MedAlerts Home
  Read the MedAlerts Blog Subscribe to the MedAlerts Blog 

Found 475568 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 476

Result pages: prev   1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100 101 102 103 104 105 106 107 108 109 110 111 112 113 114 115 116 117 118 119 120 121 122 123 124 125 126 127 128 129 130 131 132 133 134 135 136 137 138 139 140 141 142 143 144 145 146 147 148 149 150 151 152 153 154 155 156 157 158 159 160 161 162 163 164 165 166 167 168 169 170 171 172 173 174 175 176 177 178 179 180 181 182 183 184 185 186 187 188 189 190 191 192 193 194 195 196 197 198 199 200 201 202 203 204 205 206 207 208 209 210 211 212 213 214 215 216 217 218 219 220 221 222 223 224 225 226 227 228 229 230 231 232 233 234 235 236 237 238 239 240 241 242 243 244 245 246 247 248 249 250 251 252 253 254 255 256 257 258 259 260 261 262 263 264 265 266 267 268 269 270 271 272 273 274 275 276 277 278 279 280 281 282 283 284 285 286 287 288 289 290 291 292 293 294 295 296 297 298 299 300 301 302 303 304 305 306 307 308 309 310 311 312 313 314 315 316 317 318 319 320 321 322 323 324 325 326 327 328 329 330 331 332 333 334 335 336 337 338 339 340 341 342 343 344 345 346 347 348 349 350 351 352 353 354 355 356 357 358 359 360 361 362 363 364 365 366 367 368 369 370 371 372 373 374 375 376 377 378 379 380 381 382 383 384 385 386 387 388 389 390 391 392 393 394 395 396 397 398 399 400 401 402 403 404 405 406 407 408 409 410 411 412 413 414 415 416 417 418 419 420 421 422 423 424 425 426 427 428 429 430 431 432 433 434 435 436 437 438 439 440 441 442 443 444 445 446 447 448 449 450 451 452 453 454 455 456 457 458 459 460 461 462 463 464 465 466 467 468 469 470 471 472 473 474 475 476   next


VAERS ID:439149 (history)  Vaccinated:2011-10-18
Age:24.0  Onset:2011-10-18, Days after vaccination: 0
Gender:Female  Submitted:2011-10-19, Days after onset: 1
Location:Virginia  Entered:2011-10-19
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: No
Diagnostic Lab Data: No diagnostic tests or follow up (that I am aware of now) has happened with a physician. She felt better this morning when I followed up with her
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURUH477AC1IMLA
Administered by: Other     Purchased by: Private
Symptoms: Chills, Dizziness, Eye irritation, Fatigue, Ocular hyperaemia, Pain, Throat tightness
SMQs:, Anaphylactic reaction (narrow), Angioedema (broad), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Glaucoma (broad), Corneal disorders (broad), Vestibular disorders (broad), Hypersensitivity (broad)
Write-up: Approximately 1 hour after receiving the vaccine (patient had gotten the vaccine last year with no problem) she presented with tightening of the throat (no shortness of breath), chills, body aches, red/irritated eyes, and dizziness. The injection site showed no redness, irritation, swelling or anything whatsoever. She took 50mg of Benadryl and remained seated on a bench next to the pharmacy. Within an hour her chills had lessened somewhat, and her throat tightness was decreasing to the point where she could drink something and chewed on some ice chips (which she was not able to do before). I told her that I thought she was having a reaction and to go to the emergency room for monitoring and possible epinepherine administration but she said that since she was feeling better she wanted to go home to sleep. She''s not accustomed to taking antihistamines and was tired from the Benadryl. I sent her home with a Twin-Pak Epi-Pen with instructions on how to use it, as well as told her and her boyfriend (who was with her at the time) that if her throat starts tightening up even the slightest at all to administer the epi pen and go to the ER immediately. Her eye redness had decreased by time she left and she said she no longer felt dizzy.

VAERS ID:439161 (history)  Vaccinated:2011-10-17
Age:24.0  Onset:2011-10-17, Days after vaccination: 0
Gender:Female  Submitted:2011-10-19, Days after onset: 2
Location:Alabama  Entered:2011-10-19
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: Asthma and seasonal allergic rhinitis
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (ADACEL)SANOFI PASTEUR907151IMRA
Administered by: Public     Purchased by: Private
Symptoms: Diarrhoea, Fatigue, Myalgia, Nausea
SMQs:, Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad), Noninfectious diarrhoea (narrow)
Write-up: Nausea, Diarrhea, Extreme muscle soreness, fatigue, muscle aches, etc. Symptoms were worse on 10/18/11 and are improving, although still not resolved on 10/19/11.

VAERS ID:439172 (history)  Vaccinated:2011-10-19
Age:24.0  Onset:2011-10-19, Days after vaccination: 0
Gender:Male  Submitted:2011-10-19, Days after onset: 0
Location:Minnesota  Entered:2011-10-19
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: No reported illness
Preexisting Conditions: No
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)NOVARTIS VACCINES AND DIAGNOSTICS11092P0IMLA
Administered by: Other     Purchased by: Private
Symptoms: Dizziness
SMQs:, Anticholinergic syndrome (broad), Vestibular disorders (broad)
Write-up: The patient received the flu shot and approximately 5 minutes later almost passed out. The patient was seated in a chair and given water. No signs or symptoms of anaphylaxis were observed. I took blood pressure readings every 5 minutes for the first fifteen minutes, then every 10 minutes for the next 20 minutes. After 30 minutes the patient was ok and his blood pressure was normal.

VAERS ID:439252 (history)  Vaccinated:2011-09-27
Age:24.0  Onset:2011-09-29, Days after vaccination: 2
Gender:Male  Submitted:2011-10-20, Days after onset: 21
Location:Kentucky  Entered:2011-10-20
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None mentioned
Preexisting Conditions: Allergy to Tramadol which causes seizures Medical Conditions- Seizure disorder
Diagnostic Lab Data: None
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLUN3: INFLUENZA (SEASONAL) (FLUMIST)MEDIMMUNE VACCINES, INC.501096P2IN 
Administered by: Military     Purchased by: Military
Symptoms: Condition aggravated, Dyspnoea, Grand mal convulsion, Muscle twitching, Viral infection
SMQs:, Anaphylactic reaction (broad), Systemic lupus erythematosus (broad), Convulsions (narrow), Dyskinesia (broad), Dystonia (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Cardiomyopathy (broad), Generalised convulsive seizures following immunisation (narrow)
Write-up: Received seasonal influenza vaccine (Flumist- Medimune) on 27 October 2011 during the flu clinic. The patient's wife stated that within 24 hours he began to have difficulty breathing and twitching. She took him to the Hospital where he was seen by a medical provider and released for a viral infection. The next day the patient had a full blown grand-mal seizure.

VAERS ID:439609 (history)  Vaccinated:2011-10-22
Age:24.0  Onset:2011-10-22, Days after vaccination: 0
Gender:Female  Submitted:2011-10-23, Days after onset: 1
Location:Pennsylvania  Entered:2011-10-23
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: cold
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (AFLURIA)CSL LIMITED13849121A IMUN
Administered by: Unknown     Purchased by: Public
Symptoms: Asthenia, Back pain, Feeling cold, Neck pain, Nervousness, Pain, Pain in extremity
SMQs:, Retroperitoneal fibrosis (broad), Guillain-Barre syndrome (broad), Arthritis (broad)
Write-up: Pt got flu shot 11h31 on 10/22/11. Called at 16h50 to complain about being weak, shaky & aching all over. Pt was not sweating, but was cold. Arm hurts, travelling, down back from shoulder & neck, pain in lower back. Pt was already presenting with a cold at the time of administering the flu shot. Pt was advised to see MD or got to ER. MS was informed.

VAERS ID:439779 (history)  Vaccinated:2011-10-04
Age:24.0  Onset:2011-10-07, Days after vaccination: 3
Gender:Female  Submitted:2011-10-13, Days after onset: 6
Location:Pennsylvania  Entered:2011-10-24, Days after submission: 11
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: Spondylolysis; spondylolisthesis
Diagnostic Lab Data: Per ER visit
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLULAVAL)GLAXOSMITHKLINE BIOLOGICALSAFLLA677AA IMLA
Administered by: Private     Purchased by: Private
Symptoms: Eyelid oedema, Oedema peripheral, Oropharyngeal pain, Pain, Photophobia, Pyrexia, VIIth nerve paralysis, Vaccination complication, Vision blurred
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Glaucoma (broad), Lens disorders (broad), Corneal disorders (broad), Retinal disorders (broad), Periorbital and eyelid disorders (narrow), Hypersensitivity (narrow)
Write-up: Student presents on 10-7-11 at 10:15 a.m. with c/o of awakening with blurred vision (L) eye, photophobia, (L) eyelid edema, bilateral hands edema, ST, fever, general body aches. Student referred to ER where she was dx with Bell''s Palsy & reaction to flu shot administered 10-4-11. She was treated with Prednisone 60mg daily x6 days & decrease by 10mg daily x 5 days.

VAERS ID:439846 (history)  Vaccinated:2011-10-21
Age:24.0  Onset:2011-10-21, Days after vaccination: 0
Gender:Male  Submitted:2011-10-24, Days after onset: 3
Location:California  Entered:2011-10-24
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: Splenectomy 2004
Diagnostic Lab Data: Pt treated with clindamycin 300mg 1 four times daily
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)NOVARTIS VACCINES AND DIAGNOSTICS11008010IMLA
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.1397Z0IMLA
TDAP: TDAP (ADACEL)SANOFI PASTEURC3935AA IMRA
Administered by: Private     Purchased by: Private
Symptoms: Injection site erythema, Injection site swelling, Myalgia, Oropharyngeal pain, Pyrexia
SMQs:, Rhabdomyolysis/myopathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Eosinophilic pneumonia (broad)
Write-up: Vaccines given Friday 10/21/11 at 1300 - pt developed fever, sore throat, muscle aches, redness and swelling at injection site on (L) arm. Both vials (PNEUMOVAX & flu) were new bottles.

VAERS ID:439863 (history)  Vaccinated:2011-10-21
Age:24.0  Onset:2011-10-21, Days after vaccination: 0
Gender:Female  Submitted:2011-10-24, Days after onset: 3
Location:Kentucky  Entered:2011-10-25, 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: Allergy - cinnamon; PHENERGAN
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURUH476AC0IMLA
Administered by: Public     Purchased by: Unknown
Symptoms: Pruritus generalised, Rash generalised
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow)
Write-up: Began to itch over entire body, broke out in rash head to toe.

VAERS ID:439901 (history)  Vaccinated:2011-10-24
Age:24.0  Onset:2011-10-24, Days after vaccination: 0
Gender:Female  Submitted:2011-10-25, Days after onset: 1
Location:Missouri  Entered:2011-10-25
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: Severe Latex allergy and reaction to tetanus in 2008
Diagnostic Lab Data: None
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)NOVARTIS VACCINES AND DIAGNOSTICS11133P0IMLA
Administered by: Public     Purchased by: Private
Symptoms: Dyspnoea, Flushing, Lip swelling, Swollen tongue
SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), Oropharyngeal allergic conditions (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Hypersensitivity (narrow)
Write-up: Difficulty breathing, swollen tongues/lip, flushed face/neck.

VAERS ID:439920 (history)  Vaccinated:2011-10-24
Age:24.0  Onset:2011-10-24, Days after vaccination: 0
Gender:Female  Submitted:2011-10-25, Days after onset: 1
Location:Alaska  Entered:2011-10-25
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: no
Preexisting Conditions: none
Diagnostic Lab Data: none
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUARIX)GLAXOSMITHKLINE BIOLOGICALSAFLUA625AA0IMLA
HEP: HEP B (ENGERIX-B)GLAXOSMITHKLINE BIOLOGICALSAHBVC009AA2IMRA
Administered by: Public     Purchased by: Public
Symptoms: Oedema peripheral, Pain in extremity
SMQs:, Cardiac failure (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: Started having severe pain down left arm with swelling.

VAERS ID:440108 (history)  Vaccinated:2011-10-07
Age:24.0  Onset:2011-10-07, Days after vaccination: 0
Gender:Female  Submitted:2011-10-13, Days after onset: 6
Location:Maryland  Entered:2011-10-26, 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: Sulfa drugs; PCN; Latex
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURUT426AA UNAR
Administered by: Public     Purchased by: Public
Symptoms: Injection site mass, Injection site swelling, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow)
Write-up: Swelling/lump at injection site. Hives across arms and back. BENADRYL.

VAERS ID:440650 (history)  Vaccinated:2011-10-26
Age:24.0  Onset:2011-10-26, Days after vaccination: 0
Gender:Female  Submitted:2011-10-28, Days after onset: 2
Location:Washington  Entered:2011-10-28
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Unknown
Preexisting Conditions: Unknown
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURUT440AA1IMUN
Administered by: Other     Purchased by: Private
Symptoms: Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad)
Write-up: Patient fainted slightly after administration of FLUZONE 2011-12 vaccine. She was later conscious again and all vitals (verified by paramedic) are fine. Patient was followed up by doctor.

VAERS ID:444431 (history)  Vaccinated:2011-09-03
Age:24.0  Onset:2011-10-14, Days after vaccination: 41
Gender:Female  Submitted:2011-10-29, Days after onset: 15
Location:Virginia  Entered:2011-10-29
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)NOVARTIS VACCINES AND DIAGNOSTICS11021011UNAR
Administered by: Other     Purchased by: Other
Symptoms: Musculoskeletal pain
SMQs:, Rhabdomyolysis/myopathy (broad)
Write-up: Shoulder pain. PENNSAID 1.5% topical sol.

VAERS ID:441038 (history)  Vaccinated:2011-09-29
Age:24.0  Onset:2011-09-29, Days after vaccination: 0
Gender:Female  Submitted:2011-10-26, Days after onset: 27
Location:Oregon  Entered:2011-11-01, Days after submission: 6
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None noted
Preexisting Conditions: All: SUPRAX
Diagnostic Lab Data: None
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)NOVARTIS VACCINES AND DIAGNOSTICS11034P UNAR
Administered by: Private     Purchased by: Private
Symptoms: Lip swelling, Swollen tongue
SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), Oropharyngeal allergic conditions (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Hypersensitivity (narrow)
Write-up: Employer offered seasonal influenza vaccine administered at approx. 0800 on 09/29/11. End of work shift so was driving home when developed swelling of lips and tongue. Took OTC diphenhydramine and later went to urgent care where received, epinephrine, SOLUMEDROL & BENADRYL.

VAERS ID:441042 (history)  Vaccinated:2011-10-25
Age:24.0  Onset:2011-10-25, Days after vaccination: 0
Gender:Male  Submitted:2011-10-26, Days after onset: 1
Location:Michigan  Entered:2011-11-01, 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: Abdominal pain
Preexisting Conditions: NKDA
Diagnostic Lab Data: None
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (ADACEL)SANOFI PASTEURU3927BA0IMLA
Administered by: Other     Purchased by: Private
Symptoms: Abdominal pain, Nausea, Pyrexia, Vomiting
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)
Write-up: Fever. Abdominal pain, vomiting, nausea.

VAERS ID:441212 (history)  Vaccinated:2011-10-25
Age:24.0  Onset:2011-10-25, Days after vaccination: 0
Gender:Female  Submitted:2011-10-27, Days after onset: 2
Location:Colorado  Entered:2011-11-03, Days after submission: 7
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: No
Preexisting Conditions: Allergies: codeine, EXCEDRIN, Naproxen, grass, cottonwood, hay fever
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.0841AA2IMUN
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.0322Z1IMUN
Administered by: Public     Purchased by: Public
Symptoms: Injection site pain, Injection site rash
SMQs:, Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (narrow)
Write-up: Extreme pain at site of injections with rash 2"x4" at injection site - progressively getting worse.

VAERS ID:441243 (history)  Vaccinated:2011-11-03
Age:24.0  Onset:2011-11-03, Days after vaccination: 0
Gender:Female  Submitted:2011-11-03, Days after onset: 0
Location:Georga  Entered:2011-11-03
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEUR 0UNRA
Administered by: Private     Purchased by: Private
Symptoms: Hypoaesthesia
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad)
Write-up: Numbness of arm, at 6:25 am next morning, went to doctors office, took Tylenol.

VAERS ID:441908 (history)  Vaccinated:2011-10-26
Age:24.0  Onset:2011-10-27, Days after vaccination: 1
Gender:Female  Submitted:2011-11-09, Days after onset: 13
Location:Illinois  Entered:2011-11-09
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: Sulfa allergy
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)NOVARTIS VACCINES AND DIAGNOSTICS11051P IMLA
Administered by: Other     Purchased by: Private
Symptoms: Back pain, Injection site pain, Musculoskeletal pain, Pain
SMQs:, Rhabdomyolysis/myopathy (broad), Retroperitoneal fibrosis (broad), Extravasation events (injections, infusions and implants) (broad)
Write-up: Persistent soreness at injection site and radiating to shoulder and back.

VAERS ID:442002 (history)  Vaccinated:2011-10-13
Age:24.0  Onset:2011-10-14, Days after vaccination: 1
Gender:Female  Submitted:2011-11-03, Days after onset: 20
Location:Montana  Entered:2011-11-09, 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: None
Preexisting Conditions: ibuprofen; aspirin; penicillin; sulfa
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURUH454AC IMLA
Administered by: Private     Purchased by: Other
Symptoms: Fatigue, Injection site pain, Pain
SMQs:, Extravasation events (injections, infusions and implants) (broad)
Write-up: Tender site 3 wks, pain when moving arm, body aches & fatigue - week and a half.

VAERS ID:443030 (history)  Vaccinated:2011-03-03
Age:24.0  Onset:2011-03-03, Days after vaccination: 0
Gender:Female  Submitted:2011-04-13, Days after onset: 40
Location:Maryland  Entered:2011-11-10, Days after submission: 211
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: The patient had no illness at the time of vaccination, has no known allergies and no medical conditions. She has no reported adverse events following prior vaccinations.
Diagnostic Lab Data: None performed
CDC 'Split Type': 201101028
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURUT3640AA IMLA
Administered by: Private     Purchased by: Unknown
Symptoms: Dry mouth, Dysgeusia, Thirst
SMQs:, Hyperglycaemia/new onset diabetes mellitus (broad), Taste and smell disorders (narrow), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow)
Write-up: Initial report was received on 08 March 2011 from a consumer, who is also the patient. A 24 year-old female patient with no reported past medical history, had received an intramuscular left deltoid injection of FLUZONE (lot number not reported) on 03 March 2011 at 10:30 am and three and a half hours later at 2:00 pm, experienced a strange taste in her mouth, dry mouth and "could not get enough to drink". She reported the strange taste in her mouth was like a dough or yeast taste. She reports having several flu vaccines in the past but had not received the H1N1 vaccine. Concomitant medications included birth control pill. The patient had no illness at the time of vaccination and had no reported adverse events following prior vaccinations. No further information was available at the time of the report. The patient''s outcome was unknown. Follow-up information was received 11 April 2011 from a health care professional. The patient had received FLUZONE, lot number UT3640AA. No laboratory or diagnostic testing was performed. According to the reporter, the patient''s symptoms resolved approximately two weeks after onset. The patient''s outcome was recovered. No additional information was provided at the time of the report. Documents held by sender: none.

VAERS ID:442350 (history)  Vaccinated:2011-11-01
Age:24.0  Onset:2011-11-10, Days after vaccination: 9
Gender:Female  Submitted:2011-11-14, Days after onset: 4
Location:North Carolina  Entered:2011-11-14
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None reported
Preexisting Conditions: None reported
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)NOVARTIS VACCINES AND DIAGNOSTICS1101301 IMLA
Administered by: Other     Purchased by: Private
Symptoms: Musculoskeletal stiffness, Myalgia, Nasopharyngitis
SMQs:, Rhabdomyolysis/myopathy (broad), Dystonia (broad), Parkinson-like events (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Eosinophilic pneumonia (broad), Arthritis (broad)
Write-up: Patient received vaccine on 11/01/11 and had typical muscle soreness, which was resolved after 2 or 3 days. The pain then came back on 11/10/11. Pt reports muscle stiffness and pain in the same area as before. Pt reports that pain is relieved by ibuprofen. Pt reported having a cold a few days after vaccination that has since resolved.

VAERS ID:442490 (history)  Vaccinated:2011-11-08
Age:24.0  Onset:2011-11-09, Days after vaccination: 1
Gender:Female  Submitted:2011-11-14, Days after onset: 5
Location:Ohio  Entered:2011-11-14
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURUH462AC IMLA
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 of injection red and swollen put on MEDROL DOSEPAK.

VAERS ID:442500 (history)  Vaccinated:2011-10-17
Age:24.0  Onset:2011-10-24, Days after vaccination: 7
Gender:Female  Submitted:2011-10-31, Days after onset: 7
Location:New York  Entered:2011-11-14, Days after submission: 14
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.1332Y1IMLA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Rash erythematous, Rash macular, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow)
Write-up: Pt. reports that on 10/24/11, 1 wk after receiving 2nd GARDASIL vaccine she broke out in red, blotchy rash that turned into hives torso, arms & legs. Pt. started BENADRYL 10/27/11 with relief.

VAERS ID:442643 (history)  Vaccinated:2011-10-27
Age:24.0  Onset:2011-10-28, Days after vaccination: 1
Gender:Female  Submitted:2011-11-15, Days after onset: 18
Location:Michigan  Entered:2011-11-16, Days after submission: 1
Life Threatening? Yes
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC 'Split Type': WAES1111USA01507
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.0840AA IMUN
Administered by: Other     Purchased by: Other
Symptoms: Eye swelling, Pharyngeal oedema
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Oropharyngeal allergic conditions (narrow), Hypersensitivity (narrow)
Write-up: Information has been received from a Registered Nurse concerning a 24 year old female with no drug reactions/allergies and no pertinent medical history who on 27-OCT-2011 was vaccinated with a dose of GARDASIL (Lot# 669796/0840AA, expiration date 14-OCT-2013), intramuscularly. There was no concomitant medication. The nurse reported that on 28-OCT-2011 the patient''s throat swelled up and her eyes became swollen. The patient went to the emergency room. No lab diagnostics study was performed. BENADRYL, TORADOL and REGLAN were given for the adverse effects. The patient was recovered by 07-NOV-2011. All the adverse effects were considered to be life-threatening by the reporter. A lot check has been initiated. Additional information has been requested.

VAERS ID:443076 (history)  Vaccinated:2011-11-14
Age:24.0  Onset:2011-11-14, Days after vaccination: 0
Gender:Male  Submitted:2011-11-18, Days after onset: 4
Location:New Jersey  Entered:2011-11-18
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
ANTH: ANTHRAX (BIOTHRAX)EMERGENT BIOSOLUTIONSFAV294 SCLA
Administered by: Military     Purchased by: Military
Symptoms: Erythema, Local reaction, Nodule, Tenderness, Wrong drug administered
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (broad)
Write-up: Had an unexpected and unusual localized reaction to the PPD test. Symptoms included increased erythema, tenderness, and a nodule (6 mm). It is suspected that a 0.1 ml of anthrax vaccine was erroneously administered to the sm instead of the standard PPD solution.

VAERS ID:443095 (history)  Vaccinated:2011-11-16
Age:24.0  Onset:2011-11-16, Days after vaccination: 0
Gender:Female  Submitted:2011-11-19, Days after onset: 3
Location:Kentucky  Entered:2011-11-19
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: none
Preexisting Conditions: none
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAP: DTAP (NO BRAND NAME)UNKNOWN MANUFACTURER 1  
Administered by: Unknown     Purchased by: Other
Symptoms: Headache, Lymphadenopathy, Musculoskeletal pain, Pain, Pain in extremity
SMQs:, Rhabdomyolysis/myopathy (broad)
Write-up: Headache, body ache, sore arm and shoulder. 11/19/2011 - noticed swollen lymph node at collar bone and continued pain and headache.

VAERS ID:443201 (history)  Vaccinated:2011-11-19
Age:24.0  Onset:2011-11-20, Days after vaccination: 1
Gender:Male  Submitted:2011-11-21, Days after onset: 1
Location:North Carolina  Entered:2011-11-21
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: n/a
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)UNKNOWN MANUFACTURER  IMRA
Administered by: Military     Purchased by: Military
Symptoms: Fatigue, Headache, Nausea
SMQs:, Acute pancreatitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)
Write-up: Headaches Fatigue nauseated second dose this year around Nov 8th I had a flu shot and the military administered again because I did not have the paper work on hand never had an adverse reaction before except the first shot I ever had.

VAERS ID:443538 (history)  Vaccinated:2011-11-11
Age:24.0  Onset:2011-11-14, Days after vaccination: 3
Gender:Female  Submitted:2011-11-26, Days after onset: 12
Location:Oklahoma  Entered:2011-11-26
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: No not aware of
Preexisting Conditions: None, nkda
Diagnostic Lab Data: None taken
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)NOVARTIS VACCINES AND DIAGNOSTICS   LA
Administered by: Public     Purchased by: Public
Symptoms: Immediate post-injection reaction, Injection site pain, Joint swelling, Musculoskeletal stiffness
SMQs:, Dystonia (broad), Parkinson-like events (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow), Arthritis (broad)
Write-up: Flu shot was more sore than usual immediately following, with sharp shooting pains with certain shoulder movements e.g. Taking off a hoodie. It''s been 3 weeks now and my arm is still hurting if not worse, with increased stiffness despite stretches/exercises. Hurts worst upon waking up. My shoulders usually pop almost daily. Now the left shoulder crunches occasionally. Also am having muscle stiffness to right arm/shoulder (opposite side). Do not know if this is related or just stress and being tight. Right knee is also swollen, palpable swelling in popliteal area. Never had this before? Not painful just tight.

VAERS ID:443541 (history)  Vaccinated:2011-07-18
Age:24.0  Onset:2011-07-19, Days after vaccination: 1
Gender:Female  Submitted:2011-11-26, Days after onset: 130
Location:Minnesota  Entered:2011-11-26
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: A break out of one genital wart. Had never had any previous break out.
Preexisting Conditions: Limb tingling, shortness of breath, and dizziness with Topamax. Frequent headaches, chronic sinusitis, and one strain of HPV.
Diagnostic Lab Data: ANA and RF tested positive. Dr. said it is indicative of an autoimmune disease. Following up with a rheumatologist on 12-9-11.
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.0337Z0IMLA
Administered by: Public     Purchased by: Public
Symptoms: Abdominal pain, Alopecia, Antinuclear antibody positive, Aphthous stomatitis, Autoimmune disorder, Back pain, Chest pain, Confusional state, Constipation, Contusion, Diarrhoea, Dizziness, Dyspnoea, Epistaxis, Erythema, Gait disturbance, Haematochezia, Hyperkeratosis, Hypomenorrhoea, Menstruation delayed, Metrorrhagia, Migraine, Muscle spasms, Muscular weakness, Musculoskeletal pain, Musculoskeletal stiffness, Nausea, Neuralgia, Pain, Pain in extremity, Paraesthesia, Photopsia, Pollakiuria, Polymenorrhoea, Pregnancy test negative, Rash, Renal pain, Rheumatoid factor positive, Skin disorder, Thinking abnormal, Tunnel vision, Urine abnormality, Vaccination site inflammation, Vaginal haemorrhage, Vein disorder
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (narrow), Acute pancreatitis (broad), Peripheral neuropathy (narrow), Haemorrhage terms (excl laboratory terms) (narrow), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (narrow), Anticholinergic syndrome (narrow), Retroperitoneal fibrosis (broad), Dementia (broad), Pseudomembranous colitis (broad), Dystonia (broad), Parkinson-like events (broad), Gastrointestinal haemorrhage (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Acute central respiratory depression (broad), Psychosis and psychotic disorders (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Accidents and injuries (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Ischaemic colitis (broad), Optic nerve disorders (broad), Cardiomyopathy (broad), Retinal disorders (narrow), Vestibular disorders (broad), Fertility disorders (broad), Hypersensitivity (narrow), Arthritis (broad), Noninfectious diarrhoea (narrow)
Write-up: First started with inflamed arm where the vaccine was given, weak arm muscle, severe 4 day migraine, stiff neck, lower right back pain, and nausea. Both legs started to continuously have tingling in them. I tried a chiropractor and it was not improving the neck stiffness, lower right back pain, or tingling. I started to have very frequent urination, constipation, severe nausea, more migraines, and rashes on my abdomen with abdomen pain. My next period was 7 days late. I experienced very light slight spotting. I passed a tannish/gray, continuous, vessely, fleshy tissue with some light bleeding. It was a light period and only lasted 2 days then was gone. It was unusual because my period has never been late and is always very heavy and 7 days. I thought I had a miscarriage so I went to the ER but the pregnancy test was negative. My period has been messed up since, only lasting a couple days and very light. The tingling in my legs lifted for the most part then it rapidly spread up my left arm, the left side of my head, left face, left neck, and left chest. It occasionally would tingle in the right side of my head and right arm but not as often. When the tingling in my legs lifted my legs were so weak I could barely walk and was having great trouble. Since then I have had veins popping out everywhere that cause a rash on my wrists and arms, canker sores, organ pain below the left and right ribs, kidney pain, sores all over my scalp with hair loss, blister-like bumps on my finger, toe, and face, orangey-red calluses and dots on my palms, flashing lights and blackened vision on the sides, left chest pain that goes out toward shoulder, shortness of breath, dizziness, confusion, not thinking clearly, nerve pain in the head, leg pain, severe muscle spasms all over body, numerous and unexplainable bruises all over body, blood in mucus, alternating constipation and diarrhea, occassional blood in stool, white tissue-like lining in urine, and re-occuring bloody noses.

VAERS ID:443804 (history)  Vaccinated:2011-11-02
Age:24.0  Onset:2011-11-04, Days after vaccination: 2
Gender:Female  Submitted:2011-11-29, Days after onset: 25
Location:North Dakota  Entered:2011-11-29
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:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURUH460AC4IMRA
Administered by: Other     Purchased by: Private
Symptoms: Rash
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow)
Write-up: Rash on wrist, shoulders, neck face and back. Was seen at Urgent Care and personal physician''s office. Was treated with prednisone.

VAERS ID:443899 (history)  Vaccinated:2011-11-10
Age:24.0  Onset:2011-11-10, Days after vaccination: 0
Gender:Female  Submitted:2011-11-21, Days after onset: 11
Location:Colorado  Entered:2011-11-29, Days after submission: 8
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Latex allergy
Preexisting Conditions:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES1111USA01857
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.0691AA0UNUN
Administered by: Other     Purchased by: Other
Symptoms: Dry mouth, Dyspnoea, Nausea, Pruritus generalised, Urticaria
SMQs:, Anaphylactic reaction (narrow), Acute pancreatitis (broad), Angioedema (narrow), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Hypersensitivity (narrow)
Write-up: Information has been received from a physician concerning a 24 year old female with latex allergy who on 10-NOV-2011 in the mid-afternoon was vaccinated with the first dose of GARDASIL (Lot# 669285/0691AA, exp 17-AUG-2013) (route not reported). Concomitant therapy included LO SEASONIQUE from October 2011. On 10-NOV-2011, within several hours after the vaccine, the patient called the physician''s office reporting that she was experiencing "itchiness all over." The physician told her to take some BENADRYL when she got home, but her condition progressed to nausea and dry mouth. When the patient developed shortness of breath, she was taken to an Emergency Room where she received IV BENADRYL and unspecified steroid intravenously. The emergency room staff noted that the patient had some hives on her back. She was released that same evening and was prescribed a tapering dose of an unspecified steroid. The physician reported that the patient was recovering and that she had instructed her patient to not received any additional doses of GARDASIL. Therapy with GARDASIL would not be reintroduced. Upon internal review, the patient itchiness all over, nausea and dry mouth, shortness of breath and hives on her back which required IV BENADRYL and unspecified steroid intravenously were considered to be other important medical events. Additional information has been requested.

VAERS ID:443921 (history)  Vaccinated:2011-09-27
Age:24.0  Onset:2011-09-30, Days after vaccination: 3
Gender:Male  Submitted:2011-11-30, Days after onset: 61
Location:Maryland  Entered:2011-11-30
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 DIAGNOSTICS1100801 IMRA
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.1397Z IMLA
Administered by: Other     Purchased by: Private
Symptoms: Body temperature, Hyperhidrosis, Pain, Tenderness, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Neuroleptic malignant syndrome (broad), Hypersensitivity (narrow)
Write-up: Sweating, temp, hives on left arm, very sore and tender. Took Benadryl for pain as needed. Went to Urgent care given a Z-pac.

VAERS ID:444370 (history)  Vaccinated:2011-10-03
Age:24.0  Onset:2011-10-07, Days after vaccination: 4
Gender:Female  Submitted:2011-12-03, Days after onset: 57
Location:Illinois  Entered:2011-12-03
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: No tests/data
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)NOVARTIS VACCINES AND DIAGNOSTICS1101010IMLA
Administered by: Other     Purchased by: Other
Symptoms: Activities of daily living impaired, Injected limb mobility decreased, Injection site pain, Musculoskeletal pain, Poor quality sleep
SMQs:, Rhabdomyolysis/myopathy (broad), Dementia (broad), Extravasation events (injections, infusions and implants) (broad), Depression (excl suicide and self injury) (broad)
Write-up: A few days after the flu shot in my left shoulder, I had extremely limited arm movement. I was unable to lift my arm up to be parallel with the rest of my body. I cannot put any weight on affected arm because of pain or lift anything heavy. I am unable to sleep on side with affected arm because I wake up at night from pain and then my shoulder is extremely sore. I am unable to move arm in a certain manner with tasks such as taking off shirts or putting on socks. The pain has lasted for 3.5 weeks until I saw my doctor on November 11, 2011. Before then I was applying warm compresses, which did not improve the pain, so I switched to cold compresses which also did not help. I took ibuprofen which did not help. Then I decided to take Tylenol which helped a little. My physician prescribed me a 15-day course of Prednisone which helped and the pain subsided completely. I finished course at the beginning of this week (11/27/11) and noticed onset of pain again in left shoulder yesterday (12/02/11). Today I was unable to lift grocery bags. Pain is localized in the shoulder.

VAERS ID:444646 (history)  Vaccinated:2009-03-18
Age:24.0  Onset:2009-03-29, Days after vaccination: 11
Gender:Male  Submitted:2011-12-01, Days after onset: 977
Location:Virginia  Entered:2011-12-06, Days after submission: 5
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: The subject has a history of high blood pressure and a family history of elevated cholesterol and DM (diabetes mellitus). All other medical history was not available.
Diagnostic Lab Data:
CDC 'Split Type': 201111730
Vaccination
Manufacturer
Lot
Dose
Route
Site
SMALL: SMALLPOX (ACAM2000)SANOFI PASTEUR   UN
Administered by: Military     Purchased by: Military
Symptoms: Chest pain, Echocardiogram normal, Electrocardiogram normal, Myocarditis, Troponin I increased
SMQs:, Myocardial infarction (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad)
Write-up: This study was received from the investigator on 21 November 2011. A 24 year-old male subject with a history of high blood pressure and a family history of elevated cholesterol and DM (diabetes mellitus) was found to have an chest pain, unspecified 11 days after he had received an injection of ACAM2000 (lot number, route and site of administration not reported) on 18 March 2009. The subject was evaluated in the ER (emergency room) and was hospitalized (dates not reported). The subject''s discharge diagnosis was myocarditis. Relevant laboratory data on 29 March 2009 included: an abnormal Troponin I with the highest recorded value of 6.19, a normal ECG and a normal Echocardiogram. Treatments were not reported. The subject''s outcome was not reported. Note: There is no reporter causality assessment as this is a safety surveillance (data mining, non-interventional) study. Documents held by sender: none.

VAERS ID:444781 (history)  Vaccinated:2011-11-26
Age:24.0  Onset:2011-11-26, Days after vaccination: 0
Gender:Male  Submitted:0000-00-00
Location:Iowa  Entered:2011-12-07
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: getting over a cold
Preexisting Conditions:
Diagnostic Lab Data: None
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURUH477AB IMLA
Administered by: Unknown     Purchased by: Private
Symptoms: Dizziness, Hypotension, Immediate post-injection reaction, Loss of consciousness
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Hypersensitivity (narrow)
Write-up: Patient became light-headed immediately after injection and then went in and out of consciousness for about 5 minutes. 911 was called but did not need to administer any emergency treatment. Blood pressure was low. Patient recovered & left.

VAERS ID:444841 (history)  Vaccinated:2011-12-06
Age:24.0  Onset:2011-12-06, Days after vaccination: 0
Gender:Male  Submitted:2011-12-07, Days after onset: 1
Location:Texas  Entered:2011-12-07
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
MNQ: MENINGOCOCCAL CONJUGATE (MENVEO)NOVARTIS VACCINES AND DIAGNOSTICSM10054A0IMLA
Administered by: Public     Purchased by: Other
Symptoms: Back pain, Chills, Eye pain, Headache, Muscle tightness, Myalgia, Pyrexia
SMQs:, Rhabdomyolysis/myopathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Dystonia (broad), Glaucoma (broad), Eosinophilic pneumonia (broad)
Write-up: Patient complained of chills, aching muscles, back pain, headache, muscles tightening up, eyes hurting, especially while watching TV, fever (not taken) - mom states, "It''s less than 100 degrees F". Symptoms occurred the night following administration of vaccine - 12/06/2011. Advised to seek medical attention.

VAERS ID:444997 (history)  Vaccinated:2011-01-28
Age:24.0  Onset:2011-01-28, Days after vaccination: 0
Gender:Female  Submitted:2011-12-08, Days after onset: 314
Location:Unknown  Entered:2011-12-09, 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 = Unknown); Stomach cramps; Anaemia; Tobacco user; Gastrooesophageal reflux disease
Preexisting Conditions: Abortion spontaneous
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES1101USA03558
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.0787Z2UNUN
Administered by: Other     Purchased by: Other
Symptoms: Abortion spontaneous, Maternal exposure during pregnancy, Pregnancy test urine positive, Vaginal haemorrhage
SMQs:, Haemorrhage terms (excl laboratory terms) (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 licensed practical nurse (L.P.N.) for GARDASIL, a Pregnancy Registry product, concerning a 24 year old female patient with stomach cramps and no drug reactions or allergies, who on 28-JUN-2010 received the first dose of GARDASIL and the second dose on 14-OCT-2011. The nurse reported that the patient came to their office because she had her period for 3 weeks. While at the office on 28-JAN-2011 she received her third dose of GARDASIL (Lot # 0787). After receiving the dose a urine pregnancy test was found to be positive. The patient''s date of last menstrual period and her estimated date of delivery were unknown. Follow up information has been received from a nurse practitioner via pregnancy questionnaire concerning the patient with Gastrooesophageal reflux disease, tobacco user, anemia and a history of 2 prior spontaneous abortions (date unspecified) who on 28-JAN-2011 experienced a vaginal bleeding spontaneous abortion, 6 weeks from last menstrual period by receiving vaccine. Upon internal review vaginal bleeding SAB by receiving vaccine was determined to be an other important medical event. The products of conception were not examined. It was unknown if the fetus was normal. No further information is available.

VAERS ID:445072 (history)  Vaccinated:2009-12-01
Age:24.0  Onset:2009-12-01, Days after vaccination: 0
Gender:Female  Submitted:2011-12-10, Days after onset: 739
Location:Minnesota  Entered:2011-12-10
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: Sulfa allergy
Diagnostic Lab Data: none
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLUX(H1N1): INFLUENZA (H1N1) (H1N1 (MONOVALENT) (UNKNOWN)UNKNOWN MANUFACTURER    
Administered by: Private     Purchased by: Other
Symptoms: Feeling abnormal, Head discomfort, Headache, Vision blurred
SMQs:, Anticholinergic syndrome (broad), Dementia (broad), Glaucoma (broad), Lens disorders (broad), Retinal disorders (broad)
Write-up: Foggy vision, headache, feeling "foggy"; feels like brain swelled.

VAERS ID:445671 (history)  Vaccinated:2011-12-14
Age:24.0  Onset:2011-12-14, Days after vaccination: 0
Gender:Female  Submitted:2011-12-16, Days after onset: 2
Location:Massachusetts  Entered:2011-12-16
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: NKDA
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.1291AA0IMLA
Administered by: Public     Purchased by: Public
Symptoms: Dyskinesia, Loss of consciousness, Seizure like phenomena, Syncope, Unresponsive to stimuli
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), Convulsions (narrow), Dyskinesia (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)
Write-up: After administration of vaccine pt had vasovagal syncopal episode. Regained consciousness, few min later pt unresponsive ? seizure type movements. Pt transported to ER.

VAERS ID:445814 (history)  Vaccinated:2011-12-19
Age:24.0  Onset:2011-12-19, Days after vaccination: 0
Gender:Female  Submitted:2011-12-19, Days after onset: 0
Location:Missouri  Entered:2011-12-19
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: N/A
Preexisting Conditions: N/A
Diagnostic Lab Data: N/A
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
TTOX: TETANUS TOXOID, ADSORBED (NO BRAND NAME)SANOFI PASTEURU3919BA0 LA
Administered by: Other     Purchased by: Private
Symptoms: Feeling hot, 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), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad)
Write-up: She donated plasma, then had tetanus shot, went to donor floor to sit and wait 15 min to see if reaction. She was on laptop sent e mail. Logged off. Started feeling hot, nauseated, got up and went to counter to tell staff, staff went to get nurse, staff got back, she was no longer at counter but had passed out on floor. She also states she has not eaten anything since 7pm 12/18/11.

VAERS ID:445988 (history)  Vaccinated:2011-11-16
Age:24.0  Onset:2011-12-04, Days after vaccination: 18
Gender:Female  Submitted:2011-12-20, Days after onset: 16
Location:Illinois  Entered:2011-12-20
Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Endometriosis
Preexisting Conditions: Cesarean delivery; Live birth; Pregnancy; The subject had no adverse events following previous vaccinations including flu shots.
Diagnostic Lab Data: Lumbar puncture, Dec2011, negative; Nuclear magnetic resonance ima, Dec2011, brain swelling
CDC 'Split Type': A0958679A
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURUT426AA UNUN
TDAP: TDAP (BOOSTRIX)GLAXOSMITHKLINE BIOLOGICALSAC52B080DA UNLA
Administered by: Public     Purchased by: Private
Symptoms: Brain oedema, Lumbar puncture normal, Nuclear magnetic resonance imaging brain abnormal, Vision blurred, Visual impairment
SMQs:, Anticholinergic syndrome (broad), Hyponatraemia/SIADH (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Glaucoma (broad), Optic nerve disorders (broad), Lens disorders (broad), Retinal disorders (broad)
Write-up: This case was reported by a pharmacist and described the occurrence of brain swelling in a 24-year-old female subject who was vaccinated with BOOSTRIX (GlaxoSmithKline), (non-gsk) FLUZONE. The subject''s medical history included Cesarean delivery, live birth and pregnancy. Concurrent medical conditions included endometriosis. Concurrent medications included Prenatal vitamin, TORADOL and PERCOCET. On 16 November 2011 at 11:30 the subject received a dose of BOOSTRIX (.5 ml, unknown route, left arm). On 16 November 2011 the subject received a dose of FLUZONE (unknown route). On 4 December 2011, 18 days after vaccination with BOOSTRIX and FLUZONE, the subject experienced brain swelling, vision disturbance including "could not see side of face", and cloudy vision. The pharmacist reported that on 14 November 2011, prior to the administration of the vaccines, the subject gave birth to a baby by Cesarean delivery. The subject was hospitalized for 7 days due to the events and the pharmacist considered the events were disabling and clinically significant (or requiring intervention). The pharmacist explained that the subject was hospitalized at another facility for the adverse events. Relevant test results included nuclear magnetic resonance imaging that showed brain swelling and a lumbar puncture that was negative. The subject was treated with Corticosteroids. At the time of reporting the events were improved.

VAERS ID:445996 (history)  Vaccinated:2011-10-11
Age:24.0  Onset:2011-10-11, Days after vaccination: 0
Gender:Female  Submitted:2011-12-21, Days after onset: 71
Location:Utah  Entered:2011-12-21
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: N/A
Preexisting Conditions: N/A
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLULAVAL)GLAXOSMITHKLINE BIOLOGICALSUNKNOWN IMUN
Administered by: Other     Purchased by: Private
Symptoms: 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), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad)
Write-up: Patient received vaccine, waited 5-10 minutes, and returned to desk. Soon after patient reported being sick to stomach. Patient walked to bathroom and passed out. Patient awoke with BP 100/70. 0.5cc, 1:1000, epinephrine injection to right deltoid. Patient came around. Emergency response arrived and took patient to hospital.

VAERS ID:446219 (history)  Vaccinated:2011-07-13
Age:24.0  Onset:2011-07-13, Days after vaccination: 0
Gender:Female  Submitted:2011-12-22, Days after onset: 162
Location:Maryland  Entered:2011-12-23, Days after submission: 1
Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Allergic reaction to antibiotics
Preexisting Conditions:
Diagnostic Lab Data: diagnostic laboratory, ?/?/11, normal; Lyme disease assay, 07/27/11, normal; serum rheumatoid factor, 07/27/11, normal; serum C-reactive, 07/27/11, normal
CDC 'Split Type': WAES1108USA01943
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.0691AA0IMUN
Administered by: Private     Purchased by: Other
Symptoms: Arthralgia, Axillary pain, Blood test normal, Borrelia test negative, C-reactive protein normal, Dyspnoea, Eyelid oedema, Laboratory test normal, Lymphadenopathy, Muscle twitching, Nail bed bleeding, Petechiae, Rheumatoid factor negative, Urticaria
SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), Haemorrhage terms (excl laboratory terms) (narrow), Dyskinesia (broad), Dystonia (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Periorbital and eyelid disorders (narrow), Hypersensitivity (narrow), Arthritis (broad)
Write-up: Information has been received from a 24 year old female patient (also a registered nurse) with no pertinent medical history and with azithromycin allergy reporting on herself who on 13-JUL-2011 was vaccinated intramuscularly with a dose of GARDASIL (dose and lot # not reported). There was no concomitant medication. On 13-JUL-2011, the same day about 4 hours after receiving the shot the patient broke out in hives. The hives started on her legs and spread to the rest of her body. One of the patient''s eyelids almost swelled shut. The patient also had difficulty breathing. The patient took at CLARITIN and the events resolved. On 15-JUL-2011 the patient developed pain in her left arm pits and her lymph node felt swollen. The patient developed pain in her right knee and hip. On 16-JUL-2011 the patient began taking aspirin and then on 18-JUL-2011 began ibuprofen. On 19-JUL-2011 the patient''s arm pit pain resolved. On 25-JUL-2011 the patient had bleeding from two of her fingers. She had blood came out from under nail bed. And the patient had about 15 "petechiae" on her body. On 27-JUL-2011 returned from a trip and went to the emergency room. Blood tests were performed but all her levels were normal. The patient was still having joint pain had had not resolved. The joint pain had now spread to other parts of her body, including her wrists. At the time of reporting, the outcome of blood came out from under nail bed and the patient''s 15 "petechiae" on her body and her lymph node felt swollen were unknown. Follow up information had been received from a licensed practical nurse who reported that the first dose of GARDASIL was given on 13-JUL-2011 (lot # 669285/0691AA). No concomitant vaccines were given. Many tests were performed including Lyme, rheumatoid factor (RF) test and C-reactive protein (CRP) test; all were normal. The physician suggested to the patient that she waited about six weeks for symptoms to subside before consulting a rheumatologist; in the meantime, the patient prescribed ALEVE and told to exercise to keep limber. Follow up information has been received from the physician who reported that the patient with a history of rash after azithromycin and no illness at the time of vaccination was vaccinated with a first dose of GARDASIL in the afternoon. It was reported that on 13-JUL-2011, the patient experienced severe joint pain eventually, started as hives and muscle twitches 4 hours post vaccine and lasted 12 hours. On 16-JUL-2011, 3 days after vaccination, joint and axillary pain begun. Labs performed were all normal, the patient had been referred to rheumatologist. It was reported that the events required an emergency room/doctor visit. At the time of reporting the patient had not recovered from axillary pain and severe joint pain. Severe joint pain, hives, muscle twitches and axillary pain were considered to be disabling by the reporter. Additional information has been requested.

VAERS ID:446517 (history)  Vaccinated:2011-12-28
Age:24.0  Onset:2011-12-28, Days after vaccination: 0
Gender:Male  Submitted:2011-12-30, Days after onset: 2
Location:North Carolina  Entered:2011-12-30
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEPA: HEP A (HAVRIX)GLAXOSMITHKLINE BIOLOGICALS    
IPV: POLIO VIRUS, INACT. (IPOL)SANOFI PASTEUR    
TYP: TYPHOID VI POLYSACCHARIDE (TYPHIM VI)SANOFI PASTEUR    
YF: YELLOW FEVER (YF-VAX)SANOFI PASTEUR    
Administered by: Public     Purchased by: Private
Symptoms: Loss of consciousness, Road traffic accident
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), Accidents and injuries (narrow), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad)
Write-up: Shortly after receiving vaccination for yellow fever, polio, hepatitis A, and typhiod, I departed the clinic and lost conciousness while driving home. I was involved in a single vehicle accident as a result. Fortunately, I suffered no injuries.

VAERS ID:446582 (history)  Vaccinated:2011-11-23
Age:24.0  Onset:2011-12-23, Days after vaccination: 30
Gender:Male  Submitted:2012-01-03, Days after onset: 11
Location:Texas  Entered:2012-01-03
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: URI for 3 weeks. Similar to others.
Preexisting Conditions: None
Diagnostic Lab Data: EMG positive for GBS; WBC 10.6
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
ADEN_4_7: ADENOVIRUS TYPES 4 & 7, LIVE, ORAL (NO BRAND NAME)TEVA PHARMACEUTICALS346000160UNUN
HEPA: HEP A (HAVRIX)GLAXOSMITHKLINE BIOLOGICALSAHAVB493AA0UNUN
Administered by: Unknown     Purchased by: Unknown
Symptoms: Asthenia, Electromyogram abnormal, Guillain-Barre syndrome, Hyporeflexia, Muscular weakness, Pain, Pain in extremity, Paraesthesia, White blood cell count increased
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (narrow), Neuroleptic malignant syndrome (broad), Guillain-Barre syndrome (narrow), Noninfectious encephalopathy/delirium (broad), Demyelination (narrow)
Write-up: 24yo male trainee. On 12/23 he awakened with generalized weakness and soreness and in particular weakness and paresthesias of the feet and hands. Symptoms were progressive until he presented at clinic and was admitted on 12/28 with symmetric weakness/diminished reflexes. He gave a 3 week history of URI with yellow nasal drainage similar to many. EMG confirmed GBS.

VAERS ID:446638 (history)  Vaccinated:2010-09-14
Age:24.0  Onset:2010-10-19, Days after vaccination: 35
Gender:Female  Submitted:2011-12-27, Days after onset: 434
Location:Washington  Entered:2012-01-03, 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: Pregnancy NOS (LMP = 8/20/2010)
Preexisting Conditions:
Diagnostic Lab Data: Ultrasound, 10/19/10; diagnostic pathological, 10/25/10; urine beta-human, 09/20/10, Positive; urine beta-human, 10/01?/10, slowing decreasing
CDC 'Split Type': WAES1009USA04055
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.  UNUN
Administered by: Other     Purchased by: Other
Symptoms: Abortion missed, Abortion spontaneous, Foetal disorder, Human chorionic gonadotropin positive, Laboratory test, Maternal exposure during pregnancy, Placental disorder, Ultrasound antenatal screen abnormal, Uterine dilation and curettage
SMQs:, Tumour markers (narrow), Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow), Foetal disorders (narrow), Termination of pregnancy and risk of abortion (narrow), Normal pregnancy conditions and outcomes (narrow)
Write-up: Information has been received from a licensed practical nurse (L.P.N.), for VARIVAX (Merck), a Pregnancy Registry product, concerning herself, a 24 year old female patient with no pertinent medical history and no drugs reactions or allergies who on 14-SEP-2010 was vaccinated with a dose of VARIVAX (Merck) (lot # unknown). There was no concomitant medication. The nurse reported that on 20-SEP-2010 when she was her doctor, she had a positive urine test for pregnancy. Last menstrual period (LMP): 20-AUG-2010. Her estimated date of delivery (EDD) was 27-MAY-2011. At the time of this report, the patient''s outcome was unknown. Follow up information has been received from another nurse reported that the patient''s pregnancy ended in miscarriage; with dilation and curettage (D&C) performed on 25-OCT-2010, she verified that the patient''s LMP was 20-AUG-2010 and EDD was 27-MAY-2011. This was the patient''s first pregnancy. The following course of events leading up to the patient''s miscarriage: The patient was seen by general practitioner doctor when her pregnancy was first determined in September 2010. When the discovery of vaccine exposure during pregnancy was determined, she was referred to Doctor for gestational counseling and prenatal care. Patient''s first appointment with doctor was on 28-SEP-2010. It was determined in early October 2010 under doctor''s care that the patient''s HCG lab values were slowly decreasing, the urine beta-human chorionic gonadotropin test (HCG) values were not readily available. The patient had an ultrasound on 19-OCT-2010 which reported the following: Diagnosis of missed abortion, 7 week old fetus not viable. There was no fetal cardiac activity and yolk sac was small for gestation. The patient was scheduled for and underwent a dilation and curettage (D & C) on 25-OCT-2010. The contents of conception were examined for pathology and the results are as follows: The uterine contents showed immature placental villus tissue with mild hydropic features with a possible hydatidform mole. When asked if any cancer was seen, the reporter stated there was no mention of cancer in the pathology report. The reporter stated the patient was currently 8 weeks'' pregnant (estimated LMP 27-JUL-2012) and doing well so far. Missed abortion, miscarriage and possible hydatidform mole were was considered to be an other important medical event. No further information is available.

VAERS ID:446873 (history)  Vaccinated:2012-01-05
Age:24.0  Onset:2012-01-05, Days after vaccination: 0
Gender:Male  Submitted:2012-01-05, Days after onset: 0
Location:Oklahoma  Entered:2012-01-05
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
ANTH: ANTHRAX (BIOTHRAX)EMERGENT BIOSOLUTIONSFAV297 UNRA
TYP: TYPHOID VI POLYSACCHARIDE (TYPHIM VI)SANOFI PASTEURG1130 UNRA
Administered by: Military     Purchased by: Military
Symptoms: Local swelling
SMQs:, Angioedema (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: Localized swelling. BENADRYL given.

VAERS ID:447045 (history)  Vaccinated:2011-12-12
Age:24.0  Onset:2011-12-15, Days after vaccination: 3
Gender:Male  Submitted:2011-12-15, Days after onset: 0
Location:Unknown  Entered:2012-01-09, Days after submission: 25
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
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.1169AA UNLA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Pain, Pyrexia, Vaccination site erythema, Vaccination site pain
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad)
Write-up: Patient received pneumococcal vaccine Dec 12 as an inpatient. He was seen today in outpatient clinic with fevers 102 F in past 24 hours, aches, at vaccine site 10cm erythema, painful to palpation, no induration. Afebrile at appointment. Received Merck Sharp Lot 1169AA left arm Pneumo 23P5 0.5ml.

VAERS ID:447099 (history)  Vaccinated:2011-07-26
Age:24.0  Onset:2011-10-06, Days after vaccination: 72
Gender:Female  Submitted:2012-01-09, Days after onset: 95
Location:Unknown  Entered:2012-01-10, Days after submission: 1
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Pregnancy NOS (LMP = 7/20/2011); drug hypersensitivity; gastrooesophageal reflux disease
Preexisting Conditions:
Diagnostic Lab Data: Urine beta-human, 12/20/11, pregnant
CDC 'Split Type': WAES1201USA00571
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.1569Z1UNUN
Administered by: Other     Purchased by: Other
Symptoms: Abortion spontaneous, Human chorionic gonadotropin positive, Maternal exposure during pregnancy
SMQs:, Tumour markers (narrow), Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow), Termination of pregnancy and risk of abortion (narrow), Normal pregnancy conditions and outcomes (narrow)
Write-up: Information has been received from a registered nurse and a family nurse practitioner, for GARDASIL, a Pregnancy Registry product, concerning a 24 year old female case worker with (GERD) Gastrooesophageal reflux disease who on 23-JUN-2011, 26-JUL-2011 and 20-DEC-2011 was vaccinated with her first, second and third dose of GARDASIL (lot number: first dose 668229/1569Z, second dose 668229/1569Z and third dose 671006/1291AA) respectively. On 06-OCT-2011 the patient had a spontaneous abortion 11 weeks from LMP (last menstrual period approximately on 20-JUL-2011). It was unspecified if the patient sought medical attention. At the time of the report, outcome of the event was unknown. Upon internal review, the patient''s spontaneous abortion was determined to be an other important medical event. The patient subsequently became pregnant again (LMP reported as 26-OCT-2011) while on therapy with GARDASIL (WAES # 1112USA02770). Additional information has been requested.

VAERS ID:447173 (history)  Vaccinated:2011-12-17
Age:24.0  Onset:2011-12-26, Days after vaccination: 9
Gender:Female  Submitted:2011-12-28, Days after onset: 2
Location:Unknown  Entered:2012-01-11, Days after submission: 14
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: None taken
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
ANTH: ANTHRAX (NO BRAND NAME)UNKNOWN MANUFACTURERFAV3040IMUN
SMALL: SMALLPOX (ACAM2000)SANOFI PASTEURVV0400A0IDUN
Administered by: Military     Purchased by: Military
Symptoms: Erythema multiforme, Fatigue, Headache, Rash, Vomiting
SMQs:, Severe cutaneous adverse reactions (narrow), Anaphylactic reaction (broad), Acute pancreatitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypersensitivity (narrow)
Write-up: "Rash" arms/feet headaches. Vomiting/fatigue (erythema multiforme).

VAERS ID:447260 (history)  Vaccinated:2012-01-03
Age:24.0  Onset:0000-00-00
Gender:Male  Submitted:0000-00-00
Location:Unknown  Entered:2012-01-12
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
HEP: HEP B (ENGERIX-B)GLAXOSMITHKLINE BIOLOGICALSAHBVC018BA0IMRA
HEPA: HEP A (HAVRIX)GLAXOSMITHKLINE BIOLOGICALSAHAVB408BA0IMLA
Administered by: Military     Purchased by: Military
Symptoms: Unevaluable event
SMQs:
Write-up: None stated.

VAERS ID:447263 (history)  Vaccinated:2012-01-07
Age:24.0  Onset:2012-01-07, Days after vaccination: 0
Gender:Male  Submitted:2012-01-08, Days after onset: 1
Location:Maryland  Entered:2012-01-12, 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: None
Preexisting Conditions: None
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
ANTH: ANTHRAX (BIOTHRAX)EMERGENT BIOSOLUTIONSFAV2881UNRA
SMALL: SMALLPOX (ACAM2000)SANOFI PASTEURVV04003A1 LA
TYP: TYPHOID VI POLYSACCHARIDE (TYPHIM VI)SANOFI PASTEURG11241UNRA
Administered by: Military     Purchased by: Military
Symptoms: Chills, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad)
Write-up: Fevers & chills started at 2300. Took (1) one 200 mg Ibuprofen at 0200 and 0600.

VAERS ID:447478 (history)  Vaccinated:2011-10-01
Age:24.0  Onset:2011-12-29, Days after vaccination: 89
Gender:Female  Submitted:2012-01-17, Days after onset: 19
Location:Texas  Entered:2012-01-17
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: HCG
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
SMALL: SMALLPOX (ACAM2000)SANOFI PASTEURVV04003A0IDLA
Administered by: Military     Purchased by: Military
Symptoms: Human chorionic gonadotropin positive
SMQs:, Tumour markers (narrow), Normal pregnancy conditions and outcomes (narrow)
Write-up: Positive HCG while deployed abroad.

VAERS ID:447646 (history)  Vaccinated:2011-12-11
Age:24.0  Onset:2011-12-11, Days after vaccination: 0
Gender:Female  Submitted:2012-01-19, Days after onset: 39
Location:West Virginia  Entered:2012-01-19
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: No
Preexisting Conditions: No
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEUR    
Administered by: Public     Purchased by: Private
Symptoms: Mobility decreased, Pain in extremity
SMQs:, Parkinson-like events (broad)
Write-up: Extreme pain in my arm. The pain got so bad that I was unable to move my arm at all. Was placed on a steroid treatment which helped until I was off of the steroid and the horrible pain returned. I was put back on another steroid treatment which again worked while I was on it, but the pain is returning again.

VAERS ID:447661 (history)  Vaccinated:2011-12-26
Age:24.0  Onset:2011-12-26, Days after vaccination: 0
Gender:Female  Submitted:2012-01-19, Days after onset: 24
Location:Texas  Entered:2012-01-19
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Minor head cold; unclear
Preexisting Conditions: None specified
Diagnostic Lab Data: Unknown
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURUH478AC0IMLA
Administered by: Other     Purchased by: Private
Symptoms: Immediate post-injection reaction, Injected limb mobility decreased, Injection site pain
SMQs:, Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (narrow)
Write-up: Pain upon injection. Pt. complains of immobility of arm where shot was administered. Can''t lift arm using shoulder for 2 weeks. Able to move side to side. Referred to physician for evaluation. Possibly brachial neuritis.

VAERS ID:447775 (history)  Vaccinated:0000-00-00
Age:24.0  Onset:0000-00-00
Gender:Female  Submitted:2012-01-20
Location:Virginia  Entered:2012-01-23, 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:
Current Illness: Latex allergy; Lyme disease
Preexisting Conditions:
Diagnostic Lab Data: Electrocardiogram, Did not show any cardiac arrhythmias; muscular biopsy, 01/??/02, Non-specific inflammatory process; muscular biopsy, Non-specific inflammatory process; diagnostic laboratory, Did not show any specific neurological disorder; diagnostic laboratory, Consistent elevation in muscle enzymes; diagnostic laboratory, No autoimmune disorder
CDC 'Split Type': WAES1201USA01993
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.  UNUN
Administered by: Other     Purchased by: Other
Symptoms: Autonomic neuropathy, Biopsy muscle abnormal, Cardiac output decreased, Electrocardiogram normal, Fibromyalgia, Immunology test normal, Loss of consciousness, Muscle enzyme increased, Myalgia, Myositis, Neurological examination normal, Presyncope
SMQs:, Torsade de pointes/QT prolongation (broad), Rhabdomyolysis/myopathy (broad), Cardiac failure (broad), Peripheral neuropathy (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Malignancy related therapeutic and diagnostic procedures (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad)
Write-up: Information has been received from an approximately 24 (currently 50) year old female physician with Lyme disease and severe latex allergy (developed approximately in 1985), who in 1985, was vaccinated with a dose of RECOMBIVAX HB (lot number, dose and route not reported). Concomitant medication included unspecified antibiotics for Lyme disease. Physician stated that she received RECOMBIVAX HB while in her surgical rotation, and she had since suffered from "myocytis" and an autonomic nervous disorder. She reported that shortly after receipt of RECOMBIVAX HB (in 1985), she started "passing out" in during her surgical rotation in medical school. She reported that she consulted a cardiologist and neurologist at the time and the results of the tests did not show any cardiac arrhythmias or any specific neurological disorder. Muscle biopsy revealed a non-specific inflammatory process and her laboratory tests had demonstrated a consistent elevation in her muscle enzymes and no evidence of an autoimmune disorder. She reported that at the age of 31 (in 1992), she developed fibromyalgia and due to ongoing muscle pain, she underwent a muscle biopsy 10 years ago (in January 2002), which revealed a non-specific inflammatory process. Presently (in January 2012), she reported that 15 minutes after moderate exercise her cardiac output decreased, and she "nearly lost consciousness as a result". She did not want her physician to be contacted because these events had been ongoing "for years". The patient sought medical attention by physician examination. Performed lab studies included: electrocardiogram, muscle enzymes and autoimmune profile. The patient''s outcome was not recovered at the time of report. Therapy with RECOMBIVAX HB was not reintroduced. The patient''s adverse events were considered to be disabling by the reporter. Additional information has been requested.

VAERS ID:447887 (history)  Vaccinated:2012-01-19
Age:24.0  Onset:2012-01-20, Days after vaccination: 1
Gender:Female  Submitted:2012-01-24, Days after onset: 4
Location:Kentucky  Entered:2012-01-24
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Unknown
Preexisting Conditions: Unknown
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
PPV: PNEUMO (NO BRAND NAME)UNKNOWN MANUFACTURER   LA
Administered by: Other     Purchased by: Other
Symptoms: Injection site swelling
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: Swelling at the injection site.

VAERS ID:448044 (history)  Vaccinated:2012-01-04
Age:24.0  Onset:2012-01-04, Days after vaccination: 0
Gender:Female  Submitted:2012-01-25, Days after onset: 21
Location:New York  Entered:2012-01-25
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: no
Preexisting Conditions: Latex allergy, Ibuprofen allergy
Diagnostic Lab Data: none
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA)SANOFI PASTEURU409AA1IMRA
Administered by: Unknown     Purchased by: Private
Symptoms: Headache
SMQs:
Write-up: Headache.

VAERS ID:448246 (history)  Vaccinated:2011-11-01
Age:24.0  Onset:2011-11-08, Days after vaccination: 7
Gender:Female  Submitted:2012-01-26, Days after onset: 79
Location:Florida  Entered:2012-01-27, Days after submission: 1
Life Threatening? Yes
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Drug hypersensitivity
Preexisting Conditions: Human papilloma virus infection; Urticaria; Angioedema
Diagnostic Lab Data: None
CDC 'Split Type': WAES1201USA02836
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC. 0UNUN
Administered by: Other     Purchased by: Other
Symptoms: Angioedema, Condition aggravated, Throat irritation, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Oropharyngeal allergic conditions (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Hypersensitivity (narrow)
Write-up: Information has been received from a 24 year old female medical assistant, reporting about herself, with drug reactions and allergies to BACTRIM and Sulfa and a medical history of HPV virus, who on an unspecified date, "about 2 months ago", in approximately November 2011, was vaccinated with the first dose of GARDASIL, (dose, route, lot number were not reported). There was no concomitant medication. "About 2 months ago", in approximately November 2011, one week later from receiving the first dose of GARDASIL, the patient developed "urticaria" from her face to her feet and angioedema on her lips, face and around her eyes. Medical assistant also reported that her throat was "itchy". On an unspecified date, the patient went to the Emergency Department at hospital and was treated with 50 mg of PREDNISONE (manufacturer unspecified), BENADRYL (manufacturer unspecified and dose unspecified) and an epinephrine injection (manufacturer unspecified and dose unspecified). On an unknown date, the following day, the patient had to return to the Emergency Department at hospital (second visit), because the "urticaria'' from her face to her feet, the angioedema on her lips, face and around her eyes, and her throat itchiness had became worse. Medical assistant reported that on her second visit to the Emergency Department at hospital, she received another dose of PREDNISONE 50 mg (manufacturer unspecified), BENADRYL (manufacturer unspecified and dose unspecified) and an epinephrine injection (manufacturer unspecified and dose unspecified). The patient took a one week course of oral PREDNISONE after she was discharged from the Emergency Department. Medical assistant report that all the symptoms completely subsided 1 week after the symptoms first appeared. Medical assistant mentioned that on an unspecified date in the past, her physician believed laundry detergent caused her to have "urticaria" from her face to her feet, angioedema on her lips, face and around her eyes. The reporter mentioned that she had stopped using that laundry detergent prior to receiving GARDASIL. No laboratory diagnostics studies were performed. "Urticaria" from her face to her feet, angioedema on her lips, face and around her eyes and her throat itchiness were considered to be immediately life-threatening and an other important medical event by medical assistant due she received epinephrine. Additional information has been requested.

VAERS ID:448418 (history)  Vaccinated:2012-01-23
Age:24.0  Onset:2012-01-24, Days after vaccination: 1
Gender:Female  Submitted:2012-01-25, Days after onset: 1
Location:Minnesota  Entered:2012-01-31, Days after submission: 6
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (BOOSTRIX)GLAXOSMITHKLINE BIOLOGICALSAC52B075BA IMLA
Administered by: Private     Purchased by: Private
Symptoms: Injection site erythema, Injection site pruritus
SMQs:, Extravasation events (injections, infusions and implants) (broad)
Write-up: 1 day s/p injection, surrounding area became red and pruritic. Area measures approx 3 in x 3 in.

VAERS ID:448440 (history)  Vaccinated:2012-01-04
Age:24.0  Onset:2012-01-05, Days after vaccination: 1
Gender:Female  Submitted:2012-01-25, Days after onset: 20
Location:Michigan  Entered:2012-01-31, Days after submission: 6
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURUH487AB0IMRA
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.1314AA0IMLA
TDAP: TDAP (ADACEL)SANOFI PASTEURC4023AA0IMRA
Administered by: Public     Purchased by: Private
Symptoms: Cellulitis, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad)
Write-up: Cellulitis (R) arm after PNEUMOVAX elevated fever x 5 days (104). Received IV & oral antibiotic.

VAERS ID:448457 (history)  Vaccinated:2012-01-20
Age:24.0  Onset:2012-01-20, Days after vaccination: 0
Gender:Female  Submitted:2012-01-23, Days after onset: 3
Location:California  Entered:2012-01-31, Days after submission: 8
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (ADACEL)SANOFI PASTEURU4103AA2IMLA
Administered by: Public     Purchased by: Unknown
Symptoms: Dizziness, Dizziness postural, Erythema, Nausea, Pyrexia, Vomiting
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad), Hypersensitivity (broad)
Write-up: Patient presented with fever of 101, redness on left arm, nausea, vomiting and dizziness. Patient states feeling better today a little better than in the weekend. Patient doesn''t have medical insurance. Advised patient to look for a community clinic and see a physician. Patient states unable to stand up for long periods because of the dizziness. Patient reported event on 1/23/2012.

VAERS ID:448476 (history)  Vaccinated:2012-01-24
Age:24.0  Onset:2012-01-24, Days after vaccination: 0
Gender:Female  Submitted:2012-01-31, Days after onset: 7
Location:Pennsylvania  Entered:2012-01-31
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: No
Preexisting Conditions: Patient had been with Fibromyalgia previously and had disclosed this upon each of the three vaccines. Patient had no current symptoms/discomfort of Fibro until the last injection.
Diagnostic Lab Data: Available if necessary
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.1333Y UNUN
Administered by: Public     Purchased by: Other
Symptoms: Arthralgia, Blood test normal, Burning sensation, Immediate post-injection reaction, Injection site pain, Laboratory test normal, Neck pain, Nuclear magnetic resonance imaging normal, Pain in extremity, Vision blurred
SMQs:, Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Glaucoma (broad), Lens disorders (broad), Retinal disorders (broad), Hypersensitivity (narrow), Arthritis (broad)
Write-up: The third injection really burned/hurt and I didn''t get a good feeling about it. My arm hurt immediately and I had to sit in my car before driving home. Shortly after, my knees and thighs hurt. We called both the clinic and our family doctor on Wednesday the 25th. I saw our doctor on Thursday 1/26 since pain was unmanageable with ibupron. I had blood work done that came back okay. Friday my neck began to hurt and my vision got blurry. Our family doctor was notified and prescribed Prednisone on Friday. By Monday, I had to see doctor again as I still was in pain. He changed me from Prednisone to Methylprednisolone hoping it would help my symptoms. He also ordered an MRI and more lab work. The MRI results came back normal as well as the lab work that has been received to date (1/31/12).

VAERS ID:448483 (history)  Vaccinated:2012-01-31
Age:24.0  Onset:2012-01-31, Days after vaccination: 0
Gender:Female  Submitted:2012-02-01, Days after onset: 1
Location:Arizona  Entered:2012-02-01
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: Seizure disorder
Diagnostic Lab Data: Patient hit head on door jam during seizure, required CT scan. Possible prolonged hospital stay.
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (ADACEL)SANOFI PASTEURC4015AA IMRA
Administered by: Public     Purchased by: Other
Symptoms: Computerised tomogram head, Grand mal convulsion, Head injury
SMQs:, Systemic lupus erythematosus (broad), Convulsions (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Accidents and injuries (narrow), Generalised convulsive seizures following immunisation (narrow)
Write-up: Grand mal seizure X 3 (at time of this writing).

VAERS ID:449243 (history)  Vaccinated:2009-03-11
Age:24.0  Onset:2009-03-11, Days after vaccination: 0
Gender:Male  Submitted:2012-02-09, Days after onset: 1065
Location:California  Entered:2012-02-09
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: Hx of peanut allergy age 8-9 hives, runny eyes, mo SOB/LOC.
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
SMALL: SMALLPOX (ACAM2000)SANOFI PASTEURVV04003A  LA
Administered by: Military     Purchased by: Military
Symptoms: Activities of daily living impaired, Headache, Loss of consciousness, Malaise, Pain, Pyrexia
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), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad)
Write-up: PT reports the HM administered smallpox vaccine on the left arm in 3 locations; re-applying vaccine to the needle on each occasion. He was unable to do "take check one week later" and further states that he was unable to do anything for 3 days as a result of fever, general malaise, body aches, headaches; he does not recall that timeframe stating "I was unconscious for 3 days but was unable to go to hospital because my roomate was out of town".

VAERS ID:449318 (history)  Vaccinated:2011-12-20
Age:24.0  Onset:2011-12-20, Days after vaccination: 0
Gender:Female  Submitted:2012-02-10, Days after onset: 52
Location:Texas  Entered:2012-02-10
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
MNQ: MENINGOCOCCAL CONJUGATE (MENVEO)NOVARTIS VACCINES AND DIAGNOSTICSM100650IMRA
Administered by: Public     Purchased by: Public
Symptoms: Hypoaesthesia, Injection site pain, Injection site swelling
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: After receiving MCV4, pt noted pain & swelling in her (R) upper arm that night. On the next day, 12/21/11 she noted some numbness too on her (R) shoulder and at the side of her (R) breast. She states she did not do any treatment or see a Dr. She called the Health Dept on 12/27/11 with this complaint and was advised to see a Dr. Several attempts were made to follow up with her by phone. On 12/28/11 with no answer, 12/29/11 LMOM, 1/3/12 - no answer and, 1/19/12 - LMOM (left message on machine). Pt was finally able to be reached on 2/9/12, states problem resolved but did not see a Dr.

VAERS ID:449383 (history)  Vaccinated:2009-06-01
Age:24.0  Onset:2009-06-10, Days after vaccination: 9
Gender:Female  Submitted:2012-02-11, Days after onset: 976
Location:New Jersey  Entered:2012-02-11
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None.
Preexisting Conditions: Only seasonal allergies.
Diagnostic Lab Data: I have had extensive blood work and seen 3 specialists.
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.    
Administered by: Private     Purchased by: Unknown
Symptoms: Activities of daily living impaired, Blood test, Cold sweat, Discomfort, Drug intolerance, Immediate post-injection reaction, Pruritus, Urticaria, Urticaria pressure
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Dementia (broad), Hypersensitivity (narrow)
Write-up: Immediately when the shot was administered (I only received one), my entire body broke out into a cold sweat and I almost lost consciousness. I started developing hives very soon after the shot, and after numerous tests and visits to multiple doctors I was diagnosed with delayed pressure urticaria. My condition has severely impacted my life. Not only have I spent countless hours and money on doctor visits and testing medications for this condition, but I am uncomfortable every single day of my life. I develop painful, itchy, embarassing hives on any surface of my body that receives pressure. This includes sitting, standing, sleeping, leaning, exercise, working, etc. I have also developed severe intolerances to drugs - some of which I require for other medical conditions. I wake up every morning covered head to toe, wake up every night itching and sometimes prevents me from attending work depending on the area the hives affect on given day.

VAERS ID:449568 (history)  Vaccinated:2012-01-31
Age:24.0  Onset:2012-01-31, Days after vaccination: 0
Gender:Male  Submitted:2012-02-14, Days after onset: 14
Location:Illinois  Entered:2012-02-14
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: No
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.NOT GIVEN0IMRA
Administered by: Unknown     Purchased by: Private
Symptoms: Activities of daily living impaired, Headache, Injection site pain, Pain
SMQs:, Dementia (broad), Extravasation events (injections, infusions and implants) (broad)
Write-up: Pain surrounding injection site (in deltoid muscle)-could not move arm without intense pain shooting down arm. Headache. Unable to perform normal exercise routines or sleep on affected arm as a result. Duration of symptoms: Two weeks straight following injection. No treatment.

VAERS ID:449650 (history)  Vaccinated:2012-02-15
Age:24.0  Onset:2012-02-15, Days after vaccination: 0
Gender:Male  Submitted:2012-02-15, Days after onset: 0
Location:Pennsylvania  Entered:2012-02-15
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
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)NOVARTIS VACCINES AND DIAGNOSTICS1103001 IMRA
Administered by: Other     Purchased by: Other
Symptoms: Chest discomfort, Vitreous floaters, Vomiting
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Retinal disorders (narrow)
Write-up: Approx 15-20 min. following IM administration of INFLUENZA virus vaccine, patient c/o vomiting, floaters in front of eyes, & chest tightness.

VAERS ID:449661 (history)  Vaccinated:2011-11-16
Age:24.0  Onset:2011-11-16, Days after vaccination: 0
Gender:Male  Submitted:2012-02-15, Days after onset: 91
Location:Florida  Entered:2012-02-15
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLUN3: INFLUENZA (SEASONAL) (FLUMIST)MEDIMMUNE VACCINES, INC.50111P0IN 
Administered by: Military     Purchased by: Military
Symptoms: Abdominal pain, Diarrhoea, Nausea
SMQs:, Acute pancreatitis (broad), Retroperitoneal fibrosis (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (narrow)
Write-up: Sharp abdominal pain, nausea, diarrhea.

VAERS ID:449841 (history)  Vaccinated:2012-02-16
Age:24.0  Onset:2012-02-16, Days after vaccination: 0
Gender:Female  Submitted:2012-02-20, Days after onset: 4
Location:Florida  Entered:2012-02-20
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
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.0998Z IMLA
Administered by: Other     Purchased by: Other
Symptoms: Incorrect route of drug administration
SMQs:
Write-up: Administered IM instead of SC.

VAERS ID:450371 (history)  Vaccinated:2012-01-06
Age:24.0  Onset:2012-01-12, Days after vaccination: 6
Gender:Male  Submitted:2012-02-24, Days after onset: 43
Location:Virginia  Entered:2012-02-24
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: See diagnostic test; 1/17/12 EKG normal-no ST-T changes, labs - hepatic panel nl with ALT 42, CBC low h/h 13.1/37.1, RBC 4.13 and platelets 126, differential nl w high neutrophils 79.9 and low lymph 13.4, CK panel normal (no troponin levels or LFT/chol levels documented), BNP high 274, and normal CMP, TSH and ESR. His echo was done 2/1/12 were normal with EF 65%.
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
SMALL: SMALLPOX (ACAM2000)SANOFI PASTEUR 0IDLA
Administered by: Military     Purchased by: Military
Symptoms: Alanine aminotransferase increased, Arthralgia, Blood creatine phosphokinase normal, Blood thyroid stimulating hormone normal, Brain natriuretic peptide increased, Chest discomfort, Chest pain, Differential white blood cell count abnormal, Discomfort, Echocardiogram normal, Ejection fraction normal, Electrocardiogram ST segment normal, Electrocardiogram normal, Fatigue, Full blood count abnormal, Haematocrit decreased, Haemoglobin, Liver function test normal, Lymphadenopathy, Lymphocyte percentage decreased, Metabolic function test normal, Mobility decreased, Musculoskeletal stiffness, Myalgia, Neutrophil percentage increased, Pain, Painful respiration, Platelet count decreased, Red blood cell count decreased, Red blood cell sedimentation rate normal
SMQs:, Rhabdomyolysis/myopathy (broad), Cardiac failure (broad), Liver related investigations, signs and symptoms (narrow), Anaphylactic reaction (broad), Haematopoietic erythropenia (narrow), Haematopoietic leukopenia (broad), Haematopoietic thrombocytopenia (narrow), Haemorrhage laboratory terms (broad), Systemic lupus erythematosus (broad), Dystonia (broad), Parkinson-like events (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Arthritis (broad), Myelodysplastic syndrome (broad)
Write-up: Receipt of primary SPV on 1/6/2012 to left deltoid. No other vaccines given and no recent illness reported. Site checked 1/12/2012 with reported good take and bandage changed prior to drive home. Upon arrival home he complained of being tired. He awoke 1/13/2012 complaining of diffuse body stiffness and achiness stating it was hard to move (all joints/muscles ached). He noted bilateral axillary and cervical lymph node swelling which made it difficult to put arms down by his sides or lift overhead. He called medical and was advised reactions were normal to SPV but to report any onset of chest pain. He took "500 mg" Naproxen with partial relief of body aches. That evening his symptoms worsened and he reported "someone was standing on his chest". He complained of a sharp pulsing pain (4-5/10) to mid chest "as if bruised" and it "hurt to deep breathe". He took more Naproxen and got into his families whirlpool. His pain again eased (3-4/10) with heat, NSAIDs and position). His severe pain (7/10) lasted about 20 minutes. His symptoms continued with this on and off pattern over next 24-48 hours until returning to work on 1/16/12 when co-workers noticed him rubbing his chest (2-3/10) and he was directed to medical. 1/17/12 EKG normal-no ST-T changes, labs - hepatic panel nl with ALT 42, CBC low h/h 13.1/37.1, RBC 4.13 and platelets 126, differential nl w high neutrophils 79.9 and low lymph 13.4, CK panel normal (no troponin levels or LFT/chol levels documented), BNP high 274, and normal CMP, TSH and ESR. His echo was done 2/1/12 were normal with EF 65%. During interview with facility on 2/1/2012, this patient continued to complain of intermittent bouts of quick sharp midsternal chest aches that made him catch his breath. Duration of discomfort was about 2-10 minutes every other day. His last episode was during his 2/1/12 echocardiogram (resolved in 2 minutes). He advised position was a trigger (lying flat, on left side) otherwise bouts would occur at any time or day or position. Discomfort eased by changing position and slowing his breathing down. He was not taking any medication routinely. He denies any pain or restriction in ADL, and runs 1.5 miles every other day and does 100 pushups and sit-ups daily. He did admit to some chest pain when starting pushups but says this was a different pain and was more muscular in pectoris muscles by axilla. As of 2/8/2012 patient advised he has not had any recurrence of chest pain since taking Naproxen. He denied any other systemic symptoms (shortness of breath, n/v/d, joint pain, et al). Has f/u appt with PCP 2/24 for 6-8 wk check up...

VAERS ID:450559 (history)  Vaccinated:2012-02-25
Age:24.0  Onset:0000-00-00
Gender:Male  Submitted:2012-02-27
Location:Virginia  Entered:2012-02-27
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE KNOWN
Preexisting Conditions: NONE KNOWN
Diagnostic Lab Data: NONE KNOWN
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
TYP: TYPHOID VI POLYSACCHARIDE (TYPHIM VI)SANOFI PASTEUREO4422IMRA
Administered by: Military     Purchased by: Military
Symptoms: Vaccination error
SMQs:
Write-up: Patient was erroneously vaccinated with Typhoid. No know adverse reaction has occurred at this time.

VAERS ID:450562 (history)  Vaccinated:2012-02-13
Age:24.0  Onset:2012-02-22, Days after vaccination: 9
Gender:Male  Submitted:2012-02-27, Days after onset: 5
Location:Washington  Entered:2012-02-27
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: No laboratory tests ordered at this visit. RTC in 3 days. Sooner if any worsening symptoms. (Information received from Doctor).
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
ANTH: ANTHRAX (BIOTHRAX)EMERGENT BIOSOLUTIONSFAV3051IMLA
SMALL: SMALLPOX (ACAM2000)SANOFI PASTEURVV04003A0 RA
TYP: TYPHOID VI POLYSACCHARIDE (TYPHIM VI)SANOFI PASTEURB1026 IMLA
Administered by: Military     Purchased by: Military
Symptoms: Dermatitis acneiform, Injection site reaction, Malaise, Pruritus, Pyrexia, Rash
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Hypersensitivity (narrow)
Write-up: 24 y.o. patient at day 10 post smallpox vaccination. Reports intermittent fever, up to 102 degrees, increased rash, increased pruritis, and malaise time 3 days. On exam, prominent acneiform appearing rash with areas of confluence, especially around inoculation site. Rash spares hands, feet, head and neck. Reviewed with agency and physician after sending photos. Assessment: Robust take in immunocompetent male. Plan: Benadryl prn, Tylenol prn, Prednisone taper. S,M, will RTC in 3 days. Sooner if problems. (Information received from Doctor).

VAERS ID:450789 (history)  Vaccinated:2012-02-22
Age:24.0  Onset:0000-00-00
Gender:Male  Submitted:0000-00-00
Location:Illinois  Entered:2012-02-28
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
TTOX: TETANUS TOXOID (NO BRAND NAME)UNKNOWN MANUFACTURER04136BA1UNLA
Administered by: Military     Purchased by: Military
Symptoms: Unevaluable event
SMQs:
Write-up: None stated.

VAERS ID:451098 (history)  Vaccinated:2012-02-20
Age:24.0  Onset:2012-02-20, Days after vaccination: 0
Gender:Female  Submitted:2012-02-27, Days after onset: 7
Location:Kentucky  Entered:2012-03-05, 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: Ulcers; HSIL/CIN III 7/29/11 Pap
Diagnostic Lab Data: Pt. report via phone call only. None - Pt. did not see M.D. or return to clinic for visual.
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.0664Z0IMRA
Administered by: Public     Purchased by: Public
Symptoms: Pyrexia, Rash, Rash macular
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Hypersensitivity (narrow)
Write-up: HPV vaccine given 2/20/12 -$g Pt. called 2/22/12 to report elevated fever & rash since Monday 2/20/12 evening. "No S.O.B.". Temperature 100 degrees with 102 degrees as highest. Reports taking ibuprofen/BENADRYL as directed & cannot afford to go do MD or the emergency room. Rash is "blotching" on arms, legs, thighs - "no itching, no swelling".

VAERS ID:451294 (history)  Vaccinated:2012-02-09
Age:24.0  Onset:2012-02-18, Days after vaccination: 9
Gender:Female  Submitted:2012-03-01, Days after onset: 12
Location:Tennessee  Entered:2012-03-08, Days after submission: 7
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: Ciprofloxacin
Diagnostic Lab Data: None in our clinic
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEPA: HEP A (VAQTA)MERCK & CO. INC.1385AA1IMRA
TYP: TYPHOID VI POLYSACCHARIDE (TYPHIM VI)SANOFI PASTEURE0549 IMLA
Administered by: Other     Purchased by: Private
Symptoms: Arthropathy
SMQs:, Arthritis (broad)
Write-up: Received vaccine on 2/9/12, and presented to clinic on 2/20/12 with c/o noting a "feeling" in right arm & shoulder beginning 2/18/12, shoulder droop noted 2/19/12. Returned to orthopedic & treated with steroids & NSAIDS.

VAERS ID:451305 (history)  Vaccinated:2012-03-01
Age:24.0  Onset:2012-03-01, Days after vaccination: 0
Gender:Female  Submitted:2012-03-08, Days after onset: 7
Location:Arizona  Entered:2012-03-08
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: No
Preexisting Conditions: NO
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.0691AA0IMRA
TDAP: TDAP (ADACEL)SANOFI PASTEURU4137AA0IMLA
Administered by: Other     Purchased by: Other
Symptoms: Erythema, Malaise, Pain, Pyrexia
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Hypersensitivity (broad)
Write-up: Pt. states she experienced onset of fever, redness, soreness and general malaise. Reported to Clinic on 3/7/2012 with continued redness, soreness, on arm where TDAP was given. Fever was resolved aprox. 24 hrs. after injection.

VAERS ID:451406 (history)  Vaccinated:2009-11-24
Age:24.0  Onset:2009-12-05, Days after vaccination: 11
Gender:Male  Submitted:2012-03-05, Days after onset: 821
Location:Unknown  Entered:2012-03-09, 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:
Preexisting Conditions: The subject had no significant medical history.
Diagnostic Lab Data:
CDC 'Split Type': 201202333
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLUN3: INFLUENZA (SEASONAL) (FLUMIST)MEDIMMUNE VACCINES, INC.  IN 
FLUX(H1N1): INFLUENZA (H1N1) (H1N1 (MONOVALENT) (UNKNOWN)UNKNOWN MANUFACTURER  SYRUN
HEPAB: HEP A + HEP B (NO BRAND NAME)UNKNOWN MANUFACTURER  SYRUN
SMALL: SMALLPOX (ACAM2000)SANOFI PASTEUR   UN
TYP: TYPHOID VI POLYSACCHARIDE (TYPHIM VI)SANOFI PASTEUR  SYRUN
Administered by: Military     Purchased by: Military
Symptoms: Chest pain, Echocardiogram, Electrocardiogram, Lumbar puncture, Nuclear magnetic resonance imaging, Nuclear magnetic resonance imaging brain, Troponin I
SMQs:, Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad)
Write-up: This study case was received from the investigator in a trial on 22 February 2012 with additional information received on 28 February 2012. A 24-year-old male subject had received the following vaccinations: On 24 November 2011, an injection of ACAM2000 (lot number not reported), an injection of TYPHIM VI, sanofi pasteur SA (lot number not reported), an injection of PANDEMIC INFLUENZA VACCINE (manufacturer and lot number not reported), INFLUENZA, LIVE, INTRANASAL (manufacturer and lot number not reported) and an injection of HEPATITIS A - HEPATITIS B (manufacturer and lot number not reported). The subject''s troponin I, ECG, echocardiogram, MRI (brain, spinal cord and heart) and lumbar puncture results were not available. The subject was diagnosed with other, chest pain on 05 December 2009. The subject had no significant medical history. No further information was available at the time of the report. The subject''s outcome was not reported. Note: There is no reporter causality assessment as this is a safety surveillance (data mining, non-interventional) study. Documents held by sender: None.

VAERS ID:451618 (history)  Vaccinated:0000-00-00
Age:24.0  Onset:0000-00-00
Gender:Female  Submitted:2012-03-06
Location:Unknown  Entered:2012-03-09, 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:
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: serum hepatitis B, negative
CDC 'Split Type': WAES1111USA01435
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.  SYRUN
Administered by: Other     Purchased by: Other
Symptoms: Hepatitis B antibody negative, Vaccination failure
SMQs:, Lack of efficacy/effect (narrow)
Write-up: Information has been received from a nurse concerning a 24 year old female who on an unknown date was vaccinated with 3 dose series of RECOMBIVAX HB (dose, route and lot # not reported). It was reported that the patient "had a negative titer" after completing the 3 dose series of RECOMBIVAX HB. It was unknown if the patient sought medical attention. At the time of reporting, the outcome was unknown. Follow up information has been received from the nurse who did not have any information the person was hired. She stated that she had the series of RECOMBIVAX HB (dose, route and lot# not reported) injection, but she had no immunity on the blood work. This is an amended report. The trade name for primary therapy was changed from RECOMBIVAX to RECOMBIVAX HB. Additional information is not expected.

VAERS ID:451886 (history)  Vaccinated:2002-11-13
Age:24.0  Onset:0000-00-00
Gender:Male  Submitted:2012-03-15
Location:Texas  Entered:2012-03-15
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: NKDA; Hx of asthma (diagnosed in 1999)
Diagnostic Lab Data: November 2002, Islet cell antibody - Negative. C-peptide - 4.2, Hgb A1c 10.0, GAD antibodies < 0.2 (negative); JAN 2003, GAD antibodies POSITIVE
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEUR4020040 IMUN
Administered by: Military     Purchased by: Military
Symptoms: Anti-GAD antibody positive, Anti-islet cell antibody, Blood glucose increased, Glycosylated haemoglobin increased, Insulin C-peptide increased, Nocturia, Polydipsia, Polyuria, Renal failure acute, Type 1 diabetes mellitus, Visual impairment, Weight decreased
SMQs:, Rhabdomyolysis/myopathy (broad), Acute renal failure (narrow), Hyperglycaemia/new onset diabetes mellitus (narrow), Retroperitoneal fibrosis (broad), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (broad), Torsade de pointes, shock-associated conditions (broad), Hypovolaemic shock conditions (broad), Toxic-septic shock conditions (broad), Anaphylactic/anaphylactoid shock conditions (broad), Hypoglycaemic and neurogenic shock conditions (broad), Optic nerve disorders (broad), Cardiomyopathy (broad), Lens disorders (broad), Retinal disorders (broad), Tumour lysis syndrome (broad)
Write-up: Service member developed symptoms of Type 1 diabetes in November 2002 (polydipsia, polyuria and weight loss). Diagnosed with Type 1 DM in December 2002 with medical discharge in 2005. The most recent vaccine service member received prior to symptoms onset of diabetes was 11/13/02, which was an influenza vaccination. Service member does not recall any unusual or prolonged local or systemic symptoms following receipt of that influenza vaccine. Patient reports the onset of polyuria and polydipsia around mid-November 2002. He attributed the increased thirst to working outside a lot. He recalls drinking increased amounts of water, Coke and Gatorade in an attempt to quench his thirst. He attributed his increased voiding to his increased fluid intake. He recalls getting up to void about 2-3 times during the night. (Service member reports an episode of "kidneys shut down" about 2-3 months prior to diagnose of diabetes. At the time, he was rehydrated in the Emergency Room and has had no subsequent problems with his renal status.) Service member reports an unexplained 15 pound weight loss around the time of diabetes diagnosis. He reports dropping from his baseline weight of 148 to the 130s. Around 11/21/02, service member noted visual changes and went on sick call. The blood glucose meter reflected his blood glucose level as HIGH ("maxed out"). When he had a serum glucose level drawn, it was elevated, and service member was given 5 units of insulin. He went to hospital Emergency Room that evening and reports his blood glucose level was in the 400s. He was hospitalized x 3 days. While hospitalized, he was started on insulin and oral medications and received diabetes self management training. Initially, it was not clear what type of diabetes this service member had. He remained on oral diabetes medications for 1 1/2 months. He was later medically boarded from the service for Type 1 diabetes mellitus. Service member felt his DM may have been related to receipt of anthrax vaccine. He received his first 5 anthrax vaccines on 11/13/1998, 11/25/1998, 12/09/1998, 06/08/1999, and 11/26/99. He denies any significant or unusual vaccination site reactions; he does recall a burning sensation with injection of each anthrax vaccine. He does not recall any unusual or prolonged systemic symptoms following anthrax vaccine receipt. He believes he may have experienced a few days of generalized body aches and malaise following receipt of each anthrax vaccine, but because he received the vaccines while preparing for deployment or while deployed, he attributed his symptoms to his increased activity and to "pushing (him)self". Service member received his 6th anthrax vaccine on 7/27/00. He denies any vaccine site reactions other than burning with injection. He recalls flu-like symptoms lasting a few days, but denies any unusual or prolonged systemic symptoms.

VAERS ID:451887 (history)  Vaccinated:2011-10-04
Age:24.0  Onset:2011-12-18, Days after vaccination: 75
Gender:Female  Submitted:2012-03-15, Days after onset: 87
Location:Washington  Entered:2012-03-15
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 had a history of tobacco use, but quit during pregnancy. She also had a history of 3 preterm labors (3 births all at 36 weeks).
Diagnostic Lab Data: Apgar score, 18Dec2011, 09; Apgar score, 18Dec2011, 09; The neonates APGAR scores at 1 and 5 minutes after birth were 09 and 09 respectively.
CDC 'Split Type': A0948534A
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (BOOSTRIX)GLAXOSMITHKLINE BIOLOGICALS  IMUN
Administered by: Public     Purchased by: Public
Symptoms: Maternal exposure during pregnancy, Premature delivery
SMQs:, Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow)
Write-up: This prospective pregnancy case was reported by a healthcare professional and described the occurrence of vaccine exposure during pregnancy in a 24-year-old female subject who was vaccinated with BOOSTRIX (GlaxoSmithKline). It was reported that the subject''s past medical history included three pre-term pregnancies; however, the pregnancy outcomes were specified as three normal births, two spontaneous abortions and one elective abortion. The subject was not using contraception at the time of the pregnancy. On 4 October 2011 the subject received unspecified dose of BOOSTRIX (.5 ml, intramuscular, unknown). Her last menstrual period was on 05 April 2011 and estimated date of delivery was 10 January 2012. The subject was exposed to BOOSTRIX during unknown trimester. On 04 October 2011, at the time of vaccination with BOOSTRIX, the subject experienced vaccine exposure during pregnancy. The pregnancy was by normal conception. The outcome of the pregnancy was unknown. Follow-up information was received on 13 March 2012. It was reported that the conception was normal. The subject received ranitidine concurrently at 150 mg daily from 14 November 2011 to 18 December 2011 (31 to 36 weeks gestation). The subject had a history of tobacco use, but quit during pregnancy. She also had a history of 3 preterm labors (3 births all at 36 weeks). The subject gave birth prematurely, at 36 5/7 weeks gestation, on 18 December 2011 to a live, male neonate via normal vaginal delivery. The neonate weighed 6 pounds at birth. APGAR scores at 1 and 5 minutes after birth were 09 and 09 respectively. No defects were noted.

VAERS ID:452098 (history)  Vaccinated:2012-03-07
Age:24.0  Onset:2012-03-07, Days after vaccination: 0
Gender:Female  Submitted:2012-03-19, Days after onset: 11
Location:Virginia  Entered:2012-03-19
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: none known
Preexisting Conditions: none known
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.1524AA0IMRA
Administered by: Military     Purchased by: Military
Symptoms: Maternal exposure during pregnancy
SMQs:, Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow)
Write-up: A week after HPV immunization, the patient discovered she is pregnant.

VAERS ID:452162 (history)  Vaccinated:2012-02-21
Age:24.0  Onset:2012-02-21, Days after vaccination: 0
Gender:Male  Submitted:2012-03-19, Days after onset: 26
Location:New York  Entered:2012-03-20, 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: Unknown
Preexisting Conditions: The subject had no known drug allergies.
Diagnostic Lab Data: UNK
CDC 'Split Type': A0970138A
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)GLAXOSMITHKLINE BIOLOGICALSAHBVC018BA0UNLA
Administered by: Private     Purchased by: Private
Symptoms: Aphagia, Fatigue, Musculoskeletal stiffness
SMQs:, Dystonia (broad), Parkinson-like events (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Arthritis (broad)
Write-up: This case was reported by a healthcare professional and described the occurrence of fatigue in a 24-year-old male subject who was vaccinated with ENGERIX B (GlaxoSmithKline). On 21 February 2012 the subject received 1st dose of ENGERIX B at 1 cc in the left arm. On 21 February 2012, 1 to 2 hours after vaccination with ENGERIX B, the subject experienced fatigue, musculoskeletal stiffness (neck and shoulder stiffness) and was unable to eat. This event was considered medically significant via GlaxoSmithKline. The physician''s assistant reported that the patient''s symptoms improved on 24 February 2012 and then resolved on 1 March 2012.

VAERS ID:452358 (history)  Vaccinated:2012-03-23
Age:24.0  Onset:0000-00-00
Gender:Female  Submitted:2012-03-23
Location:Florida  Entered:2012-03-23
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLULAVAL)GLAXOSMITHKLINE BIOLOGICALSAFLLA673AA UNRA
Administered by: Private     Purchased by: Other
Symptoms: Cyanosis, Erythema
SMQs:, Anaphylactic reaction (narrow), Acute central respiratory depression (broad), Hypotonic-hyporesponsive episode (broad), Hypersensitivity (broad)
Write-up: Gave the flu shot on the right arm and in an instant it turned red and then it turned blue.

VAERS ID:452601 (history)  Vaccinated:2012-03-21
Age:24.0  Onset:2012-03-25, Days after vaccination: 4
Gender:Female  Submitted:2012-03-28, Days after onset: 3
Location:New York  Entered:2012-03-28
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (NO BRAND NAME)UNKNOWN MANUFACTURER  UNUN
Administered by: Unknown     Purchased by: Unknown
Symptoms: Rash
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow)
Write-up: I am the physician assistant who saw patient on 3/27/12 for a rash that could be varicella. She has reported that her daughter had varicella vaccine and other vaccinations one week ago.

VAERS ID:452703 (history)  Vaccinated:2012-03-27
Age:24.0  Onset:2012-03-27, Days after vaccination: 0
Gender:Female  Submitted:2012-03-30, Days after onset: 3
Location:Texas  Entered:2012-03-30
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
Preexisting Conditions: Hx of migraine headaches; last one in 2007
Diagnostic Lab Data: No labs done; meds given for inflammation; pain
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (BOOSTRIX)GLAXOSMITHKLINE BIOLOGICALSAC52B078BA IMRA
Administered by: Public     Purchased by: Private
Symptoms: Chills, Feeling of body temperature change, Hyperhidrosis, Inflammation, Migraine, Musculoskeletal stiffness, Pain, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dystonia (broad), Parkinson-like events (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Arthritis (broad)
Write-up: Fever of 102, body chills, aches, hot, cold sweats, migraines, (neck stiff - 8 hours).

VAERS ID:452763 (history)  Vaccinated:2012-03-19
Age:24.0  Onset:2012-03-29, Days after vaccination: 10
Gender:Male  Submitted:2012-03-31, Days after onset: 2
Location:Texas  Entered:2012-03-31
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: No
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
SMALL: SMALLPOX (NO BRAND NAME)UNKNOWN MANUFACTURER   LA
Administered by: Military     Purchased by: Other
Symptoms: Local reaction
SMQs:
Write-up: Local reaction, no fever, no rash.

VAERS ID:452903 (history)  Vaccinated:2012-03-28
Age:24.0  Onset:2012-04-01, Days after vaccination: 4
Gender:Female  Submitted:2012-04-03, Days after onset: 2
Location:Florida  Entered:2012-04-03
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: Asthma
Diagnostic Lab Data: None
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.1276AA SCLA
Administered by: Public     Purchased by: Private
Symptoms: Blister
SMQs:, Severe cutaneous adverse reactions (broad), Hypersensitivity (broad)
Write-up: Blisters to upper torso.

VAERS ID:452924 (history)  Vaccinated:2010-05-25
Age:24.0  Onset:2012-02-01, Days after vaccination: 617
Gender:Female  Submitted:2012-04-03, Days after onset: 61
Location:Maryland  Entered:2012-04-03
Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: no
Preexisting Conditions: no
Diagnostic Lab Data: Fertility labs fertility exray with fluid, Clomid challange test.
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.0331Z3IMLA
Administered by: Military     Purchased by: Military
Symptoms: Infertility female, Infertility tests, Laboratory test, X-ray of pelvis and hip
SMQs:, Fertility disorders (narrow)
Write-up: I have been diagnosed with unexplained infertility after one year of trying and I have a previous child.

VAERS ID:453240 (history)  Vaccinated:2012-04-06
Age:24.0  Onset:2012-04-07, Days after vaccination: 1
Gender:Female  Submitted:2012-04-09, Days after onset: 2
Location:California  Entered:2012-04-09
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: none per patient
Preexisting Conditions: none per patient
Diagnostic Lab Data: none as of 4/9/2012
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.1119AA SCLA
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.1246AA SCLA
Administered by: Public     Purchased by: Private
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: Redness was noted at injection site of Left upper arm posterior where both MMR and Varicella vaccinations were given SQ. Patient c/o severe redness and swelling and itching by evening time. Posterior section was so swollen she could not place arm next to her body. She was concerned and worried and came to the clinic but we were closed on the weekend. When patient presented today at 11am the swelling was gone but the site was still quite red and pt still complained of itching at the site. No doctor was seen over the weekend and no topical cream to combat the itching was used.

VAERS ID:453252 (history)  Vaccinated:2012-02-07
Age:24.0  Onset:2012-02-07, Days after vaccination: 0
Gender:Female  Submitted:2012-04-04, Days after onset: 56
Location:Pennsylvania  Entered:2012-04-09, 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: Client states Seafood & Penicillin
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.1333Y1IMRA
Administered by: Private     Purchased by: Unknown
Symptoms: Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow)
Write-up: Vaccine given 2/7/12 on 2/9/12 client called office and stated "got hives all over" took BENADRYL with relief. Advised no more GARDASIL.

VAERS ID:453368 (history)  Vaccinated:2012-04-10
Age:24.0  Onset:2012-04-11, Days after vaccination: 1
Gender:Female  Submitted:2012-04-11, Days after onset: 0
Location:New York  Entered:2012-04-11
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 stated by patient
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
ANTH: ANTHRAX (BIOTHRAX)EMERGENT BIOSOLUTIONSFAV3071IMLA
Administered by: Military     Purchased by: Military
Symptoms: Human chorionic gonadotropin negative, Human chorionic gonadotropin positive, Maternal exposure during pregnancy
SMQs:, Tumour markers (narrow), Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow), Normal pregnancy conditions and outcomes (narrow)
Write-up: On 04/10/2012 in the clinic the said patient came into the clinic and did a urine HCG test with negative results at 0830. At this time she requested a serum HCG to be performed and this test was ordered and drawn. At this time she was asked if there was any reason why she would think that this test would show different results then the negative urine HCG had and she said no. She had not even missed a menses at this time. She then came back at 1513 and received her 2nd Anthrax dose. At 0730 on 04/11/2012 we received the report from the lab that the serum HCG came back positive. She came into the clinic and received her counseling from the PA and the nursing staff. The chief of Preventive Medicine has been informed and the unit has been informed that the said patient cannot deploy.

VAERS ID:453481 (history)  Vaccinated:2012-01-24
Age:24.0  Onset:2012-02-04, Days after vaccination: 11
Gender:Male  Submitted:2012-04-06, Days after onset: 61
Location:Unknown  Entered:2012-04-12, Days after submission: 6
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: The subject had no significant medical history.
Diagnostic Lab Data:
CDC 'Split Type': 201203709
Vaccination
Manufacturer
Lot
Dose
Route
Site
SMALL: SMALLPOX (ACAM2000)SANOFI PASTEUR   UN
Administered by: Military     Purchased by: Military
Symptoms: Electrocardiogram normal, Myocarditis, Pericardial disease, Pericarditis, Troponin I increased
SMQs:, Systemic lupus erythematosus (broad), Myocardial infarction (narrow), Cardiomyopathy (broad), Chronic kidney disease (broad)
Write-up: This study case was received from the investigator in a trial on 04 April 2012. A 24-year-old male subject received the following vaccinations: On 24 January 2012: an injection of ACAM2000 (lot number not reported) and on 04 January 2012: an injection of anthrax 2 (manufacturer and lot number not reported). The subject had no significant medical history. On 04 February 2012, the subject had an abnormal Troponin I of 06.89 and a normal electrocardiogram (ECG). On 04 February 2012, the subject was diagnosed with acute pericarditis, unspecified, unspecified disease of pericardium and non-specific myocarditis. The outcome was not reported. Additional information will be requested from the investigator. There is no reporter causality assessment as this is a safety surveillance (data mining, non-interventional) study. Documents held by sender: None.

VAERS ID:453723 (history)  Vaccinated:2012-04-06
Age:24.0  Onset:2012-04-06, Days after vaccination: 0
Gender:Female  Submitted:2012-04-15, Days after onset: 9
Location:California  Entered:2012-04-15
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: No
Preexisting Conditions: No
Diagnostic Lab Data: There is no explanation.
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC. 3 LA
Administered by: Private     Purchased by: Private
Symptoms: Acne, Chest pain, Confusional state, Dyspnoea, Headache, Heart rate increased, Insomnia, Loss of consciousness, Mobility decreased, Pain, Photopsia, Pyrexia, Vomiting
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (broad), Acute pancreatitis (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (narrow), Arrhythmia related investigations, signs and symptoms (broad), Dementia (broad), Parkinson-like events (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Retinal disorders (narrow), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad)
Write-up: After I received the first Gardasil vaccine, I began having body pains. My doctor did every test possible but could not find what was causing it. After the second vaccine, the pain got much worse. The night I received my third Gardasil injection, I got a fever of 103.4 and I passed out. I wasn''t able to move my body for three days. The sharp pains throughout my entire body became unbearable. There are days when I curl up in a ball and can''t move. I started breaking out like I have never seen before. Every inch of my face and chest is covered with acne. I get dizzy and throw up at least once a day. I have severe headaches that lead to confusion. Flashing lights cause me to black out. I sometimes get an increased heart beat that makes me feel like I''m going to have a heart attack. I often get severe chest pains and find it hard to breathe. Since the first vaccine I have been suffering from insomnia. The only way I sleep is if I take a sleep aid. All these symptoms have only gotten worse. I feel like my body is shutting down and I''m dying.

VAERS ID:453827 (history)  Vaccinated:2012-04-06
Age:24.0  Onset:2012-04-06, Days after vaccination: 0
Gender:Female  Submitted:2012-04-12, Days after onset: 6
Location:Texas  Entered:2012-04-17, 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: It was unknown if the patient had any illness at the time of vaccination. The patient had allergies to Penicillin, BIAXIN, doxycycline, clindamycin and chlorohexagluconate (dentist mouth wash). The patient received no other vaccinations within four weeks of MENACTRA.
Diagnostic Lab Data: Not reported
CDC 'Split Type': 201203808
Vaccination
Manufacturer
Lot
Dose
Route
Site
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA)SANOFI PASTEUR  SYRUN
Administered by: Private     Purchased by: Unknown
Symptoms: Dizziness, Dyspnoea, Flushing, Injection site erythema, Injection site pruritus, Nausea, Somnolence, Wheezing
SMQs:, Anaphylactic reaction (narrow), Acute pancreatitis (broad), Angioedema (broad), Asthma/bronchospasm (broad), Anticholinergic syndrome (broad), Dementia (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Vestibular disorders (broad), Hypersensitivity (broad)
Write-up: Initial report was received from a health care professional on 09 April 2012. A 24-year-old female patient had received an injection of MENACTRA, sanofi pasteur Inc. (lot number, route and site not reported) on 06 April 2012 at 3:25 PM. At 4:45 PM, the patient experienced wheezing, dizziness, nausea, shortness of breath and the injection site had redness and itching. The patient was treated with steroid injection and antihistamine. The patient returned to the facility on 09 April 2012 and reported an episode of facial flushing, shortness of breath and drowsiness. It was unknown if the patient had any illness at the time of vaccination. The patient had allergies to Penicillin, BIAXIN, doxycycline, clindamycin and chlorohexagluconate (dentist mouth wash). The patient received no other vaccinations within four weeks of MENACTRA. The patient''s outcome was not recovered. Documents held by sender: None.

VAERS ID:453934 (history)  Vaccinated:2012-01-19
Age:24.0  Onset:2012-01-19, Days after vaccination: 0
Gender:Male  Submitted:2012-04-16, Days after onset: 87
Location:Wisconsin  Entered:2012-04-18, Days after submission: 2
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (BOOSTRIX)GLAXOSMITHKLINE BIOLOGICALSAC52B074BA0IMRA
Administered by: Public     Purchased by: Public
Symptoms: Pain in extremity
SMQs:
Write-up: Came in 4/16/2012 stating that he had Tdap vaccine on 1/19/2012 (R) arm has been sore since vaccine & has not gone away. No hard lump or anything visible. No numbness/tingling.

VAERS ID:453942 (history)  Vaccinated:2012-04-05
Age:24.0  Onset:2012-04-06, Days after vaccination: 1
Gender:Female  Submitted:2012-04-09, Days after onset: 3
Location:New York  Entered:2012-04-18, 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: None
Diagnostic Lab Data: None
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (ADACEL)SANOFI PASTEURC4034AA0IMLA
Administered by: Public     Purchased by: Private
Symptoms: Injection site pain, Neck pain, Pain in jaw
SMQs:, Extravasation events (injections, infusions and implants) (broad), Osteonecrosis (broad), Arthritis (broad)
Write-up: Pt called on 4/6/12. Patient complains of neck & jaw pain, left upper arm pain. Denies any swelling to mouth or jaw. Referred to medical care - pt did not seek medical care. Symptoms resolved by 4/9/12. Follow-up telephone call - denies any symptoms at present.

VAERS ID:453944 (history)  Vaccinated:2012-01-26
Age:24.0  Onset:2012-03-27, Days after vaccination: 61
Gender:Female  Submitted:2012-04-17, Days after onset: 21
Location:Florida  Entered:2012-04-18, Days after submission: 1
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC 'Split Type': WAES1204USA00810
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.1171AA IMUN
Administered by: Other     Purchased by: Other
Symptoms: VIIth nerve paralysis
SMQs:, Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad)
Write-up: Information has been received from a physician concerning a 24 year old female patient with no drug reactions/allergies and no pertinent medical history who on 26-JAN-2012 was vaccinated IM with a dose of GARDASIL (lot # 670049/1171AA, expire on 25-FEB-2013). There was no concomitant medication. On 27-MAR-2012, the patient began to have facial palsy. The physician gave her prednisone for the event. No lab diagnostics studies were performed. The patient came to physician''s office to seek medical attention. At the time of reporting, the patient was recovering. Upon internal review, facial palsy was determined to be an other important medical event. Additional information has been requested.

VAERS ID:453969 (history)  Vaccinated:2012-04-11
Age:24.0  Onset:2012-04-13, Days after vaccination: 2
Gender:Male  Submitted:2012-04-18, Days after onset: 5
Location:Washington  Entered:2012-04-18
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: x-ray, labs and referral to cardiology.
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
ANTH: ANTHRAX (BIOTHRAX)EMERGENT BIOSOLUTIONSFAV3070IMRA
SMALL: SMALLPOX (ACAM2000)SANOFI PASTEURVV04003A0OTLA
TDAP: TDAP (BOOSTRIX)GLAXOSMITHKLINE BIOLOGICALSAC52B076DA0IMRA
TYP: TYPHOID VI POLYSACCHARIDE (TYPHIM VI)SANOFI PASTEURG11240IMLA
Administered by: Military     Purchased by: Military
Symptoms: Chest pain, Laboratory test, X-ray
SMQs:, Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad)
Write-up: Noticed chest pain couple days after during the day randomly feels chest pain since then. Patient came to clinic for follow up on 04/18/2012 and was evaluated by Dr.

VAERS ID:454082 (history)  Vaccinated:2012-03-27
Age:24.0  Onset:2012-03-28, Days after vaccination: 1
Gender:Female  Submitted:0000-00-00
Location:Idaho  Entered:2012-04-20
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (ADACEL)SANOFI PASTEURC4030AA UNRA
Administered by: Public     Purchased by: Private
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: Employee reported vaccine reaction to (Rt) deltoid as large redness, swelling & painful on 4/3/12 approx 24 hrs after shot administered - TX - ice, Ibuprofen - symptoms improved no swelling/redness 4/6/12.

VAERS ID:454179 (history)  Vaccinated:2012-04-18
Age:24.0  Onset:2012-04-19, Days after vaccination: 1
Gender:Female  Submitted:2012-04-23, Days after onset: 4
Location:Texas  Entered:2012-04-23
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: URI
Preexisting Conditions: Asthma
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.18499AA0IMLA
Administered by: Private     Purchased by: Private
Symptoms: Hyperaesthesia, Injection site erythema, Injection site swelling, Pain
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: Left deltoid red, swollen and sensitive and painful to the touch.

VAERS ID:454863 (history)  Vaccinated:2012-04-30
Age:24.0  Onset:0000-00-00
Gender:Female  Submitted:2012-05-02
Location:Delaware  Entered:2012-05-02
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.1860AA3SYRAR
Administered by: Private     Purchased by: Unknown
Symptoms: Incorrect dose administered
SMQs:
Write-up: Pt was given first GARDASIL injection; review of records subsequently showed that pt had already received 3 doses of GARDASIL in 2009.

VAERS ID:455094 (history)  Vaccinated:2012-04-22
Age:24.0  Onset:2012-04-22, Days after vaccination: 0
Gender:Male  Submitted:2012-04-27, Days after onset: 5
Location:Texas  Entered:2012-05-07, Days after submission: 10
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Allergies
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
MNQ: MENINGOCOCCAL CONJUGATE (MENVEO)NOVARTIS VACCINES AND DIAGNOSTICSA11042 IMUN
Administered by: Other     Purchased by: Unknown
Symptoms: Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad)
Write-up: Patient fainted, called 911, no treatment given. According to family pat has history of fainting with vaccination.

VAERS ID:455095 (history)  Vaccinated:2012-04-04
Age:24.0  Onset:2012-04-12, Days after vaccination: 8
Gender:Male  Submitted:2012-04-13, Days after onset: 1
Location:North Carolina  Entered:2012-05-07, Days after submission: 24
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
ANTH: ANTHRAX (BIOTHRAX)EMERGENT BIOSOLUTIONSFAV3073IMRA
SMALL: SMALLPOX (ACAM2000)SANOFI PASTEURVV04003A0IDLA
Administered by: Other     Purchased by: Military
Symptoms: Injection site pruritus, Vaccination site rash, Vaccination site swelling
SMQs:, Hypersensitivity (narrow)
Write-up: Large rash covering vaccination area itching, swellness.

VAERS ID:455106 (history)  Vaccinated:2012-05-02
Age:24.0  Onset:2012-05-03, Days after vaccination: 1
Gender:Female  Submitted:2012-05-07, Days after onset: 4
Location:Virginia  Entered:2012-05-07
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None reported
Preexisting Conditions: None reported
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (ADACEL)SANOFI PASTEURC4104AA0IMLA
Administered by: Private     Purchased by: Other
Symptoms: Rash, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow)
Write-up: Pt reported "bumps" on her hands 24 hours after receiving vaccinations, slowly progressed into hives within 72 hours.

VAERS ID:455177 (history)  Vaccinated:2012-05-04
Age:24.0  Onset:2012-05-05, Days after vaccination: 1
Gender:Female  Submitted:2012-05-07, Days after onset: 2
Location:Texas  Entered:2012-05-07
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: PCN
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
MNQ: MENINGOCOCCAL CONJUGATE (MENVEO)NOVARTIS VACCINES AND DIAGNOSTICSM110410UNLA
Administered by: Other     Purchased by: Private
Symptoms: Erythema, Oedema peripheral, Pain in extremity
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad)
Write-up: Pt complains of soreness in the left arm on Friday, Saturday & Sunday. Pt''s arm is red & swollen (5/7/12) in store. No itching just soreness and redness.

VAERS ID:455491 (history)  Vaccinated:2011-11-16
Age:24.0  Onset:2011-12-12, Days after vaccination: 26
Gender:Male  Submitted:2012-05-03, Days after onset: 142
Location:Colorado  Entered:2012-05-14, Days after submission: 11
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Post nasal drainage; sleep apnea
Preexisting Conditions: NKDA; Elevated blood pressure
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLULAVAL)GLAXOSMITHKLINE BIOLOGICALSAFLLA687AA UNLA
TDAP: TDAP (BOOSTRIX)GLAXOSMITHKLINE BIOLOGICALSAC52B066AA UNLA
Administered by: Public     Purchased by: Private
Symptoms: Chronic inflammatory demyelinating polyradiculoneuropathy, Disability, Immunoglobulin therapy, Muscular weakness, Nuclear magnetic resonance imaging spinal cord abnormal, Paraesthesia, Spinal cord operation, Tethered cord syndrome
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (broad), Guillain-Barre syndrome (narrow), Noninfectious encephalopathy/delirium (broad), Demyelination (narrow)
Write-up: 24 yo male with initial visit to clinic on 11/16/11 began having lower extremity weakness and tingling approximately 2 weeks after vaccination. With continued weakness had MRI that was abnormal. Went to OR 2/27/12 for release of tethered spinal cord. Lower extremity symptoms persisted and a diagnosis of CIDP was made 4/10/12. Pt underwent IVIG x 5 days. Still with significant disability.

VAERS ID:455513 (history)  Vaccinated:2012-05-04
Age:24.0  Onset:0000-00-00
Gender:Female  Submitted:2012-05-06
Location:Oregon  Entered:2012-05-14, Days after submission: 8
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Allergic rhinitis
Preexisting Conditions: Hypothyroidism; PCOS; Depression
Diagnostic Lab Data: Mono, Vit D testing on 5/4/12; Vit D pending results; Mono negative
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.0025AE0IMRA
Administered by: Private     Purchased by: Private
Symptoms: Injection site cellulitis, Injection site erythema, Injection site swelling, Mononucleosis heterophile test negative, Rash, Vitamin D
SMQs:, Anaphylactic reaction (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow)
Write-up: Redness, swelling at injection site. Rash developed within 24 hours of vaccine. Patient treated for cellulitis (R) upper arm. Patient given KEFLEX 500mg qid x 14 d.

VAERS ID:455750 (history)  Vaccinated:2012-05-07
Age:24.0  Onset:2012-05-12, Days after vaccination: 5
Gender:Female  Submitted:2012-05-17, Days after onset: 5
Location:Texas  Entered:2012-05-17
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
ANTH: ANTHRAX (BIOTHRAX)EMERGENT BIOSOLUTIONSFAV3050IMRA
HEPA: HEP A (HAVRIX)GLAXOSMITHKLINE BIOLOGICALSAHAVB443AB1IMRA
SMALL: SMALLPOX (ACAM2000)SANOFI PASTEURVV04003A0OTLA
TYP: TYPHOID VI POLYSACCHARIDE (TYPHIM VI)SANOFI PASTEURG112410IMRA
Administered by: Military     Purchased by: Military
Symptoms: Axillary pain, Chills, Headache, Lymph node pain, Lymphadenopathy, Malaise, Neck pain, Swelling
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Arthritis (broad)
Write-up: From Providers note: She reported: Encounter Background Information: SP smallpox vaccination 7 May 2012. Subsequent onset of painful left sided lympadenopathy on 12 May 2012, malaise, subjective chills W/O temperature check. Pt seen on 16 May and rx''ed Medrol DP, Vicodin 5mg and Naproxen 500mg. Currently C/O painful left sided neck, axillary and clavicular swelling. Also C/O moderate throbbing parietal HA W/O hearing or vision changes. No N/V/D. Denies sx on R side of upper body, denies lower extremity neuropathy. Objective O: Tender Left sided: submandibular, posterior cervical, axillary lymph node swelling without erythema or discharge. 3x 6cm oval shaped localized non blanching erythema around the smallpox vaccination site. Vaccination site appearance consistent with post injection period, no significant concerning skin changes other than noted. 1. LYMPHADENOPATHY: D/C prednisone. Continue Naproxen 500mg twice daily and Vicodin 5mg PRN pain. RTC in 1 day for re-evaluation. Note: Indurated erythema delineated in marker 0800 today. T3 profile for 10 days. 2. ADVERSE DRUG EFFECT OF VACCINES SMALLPOX: Vaccination reaction report submitted. Dressing change today.

VAERS ID:455837 (history)  Vaccinated:2012-05-07
Age:24.0  Onset:2012-05-16, Days after vaccination: 9
Gender:Female  Submitted:2012-05-18, Days after onset: 2
Location:Texas  Entered:2012-05-18
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
SMALL: SMALLPOX (ACAM2000)SANOFI PASTEURVV04003A0OTLA
Administered by: Military     Purchased by: Military
Symptoms: Lymph node pain, Lymphadenectomy, Lymphadenopathy
SMQs:, Malignancy related therapeutic and diagnostic procedures (narrow)
Write-up: Swollen tender lymphadenopathy in axilla; confirmed major reaction; treated with antiinflammatory; continue to f/u daily until resolved & to determine course of treatment.

VAERS ID:456262 (history)  Vaccinated:2012-03-20
Age:24.0  Onset:2012-03-20, Days after vaccination: 0
Gender:Male  Submitted:2012-05-28, Days after onset: 69
Location:South Carolina  Entered:2012-05-28
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: Xrays show negative. Have been on antibiotics. Was given inhaler.
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
ANTH: ANTHRAX (NO BRAND NAME)UNKNOWN MANUFACTURER 0UNRA
TYP: TYPHOID VI POLYSACCHARIDE (NO BRAND NAME)UNKNOWN MANUFACTURER 0UNLA
Administered by: Military     Purchased by: Military
Symptoms: Cough, Pyrexia, X-ray normal
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad)
Write-up: Fever 103 degrees for 3 days. Then began to have a chronic cough. Cough has lasted over 2 months and still currently have it.

VAERS ID:456359 (history)  Vaccinated:2012-05-23
Age:24.0  Onset:2012-05-24, Days after vaccination: 1
Gender:Female  Submitted:2012-05-29, Days after onset: 5
Location:Washington  Entered:2012-05-29
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: none
Preexisting Conditions: none
Diagnostic Lab Data: EKG, Doctors visit scheduled for this afternoon.
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMRV: MEASLES + MUMPS + RUBELLA + VARICELLA (PROQUAD)MERCK & CO. INC.0104AA0IMRA
Administered by: Military     Purchased by: Military
Symptoms: Back pain, Chest pain, Electrocardiogram, Headache, Lymphadenopathy, Pain
SMQs:, Retroperitoneal fibrosis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad)
Write-up: Headache for 6 days now-varying from constant pain to sharp weakening pain. Chest Pain on right side to include pain all the way down to my lower back. Bodyaches. Swelling of glands in armpit area on Right Side.

VAERS ID:456648 (history)  Vaccinated:2012-05-21
Age:24.0  Onset:2012-05-30, Days after vaccination: 9
Gender:Male  Submitted:2012-06-01, Days after onset: 2
Location:California  Entered:2012-06-01
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
ANTH: ANTHRAX (BIOTHRAX)EMERGENT BIOSOLUTIONSFAV3080IMRA
SMALL: SMALLPOX (ACAM2000)SANOFI PASTEUR04003A0OTLA
TYP: TYPHOID VI POLYSACCHARIDE (TYPHIM VI)SANOFI PASTEURG112410IMRA
Administered by: Military     Purchased by: Military
Symptoms: Blister, Erythema, Pruritus
SMQs:, Severe cutaneous adverse reactions (broad), Anaphylactic reaction (broad), Hypersensitivity (broad)
Write-up: PT HAS SOME ITCHING, REDNESS, AND BLISTERS ON HIS BACK, RT FOREARM AND LT HAND.

VAERS ID:456677 (history)  Vaccinated:2012-04-27
Age:24.0  Onset:2012-04-27, Days after vaccination: 0
Gender:Female  Submitted:2012-06-01, Days after onset: 35
Location:Michigan  Entered:2012-06-01
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None.
Preexisting Conditions: Asthma, Allergies to: Cats, dogs, dust mites, ragweed, assorted trees and grasses.
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (NO BRAND NAME)UNKNOWN MANUFACTURER    
Administered by: Unknown     Purchased by: Unknown
Symptoms: Joint range of motion decreased, Muscle spasms, Musculoskeletal pain, Myalgia, Pain
SMQs:, Rhabdomyolysis/myopathy (broad), Dystonia (broad), Eosinophilic pneumonia (broad), Arthritis (broad)
Write-up: Within 20 minutes of shot, muscles in neck and shoulder began to spasm painfully. Spasms ceased after approximately 2 hours, but extremely limited range of motion and severe pain persisted for two weeks. Patient was instructed to take ibuprofen and not "baby" the shoulder. Five weeks after initial shot, range of motion is still not back to normal, and shoulder joint is still painful.

VAERS ID:456718 (history)  Vaccinated:2012-02-13
Age:24.0  Onset:2012-02-26, Days after vaccination: 13
Gender:Male  Submitted:2012-05-30, Days after onset: 93
Location:Virginia  Entered:2012-06-04, Days after submission: 5
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: The subject had no significant past medical history.
Diagnostic Lab Data:
CDC 'Split Type': 201205553
Vaccination
Manufacturer
Lot
Dose
Route
Site
ANTH: ANTHRAX (NO BRAND NAME)UNKNOWN MANUFACTURER  UNUN
SMALL: SMALLPOX (ACAM2000)SANOFI PASTEUR  IDUN
TYP: TYPHOID VI POLYSACCHARIDE (TYPHIM VI)SANOFI PASTEUR  UNUN
Administered by: Military     Purchased by: Military
Symptoms: Electrocardiogram abnormal, Pericardial disease, Troponin I
SMQs:, Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad)
Write-up: This study case was received from the investigator on 22 May 2012. A 24-year-old male subject received the following vaccinations on 13 February 2012: an injection of ACAM2000 (lot number not reported), TYPHIM VI, sanofi pasteur SA (lot number not reported), ANTHRAX (manufacturer and lot number not reported). On 26 February 2012, the subject had an abnormal ECG. Results from the subject''s troponin I results were not available. On 26 February 2012, the subject was diagnosed with unspecified disease of pericardium. The subject had no significant medical history. The outcome was not reported. Additional information will be requested. Note: There is no reporter causality assessment as this is a safety surveillance (data mining, non-interventional) study. Documents held by sender: None.

VAERS ID:457176 (history)  Vaccinated:2007-11-27
Age:24.0  Onset:2007-12-10, Days after vaccination: 13
Gender:Female  Submitted:2012-06-11, Days after onset: 1644
Location:Georga  Entered:2012-06-11
Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.1062U2IMLA
Administered by: Private     Purchased by: Private
Symptoms: Abnormal dreams, Cataplexy, Hallucination, auditory, Hallucination, visual, Muscular weakness, Narcolepsy, Sleep paralysis, Somnolence, Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dementia (broad), Convulsions (broad), Psychosis and psychotic disorders (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)
Write-up: Shortly after my last vaccine I began experiencing muscle weakness in my face and arms/hands after sudden emotion (usually laughter). By 2009, this progressed to full body collapse after trigger of strong emotion (cataplexy). Also began experiencing all symptoms of narcolepsy: uncontrollable daytime sleepiness resulting in forced sleep, visual and auditory hallucinations upon waking and sleeping, lucid dreams, and sleep paralysis. Narcolepsy has recently been found to be an autoimmune disease sometimes caused by a virus or vaccine.

VAERS ID:457322 (history)  Vaccinated:2012-01-09
Age:24.0  Onset:0000-00-00
Gender:Female  Submitted:2012-06-12
Location:Illinois  Entered:2012-06-13, Days after submission: 1
Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES1206USA00820
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.1400AA0UNLA
Administered by: Other     Purchased by: Other
Symptoms: Abdominal pain, Activities of daily living impaired, Chest X-ray, Chest discomfort, Chest pain, Dyspnoea, Echocardiogram, Electrocardiogram, Electrocardiogram ambulatory, Fatigue, Hypoaesthesia, Nuclear magnetic resonance imaging, Palpitations, Paraesthesia, Pelvic pain, Ultrasound pelvis
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Peripheral neuropathy (broad), Arrhythmia related investigations, signs and symptoms (broad), Retroperitoneal fibrosis (broad), Dementia (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad)
Write-up: Information has been received from a physician concerning a 24 year old female patient with no drug reactions or allergies and with no pertinent medical history who on 09-JAN-2012 (reported also as "09-FEB-2012") was vaccinated with the first dose of GARDASIL (dose and route not reported) in deltoid of left arm (lot number: 669794/1400AA) and on 17-APR-2012, was vaccinated with the second dose of GARDASIL (dose and route not reported) in deltoid of left arm (lot number: 669795/1516AA). Concomitant therapy included hormonal contraceptives (unspecified). Subsequently, on an unknown date after the first dose the patient experienced pelvic pain which resolved before the second vaccination. After second vaccination, approximately in April 2012 the patient experienced left pelvic pain, racing heart, shortness of breath, chest pain and tightness, intermittent abdominal pain, numbness, tingling in her right leg and arm and left hand and constant fatigue. The patient had visited the Emergency Room and an Immediate Care Clinic. It was reported that the patient was unable to work. Lab diagnostic studies included: pelvic ultrasound, electrocardiogram, chest x-ray, echocardiogram, Magnetic resonance imaging (MRI) and Holter monitor (results not provided). There was no treatment given for AE. At the time of the report the patient''s outcome was not recovered. The pelvic pain, racing heart, shortness of breath, chest pain and tightness, intermittent abdominal pain, numbness, tingling in her right leg and arm and left hand and constant fatigue were considered to be disabling since the patient was unable to work. Additional information has been requested.

VAERS ID:457715 (history)  Vaccinated:2012-05-15
Age:24.0  Onset:2012-05-16, Days after vaccination: 1
Gender:Female  Submitted:2012-06-20, Days after onset: 35
Location:Unknown  Entered:2012-06-20
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: No
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
ANTH: ANTHRAX (BIOTHRAX)EMERGENT BIOSOLUTIONSFAV3054IMLA
Administered by: Military     Purchased by: Military
Symptoms: Erythema, Oedema peripheral, Pruritus, Skin warm, Tenderness
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad)
Write-up: Edema, itching, erythema, hot to touch, tenderness of entire arm of injection lasting for 3-4 days.

VAERS ID:457830 (history)  Vaccinated:2011-07-27
Age:24.0  Onset:2012-01-01, Days after vaccination: 158
Gender:Female  Submitted:2012-06-20, Days after onset: 170
Location:Michigan  Entered:2012-06-21, 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: Pregnancy NOS (LMP = 6/22/2011); Urinary tract infection; Genital herpes
Preexisting Conditions:
Diagnostic Lab Data: Urine beta-human, positive
CDC 'Split Type': WAES1107USA03843
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.0636AA0IMUN
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.1174Z UNUN
Administered by: Unknown     Purchased by: Unknown
Symptoms: Abortion spontaneous, Human chorionic gonadotropin positive, Maternal exposure during pregnancy, Pneumonia
SMQs:, Tumour markers (narrow), Eosinophilic pneumonia (broad), Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow), Termination of pregnancy and risk of abortion (narrow), Normal pregnancy conditions and outcomes (narrow)
Write-up: Information has been received from a registered nurse, for GARDASIL, a Pregnancy Registry product, concerning a 24 year old female patient who was on ALESSE therapy (unspecified when it was discontinued) and with urinary tract infection, genital herpes and no drug reactions or allergies. On 27-JUL-2011, the patient were vaccinated with the first dose of GARDASIL (lot number: 669308/0636AA, expiration date 11-AUG-2013), 0.5 mL, intramuscularly. Secondary suspect vaccine included a dose of PNEUMOVAX 23 (lot number: 668009/1174Z, expiration date: 10-MAR-2012) (dose and site of administration not reported). Concomitant vaccine included a dose of ADACEL while pregnant. No symptoms were reported. The patient sought unspecified medical attention. No treatment was given for the adverse event. On unspecified date, urine pregnancy test were performed. It was reported that the LMP was on 22-JUN-2011 and EDD was on 28-MAR-2012. Follow-up information was received from a nurse who stated that the patient had a spontaneous abortion; however the exact date was not recorded. The nurse stated the the patient''s due date was 28-MAR-2012, and after 28-JUL-2011 (adverse event initial report), the patient never went for her late September 2011 "OB" visit (patient canceled). In January 2012, the patient was reportedly hospitalized for pneumonia, and was seen by the office practice physicians for post hospitalization follow-up in February 2012, but there was no mentioned of an ongoing pregnancy in her record. It was also reported that the patient was pregnant as of May 2012 (approximately 4 weeks), after vaccination with GARDASIL and PNEUMOVAX 23 (MSD, WAES1206USA02290). No further information is available.

VAERS ID:457890 (history)  Vaccinated:2012-06-18
Age:24.0  Onset:2012-06-18, Days after vaccination: 0
Gender:Female  Submitted:2012-06-21, Days after onset: 3
Location:Colorado  Entered:2012-06-21
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Unknown
Preexisting Conditions: Unknown
Diagnostic Lab Data: None
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
RAB: RABIES (RABAVERT)NOVARTIS VACCINES AND DIAGNOSTICS500011A1UNUN
Administered by: Private     Purchased by: Unknown
Symptoms: Arthralgia, Chills, Diarrhoea, Myalgia, Nausea, Pyrexia
SMQs:, Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad), Arthritis (broad), Noninfectious diarrhoea (narrow)
Write-up: One hour after vaccine patient complained of nausea, fever, chills, diarrhea, myalgias and arthralgias. Presented to Dr on 6/19 for eval - recommended pretreat with ibuprofen and/or BENADRYL prior to next dose.

VAERS ID:458353 (history)  Vaccinated:2012-06-22
Age:24.0  Onset:2012-06-22, Days after vaccination: 0
Gender:Female  Submitted:2012-06-25, Days after onset: 3
Location:Texas  Entered:2012-06-28, 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: None
Preexisting Conditions: None
Diagnostic Lab Data: Seen ER
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (ADACEL)SANOFI PASTEURC4169AA0IMRA
Administered by: Private     Purchased by: Private
Symptoms: Body temperature increased, Chest pain, Dehydration, Hypersensitivity, Muscle spasms, Pallor, Tachycardia
SMQs:, Angioedema (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dystonia (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Hypersensitivity (narrow)
Write-up: Patient called the clinic this morning to report an allergic reaction to the Tdap that she received in clinic on Friday around 11:30 am. Around 7:30 pm on Friday evening-started having chest pain, tachycardia, pail nail beds, low grade temperature (not measured), muscle spasms and dehydration. Denies rash on swelling, no swelling or pain at injection site. Had friend give IV fluids at home. Later to ER-given IV steroids, BENADRYL and famotidine. Rx''d oral steroids-on day 3 of steroid''s reports that she is doing OK. Will f/u at clinic-if any other problems occur. Discussed with patient that we will feel out VAER''s and send to CDC.

VAERS ID:458491 (history)  Vaccinated:2012-04-18
Age:24.0  Onset:2012-04-18, Days after vaccination: 0
Gender:Female  Submitted:2012-06-29, Days after onset: 72
Location:Texas  Entered:2012-06-29
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: N/A
Diagnostic Lab Data: 0
CDC 'Split Type': TX120027PR
Vaccination
Manufacturer
Lot
Dose
Route
Site
MNQ: MENINGOCOCCAL CONJUGATE (MENVEO)NOVARTIS VACCINES AND DIAGNOSTICSM10126A0IMRA
Administered by: Public     Purchased by: Private
Symptoms: Chest pain
SMQs:, Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad)
Write-up: Pt states she is have recurring chest pain that comes and goes, about 2 hours after receiving the MCV4 vaccine.

VAERS ID:458759 (history)  Vaccinated:2012-06-12
Age:24.0  Onset:2012-06-13, Days after vaccination: 1
Gender:Female  Submitted:2012-07-05, Days after onset: 22
Location:Maryland  Entered:2012-07-05
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: Latex
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.0417AE0IMRA
Administered by: Private     Purchased by: Other
Symptoms: Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow)
Write-up: S/P HPV injection 6/12/12. Hives all over body since taking BENADRYL without relief. Rx''d MEDROL dose pack 06/27/12.

VAERS ID:459041 (history)  Vaccinated:0000-00-00
Age:24.0  Onset:0000-00-00
Gender:Female  Submitted:2012-07-11
Location:Ohio  Entered:2012-07-11
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:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
IPV: POLIO VIRUS, INACT. (IPOL)SANOFI PASTEURG11450SCLA
Administered by: Other     Purchased by: Other
Symptoms: Loss of consciousness
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), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad)
Write-up: Loss of consciousness during immunization. Placed in trendelenburg position.

VAERS ID:459057 (history)  Vaccinated:2012-07-10
Age:24.0  Onset:2012-07-11, Days after vaccination: 1
Gender:Female  Submitted:2012-07-11, Days after onset: 0
Location:California  Entered:2012-07-11
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: She had a minor cough
Preexisting Conditions: None
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
TYP: TYPHOID VI POLYSACCHARIDE (TYPHIM VI)SANOFI PASTEURG15410IMRA
Administered by: Unknown     Purchased by: Private
Symptoms: Diarrhoea
SMQs:, Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (narrow)
Write-up: Pt called and stated "I have the worst diarrhea of my life". Instructed to go to ER if condition worsens or call MD, stay hydrated and may take Immodium to decrease diarrhea.

VAERS ID:459263 (history)  Vaccinated:2011-07-21
Age:24.0  Onset:0000-00-00
Gender:Female  Submitted:2011-09-22
Location:California  Entered:2012-07-11, Days after submission: 293
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: The patient has no known allergies and no reported medical history. She had no illness at the time of vaccination.
Diagnostic Lab Data: Not reported
CDC 'Split Type': 201108331
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (ADACEL)SANOFI PASTEURC3935AA SYRLA
Administered by: Private     Purchased by: Unknown
Symptoms: Pain, Pain in extremity
SMQs:
Write-up: Initial report was received from a health care professional on 02 September 2011. A 24 year-old female patient with no reported past medical history had received on 21 July 2011 a left deltoid injection of ADACEL, lot number C3935AA and an unspecified amount of time later, experienced a sore arm and had pain when stretching or putting on clothes. The patient first reported this to the reporter on 10 August 2011. She called again on 02 September 2011 to report her sore arm was not improving and she continued to have pain with movement. Treatments were not reported. Concomitant medications included birth control pill. No further information was available at the time of the report. The patient''s outcome was not recovered. Documents held by sender: none.

VAERS ID:459372 (history)  Vaccinated:2012-07-12
Age:24.0  Onset:2012-07-13, Days after vaccination: 1
Gender:Female  Submitted:2012-07-13, Days after onset: 0
Location:Tennessee  Entered:2012-07-13
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: PERCOCET
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)GLAXOSMITHKLINE BIOLOGICALSAHBVC039AA0IMUN
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.1571AA1SCUN
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.0032AA0SCUN
Administered by: Public     Purchased by: Unknown
Symptoms: Erythema, Pruritus, Swelling
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad)
Write-up: Patient c/o raised, itchy red area the size of 1/2 dollar. Vaccine given 7/12/12. Patient called Health Dept at 11:45 on 7/13/12. Told patient to use cool compress and try to see her MD or if starts feeling worse to go to ER. On (R) arm.

VAERS ID:459348 (history)  Vaccinated:2012-07-09
Age:24.0  Onset:2012-07-09, Days after vaccination: 0
Gender:Female  Submitted:2012-07-16, Days after onset: 7
Location:Virginia  Entered:2012-07-16
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: ALLERGIC TO APPLES & CATS
Diagnostic Lab Data: NONE
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
RAB: RABIES (RABAVERT)NOVARTIS VACCINES AND DIAGNOSTICS502011A0IMRA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Dizziness, Nausea, Vomiting
SMQs:, Acute pancreatitis (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad)
Write-up: NAUSEA, VOMITING, AND DIZZINESS. SYMPTOMS SUBSIDED 07/10/2012 @ 8:00 AM.

VAERS ID:459601 (history)  Vaccinated:2012-07-10
Age:24.0  Onset:0000-00-00
Gender:Male  Submitted:0000-00-00
Location:Delaware  Entered:2012-07-17
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)GLAXOSMITHKLINE BIOLOGICALSAHBVC064AB IMLA
Administered by: Military     Purchased by: Military
Symptoms: Unevaluable event
SMQs:
Write-up: None stated.

VAERS ID:459738 (history)  Vaccinated:2012-07-16
Age:24.0  Onset:2012-07-17, Days after vaccination: 1
Gender:Female  Submitted:2012-07-18, Days after onset: 1
Location:Arizona  Entered:2012-07-18
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
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.1111AA0IMLA
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0134AE0SCLA
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.0415AE0SCLA
Administered by: Private     Purchased by: Private
Symptoms: Injection site erythema, Injection site induration, Injection site oedema, Injection site pain, Injection site reaction, Injection site warmth, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow)
Write-up: Small red, raised and warm welt at injection site noted 24 hours ago. The are remains redden, but reduced tenderness and edema. No changes in strength or range of motion left upper arm. No numbness or tingling or any other radiating symptoms from indurated injection site.

VAERS ID:459692 (history)  Vaccinated:2012-07-16
Age:24.0  Onset:2012-07-16, Days after vaccination: 0
Gender:Female  Submitted:2012-07-19, Days after onset: 3
Location:Kansas  Entered:2012-07-19
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (NO BRAND NAME)UNKNOWN MANUFACTURER 0IMLA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Asthenia, Fatigue, Headache, Nausea, Vomiting
SMQs:, Acute pancreatitis (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)
Write-up: I played in a softball game beginning at 7:30 PM. I felt tired and nauseous at the beginning of the game, and 15 minutes later I vomited. I felt very weak, drowsy, tired, and nauseous throughout the rest of the evening. I was sure to drink plenty of fluids including a Gatorade and lots of water. Tiredness, mild headache, and periodic nausea continued over the next 60 hours.

VAERS ID:459808 (history)  Vaccinated:2012-06-13
Age:24.0  Onset:2012-06-13, Days after vaccination: 0
Gender:Female  Submitted:2012-07-20, Days after onset: 37
Location:California  Entered:2012-07-20
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:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (NO BRAND NAME)UNKNOWN MANUFACTURER 0  
Administered by: Public     Purchased by: Other
Symptoms: Mobility decreased, Musculoskeletal pain, Pain in extremity, Tenderness
SMQs:, Rhabdomyolysis/myopathy (broad), Parkinson-like events (broad)
Write-up: I received the TDAP shot, & afterwards I experienced the regular soreness, however after a week or so it got worse, & the pain in my shoulder was severe, & continued for over a month after I received the vaccine. The pain was fairly constant, whether I was using my arm or it was at rest, the pain was still excruciating. It hurt to put any pressure on my shoulder area, & I could not lift my arm above my head. During the first week it helped if I massaged the area, but in weeks after that, the pain was so deep in my arm I couldn''t get to it. The pain continued to get worse until 4 weeks after the shot it started to slowly subside. It has gotten mostly better, but still hurts occasionally even now, although it''s getting more rare.

VAERS ID:459919 (history)  Vaccinated:2012-06-20
Age:24.0  Onset:2012-06-22, Days after vaccination: 2
Gender:Male  Submitted:2012-07-23, Days after onset: 31
Location:Georga  Entered:2012-07-23
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: No Significant Medical History
Diagnostic Lab Data: Metabolic Panel Drawn MRI Ordered
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
SMALL: SMALLPOX (ACAM2000)SANOFI PASTEURVV04003A0OTLA
Administered by: Military     Purchased by: Military
Symptoms: Metabolic function test, Muscle spasms, Tic
SMQs:, Dyskinesia (broad), Dystonia (broad)
Write-up: Muscle Spasm (TIC) generating from Chest though to Back as described by Patient.

VAERS ID:460026 (history)  Vaccinated:0000-00-00
Age:24.0  Onset:0000-00-00
Gender:Female  Submitted:2012-07-23
Location:Unknown  Entered:2012-07-24, 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: Unknown
Preexisting Conditions:
Diagnostic Lab Data: Mumps antibody test, negative
CDC 'Split Type': WAES1207USA001921
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.  UNUN
Administered by: Other     Purchased by: Other
Symptoms: Mumps antibody test negative
SMQs:
Write-up: This spontaneous report was received from a registered pharmacist concerning a 24 year old female patient who on an unknown date was vaccinated with a dose of MMR II (dose, route and lot # not provided). No other co-suspects were reported. No concomitant medications were reported. The pharmacist stated the patient might have had a negative titer for mumps but the pharmacist could not confirm that titer result. The pharmacist was not sure if patient received MMR II as a child or MUMPSVAX. The pharmacist stated that the patient went in for a booster shot for mumps (unspecified) only. The outcome of negative titers for mumps was unknown. The relatedness for negative titers for mumps was unknown for MMR II. Additional information has been requested.

VAERS ID:460387 (history)  Vaccinated:2012-02-17
Age:24.0  Onset:2012-02-17, Days after vaccination: 0
Gender:Female  Submitted:2012-07-23, Days after onset: 156
Location:Virginia  Entered:2012-07-27, 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:
Current Illness: None - no temperature
Preexisting Conditions: None
Diagnostic Lab Data: Mumps IGG - negative
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0870AA0SCRA
Administered by: Other     Purchased by: Private
Symptoms: Body temperature increased, Dizziness, Mumps antibody test negative, Nausea
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad)
Write-up: Temperature 101, dizziness, nausea.

VAERS ID:460696 (history)  Vaccinated:2012-07-12
Age:24.0  Onset:2012-07-12, Days after vaccination: 0
Gender:Female  Submitted:2012-07-31, Days after onset: 19
Location:Michigan  Entered:2012-07-31
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: No
Preexisting Conditions: No
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.0629AE0IMLA
Administered by: Unknown     Purchased by: Private
Symptoms: Body temperature increased, Chills, Headache, Influenza like illness, Pain
SMQs:, Neuroleptic malignant syndrome (broad)
Write-up: Chills, headache, achy, loopy. Temp 100. Flu like symptoms for 2 days. Resolved.

VAERS ID:460914 (history)  Vaccinated:2012-05-31
Age:24.0  Onset:2012-06-08, Days after vaccination: 8
Gender:Female  Submitted:2012-08-02, Days after onset: 55
Location:Michigan  Entered:2012-08-02
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: migranes depression ADHD
Diagnostic Lab Data: none
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (NO BRAND NAME)UNKNOWN MANUFACTURER    
Administered by: Private     Purchased by: Other
Symptoms: Arthralgia, Malaise, Measles, Myalgia, Rash generalised, Upper respiratory tract infection, Viral infection
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Eosinophilic pneumonia (broad), Hypersensitivity (narrow), Arthritis (broad)
Write-up: Following MMR injection on 5-31, pt developed viral prodrome with URI sx on 6-08, then a Measles rash (whole body) 2 days later with persistent myalgias, arthralgias, off/on rash, malaise that is present to date 8-02.

VAERS ID:461878 (history)  Vaccinated:2008-06-11
Age:24.0  Onset:2012-06-26, Days after vaccination: 1476
Gender:Female  Submitted:2012-08-02, Days after onset: 37
Location:New Jersey  Entered:2012-08-02
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:
Diagnostic Lab Data:
CDC 'Split Type': WAES1207USA002743
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.0469U IMUN
Administered by: Other     Purchased by: Other
Symptoms: Papilloma viral infection, Vaginal lesion, Vulvovaginal discomfort
SMQs:
Write-up: This spontaneous report as received from a 28 years old female consumer reporting herself with no pertinent medical history and no drug reactions/allergies. The patient was not pregnant at the time of the report. The patient was vaccinated with lot # (0469U); exp. date 28-FEB-2010 GARDASIL (dose and route not reported) on 11-JUN-2008. No other co-suspects were reported. Concomitant medications included CLARINEX and SINGULAIR. Consumer reported that she learned she was diagnosed with HPV (type unspecified) and abnormal cell around 26-JUN-2012. She also stated that on an unspecified date, she experienced mild topical irritation and lesions in the vaginal are. Consumer was no longer seeing the physician who provided the vaccine and plans to see a new physician on 13-JUL-2012. Tests were scheduled for colposcopy. No treatment was given for the events. At the time of the report, the patient had not recovered. The patient sought unspecified medical attention. The relatedness for hpv (type unspecified)/abnormal cells, lesions in the vaginal area and mild topical irritation was unknown for GARDASIL. Additional information has been requested.

VAERS ID:461019 (history)  Vaccinated:2012-08-01
Age:24.0  Onset:0000-00-00
Gender:Female  Submitted:2012-08-03
Location:Minnesota  Entered:2012-08-03
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
VARCEL: VARICELLA (NO BRAND NAME)UNKNOWN MANUFACTURER    
Administered by: Private     Purchased by: Unknown
Symptoms: Body temperature increased, Injection site rash, Myalgia
SMQs:, Rhabdomyolysis/myopathy (broad), Neuroleptic malignant syndrome (broad), Eosinophilic pneumonia (broad), Hypersensitivity (narrow)
Write-up: Patient developed rash around the sight, low grade temp, and muscle aches for about 48 hours.

VAERS ID:461112 (history)  Vaccinated:2012-07-30
Age:24.0  Onset:2012-07-30, Days after vaccination: 0
Gender:Female  Submitted:2012-07-30, Days after onset: 0
Location:Texas  Entered:2012-08-06, Days after submission: 7
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
MNQ: MENINGOCOCCAL CONJUGATE (MENVEO)NOVARTIS VACCINES AND DIAGNOSTICSX110510IMLA
Administered by: Other     Purchased by: Private
Symptoms: Dizziness, Dysphagia, Dyspnoea, Throat tightness
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Vestibular disorders (broad), Hypersensitivity (broad)
Write-up: Patient complained of throat feeling as though it was trying to close & it was hard to swallow. She also stated that she felt light headed initially when she was at home. Administered the epi pen & pt stated she could easily again. Pt is going to ED to be seen. EMS came to evaluate the pt.

VAERS ID:461126 (history)  Vaccinated:2012-07-23
Age:24.0  Onset:2012-07-28, Days after vaccination: 5
Gender:Male  Submitted:2012-07-31, Days after onset: 3
Location:Indiana  Entered:2012-08-06, 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: No
Preexisting Conditions: Sunscreen - SPF
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)GLAXOSMITHKLINE BIOLOGICALSAHBVC061BB4IMRA
Administered by: Public     Purchased by: Private
Symptoms: Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow)
Write-up: HBV (#5 - repeating series) (insufficient titer to 1st series) given on 7-23-12. 7-28-12 (early) broke out in hives over entire trunk of body. Took CLARITIN - rash disappeared for 23 hrs. Reappeared after CLARITIN wore off. Took a 2nd CLARITIN on Sat. 7-28-12; 2 Sun; and Monday. Seeing Dr. on Tues. 3PM.

VAERS ID:461268 (history)  Vaccinated:2012-08-03
Age:24.0  Onset:2012-08-03, Days after vaccination: 0
Gender:Female  Submitted:2012-08-07, Days after onset: 4
Location:Texas  Entered:2012-08-07
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: No
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (ADACEL)SANOFI PASTEURC4181AA IMLA
Administered by: Unknown     Purchased by: Other
Symptoms: Muscle spasms, Pruritus generalised
SMQs:, Anaphylactic reaction (broad), Dystonia (broad), Hypersensitivity (broad)
Write-up: Muscle cramps in hamstrings, biceps, and abdomen. Itching all over. No rash.

VAERS ID:461331 (history)  Vaccinated:2010-09-17
Age:24.0  Onset:2010-10-10, Days after vaccination: 23
Gender:Female  Submitted:2012-08-08, Days after onset: 668
Location:North Carolina  Entered:2012-08-08
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: No
Preexisting Conditions: None
Diagnostic Lab Data: x-ray of back, MRI of head, Nerve Conduction study, electromyogram
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
UNK: VACCINE NOT SPECIFIED (NO BRAND NAME)UNKNOWN MANUFACTURER    
Administered by: Military     Purchased by: Military
Symptoms: Electromyogram, Headache, Hypoaesthesia, Muscle spasms, Nerve conduction studies abnormal, Neuralgia, Nuclear magnetic resonance imaging brain, Paraesthesia, X-ray
SMQs:, Peripheral neuropathy (narrow), Dystonia (broad), Guillain-Barre syndrome (broad)
Write-up: Leg cramps, paresthesia in hands, calves and feet, some numbness, muscle spasm in upper back, worsening of headaches, nerve irritation and excitability evident during nerve studies.

VAERS ID:463644 (history)  Vaccinated:2012-06-18
Age:24.0  Onset:2012-06-18, Days after vaccination: 0
Gender:Female  Submitted:2012-08-10, Days after onset: 53
Location:Unknown  Entered:2012-08-10
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Unknown
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type': WAES1207USA003671
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.0754AE UNUN
Administered by: Other     Purchased by: Other
Symptoms: Headache
SMQs:
Write-up: This spontaneous report as received from a physician''s nurse refers to a 24 years old female patient who on 18-JUN-2012,was vaccinated with a 0.5 ml dose of GARDASIL (lot number 0754AE) (route not reported). No other co-suspects were reported. No concomitant medications were reported. It was stated that about an hour after the vaccination, on 18-JUN-2012, the patient developed an excruciating headache that lasted about 8 hours. No lab diagnostics studies were performed. Ibuprofen was given as a treatment for the experience. At the time of the report, the patient had recovered (date of recovery reported as 18-JUN-2012 or 19-JUN-2012). The patient sought unspecified medical attention. The relatedness for patient developed an excruciating headache was unknown for GARDASIL. Additional information has been requested.

VAERS ID:463860 (history)  Vaccinated:2011-10-17
Age:24.0  Onset:0000-00-00
Gender:Female  Submitted:2012-08-13
Location:New York  Entered:2012-08-13
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Obesity; Depression; Abortion induced
Preexisting Conditions:
Diagnostic Lab Data: Ultrasound, normal
CDC 'Split Type': WAES1110USA02499
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC. 1UNUN
Administered by: Other     Purchased by: Other
Symptoms: Delivery, Inappropriate schedule of drug administration, Laboratory test, Maternal exposure during pregnancy, Normal newborn, 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 GARDASIL, a Pregnancy Registry product, concerning a 24 year old female with depression, gestation for 14 weeks and 5 days and no drug allergies who on 09-OCT-2010, 17-OCT-2011 were vaccinated with the first and second dose of GARDASIL, respectively. Concomitant therapy included prenatal vitamins (unspecified). On an unspecified date, routine lab blood work was performed with unspecified results. The patient contacted physician to seek medical attention. No treatment was given for the adverse event. The last menstrual period was on 07-JUL-2011, and estimated delivery date was on 12-APR-2012. At the time of the report, the patient''s outcome was unknown. Follow up information has been received from an outreach specialist who reported that the patient gave birth on 19-APR-2012 at 40 weeks, to a healthy baby boy via vaginal delivery. The infant weighted 8 lb 5 oz. There were no complications with delivery or infant congenital anomalies reported. Follow-up information has been received from a physician concerning a patient with obesity and depression and a history of two previous pregnancies and two elective abortions. Concomitant medication was reported as "prenatal vitamins". It was reported that the patient gave birth on 19-APR-2012 at 41 weeks (previously reported 40), to a male infant without congenital anomalies; it was also reported that the baby was not normal. Apgar scare 8/9. Diagnostic tests included ultrasound scan (Date:unknown, result: normal). There is no complication and infections or illness during pregnancy. No further information is available.

VAERS ID:461923 (history)  Vaccinated:2012-07-13
Age:24.0  Onset:2012-07-15, Days after vaccination: 2
Gender:Female  Submitted:2012-08-14, Days after onset: 30
Location:Tennessee  Entered:2012-08-14
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: unknown
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0234AE SCRA
Administered by: Public     Purchased by: Private
Symptoms: Hypoaesthesia, Malaise
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad)
Write-up: Client describes a numbness inside her body; a feeling of being unwell.

VAERS ID:461938 (history)  Vaccinated:2012-08-10
Age:24.0  Onset:2012-08-10, Days after vaccination: 0
Gender:Male  Submitted:2012-08-14, Days after onset: 4
Location:Arizona  Entered:2012-08-14
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NA
Preexisting Conditions: No Known
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)NOVARTIS VACCINES AND DIAGNOSTICS1204701 IMRA
Administered by: Other     Purchased by: Private
Symptoms: Headache, Thirst
SMQs:, Hyperglycaemia/new onset diabetes mellitus (broad), Anticholinergic syndrome (broad)
Write-up: Pt stated thirsty after climbing stairs even though drank two glasses of water after. Also had moderate headache.

VAERS ID:463956 (history)  Vaccinated:2012-07-14
Age:24.0  Onset:2012-07-15, Days after vaccination: 1
Gender:Female  Submitted:2012-08-14, Days after onset: 30
Location:Connecticut  Entered:2012-08-14
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:
Diagnostic Lab Data:
CDC 'Split Type': WAES1207USA008266
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.  IMUN
Administered by: Other     Purchased by: Other
Symptoms: Injection site erythema, Injection site haematoma, Injection site reaction, Paraesthesia
SMQs:, Peripheral neuropathy (broad), Haemorrhage terms (excl laboratory terms) (narrow), Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad)
Write-up: This spontaneous report as received from a healthcare worker refers to a 24 years old female patient with no pertinent medical history and no drug reactions or allergies who on 14-JUL-2012, was vaccinated intramuscularly with 0.5 ml dose of GARDASIL (lot number not reported). No other co-suspects were reported. No concomitant medications were reported. The healthcare worker reported that on 15-JUN-2012, the patient developed tingling, bruising and redness at the injection site after GARDASIL was administered. No lab diagnostics studies were performed. No treatment was given for the experience. It was stated that the tingling and bruising were improving, however, the redness had not improved. The patient sought medical attention by contacting the physician. The relatedness for patient developed tingling, redness and bruising at the injection site was unknown for GARDASIL. Additional information has been requested.

VAERS ID:462113 (history)  Vaccinated:2012-08-14
Age:24.0  Onset:2012-08-15, Days after vaccination: 1
Gender:Female  Submitted:2012-08-15, Days after onset: 0
Location:Florida  Entered:2012-08-16, Days after submission: 1
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None reported
Preexisting Conditions: No
Diagnostic Lab Data: Vitals stable. No respiratory distress
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAP: DTAP (INFANRIX)GLAXOSMITHKLINE BIOLOGICALSAC52B0B1AA UNRA
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURUH717AB UNRA
HEP: HEP B (ENGERIX-B)GLAXOSMITHKLINE BIOLOGICALSAHBVC010AB UNLA
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0404AA UNLA
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.H009769 UNRA
Administered by: Other     Purchased by: Unknown
Symptoms: Local swelling, Musculoskeletal stiffness, Neck pain
SMQs:, Angioedema (broad), Dystonia (broad), Parkinson-like events (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Arthritis (broad)
Write-up: Pt complain of Rt side neck swelling, pain and stiffness.

VAERS ID:462324 (history)  Vaccinated:2012-08-09
Age:24.0  Onset:2012-08-10, Days after vaccination: 1
Gender:Female  Submitted:2012-08-17, Days after onset: 7
Location:Montana  Entered:2012-08-18, Days after submission: 1
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None--Pt had been attacked by a hawk when she got out of her car across the street where the hawk was nesting in a tree with her baby birds. Pt sustained penetrating claw marks and scratches on her scalp as well as a egg size bump on right parietal area where the hawk had hit her head. Pt''s last Td vaccination had been done on 4/12/2007. Because of her injury pt. needed to be immunized again but with Tdap because she had not yet recieved her booster dose per ACIP standards.
Preexisting Conditions: Morphine allergy
Diagnostic Lab Data: Pt was seen by her provider and placed on Benadryl 50 mgm po every 6 hours for 6 days and was given a referral to allergist to see what component of the Tdap immunization she might be allergic to. Pt was given instructions by her provider on what to do if her symptoms worsened.
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (ADACEL)SANOFI PASTEURC4188AA0IMLA
Administered by: Military     Purchased by: Military
Symptoms: Rash erythematous, Rash pruritic, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow)
Write-up: Pt states she awakened in the morning at approximately 7:00 am on 8/10/12 itching with a fine flat red rash over chest, abd, thighs and arms. She noticed slight hives on abdomen as the day wore on. She denied Dyspnea, dysphagia, or edema around face. She called Immunizations and was told to call her medical provider immediately and come to the clinic.

VAERS ID:462332 (history)  Vaccinated:2012-08-09
Age:24.0  Onset:2012-08-09, Days after vaccination: 0
Gender:Female  Submitted:2012-08-18, Days after onset: 9
Location:New York  Entered:2012-08-18
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: Possible undiagnosed allergies to cats and nickel
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC. 0IMLA
Administered by: Private     Purchased by: Private
Symptoms: Blood glucose normal, Blood test, Cerebral disorder, Computerised tomogram head abnormal, Dizziness, Electrocardiogram, Feeling cold, Headache, Immediate post-injection reaction, Loss of consciousness, Palpitations, Seizure like phenomena, Tremor, Vomiting
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), Convulsions (narrow), Parkinson-like events (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Hypersensitivity (narrow)
Write-up: I was sitting when the Gardasil vaccine was administered IM in the left shoulder. Immediately after the vaccine was injected, I felt like I might pass out so I put my head down on my lap. The nurse then woke me up. She said that it had looked like I was having a seizure. She said I was shaking for 10-15 seconds and would have fallen out of the chair if she hadn''t caught me. After the event I felt cold and wanted to lie down. I also felt like I was having weak heart palpitations. After I lay down vital signs were taken and they were stable. My blood sugar level was 120 non-fasting (I am not diabetic). I went to the ER and got a glucose reading, blood tests, EKG and CT scan (without contrast). The ER doctor thought I didn''t have a seizure because I was aware of feeling faint before losing consciousness, didn''t bite my tongue, didn''t urinate on myself, and because it didn''t take very long after I woke up for me to know where I was. The only abnormal results on the CT scan were mild prominence of the lateral ventricles and 3mm of cerebellar tonsillar ectopia. After I went home I had a headache and vomited twice. Since the day of vaccination I have had no further side effects. No history of seizures. I have never fainted in the past after an injection or blood draw.

VAERS ID:462388 (history)  Vaccinated:2012-08-10
Age:24.0  Onset:2012-08-10, Days after vaccination: 0
Gender:Male  Submitted:2012-08-10, Days after onset: 0
Location:Tennessee  Entered:2012-08-20, Days after submission: 10
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 5:50 pm 113/57; BP 6:37 pm 142/103
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.G0068630SCLA
Administered by: Other     Purchased by: Private
Symptoms: Cold sweat, Fall, Loss of consciousness, Pallor, Tremor
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), Parkinson-like events (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Accidents and injuries (narrow), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad)
Write-up: 5:50 pm: Inject 0.23 ml VARIVAX. Pt becomes unconscious, slips to floor. Shakes x 3 sec, pale. 911 called. Recovers after 15 seconds with cold, clammy skin. Uses cold pak to face. BP taken 5 times. Skin color returns to normal. Pt states no adverse effects. Leaves 50 minutes after reaction 6:40 pm.

VAERS ID:466322 (history)  Vaccinated:2012-08-02
Age:24.0  Onset:2012-08-03, Days after vaccination: 1
Gender:Female  Submitted:2012-08-20, Days after onset: 17
Location:New Jersey  Entered:2012-08-20
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:
Diagnostic Lab Data:
CDC 'Split Type': WAES1208USA004656
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC. 1UNUN
Administered by: Other     Purchased by: Other
Symptoms: Culture cervix, Injection site anaesthesia, Injection site induration, Injection site mass, Injection site pain, Smear cervix
SMQs:, Extravasation events (injections, infusions and implants) (broad)
Write-up: This spontaneous report as received from a office manager refers to a 24 years old female patient with no pertinent medical history and no drug reactions/allergies. The patient was vaccinated with dose 1 and dose 2 GARDASIL (lot # reported a s"0624AE", exp date: 16-DEC-2014) on 01-JUN-2012 and 02-AUG-2012. No either co-suspects were reported. There was no concomitant medication. On approximately 03-AUG-2012 ("1 to 2 days later") the patient developed a hard lump, pain and numbness at the injection site that seemed to be persisting and moving down the patient''s arm. The patient contacted physician''s office for medical attention. No treatment was given for the events. Vaginal culture and PAP smear was performed. The outcome of the events was reported as not recovered/not resolved. Additional information has been requested.

VAERS ID:466393 (history)  Vaccinated:2007-09-19
Age:24.0  Onset:2007-09-19, Days after vaccination: 0
Gender:Female  Submitted:2012-08-22, Days after onset: 1799
Location:Unknown  Entered:2012-08-22
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:
Diagnostic Lab Data:
CDC 'Split Type': WAES1208USA002465
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC. 0IMUN
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: This spontaneous report as received from a 24 years old female consumer refers to herself who was not pregnant with no pertinent medical history. The patient was vaccinated intramuscularly with first, second and third doses of 0.5 ml GARDASIL (lot number not reported) respectively on 19-SEP-2007, month 2 (approximately in November 2007) and month 6 (approximately in March 2008). Concomitant medications included ORTHO TRI-CYCLEN. The patient fainted within 5 minutes with the fist and second dose of GARDASIL. The patient was told to lie down and had a cold compress applied for treatment. The patient had sought unspecified medical attention. The outcome was unknown. Additional information is not expected.

VAERS ID:463081 (history)  Vaccinated:2012-07-20
Age:24.0  Onset:2012-07-25, Days after vaccination: 5
Gender:Female  Submitted:2012-08-22, Days after onset: 28
Location:Minnesota  Entered:2012-08-23, Days after submission: 1
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (ADACEL)SANOFI PASTEURC4247AA0UNLA
Administered by: Private     Purchased by: Private
Symptoms: Dyspnoea, Facial pain, Gingival pain, Glossodynia, Lymphadenopathy, Musculoskeletal discomfort, Musculoskeletal stiffness, Neck pain, Pain in jaw, Toothache
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Dystonia (broad), Parkinson-like events (broad), Gingival disorders (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Glaucoma (broad), Cardiomyopathy (broad), Osteonecrosis (broad), Arthritis (broad)
Write-up: - Pain in jaw, teeth, chin, gums, neck& tongue (severe). - Swollen lymph nodes, neck, chin, gums, lower jaw. - Stiffness in jaw, chin, neck, - Hard to breath (tight in neck).

VAERS ID:463023 (history)  Vaccinated:2012-08-12
Age:24.0  Onset:2012-08-21, Days after vaccination: 9
Gender:Male  Submitted:2012-08-24, Days after onset: 3
Location:Unknown  Entered:2012-08-24
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None reported
Preexisting Conditions: Allergies to Shellfish
Diagnostic Lab Data: Total blood lab workup. WBC % was at a higher level than normal.
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
SMALL: SMALLPOX (ACAM2000)SANOFI PASTEURVV04003A3OTRA
Administered by: Military     Purchased by: Military
Symptoms: Blood test, Rash generalised, White blood cell count increased
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Hypersensitivity (narrow)
Write-up: Pt started forming rash all over body.

VAERS ID:463246 (history)  Vaccinated:2012-08-23
Age:24.0  Onset:2012-08-24, Days after vaccination: 1
Gender:Male  Submitted:2012-08-24, Days after onset: 0
Location:Texas  Entered:2012-08-24
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
MNQ: MENINGOCOCCAL CONJUGATE (MENVEO)NOVARTIS VACCINES AND DIAGNOSTICSA11082 IMUN
Administered by: Other     Purchased by: Unknown
Symptoms: Body temperature increased, Cold sweat, Dizziness, Fatigue, Headache, Hyperhidrosis
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Vestibular disorders (broad)
Write-up: 18 hrs after injection, headache, T 100.8, dizziness, fatigue, clammy sweats. No N & V.

VAERS ID:463194 (history)  Vaccinated:2012-08-24
Age:24.0  Onset:2012-08-24, Days after vaccination: 0
Gender:Female  Submitted:2012-08-25, Days after onset: 1
Location:New York  Entered:2012-08-25
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Anxiety; Panic attacks
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURUH715AA IMRA
Administered by: Other     Purchased by: Other
Symptoms: Anxiety, Condition aggravated, Hypopnoea, Palpitations, Tachycardia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Acute central respiratory depression (narrow), Cardiomyopathy (broad)
Write-up: Pt. had anxiety attack. Tachycardia, palpitations, shallow breathing. EMS was called upon pt. request and was taken to ER upon her request.

VAERS ID:463285 (history)  Vaccinated:2012-08-19
Age:24.0  Onset:2012-08-20, Days after vaccination: 1
Gender:Male  Submitted:2012-08-27, Days after onset: 7
Location:Wisconsin  Entered:2012-08-27
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: none
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (ADACEL)SANOFI PASTEURC4137AA IM 
Administered by: Private     Purchased by: Private
Symptoms: Muscle spasms, Pain in extremity, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dystonia (broad)
Write-up: Muscle spasm in back, fever, arm pain.

VAERS ID:464151 (history)  Vaccinated:2012-08-08
Age:24.0  Onset:2012-08-08, Days after vaccination: 0
Gender:Male  Submitted:2012-09-05, Days after onset: 28
Location:New York  Entered:2012-09-05
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: Blood pressure and Blood glucose
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEPA: HEP A (HAVRIX)GLAXOSMITHKLINE BIOLOGICALSAHAVB554AA0IMLA
TYP: TYPHOID VI POLYSACCHARIDE (TYPHIM VI)SANOFI PASTEURG15410IMRA
YF: YELLOW FEVER (YF-VAX)SANOFI PASTEURUH349AA0SCRA
Administered by: Unknown     Purchased by: Private
Symptoms: Blood glucose normal, Depressed level of consciousness, Disorientation, Dyspnoea, Immediate post-injection reaction, Pallor, Unresponsive to stimuli
SMQs:, Anaphylactic reaction (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), 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 (narrow)
Write-up: Patient and his wife stated that he has had a history of fainting when recieving shots and requested to lay down on the floor. He laid down on the floor prior to recieving vaccines. He recieved 3 vaccines at this time and was speaking while he recived the first 2 (Typhoid and yellow fever). During the administration of the 3rd vaccine (Hep A) pt turned pale and stopped speaking. Pt was breifly unresponsive, but was having labored breathing. Ammonia tablet used to help pt become alert. 911 was called for help. Pt became alert and oriented after being unresponsive for about 30 seconds. Pt was alert and oriented to person place and time. BP was 117/60 and pt''s breathing was normal at this time. EMS arrived and monitored pt''s BP for about 30 minutes. Blood glucose leverl was taken and was stable. PT was stable and was not complaining of any syncope at this time. Pt declined to be taken to the Emergency department for evaluation. Pt was driven home by his wife. A follow up call was made several hours after the incident and pt stated that he was feeling fine.

VAERS ID:467973 (history)  Vaccinated:2012-07-17
Age:24.0  Onset:2012-07-18, Days after vaccination: 1
Gender:Female  Submitted:2012-09-05, Days after onset: 49
Location:Unknown  Entered:2012-09-05
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:
Diagnostic Lab Data:
CDC 'Split Type': WAES1207USA008280
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC. 2UNUN
Administered by: Other     Purchased by: Other
Symptoms: Arthralgia, Nausea
SMQs:, Acute pancreatitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Arthritis (broad)
Write-up: This spontaneous report as received from a registered nurse refers to a 24 years old female patient with no pertinent medical history and no drug reactions or allergies who on 10-MAR-2011, was vaccinated with the first dose of GARDASIL (lot number 667930/1561Z, Exp. Date 23-MAR-2013) (dose and route not reported), on an unspecified date in May 2012, the patient received the second dose of GARDASIL and on 17-JUL-2012, the patient was vaccinated with the third dose of GARDASIL (dose, routes and lot numbers for second and third doses were not reported). No other co-suspects were reported. Concomitant medications included VYVANSE and prenatal vitamins, it was reported that the patient was not pregnant. The registered nurse reported that on 18-JUL-2012, the patient reported joint pain, nausea and sore hips. No lab diagnostics studies were performed. No treatment was given for the experience. At the time of the report, the patient''s outcome was unknown. The registered nurse stated and confirmed that the patient received GARDASIL ''for ClN2". The relatedness for patient reported joint pain, sore hips and nausea was unknown for GARDASIL. Additional information has been requested.

VAERS ID:464420 (history)  Vaccinated:2012-09-06
Age:24.0  Onset:2012-09-06, Days after vaccination: 0
Gender:Female  Submitted:2012-09-08, Days after onset: 2
Location:Texas  Entered:2012-09-08
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: CLIENT DENIED ANY PRESENT ILLNESS
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)GLAXOSMITHKLINE BIOLOGICALSAHBVC039AA3IMLA
Administered by: Public     Purchased by: Public
Symptoms: Injection site cellulitis, Injection site erythema, Injection site pruritus, Injection site warmth, Rash, Rash papular
SMQs:, Anaphylactic reaction (broad), Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (narrow)
Write-up: Patient states she developed a rash approximately two hours after receiving Hepatitis B vaccine to left deltoid and to inner middle arm. She denies any other symptoms. Today patient presents to clinic with redness and cellulitis to left deltoid about two inches from injection site area is warm to touch. Mild papular rash appears to inner middle arm and patient reports itching at site. Patient advised to seek prompt medical attention of symptoms persist or worsen, recommended patient apply cold compresess for relief.

VAERS ID:464696 (history)  Vaccinated:2012-09-01
Age:24.0  Onset:2012-09-01, Days after vaccination: 0
Gender:Male  Submitted:2012-09-03, Days after onset: 2
Location:Florida  Entered:2012-09-10, 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: None H/O fainting with tattoos
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (BOOSTRIX)GLAXOSMITHKLINE BIOLOGICALSAC52B081AA UNLA
Administered by: Unknown     Purchased by: Private
Symptoms: Fall, Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Arrhythmia related investigations, signs and symptoms (broad), Accidents and injuries (narrow), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad)
Write-up: About 3 minutes after receiving Tdap vaccine the pt fainted. He was sitting in a chair and slid to the floor. Pt is know to fain in the past with tattoos & injection.

VAERS ID:464756 (history)  Vaccinated:2011-12-20
Age:24.0  Onset:2012-07-28, Days after vaccination: 221
Gender:Female  Submitted:2012-09-11, Days after onset: 45
Location:Unknown  Entered:2012-09-11
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Gastrooesophageal reflux disease; Drug hypersensitivity, "Quinolones"; Blister on the rear of the tongue
Preexisting Conditions: 10/06/2011, Abortion spontaneous; Surgery, had a surgery before pregnancy
Diagnostic Lab Data: 12/20/2011, Human chorionic gonadotropin, pregnant; ??-JUN-2012; ??-MAR-2012; 12/20/2011, ??-FEB-2012
CDC 'Split Type': WAES1112USA02770
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.1291AA2UNUN
Administered by: Other     Purchased by: Other
Symptoms: Caesarean section, Human chorionic gonadotropin positive, Laboratory test, Maternal exposure during pregnancy, No adverse event, Pregnancy test positive
SMQs:, Tumour markers (narrow), 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 registered nurse for GARDASIL, a Pregnancy Registry product, concerning a 24 year old female patient with drug allergies to "Quinolones" and a pertinent medical history of a spontaneous abortion (date unknown) who on 23-JUN-2011, 26-JUL-2011 and 20-DEC-2011 was vaccinated with her first, second and third dose of GARDASIL (third dose: lot number 671006/1291AA, expiration date 12-APR-2014) respectively. Concomitant therapy included omeprazole and prenatal vitamins. On 20-DEC-2011 after the patient received her third dose of GARDASIL it was determined she was pregnant. No adverse effect reported. The patient''s LMP (last menstrual period) was 26-OCT-2011 and estimated delivery date was 01-AUG-2012. "Urine hCG after the vaccine was administered" and "a beta hCG was performed as well and the results have not be obtained yet". The patient had sought unspecified medical attention. At the time of the report, outcome of the event was unknown. Follow up information has been received from the registered nurse and a family nurse practitioner concerning the 24 year old female case worker above. The patient with (GERD) Gastrooesophageal reflux disease and a history of a spontaneous abortion 11 weeks from LMP (last menstrual period) (captured in WAES # 1201USA00571) on 06-OCT-2011 who on 23-JUN-2011, 26-JUL-2011 and 20-DEC-2011 was vaccinated with her first, second and third dose of GARDASIL (lot number: first dose 668229/1569Z, second dose 668229/1569Z and third dose 671006/1291AA) respectively. The patient''s estimated conception date was also reported as "09-NOV-2011". Follow-up information has been received from a registered nurse and refers to a 24 years old female patient with blisters on the rear of the tongue, drug hypersensitivity, gastrooesophageal reflux disease and a history of surgery and abortion spontaneous (dates not specified). The patient has a history of 1 previous pregnancy. It was reported that the patient became pregnant with an LMP of 26-OCT-2011. Initial exposure to GARDASIL was at 0 week(s). It was reported that on 28-JUL-12 the patient delivered a female infant weighing 2862.71 gms or 6 lbs 5 ozs (infant''s length was 20 inches) via cesarean delivery. The infant''s APGAR scores are not available. Unspecified diagnostic tests were carried out at fourth, fifth and eighth month of pregnancy (approximately in February, March and June 2012, respectively. Outcomes unknown). Upon delivery, the infant was noted to be a normal, healthy newborn. Upon internal review, cesarean section was determined to be an other important medical event. Additional information is not expected.

VAERS ID:464790 (history)  Vaccinated:2012-09-05
Age:24.0  Onset:2012-09-06, Days after vaccination: 1
Gender:Female  Submitted:2012-09-07, Days after onset: 1
Location:Virginia  Entered:2012-09-11, 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: None
Preexisting Conditions: None
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)NOVARTIS VACCINES AND DIAGNOSTICS1204901 IMLA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Arthralgia, Hypoaesthesia, Injection site pain, Pain, Pain in extremity
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Arthritis (broad)
Write-up: Patient experienced pain around inj site 9.5.12 around 5 pm 09.06.12 patient experienced shooting pain from injection site, thru elbow to wrist and last 2 fingers of left hand. Fingers are numb.

VAERS ID:465183 (history)  Vaccinated:2012-09-08
Age:24.0  Onset:2012-09-08, Days after vaccination: 0
Gender:Male  Submitted:2012-09-08, Days after onset: 0
Location:Ohio  Entered:2012-09-14, Days after submission: 6
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (ADACEL)SANOFI PASTEURU4383AA0IMRA
Administered by: Military     Purchased by: Military
Symptoms: Pallor, Tremor
SMQs:, Neuroleptic malignant syndrome (broad), Parkinson-like events (broad), Noninfectious encephalopathy/delirium (broad), Hypotonic-hyporesponsive episode (broad)
Write-up: At 0915 received TDAP vaccination - at 0935 turned pale & shaky - BP 110/50. Placed on cot. Feet elevated. 0942 BP 110/55 remains shaky, pale but states feeling better - given cracker & water. 0955 112/80 on standing - 1005 transport to hosp.

VAERS ID:465279 (history)  Vaccinated:2012-07-27
Age:24.0  Onset:2012-08-01, Days after vaccination: 5
Gender:Female  Submitted:2012-09-17, Days after onset: 47
Location:Kansas  Entered:2012-09-17
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: No-just delivered baby the day before
Preexisting Conditions: None
Diagnostic Lab Data: Patient had X-ray, MRI, nerve tests
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (ADACEL)SANOFI PASTEURU4335AA IMRA
Administered by: Public     Purchased by: Private
Symptoms: Hypoaesthesia, Musculoskeletal pain, Nerve injury, Nerve stimulation test, Nuclear magnetic resonance imaging, Pain in extremity, X-ray
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Accidents and injuries (narrow)
Write-up: Started with right shoulder and arm pain, numbness-by 08/03 patient couldn''t lift her arm. Patient saw primary physician, orthopedic surgeon, neurologist (who diagnosed it)-patient is getting physical therapy and is still in a lot of pain and still has numbness mostly in right shoulder and bicep area. Now taking Percocet, Cymbalta, gabapentin. Neurologist told patient it will take a long time to recover from nerve damage but she should expect eventual recovery.

VAERS ID:465750 (history)  Vaccinated:2012-09-19
Age:24.0  Onset:2012-09-19, Days after vaccination: 0
Gender:Female  Submitted:2012-09-20, Days after onset: 1
Location:California  Entered:2012-09-20
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: No illnesses
Preexisting Conditions: No NKA/NKDA
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLUN3: INFLUENZA (SEASONAL) (FLUMIST)MEDIMMUNE VACCINES, INC.  IN 
HPV4: HPV (GARDASIL)MERCK & CO. INC.H0113500IM 
Administered by: Military     Purchased by: Military
Symptoms: Chest discomfort, Feeling hot, Headache
SMQs:, Anaphylactic reaction (broad)
Write-up: Pt reports to clinic with a headache, and feeling warm. Pt states that she has a slight tightness in her chest. BP: 126/74, P: 82, OX: 99.

VAERS ID:465939 (history)  Vaccinated:2012-09-20
Age:24.0  Onset:2012-09-20, Days after vaccination: 0
Gender:Female  Submitted:2012-09-22, Days after onset: 2
Location:Alabama  Entered:2012-09-22
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: Unknown
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)NOVARTIS VACCINES AND DIAGNOSTICS1204521 IMLA
Administered by: Public     Purchased by: Military
Symptoms: Haemorrhage, Hypersensitivity, Vaccination complication
SMQs:, Angioedema (broad), Haemorrhage terms (excl laboratory terms) (narrow), Hypersensitivity (narrow)
Write-up: Patient received Fluvirin at 10:30 AM, Bled a little more than usual. Nurse applied pressure, and bleeding stopped. Patient returned later and was sent to ER from her physician, Admitted with allergic reaction to flu vaccine.

VAERS ID:465957 (history)  Vaccinated:2012-09-21
Age:24.0  Onset:2012-09-22, Days after vaccination: 1
Gender:Female  Submitted:2012-09-23, Days after onset: 1
Location:Tennessee  Entered:2012-09-23
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE INTRADERMAL)SANOFI PASTEURUT4468BA0IDRA
Administered by: Other     Purchased by: Private
Symptoms: Injection site induration, Injection site reaction, Injection site warmth
SMQs:, Extravasation events (injections, infusions and implants) (broad)
Write-up: Arm at site of injection is described as a hard welt, size of about a silver dollar pancake. Very hot to touch.

VAERS ID:466029 (history)  Vaccinated:2012-09-11
Age:24.0  Onset:0000-00-00
Gender:Female  Submitted:2012-09-20
Location:Florida  Entered:2012-09-24, Days after submission: 4
Life Threatening? No
Died? Yes
   Date died: 0000-00-00
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Past medical history and illness at time of vaccination was reported as unknown.
Diagnostic Lab Data: Not reported.
CDC 'Split Type': 201208467
Vaccination
Manufacturer
Lot
Dose
Route
Site
RAB: RABIES (IMOVAX)SANOFI PASTEURH10910IMUN
Administered by: Unknown     Purchased by: Unknown
Symptoms: Death
SMQs:
Write-up: Initial report was received from a health care professional on 12 September 2012. A 24-year-old female patient received dose one of an intramuscular injection of ("the rabies series") IMOVAX Rabies, sanofi pasteur SA, H1091-1 (indication and site and side of administration were not reported) on 11 September 2012. According to reporter, the patient did not have any reactions when she went home. The next day, it was reported that the client died during the night. Exact date of death was reported as unknown, either 11 September 2012 or 12 September 2012, as reported "during the night". The medical examiner was called to verify the death, and details were not available at the time of the report. No information was reported at this time on if an autopsy was performed. The patient''s outcome was fatal. Documents held by sender: None.

VAERS ID:466126 (history)  Vaccinated:2012-09-24
Age:24.0  Onset:2012-09-24, Days after vaccination: 0
Gender:Male  Submitted:2012-09-24, Days after onset: 0
Location:Texas  Entered:2012-09-24
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 PASTEURUH720AB IMLA
Administered by: Military     Purchased by: Military
Symptoms: Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad)
Write-up: Syncope after receiving flushot X2 pt was fasting for labs he got the flu shot prior to completing his labs.

VAERS ID:466206 (history)  Vaccinated:2012-09-20
Age:24.0  Onset:2012-09-21, Days after vaccination: 1
Gender:Female  Submitted:2012-09-24, Days after onset: 3
Location:California  Entered:2012-09-24
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:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)NOVARTIS VACCINES AND DIAGNOSTICS12045212IMRA
TDAP: TDAP (ADACEL)SANOFI PASTEURC4104AA0IMLA
Administered by: Other     Purchased by: Other
Symptoms: Injection site erythema, Injection site mass, Injection site pain
SMQs:, Extravasation events (injections, infusions and implants) (broad)
Write-up: Localized pain and redness at the injection site on left deltoid stating about 24 hours after injection. 1" size hard lump at injection site. Patient cannot lie on side without pain.

VAERS ID:466407 (history)  Vaccinated:2012-09-07
Age:24.0  Onset:2012-09-08, Days after vaccination: 1
Gender:Female  Submitted:2012-09-24, Days after onset: 16
Location:New Jersey  Entered:2012-09-26, 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:
Preexisting Conditions:
Diagnostic Lab Data: Not reported
CDC 'Split Type': 201208660
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (ADACEL)SANOFI PASTEURC4136BA IMUN
Administered by: Unknown     Purchased by: Unknown
Symptoms: Arthropod bite, Headache, Pyrexia, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Hypersensitivity (narrow)
Write-up: Initial report was received 17 September 2012 from a health care professional. A 24-year-old female patient had received an intramuscular injection of ADACEL, lot number C4136BA (site not reported) on 07 September 2012, and 24 hours later, she developed fever and headache that lasted two days. The patient had an insect bite on her left leg on 14 September 2012. The next day on 15 September 2012, she was seen in the office for severe hives widespread over her body. She had no difficulty breathing or swallowing. Corrective treatments consisted of Prednisone on 16 September 2012 with some relief to hives. The patient experienced a recurrence of hives overnight and was currently in the office for evaluation at the time of the report. Outcome was not recovered. Document held by sender: None.

VAERS ID:470820 (history)  Vaccinated:2010-11-05
Age:24.0  Onset:2010-11-05, Days after vaccination: 0
Gender:Female  Submitted:2012-09-26, Days after onset: 691
Location:Unknown  Entered:2012-09-26
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Leukodystrophy
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type': WAES1209USA009224
Vaccination
Manufacturer
Lot
Dose
Route
Site
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC. 1UNUN
Administered by: Other     Purchased by: Other
Symptoms: Inappropriate schedule of drug administration
SMQs:
Write-up: This spontaneous report as received from a healthcare worker refers to a 24 years old female patient with leukodystrophy. The patient was vaccinated with PNEUMOVAX23 (Lot#, dose/frequency, route unspecified) in December 2007 and again second dose (Lot#, dose/frequency, route unspecified) on 05-NOV-2012. No treatment information was reported. The outcome was unknown. Additional information has been requested.

VAERS ID:470894 (history)  Vaccinated:2011-11-11
Age:24.0  Onset:0000-00-00
Gender:Female  Submitted:2012-09-26
Location:Unknown  Entered:2012-09-26
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Unknown
Preexisting Conditions:
Diagnostic Lab Data: 01/20/2012, Ultrasound uterus, Normal IUP, (+) FHB, Dating
CDC 'Split Type': WAES1201USA03414
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.0828AA SCUN
Administered by: Other     Purchased by: Other
Symptoms: Anogenital warts, Gestational diabetes, Live birth, Maternal exposure during pregnancy, Pre-eclampsia, Small for dates baby, Ultrasound antenatal screen normal, Uterine atony
SMQs:, Hyperglycaemia/new onset diabetes mellitus (narrow), Hypertension (narrow), Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow), Neonatal disorders (narrow), Normal pregnancy conditions and outcomes (narrow)
Write-up: Information has been received from a registered nurse for VARIVAX (Merck), a Pregnancy Registry product, concerning a 24 year old female patient with no pertinent medical history and no drug reactions/allergies who on 11-NOV-2011, was vaccinated with VARIVAX (Merck) (0.5 ml dose once, SC) (lot number 671080/0828AA, exp: 06/02/2013). There was no concomitant medication. The registered nurse reported that the patient found out that she was pregnant on an unspecified date post vaccination. As of 24-JAN-2012, the patient was 9 weeks pregnant. No adverse effects reported. The estimated Last Menstrual Period was approximately 22-NOV-2011. Estimated Delivery Date would be approximately 28-AUG-2012. The patient phoned employee health nurse. There was no laboratory test performed. Follow up information has been received from a physician concerning a patient who was vaccinated with VARIVAX (Merck). The physician reported that the patient was not tested for varicella antibodies before vaccination. The ultrasound was performed on 20-JAN-2012 for dating. Results of ultrasound were: normal IUP (Intra Uterine Pregnancy) and (+)FHB (Foetal Heartbeat). The patient had no previous pregnancies. There was no local reaction at vaccination site, varicella symptoms or herpes zoster symptoms post vaccination. Follow up information was received from the physician who reported that on an unknown date during pregnancy the patient experienced genital warts and gestational diabetes. The patient delivered live born normal male infant on 09-AUG-2012 (weight 5lb9oz) at the 38 week from last menstrual period. She also experienced severe preeclampsia and uterine atony during labor/delivery. The baby was reported as small for gestational age (MARRS # 1209USA009241). There was no feature of congenital varicella zoster syndrome in infant. At the time of the report the patient''s outcome was not reported. The case for a baby was included in the MARRS # 1209USA009241. Additional information is not expected.

VAERS ID:466782 (history)  Vaccinated:2012-09-27
Age:24.0  Onset:2012-09-27, Days after vaccination: 0
Gender:Female  Submitted:2012-09-27, Days after onset: 0
Location:New York  Entered:2012-09-28, 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: Penicillins
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (ADACEL)SANOFI PASTEURU4325AE0IMLA
Administered by: Private     Purchased by: Private
Symptoms: Unevaluable event
SMQs:
Write-up: None stated.

VAERS ID:466933 (history)  Vaccinated:2008-06-10
Age:24.0  Onset:0000-00-00
Gender:Female  Submitted:2012-09-30
Location:North Carolina  Entered:2012-09-30
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: none
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.  IMRA
Administered by: Public     Purchased by: Other
Symptoms: Smear cervix abnormal
SMQs:
Write-up: I had always had healthy PAP screens that can be normal until I received the Gardasil vaccine. Now I have received my second abnormal PAP. I believe that the vaccine has been the cause of these abnormal results.

VAERS ID:466946 (history)  Vaccinated:2012-09-19
Age:24.0  Onset:2012-09-28, Days after vaccination: 9
Gender:Male  Submitted:2012-09-30, Days after onset: 2
Location:Unknown  Entered:2012-09-30
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None noted.
Preexisting Conditions: None noted.
Diagnostic Lab Data: Diagnosed with pericarditis.
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLUN3: INFLUENZA (SEASONAL) (FLUMIST)MEDIMMUNE VACCINES, INC. 1IN 
Administered by: Military     Purchased by: Military
Symptoms: Chest pain, Dizziness, Dyspnoea, Loss of consciousness, Nausea, Pericarditis
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (broad), Acute pancreatitis (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Chronic kidney disease (broad)
Write-up: Chest pain, shortness of breath, nausea, lightheadedness; brief loss of consciousness. Diagnosed with pericarditis.

VAERS ID:467252 (history)  Vaccinated:2012-09-29
Age:24.0  Onset:2012-09-29, Days after vaccination: 0
Gender:Male  Submitted:2012-10-02, Days after onset: 3
Location:Michigan  Entered:2012-10-02
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: no, but had shin splints from usual exercising
Preexisting Conditions: penicillin allergy
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE HIGH-DOSE)SANOFI PASTEUR44719AD0IMRA
Administered by: Unknown     Purchased by: Private
Symptoms: Chills, Pain, Pyrexia, Vomiting
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)
Write-up: Fever, chills, body ache, vomit, 24 hours. Anti emetic medicine, Tylenol.

VAERS ID:467352 (history)  Vaccinated:2012-08-22
Age:24.0  Onset:2012-08-24, Days after vaccination: 2
Gender:Male  Submitted:2012-10-03, Days after onset: 40
Location:Unknown  Entered:2012-10-03
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: Allergic to shrimp (lips swell); NKDA
Diagnostic Lab Data: Reported normal Head CT and normal Brain MRI (no records available)
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
ANTH: ANTHRAX (BIOTHRAX)EMERGENT BIOSOLUTIONSFAV3082UNRA
Administered by: Military     Purchased by: Military
Symptoms: Computerised tomogram head normal, Feeling abnormal, Headache, Hypoaesthesia, Hypoaesthesia oral, Mental status changes, Muscle spasms, Nuclear magnetic resonance imaging brain normal, Paraesthesia, Vision blurred, Visual impairment, Vomiting
SMQs:, Acute pancreatitis (broad), Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Dementia (broad), Dystonia (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Glaucoma (broad), Optic nerve disorders (broad), Cardiomyopathy (broad), Lens disorders (broad), Retinal disorders (broad)
Write-up: Patient received his third anthrax vaccine on 22 AUG 2012. It was the only vaccine he received that day. He was feeling fine prior to vaccine receipt and denies a history of recent infection or viral symptoms. He had been following a healthy diet and performing PT without problems. Patient denies any unusual or prolonged local symptoms at the vaccination site on his right upper arm. Within 24-48 hours of vaccine receipt, patient was driving and said he was feeling "weird". As he read license plates and signs, he knew the letters/numbers/words as he was reading, but could not "say" what he was reading. He saw some "spots" and then his right arm, followed by his right leg went numb and then his tongue went numb. He then experienced an extreme pain in his right temporal area. He reports his head felt like "someone was punching their way out of my brain from the inside". He rates the pain intensity as a 10/10 and says he honestly felt like he was going to die. He called his boss near the onset of the episode and within 1/2 hour, someone took him to the local clinic for evaluation. On his way there, he had one episode of emesis and began to experience altered mental status - "in and out of it". He does not recall exact details of treatment course, but describes "arm muscle spasms" on the way to get a head CT, which he reports was normal. He was taken by ambulance for admission at a hospital where his headaches were treated with Morphine, VICODIN and steroids. He was an inpatient for approximately 4-5 days where he reports he had a normal MRI. He was started on TOPAMAX and was discharged with a headache (2-3/10) and then transferred. He had a second severe episode similar to his initial presentation that awoke him from his sleep, but the symptoms affected the left side of his body, as well as his tongue. Other headaches that were occurring daily were associated with seeing white spots, blurring vision and tingling in his fingers. If he takes IMITREX at the onset of symptoms, his headaches have been aborted. Admits to taking IMITREX if he even thinks he is experiencing the onset of a migraine. Patient denies a history of similar pain or symptoms in the past. Although some of his records report migraines during his teens, he says he sometimes experienced headaches if he played video games for too long. He never was evaluated for headaches or took any medications for headaches as a teen. These headaches were not accompanied by other symptoms like increased sensitivity to light or sound or nausea or vomiting. Patient was evaluated in MAY 2012 for a significant headache accompanied by N/V, weakness, dizziness, decreased appetite and chest tightness; he was told he had a viral illness and felt better after receipt of fluids. Patient denies a history of seizures. He denies a history of head trauma except a concussion experienced during football about 2 years ago.

VAERS ID:467481 (history)  Vaccinated:2012-09-24
Age:24.0  Onset:2012-09-25, Days after vaccination: 1
Gender:Female  Submitted:2012-10-03, Days after onset: 8
Location:New Mexico  Entered:2012-10-03
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)UNKNOWN MANUFACTURER  IMLA
HPV4: HPV (GARDASIL)MERCK & CO. INC. 0UNRA
Administered by: Public     Purchased by: Public
Symptoms: Chills, Injection site pain, Injection site urticaria, Pain, Pyrexia
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (narrow)
Write-up: Low grade fever, chills, aches, large hives at site of injection, pain at and around site of injection.

VAERS ID:467484 (history)  Vaccinated:2012-09-28
Age:24.0  Onset:2012-09-28, Days after vaccination: 0
Gender:Female  Submitted:2012-10-03, Days after onset: 5
Location:Maryland  Entered:2012-10-03
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) (NO BRAND NAME)UNKNOWN MANUFACTURER120452114IMRA
Administered by: Other     Purchased by: Private
Symptoms: Hypoaesthesia, Paraesthesia, Peripheral coldness
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad)
Write-up: Started with the hand of the injected arm going numb and feeling cool and tingly. This ascended up past the shoulder (at 4pm), up the neck(5:30 pm), and further to the level of nose (6pm). PCP instructed me to go the ER. ER had never seen this reaction before, but was unconcerned about it. Sent home with nothing. Overnight the symptoms started to recede. The next morning, approximately 21 hours post onset, only parts of the arm were still having the tingling numbness. Symptoms were fully resolved at 3pm on 9/29/12, approx. 25 hours post administration of influenza vaccine.

VAERS ID:467542 (history)  Vaccinated:2012-09-26
Age:24.0  Onset:2012-09-26, Days after vaccination: 0
Gender:Female  Submitted:2012-10-02, Days after onset: 6
Location:New York  Entered:2012-10-03, 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
UNK: VACCINE NOT SPECIFIED (NO BRAND NAME)UNKNOWN MANUFACTURER  UNUN
Administered by: Public     Purchased by: Other
Symptoms: Fatigue, Malaise, Pain, Pruritus, Swelling face
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow)
Write-up: Generalized body aches, malaise, fatigue, and right facial swelling and itching.

VAERS ID:468483 (history)  Vaccinated:2012-10-02
Age:24.0  Onset:2012-10-02, Days after vaccination: 0
Gender:Female  Submitted:2012-10-08, Days after onset: 6
Location:Connecticut  Entered:2012-10-08
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: No
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLULAVAL)GLAXOSMITHKLINE BIOLOGICALSAFLLA736AA1IMLA
Administered by: Other     Purchased by: Private
Symptoms: Cough, Diarrhoea, Flushing, Headache, Migraine, Oedema peripheral, Pruritus generalised, Vomiting
SMQs:, Cardiac failure (broad), Anaphylactic reaction (narrow), Acute pancreatitis (broad), Angioedema (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad), Noninfectious diarrhoea (narrow)
Write-up: Within 30 minutes developed generalized itching & flushing of skin, cough. Within 1 hr aura with slight headache progressing to migraine. Migraine x 3 days associated with vomiting & diarrhea. (L) arm swollen. Rx with IMITREX & antiemetic.

VAERS ID:468380 (history)  Vaccinated:2012-05-21
Age:24.0  Onset:2012-05-21, Days after vaccination: 0
Gender:Female  Submitted:2012-10-09, Days after onset: 141
Location:Unknown  Entered:2012-10-09
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Unknown
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type': WAES1210USA000570
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC. 1UNUN
Administered by: Other     Purchased by: Other
Symptoms: Convulsion, Head injury, Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Systemic lupus erythematosus (broad), Arrhythmia related investigations, signs and symptoms (broad), Convulsions (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Accidents and injuries (narrow), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (narrow)
Write-up: This spontaneous report as received from a nurse practitioner via a field representative refers to a 24 years old female patient who on 29-MAR-2012 was vaccinated with a first dose of GARDASIL (lot #, route and dose not reported). On 21-MAY-2012 she was vaccinated with a second dose of GARDASIL (lot #, route and dose not reported). The patient had come to get her third dose of vaccine on 27-SEP-2012 but the nurse was hesitant to give her the third dose of vaccine due to what happened to the patient after the second dose of 1 GARDASIL on 21-MAY-2012 after which the patient who was sitting down fainted and also hit her head on the garbage can. The patient told the nurse practitioner that she also convulsed (medically significant), upon getting the second dose. The patient sought medical attention since she saw the doctor on call. The outcome of the events was unknown. Additional information has been requested.

VAERS ID:470010 (history)  Vaccinated:2012-09-05
Age:24.0  Onset:2012-09-19, Days after vaccination: 14
Gender:Female  Submitted:2012-10-09, Days after onset: 20
Location:Unknown  Entered:2012-10-09
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Renal disorder
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type': WAES1210USA000305
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC. 0UNUN
Administered by: Other     Purchased by: Other
Symptoms: Arthralgia
SMQs:, Arthritis (broad)
Write-up: Information has been received from a physician concerning a 24 years old female patient with unspecified kidney issue, who on 05-SEP-2012 was vaccinated with the first dose of GARDASIL 0.5 ml (route and lot # not reported). No other co-suspects were reported. Concomitant medications included: MIRENA. The physician informed that on 19-SEP-2012, while on GARDASIL, the patient experienced joint pain in her chest, arms, legs and back. On an unknown date the patient recovered from the events. No treatment was given for the events (also reported that AE improve on therapy). The patient did not seek medical attention. The relatedness for the events was unknown for GARDASIL. Additional information has been requested.

VAERS ID:468665 (history)  Vaccinated:2012-10-09
Age:24.0  Onset:2012-10-09, Days after vaccination: 0
Gender:Female  Submitted:2012-10-10, Days after onset: 1
Location:New York  Entered:2012-10-10
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None reported and none observed
Preexisting Conditions: none reported
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)NOVARTIS VACCINES AND DIAGNOSTICS1221030IMLA
Administered by: Public     Purchased by: Private
Symptoms: Chest discomfort, Dizziness, Dyspnoea, Hyperhidrosis, Nausea
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Vestibular disorders (broad)
Write-up: Nausea, dizziness, chest tightness, diaphoretic, short of breath. She did not report symptoms until later though at 2:30pm and was then sent to the ER.

VAERS ID:468758 (history)  Vaccinated:2012-10-08
Age:24.0  Onset:2012-10-09, Days after vaccination: 1
Gender:Female  Submitted:2012-10-10, Days after onset: 1
Location:California  Entered:2012-10-10
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: no
Preexisting Conditions: no
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)UNKNOWN MANUFACTURER    
Administered by: Unknown     Purchased by: Public
Symptoms: Unevaluable event
SMQs:
Write-up: I currently breast feed my 13 month son everyday all day and night no he wasn''t sick before and all of a sudden out of no where he gets sick the day after the shot with a fever of 105 yea that''s no concience to me had to take him to the ER screaming all night not eating just breastfeeding and barely sleeping hot cranky yea sounds like the flu to me ass holes say its ok motherfucker I will never get any shots for me or my kids again fuck you guys and your fucking shots better hope my son doesn''t die from this.

VAERS ID:468805 (history)  Vaccinated:2012-10-08
Age:24.0  Onset:2012-10-08, Days after vaccination: 0
Gender:Female  Submitted:2012-10-10, Days after onset: 2
Location:Michigan  Entered:2012-10-10
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NO
Preexisting Conditions: Sulfa allergy, PKU
Diagnostic Lab Data: CT scan
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)UNKNOWN MANUFACTURER 0IMLA
Administered by: Private     Purchased by: Public
Symptoms: Chest discomfort, Chest pain, Computerised tomogram, Confusional state, Disorientation, Dizziness, Fatigue, Headache, Hypertension
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Hypertension (narrow), Cardiomyopathy (broad), Vestibular disorders (broad)
Write-up: Headache, Dizziness, Confusion, High Blood Pressure, Disorientation, Chest pain/discomfort, extreme fatigue, Started at 1PM on 10/8/2012, and still having symptoms.

VAERS ID:468872 (history)  Vaccinated:2012-10-09
Age:24.0  Onset:2012-10-09, Days after vaccination: 0
Gender:Female  Submitted:2012-10-10, Days after onset: 1
Location:Georga  Entered:2012-10-10
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Pt denies
Preexisting Conditions: Medical problem: High cholesterol Allergy: Amoxicillin
Diagnostic Lab Data: None
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURUH730AB0IMLA
Administered by: Private     Purchased by: Private
Symptoms: Dry mouth, Gastrooesophageal reflux disease, Hypersensitivity, Rash, Swollen tongue, Urticaria
SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), Anticholinergic syndrome (broad), Oropharyngeal allergic conditions (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Gastrointestinal nonspecific dysfunction (narrow), Hypersensitivity (narrow)
Write-up: Rash (described as hives) to legs and back; dry mouth; reflux; tongue swelling; Pt went to ED and treated. Pt DX with "Generalized allergic reaction with skin rash secondary to drug."

VAERS ID:469571 (history)  Vaccinated:2011-06-19
Age:24.0  Onset:2012-04-01, Days after vaccination: 287
Gender:Male  Submitted:2012-10-11, Days after onset: 193
Location:New Jersey  Entered:2012-10-15, 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:
Preexisting Conditions: The patient had a bat bite at the time of vaccination. Pre-existing allergies and medical conditions were not provided.
Diagnostic Lab Data: EMG; Many neurological tests
CDC 'Split Type': 201209156
Vaccination
Manufacturer
Lot
Dose
Route
Site
RAB: RABIES (IMOVAX)SANOFI PASTEUR 2SYRUN
Administered by: Unknown     Purchased by: Unknown
Symptoms: Atrophy, Electromyogram, Muscle spasms, Muscle twitching, Neurological examination
SMQs:, Dyskinesia (broad), Dystonia (broad)
Write-up: Initial report was received from a consumer on 02 October 2012, who is also the patient. A 25-year-old male patient received post-exposure treatment for a bat bite with one injection of RABAVERT (Novartis) on 05 June 2011. The patient also received three injections of IMOVAX Rabies (Route, Site, and Lot Numbers not reported) on 08 June 2011, 12 June 2011, and 19 June 2011. Ten months later, in April 2012, the patient experienced twitching in the hand and thumb, muscle spasms, and atrophy of the thumb. The patient "has been treated" by his primary physician and also saw three neurologists and had many tests done, including EMG. The patient''s past medical history and allergies were not provided. The patient''s outcome was reported as unknown. Documents held by sender: None.

VAERS ID:469620 (history)  Vaccinated:2012-10-05
Age:24.0  Onset:2012-10-06, Days after vaccination: 1
Gender:Female  Submitted:2012-10-15, Days after onset: 9
Location:Connecticut  Entered:2012-10-15
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 known
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLULAVAL)GLAXOSMITHKLINE BIOLOGICALSAFLLA736AA IMLA
Administered by: Other     Purchased by: Private
Symptoms: Injection site discomfort, Injection site induration, Injection site pain, Injection site swelling, Injection site vesicles, Vaccination site eschar
SMQs:, Extravasation events (injections, infusions and i