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Found 480753 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 481

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VAERS ID:41023 (history)  Vaccinated:1992-03-27
Age:24.6  Onset:1992-03-27, Days after vaccination: 0
Gender:Female  Submitted:1992-03-30, Days after onset: 3
Location:Indiana  Entered:1992-04-03, 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: UNK
Current Illness: NONE
Preexisting Conditions: UNK
Diagnostic Lab Data: NONE
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM814A41IMLA
Administered by: Public     Purchased by: Private
Symptoms: Conjunctivitis, Face oedema, Rhinitis, Urticaria
SMQs:, Severe cutaneous adverse reactions (broad), Anaphylactic reaction (broad), Angioedema (narrow), Conjunctival disorders (narrow), Ocular infections (broad), Hypersensitivity (narrow)
Write-up: Edema to eyelids-face, runny nose, conjunctivitis, blotchy skin rash, no breaking;

VAERS ID:37024 (history)  Vaccinated:1991-05-18
Age:24.3  Onset:1991-05-18, Days after vaccination: 0
Gender:Female  Submitted:1991-07-22, Days after onset: 65
Location:Pennsylvania  Entered:1992-04-13, Days after submission: 266
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type': CO3849
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)CONNAUGHT LABORATORIESIM   
Administered by: Unknown     Purchased by: Unknown
Symptoms: Arthralgia, Asthenia, Malaise, Myalgia, Paraesthesia
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Eosinophilic pneumonia (broad), Arthritis (broad)
Write-up: Aching in calves in evening p/inject in lt deltoid; later joint pain, fatigue & malaise; neuro exam numbness of face & general unwell appearance;

VAERS ID:41636 (history)  Vaccinated:1992-03-16
Age:24.5  Onset:1992-03-26, Days after vaccination: 10
Gender:Female  Submitted:1992-04-23, Days after onset: 27
Location:Kentucky  Entered:1992-04-29, 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: Ortho-Novum
Current Illness: Menorrahagia
Preexisting Conditions: allergic to Terramycin & sulfa
Diagnostic Lab Data: NA
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
RUB: RUBELLA (MERUVAX II)MERCK & CO. INC.0510T IM 
Administered by: Private     Purchased by: Other
Symptoms: Arthralgia, Conjunctivitis, Lymphadenopathy, Pharyngitis, Pyrexia, Rash, Rash maculo-papular
SMQs:, Severe cutaneous adverse reactions (broad), Anaphylactic reaction (broad), Agranulocytosis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Oropharyngeal infections (narrow), Conjunctival disorders (narrow), Ocular infections (broad), Hypersensitivity (narrow), Arthritis (broad)
Write-up: Fever, arthralgia, cervical & retroauricular adenopathy, conjunctivitis, pharyngitis, rash-macular, erythematous rash beginning on face spreading to trunk & extremities;

VAERS ID:41674 (history)  Vaccinated:1992-02-25
Age:24.0  Onset:1992-03-09, Days after vaccination: 13
Gender:Female  Submitted:1992-04-29, Days after onset: 50
Location:Ohio  Entered:1992-05-01, 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: pt recvd Hep B Recomb 27AUG91 & 27SEP91; addl lot #s used 814A4, 821A4;
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: Diag work up-labs, CXR, CT scan, MRI & neuro & psych consults;
CDC 'Split Type': EBU920655
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM838A42IMA
Administered by: Private     Purchased by: Private
Symptoms: Asthenia, Depression, Multiple sclerosis, Myasthenic syndrome, Neuritis
SMQs:, Peripheral neuropathy (narrow), Malignancy related conditions (narrow), Guillain-Barre syndrome (broad), Optic nerve disorders (broad), Demyelination (narrow), Depression (excl suicide and self injury) (narrow)
Write-up: Pt recvd 3 doses of vax; 9MAR92 was adm to hosp c/o generalized weakness w/involvement of lt leg; had L5S, weakening lt leg, could not stand on heel/toes alone; dx GBS; final dx polyneuritis; MS secondary depressive rxn & adjustment rxn;

VAERS ID:42187 (history)  Vaccinated:1992-05-12
Age:24.6  Onset:1992-05-13, Days after vaccination: 1
Gender:Female  Submitted:1992-05-20, Days after onset: 7
Location:New York  Entered:1992-05-26, 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: Trilevlen 28
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: Rubella virus IGG AB 0.90 5MAY92;
CDC 'Split Type':
Vaccination
Manufacturer
Lot
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RUB: RUBELLA (MERUVAX II)MERCK & CO. INC.0600T0SCLA
Administered by: Private     Purchased by: Private
Symptoms: Asthenia, Chills, Cough, Hyperhidrosis, Influenza, Injection site hypersensitivity, Pyrexia
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Hypersensitivity (narrow)
Write-up: 13MAY flu like sx- elevated temp (not documented) chest congestion, fatigue, chills, sweats; inject site reddened; sx abated 20MAY but feels weak & coughing still;

VAERS ID:42194 (history)  Vaccinated:1992-05-05
Age:24.8  Onset:1992-05-11, Days after vaccination: 6
Gender:Female  Submitted:1992-05-19, Days after onset: 8
Location:California  Entered:1992-05-27, Days after submission: 8
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: NONE
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: hayfever
Diagnostic Lab Data: throat culture 15MAY92 neg pt c/o sore throat 15MAY92 MD office
CDC 'Split Type': CA9250
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0978T1SCLA
Administered by: Public     Purchased by: Public
Symptoms: Arthralgia, Lymphadenopathy, Myalgia, Neck pain, Pharyngitis, Pyrexia
SMQs:, Rhabdomyolysis/myopathy (broad), Agranulocytosis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Oropharyngeal infections (narrow), Eosinophilic pneumonia (broad), Arthritis (broad)
Write-up: 11MAY92 7AM c/o shoulders ache-knees aching & join discomfort; joint discomfort moves fr joint to joint 14MAY92; c/o discomfort lt side of neck; lymph glands swollen 15MAY92 rt side of neck glands swollen c/o sore throat; fever 102;

VAERS ID:37244 (history)  Vaccinated:1991-06-10
Age:24.0  Onset:1991-06-10, Days after vaccination: 0
Gender:Female  Submitted:0000-00-00
Location:Alabama  Entered:1992-05-28
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: no relevant data;
CDC 'Split Type': WAES91110795
Vaccination
Manufacturer
Lot
Dose
Route
Site
MER: MEASLES + RUBELLA (MR-VAX II)MERCK & CO. INC.1658S0SC 
Administered by: Private     Purchased by: Private
Symptoms: Arthralgia, Injection site oedema, Injection site pain, Vasodilatation
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Arthritis (broad)
Write-up: pt recvd MMR vax on 17JUN91; 3 hrs p/vax devel a joint pain in hips; next day devel pain, swelling, & heat @ inject site which progressively worsened; no further details were provided;

VAERS ID:42294 (history)  Vaccinated:1992-04-17
Age:24.8  Onset:1992-04-17, Days after vaccination: 0
Gender:Female  Submitted:1992-05-19, Days after onset: 32
Location:Ohio  Entered:1992-05-29, Days after submission: 10
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: hx seasonal allergy
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
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RAB: RABIES (IMOVAX)PASTEUR MERIEUX INST.E08780IMLA
Administered by: Private     Purchased by: Private
Symptoms: Diarrhoea, Myalgia, Pyrexia
SMQs:, Rhabdomyolysis/myopathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad), Noninfectious diarrhoea (narrow)
Write-up: Fever, body aches, diarrhea x 1 wk following vax;

VAERS ID:42356 (history)  Vaccinated:1992-04-07
Age:24.3  Onset:1992-04-08, Days after vaccination: 1
Gender:Female  Submitted:1992-05-05, Days after onset: 27
Location:Minnesota  Entered:1992-06-02, Days after submission: 28
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NKA
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
DT: DT ADSORBED (NO BRAND NAME)UNKNOWN MANUFACTURER    
Administered by: Other     Purchased by: Unknown
Symptoms: Injection site reaction, Pain, Pyrexia, Rash
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Hypersensitivity (narrow)
Write-up: 8APR92, erythema, pain w/any movement; area 5-6 cm around inject site; temp 100.4 x 3 days; tx Kelfex; resolved 13APR92;

VAERS ID:37275 (history)  Vaccinated:1991-04-24
Age:24.0  Onset:1991-04-28, Days after vaccination: 4
Gender:Female  Submitted:0000-00-00
Location:Georga  Entered:1992-06-09
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Nebulizer treatment;
Current Illness:
Preexisting Conditions: allergy PCN: asthma;
Diagnostic Lab Data: skin test-neg for scabies;
CDC 'Split Type': WAES91050165
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.    
Administered by: Private     Purchased by: Private
Symptoms: Pruritus, Rash
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow)
Write-up: pt recvd MMR vax 24APR91 & 28APR91 devel generalized pruritic rash;

VAERS ID:37315 (history)  Vaccinated:1990-08-01
Age:24.0  Onset:0000-00-00
Gender:Female  Submitted:0000-00-00
Location:New York  Entered:1992-06-09
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: no relevant data;
CDC 'Split Type': WAES91051731
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.    
Administered by: Other     Purchased by: Other
Symptoms: Arthralgia, Myalgia
SMQs:, Rhabdomyolysis/myopathy (broad), Eosinophilic pneumonia (broad), Arthritis (broad)
Write-up: pt recvd MMR vax in AUG90 & NOV90; subsequently devel joint pain & muscle pain; 2 months later exp a burning sensation in the joints of knees & amrs; no further details were provided;

VAERS ID:37433 (history)  Vaccinated:1991-02-01
Age:24.0  Onset:1991-05-28, Days after vaccination: 116
Gender:Female  Submitted:0000-00-00
Location:Pennsylvania  Entered:1992-06-09
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:
Diagnostic Lab Data: CSF-800 red cells; CSF-15 white cells; CSF-75lymphocytes; CSF 28 protein; CSF65 glucose; CSF 75 Polys; CT scan-nl 31MAY91;
CDC 'Split Type': WAES91060991
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.    
Administered by: Other     Purchased by: Other
Symptoms: CSF test abnormal, Multiple sclerosis, Nuchal rigidity, Optic neuritis, Pyrexia, Visual disturbance
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Optic nerve disorders (narrow), Demyelination (narrow), Lens disorders (broad), Retinal disorders (broad), Ocular infections (broad)
Write-up: pt recvd MMR vax FEB91 & w/in 3 months following vax on 28MAY91 pt exp mild dec in vision; next day to ophthalmologist & dx mild capsulitis & optic neuritis; CT scan n 31MAY91; devel worsening vision w/fever & stiff neck & poss MS;

VAERS ID:42772 (history)  Vaccinated:1992-04-30
Age:24.8  Onset:1992-05-01, Days after vaccination: 1
Gender:Female  Submitted:1992-05-02, Days after onset: 1
Location:Tennessee  Entered:1992-06-12, Days after submission: 41
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: allergic to sulfa drugs; pt is an alcoholic
Diagnostic Lab Data: NONE
CDC 'Split Type': TN9259
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)SCLAVO136A3 IMLA
Administered by: Public     Purchased by: Public
Symptoms: Arthralgia, Injection site pain
SMQs:, Extravasation events (injections, infusions and implants) (broad), Arthritis (broad)
Write-up: pain @ site of vax 24 hrs p/clinic visit as well as body joint pain; denies fever, n/v, skin rash, resp problems;

VAERS ID:42875 (history)  Vaccinated:1992-06-02
Age:24.1  Onset:1992-06-02, Days after vaccination: 0
Gender:Female  Submitted:1992-06-04, Days after onset: 2
Location:Arizona  Entered:1992-06-15, 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: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
RUB: RUBELLA (MERUVAX II)MERCK & CO. INC.2333S  RA
Administered by: Private     Purchased by: Private
Symptoms: Injection site hypersensitivity, Injection site oedema
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow)
Write-up: 2JUN92 pt was given Rubella vax 230PM rt arm; pt had localized rxn following inject arm redness, swelling;

VAERS ID:43295 (history)  Vaccinated:1992-04-26
Age:24.0  Onset:1992-04-27, Days after vaccination: 1
Gender:Male  Submitted:1992-05-08, Days after onset: 11
Location:North Carolina  Entered:1992-06-25, Days after submission: 48
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: G6PD deficient
Diagnostic Lab Data: NONE
CDC 'Split Type':
Vaccination
Manufacturer
Lot
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TYP: TYPHOID VI POLYSACCHARIDE (NO BRAND NAME)UNKNOWN MANUFACTURER 1IM 
Administered by: Military     Purchased by: Military
Symptoms: Abdominal pain, Back pain, Vomiting
SMQs:, Acute pancreatitis (broad), Retroperitoneal fibrosis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)
Write-up: c/o stomach cramps going to back; emesis x 1;

VAERS ID:45103 (history)  Vaccinated:1992-02-11
Age:24.0  Onset:0000-00-00
Gender:Male  Submitted:1992-05-27
Location:Missouri  Entered:1992-06-29, Days after submission: 33
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: titers were done 1 mo p/the 3rd dose;
CDC 'Split Type': EBU920844
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM827A42 A
Administered by: Other     Purchased by: Other
Symptoms: Drug ineffective
SMQs:, Lack of efficacy/effect (narrow)
Write-up: Pt recvd 3 doses of Engerix-B & did not sero-convert;

VAERS ID:45185 (history)  Vaccinated:1991-10-15
Age:24.0  Onset:1991-11-27, Days after vaccination: 43
Gender:Female  Submitted:1992-06-12, Days after onset: 197
Location:Mississippi  Entered:1992-06-29, Days after submission: 17
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: pre-vax sereis titer 28JA91; ati-HBS=neg; protective immune status; absent; ratio: below 1:1; post-vax series titer 27NOV91 anti-HBS=neg; protective immune status; absent;
CDC 'Split Type': EBU920911
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM638A42  
Administered by: Other     Purchased by: Other
Symptoms: Drug ineffective
SMQs:, Lack of efficacy/effect (narrow)
Write-up: pt recvd 3 doses of Engerix-B & titer report dated 27NOV91 indicated pt did not respond;

VAERS ID:45269 (history)  Vaccinated:1992-03-11
Age:24.0  Onset:0000-00-00
Gender:Female  Submitted:1992-06-08
Location:Florida  Entered:1992-06-29, Days after submission: 21
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Norplant
Current Illness: NONE
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type': EBU920975
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM 2IMA
Administered by: Private     Purchased by: Private
Symptoms: Drug ineffective
SMQs:, Lack of efficacy/effect (narrow)
Write-up: Pt recvd 3 doses of Engerix-B & was found to be a non-responder;

VAERS ID:44389 (history)  Vaccinated:1992-06-09
Age:24.0  Onset:1992-06-11, Days after vaccination: 2
Gender:Female  Submitted:1992-08-10, Days after onset: 60
Location:Kentucky  Entered:1992-08-21, Days after submission: 11
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: NONE
Other Medications:
Current Illness: NONE
Preexisting Conditions: allergic to sulpher
Diagnostic Lab Data: Dr exam-big seven-blood tests, throat culture;
CDC 'Split Type': KY920035
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0288V SC 
Administered by: Public     Purchased by: Public
Symptoms: Dyspnoea, Injection site mass, Injection site pain, Lymphadenopathy, Paraesthesia, Somnolence, Syncope, Vomiting
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (broad), Acute pancreatitis (broad), Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dementia (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad)
Write-up: throat swelled, fever, tremors, numbness in hands & feet, difficulty breathing, pain @ inject site, swollen glands in neck, fainting, dizziness, 6 hrs vomitting; ear, throat & sinus infection; slept for 3 days; dime size red knot appeared;

VAERS ID:44390 (history)  Vaccinated:1992-08-03
Age:24.4  Onset:1992-08-04, Days after vaccination: 1
Gender:Female  Submitted:1992-08-17, Days after onset: 13
Location:Georga  Entered:1992-08-21, Days after submission: 4
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions:
Diagnostic Lab Data: SMa-22, CBC all WNL;
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
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Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM973A4  RA
Administered by: Private     Purchased by: Other
Symptoms: Injection site hypersensitivity
SMQs:, Hypersensitivity (narrow)
Write-up: large local reaction (7.8cm) w/central vesicle formation; hx of large local rxn to first Hep B vax;

VAERS ID:44570 (history)  Vaccinated:1992-08-03
Age:24.5  Onset:1992-08-03, Days after vaccination: 0
Gender:Female  Submitted:0000-00-00
Location:North Carolina  Entered:1992-08-27
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: n/v w/headache
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
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TYP: TYPHOID VI POLYSACCHARIDE (NO BRAND NAME)PFIZER/WYETH4908077  A
Administered by: Military     Purchased by: Military
Symptoms: Headache, Nausea, Vomiting
SMQs:, Acute pancreatitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)
Write-up: n/v & frontal headaches; pt transported to hosp;

VAERS ID:45054 (history)  Vaccinated:1992-03-14
Age:24.7  Onset:1992-03-14, Days after vaccination: 0
Gender:Male  Submitted:1992-08-01, Days after onset: 139
Location:Ohio  Entered:1992-09-16, Days after submission: 46
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Immune Glob lot# H18201 given 14MAR92;
Current Illness: NA
Preexisting Conditions: NA
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
TYP: TYPHOID VI POLYSACCHARIDE (NO BRAND NAME)PFIZER/WYETH49080753IMA
Administered by: Military     Purchased by: Military
Symptoms: Anaphylactoid reaction, Arthralgia, Haemoptysis, Injection site reaction, Pyrexia
SMQs:, Anaphylactic reaction (narrow), Haemorrhage terms (excl laboratory terms) (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Anaphylactic/anaphylactoid shock conditions (narrow), Hypersensitivity (narrow), Arthritis (broad)
Write-up: approx 1 hrs p/inject pt had t102.6, coughing up blood & joint pain; local rxn site; anaphylaxis;

VAERS ID:45309 (history)  Vaccinated:1992-07-01
Age:24.0  Onset:1992-08-01, Days after vaccination: 31
Gender:Female  Submitted:1992-09-17, Days after onset: 47
Location:Tennessee  Entered:1992-09-21, 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: Antiasthmatic, nos
Current Illness:
Preexisting Conditions: asthma
Diagnostic Lab Data: No relevant data;
CDC 'Split Type': WAES92080819
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC. 0  
Administered by: Other     Purchased by: Other
Symptoms: Bronchitis, Condition aggravated
SMQs:
Write-up: Pt recvd 1st dose of Hep B vax JUL92 & approx AUG92 devel acute bronchitis which progressed to asthma; pt was hospitalized for 3 days & tx w/Ventolin;

VAERS ID:45795 (history)  Vaccinated:1992-07-29
Age:24.9  Onset:1992-07-31, Days after vaccination: 2
Gender:Male  Submitted:1992-08-04, Days after onset: 4
Location:Pennsylvania  Entered:1992-09-25, Days after submission: 52
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NA
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NA
CDC 'Split Type': PA92226
Vaccination
Manufacturer
Lot
Dose
Route
Site
RAB: RABIES (IMOVAX)PASTEUR MERIEUX INST.D11590 LA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Pruritus, Rash maculo-papular
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow)
Write-up: red spots appeared first on legs then on arms, neck, chest & stomach, some of the lesions itch;

VAERS ID:45796 (history)  Vaccinated:1992-07-29
Age:24.2  Onset:1992-07-29, Days after vaccination: 0
Gender:Female  Submitted:1992-08-05, Days after onset: 7
Location:Pennsylvania  Entered:1992-09-25, Days after submission: 51
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NA
Other Medications: NONE
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: NA
CDC 'Split Type': PA92227
Vaccination
Manufacturer
Lot
Dose
Route
Site
RAB: RABIES (IMOVAX)PASTEUR MERIEUX INST.D11590 RA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Headache, Injection site hypersensitivity, Injection site oedema, Nausea, Nuchal rigidity, Pharyngitis, Somnolence
SMQs:, Acute pancreatitis (broad), Agranulocytosis (broad), Anticholinergic syndrome (broad), Dementia (broad), Oropharyngeal infections (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow)
Write-up: nausea, stiff neck, sore throat, headache redness & swelling @ site of inject, & very sleepy;

VAERS ID:45889 (history)  Vaccinated:1992-09-15
Age:24.0  Onset:1992-09-15, Days after vaccination: 0
Gender:Female  Submitted:0000-00-00
Location:Wyoming  Entered:1992-09-28
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: allegies-codeine
Diagnostic Lab Data: NONE
CDC 'Split Type':
Vaccination
Manufacturer
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Dose
Route
Site
RAB: RABIES (IMOVAX)PASTEUR MERIEUX INST. 0IMA
Administered by: Military     Purchased by: Military
Symptoms: Malaise, Nausea, Vomiting
SMQs:, Acute pancreatitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)
Write-up: nausea, vomiting, malaise;

VAERS ID:45901 (history)  Vaccinated:1992-08-17
Age:24.8  Onset:1992-08-19, Days after vaccination: 2
Gender:Female  Submitted:1992-09-28, Days after onset: 40
Location:North Carolina  Entered:1992-09-30, 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: B/C, Motrin
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: No relevant data;
CDC 'Split Type': WAES92090282
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.0663V0  
Administered by: Other     Purchased by: Other
Symptoms: CSF test abnormal, Diplopia, Eye haemorrhage, Gastroenteritis, Infection, Meningitis, Ophthalmoplegia, Papilloedema
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Guillain-Barre syndrome (broad), Noninfectious meningitis (narrow), Optic nerve disorders (narrow), Retinal disorders (broad), Ocular motility disorders (narrow), Noninfectious diarrhoea (broad)
Write-up: Pt recvd 1st dose of Hep B vax; approx 2 days following vax pt devel severe h/a & was noted to have papilledema; pt hospitalized eval neg; dx aseptic meningitis; double vision w/deviation of lt eye; lateral rectus muscle palsy;

VAERS ID:46336 (history)  Vaccinated:1992-08-23
Age:24.9  Onset:1992-08-27, Days after vaccination: 4
Gender:Unknown  Submitted:0000-00-00
Location:Maryland  Entered:1992-10-21
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: pt sibling exp rash @ 15mos w/MMR #1 dose;
Other Medications: Lo ovral
Current Illness: NONE
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type': MD92066
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0558V1 LA
Administered by: Public     Purchased by: Unknown
Symptoms: Injection site mass, Pain, Vasodilatation
SMQs:, Extravasation events (injections, infusions and implants) (broad)
Write-up: large, indurated area, 10 cm in diameter, hyperemic & painful lt arm;

VAERS ID:46476 (history)  Vaccinated:1992-03-20
Age:24.3  Onset:1992-04-15, Days after vaccination: 26
Gender:Male  Submitted:1992-10-02, Days after onset: 170
Location:New York  Entered:1992-10-26, Days after submission: 24
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC 'Split Type': NY92056
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM837A41IMLA
Administered by: Public     Purchased by: Public
Symptoms: Abdominal pain, Diarrhoea, Flatulence
SMQs:, Acute pancreatitis (broad), Retroperitoneal fibrosis (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (narrow)
Write-up: lower abd pain, gas, diarrhea, cramps, upper G.I., lower GI, blood work;

VAERS ID:46633 (history)  Vaccinated:1992-10-22
Age:24.7  Onset:1992-10-22, Days after vaccination: 0
Gender:Female  Submitted:1992-10-26, Days after onset: 4
Location:Alabama  Entered:1992-11-02, Days after submission: 7
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: denied hlth probs
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM1014A41IMA
Administered by: Other     Purchased by: Private
Symptoms: Chest pain, Chills, Electrocardiogram abnormal, Hyperhidrosis, Injection site pain, Palpitations, Rash, Vomiting
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Hypersensitivity (narrow)
Write-up: 15mins p/inject c/o malaise, chest tightness; then pain in site, nausea w/vomiting, diaphoresis, palpitations, inc chest tightness; devel chills, erythemia of face & upper chest, only; HR 109, BP 150/84; sent to ER; chest pain w/EKG changes

VAERS ID:46656 (history)  Vaccinated:1992-08-21
Age:24.5  Onset:1992-08-26, Days after vaccination: 5
Gender:Male  Submitted:1992-10-28, Days after onset: 63
Location:New York  Entered:1992-11-02, Days after submission: 5
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NONE
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: PCN
Diagnostic Lab Data: NONE
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.    
Administered by: Public     Purchased by: Unknown
Symptoms: Arthralgia, Chest pain
SMQs:, Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Arthritis (broad)
Write-up: multiple sites of joint pain; w/in 1 wk of administration;

VAERS ID:46660 (history)  Vaccinated:1992-10-15
Age:24.7  Onset:1992-10-16, Days after vaccination: 1
Gender:Female  Submitted:1992-10-28, Days after onset: 12
Location:Wyoming  Entered:1992-11-02, Days after submission: 5
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NONE
Other Medications: OCP''s
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: neg dix-halpike test
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (NO BRAND NAME)UNKNOWN MANUFACTURER 0IMRA
Administered by: Private     Purchased by: Other
Symptoms: Vertigo
SMQs:, Vestibular disorders (narrow)
Write-up: s/s= vertigo 12 hrs p/vax lasting 24 hrs; no tx rendered;

VAERS ID:46849 (history)  Vaccinated:1992-04-20
Age:24.0  Onset:1992-04-20, Days after vaccination: 0
Gender:Female  Submitted:1992-09-18, Days after onset: 151
Location:New York  Entered:1992-11-03, Days after submission: 46
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Tagamet
Current Illness: NONE
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type': EBU921256
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM637A4 IMLA
Administered by: Private     Purchased by: Other
Symptoms: Headache, Insomnia, Paraesthesia, Pyrexia
SMQs:, Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad)
Write-up: Pt recvd Engerix-B & on the same evening exp tingling in legs, h/a, fever, insomnia; events resolved;

VAERS ID:48110 (history)  Vaccinated:1992-07-31
Age:24.0  Onset:0000-00-00
Gender:Female  Submitted:1992-08-26
Location:Minnesota  Entered:1992-11-03, Days after submission: 69
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': EBU921959
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM944A41IMA
Administered by: Other     Purchased by: Private
Symptoms: Lymphadenopathy, Myalgia, Nausea, Pharyngitis
SMQs:, Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Agranulocytosis (broad), Oropharyngeal infections (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad)
Write-up: w/in 24 hrs of 1st dose of Engerix-B & devel cervical adenitis; p/2nd dose of Engerix-B devel sore throat, more severe adenitis, muscle aches & nausea; MD advised pt not to get 3rd dose of vax;

VAERS ID:46822 (history)  Vaccinated:1992-10-22
Age:24.0  Onset:1992-10-22, Days after vaccination: 0
Gender:Female  Submitted:1992-10-28, Days after onset: 6
Location:Tennessee  Entered:1992-11-09, Days after submission: 12
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: NONE
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: ER MD stated was allergic to flu vax never have another; pt missed 2 1/2 days of work;
CDC 'Split Type': TN92133
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)PFIZER/WYETH49282350IMLA
Administered by: Public     Purchased by: Public
Symptoms: Agitation, Hypersensitivity, Malaise, Pruritus, Rash, Tremor
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Parkinson-like events (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hostility/aggression (broad), Hypersensitivity (narrow)
Write-up: vax was given @ pts work site; pt works in a sewing factory; told supervisor felt bad began crying & shaking, broke out in rash, face & neck began itching; no SOB or other life threating sx; sent to ER; 27OCT92 pt ok still had rash;

VAERS ID:47228 (history)  Vaccinated:1992-05-18
Age:24.1  Onset:1992-05-18, Days after vaccination: 0
Gender:Male  Submitted:1992-05-19, Days after onset: 1
Location:Wisconsin  Entered:1992-11-16, Days after submission: 181
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: NA
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: allergic to PCN
Diagnostic Lab Data: NA
CDC 'Split Type': WI92039
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (FOREIGN)MERCK & CO. INC.04290IMA
Administered by: Public     Purchased by: Public
Symptoms: Face oedema, Laryngospasm, Pruritus, Rash
SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), Dystonia (broad), Hypersensitivity (narrow)
Write-up: pt recvd Hep B vax approx 130PM; c/o itchiness & rash; c/o face swelling & throat tight;

VAERS ID:47400 (history)  Vaccinated:1992-10-09
Age:24.4  Onset:1992-10-09, Days after vaccination: 0
Gender:Female  Submitted:1992-10-19, Days after onset: 10
Location:Colorado  Entered:1992-11-23, Days after submission: 35
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: pt exp lightheaded @ 24 w/measles booster;
Other Medications: Mega vitamins; Protein supplement;
Current Illness: NONE
Preexisting Conditions: believes has numerous allergies;
Diagnostic Lab Data: NONE
CDC 'Split Type': CO9285
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)PFIZER/WYETH49282230 LA
Administered by: Public     Purchased by: Private
Symptoms: Asthenia, Vomiting
SMQs:, Acute pancreatitis (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)
Write-up: left work 4PM felt tired; decided to take nap; cont to sleep through noc; spouse took to ER 10OCT in AM; seen by MD pt reports feeling exhausted like had been up for 2 days; @ ER pt threw up;

VAERS ID:47474 (history)  Vaccinated:1992-11-05
Age:24.0  Onset:0000-00-00
Gender:Female  Submitted:1992-11-09
Location:Maine  Entered:1992-11-25, Days after submission: 16
Life Threatening? Yes
Died? Yes
   Date died: 0000-00-00
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: hodgkins disease/asplenic
Preexisting Conditions: pt had hodgkins disease & is asplenic;
Diagnostic Lab Data:
CDC 'Split Type': 892315007E
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)PFIZER/WYETH4928115 IMA
Administered by: Other     Purchased by: Other
Symptoms: Endocarditis, Influenza, Shock
SMQs:, Anaphylactic reaction (narrow), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (narrow), Hypovolaemic shock conditions (narrow), Toxic-septic shock conditions (narrow), Anaphylactic/anaphylactoid shock conditions (narrow), Hypoglycaemic and neurogenic shock conditions (narrow), Hypotonic-hyporesponsive episode (broad), Hypersensitivity (narrow)
Write-up: pt recvd flu vax & devel flu-like sx; the following morning pt collapsed & was adm to the hosp; pt is on a respirator & is critically ill;

VAERS ID:47576 (history)  Vaccinated:1992-11-13
Age:24.4  Onset:1992-11-13, Days after vaccination: 0
Gender:Female  Submitted:1992-11-25, Days after onset: 12
Location:Minnesota  Entered:1992-12-02, Days after submission: 7
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type': MN92052
Vaccination
Manufacturer
Lot
Dose
Route
Site
DT: DT ADSORBED (NO BRAND NAME)CONNAUGHT LABORATORIES1G31088 IMLA
Administered by: Public     Purchased by: Public
Symptoms: Injection site oedema, Injection site pain, Pruritus
SMQs:, Anaphylactic reaction (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad)
Write-up: focal edema, tenderness, pruritis @ site of DTP vax 6 days ago;

VAERS ID:47729 (history)  Vaccinated:1992-10-08
Age:24.8  Onset:1992-10-11, Days after vaccination: 3
Gender:Male  Submitted:1992-10-14, Days after onset: 3
Location:Washington  Entered:1992-12-04, Days after submission: 51
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:
CDC 'Split Type': WA93927
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.1064V0IMLA
Administered by: Public     Purchased by: Public
Symptoms: Arthralgia, Asthenia, Bone pain, Gait disturbance, Malaise, Pyrexia, Rash maculo-papular, Rash pustular
SMQs:, Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Osteonecrosis (broad), Hypersensitivity (narrow), Arthritis (broad)
Write-up: began feeling ill 11OCT92 c/o fever, fatigue, joint ache; early AM devel red bands around lt leg exp lt leg bone pain w/ a limp; noticed some splotchesw/some pustules; encouraged to see MD;

VAERS ID:47765 (history)  Vaccinated:1992-10-26
Age:24.5  Onset:1992-10-28, Days after vaccination: 2
Gender:Female  Submitted:1992-11-19, Days after onset: 22
Location:Idaho  Entered:1992-12-07, Days after submission: 18
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: PCn-parafin forte
Diagnostic Lab Data:
CDC 'Split Type': ID92074
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)PFIZER/WYETH49282310IMLA
Administered by: Public     Purchased by: Public
Symptoms: Lymphadenopathy, Vasodilatation
SMQs:
Write-up: 2 lumps under lt arm then next day 1 lump under rt arm; reddness also noted on lumps; lumps came & reduce & then inc in size over approx 2 wks time;

VAERS ID:47787 (history)  Vaccinated:1992-10-26
Age:24.1  Onset:1992-10-28, Days after vaccination: 2
Gender:Female  Submitted:1992-10-30, Days after onset: 2
Location:New Hampshire  Entered:1992-12-07, Days after submission: 38
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': NH92017
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)CONNAUGHT LABORATORIES2F31109   
Administered by: Public     Purchased by: Public
Symptoms: Asthenia, Diarrhoea, Flatulence, Headache, Nausea, Vasodilatation
SMQs:, Acute pancreatitis (broad), Pseudomembranous colitis (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (narrow)
Write-up: 1/2 hrs p/having shot diarrhea & h/a, fatigue, hot flashes, nausea, stomach bloated;

VAERS ID:48333 (history)  Vaccinated:1992-05-10
Age:24.6  Onset:1992-05-10, Days after vaccination: 0
Gender:Male  Submitted:1992-05-12, Days after onset: 2
Location:Georga  Entered:1992-12-23, Days after submission: 225
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': GA92125
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)CONNAUGHT LABORATORIES0G211571IMRA
Administered by: Public     Purchased by: Public
Symptoms: Chest pain, Paraesthesia
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad)
Write-up: Pt called this afternoon stating has had numbness in rt arm since yesterday p/receiving TD shot; complains of chest pain & pain around heart this afternoon; does not have PMD-advised to go to ER ASAP for evaluation of above sxs;

VAERS ID:48395 (history)  Vaccinated:1992-08-11
Age:24.5  Onset:1992-08-11, Days after vaccination: 0
Gender:Female  Submitted:1992-08-14, Days after onset: 3
Location:Georga  Entered:1992-12-23, Days after submission: 131
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: NKA
Diagnostic Lab Data:
CDC 'Split Type': GA92190
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.1531T0SCLA
Administered by: Public     Purchased by: Public
Symptoms: Injection site oedema, Injection site pain, Vasodilatation
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: swelling @ site of vax, warm to touch, soreness, size of silver dollar;

VAERS ID:49355 (history)  Vaccinated:1992-11-20
Age:24.8  Onset:1992-11-21, Days after vaccination: 1
Gender:Female  Submitted:1992-11-23, Days after onset: 2
Location:Washington  Entered:1993-01-25, Days after submission: 63
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: earlier that wk getting over cold
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type': WA93842
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)PFIZER/WYETH4928243  LA
Administered by: Public     Purchased by: Unknown
Symptoms: Pruritus, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow)
Write-up: hives-inside arms, stomach, lower back-size of quarter (arms), stomach very tiny, all raised, itched; gone by next AM;

VAERS ID:50007 (history)  Vaccinated:1992-02-25
Age:24.2  Onset:1992-04-18, Days after vaccination: 53
Gender:Male  Submitted:1992-07-10, Days after onset: 83
Location:North Carolina  Entered:1993-01-29, Days after submission: 203
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC 'Split Type': CO4228
Vaccination
Manufacturer
Lot
Dose
Route
Site
RAB: RABIES (IMOVAX)PASTEUR MERIEUX INST.E08762IM 
Administered by: Unknown     Purchased by: Unknown
Symptoms: Electrocardiogram ST segment elevation, Electrocardiogram abnormal, Laboratory test abnormal, Pericarditis, Pyrexia, Vomiting
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Myocardial infarction (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Chronic kidney disease (broad)
Write-up: fever & vomiting 1 wk p/receiving 3 doses of vax; dx as pericarditis; 10JUL92 phone f/u w/plasma center indicater tiem of vax was greater than 1.5 mo a/onset of sx;

VAERS ID:50048 (history)  Vaccinated:1992-10-21
Age:24.0  Onset:1992-10-21, Days after vaccination: 0
Gender:Female  Submitted:1992-12-22, Days after onset: 62
Location:Michigan  Entered:1993-01-29, Days after submission: 38
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: pt exp tinny taste @ 24 y/o w/Imovax #1 dose;
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC 'Split Type': CO4491
Vaccination
Manufacturer
Lot
Dose
Route
Site
RAB: RABIES (IMOVAX ID)PASTEUR MERIEUX INST.H02572 A
Administered by: Unknown     Purchased by: Unknown
Symptoms: Dysgeusia
SMQs:, Taste and smell disorders (narrow)
Write-up: tinny taste 15-20 mins p/1st dose; no local or systemic sx; 2nd dose recve w/no problem; w/in 5 mins of red dose had same taste sensation; resolved w/no other sx; 20NOV92 f/u dates administered 1OCT92, 7OCT92 & 21OCT92 all w/lot# H0257;

VAERS ID:49762 (history)  Vaccinated:1993-01-22
Age:24.0  Onset:1993-01-23, Days after vaccination: 1
Gender:Female  Submitted:1993-01-29, Days after onset: 6
Location:California  Entered:1993-02-08, Days after submission: 10
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
MEA: MEASLES (ATTENUVAX)MERCK & CO. INC.0564V1  
Administered by: Public     Purchased by: Unknown
Symptoms: Dizziness, Pyrexia, Rash
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Vestibular disorders (broad), Hypersensitivity (narrow)
Write-up: rash over entire body, lightheaded feeling poss fever;

VAERS ID:49836 (history)  Vaccinated:1992-05-11
Age:24.2  Onset:1992-05-12, Days after vaccination: 1
Gender:Male  Submitted:1992-05-12, Days after onset: 0
Location:Unknown  Entered:1993-02-08, Days after submission: 272
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': BER10054
Vaccination
Manufacturer
Lot
Dose
Route
Site
TYP: TYPHOID LIVE ORAL TY21A (VIVOTIF)BERNA BIOTECH, LTD  PO 
Administered by: Unknown     Purchased by: Unknown
Symptoms: Hyperhidrosis, Nausea, Pyrexia
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)
Write-up: took first capsule, devel fever & sweating & felt nausea;

VAERS ID:49771 (history)  Vaccinated:1993-01-25
Age:24.5  Onset:1993-01-26, Days after vaccination: 1
Gender:Female  Submitted:1993-01-29, Days after onset: 3
Location:Kansas  Entered:1993-02-09, Days after submission: 11
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: wound on lower leg requiring stitches
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC 'Split Type': KS93002
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)PFIZER/WYETH49280670IMA
Administered by: Public     Purchased by: Other
Symptoms: Anorexia, Dizziness, Ecchymosis, Injection site hypersensitivity, Injection site oedema, Nausea, Pruritus, Vasodilatation
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Haemorrhage terms (excl laboratory terms) (narrow), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Vestibular disorders (broad), Hypersensitivity (narrow)
Write-up: w/in 24 hrs started itching all over body; did not treat w/any OTC meds; has felt light-headed, dizzy, & nauseaus since immun; has not eaten past 3 1/2 days x/for liquids; site of immun painful, red, now bruised since warm to touch, swolle;

VAERS ID:49791 (history)  Vaccinated:1992-01-29
Age:24.2  Onset:1992-02-05, Days after vaccination: 7
Gender:Female  Submitted:1992-06-05, Days after onset: 120
Location:Illinois  Entered:1993-02-09, Days after submission: 249
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': CO4263
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)CONNAUGHT LABORATORIES  SC 
Administered by: Public     Purchased by: Public
Symptoms: Rash maculo-papular
SMQs:, Hypersensitivity (narrow)
Write-up: maculo-papular rash 7 days post inject; treated w/Hismanal, once daily for 7 days;

VAERS ID:50059 (history)  Vaccinated:1993-02-09
Age:24.9  Onset:1993-02-10, Days after vaccination: 1
Gender:Female  Submitted:1993-02-10, Days after onset: 0
Location:Michigan  Entered:1993-02-18, Days after submission: 8
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NONE
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)CONNAUGHT LABORATORIES2F410821IMA
Administered by: Other     Purchased by: Other
Symptoms: Injection site hypersensitivity, Injection site oedema
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow)
Write-up: redness to inject site radiating to lower deltoid w/minimal edema;

VAERS ID:50493 (history)  Vaccinated:1992-02-12
Age:24.9  Onset:1992-04-02, Days after vaccination: 50
Gender:Female  Submitted:1992-04-06, Days after onset: 3
Location:Michigan  Entered:1993-03-03, Days after submission: 331
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: NONE
Other Medications: NONE
Current Illness: laceration lt finger from a razor blade
Preexisting Conditions: NONE
Diagnostic Lab Data: abscess culture was pos for staphylococcus homins;
CDC 'Split Type': 892130003L
Vaccination
Manufacturer
Lot
Dose
Route
Site
TTOX: TETANUS TOXOID, ADSORBED (NO BRAND NAME)PFIZER/WYETH49180500IMLA
Administered by: Private     Purchased by: Private
Symptoms: Infection, Injection site abscess, Injection site mass, Injection site pain
SMQs:, Extravasation events (injections, infusions and implants) (broad)
Write-up: p/an inject pt devel a tender bump @ the inject site; aspiration of the lesion revealed pus which was culture pos; the lesion was incised & drained;

VAERS ID:50631 (history)  Vaccinated:1992-01-29
Age:24.0  Onset:1992-01-29, Days after vaccination: 0
Gender:Female  Submitted:0000-00-00
Location:Texas  Entered:1993-03-08
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: No relevant data;
CDC 'Split Type': WAES92020009
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.1687T0  
Administered by: Private     Purchased by: Other
Symptoms: Dizziness, Gait disturbance, Nausea
SMQs:, Acute pancreatitis (broad), Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad)
Write-up: pt recvd 1st dose of Hep B vax on 29JAN92 & w/in 10 mins exp dizziness, nausea, & was noted to have a staggering gait; sx lasted 1 hr & resolved spontaneously;

VAERS ID:50640 (history)  Vaccinated:1992-02-07
Age:24.6  Onset:0000-00-00
Gender:Female  Submitted:0000-00-00
Location:New York  Entered:1993-03-08
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: pt exp stiffness, tingling, weakness in arms & legs & gait disturbance @ 24 y/o
Other Medications: NONE
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: No relevant data;
CDC 'Split Type': WAES92020481
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.1687T1IM 
Administered by: Other     Purchased by: Other
Symptoms: Condition aggravated, Insomnia
SMQs:
Write-up: Pt recvd 2nd dose of vax on 7FEB92 & since that time, has had worsening of sx of paresthesia of hands & feet, also had insomnia;

VAERS ID:50715 (history)  Vaccinated:1992-01-29
Age:24.0  Onset:1992-01-29, Days after vaccination: 0
Gender:Female  Submitted:0000-00-00
Location:Illinois  Entered:1993-03-08
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: No relevant data;
CDC 'Split Type': WAES92030086
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.1251T0  
Administered by: Other     Purchased by: Other
Symptoms: Chills, Dizziness, Headache, Neck pain, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Vestibular disorders (broad), Arthritis (broad)
Write-up: Pt recvd 1st dose of Hep B vax on 29JAN92; 10 to 15 mins p/vax felt dizzy & fell to the floor-did not lose consciousness; exp chills, h/a, neck pain, t100.8; sx persisted for approx 1 1/2 days; No further details were provided;

VAERS ID:50940 (history)  Vaccinated:1992-04-21
Age:24.5  Onset:1992-04-23, Days after vaccination: 2
Gender:Female  Submitted:0000-00-00
Location:California  Entered:1993-03-08
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: No relevant data;
CDC 'Split Type': WAES92040859
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.0103V0IM 
Administered by: Other     Purchased by: Public
Symptoms: Pruritus, Rash maculo-papular
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow)
Write-up: Pt recvd 1 dose of vax on 21APR92 & devel raised erythematous pruritic rash which covered most of body;

VAERS ID:50979 (history)  Vaccinated:1992-02-07
Age:24.0  Onset:1992-02-17, Days after vaccination: 10
Gender:Male  Submitted:0000-00-00
Location:Oregon  Entered:1993-03-08
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: 20FEB92 WBC Count 3500; Monocytes 18; Serum alk phos 251; SGOT 38; UA +1; 3MAR92 SGOT 33; LDH 217
CDC 'Split Type': WAES92040415
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.1328S0IM 
Administered by: Other     Purchased by: Other
Symptoms: Abdominal pain, Aspartate aminotransferase increased, Blood alkaline phosphatase increased, Blood lactate dehydrogenase increased, Diarrhoea, Haematemesis, Leukopenia, Monocytosis
SMQs:, Liver related investigations, signs and symptoms (narrow), Acute pancreatitis (broad), Haematopoietic leukopenia (narrow), Haemorrhage terms (excl laboratory terms) (narrow), Systemic lupus erythematosus (broad), Retroperitoneal fibrosis (broad), Pseudomembranous colitis (broad), Gastrointestinal haemorrhage (narrow), Biliary system related investigations, signs and symptoms (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (narrow)
Write-up: Pt recvd 1st dose of Hep B on 7FEB92 & 10 days later exp lt upper quad pain, hematemesis & stomach cramps; On 20FEB92 exp a dec appetite & a bloated feeling; malaise, diarhea, flatulence, mild elevations of liver funct tests;

VAERS ID:50980 (history)  Vaccinated:1992-03-23
Age:24.8  Onset:1992-03-24, Days after vaccination: 1
Gender:Male  Submitted:0000-00-00
Location:Texas  Entered:1993-03-08
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:
Diagnostic Lab Data: No relevant data;
CDC 'Split Type': WAES92040416
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.0230V0  
Administered by: Other     Purchased by: Other
Symptoms: Arthralgia, Arthritis, Hypokinesia, Serum sickness
SMQs:, Systemic lupus erythematosus (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Hypotonic-hyporesponsive episode (broad), Hypersensitivity (narrow), Arthritis (narrow)
Write-up: Pt recvd vax on 23MAR92 & the next day, devel serum sickness w/severe arthralgia & severe pain & was unable to walk; @ time of report pt had arthritis & arthralgia;

VAERS ID:50981 (history)  Vaccinated:1991-09-19
Age:24.5  Onset:1991-10-04, Days after vaccination: 15
Gender:Female  Submitted:0000-00-00
Location:Connecticut  Entered:1993-03-08
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Mitral valve prolapse; Polycystic ovary;
Diagnostic Lab Data: No relevant data;
CDC 'Split Type': WAES92040417
Vaccination
Manufacturer
Lot
Dose
Route
Site
HIBV: HIB (HIBTITER)LEDERLE PRAXSIS0866T0IMLA
Administered by: Other     Purchased by: Other
Symptoms: Injection site pain, Myalgia, Pain
SMQs:, Rhabdomyolysis/myopathy (broad), Extravasation events (injections, infusions and implants) (broad), Eosinophilic pneumonia (broad)
Write-up: Pt recvd vax on 19SEP91 & a few days following vax devel pain in the lt tricep; on 4OCT91 c/o ache in arm which was felt mostly @ noc; at time of report pain persisted;

VAERS ID:51022 (history)  Vaccinated:1992-05-05
Age:24.0  Onset:1992-05-05, Days after vaccination: 0
Gender:Female  Submitted:0000-00-00
Location:Indiana  Entered:1993-03-08
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Atenolol
Current Illness:
Preexisting Conditions: hypertension; allergy, PCN;
Diagnostic Lab Data: No relevant data;
CDC 'Split Type': WAES92050177
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.0268V0IM 
Administered by: Other     Purchased by: Other
Symptoms: Nausea, Tremor, Vasodilatation, Vomiting
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Parkinson-like events (broad), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)
Write-up: Pt recvd vax on 5MAY92 & 15 to 20 mins following the vax pt devel nausea, vomiting, hot sensation & shakiness;

VAERS ID:51344 (history)  Vaccinated:1992-06-03
Age:24.6  Onset:1992-06-03, Days after vaccination: 0
Gender:Female  Submitted:0000-00-00
Location:Maryland  Entered:1993-03-08
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Seldane
Current Illness:
Preexisting Conditions: allergy, pollen; allergy, mildew;
Diagnostic Lab Data: No relevant data;
CDC 'Split Type': WAES92070077
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.0522V0IM 
Administered by: Private     Purchased by: Private
Symptoms: Dizziness
SMQs:, Anticholinergic syndrome (broad), Vestibular disorders (broad)
Write-up: Pt recvd vax on 3JUN92 & w/in 1 hr pt c/o lightheadedness; lightheadedness persisted for 12 hrs; sx resolved; pt was seen by MD; exam was nl;

VAERS ID:51444 (history)  Vaccinated:1992-07-01
Age:24.3  Onset:1992-07-02, Days after vaccination: 1
Gender:Male  Submitted:0000-00-00
Location:Unknown  Entered:1993-03-08
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:
Diagnostic Lab Data: No relevant data;
CDC 'Split Type': WAES92070605
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.0891T0IM 
Administered by: Public     Purchased by: Other
Symptoms: Amblyopia, Angioneurotic oedema, Arthralgia, Face oedema, Serum sickness, Vasodilatation
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Oropharyngeal allergic conditions (narrow), Optic nerve disorders (broad), Hypersensitivity (narrow), Arthritis (broad)
Write-up: Pt recvd vax on 1JUL92 & w/in 24 hrs of vax exp angioedema of face w/swelling & puffiness around the eyes & a diffuse redness to face; also exp blurred vision & arthralgia; MD felt pt may have exp serum sickness;

VAERS ID:51475 (history)  Vaccinated:0000-00-00
Age:24.0  Onset:0000-00-00
Gender:Female  Submitted:0000-00-00
Location:Pennsylvania  Entered:1993-03-08
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:
Diagnostic Lab Data: No relevant data;
CDC 'Split Type': WAES92071155
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.    
Administered by: Other     Purchased by: Other
Symptoms: Hyperbilirubinaemia, Infection, Lymphocytosis
SMQs:, Liver related investigations, signs and symptoms (narrow), Cholestasis and jaundice of hepatic origin (narrow), Acute pancreatitis (broad), Biliary system related investigations, signs and symptoms (narrow), Biliary tract disorders (narrow)
Write-up: pt exp an inc in bilirubin levels following vax w/Hep B vax; pt was dx w/Epstein-Barr infection, infectious mononucleosis w/liver involvement; No further details were provided;

VAERS ID:51492 (history)  Vaccinated:1992-07-31
Age:24.1  Onset:1992-08-01, Days after vaccination: 1
Gender:Male  Submitted:0000-00-00
Location:Wisconsin  Entered:1993-03-08
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: No relevant data;
CDC 'Split Type': WAES92080180
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.0686V0  
Administered by: Other     Purchased by: Public
Symptoms: Rash maculo-papular
SMQs:, Hypersensitivity (narrow)
Write-up: Pt recvd 1st dose of vax on 31JUL92 & on 1AUG92 pt devel a red sl raised rash on upper body over back, chest, arms & trunk; Pt recvd gamma globulin in 1990;

VAERS ID:51510 (history)  Vaccinated:1992-07-31
Age:24.5  Onset:1992-07-31, Days after vaccination: 0
Gender:Female  Submitted:0000-00-00
Location:Pennsylvania  Entered:1993-03-08
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: No relevant data;
CDC 'Split Type': WAES92080377
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.0752V0IM 
Administered by: Private     Purchased by: Private
Symptoms: Anxiety, Dizziness, Dysgeusia, Dyspnoea, Headache, Hyperhidrosis, Pyrexia, Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Taste and smell disorders (narrow), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad)
Write-up: Pt recvd 1st dose of vax 31JUL92 & 2 1/2 hrs p/felt nauseated & felt light-headed & terrible; lost consciousness for 5 mins; frightened, SOB, diaphoretic, dizzy, medicinal taste in mouth, low fever, & h/a;

VAERS ID:51525 (history)  Vaccinated:1992-10-16
Age:24.1  Onset:1992-10-16, Days after vaccination: 0
Gender:Male  Submitted:0000-00-00
Location:Texas  Entered:1993-03-08
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: Pt exp h/a, vomiting, aller react @ 23 y/o w/Recombivax dose 1 & 2;
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: No relevant data;
CDC 'Split Type': WAES92080623
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC. 2  
Administered by: Other     Purchased by: Other
Symptoms: Dizziness, Dyspepsia, Headache, Hypertension, Pharyngitis, Vasodilatation
SMQs:, Agranulocytosis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Oropharyngeal infections (narrow), Gastrointestinal nonspecific dysfunction (narrow), Hypertension (narrow), Vestibular disorders (broad)
Write-up: Pt recvd 3rd dose of vax 16OCT92 & exp dizziness, h/a, hot flashes; seen in ER; BP enroute to hosp was 110/100; had sore throat & upset stomach;

VAERS ID:51741 (history)  Vaccinated:1992-08-17
Age:24.9  Onset:1992-08-18, Days after vaccination: 1
Gender:Female  Submitted:0000-00-00
Location:Ohio  Entered:1993-03-08
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: No relevant data;
CDC 'Split Type': WAES92080952
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.  IM 
Administered by: Other     Purchased by: Other
Symptoms: Arthralgia, Asthenia, Headache, Nausea, Vasodilatation
SMQs:, Acute pancreatitis (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Arthritis (broad)
Write-up: Pt recvd vax on 17AUG92 & 18AUG92 pt awoke w/joint pain, h/a, nausea, fatigue also warm to touch;

VAERS ID:51849 (history)  Vaccinated:1992-08-08
Age:24.0  Onset:1992-08-09, Days after vaccination: 1
Gender:Female  Submitted:0000-00-00
Location:Pennsylvania  Entered:1993-03-08
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: respiratory disorder
Diagnostic Lab Data: No relevant data;
CDC 'Split Type': WAES92090103
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC. 0  
Administered by: Other     Purchased by: Other
Symptoms: Pleural disorder
SMQs:
Write-up: pt recvd vax on 8AUG92 & on 9AUG92 seen in ER dx poss anaphylaxis; upon exam, anaphylaxis was r/o & pt condition was dx as pleurisy;

VAERS ID:51861 (history)  Vaccinated:1992-06-01
Age:24.0  Onset:1992-06-01, Days after vaccination: 0
Gender:Female  Submitted:0000-00-00
Location:California  Entered:1993-03-08
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: No relevant data;
CDC 'Split Type': WAES92090250
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC. 0  
Administered by: Other     Purchased by: Other
Symptoms: Injection site hypersensitivity, Injection site oedema, Injection site pain, Injection site reaction
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow)
Write-up: pt recvd vax JUN92 & 1 to 2 days p/vax pt noted local area of redness, swelling & tenderness @ the inject site which became progressively worse; treated for local infect w/gradual resolution of sx over 10 days;

VAERS ID:52185 (history)  Vaccinated:1992-09-03
Age:24.5  Onset:1992-09-03, Days after vaccination: 0
Gender:Female  Submitted:0000-00-00
Location:Minnesota  Entered:1993-03-08
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: pt exp swelling, lymph nodes, fever, low grade @ 23 y/o w/Rabies vax;
Other Medications: Hismanal
Current Illness:
Preexisting Conditions: hayfever
Diagnostic Lab Data: No relevant data;
CDC 'Split Type': WAES92100203
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.0685V IM 
Administered by: Other     Purchased by: Public
Symptoms: Injection site hypersensitivity, Injection site oedema, Malaise, Myalgia, Neck pain, Oedema, Oedema peripheral
SMQs:, Rhabdomyolysis/myopathy (broad), Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Hypersensitivity (narrow), Arthritis (broad)
Write-up: Pt recvd vax 3SEP92 & 5SEP92 exp achiness & listlessness; 6SEP92 devel a terrible neck ache, swelling on lt side of neck down into shoulder, redness & swelling @ the inject site, arm was swollen; seen by MD;

VAERS ID:52436 (history)  Vaccinated:0000-00-00
Age:24.0  Onset:1992-09-01
Gender:Male  Submitted:0000-00-00
Location:Pennsylvania  Entered:1993-03-08
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: FEB91 Anti-HBs pos; SEP92 Anti-HBc pos; SEP92 Anti-HBs neg;
CDC 'Split Type': WAES92100653
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC. 2  
Administered by: Other     Purchased by: Other
Symptoms: Drug ineffective, Hepatitis, Infection
SMQs:, Hepatitis, non-infectious (narrow), Lack of efficacy/effect (narrow)
Write-up: Pt recvd vax in 1990 through 1991; lab eval in FEB91 revealed anti-HBs pos; In SEP92 pt donated blood & was found to be pos for hep core antibody, & neg for anti-HBs;

VAERS ID:52802 (history)  Vaccinated:1987-10-12
Age:24.7  Onset:1987-11-10, Days after vaccination: 29
Gender:Male  Submitted:0000-00-00
Location:Minnesota  Entered:1993-03-08
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: allergy, pollen;
Diagnostic Lab Data: 10OCT88 Anti-HBs neg;
CDC 'Split Type': WAES92110437
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.  IMA
Administered by: Other     Purchased by: Other
Symptoms: Erythema multiforme
SMQs:, Severe cutaneous adverse reactions (narrow), Hypersensitivity (narrow)
Write-up: Pt recvd vax in 1987 & in 1988 following vax pt devel erythema multiforme primarily of hands & feet; No further details were provided;

VAERS ID:52869 (history)  Vaccinated:1992-11-10
Age:24.3  Onset:1992-11-10, Days after vaccination: 0
Gender:Female  Submitted:0000-00-00
Location:New Jersey  Entered:1993-03-08
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: No relevant data;
CDC 'Split Type': WAES92111076
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC. 0  
Administered by: Other     Purchased by: Other
Symptoms: Anorexia, Headache, Influenza, Insomnia, Nausea, Nervousness, Pyrexia
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)
Write-up: Pt recvd vax 10NOV92 & later that day devel flu-like sx consisting of h/a, intermittent nausea, fever, dec appetite, nervousness & trouble sleeping; No further details were provided;

VAERS ID:52887 (history)  Vaccinated:1992-11-12
Age:24.9  Onset:1992-11-15, Days after vaccination: 3
Gender:Female  Submitted:0000-00-00
Location:New York  Entered:1993-03-08
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions: Allergy, mildew; Allergy,PNC; Allergy,dust; Allergy,non-drug;
Diagnostic Lab Data: No relevant data;
CDC 'Split Type': WAES92120031
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.1013V0IM 
Administered by: Other     Purchased by: Other
Symptoms: Hypertonia, Myalgia, Myasthenic syndrome, Neck pain, Pain, Peripheral vascular disorder
SMQs:, Rhabdomyolysis/myopathy (broad), Neuroleptic malignant syndrome (broad), Malignancy related conditions (narrow), Parkinson-like events (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Eosinophilic pneumonia (broad), Arthritis (broad)
Write-up: pt recvd vax 12NOV92 & 30NOV92 pt devel muscle weakness & pain in neck, shoulders, arms & legs; pain progressed to achiness & stiffnes; also devel cold hands & feet;

VAERS ID:53055 (history)  Vaccinated:1992-12-04
Age:24.9  Onset:1992-12-04, Days after vaccination: 0
Gender:Male  Submitted:0000-00-00
Location:Michigan  Entered:1993-03-08
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: No relevant data;
CDC 'Split Type': WAES93010485
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.1430V0IM 
Administered by: Private     Purchased by: Private
Symptoms: Diarrhoea, Myalgia, Pain
SMQs:, Rhabdomyolysis/myopathy (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad), Noninfectious diarrhoea (narrow)
Write-up: Pt recvd vax 4DEC92 & 2 hrs following vax pt exp diarrhea; w/in 3 hrs shoulder was sore; the following fingers in lt hand ached & exp generalized aches; diarrhea lasted for 1 day 7 the achiness lasted 3 days;

VAERS ID:53084 (history)  Vaccinated:1992-05-05
Age:24.1  Onset:1992-05-06, Days after vaccination: 1
Gender:Female  Submitted:1992-05-14, Days after onset: 8
Location:Pennsylvania  Entered:1993-03-17, Days after submission: 307
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: UNK
Other Medications: pub
Current Illness: NONE
Preexisting Conditions: UNK
Diagnostic Lab Data: Td lot# 4917502 analyzed & found to be satisfactory;
CDC 'Split Type': 892141007L
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)PFIZER/WYETH4917502 IMLA
Administered by: Public     Purchased by: Public
Symptoms: Injection site hypersensitivity, Injection site oedema, Injection site pain, Lymphadenopathy, Pruritus, Pyrexia
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow)
Write-up: Pt recvd Td vax & exp swelling, redness, aching, pruritus @ the site of inject; also exp enlargement of axillary lymph nodes & fever of 2 days duration; sx were treated w/Ibuprofen;

VAERS ID:51840 (history)  Vaccinated:1993-04-05
Age:24.4  Onset:1993-04-05, Days after vaccination: 0
Gender:Female  Submitted:1993-04-08, Days after onset: 3
Location:Maryland  Entered:1993-04-14, Days after submission: 6
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NONE
Other Medications: Mantoux by Connaught lot# 234121
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)PFIZER/WYETH4928103 IMLA
Administered by: Public     Purchased by: Unknown
Symptoms: Pruritus, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow)
Write-up: 2 hrs p/vax devel total body pruritis & urticaria which lasted approx 18 hrs treated w/2 doses of PO antihistamine;

VAERS ID:51956 (history)  Vaccinated:1993-04-13
Age:24.1  Onset:1993-04-14, Days after vaccination: 1
Gender:Male  Submitted:1993-04-15, Days after onset: 1
Location:Florida  Entered:1993-04-19, Days after submission: 4
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NONE
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
TTOX: TETANUS TOXOID (NO BRAND NAME)PFIZER/WYETH4928064 IMA
Administered by: Private     Purchased by: Private
Symptoms: Back pain, Chills, Neck pain, Pyrexia, Tremor
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Parkinson-like events (broad), Noninfectious encephalopathy/delirium (broad), Arthritis (broad)
Write-up: t102, chills, tremors, neck & back aches (no local sx noted); tx APAP & Advil, rest, fluids (advised to got to ER but did not);

VAERS ID:52002 (history)  Vaccinated:1993-03-22
Age:24.4  Onset:1993-03-22, Days after vaccination: 0
Gender:Female  Submitted:1993-03-24, Days after onset: 2
Location:Kansas  Entered:1993-04-23, Days after submission: 29
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: NA
Other Medications: Birth Control Pills
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC 'Split Type': KS93010
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.1077V0SC 
Administered by: Public     Purchased by: Public
Symptoms: Asthenia, Dizziness, Face oedema, Paraesthesia
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Vestibular disorders (broad), Hypersensitivity (narrow)
Write-up: numbness in fingers toes, lips, dizziness extreme fatigue, swollen cheeks;

VAERS ID:53283 (history)  Vaccinated:1993-01-11
Age:24.8  Onset:1993-01-11, Days after vaccination: 0
Gender:Female  Submitted:1993-01-11, Days after onset: 0
Location:California  Entered:1993-05-05, Days after submission: 113
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': 893020002E
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)PFIZER/WYETH49282250 LA
Administered by: Public     Purchased by: Private
Symptoms: Arthralgia, Dyspnoea, Injection site hypersensitivity
SMQs:, Anaphylactic reaction (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Hypersensitivity (narrow), Arthritis (broad)
Write-up: Pt recvd flu vax & devel redness @ the inject site, joint pain in the shoulder & SOB;

VAERS ID:53336 (history)  Vaccinated:1992-02-21
Age:24.9  Onset:1992-02-21, Days after vaccination: 0
Gender:Male  Submitted:1992-03-13, Days after onset: 21
Location:California  Entered:1993-05-11, Days after submission: 423
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: UNK
Other Medications: NA
Current Illness: lt thumb laceration
Preexisting Conditions: No known allergies; healthy male
Diagnostic Lab Data: NONE
CDC 'Split Type': 920051903
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)LEDERLE LABORATORIES306915 IMLA
Administered by: Private     Purchased by: Private
Symptoms: Injection site hypersensitivity, Injection site oedema, Pruritus
SMQs:, Anaphylactic reaction (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow)
Write-up: 1 of 3 pts who exp a local reaction; pt devel redness, swelling & itching @ inject site reaction; soaks applied to site; pt recovered;

VAERS ID:53361 (history)  Vaccinated:1992-11-05
Age:24.6  Onset:1992-11-06, Days after vaccination: 1
Gender:Male  Submitted:1992-11-09, Days after onset: 3
Location:Ohio  Entered:1993-05-11, Days after submission: 182
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: NONE
Other Medications: NONE
Current Illness: hypertension check-up;
Preexisting Conditions: RN reports that sued sterile technique when administering the vax;
Diagnostic Lab Data: No cultures taken;
CDC 'Split Type': 920372801
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)LEDERLE LABORATORIES306915 IMLA
Administered by: Private     Purchased by: Private
Symptoms: Cellulitis, Injection site hypersensitivity, Pruritus, Skin discolouration, Vasodilatation
SMQs:, Anaphylactic reaction (broad), Hypotonic-hyporesponsive episode (broad), Hypersensitivity (narrow)
Write-up: pt vaxed 5MAY92 & w/in 24 hrs pt exp an inject site react 8" x 5"; site was hot to the touch, itchy & purple & red in color; seen in ER dx cellulitis; no cultures taken; tx included ATB; seen in office 9NOV92 arm sl better; pt recovered;

VAERS ID:52596 (history)  Vaccinated:1992-11-25
Age:24.0  Onset:0000-00-00
Gender:Female  Submitted:1993-05-10
Location:Georga  Entered:1993-05-14, 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:
Diagnostic Lab Data:
CDC 'Split Type': EBU930753
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM 1IMA
Administered by: Private     Purchased by: Private
Symptoms: Abortion
SMQs:, Termination of pregnancy and risk of abortion (narrow)
Write-up: pt recvd vax & exp miscarriage sometime p/2nd dose of vax; pt was seen by a MD; no further details are available @ this time;

VAERS ID:53450 (history)  Vaccinated:1993-04-23
Age:24.6  Onset:1993-05-05, Days after vaccination: 12
Gender:Female  Submitted:0000-00-00
Location:Florida  Entered:1993-05-28
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: NONE
Other Medications:
Current Illness: NONE
Preexisting Conditions: denies
Diagnostic Lab Data: throat culture in ER;
CDC 'Split Type': FL93029
Vaccination
Manufacturer
Lot
Dose
Route
Site
RUB: RUBELLA (MERUVAX II)MERCK & CO. INC.  SCLA
Administered by: Military     Purchased by: Private
Symptoms: Infection, Pharyngitis, Rash, Rash maculo-papular
SMQs:, Anaphylactic reaction (broad), Agranulocytosis (broad), Oropharyngeal infections (narrow), Hypersensitivity (narrow)
Write-up: 2 wk p/vax rash on face, neck, arms, legs, (all over body) scattered tiny red bumps, remain on legs 12MAY93; aching sore throat noc a/rash broke out; dx viral exanthem;

VAERS ID:53618 (history)  Vaccinated:1992-05-14
Age:24.0  Onset:1992-05-15, Days after vaccination: 1
Gender:Female  Submitted:0000-00-00
Location:Michigan  Entered:1993-06-03
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: No relevant data;
CDC 'Split Type': WAES92050602
Vaccination
Manufacturer
Lot
Dose
Route
Site
MER: MEASLES + RUBELLA (MR-VAX II)MERCK & CO. INC.1658S   
Administered by: Other     Purchased by: Other
Symptoms: Headache, Pruritus, Rash, Vasodilatation
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow)
Write-up: Pt recvd vax 14MAY92 & 11MAY92 recvd vax & 15MAY92 devel fine red pruritic rash on back, arms & legs but not on face; stated that felt warm, but had no fever; also had a h/a on the top & frontal area of head; No further details were provid;

VAERS ID:55330 (history)  Vaccinated:0000-00-00
Age:24.0  Onset:0000-00-00
Gender:Male  Submitted:0000-00-00
Location:New York  Entered:1993-06-03
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: IgG neg for rubeola;
CDC 'Split Type': WAES93020104
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC. 0  
Administered by: Other     Purchased by: Other
Symptoms: Drug ineffective
SMQs:, Lack of efficacy/effect (narrow)
Write-up: Pt recvd vax in 1990 & in 1992; a rubeola IgG was neg; No further details were provided;

VAERS ID:55335 (history)  Vaccinated:1993-02-02
Age:24.7  Onset:1993-02-16, Days after vaccination: 14
Gender:Female  Submitted:0000-00-00
Location:Virginia  Entered:1993-06-03
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Triphasil
Current Illness:
Preexisting Conditions: overweight;
Diagnostic Lab Data: No relevant data;
CDC 'Split Type': WAES93020810
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.  SC 
Administered by: Public     Purchased by: Other
Symptoms: Injection site mass, Injection site oedema, Injection site pain
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: pt recvd vax 2FEB93 & 16FEB93 devel pain, swelling & a lump @ the inject site; seen by MD who stated that it was nl; pt recovered 1 day later; seen by MD 2 wks later w/no noted problems;

VAERS ID:53866 (history)  Vaccinated:1993-05-14
Age:24.0  Onset:1993-05-14, Days after vaccination: 0
Gender:Unknown  Submitted:1993-05-19, Days after onset: 5
Location:New York  Entered:1993-06-10, Days after submission: 22
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: cut on finger;
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type': 893142001K
Vaccination
Manufacturer
Lot
Dose
Route
Site
TTOX: TETANUS TOXOID, ADSORBED (NO BRAND NAME)PFIZER/WYETH    
Administered by: Private     Purchased by: Other
Symptoms: Paraesthesia, Paralysis
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (broad)
Write-up: Pt recvd vax & approx 2 hrs later pt exp paralysis of the rt lower extremity, numbness in the rt upper extremity & loss of sensation in the upper & lower extremities; pt was adm to the hosp & was discharged 2 days later;

VAERS ID:54899 (history)  Vaccinated:1993-07-09
Age:24.4  Onset:1993-07-19, Days after vaccination: 10
Gender:Female  Submitted:1993-07-21, Days after onset: 2
Location:New York  Entered:1993-07-28, Days after submission: 7
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: NA
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: clinic dx poss rubella rash;
CDC 'Split Type': BA93033
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.1203V0SC 
TD: TD ADSORBED (NO BRAND NAME)PFIZER/WYETH49301Y0IM 
Administered by: Public     Purchased by: Public
Symptoms: Arthralgia, Drug ineffective, Infection, Lymphadenopathy, Malaise, Pyrexia, Rash
SMQs:, Anaphylactic reaction (broad), Lack of efficacy/effect (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Hypersensitivity (narrow), Arthritis (broad)
Write-up: malaise, low grade temp, joint pain, rash-exanthematous & swollen nodes-cervical lymph;

VAERS ID:54947 (history)  Vaccinated:1993-07-12
Age:24.3  Onset:1993-07-12, Days after vaccination: 0
Gender:Unknown  Submitted:0000-00-00
Location:Florida  Entered:1993-07-30
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: denies
Other Medications: states none
Current Illness:
Preexisting Conditions: denies
Diagnostic Lab Data: seen by immediate care center 15JUL93
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
RAB: RABIES (IMOVAX)PASTEUR MERIEUX INST.J01070IM 
Administered by: Public     Purchased by: Private
Symptoms: Arthralgia, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arthritis (broad)
Write-up: joints became painful & inc in severity also c/o some fever;

VAERS ID:55004 (history)  Vaccinated:1992-05-01
Age:24.1  Onset:1992-05-03, Days after vaccination: 2
Gender:Female  Submitted:1993-07-28, Days after onset: 451
Location:Ohio  Entered:1993-08-02, 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: NONE
Preexisting Conditions: hx of asthma; allergies procaine;
Diagnostic Lab Data: NONE
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
DT: DT ADSORBED (NO BRAND NAME)PFIZER/WYETH4918116 IMLA
Administered by: Private     Purchased by: Private
Symptoms: Dyspnoea, Injection site hypersensitivity
SMQs:, Anaphylactic reaction (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Hypersensitivity (narrow)
Write-up: large red welt lt arm; pt c/o difficulty breathing;

VAERS ID:55054 (history)  Vaccinated:1992-12-03
Age:24.9  Onset:1992-12-05, Days after vaccination: 2
Gender:Female  Submitted:0000-00-00
Location:Ohio  Entered:1993-08-02
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: asthma, bronchial;
Diagnostic Lab Data: No relevant data;
CDC 'Split Type': WAES92121409
Vaccination
Manufacturer
Lot
Dose
Route
Site
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.0101V IMRA
Administered by: Public     Purchased by: Public
Symptoms: Dizziness, Laryngitis, Myalgia
SMQs:, Rhabdomyolysis/myopathy (broad), Anticholinergic syndrome (broad), Eosinophilic pneumonia (broad), Vestibular disorders (broad)
Write-up: pt recvd vax 3DEC92 & on 5DEC92 pt exp dizziness & soreness in lt arm; seen in ER & on 14DEC92 pt was seen by family MD & dx w/laryngitis;

VAERS ID:55215 (history)  Vaccinated:1993-08-06
Age:24.1  Onset:1993-08-06, Days after vaccination: 0
Gender:Male  Submitted:1993-08-06, Days after onset: 0
Location:California  Entered:1993-08-13, 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: NONE
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
YF: YELLOW FEVER (YF-VAX)CONNAUGHT LABORATORIES3B410361SC 
Administered by: Military     Purchased by: Military
Symptoms: Angioneurotic oedema, Laryngospasm, Pruritus
SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), Dystonia (broad), Oropharyngeal allergic conditions (narrow), Hypersensitivity (narrow)
Write-up: yellow fever vax 1030 periorbital angioedema, pruritis fu llness in throat;

VAERS ID:55390 (history)  Vaccinated:1993-03-09
Age:24.0  Onset:1993-03-09, Days after vaccination: 0
Gender:Female  Submitted:1993-08-18, Days after onset: 161
Location:Maryland  Entered:1993-08-23, Days after submission: 5
Life Threatening? Yes
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: pt exp h/a, abdo discomfort (stomach ache) w/Engerix-B #1 dose;
Other Medications:
Current Illness:
Preexisting Conditions: allergy to cats, allergy to eggs, allergy to PCN, allergy to sulfa, asthma; asthma as a child;
Diagnostic Lab Data: 9MAR93 BLood pressure 117/70, pulse 74, resp 16; 12MAR93 pt is well & appearing in no distress; Blood pressure 116/72, weight 101 pounds; head/neck: unremarkable; trachea is midline; THyroid is not enlarged; Lungs clear to auscultation;
CDC 'Split Type': EBU930564
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM1059A41IMRA
Administered by: Private     Purchased by: Private
Symptoms: Asthma, Chest pain, Diarrhoea, Dyspnoea, Headache, Hyperhidrosis, Hypersensitivity, Vomiting
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Angioedema (broad), Asthma/bronchospasm (narrow), Neuroleptic malignant syndrome (broad), Pseudomembranous colitis (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Hypersensitivity (narrow), Noninfectious diarrhoea (narrow)
Write-up: pt recvd 2 doses of Engerix-B & w/in 1 hr of 2nd dose began to exp h/a, nausea, vomiting, substernal chest pressure & some SOB; pt took DPH; exp difficulty breathing, tightness in chest & diaphoresis; pt taken to ER given 02; chest pain;

VAERS ID:55911 (history)  Vaccinated:1992-12-22
Age:24.1  Onset:1993-01-13, Days after vaccination: 22
Gender:Female  Submitted:1993-06-10, Days after onset: 147
Location:Georga  Entered:1993-09-09, Days after submission: 91
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NONE
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: x-rays neg; arthritis profile nl;
CDC 'Split Type': GA93130
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0262V0SCLA
Administered by: Public     Purchased by: Public
Symptoms: Arthralgia, Oedema peripheral, Osteoarthritis
SMQs:, Cardiac failure (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Arthritis (broad)
Write-up: ankles swollen & painful x 2 wks worse in AM; edema & pain migrate from joint to joint;

VAERS ID:55975 (history)  Vaccinated:1992-11-27
Age:24.9  Onset:1992-11-27, Days after vaccination: 0
Gender:Female  Submitted:1993-07-14, Days after onset: 228
Location:West Virginia  Entered:1993-09-10, Days after submission: 58
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': CO4568
Vaccination
Manufacturer
Lot
Dose
Route
Site
RAB: RABIES (IMOVAX)PASTEUR MERIEUX INST. 3  
Administered by: Unknown     Purchased by: Unknown
Symptoms: Injection site hypersensitivity
SMQs:, Hypersensitivity (narrow)
Write-up: Rash around site p/4th dose of vax; large area some macular-apaular not typical of drug reaction 25FEB93; pt recovered; recvd 5th dose w/o further reaction;

VAERS ID:56006 (history)  Vaccinated:1992-10-23
Age:24.0  Onset:1992-10-23, Days after vaccination: 0
Gender:Female  Submitted:1993-07-15, Days after onset: 265
Location:Missouri  Entered:1993-09-10, Days after submission: 57
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type': CO4698
Vaccination
Manufacturer
Lot
Dose
Route
Site
RAB: RABIES (IMOVAX)PASTEUR MERIEUX INST. 4  
Administered by: Unknown     Purchased by: Unknown
Symptoms: Face oedema, Injection site hypersensitivity, Injection site oedema, Injection site pain, Pruritus, Urticaria, Vasodilatation
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow)
Write-up: Hives w/eye swelling, generalized itching 30 mins post inject; local react characterized by redness, pain, swelling warmth & itching; took DPH;

VAERS ID:56036 (history)  Vaccinated:1993-07-26
Age:24.6  Onset:1993-07-26, Days after vaccination: 0
Gender:Female  Submitted:1993-09-03, Days after onset: 39
Location:Louisiana  Entered:1993-09-13, Days after submission: 10
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NONE
Other Medications: birth control pill; Triphasil
Current Illness: NONE
Preexisting Conditions: mitral valve prolapse
Diagnostic Lab Data:
CDC 'Split Type': LA930901
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.1576V  RA
TD: TD ADSORBED (NO BRAND NAME)LEDERLE LABORATORIES344913  LA
Administered by: Public     Purchased by: Public
Symptoms: Arthralgia, Rash
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow), Arthritis (broad)
Write-up: about 3 hrs p/vax started having pain in both joints of shoulders; next day had rash on chest, neck & arms; lt shoulder pain stopped in 2-3 days;

VAERS ID:56152 (history)  Vaccinated:1993-09-09
Age:24.6  Onset:1993-09-10, Days after vaccination: 1
Gender:Female  Submitted:1993-09-15, Days after onset: 5
Location:D.C.  Entered:1993-09-17, Days after submission: 2
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: unk
Other Medications: NA
Current Illness: NA
Preexisting Conditions: NA
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)PFIZER/WYETH4938070 IMLA
Administered by: Private     Purchased by: Private
Symptoms: Injection site pain, Pain
SMQs:, Extravasation events (injections, infusions and implants) (broad)
Write-up: pt last recvd tetanus vax yrs ago, greater than 10 yrs ago; 9SEP93 given Td IM (lt deltoid area sore 10SEP-12SEP93; severe pain lt auxilla, 14SEP93 pain persisted, t100, tenderness over deltoid;

VAERS ID:56263 (history)  Vaccinated:1993-08-13
Age:24.4  Onset:1993-08-13, Days after vaccination: 0
Gender:Female  Submitted:1993-09-02, Days after onset: 20
Location:Louisiana  Entered:1993-09-27, 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': LA930902
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)LEDERLE LABORATORIES3449131 RA
Administered by: Public     Purchased by: Public
Symptoms: Asthenia, Dysphagia, Headache, Hypertonia, Injection site hypersensitivity, Injection site oedema, Laryngospasm, Pyrexia
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dystonia (broad), Parkinson-like events (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow)
Write-up: pt recvd vax 13AUG93 & 16AUG93 w/red tender, mildly swollen lt deltoid; given Celestone; c/o difficulty swallowing, throat swelling, rt jaw spasms w/h/a, fever, & fatigue;

VAERS ID:56408 (history)  Vaccinated:1993-08-30
Age:24.5  Onset:1993-08-30, Days after vaccination: 0
Gender:Female  Submitted:1993-09-01, Days after onset: 2
Location:Hawaii  Entered:1993-10-04, Days after submission: 33
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
TD: TD ADSORBED (NO BRAND NAME)CONNAUGHT LABORATORIES3A51004 IM 
Administered by: Private     Purchased by: Public
Symptoms: Injection site hypersensitivity, Injection site oedema
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow)
Write-up: swollen red, local react; no rash, no abscess, no adenopathy;

VAERS ID:56409 (history)  Vaccinated:1993-09-08
Age:24.7  Onset:1993-09-14, Days after vaccination: 6
Gender:Female  Submitted:1993-09-20, Days after onset: 6
Location:New York  Entered:1993-10-04, Days after submission: 14
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM1078A41IMLA
Administered by: Private     Purchased by: Private
Symptoms: Hyperhidrosis
SMQs:, Neuroleptic malignant syndrome (broad)
Write-up: 17SEP93 pt c/o sweats 2-3 days;

VAERS ID:56451 (history)  Vaccinated:1993-01-07
Age:24.5  Onset:1993-01-08, Days after vaccination: 1
Gender:Female  Submitted:1993-09-28, Days after onset: 262
Location:Tennessee  Entered:1993-10-06, Days after submission: 8
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: pt exp localized burning & redness in deltoid @ 25 yrs old w/Engerix-B #1;
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NKA
Diagnostic Lab Data: NONE
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM1037A41 RA
Administered by: Private     Purchased by: Private
Symptoms: Dizziness, Nausea
SMQs:, Acute pancreatitis (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad)
Write-up: react to Engerix-B vax 1st dose given 3DEC92 caused localized burning & redness in deltoid; 2nd dose given 8JAN93 caused dizziness & nausea the next AM;

VAERS ID:56489 (history)  Vaccinated:1993-08-11
Age:24.5  Onset:1993-08-15, Days after vaccination: 4
Gender:Male  Submitted:1993-08-18, Days after onset: 3
Location:New York  Entered:1993-10-08, 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: NONE
CDC 'Split Type': NYS93064
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.1687V0 RA
TD: TD ADSORBED (NO BRAND NAME)LEDERLE LABORATORIES3389000IMLA
Administered by: Public     Purchased by: Public
Symptoms: Back pain, Malaise, Nausea, Pain
SMQs:, Acute pancreatitis (broad), Retroperitoneal fibrosis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)
Write-up: 5 day p/recvd vax devel soreness of testicles, malaise, lower back pain; did not take temp call MD or try any pain relief measures; seen by nurse; has now been in pain 3 days; also nausea; advised to see MD if sx persist;

VAERS ID:56490 (history)  Vaccinated:1993-07-20
Age:24.1  Onset:1993-07-20, Days after vaccination: 0
Gender:Female  Submitted:1993-07-26, Days after onset: 6
Location:New York  Entered:1993-10-08, Days after submission: 74
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': NYS93065
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.1687V1SCLA
TD: TD ADSORBED (NO BRAND NAME)LEDERLE LABORATORIES338900 IMLA
Administered by: Public     Purchased by: Public
Symptoms: Agitation, Back pain, Chills, Headache, Hypersensitivity, Injection site pain, Nausea, Pyrexia
SMQs:, Acute pancreatitis (broad), Angioedema (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hostility/aggression (broad), Hypersensitivity (narrow)
Write-up: 20JUL93 nausea 5PM, h/a 6PM, hot/cold flashes & felt warm during evening; pain in lower back & shooting into thighs; cried a lot; seen in ER told was allergic react & soreness @ inject site;

VAERS ID:56687 (history)  Vaccinated:1993-10-05
Age:24.5  Onset:1993-10-06, Days after vaccination: 1
Gender:Female  Submitted:1993-10-06, Days after onset: 0
Location:Alabama  Entered:1993-10-21, Days after submission: 15
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: pt exp flu sx @ 21 w/flu vax;
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: allergic inhalants-milk products-cod fish;
Diagnostic Lab Data:
CDC 'Split Type': AL93042
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)PFIZER/WYETH4938182 IMLA
Administered by: Public     Purchased by: Unknown
Symptoms: Asthenia, Chills, Dizziness, Headache, Malaise, Nausea, Vasodilatation
SMQs:, Acute pancreatitis (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad)
Write-up: 630AM 6OCT93 c/o nausea, felt chilled 7AM - 730-8AM felt hot flash & got light headed & weak; presented to clinic 930 c/o headache malaise;

VAERS ID:56703 (history)  Vaccinated:1993-09-14
Age:24.1  Onset:1993-09-28, Days after vaccination: 14
Gender:Female  Submitted:1993-10-14, Days after onset: 16
Location:Ohio  Entered:1993-10-21, Days after submission: 7
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: NONE
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.1521V0 LA
Administered by: Private     Purchased by: Other
Symptoms: Paraesthesia
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad)
Write-up: c/o numb feeling in lt elbow area & lt thigh lasting approx 2 wks;

VAERS ID:57048 (history)  Vaccinated:1992-09-29
Age:24.5  Onset:1992-09-29, Days after vaccination: 0
Gender:Female  Submitted:1993-08-03, Days after onset: 308
Location:Texas  Entered:1993-10-27, Days after submission: 85
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': CO4593
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUOGEN)PARKE-DAVIS2F311430 A
Administered by: Unknown     Purchased by: Unknown
Symptoms: Oedema, Vasodilatation
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad)
Write-up: Swelling, redness & heat; lasted about 2 days; no prior vax;

VAERS ID:58464 (history)  Vaccinated:1992-08-04
Age:24.0  Onset:1992-08-04, Days after vaccination: 0
Gender:Female  Submitted:1992-11-13, Days after onset: 101
Location:Massachusetts  Entered:1993-11-03, Days after submission: 355
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: One-A-Day Vitamins, Erythromycin; oral contraceptive;
Current Illness: NONE
Preexisting Conditions: hx of Bell''s palsy;
Diagnostic Lab Data:
CDC 'Split Type': EBU922216
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM 0IMLA
Administered by: Other     Purchased by: Private
Symptoms: Paraesthesia
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad)
Write-up: pt recvd vax & 1/2 hr post vax exp numbness of the lt side of the face; still has intermittent numbness; no treatment; pt spoke w/MD;

VAERS ID:58620 (history)  Vaccinated:1992-09-28
Age:24.0  Onset:1992-09-28, Days after vaccination: 0
Gender:Male  Submitted:1993-01-07, Days after onset: 101
Location:Michigan  Entered:1993-11-03, Days after submission: 300
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: pt exp fatigue w/Engerix-B #1;
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type': EBU922394
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM 1 A
Administered by: Private     Purchased by: Other
Symptoms: Asthenia
SMQs:, Guillain-Barre syndrome (broad)
Write-up: Pt recvd vax 27AGU92 had fatigue for 48 hrs; resolved; 28SEP92 had fatigue that is ongoing;

VAERS ID:58760 (history)  Vaccinated:1992-10-28
Age:24.0  Onset:1992-11-03, Days after vaccination: 6
Gender:Female  Submitted:1993-08-03, Days after onset: 272
Location:Florida  Entered:1993-11-03, Days after submission: 92
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': EBU922778
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM 3  
Administered by: Private     Purchased by: Private
Symptoms: Haemorrhage, Nausea
SMQs:, Acute pancreatitis (broad), Haemorrhage terms (excl laboratory terms) (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)
Write-up: pt recvd vax & 5 days later exp bleeding & nausea & discovered was pregnant; pt was concerned w/poss miscarriage;

VAERS ID:58997 (history)  Vaccinated:1992-10-29
Age:24.0  Onset:1992-10-29, Days after vaccination: 0
Gender:Male  Submitted:1992-12-30, Days after onset: 62
Location:Michigan  Entered:1993-11-03, Days after submission: 308
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: unk
Current Illness: unk
Preexisting Conditions: unk
Diagnostic Lab Data:
CDC 'Split Type': EBU922845
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM1031A4  A
Administered by: Public     Purchased by: Public
Symptoms: Dizziness, Paraesthesia
SMQs:, Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Vestibular disorders (broad)
Write-up: pt recvd vax & shortly p/vax half of body started going numb & pt felt lightheaded & dizzy; resolved p/24 hrs;

VAERS ID:59039 (history)  Vaccinated:1992-11-18
Age:24.0  Onset:1992-11-24, Days after vaccination: 6
Gender:Female  Submitted:1992-12-09, Days after onset: 15
Location:Connecticut  Entered:1993-11-03, Days after submission: 329
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:
CDC 'Split Type': EBU922916
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM 2IMA
Administered by: Private     Purchased by: Private
Symptoms: Rash
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow)
Write-up: pt recvd vax & exp total body rash;

VAERS ID:59059 (history)  Vaccinated:1992-12-01
Age:24.0  Onset:1992-12-04, Days after vaccination: 3
Gender:Female  Submitted:1993-02-01, Days after onset: 59
Location:Pennsylvania  Entered:1993-11-03, Days after submission: 275
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': EBU922953
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM 1IMA
Administered by: Other     Purchased by: Private
Symptoms: Asthenia, Infection, Influenza, Nausea
SMQs:, Acute pancreatitis (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)
Write-up: Pt recvd vax 1DEC92 & evening 4DEC93 began to exp nausea, weakness, mild flu-like sx which lasted 72 hrs; a separate virus & not in fact a react to vax;

VAERS ID:59525 (history)  Vaccinated:1993-06-14
Age:24.0  Onset:1993-06-14, Days after vaccination: 0
Gender:Female  Submitted:1993-08-10, Days after onset: 57
Location:Utah  Entered:1993-11-03, Days after submission: 85
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: pt exp nausea, dizziness, dry heaves @ 24 y/o w/Engerix-B #1 dose;
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: The manufacturing and quality assurance records for Engerix-B ENG 1070A4 have been reviewed. The produce meets all specifications for product release.
CDC 'Split Type': 930002481
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM1070A41IMRA
Administered by: Other     Purchased by: Public
Symptoms: Dizziness, Headache, Nausea, Vomiting
SMQs:, Acute pancreatitis (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad)
Write-up: pt recvd vax & w/in 1 hr devel h/a, nausea, vomiting & dizziness which lasted for 24 hrs;

VAERS ID:59587 (history)  Vaccinated:1993-07-27
Age:24.0  Onset:1993-08-04, Days after vaccination: 8
Gender:Female  Submitted:1993-08-09, Days after onset: 5
Location:New York  Entered:1993-11-03, Days after submission: 86
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': 930009481
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM1050A41IMA
Administered by: Private     Purchased by: Private
Symptoms: Influenza, Rash
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow)
Write-up: pt recvd vax & the day p/2nd dose exp flu-like sx which subsided; 8 days later exp rash which was like prickly heat;

VAERS ID:60147 (history)  Vaccinated:1993-01-07
Age:24.0  Onset:0000-00-00
Gender:Female  Submitted:1993-01-19
Location:Tennessee  Entered:1993-11-03, Days after submission: 288
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: pt exp localized irrritation @ 24 y/o w/Engerix-B dose 1;
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC 'Split Type': EBU930039
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM1037A41 RA
Administered by: Other     Purchased by: Other
Symptoms: Dizziness, Injection site pain, Pain, Similar reaction on previous exposure to drug, Vomiting
SMQs:, Acute pancreatitis (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad)
Write-up: Pt recvd 2nd dose of vax & exp burning, nausea, & dizziness; pt still nauseous & dizzy;

VAERS ID:60159 (history)  Vaccinated:1992-01-11
Age:24.0  Onset:1993-01-11, Days after vaccination: 366
Gender:Male  Submitted:1993-02-12, Days after onset: 32
Location:Pennsylvania  Entered:1993-11-03, Days after submission: 264
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: skin disorder;
Diagnostic Lab Data:
CDC 'Split Type': EBU930087
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM1042A42IMLA
Administered by: Other     Purchased by: Other
Symptoms: Face oedema
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow)
Write-up: pt recvd 3 doses of vax & exp swollen lips 5 hrs p/dose 3; pt went to dermatologist for treatment; recovered p/4 days on Zovirax orally & a steroid ointment to the lips;

VAERS ID:60197 (history)  Vaccinated:1992-10-16
Age:24.0  Onset:1992-10-25, Days after vaccination: 9
Gender:Female  Submitted:1993-04-26, Days after onset: 183
Location:Unknown  Entered:1993-11-03, Days after submission: 191
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: 28JAN93 MRI neg; neg for lyme disease; 26APR93 MRI neg; neg for lyme disease;
CDC 'Split Type': EBU930200
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM1022A41IMRA
Administered by: Other     Purchased by: Other
Symptoms: Facial palsy
SMQs:, Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad)
Write-up: pt recvd vax & 9 days p/vax exp Bell''s Palsy-rt side of face/forehead; treatment steroids;

VAERS ID:60348 (history)  Vaccinated:1992-08-12
Age:24.0  Onset:1992-08-12, Days after vaccination: 0
Gender:Female  Submitted:1993-02-23, Days after onset: 195
Location:New Jersey  Entered:1993-11-03, Days after submission: 253
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: astham-bronchitis;
Diagnostic Lab Data:
CDC 'Split Type': EBU930311
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM1014A40IMA
Administered by: Private     Purchased by: Private
Symptoms: Rash
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow)
Write-up: pt recvd vax & 12AUG92 same day devel rash lasted for 2 wks;

VAERS ID:60526 (history)  Vaccinated:1993-02-25
Age:24.0  Onset:1993-02-25, Days after vaccination: 0
Gender:Male  Submitted:1993-05-07, Days after onset: 70
Location:Ohio  Entered:1993-11-03, Days after submission: 180
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Darvocet, Gamme Isotrol, Ibuprofen, Robaxin;
Current Illness:
Preexisting Conditions: hay fever, back injury;
Diagnostic Lab Data:
CDC 'Split Type': EBU930397
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM1092A2 IMLA
Administered by: Other     Purchased by: Other
Symptoms: Asthenia, Dizziness, Hyperhidrosis, Hypokinesia, Nausea, Pruritus, Visual disturbance
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Optic nerve disorders (broad), Lens disorders (broad), Retinal disorders (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Hypersensitivity (broad)
Write-up: Pt recvd vax & pt exp sweating, lightheadness, weakness, distorted vision, nauseous, itching & could not stand on own; pt treated w/SOlu-Mederol dose pak;

VAERS ID:61206 (history)  Vaccinated:1992-11-01
Age:24.0  Onset:1992-12-01, Days after vaccination: 30
Gender:Female  Submitted:1993-04-28, Days after onset: 147
Location:Texas  Entered:1993-11-03, Days after submission: 189
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: pt recv Engerix B vax 11SEP92;
Current Illness: NONE
Preexisting Conditions: allergy Augmentin;
Diagnostic Lab Data:
CDC 'Split Type': EBU930714
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM1021A41IMA
Administered by: Private     Purchased by: Private
Symptoms: Infection, Rash, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow)
Write-up: Pt recvd vax & devel rashes, hives on face, neck & chest;

VAERS ID:61235 (history)  Vaccinated:1993-04-21
Age:24.0  Onset:1993-04-26, Days after vaccination: 5
Gender:Female  Submitted:1993-05-06, Days after onset: 10
Location:Louisiana  Entered:1993-11-03, Days after submission: 181
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': EBU930755
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM 0IMA
Administered by: Private     Purchased by: Private
Symptoms: Diarrhoea, Influenza, Nausea, Rash, Vomiting
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypersensitivity (narrow), Noninfectious diarrhoea (narrow)
Write-up: pt recvd vax & devel flu-like sx, rash, nausea, vomiting & diarrhea; sx are unresolved;

VAERS ID:57315 (history)  Vaccinated:1993-09-27
Age:24.7  Onset:1993-09-27, Days after vaccination: 0
Gender:Male  Submitted:1993-11-02, Days after onset: 36
Location:Ohio  Entered:1993-11-12, Days after submission: 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: NONE
Diagnostic Lab Data:
CDC 'Split Type': OH93084
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)LEDERLE LABORATORIES330901 IMLA
Administered by: Public     Purchased by: Public
Symptoms: Cyanosis, Dizziness, Mydriasis, Nausea, Pallor, Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (broad), Acute pancreatitis (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Acute central respiratory depression (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad)
Write-up: dizzy, nauseated, pale, then circumoral cyanosis LOC (approx 2 minutes); pupils dilated; emergency squad here med given IV gluids given blood drawn; alert-taken to ER:

VAERS ID:57837 (history)  Vaccinated:1993-09-23
Age:24.4  Onset:1993-09-23, Days after vaccination: 0
Gender:Female  Submitted:1993-09-29, Days after onset: 6
Location:Washington  Entered:1993-12-02, Days after submission: 64
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: pt exp in 1983 h/a w/DT #2
Other Medications: NONE
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: NA
CDC 'Split Type': WA93961
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)LEDERLE LABORATORIES3469112IMRA
Administered by: Other     Purchased by: Public
Symptoms: Headache, Myalgia, Pyrexia
SMQs:, Rhabdomyolysis/myopathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Eosinophilic pneumonia (broad)
Write-up: pt reports h/a, fever, body aches x 3 days following inject; report completed because of patient reported sx;

VAERS ID:61453 (history)  Vaccinated:0000-00-00
Age:24.0  Onset:0000-00-00
Gender:Female  Submitted:0000-00-00
Location:New York  Entered:1993-12-02
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: pt had lack of response w/Meruvax dose 1;
Other Medications: NONE
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: No relevant data;
CDC 'Split Type': WAES93090306
Vaccination
Manufacturer
Lot
Dose
Route
Site
RUB: RUBELLA (MERUVAX II)MERCK & CO. INC. 1  
Administered by: Other     Purchased by: Other
Symptoms: Drug ineffective
SMQs:, Lack of efficacy/effect (narrow)
Write-up: pt recvd vax in 1990 and 1991 respectively; lab eval following the vax revealed neg rubella titers; No further details were provided;

VAERS ID:61459 (history)  Vaccinated:0000-00-00
Age:24.0  Onset:0000-00-00
Gender:Female  Submitted:0000-00-00
Location:New York  Entered:1993-12-02
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:
Diagnostic Lab Data: No relevant data;
CDC 'Split Type': WAES93101275
Vaccination
Manufacturer
Lot
Dose
Route
Site
RUB: RUBELLA (MERUVAX II)MERCK & CO. INC. 0  
Administered by: Other     Purchased by: Other
Symptoms: Drug ineffective
SMQs:, Lack of efficacy/effect (narrow)
Write-up: Pt recvd vax in 1970 & lab eval revealed a neg rubella titer; pt was vaxed w/2nd & 3rd dose of rubella virus vax in 1990 & 1991; lab eval folowing vax revealed neg rubella titers;

VAERS ID:58194 (history)  Vaccinated:1993-10-12
Age:24.8  Onset:1993-10-12, Days after vaccination: 0
Gender:Male  Submitted:1993-10-12, Days after onset: 0
Location:California  Entered:1993-12-13, Days after submission: 62
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NONE
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: VS HR 60 @1030AM, HR 76, BP 120/80 @ 1055AM; HR84, BP 140/94 @ 1115AM;
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)PFIZER/WYETH49381580 RA
Administered by: Other     Purchased by: Other
Symptoms: Asthenia, Dizziness
SMQs:, Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Vestibular disorders (broad)
Write-up: pt c/o feeling lightheaded & weak 1050AM approx 30 mins p/vax;

VAERS ID:58347 (history)  Vaccinated:1993-08-27
Age:24.9  Onset:1993-08-27, Days after vaccination: 0
Gender:Male  Submitted:1993-12-08, Days after onset: 103
Location:Kansas  Entered:1993-12-21, Days after submission: 13
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: poss heat exhaustion
Preexisting Conditions: NONE
Diagnostic Lab Data: poss heat exhuastion & stress;
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM 1IMRA
Administered by: Other     Purchased by: Private
Symptoms: Dizziness, Hyperhidrosis, Malaise, Pallor, Thirst, Vasodilatation
SMQs:, Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad)
Write-up: 1400 administered 2nd inject in Hepatitis series w/Engerix-B; 1445 color flushed c/o not feeling well-assist to supine position; 1530 color became pale & skin cool & clammy; c/o dizziness extreme thirst;

VAERS ID:58804 (history)  Vaccinated:1993-12-14
Age:24.6  Onset:1993-12-14, Days after vaccination: 0
Gender:Female  Submitted:1993-12-17, Days after onset: 3
Location:Florida  Entered:1994-01-03, Days after submission: 17
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: pt exp fever of 102 @ 22 y/o w/MMR #2;
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE-denies allergy to eggs;
Diagnostic Lab Data: NONE
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
YF: YELLOW FEVER (YF-VAX)CONNAUGHT LABORATORIES3G411700SCLA
Administered by: Public     Purchased by: Private
Symptoms: Injection site hypersensitivity, Injection site mass, Pruritus
SMQs:, Anaphylactic reaction (broad), Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (narrow)
Write-up: pt recvd vax 14DEC93 that evening when taking off bandage noted red itchy spot about the size of a nickel; area has gradually gotten longer to about 3" x 5" of red, itchy area w/smalll induration in center;

VAERS ID:58911 (history)  Vaccinated:1993-10-23
Age:24.2  Onset:1993-10-24, Days after vaccination: 1
Gender:Male  Submitted:1993-10-26, Days after onset: 2
Location:Oklahoma  Entered:1994-01-10, Days after submission: 76
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: NONE
Other Medications:
Current Illness: NONE
Preexisting Conditions: allergic to PCN-@ birth had pyloric stenosis
Diagnostic Lab Data: NONE
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.0848W0IMRA
Administered by: Public     Purchased by: Public
Symptoms: Lymphadenopathy, Rash
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow)
Write-up: Pt recvd vax 23OCT93 & devel rash on back, shoulder, swollen lymph glands in neck;

VAERS ID:58945 (history)  Vaccinated:1994-01-05
Age:24.4  Onset:1994-01-05, Days after vaccination: 0
Gender:Male  Submitted:1994-01-06, Days after onset: 1
Location:Florida  Entered:1994-01-11, 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: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM1269A41 LA
Administered by: Public     Purchased by: Private
Symptoms: Asthma, Dyspnoea, Face oedema, Pruritus, Vasodilatation
SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), Asthma/bronchospasm (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Hypersensitivity (narrow)
Write-up: SOB, swollen face, wheezing, pruritus, red face; to ER given something to inhale w/02; unsure of what it is-DPH;

VAERS ID:59726 (history)  Vaccinated:1994-01-26
Age:24.3  Onset:1994-01-27, Days after vaccination: 1
Gender:Female  Submitted:1994-01-28, Days after onset: 1
Location:Arizona  Entered:1994-02-07, Days after submission: 10
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: NONE
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC 'Split Type': AZ9406
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM1234A40IMRA
TD: TD ADSORBED (NO BRAND NAME)PFIZER/WYETH49380556IMLA
Administered by: Public     Purchased by: Public
Symptoms: Hypokinesia, Injection site hypersensitivity, Injection site mass, Injection site pain, Pain, Vasodilatation
SMQs:, Parkinson-like events (broad), Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Hypotonic-hyporesponsive episode (broad), Hypersensitivity (narrow)
Write-up: .8cm erythematous hot circular area @ site of inject; dec of motion of the arm (only 90 degrees) because of pain; 31JAN94 8cm red induration, tender;

VAERS ID:59837 (history)  Vaccinated:1993-12-02
Age:24.3  Onset:1993-12-03, Days after vaccination: 1
Gender:Female  Submitted:1993-12-14, Days after onset: 11
Location:Georga  Entered:1994-02-14, Days after submission: 62
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NONE
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC 'Split Type': GA93232
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0427W0SCRA
Administered by: Public     Purchased by: Public
Symptoms: Asthenia, Headache, Myalgia, Nausea, Pyrexia
SMQs:, Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad)
Write-up: fever, nausea; 4DEC93 tired, h/a relieved by APAP; 5DEC93 tired, h/a, muscle aches;

VAERS ID:59997 (history)  Vaccinated:1987-11-11
Age:24.0  Onset:0000-00-00
Gender:Female  Submitted:1993-04-08
Location:California  Entered:1994-02-22, Days after submission: 320
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
MER: MEASLES + RUBELLA (MR-VAX II)MERCK & CO. INC.    
Administered by: Unknown     Purchased by: Unknown
Symptoms: Asthenia, Paralysis, Pyrexia, Somnolence
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (broad)
Write-up: sleep paralysis, extreme fatigue, dx poss narcolepsy; major sx ended JUN89; fatigue cont despite excellent diet; high fever & extreme fatigue in DEC87 lasted about 2 wks;

VAERS ID:60251 (history)  Vaccinated:1994-01-24
Age:24.5  Onset:1994-01-24, Days after vaccination: 0
Gender:Female  Submitted:1994-01-25, Days after onset: 1
Location:Tennessee  Entered:1994-03-04, Days after submission: 38
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: BCP''s
Current Illness: had flu 2wks prior
Preexisting Conditions: allergic to Colgate toothpaste, Doxycycline, Codeine & Keflex
Diagnostic Lab Data: NONE
CDC 'Split Type': TN94022
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM1234A42  
Administered by: Public     Purchased by: Public
Symptoms: Pruritus, Rash maculo-papular
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow)
Write-up: pt recvd vax & devel blotchy, raised rash on face which casued itching; did not spread to other parts of body-advised see MD; no reaction to Hep B # 1 & 2; 2FEB94 seen by MD given Epi & other rx''s; rash cleared in 2 days;

VAERS ID:62543 (history)  Vaccinated:1993-01-06
Age:24.9  Onset:1993-01-06, Days after vaccination: 0
Gender:Female  Submitted:0000-00-00
Location:Arkansas  Entered:1994-03-14
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Depo-provera;
Current Illness:
Preexisting Conditions: dermatitis, contact;
Diagnostic Lab Data: No relevant data;
CDC 'Split Type': WAES93010628
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC. 0IM 
Administered by: Private     Purchased by: Private
Symptoms: Abdominal pain, Asthenia, Chest pain, Hypertension, Hypokinesia, Insomnia, Malaise, Paraesthesia
SMQs:, Acute pancreatitis (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Retroperitoneal fibrosis (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypertension (narrow), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad)
Write-up: pt recvd vax & a few hrs later exp sluggishness & fatigue, insomnia, tingling & numbness in lt arm, chest pain, nausea, stomach cramps & sick feeling; presented to MD & was found to have inc BP; sx resolved w/in a few days;

VAERS ID:62574 (history)  Vaccinated:1993-01-20
Age:24.4  Onset:1993-01-20, Days after vaccination: 0
Gender:Female  Submitted:0000-00-00
Location:California  Entered:1994-03-14
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: oral contraceptive, nos
Current Illness:
Preexisting Conditions: allergy, bee stings;
Diagnostic Lab Data: No relevant data;
CDC 'Split Type': WAES93011267
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.1434V2IM 
Administered by: Other     Purchased by: Private
Symptoms: Chills, Dizziness, Hyperhidrosis, Injection site pain, Pallor, Paraesthesia, Pyrexia
SMQs:, Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad)
Write-up: pt recvd vax & w/in 10 mins following vax pt exp extreme pain @ inject site w/numbness & tingling radiating to fingertips & felt faint; 3 hrs later pt exp chills, pale & sl diaphoretic w/hands cold & clammy; VS stable; t99.8;

VAERS ID:62653 (history)  Vaccinated:0000-00-00
Age:24.0  Onset:1993-02-12
Gender:Female  Submitted:0000-00-00
Location:California  Entered:1994-03-14
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: 12FEB93 SGPT-286; SGOT 136;
CDC 'Split Type': WAES93020633
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.  IM 
Administered by: Other     Purchased by: Other
Symptoms: Alanine aminotransferase increased, Aspartate aminotransferase increased, Hepatitis, Infection
SMQs:, Liver related investigations, signs and symptoms (narrow), Hepatitis, non-infectious (narrow)
Write-up: Pt recvd vax 12FEB93 & showed inc levels of SGPT & SGOT but pt was asymptomatic;

VAERS ID:63661 (history)  Vaccinated:1993-04-12
Age:24.0  Onset:1993-04-12, Days after vaccination: 0
Gender:Male  Submitted:0000-00-00
Location:New York  Entered:1994-03-14
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: none;
Current Illness:
Preexisting Conditions: allergy, grass; allergy, animal hair;
Diagnostic Lab Data: no relevant data;
CDC 'Split Type': WAES93051805
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.1551V0IM 
Administered by: Other     Purchased by: Public
Symptoms: Hypersensitivity, Pruritus, Rash, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow)
Write-up: pt rcvd vax; pt had history of hives & positive skin test (as a child) to grass & horse hair; pt exp itching & broke out hives on arm w/in 7 hrs of vax; pt had rash; MD dx pt w/ allergic reaction to vax; MD recommended vax series be cancel;

VAERS ID:64024 (history)  Vaccinated:1993-02-12
Age:24.4  Onset:0000-00-00
Gender:Female  Submitted:0000-00-00
Location:New Jersey  Entered:1994-03-14
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: pt had muscles cramping w/ 1st dose of Recombivax @ 24 y/o;
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: no relevant data;
CDC 'Split Type': WAES93070066
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC. 1IM 
Administered by: Other     Purchased by: Other
Symptoms: Oedema
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad)
Write-up: pt recvd vax; pt devel muscle aches & severe cramping of upper back muscles, neck & inject arm; pt devel also swelling in the deltoid muscle w/ 2nd dose;

VAERS ID:64115 (history)  Vaccinated:1993-08-06
Age:24.1  Onset:1993-08-14, Days after vaccination: 8
Gender:Female  Submitted:0000-00-00
Location:Ohio  Entered:1994-03-14
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: infection, yeast; hayfever
Diagnostic Lab Data: no relevant data;
CDC 'Split Type': WAES93080821
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.    
Administered by: Other     Purchased by: Other
Symptoms: Infection
SMQs:
Write-up: pt recvd vax; pt devel yeast infection;

VAERS ID:64133 (history)  Vaccinated:1993-08-12
Age:24.0  Onset:1993-08-13, Days after vaccination: 1
Gender:Male  Submitted:0000-00-00
Location:New York  Entered:1994-03-14
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: no relevant data;
CDC 'Split Type': WAES93080966
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.0460W IM 
Administered by: Other     Purchased by: Other
Symptoms: Pharyngitis
SMQs:, Agranulocytosis (broad), Oropharyngeal infections (narrow)
Write-up: pt recvd vax & devel pharyngitis;

VAERS ID:64207 (history)  Vaccinated:1993-07-01
Age:24.7  Onset:1993-09-01, Days after vaccination: 62
Gender:Male  Submitted:0000-00-00
Location:New York  Entered:1994-03-14
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: allergy, dust; allergy, mildew;
Diagnostic Lab Data: no relevant data;
CDC 'Split Type': WAES93090832
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC. 2  
Administered by: Other     Purchased by: Other
Symptoms: Asthenia, Hepatic function abnormal
SMQs:, Liver related investigations, signs and symptoms (narrow), Guillain-Barre syndrome (broad)
Write-up: pt recvd vax & exp fatigue & had elevated liver enzymes;

VAERS ID:60783 (history)  Vaccinated:1993-11-05
Age:24.8  Onset:1993-11-05, Days after vaccination: 0
Gender:Female  Submitted:1993-11-05, Days after onset: 0
Location:Oklahoma  Entered:1994-03-16, Days after submission: 131
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': 893314006J
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)PFIZER/WYETH49381440IMA
Administered by: Public     Purchased by: Other
Symptoms: Injection site hypersensitivity, Injection site oedema, Injection site pain, Myalgia, Vasodilatation
SMQs:, Rhabdomyolysis/myopathy (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Eosinophilic pneumonia (broad), Hypersensitivity (narrow)
Write-up: Pt recvd vax & w/in 15 mins pt devel localized burning sensation, swelling, redness @ the inject site; The area was warm to the touch; pt also exp achiness;

VAERS ID:60892 (history)  Vaccinated:1994-03-09
Age:24.5  Onset:1994-03-09, Days after vaccination: 0
Gender:Female  Submitted:1994-03-10, Days after onset: 1
Location:Tennessee  Entered:1994-03-21, 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: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NONe
CDC 'Split Type': TN94042
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.0634W0IMLA
Administered by: Public     Purchased by: Public
Symptoms: Amblyopia, Headache, Migraine, Nausea, Paraesthesia, Paraesthesia oral, Vomiting
SMQs:, Acute pancreatitis (broad), Peripheral neuropathy (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Optic nerve disorders (broad)
Write-up: started w/blurred vision 2 hrs post vax; followed by h/a on rt side of head followed by numbness of lips, fingers & hand on rt side of body; this was like migraine pt had 1 year earlier; nausea & vomiting;

VAERS ID:61054 (history)  Vaccinated:1994-03-16
Age:24.0  Onset:1994-03-16, Days after vaccination: 0
Gender:Male  Submitted:1994-03-21, Days after onset: 5
Location:Wisconsin  Entered:1994-03-28, Days after submission: 7
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: pt exp paralysis up to 2 days as toddler w/DTP vax;
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type': WI94010
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)LEDERLE LABORATORIES3499110IMLA
Administered by: Public     Purchased by: Public
Symptoms: Chills, Headache, Pain
SMQs:
Write-up: over 12 hrs later extreme chills tenderness in arm feel like someone socked pt in arm; c/o extreme h/a for 2 days not relieved by ASA or APAP;

VAERS ID:61401 (history)  Vaccinated:1994-02-14
Age:24.8  Onset:1994-02-14, Days after vaccination: 0
Gender:Female  Submitted:1994-03-18, Days after onset: 32
Location:Tennessee  Entered:1994-04-01, Days after submission: 14
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NONE
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM1194A40IMRA
Administered by: Private     Purchased by: Private
Symptoms: Pruritus, Rash
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow)
Write-up: raised, itching rash x 48 hrs on trunks self treated w/DPH;

VAERS ID:61937 (history)  Vaccinated:1993-11-04
Age:24.1  Onset:1993-11-04, Days after vaccination: 0
Gender:Female  Submitted:1993-12-30, Days after onset: 56
Location:Missouri  Entered:1994-04-19, Days after submission: 109
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: unk
Current Illness:
Preexisting Conditions: NONE
Diagnostic Lab Data: ABG''s on 3 liters; PH 7.38; PCO2-38; PO2 165; 02 SAT-99; Bicarb-22; BE-2;
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (NO BRAND NAME)UNKNOWN MANUFACTURER 2  
Administered by: Other     Purchased by: Unknown
Symptoms: Dyspnoea, Stridor
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Hypersensitivity (broad)
Write-up: resp distress w/inspiratory stridor p/30-45 mins of receiving 3rd Hep vax;

VAERS ID:62055 (history)  Vaccinated:0000-00-00
Age:24.0  Onset:1993-11-01
Gender:Female  Submitted:1994-04-22, Days after onset: 171
Location:Georga  Entered:1994-04-25, Days after submission: 3
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: No relevant data;
CDC 'Split Type': WAES94040257
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.    
Administered by: Unknown     Purchased by: Unknown
Symptoms: Foetal disorder
SMQs:, Foetal disorders (narrow)
Write-up: Pt recvd vax on 12MAR93; discovered was pregnant;@ 40 wks gestation, approx NOV93, delivered 7 lb 15 oz baby; baby was jaundiced & was treated w/Phototherapy for 4 days; In 1993 approx 4 wks of age baby had surgery for pyloric stenosis;

VAERS ID:62445 (history)  Vaccinated:1994-01-14
Age:24.7  Onset:1994-02-03, Days after vaccination: 20
Gender:Female  Submitted:1994-04-26, Days after onset: 81
Location:Illinois  Entered:1994-05-05, Days after submission: 9
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: NONE
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: MVA-1985 head injury recvd w/no residual problems;
Diagnostic Lab Data: sed rate, rheumatoid factor, lymes titer IGB & IgM-ANA, creatine protein;
CDC 'Split Type': IL94038
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.1336W SCLA
TD: TD ADSORBED (NO BRAND NAME)CONNAUGHT LABORATORIES3D51079 IMLA
Administered by: Other     Purchased by: Public
Symptoms: Arthralgia, Hypertonia, Myalgia, Oedema peripheral, Osteoarthritis, Paraesthesia
SMQs:, Rhabdomyolysis/myopathy (broad), Cardiac failure (broad), Angioedema (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Parkinson-like events (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Eosinophilic pneumonia (broad), Arthritis (broad)
Write-up: 3FEB94 hand stiffness & soreness & numbness of fingers; 18FEB94 feet & ankles sore & swollen; 9MAR93 some swelling & pain in knees; pain most severe during noc; 26APR94 finger swelling & stiffness;

VAERS ID:62998 (history)  Vaccinated:1994-04-15
Age:24.0  Onset:1994-04-16, Days after vaccination: 1
Gender:Male  Submitted:0000-00-00
Location:Unknown  Entered:1994-05-19
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTP: DTP (NO BRAND NAME)CONNAUGHT LABORATORIES3H41043 IM 
Administered by: Unknown     Purchased by: Unknown
Symptoms: Injection site reaction
SMQs:
Write-up: skin react of lt thigh about 24 hrs p/inject; covered about 1/3 of the thigh;

VAERS ID:63114 (history)  Vaccinated:1994-05-12
Age:24.0  Onset:1994-05-13, Days after vaccination: 1
Gender:Female  Submitted:1994-05-16, Days after onset: 3
Location:North Carolina  Entered:1994-05-26, Days after submission: 10
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: NONE
Other Medications: IGG by Armour;
Current Illness: t98.6
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
YF: YELLOW FEVER (YF-VAX)CONNAUGHT LABORATORIES3C510990SCLA
Administered by: Private     Purchased by: Private
Symptoms: Injection site hypersensitivity, Injection site oedema, Pruritus
SMQs:, Anaphylactic reaction (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow)
Write-up: 12MAY94 pt recvd vax & 13MAY93 localized react of erythema, itching, swelling approx 40 mins;

VAERS ID:63121 (history)  Vaccinated:1994-05-12
Age:24.1  Onset:1994-05-12, Days after vaccination: 0
Gender:Male  Submitted:1994-05-12, Days after onset: 0
Location:Missouri  Entered:1994-05-27, Days after submission: 15
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: pt hx of fainting p/shots;
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC 'Split Type': MO94035
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.1735W SCRA
TD: TD ADSORBED (NO BRAND NAME)CONNAUGHT LABORATORIES3D51079  LA
Administered by: Unknown     Purchased by: Public
Symptoms: Dizziness, Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad)
Write-up: approx 5 seconds p/vax pt stated was feeling faint; @ which point lost consciousness for several seconds; ammonia inhalant was used to revive pt; BP 140/80, R20, P84;

VAERS ID:63196 (history)  Vaccinated:1994-03-11
Age:24.5  Onset:1994-03-12, Days after vaccination: 1
Gender:Female  Submitted:1994-05-17, Days after onset: 65
Location:California  Entered:1994-05-31, Days after submission: 14
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NONE
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC 'Split Type':
Vaccination
Manufacturer
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HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.10861W2IMLA
Administered by: Other     Purchased by: Private
Symptoms: Arthralgia, Arthropathy, Depression, Headache, Lymphadenopathy, Malaise, Rash
SMQs:, Anaphylactic reaction (broad), Depression (excl suicide and self injury) (narrow), Hypersensitivity (narrow), Arthritis (broad)
Write-up: pt recvd vax & next day had full body diffuse rash w/generalized joint pain that slowly devel into malaise, severe h/a, crepitis in joints; became depressed w/pain in lymph glands;

VAERS ID:63242 (history)  Vaccinated:1994-05-17
Age:24.3  Onset:1994-05-17, Days after vaccination: 0
Gender:Male  Submitted:1994-05-18, Days after onset: 1
Location:New York  Entered:1994-06-03, Days after submission: 16
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: pt denies
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
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TYP: TYPHOID VI POLYSACCHARIDE (NO BRAND NAME)PFIZER/WYETH4938256 IM 
Administered by: Military     Purchased by: Unknown
Symptoms: Headache, Myalgia, Nausea, Vomiting
SMQs:, Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad)
Write-up: nausea, vomiting, h/a, generalized myalgia;

VAERS ID:65638 (history)  Vaccinated:0000-00-00
Age:24.0  Onset:1993-09-24
Gender:Female  Submitted:0000-00-00
Location:Massachusetts  Entered:1994-06-03
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: No relevant data;
CDC 'Split Type': WAES93100049
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.  SC 
Administered by: Other     Purchased by: Other
Symptoms: Drug ineffective
SMQs:, Lack of efficacy/effect (narrow)
Write-up: pt recvd vax in 1991 & 24SEP93 lab eval revealed a neg titer for rubella; No further details were provided;

VAERS ID:65663 (history)  Vaccinated:1993-09-30
Age:24.0  Onset:1993-10-20, Days after vaccination: 20
Gender:Female  Submitted:0000-00-00
Location:Unknown  Entered:1994-06-03
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: abortion
Diagnostic Lab Data: No relevant data;
CDC 'Split Type': WAES93100495
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC. 0  
Administered by: Public     Purchased by: Public
Symptoms: Abortion, Pain, Uterine disorder, Vaginal haemorrhage
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Termination of pregnancy and risk of abortion (narrow)
Write-up: pt recvd vax 30SEP93 & pt''s LMP 2AUG93 & was determined to be pregnant on 8OCT93; 20OCT93 pt seen by MD w/vaginal bleeding dx w/threatened abortion;

VAERS ID:66403 (history)  Vaccinated:1994-02-22
Age:24.4  Onset:1994-03-07, Days after vaccination: 13
Gender:Female  Submitted:0000-00-00
Location:Minnesota  Entered:1994-06-03
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: No relevant data;
CDC 'Split Type': WAES94030711
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.1454W   
Administered by: Other     Purchased by: Other
Symptoms: Drug ineffective, Infection, Neck pain, Oedema, Sialoadenitis
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Lack of efficacy/effect (narrow), Oropharyngeal infections (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Arthritis (broad)
Write-up: pt recvd vax 22FEB94 & on 7MAR94 devel unilateral parotitis; No further details were provided;

VAERS ID:63807 (history)  Vaccinated:1994-05-26
Age:24.7  Onset:1994-05-29, Days after vaccination: 3
Gender:Female  Submitted:1994-06-07, Days after onset: 9
Location:Texas  Entered:1994-06-23, Days after submission: 16
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC 'Split Type': TX94142
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)CONNAUGHT LABORATORIES3H51024 IMLA
Administered by: Public     Purchased by: Unknown
Symptoms: Injection site abscess, Injection site hypersensitivity, Injection site mass, Oedema
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Hypersensitivity (narrow)
Write-up: pt recvd vax & devel swelling about 2 days p/vax; pt appears to have an abscess on lt arm @ inject site; lt arm is red, hard about 1in in diameter;

VAERS ID:64488 (history)  Vaccinated:1994-05-10
Age:24.0  Onset:1994-05-10, Days after vaccination: 0
Gender:Female  Submitted:1994-07-01, Days after onset: 52
Location:Minnesota  Entered:1994-07-05, Days after submission: 4
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: unk
Other Medications: Depapravera;
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC 'Split Type':
Vaccination
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RAB: RABIES (IMOVAX)PASTEUR MERIEUX INST.J03740IMRA
TYP: TYPHOID LIVE ORAL TY21A (VIVOTIF)BERNA BIOTECH, LTD 0PO 
Administered by: Private     Purchased by: Private
Symptoms: Headache, Lymphadenopathy, Myalgia, Nausea, Pyrexia
SMQs:, Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad)
Write-up: p/vax below became nauseated, feverish, achy, devel painful, swollen lymph node & h/a;

VAERS ID:64658 (history)  Vaccinated:1994-06-28
Age:24.0  Onset:1994-06-29, Days after vaccination: 1
Gender:Female  Submitted:1994-07-06, Days after onset: 7
Location:New Jersey  Entered:1994-07-12, Days after submission: 6
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: none;
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
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MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.1743W SCLA
Administered by: Private     Purchased by: Unknown
Symptoms: Cellulitis, Oedema, Pain, Rash
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Hypersensitivity (narrow)
Write-up: pt recvd vax; pt devel small swelling which inc in size & devel inc pain & erythema; pt dx as cellulitis;

VAERS ID:64971 (history)  Vaccinated:1994-07-18
Age:24.1  Onset:0000-00-00
Gender:Male  Submitted:1994-07-20
Location:Wisconsin  Entered:1994-07-26, Days after submission: 6
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: none;
Current Illness: foreign body;
Preexisting Conditions: hgh BP;
Diagnostic Lab Data: none;
CDC 'Split Type':
Vaccination
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DT: DT ADSORBED (NO BRAND NAME)LEDERLE LABORATORIES394994 IMLA
Administered by: Private     Purchased by: Private
Symptoms: Injection site hypersensitivity, Injection site pain, Vasodilatation
SMQs:, Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (narrow)
Write-up: pt recvd vax & devel redness, inc warmth, tenderness at inject site;

VAERS ID:65355 (history)  Vaccinated:1994-07-14
Age:24.8  Onset:1994-07-14, Days after vaccination: 0
Gender:Female  Submitted:1994-07-14, Days after onset: 0
Location:New Mexico  Entered:1994-07-28, Days after submission: 14
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: NONE
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: pulse 78; resp 18; NSR no c/o SOB
CDC 'Split Type':
Vaccination
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HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM1400A41IMLA
Administered by: Private     Purchased by: Unknown
Symptoms: Paraesthesia, Pruritus, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Hypersensitivity (narrow)
Write-up: pt recvd vax & c/o urticaria, pruritus & tingling sensation in lt arm w/in +- 10 mins p/vax; ice pack & sx dec @ 11AM;

VAERS ID:65916 (history)  Vaccinated:1994-07-17
Age:24.6  Onset:1994-07-18, Days after vaccination: 1
Gender:Female  Submitted:0000-00-00
Location:Minnesota  Entered:1994-08-15
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Darvocet
Current Illness: injury-cut to face
Preexisting Conditions: allergic to IVP iodine
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
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Site
TD: TD ADSORBED (NO BRAND NAME)LEDERLE LABORATORIES374994 IMLA
Administered by: Private     Purchased by: Unknown
Symptoms: Chest pain, Injection site oedema, Injection site pain, Neck pain
SMQs:, Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Arthritis (broad)
Write-up: local very tender swelling of biceps region @ inject site; radiating pain to neck & chest wall

VAERS ID:66176 (history)  Vaccinated:1994-08-02
Age:24.3  Onset:1994-08-03, Days after vaccination: 1
Gender:Female  Submitted:1994-08-10, Days after onset: 7
Location:Utah  Entered:1994-08-29, Days after submission: 19
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: unk
Current Illness: NONE
Preexisting Conditions: Pt was undergoing surgical excision of a mole;
Diagnostic Lab Data:
CDC 'Split Type': 894224003A
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)PFIZER/WYETH 1IMLA
Administered by: Other     Purchased by: Private
Symptoms: Headache, Myalgia, Nausea, Overdose, Paraesthesia
SMQs:, Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Peripheral neuropathy (broad), Drug abuse and dependence (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad)
Write-up: pt recvd vax TD vax 2AUG93 got 2.5 ml instead of 0.5ml; the next day devel soreness in the arm of inject, paresthesias in the fingers of the injected arm, severe h/a, & nausea; sx resolved by 5AUG94;

VAERS ID:66292 (history)  Vaccinated:1994-08-10
Age:24.1  Onset:1994-08-10, Days after vaccination: 0
Gender:Female  Submitted:1994-08-10, Days after onset: 0
Location:Florida  Entered:1994-09-02, Days after submission: 23
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: allergic to erythromycin
Diagnostic Lab Data:
CDC 'Split Type': FL94057
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)CONNAUGHT LABORATORIES3M511150IMRA
Administered by: Public     Purchased by: Public
Symptoms: Chills, Headache, Nausea, Vomiting
SMQs:, Acute pancreatitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)
Write-up: pt recvd vax @ 1030 & began having h/a, nausea, vomiting, chills @ 1230;

VAERS ID:66807 (history)  Vaccinated:1994-09-10
Age:24.5  Onset:1994-09-11, Days after vaccination: 1
Gender:Female  Submitted:1994-09-13, Days after onset: 2
Location:Minnesota  Entered:1994-09-19, Days after submission: 6
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Injury cut
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC 'Split Type':
Vaccination
Manufacturer
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Site
DT: DT ADSORBED (NO BRAND NAME)PFIZER/WYETH4948016 IMLA
Administered by: Public     Purchased by: Unknown
Symptoms: Injection site hypersensitivity, Injection site mass
SMQs:, Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (narrow)
Write-up: local react started w/in 4 hrs; exam 6 x 8.5 area of erythema w/induration;

VAERS ID:66980 (history)  Vaccinated:1994-09-12
Age:24.0  Onset:1994-09-12, Days after vaccination: 0
Gender:Male  Submitted:1994-09-22, Days after onset: 10
Location:New Jersey  Entered:1994-09-30, Days after submission: 8
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: none;
Current Illness: none;
Preexisting Conditions: none;
Diagnostic Lab Data:
CDC 'Split Type': TN9456
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM1407A40 RA
Administered by: Public     Purchased by: Public
Symptoms: Pain
SMQs:
Write-up: pt recv''d vax & exp pain in shoulder, rib cage;

VAERS ID:67086 (history)  Vaccinated:1994-09-15
Age:24.0  Onset:1994-09-17, Days after vaccination: 2
Gender:Male  Submitted:1994-09-22, Days after onset: 5
Location:Oregon  Entered:1994-10-03, Days after submission: 11
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: possible mild flu like w/ 1st dose of vax;
Other Medications:
Current Illness: none;
Preexisting Conditions: bee pollen;
Diagnostic Lab Data: none; t 99.2;
CDC 'Split Type':
Vaccination
Manufacturer
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HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM1375B21IMLA
Administered by: Other     Purchased by: Other
Symptoms: Alopecia, Asthenia, Headache, Injection site mass, Injection site oedema, Pyrexia, Serum sickness, Skin nodule
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow)
Write-up: pt recvd vax & had hot flashes; pt face felt flushed; LA where vax was given swelled & hurt, followed by knots;felt queasy & was getting headaches;pt tossed & turned while sleep; pt had hair loss; to MD; stated serum rxn;

VAERS ID:67120 (history)  Vaccinated:1994-04-12
Age:24.2  Onset:1994-04-12, Days after vaccination: 0
Gender:Male  Submitted:1994-09-27, Days after onset: 168
Location:North Carolina  Entered:1994-10-06, Days after submission: 9
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: pt had joint swelling w/ 1st dose of hep-B at 24 yrs;
Other Medications:
Current Illness: none;
Preexisting Conditions: none;
Diagnostic Lab Data: EMG & nerve conduction studies;
CDC 'Split Type': NC94114
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM1326A41 LA
Administered by: Public     Purchased by: Public
Symptoms: Osteoarthritis
SMQs:
Write-up: pt recvd vax & had severe joint swelling; of ankles; knees; hands; elbows; saw MD-referral to neurologist; EMG & NCS nl;

VAERS ID:67205 (history)  Vaccinated:1994-08-25
Age:24.0  Onset:1994-09-01, Days after vaccination: 7
Gender:Female  Submitted:1994-09-07, Days after onset: 6
Location:California  Entered:1994-10-11, Days after submission: 34
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: norplant;
Current Illness: none;
Preexisting Conditions: allergy cats;
Diagnostic Lab Data: none;
CDC 'Split Type': CA94120
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.1739W1SCLA
Administered by: Other     Purchased by: Other
Symptoms: Asthenia, Injection site reaction, Myalgia, Pyrexia, Vomiting
SMQs:, Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad)
Write-up: pt recvd vax & 7 days later devel localized rxn at inject site w/ systemic sxs; devel fever 100-6; myalgia; fatigue & emesis;

VAERS ID:67244 (history)  Vaccinated:1994-10-03
Age:24.0  Onset:1994-10-04, Days after vaccination: 1
Gender:Male  Submitted:1994-10-05, Days after onset: 1
Location:Unknown  Entered:1994-10-11, Days after submission: 6
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: none;
Preexisting Conditions: none;
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
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Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.1274W0SCRA
Administered by: Military     Purchased by: Military
Symptoms: Injection site hypersensitivity, Injection site oedema, Injection site pain, Pruritus
SMQs:, Anaphylactic reaction (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow)
Write-up: pt recvd vax & devel redness & swelling at inject site; site was tender & slightly itchy;

VAERS ID:68623 (history)  Vaccinated:1993-10-04
Age:24.9  Onset:1993-10-06, Days after vaccination: 2
Gender:Female  Submitted:1994-08-23, Days after onset: 321
Location:Ohio  Entered:1994-10-26, Days after submission: 64
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Ventalin
Current Illness:
Preexisting Conditions: known asthmatic
Diagnostic Lab Data:
CDC 'Split Type': CO5008
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)CONNAUGHT LABORATORIES    
Administered by: Unknown     Purchased by: Unknown
Symptoms: Gingivitis, Mouth ulceration, Rash maculo-papular, Skin ulcer
SMQs:, Severe cutaneous adverse reactions (broad), Systemic lupus erythematosus (broad), Oropharyngeal infections (narrow), Gingival disorders (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Hypersensitivity (narrow)
Write-up: blotches, gingivitis, ulcerations in mouth & genitals;

VAERS ID:68644 (history)  Vaccinated:1993-10-21
Age:24.7  Onset:1993-10-21, Days after vaccination: 0
Gender:Female  Submitted:0000-00-00
Location:Louisiana  Entered:1994-10-26
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': CO5047
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)CONNAUGHT LABORATORIES3F410280 RA
Administered by: Other     Purchased by: Public
Symptoms: Asthma, Chest pain, Chills, Dizziness, Injection site hypersensitivity, Laryngospasm, Myalgia, Pyrexia
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Asthma/bronchospasm (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dystonia (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Vestibular disorders (broad), Hypersensitivity (narrow)
Write-up: lightheaded, dizzy, now wheezing, tightness of chest or throat; local react of hives; treated w/Epi & resolved in 30 mins; 14DEC93 f/u lightheadedness, chills & fever, myalgia which occurred w/in 15 mins of inject;

VAERS ID:67808 (history)  Vaccinated:1994-07-06
Age:24.8  Onset:1994-07-06, Days after vaccination: 0
Gender:Female  Submitted:1994-07-08, Days after onset: 2
Location:Kansas  Entered:1994-10-31, Days after submission: 115
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: none;
Current Illness: none;
Preexisting Conditions: nka;
Diagnostic Lab Data:
CDC 'Split Type': KS94032
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM1335A40IMRA
Administered by: Public     Purchased by: Private
Symptoms: Pallor, Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad)
Write-up: p/ vax,pt lied down because pt was pale,rested a few mins,walked out to lobby & passed out;BP 122/80;pt lost consciousness few secs,became pale;tx w/ & pretzels & punch;pt had only eaten 1/2 piece toast;

VAERS ID:69136 (history)  Vaccinated:1993-02-18
Age:24.0  Onset:0000-00-00
Gender:Female  Submitted:1994-06-28
Location:Virginia  Entered:1994-10-31, Days after submission: 125
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: abdo pain, swelling & itching at site p/ dose 1 & 2;
Other Medications: none;
Current Illness:
Preexisting Conditions: none;
Diagnostic Lab Data:
CDC 'Split Type': CO5258
Vaccination
Manufacturer
Lot
Dose
Route
Site
RAB: RABIES (IMOVAX)PASTEUR MERIEUX INST.H07711  
Administered by: Other     Purchased by: Other
Symptoms: Abdominal pain, Injection site oedema, Pruritus
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Retroperitoneal fibrosis (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad)
Write-up: pt recvd vax; abdo pain, swelling & itching at site p/ dose 1 & 2; pre tx w/ dph dose 3;

VAERS ID:69196 (history)  Vaccinated:1993-11-10
Age:24.0  Onset:0000-00-00
Gender:Female  Submitted:1994-06-28
Location:Virginia  Entered:1994-10-31, Days after submission: 125
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: fever,muscle aches,lymphadenopathy,v,redness,pain,itching,warmth at site p/d 1&2
Other Medications: none;
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type': CO5284
Vaccination
Manufacturer
Lot
Dose
Route
Site
RAB: RABIES (IMOVAX)PASTEUR MERIEUX INST.J04291  
Administered by: Other     Purchased by: Other
Symptoms: Injection site hypersensitivity, Injection site oedema, Injection site pain, Lymphadenopathy, Myalgia, Pruritus, Pyrexia, Vomiting
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Eosinophilic pneumonia (broad), Hypersensitivity (narrow)
Write-up: pt recvd vax; fever, muscle aches, lymphadenopathy, v, redness, swelling, pain, itching, warmth at site p/ dose 1 & 2;

VAERS ID:69201 (history)  Vaccinated:1994-04-13
Age:24.7  Onset:1994-04-13, Days after vaccination: 0
Gender:Female  Submitted:1994-06-28, Days after onset: 76
Location:New York  Entered:1994-10-31, Days after submission: 125
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: birth control pills;
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type': CO5336
Vaccination
Manufacturer
Lot
Dose
Route
Site
RAB: RABIES (IMOVAX)PASTEUR MERIEUX INST.J04292 A
Administered by: Private     Purchased by: Other
Symptoms: Chest pain, Dyspnoea, Muscle spasms, Myasthenic syndrome
SMQs:, Anaphylactic reaction (broad), Malignancy related conditions (narrow), Dystonia (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad)
Write-up: pt recvd vax;chest pain,SOB & leg cramping several hrs p/ 3rd dose;heavy sensation in arm 2hr p/;instructed to see MD at time but waited until next day because sxs not that bad;no cardiac or pulmonary disease found; pulmonary test all neg

VAERS ID:69774 (history)  Vaccinated:0000-00-00
Age:24.4  Onset:0000-00-00
Gender:Male  Submitted:1994-07-25
Location:New Hampshire  Entered:1994-10-31, Days after submission: 98
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': CO5007
Vaccination
Manufacturer
Lot
Dose
Route
Site
RAB: RABIES (IMOVAX)PASTEUR MERIEUX INST. 1  
Administered by: Public     Purchased by: Public
Symptoms: Nausea, Urticaria, Vasodilatation
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Angioedema (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypersensitivity (narrow)
Write-up: 12MAY94 f/u nausea, severe which began day p/2nd booster dose, lasted 4 days then had onset of hot, red hives on 8OCT93; seen by MD; had 3 doses in JUL92; These were post exposure boosters;

VAERS ID:69782 (history)  Vaccinated:1993-10-23
Age:24.8  Onset:1993-10-26, Days after vaccination: 3
Gender:Male  Submitted:1994-07-25, Days after onset: 272
Location:Virginia  Entered:1994-10-31, Days after submission: 98
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': CO5084
Vaccination
Manufacturer
Lot
Dose
Route
Site
RAB: RABIES (IMOVAX)PASTEUR MERIEUX INST. 0  
Administered by: Unknown     Purchased by: Unknown
Symptoms: Dehydration, Nausea, Pyrexia, Vomiting
SMQs:, Acute pancreatitis (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)
Write-up: pt recvd vax; devel fever of 103; n,v; adm to hosp for rehydration; as of 28-oct-93 was afebrile;

VAERS ID:69790 (history)  Vaccinated:1994-01-03
Age:24.9  Onset:1994-01-03, Days after vaccination: 0
Gender:Female  Submitted:1994-07-25, Days after onset: 202
Location:New Jersey  Entered:1994-10-31, Days after submission: 98
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: none
Other Medications: none
Current Illness: none
Preexisting Conditions: none
Diagnostic Lab Data:
CDC 'Split Type': CO5220
Vaccination
Manufacturer
Lot
Dose
Route
Site
RAB: RABIES (IMOVAX)PASTEUR MERIEUX INST.J06141IM 
Administered by: Private     Purchased by: Other
Symptoms: Chest pain, Haematuria, Headache, Petechiae, Vomiting
SMQs:, Acute pancreatitis (broad), Haemorrhage terms (excl laboratory terms) (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad)
Write-up: pt recvd vax; ha, v, chest pain, bloody urine, petechial rash on face; 1feb94 urinalysis at time of event:SG 1.025, PH5,Protein trace, blood ++; recovered;

VAERS ID:70055 (history)  Vaccinated:1993-06-02
Age:24.0  Onset:1993-06-02, Days after vaccination: 0
Gender:Female  Submitted:1993-09-03, Days after onset: 93
Location:Pennsylvania  Entered:1994-10-31, Days after submission: 423
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type': 930019841
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM1016A42IMA
Administered by: Private     Purchased by: Private
Symptoms: Asthenia, Oedema, Paraesthesia, Rash
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Hypersensitivity (narrow)
Write-up: Pt recvd vax & 13 hrs later exp numbness, tingling, weakness, swelling, erythema of rt arm;

VAERS ID:70140 (history)  Vaccinated:1992-10-01
Age:24.0  Onset:1992-10-01, Days after vaccination: 0
Gender:Female  Submitted:1994-01-04, Days after onset: 460
Location:Florida  Entered:1994-10-31, Days after submission: 300
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: in pt, extreme fatigue at 24 yrs w/ 1 & 2 dose of vax;
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type': 930035251
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM 2IM 
Administered by: Private     Purchased by: Private
Symptoms: Asthenia
SMQs:, Guillain-Barre syndrome (broad)
Write-up: pt recvd vax; exp extreme fatigue 1 wk p/ each dose of vax;resolved;

VAERS ID:70169 (history)  Vaccinated:1993-05-27
Age:24.0  Onset:1993-06-03, Days after vaccination: 7
Gender:Female  Submitted:1993-11-05, Days after onset: 155
Location:Kansas  Entered:1994-10-31, Days after submission: 360
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: in pt, purpura of arms & legs at 24 yrs w/ 1 dose of vax;
Other Medications:
Current Illness: none
Preexisting Conditions: none
Diagnostic Lab Data:
CDC 'Split Type': 930040571
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM1024A21IMA
Administered by: Private     Purchased by: Private
Symptoms: Purpura
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow)
Write-up: pt recvd vax; 1 wk p/dose 1,exp purpura of arms & legs;1 wk p/dose 2,pt exp again purpura of arms & legs;seen by MD;sxs resolved

VAERS ID:70196 (history)  Vaccinated:1993-10-13
Age:24.0  Onset:1993-10-14, Days after vaccination: 1
Gender:Male  Submitted:1993-11-29, Days after onset: 46
Location:Georga  Entered:1994-10-31, Days after submission: 336
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': 930046991
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM109A40IMA
Administered by: Other     Purchased by: Other
Symptoms: Myalgia, Nausea, Pain
SMQs:, Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad)
Write-up: pt recvd vax for prophylaxis;24 hrs later exp nausea & aches/pains; resolved

VAERS ID:70404 (history)  Vaccinated:1994-04-19
Age:24.0  Onset:1994-04-19, Days after vaccination: 0
Gender:Female  Submitted:1994-04-25, Days after onset: 6
Location:Texas  Entered:1994-10-31, Days after submission: 189
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': 940035541
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM1098A41IMLA
Administered by: Other     Purchased by: Other
Symptoms: Dizziness, Oedema peripheral
SMQs:, Cardiac failure (broad), Angioedema (broad), Anticholinergic syndrome (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Vestibular disorders (broad)
Write-up: pt recvd vax for prophylaxis;20 mins later exp swelling of arm,hands, & fingers & was dizzy; tx w/ dph; resolved;

VAERS ID:70463 (history)  Vaccinated:1993-06-08
Age:24.0  Onset:1993-06-08, Days after vaccination: 0
Gender:Female  Submitted:1994-02-28, Days after onset: 265
Location:Washington  Entered:1994-10-31, Days after submission: 245
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': 940016971
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM1051A40IMLA
Administered by: Private     Purchased by: Private
Symptoms: Rash maculo-papular
SMQs:, Hypersensitivity (narrow)
Write-up: pt recvd vax & later the same day devel a rash described as "little red bumps" on the back & chest lasting approx 2 to 3 days;

VAERS ID:70466 (history)  Vaccinated:1994-02-24
Age:24.0  Onset:1994-02-24, Days after vaccination: 0
Gender:Female  Submitted:1994-03-30, Days after onset: 34
Location:New York  Entered:1994-10-31, Days after submission: 215
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type': 940017731
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM1280A40IMA
Administered by: Private     Purchased by: Private
Symptoms: Asthenia, Dizziness
SMQs:, Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Vestibular disorders (broad)
Write-up: pt recvd vax & 20 mins p/inject & again 24 hrs p/inject pt exp dizziness & weakness;

VAERS ID:70498 (history)  Vaccinated:1994-03-10
Age:24.0  Onset:1994-03-10, Days after vaccination: 0
Gender:Female  Submitted:1994-03-24, Days after onset: 14
Location:Delaware  Entered:1994-10-31, Days after submission: 221
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: DPH BENTYL
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC 'Split Type': 940024501
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM 0IMLA
Administered by: Other     Purchased by: Other
Symptoms: Diarrhoea, Dyspnoea, Face oedema, Injection site mass, Oedema peripheral, Paraesthesia, Pruritus, Vasodilatation
SMQs:, Cardiac failure (broad), Anaphylactic reaction (narrow), Angioedema (narrow), Peripheral neuropathy (broad), Pseudomembranous colitis (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Hypersensitivity (narrow), Noninfectious diarrhoea (narrow)
Write-up: pt recvd vax & 2 hrs p/vax exp feet swelling, swollen hands, swollen lips, dyspnea, pruritis, sunburn appearance, paresthesia in forearms, fingertips & feet, numbness in shoulder, lump @ inject site, & diarrhea; pt seen by MD & tx Decadron

VAERS ID:70500 (history)  Vaccinated:1994-03-15
Age:24.0  Onset:1994-03-15, Days after vaccination: 0
Gender:Male  Submitted:1994-03-23, Days after onset: 8
Location:California  Entered:1994-10-31, Days after submission: 222
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:
CDC 'Split Type': 940024541
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM1098A42IMA
Administered by: Other     Purchased by: Other
Symptoms: Hepatic function abnormal, Lymphadenopathy, Pharyngitis, Pyrexia
SMQs:, Liver related investigations, signs and symptoms (narrow), Agranulocytosis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Oropharyngeal infections (narrow)
Write-up: pt recvd vax & 4 hrs p/vax pt exp lymphadenopathy, fever, elevated liver func test, & sore throat; pt was seen by MD; sx have not resolved;

VAERS ID:70849 (history)  Vaccinated:1994-05-03
Age:24.0  Onset:1994-05-04, Days after vaccination: 1
Gender:Male  Submitted:1994-06-06, Days after onset: 33
Location:Connecticut  Entered:1994-10-31, Days after submission: 147
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': 940049761
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM1335A40IMLA
Administered by: Other     Purchased by: Other
Symptoms: Hypertonia, Myalgia, Pain
SMQs:, Rhabdomyolysis/myopathy (broad), Neuroleptic malignant syndrome (broad), Parkinson-like events (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Eosinophilic pneumonia (broad)
Write-up: pt recvd vax & exp a lockjaw type react;

VAERS ID:70923 (history)  Vaccinated:1994-07-29
Age:24.0  Onset:1994-08-04, Days after vaccination: 6
Gender:Male  Submitted:1994-08-15, Days after onset: 11
Location:Florida  Entered:1994-10-31, Days after submission: 77
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': 940071631
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM1314A40IMA
Administered by: Public     Purchased by: Public
Symptoms: Facial palsy, Headache, Hypokinesia, Hypotonia
SMQs:, Peripheral neuropathy (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad)
Write-up: pt recvd vax & exp poss Bell''s Palsy w/facial distortions & a constant h/a; pt exp asymmetric (decreased) movements of the rt side of face; addtl lacked control over the rt side of mouth;

VAERS ID:68011 (history)  Vaccinated:1994-10-05
Age:24.4  Onset:1994-10-06, Days after vaccination: 1
Gender:Female  Submitted:1994-10-07, Days after onset: 1
Location:California  Entered:1994-11-07, Days after submission: 31
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: NONE
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC 'Split Type': CA94134
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)LEDERLE LABORATORIES3569040IMLA
Administered by: Public     Purchased by: Public
Symptoms: Infection, Injection site hypersensitivity, Injection site mass, Injection site oedema, Injection site pain, Myalgia, Vasodilatation
SMQs:, Rhabdomyolysis/myopathy (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Eosinophilic pneumonia (broad), Hypersensitivity (narrow)
Write-up: bodyaches, severe w/in 16 hrs of vax; induration @ site of inject 36-48 hrs measuring 8cm x 8cm; tx Keflex x 10 days & heat to site; to ER; devel red swollen painful deltoid region arm aches, pos bodyaches, infected inject site, tx w/ATB

VAERS ID:69505 (history)  Vaccinated:1989-11-07
Age:24.9  Onset:1989-11-08, Days after vaccination: 1
Gender:Female  Submitted:1994-11-23, Days after onset: 1841
Location:West Virginia  Entered:1994-12-12, Days after submission: 19
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: MRI, numerous different DNA testing, lupus panel one of which was pos
CDC 'Split Type': WV9434
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.1761P0SC 
Administered by: Public     Purchased by: Public
Symptoms: Asthenia, Laboratory test abnormal, Lymphadenopathy, Multiple sclerosis, Myalgia, Rash, Rheumatoid arthritis, Systemic lupus erythematosus
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Systemic lupus erythematosus (narrow), Guillain-Barre syndrome (broad), Optic nerve disorders (broad), Demyelination (narrow), Eosinophilic pneumonia (broad), Hypersensitivity (narrow), Arthritis (narrow)
Write-up: pt states became ill w/in 24 hrs of vax; next morning had fever 102 & rash all over & swollen glands in neck; had muscle pain since then has had intermittent fever w/rash; muscle burning & fatigue which began 1 month p/vax;

VAERS ID:69507 (history)  Vaccinated:1994-11-11
Age:24.0  Onset:1994-11-21, Days after vaccination: 10
Gender:Female  Submitted:1994-12-08, Days after onset: 17
Location:Florida  Entered:1994-12-12, Days after submission: 4
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: unk
Other Medications: unk
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: unk
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM1055A4 IMRA
Administered by: Other     Purchased by: Private
Symptoms: Guillain-Barre syndrome, Hyperhidrosis, Pain, Paraesthesia, Rash
SMQs:, Anaphylactic reaction (broad), Peripheral neuropathy (narrow), Neuroleptic malignant syndrome (broad), Guillain-Barre syndrome (narrow), Demyelination (narrow), Hypersensitivity (narrow)
Write-up: pt dx w/GBS started w/numbness in lt foot going up leg; faint rash all over, sweating, & pain in lt leg as reported by pt;

VAERS ID:70001 (history)  Vaccinated:1994-12-19
Age:24.0  Onset:1994-12-19, Days after vaccination: 0
Gender:Male  Submitted:1994-12-21, Days after onset: 2
Location:Unknown  Entered:1995-01-03, Days after submission: 13
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: none
Preexisting Conditions: none
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUOGEN)PARKE-DAVIS00284P   
TYP: TYPHOID VI POLYSACCHARIDE (NO BRAND NAME)PFIZER/WYETH49382602  
Administered by: Military     Purchased by: Military
Symptoms: Unevaluable event
SMQs:
Write-up: React Uneval

VAERS ID:70238 (history)  Vaccinated:1994-11-16
Age:24.0  Onset:1994-11-16, Days after vaccination: 0
Gender:Male  Submitted:1994-11-18, Days after onset: 2
Location:New York  Entered:1995-01-09, Days after submission: 52
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type': BA94M027
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0727A  RA
Administered by: Other     Purchased by: Unknown
Symptoms: Laryngospasm, Pruritus, Urticaria
SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), Dystonia (broad), Hypersensitivity (narrow)
Write-up: pt recvd vax;c/o throat tightness; generalized itching w/ hives;epi given; examined at hlth facility

VAERS ID:70669 (history)  Vaccinated:1994-10-14
Age:24.0  Onset:0000-00-00
Gender:Female  Submitted:1995-01-17
Location:New York  Entered:1995-01-19, Days after submission: 2
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
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FLU3: INFLUENZA (SEASONAL) (FLUOGEN)PARKE-DAVIS00684P IMLA
Administered by: Other     Purchased by: Private
Symptoms: Guillain-Barre syndrome
SMQs:, Peripheral neuropathy (narrow), Guillain-Barre syndrome (narrow), Demyelination (narrow)
Write-up: GBS

VAERS ID:71343 (history)  Vaccinated:1995-02-01
Age:24.8  Onset:1995-02-02, Days after vaccination: 1
Gender:Female  Submitted:1995-02-03, Days after onset: 1
Location:Texas  Entered:1995-02-07, 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: Tuberculin Purified Protein lot# 238911
Current Illness: NONE
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type': TX95016
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.1052A1SCLA
Administered by: Public     Purchased by: Public
Symptoms: Diarrhoea, Pyrexia, Vomiting
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (narrow)
Write-up: mild diarrhea, vomiting, t103 starting @ approx 2PM on 2FEB94-advised by MD @ clinic inc fluids-APAP

VAERS ID:72293 (history)  Vaccinated:1994-11-02
Age:24.7  Onset:1994-11-03, Days after vaccination: 1
Gender:Female  Submitted:1994-12-06, Days after onset: 33
Location:Nebraska  Entered:1995-02-07, Days after submission: 63
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: prenatal vits
Current Illness: none
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type': 894340001S
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD)PFIZER/WYETH4948147 IMA
Administered by: Private     Purchased by: Private
Symptoms: Injection site hypersensitivity, Injection site oedema, Injection site pain
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow)
Write-up: pt recvd vax;devel redness, swelling & tenderness at injec site,lasted 2 days;

VAERS ID:71536 (history)  Vaccinated:1995-01-26
Age:24.0  Onset:1995-01-27, Days after vaccination: 1
Gender:Male  Submitted:1995-02-11, Days after onset: 15
Location:Michigan  Entered:1995-02-17, Days after submission: 6
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: DUrocef
Current Illness:
Preexisting Conditions: NONE
Diagnostic Lab Data: pt had many test because blood clotting ability was affected;
CDC 'Split Type':
Vaccination
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TD: TD ADSORBED (NO BRAND NAME)MICHIGAN DEPT PUB HLTHTD6131B  A
Administered by: Unknown     Purchased by: Other
Symptoms: Coagulopathy, Jaundice, Pyrexia, Rash, Urine analysis abnormal, Vasodilatation
SMQs:, Cholestasis and jaundice of hepatic origin (narrow), Anaphylactic reaction (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Biliary system related investigations, signs and symptoms (narrow), Biliary tract disorders (narrow), Hypersensitivity (narrow)
Write-up: pt recvd vax & taking one Duricef 500mg cap; woke up 5AM w/very high fever & red; @ noc pt still was very red w/high fever; next day pt devel rash & had very dark urine along w/lower fever; pt went to hosp & adm x 1 1/2 days;

VAERS ID:71819 (history)  Vaccinated:1995-02-13
Age:24.4  Onset:1995-02-13, Days after vaccination: 0
Gender:Female  Submitted:1995-02-16, Days after onset: 3
Location:North Carolina  Entered:1995-02-28, Days after submission: 12
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:
CDC 'Split Type': NC95018
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)CONNAUGHT LABORATORIES4A61008  RA
Administered by: Public     Purchased by: Public
Symptoms: Asthenia, Chills, Myalgia, Oedema, Oedema peripheral, Respiratory disorder, Somnolence, Vomiting
SMQs:, Rhabdomyolysis/myopathy (broad), Cardiac failure (broad), Anaphylactic reaction (broad), Acute pancreatitis (broad), Angioedema (broad), Anticholinergic syndrome (broad), Dementia (broad), Acute central respiratory depression (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (broad)
Write-up: nauseated, v x 2 evening & noc 13FEB95 v x several day, having chills x several days; feels exhausted-too tired to stay up-sleeping feels that breathing is an effort; rt arm swollen sore-beginning to clear, neck swelled x 1 day

VAERS ID:71989 (history)  Vaccinated:1994-11-09
Age:24.1  Onset:1994-11-11, Days after vaccination: 2
Gender:Female  Submitted:1994-11-29, Days after onset: 18
Location:Colorado  Entered:1995-03-09, Days after submission: 100
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': CO95005
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)CONNAUGHT LABORATORIES4F511520SCRA
Administered by: Other     Purchased by: Public
Symptoms: Eye pain, Eyelid ptosis, Face oedema, Facial palsy
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Glaucoma (broad), Periorbital and eyelid disorders (narrow), Ocular motility disorders (narrow), Hypersensitivity (narrow)
Write-up: pt recvd shot (NOV & 11NOV face became swollen, eye hurt & 14NOV mouth crooked, eye closed & drooping & difficult to eat; & seen @ urgent care; dx bell''s palsey; recvd prescription; 22NOV sx resolved;

VAERS ID:72924 (history)  Vaccinated:1994-03-23
Age:24.7  Onset:1994-03-24, Days after vaccination: 1
Gender:Female  Submitted:1994-03-28, Days after onset: 4
Location:Ohio  Entered:1995-03-13, Days after submission: 350
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness:
Preexisting Conditions: allergic to compazine
Diagnostic Lab Data:
CDC 'Split Type': 894108006A
Vaccination
Manufacturer
Lot
Dose
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Site
TD: TD ADSORBED (NO BRAND NAME)PFIZER/WYETH4938212 IM 
Administered by: Private     Purchased by: Private
Symptoms: Injection site hypersensitivity, Injection site mass, Injection site pain, Myalgia, Pyrexia
SMQs:, Rhabdomyolysis/myopathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Eosinophilic pneumonia (broad), Hypersensitivity (narrow)
Write-up: pt recvd vax; devel localized rxn that consisted of erythema, induration,localized tenderness & myalgia at the inject site;pt presented w/ low grade fever & gen body aches;

VAERS ID:72966 (history)  Vaccinated:1994-12-06
Age:24.4  Onset:1994-12-07, Days after vaccination: 1
Gender:Female  Submitted:1994-12-13, Days after onset: 6
Location:Nebraska  Entered:1995-03-13, Days after submission: 90
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: none
Diagnostic Lab Data:
CDC 'Split Type': 894363002S
Vaccination
Manufacturer
Lot
Dose
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Site
TD: TD ADSORBED (NO BRAND NAME)PFIZER/WYETH4948020 IMLA
Administered by: Private     Purchased by: Other
Symptoms: Cellulitis, Injection site hypersensitivity, Injection site oedema, Myalgia, Nausea, Pyrexia, Vasodilatation
SMQs:, Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Eosinophilic pneumonia (broad), Hypersensitivity (narrow)
Write-up: pt recvd vax;devel redness,heat & swelling at inject site;had n,fever 103.7;gen body aches;dx of cellulitis made & tx w/ amoxicillin;pt has improved as of this date;

VAERS ID:73144 (history)  Vaccinated:1993-12-28
Age:24.3  Onset:1993-12-28, Days after vaccination: 0
Gender:Female  Submitted:0000-00-00
Location:Indiana  Entered:1995-03-17
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: No relevant data;
CDC 'Split Type': WAES94010766
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC. 0IM 
Administered by: Other     Purchased by: Other
Symptoms: Injection site mass, Injection site pain, Pain
SMQs:, Extravasation events (injections, infusions and implants) (broad)
Write-up: pt recv vax & exp pain @ inj site, entire arm hurt when it was moved, especially when it was moved up or down & devel lumps or a knot @ inj site; nurse could not locate the lumps; sx resolved spontaneously by 31JAN94

VAERS ID:73251 (history)  Vaccinated:1992-07-10
Age:24.8  Onset:1992-07-10, Days after vaccination: 0
Gender:Female  Submitted:0000-00-00
Location:Florida  Entered:1995-03-17
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: none
Preexisting Conditions:
Diagnostic Lab Data: no relevant data
CDC 'Split Type': WAES94030017
Vaccination
Manufacturer
Lot
Dose
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Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC. 0IM 
Administered by: Public     Purchased by: Other
Symptoms: Alanine aminotransferase increased, Aspartate aminotransferase increased, Blood lactate dehydrogenase increased, Hepatic function abnormal, Hyperbilirubinaemia
SMQs:, Liver related investigations, signs and symptoms (narrow), Cholestasis and jaundice of hepatic origin (narrow), Acute pancreatitis (broad), Biliary system related investigations, signs and symptoms (narrow), Biliary tract disorders (narrow)
Write-up: pt recv 1st dose of vax, on 10jul92 devel abnl liver function tests;@ one point SGPT & SGOT elev & @ another point bili & LDH elev;did not seroconvert w/ 3rd dose;subsequently seroconverted p/ 3 oth doses;28feb94 lab eval showed nl liver fu

VAERS ID:73498 (history)  Vaccinated:1994-03-10
Age:24.5  Onset:1994-03-11, Days after vaccination: 1
Gender:Female  Submitted:0000-00-00
Location:Delaware  Entered:1995-03-17
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: allergy,erythromycin; allergy,sulfa; allergy,bactrim ds;
Diagnostic Lab Data:
CDC 'Split Type': WAES94030672
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.    
Administered by: Other     Purchased by: Other
Symptoms: Hypersensitivity
SMQs:, Angioedema (broad), Hypersensitivity (narrow)
Write-up: pt recv vax; on 11mar94, devel allergic rxn;

VAERS ID:73673 (history)  Vaccinated:1994-03-15
Age:24.4  Onset:1994-04-21, Days after vaccination: 37
Gender:Male  Submitted:0000-00-00
Location:Oklahoma  Entered:1995-03-17
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: allergy, Ancef; Allergy, NSAIDS
Diagnostic Lab Data: 20APR94 Rheumatoid factor 4.22; C Reactive protein neg; ASO 100-200; ANA neg; Uric acid 5.4;
CDC 'Split Type': WAES94041104
Vaccination
Manufacturer
Lot
Dose
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Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.1416W0IM 
Administered by: Private     Purchased by: Private
Symptoms: Arthralgia, Laboratory test abnormal, Osteoarthritis
SMQs:, Arthritis (broad)
Write-up: pt recv vax 15MAR94 & 21APR94 pt exp joint pain & devel a pos rheumatoid factor; in f/u MD reported that the pt was vax 15MAR94; 1 wk later pt devel joint pain; Lab eval 20APR94 revealed rheumatoid factor 4.22, neg C-reactive protein;

VAERS ID:74359 (history)  Vaccinated:1994-08-15
Age:24.2  Onset:1994-08-17, Days after vaccination: 2
Gender:Female  Submitted:0000-00-00
Location:Washington  Entered:1995-03-17
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type': WAES94090093
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.1236W IM 
Administered by: Private     Purchased by: Other
Symptoms: Injection site pain, Paraesthesia
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad)
Write-up: pt recv vax; 2 days later, exp tingling in the arm & pain in her arm;f/u:exp tingling & pain at inject site;ache at inject site persisted;24aug94, rxn resolved;

VAERS ID:72115 (history)  Vaccinated:1994-11-21
Age:24.2  Onset:1994-12-25, Days after vaccination: 34
Gender:Female  Submitted:1995-01-17, Days after onset: 23
Location:Arkansas  Entered:1995-03-20, Days after submission: 62
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: none
Other Medications: none
Current Illness: none
Preexisting Conditions: allergic pcn, no preexisting condition;
Diagnostic Lab Data: none
CDC 'Split Type': AR9515
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0660A0SCLA
Administered by: Public     Purchased by: Unknown
Symptoms: Arthralgia, Oedema peripheral, Osteoarthritis, Pain, Peripheral vascular disorder, Pyrexia, Rash
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow), Arthritis (broad)
Write-up: pt recvd vax;4 days later,c/o rash on arms,spreading to abd w/ fever 101,lasted 3 days;joints hurt at time of fever,wrist swollen/hurt joints;pt said rt hand stays colder;c/o inc problems w/ rt hand;pain getting worse & swelling inc;

VAERS ID:72382 (history)  Vaccinated:1995-02-09
Age:24.6  Onset:1995-02-16, Days after vaccination: 7
Gender:Female  Submitted:1995-02-21, Days after onset: 5
Location:Georga  Entered:1995-03-27, Days after submission: 34
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: allergy shot secondary to inject
Other Medications:
Current Illness: none
Preexisting Conditions: hx of boils x 2 yrs
Diagnostic Lab Data:
CDC 'Split Type': GA95020
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0082A3SCLA
Administered by: Public     Purchased by: Public
Symptoms: Injection site mass, Injection site oedema, Injection site pain, Paraesthesia
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: pt recvd vax;noticed pain,swelling,hardness in lt arm upper tissue area,on 9feb95;on exam today;21feb95 lt arm hard swollen;pt reports some numbness;

VAERS ID:72604 (history)  Vaccinated:1995-03-09
Age:24.6  Onset:1995-03-20, Days after vaccination: 11
Gender:Female  Submitted:1995-03-23, Days after onset: 3
Location:New York  Entered:1995-03-31, Days after submission: 8
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: none
Other Medications: none
Current Illness: none
Preexisting Conditions: nkda
Diagnostic Lab Data: none
CDC 'Split Type': BAQ013
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0820A0SC 
TD: TD ADSORBED (NO BRAND NAME)CONNAUGHT LABORATORIES4F610580IM 
Administered by: Public     Purchased by: Public
Symptoms: Arthralgia, Arthropathy, Pruritus, Rash
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow), Arthritis (broad)
Write-up: pt recvd vax;itchy, red spots on forehead, cheeks & shoulder area pain/stiffness in joints, all began approx 11 days p/ recving vax;no tx;no MD visit;

VAERS ID:72675 (history)  Vaccinated:1994-11-10
Age:24.0  Onset:1994-11-11, Days after vaccination: 1
Gender:Female  Submitted:1995-01-23, Days after onset: 73
Location:Massachusetts  Entered:1995-03-31, Days after submission: 67
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: NONE
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: weak pos for mononucleosis; all other tests nl
CDC 'Split Type':
Vaccination
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Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)CONNAUGHT LABORATORIES4F51088  LA
Administered by: Other     Purchased by: Public
Symptoms: Arthralgia, Asthenia, Dizziness, Lymphocytosis, Myalgia, Nausea, Pyrexia
SMQs:, Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad), Vestibular disorders (broad), Arthritis (broad)
Write-up: fatigue, low grade fever, nausea, dizziness, muscle & joint pain, weakness; sx began on 11NOV94 & worsened till 27DEC94- when pt able to get out of bed; since then they have improved sl, but still unable to work;

VAERS ID:72708 (history)  Vaccinated:1995-02-22
Age:24.5  Onset:1995-02-22, Days after vaccination: 0
Gender:Male  Submitted:1995-03-10, Days after onset: 16
Location:Connecticut  Entered:1995-03-31, Days after submission: 21
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: allerg rhinitis
Diagnostic Lab Data: pending
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)CONNAUGHT LABORATORIES4H611180IML
Administered by: Private     Purchased by: Private
Symptoms: Injection site pain
SMQs:, Extravasation events (injections, infusions and implants) (broad)
Write-up: severe muscle pain @ site of TD inj;

VAERS ID:72969 (history)  Vaccinated:1995-03-28
Age:24.0  Onset:1995-03-28, Days after vaccination: 0
Gender:Male  Submitted:1995-03-28, Days after onset: 0
Location:Unknown  Entered:1995-04-05, Days after submission: 7
Life Threatening? Yes
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
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JEV: JAPANESE ENCEPHALITIS (J-VAX)CONNAUGHT LABORATORIES096A0SCLA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Dysphagia, Hyperhidrosis, Laryngospasm, Vasodilatation
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dystonia (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Hypersensitivity (narrow)
Write-up: pt recvd vax; throat tightness, trouble swallowing, & hot sweaty; epi given, solumedrol, prednisone;

VAERS ID:73005 (history)  Vaccinated:1994-10-04
Age:24.8  Onset:1994-10-04, Days after vaccination: 0
Gender:Female  Submitted:1994-11-22, Days after onset: 49
Location:Minnesota  Entered:1995-04-07, Days after submission: 135
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': MN94053
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD)PFIZER/WYETH49481190 A
Administered by: Other     Purchased by: Unknown
Symptoms: Dizziness, Laryngospasm, Nausea, Paraesthesia oral, Tachycardia, Visual disturbance
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dystonia (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Optic nerve disorders (broad), Lens disorders (broad), Retinal disorders (broad), Vestibular disorders (broad), Hypersensitivity (narrow)
Write-up: By the time pt reported situation to nurse was feeling fine; reported by pt queasy few mins p/vax; started seeing blotches, felt faint; very light-headed; throat started swelling & tongue became numb; felt heat beat inc;

VAERS ID:73527 (history)  Vaccinated:1995-04-17
Age:24.0  Onset:1995-04-19, Days after vaccination: 2
Gender:Female  Submitted:1995-04-19, Days after onset: 0
Location:California  Entered:1995-04-25, 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: PPD by Connaught lot# 236911;
Current Illness:
Preexisting Conditions: unk nephropathy
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)CONNAUGHT LABORATORIES4B61036  LA
Administered by: Private     Purchased by: Unknown
Symptoms: Pain, Paraesthesia, Skin nodule
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad)
Write-up: pt recv vax lt arm 17APR95 & on 19APR95 discovered large tender marble sized lump lt axilla; pt is exp intermittent entire lt upper extremity numbness involving all fingers;

VAERS ID:73584 (history)  Vaccinated:1995-04-06
Age:24.9  Onset:1995-04-18, Days after vaccination: 12
Gender:Female  Submitted:1995-04-21, Days after onset: 3
Location:Washington  Entered:1995-04-28, 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: synthroid
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0338A SC 
Administered by: Other     Purchased by: Public
Symptoms: Rash maculo-papular
SMQs:, Hypersensitivity (narrow)
Write-up: pt reported widely scattered papular rash on arms & chest on 18APR; nearly faded by 21APR when pt came into be checked; afeb; denied fever, arthralgia, lymphadenopathy, coryza, conjunctivitis, cough pruritis;

VAERS ID:74012 (history)  Vaccinated:1995-04-21
Age:24.4  Onset:1995-04-21, Days after vaccination: 0
Gender:Female  Submitted:1995-04-27, Days after onset: 6
Location:North Carolina  Entered:1995-05-12, Days after submission: 15
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NONE
Other Medications: PPD by Connaught lot# 235512
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC 'Split Type': NC95044
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0720A  RA
TD: TD ADSORBED (NO BRAND NAME)CONNAUGHT LABORATORIES4G61080  LA
Administered by: Public     Purchased by: Public
Symptoms: Ecchymosis, Myalgia, Oedema, Pruritus, Vasodilatation
SMQs:, Rhabdomyolysis/myopathy (broad), Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Haemorrhage terms (excl laboratory terms) (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Hypersensitivity (broad)
Write-up: c/o soreness & bruised p/inj; used warm compresses; 26APR redness & edema occurred; c/o itching @ site; area 3x3inches of redness w/warmth on lt arm 27APR:

VAERS ID:74022 (history)  Vaccinated:1995-04-21
Age:24.2  Onset:1995-04-21, Days after vaccination: 0
Gender:Male  Submitted:1995-05-08, Days after onset: 17
Location:California  Entered:1995-05-12, 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:
Current Illness: NONE
Preexisting Conditions: childhood asthma
Diagnostic Lab Data: 3+ nl throat flora, few group A neg strep
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.1516W3 RA
Administered by: Private     Purchased by: Private
Symptoms: Asthenia, Diarrhoea, Pyrexia, Vomiting
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (narrow)
Write-up: vomiting, diarrhea, fever, fatigue p/Recombivax; sx began a few hr post administration of vax & lasted a few days; tx rest & fluids only;

VAERS ID:74246 (history)  Vaccinated:1995-01-24
Age:24.0  Onset:1995-02-21, Days after vaccination: 28
Gender:Female  Submitted:1995-05-16, Days after onset: 83
Location:Indiana  Entered:1995-05-24, 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: Xanax, Methadone
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type': 950041951
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM1435A41  
Administered by: Private     Purchased by: Other
Symptoms: Abdominal distension, Abdominal pain, Myalgia, Pain, Pyrexia, Urinary tract infection
SMQs:, Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad)
Write-up: pt recv vax 24JAN95 & approx 21FEB95 exp abd pain & bloating, marked lateral rib tenderness bilat, considerable paravertebral muscular tenderness bilat; addtl starting on approx 21FEB95; began to exp a fever which was 101; seen in ER & hos

VAERS ID:74253 (history)  Vaccinated:1976-11-01
Age:24.7  Onset:1976-11-01, Days after vaccination: 0
Gender:Female  Submitted:1995-05-20, Days after onset: 6773
Location:California  Entered:1995-05-24, Days after submission: 4
Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: EEG, MRI
CDC 'Split Type': CA95069
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)UNKNOWN MANUFACTURER 0  
Administered by: Public     Purchased by: Other
Symptoms: Dizziness, Tachycardia, Vertigo
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Vestibular disorders (narrow)
Write-up: heart rate 180+/min 2 wk; neurological, vertigo, dizziness;

VAERS ID:77723 (history)  Vaccinated:1994-07-18
Age:24.0  Onset:1994-07-20, Days after vaccination: 2
Gender:Female  Submitted:1995-05-08, Days after onset: 292
Location:Florida  Entered:1995-06-01, Days after submission: 24
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: rash & scratches on shoulder
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC 'Split Type': CO5494
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Vaccination