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Found 466003 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 467

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VAERS ID:325971 (history)  Vaccinated:2008-06-25
Age:26.0  Onset:2008-06-25, Days after vaccination: 0
Gender:Female  Submitted:2008-08-14, Days after onset: 50
Location:Ohio  Entered:2008-08-18, Days after submission: 4
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0807USA01676
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.  UNUN
Administered by: Other     Purchased by: Other
Symptoms: Dizziness
SMQs:, Anticholinergic syndrome (broad), Vestibular disorders (broad)
Write-up: Information has been received from a physician concerning a 26 year old female who on approximately 25-JUN-2008 was vaccinated with a dose of GARDASIL vaccine (yeast). After receiving GARDASIL vaccine (yeast), the patient left the office and went to work. It was reported that on approximately 25-JUN-2008 the patient was on her feet all night at work, had an alcoholic beverage after work and when she was going home that night she had felt dizzy. The dizziness had lasted until the morning and got better on her own. Unspecified medical attention was sought. No product quality complaint was involved. Additional information has been requested.

VAERS ID:325982 (history)  Vaccinated:2008-07-08
Age:26.0  Onset:2008-07-08, Days after vaccination: 0
Gender:Female  Submitted:2008-08-14, Days after onset: 37
Location:Unknown  Entered:2008-08-18, Days after submission: 4
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0807USA01811
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC. 1IMUN
Administered by: Other     Purchased by: Other
Symptoms: Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad)
Write-up: Information has been received from a nurse practitioner concerning a 26 year old female who on an unknown date was vaccinated with the first dose of GARDASIL vaccine (yeast) and on 08-JUL-2008 was vaccinated with the second dose of GARDASIL vaccine (yeast), 0.5 mL, IM. On 08-JUL-2008, the patient fainted after receiving the second dose of GARDASIL vaccine (yeast). On 08-JUL-2008, the patient recovered. Additional information has been requested.

VAERS ID:326128 (history)  Vaccinated:0000-00-00
Age:26.0  Onset:2007-08-01
Gender:Female  Submitted:2008-08-14, Days after onset: 379
Location:Unknown  Entered:2008-08-18, Days after submission: 4
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness: Drug hypersensitivity, Spinal disorder
Preexisting Conditions: Spinal operation, Hospitalization
Diagnostic Lab Data: skin biopsy - ?/?/07 - punch hole biopsy inconclusive, diagnostic laboratory - ?/?/07 - touch test for nickel inconclusive
CDC 'Split Type': WAES0807USA02260
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC. 2 UN
Administered by: Other     Purchased by: Other
Symptoms: Allergy test, Allergy to metals, Bacterial infection, Biopsy skin, Dyspnoea, Erythema, Rash generalised, Rash pruritic, Skin irritation
SMQs:, Anaphylactic reaction (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Hypersensitivity (narrow)
Write-up: Information has been received from a 26 year old female with an allergy to TYLENOL who in 2007 was vaccinated with the first dose of GARDASIL vaccine (yeast) prior to a spinal fusion surgery in August 2007. Two weeks after the surgery she broke out in a serious rash all over her body that was red, itchy and oozy. She went back to her surgeon who thought she may have caught a bacterial infection while in the hospital. After the treatment for that, the rash did not go away and patient was thought to have a staph infection. The rash was getting worse and she started having difficulty breathing and had to be taken to ER. It was determined she may have an allergic reaction to the nickel hardware that was placed in her spine. After that she was sent to an allergist who performed some tests, however the patient was taking allergy medication at the time and the test came back inconclusive. She did receive a second and third dose of GARDASIL vaccine (yeast) and was also scheduled for a second spinal fusion to replace the hardware with stainless steel. The patient is still experiencing a rash, that comes and goes depending on whether she puts the cream on it or not. She will bring the package insert for GARDASIL vaccine (yeast) with her to the allergist office to look at the ingredients and perform some tests to see if she could be allergic to any of the components. At time of report, the patient had not recovered from her rash. The outcome of the difficulty breathing, bacterial staph infection and allergic reaction to nickel hardware is unknown. No further information is available.

VAERS ID:326488 (history)  Vaccinated:2008-05-30
Age:26.0  Onset:2008-05-30, Days after vaccination: 0
Gender:Female  Submitted:2008-08-14, Days after onset: 76
Location:Unknown  Entered:2008-08-18, Days after submission: 4
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness: Penicillin allergy
Preexisting Conditions:
Diagnostic Lab Data: None
CDC 'Split Type': WAES0808USA00034
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC. 0UNUN
Administered by: Other     Purchased by: Other
Symptoms: Burning sensation, Headache, Injection site pain, Pain, Pain in extremity, Similar reaction on previous exposure to drug
SMQs:, Peripheral neuropathy (broad), Extravasation events (injections, infusions and implants) (broad)
Write-up: Information has been received from a 26 year old female with an allergy to amoxicillin who on 30-MAY-2008 was vaccinated with the first dose of GARDASIL vaccine (yeast) 0.5ml and on 30-JUL-2008 was vaccinated with the second dose of GARDASIL vaccine (yeast). After the first dose of vaccination the patient experienced a sore arm, headache and pain at the injection site. The AE went away in one day. After the second dose of the vaccination, the patient experienced the same AE and also burning and sting. After 2 days the patient was still in pain. The patient sought unspecified medical attention. Additional information has been requested.

VAERS ID:322778 (history)  Vaccinated:2008-08-08
Age:26.0  Onset:2008-08-08, Days after vaccination: 0
Gender:Female  Submitted:2008-08-20, Days after onset: 12
Location:North Carolina  Entered:2008-08-20
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: NKDA, +Seasonal Allergic Rhinitis
Diagnostic Lab Data: All labs ordered on initial assessment (08/15/08) are WNL: CBC with diff, ESR, CRP, calcium, magnesium, and vitamin B-12 levels. ANA Panel still pending.
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
ANTH: ANTHRAX (NO BRAND NAME)UNKNOWN MANUFACTURER  SCUN
TYP: TYPHOID VI POLYSACCHARIDE (TYPHIM VI)SANOFI PASTEURA05222 IMUN
Administered by: Military     Purchased by: Military
Symptoms: Antinuclear antibody, Blepharospasm, Blood calcium normal, Blood magnesium normal, C-reactive protein normal, Differential white blood cell count normal, Full blood count normal, Headache, Red blood cell sedimentation rate normal, Vitamin B12 normal
SMQs:, Dystonia (broad), Periorbital and eyelid disorders (narrow), Ocular motility disorders (narrow)
Write-up: 27 y/o AD WF CAPT presented to health center with left eyelid twitching up to 15x daily since 08/10/08 and intermittent daily frontal HA''s, which began about 3 hours after receipt of AVA #1 and Typhoid IM vaccines on 08/08/08 in preparation for deployment on 9/01/08. Symptoms: Fasciculation, Headache, general.

VAERS ID:323299 (history)  Vaccinated:2008-08-14
Age:26.0  Onset:2008-08-14, Days after vaccination: 0
Gender:Female  Submitted:2008-08-18, Days after onset: 4
Location:New York  Entered:2008-08-26, Days after submission: 8
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEPAB: HEP A + HEP B (TWINRIX)GLAXOSMITHKLINE BIOLOGICALSAHABB123AA UNRA
TDAP: TDAP (ADACEL)SANOFI PASTEURC2927AA UNLA
TYP: TYPHOID VI POLYSACCHARIDE (TYPHIM VI)SANOFI PASTEURA0446 UNLA
Administered by: Other     Purchased by: Unknown
Symptoms: Erythema, Eye swelling, Pruritus
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow)
Write-up: 1 hour post vaccine administration, patient presented to HC with swelling, erythema and pruritus to orbital eye area bilaterally. Patient was given an injection of 50mg IM Benadryl and cool compresses to area.

VAERS ID:323338 (history)  Vaccinated:2008-08-26
Age:26.0  Onset:2008-08-26, Days after vaccination: 0
Gender:Female  Submitted:2008-08-26, Days after onset: 0
Location:Ohio  Entered:2008-08-26
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: levothyroxine
Current Illness: upper respiratory viral illness
Preexisting Conditions: none
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAP: DTAP (DAPTACEL)SANOFI PASTEUR02632AA0IMLA
Administered by: Private     Purchased by: Private
Symptoms: Chest discomfort, Dizziness, Flushing, Immediate post-injection reaction, Inappropriate schedule of drug administration, Pallor
SMQs:, Anaphylactic reaction (narrow), Anticholinergic syndrome (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Hypersensitivity (narrow)
Write-up: light headed, tightness in chest, pale, flushed about 5 minutes after TdaP administration

VAERS ID:323438 (history)  Vaccinated:2008-07-30
Age:26.0  Onset:2008-08-06, Days after vaccination: 7
Gender:Male  Submitted:2008-08-20, Days after onset: 14
Location:Unknown  Entered:2008-08-27, 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: None
Diagnostic Lab Data: None
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
UNK: VACCINE NOT SPECIFIED (NO BRAND NAME)UNKNOWN MANUFACTURER  UNUN
Administered by: Military     Purchased by: Military
Symptoms: Back pain, Body temperature increased, Lymphadenopathy, Muscle spasms, Neck pain
SMQs:, Neuroleptic malignant syndrome (broad), Retroperitoneal fibrosis (broad), Dystonia (broad), Arthritis (broad)
Write-up: Lymphadenopathy, (axillary), low grade temps, upsilateral upper back and neck px, Muscle spasm developed 5-6 days after injection- tx NSAIDS Do, aceta

VAERS ID:323658 (history)  Vaccinated:2008-08-26
Age:26.0  Onset:2008-08-26, Days after vaccination: 0
Gender:Female  Submitted:0000-00-00
Location:Texas  Entered:2008-08-28
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:
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (ADACEL)SANOFI PASTEURC2899AA0IMLA
Administered by: Private     Purchased by: Private
Symptoms: Body temperature, 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: Red (30mm) and tender at injection site; sore to touch; states was "puffy" on 8/26 and 8/27/08. Temp. 98.2

VAERS ID:323765 (history)  Vaccinated:0000-00-00
Age:26.0  Onset:2008-06-16
Gender:Male  Submitted:2008-08-29, Days after onset: 74
Location:Maryland  Entered:2008-08-29
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: Lab testing: virus isolated by tissue culture, PCR testing of isolated virus identified orthopox/vaccinia, DNA sequencing by CDC reportedly indicates strain is ACAM2000 strain.
CDC 'Split Type': ACAM000014
Vaccination
Manufacturer
Lot
Dose
Route
Site
SMALL: SMALLPOX (ACAM2000)SANOFI PASTEUR    
Administered by: Unknown     Purchased by: Unknown
Symptoms: Orthopoxvirus test positive, Polymerase chain reaction, Rash, Secondary transmission, Vaccinia, Virus culture positive
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow)
Write-up: 26 year old man without prior history of smallpox vaccination reported rash (onset date of 16-June-2008 approx). Subject was hospitalized briefly (no dates provided.) Lab testing: virus isolated by tissue culture, PCR testing of isolated virus identified orthopox/vaccinia, DNA sequencing by CDC reportedly indicates strain is ACAM2000 strain. Case is linked to 3 other contact transmission cases all of which are members of the same facility. There has been no identification of further transmission of any of these cases to family members or other close contacts. The source case has not yet been identified but the investigation is ongoing.

VAERS ID:323981 (history)  Vaccinated:2008-08-09
Age:26.0  Onset:2008-08-20, Days after vaccination: 11
Gender:Female  Submitted:2008-09-02, Days after onset: 13
Location:New Jersey  Entered:2008-09-03, Days after submission: 1
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: No Known Allergies
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
ANTH: ANTHRAX (NO BRAND NAME)MICHIGAN DEPT PUB HLTHFAV1741SCRA
SMALL: SMALLPOX (ACAM2000)SANOFI PASTEURVV04003  LA
Administered by: Military     Purchased by: Military
Symptoms: Skin mass
SMQs:, Extravasation events (injections, infusions and implants) (broad)
Write-up: Pos allergic reaction anthrax shot (1wk); 1. lump in / on skin: right arm most likely from anthrax vaccine. Supportive care with NSAIDS, Benadryl, heat and cold compresses. She should not receive further anthrax vaccine in future. She was instructed to initiate VAERS form.

VAERS ID:324075 (history)  Vaccinated:2007-07-14
Age:26.0  Onset:2007-07-14, Days after vaccination: 0
Gender:Female  Submitted:2007-07-19, Days after onset: 5
Location:Oklahoma  Entered:2008-09-03, Days after submission: 412
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: Bananas
Diagnostic Lab Data: 11:20 am BP 107/72, Pulse = 83, Respirations = 16, Temp = 98.1, O2 Sat = 99% on room air.
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
TYP: TYPHOID VI POLYSACCHARIDE (TYPHIM VI)SANOFI PASTEURA02210IMUN
Administered by: Military     Purchased by: Military
Symptoms: Blood pressure, Body temperature, Headache, Heart rate normal, Oxygen saturation normal, Pruritus, Respiratory rate, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow)
Write-up: Hives on chest/face, itching, headache. 1120 - BP 107/72, P = 83, Resp = 16, O2 Sat = 99%, Room air temp 98.1, patient reported to clinic at 1115.

VAERS ID:324778 (history)  Vaccinated:2007-07-18
Age:26.0  Onset:2007-08-15, Days after vaccination: 28
Gender:Female  Submitted:2008-09-10, Days after onset: 392
Location:Pennsylvania  Entered:2008-09-10
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Birth Control
Current Illness: None
Preexisting Conditions: None HPV #2 given 9/20/07, Lot # 0524U, LA; HPV #3 given 12/13/2007, Lot # 0524U, LA 10/1/08-records received-PMH: contraception (Yasmin), smoker. Depression. (+) HPV w/abnormal PAP smears RLQ abdominal pain since 2006. Right kidney stones & UTIs. Right ovarian cyst. Family hx: cardiovascular disease, thyroid disease.
Diagnostic Lab Data: Had full blood panels, tested for thyroid and auto immune problems. X-rays of hands and wrists.Saw Rheumotologist and dermatologist. 10/1/08-records received-LABS: pelvic US WNL
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.0522U0IMLA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Abdominal pain lower, Alopecia, Arthralgia, Autoimmune disorder, Blood test, Fatigue, Joint swelling, Ultrasound pelvis, Ultrasound scan normal, X-ray
SMQs:, Retroperitoneal fibrosis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Arthritis (broad)
Write-up: Extreme hair loss, fatigue, auto-immune problems, joint swelling and pain. 10/1/08 Reviewed vaccination & medical records. 6/26/07-C/O lower abdominal pain on right side. Vaccine records indicate different dates than originally reported: HPV #1 given 8/30/07, #2 9/20/07 & #3 12/13/07.

VAERS ID:324864 (history)  Vaccinated:2008-09-10
Age:26.0  Onset:0000-00-00
Gender:Female  Submitted:2008-09-11
Location:North Carolina  Entered:2008-09-11
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Zoloft
Current Illness: None
Preexisting Conditions: unknown
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.1913U IMRA
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.1913U IMRA
Administered by: Private     Purchased by: Public
Symptoms: Inappropriate schedule of drug administration, No adverse event
SMQs:
Write-up: Pt was administered 2 vaccines that were not ordered by the physician. No adverse symtoms have been reported.

VAERS ID:324883 (history)  Vaccinated:2007-05-31
Age:26.0  Onset:2007-05-31, Days after vaccination: 0
Gender:Female  Submitted:2008-09-11, Days after onset: 469
Location:Unknown  Entered:2008-09-11
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness: Pregnancy NOS (LMP = 4/9/2007); Diabetes mellitus insulin-dependent; Hypertension; Hypercholesterolaemia
Preexisting Conditions: Gestational diabetes
Diagnostic Lab Data: ultrasound, 06/15/07 - 7.47 week gestation; total serum bilirubin, 01/13/08, 16.1 mg/dl; total serum bilirubin, 01/13/08, 10.8 mg/dl; total serum bilirubin, 01/13/08, 12.3 mg/dl; total serum bilirubin, 01/13/08, 11.2 mg/dl; total serum bili
CDC 'Split Type': WAES0707USA00777
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.0522U0UNUN
Administered by: Other     Purchased by: Other
Symptoms: Drug exposure during pregnancy, Foetal disorder, Live birth, Oral contraception, Ultrasound scan
SMQs:, Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow), Foetal disorders (narrow), Normal pregnancy conditions and outcomes (narrow)
Write-up: Information has been received from a nurse through a Merck pregnancy registry concerning a 26 year old female patient with a history of 4 pregnancies and 2 live births who was on oral contraceptives in the first trimester, with gestational diabetes and insulin dependency, who on 31-MAY-2007 was vaccinated with the first dose of GARDASIL (lot# 657737/0522U). The patient was pregnant with a LMP of 09-Apr-2007. Follow up information indicated that on 09-Jan-2008 the patient delivered a normal liveborn male infant weeks from LMP 37 2/7 with a Apgar score 8/9. Follow up information has been received in the form of medical records. On 09-JAN-2008, the baby was born with hyperbilirubinemia and bilateral cephalohematomas. The weight was 8 lbs, the length 21 inches, head circumference 13.8 inch. On 12-JAN-2008 and 13-JAN-2008, the patient was admitted for phototherapy. Saturday, 12-JAN-2008, the patient''s bilirubin was 19 and Sunday, 13-JAN-2008, rebound bilirubin was 11 (5 hours off phototherapy). A total bilirubin measurement with a heel stick was performed. The lab results were reported as: -12-JAN-2008: 18.0 mg /dl 19.2 mg /dl. -13-JAN-2008: 12.3 mg/dl 10.8 mg/dl 11.2 mg/dl 16.1 mg/dl. On 14-JAN-2008, the baby had a sick visit to the doctor and still had jaundice and cephalohematoma, with icteric sclera and hyperbilirubinemia. Some lab test was performed, which included a measurement of Total bilirubin with a heel stick. The results was : 12.2 mg/dl. On 18-JAN-2008, the baby had a sick visit date, and it was noted that the baby had jaundice from chest to upper abdomen (seedy yellow) and hyperbilirubinemia. The pediatrician was concerned about the baby''s head swollen. The baby still had cephalohematoma. On examination on 25-JAN-2008, it was noted that the baby still had bilateral cephalohematoma; the left side greater the right side. It was also noticed that the baby had urine frequently, had jaundice in the face, and diaper rash. The baby was 15 days. A lab test was performed which included a PKU (result not reported)

VAERS ID:325121 (history)  Vaccinated:2008-09-09
Age:26.0  Onset:2008-09-11, Days after vaccination: 2
Gender:Female  Submitted:2008-09-11, Days after onset: 0
Location:Oklahoma  Entered:2008-09-15, 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: started menstrual cycle
Preexisting Conditions: None
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
RAB: RABIES (RABAVERT)NOVARTIS VACCINES AND DIAGNOSTICS439011A1IMLA
Administered by: Other     Purchased by: Unknown
Symptoms: Abdominal pain
SMQs:, Acute pancreatitis (broad), Retroperitoneal fibrosis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)
Write-up: Doctor called wanting to know side effects of Rabies vaccine, c/o body aches and abdominal cramping, started on menstrual cycle, unsure if relates or not. Report is this don''t resolve will go to emergency rm. No further contact. Recovery unknown, will call if s/s unresolved.

VAERS ID:325264 (history)  Vaccinated:2008-09-03
Age:26.0  Onset:2008-09-15, Days after vaccination: 12
Gender:Male  Submitted:2008-09-16, Days after onset: 1
Location:California  Entered:2008-09-16
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Upper respiratory infection
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
SMALL: SMALLPOX (NO BRAND NAME)UNKNOWN MANUFACTURERW04003A0 LA
Administered by: Military     Purchased by: Military
Symptoms: Blister, Rash papular
SMQs:, Severe cutaneous adverse reactions (broad), Hypersensitivity (broad)
Write-up: Developed papules/vesicles on face, trunk and arms, scattered. No treatment.

VAERS ID:325365 (history)  Vaccinated:2008-09-04
Age:26.0  Onset:2008-09-12, Days after vaccination: 8
Gender:Female  Submitted:0000-00-00
Location:Rhode Island  Entered:2008-09-17
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: ZYRTEC; LOPID; OXYCONTIN; PHENERGAN; LAMICTAL; IBUP.; ALBUTEROL; GABAPENTIN
Current Illness: None
Preexisting Conditions: Allergic rhinitis; Asthma; NKDA
Diagnostic Lab Data: None
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (ADACEL)SANOFI PASTEURC2927AA0IMUN
Administered by: Private     Purchased by: Public
Symptoms: Pruritus, Rash, Rash maculo-papular
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow)
Write-up: approx 8-10 days s/p Tdap developed a truncal rash H/O no previous exposure to Pertussis vaccine. Rash with mild itch. No other significant exposure except steroid injection to plantar fascia. Rash diffuse truncal and UE mac-pap rash constant with exanthem

VAERS ID:326740 (history)  Vaccinated:2008-04-01
Age:26.0  Onset:2008-04-22, Days after vaccination: 21
Gender:Female  Submitted:2008-09-15, Days after onset: 146
Location:Connecticut  Entered:2008-09-17, Days after submission: 2
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: allergy test - ?/?/08 - allergic to dust and mold
CDC 'Split Type': WAES0808USA00219
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC. 0IMUN
Administered by: Other     Purchased by: Other
Symptoms: Allergy test positive, House dust allergy, Hypersensitivity, Mycotic allergy, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow)
Write-up: Information has been received from a physician concerning a 26 year old female who on approximately 01-APR-2008 was vaccinated with the first dose of GARDASIL vaccine (yeast) 0.5 ml, IM. On approximately 22-APR-2008, the patient experienced urticaria and nasal allergic reaction 3 weeks after her 1st dose of GARDASIL vaccine (yeast). BENADRYL helped the symptoms. An allergy testing was performed by a specialist which showed she was allergic to dust and mold. The patient was getting ready to get her second dose, but was hesitating based on her allergic reaction. At the time of this report, the patient was recovering. Additional information has been requested.

VAERS ID:326771 (history)  Vaccinated:2008-08-05
Age:26.0  Onset:2008-08-06, Days after vaccination: 1
Gender:Female  Submitted:2008-09-15, Days after onset: 40
Location:North Carolina  Entered:2008-09-17, Days after submission: 2
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness:
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC 'Split Type': WAES0808USA01178
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.0070X IMUN
Administered by: Other     Purchased by: Other
Symptoms: Dizziness, Injection site pain, Nasal congestion, Paraesthesia
SMQs:, Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Vestibular disorders (broad)
Write-up: Information has been received from a registered nurse concerning a 26 year old female with no known medical history and drug reactions/allergies, who on 05-AUG-2008, was vaccinated with GARDASIL vaccine (yeast) (Lot # 660553/0070X), 0.5 ml, via intramuscularly route. There was no concomitant medication. The physician reported that on 08-AUG-2008, the patient had site pain injection after she was vaccinated with GARDASIL vaccine (yeast). The physician also reported that a few hours later, on 08-AUG-2008, the patient developed nasal congestion, dizziness and tingling in the same arm as the injection site. The patient was treated with OTC BENADRYL. on 06-AUG-2008, the patient had recovered. The patient sought medical attention at physician''s office. Additional information has been requested.

VAERS ID:326898 (history)  Vaccinated:2008-08-04
Age:26.0  Onset:2008-08-04, Days after vaccination: 0
Gender:Female  Submitted:2008-09-15, Days after onset: 42
Location:Unknown  Entered:2008-09-17, Days after submission: 2
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: LEXAPRO
Current Illness: Anxiety disorder; Penicillin Allergy
Preexisting Conditions:
Diagnostic Lab Data: None
CDC 'Split Type': WAES0808USA01719
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.UNK0UNUN
Administered by: Other     Purchased by: Other
Symptoms: Chills, Diarrhoea, Headache, Nausea, Pain, Palpitations
SMQs:, Acute pancreatitis (broad), Arrhythmia related investigations, signs and symptoms (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Noninfectious diarrhoea (narrow)
Write-up: Information has been received from a consumer concerning her daughter, a 26 year old female with anxiety disorder and penicillin allergy who on 04-AUG-2008 was vaccinated with the first dose of GARDASIL. Concomitant therapy included escitalopram oxalate (LEXAPRO). On 04-AUG-2008, several hours after received the first dose, the patient experienced heart palpitations. On 05-AUG-2008, the patient improved but experienced the onset of chills, diarrhea and nausea. The nausea improved, but on 07-AUG-2008, the patient began to have widespread body aches and a headache in addition to the continuing diarrhea. The patient contacted her physician''s office by phone and was advised to call again if the symptoms persist. No therapy was prescribed. The patient improved from nausea. At the time of reporting, chills, diarrhea and widespread had not recovered. The reporter states the physician does not feel that patient''s symptoms are related to GARDASIL vaccine. Additional information is not expected as the consumer did not provide the physician''s name

VAERS ID:326910 (history)  Vaccinated:2008-06-11
Age:26.0  Onset:2008-06-11, Days after vaccination: 0
Gender:Female  Submitted:2008-09-15, Days after onset: 96
Location:Ohio  Entered:2008-09-17, Days after submission: 2
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: DEPO-PROVERA mg/mL
Current Illness: Papilloma viral infection
Preexisting Conditions:
Diagnostic Lab Data: None
CDC 'Split Type': WAES0808USA02021
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.660393/0067X0IMUN
Administered by: Private     Purchased by: Private
Symptoms: Dizziness, Feeling cold, Headache, Influenza like illness, Presyncope
SMQs:, Anticholinergic syndrome (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad)
Write-up: Information has been receiving from a physician''s office manager and her co-worker concerning a 26 year old white female positive for high risk papilloma viral infection and no known allergies who on 11-JUN-2008 at approximately 12:00PM was vaccinated in her left deltoid with the first dose of GARDASIL (LOT# 660393/0067X). Concomitant therapy included DEPO-PROVERA. After the vaccination, the patient sat for about 10-15 minutes in the waiting room to make sure that she did not have an reaction to the injection. the patient "was absolutely fine" when she left the physician''s office. About 1/2 hour after leaving the office, she went to pick up her kids and she started to experience flu-like symptoms. she felt to then cold. She got a headache and felt dizzy. She almost fainted and almost had a wreck in her car on her way home. She got home and slept for 4 hours. when she woke up, she took some aspirin and drank tea to help her feel better. She did not feel better until the next day. The patient did not seek medical treatment at a hospital or from any other doctor for these symptoms, nor did she call the physician''s office. The other vaccines within a month before or after getting GARDASIL. No tests were ordered by any doctor or medical facility to try to determine her ailment at this time. On 08-AUG-2008, the patient called the physician''s office. She wanted to cancel her scheduled appointment for her second vaccination. additional information is not expected.

VAERS ID:327256 (history)  Vaccinated:0000-00-00
Age:26.0  Onset:0000-00-00
Gender:Female  Submitted:2008-09-15
Location:Unknown  Entered:2008-09-17, Days after submission: 2
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness:
Preexisting Conditions: None
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0808USA02499
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC. 1UNUN
Administered by: Other     Purchased by: Other
Symptoms: Lip swelling, Local swelling, Swelling face
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow)
Write-up: Information has been received from a physician''s assistant concerning a 26 year old female with no pertinent medical history who was vaccinated with a 0.5 ml second dose of GARDASIL. There was no concomitant medication. Subsequently, the patient developed a swollen face, neck and lips. Eight days after the vaccination, the patient went to an emergency room, she was given an unspecified antibiotic and was released from the emergency room. At the time of this report, the outcomes were unknown. Additional information has been requested.

VAERS ID:327514 (history)  Vaccinated:0000-00-00
Age:26.0  Onset:0000-00-00
Gender:Female  Submitted:2008-09-15
Location:Unknown  Entered:2008-09-17, Days after submission: 2
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Hormonal contraceptives
Current Illness: Contraception
Preexisting Conditions:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0809USA00396
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC. 1IMLA
Administered by: Other     Purchased by: Other
Symptoms: Lymphadenopathy, Vaccination complication
SMQs:
Write-up: It was reported in a published article, titled as above. A 26 year old woman came to a family practice clinic to receive the first of three doses of GARDASIL. She returned 5 days later with swollen lymph nodes in the left side of her neck. The patient noticed enlarging lymph nodes 3 days after receiving the GARDASIL, which had been injected intramuscularly into her left deltoid muscle. At this visit and all sequent clinic visits, the patient denied any recent upper respiratory infection, pharyngitis, cough, fever, or left upper extremity skin infections or rashes. She also denied any significant medical or surgical history. Her drug therapy only consisted of a daily oral contraceptive, and she denied recent antibiotic and nonsteroidal antiinfammatory treatment. She had received no other immunizations recently and reported no previous vaccine-related lymphadenopathy. The patient also denied any drug or seasonal allergies, asthma, or eczema. Physical examination revealed normal vital signs and several palpable anterior cervical and supraclavicular subcentimeter lymph nodes on the left side of the patient''s neck. These were soft and fully mobile, without matting. The remainder of her physical examination was normal with no other regional lymphadenopathy. Due to the patient''s lack of systemic symptoms, laboratory evaluation, pharmacologic therapy, and lymph node biopsy were not indicated. The patient remained afebrile and exhibited no signs or symptoms of systemic infection over the next several days. She was reevaluated at the family practice office 17 days after her initial vaccination. The lymphadenopathy had completely resolved. The patient received her second dose of GARDASIL 2 months after the initial immunization and experienced no associated lymphadenopathy. This patient''s lymphadenopathy was spatially and temporally related to administration of GARDASIL, given that it developed in the left side of her neck, ipsilateral to the vaccination site, within 3 days of immunization. Her history and

VAERS ID:325642 (history)  Vaccinated:2008-08-29
Age:26.0  Onset:2008-08-29, Days after vaccination: 0
Gender:Female  Submitted:2008-09-19, Days after onset: 21
Location:Wisconsin  Entered:2008-09-19
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.0571X2IMLA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Back pain, Musculoskeletal pain
SMQs:, Rhabdomyolysis/myopathy (broad), Retroperitoneal fibrosis (broad)
Write-up: COMPLAINED OF A SORNESS TO SCAPULAR AREA ON LEFT SIDE OF BACK AND SHOULDER WITHIN 8 HOURS OF VACCINE, LASTING ABOUT 2 DAYS

VAERS ID:325839 (history)  Vaccinated:2008-09-18
Age:26.0  Onset:2008-09-19, Days after vaccination: 1
Gender:Female  Submitted:2008-09-23, Days after onset: 4
Location:Florida  Entered:2008-09-23
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Redness injection site, fever, swollen arm, bump
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURU2757AA0UNLA
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.0669X0UNLA
Administered by: Private     Purchased by: Other
Symptoms: Unevaluable event
SMQs:
Write-up: No adverse events

VAERS ID:325847 (history)  Vaccinated:2008-09-15
Age:26.0  Onset:2008-09-15, Days after vaccination: 0
Gender:Female  Submitted:2008-09-17, Days after onset: 2
Location:Iowa  Entered:2008-09-23, Days after submission: 6
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: ortho-tri-cyclen lo
Current Illness:
Preexisting Conditions: allergy to sulfa
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.0843X1IMLA
Administered by: Private     Purchased by: Other
Symptoms: Disorientation, Headache, Sensory loss, Vision blurred, Visual disturbance
SMQs:, Peripheral neuropathy (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Glaucoma (broad), Optic nerve disorders (broad), Lens disorders (broad), Retinal disorders (broad)
Write-up: Headache and blurred vision including flashes of light around 8:00 pm. Loss of sensation in right hand in conjunction with previous symptoms around 10:00 pm. Slight disorientation as well. Aside from headache, symptoms cleared between 10:20 and 10:30pm.

VAERS ID:325858 (history)  Vaccinated:2008-04-24
Age:26.0  Onset:2008-04-25, Days after vaccination: 1
Gender:Female  Submitted:2008-09-16, Days after onset: 144
Location:Florida  Entered:2008-09-23, 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: Ortho Tri-Cyclen W
Current Illness: None
Preexisting Conditions: N/A
Diagnostic Lab Data: No
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.1978U1IMRA
Administered by: Private     Purchased by: Private
Symptoms: Rash
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow)
Write-up: Patient states a rash. Started the day after her 2nd Gardasil injection. Rash on neck down to lower abdomen. States she has not changed detergents/soaps/lotion and denies sun exposure. Patient reported this on 4/29/08.

VAERS ID:326027 (history)  Vaccinated:2008-09-17
Age:26.0  Onset:2008-09-18, Days after vaccination: 1
Gender:Male  Submitted:2008-09-19, Days after onset: 1
Location:New Jersey  Entered:2008-09-24, Days after submission: 5
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: N/A
Preexisting Conditions: Allergic to PCN
Diagnostic Lab Data: N/A
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
ANTH: ANTHRAX (BIOTHRAX)EMERGENT BIOSOLUTIONSFAV1493 LA
FLUN3: INFLUENZA (SEASONAL) (FLUMIST)MEDIMMUNE VACCINES, INC.500559P IN 
Administered by: Military     Purchased by: Military
Symptoms: Injection site erythema, Injection site pain, Local swelling, Pruritus, Red blood cell abnormality
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad)
Write-up: After receiving Anthrax, patient noted redness, swelling, itching in the area on 18 Sept 08. Area is 11 x 11cm, faint erythema, mild tenderness at vaccine site. Was given Zyrtec and Motrin.

VAERS ID:326048 (history)  Vaccinated:2008-09-18
Age:26.0  Onset:2008-09-24, Days after vaccination: 6
Gender:Male  Submitted:2008-09-24, Days after onset: 0
Location:California  Entered:2008-09-24
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None known
Diagnostic Lab Data: None
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEPAB: HEP A + HEP B (TWINRIX)GLAXOSMITHKLINE BIOLOGICALSAHABB116AA0UNRA
Administered by: Other     Purchased by: Other
Symptoms: Injection site pruritus, Injection site rash
SMQs:, Hypersensitivity (narrow)
Write-up: Today employee awoke and noted rash to right upper arm where vaccine was applied on 9-18-08. Employee indicated area he noted rash at site where vaccine was placed he did experience some itching. He called occupational health nurse separating reaction and rash to right upper arm, reaction noted on VAERS form. Tx: Benadryl and Antibiotic ointment to site.

VAERS ID:326196 (history)  Vaccinated:2008-09-25
Age:26.0  Onset:2008-09-25, Days after vaccination: 0
Gender:Female  Submitted:2008-09-25, Days after onset: 0
Location:Florida  Entered:2008-09-25
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: none
Preexisting Conditions: none
Diagnostic Lab Data: negative HCG test
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLUN3: INFLUENZA (SEASONAL) (FLUMIST)MEDIMMUNE VACCINES, INC.500552P0IN 
Administered by: Military     Purchased by: Military
Symptoms: Nausea, Pregnancy test negative, Vomiting
SMQs:, Acute pancreatitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)
Write-up: 30 min after receiving vaccine, pt stated she had nausea and vomiting. pt was given medication to help with nausea.

VAERS ID:326432 (history)  Vaccinated:2000-02-14
Age:26.0  Onset:2001-01-01, Days after vaccination: 322
Gender:Female  Submitted:2008-09-29, Days after onset: 2827
Location:Unknown  Entered:2008-09-29
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: testing currently
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
ANTH: ANTHRAX (BIOTHRAX)EMERGENT BIOSOLUTIONSFAV0471UNUN
Administered by: Military     Purchased by: Military
Symptoms: Asthenia, Fatigue, Migraine, Nodule
SMQs:, Guillain-Barre syndrome (broad)
Write-up: Weakness in upper-body. Extreme fatigue. Chronic migranes. Nodular bumps on scalp and back. Currently being test for arthritis.

VAERS ID:326633 (history)  Vaccinated:2008-07-10
Age:26.0  Onset:0000-00-00
Gender:Female  Submitted:2008-09-29
Location:Iowa  Entered:2008-10-01, Days after submission: 2
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: No illness at time of vaccination.
Preexisting Conditions: Penicillin and prednisone allergies. No medical conditions or concomitant medications. No illness at time of vaccination. No other vaccines given within 4 weeks prior.
Diagnostic Lab Data: None reported.
CDC 'Split Type': 200802679
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (ADACEL)SANOFI PASTEURC2927A0IDLA
Administered by: Other     Purchased by: Other
Symptoms: Incorrect route of drug administration, Injection site erythema, Injection site mass, Injection site pain, Injection site pruritus
SMQs:, Extravasation events (injections, infusions and implants) (broad)
Write-up: Initial report received on 21 August 2008 from a healthcare professional. A 26 year old female patient, with allergies to penicillin and prednisone and no other medical history, received on 10 July 2008 a left forearm intradermal injection of ADACEL (lot number C2927AA) and a left deltoid intramuscular injection of APLISOL (Parke-Davis, lot number 62418). The reporter stated that the syringes were used incorrectly and that the doses were given by incorrect route. The doses of each vaccine were not reported. The patient had no illness at the time of vaccination and no other vaccines had been given within four weeks prior. On 11 July 2008, one day post-vaccination, the patient''s left forearm showed a large area of redness, soreness, and had an itchy feeling. Six weeks later, the patient had an itchy 2 cm lump in the injection area. The patient''s recovery status was reported as unknown. Follow up information was received on 29 September 2008 from a health care professional. The patient received a first time dose of 0.5 ml of ADACEL and APLISOL 0.01 ml. The patient had received many doses of APLISOL in the past without reaction. On 15 July 2008 the patient received another dose of APLISOL without any reaction. On 27 August 2008 the patient developed itchiness and a small lump approximately 1/4 of an inch. VALAZONE cream 1% was administered without relief. On 17 September 2008 the lump was removed. Based upon new information received, this case was upgraded to serious.

VAERS ID:326838 (history)  Vaccinated:2008-10-01
Age:26.0  Onset:2008-10-01, Days after vaccination: 0
Gender:Female  Submitted:2008-10-02, Days after onset: 1
Location:Georga  Entered:2008-10-02
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: SPRINTEC(BIRTH CONTROL) AND OMEGA 3.
Current Illness: IRREGULAR PERIOD AND HIGH CHOLESTEROL.
Preexisting Conditions: NONE
Diagnostic Lab Data: JUST REPORTED SYMPTOMS OF FEVER AND RASH TO THE DOCTOR ON 10/02/2008.
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURU2810AA1IMRA
Administered by: Private     Purchased by: Private
Symptoms: Pyrexia, Rash, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Hypersensitivity (narrow)
Write-up: THE PATIENT BROKE OUT IN HIVES.

VAERS ID:326982 (history)  Vaccinated:2008-09-12
Age:26.0  Onset:2008-09-12, Days after vaccination: 0
Gender:Female  Submitted:2008-09-15, Days after onset: 3
Location:Unknown  Entered:2008-10-03, Days after submission: 18
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TETANUS DIPHTHERIA (NO BRAND NAME)UNKNOWN MANUFACTURERUZ294BA IMLA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Injection site pain, Injection site swelling, Vaccine positive rechallenge
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: Pt received Tetanus and Diphtheria on 9-12-08 (L) Deltoid. PT came to clinic on 9-15-08 states pain and swelling at injection site X 3 days. States she had previous symptoms from T.D vaccine previous, Pt forgot to notify M.D,. of previous symptoms.

VAERS ID:327024 (history)  Vaccinated:2008-09-16
Age:26.0  Onset:2008-09-29, Days after vaccination: 13
Gender:Female  Submitted:2008-10-01, Days after onset: 2
Location:Unknown  Entered:2008-10-05, 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: NO
Preexisting Conditions: N/A
Diagnostic Lab Data: PATIENT SEEN IN URGENT CARE AND REFERRED TO DERMATOLOGY CLINIC. PUT ON CONVALESCENT LEAVE FOR 1 WEEK.
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
ANTH: ANTHRAX (BIOTHRAX)EMERGENT BIOSOLUTIONSFAV1780SCRA
FLUN3: INFLUENZA (SEASONAL) (FLUMIST)MEDIMMUNE VACCINES, INC.500547P0IN 
SMALL: SMALLPOX (ACAM2000)SANOFI PASTEURVV04-003A1OTLA
Administered by: Military     Purchased by: Military
Symptoms: Activities of daily living impaired, Vaccinia
SMQs:, Dementia (broad)
Write-up: PATIENT HAD GENERALIZED VACCINIA ONSET 11 DAYS AFTER VACCINATION.

VAERS ID:327120 (history)  Vaccinated:2008-09-17
Age:26.0  Onset:2008-09-18, Days after vaccination: 1
Gender:Female  Submitted:2009-09-19, Days after onset: 366
Location:Michigan  Entered:2008-10-06, Days after submission: 348
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Sinus drainage
Preexisting Conditions: Poly Cystic ovarian syndrome; history of migraine; PCN; Ceclor
Diagnostic Lab Data:
CDC 'Split Type': MI2008022
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.0245U0IMRA
TDAP: TDAP (ADACEL)SANOFI PASTEURC2844AA IMLA
Administered by: Public     Purchased by: Public
Symptoms: Injection site erythema, Injection site mass, Injection site pain, Musculoskeletal discomfort, Pain in extremity, Pharyngolaryngeal pain
SMQs:, Rhabdomyolysis/myopathy (broad), Extravasation events (injections, infusions and implants) (broad)
Write-up: Soreness right arm injection site and redness with lump. Lump above collar bone inner aspect near neck. Soreness of right arm. C/O discomfort right side of neck when move head. Advised to consult with healthcare provider - provided with resources. Had viral infection 6 weeks prior to moving to another city. Has been in city for 3 weeks. Complains now of sore throat.

VAERS ID:327186 (history)  Vaccinated:2008-10-03
Age:26.0  Onset:2008-10-04, Days after vaccination: 1
Gender:Female  Submitted:2008-10-06, Days after onset: 2
Location:Georga  Entered:2008-10-06
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Lexapro, Yaz, Reglan, Metformin
Current Illness: N/A
Preexisting Conditions: PCOS, cat and tree allergies. PCN, Keflex and Codiene allergies.
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUARIX)GLAXOSMITHKLINE BIOLOGICALSAFLUA366AA7IMRA
TTOX: TETANUS TOXOID (NO BRAND NAME)SANOFI PASTEURU2294CA2IMLA
Administered by: Public     Purchased by: Private
Symptoms: Injection site swelling, Injection site warmth, Pain in extremity, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: Left arm became sore approximately 24 hours after the Td vaccine was administered in Employee Health at the hospital. Approximately 30 hours after the injection, she developed a fever of 101. Took 800 mg of Motrin with little relief. Site began to swell and has localized fever at site of injection.

VAERS ID:327544 (history)  Vaccinated:2008-08-26
Age:26.0  Onset:2008-09-05, Days after vaccination: 10
Gender:Female  Submitted:2008-10-08, Days after onset: 33
Location:Wisconsin  Entered:2008-10-08
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: NKA
Diagnostic Lab Data: Culture-Gram Positive Staph.
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
SMALL: SMALLPOX (NO BRAND NAME)UNKNOWN MANUFACTURER 0IDLA
Administered by: Military     Purchased by: Military
Symptoms: Culture wound positive, Injection site discharge, Injection site pain, Injection site swelling, Staphylococcus identification test positive
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: Patient was seen in ER on 9/12/08 with c/o green drainage to smallpox vaccination site with swelling and pain. SMV given approximately 20 days earlier, sx began one previous to ER visit. Culture obtained, Demerol and Vistaril given for pain, Cephalexin ordered with orders to follow up. Seen on 9/16/08 with improvement in sx. noted. Given order for Levaquin and Keflex.

VAERS ID:327559 (history)  Vaccinated:2008-10-03
Age:26.0  Onset:0000-00-00
Gender:Female  Submitted:2008-10-08
Location:Nevada  Entered:2008-10-08
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: NONE
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLUN3: INFLUENZA (SEASONAL) (FLUMIST)MEDIMMUNE VACCINES, INC.    
Administered by: Unknown     Purchased by: Military
Symptoms: Drug exposure during pregnancy
SMQs:, Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow)
Write-up: PATIENT WAS GIVEN THE FLUMIST VACCINE WHILE PREGNANT

VAERS ID:327592 (history)  Vaccinated:2008-09-18
Age:26.0  Onset:2008-10-06, Days after vaccination: 18
Gender:Female  Submitted:2008-10-07, Days after onset: 1
Location:Washington  Entered:2008-10-08, Days after submission: 1
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: 11/7/2006~Influenza (FluLaval)~1~24~In Patient
Other Medications: Ibuprofen
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)GLAXOSMITHKLINE BIOLOGICALSAHBVB584AA IMLA
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0988X SCLA
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.0605X SCLA
Administered by: Private     Purchased by: Private
Symptoms: Injection site erythema, Injection site warmth
SMQs:, Extravasation events (injections, infusions and implants) (broad)
Write-up: 10-6-08 red hot spot at injection site- no fever- Temp 98.8 degree F oral. 1545 measure of red spot on Left arm 55mmx50mm. gave BENADRYL 25mg orally- employee already took Ibuprofen. Instruct to take another BENADRYL tonight and return tomorrow for evaluation 10/7/08 1500 employee returned area of erythema now 10cmx5cm. Sent to OCC HLTH for evaluation. Per Dr continue BENADRYL and Ibuprofen. Return tomorrow for evaluation.

VAERS ID:327918 (history)  Vaccinated:2008-10-02
Age:26.0  Onset:2008-10-03, Days after vaccination: 1
Gender:Female  Submitted:2008-10-08, Days after onset: 5
Location:California  Entered:2008-10-09, 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: No
Preexisting Conditions: No
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.0532X1SCLA
Administered by: Private     Purchased by: Private
Symptoms: Erythema
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (broad)
Write-up: 4cm erythematous area along the left upper extremity at where immunization given

VAERS ID:328037 (history)  Vaccinated:2008-09-17
Age:26.0  Onset:2008-10-06, Days after vaccination: 19
Gender:Female  Submitted:2008-10-10, Days after onset: 4
Location:Georga  Entered:2008-10-10
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:
Diagnostic Lab Data: HCG - Serum
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
ANTH: ANTHRAX (BIOTHRAX)EMERGENT BIOSOLUTIONSFAV1450IMRA
SMALL: SMALLPOX (ACAM2000)SANOFI PASTEURW04003A0IDLA
Administered by: Military     Purchased by: Military
Symptoms: Drug exposure during pregnancy, Pregnancy, Pregnancy test positive
SMQs:, Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow), Normal pregnancy conditions and outcomes (narrow)
Write-up: Pregnant

VAERS ID:328064 (history)  Vaccinated:2008-09-30
Age:26.0  Onset:2008-10-02, Days after vaccination: 2
Gender:Female  Submitted:2008-10-10, Days after onset: 8
Location:Texas  Entered:2008-10-10
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Allergic to Latex and Penicillin
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (NO BRAND NAME)UNKNOWN MANUFACTURER    
Administered by: Military     Purchased by: Unknown
Symptoms: Asthenia, Cough, Dysphonia, Dyspnoea, Headache, Local swelling, Pharyngeal oedema, Swelling face, Vision blurred, Wheezing
SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), Asthma/bronchospasm (broad), Anticholinergic syndrome (broad), Parkinson-like events (broad), Oropharyngeal allergic conditions (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Glaucoma (broad), Cardiomyopathy (broad), Lens disorders (broad), Eosinophilic pneumonia (broad), Retinal disorders (broad), Hypersensitivity (narrow)
Write-up: I am allergic to latex. Did inform nurse of it.Began to swell around throat and neck and face three days after injection. Difficulty breathing, hoarseness in voice. Wheezing, very weak could not stay awake. Cough, headache and blurred vision. Treated by self as a cold, once the breathing worsened went to see physician.

VAERS ID:328087 (history)  Vaccinated:2007-05-11
Age:26.0  Onset:2007-06-15, Days after vaccination: 35
Gender:Female  Submitted:2008-10-10, Days after onset: 483
Location:California  Entered:2008-10-10
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Yasmin, Midrin
Current Illness: none
Preexisting Conditions: none PMH: obesity, seasonal allergy, asthma, migraines. Family hx: RA, scleroderma & unknown autoimmune diseases.
Diagnostic Lab Data: LABS: RF 19.7(H). ESR 31(H) ANA neg. (+)anti-CCP. CRP 2.4. X-ray & MRI right wrist abnormal.
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.UNKNOWN2IMLA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Antinuclear antibody negative, Arthralgia, C-reactive protein increased, Erythema, Insomnia, Joint swelling, Musculoskeletal stiffness, Nuclear magnetic resonance imaging abnormal, Red blood cell sedimentation rate increased, Rheumatoid arthritis, Rheumatoid factor increased, Skin nodule, Tenosynovitis, X-ray limb abnormal
SMQs:, Anaphylactic reaction (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), Osteonecrosis (broad), Hypersensitivity (broad), Arthritis (narrow)
Write-up: Three injections in HPV4 (Human papillomavirus, quadrivalent) series provided on 01/07/2008, 08/08/2007, 05/11/2007. Began to experience gradually increasing joint pain in June 2007, with nodule formation (on right wrist) by August 2007. Joint pain, swelling, redness increased until diagnosed with rheumatoid arthritis in September 2008. 12/22/08 Reviewed PCP clinic records. FINAL DX:Rheumatoid arthritis; right wrist tenosynovitis. Records reveal patient experienced right wrist pain since 2/07. PRogressed to include multiple joints w/AM stiffness, difficulty sleeping due to pain. Seen by PCP, PT & ortho. Failed conservative treatment. Referred to Rheum & seen 8/08 & second opinion 9/08. Tx w/steroids & antiarthritis meds. Responded well to steroids & continued arthritis meds w/intermittent use of steroids.

VAERS ID:328348 (history)  Vaccinated:2007-10-17
Age:26.0  Onset:2007-10-29, Days after vaccination: 12
Gender:Female  Submitted:2008-10-13, Days after onset: 350
Location:Arizona  Entered:2008-10-13
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: none
Preexisting Conditions: none. PMH: none
Diagnostic Lab Data: bloodwork, including tests for toxins. Labs and Diagnostics: Brain MRI WNL. CBC WNL. Albumin 2.9. T protein 5.9. ALT 9. Drug screen (-). Labs: Lead & Mercury levels high.
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC. 0IMRA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Abnormal behaviour, Alanine aminotransferase normal, Bipolar I disorder, Blood albumin decreased, Blood lead increased, Blood mercury abnormal, Blood test, Cognitive disorder, Confusional state, Crying, Delusion, Depression, Drug screen negative, Feeling abnormal, Headache, Impaired work ability, Lethargy, Mania, Memory impairment, Mental status changes, Metal poisoning, Mood swings, Nuclear magnetic resonance imaging brain normal, Obsessive thoughts, Protein total decreased, Speech disorder, Stress, Toxicologic test
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Psychosis and psychotic disorders (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hostility/aggression (broad), Cardiomyopathy (broad), Depression (excl suicide and self injury) (narrow)
Write-up: My daughter was given the 3 Gardasil vaccinations. They were given over a 6 month time, beginning in October of 2007. Shortly after receiving the first injection, she complained of feeling "thick-headed" and had difficulty comprehending things. She had started a new job, that was similar to a previous one, but couldn''t seem to grasp what was being told. Following the second injection, she began having frequent crying spells, continued feelings of confusion, and she broke up with a then boyfriend, and quit her job. This was the first time she hadn''t worked since she was 15 years old. She began a new job in March, after taking a couple months off. Things were going OK, until she received the third injection in April. By July, she was exhibiting confusion and mania. She was taken to see her family physician, who advised seeing a psychiatrist. She was told that she was having a "manic episode and was possibly bipolar." By the end of Aug. it was necessary to hospitalize her for treatment. In the interim, she was diagnosed with having high mercury levels in her blood and adipose tissue. A decision was made to treat her for an acute immune response, due to the combination of the reaction to the Gardasil injections, mercury levels and stress. Every physician who had seen her asked the same questions about her past medical history, and every one of them, consisting of MD''s, a DO, and 2 Naturopaths felt that her illness was due to an acute reaction, or a combination of "things" that overwhelmed her body. She is now on psychiatric drugs, and is receiving supportive care from the Naturopaths. The hope is to detoxify her body. She has not had any previous issues with mental instability. 11/21/2008 MR received for DOS 8/29-9/01/2008 with D/C DX: Bipolar Disorder with Manic and Delusion, resolved. Pt presented to ER after escalating bizzare behaviors, mania and delusions. Neurology consult reports changes in mental status and behavior began in Oct 2007 following receipt of HPV vaccine. Impression: Acute manic episode in a person with underlying bipolar disorder. Started on anti-psychotic meds and D/c for outpt tx 9/1/08. 12/24/08 MR received from naturopathic ND. Pt presented 8/28/08 with c/o progressive behavior changes since receiving Gardasil vaccinations. Pt with manic behaviors, babbling speech, obsessions and fluctuating mood. Pt readmitted 9/8-18/08 for bizzare behaviors. Tx for mercury and lead toxicity. Pt sx improving by 10/2/08 with new c/w headache/pressure. Dx: Bipolar 2'' to mercury toxicity. 1/27/2010 Patient continues to have issues with lethargy, depression, cognitive functions and short term memory recall. She has improved, but is still not "like she was" before the series of (3) of GARDASIL injections.

VAERS ID:328416 (history)  Vaccinated:2008-09-29
Age:26.0  Onset:2008-09-29, Days after vaccination: 0
Gender:Female  Submitted:2008-10-14, Days after onset: 15
Location:Nebraska  Entered:2008-10-14
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: N/A
Current Illness: N/A
Preexisting Conditions: N/A
Diagnostic Lab Data: N/A
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURU2757AA0IMRA
Administered by: Public     Purchased by: Private
Symptoms: Blister
SMQs:, Severe cutaneous adverse reactions (broad), Hypersensitivity (broad)
Write-up: was given influenza vaccine and developed 15mm multiple blisters to right deltoid. No treatment needed. No other signs or symptoms.

VAERS ID:328460 (history)  Vaccinated:2008-09-24
Age:26.0  Onset:2008-09-29, Days after vaccination: 5
Gender:Female  Submitted:2008-10-14, Days after onset: 15
Location:Unknown  Entered:2008-10-14
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: Urinalysis, CBC, and Blood Culture , all negative.
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (ADACEL)SANOFI PASTEURC2774AA0IMRA
Administered by: Private     Purchased by: Private
Symptoms: Back pain, Blood culture negative, Full blood count normal, Headache, Nausea, Pyrexia, Urine analysis normal
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)
Write-up: High Fever, headache and back pain, nausea

VAERS ID:328536 (history)  Vaccinated:2008-09-11
Age:26.0  Onset:2008-09-11, Days after vaccination: 0
Gender:Female  Submitted:2008-09-15, Days after onset: 4
Location:Washington  Entered:2008-10-15, Days after submission: 30
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPVX: HPV (NO BRAND NAME)UNKNOWN MANUFACTURER    
TDAP: TDAP (NO BRAND NAME)UNKNOWN MANUFACTURER    
Administered by: Private     Purchased by: Private
Symptoms: Local reaction
SMQs:
Write-up: Large, local reaction left upper arm.

VAERS ID:328603 (history)  Vaccinated:2008-10-15
Age:26.0  Onset:2008-10-15, Days after vaccination: 0
Gender:Female  Submitted:2008-10-15, Days after onset: 0
Location:Florida  Entered:2008-10-15
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: N/A
Preexisting Conditions: Allergic PCN
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.0573X1IMLA
Administered by: Private     Purchased by: Unknown
Symptoms: Blood glucose normal, Convulsion, Gaze palsy, Hyperhidrosis, Muscle rigidity, Pallor
SMQs:, Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Convulsions (narrow), Parkinson-like events (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Ocular motility disorders (narrow), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (narrow)
Write-up: Patient had seizure following gardasil injection. BP 156/86, pale, eyes rolling, rigid, diaphoretic, EMT called, blood sugar 82, refused transport to ER, appointment made with primary doctor for evaluation same day.

VAERS ID:328716 (history)  Vaccinated:2008-01-08
Age:26.0  Onset:2008-01-08, Days after vaccination: 0
Gender:Female  Submitted:2008-10-08, Days after onset: 273
Location:Texas  Entered:2008-10-15, Days after submission: 7
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: vitamins (unspecified)
Current Illness: Pregnancy NOS (LMP = 12/17/2007) Renal disorder
Preexisting Conditions:
Diagnostic Lab Data: diagnostic laboratory - blood work and OB profile (result not reported); ultrasound 02/07/08 - pregnant
CDC 'Split Type': WAES0806USA02213
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.1266U0IMUN
Administered by: Other     Purchased by: Other
Symptoms: Blood test, Drug exposure during pregnancy, Hydronephrosis, Ultrasound antenatal screen, Ureteric obstruction, Uterine contractions during pregnancy
SMQs:, Retroperitoneal fibrosis (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 the Merck Pregnancy Registry for GARDASIL via a medical assistant concerning a 26 year old white female with "kidney problems" who on 08-JAN-2008 was vaccinated IM with a first 0.5ml dose of GARDASIL vaccine (Lot # 659437/1266U) and was " 4 weeks pregnant at the time of the vaccine." Last menstrual period was approximately 10-DEC-2007. Estimated date of delivery is 15-SEP-2008. There were no concomitant medications. No adverse event occurred. Laboratory studies performed were "blood work" and an "OB profile" (results not reported). The patient sought unspecified medical attention. At the time of the report the outcome was unknown. Follow-up information was received indicating that on 30-AUG-2008, the patient delivered a normal baby. During pregnancy, the patient had hydronephrosis and obstructed right ureter. She also received terbutaline sulfate 2.5 mg every 4 hours on 04-AUG-2008 for contractions. The patient took prenatal vitamins during pregnancy. No diagnostic tests during pregnancy. There were no complications during labor/delivery. Additional information has been requested.

VAERS ID:328904 (history)  Vaccinated:0000-00-00
Age:26.0  Onset:0000-00-00
Gender:Female  Submitted:2008-10-08
Location:Unknown  Entered:2008-10-15, Days after submission: 7
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Pap test, abnormal
CDC 'Split Type': WAES0809USA01526
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC. 2UNUN
Administered by: Other     Purchased by: Other
Symptoms: Smear cervix abnormal
SMQs:
Write-up: Information has been received from a nurse concerning an under 26 year old female who was vaccinated with three shot series of GARDASIL. The patient went to the physician''s office for her next annual visit and an abnormal PAP was detected. This is one of two cases reported from the same source. Additional information has been requested.

VAERS ID:328812 (history)  Vaccinated:2008-10-06
Age:26.0  Onset:2008-10-07, Days after vaccination: 1
Gender:Female  Submitted:2008-10-16, Days after onset: 9
Location:Oregon  Entered:2008-10-16
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Allergy to Latex
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUARIX)GLAXOSMITHKLINE BIOLOGICALS  UNUN
Administered by: Private     Purchased by: Private
Symptoms: Activities of daily living impaired, Asthenia, Dizziness, Fatigue, Headache, Nasal congestion
SMQs:, Anticholinergic syndrome (broad), Dementia (broad), Guillain-Barre syndrome (broad), Vestibular disorders (broad)
Write-up: Day after injection; weak/tired - stuffy nose. Weakness increased and went home from work. Wednesday AM - Dizzy spells and felt "drained" Wednesday thru Saturday: Headache

VAERS ID:329546 (history)  Vaccinated:2007-12-19
Age:26.0  Onset:2007-12-20, Days after vaccination: 1
Gender:Female  Submitted:2008-10-14, Days after onset: 298
Location:Unknown  Entered:2008-10-17, Days after submission: 3
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Penicillin allergy
Preexisting Conditions: Genital herpes
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0809USA01386
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.1267U0IMUN
Administered by: Other     Purchased by: Other
Symptoms: Genital herpes, Vaccine positive rechallenge
SMQs:
Write-up: Information has been received from a registered nurse concerning a 26 year old female with an amoxicillin allergy and a history of genital herpes who on 19-DEC-2007 was intramuscularly vaccinated with the first 0.5 mL dose of GARADSIL (lot # 659439/1267U), on 11-MAR-2008 was intramuscularly vaccinated with the second 0.5 mL dose of GARDASIL (lot # 659182/1757U) and on 21-AUG-2008 was intramuscularly vaccinated with the third 0.5 mL dose of GARDASIL (lot # 66012/0229X). There was no concomitant medication. The patient developed a mild outbreak of her genital herpes about one day after being vaccinated with doses one and two of GARDASIL. About two weeks after her third dose of the series, the patient had a more severe outbreak that required treatment with VALTREX. The patient was seen in the office. At the time of reporting, the patient was recovering. No product quality complaint was involved. Additional information has been requested.

VAERS ID:329571 (history)  Vaccinated:2008-04-24
Age:26.0  Onset:2008-08-14, Days after vaccination: 112
Gender:Female  Submitted:2008-10-14, Days after onset: 61
Location:Hawaii  Entered:2008-10-17, Days after submission: 3
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: cervical smear, 04/24/08, LSIL
CDC 'Split Type': WAES0809USA01591
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.1967U1UNUN
Administered by: Other     Purchased by: Other
Symptoms: Cervical dysplasia, Smear cervix abnormal
SMQs:, Reproductive premalignant disorders (narrow), Uterine and fallopian tube malignant tumours (broad)
Write-up: Information has been received from a physician concerning a 26 year old female with no allergies who on 28-FEB-2008 was vaccinated with the first dose of GARDASIL (LOT #659182/1757U). On 24-APR-2008 the patient was vaccinated with the second dose of GARDASIL (lot # 660387/1967U). On the same day PAP smear test was performed. On 14-AUG-2008 the patient was vaccinated with the third dose of GARDASIL (lot # 660391/0063X). At the time she was informed of the results of the PAP smear test done on 24-APR-2008 which showed Low Grade Squamous Intraepithelial Lesion. There was no concomitant medication. The patient sought medical attention in the office. The patient was scheduled for follow-up and colposcopy. Additional information has been requested.

VAERS ID:329676 (history)  Vaccinated:0000-00-00
Age:26.0  Onset:0000-00-00
Gender:Female  Submitted:2008-10-14
Location:Unknown  Entered:2008-10-17, Days after submission: 3
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: None
Diagnostic Lab Data: Pap test, positive for HPV
CDC 'Split Type': WAES0809USA02100
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC. 1UNUN
Administered by: Other     Purchased by: Other
Symptoms: Cervical dysplasia, Human papilloma virus test positive, Smear cervix abnormal
SMQs:, Reproductive premalignant disorders (narrow), Uterine and fallopian tube malignant tumours (broad)
Write-up: Information has been received from a certified nurse midwife concerning her daughter''s friend a 26 year old female with no pertinent medical history reported who on unspecified dates was vaccinated with the first and second doses of GARDASIL. After 2 doses of GARDASIL, the patient experienced an atypical squamous cells of undetermined significance. A PAPANICOLAOU test was performed which was positive for HPV. The friend''s physician has recommended a cervical biopsy. Additional information has been requested.

VAERS ID:329725 (history)  Vaccinated:2008-09-19
Age:26.0  Onset:2008-09-22, Days after vaccination: 3
Gender:Female  Submitted:2008-10-14, Days after onset: 22
Location:Unknown  Entered:2008-10-17, Days after submission: 3
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: None
CDC 'Split Type': WAES0809USA03899
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.0152X1IMUN
Administered by: Other     Purchased by: Other
Symptoms: Rash
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow)
Write-up: Information has been received from a physician concerning a 26 year old female with no medical history who on 19-Sep-2008 was vaccinated with second dose of GARDASIL (Lot number reported as 0152X). The patient received her first dose of GARDASIL in JUL (year unspecified). On 22-Sep-2008 the patient experienced rash. No lab diagnostics studies were performed for the patient. It was unspecified if the patient received any concomitant therapy. However, the patient did not experience any rash after the 1st dose. The physician told the patient to take BENADRYL for the rash. The patient informed the physician that once the BENADRYL wears off the rash come back. The patient did not recover from the rash. Additional information has been requested.

VAERS ID:330469 (history)  Vaccinated:2008-09-15
Age:26.0  Onset:2008-09-15, Days after vaccination: 0
Gender:Female  Submitted:2008-10-14, Days after onset: 29
Location:Iowa  Entered:2008-10-17, Days after submission: 3
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Contraception
Preexisting Conditions:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0809USA04151
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.0843X1UNLA
Administered by: Other     Purchased by: Other
Symptoms: Headache, Paraesthesia, Vision blurred
SMQs:, Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Glaucoma (broad), Lens disorders (broad), Retinal disorders (broad)
Write-up: Information has been received from a physician concerning a 26 year old female who was vaccinated the first 0.5ml dose of GARDASIL vaccine (yeast) (MSD) on 17-JUL-2008. On 15-SEP-2008 the patient was vaccinated the second 0.5 ml dose of GARDASIL vaccine (yeast( (MSD) in the left arm. The patient took oral contraceptive (unspecified). A few hours later on 15-SEP-2008, the patient had a headache and blurry vision. The patient laid down and later woke up the tingling of right hand. The tingling resolved in 15 minutes. No treatment required. At time of report, the patient recovered on an unspecified date. The patient sought medical attention by phone. Additional information has been requested.

VAERS ID:330500 (history)  Vaccinated:2008-08-27
Age:26.0  Onset:2008-08-30, Days after vaccination: 3
Gender:Female  Submitted:2008-10-14, Days after onset: 45
Location:Unknown  Entered:2008-10-17, Days after submission: 3
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: None
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0809USA04564
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC. 0UNUN
Administered by: Other     Purchased by: Other
Symptoms: Menstruation irregular
SMQs:, Fertility disorders (broad)
Write-up: Information has been received from a 26 year old female who on 27-AUG-2008 was vaccinated with the first dose of GARDASIL. The patient had a menstrual period on 06-AUG-2008 and next period on 30-AUG-2008. Her periods are normally regular. The patient did not seek medical attention. Additional information is not expected.

VAERS ID:330733 (history)  Vaccinated:2007-08-01
Age:26.0  Onset:2008-09-09, Days after vaccination: 405
Gender:Female  Submitted:2008-10-14, Days after onset: 35
Location:Unknown  Entered:2008-10-17, Days after submission: 3
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: unknown
Current Illness: Unknown
Preexisting Conditions: Unknown
Diagnostic Lab Data: Pap test, 09/09/2008, positive, mild dysplasia
CDC 'Split Type': WAES0810USA00056
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC. 2IMUN
Administered by: Other     Purchased by: Other
Symptoms: Dysplasia, Smear cervix abnormal
SMQs:, Premalignant disorders, general conditions and other site specific disorders (narrow)
Write-up: Information has been received from a consumer concerning her 26 year old daughter who in 2007 was vaccinated with the three doses of GARDASIL third dose was in August 2007. There was no concomitant medication. On approximately 09-Sep-2008, the patient had a Papanicolaou test positive and revealed mild dysplasia. As of 30-Sep-2008, the patient had not recovered. The patient sought unspecified medical attention. No additional information is expected.

VAERS ID:329112 (history)  Vaccinated:0000-00-00
Age:26.0  Onset:0000-00-00
Gender:Female  Submitted:2008-10-17
Location:Washington  Entered:2008-10-20, Days after submission: 3
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Pregnancy NOS (LMP = Unknown)
Preexisting Conditions:
Diagnostic Lab Data: diagnostic laboratory, FYA antibodies; serum ANA, positive, first termination; serum ANA, negative, second termination
CDC 'Split Type': WAES0810USA02664
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.  UNUN
Administered by: Other     Purchased by: Other
Symptoms: Abortion spontaneous, Antibody test positive, Antinuclear antibody positive, Drug exposure during pregnancy, Uterine dilation and curettage, Vaccine positive rechallenge
SMQs:, Systemic lupus erythematosus (narrow), Vasculitis (broad), Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow), Termination of pregnancy and risk of abortion (narrow), Hypersensitivity (broad)
Write-up: Information has been received from a physician for the pregnancy registry for GARDASIL concerning a 26 year old female who on an unspecified date was inadvertently vaccinated with GARDASIL while pregnant. After the patient received GARDASIL, she had a spontaneous termination at 6 weeks and 5 days from the last menstrual period. The patient had FYA antibodies (noted to be abnormal antibodies indicative of an autoimmune disorder). She was antinuclear antibodies test (ANA) negative with this second termination. the patient was not hospitalized. Subsequently the patient recovered. She had dilation and curettage (D & C) following the spontaneous termination. The reporter didn''t necessarily think it was linked but she could not understand the connection to GARDASIL, and she could not find any other reason for the termination. Upon internal review the patient''s spontaneous termination was determined to be an other important medical event. The patient also had a first spontaneous termination after the vaccination at 13 weeks from the last menstrual period. (WAES# 0810USA01794) Additional information has been requested.

VAERS ID:329114 (history)  Vaccinated:0000-00-00
Age:26.0  Onset:0000-00-00
Gender:Female  Submitted:2008-10-17
Location:Washington  Entered:2008-10-20, Days after submission: 3
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Pregnancy NOS (LMP = Unknown)
Preexisting Conditions:
Diagnostic Lab Data: diagnostic laboratory, FYA antibodies; serum ANA, positive-first termination; serum ANA, negative-second termination
CDC 'Split Type': WAES0810USA01794
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.  UNUN
Administered by: Other     Purchased by: Other
Symptoms: Abortion spontaneous, Antibody test, Antinuclear antibody positive, Drug exposure during pregnancy, Uterine dilation and curettage, Vaccine positive rechallenge
SMQs:, Systemic lupus erythematosus (narrow), Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow), Termination of pregnancy and risk of abortion (narrow)
Write-up: Information has been received from a physician for the pregnancy registry for GARDASIL concerning a 26 year old female who on an unspecified date was inadvertently vaccinated with GARDASIL while pregnant. After the patient received GARDASIL, she had a spontaneous termination at 13 weeks from the last menstrual period. The patient had FYA antibodies (noted to be abnormal antibodies indicative of an autoimmune disorder). She was antinuclear antibodies test (ANA) positive with the first termination. The patient was not hospitalized. Subsequently the patient recovered. She had dilation and curettage (D &C) following the spontaneous termination. The reporter didn''t necessarily think it was linked but she could not understand the connection to GARDASIL, and she could not find any other reason for the termination. Upon internal review the patient''s spontaneous termination was determined to be an other important medical event. The patient also had a second spontaneous termination after the vaccination at 6 weeks and 5 days from the last menstrual period. (WAES# 0810USA02664). Additional information has been requested.

VAERS ID:329181 (history)  Vaccinated:2008-09-19
Age:26.0  Onset:2008-09-21, Days after vaccination: 2
Gender:Female  Submitted:2008-09-22, Days after onset: 1
Location:Oregon  Entered:2008-10-20, Days after submission: 28
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data:
CDC 'Split Type': OR200829
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)GLAXOSMITHKLINE BIOLOGICALS0398X0IMRA
HEPA: HEP A (HAVRIX)GLAXOSMITHKLINE BIOLOGICALSAHAVB236AA0IMRA
TDAP: TDAP (ADACEL)SANOFI PASTEURC2965AA0IMLA
Administered by: Public     Purchased by: Public
Symptoms: Erythema, Pyrexia, Rash
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Hypersensitivity (narrow)
Write-up: 9/22/08 1:15 PM call from client - says has red rash "under skin" on trunk. Began evening 9/21/08. Does not feel ill. Had fever (undocumented) on Fri, 9/19/08 few hours after vaccines. Took TYLENOL and resolved. Recommended client to see MD today for rash eval. Call back and let us know result.

VAERS ID:329216 (history)  Vaccinated:2008-08-15
Age:26.0  Onset:2008-09-15, Days after vaccination: 31
Gender:Female  Submitted:2008-10-20, Days after onset: 35
Location:Pennsylvania  Entered:2008-10-20
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: lithium seroquel
Current Illness: none
Preexisting Conditions: bipolar
Diagnostic Lab Data: MRI Byopsy surgury 11/12/08-records received-Pathology report:focally large lymphoid cells, benign diagnosis, mature adipose tissue consistent with lipoma.
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.1968U0IMLA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Biopsy, Injection site mass, Lipoma, Lipoma excision, Nuclear magnetic resonance imaging
SMQs:, Extravasation events (injections, infusions and implants) (broad), Lipodystrophy (broad)
Write-up: I received Gardasil Vac. on August 15, 2008. I received the injection in my upper left arm. A(back side) 30 Days later I went to my Family Doctor for a growth that was right where I recieved the injection. Upper left arm. (back side). September 18 2008, I went to a surgeon September 26 2008 MRI, and then October 3 2008 I had Surgury. October 14 2008 had follow up with surgeon. She told me to tell the doctor who gave the injection to me. I did and they contacted Merck. Now I am telling you because I was told to. 11/12/08-records received for DOS 10/3/08-DX: Left upper arm mass. Left upper arm mass excision with biopsy.

VAERS ID:329236 (history)  Vaccinated:2008-10-15
Age:26.0  Onset:2008-10-15, Days after vaccination: 0
Gender:Male  Submitted:2008-10-20, Days after onset: 5
Location:California  Entered:2008-10-20
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: none
Diagnostic Lab Data: First time receiving the vaccine.No labs drawn.ER Physcian felt no treatment necessary.
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEUR    
Administered by: Private     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: Redness ans sewlling to sight diminished with in 24 hours.

VAERS ID:329246 (history)  Vaccinated:2008-04-09
Age:26.0  Onset:2008-04-18, Days after vaccination: 9
Gender:Female  Submitted:2008-10-20, Days after onset: 185
Location:Ohio  Entered:2008-10-20
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Got Tuberculosis test on 3-31-08. Read negative on 4-2-08
Current Illness: healthy
Preexisting Conditions: none known
Diagnostic Lab Data: Bloodwork: positive for Rheumatoid Arthritis. But have not had any other signs or symptoms since then, and it is now 6 months later.
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAP: DTAP (NO BRAND NAME)UNKNOWN MANUFACTURERUN UNLA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Arthralgia, Blood test abnormal, Inappropriate schedule of drug administration, Injection site pain, Joint stiffness, Rheumatoid arthritis
SMQs:, Extravasation events (injections, infusions and implants) (broad), Arthritis (narrow)
Write-up: 4/9/08 Recieved TDAP: normal soreness at injection site 4/18/08 Knees felt stiff and took effort to get up and down 4/19/08 Joint paint in knees, elbows, wrist, shoulers, ankles when used to apply force; could not function normally: opening objects, brush hair, climb steps, put on seat belt (took advil and did not help joint pain. no other symptoms) 4/20/08 went to E.R. Examined by intern: wanted to do blood work but had to check with attending first. Examined by attending: told me to take motrin and sent me home. (I am VERY frustrated at this point because nothing is helping the pain, and the ammount of money I spent at the E.R. to get no answers) 4/21/08 Joint pain was now in virtually every joint in body progressing to jaw, fingers, toes etc. Called Med Center to make appointment with my dr and couldn''t get in until Wednesday 4/23/08 Joint pain was begining to go away...latest joint pain occurring was first to go away. Dr ordered blood work. 4/25/08 Joint pain was now localized where it originally started: knees and ankles. Blood work came back that my count for Rhematoid arthritis was over 40. It is now in October and I have not had any of the above signs or symptoms.

VAERS ID:329395 (history)  Vaccinated:2008-10-18
Age:26.0  Onset:2008-10-19, Days after vaccination: 1
Gender:Female  Submitted:2008-10-21, Days after onset: 2
Location:Pennsylvania  Entered:2008-10-21
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: Allergie to Penicillin
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURU2806AA IMRA
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.0870X IMLA
Administered by: Public     Purchased by: Private
Symptoms: Erythema, Oedema peripheral, Pain in extremity, Skin warm
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad)
Write-up: Patient recieved vaccine on 10/18/08 at our store flu clinic. She said that the following day when she woke-up her right arm was very red, warm, and swollen from the shoulder to her elbow. She took Benadrly and Ibuprofen for the swelling and pain but it did not seem to help. She came into the pharmacy on sunday 10/19/08 to show me her arm and I referred her to EPN Urgent care accross the street to have them take a look at it. They told her that she should continue to take Benadryl and Ibuprofen and that it did look like cellulitus but they did not think it was bacterial. They also told her to follow-up with her PCP if it did not provide any relief or got worse after 2 days. Patient stopped by pharmacy yesterday and stated that it was really not getting any better, from my perspective it appeared the same, and she was going to call her PCP to make an appointment. I called the patient today to see what if any progress was made and am currently waiting to hear back.

VAERS ID:329524 (history)  Vaccinated:2008-09-08
Age:26.0  Onset:2008-09-08, Days after vaccination: 0
Gender:Female  Submitted:2008-10-14, Days after onset: 36
Location:Unknown  Entered:2008-10-21, 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: SEASONALE; CLARITIN
Current Illness: Sulfonamide allergy
Preexisting Conditions:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0809USA02657
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.0279X1IMUN
Administered by: Other     Purchased by: Other
Symptoms: Head injury, Nuclear magnetic resonance imaging, 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: Information has been received from a registered nurse concerning a 26 year old female with sulfonamide allergy who on 08-SEP-2008 was vaccinated IM with the second 0.5ml dose of GARDASIL (lot #: 660555/0279X). Concomitant therapy included CLARITIN and SEASONALE. On 08-SEP-2008 the patient fainted and hit her head after she received the second dose of GARDASIL. The patient was still at the physician''s office when she fainted and received unspecified medical attention. The date of administration and the lot number for the first dose was unspecified. Magnetic resonance imaging was performed, the result was not reported. No further information is available.

VAERS ID:329766 (history)  Vaccinated:2008-09-29
Age:26.0  Onset:0000-00-00
Gender:Female  Submitted:2008-10-15
Location:Pennsylvania  Entered:2008-10-23, Days after submission: 8
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Pt is pregnant. Was 32 wks 1 day at time of vaccination.
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURU2758AA0IMRA
Administered by: Private     Purchased by: Private
Symptoms: Drug exposure during pregnancy, Incorrect dose administered
SMQs:, Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow)
Write-up: Pt was inadvertently given 1mL dose of INFLUENZA vaccine instead of correct 0.5 dose. Pt reported no skin reaction and no adverse events.

VAERS ID:329853 (history)  Vaccinated:2008-10-22
Age:26.0  Onset:2008-10-22, Days after vaccination: 0
Gender:Female  Submitted:2008-10-23, Days after onset: 1
Location:Utah  Entered:2008-10-23
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURU2809AA0UNRA
Administered by: Other     Purchased by: Private
Symptoms: Chest discomfort, Swelling face, Urticaria
SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), Hypersensitivity (narrow)
Write-up: Hives, facial swelling and chest tightness occurred within 24 hours. Treated with Benadryl OTC at home and Benadryl 50mg IM at clinic.

VAERS ID:329998 (history)  Vaccinated:2008-10-02
Age:26.0  Onset:2008-10-04, Days after vaccination: 2
Gender:Female  Submitted:2008-10-26, Days after onset: 22
Location:Florida  Entered:2008-10-26
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (AFLURIA)CSL LIMITED01149111A1IMLA
Administered by: Public     Purchased by: Private
Symptoms: Erythema, Eye swelling, Eyelid oedema, Influenza like illness, Skin warm, Swelling face
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Periorbital and eyelid disorders (narrow), Hypersensitivity (narrow)
Write-up: 2 days following vaccine, slu like symptoms developed in the a.m. After noon, redness and heat in face developed. Early evening, swelling in face and under eyes developed. No fever. 3 days following vaccine, eye lids swollen; eyes swollen shut. Treated self with Benadryl. Did not seek medical attention. Day 4-5, swelling subsided.

VAERS ID:329999 (history)  Vaccinated:2008-10-25
Age:26.0  Onset:2008-10-25, Days after vaccination: 0
Gender:Female  Submitted:2008-10-26, Days after onset: 1
Location:California  Entered:2008-10-26
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: high fever~Influenza (Fluzone)~1~26~In Patient
Other Medications: no
Current Illness: no
Preexisting Conditions: no
Diagnostic Lab Data: normal
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FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEUR492810382150IMLA
Administered by: Public     Purchased by: Private
Symptoms: Body temperature increased, Headache, Malaise
SMQs:, Neuroleptic malignant syndrome (broad)
Write-up: I received the vaccination around 1:00 pm on saturday. About 1 hour after that started to get a headache. For the rest of the day I felt ill, then around 8:00pm that night I took my temp and it was 99.9. Around 10pm I took my temp again and it was 104. I then preceeded to take 400 mg of motrin, then again at 11:00pm due to my temp being around 102. This morning (Sunday) my temp is at 100-101.

VAERS ID:330257 (history)  Vaccinated:2007-08-06
Age:26.0  Onset:2007-08-06, Days after vaccination: 0
Gender:Female  Submitted:2008-10-27, Days after onset: 448
Location:Colorado  Entered:2008-10-28, 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: None
Current Illness: Pregnancy NOS (LMP = 6/29/2007); Anxiety; Hay fever
Preexisting Conditions:
Diagnostic Lab Data: ultrasound, 09/13?/07 - demise from 2 weeks prior
CDC 'Split Type': WAES0708USA04844
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HPV4: HPV (GARDASIL)MERCK & CO. INC.0929U0IMUN
Administered by: Other     Purchased by: Other
Symptoms: Abortion spontaneous, Drug exposure during pregnancy, Ultrasound scan abnormal
SMQs:, Malignancy related therapeutic and diagnostic procedures (narrow), Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow), Termination of pregnancy and risk of abortion (narrow)
Write-up: Initial and follow-up information has been received from the Merck Pregnancy Registry via a registered nurse and a physician concerning a 26 year old female with anxiety and hay fever who on 06-AUG-2007 was vaccinated intramuscularly with a 0.5 ml first dose of GARDASIL (lot # 658282/0929U). There was no concomitant medication. On 24-AUG-2007 the patient was seen in the office for pregnancy. The patient''s last menstrual period was on 29-JUN-2007 (previously reported as 15-JUN-2008) and the estimated date of delivery on 21-MAR-2008. The physician reported that the patient had a miscarriage at 8 weeks and 6 days, on 29-AUG-2007. An ultrasound was done at 10 weeks, approximately on 13-Sep-2007, which showed demise from 2 weeks prior. Upon internal review, miscarriage was considered an other important medical event. Additional information is not expected.

VAERS ID:330586 (history)  Vaccinated:2008-10-11
Age:26.0  Onset:2008-10-11, Days after vaccination: 0
Gender:Female  Submitted:2008-10-29, Days after onset: 18
Location:Ohio  Entered:2008-10-29
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: asthma, allergic to amoxicillan
Diagnostic Lab Data:
CDC 'Split Type':
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FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)UNKNOWN MANUFACTURERUNKNOWN0UNLA
Administered by: Unknown     Purchased by: Private
Symptoms: Asthenia, Eye swelling, Fatigue, Pharyngeal oedema, Pruritus, Swollen tongue, Urticaria, Wheezing
SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), Asthma/bronchospasm (broad), Oropharyngeal allergic conditions (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Eosinophilic pneumonia (broad), Hypersensitivity (narrow)
Write-up: Hives, itching, swollen tongue, swollen eyes, weakness, wheezing, swollen throat, tiredness

VAERS ID:330612 (history)  Vaccinated:2008-10-21
Age:26.0  Onset:2008-10-21, Days after vaccination: 0
Gender:Male  Submitted:2008-10-29, Days after onset: 8
Location:Michigan  Entered:2008-10-29
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: n/a
CDC 'Split Type':
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FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURU2745AA IMLA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Arthralgia
SMQs:, Arthritis (broad)
Write-up: Polyarthralgia in hips, knees, shoulders and elbow with moderate severity for 3 days and minimal severity for 3 additional days. Patient used Motrin for pain, which helped mildly.

VAERS ID:330785 (history)  Vaccinated:2008-10-28
Age:26.0  Onset:2008-10-29, Days after vaccination: 1
Gender:Male  Submitted:2008-10-30, Days after onset: 1
Location:Utah  Entered:2008-10-30
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: none
Diagnostic Lab Data: none
CDC 'Split Type':
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FLU3: INFLUENZA (SEASONAL) (FLUARIX)GLAXOSMITHKLINE BIOLOGICALSAFLUA381BA IMLA
Administered by: Private     Purchased by: Private
Symptoms: Axillary pain, Paraesthesia
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad)
Write-up: He describes pain in Left anterior axillary fold, and some tingling down into the elbow. There was no erythema, induration, increased warmth, swelling, or other injection site reactions. There were no motor or sensory deficits in L arm or shoulder. There was no epitrochlear, supraclavicular, or axillary adenopathy.

VAERS ID:330788 (history)  Vaccinated:2007-08-20
Age:26.0  Onset:2007-09-20, Days after vaccination: 31
Gender:Female  Submitted:2008-10-30, Days after onset: 406
Location:Illinois  Entered:2008-10-30
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Kariva Birth Control, Fexofenadine
Current Illness: None
Preexisting Conditions: Allergies (pollen, dust, mold, cat and dog dander), eczema. PMH: HPV.
Diagnostic Lab Data: High levels of inflammation throughout the body. Labs and Diagnostics: CRP 10.7 (H). MRI L wrist (+) for mild flexor tenosynovitis and synovitis, no erosions. R wrist US (-). RF (-). ANA (-). CCP IgG Ab (-). ESR 1.0.
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HPV4: HPV (GARDASIL)MERCK & CO. INC.0522U2UNUN
Administered by: Unknown     Purchased by: Unknown
Symptoms: Antibody test negative, Antinuclear antibody negative, Arthralgia, Arthritis, Asthenia, Back pain, C-reactive protein increased, Chest pain, Contusion, Depressed mood, Discomfort, Fatigue, Hypokinesia, Mood altered, Musculoskeletal stiffness, Nausea, Nuclear magnetic resonance imaging abnormal, Oropharyngeal pain, Pain, Polyarthritis, Pyrexia, Red blood cell sedimentation rate normal, Rheumatoid factor negative, Sleep disorder, Stomach discomfort
SMQs:, Acute pancreatitis (broad), Haemorrhage terms (excl laboratory terms) (narrow), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Dementia (broad), Dystonia (broad), Parkinson-like events (broad), Gastrointestinal perforation, ulcer, haemorrhage, obstruction non-specific findings/procedures (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), 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), Cardiomyopathy (broad), Depression (excl suicide and self injury) (narrow), Hypotonic-hyporesponsive episode (broad), Arthritis (narrow)
Write-up: In September of 2007, one month after receiving the third installment of the Gardasil vaccine, I began to have joint pain and body aches. The pain increased through October and November. The joints throughout my body were inflamed, I had a fever, disruption of sleep due to pain and discomfort, and severe restriction in movement. Tests revealed that I had severe inflammation. I was treated with Prednisone and Methotrexate as a preventative measure for arthritis. The inflammation decreased following medication treatment. However, when the medicines are reduced the inflammation of joints returns. There was also calcification in my wrist joints following the inflammation, causing restriction in joint flexibility. 1/16/2009 MR received from Rheumatologist. DX: Polyarthritis. Pt initially presented 11/26/07 with c/o abrupt onset of pain-joint pain: hands, knees, PIP, MCP, wrists, feet, hips, shoulders, lumbosacral spine and cervical spine, morning stiffness x 2 hrs, sleep disturbance, low energy and feeling moody and depressed. Initially thought to be RA with (-) markers. C/o sore throats, H/As and mild upset stomach 12/6/07. Tx with anti-inflammatories, Pred and Methotrexate with some improvement, however worsening with reduced doses. Reported chest pain, nausea and bruising 1/8/08. Increased H/A, neck pain and knee tightness 3/08. Increased fatigue despite sleeping well 11/08. Pain improved.

VAERS ID:331622 (history)  Vaccinated:0000-00-00
Age:26.0  Onset:0000-00-00
Gender:Female  Submitted:2008-10-28
Location:Virginia  Entered:2008-11-03, Days after submission: 6
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Unknown
Preexisting Conditions:
Diagnostic Lab Data: UNK
CDC 'Split Type': A0750096A
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FLU3: INFLUENZA (SEASONAL) (FLULAVAL)GLAXOSMITHKLINE BIOLOGICALSAFLLA151AA UNLA
Administered by: Other     Purchased by: Other
Symptoms: Musculoskeletal pain, Pain in extremity
SMQs:, Rhabdomyolysis/myopathy (broad)
Write-up: This case was reported by a physician via a general injectables and vaccines wholesaler and described the occurrence of shoulder pain in a 25-year-old female subject who was vaccinated with (FLULAVAL, GlaxoSmithKline). In 2008 the subject received unspecified dose of FLULAVAL, (unknown). In 2008, at an unspecified time after vaccination with FLULAVAL, the subject experienced left shoulder pain, pain going down the left arm and it was painful to move the arm. At the time of reporting the outcome of the events was unspecified.

VAERS ID:331207 (history)  Vaccinated:2008-10-22
Age:26.0  Onset:2008-10-22, Days after vaccination: 0
Gender:Female  Submitted:2008-10-30, Days after onset: 8
Location:Wisconsin  Entered:2008-11-04, Days after submission: 5
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Adderall; Welbutrin; Apri; Loratidine; Manalt
Current Illness: None
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type':
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FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURU2739AA1IMLA
Administered by: Private     Purchased by: Private
Symptoms: Dysphagia, Paraesthesia, Throat tightness
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Peripheral neuropathy (broad), Anticholinergic syndrome (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 (broad), Hypersensitivity (broad)
Write-up: Tight throat, tingly, difficult swallowing. Benadryl 25mg IM given.

VAERS ID:331319 (history)  Vaccinated:2008-10-22
Age:26.0  Onset:2008-10-26, Days after vaccination: 4
Gender:Female  Submitted:2008-10-29, Days after onset: 3
Location:Pennsylvania  Entered:2008-11-05, 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: Anxiety d/o
Diagnostic Lab Data:
CDC 'Split Type':
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TDAP: TDAP (ADACEL)SANOFI PASTEURC3030AA IMRA
Administered by: Other     Purchased by: Unknown
Symptoms: Body temperature increased, Diarrhoea, Injection site erythema, Injection site induration, Nausea, Vomiting
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Pseudomembranous colitis (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (narrow)
Write-up: 9.5 x 7 cm induration, erythema at injection site R arm N/V/D. Tmax 101 degrees.

VAERS ID:331404 (history)  Vaccinated:2008-11-01
Age:26.0  Onset:2008-11-04, Days after vaccination: 3
Gender:Male  Submitted:2008-11-05, Days after onset: 1
Location:Ohio  Entered:2008-11-05
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NA
Preexisting Conditions: UNK
Diagnostic Lab Data: UNK
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ANTH: ANTHRAX (BIOTHRAX)EMERGENT BIOSOLUTIONSFAV1483SCLA
Administered by: Military     Purchased by: Military
Symptoms: Cellulitis, Erythema, Oedema peripheral, Pain in extremity, Tenderness
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad)
Write-up: Member received Anthrax #4 Lot # FAV148 on 1Nov08. The member contacted his military unit 4Nov08 complaining of erythema, edema, pain, and tenderness extending from the top of his shoulder past his elbow. The member was advised to seek medical attention at the nearest appropriate facility. The member was contacted for follow up on 5Nov08. He received a diagnosis of "Cellulitis", received IM & PO antibiotics.

VAERS ID:331407 (history)  Vaccinated:2008-03-24
Age:26.0  Onset:2008-04-08, Days after vaccination: 15
Gender:Female  Submitted:2008-11-05, Days after onset: 211
Location:Illinois  Entered:2008-11-05
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: asthma (seasonal) PMH: dysmenorrhea, contraception, asthma, hypercholesterolemia, pneumonia, allergic rhinitis,sinus infection, GERD, ovarian cysts. Off contraception x few mo. Needle stick from HIV+ patient in 12/2007, meds x 2 mo, own HIV test neg. Family hx: MS.
Diagnostic Lab Data: 2 ER visits due to near syncope. All lab tests negative. MRI and CT of the head negative. EEG negative. Retnal specialist exam negative as well as ENT scope negative. LABS: 2006 PAP smear abnormal w/inflammation; PAP smears WNL since. ECG
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HPV4: HPV (GARDASIL)MERCK & CO. INC.1967U1IMRA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Antinuclear antibody negative, C-reactive protein normal, Carbon dioxide decreased, Chills, Computerised tomogram normal, Differential white blood cell count normal, Diplopia, Dizziness, Ear, nose and throat examination normal, Electrocardiogram normal, Electroencephalogram normal, Facial pain, Fatigue, Feeling abnormal, Fibrocystic breast disease, Gait disturbance, Haematocrit increased, Headache, Hemiparesis, Hypersensitivity, Hypoaesthesia, Inflammation, Laboratory test normal, Liver function test normal, Malaise, Nasal congestion, Nausea, Nuclear magnetic resonance imaging normal, Ophthalmological examination normal, Palpitations, Paraesthesia, Presyncope, Rhinorrhoea, Sinusitis, Smear cervix abnormal, Syncope, Tachycardia, Tremor, Ultrasound Doppler normal, Urine analysis normal, Visual impairment, White blood cell count increased
SMQs:, Torsade de pointes/QT prolongation (broad), Acute pancreatitis (broad), Angioedema (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dementia (broad), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Glaucoma (broad), Optic nerve disorders (broad), Cardiomyopathy (broad), Lens disorders (broad), Retinal disorders (broad), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (narrow), Vestibular disorders (broad), Ocular motility disorders (broad), Hypotonic-hyporesponsive episode (broad), Hypersensitivity (narrow)
Write-up: Fainting, left sided weakness and tingling, double vision for 3 months, prolonged fatigue, rigors, hypersensitivity, unsteady gait. All symptoms continue to persist. Placed on steroids on and off for three months. 11/20/08 Received GYN office records of 3/24-10/06/2008. FINAL DX: none provided Records reveal patient had fibrocystic breasts on 3/24 & BCP changed. US of breasts reviewed & WNL. T/C 6/26 pt reported having been seen in ER x 2, ENT, Neuro & had EEG, CT scan & MRI. Had faint feeling, numbnness in feet, visual changes x 1.5 mo. RTC 10/6/08 12/8/08 Received ER medical records of 5/1/2008. FINAL DX: pre-syncope & palpitations Records reveal patient experienced intermittent pre-syncope & palpitations x 3 weeks now with same plus tingling around mouth & hands, nausea x 2 wks, dizziness. No symptoms while in ER & d/c to home w/PCP f/u. 2/2/09 Received hospital clinic records for 6/25-8/8/2008. FINAL DX: none provided Records reveal patient w/lightheadness, fatigue, multiple episodes of felt faint, tachycardia, hand tremors, feeling foggy, intermittent tingling & weakness of legs, vision abnormal since 3/08 shortly after received HPV #1. 2/3/09 Reeived ENT medical records of 5/8/2008. FINAL DX: resolving sinusitis Records reveal patient experienced sinus infection s/s x 3 weeks of nasal congestion, malaise, HA, rhinorrhea, facial pain/pressure & dizziness. 2/9/09 Received ER medical records of 4/14/2008. FINAL DX: dizziness, etiology unknown Records reveal patient experienced dizziness & felt faint x 5 days. D/C home w/neg exam.

VAERS ID:331518 (history)  Vaccinated:2008-10-21
Age:26.0  Onset:2008-10-21, Days after vaccination: 0
Gender:Female  Submitted:2008-11-05, Days after onset: 15
Location:Minnesota  Entered:2008-11-06, Days after submission: 1
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Levothroid, orthomicronor
Current Illness:
Preexisting Conditions: NKA, Hypothyroidism
Diagnostic Lab Data:
CDC 'Split Type':
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FLUN3: INFLUENZA (SEASONAL) (FLUMIST)MEDIMMUNE VACCINES, INC.500540P0IN 
Administered by: Private     Purchased by: Private
Symptoms: Pain
SMQs:
Write-up: Patient describes left sided aching since administration of flu mist.

VAERS ID:331560 (history)  Vaccinated:2008-10-22
Age:26.0  Onset:2008-10-24, Days after vaccination: 2
Gender:Female  Submitted:2008-11-06, Days after onset: 13
Location:Florida  Entered:2008-11-06
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: none
Preexisting Conditions: none
Diagnostic Lab Data:
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FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)UNKNOWN MANUFACTURER  IMLA
Administered by: Private     Purchased by: Unknown
Symptoms: Cough, Fatigue, Influenza like illness, Injection site pain, Malaise, Oropharyngeal pain, Pyrexia
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Extravasation events (injections, infusions and implants) (broad)
Write-up: Coworker and I were administered flu shot on 10/22/08. From what I read, symptoms should not be occuring, but both of us are experiencing the same symptoms: flu like symptoms, fatigue, sore throat, dry cough, slight fever. Both of us just do not feel well and normally do not fall ill. No one else in the office has received the shot or nasal spray, has fallen ill, or become infected by either of us. Also, site of injection was usually sore compared to the previous 5 years I have received the flu shot.

VAERS ID:331633 (history)  Vaccinated:2008-06-17
Age:26.0  Onset:2008-06-17, Days after vaccination: 0
Gender:Female  Submitted:2008-11-06, Days after onset: 142
Location:California  Entered:2008-11-07, Days after submission: 1
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Hormonal contraceptives
Current Illness:
Preexisting Conditions: None
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0811USA00281
Vaccination
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HPV4: HPV (GARDASIL)MERCK & CO. INC.0070X1IMUN
Administered by: Other     Purchased by: Other
Symptoms: Convulsion, Dizziness, Gaze palsy, Syncope vasovagal
SMQs:, Torsade de pointes/QT prolongation (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Convulsions (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Cardiomyopathy (broad), Vestibular disorders (broad), Ocular motility disorders (narrow), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (narrow)
Write-up: Information has been received regarding a case in litigation from a administrative assistant concerning a 26 year old female with no relevant medical history or allergies who on 15-APR-2008 was vaccinated intramuscularly with a first 0.5 ml dose of GARDASIL (lot number and injection site not reported). On 17-JUN-2008, the patient was vaccinated intramuscularly with a second 0.5 ml dose of GARDASIL (lot number 660553/0070X) (injection site not reported). Concomitant therapy included birth control pills (unspecified brand). After the vaccination, the patient became lightheaded. Her eye rolled back and she seemed to have a severe vasovagal response. According to the reporter, it seemed like the patient was going to have a seizure. The patient was sent to the emergency room. The patient was observed there and released on the same day fully recovered. Upon internal review, seizure was considered to be an other important medical event. Additional information has been requested.

VAERS ID:331675 (history)  Vaccinated:1988-10-01
Age:26.0  Onset:0000-00-00
Gender:Unknown  Submitted:2008-11-07
Location:Unknown  Entered:2008-11-07
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: None preformed
CDC 'Split Type':
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FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)UNKNOWN MANUFACTURER  IMUN
Administered by: Unknown     Purchased by: Unknown
Symptoms: Dyspnoea, Fatigue, Pneumonia, Pruritus, Respiratory distress, Urticaria, Wheezing
SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), Asthma/bronchospasm (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Hypersensitivity (narrow)
Write-up: Received 3 influenza vaccines (1988,1994, 1997 dates unknown). 1988 mild pruritis; 1994 pruritic hives to body; 1997 resp distress, red hives, fatigue, wheezing, difficulty breathing tx''d with pred, inhaler, antibiotic after dx changed to pneumonia. Symptoms: Dyspnea (shortness of breath), Wheezing, Hives, Pruritus.

VAERS ID:331824 (history)  Vaccinated:2008-11-06
Age:26.0  Onset:2008-11-06, Days after vaccination: 0
Gender:Male  Submitted:2008-11-06, Days after onset: 0
Location:Tennessee  Entered:2008-11-10, Days after submission: 4
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: EKG at ER normal with pulse of 49.
CDC 'Split Type':
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FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)NOVARTIS VACCINES AND DIAGNOSTICS88110030IMLA
Administered by: Other     Purchased by: Private
Symptoms: Electrocardiogram normal, Heart rate, Hyperhidrosis, Muscle rigidity, Posture abnormal, Unresponsive to stimuli
SMQs:, Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Dystonia (broad), Parkinson-like events (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hypotonic-hyporesponsive episode (broad)
Write-up: 5 minutes after administration, arms and legs went rigid; arms/hands turned inward at center of body; head stiff and turned to left shoulder; no response to verbal/tactile stimuli; lasted 30-40 seconds. Then began talking and was oriented to person, place, and time; sweating.

VAERS ID:331920 (history)  Vaccinated:2008-10-22
Age:26.0  Onset:2008-10-23, Days after vaccination: 1
Gender:Female  Submitted:2008-11-10, Days after onset: 18
Location:Arizona  Entered:2008-11-10
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: none
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type': AZ0819
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEPAB: HEP A + HEP B (TWINRIX)GLAXOSMITHKLINE BIOLOGICALSAHABB128AB IMRA
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0427U SCRA
TDAP: TDAP (ADACEL)SANOFI PASTEURC3027AA IMLA
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.1490F SCLA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Dyspnoea
SMQs:, Anaphylactic reaction (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad)
Write-up: Client stated on 11/5/08 - that the next day after the immunizations-she traveled with friends and suddenly could not breath. She was treated at hospital. States was given epinephrine and fluids and placed on prednisone. Dr. told her it not a vaccine reaction.

VAERS ID:332203 (history)  Vaccinated:2008-11-06
Age:26.0  Onset:2008-11-07, Days after vaccination: 1
Gender:Female  Submitted:2008-11-08, Days after onset: 1
Location:Georga  Entered:2008-11-12, Days after submission: 4
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
JEV: JAPANESE ENCEPHALITIS (JE-VAX)SANOFI PASTEUREJN234A0UNUN
Administered by: Public     Purchased by: Unknown
Symptoms: Dizziness, Dyspnoea, Headache, Myalgia, Nausea, Vomiting
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Acute pancreatitis (broad), Anticholinergic syndrome (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Vestibular disorders (broad)
Write-up: Headache Vomiting & Nausea Dizziness Muscle Pain Difficulty Breathing no wheeze. Given EPI PEN x1, IV ATIVE & MORPHINE for symptomatic treatment

VAERS ID:332339 (history)  Vaccinated:2008-08-11
Age:26.0  Onset:2008-08-11, Days after vaccination: 0
Gender:Female  Submitted:2008-11-13, Days after onset: 94
Location:California  Entered:2008-11-14, Days after submission: 1
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: Pregnancy NOS (LMP = 8/1/2008)
Preexisting Conditions:
Diagnostic Lab Data: beta-human chorionic, 08/11?/08, positive
CDC 'Split Type': WAES0809USA01840
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.  UNUN
Administered by: Other     Purchased by: Other
Symptoms: Abortion spontaneous, Drug exposure during pregnancy, Pregnancy test positive
SMQs:, 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 for the pregnancy registry for VARIVAX from a 26 year old female registered nurse with no known pertinent medical history or drug reactions/allergies who on approximately 11-AUG-2008, "4 weeks ago," was vaccinated with a dose of VARIVAX 0.5 ml. There was no concomitant therapy. On approximately 11-AUG-2008, "4 weeks ago," the patient underwent a pregnancy test which was noted to be positive. The last menstrual period was 01-Aug-2008. The estimated due date is 08-May-2009. Follow-up information was received from the registered nurse. She had a miscarriage at 12 to 13 weeks gestational age. Upon internal review the miscarriage was considered to be an other important medical event. No further information is available.

VAERS ID:332369 (history)  Vaccinated:2008-10-21
Age:26.0  Onset:2008-10-22, Days after vaccination: 1
Gender:Female  Submitted:2008-11-06, Days after onset: 15
Location:Michigan  Entered:2008-11-14, 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: PROZAC; FLEXERIL
Current Illness: None
Preexisting Conditions: anxiety; tension headache
Diagnostic Lab Data: Ultrasound/MRI pending
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)NOVARTIS VACCINES AND DIAGNOSTICS87923 UNLA
Administered by: Private     Purchased by: Private
Symptoms: Muscular weakness, Nuclear magnetic resonance imaging, Pain in extremity, Ultrasound scan
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad)
Write-up: Persistent and severe pain L arm with shoulder/deltoid weakness over greater than 2 weeks.

VAERS ID:332392 (history)  Vaccinated:2008-11-06
Age:26.0  Onset:2008-11-07, Days after vaccination: 1
Gender:Female  Submitted:2008-11-17, Days after onset: 10
Location:Maine  Entered:2008-11-14, Days after submission: 3
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: ASACOL; oral contraceptives; multivitamin
Current Illness: No
Preexisting Conditions: No
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURU2828AA0IMLA
Administered by: Other     Purchased by: Other
Symptoms: Local reaction
SMQs:
Write-up: 2.0 cm local reaction.

VAERS ID:332549 (history)  Vaccinated:2008-11-07
Age:26.0  Onset:2008-11-08, Days after vaccination: 1
Gender:Female  Submitted:2008-11-10, Days after onset: 2
Location:Pennsylvania  Entered:2008-11-17, 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: Ortho Tri-Cyclen-Lo
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  UNUN
Administered by: Private     Purchased by: Unknown
Symptoms: Erythema, Pain, Pruritus, Skin warm, Swelling
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad)
Write-up: Erythema, warmth, swelling , pain, itching

VAERS ID:332587 (history)  Vaccinated:2008-11-06
Age:26.0  Onset:2008-11-08, Days after vaccination: 2
Gender:Female  Submitted:2008-11-17, Days after onset: 9
Location:Florida  Entered:2008-11-17
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: ORTHO-TRICYCLINE LOW
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE LABS: CT scan c-spine revealed disk herniation C5-C6; disk bulging C6-C7.
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)NOVARTIS VACCINES AND DIAGNOSTICS89685 IMRA
HPV4: HPV (GARDASIL)MERCK & CO. INC.0070X1IMLA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Burning sensation, Computerised tomogram abnormal, Intervertebral disc protrusion, Muscle spasms, Musculoskeletal pain, Neck pain, Pain in extremity, Rash, Sensation of heaviness, Sleep disorder, Soft tissue disorder, Tenderness
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Peripheral neuropathy (broad), Dystonia (broad), Hypersensitivity (narrow), Arthritis (broad)
Write-up: CLIENT STATED THAT THE FIRST TWO DAYS AFTER THE FLU SHOT, SHE HAD "A RASH AND MY ARM FELT HEAVY. THERE WAS SOME PAIN, BUT NOT ALOT." SHE THEN GOES ON TO SAY THAT THE THIRD DAY AFTER THE FLU SHOT SHE HAD A SHARP BURNING PAIN THAT RADIATED UP HER RIGHT NECK AND DOWN HER RIGHT ARM. SHE SAID THAT SHE TOOK TYLENOL, USED THE COLD COMPRESSES, TOOK HOT SHOWERS, BUT DID NOT GET ANY RELIEF AND CANNOT SLEEP. SHE DID NOT TAKE HER TEMPERATURE SO SHE IS NOT AWARE OF A FEVER. SHE CALLED OUR OFFICE BEFORE GOING TO SEE A DOCTOR. ENCOURAGED HER TO SEE HER PRIMARY CARE PHYSICIAN. SHE SAID THAT SHE DOES NOT HAVE ONE SHE WOULD HAVE TO GO TO THE ER. 2/5/09 Received ER medical records of 11/21/2008. FINAL DX: cervicalgia; pain in limb Records reveal patient experienced right side neck & shoulder pain x several weeks. Exam noted sever muscle spasm of right posterior neck & severe soft tissue tenderness of right upper neck. Tx w/steroids & pain meds. Phone f/u revealed patient improved on 11/24/08.

VAERS ID:332595 (history)  Vaccinated:2008-11-10
Age:26.0  Onset:2008-11-13, Days after vaccination: 3
Gender:Female  Submitted:2008-11-17, Days after onset: 4
Location:Idaho  Entered:2008-11-17
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Prilosec, Vivelle dot
Current Illness: PTSD
Preexisting Conditions: 6 weeks post-partum PMH: migraine HA
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUARIX)GLAXOSMITHKLINE BIOLOGICALSAFLUA380CA IMRA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Ageusia, Facial palsy
SMQs:, Taste and smell disorders (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad)
Write-up: Four days following administration of Fluarix, Lot Number AFLUA380CA, Expiration 6/30/09, I came down with facial palsy on the same side of the body (right) as the injection. The palsy started with loss of taste sensation, moving through the mouth and up to the eye, resulting in partial paralysis by the following afternoon (complete paralysis of the mouth). Current course of treatment is Prednisone and Zovirax in addition to Chinese herbs. 1/14/09 Reviwed ER medical records of 11/13/2008. FINAL DX: Bell''s palsy Records reveal patient experienced gradual right sided facial numbness, inability to close right eye, droop right mouth, loss of right nasolabial fold x 1 day. Tx w/antiviral & steroid meds.

VAERS ID:333868 (history)  Vaccinated:2008-09-30
Age:26.0  Onset:0000-00-00
Gender:Female  Submitted:2008-11-14
Location:Unknown  Entered:2008-11-17, Days after submission: 3
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness:
Preexisting Conditions: Penicillin allergy
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0810USA00196
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.0548X UNUN
Administered by: Other     Purchased by: Other
Symptoms: Fatigue, Headache, Paraesthesia
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad)
Write-up: Information has been received from a medical assistant concerning a 16 year old female patient with allergy to penicillin. Who on 30-Sep-2008 received a dose of GARDASIL, ( route and injection site not reported). On an unknown date after vaccination, she developed tiredness, headache, and tingling in her ankles. The patient sought medical attention via phone call to office. At the time of reporting she had not recovered from the events. Additional information has been requested.

VAERS ID:333869 (history)  Vaccinated:2008-08-21
Age:26.0  Onset:2008-08-28, Days after vaccination: 7
Gender:Female  Submitted:2008-11-14, Days after onset: 78
Location:Unknown  Entered:2008-11-17, Days after submission: 3
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: None
Diagnostic Lab Data: Diagnostic laboratory, 09/30/08, Bollo test: results not known LABS: PAP smear WNL. US pelvis done 5/2/07 revealed ovarian cysts. IUD for contraception. CBC, ESR, ANA, RA, Lyme all WNL. MRI & x-ray left knee (+) mild knee joint effus
CDC 'Split Type': WAES0810USA00197
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.0072X0IMLA
Administered by: Other     Purchased by: Other
Symptoms: Antinuclear antibody negative, Arthralgia, Borrelia burgdorferi serology negative, Bursitis, Exostosis, Full blood count normal, Gastrooesophageal reflux disease, Joint effusion, Joint range of motion decreased, Musculoskeletal pain, Myalgia, Nuclear magnetic resonance imaging abnormal, Osteoarthritis, Ovarian cyst, Pain in extremity, Red blood cell sedimentation rate normal, Rheumatoid factor negative, Smear cervix normal, Stomach discomfort, Synovitis, Ultrasound Doppler normal, Ultrasound abdomen abnormal, X-ray limb abnormal
SMQs:, Rhabdomyolysis/myopathy (broad), Retroperitoneal fibrosis (broad), Gastrointestinal perforation, ulcer, haemorrhage, obstruction non-specific findings/procedures (broad), Gastrointestinal nonspecific dysfunction (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Eosinophilic pneumonia (broad), Osteonecrosis (broad), Arthritis (narrow)
Write-up: Information has been received from a consumer concerning her sister, a 16-year-old female, who on 21-AUG-2008 received a first dose of GARDASIL in her left arm. On 28-AUG-2008, a week later, the patient started to have pain in the back of her knee. Then not to long after that she started to have a dull aching pain in her upper right arm, in the triceps area, but was not sure if it was coming from her elbow or shoulder, and at times she would have a sharp pain in triceps as well. The patient has seen her primary care physician about the pain she was having and was treated with naproxen, which gave her stomach problems and so she stopped taking it. The patient''s primary care physician did blood work for her on 30-SEP-2008. She will have an ultra sound check on 06-OCT-2008 on her arm and leg. At the time of reporting, the results of her blood test were unknown and the patient''s symptoms persisted. Additional information has been requested. 12/15/08 Received PCP medical records. FINAL DX: bursitis/synovitis, gen arthrosis, Records reveal patient expereienced GERD & left knee pain x 3 weeks on 9/16 visit. Tx w/meds. RTC 9/29 w/right arm/shoulder pain & decreased ROM, knee pain had improved. Meds adjusted & labs ordered. RTC 10/8 w/arm & knee pain. Injected knee, changed meds & x-ray/MRI ordered. 2/25/09 Received GYN vaccine records & medical records of 10/19/06-2/12/2009. FINAL DX:none provided. Records reveal patient received only HPV #1 on 8/21/08. RTC for annual exams w/o complaints. On 2/12/09 c/o of muscle aches s/p HPV & no further shots given.

VAERS ID:333989 (history)  Vaccinated:0000-00-00
Age:26.0  Onset:0000-00-00
Gender:Female  Submitted:2008-11-14
Location:Unknown  Entered:2008-11-17, Days after submission: 3
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Pap test, abnormal Pap test
CDC 'Split Type': WAES0810USA01104
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.UNK IMUN
Administered by: Other     Purchased by: Other
Symptoms: Cervical dysplasia, Smear cervix abnormal
SMQs:, Reproductive premalignant disorders (narrow), Uterine and fallopian tube malignant tumours (broad)
Write-up: Information has been received from a registered nurse concerning a 25 or 26 year old female who was vaccinated IM with GARDASIL vaccine. Subsequently that patient experienced abnormal Pap test with high risk human papillomavirus (HPV) "after completing the series" of GARDASIL. The patient sought medical attention: office visit. No further information is available.

VAERS ID:334002 (history)  Vaccinated:2008-10-06
Age:26.0  Onset:2008-10-07, Days after vaccination: 1
Gender:Female  Submitted:2008-11-14, Days after onset: 38
Location:Colorado  Entered:2008-11-17, Days after submission: 3
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: MICRONOR
Current Illness: Adverse drug reaction
Preexisting Conditions: Nausea, vomiting
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0810USA01654
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.0651X0IM 
Administered by: Public     Purchased by: Private
Symptoms: Chills, Headache, Influenza like illness, Nausea
SMQs:, Acute pancreatitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)
Write-up: Information has been received from a nurse practitioner concerning a 26 year old Caucasian female with reaction to codeine (nausea and vomiting) and had no illness at the time of vaccination who on 06-OCT-2008 was vaccinated with her first dose of GARDASIL vaccine (lot number 661703/0651X) 0.5ml IM into deltoid. Concomitant therapy included MICRONOR. On 07-OCT-2008 the patient woke the day after the vaccination feeling nauseas and had flu-like symptoms. As the day went on, nausea increased. The patient developed mild headache. By 5pm, the patient felt mild to severe nausea, chilly, headache. Symptoms entirely gone by 08-OCT-2008.

VAERS ID:334133 (history)  Vaccinated:2008-08-15
Age:26.0  Onset:2008-08-15, Days after vaccination: 0
Gender:Female  Submitted:2008-11-14, Days after onset: 91
Location:Pennsylvania  Entered:2008-11-17, Days after submission: 3
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0810USA02513
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.1968U0UNUN
Administered by: Other     Purchased by: Other
Symptoms: Injection site mass
SMQs:, Extravasation events (injections, infusions and implants) (broad)
Write-up: Information has been received from a physician concerning a 26 year old female who on 15-AUG-2008 was vaccinated with the first dose of GARDASIL, Lot # 660389/1968U. It was reported that a "couple of weeks later", the patient developed a lump at the injection site. The patient was seen by a surgeon and the lump was removed. The surgeon stated that the lump was due to GARDASIL vaccine. Additional information has been requested.

VAERS ID:334789 (history)  Vaccinated:2007-01-01
Age:26.0  Onset:2008-10-01, Days after vaccination: 639
Gender:Female  Submitted:2008-11-14, Days after onset: 44
Location:Unknown  Entered:2008-11-17, Days after submission: 3
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0810USA03937
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC. 2UNUN
Administered by: Other     Purchased by: Other
Symptoms: Papilloma viral infection
SMQs:
Write-up: Information has been received from a physician assistant concerning a 26 year old female with no medical history or allergies who was vaccinated intramuscularly with all three GARDASIL vaccine (lot# not reported) on time last year, in 2007. This month (OCT 2008) the patient was diagnosed with HPV(strain not known). It was reported that a PAP test was performed, outcome was unknown. Concomitant medication included Drospirenone (+) YAZMIN. The patient sought medical attention at physician''s office. At the time of report the patient is recovering. Additional information is not expected.

VAERS ID:334955 (history)  Vaccinated:2008-10-02
Age:26.0  Onset:2008-10-02, Days after vaccination: 0
Gender:Female  Submitted:2008-11-14, Days after onset: 43
Location:Connecticut  Entered:2008-11-17, Days after submission: 3
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0810USA05100
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.0067X0IMUN
Administered by: Other     Purchased by: Other
Symptoms: Injection site haematoma, Injection site pain, Injection site swelling
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: This is in follow-up to report(s) previously submitted on 11/14/2008. Information has been received from a Registered Nurse concerning a 26 year old female who on 02-OCT-2008 was vaccinated with the first dose of GARDASIL (660393/0067X). Concomitant therapy included TRI-SPRINTEC. Subsequently the patient developed tenderness at the injection site, as well as swelling and soreness. The patient returned to the office on 23-OCT-2009. There was bruising 4 inches below and anterior of the injection site. There was no masses, no redness and no induration. Tenderness was present. The patient was told to use hot compresses three times a day for 1 week and to call the office if her symptoms persisted. Follow up information received from the physician indicated that the female patient with no known allergies/drug reactions complained of persistent pain at the site of injection and bruising just below injection site which started on 02-OCT-2008 and lasted for six weeks. On approximately 16-NOV-2008, the patient recovered. Additional information is not expected.

VAERS ID:332705 (history)  Vaccinated:2008-11-06
Age:26.0  Onset:2008-11-06, Days after vaccination: 0
Gender:Male  Submitted:2008-11-18, Days after onset: 12
Location:Utah  Entered:2008-11-18
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: Not known. PMH: fx bones, ulnar collateral ligament repair, reactive lymph nodes-neck
Diagnostic Lab Data: dental x-rays, MRI. Labs and Diagnostics: Head MRI WNL.
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLUN3: INFLUENZA (SEASONAL) (FLUMIST)MEDIMMUNE VACCINES, INC.500545P IN 
Administered by: Unknown     Purchased by: Unknown
Symptoms: Crying, Facial pain, Insomnia, Nuclear magnetic resonance imaging brain normal, Pain, Pain in jaw, Paraesthesia, Sinusitis, Tenderness, Toothache, Trigeminal neuralgia, X-ray dental
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Glaucoma (broad), Demyelination (broad), Depression (excl suicide and self injury) (broad), Osteonecrosis (broad)
Write-up: Within a couple hours of receiving the flumist vaccine, client experienced pain in the R upper jaw, he thought it was something related to a tooth. Pain continued to get more intense and dental visit showed no problem with his teeth. Pain continued to increase until it felt as though he had electric shocks in the upper R facial area. Was diagnosed with a sinus infection , but antibiotics did not help. Client was not sleeping and was in severe pain. Was hospitalized for the pain and an MRI was done- diagnosed with trigeminal neuralgia and is now on Tegretol and ibuprofen. The Tegretol has provided relief for the pain, but still has a dull ache. 12/01/08 MR received for DOS 1112-13/2008 with D/C DX: Trigeminal Neuralgia. Pt initially presented to dentist with c/o R-sided upper teeth pain. No problems found but Rx Z-pak for possible sinus infection. Pain worsened, disturbing sleep. Pain is sharp, lancinating near R ear, cheek and eye. (+) maxillary tenderness. PE WNL except for severe pain and crying. Tx with pain meds and Tegretol with some improvement.

VAERS ID:332745 (history)  Vaccinated:2007-11-07
Age:26.0  Onset:2007-12-26, Days after vaccination: 49
Gender:Female  Submitted:2008-11-18, Days after onset: 328
Location:California  Entered:2008-11-19, 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 = 12/26/2007); Obesity
Preexisting Conditions: Polycystic ovaries; Irregular periods; Absence of menstruation; Papanicolaou smear abnormal
Diagnostic Lab Data: biopsy, 07/??/07, showed no dysplasia; ultrasound, 02/25/08, fetus, 7 weeks 6 days; Pap test, ?/?/07, low, abnormal; serum alpha-fetoprotein, 04/24/08, screen negative; beta-human chorionic, 02/02/08, negative; beta-human chorionic, 02/05/0
CDC 'Split Type': WAES0802USA05865
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.0929U0IMUN
Administered by: Other     Purchased by: Other
Symptoms: Alpha 1 foetoprotein normal, Biopsy site unspecified normal, Caesarean section, Drug exposure during pregnancy, Pregnancy test positive, Smear cervix abnormal, Ultrasound scan
SMQs:, Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow), Normal pregnancy conditions and outcomes (narrow)
Write-up: Information has been received from a physician, for the Pregnancy Registry for GARDASIL concerning a 26 year old female with a history of polycystic ovaries, irregular periods, absence of menstruation (August 2007), Papanicolaou smear abnormal (low grade 2007) and biopsy (July 2007, showed no dysplasia) who on 07-NOV-2007 was vaccinated intramuscularly with a first dose of GARDASIL (Lot # 658282/0929U) and on 04-FEB-2008 was vaccinated intramuscularly with a second dose of GARDASIL (Lot # 659653/1448U). There was no concomitant medication. The physician reported that the patient received 2 doses of the vaccine and is pregnant. The patient had a negative pregnancy test on 02-FEB-2008. On 05-FEB-2008 she had a positive qualitative HCG test (LMP 26-DEC-2007). The patient was seen in the office for unspecified medical attention. The patient was given a slip on 25-FEB-2008 to have routine OB panel. On 25-FEB-2008 the ultrasound showed the fetus to be 7 weeks and 6 days. No product quality complaint was involved. Outcome unknown. Follow-up information has been received from the physician on 10-NOV-2008. It was reported that this was the patient''s first pregnancy. Medication taken during pregnancy included duet DHA prenatal vitamin, daily and Fe supplement, daily, for 9 months of pregnancy. Prenatal testing included MSAFP for Down''s syndrome, screen negative, on 24-APR-2008. Subsequently, a healthy female infant was delivered at 38.5 weeks from LMP by cesarean section due to compound presentation on 26-SEP-2008. Birth weight was 7 pound 12 ounce, length 21.5 inch. The cesarean section was recommended due to non-vertex presentation. The infant was normal and with no congenital anomalies; there were no complications during pregnancy. The patient''s concurrent medical condition included obesity. No further information is available.

VAERS ID:332930 (history)  Vaccinated:2008-11-14
Age:26.0  Onset:2008-11-17, Days after vaccination: 3
Gender:Female  Submitted:2008-11-20, Days after onset: 3
Location:Missouri  Entered:2008-11-20
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Patient c/o cold sx''s at time. No fever.
Preexisting Conditions: Codiene
Diagnostic Lab Data: none
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
ANTH: ANTHRAX (BIOTHRAX)EMERGENT BIOSOLUTIONSFAV1493SCLA
Administered by: Military     Purchased by: Military
Symptoms: Erythema, Injection site pain, Injection site pruritus
SMQs:, Anaphylactic reaction (broad), Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (broad)
Write-up: Received vaccine on the 14th, on the 17th, the redness began, and this morning, pt noticed a red ring around the redness. C/o itching and pain at site.

VAERS ID:333150 (history)  Vaccinated:2008-11-24
Age:26.0  Onset:2008-11-24, Days after vaccination: 0
Gender:Female  Submitted:2008-11-24, Days after onset: 0
Location:Virginia  Entered:2008-11-24
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: albuterol,orthotricyclen
Current Illness: none annual exam
Preexisting Conditions: asthma
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.0546X0IMLA
Administered by: Private     Purchased by: Unknown
Symptoms: Dyskinesia, Hyperhidrosis, Pallor
SMQs:, Neuroleptic malignant syndrome (broad), Dyskinesia (narrow), Noninfectious encephalopathy/delirium (broad), Hypotonic-hyporesponsive episode (broad)
Write-up: patient became pale and swety after receiving shot sat down and had a couple of small jerky movements

VAERS ID:333188 (history)  Vaccinated:2008-11-24
Age:26.0  Onset:2008-11-24, Days after vaccination: 0
Gender:Female  Submitted:2008-11-24, Days after onset: 0
Location:Colorado  Entered:2008-11-24
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) (FLUVIRIN)NOVARTIS VACCINES AND DIAGNOSTICS878770UNLA
Administered by: Other     Purchased by: Other
Symptoms: Injection site erythema, Injection site inflammation, Injection site pain
SMQs:, Extravasation events (injections, infusions and implants) (broad)
Write-up: Pain, inflammation, redness at injection site.

VAERS ID:333271 (history)  Vaccinated:2008-10-30
Age:26.0  Onset:2008-11-15, Days after vaccination: 16
Gender:Male  Submitted:2008-11-25, Days after onset: 10
Location:Florida  Entered:2008-11-25
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~UN~0~In Patient
Other Medications: unknown
Current Illness: none
Preexisting Conditions: unknown
Diagnostic Lab Data: MRI of C spine and brian with and without contrast; lumbar puncture; EMG''s and nerve conduction studies; Sed rate, ANA, B 12 and Folate LABS: CBC, BMP, CT brain, MRI brain & c-spine WNL. CT c-spine w/disc extrusion C5-C6. CSF glucose 58
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)NOVARTIS VACCINES AND DIAGNOSTICS89685 IMRA
Administered by: Unknown     Purchased by: Unknown
Symptoms: CSF test normal, Computerised tomogram abnormal, Electromyogram, Full blood count normal, Intervertebral disc protrusion, Lumbar puncture, Metabolic function test normal, Nerve conduction studies, Nuclear magnetic resonance imaging brain normal, Nuclear magnetic resonance imaging normal, Paraesthesia, Red blood cell sedimentation rate, Sensation of heaviness, Vitamin B12 decreased, Vitamin B12 deficiency
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad)
Write-up: Recieved flu vaccine 2 1/2 weeks ago and since that time has had progressive parasthesia of the upper extremeties. Admitted to Hospital 11/15/08, discharged 11/19/08. Guillain Barr syndrome versus transverse myelitis. 2/18/09 Received hospital medical records of 11/15-11/19/2008. FINAL DX: no d/c summary dictated. Neuro consult: favor transverse myelitis. Records reveal patient experienced progressive tingling/numbness of hands & feet, heaviness of extremities x 2 weeks. Neuro & Neurosurg consults done. 3/16/09 Received additional hospital medical records of 11/15-11/19/2008. FINAL DX: no d/c summary dictated. Records consisted of ER records & labs.

VAERS ID:334148 (history)  Vaccinated:0000-00-00
Age:26.0  Onset:0000-00-00
Gender:Female  Submitted:2008-12-05
Location:Massachusetts  Entered:2008-12-08, 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: Migraine
Preexisting Conditions:
Diagnostic Lab Data: Magnetic resonance, normal; electrocardiogram, normal; spinal tap, normal
CDC 'Split Type': WAES0812USA00344
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC. 0UNUN
Administered by: Other     Purchased by: Other
Symptoms: Condition aggravated, Crying, Depression, Electrocardiogram normal, Headache, Impaired work ability, Lumbar puncture normal, Migraine, Nausea, Nuclear magnetic resonance imaging normal, Pain, Personality change, Quality of life decreased, Vomiting
SMQs:, Acute pancreatitis (broad), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hostility/aggression (broad), Depression (excl suicide and self injury) (narrow)
Write-up: Information has been received from a consumer concerning his 26 year old girlfriend with an occasional migraine, who was vaccinated with the complete series of GARDASIL. Concomitant therapy included hormonal contraceptives. Beginning either after the first or second vaccination, she began to experience headaches, depression, nausea, physical pain, crying, migraines, vomiting, and had became "a shell person". The patient was hospitalized overnight for a spinal tap. At one time she was going to the emergency room 3 times a week. She has had a battery of medical tests that included a MRI, an EKG and a spinal tap which all came back normal. The reporter stated that the GARDASIL had ruined her life, her career and his relationship with her. The patient has been treated with many unspecified medications. The patient present status is not recovered. The patient sought medical attention. Ruined her life, her career and relationship were considered to be disabling. Additional information has been requested.

VAERS ID:334585 (history)  Vaccinated:2008-12-08
Age:26.0  Onset:2008-12-08, Days after vaccination: 0
Gender:Female  Submitted:2008-12-09, Days after onset: 1
Location:Connecticut  Entered:2008-12-09
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: prenatal vitamin
Current Illness: URI
Preexisting Conditions: penicillin-dyspnea; oxycodone-urticaria. PMH: Allergic to PCN. Smoker
Diagnostic Lab Data: none. Labs and Diagnostics: CBC with WBCs 15.7. OB US (+) severe oligohydramnios. UA (+) for 19 WBCs and 120 RBCs, occ bacteria. MTHFR mutation 1 copy. UC (-).
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLUN3: INFLUENZA (SEASONAL) (FLUMIST)MEDIMMUNE VACCINES, INC.500569P2IN 
Administered by: Unknown     Purchased by: Unknown
Symptoms: Bacteria urine, Culture urine negative, Drug exposure during pregnancy, Full blood count, Induced labour, Intra-uterine death, Laboratory test abnormal, Muscle spasms, Oligohydramnios, Premature rupture of membranes, Red blood cells urine positive, Ultrasound scan abnormal, Urinary tract infection, Urine analysis abnormal, Uterine spasm, Vaginal haemorrhage, White blood cell count increased, White blood cells urine positive, Wrong drug administered
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Neuroleptic malignant syndrome (broad), Malignancy related therapeutic and diagnostic procedures (narrow), Dystonia (broad), Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow), Foetal disorders (narrow), Termination of pregnancy and risk of abortion (narrow), Chronic kidney disease (broad)
Write-up: patient 12wks gestation given LAIV instead of influenza injectable vaccine-no sx or tx. 2/13/09 MR received for DOS 1/12-13/2009 with D/C DX: Intrauterine Fetal Demise at 16 weeks. Oligohydramnios 2'' to rupture of membranes. S/P medical induction of labor. Pt pregnant at 16 wks presented to ER with c/o cramping and bleeding x several days. Seen 2-3 days prior for same with US OK. on exam membranes noted to be ruptured tinged with blood. FHTs unable to be obtained manually but 150''s on US. Admitted for ROM and UTI. Fetal demise. W/U (-). Labor induced.

VAERS ID:335126 (history)  Vaccinated:2008-10-20
Age:26.0  Onset:2008-10-27, Days after vaccination: 7
Gender:Female  Submitted:2008-12-11, Days after onset: 45
Location:Missouri  Entered:2008-12-12, 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: [therapy unspecified]
Current Illness: Asthma; Sulfonamide allergy
Preexisting Conditions:
Diagnostic Lab Data: None
CDC 'Split Type': WAES0812USA00589
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.0947X0IMRA
Administered by: Other     Purchased by: Other
Symptoms: Asthma, Injection site erythema, Pruritus generalised, Rash generalised
SMQs:, Anaphylactic reaction (narrow), Asthma/bronchospasm (narrow), Extravasation events (injections, infusions and implants) (broad), Eosinophilic pneumonia (broad), Hypersensitivity (narrow)
Write-up: Information has been received from a Licensed practical nurse (LPN) concerning a 26 year old female patient, with concurrent condition of asthma and sulfonamide allergy who on 20-OCT-2008 was vaccinated with the first dose of GARDASIL intramuscularly into the right deltoid (lot# 0947X). Concomitant therapy included rescue inhaler. On approximately 27-OCT-2008, the patient experienced systemic rash, redness at the injection site, systemic itching and asthma attacks. She was prescribed BENADRYL, used her rescue inhaler, and had a steroid injection. After two weeks, the patient recovered (2008). The LPN considered the systemic rash, redness at the injection site, systemic itching and asthma attacks to be Other Important Medical Events. Additional information has been requested.

VAERS ID:335253 (history)  Vaccinated:2008-12-11
Age:26.0  Onset:2008-12-11, Days after vaccination: 0
Gender:Female  Submitted:2008-12-12, Days after onset: 1
Location:Oregon  Entered:2008-12-12
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Plantar fasciitis; migraine HA''s
Diagnostic Lab Data: See ER visit notes
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEUR42809AA UNLA
Administered by: Public     Purchased by: Unknown
Symptoms: Hypersensitivity
SMQs:, Angioedema (broad), Hypersensitivity (narrow)
Write-up: PT. received Flu vaccine 12/11/08 @ approx 1:45 p.m.- No adverse events noted @ the time of injection. PT. denied hx of allergies and signed appropriate consent forms. @ 2037 pt had visit to ER (copies included)

VAERS ID:335277 (history)  Vaccinated:2008-12-09
Age:26.0  Onset:2008-12-09, Days after vaccination: 0
Gender:Female  Submitted:2008-12-12, Days after onset: 3
Location:Unknown  Entered:2008-12-15, Days after submission: 3
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Vaccination adverse reaction
Diagnostic Lab Data: None
CDC 'Split Type': WAES0812USA02172
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC. 0UNUN
Administered by: Other     Purchased by: Other
Symptoms: Confusional state, Convulsion, Dyskinesia, Loss of consciousness
SMQs:, Torsade de pointes/QT prolongation (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), Dementia (broad), Convulsions (narrow), Dyskinesia (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (narrow)
Write-up: Information has been received from a registered nurse concerning a 26 year old female patient who on 09-DEC-2008 was vaccinated with the first dose of GARDASIL, lot # was not specified. After being vaccinated, the patient passed out completely for 60-90 seconds. The nurse stated that 4-5 minutes after the patient came to, she did not make sense and her arms were moving about as if she was having a seizure. The patient reported to her nurse that she had bad luck when it comes to vaccinations (unspecified products and reactions). The patient was referred to primary care physician. Patient recovered. Upon internal review, seizure was determined to be an other important medical event. Additional information has been requested.

VAERS ID:335344 (history)  Vaccinated:2008-12-15
Age:26.0  Onset:2008-12-15, Days after vaccination: 0
Gender:Female  Submitted:2008-12-15, Days after onset: 0
Location:Texas  Entered:2008-12-15
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Metoprolol 200mg bid, Lisinopril/HCTZ 20mg-2 inmorning, Ortho Tri-cyclen Lo
Current Illness: None
Preexisting Conditions: Hypertension
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.0947X1IMLA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Loss of consciousness, Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad)
Write-up: Pt experienced syncope. Upon recovering Pt''s blood pressure was 92/62 pulse 64. Pt was out approxiamately 1-2 seconds.

VAERS ID:336643 (history)  Vaccinated:0000-00-00
Age:26.0  Onset:2008-05-01
Gender:Female  Submitted:2008-12-12, Days after onset: 225
Location:Tennessee  Entered:2008-12-15, Days after submission: 3
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Seborrhoea
Diagnostic Lab Data: Biopsy, alopecia with mild fibroplasia
CDC 'Split Type': WAES0811USA02631
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.  UNUN
Administered by: Other     Purchased by: Other
Symptoms: Alopecia, Biopsy skin abnormal
SMQs:, Malignancy related therapeutic and diagnostic procedures (narrow), Skin tumours of unspecified malignancy (broad)
Write-up: Information has been received from a physician concerning a 26 year old female with no drug reactions or allergies and a history of seborrhoea who on unspecified dates was vaccinated with GARDASIL series. Concomitantly, the patient used medicated shampoo. In May 2008, the patient experienced hair loss. At the time of this reporting, the patient was recovering from hair loss. Biopsy was performed and the results showed alopecia with mild fibroplasia. Unspecified medical attention was sought in the office. Additional information has been requested.

VAERS ID:336676 (history)  Vaccinated:2008-11-04
Age:26.0  Onset:2008-11-04, Days after vaccination: 0
Gender:Female  Submitted:2008-12-12, Days after onset: 38
Location:Connecticut  Entered:2008-12-15, Days after submission: 3
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC 'Split Type': WAES0811USA02124
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.0843X0IMUN
Administered by: Private     Purchased by: Other
Symptoms: Hypersensitivity, Inappropriate schedule of drug administration, Pruritus, Rash generalised, Rash macular, Rash papular, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow)
Write-up: Information has been received from a physician concerning a 27 year old female who on 04-NOV-2008 was vaccinated with the first and only dose of GARDASIL 0.5ml/once IM. One week after the vaccination, the patient developed rash from head to toe. The patient was given ATARAX and BENADRYL for the treatment. The patient''s rash from head to toe was not recovered. Additional information has been requested. Follow-up information was received on 17-FEB-2009 from the physician via medical records indicating the patient was a certified nursing assistant (CMA) who worked in a hospital. On 04-NOV-2006, at 09:00, the patient with no pre-existing allergies, birth defects or medical conditions was vaccinated in the right uper arm with a first dose of GARDASIL (lot# 659184/0843X). There was no illness at time of vaccination. On 11-NOV-2008 the patient was seen by the physician complaining of hives spreading in bilaterial arm which lasted "2 days", from 09-NOV-2009, at 09:00, She also complained of pruritus. Physical examination showed there were "round oval" macules and papules in her neck, trunk and extremities. There was no lesions on her hands. The patient had taken Benadryl, OTC for symptoms. The patient was diagnosed with allergic reaction and was treated with ATARAX, 25mg, three times a day. No diagnostic or laboratory tests were performed. Subsequently, on an unspecified date, the patient recovered. Additional information is not expectede.

VAERS ID:335450 (history)  Vaccinated:2008-12-01
Age:26.0  Onset:2008-12-02, Days after vaccination: 1
Gender:Female  Submitted:2008-12-05, Days after onset: 3
Location:Wisconsin  Entered:2008-12-16, Days after submission: 11
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (ADACEL)SANOFI PASTEURC2773BA0UNLA
Administered by: Public     Purchased by: Public
Symptoms: Injection site erythema, Lymphadenopathy, Swelling, Tenderness
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: Pt reports her (L) apella is swollen, red and tender. The area around the injection slightly red. She was seen by health services and started on PREDNISONE 12/05/2008 for 6 days with decreasing doses to treat swollen lymph glands related to recent vaccine. 12/08/2008 swelling resolving.

VAERS ID:335475 (history)  Vaccinated:2008-12-03
Age:26.0  Onset:2008-12-03, Days after vaccination: 0
Gender:Male  Submitted:2008-12-03, Days after onset: 0
Location:Alaska  Entered:2008-12-16, Days after submission: 13
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None, with exception of past anthrax/similar symptoms
Diagnostic Lab Data: 134/87, 81, 99.9-100.6, 14
CDC 'Split Type':
Vaccination
Manufacturer
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Dose
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Site
ANTH: ANTHRAX (BIOTHRAX)EMERGENT BIOSOLUTIONSFAV1493SCUN
Administered by: Military     Purchased by: Military
Symptoms: Back pain, Blood pressure, Flushing, Headache, Pain, Pyrexia
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Hypersensitivity (broad)
Write-up: Headache, pain in lower back, fever low grade (99-100), feels flushed. This happened for all 3 doses, feel poorly x1 week by Hx with headaches, body aches.

VAERS ID:335789 (history)  Vaccinated:2008-11-16
Age:26.0  Onset:0000-00-00
Gender:Male  Submitted:2008-12-19
Location:Virginia  Entered:2008-12-19
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (AFLURIA)CSL LIMITED03149111 IN 
Administered by: Military     Purchased by: Military
Symptoms: Incorrect route of drug administration
SMQs:
Write-up: RECEIVED INFLUENZA IM VACCINE VIA INTRANASAL ROUTE

VAERS ID:337889 (history)  Vaccinated:2008-10-22
Age:26.0  Onset:2008-10-23, Days after vaccination: 1
Gender:Female  Submitted:2008-10-29, Days after onset: 6
Location:Washington  Entered:2008-12-19, Days after submission: 51
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data:
CDC 'Split Type': 200814234
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (AFLURIA)CSL LIMITED03549111A0IMLA
Administered by: Other     Purchased by: Other
Symptoms: Malaise, Myalgia, Nausea
SMQs:, Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad)
Write-up: Report received from ZLB Plasma Center 0n 27-Oct-2008. A 26 year-old female (S.L. / DOB 08-AUG-1982) received AFLURIA (CSL influenza vaccine, lot 03549111A) on 22-Oct-2008 at 13:27. On 20-Oct-2008, patient was given two doses IM of HEPATITIS vaccine, lot 0398x. At the time of her AFLURIA vaccination, patient had no illness. Patient had no pre-existing allergies, concomitant medications or medical conditions. On 23-Oct-2008 at 9:30am, approximately 20 hours after receiving AFLURIA, patient complained of nausea, malaise, and muscle pain. Per the reporter, the patient recovered. Additional information had been requested. Assessment: No serious criteria mentioned. Causality: Possible. Follow-up information was received on 28-Oct-2008 from ZLB Plasma Center on 28-Oct-2008. The patient''s symptoms resolved in about 48 hours. She did not contact her primary care physician (PCP) and was not treated for her symptoms. Patient is not pregnant. No additional information is expected. No change is assessment. Information derived from this AE report does not change the current safety profile of the product.

VAERS ID:337891 (history)  Vaccinated:2008-10-01
Age:26.0  Onset:2008-10-15, Days after vaccination: 14
Gender:Male  Submitted:2008-11-12, Days after onset: 28
Location:Kentucky  Entered:2008-12-19, Days after submission: 37
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data:
CDC 'Split Type': 200814232
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (AFLURIA)CSL LIMITED02349111A0IMUN
Administered by: Other     Purchased by: Other
Symptoms: Herpes zoster, Pain, Pruritus, Varicella
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (broad)
Write-up: Report received from a PharmD on 27-Oct-2008. PharmD reported that a patient (initials, DOB and gender unspecified), over 18-years-old, experienced shingles/chicken pox after receiving AFLURIA (CSL influenza vaccine, data of administration unknown). It is not yet known how long after receiving AFLURIA that the patient experienced shingles/chicken pox. The reporter is not sure if the patient had any other disease states or medications. Additional information has been requested. ASSESSMENT: No serious criteria mentioned. Causality: unclassifiable/unassessable; Follow-up information received on 07-Nov-2008 from PharmD. A 26 year-old male patient (G.S.L./DOB 16-Jul-1982), received AFLURIA (CSL Influenza vaccine) on the upper deltoid IM on 01-Oct-2008 at 7:30 pm. Lot 02349111A was administered. At the time of vaccine, patient had no illness. No pre-existing conditions or allergies nor concomitant medications were noted. On 15-Oct-2008, patient started to get itchy around lower extremities and had severe pain in trunk. Patient saw his physician who diagnosed symptoms as shingles (no mention of chicken pox as noted earlier). Physician stated treatment would be in vain after shingles breakout. Patient is recovering. No further information is expected. The company considered events as unlikely to be related to the administration of AFLURIA. Information derived from this AE report dies not change the current safety profile of AFLURIA (FLUVAX).

VAERS ID:336023 (history)  Vaccinated:2008-11-28
Age:26.0  Onset:2008-11-28, Days after vaccination: 0
Gender:Female  Submitted:2008-11-28, Days after onset: 0
Location:Minnesota  Entered:2008-12-23, Days after submission: 25
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: 25 mg BENADRYL; MYDOL
Current Illness:
Preexisting Conditions: dust, mold, some animals, asthma
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
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HEP: HEP B (ENGERIX-B)GLAXOSMITHKLINE BIOLOGICALSAHBVB448AA1IMLA
Administered by: Other     Purchased by: Private
Symptoms: Dizziness, Paraesthesia
SMQs:, Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Vestibular disorders (broad)
Write-up: Lightheadedness, tingling in face, arms and welts. Gave 25 mg BENADRYL, 1/2 hr later, symptoms subsided, employee then got a ride home. 11/28/08

VAERS ID:336180 (history)  Vaccinated:2008-03-19
Age:26.0  Onset:2008-03-19, Days after vaccination: 0
Gender:Female  Submitted:2008-10-20, Days after onset: 215
Location:California  Entered:2008-12-29, Days after submission: 70
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
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HEPA: HEP A (HAVRIX)GLAXOSMITHKLINE BIOLOGICALSAHAVB208AA0IMRA
Administered by: Public     Purchased by: Private
Symptoms: Local reaction, Pruritus generalised, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow)
Write-up: Patient reports having reaction 1.5 hrs after receiving vaccination. Described reaction as localized hives on right upper arm and shoulder and generalized itching. Patient reported to PH and was advised to go to ER. patient went to ER 3/19/08 pm and received BENADRYL shot.

VAERS ID:336308 (history)  Vaccinated:2008-07-31
Age:26.0  Onset:2008-08-01, Days after vaccination: 1
Gender:Female  Submitted:2008-08-13, Days after onset: 12
Location:Connecticut  Entered:2008-12-30, Days after submission: 139
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: Idiopathic thrombocytopenic purpura
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
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YF: YELLOW FEVER (YF-VAX)SANOFI PASTEURUF305AA0UNLL
Administered by: Other     Purchased by: Unknown
Symptoms: Feeling of body temperature change, Headache, Malaise, Rash macular
SMQs:, Hypersensitivity (narrow)
Write-up: Felt lousy Thursday, Friday and Saturday. Alternated between hot and cold, broke out in red blotches on arms stomach and legs 1wk after vaccine has a "non stop" headaches and occasionally feels "hot"

VAERS ID:336490 (history)  Vaccinated:2008-10-20
Age:26.0  Onset:2008-10-24, Days after vaccination: 4
Gender:Female  Submitted:2008-10-27, Days after onset: 3
Location:Mississippi  Entered:2009-01-05, Days after submission: 70
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
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ANTH: ANTHRAX (BIOTHRAX)EMERGENT BIOSOLUTIONSFAV1481UNLA
HEP: HEP B (ENGERIX-B)GLAXOSMITHKLINE BIOLOGICALSAHABVB596CA0UNLA
TYP: TYPHOID VI POLYSACCHARIDE (TYPHIM VI)SANOFI PASTEURA052223UNLA
Administered by: Military     Purchased by: Military
Symptoms: No adverse event
SMQs:
Write-up: None Stated

VAERS ID:336507 (history)  Vaccinated:2003-03-03
Age:26.0  Onset:2003-03-13, Days after vaccination: 10
Gender:Male  Submitted:2008-03-10, Days after onset: 1823
Location:Louisiana  Entered:2009-01-05, Days after submission: 301
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Denied
Preexisting Conditions: Denied family hx asthma
Diagnostic Lab Data: 7/2004: spongiotic psoriasiform chronic dermatitis per MD notes (actual bx results unavailable).
CDC 'Split Type':
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ANTH: ANTHRAX (NO BRAND NAME)MICHIGAN DEPT PUB HLTHFAV0647UNUN
MEN: MENINGOCOCCAL (NO BRAND NAME)UNKNOWN MANUFACTURER  UNUN
SMALL: SMALLPOX (NO BRAND NAME)UNKNOWN MANUFACTURER40200710 UN
Administered by: Military     Purchased by: Military
Symptoms: Acarodermatitis, Alopecia, Biopsy skin, Cyst, Dermatitis psoriasiform, Rash, Rash pustular, Skin disorder, Skin lesion, Wound drainage
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow)
Write-up: Description: rash 10 days after SMPX, MEN, AVA vaccine. Believes due to SMPX vaccine. Symptom: Rash, diffuse start: 03/10/2003 Comment: 782.1 periodic flare ups persist 2008. Symptom: Cyst Start: 05/2007 End: 05/2007 Comment: 706.2 right scalp lesion. Symptom: Alopecia (Hair Loss) Start: 05/2007 Comment: 704.00 2 spots on scalp. Symptom: Lesions, Pustule Start: 03/10/2007 Comment: 709.8 weeping lesions have resolved w/prn flares. Approximately 7-8 days post SMPX vaccine (10 Mar 03) he noted small bumps to back of both hands and ears described as if having ''goose bumps''. Medical advised he may have scabies. Day 10 (two days later- 3/12/2003) while deploying Kuwait, the bumps on his right mid-thigh turned into an ''open lesion''. Medical placed him on a week of Prednisone and prescribed Atarax for the itching. By day 21 his rash was much better and resolving. However 2-3 days after completion of his Prednisone, his rash returned. He advised his SMPX site was crusty and weeping/oozing. Approximately 3-4 weeks post vaccination as transferred to Bagdad, he noted increased oozing to his fingers-hands, shoulders, hips, legs, arms and calves. He denied any problems with torso, back or his face. From June 2003-2007 he voiced 1 flare-up to his hands every 2-3 months. He knows of no triggers. In August 2004 while in Atlantic on vacation his hands began to weep while holding plastic. He denied any latex allergies but noted his mother has a latex allergy. Differential diagnoses: Lichen nitidus vs eczematous dermatitis vs spongiotic psoriasisiform

VAERS ID:336852 (history)  Vaccinated:2008-01-23
Age:26.0  Onset:2008-03-08, Days after vaccination: 45
Gender:Female  Submitted:2009-01-07, Days after onset: 305
Location:Minnesota  Entered:2009-01-08, 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: folic acid; vitamins (unspecified)
Current Illness:
Preexisting Conditions: Drug hypersensitivity
Diagnostic Lab Data: Beta-human chorionic, positive
CDC 'Split Type': WAES0805USA00247
Vaccination
Manufacturer
Lot
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Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.1267U0IMUN
Administered by: Other     Purchased by: Other
Symptoms: Caesarean section, Drug exposure during pregnancy, Failed induction of labour, Gestational diabetes, Nausea, Pregnancy test positive
SMQs:, Acute pancreatitis (broad), Hyperglycaemia/new onset diabetes mellitus (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow), Normal pregnancy conditions and outcomes (narrow)
Write-up: Initial and follow up information has been received from a licensed practical nurse (L.P.N.) for the Pregnancy Registry for GARDASIL concerning a 26 year old female with a history of drug hypersensitivity to TYLENOL #3, DEMEROL, and CODEINE, who on 23-JAN-2008 was IM vaccinated with her first dose of GARDASIL (lot number 659439/1267U). On 24-MAR-2008 the patient was IM vaccinated with her second dose of GARDASIL (lot number 659964/1978U). The patient became pregnant after receiving two doses. She has not received her third dose yet. The patient''s LMP is 08-Mar-2008. The patient sought unspecified medical treatment with an office visit. The patient has had one previous pregnancy and one previous live birth, with no birth defects and no infant complications reported. Patient outcome was not reported. Follow-up information was received 05-JAN-2009 from the L.P.N. indicating that the patient''s estimated conception date was approximately 22-MAR-2008. Ultrasounds were performed on 07-JUL-2008, 19-AUG-2008, 15-SEP-2008, 22-OCT-2008 and 04-NOV-2008, respectively (results not provided). Other medication used during this pregnancy included HUMALOG daily for the treatment of gestational diabetes, LANTUS daily for the treatment of gestational diabetes, "gummi vitamin/folic acid" daily and ZOFRAN), as needed for the treatment of nausea. On 03-DEC-2008, the patient had a C-section due to failure to progress and delivered a normal female baby, weighing 6 pounds, 12 ounces. The baby''s length was 18 inches, head circumference was 13 inches and apgar score was 9/9. There were no congenital anomalies or other complications. The patient had no concurrent medical conditions. The outcome of the patient was not reported. Upon internal review, "C-section due to failure to progress" was determined to be an other important medical event. Additional information has been requested.

VAERS ID:336933 (history)  Vaccinated:2007-08-02
Age:26.0  Onset:2007-09-02, Days after vaccination: 31
Gender:Female  Submitted:2009-01-09, Days after onset: 495
Location:Virginia  Entered:2009-01-09
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE. PMH: 30 lb wt loss 2'' to stress
Diagnostic Lab Data: BLOOD WORK, XRAYS AT UVA, FONTAINE RESEARCH CENTER. Labs and Diagnostics: Anti-CCP (+), CRP 1.0. X-rays (+) for osteophytosis of the R foot, otherwise WNL. Complement CH 50 (H) at 386. UA (+) for 14 WBCs and few bacteria. ANA (+) at 1:640
CDC 'Split Type':
Vaccination
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Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.0523U1IMLA
Administered by: Private     Purchased by: Private
Symptoms: Antinuclear antibody positive, Aphthous stomatitis, Arthralgia, Blood test, C-reactive protein, Complement factor abnormal, Exostosis, Lymphadenopathy, Oedema peripheral, Oral herpes, Pain in extremity, Polyarthritis, Rheumatoid arthritis, Synovitis, Urine analysis abnormal, X-ray, X-ray abnormal
SMQs:, Cardiac failure (broad), Angioedema (broad), Systemic lupus erythematosus (narrow), Oropharyngeal infections (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Arthritis (narrow)
Write-up: HAD THE SERIES OF 3 GARDISIL VACCINES, HAVE BEEN EXPERIENCING PAIN IN FEET, HANDS, THEN OTHER JOINTS, BEEN TO DOCTORS, JUST BEEN TOLD MAY HAVE RHEUMATOID ARTHRITIS!! AT AGE 28. THESE SYMPTOMS STARTED AFTER THE VACCINE,BUT HAVE WORSENED OVER LAS 9-12 MONTHS!! I THNIK IT IS FROM THIS VACCINE! WHAT CAN WE DO? DON''T WANT MY DAUGHTER TAKING RA MEDS IF SOMETHING ELSE CAN HELP!! 2/2/09 Rheumatology consult received for eval of joint pain dated 12/19/08. Pt initially c/o sore feet, particularly in MTP joints x 2 yrs. Hand pain x 1 yr. Recent hand swelling jaw pain, and R shoulder, elbow and wrist pain with morning stiffness x 30 minutes. (+) canker sores and fever blisters. PE (+) for L posterior cervical lymph node, decreased thumb flexion, joint tenderness, synovitis, and swelling. Presntation c/w inflammatory arthritis such as RA.

VAERS ID:337070 (history)  Vaccinated:2009-01-07
Age:26.0  Onset:2009-01-09, Days after vaccination: 2
Gender:Female  Submitted:2009-01-12, Days after onset: 3
Location:California  Entered:2009-01-12
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: N/A
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: n/a
CDC 'Split Type':
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TDAP: TDAP (ADACEL)SANOFI PASTEURUF455AA0IMLA
Administered by: Public     Purchased by: Private
Symptoms: Erythema, Pain in extremity, Skin warm
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (broad)
Write-up: Received TDAP Vaccine on 1/7/2009. Came in to employee health on 1/9/2009 with left arm red, warm to touch, and stated the area was larger than it had been and seem to be getting bigger. States arm is painful on movement. Pt stated she had iced her arm and taken ibuprofen for last two days.

VAERS ID:337115 (history)  Vaccinated:2008-11-21
Age:26.0  Onset:2008-11-21, Days after vaccination: 0
Gender:Female  Submitted:2008-12-23, Days after onset: 32
Location:Missouri  Entered:2009-01-13, Days after submission: 21
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Ankylosing spondylitis
Preexisting Conditions:
Diagnostic Lab Data: None
CDC 'Split Type': WAES0811USA03927
Vaccination
Manufacturer
Lot
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Route
Site
VARZOS: ZOSTER (ZOSTAVAX)MERCK & CO. INC.  UNUN
Administered by: Public     Purchased by: Other
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Injection site swelling, 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: Information has been received from a female registered with ankylosing spondylitis. Who on 21-Nov-2008 was vaccinated with a dose of ZOSTER vaccine (lot # not provided). After vaccination, nurse developed a very large welt, about 3-4 inches in diameter on her left arm. The nurse also experienced swelling, warmth and soreness at the site. The nurse reported that she used cold compresses to reduce swelling of the welt. The area was still red and sore 24-Nov-2008. At the time of reporting (24-Nov-2008) the outcome of the very large welt, swelling and warmth was not reported. Additional information has been requested. Follow-up information has been received from a registered nurse a 46 year old female with ankylosing spondylitis. Who on 21-Nov-2008 was vaccinated with a dose of ZOSTER vaccine (lot #658205/1085U) subsequently. On 10-OCT-2008 the reporter was vaccinated with FLUZONE and pneumococcal vaccine, polyval (MSD). On 22 NOV-2008 the patient developed red, warm at the site, hard induration starting at approximately 3x5 cm increasing to approximately 8x12 cm. painful and itching and had a patch of shingles down the center of the induration. The patient was prescribed with (MEDROL DOSE PACK). On 28-NOV-2008 the patient recovered. Additional information is not expected.

VAERS ID:337138 (history)  Vaccinated:2008-12-08
Age:26.0  Onset:2008-12-18, Days after vaccination: 10
Gender:Male  Submitted:2008-12-19, Days after onset: 1
Location:New Hampshire  Entered:2009-01-13, Days after submission: 25
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC 'Split Type':
Vaccination
Manufacturer
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Dose
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ANTH: ANTHRAX (BIOTHRAX)EMERGENT BIOSOLUTIONSFLAU1480SCRA
SMALL: SMALLPOX (ACAM2000)SANOFI PASTEUR003A1 LA
Administered by: Military     Purchased by: Military
Symptoms: Cellulitis, Rash pustular
SMQs:, Hypersensitivity (narrow)
Write-up: Member developed a satellite pustule near vaccine site. Area appeared to have a generalized cellulitis around site. Member sent to ER and was treated and released. Member was given BACTROBAN 20% to use on a questionable pustule on side of his nose. No other medications or treatment given.

VAERS ID:337146 (history)  Vaccinated:2009-01-05
Age:26.0  Onset:2009-01-05, Days after vaccination: 0
Gender:Female  Submitted:2009-01-06, Days after onset: 1
Location:Texas  Entered:2009-01-13, Days after submission: 7
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type':
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Manufacturer
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HEP: HEP B (ENGERIX-B)GLAXOSMITHKLINE BIOLOGICALSAHBVB6408A2UNUN
Administered by: Other     Purchased by: Private
Symptoms: Dizziness, Headache, Pyrexia, Visual impairment
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Optic nerve disorders (broad), Lens disorders (broad), Retinal disorders (broad), Vestibular disorders (broad)
Write-up: Dizzy, headache, brown spot in vision - 30 mins. - fever 102 degrees x 9hrs. Headache and dizzy after 72hrs.

VAERS ID:337147 (history)  Vaccinated:2009-01-07
Age:26.0  Onset:2009-01-07, Days after vaccination: 0
Gender:Female  Submitted:2009-01-09, Days after onset: 2
Location:Virginia  Entered:2009-01-13, 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:
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
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HEP: HEP B (FOREIGN)MERCK & CO. INC.0601X2IMRA
Administered by: Private     Purchased by: Private
Symptoms: Blister, Headache
SMQs:, Severe cutaneous adverse reactions (broad), Hypersensitivity (broad)
Write-up: Blister at the side where HEPTAVAX was given with headache for a few hours.

VAERS ID:337192 (history)  Vaccinated:2008-11-04
Age:26.0  Onset:2008-11-05, Days after vaccination: 1
Gender:Female  Submitted:2008-11-12, Days after onset: 7
Location:North Carolina  Entered:2009-01-13, Days after submission: 62
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: NUVARING
Current Illness:
Preexisting Conditions: 2005 - Anemia Hx: of Ovarian and breast Cyst
Diagnostic Lab Data: All WNL per pt
CDC 'Split Type': NC09003
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLUN3: INFLUENZA (SEASONAL) (FLUMIST)MEDIMMUNE VACCINES, INC.500544P IN 
Administered by: Public     Purchased by: Public
Symptoms: Abdominal pain, Back pain, Laboratory test normal, Muscle spasms, Nausea, Smear cervix normal, Urine analysis normal
SMQs:, Acute pancreatitis (broad), Retroperitoneal fibrosis (broad), Dystonia (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)
Write-up: Patient developed low back pain that radiated after 30 minutes to abdomen. Pain described as cramping / pressure. 7 on pain scale of 0-10 generalized over entire abdomen. c/o nausea . Pain elevated with ambulation. Most comfortable position was bending forward. Pain abated at 2pm 11-5-08. Patient was seen in employee health and referred to emergency room at hospital on the morning of 11/5/08. Labs, urine and pap smear were done. No problem identified. Referred by emergency Department for follow up at primary care provider .

VAERS ID:337196 (history)  Vaccinated:2008-11-07
Age:26.0  Onset:2008-11-07, Days after vaccination: 0
Gender:Female  Submitted:2009-01-06, Days after onset: 60
Location:Connecticut  Entered:2009-01-13, Days after submission: 7
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: No
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
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FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURU2751AA IMLA
Administered by: Public     Purchased by: Private
Symptoms: Bursitis, Pain in extremity
SMQs:
Write-up: Left arm pain since flu shot reported on 12/5/08. As of 12/16/08 saw MD, diagnosed with bursitis, RELAFEN prescribed. May need cortisone injection if not better. Pain decreased with RELAFEN.

VAERS ID:337341 (history)  Vaccinated:2009-01-09
Age:26.0  Onset:2009-01-09, Days after vaccination: 0
Gender:Female  Submitted:2009-01-14, Days after onset: 5
Location:Minnesota  Entered:2009-01-14
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: none
Diagnostic Lab Data:
CDC 'Split Type':
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FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURU2770AA0IMLA
Administered by: Public     Purchased by: Private
Symptoms: Chest discomfort, Cough, Dyspnoea, Palpitations, Upper respiratory tract congestion
SMQs:, Anaphylactic reaction (broad), Arrhythmia related investigations, signs and symptoms (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad)
Write-up: 4 hours after shot administered, felt chest pressure, heart pounding, congested chest & cough. Breathing problems also which lasted about 25 minutes, rest of symptoms persisted for about 3.5 hours.

VAERS ID:338075 (history)  Vaccinated:2008-06-25
Age:26.0  Onset:2008-06-26, Days after vaccination: 1
Gender:Male  Submitted:2009-01-12, Days after onset: 200
Location:North Carolina  Entered:2009-01-16, Days after submission: 4
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Obesity, Possible Arthritis, Suspected Tendonitis
Preexisting Conditions: The subject had a history of alcohol use, but no history of tobacco use.
Diagnostic Lab Data: Unk
CDC 'Split Type': A0746159A
Vaccination
Manufacturer
Lot
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Site
HEP: HEP B (ENGERIX-B)GLAXOSMITHKLINE BIOLOGICALSAHB530AA0UNRL
Administered by: Public     Purchased by: Other
Symptoms: Joint swelling, Monarthritis, Pain
SMQs:, Haemodynamic oedema, effusions and fluid overload (narrow), Arthritis (narrow)
Write-up: This case was reported by a health care professional and described the occurrence of swelling of knees in a 26-year-old male subject who was vaccinated with ENERGIX B. On 25 June 2008 the subject received 1st dose of ENGERIX B at 1.0ml. On 26 June 2008, 1 day after vaccination with ENEGERIX B, the subject experienced swelling of knees and pain. On 28 June 2008, two days later, the events were resolved. The healthcare professional considered the events were possibly related to vaccination with ENGERIX B. Follow- up information was received on 12 September 2008 via physician assistant, who reported that the subject was diagnosed with monoarticular, arthritis, with a date of onset listed as 26 June 2008. All events were reported to be resolved as of 28 June 2008. The healthcare professional did not consider the events to be serious, and to be possibly related to vaccination with ENGERIX B. The healthcare professional also indicated that the events could have been associated with obesity and possible arthritis / tendonitis.

VAERS ID:338546 (history)  Vaccinated:2008-10-20
Age:26.0  Onset:0000-00-00
Gender:Female  Submitted:2009-01-16
Location:California  Entered:2009-01-20, Days after submission: 4
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0812USA02177
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.0651X0UNRA
Administered by: Private     Purchased by: Private
Symptoms: Arthralgia, Headache, Pain in extremity, Paraesthesia, Vision blurred
SMQs:, Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Glaucoma (broad), Lens disorders (broad), Retinal disorders (broad), Arthritis (broad)
Write-up: Information has been received from a physician concerning a 26 year old female who on 28-OCT-2008 was vaccinated with the first dose of GARDASIL, lot number 661703/0651X. Within a week of receiving her first dose the patient experienced blurriness in the left eye, pain and tingling in her hands and feet, and joint pain and headache. The patient sought medical attention at the physician''s office. Patient recovered. Additional information has been requested. This is in follow-up to report(s) previously submitted on 1/16/2009. Follow up information was received from her physician. The patient was a female attorney (height 64 inches, weight 106 pounds) with no known pre-existing allergies, birth defects or medical conditions who was vaccinated in the morning of 20-OCT-2008 with first dose of GARDASIL, 0.5 mL, in the deltoid. In approximately October 2008, the patient experienced blurry vision in one eye, pain and tingling in hands and feet, joint pain and headaches. The patient''s outcome was unknown. Additional information is not expected.

VAERS ID:338548 (history)  Vaccinated:2008-01-29
Age:26.0  Onset:2008-03-03, Days after vaccination: 34
Gender:Female  Submitted:2009-01-18, Days after onset: 321
Location:California  Entered:2009-01-20, Days after submission: 2
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Pregnancy NOS (LMP= 2/9/2008
Preexisting Conditions:
Diagnostic Lab Data: Ultrasound, 04/23/08, Routine test-Within normal limits; Ultrasound, 07/07/08, Routine test. Within normal limits; Urine beta-human, 04/??/08, positive; Serum alpha-fetoprotein, 06/16/08, Negative. Time 4. Routine test; Herpes simplex virus
CDC 'Split Type': WAES0809USA01795
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.1287U0IMUN
Administered by: Other     Purchased by: Other
Symptoms: Alpha 1 foetoprotein normal, Drug exposure during pregnancy, Fungal infection, Herpes simplex, Herpes simplex serology positive, Ultrasound scan normal, Urine human chorionic gonadotropin 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: Initial and follow-up information has been received from a nurse practitioner concerning a 26 year old female patient with no pertinent medical history or concurrent conditions and no drug reactions/allergies, who on 29-JAN-2008 was vaccinated with the first dose of GARDASIL (lot # 655327/1287U) 0.5 mL, IM. On 03-MAR-2008, the patient received the second dose of GARDASIL (lot # 655604/0052X) 0.5 mL, IM. There was no concomitant medication. The patient was subsequently determined to be pregnant in April 2008. In April 2008, the patient''s urine pregnancy test was positive for pregnancy. The patient sought medical attention with an office visit. The last menstrual period was on 09-FEB-2008. Therapy with GARDASIL was discontinued. The patient''s estimate date of conception was 23-FEB-2008 and estimated date of delivery was 15-NOV-2008. No problems reported. Prenatal testing included. On 23-Apr-2008 ultrasound: Routine test - Within normal limits. On 16-Jun-2008 serum alpha-fetoprotein test: Negative. Time 4. Routine test. On 07-Jul-2008 ultrasound: Routine test. Within normal limits. The patient had five previous pregnancies and five (previously report that on 21-NOV-2008, the patient delivered a normal and healthy female baby weighing 8 lb and 14 oz and apgar score 9/10. No complications during the pregnancy and labor/delivery, no congenital anomalies, and no complications or abnormalities. During the pregnancy, prenatal laboratories were performed. There was infections or illness during the pregnancy, a laboratory test was positive for HSV I and II. The patient received prophylactic Valtrex, 500 mg, BID, started on 06-OCT-2008 to delivery day 21-NOV-2008. Other medications used during this pregnancy included Metronidazole 500 mg for 7 days on 20-OCT-2008 for bacterial vaginosis and Diflucan 150 mg one time oral dose that same day for a vaginal yeast infection. Additional information is not available.

VAERS ID:338654 (history)  Vaccinated:0000-00-00
Age:26.0  Onset:2008-09-28
Gender:Female  Submitted:2009-01-16, Days after onset: 110
Location:Unknown  Entered:2009-01-20, Days after submission: 4
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: OMEGA-3, vitamins (unspecified)
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0812USA04554
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC. 1UNUN
Administered by: Other     Purchased by: Other
Symptoms: Musculoskeletal chest pain, Nausea, Pain in extremity
SMQs:, Acute pancreatitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)
Write-up: Information has been received from a registered nurse concerning a 26 year old female who on 25-SEP-2008 was vaccinated with a first dose of GARDISIL vaccine. After the first dose of GARDASIL vaccine she felt pain in the muscles around her chest but they resolved in three days. Concomitant therapy included vitamins (unspecified) and OMEGA-3. On 18-dec-2008 the patient received a second dose of GARDASIL vaccine and later that day called the nurses and stated that she experienced slight nausea, pain in her left arm and pain in the muscles around the chest not her heart. The nurse also reported that she advised the patient after she told her the experience with the second dose to seek further medical attention, but the patient said she would not since it happened with the first dose and it resolved. The nurse at this time is unsure if the patient had recovered. The patient sought medical attention through a call to the nurse. Additional information has been requested.

VAERS ID:337835 (history)  Vaccinated:0000-00-00
Age:26.0  Onset:0000-00-00
Gender:Male  Submitted:2009-01-16
Location:New Jersey  Entered:2009-01-21, 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: PPD; Sanofi Pasteur; C2912AA; Right Forearm; 13 Jul 2000; 5 Jan 2009
Current Illness: None
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
SMALL: SMALLPOX (ACAM2000)ACAMBIS, INC.VV04003ACA15IDUN
Administered by: Other     Purchased by: Military
Symptoms: Axillary pain, Fatigue, Hypokinesia, Oedema, Pain in extremity, Pruritus, Skin warm
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Hypersensitivity (broad)
Write-up: Left upper arm & shoulder; edema & warm with pain 6/10 with movement; itching; T 98.8 degree; tiredness; tender on palpation to underarm; motion was abnormal seen at TMC by medical provider 16 Jan 09- Rx BENADRYL & Ibuprofen

VAERS ID:337840 (history)  Vaccinated:2008-12-13
Age:26.0  Onset:2008-12-13, Days after vaccination: 0
Gender:Female  Submitted:2009-01-20, Days after onset: 38
Location:Unknown  Entered:2009-01-21, Days after submission: 1
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness: Pregnancy NOS (LMP = 12/1/2008)
Preexisting Conditions:
Diagnostic Lab Data: beta-human chorionic, positive
CDC 'Split Type': WAES0901USA00165
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.  UNUN
Administered by: Other     Purchased by: Other
Symptoms: Abortion induced, Drug exposure during pregnancy, Pregnancy test positive
SMQs:, 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 26 year old female who on 13-DEC-2008 was vaccinated with a dose of VARIVAX (Oka/Merck). The reporter stated that her last menstrual period was 01-DEC-2008 and that 3 recent at home pregnancy tests were positive. The estimated delivery date is 07-SEP-2009. No adverse effect reported. Follow-up information has been received from the patient who stated that she is going to terminate her pregnancy due to getting VARIVAX (Oka/Merck). Upon internal review elective termination of pregnancy was considered to be another medical important event. No further information is available.

VAERS ID:338106 (history)  Vaccinated:2009-01-23
Age:26.0  Onset:2009-01-23, Days after vaccination: 0
Gender:Male  Submitted:2009-01-23, Days after onset: 0
Location:Georga  Entered:2009-01-23
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: None
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
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Dose
Route
Site
ANTH: ANTHRAX (BIOTHRAX)EMERGENT BIOSOLUTIONSFAV1410IMRA
TYP: TYPHOID VI POLYSACCHARIDE (TYPHIM VI)SANOFI PASTEURB042421IMRA
Administered by: Military     Purchased by: Military
Symptoms: Injection site erythema, Injection site rash, Pruritus
SMQs:, Anaphylactic reaction (broad), Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (narrow)
Write-up: PT had an itching sensation in the back of the right arm. PT was rubbing the site and noticed a red rash like reaction going from the shot site which was administered intramuscularly. The area was approximately 10cm. The patent was given Typhoid in the same arm which was not near the red area of the anthrax shot. Patent was given 1 Capsule 50mg Diphehydromine. The rash cleared up then after.

VAERS ID:338273 (history)  Vaccinated:2008-12-10
Age:26.0  Onset:2008-12-11, Days after vaccination: 1
Gender:Female  Submitted:2008-12-15, Days after onset: 4
Location:Arkansas  Entered:2009-01-26, Days after submission: 42
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC 'Split Type':
Vaccination
Manufacturer
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Site
TDAP: TDAP (ADACEL)SANOFI PASTEURC2773AA2IMLA
Administered by: Public     Purchased by: Other
Symptoms: Erythema, Induration, Skin warm, Tenderness
SMQs:, Anaphylactic reaction (broad), Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (broad)
Write-up: 12/10 Wed. got shot. Thursday the 11th small nickel size red area and hard, warm to touch knot. Very sore to touch. Friday morning golf ball size knot, red area and warm to touch, very tender. took BENADRYL and TYLENOL, no results, Friday night a little bigger with same s/s. Sat started getting smaller improving but not gone.

VAERS ID:338601 (history)  Vaccinated:2009-01-20
Age:26.0  Onset:2009-01-20, Days after vaccination: 0
Gender:Male  Submitted:2009-01-29, Days after onset: 9
Location:Mississippi  Entered:2009-01-29
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: N/A
Preexisting Conditions: N/A
Diagnostic Lab Data: EKG, Urinalysis, Blood test performed. LABS: WBC 3.9, Chemistry, CPK, CKMB, Troponin, CXR & EKG all WNL.
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
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Site
ANTH: ANTHRAX (BIOTHRAX)EMERGENT BIOSOLUTIONSFAV1490IMRA
SMALL: SMALLPOX (ACAM2000)SANOFI PASTEURW04003A0OTLA
Administered by: Military     Purchased by: Military
Symptoms: Asthenia, Blood creatine phosphokinase MB, Blood creatine phosphokinase normal, Chest X-ray normal, Chest pain, Chills, Cough, Electrocardiogram normal, Laboratory test normal, Pleuritic pain, Troponin, Urinary tract infection, White blood cell count decreased
SMQs:, Anaphylactic reaction (broad), Haematopoietic leukopenia (narrow), Systemic lupus erythematosus (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad)
Write-up: 20 Jan 2009- received vaccination. 21 Jan 2009 had chills and weakness. 23 Jan 2009 had chest pains. Went to Aid Station was told he had gas. Continued to have chest pains for 3 days. 26 Jan 2009- returned to Sick call. Was admitted to Emergency Room. Diagnosis- Pluerisy. Received medicine. 29 Jan 2009 still has chest pain and weakness- but not as badly as before. 2/9/09 Received ER medical records of 1/26/2009. FINAL DX: pleuritic chest pain, UTI Records reveal patient experienced chest pain, DOE, chills, nonproductive cough x 3 days. Tx w/meds & d/c to home.

VAERS ID:338782 (history)  Vaccinated:2007-10-05
Age:26.0  Onset:2008-04-19, Days after vaccination: 197
Gender:Female  Submitted:2009-01-30, Days after onset: 286
Location:Pennsylvania  Entered:2009-02-02, Days after submission: 3
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: Pregnancy NOS (LMP = 4/19/2008)
Preexisting Conditions:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0901USA03970
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.1063U1IMUN
Administered by: Other     Purchased by: Other
Symptoms: Caesarean section, Drug exposure during pregnancy
SMQs:, Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow)
Write-up: Information has been received from a registered nurse for the Pregnancy Registry for GARDASIL concerning a 28 year old female patient with no pertinent medical history, no drug reactions/allergies, who on 03-AUG-2007 was vaccinated intramuscularly with the first 0.5 mL dose of GARDASIL (Lot # 658222/0927U). There was no concomitant medication. On 05-OCT-2007 the patient was vaccinated intramuscularly with the second 0.5 mL dose of GARDASIL (Lot # 658563/1063U). The patient became pregnant after receiving her second dose of GARDASIL. Her LMP was on 19-APR-2008 and estimated date of delivery was 24-JAN-2009. On 19-JAN-2009 the patient delivered by caesarean section. Upon internal review, patient delivered by caesarian section was determined to be an other important medical event. Additional information has been requested.

VAERS ID:339110 (history)  Vaccinated:2009-02-03
Age:26.0  Onset:2009-02-03, Days after vaccination: 0
Gender:Female  Submitted:2009-02-05, Days after onset: 2
Location:Minnesota  Entered:2009-02-05
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Flonase, Synthroid, Yasmin
Current Illness: no
Preexisting Conditions: NO
Diagnostic Lab Data: per pt the rash is getting better.
CDC 'Split Type':
Vaccination
Manufacturer
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Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.0652X0IMLA
Administered by: Private     Purchased by: Private
Symptoms: Rash
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow)
Write-up: Spoke with pt on Tuesday 2/3/09 she was administered the HPV vaccine about 4 hours later a rash devloped on her back that grew to cover the majority of her back. She feels that today it is not spreading and she feels it is getting better she dose not tolerate benadryl so that was not advised. No SOB, pain, fever, hives. Advised pt she should not continue with the HPV series as there is really no way of telling how she may react. She was in agreement with this. Pt will call back if any other symptoms devlope or rash dose not continue to improve over the next few days

VAERS ID:339154 (history)  Vaccinated:2009-01-30
Age:26.0  Onset:2009-01-31, Days after vaccination: 1
Gender:Female  Submitted:2009-02-06, Days after onset: 6
Location:Oklahoma  Entered:2009-02-06
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: Chronic Gastritis
Diagnostic Lab Data: NA
CDC 'Split Type':
Vaccination
Manufacturer
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Dose
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Site
TDAP: TDAP (ADACEL)SANOFI PASTEURC3029BA0IMRA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Activities of daily living impaired, Burning sensation, Immunisation reaction, Infection, Musculoskeletal pain, Oedema peripheral, Pain in extremity, Skin warm
SMQs:, Rhabdomyolysis/myopathy (broad), Cardiac failure (broad), Angioedema (broad), Peripheral neuropathy (broad), Dementia (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: The day I got the vaccine I didn''t have any pain or swelling. The next day (Saturday) I had a little soreness. As the day progressed the pain got worse. By Saturday night it was swollen, warm and the pain had increased. The pain was in my shoulder and I had a burning pain down the back of my arm. On Sunday I was in a lot of pain. The pain was impacting my ability to perform my regular duties. I went to Urgent Care and they said it was infected and they gave me an antibiotic. On Monday it was still warm, swollen, and I had zero change in the pain. Tuesday the warmth was gone and some of the swelling. The pain was still the same. I went to my physician and she said it was just a reaction to the vaccine. She gave me a steroid dose pack and Benadryl. Four hours after taking the steroids and Benadryl the burning down the back of my arm was gone. On Wednesday the swelling was gone and there is only a little pain in my shoulder. By Thursday my arm was normal.

VAERS ID:339778 (history)  Vaccinated:2009-01-12
Age:26.0  Onset:2009-01-12, Days after vaccination: 0
Gender:Female  Submitted:2009-01-12, Days after onset: 0
Location:Hawaii  Entered:2009-02-18, Days after submission: 37
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.0947X1IMLA
Administered by: Military     Purchased by: Unknown
Symptoms: Dizziness, Palpitations
SMQs:, Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad), Vestibular disorders (broad)
Write-up: Patient vacant 15 minutes after the shot. After 15 minutes when she get up + walk she fell little bit dizzy + palpitation few minutes. Notified provider + provider said it''s OK.

VAERS ID:339790 (history)  Vaccinated:2008-12-30
Age:26.0  Onset:2008-12-30, Days after vaccination: 0
Gender:Female  Submitted:2009-01-14, Days after onset: 15
Location:West Virginia  Entered:2009-02-18, Days after submission: 35
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: YAZ ? antibiotic for URI
Current Illness: None
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.1311X2UNLA
Administered by: Private     Purchased by: Other
Symptoms: Injection site pain
SMQs:, Extravasation events (injections, infusions and implants) (broad)
Write-up: Pt called office and c/o L upper arm still being sore 2 weeks after injection. Received GARDASIL 12/30/08- Called office 1/14/09.

VAERS ID:340321 (history)  Vaccinated:2009-01-27
Age:26.0  Onset:2009-01-27, Days after vaccination: 0
Gender:Female  Submitted:2009-04-07, Days after onset: 69
Location:New Jersey  Entered:2009-02-18, Days after submission: 47
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Polycystic ovarian syndrome
Preexisting Conditions: Excessive sweating 4/8/09-records received-PMH: T2-T4 sympathectomy with chronic sweating/chills.
Diagnostic Lab Data: temperature measurement, 98.4 degrees F 4/9/09-records received-CBC WNL.
CDC 'Split Type': WAES0901USA04376
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.1423X0IMUN
Administered by: Other     Purchased by: Other
Symptoms: Asthenia, Chills, Diarrhoea, Dyspnoea, Fatigue, Full blood count normal, Guillain-Barre syndrome, Influenza like illness, Pain, Paraesthesia
SMQs:, Anaphylactic reaction (broad), Peripheral neuropathy (narrow), Pseudomembranous colitis (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Demyelination (narrow), Noninfectious diarrhoea (narrow)
Write-up: Information has been received from a registered nurse concerning a 26 year old female with polycystic ovarian syndrome, a history of thoracic sympathectomy for excessive sweating, and not known drug allergies, who on 27-JAN-2009 was vaccinated with a 0.5 mL first dose of GARDASIL (lot # 1423X), intramuscularly. Concomitant therapy included MIRCETTE and prenatal vitamins (unspecified). That evening the patient had episodes of diarrhea, flu like feeling, fatigue, achiness and chills. The symptoms persisted and the patient stated that she started to develop tingling in her lower legs and feet on 29-JAN-2009. The registered nurse requested that the patient took her temperature and it was 98.4 degrees F. The patient sought medical attention through a phone call. At the time of this report the patient had not recovered. Additional information has been requested.4/8/09records received-presented in ED on 2/2/09 with C/O pins and needles in legs and hands s/p gardasil vaccine. Paresthesia and weakness lower extremities. Mild shortness of breath. PE RLE 4/5 LUE 4/5. No actual motor weakness. DX: Mild Guillain Barre secondary to vaccination. This is in follow-up to report (s) previously submitted on 2/13/2009. Follow up information received on 19-FEB-2009 stated that the patient received a first dose of GARDASIL (lot # 1423X), intramuscularly into the left deltoid on 27-JAN-2009 at approximately 12:00. The patient had a sympathectomy in 1999 for excessive sweating. It was also reported that the patient called to the physicians office on 29-JAN-2009 complaining of fatigue, diarrhea and flu like symptoms starting a few hours after administration of GARDASIL. The patient also complained of "tingling of feet". On 01-FEB-2009 the patient called for increasing numbness on legs, the patient went to E.R. on 02-FEB-2009 for numbness and saw the neurologist who prescribed NEURONTIN. Follow up information received on 27-FEB-2009 from the physician''s secretary; she provided the patient''s last name. It was also stated that the patient was in contact with the physician by phone on 24-FEB-2009 and she told the physician that she was going to a rehab center for physician therapy two times a week for about a month, to "get resolution of symptoms". The secretary could not find the name of the neurologist in the chart, nor was there any mention of recovery for the other events. No further information is available.

VAERS ID:340445 (history)  Vaccinated:0000-00-00
Age:26.0  Onset:0000-00-00
Gender:Female  Submitted:2009-02-13
Location:Virginia  Entered:2009-02-18, 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: Unknown
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0901USA03688
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC. 0UNUN
Administered by: Other     Purchased by: Other
Symptoms: Joint swelling
SMQs:, Haemodynamic oedema, effusions and fluid overload (narrow), Arthritis (broad)
Write-up: Information has been received from a nurse concerning a 26 year old female who was vaccinated with a first dose of GARDASIL, lot number not reported. The nurse stated that one of the patient''s ankles swelled after receiving the GARDASIL vaccine. The patient sought unspecified medical attention. Her outcome is unknown. Additional information has been requested. Follow-up information has been received from a nurse concerning the patient. It was reported that she did not recall the patient''s name and was not able to access the information. She also did not know her date of birth, vaccine dates or the lot numbers for those vaccines. She noted that thee patient had a job which required her to be on her feet, so she felt as though the AE of joint swelling was due to her job and not to her exposure to GARDASIL vaccine. The nurse stated that the patient had not been back to see them, sho she figured she had recovered. Also she said that she was not aware that the patietn required any treatment for the swelling. Additional information will be provided if available. Additional information has been requested.

VAERS ID:340626 (history)  Vaccinated:2009-01-13
Age:26.0  Onset:2009-01-13, Days after vaccination: 0
Gender:Female  Submitted:2009-02-13, Days after onset: 31
Location:Unknown  Entered:2009-02-18, Days after submission: 5
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: None
CDC 'Split Type': WAES0901USA01808
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC. 1UNUN
Administered by: Other     Purchased by: Other
Symptoms: Dizziness, Headache, Vision blurred
SMQs:, Anticholinergic syndrome (broad), Glaucoma (broad), Lens disorders (broad), Retinal disorders (broad), Vestibular disorders (broad)
Write-up: Information has been received from a registered nurse concerning her 26 year old daughter who on 13-JAN-2000 was vaccinated with a second dose of GARDASIL 0.5 ml. There was no concomitant medication. After a couple of hours the patient experienced dizziness, horrible headache and blurry vision. At the night of 13-JAN-2009 ("last night") the patient recovered. The patient sought medical attention of the nurse is also her mother. Additional information has been requested.

VAERS ID:340762 (history)  Vaccinated:2008-10-08
Age:26.0  Onset:2008-10-13, Days after vaccination: 5
Gender:Female  Submitted:2009-02-13, Days after onset: 123
Location:Pennsylvania  Entered:2009-02-18, Days after submission: 5
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Pregnancy NOS (LMP = 10/14/2008); Asthma
Preexisting Conditions: Pregnancy; Delivery; Pregnancy termination; Papilloma viral infection
Diagnostic Lab Data: beta-human chorionic, 10/08/08, urine pregnancy test: negative; Pap test, 10/13/08, ASCUS: positive, HRHPV
CDC 'Split Type': WAES0901USA00052
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.0072X2IMUN
Administered by: Other     Purchased by: Other
Symptoms: Cervical dysplasia, Colposcopy, Drug exposure during pregnancy, Human papilloma virus test positive, Smear cervix abnormal, Urine human chorionic gonadotropin negative
SMQs:, Reproductive premalignant disorders (narrow), Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow), Uterine and fallopian tube malignant tumours (broad)
Write-up: Information has been received from a licensed practical nurse for the Pregnancy Registry for GARDASIL, concerning a 26 year old female patient with a history of papilloma viral infection, who on 10-APR-2008 was vaccinated with the first dose of GARDASIL (Lot number 659964/1978U) 0.5 mL IM. On 11-JUN-2008, the patient was vaccinated with the second dose of GARDASIL (660393/0067X) 0.5 mL IM and on 08-OCT-2008 was vaccinated with the third dose of GARDASIL (Lot number 660557/0072X) 0.5 mL IM. There was no concomitant medication. The nurse reported that the patient who received all three doses of GARDASIL was pregnant. A urine pregnancy test done on 08-OCT-2008 at the office was negative. The last menstrual period was on 14-OCT-2008 and the estimated delivery date will be on 21-JUL-2009. Follow up information was received from the LPN who reported that the patient with asthma (status post), had a 3 previous pregnancies (2 full term deliveries (39 weeks both) and 1 elective termination at 4 weeks). The patient did not had any birth defects or infant complications in any previous pregnancy. On 29-DEC-2008, the patient was placed on prenatal vitamins. On 13-0CT-2008 a PAP was performed, positive result for ASCUS and HRHPV. On 12-DEC-2008, a colposcopy was performed (results not provided). Additional information has been requested. This is in follow-up to report(s) previously submitted on 2/13/2009.

VAERS ID:340768 (history)  Vaccinated:2008-01-28
Age:26.0  Onset:2008-02-11, Days after vaccination: 14
Gender:Female  Submitted:2009-02-13, Days after onset: 368
Location:Unknown  Entered:2009-02-18, Days after submission: 5
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Pregnancy NOS (LMP = 2/11/2008)
Preexisting Conditions:
Diagnostic Lab Data: diagnostic laboratory, 03/10/08, - routine pregnancy work up; ultrasound, 03/31/08, - 1st trimester routine within normal limits; serum alpha-fetoprotein, 06/02/08, - within normal limits; serum glucose, 07/29/08, - within normal limits; hemoglobin, 07/29/08, - mild anemia; hematocrit, 07/29/08, - mild anemia; Apgar score, 11/02/08, 09/10, -; vaginal Streptococcus, 10/14/08, - negative
CDC 'Split Type': WAES0810USA00870
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.1287U0UNUN
Administered by: Other     Purchased by: Other
Symptoms: Alpha 1 foetoprotein normal, Anaemia, Apgar score normal, Blood glucose normal, Drug exposure during pregnancy, Haematocrit abnormal, Haemoglobin abnormal, Laboratory test normal, Streptococcus identification test negative, Ultrasound scan normal
SMQs:, Haematopoietic erythropenia (broad), Haemorrhage laboratory terms (broad), Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow), Normal pregnancy conditions and outcomes (broad)
Write-up: Information has been received from a nurse practitioner for the pregnancy registry for GARDASIL vaccine concerning a 27 year old female with a history of 5 pregnancies and 4 live births and no pertinent medical history and no allergies who on 28-JAN-2008 was vaccinated with a first dose of GARDASIL vaccine 0.5 ml (lot # 655327/1287U). Other medication used during pregnancy included pre-natal vitamins, ZOFRAN ODT 8mg PRN for nausea (previously reported as vomiting), FERROUS SULFATE 325 mg daily for anemia and MACROBID 100 mg BID for UTI. There were no birth defects and no infant complications in previous pregnancies. The patient became pregnant after vaccination "34 weeks" ago. The date of last menstrual period was 11-FEB-2008. The estimated due date is 17-NOV-2008. The patient sought medical attention seen at the practice. The routine pregnancy work up was performed. On 31-MAR-2008 the ultrasound was performed. On 02-JUN-2008 MSAFF was performed with normal limits. Follow-up information was received from pregnancy questionnaire. On 10-MAR-2008 the routine pregnancy labs were performed within normal limits. On 29-JUL-2008 the glucose test was performed within normal limits. On 29-JUL-2008 the whole blood hematocrit ad blood hemoglobin test were performed with the results of mild anemia. On 14-OCT-2008 the vaginal Streptococcus group B culture test was performed with negative results. On 02-NOV-2008 the patient with 1 spontaneous abortion (incomplete abortion D&C done) delivered a male health baby weighing 7 pounds 6 ounces with apgar score 9/10 at 38 weeks. There was no congenital anomalies or other complication or abnormalities. There was no complication during pregnancy and delivery. Additional information is not expected.

VAERS ID:340172 (history)  Vaccinated:2009-02-19
Age:26.0  Onset:2009-02-19, Days after vaccination: 0
Gender:Female  Submitted:2009-02-20, Days after onset: 1
Location:Florida  Entered:2009-02-20
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: ORTHO EVRA Patch
Current Illness: None reported
Preexisting Conditions: NKDA
Diagnostic Lab Data: UPT - neg
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.1129X0IMLA
Administered by: Private     Purchased by: Private
Symptoms: Chills, Myalgia, Pregnancy test urine negative, Pyrexia
SMQs:, Rhabdomyolysis/myopathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Eosinophilic pneumonia (broad)
Write-up: Fever, chills, muscle aches.

VAERS ID:340267 (history)  Vaccinated:2009-02-17
Age:26.0  Onset:2009-02-17, Days after vaccination: 0
Gender:Female  Submitted:2009-02-20, Days after onset: 3
Location:Colorado  Entered:2009-02-21, 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: red bumps/rash
Preexisting Conditions: none
Diagnostic Lab Data: the doctor that I saw two days later (2-19-09) Dr. is calling it an allergic reaction border line infection
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TETANUS DIPHTHERIA (NO BRAND NAME)UNKNOWN MANUFACTURER   RA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Body temperature increased, Chills, Dizziness, Feeling hot, Hyperhidrosis, Induration, Infection, Injection site erythema, Injection site swelling, Pain
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Vestibular disorders (broad)
Write-up: temp of 100, chills, redness behow injection area, swollen around injection area, hot to the touch, hard, very very painful, sweats, dizzy

VAERS ID:340674 (history)  Vaccinated:2009-02-04
Age:26.0  Onset:2009-02-05, Days after vaccination: 1
Gender:Female  Submitted:2009-02-25, Days after onset: 20
Location:Kentucky  Entered:2009-02-25
Life Threatening? Yes
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: none~ ()~~0~In Sibling|none~ ()~~0~In Sibling|none~ ()~~0~In Patient
Other Medications: Ortho Triclyclin Lo and multivitamin only
Current Illness: none
Preexisting Conditions: NKDA, none 3/9/09-records received-PMH:migraines. Oral contraceptives.
Diagnostic Lab Data: CT, MRV, confirming Transverse Sinus Venous Thrombosis....UTC records of being placed on Keflex and Prednisone for local reaction and cellulitis 3/9/09-records received-CT of had and MRV showed trhombosis in transverse sinus.
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAP: DTAP (NO BRAND NAME)UNKNOWN MANUFACTURER    
Administered by: Unknown     Purchased by: Unknown
Symptoms: Computerised tomogram abnormal, Headache, Injection site cellulitis, Local reaction, Nuclear magnetic resonance imaging abnormal, Venous thrombosis
SMQs:, Embolic and thrombotic events, venous (narrow)
Write-up: Local reaction and cellulitis at injection area.. .went to urgent treatment care and was put on Keflex and Prednisone...went to Emergency Room a week and a half later for severe headaches and was diagnosed with a Tranverse Sinus Venous Thrombosis3/9/09-records received for DOS 2/20-2/23/09-DC DX: Transverse sinus thrombosis. C/O headache consistent with migraines began 4 days prior to admission.

VAERS ID:340834 (history)  Vaccinated:0000-00-00
Age:26.0  Onset:0000-00-00
Gender:Female  Submitted:2009-02-26
Location:Unknown  Entered:2009-02-27, Days after submission: 1
Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0902USA03764
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC. 1IMUN
Administered by: Other     Purchased by: Other
Symptoms: Activities of daily living impaired, Influenza like illness, Malaise, Myalgia, Vaccine positive rechallenge, Vomiting
SMQs:, Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Dementia (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad)
Write-up: Information has been received from a nurse concerning her 26 year old daughter who was intramuscularly vaccinated with the first and second 0.5 ml doses of GARDASIL several months ago. Subsequently the patient developed flu-like symptoms after administration of the first and second dose of GARDASIL. She also experienced vomiting and muscle aches both times. She missed work because of the severity of her symptoms. Her symptoms were worse after the second dose of GARDASIL as compared to the first dose. She would not be administered a third dose of GARDASIL. The patient recovered on unspecified dates. Flu-like symptoms, vomiting and muscle aches (both occurrences) were considered to be disabling because the patient "was very, very ill". The patient sought unspecified medical attention. No further information is available.

VAERS ID:340856 (history)  Vaccinated:2008-12-16
Age:26.0  Onset:2008-12-22, Days after vaccination: 6
Gender:Male  Submitted:2009-02-24, Days after onset: 64
Location:Wisconsin  Entered:2009-02-27, Days after submission: 3
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: Seasonal allergies
Diagnostic Lab Data: None
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
ANTH: ANTHRAX (NO BRAND NAME)MICHIGAN DEPT PUB HLTHFAV149 UNUN
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)UNKNOWN MANUFACTURER  IMUN
Administered by: Military     Purchased by: Military
Symptoms: Arthralgia, Chest discomfort, Diarrhoea, Dyspnoea, Influenza like illness, Nausea, Pyrexia, Tachycardia, Vomiting
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Pseudomembranous colitis (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Arthritis (broad), Noninfectious diarrhoea (narrow)
Write-up: This service member contacted the 24 hour vaccine call center to report reproducible flu-like symptoms of nausea, vomiting, low grade fever and diarrhea that occurred 5-6 days after receipt of ANTHRAX vaccine #1 and #2. Received ANTHRAX, influenza (injectable), and TYPHOID vaccines in preparation for deployment the end of Feb 09 on 16 Dec 08. Had no immediate significant local reaction and no systemic symptoms. Approximately 6 days later he developed severe vomiting, diarrhea and joint aches that lasted about 24 hours. The rest of the family had similar symptoms. Patient fully recovered. Service member received ANTHRAX vaccine #2 on 27 or 28 Jan 09 while in the field (according to the new dosing schedule that eliminates the 2nd 2 week dose.) He reports he was clinically well at the time. No other vaccinations were given simultaneously. Six days later he developed severe vomiting (6-7x in 24 hours) and diarrhea (12-13 x in 24 hours) and low grade temp of 100.7. States he also had a shortness of breath, tightness in the chest and Tachycardia for a few hours. Went to see his civilian PCP for evaluation. No labs drawn or medications given. No one else in the home ill. Slept 16 hours. Feeling better within 24 hours.

VAERS ID:340969 (history)  Vaccinated:2007-12-29
Age:26.0  Onset:2008-01-24, Days after vaccination: 26
Gender:Female  Submitted:2009-03-02, Days after onset: 403
Location:Oregon  Entered:2009-03-03, Days after submission: 1
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness: Pregnancy NOS (LMP = Unknown)
Preexisting Conditions:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0902USA04384
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC. 2UNUN
Administered by: Other     Purchased by: Other
Symptoms: Abortion spontaneous, Drug exposure during pregnancy, Pregnancy test
SMQs:, Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow), Termination of pregnancy and risk of abortion (narrow)
Write-up: Information has been received from a physician, for the Pregnancy Registry for GARDASIL, concerning a 26 year old female who was vaccinated with first and second 0.5mL doses of GARDASIL on 29-JUN-2007 and 29-SEP-2007. The physician reported that they believed the patient was pregnant on 10-DEC-2007. On 29-DEC-2007, the patient was vaccinated with the dose of GARDASIL. On 24-JAN-2008 the patient experienced miscarriage. Lab test performed included unspecified pregnancy test. This is one of two reports concerning the same patient. Upon internal review miscarriage has been considered an other important medical event. Subsequently in June 2008 the patient became pregnant again and on August 2008 the patient had another miscarriage (WAES #0902USA04455). Additional information has been requested.

VAERS ID:340970 (history)  Vaccinated:2007-12-29
Age:26.0  Onset:2008-06-01, Days after vaccination: 155
Gender:Female  Submitted:2009-03-02, Days after onset: 274
Location:Oregon  Entered:2009-03-03, Days after submission: 1
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Miscarriage
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0902USA04455
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC. 2UNUN
Administered by: Other     Purchased by: Other
Symptoms: Abortion spontaneous, Drug exposure during pregnancy, Pregnancy test
SMQs:, Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow), Termination of pregnancy and risk of abortion (narrow)
Write-up: Information has been received from a physician, for the Pregnancy Registry for GARDASIL, concerning a 26 year old female who was vaccinated with first, second and third 0.5mL dose of GARDASIL on 29-JUN-2007, 29-SEP-2007 and 29-DEC-2007. On 24-JAN-2008, the patient had a miscarriage (MSD WAES # 0902USA04384). Subsequently in June 2008 the patient became pregnant again and on August 2008 the patient had another miscarriage. Lab tests performed included unspecified pregnancy test. This is one of two reports concerning the same patient. Upon internal review, miscarriage was considered to be an other important medical event. Additional information has been requested.

VAERS ID:348884 (history)  Vaccinated:2008-04-09
Age:26.0  Onset:0000-00-00
Gender:Male  Submitted:2009-02-11
Location:Michigan  Entered:2009-03-03, Days after submission: 20
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: SINGULAIR, Nasal Spray
Current Illness: None
Preexisting Conditions:
Diagnostic Lab Data: None
CDC 'Split Type': 08AV00285SP
Vaccination
Manufacturer
Lot
Dose
Route
Site
ANTH: ANTHRAX (BIOTHRAX)EMERGENT BIOSOLUTIONSFAV2332SCRA
Administered by: Other     Purchased by: Private
Symptoms: Alopecia
SMQs:
Write-up: Received a haircut on 4/15/08. At that time, he noticed a dime-sized area of hair loss on scalp, back of head.

VAERS ID:348886 (history)  Vaccinated:2008-12-17
Age:26.0  Onset:2008-12-19, Days after vaccination: 2
Gender:Female  Submitted:2009-02-11, Days after onset: 54
Location:Wisconsin  Entered:2009-03-03, Days after submission: 20
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Unknown
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC 'Split Type': 08AV00718SP
Vaccination
Manufacturer
Lot
Dose
Route
Site
ANTH: ANTHRAX (BIOTHRAX)EMERGENT BIOSOLUTIONSUNKNOWN3UNRA
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)UNKNOWN MANUFACTURERUNKNOWN UNLA
TYP: TYPHOID VI POLYSACCHARIDE (NO BRAND NAME)UNKNOWN MANUFACTURERUNKNOWN UNLA
Administered by: Military     Purchased by: Other
Symptoms: Erythema, Skin lesion
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (broad)
Write-up: Reporter contacted manufacturer indicating that the caller had received notification of an AE possible associated with administration of BIOTHRAX vaccine. The subject military service member about to be deployed. The service member was seen at a private physician''s office on Fri., 12-19-08 for a small (4mm) red raised lesion on the L forearm. The 26 yr. had received 4th anthrax vaccine in the R deltoid, and Typhoid and Influenza injection in the L deltoid at the military clinic. The physician''s major concern was in regards the potential communicability of an "anthrax lesion." The reporter had also contacted the DoD and CDC for information and was satisfied that the lesion was not communicable.

VAERS ID:348890 (history)  Vaccinated:2008-07-11
Age:26.0  Onset:2008-07-12, Days after vaccination: 1
Gender:Male  Submitted:2009-02-11, Days after onset: 214
Location:Florida  Entered:2009-03-03, Days after submission: 20
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: No other medications
Current Illness: None
Preexisting Conditions: 1 History of Psoriasis or eczema like condition until age 10. 2 Historical Memo NKDA
Diagnostic Lab Data:
CDC 'Split Type': 08AV00447SP
Vaccination
Manufacturer
Lot
Dose
Route
Site
ANTH: ANTHRAX (BIOTHRAX)EMERGENT BIOSOLUTIONSFAV1644SCLA
Administered by: Other     Purchased by: Other
Symptoms: Injection site rash
SMQs:, Hypersensitivity (narrow)
Write-up: Palm-sized dry rash localized to the injection site (injection site rash). Subject is a military person who had received 4 previous doses of Anthrax vaccine (last does in 2004) prior to receiving his 5th dose on 7/11/08. Approximately a day later he developed a palm-sized dry rash localized to the injection site area. The rash was nearly resolved when the subject returned for plasma collection on 7/25/08 and he proceeded with the plasma collection. No latex sensitivity, no prior immunization AE. He has a history of psoriasis/ eczema like condition until approximately age 10. 6/18/08 Subject has recovered no further issues.

VAERS ID:348892 (history)  Vaccinated:2008-07-09
Age:26.0  Onset:2008-07-09, Days after vaccination: 0
Gender:Female  Submitted:2009-02-11, Days after onset: 217
Location:Michigan  Entered:2009-03-03, Days after submission: 20
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Claritin, Diazide, Nexium, Enalapril, Pulmacort inhaler
Current Illness: None
Preexisting Conditions: Allergies hypersensitivity; Asthma; High blood pressure Hypertension; Meniere''s disease; Reflux oesophagitis
Diagnostic Lab Data: None
CDC 'Split Type': 08AV00396SP
Vaccination
Manufacturer
Lot
Dose
Route
Site
ANTH: ANTHRAX (BIOTHRAX)EMERGENT BIOSOLUTIONSFAV2334SCLA
Administered by: Other     Purchased by: Private
Symptoms: Abdominal pain upper, Arthralgia, Chills, Diarrhoea, Fatigue, Headache, Malaise, Nausea, Pain, Pyrexia, Vomiting
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Arthritis (broad), Noninfectious diarrhoea (narrow)
Write-up: Subject reports that approx 5 hours after immunization, she experienced malaise and fatigue. Her symptoms progressed to stomach pain and nausea, vomiting and diarrhea at 10 hours after immunization. 20 hours after immunization symptoms included body aches, joint aches, fever, chills, headache and continued nausea, diarrhea, malaise and fatigue.

VAERS ID:341165 (history)  Vaccinated:2007-04-27
Age:26.0  Onset:2007-07-11, Days after vaccination: 75
Gender:Female  Submitted:2009-03-05, Days after onset: 603
Location:Michigan  Entered:2009-03-05
Life Threatening? Yes
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: none PMH: smoker.
Diagnostic Lab Data: echocardiogram
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.09620IMLA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Chest pain, Contraception, Dysmenorrhoea, Dyspnoea, Echocardiogram, Loop electrosurgical excision procedure, Palpitations, Papilloma viral infection, Smear cervix abnormal, Tachycardia
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad)
Write-up: I went in for the 1st of three Guardisil vaccinations. I had a recent previous pap smear that normal, no HPV, no abnormal cells, nothing. After another pap (after having the vaccine) it was found that I did in fact now have HPV and a lession that needed a LEEP procedure to be removed. My gyno was stunned at how quickly this lesion manifested and how dangerous it had become so very quickly. I was lucky to have it removed when I did as my gyno said one more week and more than likely it would have been cancerous. I now need pap tests every 6 months to make sure I don''t get cervical cancer (from a shot that was meant to protect me from it). I now have HPV forever, and I never had it before I got the vaccine. Married, monogamous (as is spouse), how did I get it then? And is it a coincidence that it happened very shortly after the HPV vaccine was administered? I think not. 4/7/09 Received PCP vaccine record & medical records for 4/27/07. FINAL DX: none provided. Records reveal patient was new patient to practice & experienced menstrual cramps since 1/07 when out of BCPs. Exam was WNL. 4/7/09 Received additional PCP records of 8/23/07. FINAL DX: chest pain, tachycardia Records reveal patient experienced chest pain, heart racing, SOB x 1 day. Began right after starting new BCP. Exam in office WNL. Referred for echocardiogram & BCP d/c''d. No further medical records or echocardiogram report available.

VAERS ID:341208 (history)  Vaccinated:2008-12-12
Age:26.0  Onset:2009-01-01, Days after vaccination: 20
Gender:Female  Submitted:2009-03-05, Days after onset: 63
Location:Missouri  Entered:2009-03-06, Days after submission: 1
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: Pregnancy NOS (LMP = 1/18/2009)
Preexisting Conditions:
Diagnostic Lab Data: Serum beta-human, negative
CDC 'Split Type': WAES0902USA03994
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.0571X0UNUN
Administered by: Other     Purchased by: Other
Symptoms: Abortion spontaneous, Drug exposure during pregnancy, Pregnancy test negative, 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)
Write-up: Information has been received from a licensed practical nurse concerning a 26 year old female with no known medical history and drug allergies, who on 12-DEC-2008 was vaccinated with a first dose of GARDASIL (lot # 660620/0571X) on 12-FEB-2009. The patient received a 0.5 mL second dose of GARDASIL (lot # 661764/0650X), intramuscularly. There was no concomitant medication. It was reported that the patient was pregnant. It was noted that the patient had experienced vaginal spot bleeding that was bright red. It was also reported that the patient miscarried. She was in her first trimester and probably only a couple weeks pregnant. Beta levels were negative and she will not require a dilation and curettage procedure. The patient sought medical attention through a phone call to the practice. Upon internal review, miscarried was determined to be an other important medical event. Additional information has been requested.

VAERS ID:341308 (history)  Vaccinated:2009-02-11
Age:26.0  Onset:2009-02-19, Days after vaccination: 8
Gender:Female  Submitted:2009-03-04, Days after onset: 13
Location:Virginia  Entered:2009-03-06, Days after submission: 2
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
SMALL: SMALLPOX (NO BRAND NAME)UNKNOWN MANUFACTURERVV040031 LA
Administered by: Military     Purchased by: Military
Symptoms: Injection site cellulitis
SMQs:
Write-up: Left upper arm cellulitis - treated with SEPTRA Ds and NAPROSYN.

VAERS ID:341350 (history)  Vaccinated:2009-02-27
Age:26.0  Onset:2009-02-27, Days after vaccination: 0
Gender:Female  Submitted:2009-02-27, Days after onset: 0
Location:Missouri  Entered:2009-03-09, Days after submission: 9
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Synthroid 100 mcg daily, client reported hot flashes with RX
Current Illness: Other family members have been ill with GI (vomiting/diarrhea) 48 hours ago
Preexisting Conditions: PCN Recent new DX Hypothyroidism
Diagnostic Lab Data:
CDC 'Split Type': MO-2009-04
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEPAB: HEP A + HEP B (TWINRIX)GLAXOSMITHKLINE BIOLOGICALSAHABB140AA2IMLA
Administered by: Public     Purchased by: Public
Symptoms: Feeling hot, Flushing, Hot flush, Immediate post-injection reaction, Infection, Nausea
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypersensitivity (narrow)
Write-up: Immediately flushed and hot with infection of Twinrix. That passed and client complained of nausea and warm feeling for next 1 1/2 hours.

VAERS ID:341478 (history)  Vaccinated:2008-09-20
Age:26.0  Onset:2008-10-02, Days after vaccination: 12
Gender:Female  Submitted:2009-03-10, Days after onset: 159
Location:California  Entered:2009-03-10
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Multi Vitamin
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.0000000UNLA
Administered by: Private     Purchased by: Private
Symptoms: Foetal disorder, Pregnancy
SMQs:, Foetal disorders (narrow), Normal pregnancy conditions and outcomes (narrow)
Write-up: I received my first and only dose of Gardasil in late September, I beleive it was the 20th. I found out in October that I was pregnant. My due date based on ultrasound was June 25, 2009 making the date of conception around October 2, 2008- after I received the vaccine. In January, the baby was diagnosed with Trisomy 18. He did not survive.

VAERS ID:341783 (history)  Vaccinated:2008-09-18
Age:26.0  Onset:2008-09-19, Days after vaccination: 1
Gender:Female  Submitted:2008-09-26, Days after onset: 7
Location:Indiana  Entered:2009-03-11, Days after submission: 166
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: VITEX
Current Illness:
Preexisting Conditions: No medical conditions. Allergic to : gluten, DIMOTIL, HYCOTUSS, ERYTHROMYCIN, "INAPED", MEDAZINE, VICODIN, latex. No other vaccines were administered within four weeks prior. Mother and sister have had similar reactions to TETANUS.
Diagnostic Lab Data:
CDC 'Split Type': 200802964
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAP: DTAP (DAPTACEL)SANOFI PASTEUR 0UNLA
Administered by: Public     Purchased by: Other
Symptoms: Headache, Injected limb mobility decreased, Injection site erythema, Injection site pain, Pyrexia, Tenderness
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad)
Write-up: Initial report received on 22 September 2008 from a consumer, who is the patient''s mother. A 26 year old female patient, with no medical conditions and several allergies, received on 18 September 2008 a left arm injection of DAPTACEL (lot number not reported). The patient had been scratched in the eye by a dog on 08 September 2008. No other vaccines were administered within four weeks prior. Concomitantly, the patient took VITEX (herbal) and her allergies were to gluten, DIMOTIL, HYCOTUSS, ERYTHROMYCIN, "INAPED", MEDAZINE, VICODIN, and latex. On 19 September 2008, one day post-vaccination, the patient developed a "red round area five inches wide" at the injection site, her arm was sore to touch and difficult to move, and she had a "severe headache worse than migraines". On 20 September 2008, she had a fever of 102 F. The patient''s mother and sister have both had similar reactions to TETANUS. On an unspecified date, the patient had an emergency room visit. Corrective treatment was not reported and the patient''s outcome was reported as unknown.

VAERS ID:341571 (history)  Vaccinated:2009-03-10
Age:26.0  Onset:2009-03-10, Days after vaccination: 0
Gender:Female  Submitted:2009-03-12, Days after onset: 2
Location:Indiana  Entered:2009-03-12
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: None~ ()~~0~Patient|None~ ()~~0~Sibling|None~ ()~~0~Sibling
Other Medications:
Current Illness: No other illness at the time. Information regarding manufacturer, lot number and other blanks will need to be filled in by admin
Preexisting Conditions: None. PMH: tachycardia. Intersticial cystitis. Smoker
Diagnostic Lab Data: Chest radiography, numerous laboratory testing including CBC, ESR. Labs: WBCs 20K. Bicrb 19. Phosphorus 0.9 up to 2.7. BS up to 113 s/p steroids. CXR WNL. HR 160s.
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURU2771AA0IMLA
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.0964U0IMRA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Acidosis, Anaphylactic reaction, Blood bicarbonate decreased, Blood glucose increased, Blood phosphorus decreased, Body temperature increased, Chest X-ray normal, Cough, Dyspnoea, Full blood count, Heart rate increased, Immunisation reaction, Pharyngeal oedema, Rash generalised, Red blood cell sedimentation rate, Respiratory distress, Tachycardia, Urticaria, Wheezing, White blood cell count increased
SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), Asthma/bronchospasm (broad), Lactic acidosis (broad), Hyperglycaemia/new onset diabetes mellitus (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Anaphylactic/anaphylactoid shock conditions (narrow), Oropharyngeal allergic conditions (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Chronic kidney disease (broad), Hypersensitivity (narrow), Tumour lysis syndrome (broad)
Write-up: Head to toe rash, respiratory distress, elevated temperature, (102 and higher), tachycardia. Treatment required three trips to the emergency room where patient was given intravenous Benadryl, a selection of steroids, oxygen, antipyretics and supportive care. 4/3/09 MR received for DOS 3/12-15/2009 with D/C DX: Anaphylaxis, likely 2'' to influenza and pneumococcal vaccines. Recurrent wheezing and SOB x 48 hrs. Pt initially presented to ER 3/10/09 with throat swelling and hives. Tx and d/c. Returned with same sx 3/11/09 and tx and d/c. Returned 3/12/09 with recurring sx. Noted to be acidotic, tachycardic with low Phosphorus and elevated WBCs. Admitted for IV steroids with resolution of hives, rash, SOB, cough, wheezing and throat swelling.

VAERS ID:341728 (history)  Vaccinated:2009-03-07
Age:26.0  Onset:2009-03-08, Days after vaccination: 1
Gender:Female  Submitted:2009-03-13, Days after onset: 4
Location:Ohio  Entered:2009-03-13
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:
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
ANTH: ANTHRAX (BIOTHRAX)EMERGENT BIOSOLUTIONSFAV1640IMLA
Administered by: Military     Purchased by: Military
Symptoms: Injection site discolouration, Injection site swelling
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: MEMBER RECIEVED ANTHRAX VACCINE ON 7 MAR 09. SWELLING AND DISCOLORATION A THE SITE OF THE INJECTION. MEMBER STATES THAT SWELLING IS SIZE OF QUARTER. SWELLING STARTED DAY AFTER VACCINATION.

VAERS ID:341749 (history)  Vaccinated:2009-02-02
Age:26.0  Onset:2009-03-07, Days after vaccination: 33
Gender:Female  Submitted:2009-03-15, Days after onset: 7
Location:Tennessee  Entered:2009-03-15
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: genertic yaz (birth control pills)
Current Illness: none
Preexisting Conditions: none
Diagnostic Lab Data: pityriasis
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC. 0IMLA
Administered by: Private     Purchased by: Private
Symptoms: Asthenia, Back pain, Erythema, Muscle spasms, Nausea, Pityriasis, Rash macular
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Retroperitoneal fibrosis (broad), Dystonia (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypersensitivity (narrow)
Write-up: After recieving first round of Gardasil shot- three weeks later noted small red spoches on chest area( Sat AM), Sun day felt weak, back cramps, and nausea. Mon AM and continuing- red spots darken and increased in number. Doctor diagnosed as pityriasis. Have found other forums where pityriasis is connected with the vaccine. Within one week of three spots- the rash has spread throughout entire chest, back, neck and now starting to form on arms and legs. Doctor claims unknown cause or cure.

VAERS ID:342149 (history)  Vaccinated:2009-02-12
Age:26.0  Onset:2009-02-12, Days after vaccination: 0
Gender:Female  Submitted:2009-03-13, Days after onset: 28
Location:Illinois  Entered:2009-03-16, Days after submission: 3
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness:
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC 'Split Type': WAES0902USA04531
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC. 0IMUN
Administered by: Other     Purchased by: Other
Symptoms: Injection site movement impairment, Injection site pain
SMQs:, Extravasation events (injections, infusions and implants) (broad)
Write-up: Information has been received from a 26 year old registered nurse, with no known medical history and drugs allergies, who two weeks ago was vaccinated with a first dose of GARDASIL intramuscularly into the left deltoid. There was no concomitant medication. Two weeks ago she had experienced severe injection site pain that had persisted and even intensified. She saw her primary physician for treatment. She had been treating with rest and ibuprofen. The pain had restricted movement in her left arm but not disabling. No laboratories studies performed. The patient sought medical attention through her primary physician. The patient recovered on an unspecified date.

VAERS ID:342240 (history)  Vaccinated:2008-10-09
Age:26.0  Onset:2008-10-09, Days after vaccination: 0
Gender:Female  Submitted:2009-03-13, Days after onset: 155
Location:Unknown  Entered:2009-03-16, Days after submission: 3
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: albuterol; ZYRTEC; VERAMYST; ADVAIR; hormonal contraceptives; SINGULAIR
Current Illness: Asthma; Sulfonamide allergy
Preexisting Conditions: Brachial plexus injury
Diagnostic Lab Data: None
CDC 'Split Type': WAES0902USA03801
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.0072X0IMUN
Administered by: Other     Purchased by: Other
Symptoms: Drug administered at inappropriate site, 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: Information has been received from a nurse practitioner concerning a 26 year old female patient with allergy to sulfa and asthma and a history of "brachial plexus" who on 09-OCT-2008 was vaccinated with the first 0.5 ml IM dose of GARDASIL (lot #660557/0072X). It was given in the left gluteal region. On 20-FEB-2009 the patient was vaccinated with the second 0.5 ml IM dose of GARDASIL (lot # 661764/0650X). Concomitant therapy included hormonal contraceptives (unspecified), montelukast sodium, ZYRTEC, albuterol, VERAMYST and ADVAIR. On 20-FEB-2009 the patient experienced passed out while she was still in the office. No lab diagnostics studies were performed. On 20-FEB-2009, the patient regained consciousness and recovered. The patient sought medical attention in the office. Additional information has been requested.

VAERS ID:342762 (history)  Vaccinated:2008-04-29
Age:26.0  Onset:2008-04-29, Days after vaccination: 0
Gender:Female  Submitted:2009-03-13, Days after onset: 318
Location:Massachusetts  Entered:2009-03-16, Days after submission: 3
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: ZITHROMAX, vitamins (unspecified)
Current Illness:
Preexisting Conditions: Papanicolacu smear abnormal; Smoker
Diagnostic Lab Data: ultrasound, 7/15/08, 12W 4D; serum alpha-fetoprotein, 08/13/08, negative;
CDC 'Split Type': WAES0805USA05935
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.1758U0UNUN
Administered by: Other     Purchased by: Other
Symptoms: Alpha 1 foetoprotein normal, Beta haemolytic streptococcal infection, Drug exposure during pregnancy, Ultrasound scan
SMQs:, Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow), Normal pregnancy conditions and outcomes (broad)
Write-up: Information has been received from a consumer and a nurse practitioner for the Pregnancy Registry for GARDASIL concerning herself, a 26 year old female with no medical history, and no drug reactions/allergies, who on 29-APR-2008 was vaccinated with her first dose of GARDASIL (lot # unspecified). On 02-May-2008 (three days later), the patient became pregnant (LMP estimated as 15-Apr-2008). Concomitant therapy included azithromycin (ZITHROMAX). The patient sought unspecified medical attention. At the time of this report the outcome was unknown. No further information available. Follow-up information received on 17-FEB-2009 from a nurse practitioner who reported the patient is Hispanic and has a history of smoking 2-5 cigarettes a day which she stopped with pregnancy, and an abnormal PAP s/p LEEP. Patient has had a previous pregnancy, no previous full term deliveries and a miscarriage. On 15-Jul-2008 patient had an ultrasound, which showed 12 weeks and 4 days pregnant ERA normal. On 13-AUG-2008 patient had a MSAFP testing with normal results. The lot # of the first dosage of GARDASIL received is 659180/1758U. Concomitant medications during pregnancy included prenatal vitamins (unspecified) which patient started taking on 18-JUN-08 (27 mg of Iron and folate 1mg daily) and on 08-JAN-2009 penicillin (unspecified) 3000000 international units every 4 hours for the treatment of bacterial infection due to streptococcus, group B. Date of last menstrual period on 18-APR-2008 (previously reported as 15-APR-2008) and estimated delivery date on 23-JAN-2009. Patient had a normal baby on 09-JAN-2009, male, who weighed 2975 grams, length 49 cm, Apgar score 9/9, head circumference 33.5 cm. No congenital anomalies or other complications or abnormalities. No complications during pregnancy, or during labor and/or delivery. No further information is available.

VAERS ID:343175 (history)  Vaccinated:2008-09-29
Age:26.0  Onset:2008-10-01, Days after vaccination: 2
Gender:Female  Submitted:2009-03-06, Days after onset: 156
Location:Pennsylvania  Entered:2009-03-18, Days after submission: 11
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Digoxin
Current Illness: Paroxysmal supraventricular tachycardia
Preexisting Conditions:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0810USA00425
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.0399X1IMLA
Administered by: Other     Purchased by: Other
Symptoms: Erythema, Flushing, Induration, Influenza like illness, Oedema peripheral, Pain in extremity, Skin warm
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad)
Write-up: Initial and follow up information has been received from a Registered Nurse (R.N.) concerning a 26 year old (also reported as 24 year old) female with no known allergy and Paroxysmal supraventricular tachycardia who on 29-AUG-2008 was vaccinated IM with a first dose of RECOMBIVAX HB vaccine 0.5 ML lot# 660951/0399X. On 29-SEP-2008 the patient received IM at 10:30 AM into left deltoid her second dose of RECOMBIVAX HB vaccine lot # 660951/0399X. Concomitant therapy included digoxin. In follow up report from the doctor''s office it was reported that on 01-OCT-2008 (previously reported as on 30-SEP-2008) at 10:00 AM the patient developed flu-like symptoms after getting the second vaccination. Her upper left arm became swollen, red, hard, and warm. She also had pain at left deltoid site few days after the vaccination. She also experienced facial flushing. On 04-OCT-2008 patient recovered. No additional information was provided.

VAERS ID:342309 (history)  Vaccinated:2009-03-07
Age:26.0  Onset:2009-03-11, Days after vaccination: 4
Gender:Male  Submitted:2009-03-20, Days after onset: 9
Location:New York  Entered:2009-03-20
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Not previous to the vaccine
Preexisting Conditions: NKDA
Diagnostic Lab Data: none
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
ANTH: ANTHRAX (BIOTHRAX)EMERGENT BIOSOLUTIONSFAV 1716IMLA
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.0398X0IMRA
Administered by: Military     Purchased by: Military
Symptoms: Injection site erythema, Injection site oedema, Injection site swelling, Pruritus
SMQs:, Anaphylactic reaction (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad)
Write-up: Member developed erythema swelling and lymphedema on the upper arm at the injection site. He had severe pruritis. Symptoms started on 11 Mar. He was told to go home and take benedryl and motrin. He returned with worsening symptoms on the 12th. He was told to continue the benedryl and motrin. On recheck on Mar 19, 2009. He had total resolution of his symptoms

VAERS ID:342342 (history)  Vaccinated:2009-01-27
Age:26.0  Onset:0000-00-00
Gender:Female  Submitted:2009-01-28
Location:Ohio  Entered:2009-03-20, Days after submission: 50
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: No
Preexisting Conditions: Allergic to PCN, Erythromycin
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)SANOFI PASTEURU2024AA IMRA
Administered by: Public     Purchased by: Public
Symptoms: Wrong drug administered
SMQs:
Write-up: TD given instead of TDAP

VAERS ID:342348 (history)  Vaccinated:2009-01-27
Age:26.0  Onset:2009-01-27, Days after vaccination: 0
Gender:Female  Submitted:2009-01-28, Days after onset: 1
Location:Ohio  Entered:2009-03-20, Days after submission: 50
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: No
Preexisting Conditions: Allergic to CECLOR, CLARITIN; AUGMENTIN
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)GLAXOSMITHKLINE BIOLOGICALSAHBVB697AA IMRA
TD: TD ADSORBED (NO BRAND NAME)SANOFI PASTEURU2024AA IMLA
Administered by: Public     Purchased by: Private
Symptoms: Wrong drug administered
SMQs:
Write-up: TD given instead of TDAP.

VAERS ID:342459 (history)  Vaccinated:2008-12-18
Age:26.0  Onset:2008-12-29, Days after vaccination: 11
Gender:Male  Submitted:2009-03-23, Days after onset: 83
Location:Unknown  Entered:2009-03-23
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: Shortness of Breath
Diagnostic Lab Data: Troponin I preformed. ECG performed.
CDC 'Split Type': 5000004
Vaccination
Manufacturer
Lot
Dose
Route
Site
SMALL: SMALLPOX (ACAM2000)SANOFI PASTEURUNKNOWN0 UN
Administered by: Military     Purchased by: Military
Symptoms: Electrocardiogram, Pericarditis, Troponin I
SMQs:, Systemic lupus erythematosus (broad), Chronic kidney disease (broad)
Write-up: Acute pericarditis, unspecified; Unspecified disease of pericardium.

VAERS ID:342470 (history)  Vaccinated:2007-12-03
Age:26.0  Onset:2007-12-30, Days after vaccination: 27
Gender:Male  Submitted:2009-03-23, Days after onset: 448
Location:Unknown  Entered:2009-03-23
Life Threatening? No