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Found 471247 cases where Symptom is Immune system disorder or Immunodeficiency or Immunoglobulins decreased or Lymphadenopathy

Case Details (Sorted by Age)

This is page 304 out of 472

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VAERS ID:326774 (history)  Vaccinated:0000-00-00
Age:25.0  Onset:0000-00-00
Gender:Female  Submitted:2008-09-15
Location:Unknown  Entered:2008-09-17, 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: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0808USA01207
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC. 0UNUN
Administered by: Other     Purchased by: Other
Symptoms: Injection site pain, Injection site pruritus
SMQs:, Extravasation events (injections, infusions and implants) (broad)
Write-up: Information has been received from a 25 year old female medical assistant who on an unknown date, was vaccinated with the first dose of GARDASIL vaccine (yeast). On unreported date, the patient was vaccinated with the second dose of GARDASIL vaccine (yeast). The medical assistant reported that after the first dose she felt a little bit of pain at the injection site, and after 3 days it was itchy. She also, reported that she didn''t have a reaction to the second dose. At the time of the report the patient had recovered. Additional information has been requested.

VAERS ID:326795 (history)  Vaccinated:2008-07-29
Age:25.0  Onset:2008-07-29, Days after vaccination: 0
Gender:Female  Submitted:2008-09-15, Days after onset: 48
Location:North Dakota  Entered:2008-09-17, 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: None
Diagnostic Lab Data: physical examination - 07/29/08 - results not reported; electrocaridogram, normal; complete blood cell, normal
CDC 'Split Type': WAES0808USA00942
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.0250X1IMLA
Administered by: Public     Purchased by: Other
Symptoms: Contusion, Electrocardiogram normal, Full blood count normal, Immediate post-injection reaction, Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Haemorrhage terms (excl laboratory terms) (narrow), Arrhythmia related investigations, signs and symptoms (broad), Accidents and injuries (narrow), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Hypersensitivity (narrow)
Write-up: Information has been received from a health professional concerning a 25 year old white female teacher with no allergies or medical conditions, who on 29-JUL-2008 at 11:30 am was at the doctors office for an annual exam and was vaccinated intramuscularly into left arm with a second dose of GARDASIL vaccine (yeast) (lot # 0250X). On 29-JUL-2008, approximately 5 minutes after immunization (approximately 11:35 am) the patient experienced fainting and had a head contusion. She was transported to the Emergency department and was released in stable condition. The electrocaridogram and complete blood cell count were performed with normal results. The patient had no illness at the time of vaccination. The patient was feeling better and recovered on 10-JUL-2008. Additional information is not expected.

VAERS ID:326798 (history)  Vaccinated:2008-02-01
Age:25.0  Onset:2008-02-01, Days after vaccination: 0
Gender:Female  Submitted:2008-09-15, Days after onset: 226
Location:Unknown  Entered:2008-09-17, Days after submission: 2
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0808USA00951
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC. 1IMLA
Administered by: Other     Purchased by: Other
Symptoms: Brachial plexus injury, Drug administered at inappropriate site, Hypoaesthesia, Hypoaesthesia facial, Immediate post-injection reaction, Neuralgic amyotrophy, Nuclear magnetic resonance imaging, Pain in extremity
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Accidents and injuries (narrow), Hypersensitivity (narrow)
Write-up: Information has been received from a physician concerning his daughter, a 25 year old female who in February 2008, was vaccinated in the left arm with the second dose of GARDASIL vaccine (yeast). Immediately after the vaccination, the patient experienced pain and numbness in the left hand and numbness on the left side of the face that never went away. The physician reported that the vaccination was not administered in the deltoid but was administered in the biceps and triceps area in the patient''s left arm. The patient was referred to neurologists and was diagnosed with brachial plexus and Parsonage E28093 Turner syndrome. Numerous magnetic resonance imaging (MRI) studies and other unspecified tests were performed but no results were provided. The patient''s symptoms persisted. Additional information has been requested.

VAERS ID:326930 (history)  Vaccinated:0000-00-00
Age:25.0  Onset:0000-00-00
Gender:Female  Submitted:2008-09-15
Location:Unknown  Entered:2008-09-17, 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: DEPO-PROVERA
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0808USA02182
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC. 2UNUN
Administered by: Other     Purchased by: Other
Symptoms: Arthralgia, Hypoaesthesia, Musculoskeletal pain
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Arthritis (broad)
Write-up: Information has been received form an healthcare worker (also reported as an office administrator) concerning a 25 year old female patient who in May 2008, was vaccinated with the third dose of GARDASIL. Concomitant therapy included DEPO-PROVERA. On a date reported, the patient was seen by an orthopedic surgeon for pain at the shoulders and knees and numbness in ankles and feet. The orthopedic surgeon was unable to find the cause and referred the patient to another orthopedic surgeon. As of 12-AUG-2008 the patient''s symptoms persisted. Additional information has been requested.

VAERS ID:326931 (history)  Vaccinated:2008-05-01
Age:25.0  Onset:2008-05-01, Days after vaccination: 0
Gender:Female  Submitted:2008-09-15, Days after onset: 137
Location:California  Entered:2008-09-17, 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: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0808USA02357
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.0073X0IMLA
Administered by: Private     Purchased by: Private
Symptoms: Immediate post-injection reaction, Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Hypersensitivity (narrow)
Write-up: Information has been received from a licensed vocational nurse concerning a 25 year old white female who on 01-MAY-2008, at 11:30 AM, was vaccinated with a first dose of GARDASIL (Lot # 654272/0073X), intramuscularly into the first deltoid. It was reported that on 01-MAY-2008 (reported as 11:30 AM), patient had not eaten and within minutes, she a fainting episode. Patient was given juice and cookies and responded favorably. The patient recovered. Subsequent injection, on 01-JUL-2008 went without problems. It was not specified if there was illness at the time of vaccination. No further information is available.

VAERS ID:327086 (history)  Vaccinated:2008-01-10
Age:25.0  Onset:2008-04-01, Days after vaccination: 82
Gender:Female  Submitted:2008-09-15, Days after onset: 167
Location:Georga  Entered:2008-09-17, 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: DEPO-PROVERA
Current Illness:
Preexisting Conditions: None HPV#3 given 5/29/08, Lot # 1740U
Diagnostic Lab Data: None
CDC 'Split Type': WAES0808USA02802
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.1062U1IMUN
Administered by: Other     Purchased by: Other
Symptoms: Arthralgia, Hypoaesthesia, Joint instability, Musculoskeletal pain
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Arthritis (broad)
Write-up: Information has been received from a licensed practical nurse concerning a 25 year old female with no medical history and no known allergies, who on 25-OCT-2007 was vaccinated with a first dose of GARDASIL (lot and site unspecified). On 10-JAN-2008 was vaccinated intramuscularly into the right deltoid with a second dose of GARDASIL (lot # 658560/1062U) and on 09-MAY-2008 was vaccinated intramuscularly into the left deltoid with a third dose of GARDASIL (lot # 659962/1740U). Concomitant therapy included DEPO-PROVERA. The patient reported that she developed shoulder and knee pain with numbness in her feet with an onset in April 2008. The pain and numbness were described as "off and on". The pain was described as worsening with increased intensity and frequency. On 11-AUG-2008 the pain was described as becoming more constant. The patient saw an orthopedic physician and her primary care physician. The orthopedic physician diagnosed the pain as "joint instability" and no treatment was given. The nurse noted that the patient started exercising in April 2008. At the time of reporting the patient had not recovered. The patient sought for medical attention: office call. There was no product quality complaint. Additional information has been requested. 12/19/2008 Patient does not recall having ortho consult & no f/u done w/PCP. Has recovered completely w/o residual.

VAERS ID:327140 (history)  Vaccinated:2008-08-12
Age:25.0  Onset:2008-08-13, Days after vaccination: 1
Gender:Female  Submitted:2008-09-15, Days after onset: 33
Location:Unknown  Entered:2008-09-17, Days after submission: 2
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC 'Split Type': WAES0808USA03680
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.  IMUN
Administered by: Other     Purchased by: Other
Symptoms: Injection site discolouration, Injection site haematoma, Injection site mass
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Extravasation events (injections, infusions and implants) (broad)
Write-up: Information has been received from a 25 year old female with no medical history and no known allergies who on 12-AUG-2008 was vaccinated with a dose of GARDASIL. There was no concomitant medication. On 13-AUG-2008 the patient experienced a bruise on the same are where she received GARDASIL. Also, a white bump developed at the injection site. No lab/diagnostic tests were performed. At the time of reporting the patient had not recovered. Unspecified medical attention was sought. There was no product quality complaint. No further information is available.

VAERS ID:327144 (history)  Vaccinated:2008-08-01
Age:25.0  Onset:2008-08-01, Days after vaccination: 0
Gender:Female  Submitted:2008-09-15, Days after onset: 45
Location:Arizona  Entered:2008-09-17, 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: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0808USA03717
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC. 1UNUN
Administered by: Other     Purchased by: Other
Symptoms: Pain in extremity
SMQs:
Write-up: Information has been received from a physician concerning a 25 year old female who on an unspecified date was vaccinated with the first dose of GARDASIL and on 01-AUG-2008 was vaccinated with the second dose of GARDASIL. After receiving her second dose the patient''s arm was very sore, when her shirt touches it, it was very painful. The patient sought unspecified medical attention. At the time of the reporting, the patient had not recovered. Additional information has been requested.

VAERS ID:327147 (history)  Vaccinated:2007-10-01
Age:25.0  Onset:2007-10-01, Days after vaccination: 0
Gender:Female  Submitted:2008-09-15, Days after onset: 350
Location:Unknown  Entered:2008-09-17, 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: ORTHO TRI-CYCLEN
Current Illness:
Preexisting Conditions: Malaria
Diagnostic Lab Data: None
CDC 'Split Type': WAES0808USA03975
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC. 0UNUN
Administered by: Other     Purchased by: Other
Symptoms: Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad)
Write-up: Information has been received from a consumer, concerning her 25 year old female daughter with a history of malaria, who in October 2007 was vaccinated with the first dose of GARDASIL. Concomitant medication included ORTHO TRI - CYCLEN. The patient fainted after getting the first dose of GARDASIL. The patient recovered on an unknown date. The patient has not received the second and third dose yet. The patient sought unspecified medical attention. There was no product quality complaint. No further information is expected.

VAERS ID:327321 (history)  Vaccinated:2008-07-11
Age:25.0  Onset:2008-08-11, Days after vaccination: 31
Gender:Female  Submitted:2008-09-15, Days after onset: 35
Location:D.C.  Entered:2008-09-17, 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: XANAX, SYNTHROID, EFFEXOR;
Current Illness: Psychiatric disorder NOS
Preexisting Conditions:
Diagnostic Lab Data: magnetic resonance, 08/20/08; abnormal abdominal tissue;
CDC 'Split Type': WAES0808USA04869
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC. 0IMUN
Administered by: Other     Purchased by: Other
Symptoms: Abdominal pain, Arthralgia, Nuclear magnetic resonance imaging abnormal, Pelvic pain, Urinary tract infection
SMQs:, Acute pancreatitis (broad), Retroperitoneal fibrosis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Arthritis (broad)
Write-up: Information has been received from a registered nurse, concerning a 25 year old female patient with a history of psychiatric disorder, who on 11-JUL-2008 was vaccinated with 0.5 mL GARDASIL intramuscularly in the left arm. Concomitant therapy included EFFEXOR, XANAX and SYNTHROID. Approximately in August, a month after receiving the first dose of GARDAIL, the patient experienced pelvic pain and joint pain. On 18-AUG-2008, the patient sought treatment for abdominal pain from an emergency room and was treated for a urinary tract infection. On 20-AUG-2008, the patient underwent a magnetic resonance imaging that indicated there was abnormal abdominal tissue. There was no product quality complaint. Additional information has been requested.

VAERS ID:325769 (history)  Vaccinated:2008-09-12
Age:25.0  Onset:2008-09-12, Days after vaccination: 0
Gender:Male  Submitted:2008-09-15, Days after onset: 3
Location:Illinois  Entered:2008-09-22, Days after submission: 7
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: none
Preexisting Conditions: Seizures
Diagnostic Lab Data: None
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
DT: DT ADSORBED (DECAVAC)SANOFI PASTEURU2024AA IMRA
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0503X SCLA
Administered by: Other     Purchased by: Public
Symptoms: Headache, Pyrexia, Rash, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Hypersensitivity (narrow)
Write-up: Fever, headache, hives, small red raised rash on arms and trunk of body.

VAERS ID:325771 (history)  Vaccinated:2008-09-04
Age:25.0  Onset:2008-09-11, Days after vaccination: 7
Gender:Male  Submitted:2008-09-15, Days after onset: 4
Location:Florida  Entered:2008-09-22, 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:
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
SMALL: SMALLPOX (ACAM2000)SANOFI PASTEURW0400BA0OTLA
Administered by: Military     Purchased by: Military
Symptoms: Injection site erythema, Injection site swelling
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: Patient states 1 week after receiving smallpox his and turned red and was swollen around the area. Patient directed to use warm compress and see Dr. if problem worsens.

VAERS ID:325830 (history)  Vaccinated:2007-11-08
Age:25.0  Onset:2007-12-16, Days after vaccination: 38
Gender:Female  Submitted:2008-09-22, Days after onset: 280
Location:Unknown  Entered:2008-09-23, 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: Unknown
Current Illness: Pregnancy NOS (LMP = 12/16/2007); Drug hypersensitivity
Preexisting Conditions:
Diagnostic Lab Data: ultrasound - diagnosed prenatally that the baby had a complete unilateral cleft lip and palate; beta-human chorionic - positive
CDC 'Split Type': WAES0802USA05591
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC. 0UNUN
Administered by: Other     Purchased by: Other
Symptoms: Congenital anomaly, Drug exposure during pregnancy, Pregnancy test positive, Ultrasound scan abnormal
SMQs:, Congenital, familial and genetic disorders (narrow), Malignancy related therapeutic and diagnostic procedures (narrow), Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow), Normal pregnancy conditions and outcomes (narrow)
Write-up: Initial and follow-up information has been received from a 25 year old female consumer with allergy to PERCOCET, for the Pregnancy Registry for GARDASIL, who on 08-NOV-2007 was vaccinated with the first 0.5 ml dose of GARDASIL. On 08-JAN-2008 the patient was vaccinated with the second dose of GARDASIL. As of 25-FEB-2008, the patient reported that she was 10 weeks pregnant. The patient reported in follow-up that on 16-SEP-2008 she delivered a healthy 8 pounds 13 ounces boy. The baby had a complete unilateral cleft lip and palate, which was diagnosed prenatally on ultrasound. The patient reported that she was prepared for this finding and she had already scheduled follow-up for the baby for surgery (dates not provided). The patient reported that both she and the baby were doing well, no problems for herself. Additional information has been requested.

VAERS ID:325883 (history)  Vaccinated:2008-09-22
Age:25.0  Onset:2008-09-22, Days after vaccination: 0
Gender:Male  Submitted:2008-09-23, Days after onset: 1
Location:Florida  Entered:2008-09-23
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLUN3: INFLUENZA (SEASONAL) (FLUMIST)MEDIMMUNE VACCINES, INC.500552P1IN 
Administered by: Military     Purchased by: Military
Symptoms: Loss of consciousness, Syncope vasovagal
SMQs:, Torsade de pointes/QT prolongation (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad)
Write-up: 5 min after receiving flu mist, pt went unconscience for aprox 45 sec. due to vasovagal episode. Pt was given O2 and fully recovered.

VAERS ID:325891 (history)  Vaccinated:2008-09-16
Age:25.0  Onset:2008-09-16, Days after vaccination: 0
Gender:Male  Submitted:2008-09-23, Days after onset: 7
Location:New York  Entered:2008-09-23
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: ~ ()~0~0~In Patient|~ ()~0~0~In Sibling
Other Medications:
Current Illness: none
Preexisting Conditions: allergic to CT dye
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA)SANOFI PASTEURU2545AA0IMLA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Activities of daily living impaired, Asthenia, Feeling hot, Hypoventilation, Pharyngolaryngeal pain, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Acute central respiratory depression (narrow), Guillain-Barre syndrome (broad)
Write-up: Pt. was administered the Menactra vaccine on the morning of 9/16/08. When he picked up his wife at 1pm he c/o sore throat. At 8:30-9 pm he also had fever. At 2am wife woke up and noticed pt. was breathing shallow and was "on fire" with a temp of 103F. Pt. c/o feeling weak and couldn''t get out of bed. Wife called 911 and pt. was taken to ER with HR of 172. He was treated and released from ER after about 3 1/2 hours. Pt. saw his primary doctor the next day. Doctor ordered him to stay home from school until Monday, 9/22. Sore throat and low grade fever lasted through Saturday. Fever was tx''d with tylenol druing this time as ordered by PMD.

VAERS ID:326007 (history)  Vaccinated:1990-04-25
Age:25.0  Onset:1994-01-01, Days after vaccination: 1347
Gender:Female  Submitted:2008-09-24, Days after onset: 5379
Location:Kentucky  Entered:2008-09-24
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: none
Preexisting Conditions: none
Diagnostic Lab Data: was given 2 gg vaccines. 1st was 25 apr 1990, 2nd was 15 aug 1990. other vaccines were tyd,pcgi,tbt, and other un-known.
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
PLAGUE: PLAGUE (USP)GREER LABORATORIES, INC.  SC 
Administered by: Military     Purchased by: Unknown
Symptoms: Amnesia, Arthralgia, Dental caries, Depression, Fatigue, Hypoaesthesia, Myalgia, Rash, Scar, Uterine neoplasm
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Peripheral neuropathy (broad), Dementia (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Eosinophilic pneumonia (broad), Depression (excl suicide and self injury) (narrow), Tumours of unspecified malignancy (narrow), Uterine and fallopian tube tumours of unspecified malignancy (narrow), Hypersensitivity (narrow), Arthritis (broad)
Write-up: chronic fatigue, oral decay, depression, memory loss,un-explained rash and scars that come and go , numbness in feet and fingers, joint and muscle pain, tumor in uterus.

VAERS ID:326025 (history)  Vaccinated:2008-09-19
Age:25.0  Onset:2008-09-20, Days after vaccination: 1
Gender:Male  Submitted:2008-09-29, Days after onset: 9
Location:D.C.  Entered:2008-09-24, Days after submission: 5
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
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Site
TDAP: TDAP (ADACEL)SANOFI PASTEURC2768AA0IMLA
Administered by: Other     Purchased by: Private
Symptoms: Fatigue, Headache, Injection site urticaria, Pain, Pyrexia
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Hypersensitivity (narrow)
Write-up: Patient received vaccine on 9/19/08. Patient had fever, body aches, ha and fatigue on 9/20/08. Lasted for 2 days. Ha still present today: temp: 99. L deltoid: 5 x 5cm area of urticaria.

VAERS ID:326097 (history)  Vaccinated:2008-03-26
Age:25.0  Onset:0000-00-00
Gender:Female  Submitted:2008-09-24
Location:Virginia  Entered:2008-09-25, Days after submission: 1
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Hydrochlorothiazide
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0809USA03150
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC. 1UNUN
Administered by: Other     Purchased by: Other
Symptoms: Computerised tomogram, Multiple sclerosis, Nuclear magnetic resonance imaging
SMQs:, Optic nerve disorders (broad), Demyelination (narrow)
Write-up: Information has been received from a 24 year old female pharmacy technician with no allergies who on 25-JAN-2008 was vaccinated with the first dose of GARDASIL 0.5 ml (lot no. not reported) and on 26-MAR-2008, with second dose of GARDASIL 0.5 ml, (lot no. not reported). Concomitant therapy included hydrochlorothiazide (manufacturer unknown). On an unspecified date, the patient was diagnosed with multiple sclerosis and was hospitalized from 01-AUG-2008 to 20-AUG-2008. A magnetic resonance imaging (MRI) and a computed axial tomography were performed (results not reported). Additional information has been requested.

VAERS ID:326350 (history)  Vaccinated:0000-00-00
Age:25.0  Onset:0000-00-00
Gender:Unknown  Submitted:0000-00-00
Location:Michigan  Entered:2008-09-26
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None noted
Preexisting Conditions: none noted
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
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Site
TDAP: TDAP (ADACEL)SANOFI PASTEURC2998BA UNUN
Administered by: Unknown     Purchased by: Unknown
Symptoms: Myalgia
SMQs:, Rhabdomyolysis/myopathy (broad), Eosinophilic pneumonia (broad)
Write-up: myalgia after injection beginning 1 day later. Given symptomatic treatment. Lortab 57500 QID till better

VAERS ID:326358 (history)  Vaccinated:2008-09-11
Age:25.0  Onset:2008-09-12, Days after vaccination: 1
Gender:Male  Submitted:2008-09-18, Days after onset: 6
Location:Arizona  Entered:2008-09-26, Days after submission: 8
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
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TTOX: TETANUS TOXOID (NO BRAND NAME)SANOFI PASTEURU2080BA0IMLA
Administered by: Other     Purchased by: Private
Symptoms: Nausea
SMQs:, Acute pancreatitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)
Write-up: Had tetanus shot 9/11/08 1430. On 9/12/08 at about 1200 donor started to have nausea (mild). Donor did not treat the nausea. Nausea was intermittent for 3 days and cont to be mild. On 9/15/08 nausea was completely gone and did not return. No vomiting reported. Denies other symptoms.

VAERS ID:326468 (history)  Vaccinated:2008-09-29
Age:25.0  Onset:2008-09-29, Days after vaccination: 0
Gender:Female  Submitted:2008-09-29, Days after onset: 0
Location:California  Entered:2008-09-29
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: TB test placed at the same time
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
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Site
HEP: HEP B (ENGERIX-B)GLAXOSMITHKLINE BIOLOGICALSAHBVB640AA0IMLA
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0987X SCLA
TTOX: TETANUS TOXOID (NO BRAND NAME)SANOFI PASTEURU2077BA IMLA
Administered by: Other     Purchased by: Private
Symptoms: Nausea, Pain, Vomiting
SMQs:, Acute pancreatitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)
Write-up: Began feeling nausea 1230. Increased w/ talking. Emesis at 205 and 245. General achiness. Denies temp. Denies rash. Denies difficulty breathing.

VAERS ID:326558 (history)  Vaccinated:2008-09-22
Age:25.0  Onset:0000-00-00
Gender:Male  Submitted:2008-09-24
Location:Oregon  Entered:2008-09-30, Days after submission: 6
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: fisickle~Tetanus Toxoid (no brand name)~1~25~In Patient
Other Medications: None
Current Illness: None/Just a fisikle
Preexisting Conditions: Treits = tics
Diagnostic Lab Data: None
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
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Site
TTOX: TETANUS TOXOID (NO BRAND NAME)UNKNOWN MANUFACTURER 1UNUN
Administered by: Public     Purchased by: Public
Symptoms: Arthralgia, Back pain, Feeling cold, Movement disorder, Pain
SMQs:, Retroperitoneal fibrosis (broad), Akathisia (broad), Dyskinesia (broad), Dystonia (broad), Parkinson-like events (broad), Arthritis (broad)
Write-up: My whole body hurts. My knees hurts real bad. They are cold. My back hurts. Both my arms hurts. Its just getting worse. It hurts when I move.

VAERS ID:326580 (history)  Vaccinated:2008-08-29
Age:25.0  Onset:2008-08-29, Days after vaccination: 0
Gender:Female  Submitted:2008-09-30, Days after onset: 32
Location:New Mexico  Entered:2008-09-30
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Zovia ocp
Current Illness: None
Preexisting Conditions: Mild intermittent asthma
Diagnostic Lab Data: na
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.0072X IM 
Administered by: Private     Purchased by: Private
Symptoms: Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow)
Write-up: Patient developed some urticaria after 1st injection on 6/27/08 but did not report this to anyone. Then within hours of her second vaccine on 8/29/08 developed urticaria that persists today.

VAERS ID:326706 (history)  Vaccinated:2008-08-29
Age:25.0  Onset:2008-08-30, Days after vaccination: 1
Gender:Female  Submitted:2008-10-01, Days after onset: 32
Location:Arizona  Entered:2008-10-01
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: N/A - In office to discuss Gardasil
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
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Dose
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Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.0680U0UNRA
Administered by: Private     Purchased by: Unknown
Symptoms: Confusional state, Diarrhoea, Dizziness, Nausea, Tremor, Vomiting
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Pseudomembranous colitis (broad), Parkinson-like events (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad), Noninfectious diarrhoea (narrow)
Write-up: Nausea, vomiting, diarrhea, trembling, confusion, feeling as if going to pass out.

VAERS ID:326813 (history)  Vaccinated:2003-03-21
Age:25.0  Onset:2007-09-10, Days after vaccination: 1634
Gender:Female  Submitted:2008-09-25, Days after onset: 381
Location:Unknown  Entered:2008-10-02, Days after submission: 7
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: No
Preexisting Conditions: None known PMH: concussion 2006 w/difficulty walking, mono, UTI, vertigo. Allergy: amoxicillin. Family hx: mvp.
Diagnostic Lab Data: 21 Sep 07, BMP, nml; Trop T, neg; Creatine kinase, nml; Mg, nml; Phos, 4.7; TSH, WNL; CBC, wnl; U/A, wnl; 28 Sep 07, GXT, patient exercised into STAGE 5 of BRUCE PROTOCOL, mild chest discomfort. No ST T wave changes. Occ PVCs; 03 Oct 07, CTA, Normal; 17 OCT 07, Holter monitor showed multiple PVCs; 17 Oct 07, ECHO, EF of 60%, no valvular disease, no MVP, no pericardial effusion; 21 Oct 08, EKG, Sinus brady w sinus arrhythmias, few PVCs w LBBB pattern, no sustained V-tach. No long pauses; 21 Oct 07, CXR, No acute cardiopulmonary disease LABS: EKG w/frequent PVCs. Echo WNL. Stress test abnormal. Holter monitor w/symptomatic PVCs. MRI/MRA brain WNL.
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
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Site
ANTH: ANTHRAX (BIOTHRAX)EMERGENT BIOSOLUTIONS  SCUN
TBE: TICK-BORNE ENCEPH (NO BRAND NAME)UNKNOWN MANUFACTURER  SCUN
Administered by: Military     Purchased by: Military
Symptoms: Blood creatine phosphokinase normal, Blood magnesium normal, Blood phosphorus increased, Blood thyroid stimulating hormone normal, Bundle branch block left, Cardiac flutter, Cardiac stress test abnormal, Chest X-ray normal, Chest pain, Computerised tomogram normal, Dizziness, Dyspnoea, Echocardiogram normal, Electrocardiogram abnormal, Electrocardiogram ambulatory abnormal, Extrasystoles, Full blood count normal, Gait disturbance, Muscular weakness, Nuclear magnetic resonance imaging brain normal, Palpitations, Presyncope, Syncope, Troponin T, Urine analysis normal, Ventricular extrasystoles, Visual impairment
SMQs:, Torsade de pointes/QT prolongation (broad), Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Conduction defects (narrow), Ventricular tachyarrhythmias (narrow), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (narrow), Parkinson-like events (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Optic nerve disorders (broad), Cardiomyopathy (broad), Lens disorders (broad), Retinal disorders (broad), Tachyarrhythmia terms, nonspecific (narrow), Other ischaemic heart disease (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Chronic kidney disease (broad), Tumour lysis syndrome (broad)
Write-up: SM referred to Healthcare Center by her Cardiologist. She reports while swimming she noted "heart flipping, pounding and skipping beats". She immediately got out of the pool and noted "some dizziness". She reports the dizziness improved with rest, but the palpitations lasted for "several days". On 21 Sep (11 days later) the palpitations became stronger and she began experiencing sharp, anterior chest pains (7/10). She was seen at medical center and admitted for observation. 12/11/08 Reviewed medical records of cardio & neuro consults. FINAL DX: syncope, palpitations, frequent PVCs Records reveal patient experienced heart racing, SOB & pre-syncope while swimming 9/08. Palpitations persisted. Later episode of chest pain & SOB resulted in hospitalization. Tx w/meds. Continued w/presyncope episodes that included lightheadedness, vision darkening, weak legs w/unsteady gait

VAERS ID:326855 (history)  Vaccinated:2008-09-07
Age:25.0  Onset:2008-09-07, Days after vaccination: 0
Gender:Male  Submitted:2008-10-02, Days after onset: 25
Location:Illinois  Entered:2008-10-02
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: none
Preexisting Conditions: morphine allergy, past medical history: lasik eye surgery 2005, ORIF Left ankle 1998
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
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Site
FLUN3: INFLUENZA (SEASONAL) (FLUMIST)MEDIMMUNE VACCINES, INC.500551P2IN 
Administered by: Military     Purchased by: Military
Symptoms: Bronchospasm, Chest pain, Dehydration, Dyspnoea
SMQs:, Anaphylactic reaction (broad), Asthma/bronchospasm (narrow), Hyperglycaemia/new onset diabetes mellitus (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Hypersensitivity (narrow)
Write-up: Patient reported to and was treated at local ER. Pt complained of shortness of breath and chest pain following Flumist administration. Symptoms started shortly after inhalation of Flumist and continued to progress. Local ER evaluated as dehydration and brochospasm secondary to Flumist. Treated with nebulizers and steroids and released.

VAERS ID:326859 (history)  Vaccinated:2008-10-01
Age:25.0  Onset:2008-10-01, Days after vaccination: 0
Gender:Female  Submitted:2008-10-02, Days after onset: 1
Location:Illinois  Entered:2008-10-02
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Yazmine, Centrum Multivitamin
Current Illness: No
Preexisting Conditions: Allergy to Vicodin
Diagnostic Lab Data: Blood test (unknown type) NL, EKG NL
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)NOVARTIS VACCINES AND DIAGNOSTICS897452IMLA
Administered by: Unknown     Purchased by: Private
Symptoms: Blood test normal, Dyspnoea, Electrocardiogram normal, Flushing, Palpitations, Paraesthesia
SMQs:, Anaphylactic reaction (narrow), Peripheral neuropathy (broad), Arrhythmia related investigations, signs and symptoms (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Cardiomyopathy (broad), Hypersensitivity (broad)
Write-up: Paresthesia to L side of face, L arm, and L leg. Led to flushing, palpitations and dyspnea.

VAERS ID:326983 (history)  Vaccinated:2008-08-27
Age:25.0  Onset:2008-08-28, Days after vaccination: 1
Gender:Female  Submitted:2008-10-03, Days after onset: 36
Location:Ohio  Entered:2008-10-03
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: PCN, SHELLFISH
Diagnostic Lab Data: N/A
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
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Site
ANTH: ANTHRAX (BIOTHRAX)EMERGENT BIOSOLUTIONSFAV1481SCRA
Administered by: Military     Purchased by: Military
Symptoms: Nausea
SMQs:, Acute pancreatitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)
Write-up: PT RECIEVED ANTHRAX VACCINE ON 27 AUG 08, ON 28 AUG 08 @ APROX. 1700 PT BECAME HAD EXTREME NAUSEA AND FATIGUE THAT LASTED UNTIL APROX 1200 HRS ON 30 AUG 08.

VAERS ID:327280 (history)  Vaccinated:2008-07-30
Age:25.0  Onset:2008-07-30, Days after vaccination: 0
Gender:Female  Submitted:2008-10-06, Days after onset: 68
Location:New York  Entered:2008-10-07, 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: Pregnancy NOS (LMP = 7/8/2008); Drug hypersensitivity
Preexisting Conditions:
Diagnostic Lab Data: Ultrasound, 07/17/08, no fetal heart beats
CDC 'Split Type': WAES0810USA00015
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.0250X1IMUN
Administered by: Other     Purchased by: Other
Symptoms: Abortion spontaneous, Drug exposure during pregnancy, Haemorrhage, Muscle spasms, Ultrasound scan abnormal
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Malignancy related therapeutic and diagnostic procedures (narrow), Dystonia (broad), Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow), Termination of pregnancy and risk of abortion (narrow)
Write-up: Information has been received from a registered nurse, for the pregnancy registry for GARDASIL concerning a 26 year old female with drug hypersensitivity to AMOXIL who on 26-JUL-2007 was vaccinated with the first dose of GARDASIL (lot n. 657868/0523U), 0.5 mL, intramuscularly. On 30-JUL-2008, the patient was vaccinated with the second dose of GARDASIL (lot n. 0250X) 0.5 mL, intramuscularly. On 12-SEP-2008, the patient experienced cramping and bleeding. The nurse reported that the patient had a miscarriage after receiving GARDASIL. LMP occurred on 08-JUL-2008. On 17-SEP-2008, an ultrasound was done with no fetal heart beats. She "passed" the fetus on her own. The patient saw the physician. A pregnancy blood work was done but the results were not provided. Subsequently, the patient recovered on an unspecified date. Upon internal review miscarriage was considered to be an other important medical event. Additional information has been requested.

VAERS ID:327560 (history)  Vaccinated:2008-10-03
Age:25.0  Onset:2008-10-03, Days after vaccination: 0
Gender:Male  Submitted:2008-10-08, Days after onset: 5
Location:South Carolina  Entered:2008-10-08
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: Ceclor, Amoxicillin
Diagnostic Lab Data: none
CDC 'Split Type': SC0811
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)NOVARTIS VACCINES AND DIAGNOSTICS897450IMRA
Administered by: Public     Purchased by: Public
Symptoms: Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow)
Write-up: 10/06/08 Patient states within one hour of vaccination, broke out in hives (less than or equal to 30) over arms, face. Took 25 mg Benadryl and hives decreased, but then reappeared 30 minutes later. Took 25 mg Benadryl again and hives resolved

VAERS ID:327696 (history)  Vaccinated:2007-12-03
Age:25.0  Onset:0000-00-00
Gender:Female  Submitted:2008-10-07
Location:Wisconsin  Entered:2008-10-09, Days after submission: 2
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: No illness at the time of vaccination.
Preexisting Conditions: The patient had a history of one prior pregnancy that resulted in a full term, normal outcome. She had a history of smoking, an abnormal PAP with colposcopy, and ovarian cysts.
Diagnostic Lab Data: Ultrasound on 24 March 2008: Normal
CDC 'Split Type': 200704167
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (ADACEL)SANOFI PASTEURC2842A0IMRA
Administered by: Private     Purchased by: Private
Symptoms: Drug exposure during pregnancy, Gestational diabetes, Pregnancy test positive, Ultrasound scan normal
SMQs:, Hyperglycaemia/new onset diabetes mellitus (narrow), Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow), Normal pregnancy conditions and outcomes (narrow)
Write-up: Initial report received on 03 December 2007 from a health care professional. A 25-year-old female patient had received a right deltoid injection of ADACEL, lot number C2842AA, on 03 December 2007. The patient took a pregnancy test on the same day which was positive. Date of last menstrual period was 03 November 2007, and the estimated date of delivery was reported as "10 August 2007." Current medications were none. There was no adverse event reported. Follow-up information received on 23 June 2008 from a physician. The ADACEL had been administered intramuscularly on 03 December 2007. The patient had received no previous doses of ADACEL and there was no illness at the time of vaccination. The physician confirmed that the date of the last menstrual period was 03 November 2007 and the estimated date of delivery was corrected to 11 August 2008. The patient''s prenatal testing included an ultrasound on 24 March 2008, which was normal. The current pregnancy had no complications. The patient''s past obstetric history included one live full-term birth with no congenital anomalies. The physician confirmed that there was no adverse event. Follow-up information was received from a health care professional on 06 October 2008. Based on new information, which indicates the patient developed gestational diabetes mellitus (onset date not reported), the case has been upgraded to serious. Treatment with metformin was initiated on 16 June 2008. On 23 July 2008, gestation week 37 2/7, the pregnancy ended with a vaginal delivery of a live female infant (weight 7 pounds, 11 ounces; length 21 inches). There were no complications of labor and/or delivery. The infant had no congenital anomalies. Apgar scores were 9 at one minute and 10 at five minutes.

VAERS ID:327884 (history)  Vaccinated:2008-02-09
Age:25.0  Onset:2008-02-10, Days after vaccination: 1
Gender:Male  Submitted:2008-10-10, Days after onset: 242
Location:Unknown  Entered:2008-10-10
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
ANTH: ANTHRAX (BIOTHRAX)EMERGENT BIOSOLUTIONSFAV 1783SCRA
Administered by: Military     Purchased by: Military
Symptoms: Hypersensitivity
SMQs:, Angioedema (broad), Hypersensitivity (narrow)
Write-up: Pt presents with allergic reaction to Anthrax.

VAERS ID:328055 (history)  Vaccinated:2008-10-07
Age:25.0  Onset:2008-10-07, Days after vaccination: 0
Gender:Female  Submitted:2008-10-10, Days after onset: 3
Location:Texas  Entered:2008-10-10
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
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FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURU2848AA0IMLA
Administered by: Unknown     Purchased by: Private
Symptoms: Chills, Dizziness, Dyspnoea, Feeling hot, Headache, Muscle fatigue, Pain, Pyrexia, Sleep disorder, Tachycardia, Tremor
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Parkinson-like events (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Noninfectious encephalopathy/delirium (broad), Cardiomyopathy (broad), Vestibular disorders (broad)
Write-up: Employee states that she developed a Headache with in the first 12 hours after the vaccine that would not resolve after OTC meds. She then states she began to feel shaky and light headed and could not drive home. Once she was driven home she states she began to run fever (did not take temp) but felt hot on the inside and had cold chills along with body aches and muscle fatigue. She had an episode of tachycardia and SOB which resolved. She took OTC Tylenol and went to bed, waking up several times. She still had body aches and fatigue until around 4pm the day after the flu shot. At that time all her symptoms resolved and she felt better.

VAERS ID:328117 (history)  Vaccinated:2008-10-08
Age:25.0  Onset:2008-10-08, Days after vaccination: 0
Gender:Male  Submitted:2008-10-09, Days after onset: 1
Location:Pennsylvania  Entered:2008-10-10, 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:
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUARIX)GLAXOSMITHKLINE BIOLOGICALSAFLUA350AB IMLA
Administered by: Private     Purchased by: Other
Symptoms: Injection site haematoma, Injection site pain
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Extravasation events (injections, infusions and implants) (broad)
Write-up: Pain at inj. site - 5 cm - bruise site.

VAERS ID:328099 (history)  Vaccinated:2008-09-25
Age:25.0  Onset:2008-09-26, Days after vaccination: 1
Gender:Female  Submitted:2008-10-12, Days after onset: 16
Location:Alabama  Entered:2008-10-12
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
ANTH: ANTHRAX (NO BRAND NAME)UNKNOWN MANUFACTURER    
HEP: HEP B (NO BRAND NAME)UNKNOWN MANUFACTURER    
Administered by: Unknown     Purchased by: Military
Symptoms: Erythema, Oedema peripheral, Pyrexia
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad)
Write-up: Arm turned red, ran fever, and gradually swelled until entire upper arm was swollen. Visited doctor and got 40mg shot of Kenelog and prescription for Atarax

VAERS ID:328357 (history)  Vaccinated:2008-09-29
Age:25.0  Onset:2008-09-29, Days after vaccination: 0
Gender:Female  Submitted:2008-10-13, Days after onset: 14
Location:Wyoming  Entered:2008-10-14, Days after submission: 1
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: none
Preexisting Conditions: allergic rhinitis
Diagnostic Lab Data: None.
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC. 0UNUN
Administered by: Military     Purchased by: Military
Symptoms: Fatigue, Headache, Lip swelling, Oedema peripheral, Pain, Pyrexia, Rash pruritic
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow)
Write-up: About 6 hours after receiving vaccine, pt states she had a headache and fever to 102. Felt achy and fatigued the entire next day and also developed slight swelling of upper lip. On day of presentation to clinic (2 days after receiving vaccine) pt developed itchy rash/slight swelling of both hands.

VAERS ID:328522 (history)  Vaccinated:2008-09-25
Age:25.0  Onset:2008-09-26, Days after vaccination: 1
Gender:Female  Submitted:2008-09-29, Days after onset: 3
Location:Texas  Entered:2008-10-15, Days after submission: 16
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: allergy to ant bites
Diagnostic Lab Data: No
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURU2740AA0IMLA
HEPA: HEP A (HAVRIX)GLAXOSMITHKLINE BIOLOGICALSAHAVB2S2AA0IMRA
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.038090SCLA
TDAP: TDAP (BOOSTRIX)GLAXOSMITHKLINE BIOLOGICALSC29668AA0IMRA
Administered by: Public     Purchased by: Public
Symptoms: Erythema, Induration, Oedema peripheral, Pyrexia
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad)
Write-up: pt received 4 vaccines on 9/25/08. PNEUM0VAX + FLUZONE on (L) arm, HAVRIX + BOOSTRIX on R arm. On 9/26/08 pt developed fever of 102 degrees - 9/27/08. On 9/28 swelling started on (R) arm. Today at 11:50 am area of erythema + induration on deltoid 100mm + 2 inches below are of erythema + induration 64mm.

VAERS ID:328543 (history)  Vaccinated:2008-10-06
Age:25.0  Onset:2008-10-06, Days after vaccination: 0
Gender:Female  Submitted:2008-10-06, Days after onset: 0
Location:Arizona  Entered:2008-10-15, Days after submission: 9
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
ANTH: ANTHRAX (BIOTHRAX)EMERGENT BIOSOLUTIONSFAU1484SCLA
FLUN3: INFLUENZA (SEASONAL) (FLUMIST)MEDIMMUNE VACCINES, INC.50053P1IN 
TYP: TYPHOID VI POLYSACCHARIDE (TYPHIM VI)SANOFI PASTEURB03471IMLA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Asthenia, Dizziness, Headache, Loss of consciousness, Nausea
SMQs:, Torsade de pointes/QT prolongation (broad), Acute pancreatitis (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), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad)
Write-up: Blackout with dizziness, nausea, headache, weakness

VAERS ID:328709 (history)  Vaccinated:2007-05-18
Age:25.0  Onset:2007-06-14, Days after vaccination: 27
Gender:Female  Submitted:2008-10-08, Days after onset: 482
Location:Oregon  Entered:2008-10-15, 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: VALTREX
Current Illness: Pregnancy NOS (LMP = 6/14/07); Hypersensitivity; Allergic reaction to antibiotics; Herpes simplex; Genital herpes
Preexisting Conditions: Pelvic inflammatory disease
Diagnostic Lab Data: cervical smear; ultrasound, 11/26/07, norma, Full fetal survey; HIV alpha-fetoprotein, 10/11/07, norma; total serum bilirubin, 04/23/08, 14.7
CDC 'Split Type': WAES0708USA02670
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.0387U0UNUN
Administered by: Other     Purchased by: Other
Symptoms: Blood bilirubin increased, Drug exposure during pregnancy, Foetal disorder, HIV test negative, Smear cervix normal, Ultrasound scan normal
SMQs:, Liver related investigations, signs and symptoms (narrow), Acute pancreatitis (broad), Biliary system related investigations, signs and symptoms (narrow), Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow), Foetal disorders (narrow)
Write-up: Initial and follow up information has been received for the Pregnancy Registry for GARDASIL from a health professional concerning a 25 year old female patient with allergic reaction to codeine, allergic reaction to antibiotics, genital herpes (onset 2006) and a history of d pelvic inflammatory disease (2005) who on 18-MAY-2007 was vaccinated IM with a first dose of GARDASIL (lot #657621/0387U). Concomitant therapy included VALTREX. The reporter mentioned that they found out that patient was pregnant one day before her second injection was due (LMP= 14-JUN-2007). The second dose of GARDASIL was not administered. Patient had cervical smear test and enzyme immunoassay HIV antibody screen laboratory tests were done. On 11-OCT-2007 the patient had a normal serum alpha fetal protein and on 26-NOV-2007 the patient had a normal ultrasound. On 09-APR-2008 (41 weeks from LMP) the patient delivered a normal male infant (weight 9 pounds, 0 ounces). Apgar score were 8 and 9. There were no congenital anomalies, complications or abnormalities. Follow-up information was received via medical records. The baby developed jaundice on 14-APR-2008. On 23-APR-2008 bilirubin test was performed the result was 14.7. On 02-MAY-2008 the baby''s skin looked good. On 27-MAY-20087 the baby vomited twice. There was no fever, cough etc. The patient subsequently recovered from the jaundice and vomiting. No further information is expected.

VAERS ID:328710 (history)  Vaccinated:0000-00-00
Age:25.0  Onset:0000-00-00
Gender:Female  Submitted:2008-10-08
Location:Unknown  Entered:2008-10-15, 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:
Current Illness:
Preexisting Conditions: Pregnancy NOS (LMP = 9/17/2007) Crohn''s disease; Hypothyroidism; Pregnancy
Diagnostic Lab Data: Diagnostic laboratory ultrasound - 12/06/07 - viable pregnancy - anatomy u/s 05-FEB-2008 was normal limits.
CDC 'Split Type': WAES0711USA03927
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC. 2UNUN
Administered by: Other     Purchased by: Other
Symptoms: Drug exposure during pregnancy, Pregnancy induced hypertension, Ultrasound scan normal
SMQs:, Hypertension (narrow), Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow)
Write-up: Information has been received for the Merck Pregnancy Registry for GARDASIL from a 25 year old white female with crohn''s disease, hypothyroidism and no drug reactions/allergies and has received the complete series for GARDASIL series. ON 13-APR-2007 the patient was vaccinated with GARDASIL (lot # unknown) injection. Concomitant therapy included SYNTHROID and ASACOL). In May 2007 the patient received a second dose of GARDASIL. In August 2007, the patient received a third dose of GARDASIL. The patient''s date of the last menstrual period was on 17-SEP-2007. Medical attention was sought. The patient reported that she conceived on 29-SEP-2007. On an unspecified date the patient also had a blood test performed. To date the patient has not experienced any adverse reactions. The estimated date of delivery is 23-JUN-2008. Follow-up information was received. ON unspecified date the patient developed gestational hypertension. Concomitant therapy also included prenatal vitamins. The patient developed a normal healthy baby boy weighing 6 pounds and 15 ounces. The apgar score was 9 and 9. the patient was 39 and 4/7 weeks for LMP. Additional information is not expected.

VAERS ID:328862 (history)  Vaccinated:2008-08-22
Age:25.0  Onset:2008-08-26, Days after vaccination: 4
Gender:Female  Submitted:2008-10-08, Days after onset: 43
Location:Unknown  Entered:2008-10-15, Days after submission: 7
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Pelvic discomfort
Diagnostic Lab Data: None
CDC 'Split Type': WAES0809USA00755
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.0152X0UNUN
Administered by: Other     Purchased by: Other
Symptoms: Vaginal haemorrhage
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow)
Write-up: Information has been received from a physician''s assistant concerning a 25 year old female with a history of unspecified pelvic complaints, who on 22-AUG-2008 was vaccinated with her first dose of GARDASIL vaccine (yeast), Lot # 0152X. It was reported that on 26-AUG-2008, the patient had one episode of vaginal blood clots. On 26-AUG-2008, the patient recovered from vaginal blood clots. The patient sought medical attention, by phone. Additional information has been requested.

VAERS ID:328873 (history)  Vaccinated:0000-00-00
Age:25.0  Onset:0000-00-00
Gender:Female  Submitted:2008-10-08
Location:Illinois  Entered:2008-10-15, Days after submission: 7
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0809USA00875
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC. 1UNUN
Administered by: Other     Purchased by: Other
Symptoms: Faecal incontinence, Headache, Nausea, Vomiting
SMQs:, Acute pancreatitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (broad)
Write-up: Information has been received from a physician concerning a 25 year old female who was vaccinated with the second dose of GARDASIL vaccine (yeast). The patient developed nausea, vomiting and "loss of bowel control" about 19 hours after receiving the vaccination. This was followed by a headache that lasted for 3-5 days. The patient sought unspecified medical attention. Additional information has been requested.

VAERS ID:328884 (history)  Vaccinated:0000-00-00
Age:25.0  Onset:0000-00-00
Gender:Female  Submitted:2008-10-08
Location:Unknown  Entered:2008-10-15, 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: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Pap test, abnormal
CDC 'Split Type': WAES0809USA00952
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.  UNUN
Administered by: Other     Purchased by: Other
Symptoms: Smear cervix abnormal
SMQs:
Write-up: Information has been received from a health professional concerning an under 26 year old female patient who was vaccinated with the first dose of GARDASIL vaccine (yeast) initially at another facility, but when she went into the physician''s office for the second dose of GARDASIL vaccine, the reporter detected an abnormal PAP at this annual visit. This is one of two cases reported from the same source. Additional information has been requested.

VAERS ID:328901 (history)  Vaccinated:2008-09-05
Age:25.0  Onset:2008-09-07, Days after vaccination: 2
Gender:Female  Submitted:2008-10-08, Days after onset: 31
Location:Unknown  Entered:2008-10-15, 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': WAES0809USA01238
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC. 1UNUN
Administered by: Other     Purchased by: Other
Symptoms: Rash
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow)
Write-up: Information has been received from a licensed practicing nurse concerning a 25 year old female who in July 2008, was vaccinated with a first dose of GARDASIL (route and administration site not reported). On 05-SEP-2008 the patient was vaccinated with a second dose of GARDASIL (route and administration site not reported). On 07-SEP-2008 the patient developed a pinpoint rash on the neck and chest and a little bit on the arms and legs. The patient''s pinpoint rash persisted. The patient sought unspecified medical attention. Additional information has been requested.

VAERS ID:328662 (history)  Vaccinated:2008-10-08
Age:25.0  Onset:2008-10-08, Days after vaccination: 0
Gender:Female  Submitted:0000-00-00
Location:Pennsylvania  Entered:2008-10-16
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: PAMELOR; Cranberry Supplement
Current Illness: Denies
Preexisting Conditions: Migraines headaches
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUARIX)GLAXOSMITHKLINE BIOLOGICALSAFLUA350AB1IMRA
Administered by: Public     Purchased by: Private
Symptoms: Dizziness, Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth, Nausea
SMQs:, Acute pancreatitis (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Vestibular disorders (broad)
Write-up: C/O sudden onset of dizziness and nausea, resolved over time. Immunization site red, raised, warm. Approx. 1" x 2" area, painful. Took 25 mg oral BENADRYL @ 4:45 PM.

VAERS ID:328672 (history)  Vaccinated:2007-04-20
Age:25.0  Onset:2007-04-20, Days after vaccination: 0
Gender:Unknown  Submitted:2008-10-10, Days after onset: 539
Location:Unknown  Entered:2008-10-16, Days after submission: 6
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: Seasonal allergies. Sulfa drugs...hives.
Diagnostic Lab Data: None
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
ANTH: ANTHRAX (NO BRAND NAME)MICHIGAN DEPT PUB HLTHFAV108 SCUN
Administered by: Unknown     Purchased by: Unknown
Symptoms: Rash maculo-papular
SMQs:, Hypersensitivity (narrow)
Write-up: Rash after AVA #1. Occurred 7 hours after receiving the vaccine, macular papular rash on back of injected arm, same side of trunk and thigh. Resolved with steroid cream. AVA series stopped. Will come to hospital for skin testing to the vaccine this month.

VAERS ID:328779 (history)  Vaccinated:2008-10-16
Age:25.0  Onset:2008-10-16, Days after vaccination: 0
Gender:Female  Submitted:2008-10-16, Days after onset: 0
Location:North Carolina  Entered:2008-10-16
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: PCN
Diagnostic Lab Data: Angioedema
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLUN3: INFLUENZA (SEASONAL) (FLUMIST)MEDIMMUNE VACCINES, INC.500563P0IN 
Administered by: Military     Purchased by: Unknown
Symptoms: Angioedema, Pharyngeal oedema
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Oropharyngeal allergic conditions (narrow), Hypersensitivity (narrow)
Write-up: Swelling of throat, pt denies any sob, any other discomfort.

VAERS ID:328945 (history)  Vaccinated:2008-10-14
Age:25.0  Onset:2008-10-14, Days after vaccination: 0
Gender:Female  Submitted:2008-10-14, Days after onset: 0
Location:Nebraska  Entered:2008-10-17, Days after submission: 3
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: Available on ED report 10/14/08
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURU2766AA IMLA
Administered by: Public     Purchased by: Private
Symptoms: Unevaluable event
SMQs:
Write-up: None stated.

VAERS ID:329014 (history)  Vaccinated:2008-10-17
Age:25.0  Onset:2008-10-17, Days after vaccination: 0
Gender:Male  Submitted:2008-10-17, Days after onset: 0
Location:Ohio  Entered:2008-10-17
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None stated or observed at time of administration
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURU2832AA IMLA
Administered by: Public     Purchased by: Public
Symptoms: Swollen tongue
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Oropharyngeal allergic conditions (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Hypersensitivity (narrow)
Write-up: ~15-30 minutes after receiving fluzone in left deltoid mtoher stated that pt. tongue began to swell. Two hours after symptoms began his mother called the health department and stated that his tongue was swelling and wanted to know what to do. Health department staff informed mother to immediately call 911, but had caregiver take him to local ER. According to mother, he received benadryl and steriods and sent home from ER. He was home resting, without any difficulty, within 3 hours of treatment.

VAERS ID:329270 (history)  Vaccinated:2007-07-27
Age:25.0  Onset:2007-07-27, Days after vaccination: 0
Gender:Female  Submitted:2008-10-14, Days after onset: 445
Location:Arizona  Entered:2008-10-17, Days after submission: 3
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: Pregnancy NOS (LMP = 7/20/2007)
Preexisting Conditions:
Diagnostic Lab Data: ultrasound, 9/17/07, within normal limits; ultrasound, 12/18/07, within normal limits
CDC 'Split Type': WAES0709USA01565
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC. 0UNUN
Administered by: Other     Purchased by: Other
Symptoms: Drug exposure during pregnancy, Foetal disorder, Ultrasound scan normal
SMQs:, Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow), Foetal disorders (narrow)
Write-up: Initial and follow-up information has been received from Merck pregnancy registry from a health professional and a 25 year old female with 1 previous pregnancy with full term delivery who on 27-JUL-2007 was vaccinated with a first dose of GARDASIL. There was no concomitant medications at the time of vaccination. Subsequently, she learned she was pregnant. The patient''s last menstrual period was 20-JUL-2007 and estimated of delivery was 25-APR-2008. Ultrasound on 17-SEP-2007 and 18-DEC-2007 were within normal limits. Unspecified medical attention was sought. On 09-APR-2008, 37 weeks from LMP, the patient delivered vaginally a normal female (weight 7 pounds 15 ounces and length 20.5 inches). Follow up information reported that on 12-APR-2008, the newborn was seen in the office for jaundice. The physician reported that the newborn female was a healthy appearing, alert, normally nourished, developmentally normal, well hydrated child in no acute distress. The infant had skin symptoms of jaundice. Bilirubin levels were ordered and were as follows: Neonatal bilirubin was high at 12.3 and indirect bilirubin was high at 12. On 13-APR-2008 the physician reported that the patient had jaundice to the hips. Bilirubin levels were ordered and were as follows: Neonatal Bilirubin was high at 13.3 and Indirect Bilirubin was high at 12.9. On 14-APR-2008 the patient was evaluated at the office, and the child''s mother stated "she looks less yellow today." The physician reported the patients status as improved. The child was to return to the clinic to follow-up in 2 weeks. The newborn was vaccinated with hepatitis B virus vaccine rHBsAg (yeast) on 09-APR-2008 at birth. (WAES0809USA03006). Other medication used during this pregnancy included pre-natal vitamins from 13-SEP-2008 to 09-APR-2008. Additional information is not expected.

VAERS ID:329505 (history)  Vaccinated:2008-09-09
Age:25.0  Onset:2008-09-09, Days after vaccination: 0
Gender:Female  Submitted:2008-10-14, Days after onset: 35
Location:Unknown  Entered:2008-10-17, Days after submission: 3
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0809USA02287
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC. 2UNUN
Administered by: Other     Purchased by: Other
Symptoms: Chills, Feeling hot, No reaction on previous exposure to drug, Pain
SMQs:
Write-up: Information has been received from a physician concerning a 25 year old female who on 03-APR-2008 was vaccinated with the first dose of GARDASIL well tolerated. On 03-JUN-2008, the patient was vaccinated with the second dose of GARDASIL well tolerate. On 09-SEP-2008 the patient was vaccinated with the third dose of GARDASIL. Approximately 6 to 8 hours after the third dose the patient developed chills, aches and felt warm but never really took her temperature. The patient was advised how to self-medicate for the chills and aches and there had been no other adverse events reported. Additional information has been requested.

VAERS ID:329517 (history)  Vaccinated:2008-03-14
Age:25.0  Onset:0000-00-00
Gender:Female  Submitted:2008-10-14
Location:Texas  Entered:2008-10-17, Days after submission: 3
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0809USA02485
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC. 0IMUN
Administered by: Other     Purchased by: Other
Symptoms: Hypoaesthesia, Vaccine positive rechallenge
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad)
Write-up: Information has been received from a nurse concerning a 25 year old female who on 14-MAR-2008 was vaccinated IM with her first dose of GARDASIL and post vaccination, unknown when, the patient developed numbness of the hands and feet, which lasted for a couple of days. The patient vaccinated IM with her second dose of GARDASIL on 14-MAY-2008 and post vaccination developed numbness of hands and feet which lasted for a couple of days. Subsequently, the patient recovered. The patient sought medical attention and the nurse called her. Additional information has been requested.

VAERS ID:329578 (history)  Vaccinated:2008-08-26
Age:25.0  Onset:2008-09-02, Days after vaccination: 7
Gender:Female  Submitted:2008-10-14, Days after onset: 42
Location:Tennessee  Entered:2008-10-17, Days after submission: 3
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: AVAPRO; metformin; vitamins (unspecified)
Current Illness: Hypertension; Type 2 diabetes mellitus
Preexisting Conditions:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0809USA01664
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.0072X0IMRA
Administered by: Other     Purchased by: Other
Symptoms: Pruritus
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (broad)
Write-up: Information has been received from a Licensed Practical Nurse concerning a 25 year old female with hypertension, type 2 diabetes mellitus and no known drug allergies, who on 26-AUG-2008, was vaccinated with her first dose of GARDASIL (Lot # 660557/0072X) 0.5 ml IM right deltoid. Concomitant therapy included AVAPRO, metformin and prenatal vitamins (unspecified). On 02-SEP-2008, the patient experienced generalized pruritus without a rash a week after receiving her first dose. The pruritus was worse on her hands and face. The patient called the physician. The patient was instructed to take BENADRYL. The patient''s generalized pruritus persisted. Additional information has been requested.

VAERS ID:329608 (history)  Vaccinated:2008-09-10
Age:25.0  Onset:2008-09-11, Days after vaccination: 1
Gender:Female  Submitted:2008-10-14, Days after onset: 33
Location:Unknown  Entered:2008-10-17, Days after submission: 3
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: ORTHO-CYCLEN
Current Illness:
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC 'Split Type': WAES0809USA01943
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC. 1IMLA
Administered by: Other     Purchased by: Other
Symptoms: Diarrhoea, Injection site vesicles, Nausea
SMQs:, Acute pancreatitis (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (narrow)
Write-up: Information has been received from a 25-year-old female pharmacy technician who reported that on 10-SEP-2008, she received the second dose of GARDASIL (lot # not reported) 0.5 mL via intramuscular route in her left deltoid. Concomitant medication included ORTHO-CYCLEN. According to the reporter, on 11-SEP-2008 she developed two "fluid filled blisters on either side of the site of injection" after the second dose of vaccination. The patient also experienced nausea and diarrhea. She sought unspecified medical attention. At the time of reporting, the patient had not recovered from the events. The patient''s received her first dose of GARDASIL on 03-JUN-2008. Additional information has been requested.

VAERS ID:329680 (history)  Vaccinated:2007-03-06
Age:25.0  Onset:2007-09-01, Days after vaccination: 179
Gender:Female  Submitted:2008-10-14, Days after onset: 409
Location:New York  Entered:2008-10-17, Days after submission: 3
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: vitamins (unspecified)
Current Illness: Pregnancy NOS (LMP = 07/26/2007)
Preexisting Conditions: 3/10/09-records received-chronic headaches which began at age 8 or 9
Diagnostic Lab Data: magnetic resonance, venous sinus thrombosis; hematology; venous sinus thrombosis 3/10/09-records received-MRI and MR venogram showed venous sinus thrombosis. Office visit 6/13/08-MRI shows dimished size of right transverse thrombis.
CDC 'Split Type': WAES0809USA02114
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.0146U2IMRL
Administered by: Other     Purchased by: Other
Symptoms: Anxiety, Cerebral venous thrombosis, Chest pain, Fatigue, Haematology test abnormal, Headache, Migraine, Nuclear magnetic resonance imaging abnormal, Nuclear magnetic resonance imaging brain abnormal, Pain, Tremor, Vaginal infection
SMQs:, Neuroleptic malignant syndrome (broad), Ischaemic cerebrovascular conditions (narrow), Embolic and thrombotic events, venous (narrow), Parkinson-like events (broad), Thrombophlebitis (broad), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad)
Write-up: Information has been received from a nurse and office manager for the pregnancy registry for GARDASIL a 27 year old Caucasian female who on 28-SEP-2006 was vaccinated with the first dose of GARDASIL. On 31-OCT-2006, the patient was vaccinated with a second dose of GARDASIL. On 06-MAR-2008, she was vaccinated with a third dose of GARDASIL. Concomitant therapy included a first influenza virus vaccine (unspecified) on 23-JAN-2006 and a second dose on 17-OCT-2007 and vitamins (prenatal vitamins). In September 2007, approximately 6 months after the third dose the patient became pregnant. When she was 15 weeks pregnant she experienced headaches and in the 18th week of pregnancy she was diagnosed with venous sinus thrombosis. The patient''s family history and genetic relation of blood disorder that out after delivery. Since then, the patient has had a live birth female who was healthy and was born at 39 weeks from the LMP on 26-APR-2008 with a weight of 7 pounds and 1 oz and the length was 21.5 inches (LMP = approximately 26_JUL-2007, EDD - approximately 03-MAY-2008). Additional information is not expected. 3/10/09-records received for DOS 12/7-12/8/07-DC DX: Venous sinus thrombosis. Presented with C/O headaches at time 18 weeks pregnant. Office note 11/19/07 seen for evaluation of worsening headaches. During course of first trimester of pregnancy had increasing and severity of chronic headaches which began at age 8 or 9. Throbbing pain and sensationof nasal congestion. Assessment:mirgraine headaches. Office visit 2/14/08-follow up visit after hospitalization. Assessment:right cerebral transverse sinus thrombosis. 3/12/09-office records received office visit 6/20/07-annual exam WNL- 7/30/06-C?o fatigue and discharge, vagninitis. 9/28/06-1st Gardasil vaccine Lot #0955F, left deltoid. 10/31/06-2nd Gardasil vaccine received. 1/19/07-C/O feelings of anxiety, chest pain, shaking. 3/6/07-3rd Gardasil vaccine given Lot #0146U.

VAERS ID:329711 (history)  Vaccinated:2008-09-02
Age:25.0  Onset:2008-09-02, Days after vaccination: 0
Gender:Female  Submitted:2008-10-14, Days after onset: 42
Location:Unknown  Entered:2008-10-17, Days after submission: 3
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: CELEXA; PINDOLOL; vitamins (unspecified)
Current Illness: Pregnancy NOS (LMP = 8/7/2008); Drug hypersensitivity
Preexisting Conditions:
Diagnostic Lab Data: diagnostic laboratory; beta-human chorionic
CDC 'Split Type': WAES0809USA03538
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC. 1UNUN
Administered by: Other     Purchased by: Other
Symptoms: Abdominal pain, Abdominal pain upper, Dizziness, Drug exposure during pregnancy, Musculoskeletal chest pain, Nausea, Pregnancy test, Tremor
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Parkinson-like events (broad), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad), Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow)
Write-up: Information has been received from a nurse practitioner through a Merck pregnancy registry concerning a 25 year old female with allergy to Morphine who in approximately June was vaccinated with her first dose of GARDASIL vaccine (yeast) (lot # not provided). On 02-SEP-2008 the patient received the second dose of GARDASIL vaccine (yeast) (lot # not provided) and soon afterward found out she was pregnant. Her LMP was approximately 07-AUG-2008. Expected date of delivery was 14-MAY-2009, The patient had no medical history. Concomitant therapy include Pindolol, vitamins (unspecified) and CELEXA (reportedly being discontinued). In early September 2008, the patient experienced stomach pain, abdominal pain, rib pain, nausea, dizziness and shakiness. Therapy with GARDASIL vaccine was discontinued. At the time of the report, the patient had not recovered from the adverse experiences. The patient did not seek medical attention. Additional information has been requested.

VAERS ID:330485 (history)  Vaccinated:2008-09-24
Age:25.0  Onset:2008-09-24, Days after vaccination: 0
Gender:Female  Submitted:2008-10-14, Days after onset: 20
Location:Unknown  Entered:2008-10-17, Days after submission: 3
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: YAZ
Current Illness:
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC 'Split Type': WAES0909USA04365
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.0548X1IMUN
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 a 25 year old female with no pertinent medical history and no allergies or drug reactions who on 23-JUL-2008, was vaccinated with the first dose of GARDASIL vaccine (yeast) 0.5 ml, intramuscularly. Concomitant therapy included YAZ. On 24-SEP-2008, the patient was vaccinated with the second dose of HPV vaccine (lot# 661044/0548X), 0.5 ml intramuscularly. The nurse practitioner reported that the patient developed intermittent nausea 1 and a 1/2 hours after receiving her second dose. The nausea was mild and intermittent, and had not caused emesis. At the time of the report, the patient had not recovered. The patient sought medical attention by phone. Additional information has been requested.

VAERS ID:330508 (history)  Vaccinated:2008-09-23
Age:25.0  Onset:2008-09-24, Days after vaccination: 1
Gender:Female  Submitted:2008-10-14, Days after onset: 20
Location:Unknown  Entered:2008-10-17, Days after submission: 3
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness:
Preexisting Conditions: None
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0809USA04645
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.0847X2UNLA
Administered by: Other     Purchased by: Other
Symptoms: Injection site pain, Neck pain
SMQs:, Extravasation events (injections, infusions and implants) (broad), Arthritis (broad)
Write-up: Information has been received from a nurse practitioner concerning a 25 year old female with no pertinent medical history and no drug reactions/allergies who on 16-FEB-2008 was vaccinated with the first dose of GARDASIL, on 14-APR-2008 was vaccinated with the second dose of GARDASIL, and on 23-SEP-2008, the patient was vaccinated with the third dose of GARDASIL into her left deltoid (Lot# 659968/0847X). There was not concomitant medication. On 24-SEP-2008, the patient developed severe pain radiating from the injection site (left deltoid) up into her neck. The patient''s severe pain radiating from the injection site (left deltoid) up into neck persisted. It was reported that the patient sought medical attention: phone call. Additional information has been requested.

VAERS ID:330659 (history)  Vaccinated:2008-09-08
Age:25.0  Onset:0000-00-00
Gender:Female  Submitted:2008-10-14
Location:Unknown  Entered:2008-10-17, Days after submission: 3
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness:
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC 'Split Type': WAES0809USA04689
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.0573X0IMUN
Administered by: Other     Purchased by: Other
Symptoms: Injection site pain, Limb discomfort, Pain in extremity
SMQs:, Extravasation events (injections, infusions and implants) (broad)
Write-up: Information has been received from a nurse concerning a 25 year old female who on 08-SEP-2008 was vaccinated with her first dose of GARDASIL (LOT#: 0573X) 0.5mL intramuscularly. Subsequently the patient experienced a severe pain and discomfort in the whole arm that the injection was given in. No treatment requirement. The patient''s injection site severe pain and discomfort in the whole arm persisted. The patient sought medical attention in the office on 26-SEP-2008 with continued pain. Additional information has been requested.

VAERS ID:329115 (history)  Vaccinated:2007-06-22
Age:25.0  Onset:2008-07-15, Days after vaccination: 389
Gender:Female  Submitted:2008-10-17, Days after onset: 94
Location:California  Entered:2008-10-20, 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: Pregnancy NOS (LMP = Unknown)
Preexisting Conditions:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0810USA01203
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC. 0IMUN
Administered by: Other     Purchased by: Other
Symptoms: Caesarean section, Drug exposure during pregnancy
SMQs:, Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow)
Write-up: Information has been received from a physician and a nurse, for the Pregnancy Registry for GARDASIL, concerning a 26 year old female consumer who in June 2007, was vaccinated with her first dose of GARDASIL, IM. Subsequently, she became pregnant. This was the patient''s first pregnancy. She was hospitalized for a caesarean section due to "low transfer". On 03-JUN-2008 the patient delivered a healthy baby. Then on 15-JUL-2008 she received her second dose of GARDASIL (lot # 658560/1062U). On 07-OCT-2008 the patient has an intrauterine device insertion. Additional information has been requested.

VAERS ID:329147 (history)  Vaccinated:2008-09-04
Age:25.0  Onset:2008-09-04, Days after vaccination: 0
Gender:Male  Submitted:0000-00-00
Location:North Carolina  Entered:2008-10-20
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEPAB: HEP A + HEP B (TWINRIX)GLAXOSMITHKLINE BIOLOGICALS  UNLA
SMALL: SMALLPOX (NO BRAND NAME)UNKNOWN MANUFACTURER  IDRA
TYP: TYPHOID VI POLYSACCHARIDE (NO BRAND NAME)UNKNOWN MANUFACTURER  IMLA
Administered by: Military     Purchased by: Military
Symptoms: Pruritus, Skin lesion
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (broad)
Write-up: SM developed pruritic lesions on R arm approx 6 hrs after receiving his primary SPV in R arm. He also received TWINRIX and Typhoid in the L arm.

VAERS ID:329666 (history)  Vaccinated:2001-10-01
Age:25.0  Onset:2007-04-01, Days after vaccination: 2008
Gender:Male  Submitted:2008-10-22, Days after onset: 570
Location:Unknown  Entered:2008-10-22
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: Meds: Erythromiacin, Gantrocin, Keflex
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
ANTH: ANTHRAX (NO BRAND NAME)UNKNOWN MANUFACTURERUNK5UNUN
Administered by: Military     Purchased by: Unknown
Symptoms: Migraine
SMQs:
Write-up: Frequent Migraines

VAERS ID:330086 (history)  Vaccinated:2008-09-01
Age:25.0  Onset:2008-09-01, Days after vaccination: 0
Gender:Female  Submitted:2008-10-24, Days after onset: 53
Location:Nebraska  Entered:2008-10-27, Days after submission: 3
Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness: Asplenia
Preexisting Conditions:
Diagnostic Lab Data: WBC count, 25000; erythrocyte, increased
CDC 'Split Type': WAES0810USA03982
Vaccination
Manufacturer
Lot
Dose
Route
Site
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC. 1UNUN
Administered by: Other     Purchased by: Other
Symptoms: Blood culture, Full blood count, Oedema peripheral, Pain, Pyrexia, Red blood cell count increased, White blood cell count increased
SMQs:, Cardiac failure (broad), Angioedema (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: Information has been received from a physician concerning a 25 year old female patient with asplenia who in September 2008, was vaccinated with the second 0.5 ml dose of PNEUMOVAX 23. In September 2008, the patient experienced fever, swelling in the arm in which she received the vaccination, generalized aches and pains throughout her body. The patient presented to the emergency room and she was found to have a white blood cell count of 25000 and an increased sedimentation rate. Then the patient was admitted to the hospital in order to determine the cause of elevated white blood cell count and remained in the hospital for 6 days. Blood cultures and CBC were performed (no results provided). Fever, swelling in the arm in which she received the vaccination, generalized aches and pains throughout her body, white blood cell count of 25000 and increased sedimentation rate were considered to be disabling. Additional information has been requested.

VAERS ID:330181 (history)  Vaccinated:2008-10-14
Age:25.0  Onset:2008-10-14, Days after vaccination: 0
Gender:Female  Submitted:2008-10-27, Days after onset: 13
Location:Arizona  Entered:2008-10-27
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLUN3: INFLUENZA (SEASONAL) (FLUMIST)MEDIMMUNE VACCINES, INC.500557P3IN 
Administered by: Military     Purchased by: Military
Symptoms: Swelling face
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow)
Write-up: The patient received the Flumist at 1430 HRS and went to exercise immediately. At around 1525 HRS, the patient experienced facial swelling with no difficulty breathing. The patient went back to the clinic and was treated with Epinephrine, prednisone and benadryl. The patient was released to go home with prescribed after an hour.

VAERS ID:330232 (history)  Vaccinated:2008-10-24
Age:25.0  Onset:2008-10-25, Days after vaccination: 1
Gender:Female  Submitted:2008-10-27, Days after onset: 2
Location:Maryland  Entered:2008-10-27
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
Diagnostic Lab Data: None
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURU2833AA0IMLA
Administered by: Other     Purchased by: Private
Symptoms: Injection site erythema, Injection site swelling
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: Area the following day way raised, bright red extended for 2 inches around site. Skin surface was raised about 1/4 inch. 2 days later rim of "color" extended 4 inches from site.

VAERS ID:330389 (history)  Vaccinated:2008-10-27
Age:25.0  Onset:2008-10-27, Days after vaccination: 0
Gender:Female  Submitted:2008-10-28, Days after onset: 1
Location:Michigan  Entered:2008-10-28
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
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)NOVARTIS VACCINES AND DIAGNOSTICS898810IMRA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Blood pressure increased, Feeling abnormal, Feeling hot, Flushing, Heart rate increased, Palpitations, Respiratory rate increased
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dementia (broad), Hypertension (narrow), Cardiomyopathy (broad), Hypersensitivity (broad)
Write-up: GIVEN STAFF FLU VACCINE AT 1:30PM ON 10-27-08. 10 MINUTES AFTER RECEIVING FLU VACCINE, SHE APPEARRED FLUSHED ON NECK/CHEST. COMPLAINTS OF "FEELING FUNNY", "HEART RACING", "FEEL LIKE I AM BURNING UP". BROUGHT HER TO DR. VITAL SIGNS ELEVATED, BLOOD PRESSURE 162/82, PULSE 140, RESPIRATIONS 28. RECHECKED EVERY TEN MINUTES AS SYMPTOMS WERE LESSENING. TOOK 30 MINUTES BEFORE BLOOD PRESSURE AND VITAL SIGNS BACK IN NORMAL RANGE. SYMPTOM OF FEELING HOT CONTINUED. SHE PHONED HER PRIMARY CARE DR, WHO ADVISED HER TO TAKE BENADRYL. SYMPTOMS IMPROVED WITHIN 20 MINUTES AFTER TAKING BENADRYL. TODAY SHE STILL FEELS WARM, BUT MOSTLY BETTER.

VAERS ID:330411 (history)  Vaccinated:2008-10-14
Age:25.0  Onset:2008-10-14, Days after vaccination: 0
Gender:Female  Submitted:2008-10-28, Days after onset: 14
Location:New Hampshire  Entered:2008-10-28
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: None~ ()~NULL~~In Patient
Other Medications: none
Current Illness: none known
Preexisting Conditions: none
Diagnostic Lab Data: N/A yet
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURU2762AA0IMLA
Administered by: Private     Purchased by: Public
Symptoms: Injection site pain, Muscular weakness, Myalgia
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Extravasation events (injections, infusions and implants) (broad), Eosinophilic pneumonia (broad)
Write-up: muscle pain at inj. site and sl. weakness to arm for 2 weeks post injection

VAERS ID:330656 (history)  Vaccinated:2008-09-08
Age:25.0  Onset:2008-09-08, Days after vaccination: 0
Gender:Female  Submitted:2008-10-14, Days after onset: 36
Location:New York  Entered:2008-10-30, Days after submission: 16
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Dysplasia
Preexisting Conditions: Hernia
Diagnostic Lab Data: None
CDC 'Split Type': WAES0809USA04665
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.0573X0IMUN
Administered by: Private     Purchased by: Private
Symptoms: Injection site pain, Musculoskeletal pain, Pain in extremity
SMQs:, Rhabdomyolysis/myopathy (broad), Extravasation events (injections, infusions and implants) (broad)
Write-up: Information has been received from a registered nurse concerning a female with a history of hernia and no drug allergies reported who on 08-Sep-2008 was vaccinated with the first dose of GARDASIL (lot # 0573X), 0.5 mL, IM. There was no concomitant medication. On 08-Sep-2008, after vaccination, the patient experienced pain at injection site. On around 12-Sep-2008, the patient developed shoulder pain. At the time of the report, on 26-Sep-2008, the patient was having constant pain on right arm. The patient sought unspecified medical attention. Additional information has been requested. This is in follow-up to report(s) previously submitted on 10/14/2008; 1/7/2009. Follow-up information has been received from a registered nurse concerning a 25 year old female with mild dysplasia and a history of hernia and no known allergies who on 08-SEP-2008 at 5:18 p.m. was vaccinated intramuscularly in the right deltoid with a 0.5 ml first dose of GARDASIL . There was no concomitant medication. The nurse reported that the adverse events resolved on their own. No further information is available.

VAERS ID:330719 (history)  Vaccinated:2008-10-22
Age:25.0  Onset:2008-10-22, Days after vaccination: 0
Gender:Female  Submitted:2008-10-27, Days after onset: 5
Location:Illinois  Entered:2008-10-30, Days after submission: 3
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUARIX)GLAXOSMITHKLINE BIOLOGICALSAFLUA350CA IMLA
Administered by: Other     Purchased by: Private
Symptoms: Chills, Cough, Headache, Hyperhidrosis, Oropharyngeal pain, Pyrexia, Tremor
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Parkinson-like events (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Noninfectious encephalopathy/delirium (broad)
Write-up: Fever of 102 degrees F with shaking chills and sweats started approx 12 hours after receiving flu shot; sore throat, cough, and headache started approx 24 hrs after flu shot - symptoms began to improve after 3 hours.

VAERS ID:330722 (history)  Vaccinated:2008-04-02
Age:25.0  Onset:2008-04-02, Days after vaccination: 0
Gender:Female  Submitted:2008-09-26, Days after onset: 177
Location:Kentucky  Entered:2008-10-30, Days after submission: 34
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: OCP''s
Current Illness: URI
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEPA: HEP A (HAVRIX)GLAXOSMITHKLINE BIOLOGICALSAHAVB224BA1IDRA
TDAP: TDAP (ADACEL)SANOFI PASTEURC2863AA1IMLA
Administered by: Private     Purchased by: Unknown
Symptoms: Heart rate increased, Palpitations
SMQs:, Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad)
Write-up: Approx 12 hrs after vaccine. Pt had short episode of "palpitations". Heart rate to 150 at rest. Had URI at same time. Wasn''t taking medications (except OCP''s)

VAERS ID:330730 (history)  Vaccinated:2007-12-07
Age:25.0  Onset:2007-12-07, Days after vaccination: 0
Gender:Female  Submitted:2008-10-14, Days after onset: 311
Location:California  Entered:2008-10-30, Days after submission: 16
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: vitamins
Current Illness: Pregnancy NOS (LMP = 11/06/2007); Asthma; Cervical dysplasia; Migraines; Routine health maintenance
Preexisting Conditions:
Diagnostic Lab Data: ultrasound, 03/10/08, normal anatomy: routine screen; serum alpha-fetoprotein, 02/05/08, 1st trimester screen: low risk x 2. routine screening; serum alpha-fetoprotein, 03/05/08, modified MSAPP: Negative x 2. Routine screening
CDC 'Split Type': WAES0810USA00045
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC. 2UNUN
Administered by: Other     Purchased by: Other
Symptoms: Alpha 1 foetoprotein amniotic fluid normal, Drug exposure during pregnancy, Ultrasound scan normal
SMQs:, Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow), Normal pregnancy conditions and outcomes (narrow)
Write-up: Information has been received from a physician, for the Pregnancy Registry for GARDASIL, concerning a 26 year old female with mild asthma, cervical dysplasia and migraine and no history of pervious pregnancies who on 10-SEP-2007 was vaccinated with the first dose of GARDASIL (lot# 657868/05230). On 07-DEC-2007, the patient was vaccinated with a second dose of GARDASIL. Concomitant therapy included prenatal vitamins (unspecified) daily for routine health maintenance. Subsequently, she became pregnant on approximately 20-NOV-2008 (LMP: 06-NOV-2007, estimated delivery date: 12-AUG-2008). On 05-FEB-2008, as routine screening a serum alpha-fetoprotein test (MSAFP) was performed at first trimester and the results showed low risk pregnancy. On 06-MAR-2008, as routine screening a modified serum MSAFP was performed and the result was negative. On 10-Mar-2008, was performed to the patient an ultrasound as routine screening which showed normal anatomy. On 29-JUL-2008, the patient delivered a normal, healthy female baby at 38 weeks from LMP. The baby had a face presentation at time of delivery (mal presentation). The baby''s weight was 2977 grams, with a length of 18 inches, apgar score was 9/9 and a head circumference of 34. Additional information has been requested.

VAERS ID:330747 (history)  Vaccinated:2008-10-28
Age:25.0  Onset:2008-10-30, Days after vaccination: 2
Gender:Female  Submitted:2008-10-30, Days after onset: 0
Location:Arkansas  Entered:2008-10-30
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURU2807AA IMLA
Administered by: Public     Purchased by: Public
Symptoms: Injection site erythema, Injection site induration
SMQs:, Extravasation events (injections, infusions and implants) (broad)
Write-up: area of 3x6 cm erythema and induration at site present tow days after injection. Afebril to apply local compress and take NSAIDs.

VAERS ID:330930 (history)  Vaccinated:2008-07-18
Age:25.0  Onset:2008-07-18, Days after vaccination: 0
Gender:Male  Submitted:2008-10-31, Days after onset: 105
Location:North Carolina  Entered:2008-10-31
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
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Site
YF: YELLOW FEVER (NO BRAND NAME)UNKNOWN MANUFACTURERUNKNOWN0IMRA
Administered by: Unknown     Purchased by: Military
Symptoms: Diarrhoea, Dizziness, Fatigue, Headache, Mental impairment, Vomiting
SMQs:, Acute pancreatitis (broad), Anticholinergic syndrome (broad), Dementia (broad), Pseudomembranous colitis (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad), Noninfectious diarrhoea (narrow)
Write-up: Violent and continuous vomitting, diarhea, headaches, dizziness, exhaustion, loss of mental ability for 4-5 days. Occurred afternoon of vaccination date. Treatment included plenty of hydration and restriction of solid food.

VAERS ID:330963 (history)  Vaccinated:2008-09-15
Age:25.0  Onset:2008-10-24, Days after vaccination: 39
Gender:Female  Submitted:2008-11-01, Days after onset: 8
Location:Washington  Entered:2008-11-01
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. PMH: herpes.
Diagnostic Lab Data: 10/28/08 increased bilirubin counts. Labs and Diagnostics: Total bili 1.4. Bili indirect 1.10. Otherwise labs WNL.
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.1978U0IMRA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Abdominal discomfort, Abdominal pain, Abdominal pain lower, Amenorrhoea, Anorexia, Anxiety, Blood bilirubin increased, Blood bilirubin unconjugated increased, Chest discomfort, Crying, Depression, Dizziness, Dyspepsia, Dyspnoea, Fatigue, Feeling cold, Flank pain, Heart rate irregular, Laboratory test normal, Malaise, Nausea, Palpitations, Pelvic pain, Stomach discomfort, Tremor, Vertigo, Vomiting
SMQs:, Liver related investigations, signs and symptoms (narrow), Anaphylactic reaction (broad), Acute pancreatitis (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Retroperitoneal fibrosis (broad), Parkinson-like events (broad), Gastrointestinal perforation, ulcer, haemorrhage, obstruction non-specific findings/procedures (broad), Acute central respiratory depression (broad), Biliary system related investigations, signs and symptoms (narrow), Pulmonary hypertension (broad), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific dysfunction (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Cardiac arrhythmia terms, nonspecific (narrow), Depression (excl suicide and self injury) (narrow), Vestibular disorders (narrow), Fertility disorders (broad)
Write-up: 9/21-missed period for the month. 3 weeks after receiving the shot I began feeling a tightness in my chest and abdomen this has continued ever since. 10/30/08- possible seizure. The following symptoms I have experienced since 10/24/08- My digestive tract does not seem to be working properly. I am not hungry and when I eat food does not get digested properly. My stomach feels like it is in a knot. My heart is beating irregularly, at times very fast, and there is a tightness around my chest and heart. It is difficult to breath. 11/03/08 Spoke with office MA. Seen 10/27/08 for amenorrhea and pelvic pain. 11/24/08 MR received from PCP for several OVs beginning 10/29/08 with c/o abdominal discomfort, ill feeling, and fatigue. PE (+) for tearfulness, poor eye contact. Assessment: Pain, abdominal, generalized, acute. Nausea w/ vomiting. Dizziness/vertigo NOS, acute. Depressive d/o. Returned 10/31/08 with c/o dizziness and feeling unwell x 5 days. Missed last period but currently menstuating. Feels dizzy after eating with slow digestion. Feeling cold, some nausea. Assessment: nausea, alone with dizziness. Etiology unclear. Returned 11/3/08 with for f/u with c/o feeling unwell x 2 months since HPV vax. Currently bilateral flank pain and bilateral lower abd pain. Feeling heartrate changes, slower then faster. HR = 110bpm. One episode last week of body shaking, no LOC. Tx by EMS with O2. Upon PE pt is anxious. Asessment: Pain, abdominal, generalized. Palpitations, acute.

VAERS ID:331044 (history)  Vaccinated:2008-10-14
Age:25.0  Onset:2008-10-20, Days after vaccination: 6
Gender:Female  Submitted:2008-10-29, Days after onset: 9
Location:New Hampshire  Entered:2008-11-03, 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: 12/15/08-records received-PMH:Migraines.Multiple medications, depression, anxiety.
Diagnostic Lab Data: Many tests performed at hospital. 12/15/08-records received-Peroneal nerve palsy on right and thigh swelling with marked myositis and fat stranding on CT. Troponin peak 1.07. Elevated trasnaminases. CXR-tiny pleural effusion bibasilar atelectasis. MRI leptomeningeal enhancement. Echocardiogram 55%
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUARIX)GLAXOSMITHKLINE BIOLOGICALSAFLUA375AA UNUN
Administered by: Public     Purchased by: Private
Symptoms: Activities of daily living impaired, Adrenal insufficiency, Atelectasis, Cardiac failure, Chest X-ray abnormal, Computerised tomogram abnormal, Deafness unilateral, Echocardiogram abnormal, Gait disturbance, Head injury, Hypotension, Impaired driving ability, Impaired work ability, Infection, Intensive care, Loss of consciousness, Loss of employment, Migraine, Monoplegia, Muscular weakness, Myositis, Nerve injury, Nuclear magnetic resonance imaging abnormal, Pain in extremity, Peroneal nerve palsy, Pleural effusion, Transaminases increased, Troponin increased, Unresponsive to stimuli, Weight bearing difficulty
SMQs:, Torsade de pointes/QT prolongation (broad), Rhabdomyolysis/myopathy (broad), Cardiac failure (narrow), Liver related investigations, signs and symptoms (narrow), Anaphylactic reaction (broad), Peripheral neuropathy (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Myocardial infarction (narrow), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dementia (broad), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Accidents and injuries (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (broad), Hearing impairment (narrow), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad)
Write-up: Unconscious; Hearing loss; leg paralyzed. 12/15/08-records received for DOS 10/21-10/26/08-DC DX:Adrenal insufficiencey. Infections, complications, affecting treatment/stay. Migraines. Admitted with hypotensive status and respiratory rate of 3. Echo 55%, hypotension and heart failure improved. Most likely cause of hypotension was benzo or opioid overdose or central adrenal insufficience possibly 2/2 opioids or less likely steroid use during nasal septum surgery. Developed LE weakness question of muscle swelling vs other polyneuropathy. Gradual improvement in ability to weight bear. Right sided hearing loss acutely unclear cause now improving. Follow-up: See attached letter, found daughter unconscious loss use of hearing and legs 10/20/08 7:30AM brought to hospital ICU. I am the mother of patient whose letter is dated November 23, 2008. I also had the same flu shot Influenza Brand Name: FLUARIX, Manufacturer, Glaxo-Smith Kline, AFLUA375AA Exp. 6/30/09. Since this shot I also have had pain on the top of my foot - nothing of the magnitude of patient''s problem, but I thought it important to let you know. We are hoping for a response to this problem. Please find enclosed information you requested Influenza Brand Name: FLUARIX, Manufacturer, Glaxo-Smith Kline. AFLUA375AA Exp. 6/30/09. This vaccine was given to my daughter on 10/14/08 and on 10/20/08 the following occurred: she was found by me unconscious and unresponsive. She lost the use of her legs and hearing. She was at hospital ICU for 1 day and transferred until 10/26/08. During her stay at the hospital, she encountered migraine headaches the entire time. The doctors she saw were general, endocrinologist, neurologists, and orthopedic surgeon. They have not come to a definite conclusion as to why she passed out originally and hit her head and why was her entire body was effected such as blood pressure, sugar, liver, heart, etc. I feel there is a possibility the shot could of caused this problem. She has regained her hearing but her right leg and foot has severe nerve damage and is very very painful. She has physical distress and is unable to do anything. She cannot drive, walk well, eat, go to work, and ride her horse (no activities). She remains in bed all day except to go out for physical therapy. She has now lost her job, which took her a year to find after getting out of college. Her wages biweekly were $1077.00. She now she has to pay Cobra at the cost of $645.00 per month. This is a financial burden to me because my husband has Parkinson''s disease for over 28 years and is in a day care during the day...she was helping me take of him and now she can no longer do so. I would appreciate a response to this situation as soon as possible.

VAERS ID:331071 (history)  Vaccinated:2008-10-22
Age:25.0  Onset:2008-10-22, Days after vaccination: 0
Gender:Male  Submitted:2008-10-23, Days after onset: 1
Location:Missouri  Entered:2008-11-03, Days after submission: 11
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: BP normal; Pulse 115; temp 100.2F
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (AFLURIA)CSL LIMITED03549111A0IMRA
Administered by: Other     Purchased by: Private
Symptoms: Chills, Dizziness, Nausea, Visual impairment
SMQs:, Acute pancreatitis (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Optic nerve disorders (broad), Lens disorders (broad), Retinal disorders (broad), Vestibular disorders (broad)
Write-up: Visual disturbance, nausea, cold chills, dizzy. He took Benadryl and Tylenol later that evening.

VAERS ID:331073 (history)  Vaccinated:2008-10-24
Age:25.0  Onset:2008-10-24, Days after vaccination: 0
Gender:Female  Submitted:2008-10-27, Days after onset: 3
Location:Illinois  Entered:2008-11-03, 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:
Current Illness: No
Preexisting Conditions: No
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (AFLURIA)CSL LIMITED03549111A IMRA
Administered by: Other     Purchased by: Private
Symptoms: Chest discomfort, Dyspnoea, Heart rate, Hyperhidrosis, Pallor
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad)
Write-up: Patient c/o chest tightness and difficulty breathing at 1200. She was pale and diaphoretic, pulse 118. Sent to facility. Returned to work adverse reaction not found by facility.

VAERS ID:331641 (history)  Vaccinated:2008-09-02
Age:25.0  Onset:2008-09-03, Days after vaccination: 1
Gender:Female  Submitted:2008-10-28, Days after onset: 55
Location:Arizona  Entered:2008-11-03, Days after submission: 6
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Unknown
Preexisting Conditions: The subject has no relevant medical history and no history of adverse events following previous vaccinations. The subject has previously received flu shots and no reactions were documented following administration.
Diagnostic Lab Data: Unk
CDC 'Split Type': A0746645A
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLULAVAL)GLAXOSMITHKLINE BIOLOGICALSAFLLA159AA SCLA
Administered by: Private     Purchased by: Private
Symptoms: Incorrect route of drug administration, Injection site erythema, Injection site mass, Injection site warmth
SMQs:, Extravasation events (injections, infusions and implants) (broad)
Write-up: This case was reported by a healthcare professional and described the occurrence of lump at the injection site in a 25-year-old female subject who was vaccinated with FLULAVAL (GlaxoSmithKline). There were no concurrent medications. On 2 September 2008 at 10:00 the subject received unspecified dose of FLULAVAL at 0.5 ml, subcutaneously, in the left arm. On 3 September 2008, 24 hours after vaccination with FLULAVAL, the subject experienced lump at the injection site, injection site warmth and injection site redness. The drug was also administered via the incorrect route. FLULAVAL should have been given intramuscularly. At the time of reporting the events were unresolved. This event occurred in three subject. Linked cases include A0745549A and A0746650A.

VAERS ID:331296 (history)  Vaccinated:2008-10-27
Age:25.0  Onset:2008-10-28, Days after vaccination: 1
Gender:Female  Submitted:2008-11-03, Days after onset: 6
Location:Massachusetts  Entered:2008-11-04, 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: Ortho Tri-cyclen; Flonase; Nexium
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
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Site
TD: TD ADSORBED (NO BRAND NAME)MASS. PUB HLTH BIOL LABTD182 IMLA
Administered by: Private     Purchased by: Public
Symptoms: Contusion, Injection site erythema, Injection site pain, Injection site pruritus, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Haemorrhage terms (excl laboratory terms) (narrow), Accidents and injuries (narrow), Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (narrow)
Write-up: Approx 24 h or more after shot had minor contusion from colliding with someone else at site of shot. After that blow to injection site, developed large, red erythematous reaction - 3" diam., itchy, painful, later in the day urticaria on back, chest and neck. Slowly resolving.

VAERS ID:331343 (history)  Vaccinated:2008-09-24
Age:25.0  Onset:2008-09-24, Days after vaccination: 0
Gender:Female  Submitted:2008-10-23, Days after onset: 29
Location:Washington  Entered:2008-11-05, Days after submission: 13
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (ADACEL)SANOFI PASTEURUF452AA IMLA
Administered by: Public     Purchased by: Unknown
Symptoms: Injection site haematoma, Injection site haemorrhage, Muscle spasms
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Dystonia (broad)
Write-up: Immediately after placement site bled, subsequent bruising and muscle spasms lasting 30-60 seconds surrounding injection site that continued occasionally one week post vaccination.

VAERS ID:331394 (history)  Vaccinated:2008-11-04
Age:25.0  Onset:2008-11-04, Days after vaccination: 0
Gender:Female  Submitted:2008-11-05, Days after onset: 1
Location:Connecticut  Entered:2008-11-05
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Protonix 40mg daily
Current Illness: no
Preexisting Conditions: GERD
Diagnostic Lab Data: Vital signs stable BP 124/80 pulse76reg temp97.4 random fsbs101
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)NOVARTIS VACCINES AND DIAGNOSTICS899860IMLA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Blood glucose normal, Body temperature decreased, Cold sweat, Feeling cold, Heart rate normal, Malaise, Unresponsive to stimuli
SMQs:, Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hypotonic-hyporesponsive episode (broad)
Write-up: After patient received the flu vaccine she went to the checkout window at our office and after approx. 2 minutes she reported to the receptionist that she didn''t feel well. We immediately sat her down in a chair on the spot and attempted to speak to her. She was unresponsive for 1 minute and then started slowly to respond to us. We wheeled her to an exam room and did vital signs and blood sugar as she stated that she hadn''t eaten breakfast and it was about 9:30am. Blood sugar was 101. VS wnl. Pt was cold and clammy. It took her about 10 minutes before she was able to say she was feeling better. Was seen by her Provider and cleared to leave. Advised to return to clinic PRN.

VAERS ID:331563 (history)  Vaccinated:2008-11-02
Age:25.0  Onset:2008-11-02, Days after vaccination: 0
Gender:Female  Submitted:2008-11-06, Days after onset: 4
Location:Massachusetts  Entered:2008-11-06
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NKDA, NKA, NO Hx
Diagnostic Lab Data: N/A
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLULAVAL)GLAXOSMITHKLINE BIOLOGICALSAFLLA192AA SCLA
Administered by: Military     Purchased by: Military
Symptoms: Incorrect route of drug administration, Injection site erythema, Injection site pain, Injection site pruritus
SMQs:, Extravasation events (injections, infusions and implants) (broad)
Write-up: Influenza vaccine given SC instead of IM. Member experienced slight redness, itching and soreness at injection site for app. 48 hours.

VAERS ID:331632 (history)  Vaccinated:2008-08-25
Age:25.0  Onset:2008-08-25, Days after vaccination: 0
Gender:Female  Submitted:2008-11-06, Days after onset: 73
Location:Ohio  Entered:2008-11-07, 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: YASMIN
Current Illness: Penicillin allergy
Preexisting Conditions:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0811USA00272
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC. 0IMLA
Administered by: Other     Purchased by: Other
Symptoms: Drug administered at inappropriate site, Mobility decreased, Pain, Rash erythematous, Rash papular, Rash pruritic
SMQs:, Anaphylactic reaction (broad), Parkinson-like events (broad), Hypersensitivity (narrow)
Write-up: Information has been received from a physician concerning a 26 year old female with penicillin allergy and no relevant medical history who on 25-AUG-2008 was vaccinated intramuscularly with a first dose of GARDASIL in the left arm (lot number not reported). At time of administration, the patient experienced pain. The pain became severe and impaired lifting the arm. The patient self-treated with unspecified non-steroidal anti-inflammatory medications and the pain resolved in 3 weeks. On 27-OCT-2008, the patient was vaccinated intramuscularly with a second dose of GARDASIL in the gluteus muscle (lot number not reported). Concomitant therapy included YASMIN. Within a few hours, the patient developed a red, raised, itchy rash on her torso and both arms. The patient self-treated with BENADRYL. The patient contacted the physician''s office by phone the next day to inform them of the reaction and at that time, the rash was improved. According to the physician, the patient''s events were considered to be disabling. Additional information has been requested.

VAERS ID:331844 (history)  Vaccinated:2008-10-31
Age:25.0  Onset:2008-10-31, Days after vaccination: 0
Gender:Female  Submitted:2008-11-04, Days after onset: 4
Location:North Carolina  Entered:2008-11-10, Days after submission: 6
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: Cats
Diagnostic Lab Data: N/A
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUARIX)GLAXOSMITHKLINE BIOLOGICALSAFLUA372AA UNLA
Administered by: Private     Purchased by: Private
Symptoms: Axillary pain, Diarrhoea, Lymphadenopathy, Nausea
SMQs:, Acute pancreatitis (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (narrow)
Write-up: Diarrhea X 3. Took Imodium 10-31-08. Swollen, tender lymph node under left arm. Going down now. No fever. Mild nausea on 11/3/08.

VAERS ID:332378 (history)  Vaccinated:2008-11-06
Age:25.0  Onset:2008-11-08, Days after vaccination: 2
Gender:Female  Submitted:2008-11-08, Days after onset: 0
Location:Pennsylvania  Entered:2008-11-14, 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
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURU2747AA IMRA
Administered by: Private     Purchased by: Private
Symptoms: Erythema, Pallor
SMQs:, Anaphylactic reaction (broad), Hypotonic-hyporesponsive episode (broad), Hypersensitivity (broad)
Write-up: Small 1.8cm area of superficia blanching erythema without induration.

VAERS ID:332413 (history)  Vaccinated:2008-11-12
Age:25.0  Onset:2008-11-12, Days after vaccination: 0
Gender:Female  Submitted:2008-11-14, Days after onset: 2
Location:Kansas  Entered:2008-11-14
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: Allergy to Sulfa
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)NOVARTIS VACCINES AND DIAGNOSTICS89982 IMLA
HEP: HEP B (FOREIGN)MERCK & CO. INC.0398X0IMRA
UNK: VACCINE NOT SPECIFIED (NO BRAND NAME)UNKNOWN MANUFACTURER858582IDLA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Pruritus, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow)
Write-up: Patient went to ER 11-12-08 at approximately 11 pm. She was complaining of itching & had hives from her shoulders, down both arms to the elbows, and across her chest area. Hives did not extend down onto her breasts. She was treated with 125mg injection of Solu-Medrol & sent home with 2 additional 20mg tablets & a script (RN was unable to recall dosages written on script). She was also advised to purchase some Benadryl over the counter and take as directed. We saw her back in Employee Health around 0800 on Wednesday, 11-13-08, for new employee orientation. RN reports patient showed no evidence of hives at that time.

VAERS ID:332564 (history)  Vaccinated:2008-11-14
Age:25.0  Onset:2008-11-14, Days after vaccination: 0
Gender:Male  Submitted:2008-11-17, Days after onset: 3
Location:Unknown  Entered:2008-11-17
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
ANTH: ANTHRAX (BIOTHRAX)EMERGENT BIOSOLUTIONSFAV1734SCLA
Administered by: Military     Purchased by: Unknown
Symptoms: Injection site erythema, Injection site oedema
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: With 17X 2cm erythematous area with mild edema on (L) triceps/biceps region extending to elbow x 3days- Pt Rx ALLEGRA and Naproxen.

VAERS ID:334035 (history)  Vaccinated:2008-07-01
Age:25.0  Onset:2008-09-01, Days after vaccination: 62
Gender:Female  Submitted:2008-11-14, Days after onset: 74
Location:Unknown  Entered:2008-11-17, Days after submission: 3
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Obesity; overweight; eyeglasses wearer; loss of energy; heavy peroids; menstual cramps
Preexisting Conditions: deafness; routine childhood immunisation; surgery; miscarriage; contraception; hospitalisation; ectopic pregnancy; condom
Diagnostic Lab Data: blood pressure, 09/13/08, 38/64 mmhg; diagnositic laboratory, texting ability and both hands; urine beta-human, 11/08/08, negative; urine beta-human, 06/10/08, negative
CDC 'Split Type': WAES0810USA01882
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.0070X1IMUN
Administered by: Public     Purchased by: Other
Symptoms: Blood pressure decreased, Hypoaesthesia, Laboratory test, Pregnancy test negative
SMQs:, Anaphylactic reaction (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Guillain-Barre syndrome (broad)
Write-up: Information has been received from a registered nurse concerning a female with obesity and no drug reactions/allergies who was vaccinated with GARDASIL vaccine, 0.5 milliliter intramuscular, in May and in July of 2008. In September 2008, the patient experienced bilateral numbness in her arms. The patient sought medical attention in office. Additional information has been requested. This is in follow-up to report (s) previously submittedon 11/14/2008. Medical records had been received indicated a female was vaccinated with the first (lot # 659964/1978U), the second (lot # 660553/0070X), left deltoid) and the third (lot # 661766/0652X), right deltoid dose of GARDASIL on 05-May-2009, 30-Jun-2008 (13:10) and 03-Nov-2008 (09:08) respectively. The patient had eye problems/visual problems and wore glasses. The patient''s health was good and had a past medical history of deafness. The patient had a history of unspecified surgery or had been a patient in a hospital. The patient had childhood immunization.The patient took precautions against sexually transmitted infections. The patient''s first menstrual period was 12 year old and had heavy periods/cramps. The patient had one pregnancy when she was 22 year old also reported as the patient had one ectopic pregnancy and one miscarriage. The patient had used pill, condoms, sterlization, suppository/film, natural family planning (rythm) and withdrawl birth control methods in the past. Concomitant therapy included green tea and herbal for energy. The patient''s blood pressure was 98/34 on 13-Sep-2008. On 10-Sep-2008 the patient complained of bilateral numbness in upper to mid-lower arms though she displayed good dexterity with testing ability of both hands. The patient denied tingling in both hands. The patient thought numbness was due to GARDASIL injection given on 05-May-2008 and 10-Jun-2008. The physician suggested the patient go to urgent care if numbness persisted or increased. The patient returned on 11-Jun-2008 for the third dose of GARDASIL and indicated that her arm was "sore" not numb. No further informatin is available. The VAERS # is 334035.

VAERS ID:334179 (history)  Vaccinated:2008-04-09
Age:25.0  Onset:0000-00-00
Gender:Female  Submitted:2008-11-14
Location:Unknown  Entered:2008-11-17, Days after submission: 3
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Penicillin allergy
Preexisting Conditions: Anemia; Adverse drug reaction; Tachycardia; Nausea; Palpitations; Hot flush
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0810USA02845
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC. 0IMUN
Administered by: Other     Purchased by: Other
Symptoms: Chest X-ray, Electrocardiogram, Hot flush, Laboratory test, Nausea, Palpitations, Tachycardia, Thyroiditis
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Hypothyroidism (broad), Hyperthyroidism (broad)
Write-up: Information has been received from a nurse practioner concerning a 25 year old female with a history of anemia (blood transfusion November, 2007) and drug reactions or allergies to penicillin and EFFEXOR (not specified) who on 09-APR-2008 was vaccinated with the first dose of GARDASIL intramuscularly in the arm. On 10-JUN-2008, the patient was vaccinated with the second dose of GARDASIL (lot#659655/1486U). On 10-OCT-2008, the patient was vaccinated with the third dose of GARDASIL (lot#661044/0548X). On 10-OCT-2008, the patient developed palpitations, tachycardia, nausea, and hot flashes within 30 minutes after the third dose of GARDASIL. On 10-OCT-2008 the patient was taken to the emergency room via ambulance and administered BENADRYL. The patient again experienced hot flashes, nausea, and tachycardia and went to the emergency room in the hospital where the patient works (date of treatment at the second emergency room is unknown). The patient underwent an electrocardiogram, chest X-ray, and unspecified lab work. The patient continues with symptoms of hot flashes, nausea and tachycardia that "comes and goes." The patient is out of work and has a follow up appointment with an unspecified primary care provider. The patient reported a similar reaction to EFFEXOR in the past (specified symptoms unspecified). No other symptoms or treatment reported. No other information available. Follow up AE information: The nurse practitioner called back to report that the patient has been diagnosed with thyroiditis. No further information was provided. Additional information has been requested.

VAERS ID:334237 (history)  Vaccinated:2008-10-14
Age:25.0  Onset:2008-10-14, Days after vaccination: 0
Gender:Female  Submitted:2008-11-14, Days after onset: 31
Location:Unknown  Entered:2008-11-17, Days after submission: 3
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: Bee sting
Preexisting Conditions:
Diagnostic Lab Data: None
CDC 'Split Type': WAES0810USA03376
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.0279X0IMUN
Administered by: Other     Purchased by: Other
Symptoms: Lip swelling, Nasal congestion, Oropharyngeal pain, Pyrexia, Throat irritation, Wheezing
SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), Asthma/bronchospasm (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Eosinophilic pneumonia (broad), Hypersensitivity (narrow)
Write-up: Information has been received from a nurse practitioner concerning a 25 year old female patient with a bee sting allergy, who on 14-OCT-2008, was vaccinated with the first dose of GARDASIL (lot # 660555/0278X), 0.5 ml, IM. There was no concomitant medication. On 14-OCT-2008, the patient developed a fever of 101 F, stuffy nose, wheezing, itching sore throat, and swollen upper middle lip about 18 hours after receiving the first dose of GARDASIL. The patient took an unspecified amount of diphenhydramine hydrochloride (BENADRYL), and most of the symptoms resolved by the patient phoned the nurse practitioner on 16-Oct-2008. The patient''s only remaining symptom was a stuffy nose. The patient sought medical attention by phone. Additional information is expected.

VAERS ID:334963 (history)  Vaccinated:0000-00-00
Age:25.0  Onset:0000-00-00
Gender:Female  Submitted:2008-11-14
Location:Unknown  Entered:2008-11-17, Days after submission: 3
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0810USA05170
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC. 0UNUN
Administered by: Other     Purchased by: Other
Symptoms: Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad)
Write-up: Information has been received from a physician concerning a 25 year old female who "recently" was vaccinate with the first dose of GARDASIL and fainted. The patient "came to" after she fainted the first time, and then fainted again while she was still in the office. This is one of several reports from same source. Additional information has been requested.

VAERS ID:334972 (history)  Vaccinated:2008-09-15
Age:25.0  Onset:2008-09-22, Days after vaccination: 7
Gender:Female  Submitted:2008-11-14, Days after onset: 53
Location:New Jersey  Entered:2008-11-17, 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: YAZ
Current Illness:
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC 'Split Type': WAES0810USA05320
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC. 0IMUN
Administered by: Other     Purchased by: Other
Symptoms: Injection site induration, Injection site mass
SMQs:, Extravasation events (injections, infusions and implants) (broad)
Write-up: Information has been received from a 25 year old female with no medical history who on 15-SEP-2008 was vaccinated IM with the first dose of GARDASIL vaccine. Concomitant therapy included YAZ, within a week of getting the vaccine, patient experienced "a hard bump the size of a dime" at the injection site. At the time of this report, the patient was recovered. the reporter did not remember the date of recovery. Unspecified medical attention was sought. Additional information has been requested.

VAERS ID:334990 (history)  Vaccinated:0000-00-00
Age:25.0  Onset:0000-00-00
Gender:Female  Submitted:2008-11-14
Location:Unknown  Entered:2008-11-17, Days after submission: 3
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0811USA00598
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC. 0UNUN
Administered by: Other     Purchased by: Other
Symptoms: Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad)
Write-up: Information has been received from a physician concerning a 25 year old female who on an unspecified dated was vaccinated with the first dose of GARDASIL vaccine. The physician reported that the patient fainted in the office after receiving vaccine. The outcome was unspecified. Additional information has been requested.

VAERS ID:332717 (history)  Vaccinated:1999-06-09
Age:25.0  Onset:1999-06-09, Days after vaccination: 0
Gender:Male  Submitted:2008-11-18, Days after onset: 3450
Location:New Jersey  Entered:2008-11-18
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. 7/2/09 Medical records received DOS 10/20/00 to 6/9/09. PMH: right and left shoulder recurrent instability, shoulder surgeries.
Diagnostic Lab Data: 7/2/09 Medical records received DOS 10/20/00 to 6/9/09. LABS and DIAGNOSTICS: CPK 228 (H). ALT 69 U/L (H). Bilirubin 1.5 mg/dL (H). HDL Chol 34 mg/dL (L). X-ray Head - arachnoid cyst. MR of Lumbar Spine - Moderate right sided disk herniation L5-S1. CBC - MCHC 36.7 g/dL (H)
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
ANTH: ANTHRAX (BIOTHRAX)EMERGENT BIOSOLUTIONSFAV0414UNUN
Administered by: Military     Purchased by: Military
Symptoms: Abdominal tenderness, Back pain, Blood bilirubin increased, Blood creatine phosphokinase increased, Burning sensation, Chills, Dizziness, Fatigue, Flushing, Headache, High density lipoprotein decreased, Hypertension, Hypertriglyceridaemia, Hypoaesthesia, Lumbar radiculopathy, Mean cell haemoglobin concentration increased, Musculoskeletal pain, Musculoskeletal stiffness, Neck pain, Nuclear magnetic resonance imaging abnormal, Periorbital oedema, Skull X-ray, Sleep apnoea syndrome, Sleep disorder, Snoring, Somnolence, Temporomandibular joint syndrome, Vision blurred, Vomiting, X-ray abnormal
SMQs:, Rhabdomyolysis/myopathy (broad), Liver related investigations, signs and symptoms (narrow), Anaphylactic reaction (broad), Acute pancreatitis (narrow), Angioedema (narrow), Dyslipidaemia (narrow), Peripheral neuropathy (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Myocardial infarction (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Dementia (broad), Dystonia (broad), Parkinson-like events (broad), Acute central respiratory depression (broad), Biliary system related investigations, signs and symptoms (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Glaucoma (broad), Hypertension (narrow), Lens disorders (broad), Retinal disorders (broad), Vestibular disorders (broad), Lipodystrophy (broad), Periorbital and eyelid disorders (narrow), Hypersensitivity (narrow), Arthritis (narrow)
Write-up: Remember left arm at time of injection becoming numb for nearly .5 hour on 9 June 1999. Extreme headache, extreme vomiting, dizziness, blurred vision, abdominal tenderness, chills. Symptoms persist for 6-8 hours. Taken to ER. Symptoms began approx. 2000 hrs on 24 June 1999. Taken to ER approx. 0500 hrs on 25 June 1999. Was given 60 Mgm of Toradol. Headache eased and released from hospital Mid morning on 25 June 1999. Maintained headache for multiple days following ER and controlled the pain with ibuprofen. 7/2/09 Medical records received DOS 10/20/00 to 6/9/09. Assessment: Benign essential hypertension, hypertriglyceridemia, lumbar radiculopathy, sleep disorder. Patient presented with right low back pain extending to popliteal fossa. Facial burning, headaches, periorbital swelling sensation, hypertension. TMJ tenderness. Right neck pain and stiffness, shoulder pain. Excessive daytime sleepiness. Fatigue. Difficulty sleeping. Hands stiff. Witnessed sleep apnea, snores. Intermittent burning sensation and flushing of face.

VAERS ID:332785 (history)  Vaccinated:2008-10-24
Age:25.0  Onset:2008-11-12, Days after vaccination: 19
Gender:Female  Submitted:2008-11-13, Days after onset: 1
Location:Pennsylvania  Entered:2008-11-19, Days after submission: 6
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUARIX)GLAXOSMITHKLINE BIOLOGICALSAFLUA350AB IMLA
Administered by: Public     Purchased by: Unknown
Symptoms: Hypoaesthesia, Paraesthesia
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad)
Write-up: Patient received influenza vaccine 10/24/08. Patient called 11/12/08 stating he has been experiencing numbness and tingling in left arm and arm since receiving the vaccine. Spoke with physician who instucted patient to be seen at student health. Patient reports he will go 11/14/08 at noon. Message was left for patient on Fri 11/14 in the afternoon, Sat 11/15 and Monday 11/16. As of Wed 11/17 patient has not called back to notify us of outcome.

VAERS ID:332937 (history)  Vaccinated:2008-11-14
Age:25.0  Onset:2008-11-14, Days after vaccination: 0
Gender:Female  Submitted:2008-11-20, Days after onset: 6
Location:Indiana  Entered:2008-11-20
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Keppra, Lamictal, Zonegran, Balziva, citalopram
Current Illness: None
Preexisting Conditions: Epilepsy
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURU2757AA0IMLA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Condition aggravated, Epilepsy
SMQs:, Systemic lupus erythematosus (broad), Convulsions (narrow), Generalised convulsive seizures following immunisation (narrow)
Write-up: "Irregular" epileptic seizure in patient with previous history of medication-controlled epilepsy.

VAERS ID:333004 (history)  Vaccinated:2008-11-20
Age:25.0  Onset:2008-11-20, Days after vaccination: 0
Gender:Female  Submitted:2008-11-21, Days after onset: 1
Location:New York  Entered:2008-11-21
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURU2800FA0IMLA
Administered by: Unknown     Purchased by: Private
Symptoms: Eye swelling, Lacrimation increased, Lip swelling, Ocular hyperaemia
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Glaucoma (broad), Lacrimal disorders (narrow), Hypersensitivity (narrow)
Write-up: Vaccine given at 1110 Am, at approx 4PM pt. began experiencing swelling of the lips and then the eyes with reddness and watering of eyes. Took cetirizine at 10 PM with some relief but lips remain swollen and eyes red.

VAERS ID:333051 (history)  Vaccinated:2008-11-18
Age:25.0  Onset:2008-11-20, Days after vaccination: 2
Gender:Male  Submitted:2008-11-21, Days after onset: 1
Location:New Jersey  Entered:2008-11-21
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: NONE
Preexisting Conditions: NKDA, none
Diagnostic Lab Data: Clinical exam
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURU2745AA0UNLA
TDAP: TDAP (ADACEL)SANOFI PASTEURC2998BA0UNRA
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.0330X0UNUN
Administered by: Private     Purchased by: Unknown
Symptoms: Erythema, Oedema peripheral
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad)
Write-up: Swelling and redness of upper extremity.

VAERS ID:333103 (history)  Vaccinated:2008-10-20
Age:25.0  Onset:2008-10-20, Days after vaccination: 0
Gender:Male  Submitted:2008-11-01, Days after onset: 12
Location:Pennsylvania  Entered:2008-11-24, Days after submission: 23
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: No
Preexisting Conditions: Hx of splenectomy. PMH: cold sores. hereditary spherocytosis with splenectomy
Diagnostic Lab Data: Labs, IV''s, Antibiotics. Labs and Diagnostics: Total bili 2.5. ALT 66-93. AST 37-43. Alk phos 218 WBCs 20.1. Flu (-). Hep A, B and C (-).
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURU2802AA IMLA
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.0870X IMLA
Administered by: Private     Purchased by: Unknown
Symptoms: Alanine aminotransferase increased, Aspartate aminotransferase increased, Blood alkaline phosphatase increased, Blood bilirubin increased, Body temperature increased, Cellulitis, Chills, Erythema, Hepatitis A antibody negative, Hepatitis B antibody negative, Hepatitis C antibody negative, Influenza serology negative, Jaundice, Laboratory test, Liver function test abnormal, Mucosal dryness, Nausea, Ocular icterus, Pain in extremity, Skin warm, Tenderness, Vomiting, White blood cell count increased
SMQs:, Liver related investigations, signs and symptoms (narrow), Cholestasis and jaundice of hepatic origin (narrow), Anaphylactic reaction (broad), Acute pancreatitis (narrow), Neuroleptic malignant syndrome (broad), Biliary system related investigations, signs and symptoms (narrow), Biliary tract disorders (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypersensitivity (broad)
Write-up: Nausea, vomiting, temp 105 to E.R. & admitted to hospital - Cellulitis of arm, vomiting, jaundice. 12/29/08 MR received for DOS 11/21-24/2008 with d/C DX: Cellulitis. Increased liver functions. Hx of hereditary spherocytosis. Pt presented with c/o chills, rigors, nausea, vomiting and arm pain. PE (+) for fever, dry mucous membranes, scleral icterus, and tnderness, erythema and warmth of the R upper arm. Tx with abx. Increased LFTs likely 2'' to hereditary spherocytosis. Slow improvement in pain and swelling so abx were changed and effective.

VAERS ID:333156 (history)  Vaccinated:2008-11-19
Age:25.0  Onset:2008-11-22, Days after vaccination: 3
Gender:Female  Submitted:2008-11-24, Days after onset: 2
Location:New York  Entered:2008-11-24
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: EFFEXOR XR 75 MG ONCE A DAY
Current Illness: HERE FOR STUDENT HEALTH CARE PHYSICAL 11/19/2008. RECEIVED PPD TEST 11/19/2008, READ NEGATIVE 11/21/2008
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAP: DTAP (DAPTACEL)SANOFI PASTEURUF452CA IMLA
Administered by: Private     Purchased by: Private
Symptoms: Headache, Injection site pain, Lymphadenopathy, Nausea, Photophobia
SMQs:, Acute pancreatitis (broad), Noninfectious meningitis (narrow), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Glaucoma (broad), Corneal disorders (broad), Retinal disorders (broad)
Write-up: Two days later she experienced increased pain at the injection site, pain in the armpit on the left and multiple swollen lymph nodes on the left side of the neck. She denies any fever, cough, sore throat. She also denies abdominal pain, vomiting. She did report a headache associated with nausea and photophobia on 11/2108, but states that she gets these symptoms with her migraines. She denies any difficulty breathing.

VAERS ID:333211 (history)  Vaccinated:2008-11-13
Age:25.0  Onset:2008-11-17, Days after vaccination: 4
Gender:Male  Submitted:2008-11-24, Days after onset: 7
Location:New Jersey  Entered:2008-11-25, Days after submission: 1
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: Please see attached 12/15/08-records received-CSF protein 118, glucose 49, mononuclear cells 92% with 82% lymphs and 10 mono histiocytes, CSF WBC 414, gram stain shows many white blood cells and no organisms. CXR and head CT negative. Serum glucose 120. Blood culture negative.
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
ANTH: ANTHRAX (NO BRAND NAME)UNKNOWN MANUFACTURERFAV1490UNRA
SMALL: SMALLPOX (ACAM2000)SANOFI PASTEURVV040030OTLA
TYP: TYPHOID VI POLYSACCHARIDE (TYPHIM VI)SANOFI PASTEURA092330UNRA
Administered by: Military     Purchased by: Military
Symptoms: Back pain, Blood culture negative, Blood glucose abnormal, Body temperature increased, CSF culture negative, CSF glucose normal, CSF lymphocyte count increased, CSF monocyte count decreased, CSF mononuclear cell count increased, CSF protein increased, CSF white blood cell count increased, Chest X-ray normal, Computerised tomogram normal, Gram stain negative, Headache, Lumbar puncture, Meningitis viral, Musculoskeletal discomfort, Musculoskeletal stiffness, Nausea, Pain, Pain in extremity, Photophobia, Red blood cells CSF positive, Vaccination complication, Vomiting
SMQs:, Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Retroperitoneal fibrosis (broad), Dystonia (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Glaucoma (broad), Corneal disorders (broad), Retinal disorders (broad), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (broad), Malignant lymphomas (broad), Arthritis (broad)
Write-up: Was innoculated on 11/13/08 and was seen in sick call by military on 11/18/08. He was sent to hospital for neck stiffness/discomfort, temp 101, body aches legs and lower back, nausea, vomiting. 12/15/08-records received for DOS 11/18-11/21/08- DC DX: Viral meningitis, probably secondary to small pox vaccine. Intractable nausea, vomiting with headache with photophobia. Presented with 2 day C/O headache, nausea, photophobia and intractable vomiting. Temperature elevation, febrile.

VAERS ID:333484 (history)  Vaccinated:2008-11-21
Age:25.0  Onset:2008-11-22, Days after vaccination: 1
Gender:Female  Submitted:2008-12-01, Days after onset: 9
Location:New York  Entered:2008-12-01
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness: Unknown
Preexisting Conditions: Unknown
Diagnostic Lab Data: None
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.09084 IMLA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Dyspnoea, Hypoaesthesia, Palpitations, Panic disorder
SMQs:, Anaphylactic reaction (broad), Peripheral neuropathy (broad), Arrhythmia related investigations, signs and symptoms (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Cardiomyopathy (broad)
Write-up: Patient experienced shortness of breath beginning one day after her MMR vaccine. Patient was hospitalized due to sypmtoms. 12/2/08-records received for DOS 11/21/08-ED visit for C/O palpitations, numbness in hands sense of impending doom. DX: Panic disorder without agoraphobia. Observed and discharged home.

VAERS ID:333588 (history)  Vaccinated:2008-10-14
Age:25.0  Onset:2008-10-14, Days after vaccination: 0
Gender:Female  Submitted:2008-11-18, Days after onset: 35
Location:Pennsylvania  Entered:2008-12-01, Days after submission: 13
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':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURU2789 IMLA
Administered by: Public     Purchased by: Unknown
Symptoms: Activities of daily living impaired, Back pain, Musculoskeletal pain, Pain in extremity
SMQs:, Rhabdomyolysis/myopathy (broad), Retroperitoneal fibrosis (broad), Dementia (broad)
Write-up: Pain in shoulder, back, and arm despite mult. analgesics and interfering w/ ADL''s; $g1 mo.

VAERS ID:333839 (history)  Vaccinated:2008-11-19
Age:25.0  Onset:0000-00-00
Gender:Female  Submitted:0000-00-00
Location:Virginia  Entered:2008-12-04
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
YF: YELLOW FEVER (YF-VAX)SANOFI PASTEURUF427AA SCLA
Administered by: Private     Purchased by: Unknown
Symptoms: Injection site erythema, Injection site pain
SMQs:, Extravasation events (injections, infusions and implants) (broad)
Write-up: Redness, tenderness (3X3cm) (L) upper arm at vaccine site.

VAERS ID:334414 (history)  Vaccinated:2008-11-05
Age:25.0  Onset:2008-11-06, Days after vaccination: 1
Gender:Female  Submitted:2008-11-10, Days after onset: 4
Location:Wisconsin  Entered:2008-12-09, 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: LEVOTHYROXIN
Current Illness: No
Preexisting Conditions: Allergy to PENICELLIN & mangos
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (ADACEL)SANOFI PASTEURC2768BA5IMLA
UNK: VACCINE NOT SPECIFIED (NO BRAND NAME)UNKNOWN MANUFACTURERC2679AC UNLA
Administered by: Public     Purchased by: Public
Symptoms: Injection site erythema, Injection site infection, Injection site pain, Injection site swelling, Injection site urticaria, Injection site warmth, Muscular weakness, Oedema peripheral, Pain, Pyrexia, Urticaria
SMQs:, Rhabdomyolysis/myopathy (broad), Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (narrow), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow)
Write-up: Thurs 11/6 woke up with swelling & soreness @ site of injection. Low grade fever 11/6 & 11/7. Severe body aches Friday 11/7 - particularly in face & legs felt weak. Arm continued to feel sore & was red & swollen. Monday 11/10 arm warm to touch below site of injection, red & hive- like appearance. No itchiness. Con''t to be sore. PHN suggested seeing Medical provider. Pt. saw nurse practitioner - given antibiotic (BACTRIM) due to infection at site. PHN will follow up in 10 days.

VAERS ID:334609 (history)  Vaccinated:2007-12-27
Age:25.0  Onset:0000-00-00
Gender:Female  Submitted:2008-06-30
Location:New York  Entered:2008-12-09, Days after submission: 162
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: none
Preexisting Conditions:
Diagnostic Lab Data: I have not done any lab test but I had consulted one doctor regarding my irregular period. He said it was due to irregular hormonal change. However, I had not experienced that before taking the HPV shot.
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC. 1UNLA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Alopecia, Dermatitis allergic, Fatigue, Heart rate irregular, Hypertension, Menstruation delayed
SMQs:, Neuroleptic malignant syndrome (broad), Hypertension (narrow), Cardiac arrhythmia terms, nonspecific (narrow), Fertility disorders (broad), Hypersensitivity (narrow)
Write-up: I took my HPV shots abroad. The first shot I took was on December 27th 2007. It didn''t feel anything special after this first one. I took my first shot before March 1st 2008. Days after my second shot, I start growing out breakouts (which looks like skin allergy) on my face. It has been bothering me until now. I have also experienced increase of hair loss compared to before taking the shot. After taking the 3rd HPV shot, my skin allergic problem has worsen. It also affected my monthly menstruation cycle. It basically shifted my cycle from normally 30 days to now 34 days. After having taken all 3 shots, i feel like i get tired alot easier than before. I went for an annual body check, I was now told that I have high blood pressure. My cardio result showed that I have irregular heart beat according to the nurse.

VAERS ID:335148 (history)  Vaccinated:2008-10-10
Age:25.0  Onset:2008-10-12, Days after vaccination: 2
Gender:Male  Submitted:2008-11-24, Days after onset: 43
Location:Virginia  Entered:2008-12-12, Days after submission: 18
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
ANTH: ANTHRAX (BIOTHRAX)EMERGENT BIOSOLUTIONSFAV1552UNLA
Administered by: Military     Purchased by: Military
Symptoms: Alopecia areata
SMQs:
Write-up: Alopecia Areata- Full scalp involvement which began approximately 1 week post dose # 2, full symptoms w/in 3 weeks at time of dose # 3.; 0 treatment to dose.

VAERS ID:336691 (history)  Vaccinated:2008-09-04
Age:25.0  Onset:2008-09-04, Days after vaccination: 0
Gender:Female  Submitted:2008-12-12, Days after onset: 99
Location:New Jersey  Entered:2008-12-15, 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: Hormonal Contraceptives
Current Illness: Dizziness, Vision Blurred
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0811USA01403
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.0843X0UNUN
Administered by: Private     Purchased by: Private
Symptoms: Dizziness, Malaise, Vision blurred
SMQs:, Anticholinergic syndrome (broad), Glaucoma (broad), Lens disorders (broad), Retinal disorders (broad), Vestibular disorders (broad)
Write-up: Information has been received from a licensed practical nurse (LPN) concerning a 25 year old female patient who on 04-Sep-2008 was vaccinated with the first dose of GARDASIL in her left deltoid (lot# 659184/0843X). Concomitant therapy included oral hormonal contraceptives (unspecified). Illness at time of vaccination included dizzy lightheaded and blurred vision. On 04-Sep-2008 the patient did not feel well 20 minutes after getting GARDASIL. On 06-Nov-2008 the patient was vaccinated with the second dose of GARDASIL in her left deltoid (lot#661764/0650X). The patient was observed for 20 minutes and had no reaction. Two hours later the patient reported that she experienced the same symptoms as before. The patient recovered from the adverse events. The patient did not seek medical attention. Additional information is not expected.

VAERS ID:336808 (history)  Vaccinated:2008-09-30
Age:25.0  Onset:0000-00-00
Gender:Female  Submitted:2008-12-12
Location:Unknown  Entered:2008-12-15, 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: hormonal contraceptives; CLARITIN
Current Illness: Irritable bowel syndrome
Preexisting Conditions:
Diagnostic Lab Data: None
CDC 'Split Type': WAES0811USA00509
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.1967U0IMUN
Administered by: Unknown     Purchased by: Unknown
Symptoms: Injection site mass
SMQs:, Extravasation events (injections, infusions and implants) (broad)
Write-up: Information has been received from a nurse practitioner concerning a 25 year old female with irritable bowel syndrome as concurrent condition and no known drug allergies who on 30-SEP-2008 was vaccinated intramuscularly in her left arm with 0.5 mL of the first dose of GARDASIL (Lot # 660387-1967U). Concomitant therapy included hormonal contraceptives (unspecified) and CLARITIN. On an unspecified date the patient developed a lump at the site of injection. The patient sought medical attention via telephone. At the time of the report the patient had not recovered. Additional information has been requested.

VAERS ID:336896 (history)  Vaccinated:2007-10-11
Age:25.0  Onset:2007-10-11, Days after vaccination: 0
Gender:Female  Submitted:2008-12-12, Days after onset: 428
Location:Arizona  Entered:2008-12-15, 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:
Current Illness:
Preexisting Conditions: Tubal ligation; Normal delivery
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0710USA04313
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.  IMUN
Administered by: Military     Purchased by: Other
Symptoms: Drug exposure during pregnancy
SMQs:, Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow)
Write-up: Initial and follow up information has been received as part of a Pregnancy registry for GARDASIL. A nurse practitioner and a certified medical assistant reported that a 25 year old female patient with no allergies and two previous pregnancies with full term deliveries and a bilateral tubal ligation (2006), on 11-OCT-2007 was vaccinated with GARDASIL. There was no concomitant medication. Subsequently the patient had a positive home pregnancy test. On 18-OCT-2007 the patient was seen in the office and underwent an ultrasound of the pelvis to confirm pregnancy. The patient''s LMP was 01-SEP-2007 (EDD 29-MAY-2007). Follow-up information was received from a nurse who reported that the patient was scheduled at 39 weeks EGA for a repeat Cesarean section and delivered a healthy and normal male, weighing 7 lbs 3 oz. According to the nurse, the patient recovered postoperatively without problems. Additional information is not expected.

VAERS ID:335427 (history)  Vaccinated:2008-12-08
Age:25.0  Onset:2008-12-09, Days after vaccination: 1
Gender:Female  Submitted:2008-12-10, Days after onset: 1
Location:Pennsylvania  Entered:2008-12-16, 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: OCP/PROTONIX; LEXOPRO; AMBIENCE CR
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: None
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)UNKNOWN MANUFACTURER  UNUN
Administered by: Other     Purchased by: Other
Symptoms: Fatigue, Headache, Local reaction, Myalgia
SMQs:, Rhabdomyolysis/myopathy (broad), Eosinophilic pneumonia (broad)
Write-up: Local reaction Myalgias, Fatigue, headache

VAERS ID:335488 (history)  Vaccinated:0000-00-00
Age:25.0  Onset:0000-00-00
Gender:Female  Submitted:2008-12-16
Location:Unknown  Entered:2008-12-17, Days after submission: 1
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: ADVAIR; hormonal contraceptives
Current Illness: Pregnancy NOS (LMP = 7/25/2008); Drug hypersensitivity
Preexisting Conditions: Neoplasm; Blood transfusion; Rhinoplasty; Sinus disorder; Tumour excision
Diagnostic Lab Data: ultrasound, baby has club foot
CDC 'Split Type': WAES0812USA01813
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC. 1UNUN
Administered by: Other     Purchased by: Other
Symptoms: Drug exposure during pregnancy, Endometriosis, Foetal disorder, Ovarian cyst, Surgery, Ultrasound scan abnormal
SMQs:, Malignancy related therapeutic and diagnostic procedures (narrow), Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow), Foetal disorders (narrow)
Write-up: Information has been received from a 25 year old female patient with polytrim eye drops allergy and a history of a tumor taken out of her chest and blood transfusion at age 4, and nose surgery because of a sinus problem in 2005, who received all 3 doses of GARDASIL. In 2007 (last year) was vaccinated with the first dose of GARDASIL (Lot # not reported). On approximately 15-MAY-2008 (mid May 2008), was vaccinated with the third dose of GARDASIL (Lot # not reported). Concomitant therapy included ADVAIR and "birth control". Around July 2008, the patient got pregnant. The patient is feeling fine, however the ultrasound discovered that the baby has a club foot. The patient also mentioned that before receiving the third dose she had a surgery because endometriosis, and had an ovarian cyst drained. The patient sought unspecified medical attention. Normal laboratory tests and first trimester screen were performed (results not provided). Last menstrual period was approximately on 25-JUL-2008 and estimated delivery date is on 01-May-2009. Upon internal review club foot was determined to a congenital anomaly. Additional information has been requested.

VAERS ID:335579 (history)  Vaccinated:2008-08-13
Age:25.0  Onset:0000-00-00
Gender:Female  Submitted:2008-12-07
Location:New Jersey  Entered:2008-12-18, Days after submission: 11
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: (+) for pregnancy
CDC 'Split Type':
Vaccination
Manufacturer
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ANTH: ANTHRAX (NO BRAND NAME)MICHIGAN DEPT PUB HLTHFAV14B1IMLA
SMALL: SMALLPOX (ACAM2000)SANOFI PASTEURW04003A0 LA
Administered by: Military     Purchased by: Military
Symptoms: Drug exposure during pregnancy, Pregnancy test positive
SMQs:, Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow), Normal pregnancy conditions and outcomes (narrow)
Write-up: Pt received pre-deployment vaccine requirements then found confirmation of pregnancy. TYPHOID Vi caps (x1), ANTHRAX (x3), INFLUENZA (x1), SMALLPOX (x2), TDAP (x1)

VAERS ID:335774 (history)  Vaccinated:2008-11-17
Age:25.0  Onset:2008-11-18, Days after vaccination: 1
Gender:Male  Submitted:2008-12-19, Days after onset: 31
Location:Nevada  Entered:2008-12-19
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: FEVER, CHILLS
Preexisting Conditions: NKA
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURU2941AA4IMLA
Administered by: Military     Purchased by: Military
Symptoms: Chills, Fatigue, Nausea, Paraesthesia
SMQs:, Acute pancreatitis (broad), Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)
Write-up: CHILLS,NAUSEA, TINGLING IN LEFT ARM, FATIGUE

VAERS ID:335869 (history)  Vaccinated:2008-09-29
Age:25.0  Onset:2008-09-30, Days after vaccination: 1
Gender:Female  Submitted:2008-12-18, Days after onset: 79
Location:Connecticut  Entered:2008-12-22, Days after submission: 4
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Oral contractive; Benadryl PRN
Current Illness:
Preexisting Conditions: "Soy"
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.001140IMUN
Administered by: Other     Purchased by: Public
Symptoms: Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow)
Write-up: Client returned to office for #2 GARDASIL states ''after last shot broke out in Hives''.

VAERS ID:335960 (history)  Vaccinated:2008-12-10
Age:25.0  Onset:2008-12-10, Days after vaccination: 0
Gender:Female  Submitted:2008-12-16, Days after onset: 6
Location:Virginia  Entered:2008-12-23, Days after submission: 7
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: LESSINA
Current Illness: None
Preexisting Conditions: Reports allergy to Sulfanamides
Diagnostic Lab Data: O2 Sat 97
CDC 'Split Type':
Vaccination
Manufacturer
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Dose
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HPV4: HPV (GARDASIL)MERCK & CO. INC.0651X1IMRA
Administered by: Private     Purchased by: Private
Symptoms: No reaction on previous exposure to drug, Oxygen saturation normal, Pallor, Rash erythematous, Rash macular
SMQs:, Anaphylactic reaction (broad), Hypotonic-hyporesponsive episode (broad), Hypersensitivity (narrow)
Write-up: Approximately ten minutes following administration of GARDASIL #2, patient experienced erythematous blanchable macules on both arms. Denied SOB, nausea, itching and/or pain. No reaction following GARDASIL #1. Rash began to resolve with no treatment except BENADRYL, 25 mg.

VAERS ID:336209 (history)  Vaccinated:2008-12-05
Age:25.0  Onset:2008-12-23, Days after vaccination: 18
Gender:Male  Submitted:2008-12-29, Days after onset: 6
Location:Alabama  Entered:2008-12-29
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: no
Preexisting Conditions: no food or medication allergies. No birth defects or medical conditions
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
SMALL: SMALLPOX (NO BRAND NAME)UNKNOWN MANUFACTURER    
Administered by: Military     Purchased by: Military
Symptoms: Erythema multiforme, Pain, Pruritus, Rash
SMQs:, Severe cutaneous adverse reactions (narrow), Anaphylactic reaction (broad), Hypersensitivity (narrow)
Write-up: Patient had smallpox vaccine 5 DEC, then developed rash 23 DEC. It is itchy and painful and is clinically consistent with erythema multiforme. The lesions are mainly on elbows and knees and hands, symmetrically

VAERS ID:336217 (history)  Vaccinated:2008-11-16
Age:25.0  Onset:0000-00-00
Gender:Male  Submitted:2008-12-29
Location:Virginia  Entered:2008-12-29
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:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (AFLURIA)CSL LIMITED03149111A IN 
Administered by: Military     Purchased by: Military
Symptoms: Incorrect route of drug administration
SMQs:
Write-up: RECEIVED INFLUENZA IM VACCINE VIA INTRANASAL ROUTE

VAERS ID:336238 (history)  Vaccinated:2008-04-08
Age:25.0  Onset:0000-00-00
Gender:Female  Submitted:2008-12-29
Location:Unknown  Entered:2008-12-30, 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: Unknown
CDC 'Split Type': WAES0812USA04566
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.1757U0IMLA
Administered by: Other     Purchased by: Other
Symptoms: Breast cancer, Chemotherapy, Lymphadenectomy, Mastectomy, Radiotherapy
SMQs:, Malignancy related therapeutic and diagnostic procedures (narrow), Malignant tumours (narrow), Breast malignant tumours (narrow)
Write-up: Information has been received from a Nurse practitioner concerning a 25 year old female patient who on 18-APR-2008 was vaccinated with the first dose of GARDASIL. After receiving the first dose of GARDASIL the patient was diagnosed with right breast cancer (2008). In November 2008, the patient had a right segmental mastectomy and lymph node dissection. As per the oncologist the breast cancer is not related to the GARDASIL. The patient was continuing on HERCEPTIN chemotherapy treatments until May 2009. She was also currently receiving radiation therapy. Upon internal review, breast cancer was considered to be an Other Important Medical Event. Additional information has been requested. 1/19/09 Reviewed PCP medical records of 11/14/2008. FINAL DX: right breast cancer, clinical stage T1C N0 M0; ER-positive, HER-2-positive; neoadjuvant chemotherapy; BRCA1 & 2 gene negative; right segmental mastectomy & sentinel lymph node biopsy 11/5/08.

VAERS ID:336247 (history)  Vaccinated:2007-12-12
Age:25.0  Onset:2008-01-16, Days after vaccination: 35
Gender:Female  Submitted:2008-12-26, Days after onset: 345
Location:New Jersey  Entered:2008-12-30, Days after submission: 4
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: PREVACID
Current Illness: Pregnancy NOS (LMP = 1/16/2008); Pollen allergy; Mycotic allergy
Preexisting Conditions:
Diagnostic Lab Data: Urine beta-human, positive
CDC 'Split Type': WAES0802USA06370
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.1267U0IMUN
Administered by: Other     Purchased by: Other
Symptoms: Abortion induced, Drug exposure during pregnancy, Urine human chorionic gonadotropin positive
SMQs:, Tumour markers (narrow), Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow), Termination of pregnancy and risk of abortion (narrow), Normal pregnancy conditions and outcomes (narrow)
Write-up: Information has been received from a registered nurse, for the Pregnancy Registry for GARDASIL, concerning a 25 year old female with environmental allergies to pollen and mold who on 12-DEC-2007 was vaccinated 0.5mL, IM with a 1st dose of GARDASIL (lot# 659439/1267U). Concomitant therapy included PREVACID. It was reported that the patient had a positive urine pregnancy test (LMP 16-JAN-2008). The patient sought unspecified medical attention in her doctor''s office. Follow-up information was received from the registered nurse to report that the patient went to another facility and had elective termination on 19-APR-2008. The patient''s outcome was unknown. Upon internal review, elective termination was determined to be an other important medical event. Additional information is not expected.

VAERS ID:336280 (history)  Vaccinated:2008-12-16
Age:25.0  Onset:2008-12-17, Days after vaccination: 1
Gender:Male  Submitted:2008-12-30, Days after onset: 13
Location:Connecticut  Entered:2008-12-30
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: SEASONAL ALLERGIES, CECLOR ALLERGY
Diagnostic Lab Data: NONE AT THIS POINT
CDC 'Split Type':
Vaccination
Manufacturer
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Site
ANTH: ANTHRAX (BIOTHRAX)EMERGENT BIOSOLUTIONSFAV1491SCRA
Administered by: Military     Purchased by: Military
Symptoms: Ecchymosis, Erythema, Induration
SMQs:, Anaphylactic reaction (broad), Haemorrhage terms (excl laboratory terms) (narrow), Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (broad)
Write-up: ANTHRAX VACCINE ADMINISTERED 12/16/08 PT DEVELOPED PROGRESSIVE REDNESS EVENTUALLY COVERING 1% BSA R DELTOID REGION. CENTRAL AREA OF ECCHYMOSIS APPROX 4 CM IN DIAMETER. LASTED 1.5 WEEKS. AT TWO WEEK EVAL WHEN FIRST REPORTED AREA OF ERYTHEMA AND INDURATION APPROX 1 CM DIAMETER

VAERS ID:336580 (history)  Vaccinated:0000-00-00
Age:25.0  Onset:0000-00-00
Gender:Female  Submitted:2009-01-05
Location:Florida  Entered:2009-01-06, 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: Pregnancy NOS (LMP = Unknown) Drug hypersensitivity
Preexisting Conditions:
Diagnostic Lab Data: Unknown 11/13/09 Medical records received for date 11/10/09 Diagnostics/Labs: Eosinophils% 12.3(H), potassium 2.6(L), WBC 14.1(H), HCT 35(L), Pregnancy test(-), UA WNL.
CDC 'Split Type': WAES0812USA05190
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC. 2UNUN
Administered by: Other     Purchased by: Other
Symptoms: Abdominal pain, Abortion spontaneous, Blood potassium decreased, Drug exposure during pregnancy, Dysmenorrhoea, Eosinophil percentage increased, Haematocrit decreased, Pelvic inflammatory disease, Pelvic pain, Pregnancy test negative, Urinary tract infection, Urine analysis normal, White blood cell count increased
SMQs:, Acute pancreatitis (broad), Haematopoietic erythropenia (broad), Haemorrhage laboratory terms (broad), Neuroleptic malignant syndrome (broad), Retroperitoneal fibrosis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad), Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow), Termination of pregnancy and risk of abortion (narrow), Hypersensitivity (broad)
Write-up: Information has been received from a consumer, for the Pregnancy Registry for GARDASIL vaccine, concerning his 25 year old wife general anesthesia allergy who was vaccinated 3 doses of GARDASIL vaccine (Lot # not reported) prior to becoming pregnant. Concomitant therapy included heart medication. Consumer''s wife is the patient in this case. Consumer reported that his wife had completed the GARDASIL vaccine series approximately six months to becoming pregnant with their first child. Consumer reported that they learned at 17 weeks gestation that his wife had lost their baby around 12 weeks of gestation. Laboratory test was performed previous to pregnancy and during pregnancy. Consumer reported that his wife will call back with more specific dates and information. Upon internal review, abortion spontaneous was determined to be an other important medical event. Additional information has been requested. 11/13/09 Medical records received for date 11/10/09. DX: PID, UTI, dysmenorrheal. Presented with pelvic pain x1 month abrupt onset. Pt states intermittent cramps. Assessment: WNL, cervical/uterus exam WNL, pt signed out before external genitalia exam. Pt signed out AMA.

VAERS ID:336636 (history)  Vaccinated:2008-12-10
Age:25.0  Onset:2008-12-11, Days after vaccination: 1
Gender:Female  Submitted:2008-12-31, Days after onset: 20
Location:Maryland  Entered:2009-01-06, 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: Birth control; Vitamin B-12
Current Illness: No
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC 'Split Type':
Vaccination
Manufacturer
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Dose
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Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURU2805AA IMRA
Administered by: Public     Purchased by: Other
Symptoms: Erythema, Local reaction, Pruritus, Rash erythematous, Rash generalised, Skin warm, Throat irritation
SMQs:, Anaphylactic reaction (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Hypersensitivity (narrow)
Write-up: 12/11/08 6:00pm, Rash appeared on L arm and L side of face and chest. Pt. also had local reaction of warmth and redness, described "like the size of a fist "Night of 12/11 pt. ''s throat and L side of body itchy. 12/12/08 am, On awakening: She discovered red raised rash all over body. Pt took BENADRYL and saw MD. Pt. received steroid injection. MD instructed pt. to continue BENADRYL.

VAERS ID:336819 (history)  Vaccinated:2008-09-26
Age:25.0  Onset:2008-11-01, Days after vaccination: 36
Gender:Female  Submitted:2009-01-08, Days after onset: 68
Location:South Carolina  Entered:2009-01-08
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Depo Provera
Current Illness: none
Preexisting Conditions: Allergic to sulfa, black cherries, PeptoBismol
Diagnostic Lab Data: none
CDC 'Split Type': SC0827
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)SANOFI PASTEURU2349BA0IMLA
Administered by: Public     Purchased by: Public
Symptoms: Injection site pain, Neck pain, Pain in extremity
SMQs:, Extravasation events (injections, infusions and implants) (broad), Arthritis (broad)
Write-up: 12/15/08--Patient received Td on 9/26/2008 and started having soreness at beginning of November/08--started having upper arm, neck pain (left side) when moving arm in full range of motion. Has pain of 9.5 on scale of 1-10. Pain is in left arm. 1/7/09--followup with patient. Pt states the pain still comes and goes, still has full range of movement. The pain seems to be better, but still can''t go all day without hurting.

VAERS ID:336873 (history)  Vaccinated:2008-10-10
Age:25.0  Onset:2008-10-10, Days after vaccination: 0
Gender:Female  Submitted:2009-01-06, Days after onset: 88
Location:Maryland  Entered:2009-01-09, 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: Yasmin
Current Illness: No
Preexisting Conditions:
Diagnostic Lab Data: None
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
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Site
HPV4: HPV (GARDASIL)MERCK & CO. INC. 0UNRA
Administered by: Private     Purchased by: Private
Symptoms: Loss of consciousness, Respiratory arrest, Syncope, Urinary incontinence
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Acute central respiratory depression (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Hypersensitivity (broad)
Write-up: Pt passed and approximately 15-30 sec after injection. Was assisted to prone position. No respiratory effort for approximately 30 seconds. Color remained pink. Pulse present , Chin - lift position to open airways and pt regained consciousness. Monitored x 30 min. Parents came to take pt home. Incontinent of urine during syncope episode.

VAERS ID:337037 (history)  Vaccinated:2008-12-23
Age:25.0  Onset:2008-12-24, Days after vaccination: 1
Gender:Female  Submitted:2008-12-29, Days after onset: 5
Location:Florida  Entered:2009-01-12, 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:
Current Illness: None
Preexisting Conditions: 12 weeks pregnant
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURU2941AA UNLA
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.1161X1UNLA
Administered by: Military     Purchased by: Military
Symptoms: Drug exposure during pregnancy, Injection site cellulitis
SMQs:, Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow)
Write-up: Cellulitis infection near injection site of upper left arm.

VAERS ID:337419 (history)  Vaccinated:2006-02-01
Age:25.0  Onset:2007-05-01, Days after vaccination: 454
Gender:Male  Submitted:2009-01-15, Days after onset: 625
Location:Unknown  Entered:2009-01-15
Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None PMH: hospitalized w/food poisoning 2001.
Diagnostic Lab Data: MRI/MRA of brain, 1/19/08, Abnormal with and without contrast, with findings that are of concern for primary or secondary demyelinating disorder with primary consideration given to multiple sclerosis. There are several lesions at the supra and infratentorial compartments to include several lesions at periventricular white matter as well as additional subcortical foci of signal alteration at frontal and paramedian right parietal lobes. There is also a lesion of the dorsal aspect of the upper pons and lower mid brain. faint enhancement at the subcortical focus along paramedian right parietal lobe as well as at the dorsal pons and may be reflective of areas of active demyelination; Jan 08 labs, CSF cultures negative for both bacterial and fung
CDC 'Split Type':
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Site
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)UNKNOWN MANUFACTURER  IMUN
HEP: HEP B (ENGERIX-B)GLAXOSMITHKLINE BIOLOGICALSAHBVB171AB IMUN
IPV: POLIO VIRUS, INACT. (NO BRAND NAME)UNKNOWN MANUFACTURER  SCUN
MEN: MENINGOCOCCAL (NO BRAND NAME)UNKNOWN MANUFACTURER  UNUN
MMR: MEASLES + MUMPS + RUBELLA (NO BRAND NAME)UNKNOWN MANUFACTURER  SCUN
Administered by: Military     Purchased by: Military
Symptoms: Ageusia, Asthenia, Blindness, CSF bacteria no organisms observed, CSF glucose increased, CSF mononuclear cell count increased, CSF polymorphonuclear cell count decreased, CSF protein normal, Computerised tomogram head, Computerised tomogram normal, Coordination abnormal, Cytomegalovirus antibody negative, Disability, Epstein-Barr virus antibody negative, Fungus CSF test negative, Gait disturbance, Headache, Laboratory test normal, Lumbar puncture, Migraine, Multiple sclerosis, Muscular weakness, Nuclear magnetic resonance imaging brain abnormal, Nuclear magnetic resonance imaging spinal cord abnormal, Paraesthesia, Red blood cell count increased, Vision blurred, Visual acuity reduced, White blood cell count increased
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Taste and smell disorders (narrow), Anticholinergic syndrome (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Glaucoma (broad), Optic nerve disorders (broad), Demyelination (narrow), Lens disorders (broad), Retinal disorders (broad)
Write-up: SM who received multiples doses of ENGERIX-B within a one year time period, later diagnosed with MS. Symptoms: Loss of vision (CN II), weakness, headache, migraine. Prior to receiving multiple doses of the ENGERIX-B, Lt was in excellent shape and usually ran 6-12 miles almost everyday. Although he received his last ENGERIX-B in Feb 2007 and did not develop any acute symptoms until Jan 2008, he notes that in May/June of 2007 that he had a pins/needles sensation in the L leg, when it was scratched on the back. On his last PT test in Sept/Oct time frame of 2007, he received his lowest PT score ever. His usual score was a 270-280, he received only a 220. 1/23/09 Received medical records. FINAL DX: multiple sclerosis Records reveal patient experienced pins & needles sensation in legs, decreased energy, sudden onset blurred vision, mustle weakness in legs, loss of taste sensation. Hospital admit 1/08. Developed migraine HA after LP. Continued w/decreased vision, unsteady gait & poor muscle coordination. Tx w/meds including interferon. Prior AD Army, now out of service on disability retirement due to progression of his MS. This case was reviewed at at neurology teleconference on 1/14/08 and assigned a WHO Causality assessment of "unlikely" because neurologists felt that there was no close temporal association between the last vaccine and onset of symptoms.

VAERS ID:337476 (history)  Vaccinated:2007-02-14
Age:25.0  Onset:2007-08-23, Days after vaccination: 190
Gender:Female  Submitted:2009-01-15, Days after onset: 511
Location:California  Entered:2009-01-15
Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: none
Preexisting Conditions: hypothyroidism, migraine headaches. PMH: thyroid problems.
Diagnostic Lab Data: start of vaccine series 09/13/2006,2nd dose 10/18/2006 and 3rd and final dose 2/14/2006 Blood work drawn 5/10/2007 showed immunity. Labs: TSH 5.880. T4 19.6. CBC WNL.
CDC 'Split Type':
Vaccination
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Site
HEP: HEP B (ENGERIX-B)GLAXOSMITHKLINE BIOLOGICALSAHPVB517AA7IMRA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Alopecia universalis, Blood thyroid stimulating hormone normal, Constipation, Dysphagia, Full blood count normal, Hepatitis B antibody positive, Occupational exposure to drug, Thyroid neoplasm, Thyroxine increased, Weight increased
SMQs:, Liver infections (narrow), Hyperglycaemia/new onset diabetes mellitus (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), Hypothyroidism (broad), Hyperthyroidism (broad), Tumours of unspecified malignancy (narrow)
Write-up: Hepatitus B Vaccine series given at start of new job (1st dose 9/13/2006) because blood work showed no immunity present from previous immunizations. Within weeks of each injection patches of hair fell out. At one point had several patches of hair (half dollar sized and smaller) gone. And 6 months (8/23/2007) after final injection (2/14/2007) of the series all body hair was lost within 2 weeks. First hair to fall out was on the scalp, followed by eyebrows, eyelashes, and pubic hair. Since, losting all noticable hair, realized that all soft hairs on arms, legs, face and lining nose are also gone. Was evaluated by PMD and was referred to Endocrinologist, no specific results from test revealed cause of sudden alopecia. At current date 1/15/2008 no hair has grown back. 2/27/09 MR received for ER visit 2'' to medication exposure at work . Pt left without being seen. No mention of alopecia in Hx. 3/18/2008 MR received from endocrine consult. Seen 10/13/08 for thyroid nodule. pt notes feeling tired, run down, constipated. pt with wt gain and having difficulty swallowing. DX: Thyroid nodule. Alopecia. HYpothyroid. F/U 2/17/09 for thyroid issues. Follow-up: Alopecia Universalis still present.

VAERS ID:337542 (history)  Vaccinated:2009-01-08
Age:25.0  Onset:2009-01-09, Days after vaccination: 1
Gender:Male  Submitted:2009-01-13, Days after onset: 4
Location:California  Entered:2009-01-16, Days after submission: 3
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: 1
Current Illness: None
Preexisting Conditions: Developmental Delay 315.9
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.0982X0IMLA
TDAP: TDAP (ADACEL)SANOFI PASTEURC3028AA0IMLA
Administered by: Private     Purchased by: Private
Symptoms: Cellulitis
SMQs:
Write-up: Left arm cellulitis 24 hours after vaccination in left deltoid

VAERS ID:338172 (history)  Vaccinated:2008-01-24
Age:25.0  Onset:2008-01-24, Days after vaccination: 0
Gender:Male  Submitted:2009-01-12, Days after onset: 354
Location:Florida  Entered:2009-01-16, Days after submission: 4
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: No concurrent medication
Current Illness: Unknown
Preexisting Conditions: The subject has no relevant medical history and no history of adverse events following previous vaccinations.
Diagnostic Lab Data: Unk
CDC 'Split Type': A0714361A
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)GLAXOSMITHKLINE BIOLOGICALSAHBVB443BA0UNRL
Administered by: Other     Purchased by: Other
Symptoms: Dysgeusia
SMQs:, Taste and smell disorders (narrow)
Write-up: This case was reported by a healthcare professional and described the occurrence of strange taste in a 25-year-old male subject who was vaccinated with ENGERIX B, (GlaxoSmithKline). There were no concurrent medications. On 24 January 2008 at 09:30 the subject received 1st dose of ENGERIX B at 20 mcg. On 24 January 2008, 20 to 30 minutes after vaccination with ENGERIX B, the subject experienced a strange taste in his mouth which resolved (end date 24 January 2008). The subject experienced no allergy like symptoms.

VAERS ID:337713 (history)  Vaccinated:2009-01-14
Age:25.0  Onset:2009-01-15, Days after vaccination: 1
Gender:Male  Submitted:2009-01-20, Days after onset: 5
Location:New Mexico  Entered:2009-01-20
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: Unknown
Diagnostic Lab Data:
CDC 'Split Type':
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Dose
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Site
TYP: TYPHOID VI POLYSACCHARIDE (TYPHIM VI)SANOFI PASTEURA0522-21IMLA
Administered by: Military     Purchased by: Military
Symptoms: Injection site erythema, Injection site induration, Injection site swelling, Injection site warmth
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: Patient complains of excessive swelling and redness at injectio site, site all is hardened and feels hot to the touch.

VAERS ID:338657 (history)  Vaccinated:2008-09-01
Age:25.0  Onset:2008-09-01, Days after vaccination: 0
Gender:Female  Submitted:2009-01-16, Days after onset: 137
Location:Virginia  Entered:2009-01-20, 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': WAES0812USA04291
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC. 1UNUN
Administered by: Other     Purchased by: Other
Symptoms: Arthralgia, Hypoaesthesia, Paraesthesia
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Arthritis (broad)
Write-up: Information has been received from a medical assistant and a physician concerning a 25 year old female patient who in approximately September 2008, was vaccinated with her second dose of GARDASIL (Lot not provided). Following the vaccination the patient experienced tingling from her elbow to her pinky intermittently (off and on for several months). As of 19-DEC-2008 the patient''s symptoms persisted. Additional information has been requested. Follow up information received from the physician concerning the female patient (weight 173 pounds, height 68 inches) who in July 2008, was vaccinated with the second dose of GARDASIL (lot # 660387/1967U). In July 2008, the patient experienced numbness in injection arm, joint pain in elbow and joint pain in knuckles and tingling from her elbow to her pinky. As of December 2008 the patient recovered. Additional information is ot expected,

VAERS ID:338663 (history)  Vaccinated:2008-11-21
Age:25.0  Onset:2008-11-21, Days after vaccination: 0
Gender:Female  Submitted:2009-01-16, Days after onset: 56
Location:Illinois  Entered:2009-01-20, Days after submission: 4
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC 'Split Type': WAES0812USA04143
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.0072X2IMRA
Administered by: Other     Purchased by: Other
Symptoms: Injection site induration, Injection site pain, Nodule
SMQs:, Extravasation events (injections, infusions and implants) (broad)
Write-up: Information has been received from a physician concerning a 25 year old female with no pertinent medical history or allergies who on 21-NOV-2008 was vaccinated intramuscularly in her right deltoid with 0.5 ml third dose of GARDASIL (lot # 660557/0072X). Concomitant therapy included an unspecified birth control medication. On 21-NOV-2008 the patient developed an induration "about the size of a dime" at the injection site of the right deltoid muscle. The area was painful to touch, The physician added that the patient had a similar knot near her vagina. The patient contacted the office via phone. No laboratory or diagnostics test were performed. At the time of this report, as 18-DEC-2008, the events persisted. Additional information has been requested.

VAERS ID:338700 (history)  Vaccinated:2008-12-29
Age:25.0  Onset:0000-00-00
Gender:Female  Submitted:2009-01-16
Location:Missouri  Entered:2009-01-20, Days after submission: 4
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Irritable bowel syndrome
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0901USA00012
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.1968U1IMGM
Administered by: Private     Purchased by: Other
Symptoms: Anogenital warts
SMQs:
Write-up: Information has been received from a healthcare worker (also reported as a nurse) and physician concerning a 25 year old female patient who received second dose of GARDASIL and was found to have genital warts. The patient has stated to the physician that she was not sexually active. Follow up information received on 31-Dec-2008 from the Healthcare worker who reported the patient received her first dose of GARDASIL (lot# 660398/1968U) on 30-Oct-2008 and the second dose of GARDASIL (lot#660389/1968U) on 29-Dec-2008. At the time on the report on 31 Dec-2008 the patient was not recovered The patient sought medical attention was seen in the office. Additional information has been requested. This is in follow-up to report(s) previously submitted on 1/16/2009. Additional information has been received from a physician concerning a patient with irritable bowel syndrome who on 30-OCT-2008 patient received first dose of GARDASIL (lot # 660389/1968U) intramuscularly left gluteus maximum in the morning. On 29-DEC-2008 she received second dose of GARDASIL (lot # 660389/1968U) intramuscularly left gluteus maximus in the morning. On 30-DEC-2008 patient was diagnosed developed genital warts. It was reported that the patient developed 2 lesion on outer genitalia. On 31-DEC-2008, the patient was seen in the physician''s office and was treated with ALDANA cream but the lesions have not resolved.

VAERS ID:337792 (history)  Vaccinated:2009-01-20
Age:25.0  Onset:2009-01-21, Days after vaccination: 1
Gender:Female  Submitted:2009-01-21, Days after onset: 0
Location:Illinois  Entered:2009-01-21
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: Allergy to Bactrim and Ceclor; PMH: bronchitis, pneumonia. Hives. Family hx: arthtis, DM, HTN.
Diagnostic Lab Data: LABS: WBC 13.1(H). ESR 4(N).
CDC 'Split Type':
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Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.0029X2IMLA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Anxiety, Asthenia, Chills, Dizziness, Fatigue, Headache, Hyperaesthesia, Insomnia, Mood altered, Nervousness, Pain, Paraesthesia, Pyrexia, Red blood cell sedimentation rate normal, Reflex test normal, Rhinitis, Sensation of heaviness, White blood cell count increased
SMQs:, Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Depression (excl suicide and self injury) (broad), Vestibular disorders (broad)
Write-up: Extreme weakness, fatigue, dizziness, severe mood changes, anxiety, low grade fever, severe headaches, chills. 1/30/09 Received PCP medical records of 1/22-1/30/2009. FINAL DX: Records reveal patient experienced weakness, dizziness, moody, decreased energy after HPV #1 & #2 given 7/10/2008 & 9/11/08. Increased fatigue, moody, nervous, heaviness in legs, sensitive to touch, generalized aching, low grade fever, chills after HPV#3 1/20/09. RTC 1/30 symptoms except dizziness persist & now w/tingling in back & arms. Difficulty sleeping. DTRs WNL. Dx w/rhinitis & possible early sinusitis. Tx w/nasal spray & given Rx for antibiotics if symptoms persist.

VAERS ID:337973 (history)  Vaccinated:2009-01-15
Age:25.0  Onset:0000-00-00
Gender:Female  Submitted:2009-01-22
Location:California  Entered:2009-01-22
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: Pt is pregnant- 33+3 weeks
Diagnostic Lab Data: None
CDC 'Split Type':
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FLU3: INFLUENZA (SEASONAL) (FLULAVAL)GLAXOSMITHKLINE BIOLOGICALSAFLLA197AA IMLA
Administered by: Military     Purchased by: Military
Symptoms: Drug exposure during pregnancy, Wrong drug administered
SMQs:, Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow)
Write-up: On 15Jan2009, pt was administered the Influenza vaccine, Flulaval, instead of Afluria (approved for the pregnant populaton).

VAERS ID:338746 (history)  Vaccinated:2009-01-28
Age:25.0  Onset:2009-01-30, Days after vaccination: 2
Gender:Female  Submitted:2009-01-30, Days after onset: 0
Location:California  Entered:2009-01-30
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: NKA, None
Diagnostic Lab Data: None
CDC 'Split Type':
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VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.0991X SCLA
Administered by: Public     Purchased by: Private
Symptoms: Injection site erythema, Injection site swelling, Pruritus, Varicella
SMQs:, Anaphylactic reaction (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad)
Write-up: Pt. C/O redness some swelling at site. Noted reddened area about 13 mm in diameter. Pt. started to feel itchiness on L arm in the evening after receiving vaccine. Pt. put ice packs on site to help with swelling. No other S/S reported by pt. Pt. had chickenpox at 10x10 reported very acute case at the time. Pt. reports site is now smaller. Pt. told to return to clinic if she gets more red/symptoms worse.

VAERS ID:339072 (history)  Vaccinated:2008-12-01
Age:25.0  Onset:2008-12-04, Days after vaccination: 3
Gender:Female  Submitted:2009-01-07, Days after onset: 34
Location:Indiana  Entered:2009-01-30, Days after submission: 23
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Sumatriptan succinate + Naproxen
Current Illness: Migraine
Preexisting Conditions: The subject has previously received flu vaccine and experienced flu-like symptoms.
Diagnostic Lab Data: UNK
CDC 'Split Type': A0760086A
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FLU3: INFLUENZA (SEASONAL) (FLULAVAL)GLAXOSMITHKLINE BIOLOGICALSAFLLA192AA UNUN
Administered by: Public     Purchased by: Other
Symptoms: Condition aggravated, Contusion, Injection site haematoma, Migraine
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Accidents and injuries (narrow)
Write-up: This case was reported by a pharmacist and described the occurrence of increase in migraine in a 25-year-old female subject who was vaccinated with FLULAVAL (GlaxoSmithKline). Concurrent medical conditions included migraine. Concurrent medications included TREXIMET. On 1 December 2008 at 17:10 the subject received a dose of FLULAVAL at 0.5 ml in the left arm. On 4 December 2008, 3 days after vaccination with FLULAVAL, the subject experienced increase in migraine (worsening) and bruising at the injection site. She also noted new bruising on her legs the same day. Increase in migraines and injection site bruising was improved at the time of reporting. The outcome of bruising on the legs was not reported.

VAERS ID:339046 (history)  Vaccinated:2009-02-02
Age:25.0  Onset:2009-02-02, Days after vaccination: 0
Gender:Female  Submitted:0000-00-00
Location:Ohio  Entered:2009-02-04
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC 'Split Type':
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HPV4: HPV (GARDASIL)MERCK & CO. INC.0546X0UNLA
MMR: MEASLES + MUMPS + RUBELLA (NO BRAND NAME)UNKNOWN MANUFACTURER1119X1IMRA
Administered by: Other     Purchased by: Unknown
Symptoms: Incorrect route of drug administration
SMQs:
Write-up: MMR vaccine administered IM in right deltoid instead of SQ 2 calls made to pt 2/4/09 for f/u - no answer Merck contacted- indicated vaccine may be less effective via IM route but not to revaccinate

VAERS ID:339143 (history)  Vaccinated:0000-00-00
Age:25.0  Onset:2008-07-02
Gender:Male  Submitted:2009-02-05, Days after onset: 218
Location:Puerto Rico  Entered:2009-02-05
Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None 2/17/09-records received-PMH: chronic back pain.
Diagnostic Lab Data: 2/17/09-records received-UGI 7/2/08-large sliding hiatal hernia without significant gastroesophageal reflux.
CDC 'Split Type':
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ANTH: ANTHRAX (BIOTHRAX)EMERGENT BIOSOLUTIONS 3UNRA
Administered by: Military     Purchased by: Military
Symptoms: Arthralgia, Back pain, Body tinea, Chills, Constipation, Deafness, Depression, Diarrhoea, Drug abuse, Dyspepsia, Eye pruritus, Fatigue, Haematochezia, Headache, Hernia, Hiatus hernia, Intervertebral disc disorder, Lacrimation increased, Muscle spasms, Myalgia, Nasal congestion, Nausea, Nervous system disorder, Pain in extremity, Pyrexia, Rhinitis, Skin lesion, Sleep disorder, Visual impairment, Vomiting, X-ray with contrast upper gastrointestinal tract
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Acute pancreatitis (broad), Haemorrhage terms (excl laboratory terms) (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Pseudomembranous colitis (broad), Dystonia (broad), Drug abuse and dependence (narrow), Gastrointestinal haemorrhage (narrow), Gastrointestinal nonspecific dysfunction (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Ischaemic colitis (broad), Optic nerve disorders (broad), Lens disorders (broad), Eosinophilic pneumonia (broad), Retinal disorders (broad), Depression (excl suicide and self injury) (narrow), Hearing impairment (narrow), Lacrimal disorders (narrow), Arthritis (broad), Noninfectious diarrhoea (narrow)
Write-up: Since 2003, hearing loss, sleep disorders, neurological problems, headaches, muscle joint pains, fatigue, muscle spasms, recurring skin lesions, chills or fever, nausea, constipation, diarrhea, change in vision, vomiting, discogenic disease, blood in feces, stomach hernia. 2/17/09-records received-presents to clinic with nasal congestion, eye itching and increased lacrimations. Previously seen for C/O dyspepsia, tinea, back pain, disc disease, foot pain, depression, marijuana abuse, rhinitis.

VAERS ID:339178 (history)  Vaccinated:2008-01-10
Age:25.0  Onset:0000-00-00
Gender:Female  Submitted:2009-02-09
Location:California  Entered:2009-02-09
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Yasmin, albuteral, singular
Current Illness: none
Preexisting Conditions: Asthma, allergies (not to food or medications)
Diagnostic Lab Data: Had a normal blood test before shot, and after shot tested for immune deficiencies. LABS: CT head WNL., ANA 1:40.
CDC 'Split Type':
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HPV4: HPV (GARDASIL)MERCK & CO. INC.    
Administered by: Unknown     Purchased by: Unknown
Symptoms: Alopecia, Antinuclear antibody negative, Anxiety, Asthma, Blindness transient, Blood test, Computerised tomogram normal, Condition aggravated, Conjunctivitis, Contraception, Cough, Dysphagia, Fatigue, Feeling cold, Headache, Immune system disorder, Localised infection, Pain, Panic attack, Presyncope, Pyrexia, Sinus headache, Swelling face, Tension, Tremor, Upper respiratory tract congestion, Weight decreased
SMQs:, Severe cutaneous adverse reactions (broad), Anaphylactic reaction (narrow), Angioedema (narrow), Asthma/bronchospasm (narrow), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Embolic and thrombotic events, arterial (narrow), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Glaucoma (broad), Eosinophilic pneumonia (broad), Conjunctival disorders (narrow), Ocular infections (broad), Hypotonic-hyporesponsive episode (broad), Hypersensitivity (narrow)
Write-up: I have lost at least 25% of my hair. I have never experienced this type of hair loss before the shot, and am not under any major stress. I had my last shot about one year ago, and have noticed a lot of shedding of my hair since then. It is just now to the point that other people are noticing how wide my part is getting. Not to mention the fact that I have had other strange symptoms. Sometime after my second shot, I ended up in the hospital with what the doctors called a "panic attack". I have no previous history of panic attacks and was not under any real stress at the time. Furthermore, I have had extreme headaches, near fainting spells with partial loss of vision for a few hours at a time. To add to that, I have developed immunity deficiencies. Before this vaccine, I was perfectly healthy. Now, I have spent hundreds and hundreds of dollars trying to figure out what is wrong with me. This is physically and emotionally damaging, and I hope no one else has to experience this. 2/11/09 Received ER medical records of 8/23/2007. FINAL DX: panic attack; possible med side effect Records reveal patient experienced shakiness, difficulty swallowing with sudden onset after taking bactrim for facial infection. Felt facial swelling. Tx w/antihistamine, improved & d/c to home. 3/10/2009 Received PCP medical records of 1/29/08-1/14/2009. FINAL DX: Records reveal patient experienced: asthma, sinus HA, chest congestion, cough, fever, body aches, URI, asthma exacerbation, BCP use, tension & difficulty relaxing, weight loss, feeling cold, anxiety, fatigue, conjunctivitis, HA w/temporary left lateral vision loss 11/08, alopecia 12/08. Tx w/meds.

VAERS ID:339371 (history)  Vaccinated:2009-02-09
Age:25.0  Onset:2009-02-09, Days after vaccination: 0
Gender:Female  Submitted:2009-02-10, Days after onset: 1
Location:Ohio  Entered:2009-02-10
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Synthroid, Buspar
Current Illness: n/a
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type':
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HPV4: HPV (GARDASIL)MERCK & CO. INC.UNKNOWN0IMRA
Administered by: Private     Purchased by: Unknown
Symptoms: Disorientation, Dizziness, Immediate post-injection reaction, Pain in extremity, Vision blurred, Visual impairment
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (narrow), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Glaucoma (broad), Optic nerve disorders (broad), Lens disorders (broad), Retinal disorders (broad), Vestibular disorders (broad), Hypersensitivity (narrow)
Write-up: Severe pain after injection. Few minutes later severly dizzy and disoriented. Blurred, splotchy vision. Still have pain in arm to which it was administered

VAERS ID:339545 (history)  Vaccinated:2009-02-06
Age:25.0  Onset:2009-02-07, Days after vaccination: 1
Gender:Female  Submitted:2009-02-09, Days after onset: 2
Location:Virginia  Entered:2009-02-13, 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: None
Preexisting Conditions: None
Diagnostic Lab Data:
CDC 'Split Type':
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HPV4: HPV (GARDASIL)MERCK & CO. INC.1189X0IMLA
Administered by: Private     Purchased by: Unknown
Symptoms: Dyspnoea, Lacrimation increased, Rash
SMQs:, Anaphylactic reaction (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Lacrimal disorders (narrow), Hypersensitivity (narrow)
Write-up: Patient developed rash on neck, face on 2/9. Also had some shortness of breath and "watery eyes" on 2/8. Rash on inner arms, back, chest, per nurse. Took BENADRYL 50mg with minimal improvement.

VAERS ID:339757 (history)  Vaccinated:2009-01-05
Age:25.0  Onset:2009-01-07, Days after vaccination: 2
Gender:Female  Submitted:2009-01-16, Days after onset: 9
Location:California  Entered:2009-02-18, Days after submission: 33
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: Depression. PMH: Lupus. Mild cognitive impairment. Tinnitus. Headache. PTSD. Major depression recurrent. R knee arthralgia
Diagnostic Lab Data: Labs and diagnostics: MRI brain (-). X-ray spine (+) for dextroscoliosis. Knee X-ray (+) for ? quadreiceps tendinosis. ESR 27.
CDC 'Split Type':
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HPV4: HPV (GARDASIL)MERCK & CO. INC.0573X1UNUN
Administered by: Military     Purchased by: Military
Symptoms: Arthralgia, Asthenia, Balance disorder, Condition aggravated, Confusional state, Depressed mood, Disturbance in attention, Dizziness, Dysthymic disorder, Fatigue, Hyperreflexia, Nausea, Nuclear magnetic resonance imaging brain normal, Personality disorder, Psychomotor skills impaired, Red blood cell sedimentation rate increased, Tachyphrenia, X-ray abnormal, X-ray limb abnormal
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Psychosis and psychotic disorders (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hostility/aggression (broad), Depression (excl suicide and self injury) (narrow), Vestibular disorders (broad), Osteonecrosis (broad), Arthritis (broad)
Write-up: Weakness, nausea, tiredness, confusion, off balance AM & PM, racing thoughts and actions in the AM. 2/25/09 MR received. HPV vax 12/2/08 and 1/5/08. Pt to be seen for cognitive eval on 1/23/09, but pt was 45 minutes late. Pt c/o dizziness, weakness and difficulty concentrating. Referred to ER for physical complaints. Not seen in ER. Consult (+) for hyperreflexia of R upper extremity. Sent for MRI. 3/9/09 Additional records received. Psych consult states pt has hx of depressive sx since 2003. Recently d/c antidepressant. Started on another recently. Exam with some psychomotor slowing and depressed mood. DX: Dysthymia. Cluster B personality features. Arthralgia of knees. Anemia-on iron. Later eval reports sx may be r/t Lupus dx since MRI (-)

VAERS ID:339770 (history)  Vaccinated:2009-02-09
Age:25.0  Onset:2009-02-09, Days after vaccination: 0
Gender:Male  Submitted:2009-02-10, Days after onset: 1
Location:Wyoming  Entered:2009-02-18, 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: CT Scan - NCNS; Diagnosis: Sympathetic vasovagal episode. 4/6/09-records received-EEG vast majority normal, in drowsiness some shifting slow activity seen which seems to have some accentuation in right posterior quadrant. CT head normal. CBC and chemistry WNL.
CDC 'Split Type':
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ANTH: ANTHRAX (BIOTHRAX)EMERGENT BIOSOLUTIONSFAV1640UNLA
Administered by: Military     Purchased by: Military
Symptoms: Amnesia, Computerised tomogram normal, Confusional state, Electroencephalogram, Fall, Full blood count normal, Head injury, Laboratory test normal, Syncope, Syncope vasovagal, Tunnel vision
SMQs:, Torsade de pointes/QT prolongation (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Accidents and injuries (narrow), Optic nerve disorders (broad), Cardiomyopathy (broad), Retinal disorders (narrow), Hypotonic-hyporesponsive episode (broad)
Write-up: Syncope episode following injection, approx 30 seconds following vaccination. Member not caught before hitting floor. Patient sat up at 2-3 mins later, placed in chair, then had 2nd syncopal episode at 1 min later. 911 called, pt transported to ER. 24 hr observation. 4/6/09-records received for DOS 2/9-2/10/09-DC DX: Vasovagal syncopal episode. admitted for C/O post vasovagal syncopal episode after receiving anthrax injection with a single episode of confusion, fell and hit back of head. Prior to episode developed tunnel vision. In ED memory waxed and waned. Neurological exam normal.

VAERS ID:339887 (history)  Vaccinated:2009-02-10
Age:25.0  Onset:2009-02-10, Days after vaccination: 0
Gender:Male  Submitted:2009-02-12, Days after onset: 2
Location:Texas  Entered:2009-02-18, Days after submission: 6
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Only pilonickl cyst
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC 'Split Type':
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TD: TD ADSORBED (NO BRAND NAME)MASS. PUB HLTH BIOL LABA010170IMRA
Administered by: Other     Purchased by: Other
Symptoms: Arthralgia, Myalgia, Pyrexia, Vomiting
SMQs:, Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad), Arthritis (broad)
Write-up: The evening after receiving the vaccine, c/o fever 102 degrees F, vomiting x1 and muscle aches, joint pain-

VAERS ID:340000 (history)  Vaccinated:2009-02-04
Age:25.0  Onset:2009-02-04, Days after vaccination: 0
Gender:Female  Submitted:2009-02-04, Days after onset: 0
Location:Oklahoma  Entered:2009-02-18, 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: No
Preexisting Conditions: None
Diagnostic Lab Data: EMG-WNL
CDC 'Split Type':
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HPV4: HPV (GARDASIL)MERCK & CO. INC.0847X0IMLA
Administered by: Other     Purchased by: Private
Symptoms: Electromyogram normal, Hypersensitivity, Hypoaesthesia, Injection site pain, Pain in extremity, Paraesthesia
SMQs:, Angioedema (broad), Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (narrow)
Write-up: c/o pain numbness going down L arm with injection (in left arm). Numbness, tingling severe within 15 min-Startes within 3 hours numbness @ L foot. Next day bilat fee. Went to ED- told she was having allergic reaction-gave BENADRYL. 2/9/09 to clinic- Neuro/vasc assesment WNL. Went to MD 2/10 -$g EMG WNL. 2/11-decreasing numbness lingering.

VAERS ID:340066 (history)  Vaccinated:2009-01-26
Age:25.0  Onset:2009-01-26, Days after vaccination: 0
Gender:Male  Submitted:2009-01-29, Days after onset: 3
Location:Indiana  Entered:2009-02-18, Days after submission: 20
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: CBC-sed Rate & Uric Acid - within normal, Blood culture - neg.
CDC 'Split Type':
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TYP: TYPHOID LIVE ORAL TY21A (VIVOTIF)BERNA BIOTECH, LTD30014471PO 
Administered by: Private     Purchased by: Private
Symptoms: Arthralgia, Blood culture negative, Blood uric acid normal, Full blood count normal, Hand deformity, Red blood cell sedimentation rate normal, Tenderness
SMQs:, Arthritis (broad)
Write-up: tender quarter size area left ECU tender area with left wrist deviation & painful motion. Occurred night after taking 2nd dose of oral TYPHOID. Had received HEP A & TDAP on 1/21/09. Oral TYPHOID 1/26 & 1/28/09. Treated with VOLTRAN and referred to Ortho for coronet

VAERS ID:340490 (history)  Vaccinated:2009-01-09
Age:25.0  Onset:2009-01-09, Days after vaccination: 0
Gender:Female  Submitted:2009-02-13, Days after onset: 35
Location:Colorado  Entered:2009-02-18, 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: DEPO-PROVERA
Current Illness:
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC 'Split Type': WAES0901USA02738
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HPV4: HPV (GARDASIL)MERCK & CO. INC.1311X0SCUN
Administered by: Other     Purchased by: Other
Symptoms: Incorrect route of drug administration, Injection site haematoma
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow)
Write-up: Information has been received from a nurse concerning a 25 year old female with no drug allergy who on 09-JAN-2009 was vaccinated with the first dose of GARDASIL (661531/1311X), 0.5 ml. Concomitant therapy included DEPO-PROVERA. The nurse indicated that the GARDASIL may have been administered as a subcutaneous injection. Subsequently the patient experienced bruising at the site of GARDASIL administered. The patient did not perform lab diagnostics study. At time of the report the patient was recovered. The patient called the practice. Additional information has been requested.

VAERS ID:340630 (history)  Vaccinated:2009-01-07
Age:25.0  Onset:2009-01-07, Days after vaccination: 0
Gender:Female  Submitted:2009-02-13, Days after onset: 37
Location:Virginia  Entered:2009-02-18, Days after submission: 5
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC 'Split Type': WAES0901USA01758
Vaccination
Manufacturer
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HPV4: HPV (GARDASIL)MERCK & CO. INC.0575X0IMUN
Administered by: Private     Purchased by: Other
Symptoms: Vomiting
SMQs:, Acute pancreatitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)
Write-up: Information has been received from a nurse concerning a 25 year old female patient with no known drug reactions/allergies and medical history who on 07-JAN-2009 was vaccinated intramuscularly with the first 0.5ml dose of GARDASIL (Lot #661530/0575X). Concomitant therapy included LEVORA. The nurse reported that the patient began vomiting 2.5 to 3 hours after administration the vaccine. The patient vomited through that night and the next day. The physician prescribed PHENERGAN for the patient which were effective in treating the symptom. The patient sought medical attention by phone. The patient recovered on 09-JAN-2009. Additional information has been requested. This is in follow-up to report(s) previously submitted on 2/13/2009. Follow up has been received from the nurse who reported that the patient completely recovered in 24 hours and she did not think the patient was willing to continue the vaccination series with GARDASIL. No additional was reported. Follow up has been received from the nurse who reported that the patient was vaccinated with her first dose in her right arm at 15:50 p.m. The patient had no pre-existing conditions or illness at the time of vaccination. The vomiting started at 18:00 p.m. The patient was prescribed promethazine 30 mg suppositories. No additional information was reported.

VAERS ID:340639 (history)  Vaccinated:0000-00-00
Age:25.0  Onset:2008-11-13
Gender:Female  Submitted:2009-02-13, Days after onset: 92
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: None
Current Illness:
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC 'Split Type': WAES0901USA01588
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Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC. 2IMUN
Administered by: Other     Purchased by: Other
Symptoms: No reaction on previous exposure to drug, Pain in extremity, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow)
Write-up: Information has been received from a nurse practitioner concerning a 25 year year old female patient with no pertinent medical history, not known drug reactions/allergies who on 01-JUL-2008 was vaccinated intramuscularly with the first GARDASIL vaccine, on 02-SEP-2008 was vaccinated intramuscularly with the second 0.5 mL dose of GARASIL vaccine. The patient did not have any adverse effects after the first or the second dose. On an unspecified date, in approximately 2008 the patient was vaccinated intramuscularly with the third 0.5 mL dose of GARDASIL vaccine. Subsequently the patient developed "achiness" in the injection arm 24 hours after her third dose of GARDASIL vaccine. The nurse practitioner mentioned that patient had not sustained any injury. The patient was sent to see an allergist since she had developed hives on approximately 13-NOV-2008, "2 months ago". The patient''s hives were treated with ZYRTEC. While seeing the allergist the patient mentioned the "achiness" to her arm. The allergist recommended that the patient saw her primary care provider since he felt it was "a drug reaction". The patient was seen on 12-JAN-2009 and the nurse practitioner stated she was able to reproduce the discomfort by "pressing down inside elbow and the patient experienced tingling in three of her fingers". The nurse practitioner mentioned "I did not believe that this is caused by GARDASIL vaccine and there was something else going on". At the time of reporting, the patient had not recovered. Additional information has been requested.

VAERS ID:340772 (history)  Vaccinated:2007-11-29
Age:25.0  Onset:2007-11-29, Days after vaccination: 0
Gender:Female  Submitted:2009-02-13, Days after onset: 442
Location:Georga  Entered:2009-02-18, 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: None
Current Illness:
Preexisting Conditions: Tonsillectomy
Diagnostic Lab Data: diagnostic hematology 11/29/07 -
CDC 'Split Type': WAES0712USA00292
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC. 2IMUN
Administered by: Other     Purchased by: Other
Symptoms: Drug exposure during pregnancy, Haematology test, Labour induction, Prolonged pregnancy
SMQs:, Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow)
Write-up: Information has been received through the Merck pregnancy registry from a physician concerning a 25 year old female with a history of tonsillectomy who on 29-NOV-2007 was vaccinated with the third dose of GARDASIL. No information was provided concerning the first or second dose of GARDASIL. On 29-NOV-2007 the patient also had blood work taken "which had showed she was pregnant" (LMP=05-SEP-2007). The patient sought unspecified medical attention and reported that she was about "three weeks pregnant". No further information was provided. Follow-up information has been received from a physician concerning the patient who was induced on 12-AUG-2008 because she was 41 weeks gestation, and had a vaginal delivery of a normal baby with "good Apgars", "everything went well". The reporter indicated that the patient did well and was discharged home with the baby on the next day No further information is available.

VAERS ID:340553 (history)  Vaccinated:2008-06-16
Age:25.0  Onset:0000-00-00
Gender:Female  Submitted:2009-02-24
Location:New York  Entered:2009-02-24
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.0152X1IMLA
Administered by: Private     Purchased by: Unknown
Symptoms: Dermatitis contact, Rash generalised
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow)
Write-up: pt states after she received 2nd vaccine of gardasil she continues with a rash on her body.Saw PCP doctor was then referred to dermatologist were contact dermitis was discussed with pt.

VAERS ID:340936 (history)  Vaccinated:2009-02-06
Age:25.0  Onset:2009-02-07, Days after vaccination: 1
Gender:Male  Submitted:2009-03-02, Days after onset: 23
Location:Hawaii  Entered:2009-03-02
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: None
Diagnostic Lab Data: Vaccine route given intra dermal
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
RAB: RABIES (IMOVAX)SANOFI PASTEURA048342UNUN
Administered by: Military     Purchased by: Military
Symptoms: Erythema, Hypoaesthesia, Incorrect route of drug administration, Local reaction, Oedema peripheral, Pruritus
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad)
Write-up: Local reaction to the R forearm. redness, itching swelling - numbness in the R arm. Reacted only to vaccine given intra dermal. Vaccine was given IM on 17 Feb 09 - No reaction.

VAERS ID:340992 (history)  Vaccinated:2009-02-19
Age:25.0  Onset:2009-02-24, Days after vaccination: 5
Gender:Female  Submitted:2009-02-24, Days after onset: 0
Location:California  Entered:2009-03-03, 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:
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.1129X UNLA
Administered by: Private     Purchased by: Unknown
Symptoms: Erythema
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (broad)
Write-up: Redness-trial of ZYRTEC, and if worsening then antibiotics.

VAERS ID:341170 (history)  Vaccinated:2009-01-23
Age:25.0  Onset:2009-01-25, Days after vaccination: 2
Gender:Female  Submitted:2009-03-05, Days after onset: 39
Location:Massachusetts  Entered:2009-03-05
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
TYP: TYPHOID VI POLYSACCHARIDE (TYPHIM VI)SANOFI PASTEURD0980-2 IMRA
YF: YELLOW FEVER (YF-VAX)SANOFI PASTEURUF 316AA0SCLA
Administered by: Military     Purchased by: Military
Symptoms: Pruritus, Rash maculo-papular, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow)
Write-up: RECEIVED YELLOW FEVER VACCIN SQ, NOTICED REACTION SEVERAL DAYS LATER. REACTION CONSISTED OF URTICARIAL REACTION (MACULAR, PAPULAR, 3 INCH DIAMETER, WITH PRURITIS). PT PRESENTED TO CLINIC WITH SYMPTOMS 2/1/09 AND WAS GIVEN DIPHENHYDRAMINE 25MG PO 1-2 PO Q4-6 PRN & PREDNISONE 20MG TID FOR 3 DAYS, THEN TAPER OVER 6 DAYS.

VAERS ID:341304 (history)  Vaccinated:2009-02-17
Age:25.0  Onset:2009-02-17, Days after vaccination: 0
Gender:Female  Submitted:2009-03-05, Days after onset: 16
Location:Washington  Entered:2009-03-06, 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: WELLBUTRIN
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.0650X1IMRA
Administered by: Private     Purchased by: Private
Symptoms: Pruritus generalised
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (broad)
Write-up: Pt received #2 GARDASIL vaccine inj 2-17-09. 1st injection was given at another clinic. Pt called 2-25-09 & stated shortly after she got home felt an " all over itching sensation". Denied any rash on other sx. Pt stated the itching was mild, lasted one week & went away on its own.

VAERS ID:341520 (history)  Vaccinated:2009-01-27
Age:25.0  Onset:2009-02-02, Days after vaccination: 6
Gender:Male  Submitted:2009-03-11, Days after onset: 36
Location:North Carolina  Entered:2009-03-11
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE REPORTED
Preexisting Conditions: ALLERGIES: +SULFA (HIVES), NO BIRTH/CONGENTIAL DEFECTS, NO CHRONIC MEDICAL CONDITIONS 3/18/09-records received- Allergy to Sulfa-rash.
Diagnostic Lab Data: COMPLETE BLOOD COUNTS: 2/18/09: WBC 4.0, HGB/HCT 14.1/41.6, PLT 191k; 3/6/09: WBC 3.9, HGB/HCT 13.6/39.9, PLT 135K 3/18/09-records received-Referred for WBC declining to 5.2 neutrophils 1.4, lymphocytes 60.8
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLUN3: INFLUENZA (SEASONAL) (FLUMIST)MEDIMMUNE VACCINES, INC.500583P IN 
HEPA: HEP A (NO BRAND NAME)UNKNOWN MANUFACTURERAHAVB195AB IMUN
SMALL: SMALLPOX (NO BRAND NAME)UNKNOWN MANUFACTURER  IDUN
TYP: TYPHOID VI POLYSACCHARIDE (NO BRAND NAME)UNKNOWN MANUFACTURERB0347 IMUN
Administered by: Military     Purchased by: Military
Symptoms: Carbuncle, Full blood count, Haematocrit normal, Haemoglobin normal, Leukopenia, Lymphocyte count increased, Neutrophil count decreased, Platelet count normal, Skin papilloma, Tendonitis, White blood cell count decreased
SMQs:, Haematopoietic leukopenia (narrow), Systemic lupus erythematosus (broad)
Write-up: 26 y/o male ADMS is referred to the FBVHC from WAMC Allergy department for persistent leucopenia since receipt of multiple vaccines. 3/18/09-records received-office visite 3/9/09- C/O tendonitis, plantar warts, carbuncle on plantar surface. Leukopenia after participation in VHC smallpox study in 1/09. No complaints.

VAERS ID:341579 (history)  Vaccinated:2009-03-10
Age:25.0  Onset:0000-00-00
Gender:Male  Submitted:2009-03-11
Location:Illinois  Entered:2009-03-11
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: no allergies; no medical conditions
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
IPV: POLIO VIRUS, INACT. (IPOL)SANOFI PASTEURA01690SCUN
Administered by: Military     Purchased by: Other
Symptoms: No adverse event
SMQs:
Write-up: No adverse events. Follow-up Information 23-MAR-2009: Outdated vaccine given 3/10/09 - 1430 hrs. No adverse events (effects)

VAERS ID:341628 (history)  Vaccinated:0000-00-00
Age:25.0  Onset:0000-00-00
Gender:Female  Submitted:2009-03-12
Location:Indiana  Entered:2009-03-12
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Synthroid, Prilosec, Wellbutrin, Deplin, Singulair, Paxil, Tofranial
Current Illness:
Preexisting Conditions: Asthma, chronic sinusitis, anemia, depression, hypothyroidism, GERD
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: Skin papilloma, Visual field defect
SMQs:, Noninfectious encephalitis (broad), Optic nerve disorders (broad), Retinal disorders (broad)
Write-up: I never had any types of warts. After the gardasil injections, I got a filiform wart on my eyebrow that had to be removed because it affected my visual field.

VAERS ID:341840 (history)  Vaccinated:2009-03-02
Age:25.0  Onset:2009-03-09, Days after vaccination: 7
Gender:Female  Submitted:2009-03-16, Days after onset: 7
Location:Florida  Entered:2009-03-16
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: UNKNOWN
Current Illness: NONE
Preexisting Conditions: UNKNOWN
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)GLAXOSMITHKLINE BIOLOGICALSAHBVB697AA IMLA
TDAP: TDAP (ADACEL)SANOFI PASTEUR3058AA IMRA
Administered by: Public     Purchased by: Unknown
Symptoms: Erythema, Oedema peripheral, Rash generalised, Varicella
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow)
Write-up: PT STATES ONE WEEK AFTER VARICELLA VACCINE ARM BECAME RED AND SWOLLEN. MILD,GENERALIZED RASH BEGAN TWELVE DAYS AFTER VACCINE. PATIENT''S PRIMARY CARE PROVIDER CONFIRMED TODAY (3/16/09)A MILD CASE OF CHICKENPOX.

VAERS ID:342128 (history)  Vaccinated:2009-01-21
Age:25.0  Onset:2009-01-23, Days after vaccination: 2
Gender:Female  Submitted:2009-03-13, Days after onset: 48
Location:Unknown  Entered:2009-03-16, 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: Unknown
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0903USA00009
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC. 1UNUN
Administered by: Other     Purchased by: Other
Symptoms: Pruritus, Rash
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow)
Write-up: Information has been received from a registered nurse concerning an approximately 25 year old female who in November 2008, was vaccinated with the first dose of GARDASIL. On 21-JAN-2009 the patient was vaccinated with the second dose of GARDASIL (lot # not reported) 0.5 ml. On 23-JAN-2009 the patient experienced rash and itching on her trunk and side of neck. Subsequently, the patient recovered from the events. "They advised her not to get the third dose". The patient sought unspecified medical attention. Additional information has been requested.

VAERS ID:342358 (history)  Vaccinated:2009-02-17
Age:25.0  Onset:2009-02-17, Days after vaccination: 0
Gender:Female  Submitted:2009-03-13, Days after onset: 23
Location:Pennsylvania  Entered:2009-03-16, Days after submission: 3
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0902USA03115
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC. 0UNUN
Administered by: Other     Purchased by: Other
Symptoms: Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad)
Write-up: Information has been received from a physician concerning a 25 year old female who on 17-FEB-2009 was vaccinated with the first dose of GARDASIL (lot number, route an site of administration not reported). It was reported that "the patient was in the office to receive the first dose of GARDASIL and right after receiving the first dose the patient fainted". The physician reported that they had helped the patient up then she recovered, so she was ok to leave the office. The physician also mentioned that the patient did not have anything to eat before getting the first dose of GARDASIL. Additional information has been requested.

VAERS ID:342362 (history)  Vaccinated:2008-05-02
Age:25.0  Onset:2008-05-02, Days after vaccination: 0
Gender:Female  Submitted:2009-03-13, Days after onset: 315
Location:Minnesota  Entered:2009-03-16, Days after submission: 3
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: LEXAPRO; PREVACID
Current Illness: Pregnancy NOS (LMP = Unknown); Anxiety disorder
Preexisting Conditions: Papanicolaou smear abnormal; Loop electrosurgical excision procedure
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0902USA03106
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.1978U2UNUN
Administered by: Other     Purchased by: Other
Symptoms: Drug exposure during pregnancy, Foetal non-stress test, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow)
Write-up: Information has been received from a Registered Nurse for the pregnancy registry for GARDASIL, concerning a 25 year old female patient with anxiety disorder and papanicolaou smear abnormal in 2007 resulting in a loop electrosurgical excision procedure, who on 28-AUG-2007 was vaccinated with the first dose of GARDASIL (lot# 658558/1061U), on 30-OCT-2007 was vaccinated with the second dose of GARDASIL (lot# 659964/1978U) and on 02-MAY-2008, was vaccinated with the third dose of GARDASIL (lot# 659437/1266U) while pregnant. On an unspecified date, a non stress test was performed (results not provided). Concomitant therapy included LEXAPRO and PREVACID. The nurse reported that the patient who had completed the HPV vaccine series was hospitalized for delivery and delivered a healthy baby on 31-DEC-2008. The patient had a post partum fever. On 31-DEC-2008, the patient recovered. Additional information has been requested.

VAERS ID:342627 (history)  Vaccinated:2007-09-05
Age:25.0  Onset:0000-00-00
Gender:Female  Submitted:2009-03-13
Location:Florida  Entered:2009-03-16, Days after submission: 3
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Atypical squamous cells of undetermined significance
Diagnostic Lab Data: Cervical smear, ?/?/06, abnormal ASCUS PAP smear; Cervical smear, ?/?/07, ASCUS; Cervical smear, 11/??/07, high grade dysplasia; Colposcopy, 11/??/07, high grade squamous epithelia lesions; Cervix conization, 12/21/07, positive for squamous
CDC 'Split Type': WAES0902USA00938
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.1061U2UNUN
Administered by: Other     Purchased by: Other
Symptoms: Biopsy, Cervical dysplasia, Colposcopy, Colposcopy abnormal, Dysplasia, Papilloma viral infection, Smear cervix abnormal, Uterine cervical squamous metaplasia
SMQs:, Reproductive premalignant disorders (narrow), Premalignant disorders, general conditions and other site specific disorders (narrow), Uterine and fallopian tube malignant tumours (broad)
Write-up: Information has been received from a physician concerning a female (approximately 24 year old) with history of an abnormal Atypical squamous cells of undetermined significance (ASCUS) PAP smear in 2006 and 2007 who was vaccinated with her first (lot#656048/0187U), second (657621/0387U) and third (658558/1061U) dose of GARDASIL on 06-MAR-2007, 07-MAY-2007 and 05-SEP-2007 respectively. Concomitant medications included unspecified birth control. They did not test for HPV at the PAP smear in 2007. She had another PAP smear in November 2007 which showed high grade dysplasia. The patient had a colposcopy which showed that she had high grade squamous epithelial lesions. She also had a cold cone biopsy on 21-DEC-2007 which came back positive for squamous metaplasia. The first PAP smear she received in 2008 was normal but the second came back as positive for HPV. She had another PAP smear in January 2009 that came back as normal. The outcome is unknown. The patient''s sister also experienced an adverse event following vaccination (WAES# 0902USA01061). The patient sought medical attention. Additional information has been requested.

VAERS ID:341880 (history)  Vaccinated:0000-00-00
Age:25.0  Onset:0000-00-00
Gender:Male  Submitted:2009-03-16
Location:Unknown  Entered:2009-03-17, Days after submission: 1
Life Threatening? Yes
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Cystic fibrosis
Preexisting Conditions: Renal transplant; Shoulder operation
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0903USA02039
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)UNKNOWN MANUFACTURER  UNUN
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.0979X IMUN
Administered by: Other     Purchased by: Other
Symptoms: Injection site pain, Necrotising fasciitis, Surgery
SMQs:, Extravasation events (injections, infusions and implants) (broad)
Write-up: Information has been received from a registered nurse concerning a 25 year old male with cystic fibrosis and a history of renal transplant and 2 or 3 shoulder muscle removal surgeries who was vaccinated with a dose of PNEUMOVAX (lot # 662662/0979X), intramuscularly. Concomitant therapy included influenza virus vaccine (unspecified). Five days after the vaccination date the patient experienced necrotizing fasciitis. The patient complained of pain at the injection site on his left deltoid. The patient was hospitalized for necrotizing fasciitis and pain at the injection site. He had been in the hospital for 3 weeks. The patient received 2 or 3 surgeries to remove the muscles on his shoulder. The reporter requested a lot check. The patient sought medical attention, he was in the hospital. The patient had not recovered. A lot check has been initiated. Necrotizing fasciitis was considered to be immediately life-threatening, an other important medical event and disabling. Additional information has been requested.

VAERS ID:342019 (history)  Vaccinated:2009-03-07
Age:25.0  Onset:2009-03-15, Days after vaccination: 8
Gender:Male  Submitted:2009-03-18, Days after onset: 3
Location:Kansas  Entered:2009-03-18
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
ANTH: ANTHRAX (BIOTHRAX)EMERGENT BIOSOLUTIONSFAV149 IMUN
SMALL: SMALLPOX (ACAM2000)SANOFI PASTEURVV04003A  UN
TYP: TYPHOID VI POLYSACCHARIDE (TYPHIM VI)SANOFI PASTEURA0221 IMUN
Administered by: Military     Purchased by: Military
Symptoms: Pain, Rash papular, Serum sickness, Type II hypersensitivity
SMQs:, Hypersensitivity (narrow)
Write-up: Member has small bump on chest, back, and head / some painful to touch. Member was seen by Dr and she stated it was Type II hypersensitivity - serum sickness.

VAERS ID:342030 (history)  Vaccinated:2009-03-12
Age:25.0  Onset:2009-03-13, Days after vaccination: 1
Gender:Female  Submitted:2009-03-18, Days after onset: 5
Location:Missouri  Entered:2009-03-18
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: Migraine Headaches with Aura
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.1702X0IMLA
Administered by: Private     Purchased by: Private
Symptoms: Pain, Rash pruritic
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow)
Write-up: Patient complained of a itchy, painful rash begining the day after the injection was recieved

VAERS ID:343153 (history)  Vaccinated:2008-09-25
Age:25.0  Onset:2008-09-28, Days after vaccination: 3
Gender:Female  Submitted:2009-03-06, Days after onset: 159
Location:Florida  Entered:2009-03-18, 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: Hormonal contraceptives
Current Illness: PENICILLIN allergy
Preexisting Conditions:
Diagnostic Lab Data: None
CDC 'Split Type': WAES0810USA03139
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.0398X2UNUN
Administered by: Other     Purchased by: Other
Symptoms: Injection site pain, Pain in extremity
SMQs:, Extravasation events (injections, infusions and implants) (broad)
Write-up: Information has been received from a physician concerning a 25 year old female with PENICILLIN allergy who on 25-SEP-2008 was vaccinated with a third dose of 0.5mL RECOMBIVAX HB (lot# 660951/0398X). Concomitant therapy included hormonal contraceptives (unspecified). On 28-SEP-2008 the patient developed pain at injection site. The pain later moved up her arm into her shoulder. The patient described it as "arthritis pain". Medical attention was sought. The patient went to the emergency room but was not admitted to the hospital. The patient was treated with ALEVE. The patient did not report an adverse event after either of the first two shots. The adverse events improved after stopping therapy. At the time of reporting the patient was recovering. Additional information has been requested.

VAERS ID:342313 (history)  Vaccinated:2009-03-12
Age:25.0  Onset:2009-03-12, Days after vaccination: 0
Gender:Female  Submitted:2009-03-20, Days after onset: 8
Location:Pennsylvania  Entered:2009-03-20
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: penicillin allergy
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPVX: HPV (NO BRAND NAME)UNKNOWN MANUFACTURERUNKNOWN1IMLA
Administered by: Private     Purchased by: Unknown
Symptoms: Injection site mass, Injection site pain
SMQs:, Extravasation events (injections, infusions and implants) (broad)
Write-up: After receiving the second dose of the Gardasil vaccine, I had a large lump under the skin at the injection site that felt almost like a marble. The skin was not hotter than usual or red, it was just a lump. It does not hurt all the time, only when bumped or touched. The bump decreases in size, but it is 8 days after the injection and it is still present.

VAERS ID:342685 (history)  Vaccinated:2009-02-13
Age:25.0  Onset:2009-02-16, Days after vaccination: 3
Gender:Female  Submitted:2009-03-25, Days after onset: 36
Location:Pennsylvania  Entered:2009-03-25
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: H/O metal allergies
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEPAB: HEP A + HEP B (TWINRIX)GLAXOSMITHKLINE BIOLOGICALSAHABB140AA0IMRA
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0984X1SCLA
TDAP: TDAP (ADACEL)SANOFI PASTEURC2865AA0IMLA
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.0784X0SCRA
Administered by: Public     Purchased by: Public
Symptoms: Asthenia, Dysphagia, Erythema, Oedema peripheral, Pharyngeal oedema, Pyrexia
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Oropharyngeal allergic conditions (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow)
Write-up: Swelling of throat with difficulty swallowing, fever, weakness, red and swollen arms

VAERS ID:342702 (history)  Vaccinated:2008-04-26
Age:25.0  Onset:2008-04-26, Days after vaccination: 0
Gender:Female  Submitted:2009-03-25, Days after onset: 333
Location:New Jersey  Entered:2009-03-26, Days after submission: 1
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: Pregnancy NOS (LMP = 4/8/2008)
Preexisting Conditions:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0903USA03061
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.0073X0UNUN
Administered by: Other     Purchased by: Other
Symptoms: Abortion induced, Drug exposure during pregnancy
SMQs:, Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow), Termination of pregnancy and risk of abortion (narrow)
Write-up: Information has been received from a physician for the pregnancy registry for GARDASIL, concerning a 24 year old female patient with no known drug allergies, who on 26-APR-2008 was vaccinated with her first dose of GARDASIL (lot# 654272/0073X). There was no concomitant medication. On 08-APR-2008 the patient had her LMP and in MAY-2008 (6 weeks from her LMP), the patient had an elective termination. At the time of reporting the outcome of the patient was unknown. Subsequently, the patient again experienced vaccine exposure during pregnancy and an elective termination of pregnancy while on therapy with GARDASIL (MSD, WAES_0903USA04267). Upon internal review elective termination was considered as an Other Important Medical Event. Additional information has been requested.

VAERS ID:342709 (history)  Vaccinated:2008-06-30
Age:25.0  Onset:2008-10-05, Days after vaccination: 97
Gender:Female  Submitted:2009-03-25, Days after onset: 171
Location:New Jersey  Entered:2009-03-26, Days after submission: 1
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness:
Preexisting Conditions: Termination of pregnancy - elective
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0903USA04267
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.0250X1UNUN
Administered by: Other     Purchased by: Other
Symptoms: Abortion induced, Drug exposure during pregnancy
SMQs:, Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow), Termination of pregnancy and risk of abortion (narrow)
Write-up: Information has been received from a physician for the pregnancy registry for GARDASIL, concerning a 25 year old female patient with no known drug allergies, who on 26-APR-2008 was vaccinated with her first dose of GARDASIL (lot# 654272/0073X), on 30-JUN-2008 with the second dose of GARDASIL (lot# 0250X) and on 30-OCT-2008 with the third dose of GARDASIL (lot# 660620/0571X). There was no concomitant medication. On 05-OCT-2008, the patient had her LMP and had an elective termination of pregnancy in December 2008. At the time of reporting the outcome of the patient was unknown. The patient experienced an elective termination in May 2008 after the first vaccination with GARDASIL (MSD, WAES: 0903USA03061). Upon internal review elective termination was considered as an Other Important Medical Event. Additional information has been requested.

VAERS ID:342809 (history)  Vaccinated:2009-03-19
Age:25.0  Onset:2009-03-24, Days after vaccination: 5
Gender:Female  Submitted:2009-03-26, Days after onset: 2
Location:Alabama  Entered:2009-03-26
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: ATENOLOL; RELPAX
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.1850U0SCUN
Administered by: Other     Purchased by: Private
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth, Swollen tongue
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Oropharyngeal allergic conditions (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow)
Write-up: Local Rx, delayed. Redness, warmth and swelling around injection site, 4x4cm. Given antihistamine and hydrocortisone cream. Local Rx started same day as MMR vaccine given in opposite arm. Continued tongue local swelling.

VAERS ID:342836 (history)  Vaccinated:2008-03-16
Age:25.0  Onset:2009-03-18, Days after vaccination: 367
Gender:Female  Submitted:2009-03-18, Days after onset: 0
Location:Washington  Entered:2009-03-27, Days after submission: 9
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: PCN
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.1124X UNLA
Administered by: Private     Purchased by: Private
Symptoms: Pruritus, Rash
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow)
Write-up: Rash on back, chest, abdomen with itching. Resolved OTC antihistamines.

VAERS ID:343064 (history)  Vaccinated:2009-03-20
Age:25.0  Onset:2009-03-20, Days after vaccination: 0
Gender:Female  Submitted:2009-03-27, Days after onset: 7
Location:Michigan  Entered:2009-03-31, Days after submission: 4
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.1720X2IMUN
Administered by: Private     Purchased by: Private
Symptoms: Inappropriate schedule of drug administration
SMQs:
Write-up: No adverse event, dose given 3 weeks to soon.

VAERS ID:343329 (history)  Vaccinated:2009-03-08
Age:25.0  Onset:2009-03-18, Days after vaccination: 10
Gender:Male  Submitted:2009-03-18, Days after onset: 0
Location:Texas  Entered:2009-04-02, Days after submission: 15
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: Allergic to PENICILLIN
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
SMALL: SMALLPOX (NO BRAND NAME)UNKNOWN MANUFACTURERVV04004A0OTUN
Administered by: Military     Purchased by: Unknown
Symptoms: Injection site rash, Rash
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow)
Write-up: A rash began to develop around the injection site and spread to my chest, neck and back. Rash began approx. 4 days ago and has steadily worsened.

VAERS ID:343335 (history)  Vaccinated:0000-00-00
Age:25.0  Onset:0000-00-00
Gender:Female  Submitted:2009-04-02
Location:Texas  Entered:2009-04-02
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: PPD
Current Illness:
Preexisting Conditions: Strept throat - on Amoxicillin
Diagnostic Lab Data: none
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)GLAXOSMITHKLINE BIOLOGICALSAHBVB697BA UNRA
TD: TD ADSORBED (NO BRAND NAME)UNKNOWN MANUFACTURERC2912AA UNLA
Administered by: Private     Purchased by: Private
Symptoms: Throat tightness
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Hypersensitivity (broad)
Write-up: Experienced tightness in throat 30 min. after receiving vaccines - Took BENADRYL and felt better after 1 1/2 hours.

VAERS ID:343755 (history)  Vaccinated:2009-03-19
Age:25.0  Onset:2009-03-19, Days after vaccination: 0
Gender:Female  Submitted:2009-04-08, Days after onset: 20
Location:New York  Entered:2009-04-08
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: none
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (ADACEL)SANOFI PASTEURC3029AA IM 
Administered by: Private     Purchased by: Unknown
Symptoms: Chills, Diarrhoea, Vomiting
SMQs:, Acute pancreatitis (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (narrow)
Write-up: The patient received Tdap and experienced chills, diarrhea and vomiting 1-2 hours after injection. The symptoms subsided in 2 to 3 days.

VAERS ID:343915 (history)  Vaccinated:2009-04-03
Age:25.0  Onset:2009-04-04, Days after vaccination: 1
Gender:Female  Submitted:2009-04-10, Days after onset: 6
Location:New York  Entered:2009-04-10
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: not known
Current Illness: no
Preexisting Conditions: not known
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (ADACEL)SANOFI PASTEURC3058AA0IMLA
Administered by: Unknown     Purchased by: Public
Symptoms: Hypoaesthesia, Injection site pain, Sleep disorder
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad)
Write-up: Employee reporting disturbed sleep at night secondary to pain at injection site. She is reporting that she experiences some numbness from shoulder to elbow at night. States upon questioning that she has full range of motion to left arm during daily activities. Primary concern voiced by employee is numbness and disturbed sleep. States she takes Ibuprofen on a regular basis, and this has not had any effect on the nightime discomfort. Advised to follow-up with her primary care physician.

VAERS ID:344061 (history)  Vaccinated:2009-03-18
Age:25.0  Onset:2009-03-20, Days after vaccination: 2
Gender:Male  Submitted:2009-03-26, Days after onset: 6
Location:Louisiana  Entered:2009-04-13, Days after submission: 18
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: None at this time
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEPAB: HEP A + HEP B (TWINRIX)GLAXOSMITHKLINE BIOLOGICALSAHABB096AA0IMLA
Administered by: Public     Purchased by: Public
Symptoms: Pruritus, Rash
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow)
Write-up: Patient reports a rash - itching - developed 2 days after vaccine given 3/18/2009 - Reports used Neosporin with success - Referred to PMD or clinic for evaluation - walked into health unit 3/26/2009 to report rash.

VAERS ID:344737 (history)  Vaccinated:2008-03-26
Age:25.0  Onset:2008-04-18, Days after vaccination: 23
Gender:Female  Submitted:2009-04-14, Days after onset: 361
Location:Georga  Entered:2009-04-17, Days after submission: 3
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: Pregnancy NOS (LMP = 4/18/2008); Asthma; Anxiety
Preexisting Conditions: Normal delivery; Vaginal disorder; Disease complication
Diagnostic Lab Data: diagnostic laboratory, group B strep positive (baby); beta-human chorionic, 06/10/08, positive; Apgar score, 8/9, baby; complete blood cell, 9 bands;bandemia (baby); serum C-reactive protein, negative (baby); blood culture, negative (baby)
CDC 'Split Type': WAES0806USA02242
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC. 0IMUN
Administered by: Other     Purchased by: Other
Symptoms: Drug exposure during pregnancy, Pregnancy test positive
SMQs:, Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow), Normal pregnancy conditions and outcomes (narrow)
Write-up: Information has been received from a certified medical assistant for the Pregnancy Registry for GARDASIL concerning a female who on 26-MAR-2008 was vaccinated intramuscularly with her first dose of GARDASIL (lot# not reported). There was no concomitant medication. On 28-MAY-2008 the patient was vaccinated intramuscularly with her second dose of GARDASIL (lot# not reported) and was pregnant. The patient''s LMP was approximately 15-APR-2008. Subsequently the patient experienced no known symptoms. The patient has a positive pregnancy test on 10-JUN-2008. The patient''s outcome was not reported. Follow-up information has been received from a physician for the Pregnancy Registry for GARDASIL concerning the 25 year old female with asthma and anxiety, a history of 1 pregnancy and 1 normal delivery and a history of vaginal disorder and some complication on 26-MAR-2008 was vaccinated IM with the first dose GARDASIL, on 28-MAY-2008 was vaccinated with the second dose and on 11-MAR-2009 was vaccinated with the third dose (lot #: 660553/0070X). The patient became pregnant in April 2008, the date of last menstrual period was 18-APR-2008, estimated delivery date was 25-JAN-2009. On 22-JAN-2009 the patient delivered a normal, female infant with no congenital anomalies. The baby''s weight was 7 LB 14.5 ounce, length was 21.75 inch, head circumference was 14.25 inch. Apgar test score was 8/9. On an unspecified date, group B strep test of the infant was positive. Initial complete blood count secondary to group B strep positive was 9 band. C-reactive protein test was negative and blood culture was negative. At the time of this report, bandemia resolved. No further information is available.

VAERS ID:345211