFIZER/WYETHB08666F1 RL
RV5: ROTAVIRUS (ROTATEQ)MERCK & CO. INC.1167F1PO 
TDAP: TDAP (BOOSTRIX)GLAXOSMITHKLINE BIOLOGICALSAC14B044AA1IMLL
Administered by: Private     Purchased by: Public
Symptoms: Diarrhoea, Inappropriate schedule of drug administration
SMQs:, Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (narrow), Medication errors (narrow)
Write-up: Loose watery stools 8-10d within 2 days of getting shots.

VAERS ID:284904 (history)  Vaccinated:2007-05-24
Age:21.0  Onset:2007-05-25, Days after vaccination: 1
Gender:Female  Submitted:2007-07-06, Days after onset: 42
Location:Virginia  Entered:2007-07-13, 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:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0706USA00302
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.0319U1IMAR
Administered by: Private     Purchased by: Other
Symptoms: Dizziness, Nausea
SMQs:, Acute pancreatitis (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad)
Write-up: Information has been received from a nurse concerning a 21 year old female patient who on 24-MAY-2007 was vaccinated with Gardasil. On 25-MAY-2007 the patient experienced dizziness and nausea. Medical attention was sought. The patient''s outcome was unknown. No product quality complaint was involved. Additional information has been requested. This is in follow-up to report(s) previously submitted on 7/6/2007. Initial and follow-up information has been received from a nurse practitioner and a licensed practical nurse concerning a 21 year old female student, who on 24-MAY-2007 in the am, was vaccinated IM in the deltoid with a second dose of GARDASIL (lot # 654272/0319U). On 25-MAY-2007 the patient experienced dizziness and nausea. The patient''s outcome was unknown. No product quality complaint was involved. Additional information is not expected.

VAERS ID:285098 (history)  Vaccinated:2007-05-24
Age:0.3  Onset:2007-05-26, Days after vaccination: 2
Gender:Male  Submitted:2007-07-16, Days after onset: 51
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: None
Current Illness:
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC Split Type: WAES0706USA01968
Vaccination
Manufacturer
Lot
Dose
Route
Site
RV5: ROTAVIRUS (ROTATEQ)MERCK & CO. INC.1167F1PO 
Administered by: Other     Purchased by: Other
Symptoms: Diarrhoea
SMQs:, Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (narrow)
Write-up: Information has been received from a physician concerning a 3 month old male who on 24-MAY-2007 was vaccinated with the second dose Rotavirus (Lot# 656104/1167F). There was no concomitant medication. There was no medical history. On 26-May-2007 the patient experienced diarrhea that lasted 8-10 days. The patient sought unspecified medical attention. Additional information has been requested.

VAERS ID:285383 (history)  Vaccinated:2007-05-24
Age:25.0  Onset:2007-06-11, Days after vaccination: 18
Gender:Female  Submitted:2007-07-16, Days after onset: 35
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? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Minocycline
Current Illness: Acne
Preexisting Conditions:
Diagnostic Lab Data: None
CDC Split Type: WAES0706USA02060
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.0522U0IMUN
Administered by: Private     Purchased by: Private
Symptoms: Erythema, Rash
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Initial and follow-up information has been received from a health professional and a physician concerning a 25 year old white female graphic designer with acne who on 24-MAY-2007 received the first dose of the Gardasil (lot # 657737/0522U), 0.5 ml, intramuscularly in the left deltoid. Concomitant therapy include minocycline. On 11-JUN-2007, the patient developed a mild pink rash on her chest, per patient and dermatologist. The patient sought unspecified medical attention. It was reported that the patient recovered "soon after". The physician reported that the rash may or may not be related to the vaccine injection. Additional information is not expected.

VAERS ID:285435 (history)  Vaccinated:2007-05-24
Age:17.0  Onset:2007-05-25, Days after vaccination: 1
Gender:Female  Submitted:2007-07-16, Days after onset: 52
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:
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: body temp, 05/15?/07, 102F; pulse oximetry, 05/25?/07, normal
CDC Split Type: WAES0706USA02470
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC. 0IMUN
Administered by: Other     Purchased by: Other
Symptoms: Arthralgia, Body temperature increased, Dyspnoea, Influenza like illness, Injection site pain, Oxygen saturation, Pharyngolaryngeal pain, Pyrexia
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Extravasation events (injections, infusions and implants) (broad), Cardiomyopathy (broad), Arthritis (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Information has been received from a physician concerning her 18 year old daughter who on approximately 24-MAY-2007 was vaccinated IM with a first dose of Gardasil. Concomitant therapy included appetite depressant (unspecified) and Meningococcal (unspecified). On approximately 25-MAY-2007 the patient experienced tenderness at injection site 6 to 12 hours after vaccination. Twent-four hours after vaccination the patient experienced flu like symptoms of joint aches, high fever of 102 degrees F, sore throat and shortness of breath. Unspecified medical attention was sought. The patient was monitored for the shortness of breath with a pulse oximetry reported normal. The mother reported that two days after the onset of the symptoms the symptoms resolved spontaneously. The physician examined the patient on 12-JUN-2007 and the patient had no symptoms. Subsequently, the patient recovered from the flu like symptoms. Additional information has been requested. Additional infromation is not expected.

VAERS ID:285681 (history)  Vaccinated:2007-05-24
Age:16.0  Onset:2007-05-25, Days after vaccination: 1
Gender:Female  Submitted:2007-07-16, Days after onset: 52
Location:California  Entered:2007-07-18, 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: None
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data:
CDC Split Type: WAES0706USA04049
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.0011U0IMUN
Administered by: Other     Purchased by: Other
Symptoms: Asthenia, Dizziness, Fatigue, Nausea
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 physician concerning a 16 year old Hispanic female who on 24-MAY-2007 was vaccinated with her first dose of Gardasil. There was no concomitant medication. On 25-MAY-2007 the patient developed nausea, dizziness, weakness and was tired.

VAERS ID:285405 (history)  Vaccinated:2007-05-24
Age:1.1  Onset:2007-05-31, Days after vaccination: 7
Gender:Female  Submitted:2007-07-21, Days after onset: 51
Location:California  Entered:2007-07-21
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: N/A
Current Illness: had little runny nose off and on for week
Preexisting Conditions: n/a
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (NO BRAND NAME)UNKNOWN MANUFACTURER 1SCLL
VARCEL: VARICELLA (NO BRAND NAME)UNKNOWN MANUFACTURER 1SCRL
Administered by: Public     Purchased by: Unknown
Symptoms: Dacryostenosis acquired, Febrile convulsion, Otitis media acute, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Convulsions (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Lacrimal disorders (narrow), Generalised convulsive seizures following immunisation (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Pt. had MMR and chicken pox vaccine given on 5/24/2007. One week after administration of vaccine onset fever occurred and possible febrile seizure. Pt. was limp and motionless for almost 1/2 hour also dazed. Took pt. to ER and was given tylenol supp. for fever which was at 102 degrees. Then blood work, chest xray and antibiotic (Rocephin Inj) was given. MD''s conclusion was a possible febrile seizure and acute otitis media. Pt. had a follow up appt. with regular physician and still had continous fever for 24 hrs. MD could not detect anything wrong, urine sample was OK and pt. responding fine. Pt. had up and down fever until 6/5/07. Had another follow up with regular physician on 6/4/07 and still had no findings of why high fever occured until I brought up the fact that pt. had a vaccine given 1 week prior. So MD ruled a possibility of reaction to vaccine. Pt. then broke out in upper chest rash to face and fever went away(POSSIBLE ROSEOLA).

VAERS ID:286486 (history)  Vaccinated:2007-05-24
Age:25.0  Onset:2007-05-25, Days after vaccination: 1
Gender:Female  Submitted:2007-08-01, Days after onset: 68
Location:New Jersey  Entered:2007-08-02, Days after submission: 1
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 10 days
    Extended hospital stay? Yes
Previous Vaccinations:
Other Medications:
Current Illness: Penicillin allergy
Preexisting Conditions: Appendicitis; Shingles
Diagnostic Lab Data: Deoxyribonucleic acid 05/25/07 - tested positive for 2 genetic traits. Specific name unknown; Total serum protein 05/25/2007 - low 8/15/07-records received- EKG sinus tachycardia, bilatrial abnormality and an S1, Q3, T3 pattern, non specific ST-T wave abnormalities, rightward axis suggesting right acute heart strain. Protein C activity 44. Perfusion lung scan very high probablity for pulmonary emboli. Bilateral lower extremity venous ultrasound no evidence of deep venous thrombus from the common femoral through popliteal veins. Echocardiogram
CDC Split Type: WAES0707USA03736
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.0522U0UNUN
Administered by: Other     Purchased by: Other
Symptoms: Cardiac failure, Chest pain, Cytogenetic analysis, Dyspnoea, Echocardiogram, Electrocardiogram, Hypotension, Intensive care, Palpitations, Protein total decreased, Pulmonary embolism, Shock, Tachycardia, Ventilation/perfusion scan
SMQs:, Cardiac failure (narrow), Anaphylactic reaction (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (narrow), Hypovolaemic shock conditions (narrow), Toxic-septic shock conditions (narrow), Anaphylactic/anaphylactoid shock conditions (narrow), Hypoglycaemic and neurogenic shock conditions (narrow), Embolic and thrombotic events, venous (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Hypersensitivity (narrow)
Write-up: Information has been received from a 25 year old female with a penicillin allergy with a history of appendicitis (age five) and shingles (2005) who on 24-MAY-2007 was vaccinated with a first dose of Gardasil. Concomitant therapy included LO/OVRAL. On 25-MAY2007 the patient experienced shortness of breath and was hospitalized. The patient spent four days in the intensive care unit out of the nine days she was hospitalized. On 29-MAY-2007 the patient was diagnosed with a pulmonary embolism and was placed on COUMADIN. It was reported that the patient also developed heart failure "because of the pulmonary embolism". Laboratory data revealed all proteins low. The genetic tests yielded positive results for 2 genetic traits (specific names of the traits are unknown). At the time of report the patient was recovering. No further information is available. 8/15/07-records received DC Summary for DOS 7/23-7/24/07- DC DX: Chest pain not otherwise specified. Palpitations. Hypercoagulable state. Recent pulmonary embolus.VQ Scan low probability for pulmonary embolus. Pain was similar to previous event. Massive pulmonary embolus requiring use of TPA about two months prior. Now on chronic coumadin therapy. DC Summary for DOS 5/29-6/9/07-DC DX Pulmonary embolism with shock, hypotension, syncope and history of oral contraceptive use.

VAERS ID:287826 (history)  Vaccinated:2007-05-24
Age:35.0  Onset:2007-06-10, Days after vaccination: 17
Gender:Female  Submitted:2007-08-10, Days after onset: 61
Location:Maryland  Entered:2007-08-10
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: sinusitis
Preexisting Conditions:
Diagnostic Lab Data: MRI--brain and c-spine--normal Negatvie for mercury, lead, arsenic, cadmium, thallium and cobalt. Nomral thiamiane B6, HIV. Normal TFTs, fasting glu. Negative ANA, RF, CRP, ESR. Negative Lyme
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAP: DTAP (TRIPEDIA)SANOFI PASTEUR    
HEP: HEP B (ENGERIX-B)GLAXOSMITHKLINE BIOLOGICALS    
HEPA: HEP A (VAQTA)MERCK & CO. INC.    
Administered by: Military     Purchased by: Military
Symptoms: Antinuclear antibody negative, Blood arsenic normal, Blood cadmium normal, Blood glucose normal, Blood lead normal, Blood mercury normal, C-reactive protein normal, HIV test negative, Hypoaesthesia, Nuclear magnetic resonance imaging brain normal, Pain, Paraesthesia, Red blood cell sedimentation rate normal, Rheumatoid factor negative, Thyroid function test normal, Vitamin B6 normal
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad)
Write-up: Vaccination in April; 1 month later with bilateral upper and lower extremity numbness and tingling, initially with pain which resolved with use of Medrol (prednisolone). Continues to have these symptoms, confirmed on PE. Negative w/u to date for MS, rheum and other neurologic, nutritional and infective (eg Lyme) etiologies.

VAERS ID:288753 (history)  Vaccinated:2007-05-24
Age:15.0  Onset:2007-05-25, Days after vaccination: 1
Gender:Female  Submitted:2007-08-14, Days after onset: 81
Location:California  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: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0707USA01055
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.0171U0IMUN
Administered by: Other     Purchased by: Other
Symptoms: Oral mucosal blistering
SMQs:, Severe cutaneous adverse reactions (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Information has been received from a physician concerning a 15 year old female who on 24-MAY-2007 was vaccinated intramuscularly with the first dose of Gardasil (lot # 655620/0171U). It was reported that about a day or two after receiving the vaccination, on approximately 25-MAY-2007, the patient developed blister formations around her mouth. Unspecified medical attention was sought. Subsequently, the patient recovered on an unspecified date. The physician was unsure whether or not therapy would be discontinued. Additional information has been requested.

VAERS ID:289301 (history)  Vaccinated:2007-05-24
Age:21.0  Onset:2007-05-24, Days after vaccination: 0
Gender:Female  Submitted:2007-08-14, Days after onset: 82
Location:Florida  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:
Current Illness: Penicillin allergy; Hypersensitivity
Preexisting Conditions:
Diagnostic Lab Data: None; allergy test, no allergens identified
CDC Split Type: WAES0707USA02336
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.0388U0IMAR
Administered by: Private     Purchased by: Other
Symptoms: Allergy test negative, Rash, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Initial and follow-up information has been received from a health professional and a consumer concerning her 21 year old daughter who was a student, with a penicillin allergy and a hypersensitivity to canvas who, on 24-MAY-2007, was vaccinated IM in the deltoid with the first dose of Gardasil (lot # 657622/0388U) via injection. There was no concomitant medication. On 24-MAY-2007, (previously reported as 25-MAY-2007) the patient experienced hives, welts all over after receiving the first injection of Gardasil. The patient had been on CLARITIN and had taken steroids (dose, duration, and route not reported) to alleviate the symptoms. As long as the patient continued the CLARITIN, the symptoms subsided, but as soon as the CLARITIN was discontinued, the hives returned. The patient was referred to a dermatologist to test for environmental allergens which may have caused an "incidental allergic reaction." On an unspecified date an allergy test reported no allergens were identified. As of 13-JUL-2007, the patient had not recovered from the hives and welts all over. Additional information has been requested. The reporting health professional considered hives and rash to be other important medical events. Additional information not expected. At the time of the report the patient had not recoveed from the hives and a rash. The reporting health professional considered hives and rash to be other important medical events. Additional information is not expected.

VAERS ID:289788 (history)  Vaccinated:2007-05-24
Age:17.0  Onset:2007-05-31, Days after vaccination: 7
Gender:Female  Submitted:2007-08-14, Days after onset: 75
Location:California  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:
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Blood pressure, 07/24/07, 112/6; body temp, 07/24/07, 99.7 degrees
CDC Split Type: WAES0707USA04653
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.0012U0IMLA
Administered by: Other     Purchased by: Public
Symptoms: Body temperature normal, Cardiac disorder, Chest discomfort, Chest pain, Headache, Hypoaesthesia, Paraesthesia
SMQs:, Anaphylactic reaction (broad), Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad)
Write-up: Information has been received from a medical assistant concerning an 18 year old female who on 24-MAY-2007 was vaccinated with a dose of Gardasil (lot #655503/0012U) 0.5 ml injection. Concomitant therapy included "DEPO" therapy unspecified. Subsequently, the patient experienced tingling and numbness in her legs, headaches, chest pressure and heart complications. At the time of reporting, the patient had recovered. Additional information has been requested. 01/07/2008 This is in follow-up to report(s) previously submitted on 8/14/2007; 10/8/2007. In follow-up it was reported in Medical records that the patient visited the physician''s office on 24-JUL-2007, the patient an 18 year old female who on 24-MAY-2007 was vaccinated intramuscularly into the left deltoid muscle with the first dose of GARDASIL (lot # 655503/0012U) 0.5 ml injection. The patient reported that after the first injection of GARDASIL, the patient complained of numbness and tingling to the lower extremities, sharp chest pain, one week later, approximately on 31-MAY-2007. The patient stated that she received a "DEPO" shot on 03-JUL-2007. One week ago, approximately 17-JUL-2007, the patient complained of numbness to the left arm. The series of GARDASIL was discontinued. The patient stated that she took ADVIL when symptoms occurred with good relief. The patient was informed to go to the Emergency Room if symptoms re-occurred without relief. Additional information has been requested.

VAERS ID:291449 (history)  Vaccinated:2007-05-24
Age:44.0  Onset:2007-05-24, Days after vaccination: 0
Gender:Male  Submitted:2007-08-22, Days after onset: 90
Location:New York  Entered:2007-09-20, Days after submission: 29
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: No known allergies. No illness at the time of vaccination.
Diagnostic Lab Data:
CDC Split Type: 200701961
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (ADACEL)SANOFI PASTEURC2730AA IMLA
Administered by: Public     Purchased by: Private
Symptoms: Axillary pain, Electromyogram, Grip strength decreased, Neck pain, Nerve conduction studies, Pain in extremity, Sensory loss
SMQs:, Peripheral neuropathy (narrow), Guillain-Barre syndrome (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad)
Write-up: Initial report received from a health care professional on 25 May 2007. A 44 year old male patient (with a history of no known allergies) complained of severe neck pain radiating down the left arm and left axillary area, 4 hours after he received Adacel (lot number C2730AA) intramuscularly in the left deltoid on 24 May 2007. There was loss of sensation anteriorly and posteriorly from the mid forearm to the left hand. He is unable to grasp or lift. He was sent to the emergency room for evaluation. He did not have any illness at the time of vaccination. At the time of the report, he had not recovered. Follow-up information was received from the health professional on 15 August 2007. The patient was referred for a neurology consult, and underwent EMG (electomyogram, NCV (nerve conduction velocity), and work-up for polyneuropathy. Results for these tests were not available.

VAERS ID:292102 (history)  Vaccinated:2007-05-24
Age:21.0  Onset:2007-05-25, Days after vaccination: 1
Gender:Female  Submitted:2007-09-17, Days after onset: 115
Location:New Jersey  Entered:2007-09-20, 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: LOESTRIN
Current Illness: Asthma; Oesophageal acid reflux; Penicillin allergy
Preexisting Conditions: Mononucleosis syndrome
Diagnostic Lab Data: None
CDC Split Type: WAES0708USA00771
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.0389U IMLA
Administered by: Other     Purchased by: Other
Symptoms: Pyrexia, Viral infection
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Information has been received from a certified nurse midwife concerning a 21 year old female with asthma, oesophageal acid reflux, penicillin allergy and a history of mononucleosis syndrome (Mono) in 2001 who on 24-MAY-2007 was vaccinated with Gardasil (lot# 657736/0389U) IM left deltoid. Concomitant therapy included LOESTRIN. On 25-MAY-2007 "24 hours after vaccination" the patient experienced high fever and viral type symptoms (type of symptoms unspecified). Medical attention was sought. The patient went to the emergency room. At the time of reporting it is unknown if the patient had recovered. No further information is available. This is one of two reports from the same source. Additional information has been requested.

VAERS ID:293947 (history)  Vaccinated:2007-05-24
Age:70.0  Onset:2007-06-07, Days after vaccination: 14
Gender:Female  Submitted:2007-09-24, Days after onset: 109
Location:Indiana  Entered:2007-09-27, 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: None
Current Illness: Drug hypersensitivity; iodine allergy
Preexisting Conditions: Chickenpox; nonspecific reaction
Diagnostic Lab Data: VZV strain, 07/10/07, adequate specimen - NO VZV identified
CDC Split Type: WAES0706USA02331
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARZOS: ZOSTER (ZOSTAVAX)MERCK & CO. INC.  UNLA
Administered by: Other     Purchased by: Other
Symptoms: Body temperature, Injection site pain, Injection site rash, Pruritus, Varicella, Viral test negative
SMQs:, Anaphylactic reaction (broad), Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Information has been received from a 70 year old female registered nurse with allergies to morphine and "internal iodine" and with a history of reaction to "a dressing" and chickenpox at 14 years of age who on 24-MAY-2007 was vaccinated in the left upper arm with a 0.65 ml dose of Zostavax (Oka/Merck). There was no concomitant medication. On 07-JUN-2007 (also reported as Day 10) the patient experienced chickenpox. The patient developed 3 pox at the injection site and injection site pain. The rash (lesions) spread to the patient''s shoulder, down her back to her legs and then her abdomen. She had 300-500 lesions on her body. She treated herself with BENADRYL and TYLENOL 3 at home. She then presented to the emergency room became her primary care physician was not available. She was diagnosed with chickenpox. She was prescribed an "antihistamine", ULTRAM, KEFLEX and was referred for a chest x-ray. Her maximum temperature was 99, pain was rated as 9 on a scale of 0-10 and other systemic symptoms included itching. It was reported that the a patient had no recent exposure to chickenpox or herpes zoster. Additional information on 11-JUL-2007 indicated that a few days after vaccination, the patient developed 3 small pox at the injection site. About 10 days post-vaccination she developed a chickenpox rash all over her body. As of 11-JUL-2007, her rash was somewhat better but still present. The patient was enrolled in a program to identify of VZV is present and if it is present to identify if it is associated with the wild-type (WT) VZV strain or with the OKA/Merck vaccine VZV strain. The sample of a lesion was collected on 10-JUL-2007, lesion type a vesicle reported to be tiny scabs. The PCR results for the specimen were negative. No VZV was identified. Additional information has been requested.

VAERS ID:293985 (history)  Vaccinated:2007-05-24
Age:69.0  Onset:2007-05-31, Days after vaccination: 7
Gender:Female  Submitted:2007-10-15, Days after onset: 137
Location:New Jersey  Entered:2007-10-22, 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: Synthroid; Nexium; Lipitor; Celebrex
Current Illness: None known
Preexisting Conditions: NKA, HTN, Thyroid, Reflux, Foot pain, High Cholesterol
Diagnostic Lab Data: Per pt, + zoster virus in lesion via biopsy
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)SANOFI PASTEURU1923HA0IMRA
VARZOS: ZOSTER (ZOSTAVAX)MERCK & CO. INC.0981F0SCRA
Administered by: Other     Purchased by: Other
Symptoms: Biopsy skin, Herpes zoster, Rash, Varicella zoster virus serology positive
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Pt states rash over stomach/(L) shoulder about 1 wk after Zostavax vaccine. Rash "like little pimples" that itch/burn. Seen at clinic, given oral steroids. Seen at dermatologist x 2, given steroid creams. Pt states biopsy = + zoster.

VAERS ID:297848 (history)  Vaccinated:2007-05-24
Age:1.0  Onset:2007-11-12, Days after vaccination: 172
Gender:Male  Submitted:2007-11-15, Days after onset: 3
Location:Kentucky  Entered:2007-11-26, Days after submission: 11
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.1026F0SCRA
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.0910120SCLA
Administered by: Private     Purchased by: Unknown
Symptoms: Varicella post vaccine
SMQs:
Write-up: Pt developed Varicella despite receiving Varivax. Disease diagnosed 11/13/07'' tx with Acyclovir though mild; pt received Varivax 5/24/07.

VAERS ID:301299 (history)  Vaccinated:2007-05-24
Age:25.0  Onset:2007-05-24, Days after vaccination: 0
Gender:Female  Submitted:2007-12-14, Days after onset: 204
Location:New Jersey  Entered:2007-12-18, 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: NuvaRing; Effexor
Current Illness:
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC Split Type: WAES0711USA05330
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.0522U0IM 
Administered by: Other     Purchased by: Other
Symptoms: Headache, Nuclear magnetic resonance imaging, Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Hypoglycaemia (broad)
Write-up: Information has been received from a physician concerning a 25 year old female with no pertinent medical history or drug reactions/allergies, who on 24-MAY-2007 was vaccinated with a first dose of Gardasil (lot# 657737/0522U) 0.5 mL IM. Concomitant therapy included Effexor and NuvaRing. Since the vaccination on 24-MAY-2007, the patient has been experiencing headaches on a daily basis. Medical attention was sought. On 25-JUL-2007, the patient received a second dose of Gardasil (lot#658222/0927U). On 26-NOV-2007, the patient received a third dose of Gardasil vaccine (lot#unknown). The patient experience syncope when she arrived home on the same day and once the next day, 27-NOV-2007. The patient has an appointment with her primary physician and a scheduled magnetic resonance imaging test for 29-NOV-2007. No further information was available. At the time of reporting it was unknown if the patient had recovered. The patient has not recovered from the headaches. Additional information has been requested.

VAERS ID:313356 (history)  Vaccinated:2007-05-24
Age:6.0  Onset:2007-06-06, Days after vaccination: 13
Gender:Female  Submitted:2008-05-16, Days after onset: 345
Location:Georgia  Entered:2008-05-23, Days after submission: 7
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 19 days
    Extended hospital stay? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown 6/12/08-records received-PMH: kidney stones, lithotripsy 4/07.
Diagnostic Lab Data: Unknown 6/12/2008-records received-MRI and CT of spine showed extensive enlargement and T2 hyperintensity involving cervical spine to thoracic spin. Abnormal intensities in basal ganglia. Lumbar puncture 146 WBC, 15 RBC, 84% lymphocytes, 1
CDC Split Type: WAES0707USA03644
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.0036U1UNLA
Administered by: Other     Purchased by: Other
Symptoms: Abasia, Abdominal pain, Antinuclear antibody negative, Asthma, Azotaemia, Blood creatine phosphokinase increased, CSF lymphocyte count abnormal, CSF monocyte count decreased, CSF neutrophil count increased, CSF protein increased, CSF white blood cell count increased, Clonus, Computerised tomogram abnormal, Lumbar puncture abnormal, Muscle spasticity, Myelitis transverse, Neuralgia, Neurogenic bladder, Neurogenic bowel, Nuclear magnetic resonance imaging abnormal, Pain in extremity, Pharyngitis streptococcal, Polymerase chain reaction, Pyrexia, Red blood cells CSF positive, Sensory loss
SMQs:, Rhabdomyolysis/myopathy (broad), Acute renal failure (narrow), Anaphylactic reaction (broad), Acute pancreatitis (broad), Agranulocytosis (broad), Asthma/bronchospasm (narrow), Peripheral neuropathy (narrow), Neuroleptic malignant syndrome (broad), Myocardial infarction (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Dystonia (broad), Oropharyngeal infections (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Demyelination (narrow), Eosinophilic pneumonia (broad), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (broad), Generalised convulsive seizures following immunisation (broad), Chronic kidney disease (narrow), Hypersensitivity (broad), Malignant lymphomas (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Information has been received from a physician concerning a 6-year-old female who on an unspecified date was vaccinated with a 0.5 mL second dose of VARIVAX. Subsequently the patient developed transverse myelitis. Unspecified medical attention was sought. No further information was provided. There was no product quality complaint involved. Follow-up information was received on 02-AUG-2007 via a telephone call. The physician reported that the patient''s date of birth was 09-NOV-2000 and he did not know the relationship of the transverse myelitis to VARIVAX. Upon internal review the patient''s transverse myelitis was determined to be an other important medical event. Additional information is not expected. This is one of several reports from the same source. 6/12/08-records received for DOS 6/14-7/3/07- DC DX: Transverse myelitis. Neuropathic pain. Neurogenic bowel and bladder. Asthma. Mild azotemia. Presented with fever, leg pain, arm pain, abdominal pain began 6/6/07-Previously diagnosed with strep throat. Inability to walk. PE: 2+ deep tendon reflexes symmetric in upper and lower extremities, bilateral clonus. Incontinent of bladder, bladder distention. Developed spasticity in ankles, neuropathic pain. Decreased sensation up to T4. At time of discharge to rehabilitation facility minimal abduction and adduction of both legs.

VAERS ID:314604 (history)  Vaccinated:2007-05-24
Age:  Onset:2007-05-24, Days after vaccination: 0
Gender:Male  Submitted:2008-05-16, Days after onset: 358
Location:Unknown  Entered:2008-05-23, 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: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0705USA05235
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.654754/1333F1SCUN
Administered by: Unknown     Purchased by: Unknown
Symptoms: Injection site urticaria
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow)
Write-up: Information has been received from a registered nurse (RN) concerning a male who was vaccinated with varicella virus vaccine live (Oka/Merck). On 24-May-2007, after the booster dose of varicella virus vaccine live (Oka/Merck), the patient experienced a local injection site reaction described as a large hive at the site of injection (date of first vaccination not reported). The patient was not seen in the physician''s office and has been treated symtomatically by his mother at home (treatment therapy not reported). As of 25-May-2007, the patient was reported to have been recovering. The primary reporter requested a lot check be completed on lot # 654754/1333F. The records of testing prior to release of the lot in question have been rechecked and found to be satisfactory. The lot met the requirements of the Center for Biologics Evaluation and Research and was released by the regulatory agency. This is one of several reports received from the same source. Additional information has been requested.

VAERS ID:317299 (history)  Vaccinated:2007-05-24
Age:57.0  Onset:2007-05-24, Days after vaccination: 0
Gender:Female  Submitted:2008-05-30, Days after onset: 372
Location:Georgia  Entered:2008-06-18, Days after submission: 19
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness:
Preexisting Conditions: Hypersensitivity, Allergic reaction to antibiotics
Diagnostic Lab Data: None
CDC Split Type: WAES0705USA05390
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.1469F0SCRA
Administered by: Private     Purchased by: Private
Symptoms: Diarrhoea, Dysphagia, Nausea, Pharyngolaryngeal pain, Pyrexia
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Information has been received from a registered nurse concerning a 57 year old caucasian female with badrim, vancomycin, ciprofloxacin hydrochloride (CIPRO) and ceffin allergy and no medical history who on 24-MAY-2007 at 9:00 AM was vaccinated SC on right arm with first 0.5 ml dose of measles virus vaccine live (Enders-Edmonston) (+) mumps virus vaccine live (Jeryl Lynn) (+) rubella virus vaccine live (Wistar RA 27/3) (Lot # 655410/1469F). There was no concomitant medication. There was no illness at the time of vaccination. It was reported that on 24-MAY-2007 at 12:00 noon the patient developed fever, diarrhea, nausea and sore throat after vaccination. Unspecified medical attention was sought. No diagnostic laboratory tests were undertaken. On 28-MAY-2007 the patient had recovered. A product quality complaint was not involved. Additional information has been received from the registered nurse who stated that the patient experienced fever, nausea, diarrhea, difficulty in swallowing for 3 days. On 28-MAY-2007 the patient recovered. No additional information is expected.

VAERS ID:317302 (history)  Vaccinated:2007-05-24
Age:4.0  Onset:2007-05-29, Days after vaccination: 5
Gender:Male  Submitted:2008-05-30, Days after onset: 367
Location:California  Entered:2008-06-18, Days after submission: 19
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Cardiac murmur
Preexisting Conditions:
Diagnostic Lab Data: None
CDC Split Type: WAES0706USA00633
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAP: DTAP (DAPTACEL)SANOFI PASTEURAC14B056BA4IMRA
IPV: POLIO VIRUS, INACT. (IPOL)SANOFI PASTEURZ09233IMLA
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0700F1SCLA
Administered by: Private     Purchased by: Private
Symptoms: Erythema, Pruritus, Rash macular, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Information has been received from a registered nurse concerning a 4-year-old male with benign cardiac murmur who on 24-MAY-2007 at 2:00 PM was vaccinated SC in the left tricep with a second dose of measles virus vaccine live (Enders-Edmonston) (+) mumps virus vaccine live (Jeryl Lynn) (+) rubella virus vaccine live (Wistar RA 27/3) (HSA) (Lot # 654544/0700F). There was no illness at the time of vaccination. Concomitant therapy that day at 2:00 PM included a forth dose of poliovirus vaccine inactivated (Vero) (IPOL) (Lot # Z0923) administered IM in the left deltoid, and a fifth dose of Daptacel (Lot # AC14B056BA) administered IM in the right deltoid. On 30-MAY-2007, the patient experienced hives on his back, abdomen, legs, ears, face, and upper arm. The patient did not have a reaction to his first dose. Subsequently, the patient recovered from hives. Follow up information indicated that on 29-MAY-2007 at 4:15 PM, the patient''s mother called to report that the patient had a blotchy, red, macular rash on his torso. The onset was that day. There was no fever. The rash was slightly itchy. Treatment included Benadryl PO. On 30-MAY-2007, the patient visited the doctor and was noted to have patches of red bordered serpiginous lesions on his shoulders, side of left upper arm, and behind the leg. There were a few small papules on his trunk. No target lesions were noted. The patient was diagnosed with mild urticaria with an onset 5 days after injection with measles virus vaccine live (Enders-Edmonston) (+) mumps virus vaccine live (Jeryl Lynn) (+) rubella virus vaccine live (Wistar RA 27/3). The outcome was recovered. There were no relevant diagnostic tests or laboratory data. There were no adverse events following prior vaccinations. No additional information is expected.

VAERS ID:316591 (history)  Vaccinated:2007-05-24
Age:16.0  Onset:2007-05-25, Days after vaccination: 1
Gender:Female  Submitted:2008-06-13, Days after onset: 385
Location:California  Entered:2008-06-19, Days after submission: 6
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data:
CDC Split Type: WAES0805USA01295
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC. 0IMUN
Administered by: Private     Purchased by: Other
Symptoms: Asthenia, Dizziness, Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Guillain-Barre syndrome (broad), Cardiomyopathy (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Hypoglycaemia (broad)
Write-up: Information has been received from a physician concerning a 16 year old female with concomitant medications and pertinent medical history reported as unspecified, who on 24-MAY-2007 was vaccinated with her first dose of GARDASIL vaccine (yeast) (Lot # not reported). On 25-MAY-2007, the patient felt weak, dizzy and fainted, and sought unspecified medical attention. The patient recovered completely a short time later (date unspecified). No product quality complaint was involved. Additional information is not expected.

VAERS ID:324417 (history)  Vaccinated:2007-05-24
Age:  Onset:2007-05-29, Days after vaccination: 5
Gender:Unknown  Submitted:2008-07-30, Days after onset: 428
Location:Florida  Entered:2008-08-06, 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: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0710USA04377
Vaccination
Manufacturer
Lot
Dose
Route
Site
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.0061U UNUN
Administered by: Other     Purchased by: Other
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: Information has been received from a physician and a healthcare professional, concerning a patient (age and gender not specified), who on 14-MAY-2007 was vaccinated with a dose of pneumococcal 23v polysaccharide vaccine (lot #655765/0061U) ("low titer" drawn on 27-APR-2007). On 29-MAY-2007, the patient developed an injection site reaction described as swelling, erythema and tenderness at the site of vaccination. The reaction site measured 7 cm by 5 cm. Treatment included cephalexin (KEFLEX), and the patient recovered from the events (duration not specified). The physician considered the injection site reaction to be serious as other important medical events. Additional information is not expected.

VAERS ID:324667 (history)  Vaccinated:2007-05-24
Age:14.0  Onset:2007-12-31, Days after vaccination: 221
Gender:Female  Submitted:2008-09-09, Days after onset: 252
Location:Pennsylvania  Entered:2008-09-09
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: PLEASE SEE #7
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.1266U1IMUN
Administered by: Private     Purchased by: Private
Symptoms: Alopecia, Arthralgia, Biopsy skin normal, Dizziness, Headache, Laboratory test normal, Menorrhagia
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Anticholinergic syndrome (broad), Vestibular disorders (broad), Arthritis (broad)
Write-up: "HAIR LOSS,AND IRREGULAR MENSES,JOINT PAIN, HEADACHES ETC: Our daughter, who had completed her series of 3 vaccinations of "Gardisil" has been experiencing considerable hair loss. Her first shot was in May 24, 2007, the second on July 26, 2007 and the third and final on November 27, 2007. Here are the other specifics....our daughter was 13 turning fourteen. She has had every blood test imaginable to rule out the obvious which may cause hair loss such as thyroid disease, polycystic ovary disease, diabetes, and the list goes on and on. Everything came back negative. We even have a future appointment scheduled with a rheumatologist this coming November 08. We have seen the Endocrinologist and two dermatologists (a scalp biopsy proved negative to any infection, disease, etc. Granted, she had a typical amount of stress during the school year, as any young teen would, but nothing to cause this. Everyday our daughter says to us, "you should see how much hair fell out in the shower today". She''s so afraid to brush or comb it because of the extreme shedding. She literally, to date has half the amount of hair she had one year ago. Let me tell you she had beautiful hair. The hair loss is becoming quite visible at the forward part of her scalp. This has been devastating, hair is everything to a teen. (to anyone this is devastating) We must also mention that her periods have been totally out of whack. She went 6 months at one point without one. It finally came back, but it is so sporadic, getting every two weeks, at times extremely heavy, etc... She also complains of intermitent dizziness.

VAERS ID:326997 (history)  Vaccinated:2007-05-24
Age:1.5  Onset:2008-09-27, Days after vaccination: 492
Gender:Female  Submitted:2008-10-03, Days after onset: 6
Location:West Virginia  Entered:2008-10-03
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: N/A
Current Illness: None
Preexisting Conditions: History URI''s, otitis media, seasonal allergies
Diagnostic Lab Data: Varicella titer negative
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.0911F0UN 
Administered by: Unknown     Purchased by: Unknown
Symptoms: Herpes zoster, Varicella zoster serology negative
SMQs:
Write-up: Toddler with development of herpes zoster. Previously vaccinated for Varicella. No history chicken pox. Varicella titer negative for immunity.

VAERS ID:327800 (history)  Vaccinated:2007-05-24
Age:61.0  Onset:0000-00-00
Gender:Female  Submitted:2008-09-24
Location:Michigan  Entered:2008-10-08, Days after submission: 14
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: TENORMIN; ESTRACE; ALLEGRA
Current Illness: Penicillin allergy; Allergic reaction to antibiotics
Preexisting Conditions:
Diagnostic Lab Data: biopsy - Hives
CDC Split Type: WAES0807USA00002
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARZOS: ZOSTER (ZOSTAVAX)MERCK & CO. INC.0618U SCUN
Administered by: Private     Purchased by: Other
Symptoms: Biopsy skin, Pruritus generalised, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Information has been received from a physician and a 62 year old female patient with penicillin and erythromycin allergy who on 24-MAY-2007, was vaccinated with a dose of ZOSTAVAX (lot # 657675/0618U), subcutaneous in her left arm. Concomitant therapy included TENORMIN, ALLEGRA and ESTRACE. The patient reported experiencing itchiness all over her body 5 months after receiving ZOSTAVAX, in October 2007; also reported by the physician in February 2008. A rash sometimes accompanied the itchiness and on unspecified date, after biopsy was done, it was diagnosed as hives. The physician reported that he thought they were not related to ZOSTAVAX. At the time of the report the patient has not recovered from hives but the physician reported that rash and itching were under control. The patient sought medical attention by her physician and dermatologist. This is one of two reports provided by the same source. No further information is available.

VAERS ID:340329 (history)  Vaccinated:2007-05-24
Age:14.0  Onset:2008-10-01, Days after vaccination: 496
Gender:Female  Submitted:2009-02-13, Days after onset: 135
Location:Unknown  Entered:2009-02-18, Days after submission: 5
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Unknown PMH: reflux.
Diagnostic Lab Data: head computed axial, negative; diagnostic laboratory, metabolic panel, negative; complete blood cell, negative; Lyme disease assay, negative; Epstein-Barr virus, negative LABS: rapid strep (-). CT head, CXR WNL. ANA 9(H). CBC & CMP WNL. Lyme, EBV neg.
CDC Split Type: WAES0901USA03986
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.1447F2IMLA
Administered by: Other     Purchased by: Other
Symptoms: Abdominal pain upper, Antibody test negative, Antinuclear antibody increased, Arthralgia, Borrelia burgdorferi serology negative, Bronchitis, Chest X-ray normal, Chest pain, Computerised tomogram normal, Cough, Dizziness, Dyspnoea, Epstein-Barr virus antibody negative, Fall, Fatigue, Full blood count normal, Headache, Influenza like illness, Metabolic function test normal, Middle ear effusion, Muscular weakness, Myalgia, Nausea, Oropharyngeal pain, Pain in extremity, Pyrexia, Streptococcus identification test negative, Tendonitis
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Acute pancreatitis (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (narrow), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Accidents and injuries (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Hearing impairment (narrow), Vestibular disorders (broad), Arthritis (broad), Tendinopathies and ligament disorders (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Information has been received from a nurse practitioner concerning a 15 year old female patient who in November 2006, was vaccinated with GARDASIL IM for her first dose. The patient experienced flu like reactions after the first dose such as headache, fever, nausea and dizziness. The patient received the second dose of GARDASIL IM on 09-JAN-2007 and experienced sore arm (unspecified which arm). The patient received the third dose of GARDASIL IM on 24-MAY-2007. The patient was having unusual joint pain (all over but mostly in the knees), excessive fatigue, moments of shortness of breath, lots of muscle weakness, period of stomach aches, dizziness (may have been related to fluid in the ears), and chest pain on exercising. It was unspecified the time period all these symptoms occurred. The patient remembered having stomach problems but not sure as to the timing of the onset of the problem in relation to the third dose. The patient was last seen in the office on 22-JAN-2009 and was not doing any better. The patient had also sought medical attention by phone calls and office visits. Additional information has been requested. 3/6/09 Received PCP medical records of 4/12/2008-1/27/2009. FINAL DX: polyarthralgia Records reveal patient experienced feeling feverish, sore throat, fall from horse w/o LOC or injury then developed frontal HAs, LUQ pain after meals, fatigue. RTC 10/08 w/left hip pain, dx w/greater trochanter tendinitis w/early ileatal band syndrome. RTC 12/08 w/dry nonproductive cough x 2 wks, dx bronchitis & tx w/oral antibiotics. RTC 1/09 w/recurrent cough, difficulty breathing, fatigue, muscle aches, HA & dizziness. Dx w/recurrent bronchitis. RTC 1/14 w/persisting HA, resolved dizziness & persistent muscle/joint aching. RTC 1/27/09 & reports having flu-like s/s after initial HPV vaccine. Referred to Neuro when CT head neg but no record available.

VAERS ID:381491 (history)  Vaccinated:2007-05-24
Age:73.0  Onset:2009-09-15, Days after vaccination: 845
Gender:Female  Submitted:2010-02-27, Days after onset: 165
Location:Illinois  Entered:2010-02-27
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: No
Preexisting Conditions: Arthritis
Diagnostic Lab Data: Given medication to put on pox.
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME)UNKNOWN MANUFACTURER 1IJLA
Administered by: Unknown     Purchased by: Private
Symptoms: Herpes zoster, Neuralgia, Pruritus
SMQs:, Anaphylactic reaction (broad), Peripheral neuropathy (narrow), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Had pox, 8-9, nerves on top of back hurt and then itched. Looked like chicken pox, went to Doctor and she confirmed it was Shingles.

VAERS ID:400637 (history)  Vaccinated:2007-05-24
Age:18.0  Onset:2008-05-23, Days after vaccination: 365
Gender:Female  Submitted:2010-08-04, Days after onset: 803
Location:Pennsylvania  Entered:2010-09-08, 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:
Preexisting Conditions: None
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0910USA00342
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC. 2IMUN
Administered by: Other     Purchased by: Other
Symptoms: Blood glucose increased, Type 2 diabetes mellitus
SMQs:, Hyperglycaemia/new onset diabetes mellitus (narrow)
Write-up: Information has been received from a physician concerning a 21 year old female patient with no pertinent medical history reported who on 20-NOV-2006, 29-JAN-2007 and on 24-MAY-2007 was vaccinated with the first, second and third 0.5 mL doses of GARDASIL intramuscularly, respectively. It was reported that on 23-MAY-2008 the patient was diagnosed with type 2 diabetes (with increased glucose levels). The patient sought medical attention with an office visit. It was reported that the patient was originally started on metformin (manufacturer unspecified). It was reported that the patient was on insulin pump. The patient had not recovered at the time of the report. Additional information has been requested.

VAERS ID:408749 (history)  Vaccinated:2007-05-24
Age:23.0  Onset:2007-06-01, Days after vaccination: 8
Gender:Female  Submitted:2010-11-08, Days after onset: 1256
Location:Pennsylvania  Entered:2010-11-15, 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:
Preexisting Conditions:
Diagnostic Lab Data: Many tests performed without results of concern
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.0389U0IMUN
Administered by: Private     Purchased by: Unknown
Symptoms: Acne, Asthenia, Bone disorder, Burning sensation, Chest pain, Confusional state, Constipation, Decreased appetite, Diarrhoea, Dizziness, Dysphemia, Fatigue, Feeling abnormal, Feeling hot, Fibromyalgia, Headache, Hunger, Hyperacusis, Hyperaesthesia, Hyperhidrosis, Hypoaesthesia, Increased tendency to bruise, Influenza like illness, Laboratory test, Lyme disease, Movement disorder, Muscular weakness, Nausea, Night sweats, Oedema peripheral, Oral herpes, Pain, Pain in extremity, Paraesthesia, Photophobia, Sleep disorder, Speech disorder, Swelling face, Tremor, Vomiting
SMQs:, Rhabdomyolysis/myopathy (broad), Cardiac failure (broad), Anaphylactic reaction (broad), Acute pancreatitis (broad), Angioedema (narrow), Peripheral neuropathy (broad), Haemorrhage terms (excl laboratory terms) (narrow), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Pseudomembranous colitis (broad), Akathisia (broad), Dyskinesia (broad), Dystonia (broad), Parkinson-like events (broad), Oropharyngeal infections (narrow), Psychosis and psychotic disorders (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Glaucoma (broad), Cardiomyopathy (broad), Corneal disorders (broad), Retinal disorders (broad), Hearing impairment (narrow), Vestibular disorders (broad), Hypersensitivity (narrow), Noninfectious diarrhoea (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)
Write-up: First week June 2007-Fourth week July 2007: Achy body, mostly in thighs; Very tired; Feeling weak; Foggy thought process, confused; Fever feeling (burning on forehead, back of neck and behind the eyes). Diagnosis: Lyme disease (never a positive test). Last week in May 2008-Third week of August: Diarrhea for the first two days before I got other symptoms; Achy body (mostly in the thighs); Fever feeling (burning on forehead, back of neck and behind the eyes); Fatigue; Chest pains (sharp and random spells. Feelings in the upper chest area, under breasts, all of the way to the back); Bones cracking a lot; Loss of appetite (easily full and chest would hurt if I ate too much); Sensitive skin. Diagnosis: Fibromyalgia. March 29th 2009-Last week in July 2009: Diarrhea for the four days before I got other symptoms; Achy body all over; Fever feeling worse than the years previous (burning on forehead, back of neck and behind the eyes); Fatigue; Chest pains (sharp and random feelings in the upper chest area, under breasts); Bones cracking a lot; Loss of appetite (easily full and chest would hurt if I ate too much); Sensitive skin especially under arms. Diagnosis: Fibromyalgia. January 1st to Current (Seemed to get worse first week of May): Flu like feeling all over body-especially intense in legs (thighs and calves); Sore feeling all over body (like after working out)- especially intense in legs (thighs and calves); Shooting/sharp pain in legs (knees, thighs, calves, behind the legs); Constipation and diarrhea; Fever felling all over body (Never have a fever but I feel hot all over body, especially on forehead, back of neck and behind eyes); Headache- behind the eyes and on the side of the head; Loss of appetite and then very hungry feeling; Nausea and vomiting; Fatigue; Bouts of extreme exhaustion to the point of feeling like passing out; Bouts of extreme exhaustion after eating, feeling worse after eating (eating anything, in any amount); Chest pains- sharp pains in chest, under breast all the way to the back; Sharp pains in arms, under arm pits; Achy body all over; Sensitive skin-especially on arms and legs; Pain on butt tissue; Bruise easy-not sure if this has anything to do with Fibro; Very sensitive to noise-does not hurt ears but I feel sharp pain in arms, legs, chest when a loud noise occurs; Mildly sensitive to a quick burst of light; Shaking and feeling swollen in fingers/face and knees; Stuttering when speaking, having a hard time getting out what I want to say; Breaking out of face cold sores or pimples; Bones cracking a lot; Arms, fingers and toes feeling numb and tingly; Not sleeping during the night-waking up because of extreme sweating to the point where I wake up soaking wet from head to toes, waking up because of sharp pains in legs and achy feeling all over body; Weakness in legs and arms, takes so much effort to move and speak. Diagnosis: Fibromyalgia.

VAERS ID:464409 (history)  Vaccinated:2007-05-24
Age:0.2  Onset:2007-05-25, Days after vaccination: 1
Gender:Male  Submitted:2012-09-08, Days after onset: 1933
Location:California  Entered:2012-09-08
Life Threatening? Yes
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX)GLAXOSMITHKLINE BIOLOGICALSAC2131012IMRL
HIBV: HIB (PEDVAXHIB)MERCK & CO. INC.0073U1IMRL
PNC: PNEUMO (PREVNAR)PFIZER/WYETH805666D2IMLL
RV5: ROTAVIRUS (ROTATEQ)MERCK & CO. INC.0779F2PO 
Administered by: Public     Purchased by: Public
Symptoms: Diarrhoea, Intestinal obstruction, Lymphadenopathy, Pyrexia, Rash, Vomiting
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Gastrointestinal obstruction (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypersensitivity (narrow), Noninfectious diarrhoea (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (narrow)
Write-up: FEVER, SWOLLEN GLANDS, RASH, DIARRHEA, VOMITING, BLOCKAGE IN INTESTINES.

VAERS ID:280079 (history)  Vaccinated:2007-05-24
Age:7.0  Onset:2007-05-25, Days after vaccination: 1
Gender:Male  Submitted:2007-05-30, Days after onset: 5
Location:Foreign  Entered:2007-05-31, Days after submission: 1
Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: UNK
Diagnostic Lab Data: None Provided.
CDC Split Type: SEWYE738928MAY07
Vaccination
Manufacturer
Lot
Dose
Route
Site
PNC: PNEUMO (PREVNAR)PFIZER/WYETH  UNUN
Administered by: Unknown     Purchased by: Unknown
Symptoms: Gait disturbance, Inappropriate schedule of drug administration, Myalgia, Pain in extremity
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad), Medication errors (narrow), Hypoglycaemia (broad)
Write-up: Information regarding Prevnar was received from a consumer regarding a 7-year-old male patient who experienced difficulty in walking, sore feet and tender muscles. The patient received a dose on 24-May-2007. The patient experienced difficulty in walking, sore feet and tender muscles on 25-May-2007, one day after injection of Prevnar vaccine. According to the mother, whenever the boy tries to put his foot on the ground, he immediately pulls it up again. The patients younger brother, who was vaccinated on the same day, also had difficulty in walking. (See related case). See related case (s): SEWYE730928MAY07 (adverse event, non-expedited). No additional information was available at the time of the report.

VAERS ID:280080 (history)  Vaccinated:2007-05-24
Age:1.0  Onset:2007-05-24, Days after vaccination: 0
Gender:Male  Submitted:2007-05-30, Days after onset: 6
Location:Foreign  Entered:2007-05-31, Days after submission: 1
Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: UNK
Diagnostic Lab Data: None Provided.
CDC Split Type: SEWYE739028MAY07
Vaccination
Manufacturer
Lot
Dose
Route
Site
PNC: PNEUMO (PREVNAR)PFIZER/WYETH  UNUN
Administered by: Unknown     Purchased by: Unknown
Symptoms: Gait disturbance, Pain, Pyrexia
SMQs:, Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)
Write-up: Information regarding Prevnar was received from a consumer regarding a 1-year-old male patient who experienced fever and difficulty in walking. The patient received a dose on 24-May-2007. The patient experienced fever on 24-May-2007 after receiving his first dose of Prevnar. He was treated with Alvedon, but it is unknown if he has recovered. The day after the vaccination, on the 25-May-2007, the child experienced difficulty in walking. According to the mother, the 1 year and 9 months old child stopped walking. and could only crawl, as if in pain. The patients older brother, 7 years old, who received vaccination on the same day, also experienced difficulty in walking (see related case). See related case (s): SEWYE738928MAY07 (adverse event). No additional information was available at the time if this report.

VAERS ID:281540 (history)  Vaccinated:2007-05-24
Age:0.2  Onset:2007-05-24, Days after vaccination: 0
Gender:Male  Submitted:2007-06-12, Days after onset: 19
Location:Foreign  Entered:2007-06-13, Days after submission: 1
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: None Provided.
CDC Split Type: GBWYE819208JUN07
Vaccination
Manufacturer
Lot
Dose
Route
Site
PNC: PNEUMO (PREVNAR)PFIZER/WYETH209590IMUN
Administered by: Unknown     Purchased by: Unknown
Symptoms: Diet refusal, Listless, Rash
SMQs:, Anaphylactic reaction (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Depression (excl suicide and self injury) (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)
Write-up: This case was considered medically important. Information regarding Prevnar was received from a healthcare professional via RA (reference number 20129652) regarding a 9-week-old male patient who experienced a rash, was off feeds and was listless. The patient received a dose on 24-May-2007. The patient experienced a rash, was off feeds and was listless on 24-May-2007. At the time of report the patient had not recovered from the events. No further information was provided.

VAERS ID:284192 (history)  Vaccinated:2007-05-24
Age:17.0  Onset:2007-05-24, Days after vaccination: 0
Gender:Female  Submitted:2007-07-09, Days after onset: 46
Location:Foreign  Entered:2007-07-10, Days after submission: 1
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 0 days
    Extended hospital stay? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0707AUS00033
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.0138U   
Administered by: Unknown     Purchased by: Unknown
Symptoms: Anaphylactic reaction, Cyanosis, Dyspnoea, Erythema, Livedo reticularis, Nausea, Pharyngeal oedema, Swollen tongue
SMQs:, Anaphylactic reaction (narrow), Acute pancreatitis (broad), Angioedema (narrow), Anaphylactic/anaphylactoid shock conditions (narrow), Oropharyngeal allergic conditions (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Information has been received from the Department of Health as part of a business agreement with follow-up information on request by the Company received via a Public Case Detail form. As part of the regular school-based immunisation program funded by the government, on 24-MAY-2007 a 17 year old female was vaccinated with Gardasil (Lot No. 655742/0138U, Batch No. J0799, Expiry date 07-AUG-2009). On 24-MAY-2007 the patient experienced anaphylactic reaction, dyspnoea, cyanosis, nausea, pharyngeal oedema and swollen tongue and was hospitalized. It was stated that the patient developed red, mottled face to waist. The patient was nauseated and cyanosed, and experienced difficulty in breathing. The patient''s throat and tongue restricted. However, no stridor cough was developed. The patient was given adrenaline 0.5 ml with no improvement. Further adrenaline 0.5 ml was given 5 minutes later and the patient''s symptoms improved. On 24-MAY-2007 the patient recovered from anaphylactic reaction, dyspnoea, cyanosis, nausea, pharyngeal oedema and swollen tongue. The agency considered that anaphylactic reaction, dyspnoea, cyanosis, nausea, pharyngeal oedema and swollen tongue were probably related to therapy with Gardasil. The original reporting source was not provided. Additional information is not expected.

VAERS ID:287896 (history)  Vaccinated:2007-05-24
Age:0.4  Onset:2007-05-24, Days after vaccination: 0
Gender:Female  Submitted:2007-08-10, Days after onset: 78
Location:Foreign  Entered:2007-08-13, Days after submission: 3
Life Threatening? Yes
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: UNK
Diagnostic Lab Data: Computerised tomogram without pathological findings, Lumbar puncture normal without pathological findings, Ultrasound scan except of vague sonographic increase of denseness of right kidney no pathological findings, Virus serology test without pathological findings
CDC Split Type: DEWYE762531MAY07
Vaccination
Manufacturer
Lot
Dose
Route
Site
6VAX-F: DTAP+IPV+HEPB+HIB (FOREIGN)GLAXOSMITHKLINE BIOLOGICALSA21CA267C IMUN
PNC: PNEUMO (PREVNAR)PFIZER/WYETH254712IMRL
Administered by: Unknown     Purchased by: Unknown
Symptoms: Computerised tomogram normal, Cyanosis, Grand mal convulsion, Lumbar puncture normal, Pyrexia, Ultrasound scan normal, Virus serology test negative
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Convulsions (narrow), Acute central respiratory depression (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)
Write-up: Additional information provided patient''s demographics, one more event, treatment of events and causality assessment. Information regarding Prevenar was received from a healthcare professional and from a regulatory authority regarding a 4-month-old female patient who experienced generalised tonic-clonic seizure for 20 minutes, cyanosis and fever up to 38 C. The patient received the third dose on 24-May-2007. The patient experienced generalised tonic-clonic seizure for 20 minutes, cyanosis and fever up to 38 C at 7:15 pm on 24-May-2007. The symptoms seizure and cyanosis were classified as life threatening and the patient was seen by the Intensive Care Unit for 24 hours. The patient was treated with artificial respiration for 15 minutes. An intravenous aditus was set. She received diazepam and intravenous antibiotic treatment (not further specified). A sonogram was performed and showed no pathological findings except of vague sonographic increase of denseness of right kidney. Furthermore cranial computerised tomogram, lumbar puncture and virus serology test were done as well without pathological findings. Encephalitis and head trauma could be excluded. In the following weeks the patient experienced again three seizures without being vaccinated. The patient recovered completely. The healthcare professional''s assessment of relatedness between the adverse events and Prevenar and Infanrix Hexa was possibly related. The following tests were done on an unspecified date: computerized tomogram normal (results: without pathological findings); lumbar puncture normal (results: without pathological findings); virus serology test (results: without pathological findings); and ultrasound scan (results: except of vague sonographic increase of denseness of right kidney no pathological findings). It has been determined that DEWYE858415JUN07 is a duplicate report of DEWYE762531MAY07. Therefore, the reports are being consolidated into DEWYE762531MAY07, which will remain the official case of record. This case is being treated according to the Protection against Infection Act.

VAERS ID:305543 (history)  Vaccinated:2007-05-24
Age:16.0  Onset:2007-05-24, Days after vaccination: 0
Gender:Female  Submitted:2008-02-22, Days after onset: 274
Location:Foreign  Entered:2008-02-25, 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: Unknown
Current Illness:
Preexisting Conditions: None
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0802USA04335
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC. 1UNUN
Administered by: Unknown     Purchased by: Unknown
Symptoms: Hypoaesthesia, Monoparesis
SMQs:, Peripheral neuropathy (broad), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Guillain-Barre syndrome (broad), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (broad)
Write-up: Information has been received from a health authority (27207) concerning a 16 year old female with no medical history, who on 24-MAY-2007 was vaccinated with a first dose of Gardasil. In the night of 24-MAY-2007 the patient experienced hypoaesthesia and monoparesis in both legs. After some hours the symptoms abated completely. The patient recovered without any treatment. On 18-SEP-2007 the patient was vaccinated with a third dose of Gardasil. Some hours after the vaccination the female developed hypoaesthesia in both arms and legs, without any motorial interference. After some hours the patient completely recovered without treatment. At the time of the vaccinations the female was a healthy person. The health authority considered the hypoaesthesia and monoparesis to be other important medical events. Other business partner numbers included: E2008-01211 and E2008-01210. Additional information is not expected. The case is closed.

VAERS ID:279914 (history)  Vaccinated:2007-05-25
Age:11.0  Onset:2007-05-25, Days after vaccination: 0
Gender:Female  Submitted:2007-05-29, Days after onset: 4
Location:California  Entered:2007-05-29
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness: 3:10PM
Preexisting Conditions: none
Diagnostic Lab Data: none done
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEPA: HEP A (VAQTA)MERCK & CO. INC.12800SCRA
HPV4: HPV (GARDASIL)MERCK & CO. INC.018100SCLA
Administered by: Private     Purchased by: Private
Symptoms: Dizziness, Injection site pain, Nausea, Vision blurred
SMQs:, Acute pancreatitis (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Glaucoma (broad), Lens disorders (broad), Retinal disorders (broad), Vestibular disorders (broad), Hypoglycaemia (broad)
Write-up: Patient had blurry vision and dizziness initially. Patient''s BP was stable throughout. Patient continued wtih dizziness and also developed nausea, nausea, and pain at the shot site for 3-4 hours after shot given. Patient reported no symptoms after that time.

VAERS ID:279917 (history)  Vaccinated:2007-05-25
Age:17.0  Onset:2007-05-25, Days after vaccination: 0
Gender:Female  Submitted:2007-05-29, Days after onset: 4
Location:Minnesota  Entered:2007-05-29
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Depo Provera (given 5/7/07)
Current Illness: no
Preexisting Conditions: LSIL PAP on 11-15-06.
Diagnostic Lab Data: none
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.0181U0IMLA
Administered by: Private     Purchased by: Public
Symptoms: Rash, Rash pruritic
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Patient received Gardasil dose #1 Friday(5/25/07) and developed pinpoint, intensely pruritic rash on thighs to knees. Did not extend up onto trunk, did not extend below knees. Presented to clinic this afternoon (first day open after holiday) with concern.

VAERS ID:279924 (history)  Vaccinated:2007-05-25
Age:18.0  Onset:2007-05-25, Days after vaccination: 0
Gender:Female  Submitted:2007-05-29, Days after onset: 4
Location:Massachusetts  Entered:2007-05-29
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:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA)SANOFI PASTEURU22224AA0IMLA
Administered by: Public     Purchased by: Public
Symptoms: Rash papular
SMQs:, Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Papular rash on right hip, thorax and L inner arm since Friday (4 days) Claritin or OTC antihistamine PRN recheck if not better in one week

VAERS ID:280085 (history)  Vaccinated:2007-05-25
Age:12.0  Onset:2007-05-27, Days after vaccination: 2
Gender:Female  Submitted:2007-05-30, Days after onset: 3
Location:California  Entered:2007-05-31, Days after submission: 1
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: none
Preexisting Conditions: Asthma
Diagnostic Lab Data: none
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEPA: HEP A (HAVRIX)GLAXOSMITHKLINE BIOLOGICALSAHAVB129AA1IMLA
HPV4: HPV (GARDASIL)MERCK & CO. INC.ME0181U0IMRA
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA)SANOFI PASTEURU2183AA0IMRA
TDAP: TDAP (ADACEL)SANOFI PASTEURC2720AA0IMLA
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.0337U1SCLA
Administered by: Public     Purchased by: Public
Symptoms: Pyrexia, Rash, Varicella
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Outbreak of Varicella illness-rash, low grade fever.

VAERS ID:283251 (history)  Vaccinated:2007-05-25
Age:  Onset:2007-05-25, Days after vaccination: 0
Gender:Female  Submitted:2007-06-14, Days after onset: 20
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: LIPITOR, ALTACE
Current Illness: Thyroid nodule; Hypertension
Preexisting Conditions:
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0705USA05662
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARZOS: ZOSTER (ZOSTAVAX)MERCK & CO. INC.0329U1SCUN
Administered by: Other     Purchased by: Other
Symptoms: Burning sensation, Headache, Incorrect dose administered
SMQs:, Peripheral neuropathy (broad), Medication errors (narrow)
Write-up: Information has been received from a physician concerning a female (age unknown) with thyroid nodule and hypertension who on 24-MAY-2007 was vaccinated with a first dose of Zostavax (lot#652966/0623F) and on 25-May-2007 was vaccinated with another dose of Zostavax (lot#656861/0329U). Concomitant therapy included LIPITOR and ALTACE. The patient was seen by the physician on 24-May-2007 and was given the first injection of Zostavax. The physician wrote in the chart that the patient had received the injection, but the computerized office system was not updated. The patient then was told by a medical assistant to fill the prescription for Zostavax and returned to the office for injection. The patient completed this on 25-May-2007 and received a second injection on 25-May-2007. On approximately 25-MAY-2007 the patient experienced a headache described as "a burning in the head". The nurse mentioned that the patient was seen in the office on 29-May-2007 for a complaint of headache and "a burning in the head" that resolved in 24 hours. The date the headache began was unknown, but it resolved by the time the patient saw the physician on 29-May-2007. The physicians exam was unremarkable and no abnormal findings were noted. Additional information has been requested.

VAERS ID:284513 (history)  Vaccinated:2007-05-25
Age:17.0  Onset:2007-05-25, Days after vaccination: 0
Gender:Female  Submitted:2007-06-14, Days after onset: 20
Location:Massachusetts  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:
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0705USA05439
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.0387U1IMLA
Administered by: Private     Purchased by: Private
Symptoms: Injection site induration, Injection site mass, Injection site pain, Oedema peripheral, Pain, Rash, Similar reaction on previous exposure to drug
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Information has been received from a health professional concerning her 17 year old daughter who on 25-MAY-2007 was vaccinated IM in deltoid with a second dose of Gardasil. On 25-MAY-2007 the patient experienced pain next to the injection site after vaccination and her arm started to swell. Two days later bumps appeared on the same arm. She was given over the counter ibuprofen (Motrin) for pain. The reporter reported that patient experienced mild pain at the injection site after getting her first dose of Gardasil. The patient has not recovered. Additional information has been requested. 10/08/07 This is in follow-up to report(s) previously submitted on 6/14/2007. Initial and follow up information has been received from a health professional concerning her 17 year old daughter who on 25-MAY-2007 at 03:30 PM was vaccinated IM in left deltoid with a second dose of GARDASIL lot #657621/0387U. On 25-MAY-2007 the patient experienced pain next to the injection site after vaccination and her arm started to swell. Two days later bumps appeared on the same arm. She was given over the counter MOTRIN for pain. The reporter reported that patient experienced mild pain at the injection site after getting her first dose of GARDASIL. In follow up information it was reported that on 25-MAY-2007, at 06:30 PM patient had "hard painful lump adjacent to injection site with multiple raised smaller non painful bumps down and around the same arm". It was reported that on 01-JUN-2007 patient recovered. Additional information is not expected.

VAERS ID:294334 (history)  Vaccinated:2007-05-25
Age:  Onset:2007-05-25, Days after vaccination: 0
Gender:Female  Submitted:2007-09-24, Days after onset: 122
Location:Missouri  Entered:2007-09-27, 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: Unknown
CDC Split Type: WAES0706USA03463
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARZOS: ZOSTER (ZOSTAVAX)MERCK & CO. INC.  UNUN
Administered by: Other     Purchased by: Other
Symptoms: Erythema, Injection site induration
SMQs:, Anaphylactic reaction (broad), Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Information has been received from a physician concerning a female who on 25-MAY-2007 was vaccinated with a single dose of Zostavax (Oka/Merck). It was reported that on 25-MAY-2007 the patient developed redness on her arm and hardness at the injection site. On 27-MAY-2007 the patient recovered. Unspecified medical attention was sought. A product quality complaint was not involved. Additional information has been requested.

VAERS ID:321033 (history)  Vaccinated:2007-05-25
Age:43.0  Onset:2008-05-15, Days after vaccination: 356
Gender:Female  Submitted:2008-07-31, Days after onset: 77
Location:Kentucky  Entered:2008-08-01, 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: VALTREX
Current Illness: Hypothyroidism; Lipids abnormal
Preexisting Conditions: Shingles
Diagnostic Lab Data: Body temperature, 05/??/08, 99.2 F
CDC Split Type: WAES0806USA00651
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARZOS: ZOSTER (ZOSTAVAX)MERCK & CO. INC. 0SCLA
Administered by: Private     Purchased by: Private
Symptoms: Body temperature increased, Chills, Herpes zoster, Inappropriate schedule of drug administration, Myalgia, Pain
SMQs:, Rhabdomyolysis/myopathy (broad), Neuroleptic malignant syndrome (broad), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad), Medication errors (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Information has been received from a physician concerning a 44 year old white female, weight 209lb, height 54 inches, with hypothyroidism and lipid disorder and no known drug allergies and a history of chicken pox in childhood and chronic recurring bouts of shingles who on the morning of 25-MAY-2007 was vaccinated with the first dose of ZOSTAVAX subcutaneously in the left arm. Concomitant therapy included VALTREX. In February, 2008, therapy with VALTREX stopped. (Also reported VALTREX used through 31-AUG-2007). On 15-May-2008, the patient developed shingles on her back and trunk, chills and myalgia. The patient rated her pain a 7 on a scale of 0 (least) to 10 (most). The shingles lasted for 7 days. The maximum temperature was 99.2F. The patient restarted VALTREX. Subsequently the patient recovered. The patient sought unspecified medical attention. The reporting physician considered the recurrent shingles to be an other important medical event. Additional information has been requested.

VAERS ID:461118 (history)  Vaccinated:2007-05-25
Age:12.0  Onset:2012-07-23, Days after vaccination: 1886
Gender:Male  Submitted:2012-08-06, Days after onset: 14
Location:Michigan  Entered:2012-08-06
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.0446U1UNUN
Administered by: Private     Purchased by: Unknown
Symptoms: Herpes zoster
SMQs:
Write-up: Pt received 2 Varicella Vaccines years ago: 5-14-99 and 5-25-07. Today 8-6-2012 he came to my office and has shingles. No history of chicken pox disease.

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