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Found 505943 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 506

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VAERS ID:262995 (history)  Vaccinated:2006-08-14
Age:20.0  Onset:2006-08-28, Days after vaccination: 14
Gender:Male  Submitted:2006-09-12, Days after onset: 15
Location:North Carolina  Entered:2006-09-13, Days after submission: 1
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NKDA
Diagnostic Lab Data: NONE
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
ANTH: ANTHRAX (BIOTHRAX)EMERGENT BIOSOLUTIONSFAV1070 UN
HEPA: HEP A (NO BRAND NAME)UNKNOWN MANUFACTURERAHABV099BA1 UN
SMALL: SMALLPOX (DRYVAX)PFIZER/WYETH40200720 UN
Administered by: Military     Purchased by: Military
Symptoms: Pain, Rash, Rash pruritic, Tenderness
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow)
Write-up: 20 y/o male SM with c/o painful rash developing on his left ribcage and back about two weeks after primary SPV, anthrax, and Hep A vaccines. Symptoms rash, diffuse start 8/28/06 rash started on the left ribcage and extended posteriorly with rash at the left mid back area. Rash pruritic start 8/28/05 same rash at left ribcage and back has been pruritic. Tenderness start 8/28/06 the skin rash has been painful at times off and on.

VAERS ID:263210 (history)  Vaccinated:2006-08-15
Age:20.0  Onset:2006-08-15, Days after vaccination: 0
Gender:Female  Submitted:2006-09-14, Days after onset: 30
Location:Pennsylvania  Entered:2006-09-19, 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:
Preexisting Conditions: Penicillin allergy, drug hypersensitivity
Diagnostic Lab Data: NONE
CDC Split Type: WAES0608USA03962
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.0702F0IM 
Administered by: Other     Purchased by: Other
Symptoms: Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad)
Write-up: Information has been received from a nurse concerning a 20 year old female with a penicillin allergy, drug hypersensitivity to cefaclor (CECLOR) and no other pertinent medical history reported. On 15-AUG-2006, the patient was vaccinated intramuscularly with HPV rLi 6 11 16 18 VLP vaccine (yeast) (Lot#653650/0702F). Concomitant therapy included paroxetine HCL (PAXIL), bupropion HCL (WELLBUTRIN) and famotidine. It was reported that the patient became faint within 5 minutes of vaccination with HPV rLi 6 11 16 18 VLP vaccine (yeast). The patient was given a soda to drink as treatment. There were no laboratory diagnostic studies performed. On 15-AUG-2006, the patient recovered from the event. Additional information has been requested.

VAERS ID:263227 (history)  Vaccinated:2006-08-07
Age:20.0  Onset:2006-08-07, Days after vaccination: 0
Gender:Female  Submitted:2006-09-14, Days after onset: 38
Location:Massachusetts  Entered:2006-09-19, Days after submission: 5
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: YAZ
Current Illness:
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC Split Type: WAES0608USA06260
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.0702F0IM 
Administered by: Other     Purchased by: Other
Symptoms: Pain
SMQs:
Write-up: Information has been received from a 20 year old female patient who on 07-AUG-2006 was vaccinated intramuscularly with her first dose of HPV rLi 6 11 16 18 VLP vaccine (yeast) (lot#653650/0702F). Concomitant therapy included drospirenone (+) ethinyl estradiol (YAZ). The patient stated that "right after getting the shot" she experienced pain in the upper arm on and off throughout the day. She also stated that the pain"feels like she has a knife in her arm". Unspecified medical attention was sought. The patient was treated with Ibuprofen. As of the report date, she was recovering. Additional information has been requested.

VAERS ID:263243 (history)  Vaccinated:0000-00-00
Age:20.0  Onset:0000-00-00
Gender:Female  Submitted:2006-09-14
Location:California  Entered:2006-09-19, Days after submission: 5
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0609USA00265
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.   UN
Administered by: Other     Purchased by: Other
Symptoms: Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad)
Write-up: Information has been received from a nurse in a physician''s office concerning a female patient "in her 20''s" who on an unspecified date was vaccinated with HPV rLi 6 11 16 18 VLP vaccine (yeast). It was reported that the patient "fainted" after being given HPV rLi 6 11 16 18 VLP vaccine (yeast) (date unknown). At the time of this report, the outcome of the event was unknown. Additional information has been requested.

VAERS ID:263244 (history)  Vaccinated:0000-00-00
Age:20.0  Onset:0000-00-00
Gender:Female  Submitted:2006-09-14
Location:California  Entered:2006-09-19, Days after submission: 5
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0609USA00266
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.   UN
Administered by: Other     Purchased by: Other
Symptoms: Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad)
Write-up: Information has been received from a nurse in a physician''s office concerning a female patient "in her 20''s" who on an unspecified date was vaccinated with HPV rLi 6 11 16 18 VLP vaccine (yeast). It was reported that the patient "fainted" after being given HPV rLi 6 11 16 18 VLP vaccine (yeast) (date unknown). At the time of this report, the outcome of the event was unknown. Additional information has been requested.

VAERS ID:263324 (history)  Vaccinated:2006-09-14
Age:20.0  Onset:2006-09-14, Days after vaccination: 0
Gender:Female  Submitted:2006-09-18, Days after onset: 4
Location:North Carolina  Entered:2006-09-20, Days after submission: 2
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.1047R1SCRA
Administered by: Other     Purchased by: Public
Symptoms: Diarrhoea, Erythema, Injection site pain, Injection site swelling, Pruritus, Pyrexia
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad), Noninfectious diarrhoea (narrow)
Write-up: Received MMR 9-14-06. Developed diarrhea that evening on 9-15-06 student developed fever and itching on trunk of body. Site of injection painful, swollen, and erythematous.

VAERS ID:263369 (history)  Vaccinated:2006-09-15
Age:20.0  Onset:2006-09-19, Days after vaccination: 4
Gender:Male  Submitted:2006-09-20, Days after onset: 1
Location:New York  Entered:2006-09-21, Days after submission: 1
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Pharyngitis
Preexisting Conditions: Ehlers Danlos syndrome, Possible asthma.
Diagnostic Lab Data: Chest X ray, EKG, Blood tests cardiac monitors.
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA)AVENTIS PASTEURU2138AA0 RA
TDAP: TDAP (ADACEL)AVENTIS PASTEURC2572AA0 LA
Administered by: Private     Purchased by: Unknown
Symptoms: Arthritis, Chest pain, Paraesthesia
SMQs:, Peripheral neuropathy (broad), Systemic lupus erythematosus (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Arthritis (narrow)
Write-up: Pt experienced 2 episodes of left chest pain, over 2-3 hours, 2nd episode was associated with numbness and tingling of left arm and left leg. Presented with left chest pain and numbness and tingling of left arm and weakness of left leg on 9/19/06-had mild chest discomfort in past but never had numbness or weakness of any part of his body. Chest pain was not associated with SOB, cough, fever or headaches. on 9/15/06-annual PE WNL except for mild sore throat which resolved in a day or two. Received Menactra on that day. PMH: diagnosed to have mild Ehler-Danlos syndrome at age 11. Characterized with dermatitis and hyperflexible joints. No evidence of any cardiac abnormalities. PE: alert oriented, walking normally. Decreased cutaneous sensation on left forearm and lower left leg. Muscle power, tone, balance and reflexes were normal. EKG and blood normal. Neurological exam normal and was DC from ED with diagnosis of Costochondritis. Follow-up in office on 9/22/06 and 10/2/06. No further episodes of chest pain, tingling, numbness or muscle weakness. On 10/2/06 he mentioned for the first time that for the past several months he has been having mild-moderate morning headaches 5-6 times per week. No nausea, vomiting or visual problems. Referred to neurologist for further evaluation.

VAERS ID:263424 (history)  Vaccinated:2006-08-07
Age:20.0  Onset:2006-08-15, Days after vaccination: 8
Gender:Male  Submitted:2006-09-21, Days after onset: 37
Location:Wisconsin  Entered:2006-09-21
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Testicular torsion
Preexisting Conditions: NKDA
Diagnostic Lab Data: None
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
SMALL: SMALLPOX (DRYVAX)PFIZER/WYETH40200720IDLA
Administered by: Military     Purchased by: Military
Symptoms: Chest pain, Cough, Headache, Influenza like illness
SMQs:, Anaphylactic reaction (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad)
Write-up: Presented to the Medical Clinic on 8/18/06 with c/o HA, cough, and chest pain with deep breathing times three days. Diagnosed as flu like syndrome from SPV and costochondritis. Orders received for fluids, rest and quarters x 24 hours. Motrin 800mg po tid x 7 days.

VAERS ID:263413 (history)  Vaccinated:2006-08-14
Age:20.0  Onset:2006-08-15, Days after vaccination: 1
Gender:Female  Submitted:2006-08-18, Days after onset: 3
Location:California  Entered:2006-09-22, Days after submission: 35
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: From initial information received on 14/Aug/2006, it was reported that the patient had a mild viral infection prior to injection that was asymptomatic.
Preexisting Conditions: The patient has a history of asthma and as allergy to amoxicillin and sulfa.
Diagnostic Lab Data:
CDC Split Type: 200602194
Vaccination
Manufacturer
Lot
Dose
Route
Site
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA)SANOFI PASTEURU2057A IMRL
TDAP: TDAP (ADACEL)SANOFI PASTEURC2454A IMLA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Arthralgia, Chills, Fatigue, Influenza like illness, Malaise, Muscular weakness, Pain, Pyrexia
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Arthritis (broad)
Write-up: Initial report received on 17/Aug/2006 from a physician. A 20-year-old female patient, with mild asymptomatic tonsillitis at the time of vaccination, had received an intramuscular, left arm injection of Adacel, lot number C2454AA, and an intramuscular, right arm injection of Menatra, lot number U2057AA, ON 14/Aug/2006. Within 24 hours, she experienced weakness in her legs, pain under her right axilla, general malaise, arthralgia, fatigue, low grade fever, chills and aches. The signs and symptoms were "flu-like". Per the report, the event required no medical intervention. Recovery status was not reported. Follow-up information received on 14/Aug/2006. It was reported that the patient had a mild viral infection prior to injection, but was asymptomatic. No further description of the event of leg weakness was provided and the reporter stated that it was "difficult to give the etiology" no diagnosis was reported. The event did required examination by a physician. The patient did not require any neurological testing and no diagnostics were completed. No treatement was prescribed, the subject developed a mild, dry cough which resolved in five days. The patient recovered from all reported events.

VAERS ID:263751 (history)  Vaccinated:2006-08-25
Age:20.0  Onset:2006-08-26, Days after vaccination: 1
Gender:Female  Submitted:2000-09-26, Days after onset: 2160
Location:New York  Entered:2006-09-29, Days after submission: 2194
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Yasmin
Current Illness: NONE
Preexisting Conditions: possible polycystic ovary syndrome
Diagnostic Lab Data: NONE
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.0688F0IMLA
Administered by: Private     Purchased by: Other
Symptoms: Injection site reaction, Rash
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow)
Write-up: Rash at injection site at 24 hours after administration, then rash on other arm (at corresponding site)

VAERS ID:263878 (history)  Vaccinated:2006-10-02
Age:20.0  Onset:2006-10-02, Days after vaccination: 0
Gender:Female  Submitted:2006-10-02, Days after onset: 0
Location:Georgia  Entered:2006-10-02
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.?0IMLA
Administered by: Public     Purchased by: Public
Symptoms: Dizziness, Nausea
SMQs:, Acute pancreatitis (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad)
Write-up: A few minutes after injection, patient began to feel faint and dizzy while standing up. Sitting down did not alleviate symptoms of nausea, so patient was moved to a bed to lie down. After about 10 minutes of laying down, patient was back to normal.

VAERS ID:264056 (history)  Vaccinated:2006-06-22
Age:20.0  Onset:2006-07-27, Days after vaccination: 35
Gender:Male  Submitted:2006-10-05, Days after onset: 70
Location:New York  Entered:2006-10-05
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? Yes, 7 days
    Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: CSF negative for gram stain, H. influenzae B, S. pneumoniae, group B streptococcus, N miningitidis A & Y, C/W135 and E. coli K1. No organism isolated after 24 hours
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.1099R1IMLA
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.0347F1SCLA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Coordination abnormal, Dizziness, Headache
SMQs:, Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Vestibular disorders (broad)
Write-up: Received second Hep B on 6/22/06. Began to have dizziness and ataxia on approximately 7/27/06. Also received varivax on 6/22/06. 10/26/06-seen in ER discharged from ER on 7/28/06 records do not indicate a hospitalization DX: headache, dizziness and giddiness and tension headache. Presented to ER with c/o headache, dizzy in morning. Seen in ER at 15:30. Felt good prior to presenting at ER.

VAERS ID:264074 (history)  Vaccinated:2006-10-02
Age:20.0  Onset:2006-10-02, Days after vaccination: 0
Gender:Female  Submitted:2006-10-02, Days after onset: 0
Location:Pennsylvania  Entered:2006-10-06, 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: Zoloft, Cepclessa
Current Illness: NONE
Preexisting Conditions: Allergy sulfa, Tx for depression with Zoloft.
Diagnostic Lab Data: NONE
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEPA: HEP A (VAQTA)MERCK & CO. INC.0256F1IMRA
YF: YELLOW FEVER (YF-VAX)AVENTIS PASTEURUE667AB0IMLA
Administered by: Private     Purchased by: Private
Symptoms: Bronchospasm
SMQs:, Anaphylactic reaction (broad), Asthma/bronchospasm (narrow), Eosinophilic pneumonia (broad), Hypersensitivity (narrow)
Write-up: Vaccinated at 10:15 am observed x 30 min, left called at 11:15 reporting bronchospasm 11:25, Xopenex neb at 11:40, Zyrtec PO, Epi 0.3 SQ at 11:45. Home on Zyrtec and Tagamet PO.

VAERS ID:264693 (history)  Vaccinated:2006-09-19
Age:20.0  Onset:2006-09-30, Days after vaccination: 11
Gender:Male  Submitted:2006-10-17, Days after onset: 17
Location:Unknown  Entered:2006-10-17
Life Threatening? Yes
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? Yes, ? days
    Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: MRI of brain and spinal cord completed overseas reported as showing demyelination 10/12/06. CXR-Low lung volumes but overall no significant interval change-10/9/06; GI Endoscopy-5 ulcers that were oozing-10/8/06-CT; PE DVT Protocol-No evidence of PE or DVT. Large air-space consolidation involving the superior segment and posterior segment of the RLL. Smaller air-space consolidation involving the superior segment of the LLL. These consolidations may represent atelectasis or infectious processes; Labs-Infectious Disease evaluation ruled out HSB1 HSV2. CMV and disseminated vaccine. Other cultures pending-10/16/05; Hct 24.3; Hgb 8.7; WBC 12.2; 10/11/06-IgG 21.44. All labs reported are for 2006, not 2005.
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
SMALL: SMALLPOX (DRYVAX)PFIZER/WYETH 0  
TYP: TYPHOID VI POLYSACCHARIDE (TYPHIM VI)SANOFI PASTEUR 0IM 
Administered by: Military     Purchased by: Military
Symptoms: Acute disseminated encephalomyelitis, Asthenia, Blood immunoglobulin G, Chest X-ray, Computerised tomogram, Difficulty in walking, Encephalitis, Endoscopy, Endotracheal intubation, Extensor plantar response, Gastrointestinal haemorrhage, Gastrointestinal ulcer, Haematocrit, Haemoglobin, Hyperreflexia, Hypoaesthesia, Nuclear magnetic resonance imaging brain abnormal, Pyrexia, Respiratory rate decreased, Ulcer, Urinary retention, White blood cell count decreased
SMQs:, Angioedema (broad), Haematopoietic leukopenia (narrow), Peripheral neuropathy (broad), Haemorrhage terms (excl laboratory terms) (narrow), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Parkinson-like events (broad), Gastrointestinal ulceration (narrow), Gastrointestinal haemorrhage (narrow), Acute central respiratory depression (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (narrow), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Ischaemic colitis (broad), Demyelination (narrow)
Write-up: On 9/30, onset of symmetrical bilateral lower leg numbness. The next morning, pt developed weakness to the point of difficultly walking and experienced urinary retention. There was demonstrable sensation decrease up to nipples, bilateral distal leg weakness (L$gR) and hyperreflexia with + Babinski. He was medevaced out of theater. Daily steroids (1 gram solumedrol) were initiated on 10/3. Due to weakening respiratory effort, he was electively intubated and sedated. There is no history of URI''s, GI illness, rash, or animal or known arthropod bites. No history of arthralgia, myalgia or arthritis prior to onset of symptoms. On 10/7, service member was started on IVIG infusion at 2 grams/kg over 1 day. On 10/8, discontinuation of high-dose steroids was initiated. There was no significant change in his neurological status. Empiric antibiotics were initiated. While being turned, pt''s O2 sats decreased to the 80''s. Suctioning and 100%, F102 helped, but when F102 returned to his previously supportive 40%, he again desaturated to the 80''s, ABG reportedly showed a PaO2 of 52. PPEEP was increased, F102 was increased, and Lovenox increased to anticoagulant levels. He was stabilized at F102 of 70%. (IVIG was temporarily suspended). After CT, pt''s ventilator parameters were back to pre-"desat" levels with SpO2$g95%. Steroid levels were decreased to stress-levies. Pt had an acute upper GI bleed with HCT of 17%. He was transfused with 4 units of PRBC''s and 4 units of FFP. His HCT stabilized at 24%. On 10/9, GI endoscopy showed 5 ulcers, with some continued oozing which was cauterized successfully. After his endoscopy, pt was noted moving his upper extremities bilaterally. Recommendation to continue IVIG at 0.4gm/kg every 2-4 weeks was made, depending on IgG levels and continued improvement neurologic function. On 10/12/06, pt alert and responding appropriately to environment. Able to move upper extremities on command having fair strength bilaterally (R$gL). Able to squeeze hand (R$gL). No fine control of fingers or control of lower extremities. Taking prednisone 70mg q day. Plans are to repeat MRI and possibly remove ET tube.02/123/07-records received and reviewed for 10/7-108/06. DC:enchephalitis, postimmunization, acute disseminated encephalomyelitis (ADEM). RX with IVIG and high dose steroids. Symptoms bilateral lower let numbness followed next day with weakness to point of difficulty walking and experienced urinary retention. Demonstratable sensation decrease up to nipple line bilateral distal leg weakness L$gR and hyperrlexia and positive Babinski. Electively intubated and sedated due to weakening respiratory effort. When not sedated able to blink appropirately yes and no but unable to track with eyes. Shoulder shrug intact. Remains hyperrflexic with 2-3 beat clonus and positive Babinski. Acute upper GI bleed. Began to move upper extremities. GI endsocopy:5 ulcers. MRI:demylination within both brain and spinal cord. HSV1,2, CMV negative. CTD with ANA and RF negative. Per information received from annual follow up, patient has neurogenic bladder, lower extremiety weakness, using wheelchair for long distances. Currently undergoing medical board/disability evaluation. Per 60 day follow up: I am still waiting on receipt of patient records. I will send a follow-up report after I receive records and speak to the patient again.

VAERS ID:264747 (history)  Vaccinated:0000-00-00
Age:20.0  Onset:0000-00-00
Gender:Female  Submitted:2006-10-13
Location:Unknown  Entered:2006-10-17, 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: UNK
Current Illness:
Preexisting Conditions: UNK
Diagnostic Lab Data: UNK
CDC Split Type: WAES0609USA03270
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.  UNUN
Administered by: Other     Purchased by: Other
Symptoms: Pain
SMQs:
Write-up: Information has been received from a nurse practioner concerning her 20 year old daughter who on an unspecified date was vaccinated with 0.5 mL of HPV rL1 6111618 VLP vaccine (yeast). It was reported that "right after she got it", the patient developed severe arm pain (date unknown). The patient sought unspecified medical attention. At the time of this report, the patient was recovering from the event. Additional information has been requested.

VAERS ID:264748 (history)  Vaccinated:2006-09-12
Age:20.0  Onset:2006-09-13, Days after vaccination: 1
Gender:Female  Submitted:2006-10-13, Days after onset: 30
Location:Indiana  Entered:2006-10-17, 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: MICROGESTIN FE
Current Illness:
Preexisting Conditions: Sulfonamide allergy
Diagnostic Lab Data: Body temp 09/13/06 103.6 degr
CDC Split Type: WAES0609USA03694
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.0641F0IM 
Administered by: Private     Purchased by: Private
Symptoms: Pain, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad)
Write-up: Initial and follow up information has been received from a physician concerning a 20 year old female patient with sulfonamide allergy who on 12-SEP-2006 at 13:45 p.m. was vaccinated IM in the left deltoid with her first dose of HPV rL1 6 11 16 18 VLP vaccine (yeast), lot #653650/0641. Concomitant therapy included ethinyl estradiol (+) ferrous fumarate (+) norethindrone acetate (MICROGESTIN FE). On the early morning of 13-SEP-2006 the patient developed a fever to 103.6 degrees F, and generalized body aches. Medical attention was sought. On 18-SEP-2006, the patient recovered. Additional information is not expected.

VAERS ID:264759 (history)  Vaccinated:2006-09-07
Age:20.0  Onset:2006-09-07, Days after vaccination: 0
Gender:Female  Submitted:2006-10-13, Days after onset: 36
Location:Florida  Entered:2006-10-17, 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: UNK
Current Illness:
Preexisting Conditions: UNK
Diagnostic Lab Data:
CDC Split Type: WAES0609USA05508
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC. 0IMUN
Administered by: Private     Purchased by: Other
Symptoms: Oedema peripheral
SMQs:, Cardiac failure (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: Information has been received from a physician concerning a 21 year old female who on an unknown date was vaccinated intramuscularly with the first dose of HPV rL1 6 11 16 18 VLP vaccine (yeast) (lot # not provided). Subsequently, the patient developed "swelling feet" for an unspecified amount of time after receiving the injection. At the time of this report the patient was recovering. Additional information has been requested.

VAERS ID:264818 (history)  Vaccinated:2006-09-21
Age:20.0  Onset:2006-09-22, Days after vaccination: 1
Gender:Female  Submitted:2006-10-11, Days after onset: 19
Location:Indiana  Entered:2006-10-17, 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: PPD skin test admin on 9/20/06
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)GLAXOSMITHKLINE BIOLOGICALSAHBVB260AA0  
Administered by: Other     Purchased by: Other
Symptoms: Headache, Injection site warmth, Pruritus, Rash, Tremor
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Parkinson-like events (broad), Noninfectious encephalopathy/delirium (broad), Hypersensitivity (narrow)
Write-up: 9/22: developed rash on low back; 9/23 headaches; 9/24 extremely hot, whole body shaky; 9/25 headaches; 9/27 10:30 pm extremely itchy, red bumps all over body. Felt hot and shaky. Took BENADRYL, itched for 2 hours, headache all nos.

VAERS ID:264833 (history)  Vaccinated:2006-09-29
Age:20.0  Onset:2006-10-12, Days after vaccination: 13
Gender:Male  Submitted:2006-10-17, Days after onset: 5
Location:New Jersey  Entered:2006-10-18, Days after submission: 1
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? Yes, 12 days
    Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: Slight cold
Preexisting Conditions: PMH: patients mother has had MS for approx 10 years. None
Diagnostic Lab Data: LABS: MRI positive. CSF revealed WBC 245, RBC 7, poly 4, lymphs 91, monos 5, o eos, protein 194, glucose 58. ESR 50. C/S neg. WBC 9,600, 62 segs, 29 lymphs, 8 monos, 1 eos. Diagnostic Tests: MRI-positive for ill-defined abnormal T2 hyperintense signal involving the gray and white matter of the right superior frontal and right middle frontal gyri. There is a suggestion of cortical thickening. Lumbar tap- WBC 245; RBC 7 with 4% poly; 9% lymphocytes; 5% monocytes; 0% eosinophils; CSF-gram stain no WBC; no organisms; Culture-no growth 72 hrs. EKG- Normal sinus rhythm; Labs: 12 Oct 06 CRP 2.8; 13 Oct 06 CBC-WBC 9; 600; Hgb 12.7; Hct 36.7; PLT CT 263; 000 with 62%segmental; 0 basophil; BUN 10; Cr. 1; SGOT 22; SGPT 16; Alkaline Phosphate 61.
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLUN3: INFLUENZA (SEASONAL) (FLUMIST)MEDIMMUNE VACCINES, INC. 0IN 
SMALL: SMALLPOX (DRYVAX)PFIZER/WYETH40200760 UN
Administered by: Military     Purchased by: Military
Symptoms: Balance disorder, CSF glucose increased, CSF protein increased, CSF test abnormal, CSF white blood cell count, Cerebellar syndrome, Coordination abnormal, Dysarthria, Encephalitis, Facial paresis, Gait disturbance, Headache, Hyporeflexia, Nuclear magnetic resonance imaging brain abnormal, Tremor, Vaccination complication, Visual disturbance
SMQs:, Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (narrow), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Optic nerve disorders (broad), Lens disorders (broad), Retinal disorders (broad), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (broad), Vestibular disorders (broad)
Write-up: Within days of vaccination (smallpox) Pt described constant headache, dysarthria, and incoordination. MRI c/w cerebritis-cerebellitis. Tx IV steroids, Acyclovir, TCN. 11/7/06 Received medical records from 1st hospital which reveal patient admitted 10/12/06 w/bifrontal HA & slurred speech following small pox vax 10/6/06. Initial CT of brain was WNL. Then developed left facial weakness & mild asymmetry of reflexes. MRI then revealed T2 signal in right superior & mid frontal gyri. Initial labs were WNL. LP revealed WBC 245, 91% lymphs, protein 194, glucose 58. Tx for presumptive meningoencephalitis & suspected post vax reaction, viral . Tx w/steroids, antivirals & antibiotics IV. Appeared stable x 2 days then abruptly developed worsening speech, ataxia & repeat MRI showed new bilateral cerebellar T2 hyperintensity. Final/Transfer DX: probable post immunization reaction with meningoencephalitis initially focal & now with bilateral cerebellar involvement. Transferred to second hospital on 10/18/06. 1/23/07 Received medical records from 2nd hospital which included: 1. Additional progress notes records from community hospital. 2. Medical records from clinic s/p release from second hospital which relate s/s to smallpox vac reaction. Still had speech difficulty, slow gait, right hand tremors & intermittent vision difficulty. Was receiving PT/OT/ST. As of 12/11/06 2-4 more mo of rehab recommended before returning to active duty. Still having trouble with balance & gait disturbance. Vax records included here reveal patient received FluMist & Smallpox on 9/29/06. 3. D/C summary from 2nd hospital for 10/19-10/25/06 admit as well as H&P. 4. VHC Summary: Patient received anthrax, smallpox, flumist, & Hep A&B in preparation for deployment. Patient developed frontal HA approx 6 days after receipt of vax which grew progressively worse until awoke 10/12 with slurred speech, difficulty walking, blurred vision, & hand tremors. Went to Troop Medical Center then to civilian ER & was admitted. MRI of brain was positive for ill defined abnormal T2 hyperintense signal involving gray & white matter of right superior frontal & right middle frontal gyri with suggestion of cortical thickening. Admitted 10/12/06-10/19/06 & then transferred to second hospital. FINAL DX: post vaccination cerebellitis. Follow-up: C/O worsening frontal headache behind his eyes for 3-5 days that was not ameliorated with TYLENOL. On 12 Oct 06 he developed slurred speech, difficulty focusing his eyes and unsteadiness in his gait. He was seen and sent to ER. He denied chest pains, fever, SOB, nausea, vomiting, arthralgias, myalgias or any symptoms of a URI. Headache, general Start: 10/06/2006 End: 10/13/2006. Comment: frontal, behind eyes and occipital. Symptom: Gait abnormality Start: 10/12/2006 Comment: trouble with coordination (jumping, running, walking back wards). Symptom: Cognitive deficiency Start: 10/12/2006 End: 10/22/2006. Comment: has trouble with word finding and slurred speech when tired. Symptom: Tremors Start: 10/12/2006 End: 10/22/2006 Comment: of hands.

VAERS ID:265050 (history)  Vaccinated:2006-10-13
Age:20.0  Onset:2006-10-13, Days after vaccination: 0
Gender:Female  Submitted:2006-10-20, Days after onset: 7
Location:New York  Entered:2006-10-20
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)CHIRON CORPORATION712770IMLA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Arthralgia, Fatigue
SMQs:, Arthritis (broad)
Write-up: Approximately 8 hours after receiving vaccine, patient complained of feeling very tired and weak with joint pain in all four extremities (L$gR). Pain had resolved in all extremities except left arm within 5 days.

VAERS ID:265107 (history)  Vaccinated:2006-10-19
Age:20.0  Onset:2006-10-19, Days after vaccination: 0
Gender:Female  Submitted:2006-10-19, Days after onset: 0
Location:Unknown  Entered:2006-10-23, Days after submission: 4
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.0955F IMUN
Administered by: Unknown     Purchased by: Unknown
Symptoms: Asthenia, Dizziness, Hyperhidrosis
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Vestibular disorders (broad)
Write-up: After receiving Gardasil vaccine #1 pt immediately became lightheaded, weak and sweaty. SX lasted approx 5 minutes. (OMIC). Per 60 day follow up: Patient received GARDASIL # 2 on 2/20/07, uneventful.

VAERS ID:265117 (history)  Vaccinated:2006-10-22
Age:20.0  Onset:2006-10-22, Days after vaccination: 0
Gender:Female  Submitted:2006-10-22, Days after onset: 0
Location:Maine  Entered:2006-10-23, Days after submission: 1
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)UNKNOWN MANUFACTURER709400 RA
Administered by: Other     Purchased by: Private
Symptoms: Dizziness, Flushing, Nausea
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad), Hypersensitivity (broad)
Write-up: States lightheadedness, feeling flushed, stomach queasy, BP 125/75. Lungs clear bilat, no stridor noted, denies itching, SOB, no local reaction noted at site. States have not eaten all day. Instructed to eat. After eating prolen bar feels better. Instructed to go to ER if symptoms worsen. No changes after eating observed for 20 mins.

VAERS ID:265871 (history)  Vaccinated:2006-10-31
Age:20.0  Onset:2006-10-31, Days after vaccination: 0
Gender:Female  Submitted:2006-11-02, Days after onset: 2
Location:Florida  Entered:2006-11-02
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Miralax, Flonase, Prilosec, Prozac, Advair, Ortho-tri-cyclen
Current Illness: x
Preexisting Conditions: Asthma; Allergic to adaptic bandages, cingulair
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLU-IMUNE)LEDERLE LABORATORIES  IMRA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Dizziness, Fatigue, Somnolence
SMQs:, Anticholinergic syndrome (broad), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Vestibular disorders (broad)
Write-up: DIZZY, GROGGY, AND TIRED.

VAERS ID:266290 (history)  Vaccinated:2006-10-19
Age:20.0  Onset:2006-10-19, Days after vaccination: 0
Gender:Male  Submitted:2006-10-26, Days after onset: 7
Location:Ohio  Entered:2006-11-08, 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: Nausea, Diarrhea
Preexisting Conditions:
Diagnostic Lab Data: Flu neg
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLUN3: INFLUENZA (SEASONAL) (FLUMIST)MEDIMMUNE, INC./WYETH LABORATORIES, INC500437P0IN 
Administered by: Public     Purchased by: Public
Symptoms: Cough, Diarrhoea, Otitis media, Pyrexia
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (narrow)
Write-up: Mild GI symptoms prior to receiving vaccine. By evening N/O diarrhea Friday am T 101F with Tylenol symptoms until Sat. Sun am went to med center. DX bilateral otitis media neg for influenza ATB and cough medicine. Mon better.

VAERS ID:266302 (history)  Vaccinated:2006-10-30
Age:20.0  Onset:2006-10-31, Days after vaccination: 1
Gender:Female  Submitted:2006-10-31, Days after onset: 0
Location:Alabama  Entered:2006-11-08, Days after submission: 8
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: Diagnosed with strep throat 2 days later.
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)AVENTIS PASTEURU2180AA0IMRA
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.0391F0IMRA
Administered by: Private     Purchased by: Private
Symptoms: Hypokinesia, Injection site pain, Pain
SMQs:, Parkinson-like events (broad), Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Hypotonic-hyporesponsive episode (broad)
Write-up: Throbbing pain at injection site radiation to arm pit area, inj site deltoid, began 8-9 hours after immunization, difficulty lifting arm, driving gradually got better over 48-72 hrs.

VAERS ID:266632 (history)  Vaccinated:2006-11-06
Age:20.0  Onset:0000-00-00
Gender:Male  Submitted:0000-00-00
Location:New York  Entered:2006-11-13
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: xray-negative, ortho referral
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEPA: HEP A (HAVRIX)GLAXOSMITHKLINE BIOLOGICALSAHAVB130AA   
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA)AVENTIS PASTEURU1875AA   
Administered by: Other     Purchased by: Other
Symptoms: Joint range of motion decreased, Pain
SMQs:, Arthritis (broad)
Write-up: Right elbow pain, decreased range of motion

VAERS ID:266774 (history)  Vaccinated:2006-10-12
Age:20.0  Onset:2006-10-19, Days after vaccination: 7
Gender:Female  Submitted:2006-11-14, Days after onset: 26
Location:Louisiana  Entered:2006-11-14
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Yaz, Zoloft, Bactrim DS
Current Illness: None
Preexisting Conditions: Depression
Diagnostic Lab Data: none
CDC Split Type:
Vaccination
Manufacturer
Lot
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Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.08668F0IMLA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Injection site pain, Shoulder pain
SMQs:, Rhabdomyolysis/myopathy (broad), Extravasation events (injections, infusions and implants) (broad)
Write-up: Patient developed left shoulder pain at the deltoid corresponding to the site of injection. This began about 1 week after injection and has lasted for 3 weeks. It is 7/10 in severity and requires anti-inflammatories.

VAERS ID:266775 (history)  Vaccinated:2006-10-19
Age:20.0  Onset:2006-10-22, Days after vaccination: 3
Gender:Female  Submitted:2006-11-14, Days after onset: 23
Location:California  Entered:2006-11-14
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: No
Current Illness: No
Preexisting Conditions: No
Diagnostic Lab Data: No
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)CHIRON CORPORATION716410IMLA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Headache, Lacrimation increased, Pyrexia, Rhinorrhoea
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Lacrimal disorders (narrow)
Write-up: 3 days after flu shot, She developed headache, running nose, watery eyes, phlegm, sneezing and 1 day fever of 100 F. Up to today 11/14/06, she still has very bad running nose and watery eyes.

VAERS ID:266856 (history)  Vaccinated:2006-11-01
Age:20.0  Onset:2006-11-01, Days after vaccination: 0
Gender:Female  Submitted:2006-11-06, Days after onset: 5
Location:Mississippi  Entered:2006-11-15, Days after submission: 9
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Singular & Zyrtec
Current Illness: None
Preexisting Conditions: Seasonal allergies; Allergic to animals, hair, Tussin
Diagnostic Lab Data: EKG
CDC Split Type: MS06015
Vaccination
Manufacturer
Lot
Dose
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Site
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)CHIRON CORPORATION718261IMRA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Chest pain, Dysphagia, Heart rate increased, Pruritus, Rash
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Hypersensitivity (narrow)
Write-up: Received immunization around 9 a.m. 11/1/2006; Patient states she had pulse rate increase; Chest pains; Trouble Swallowing; Rash all over from head to toe; itching; Tight hissing in Throat afternoon of 11/1/2006; Saw PMD and CNP 11/01/2006 afternoon.

VAERS ID:267034 (history)  Vaccinated:2006-09-20
Age:20.0  Onset:2006-10-05, Days after vaccination: 15
Gender:Male  Submitted:2006-11-16, Days after onset: 42
Location:Pennsylvania  Entered:2006-11-16
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 8 days
    Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: allergic rhinitis
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
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MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA)AVENTIS PASTEURU2135AA0IMLA
Administered by: Private     Purchased by: Private
Symptoms: Demyelination, Guillain-Barre syndrome
SMQs:, Peripheral neuropathy (narrow), Guillain-Barre syndrome (narrow), Optic nerve disorders (broad), Demyelination (narrow)
Write-up: 2 weeks after Menactra developed Guillian Barre syndrome. DC DX: acute inflammatory demyelinating polyneuropathy. Presented with numbness in the soles of feet that began 4 days prior to admission that was associated with muscle tightness of his thigh. Following day experienced a headache that was around his forehead and goes to back of his head. Right side of face drooping and felt unsteady.

VAERS ID:267039 (history)  Vaccinated:2006-11-07
Age:20.0  Onset:2006-11-07, Days after vaccination: 0
Gender:Female  Submitted:2006-11-11, Days after onset: 4
Location:Texas  Entered:2006-11-16, Days after submission: 5
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Fluticasine, Singular, Allegra-D, Yasmin
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: NONE
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
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Site
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)CHIRON CORPORATION720022 LA
Administered by: Other     Purchased by: Private
Symptoms: Disturbance in attention, Dizziness, Dry mouth, Headache, Swelling
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Noninfectious encephalopathy/delirium (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Depression (excl suicide and self injury) (broad), Vestibular disorders (broad)
Write-up: Dizziness, cotton mouth, headache, could not focus, swelling on arm the size of a quarter for about 3 days.

VAERS ID:267454 (history)  Vaccinated:2006-09-22
Age:20.0  Onset:2006-09-27, Days after vaccination: 5
Gender:Female  Submitted:2006-11-14, Days after onset: 48
Location:Iowa  Entered:2006-11-16, Days after submission: 2
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Asthma
Preexisting Conditions: Unknown
Diagnostic Lab Data: None
CDC Split Type: WAES0610USA12643
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTOX: DIPHTHERIA TOXOIDS (NO BRAND NAME)UNKNOWN MANUFACTURERC2491AA0IMLA
HEPAB: HEP A + HEP B (TWINRIX)GLAXOSMITHKLINE BIOLOGICALSAHABB0583A0IMRA
HPV4: HPV (GARDASIL)MERCK & CO. INC.0702F0IMLA
TYP: TYPHOID VI POLYSACCHARIDE (NO BRAND NAME)UNKNOWN MANUFACTURER 0UNUN
Administered by: Other     Purchased by: Other
Symptoms: Pruritus generalised
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (broad)
Write-up: Information has been received from a physician concerning a female in her 20''s with intermittent problems with asthma and no known drug allergies, who on 22-SEPT-2006 at 13:00 was vaccinated IM into the left deltoid with a first dose of GARDASIL (Lot #653650/0702F). Concomitant therapy given that day included a first dose of DTaP (unspecified) given IM into the left arm, a first dose of TWINRIX (lot# AHABB0583A) given IM into the right arm and a first dose of typhoid vaccine. On 27-SEP-2006, the patient experienced intense itching all oer her body. The patient self medicated with BENADRYL. The itching was mostly on theinside of her legs and her back. She was treated with ZYRTEC. No diagnostic laboratory tests were pereformed. Subsequently, the patient fully recovered. No product qualitycomplaint was involved. It was noted that the vaccines were administered at different anatomical sites. Unspecified medical attention was sought. No diagnostic laboratory tests were performed. Additional information has been requested.

VAERS ID:267481 (history)  Vaccinated:2006-10-01
Age:20.0  Onset:2006-10-01, Days after vaccination: 0
Gender:Female  Submitted:2006-11-14, Days after onset: 44
Location:New York  Entered:2006-11-16, Days after submission: 2
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: UNK
Diagnostic Lab Data: UNK
CDC Split Type: WAES0611USA00728
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.0955F IMUN
Administered by: Other     Purchased by: Other
Symptoms: Asthenia, Dizziness, Hyperhidrosis, Nausea, Pallor
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad)
Write-up: Information has been received from a nurse practitioner concerning a female pt who in Oct 2006, was vaccinated IM with a dose of HPV Vaccine. Subsequently in Oct 2006, she experienced lightheadedness, weakness, pallor, and sweating, No medical attention was sought. The nurse practitioner indicated the pt was doing fine. No product quality complaint was involved. Additional information has been requested. 01/05/2007 Initial and follow up information has been received from a Nurse Practitioner concerning a 20 year old female patient who in October 2006, was vaccinated IM with a dose of GARDASIL. Subsequently, she experienced nausea, lightheadedness /lightheaded feeling/dizziness, weakness, pallor, and sweating but did not lose consciousness. No medical attention was sought. The nurse practitioner indicated the patient was "doing fine" and that she recovered after 20 minutes. No product quality complaint was involved. Additional information has been requested.

VAERS ID:267200 (history)  Vaccinated:2006-11-07
Age:20.0  Onset:2006-11-12, Days after vaccination: 5
Gender:Female  Submitted:1956-11-12, Days after onset: 18262
Location:Texas  Entered:2006-11-20, Days after submission: 18270
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)AVENTIS PASTEURU2160AA0 RA
Administered by: Other     Purchased by: Other
Symptoms: Blister
SMQs:, Severe cutaneous adverse reactions (broad), Hypersensitivity (broad)
Write-up: On day of the injection I felt sore on the fifth day. I developed a blister

VAERS ID:267533 (history)  Vaccinated:2006-10-27
Age:20.0  Onset:0000-00-00
Gender:Male  Submitted:2006-10-31
Location:Washington  Entered:2006-11-21, Days after submission: 21
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)AVENTIS PASTEURU2186AA0 LA
Administered by: Other     Purchased by: Unknown
Symptoms: Lymphadenopathy
SMQs:
Write-up: Fluzone shot 10/27/2006 left arm. Within 12 hours axillary adenopathy left side. Feels well otherwise. No abnormality at site of shot.

VAERS ID:267569 (history)  Vaccinated:2004-08-03
Age:20.0  Onset:2006-03-15, Days after vaccination: 589
Gender:Male  Submitted:2006-11-14, Days after onset: 244
Location:Texas  Entered:2006-11-21, Days after submission: 7
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: UNK
Preexisting Conditions: The subject had no known drug allergies. The subject''s concurrent conditions, and concurrent medications were not reported.
Diagnostic Lab Data: UNK
CDC Split Type: A0598473A
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEPAB: HEP A + HEP B (TWINRIX)GLAXOSMITHKLINE BIOLOGICALSHAB306A62 RA
Administered by: Private     Purchased by: Private
Symptoms: Therapeutic response decreased
SMQs:, Lack of efficacy/effect (narrow)
Write-up: This case was reported by a nurse and described a 21 year old male subject who had a decreased antibody response to the hepatitis B component of immunization of Twinrix. On September 23, 2003, February 20, 2004, and August 03, 2004 the patient received three doses of Twinrix (lots HAB238B6, HAB276A, and HAB306A6) in his arm. Approximately 7 months after the last dose of Twinrix, on March 15, 2006, a hepatitis B surface antibody titer measured less than 8 UI/L. Protection is 10 (mIU/ml).

VAERS ID:267835 (history)  Vaccinated:2006-11-06
Age:20.0  Onset:2006-11-06, Days after vaccination: 0
Gender:Female  Submitted:2006-11-17, Days after onset: 11
Location:Georgia  Entered:2006-11-27, 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:
Preexisting Conditions:
Diagnostic Lab Data: NONE
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEPA: HEP A (HAVRIX)GLAXOSMITHKLINE BIOLOGICALS    
TDAP: TDAP (BOOSTRIX)GLAXOSMITHKLINE BIOLOGICALS    
Administered by: Public     Purchased by: Unknown
Symptoms: Dizziness, Headache, Nausea
SMQs:, Acute pancreatitis (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad)
Write-up: Received Hep A and Tdap at health department 11/6/06. 1-2 hours later developed sharp, intense, localized headache about 7-8 on a 1-10 pain scale. Lasted 5-10 minutes before subsiding. Dizziness and nausea with headache. Similar headache 11/7/06 with dizziness and nausea. No history of severe headaches.

VAERS ID:267901 (history)  Vaccinated:2006-11-28
Age:20.0  Onset:2006-11-28, Days after vaccination: 0
Gender:Female  Submitted:2006-11-28, Days after onset: 0
Location:Tennessee  Entered:2006-11-28
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: scar from surgical incision L upper arm
Diagnostic Lab Data: n/a
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)UNKNOWN MANUFACTURER 0IMLA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Injection site swelling
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: 1.5 hrs after getting flu shot, incision scar approx 9cm from vaccination site noted by pt to be more swollen than usual and bumpy. MD notes scar tissue at incision site. Incision is 3 months old and this is her first injection in that arm since.

VAERS ID:268030 (history)  Vaccinated:2006-11-13
Age:20.0  Onset:2006-11-14, Days after vaccination: 1
Gender:Male  Submitted:2006-11-30, Days after onset: 16
Location:Florida  Entered:2006-11-30
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Singulair 10 mg qd Albuterol inhaler prn
Current Illness: None
Preexisting Conditions: Mild asthma PMH: asthma, allergic rhinitis
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)CHIRON CORPORATION712150IMLA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Facial palsy, Ophthalmoplegia
SMQs:, Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Ocular motility disorders (narrow)
Write-up: Bell''s palsy 12/8/06 Received records from provider which reveal patient experienced right facial weakness approx 24 hours s/p flu vax. Weak right eye closure & smile was asymmetrical. Treated w/anti viral & steroids. Clinic visit of 11/20 revealed facial weakness unchanged but able to close right eye. Treatment continued. Final Dx: Right Bells Palsy.

VAERS ID:268036 (history)  Vaccinated:2006-11-28
Age:20.0  Onset:2006-11-28, Days after vaccination: 0
Gender:Female  Submitted:2006-11-30, Days after onset: 2
Location:Iowa  Entered:2006-11-30
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? Yes, 2 days
    Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: none
Preexisting Conditions: PMH: none Allergies: none
Diagnostic Lab Data: Labs and Diagnoatics: WBC''s 11.0, Abdominal CT shows a thickened appendix at the base of the cecum with surrounding inflammation c/w acute appendicitis.
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.0955F0IMLA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Abdominal pain, Abdominal pain lower, Gastrointestinal disorder, Laboratory test abnormal, Vomiting
SMQs:, Acute pancreatitis (broad), Retroperitoneal fibrosis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)
Write-up: Less than 3 hours following the vaccination she developed severe abdominal cramps and vomited. Subsequently had persistent abdominal pain that eventually localized to the right lower quadrant. A CT of the abdomen was performed the evening of 11/29/06 which revealed appendicitis. A surgical consultation was requested and days of hospitalization are unknown yet at this time. Student health office note of 11/28/06 recording administration of GARDASIL #1 on this date. Hospital record received revealing a 20 year old woman who developed crampy abdominal pain centered in the right lower quadrant 1 day following her GARDASIL vax. Patient had appendectomy and was dischaged home the following day. DX: Appendicitis. She recovered her 2nd GARDASIL vaccination here on 2/8/2007.

VAERS ID:268040 (history)  Vaccinated:2006-11-27
Age:20.0  Onset:2006-11-27, Days after vaccination: 0
Gender:Female  Submitted:2006-11-30, Days after onset: 3
Location:Wyoming  Entered:2006-11-30
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: none
Preexisting Conditions: NKA
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)AVENTIS PASTEURU2281AA IMUN
Administered by: Unknown     Purchased by: Unknown
Symptoms: Injection site induration, Injection site pain, Injection site swelling, Injection site warmth
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: States that area where shot was given hurt from the time she got the shot. No time given as to symptoms beginning. Stated that area swelled up, about 1 inch area. "Hot, kind of hard". She initially called PH to report her reaction late afternoon of 11/29/2006, two days after shot given.

VAERS ID:268198 (history)  Vaccinated:2006-11-10
Age:20.0  Onset:2006-11-10, Days after vaccination: 0
Gender:Female  Submitted:2006-11-22, Days after onset: 12
Location:Iowa  Entered:2006-12-04, Days after submission: 12
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions:
Diagnostic Lab Data: NONE
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)AVENTIS PASTEURU2253AA IMRA
Administered by: Private     Purchased by: Unknown
Symptoms: Face oedema, Oedema
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Hypersensitivity (narrow)
Write-up: Approx 1 hour after flu vaccine was given her mother noticed her face and neck were swollen although she herself did not notice this. Reports she slept about 3 hours after wards. Denies throat swelling, difficulty swallowing or breathing. Claims swelling was gone after 3 hour nap.

VAERS ID:268271 (history)  Vaccinated:2006-11-09
Age:20.0  Onset:2006-11-19, Days after vaccination: 10
Gender:Female  Submitted:2006-12-01, Days after onset: 12
Location:Pennsylvania  Entered:2006-12-05, Days after submission: 4
Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Zyrtec, Hormonal contraceptives.
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: Medical panel neg, trace hemoglobin 11/20/06, rapid streptococcus positive; WBC count elevated 11/20/06.
CDC Split Type: WAES0611USA06121
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.  UNUN
Administered by: Other     Purchased by: Other
Symptoms: Bacterial infection, Laboratory test abnormal, Myalgia, Rash, Skin discolouration, White blood cell count increased
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Eosinophilic pneumonia (broad), Hypotonic-hyporesponsive episode (broad), Hypersensitivity (narrow)
Write-up: Information has been received from a physician concerning a 19 year old female with no pertinent medical history or drug reactions allergies, who on 11/9/06 was vaccinated at her OB/GYN''s office with HPV vaccine. Concomitant therapy included Zyrtec and oral hormonal contraceptives (unspecified). On 11/19/06 the pt developed a rash on the injection site arm, but not at the injections site. On 11/19/06 the pt also experienced extreme myalgia in all four extremities and her hand was discolored (purple). On 11/20/06 lab testing revealed a positive Rapid streptococcal test and the pt was placed on unspecified antibiotics. Other lab findings revealed a neg medical panel, a complete blood count revealed an elevated WBC count with a shift to the left, and a urinalysis was neg but with a trace hemoglobin. At the time of this report, the pt was recovering. The physician felt that one or more of the events were disabling. Additional information has been requested.

VAERS ID:268489 (history)  Vaccinated:2003-05-22
Age:20.0  Onset:2003-08-01, Days after vaccination: 71
Gender:Male  Submitted:2006-12-01, Days after onset: 1218
Location:Puerto Rico  Entered:2006-12-07, Days after submission: 6
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: N/A
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
ANTH: ANTHRAX (BIOTHRAX)EMERGENT BIOSOLUTIONS 1  
Administered by: Military     Purchased by: Military
Symptoms: Chest pain, Dizziness, Headache, Hypoaesthesia, Insomnia, Pharyngitis, Rhinitis, Vision blurred
SMQs:, Agranulocytosis (broad), Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Oropharyngeal infections (narrow), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Glaucoma (broad), Cardiomyopathy (broad), Lens disorders (broad), Retinal disorders (broad), Vestibular disorders (broad)
Write-up: Colds, sweats, numbness in extremities, headaches, insomnia, chest pain, blurry vision, dizziness.

VAERS ID:269178 (history)  Vaccinated:2006-10-26
Age:20.0  Onset:2006-10-26, Days after vaccination: 0
Gender:Female  Submitted:2006-12-14, Days after onset: 49
Location:Unknown  Entered:2006-12-18, Days after submission: 4
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: UNK
Diagnostic Lab Data: UNK
CDC Split Type: WAES0611USA02584
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.0800F0 UN
Administered by: Other     Purchased by: Other
Symptoms: Feeling abnormal
SMQs:, Dementia (broad)
Write-up: Information has been received from a health professional concerning a 20 year old female who on 26-Oct-2006 was vaccinated "in the right hip" with a first dose of HPV rL1 6 11 16 18 VLP vaccine (yeast) (lot#654540/0800F). Within 15 minutes, the patient experienced a "funny feeling" in upper right thigh. The patient said "the feeling was gone later that day". No medical attention was sought. No product quality complaint was involved. Additional information has been requested.

VAERS ID:269183 (history)  Vaccinated:0000-00-00
Age:20.0  Onset:0000-00-00
Gender:Female  Submitted:2006-12-14
Location:Pennsylvania  Entered:2006-12-18, Days after submission: 4
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: UNK
Diagnostic Lab Data: UNK
CDC Split Type: WAES0611USA03411
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC. 0 UN
Administered by: Other     Purchased by: Other
Symptoms: Injection site pain
SMQs:, Extravasation events (injections, infusions and implants) (broad)
Write-up: Information has been received from a physician concerning a 20 year old female who on an unspecified date was vaccinated with the first dose of HPV rL1 6 11 16 18 VLP vaccine (yeast) (0.5 ml). Subsequently, two weeks following vaccination, the patient experienced pain at the injection area. The patient also complained of pain in the same area when lifting her arm. Unspecified medical attention was sought. At the time of this report, the outcome of the events was unknown. Additional information has been requested.

VAERS ID:269203 (history)  Vaccinated:2006-11-13
Age:20.0  Onset:2006-11-13, Days after vaccination: 0
Gender:Female  Submitted:2006-12-14, Days after onset: 31
Location:Arizona  Entered:2006-12-18, Days after submission: 4
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data:
CDC Split Type: WAES0611USA04596
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC. 0IMUN
Administered by: Private     Purchased by: Private
Symptoms: Decreased appetite, Nausea, Vomiting
SMQs:, Acute pancreatitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)
Write-up: Information has been received from a nurse practitioner concerning a 20 year old female who on 13-NOV-2006 was vaccinated intramuscularly with the first dose of Gardasil (yeast) (Lot # not provided). On 13-NOV-2006 the patient experienced nausea, vomiting and decreased appetite. Unspecified medical attention was sought. At the time of this report it was unknown if the patient had recovered from these events. Additional information has been requested. This is in follow-up to report(s) previously submitted on 12/14/2006. Follow-up information from the nurse practitioner indicated that the patient recovered. Additional information is not expected.

VAERS ID:269206 (history)  Vaccinated:0000-00-00
Age:20.0  Onset:0000-00-00
Gender:Female  Submitted:2006-12-14
Location:Washington  Entered:2006-12-18, Days after submission: 4
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: UNK
Diagnostic Lab Data: UNK
CDC Split Type: WAES0611USA04818
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC. 1  
Administered by: Other     Purchased by: Other
Symptoms: Chills, Dizziness, Hyperhidrosis, Nausea, Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad)
Write-up: Information has been received from a consumer who is a company representative concerning her 20 year old daughter who on an unspecified date was vaccinated with the second dose of Gardasil (yeast). The patient''s mother reported that the vaccination caused the patient to feel faint, and she experienced nausea with chills and sweating. The patient was kept in the office until she felt better. No further details were provided. Additional information has been requested.

VAERS ID:269214 (history)  Vaccinated:0000-00-00
Age:20.0  Onset:0000-00-00
Gender:Female  Submitted:2006-12-14
Location:Unknown  Entered:2006-12-18, Days after submission: 4
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness: UNK
Preexisting Conditions: UNK
Diagnostic Lab Data: UNK
CDC Split Type: WAES0611USA05682
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.   UN
Administered by: Other     Purchased by: Other
Symptoms: Menstruation irregular
SMQs:, Fertility disorders (broad)
Write-up: Information has been received from a health professional concerning a 20 year old female who on an unspecified date was vaccinated with a dose of HPV Vaccine. Subsequently, the patient experienced three menstrual periods during the next month. Unspecified medical attention was sought. At the time of this report, the patient''s outcome was unknown. No product quality complaint was involved. Additional information has been requested.

VAERS ID:269219 (history)  Vaccinated:2006-11-14
Age:20.0  Onset:2006-11-15, Days after vaccination: 1
Gender:Female  Submitted:2006-12-14, Days after onset: 29
Location:Massachusetts  Entered:2006-12-18, Days after submission: 4
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC Split Type: WAES0611USA06158
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.  IM 
Administered by: Other     Purchased by: Other
Symptoms: Influenza like illness, Injection site erythema
SMQs:, Extravasation events (injections, infusions and implants) (broad)
Write-up: Information has been received from a registered nurse concerning a 20 year old female with no pertinent medical history or drug reactions/allergies who on 14 Nov 2006 was vaccinated intramuscularly with HPV Vaccine. There was no concomitant medications. On 15 Nov 2006, about 24 hours later, the patient developed erythema at the injection site and experienced flu like symptoms. Unspecified medical attention was sought. Subsequently, the patient recovered from the erythema at injection site and flu like symptoms within 72 hours. Additional information has been requested.

VAERS ID:269232 (history)  Vaccinated:2006-11-01
Age:20.0  Onset:2006-11-01, Days after vaccination: 0
Gender:Female  Submitted:2006-12-14, Days after onset: 43
Location:Unknown  Entered:2006-12-18, Days after submission: 4
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: UNK
Diagnostic Lab Data: UNK
CDC Split Type: WAES0611USA07572
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.   UN
Administered by: Other     Purchased by: Other
Symptoms: Loss of consciousness
SMQs:, Torsade de pointes/QT prolongation (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad)
Write-up: Information has been received from a physician concerning a female patient in her 20''s who in November 2006, was vaccinated with a dose of HPV vaccine. Immediately after administration, the patient passed out. Medical attention was sought. Subsequently, the patient recovered. The physician explained that another physician from a different office administered the vaccination to the patient. Additional information has been requested. There was no product quality complaint involved.

VAERS ID:269397 (history)  Vaccinated:2006-12-09
Age:20.0  Onset:2006-12-09, Days after vaccination: 0
Gender:Female  Submitted:2006-12-09, Days after onset: 0
Location:Utah  Entered:2006-12-19, 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: NONE
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TTOX: TETANUS TOXOID (NO BRAND NAME)AVENTIS PASTEURU1398AA IMRA
Administered by: Other     Purchased by: Private
Symptoms: Dizziness
SMQs:, Anticholinergic syndrome (broad), Vestibular disorders (broad)
Write-up: At 11:28 12/9/2006, donor received tetanus toxoid 0.5ml in right arm. Tetanus was administered previously to donor with side effects about 10 year ago. Donor felt "light headed." Pulse 76, BP 116/64. Monitored donor. Donor "felt better" and left center.

VAERS ID:269421 (history)  Vaccinated:2006-12-10
Age:20.0  Onset:2006-12-10, Days after vaccination: 0
Gender:Male  Submitted:2006-12-20, Days after onset: 10
Location:Unknown  Entered:2006-12-20
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
SMALL: SMALLPOX (DRYVAX)PFIZER/WYETH402007060IDLA
Administered by: Military     Purchased by: Military
Symptoms: Erythema multiforme
SMQs:, Severe cutaneous adverse reactions (narrow), Hypersensitivity (narrow)
Write-up: Erythema Multiforme 2 degrees, trunk area; front and back. Resolved within 72 hours using Prednisone 20 mg, 3 tabs, times 5 days, then 2 tabs for 5 days. Route: Scarification (block 13, no choice).

VAERS ID:269477 (history)  Vaccinated:2006-12-12
Age:20.0  Onset:2006-12-20, Days after vaccination: 8
Gender:Male  Submitted:2006-12-22, Days after onset: 2
Location:North Carolina  Entered:2006-12-21, Days after submission: 1
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? Yes, ? days
    Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: TNI 9 EKG:non specific T wave abnormality Labs BUN 19. Cl 108 CKMB 6.7, Troponin I 5.63, CK 500,1081, C1068, KMB 63.3, 93.0, 106.9, 121.2Troponin I 7.48,12.54, 14.19, 20.01 WBC 14.3, neut 9.9, lymph 2.8, mono 1.6
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
SMALL: SMALLPOX (DRYVAX)PFIZER/WYETH    
Administered by: Military     Purchased by: Unknown
Symptoms: Blood chloride increased, Blood creatine phosphokinase MB, Blood creatine phosphokinase increased, Blood urea normal, Chest pain, Electrocardiogram ST segment elevation, Electrocardiogram T wave abnormal, Laboratory test abnormal, Myocarditis, Pericarditis, Troponin I increased, White blood cell count increased
SMQs:, Rhabdomyolysis/myopathy (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Myocardial infarction (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Other ischaemic heart disease (broad), Chronic kidney disease (broad), Tubulointerstitial diseases (broad)
Write-up: Chest pain; pericarditis sx: EKG with Diffuse ST elevation; Elevated TnI - 9 Pericarditis/myocarditis 01/12/07-records received and reviewed: DX:Myocarditis and Pericarditis

VAERS ID:269490 (history)  Vaccinated:2006-12-02
Age:20.0  Onset:2006-12-02, Days after vaccination: 0
Gender:Male  Submitted:2006-12-21, Days after onset: 19
Location:New York  Entered:2006-12-21
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None reported
Preexisting Conditions: None per Medical Record
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLUN3: INFLUENZA (SEASONAL) (FLUMIST)MEDIMMUNE VACCINES, INC.500438P0IN 
Administered by: Military     Purchased by: Military
Symptoms: Diarrhoea, Headache, Nausea, Vomiting
SMQs:, Acute pancreatitis (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (narrow)
Write-up: Patient went home after work and took a nap; awoke around 8PM with the following symptoms: Headache (24 hrs); Diarrhea (18 hrs); Vomiting (18 hrs); Nausea (6 hrs). Reported to Medical at 11AM following day. Afebrile (98.3) with symptoms subsiding a little.

VAERS ID:269609 (history)  Vaccinated:2006-10-24
Age:20.0  Onset:2006-10-26, Days after vaccination: 2
Gender:Female  Submitted:2006-12-23, Days after onset: 58
Location:Kentucky  Entered:2006-12-23
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: 1. (#V70.0) 2003 2. (#493.90) 2000 3. (#278.00) 2003 4. (#V25.9) 2004 5. (#346.90) 2005
Diagnostic Lab Data: None
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)AVENTIS PASTEURU2243AA1IMLA
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.0486F0IMLA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Injection site rash, Injection site swelling
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow)
Write-up: Developed a rash and swelling of the arm in which she received the vaccine.

VAERS ID:269696 (history)  Vaccinated:2006-12-21
Age:20.0  Onset:2006-12-21, Days after vaccination: 0
Gender:Female  Submitted:2006-12-21, Days after onset: 0
Location:New York  Entered:2006-12-27, 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:
Preexisting Conditions:
Diagnostic Lab Data: NONE
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.1208F0IMLA
Administered by: Private     Purchased by: Private
Symptoms: Injection site erythema
SMQs:, Extravasation events (injections, infusions and implants) (broad)
Write-up: Immediate after Gardasil given pt developed 4cm bright red area at injection site.

VAERS ID:269820 (history)  Vaccinated:2006-12-27
Age:20.0  Onset:2006-12-28, Days after vaccination: 1
Gender:Female  Submitted:2006-12-28, Days after onset: 0
Location:South Carolina  Entered:2006-12-28
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 known
Preexisting Conditions: Allergy Amoxicillin
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.0961F1IMRA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Headache, Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad)
Write-up: Patient fainted after receiving her second dose of Gardisil Vaccine. Patient c/o headache and pain in back of her head. Returned to office 12/28/06 for exam. Still c/o head pain. To call office prn with followup.

VAERS ID:270034 (history)  Vaccinated:2006-12-28
Age:20.0  Onset:2006-12-28, Days after vaccination: 0
Gender:Female  Submitted:2006-12-28, Days after onset: 0
Location:Florida  Entered:2007-01-04, 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: Nuva ring
Current Illness: NONE
Preexisting Conditions: Ibuprofen
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.0702F0IMRA
Administered by: Private     Purchased by: Private
Symptoms: Dizziness, Hot flush, Nausea
SMQs:, Acute pancreatitis (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad)
Write-up: Patient complain of nausea, light-headed, hot flashes, right after injection. Told patient to lay down on back on the table, took some water about 25 minutes recheck BP and pulse. Ok to leave.

VAERS ID:270125 (history)  Vaccinated:2007-01-02
Age:20.0  Onset:2007-01-02, Days after vaccination: 0
Gender:Female  Submitted:2007-01-02, Days after onset: 0
Location:Virginia  Entered:2007-01-05, Days after submission: 3
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: Denied
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
MEN: MENINGOCOCCAL (MENOMUNE)AVENTIS PASTEURU1878AA0IMLA
Administered by: Public     Purchased by: Public
Symptoms: Blood pressure increased, Dizziness, Hypoacusis, Nausea, Pallor
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypertension (narrow), Hearing impairment (narrow), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad)
Write-up: 3-5 min following vaccine complained of dizziness, hearing loss right ear; became desiphoretic, complained of nausea, pale. Remained conscious. Elevated blood pressure 100/60; cool cloth to head; head lowered between knees. Began to feel better after 15 min. Dr in attendance. Hearing returned to right ear.

VAERS ID:270145 (history)  Vaccinated:2006-11-20
Age:20.0  Onset:2006-11-22, Days after vaccination: 2
Gender:Female  Submitted:2006-12-18, Days after onset: 26
Location:New York  Entered:2007-01-08, Days after submission: 21
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Nevacor, Birth control pills, Celexa, Clontin
Current Illness:
Preexisting Conditions: No known allergies
Diagnostic Lab Data:
CDC Split Type: 2006034630
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)AVENTIS PASTEURU2240A1IMLA
HPV4: HPV (GARDASIL)MERCK & CO. INC. 0 UN
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA)AVENTIS PASTEURU2159A0IMRA
Administered by: Private     Purchased by: Unknown
Symptoms: Flushing, Pruritus
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (broad)
Write-up: Initial report received from a health care professional in the USA on 12 December 2006. A 18 year old, female patient (with a medical history of no known allergies) developed a flushed, red and itchy face, 2 days after she received Fluzone (lot number U2240AA) intramuscularly in the left deltoid, Menactra (lot number U2159AA) intramuscularly in the right deltoid and Gardasil (lot number unknown) on 20 November 2006. On 24 November 2006, the patient called to reports red spots on hands. The patient did not have any illness at the time of the vaccination. She was treated with Benadryl. She was not seen at the doctor''s office and has moved. It was reported that she recovered.

VAERS ID:270186 (history)  Vaccinated:2006-10-13
Age:20.0  Onset:2006-10-13, Days after vaccination: 0
Gender:Female  Submitted:2007-01-05, Days after onset: 84
Location:Utah  Entered:2007-01-08, Days after submission: 3
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Hormonal contraceptives, propranolol hydrchloride
Current Illness:
Preexisting Conditions: Immunodeficiency congenital; Fibromyalgia; Varicella. Migrain, contraception
Diagnostic Lab Data: UNK
CDC Split Type: WAES0610USA09773
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMRV: MEASLES + MUMPS + RUBELLA + VARICELLA (PROQUAD)MERCK & CO. INC.    
Administered by: Other     Purchased by: Other
Symptoms: Eye irritation, Incorrect route of drug administration
SMQs:, Corneal disorders (broad)
Write-up: Information has been received from a 20 year old female certified medical assistant with migraines and a history of congenital immunodeficiency abnormality with no "memory cells", fibromyalgia and a full case of varicella at one year who on 13 Oct 2006 was sprayed in the eyes (left greater than right) with Proquad. Concomitant therapy included propranolol HCl and hormonal contraceptives (unspecified). Unspecified medical attention was sought. She flushed her eyes with warm water. She experienced a burning sensation in the eyes that lasted 5 minutes and resolved following flushing. No redness was noted. The patient''s physician indicated that the patient "manages most infections'' quite well. Her immune status "may be akin to chronic fatigue." There was no product quality complaint involved. Additional information has been requested.

VAERS ID:270251 (history)  Vaccinated:2006-11-01
Age:20.0  Onset:2006-11-01, Days after vaccination: 0
Gender:Female  Submitted:2007-01-05, Days after onset: 65
Location:Pennsylvania  Entered:2007-01-09, Days after submission: 4
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: UNK
Diagnostic Lab Data: UNK
CDC Split Type: WAES0612USA00495
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC. 0 UN
Administered by: Other     Purchased by: Other
Symptoms: Hypoaesthesia
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad)
Write-up: Information has been received from a physician concerning a female in her early 20''s who sometime in mid November was vaccinated with her first dose of HPV Vaccine. It was reported that within 24 hours the patient experienced numbness in one of her legs and in her arm. The physician stated the patient still had numbness and that it had been over a week now and it had not subsided. The patient sought unspecified medical attention. Additional information has been requested.

VAERS ID:270332 (history)  Vaccinated:2007-01-08
Age:20.0  Onset:2007-01-09, Days after vaccination: 1
Gender:Female  Submitted:2007-01-10, Days after onset: 1
Location:Pennsylvania  Entered:2007-01-10
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions:
Diagnostic Lab Data: Normal CBC, Chem, CXR
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA)AVENTIS PASTEURU2172AA0IMLA
Administered by: Private     Purchased by: Public
Symptoms: Back pain, Dyspnoea, Nausea, Wheezing
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Angioedema (broad), Asthma/bronchospasm (broad), Retroperitoneal fibrosis (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Hypersensitivity (broad)
Write-up: Pt c/o back pain, nausea around 1am day after injection then around 5am c/o trouble breathing, wheezing. Pt called office at 8:30am, told pt to go to ED due to not having a physician in office.

VAERS ID:270336 (history)  Vaccinated:2007-01-09
Age:20.0  Onset:2007-01-09, Days after vaccination: 0
Gender:Female  Submitted:2007-01-10, Days after onset: 1
Location:Oklahoma  Entered:2007-01-10
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
FLU3: INFLUENZA (SEASONAL) (FLUZONE)AVENTIS PASTEURUT2174JA0IMLA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Flushing, Pruritus, Rash
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow)
Write-up: Facial flushing; itching of the face, neck and arms; fine rash on arms. Benadryl taken.

VAERS ID:270389 (history)  Vaccinated:2007-01-09
Age:20.0  Onset:0000-00-00
Gender:Female  Submitted:2007-01-11
Location:Pennsylvania  Entered:2007-01-11
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Prenatal vitamins, Rho (D) immune globulin.
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: A0635059A
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLULAVAL)GLAXOSMITHKLINE BIOLOGICALS2F602311 IMLA
Administered by: Private     Purchased by: Private
Symptoms: Medication error, Unintended pregnancy
SMQs:, Normal pregnancy conditions and outcomes (narrow)
Write-up: This case was reported by a healthcare professional and described the occurrence of drug exposure during pregnancy in a 20 year old female subject who was vaccinated with Flulaval for prophylaxis. Concurrent medications included Prenatal vitamins and RHO D immune globulin Rhogam. On 9 January 2007 at 13:00 the subject received 1st dose of Flulaval at 0.5ml, intramuscularly in the right arm. The subject was 30 weeks pregnant at the time of vaccination. The Flulaval administered to the subject was given 28 days past the opening of the vial. This was considered to be a medication error. The healthcare professional considered the events were clinically significant 9Or requiring intervention) (OMIC). No adverse events were reported.

VAERS ID:270405 (history)  Vaccinated:2006-11-20
Age:20.0  Onset:2006-12-05, Days after vaccination: 15
Gender:Female  Submitted:2007-01-11, Days after onset: 37
Location:Idaho  Entered:2007-01-11
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: Postpartum x 8 weeks when vaccinated
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC. 0IMUN
Administered by: Unknown     Purchased by: Unknown
Symptoms: Alopecia, Pruritus, Thermal burn
SMQs:, Anaphylactic reaction (broad), Accidents and injuries (narrow), Hypersensitivity (broad)
Write-up: States feeling like her head was burning and itching. States hair has been steadily been falling out starting 2 weeks post vaccine and continuing over the past two months.

VAERS ID:270548 (history)  Vaccinated:2006-11-22
Age:20.0  Onset:2006-11-26, Days after vaccination: 4
Gender:Female  Submitted:2007-01-08, Days after onset: 43
Location:Kentucky  Entered:2007-01-16, Days after submission: 8
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)AVENTIS PASTEURU2241AA2IMLA
HPV4: HPV (GARDASIL)MERCK & CO. INC.0868F0IMRA
Administered by: Private     Purchased by: Private
Symptoms: Pruritus, Rash generalised
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow)
Write-up: Four days following the Gardasil vaccine, the patient developed a rash all over her body that was itchy and skin colored. It seemed to be worse on the arm of injections site. The patient received an antihistamine and cortisone creme.

VAERS ID:270631 (history)  Vaccinated:2006-11-09
Age:20.0  Onset:2006-11-09, Days after vaccination: 0
Gender:Female  Submitted:2007-01-17, Days after onset: 69
Location:California  Entered:2007-01-17
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: HA, sinus pressure no temp
Preexisting Conditions: none
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
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Dose
Route
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HPV4: HPV (GARDASIL)MERCK & CO. INC.0955F0IMLA
TDAP: TDAP (ADACEL)AVENTIS PASTEURC2609AA0IMLA
Administered by: Private     Purchased by: Private
Symptoms: Injection site warmth, Pain
SMQs:
Write-up: pt stated post last vaccine admin. arm was hot to touch and sore

VAERS ID:270689 (history)  Vaccinated:2006-06-06
Age:20.0  Onset:2006-06-06, Days after vaccination: 0
Gender:Female  Submitted:2007-01-11, Days after onset: 219
Location:Kansas  Entered:2007-01-17, 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:
Current Illness: UNK
Preexisting Conditions: Medical history included not allergic to yeast. The subject''s concurrent conditions and concurrent medications were not reported.
Diagnostic Lab Data:
CDC Split Type: A0608409A
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)GLAXOSMITHKLINE BIOLOGICALSAHBVB248AA0IMLA
Administered by: Private     Purchased by: Private
Symptoms: Injection site erythema, Injection site irritation, Injection site oedema, Injection site pain, Injection site pruritus
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: This case was reported by a health care professional and described the occurrence of injection site redness in a 20 year old female subject who was vaccainted with Engerix B for prophylaxis. Medical history included not allergic to yeast. On 06 June 2006 the subject received 1st dose of intramuscular Engerix B in Unknown deltoid (lot AHBVB248AA). The health care professional reported that on 06 June 2006, less than one day after vaccination with Engerix B, the injection site was swollen to the size of half dollar and hard. The red area became the size of a tennis ball. The subject also reported to the healthcare professional that the site was tender to the touch with itching and burning occurring. The subject was seen at a physician''s office. At the time of initial reporting, 08 June 2006, the events were ongoing. The healthcare professional considered the events were probably related to vaccination with Engerix B. Follow up information received on 03 July 2006 indicated that the events resolved by 09 July 2006. In the reporters opinion, the events were possibly related to vaccination with Engerix B. No additional information was reported.

VAERS ID:270776 (history)  Vaccinated:2007-01-06
Age:20.0  Onset:2007-01-06, Days after vaccination: 0
Gender:Male  Submitted:2007-01-06, Days after onset: 0
Location:Virginia  Entered:2007-01-18, Days after submission: 12
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUARIX)GLAXOSMITHKLINE BIOLOGICALSAFLUA244AA IMLA
HEP: HEP B (ENGERIX-B)GLAXOSMITHKLINE BIOLOGICALSAHBVB360CA1IMRA
Administered by: Other     Purchased by: Military
Symptoms: Asthenia, Erythema, Headache, Rash macular
SMQs:, Anaphylactic reaction (broad), Guillain-Barre syndrome (broad), Hypersensitivity (narrow)
Write-up: About 10:15am Pt received Hep B/Flu vaccine. 1030 pt returned with bright red macular rash arms, chest, neck, trunk denies SOB, denies chest tightness or dizziness, c/o 8/10 bilateral headache and feels very weak. Pt transported to medical center ER. Arrived at 1130am. Seen by MD at 1700, rash subsided at about 1130 am but HA still 5/10 and weakness. Spoke with units POX on Sunday Jan 8 2007. Pt back at unit states no after effects Pt can take 3rd Hep B when due per ER MD.

VAERS ID:270920 (history)  Vaccinated:2007-01-11
Age:20.0  Onset:2007-01-14, Days after vaccination: 3
Gender:Female  Submitted:2007-01-16, Days after onset: 2
Location:Michigan  Entered:2007-01-22, 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: Nuvaring, Allegra 180 mg
Current Illness: NONE
Preexisting Conditions: Seasonal allergies
Diagnostic Lab Data: NONE
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.0955F0IMLA
Administered by: Private     Purchased by: Private
Symptoms: Rash pruritic
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow)
Write-up: Pruritic rash covering majority of body neck down.

VAERS ID:271115 (history)  Vaccinated:0000-00-00
Age:20.0  Onset:0000-00-00
Gender:Female  Submitted:2007-01-16
Location:Vermont  Entered:2007-01-22, Days after submission: 6
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC Split Type: WAES0612USA02573
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.  IM 
Administered by: Other     Purchased by: Other
Symptoms: Injection site pain
SMQs:, Extravasation events (injections, infusions and implants) (broad)
Write-up: Information has been received from a nurse practitioner concerning a 20 year old female with no medical history or allergies, who was vaccinated IM with 0.5 ml dose of Gardasil vaccine (yeast). Concomitant therapy included unspecified hormonal contraceptives (unspecified). Subsequently, the patient experienced severe injection site pain at the time of immunization. Unspecified medical attention was sought. No diagnostic laboratory studies were performed. Subsequently, the patient recovered. No product quality complaint was involved. Additional information has been requested.

VAERS ID:271120 (history)  Vaccinated:2006-10-21
Age:20.0  Onset:2006-10-21, Days after vaccination: 0
Gender:Female  Submitted:2007-01-16, Days after onset: 87
Location:Tennessee  Entered:2007-01-22, 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: hormonal contraceptives
Current Illness:
Preexisting Conditions: Penicillin allergy
Diagnostic Lab Data: cervical smear, 12/8/06, + High risk HPV types; cervical smear 11/04, negative; cervical smear 12/09/05, negative.
CDC Split Type: WAES0612USA02744
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.0702F0IM 
Administered by: Other     Purchased by: Other
Symptoms: Injection site erythema, Injection site oedema, Smear cervix, Smear cervix abnormal, Smear cervix normal, Vaginitis bacterial
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: Information has been received from a nurse practitioner concerning a 19 year old female with an allergy to penicillin who on 21 Oct 2006 was vaccinated intramuscularly in the left deltoid with the first dose of Gardasil (Lot #653650/0702F). Concomitant therapy included hormonal contraceptives (unspecified). On 21 Oct 2006 the patient experienced minor redness and swelling at the injection site, which later resolved. On 08 Dec 2006 the patient presented with bacterial vaginosis and had a positive pap smear test for high risk HPV types. It was noted that on an unspecified date in November 2006 and on 09 Dec 2005 the patient''s pap smear tests were negative. Subsequently, unspecified medical attention was sought and the patient had not recovered from positive pap smear test. Additional information has been requested.

VAERS ID:271126 (history)  Vaccinated:2006-11-16
Age:20.0  Onset:2006-11-17, Days after vaccination: 1
Gender:Female  Submitted:2007-04-06, Days after onset: 139
Location:New York  Entered:2007-01-22, Days after submission: 73
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Allergic reaction to antibiotics
Diagnostic Lab Data: complete blood cell 11?/??/06 - normal erythrocyte 11?/??/06 - normal
CDC Split Type: WAES0612USA02899
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC. 0UNUN
Administered by: Other     Purchased by: Other
Symptoms: Arthralgia, Full blood count normal, Injection site pain, Red blood cell sedimentation rate normal
SMQs:, Extravasation events (injections, infusions and implants) (broad), Arthritis (broad)
Write-up: Information has been received from a physician concerning a 20 year old female with an allergy to antibiotics who on 16-Nov-2006 was vaccinated with a first dose of Gardasil vaccine (yeast). On 17-Nov-2006 the patient developed pain at the injection site. The patient began to have joint pain throughout her body. The location of the joint rotated and was in her right knee at the time of this report. Laboratory evaluations revealed that erythrocyte sedimentation rate and complete blood count were normal. The patient was to be seen by a neurologist. The physician reported that she would most likely hold off on the second dose of Gardasil vaccine (yeast). At the time of this report, the patient''s joint pain persisted. Additional information has been requested. This is in follow-up to report (s) previously submitted on 1/16/2007. Information has been received from a physician concerning a 20 year old female with an allergy to antibiotics who on 16-NOV-2006 was vaccinated with a first dose of GARDASIL. On 17-NOV-2006 the patient developed pain at the injection site. The patient then began to have joint pain throughout her body. The location of the joint rotated and was in her right knee at the time of this report. Laboratory evaluations revealed that erythrocyte sedimentation rate and complete blood count were normal. The physician reported that the patient was seen by a rheumatologist, but she did not have the details of the visit. The physician reported that the patient cancelled her appointment to received her second dose of GARDASIL. At the time of this report, the patient''s joint pain persisted. Additional information has been requested.

VAERS ID:271127 (history)  Vaccinated:2006-10-17
Age:20.0  Onset:2006-10-17, Days after vaccination: 0
Gender:Female  Submitted:2007-01-16, Days after onset: 91
Location:Tennessee  Entered:2007-01-22, Days after submission: 6
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Gastroesophageal reflux
Preexisting Conditions:
Diagnostic Lab Data: NONE
CDC Split Type: WAES0612USA02924
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.0688F0IMUN
Administered by: Other     Purchased by: Other
Symptoms: Headache, Nausea, Upper respiratory tract infection
SMQs:, Acute pancreatitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)
Write-up: Information has been received from a nurse practitioner concerning a 20 year old female with gastric reflux who on 17-Oct-2006 was vaccinated IM with a first dose of Gardasil vaccine (yeast) (lot#653735/0688F). Concomitant therapy included Nuvaring and Aciphex. That evening the patient experienced quite a bit of nausea and a headache. It was noted that the patient couldn''t study. On 18-Oct-2006, the nausea was gone. The patient thought that her headache was due to new contacts. On 19-Oct-2006, the patient''s headache went away after she took her contacts out. One month later the patient experienced a upper respiratory infection but the nurse practitioner did not think it was related to the vaccine. Unspecified medical attention was sought. No diagnostic laboratory studies were involved. At the time of this report the outcome of upper respiratory infection was unknown. No product quality complaint was involved. Additional information has been requested. The patient stated that the nausea was a small price to pay for protection. On 18-Dec-2006, the patient was vaccinated into the left deltoid with a second dose of GARDASIL (lot# 654885/1424F). No product quality complaint was involved. Additional information is not expected.

VAERS ID:271137 (history)  Vaccinated:2006-12-18
Age:20.0  Onset:2006-12-18, Days after vaccination: 0
Gender:Female  Submitted:2007-01-16, Days after onset: 29
Location:Unknown  Entered:2007-01-22, Days after submission: 6
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC Split Type: WAES0612USA03188
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC. 0IM 
Administered by: Other     Purchased by: Other
Symptoms: Pain, Pain in extremity
SMQs:
Write-up: Information has been received from a registered nurse concerning her 20 year old daughter with no medical history or allergies, who on 18-DEC-2006 was vaccinated IM with a first dose of HPV rL1 6 11 16 18 VLP vaccine (yeast). There was no concomitant medication. On 18-DEC-2006, the patient experienced throbbing pain in her arm. Unspecified medical attention was sought. No diagnostic studies were performed. At the time of this report, the patient''s pain was subsiding. No product quality complaint was involved. Additional information has been requested.

VAERS ID:271145 (history)  Vaccinated:2006-12-19
Age:20.0  Onset:2006-12-19, Days after vaccination: 0
Gender:Female  Submitted:2007-04-06, Days after onset: 107
Location:Maryland  Entered:2007-01-22, Days after submission: 73
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Hypersensitivity
Preexisting Conditions:
Diagnostic Lab Data: blood pressure, 12/19/06, 101/6 mmHg
CDC Split Type: WAES0612USA03566
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.0954F0IMUN
Administered by: Private     Purchased by: Private
Symptoms: Dizziness, Flushing
SMQs:, Anaphylactic reaction (broad), Anticholinergic syndrome (broad), Vestibular disorders (broad), Hypersensitivity (broad)
Write-up: Information has been received from a licensed practical nurse concerning a 20 year old female who had hypersensitivity reported as "Motrin for allergies". On 19 Dec 2006, the patient was vaccinated intramuscularly with the firs "single dose vial" of Gardasil (Lot # 653938/0954F). Concomitant therapy included Motrin, Desogen, Allegra and Zantac. On 19 Dec 2006, "almost immediately after vaccination", the patient became a little flushed in the face and had to take a minute to sit and gather herself together. The patient was noted to have a blood pressure of 101/65 mmHg (date unknown). The patient sought unspecified medical attention. It was reported that the patient" improved within seconds". On 19 Dec 2006, the patient had recovered from the event. The licensed practical nurse reported that they were planning to vaccinate for the second and third dose as indicated in the "PI". Additional information has been requested. This is in follow-up to report (s) previously submitted on 1/16/2007. Information has been received from a licensed practical nurse concerning a 20 year old female who had hypersensitivity reported as MOTRIN for allergies" and no illness at the time of vaccination. On 19-Dec-2006, the patient was vaccinated intramuscularly with the first "single dose vial" of GARDASIL (Lot # 653938/0954F). Concomitant therapy included MOTRIN, DESOGEN, ALLEGRA and ZANTAC. On 19-DEC-2006, "almost immediately after vaccination", the patient became a little flushed in the face, experienced dizziness, and had to take a minute to sit and gather herself together. The patient was noted to have a blood pressure of 101/65 mmHg (date unknown). Vital signs taken were very similar to those taken during the exam. It was reported that the patient "improved within seconds". On 19-DEC-2006, the patient had recovered from the event and left the office without further incident. The licensed practical nurse reported that they were planning to vaccinate for the second and third dose as indicated in the "PI". No additional information is expected.

VAERS ID:271281 (history)  Vaccinated:0000-00-00
Age:20.0  Onset:0000-00-00
Gender:Unknown  Submitted:2007-01-16
Location:Unknown  Entered:2007-01-22, Days after submission: 6
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: UNK
Diagnostic Lab Data: UNK
CDC Split Type: WAES0701USA00186
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.  UNUN
VARZOS: ZOSTER (ZOSTAVAX)MERCK & CO. INC.  UNUN
Administered by: Other     Purchased by: Other
Symptoms: No adverse effect, Wrong drug administered
SMQs:
Write-up: Information has been received from a health professional and a pharmacist concerning a 20 year old patient who on an unspecified date was vaccinated with a dose of Zostavax vaccine instead Gardasil vaccine (yeast). Unspecified medical attention attention was sought. The patient was not experienced any known symptoms. It was reported that the error was not a result of product confusion. There was no record of the patient ever receiving Varicella virus vaccine live. There was no product quality complaint involved. No further information was available. Additional information has been requested. 6/17/10 It was reported that the administering employee did not follow the 5 R''s, did not ask for assistance from another health care professional and "did not know what she was doing." It was confirmed that this was not a case of product confusion. No further information was available.

VAERS ID:271086 (history)  Vaccinated:2007-01-09
Age:20.0  Onset:2007-01-12, Days after vaccination: 3
Gender:Male  Submitted:2007-01-24, Days after onset: 12
Location:Kansas  Entered:2007-01-24
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: none
Preexisting Conditions: none (no eczema)
Diagnostic Lab Data: None
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
SMALL: SMALLPOX (DRYVAX)PFIZER/WYETH40200760IDLA
Administered by: Military     Purchased by: Military
Symptoms: Vaccinia
SMQs:
Write-up: Generalized vaccinia affecting primarily thorax and abdomen, front and back

VAERS ID:271178 (history)  Vaccinated:2007-01-11
Age:20.0  Onset:2007-01-11, Days after vaccination: 0
Gender:Female  Submitted:2007-01-24, Days after onset: 13
Location:Unknown  Entered:2007-01-25, Days after submission: 1
Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Yasmin
Current Illness:
Preexisting Conditions: NONE
Diagnostic Lab Data: diagnostic laboratory 01/11?/07 - results not reported
CDC Split Type: WAES0701USA01948
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.0954F IMUN
Administered by: Other     Purchased by: Other
Symptoms: Arthralgia, Dermographism, Gait disturbance, Laboratory test, Oedema peripheral, Urticaria
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (narrow), Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow), Arthritis (broad)
Write-up: Information has been received from a physician concerning her 20 year old daughter who on 11-JAN-2007 was vaccinated IM with a 0.5 ml dose of GARDASIL vaccine (yeast) (lot#653938/0954F). Concomitant therapy included Yasmin. On 11-JAN-2007, fifteen minutes after the vaccination, welts appeared on the patient''s neck and spread all over the body. Dermatographia resulted all over the patient''s body, her hands and feet were swollen, and she experienced arthritic pain in her joints. It was reported that the patient was not able to walk because of the pain. The patient was treated with Zyrtec, dexamethasone and hydroxyzine. Unspecified blood tests were performed (results not reported). At the time of this report, the patient was not recovered. Welts, dermatographia, peripheral swelling, arthritic-like joint pain and the patient''s inability to walk were considered to be disabling events. Additional information has been requested.

VAERS ID:271368 (history)  Vaccinated:2007-01-11
Age:20.0  Onset:2007-01-13, Days after vaccination: 2
Gender:Female  Submitted:2007-01-26, Days after onset: 13
Location:Unknown  Entered:2007-01-29, Days after submission: 3
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: NUVARING, ALLEGRA
Current Illness:
Preexisting Conditions: UNK
Diagnostic Lab Data: UNK
CDC Split Type: WAES0701USA02394
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.  IMUN
Administered by: Other     Purchased by: Other
Symptoms: Rash generalised
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow)
Write-up: Information has been received from a nurse practitioner concerning a 20 year old female who on 11-Jan-2007 was vaccinated with Gardasil vaccine (yeast), intramuscularly. Concomitant therapy included Allegra and Nuvaring. On 13-Jan-2007 the patient had a "rash from her neck down". The patient was seen in the emergency room and was given Prednisone. At the time of the report, the patient was recovering. The reporter was considering giving the patient Benadryl and Prednisone before the next vaccination with Gardasil vaccine (yeast). The patient''s experience was considered to be an other medical event. Additional information has been requested.

VAERS ID:271411 (history)  Vaccinated:2007-01-10
Age:20.0  Onset:2007-01-12, Days after vaccination: 2
Gender:Female  Submitted:2007-01-24, Days after onset: 12
Location:Rhode Island  Entered:2007-01-29, 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: seasonal allergies, asthma
Diagnostic Lab Data: Ct- Brain Nec Labs received 3/1/07-strep screen negative for group A strep. CBC WNL except for lymphocyte 21.6. CT cranial-no intracranial abnormality. Some evidence her for mild paranasal sinus disease particularly on the left side
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.0955F0IMRA
Administered by: Private     Purchased by: Private
Symptoms: Computerised tomogram normal, Grand mal convulsion, Lymphocyte count, Postictal state, Streptococcus serology negative, Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Systemic lupus erythematosus (broad), Arrhythmia related investigations, signs and symptoms (broad), Convulsions (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (narrow)
Write-up: 48 hours post injection-appeared to have witnessed tonic clonic seizures with postictal phase lasting less than 1 min. 03/01/07-records received from facility for DOS 01/12/2007-DX fainting. 03/01/07-records received from facility for DOS 01/12/2007-DX fainting.

VAERS ID:271466 (history)  Vaccinated:2007-01-29
Age:20.0  Onset:2007-01-30, Days after vaccination: 1
Gender:Female  Submitted:2007-01-30, Days after onset: 0
Location:Ohio  Entered:2007-01-30
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: none reported
Current Illness: none stated
Preexisting Conditions: none stated
Diagnostic Lab Data: none
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.0249F0SCLA
Administered by: Public     Purchased by: Private
Symptoms: Rash
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow)
Write-up: Rash within 24 hrs. of vaccine administration to face, legs, arms. Denies fever or SOB.

VAERS ID:271583 (history)  Vaccinated:2007-01-08
Age:20.0  Onset:2007-01-08, Days after vaccination: 0
Gender:Female  Submitted:2007-01-31, Days after onset: 23
Location:Maryland  Entered:2007-02-01, Days after submission: 1
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Abdominal pain, Rectal bleeding, Papilloma viral infection, Sexually transmitted disease, Termination of pregnancy elective.
Diagnostic Lab Data: ultrasound 01/18/2007 - 7 week 3 day gestational dates urine beta-human 01/08?/07
CDC Split Type: WAES0701USA01621
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.1427F1IM 
Administered by: Other     Purchased by: Other
Symptoms: Abortion induced, Drug exposure during pregnancy, Pregnancy, Pregnancy test positive, Ultrasound scan, Urine human chorionic gonadotropin positive
SMQs:, Tumour markers (narrow), Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow), Termination of pregnancy and risk of abortion (narrow), Normal pregnancy conditions and outcomes (narrow)
Write-up: Initial and follow up information has been received from a health professional concerning a 20 year old female patient with a history of 2 therapeutic abortions (2000 and 2004) abdominal pain, mild rectal bleeding, papilloma viral infection and sexually transmitted disease who on 08-JAN-2007 was vaccinated IM into the left deltoid with a second 0.5 ml of Gardasil vaccine (yeast) (lot#655619/1427F). Concomitant therapy included Risperdal and Celexa. The patient was reportedly pregnant at this time and did not tell the office. An HCG pregnancy test was done. The patient is scheduled for a prenatal visit on 19-JAN-2007. Her LMP was approximately 11-OCT-2006 and EDD 19-JUL-2007. An ultrasound on 18-JAN-2007 for gestational dates revealed of 7 weeks of 7 weeks and 3 days. The patient had an elective termination on 23-JAN-2007. There was no further information available. The patient received a first 0.5 ml dose of Gardasil vaccine (yeast) (lot#654540/0800F) on 23-OCT-2006 IM into the left deltoid. Upon internal review, elective termination was considered to be an other important medical event. Additional information has been requested.

VAERS ID:271724 (history)  Vaccinated:2007-01-08
Age:20.0  Onset:2007-01-09, Days after vaccination: 1
Gender:Female  Submitted:2007-01-26, Days after onset: 17
Location:Arizona  Entered:2007-02-05, Days after submission: 10
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Recent antibiotics for sinus infection
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
RAB: RABIES (RABAVERT)CHIRON CORPORATION411011A0IMRA
Administered by: Private     Purchased by: Private
Symptoms: Arthralgia, Myalgia, Pyrexia, Rash, Rash pruritic, Urticaria
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Angioedema (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Eosinophilic pneumonia (broad), Hypersensitivity (narrow), Arthritis (broad)
Write-up: 1/12/07 had Rabies vaccine on Monday 1/8, Tuesday evening had fever but no thermometer, also joint and muscle pains, relieved with Ibuprofen, recurred Wednesday evening with same symptoms, rash and redness of face with itching, began Thursday, no trouble breathing, Calamine and Benadryl did not give relief. At this time T 98.5, P 66, R 14 BP 96/62. No apparent distress, fine non raised rash on face, ears, poss scalp, chest, arms, legs to feet, reports no other exposure - Food, soaps, etc, Eval per Dr and referred to PCP to determine if SX are related to vaccine. Recommended to defer vaccine #2 until cause of symptoms is evaluated. 1/15/07 spoke with pt. She reports eval by PCP who thought vaccine was the cause of the symptoms and recommended to continue the Benadryl. Symptoms were improved Saturday (1/13) but worsened last pm with hives on arms and thighs with itching. Recommended to continue the PCP''s recommendations. Will come to clinic tomorrow to prepare VAERS report. 1/16/07 Pt did not return for further evaluation.

VAERS ID:271784 (history)  Vaccinated:2006-09-13
Age:20.0  Onset:2006-09-14, Days after vaccination: 1
Gender:Female  Submitted:2007-01-11, Days after onset: 119
Location:Massachusetts  Entered:2007-02-05, 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: Birth Control; penicillin
Current Illness: NONE
Preexisting Conditions: ? Scarlet Fever
Diagnostic Lab Data: UCG negative; urine negative for sugar, leukocytes, blood
CDC Split Type: AEO620
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)MASS. PUB HLTH BIOL LABTD1531IMRA
Administered by: Public     Purchased by: Other
Symptoms: Asthenia, Dizziness, Electrocardiogram normal, Headache, Hyperhidrosis, Hypotension, Rash, Scarlet fever, Syncope, Thirst, Urine analysis normal
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (narrow), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Guillain-Barre syndrome (broad), Cardiomyopathy (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Hypersensitivity (narrow)
Write-up: Patient woke up dizzy, didn''t eat or drink but doesn''t usually in the AM, went to class, felt dizzy and thirsty. Left class to go outside and just outside the door patient fainted, woke up sweating. Walked back to the dorm but felt weak. Went to health Centre (ambulatory) at 11:30/12:00 noon. Complained of being lightheaded and dizzy. Hypotension when changing position. BP 118/76 (lying and sitting); 112/73 (standing), Pulse-80, strong. Patient felt short of breath at one point prior to arrival. Patient also complained of a headache. She was not feeling any better. Injections from the Td vial was given to three other patients, there were no other reports of reactions. Follow up on 09/21/06: Patient came back into the office on 09/20/06 and was perfectly fine. Patient was a little dizzy over the weekend but had fully recovered. Reporter was not sure when the patient was diagnosed with possible scarlet fever. Patient noticed rash around 08/09/06 and went to see a doctor between 20th and 25th of August. No labs were done.

VAERS ID:272023 (history)  Vaccinated:2007-01-30
Age:20.0  Onset:2007-01-30, Days after vaccination: 0
Gender:Female  Submitted:2007-01-31, Days after onset: 1
Location:North Carolina  Entered:2007-02-09, Days after submission: 9
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: NONE
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
RAB: RABIES (RABAVERT)NOVARTIS VACCINES AND DIAGNOSTICS387011A2IMLA
Administered by: Public     Purchased by: Private
Symptoms: Pruritus, Rash generalised
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow)
Write-up: Client reports itching on bottom, then entire body approximately 15-30 minutes after receiving rabies pre-exposure vaccine #3. Client reports also to having a rash over body.

VAERS ID:272191 (history)  Vaccinated:2006-12-21
Age:20.0  Onset:2006-12-21, Days after vaccination: 0
Gender:Female  Submitted:2007-02-12, Days after onset: 53
Location:Unknown  Entered:2007-02-13, Days after submission: 1
Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Hormonal contraceptives
Current Illness:
Preexisting Conditions: Penicillin allergy
Diagnostic Lab Data: UNK
CDC Split Type: WAES0702USA00017
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.0961F0IMUN
Administered by: Other     Purchased by: Other
Symptoms: Hypokinesia, Pain in extremity
SMQs:, Parkinson-like events (broad), Guillain-Barre syndrome (broad), Hypotonic-hyporesponsive episode (broad)
Write-up: Information has been received from a physician concerning a 20 year old female with a penicillin allergy and no other reported health history who on 21-DEC-2006 was vaccinated with a first dose of Gardasil (lot # 654389/0961F) (0.5 ml), intramuscularly. Concomitant therapy included birth control pills. Subsequently, she had experienced severe pain in the arm since the vaccination. She was unable to raise her arm more than a 45 degree angle. She had been seen by her family physician who diagnosed her with "Frozen Arm Syndrome". it was reported that she would be seen by an orthopedic surgeon in a few days. It was noted that the patient is "thin build, weighed 119 pounds and was five feet six inches tall. It was noted that there was no previous injury to area or to arm. Unspecified medical attention was sought. At the time of the report, the patient was considered to be not recovered. The patient''s experiences were considered to be disabling. Additional information has been requested.

VAERS ID:272267 (history)  Vaccinated:2007-01-26
Age:20.0  Onset:2007-01-28, Days after vaccination: 2
Gender:Female  Submitted:0000-00-00
Location:Maryland  Entered:2007-02-15
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.0961F0IMRA
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: Nausea, dizziness

VAERS ID:272301 (history)  Vaccinated:2007-01-05
Age:20.0  Onset:2007-01-05, Days after vaccination: 0
Gender:Female  Submitted:2007-02-14, Days after onset: 40
Location:Kentucky  Entered:2007-02-15, Days after submission: 1
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Nervousness
Preexisting Conditions:
Diagnostic Lab Data: UNK
CDC Split Type: WAES0701USA00872
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC. 0IM 
Administered by: Other     Purchased by: Other
Symptoms: Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow)
Write-up: Information has been received from a physician concerning a 20 year old female who on 05-JAN-2007 was vaccinated intramuscularly with the first dose of Gardasil (yeast). Concomitant therapy included hormonal contraceptives (unspecified). The physician reported that the patient was extremely nervous about getting the shot. Later that evening, within 12 hours, the patient broke out in hives. The physician told the patient to go to the emergency room (ER). The patient went to the ER and was given BENADRYL for the hives. The physician reported that the patient was fine, but does not plan to give the patient anymore shots. There was no lot number provided. At the time of this report, it was noted that the patient was "fine after she had received BENADRYL. Additional information has been requested.

VAERS ID:272307 (history)  Vaccinated:2006-11-09
Age:20.0  Onset:2006-11-09, Days after vaccination: 0
Gender:Female  Submitted:2007-02-14, Days after onset: 97
Location:Unknown  Entered:2007-02-15, Days after submission: 1
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: penicillin (unspecified)
Current Illness:
Preexisting Conditions: NONE
Diagnostic Lab Data: test, date, value unit, normal range, comment body temp, 11/10/06, 102.7 degr
CDC Split Type: WAES0701USA01050
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC. 0  
Administered by: Other     Purchased by: Other
Symptoms: Body temperature increased, Chills, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad)
Write-up: Information has been received from a physician concerning a 20 year old female patient with no allergies or medical history who on 09-NOV-2006, was vaccinated with the first 0.5 L, dose of HPV rL1 6 11 16 18 VLP vaccine (yeast) (lot unspecified). Concomitant therapy included penicillin. On 09-NOV-2006, at 1:30 P.M., the patient developed chills and fever of 102.7 degrees on 10-NOV-2006 at 7:00 P.M. The patient did not seek medical attention. The patient treated herself with acetaminophen (TYLENOL). The patient''s symptoms lasted until noon on 11-NOV-2006. Additional information has been requested.

VAERS ID:272314 (history)  Vaccinated:2006-11-21
Age:20.0  Onset:2006-11-27, Days after vaccination: 6
Gender:Female  Submitted:2007-02-14, Days after onset: 79
Location:Unknown  Entered:2007-02-15, Days after submission: 1
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Surgery
Preexisting Conditions: Papanicolaou smear abnormal
Diagnostic Lab Data: Hemoglobin
CDC Split Type: WAES0701USA01358
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.0637F  UN
Administered by: Other     Purchased by: Other
Symptoms: Anogenital warts, Haemoglobin
SMQs:
Write-up: Information has been received from a nurse practitioner concerning her daughter, a 20 year old female with possible human papilloma virus prior to May 2006 who had an abnormal Papanicolaou (PAP) smear and colposcopy, June 2006 who on 21-NOV2006 was vaccinated with a 0.5ml dose of Gardasil. Concomitant therapy included Yasmin. On 27-NOV-2006, the patient developed genital warts. The patient required laser surgery on 08-JAN-2007. Laboratory evaluation included hemoglobin. The patient sought unspecified medical attention. At the time of the report, the patient had not recovered. Additional information has been requested.

VAERS ID:272317 (history)  Vaccinated:2006-12-22
Age:20.0  Onset:2006-12-22, Days after vaccination: 0
Gender:Female  Submitted:2007-02-14, Days after onset: 54
Location:Pennsylvania  Entered:2007-02-15, Days after submission: 1
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: UNK
Diagnostic Lab Data: NONE
CDC Split Type: WAES0701USA01401
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.0955F0IMLA
Administered by: Private     Purchased by: Other
Symptoms: Dizziness, Loss of consciousness
SMQs:, Torsade de pointes/QT prolongation (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad)
Write-up: Information has been received from a registered nurse concerning a 20 year old female who on 22-DEC-2006 was vaccinated with Gardasil (yeast) (lot number 653978/0955F). On 22-DEC-2006 the patient passed out after vaccination. Additional information has been requested. This is in follow-up to report(s) previously submitted on 2/14/2007. Initial and follow-up information has been received from a registered nurse concerning a 20 year old female student with no reported allergies who, at 10:00AM on 22-DEC-2006, was vaccinated into the left deltoid with a first dose of GARDASIL (Lot# 653978/0955F). There was no illness at the time of vaccination. On 22-DEC-2006, after the vaccination, the patient felt faint and passed out for a short time. The nurse reported that the patient was watched closely and felt fine after a while and then left the office, recovered the same day, 22-DEC-2006. Additional information is not expected.

VAERS ID:272320 (history)  Vaccinated:2007-01-09
Age:20.0  Onset:2007-01-09, Days after vaccination: 0
Gender:Female  Submitted:2007-02-14, Days after onset: 36
Location:Pennsylvania  Entered:2007-02-15, Days after submission: 1
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Syncope
Diagnostic Lab Data: None
CDC Split Type: WAES0701USA01412
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.0955F0IMUN
Administered by: Other     Purchased by: Other
Symptoms: Condition aggravated, 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: Information has been received from an R.N. concerning a 19 year old female patient who on 09-JAN-2007 was vaccinated IM with a dose of GARDASIL (lot #653978/0955F) and felt dizzy and lightheaded. Medical attention was sought. At the time of the report the patient was recovering. Additional information has been requested. This is in follow-up to report(s) previously submitted on 2/14/2007. Follow up information has been received concerning the 20 year old female student who on 09-JAN-2007 at 9:30 a.m. was vaccinated IM in left deltoid with her first dose of GARDASIL, lot #653978/0955P. After the first injection, the patient felt faint. On 06-MAR-2007 at 10:00 a.m. The patient was vaccinated IM in left deltoid with her second dose of GARDASIL, lot #655619/1427P. After the second injection, the patient did faint. She went out approximately 5 minutes, came to and then felt fine. The patient stated she "does this for all injections, even eye drops". She was reported as recovered on 08-MAR-2007. Additional information is not expected.

VAERS ID:272351 (history)  Vaccinated:2007-01-08
Age:20.0  Onset:2007-01-10, Days after vaccination: 2
Gender:Female  Submitted:2007-02-14, Days after onset: 35
Location:New York  Entered:2007-02-15, Days after submission: 1
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Micronor
Current Illness:
Preexisting Conditions: Blood pressure high, sulfonamide allergy.
Diagnostic Lab Data: NONE
CDC Split Type: WAES0701USA02390
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.1427F0IM 
Administered by: Other     Purchased by: Other
Symptoms: Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow)
Write-up: Information has been received from a physician concerning a 20 year old female with high blood pressure and an allergy to sulfa. On 08-Jan-2007, the patient was vaccinated intramuscularly with a first 0.5 ml dose of Gardasil (lot #655619/1427F). Concomitant therapy included Micronor. On 10-JAN-2007, the patient developed intermittent hives. The patient sought unspecified medical attention. At the time of this report, the patient had not recovered from the event. Additional information has been requested.

VAERS ID:272353 (history)  Vaccinated:2006-11-01
Age:20.0  Onset:2006-11-01, Days after vaccination: 0
Gender:Female  Submitted:2007-02-14, Days after onset: 105
Location:Michigan  Entered:2007-02-15, Days after submission: 1
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: UNK
Diagnostic Lab Data: UNK
CDC Split Type: WAES0701USA02404
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.653650/0702F0IM 
Administered by: Private     Purchased by: Private
Symptoms: Dysgeusia, Vaccine positive rechallenge
SMQs:, Taste and smell disorders (narrow)
Write-up: Information has been received from a licensed partner nurse concerning her 20 year old white daughter student with pertinent medical history and drug reactions/allergies reported as unspecified who on 01-NOV-2006 was vaccinated with first dose of HPV rL1 6 11 16 18 VLP vaccine (yeast) (lot # 653650/0702F) IM left arm at 1500 hours. On approximately 17-JAN-2007, the patient was vaccinated with a second dose of HPV rL1 6 11 16 18 VLP vaccine (yeast) (lot # not reported). Following each dose of HPV rL1 6 11 16 18 VLP vaccine (yeast), the patient experienced a metallic taste. The metallic taste was more pronounced after the first dose. The patient sought medical attention. Subsequently, the patient recovered. No other information was available at the time of reporting. Additional information was received from the licensed practical nurse. The patient complained of strong "metal" taste at the back of her tongue immediately after the first injection. This odd taste sensation lasted somewhere between 30 and 60 seconds and then slowly disappeared after 2 to 3 minutes. No additional information is expected.

VAERS ID:272523 (history)  Vaccinated:2007-01-05
Age:20.0  Onset:2007-01-05, Days after vaccination: 0
Gender:Female  Submitted:2007-02-14, Days after onset: 40
Location:Unknown  Entered:2007-02-15, Days after submission: 1
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Depo-Provera
Current Illness:
Preexisting Conditions: collapse of lung
Diagnostic Lab Data: Diagnostic test: blood pressure, 01/05/07, 138/6; electrocardiogram, 01/05/07, tachy; Lab Results: total heartbeat count, 01/05/07, 145
CDC Split Type: WAES0701USA04282
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC. 0IM 
Administered by: Other     Purchased by: Other
Symptoms: Blood pressure, Dizziness, Electrocardiogram, Fatigue, Heart rate increased, Hypertension, Tachycardia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Hypertension (narrow), Vestibular disorders (broad)
Write-up: Information has been received from a physician concerning a 20 year old female with a history of collapse of left lung (September 2006 for which she recovered) who on 05-JAN-2007 was vaccinated with a first IM dose of HPV vaccine (yeast). Concomitant therapy on 05-JAN-2007 included a dose of medroxyprogesterone acetate (DEPO-PROVERA). On 05-JAN-2007 the patient experienced dizziness, tiredness, tachycardia and high blood pressure. The patient has been on medroxyprogesterone acetate since July 2006 and has not experienced any of these symptoms. Her pulse rate has been as high as 145 at rest and blood pressure was 138/85 and an EKG showed tachycardia. Blood work was done and results not provided. She is scheduled to have pulmonary function tests on 07-FEB-2007 and will be seeing a cardiologist "in the future." The patient''s dizziness and tiredness and tachycardia and high blood persisted. Additional information has been requested.

VAERS ID:272579 (history)  Vaccinated:2006-11-29
Age:20.0  Onset:2006-11-29, Days after vaccination: 0
Gender:Female  Submitted:2007-04-06, Days after onset: 127
Location:Washington  Entered:2007-02-15, Days after submission: 49
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Drug hypersensitivity
Preexisting Conditions:
Diagnostic Lab Data: UNK
CDC Split Type: WAES0701USA04623
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.654540/0800F0IMUN
Administered by: Private     Purchased by: Private
Symptoms: Dizziness, Headache, Pharyngeal hypoaesthesia, Throat tightness
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Vestibular disorders (broad), Hypersensitivity (broad)
Write-up: Information has been received from a registered nurse concerning a 20 year old female with an allergy to amoxicillin (AUGMENTIN) who on 29-NOV-2006 was vaccinated IM, into the deltoid, with a first dose of HPV VLP vaccine (yeast) (lot # 654540/0800F). Concomitant therapy included ORTHO EVRA. Approximately 1 minute after the vaccination, the patient reported that her "throat felt constricted." Subsequently, the patient recovered after 5 minutes. On 25-JAN-2007 the patient was vaccinated with a second dose of dose of HPV VLP vaccine (yeast). Five seconds after the vaccination, the patient experienced "numbness in the throat" that lasted a short duration. The patient reported that she developed an intense headache 30 minutes after the vaccination that lasted until she went to bed. On 26-JAN-2007, the patient recovered from the headache. Unspecified medical attention was sought. There were no laboratory or diagnostic tests performed. Additional information has been requested. This is in follow-up to report (s) previously submitted on 2/14/2007. Initial and follow-up information has been received from a registered nurse concerning a 20 year old female with an allergy to AUGMENTIN who on 29-NOV-2006 was vaccinated intramucularly, into the deltoid, with a first dose of GARDASIL (lot # 654540/0800F). Concomitant therapy included ORTHO EVRA. Within 1 minute after the vaccination, the patient felt "tightness in throat" and lightheadedness. Subsequently, the patient recovered after 5 minutes. On 25-JAN-2007 the patient was vaccinated, intramuscularly with a second dose of GARDASIL (lot #654540/0800F). As the vaccine was administered the patient experienced "momentary numbness at the throat area of neck" that lasted a few seconds. Twenty minutes after the vaccination, while the patient was on the road, she called the physician''s office to report she had developed an intense frontal headache. There were no visual problems and it was not interrupting her ability to function. The headache that lasted until she went to bed. On 26-JAN-2007, the patient recovered from the headache. There were no laboratory or diagnostic tests performed. Additional information is not expected.

VAERS ID:272585 (history)  Vaccinated:2007-01-11
Age:20.0  Onset:2007-01-12, Days after vaccination: 1
Gender:Female  Submitted:2007-02-14, Days after onset: 33
Location:Florida  Entered:2007-02-15, Days after submission: 1
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: UNK
Diagnostic Lab Data: NONE
CDC Split Type: WAES0701USA04682
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.0962F1IMAR
Administered by: Public     Purchased by: Other
Symptoms: Arthralgia, Bone pain, Joint stiffness
SMQs:, Osteonecrosis (broad), Arthritis (broad)
Write-up: Information has been received from a pharmacist concerning a 20 year old female who on 25-JAN-2007 was vaccinated with a second dose of HPV vaccine (yeast) 0.5 ml intramuscularly. Subsequently the patient experienced joint and bone pain. The patient sought unspecified medical attention. The patient is recovering from joint and bone pain. Additional information has been requested. This is in follow-up to report(s) previously submitted on 2/14/2007. Initial and follow-up information has been received from a pharmacist concerning a 20 year old female with no known drug allergies who on 07-NOV-2006 was vaccinated with a first dose of GARDASIL intramuscularly in the deltoid. On 11-JAN-2007 (also reported as 24-JAN-2007), the patient was vaccinated with the second dose of GARDASIL (Lot number 654510/0962F) 0.5 ml intramuscularly in the deltoid. Concomitant therapy included APRI ORD and AUGMENTIN. On 12-JAN-2007 the patient experienced joint stiffness, bone pain and severe joint pain. On 26-JAN-2007, the patient recovered from joint stiffness, bone pain and severe joint pain. Additional information is not expected.

VAERS ID:272597 (history)  Vaccinated:2007-01-18
Age:20.0  Onset:2007-01-28, Days after vaccination: 10
Gender:Female  Submitted:2007-02-14, Days after onset: 17
Location:California  Entered:2007-02-15, Days after submission: 1
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC Split Type: WAES0701USA04897
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC. 0IM 
Administered by: Other     Purchased by: Other
Symptoms: Lymphadenopathy
SMQs:
Write-up: Information has been received from a physician concerning his 20 year old female daughter with no other pertinent medical history reported. On 18-JAN-2007, the patient was vaccinated IM with the first 0.5 ml dose of Gardasil (yeast). There were no concomitant medications reported. On 28-JAN-2007, the patient developed unilateral supraclavicular lympadenopathy. There were no other symptoms reported. The patient sought unspecified medical attention. At the time of this report, the patient had not recovered from the event. Additional information has been requested.

VAERS ID:272599 (history)  Vaccinated:2007-01-29
Age:20.0  Onset:2007-01-29, Days after vaccination: 0
Gender:Female  Submitted:2007-02-14, Days after onset: 16
Location:South Dakota  Entered:2007-02-15, Days after submission: 1
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Penicillin allergy
Preexisting Conditions: Ovarian cyst, Asthma
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0701USA04931
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.1447F1IMLA
Administered by: Private     Purchased by: Other
Symptoms: Dizziness, Impaired driving ability, Nausea
SMQs:, Acute pancreatitis (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad)
Write-up: This is in follow-up to report(s) previously submitted on 2/14/2007. Information has been received from a healthcare provider concerning her 20 year old daughter who was a student with a penicillin allergy who on 29-JAN-2007, at 08:10, was vaccinated intramuscularly into the left deltoid with a second dose of GARDASIL (Lot # 655617/1447F). Concomitant therapy included Ortho Tri Cyclen, albuterol and Advair. On 29-JAN-2007 at 13:00 ("later in the day") the patient was driving and developed dizziness ("very dizzy") and nausea which lasted about 4 hours. She could no longer drive so the passenger took over driving. No laboratory diagnostic studies were performed. On 29-JAN-2007 the patient recovered. A first dose of GARDASIL was given IM on 22-NOV-2006. Additional information is not expected.

VAERS ID:272608 (history)  Vaccinated:2007-01-29
Age:20.0  Onset:2007-01-29, Days after vaccination: 0
Gender:Female  Submitted:2007-02-14, Days after onset: 16
Location:Rhode Island  Entered:2007-02-15, Days after submission: 1
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Panic attack
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: WAES0701USA05047
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.0011U0IMUN
Administered by: Private     Purchased by: Private
Symptoms: Dizziness, Dyspnoea, Malaise, Nausea, Panic attack, Paraesthesia, Vomiting
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Vestibular disorders (broad)
Write-up: Ths is in follow-up to report (s) previously submitted on 2/14/2007. Information has been received from a Certified Nurse Midwife concerning a 20 year old female who is "prone to panic attacks" who on 29-JAN-2007 at 11:15 am was vaccinated IM with the first dose of Gardasil (yeast) (Lot # not provided). At 7:30 pm that same evening the patient experienced a panic attack with severe nausea, vomiting and difficulty breathing and went to the emergency room. The patient was not admitted to the hospital. At the time of this report it was unknown if the patient had recovered from the events. Additional information has been requested. Information has been received from A Certified Nurse Midwife concerning a 20 year old female with an anxiety disorder who is "prone to panic attacks" who on 29-JAN-2007 at 11:15 am was vaccinated intramuscularly with the first dose of GARDASIL (Lot # 654702/0011U). At 7:10 pm that same evening the patient experienced a panic attack with severe nausea, vomiting and difficulty breathing and went to the emergency room. The patient was not admitted to the hospital. At the time of this report it was unknown if the patient had recovered from the events. Follow up information received stated that the patient presented to the emergency room at 10:00 pm on 29-JAN-2007 with complaints of dizziness, nausea, malaise and parethesias. The patient was treated with PHENERGAN 50 mg and discharged home from the emergency room. Subsequently the patient recovered from the events. Additional information has been requested.

VAERS ID:272617 (history)  Vaccinated:2007-01-11
Age:20.0  Onset:2007-01-21, Days after vaccination: 10
Gender:Female  Submitted:2007-02-14, Days after onset: 24
Location:Massachusetts  Entered:2007-02-15, Days after submission: 1
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: hormonal contraceptives
Current Illness:
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC Split Type: WAES0702USA00147
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC. 0IM 
Administered by: Other     Purchased by: Other
Symptoms: Lymph node pain, Malaise
SMQs:
Write-up: Information has been received from a physician concerning an approximately 20 year old female, with no medical history, who on 11-JAN-2007 was vaccinated intramuscularly with a first dose of HPV vaccine (yeast). Concomitant therapy included hormonal contraceptives (unspecified). On approximately 21-JAN-2006 the patient developed bilateral tender lymph nodes and malaise. Unspecified medical attention was sought. At the time of the report, the patient''s bilateral tender lymph nodes and malaise persisted. There were no laboratory or diagnostic tests performed. Additional information has been requested.

VAERS ID:272453 (history)  Vaccinated:2007-02-09
Age:20.0  Onset:2007-02-10, Days after vaccination: 1
Gender:Female  Submitted:2007-02-16, Days after onset: 6
Location:Oklahoma  Entered:2007-02-16
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: Penicillin, Latex(she indicated that gloves made her skin itch but no anaphalactic reaction.)
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
RAB: RABIES (IMOVAX)AVENTIS PASTEURZ0877-20IMLA
Administered by: Public     Purchased by: Private
Symptoms: Chills, Pharyngitis streptococcal, Pyrexia, Rash pruritic, Vomiting
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Agranulocytosis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Oropharyngeal infections (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypersensitivity (narrow)
Write-up: Client received first pre-exposure rabies vaccine on 02/09/07. On 02/15/07 clients instructor notified us that client would not return for completion of series due to a possible reaction. Instructor reported that client said that evening she experienced rash with itching on her body, and within 12-24 hours fever, vomiting, and chills. Instructor indicated client did not say what temperature was. Client contacted and was seen by a physician who told her she had strep throat and advised her to not take any further rabies vaccine as this may be a reaction.

VAERS ID:272774 (history)  Vaccinated:2007-01-22
Age:20.0  Onset:2007-01-22, Days after vaccination: 0
Gender:Female  Submitted:2007-02-20, Days after onset: 29
Location:Texas  Entered:2007-02-20
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Oral Contraceptive Pills
Current Illness: None
Preexisting Conditions: Allergy: Amoxicillin
Diagnostic Lab Data: None
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.1160F0IMRA
Administered by: Public     Purchased by: Public
Symptoms: Mobility decreased, Oedema peripheral, Pain in extremity
SMQs:, Cardiac failure (broad), Angioedema (broad), Parkinson-like events (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: CV recieved an IM Hepatitis B Vaccination in the shoulder. 1.5 hours later, patient developed pain in her arm. It began to swell up and become hard. She was unable to move her arm. She recieved Bactrim and Vicodin as treatment. The reaction dissapated over 1 week

VAERS ID:273112 (history)  Vaccinated:2006-12-21
Age:20.0  Onset:2007-02-02, Days after vaccination: 43
Gender:Female  Submitted:2007-02-21, Days after onset: 19
Location:Indiana  Entered:2007-02-27, Days after submission: 6
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.0954F1  
Administered by: Private     Purchased by: Private
Symptoms: Blister, Herpes virus infection, Hordeolum
SMQs:, Severe cutaneous adverse reactions (broad), Ocular infections (narrow), Hypersensitivity (broad)
Write-up: 2/2/07 Vesicles near eyebrow, sty in eyelid - found to be possible herpes. Treated with Valtrex.

VAERS ID:273269 (history)  Vaccinated:2007-01-09
Age:20.0  Onset:2007-02-24, Days after vaccination: 46
Gender:Male  Submitted:2007-03-02, Days after onset: 6
Location:Unknown  Entered:2007-03-02
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? Yes, ? days
    Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: records received 7/13/07-Family HX father had MI at age of 19.
Diagnostic Lab Data: PT ALSO UNDERWENT LT SUPRACLAVICULAR L/N EXCISION 31 JAN(PATH REPORT: REACTIVE FOLLICULAR HYPERPLASIA) records received 7/13/07-CXR clear. AST 128. :D 823 and CK 630. CK-MB 77 and CK-MB index 12.22.
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
SMALL: SMALLPOX (NO BRAND NAME)UNKNOWN MANUFACTURER    
Administered by: Military     Purchased by: Military
Symptoms: Aspartate aminotransferase increased, Blood creatine phosphokinase MB, Blood creatine phosphokinase increased, Cardiac enzymes increased, Chest X-ray normal, Chest pain, Electrocardiogram abnormal, Hyperplasia, Lymphadenectomy, Lymphoid tissue hyperplasia, Methicillin-resistant Staphylococcus aureus test positive, Myocarditis
SMQs:, Rhabdomyolysis/myopathy (broad), Liver related investigations, signs and symptoms (narrow), Neuroleptic malignant syndrome (broad), Myocardial infarction (broad), Arrhythmia related investigations, signs and symptoms (broad), Malignancy related therapeutic and diagnostic procedures (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad)
Write-up: CP ON 24 FEB, ADMITTED TO ICU ON 25 FEB WITH POSITIVE CARDIAC ENZYME (CP 690, TI 15), 1ST EKG: NSR. ON 26, EKG SHOWED ST ELEVATION LAT LEADS. ECHO: NL. CP LASTED TILL 27 FEB. TI PEAKED UP TO 18 THEN GRADUALLY CAME DOWN TO 0.2 TODAY. CARDIAC CATH (RECOMMENDED BY CARDIOLOGIST VISITING): NL 7/13/07-records received. Impression: Myocarditis. Positive enzymes that occurred 45 days after receipt of smallpox vaccine. Developed chest pain on 2/23/07 and had HX of 2 similar episodes shorter in duration since receiving vaccine. One 1/31/07-had a supraclavicular node excised (same side as smallpox vaccine) which was positive for MSRA. DX: reactive follicular hyperplasia. Family HX father had MI at age of 19.

VAERS ID:273476 (history)  Vaccinated:0000-00-00
Age:20.0  Onset:0000-00-00
Gender:Female  Submitted:0000-00-00
Location:Arizona  Entered:2007-03-05
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Oral contraceptives
Current Illness:
Preexisting Conditions: The patient was on oral contraceptives and has no known allergies or medical conditions at the time of vaccination.
Diagnostic Lab Data:
CDC Split Type: 200600909
Vaccination
Manufacturer
Lot
Dose
Route
Site
JEV: JAPANESE ENCEPHALITIS (JE-VAX)AVENTIS PASTEUR  SCRA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Pruritus
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (broad)
Write-up: A 20-year-old female patient developed generalized itching within 24 hours of receiving the subcutaneous injection of JE-VAX (dose one) lot number EJN222A (expiry date 13/May/2008) in the right arm on 13/Apr/2006. Per reporter vaccination was received during a travel physical and the patient had no illness at the time. The patient had no rash or hives. Per reporter the patient recovered.

VAERS ID:273565 (history)  Vaccinated:2007-03-07
Age:20.0  Onset:2007-03-07, Days after vaccination: 0
Gender:Female  Submitted:2007-03-07, Days after onset: 0
Location:Indiana  Entered:2007-03-07
Life Threatening? Yes
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: demulen, ketek, aquatab
Current Illness: dry skin
Preexisting Conditions: allergy Tetracycline record received 3/9/07-prior HX tetracycline allergy.
Diagnostic Lab Data: none
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.0187U0IMLA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Chest discomfort, Urticaria
SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), Hypersensitivity (narrow)
Write-up: Within 1 hour of receiving vaccination she developed diffuse urticaria. responded to injected benadryl and depomedrol. 03/09/07-records received. for DOS 3/7/07-developed whole body hives and itching, chest felt heavy. Current medication Ketek. PE: WNL except for confluent hives on arms

VAERS ID:273578 (history)  Vaccinated:2007-02-26
Age:20.0  Onset:2007-02-26, Days after vaccination: 0
Gender:Female  Submitted:2007-03-07, Days after onset: 9
Location:Oregon  Entered:2007-03-07
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: Sulfa, noreo, Prednisone
Diagnostic Lab Data: NONE
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.9187U0IM 
Administered by: Private     Purchased by: Other
Symptoms: Headache, Pruritus, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow)
Write-up: 15 minutes after vaccine - had generalized "itching" feeling every where. She rubbed, hives bright red presented. Took liquid 50 mg Benadryl 1 hr later, no hives, no itchiness but a bad headache.

VAERS ID:273610 (history)  Vaccinated:2007-02-27
Age:20.0  Onset:2007-03-01, Days after vaccination: 2
Gender:Male  Submitted:2007-03-02, Days after onset: 1
Location:California  Entered:2007-03-07, 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: CELLULITIS
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEPAB: HEP A + HEP B (TWINRIX)GLAXOSMITHKLINE BIOLOGICALSAHABB068AA4IMLA
Administered by: Military     Purchased by: Military
Symptoms: Cellulitis, Injection site erythema, Injection site induration
SMQs:, Extravasation events (injections, infusions and implants) (broad)
Write-up: Patient had a 6" red circle around the injection site that was firm to the touch. Patient was diagnosed with cellulitis and given Keflex with relief.

VAERS ID:273915 (history)  Vaccinated:2007-03-05
Age:20.0  Onset:2007-03-05, Days after vaccination: 0
Gender:Female  Submitted:2007-03-05, Days after onset: 0
Location:Florida  Entered:2007-03-14, 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: LOESTRIN 24
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.026340IMLA
Administered by: Private     Purchased by: Private
Symptoms: Hyperhidrosis, Pallor, Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad)
Write-up: Appeared patient fainted just after vaccine was given, sl diaphoretic pale, recovered quickly after ammonia inhaler was used. Patient rested water was given, left office feeling well.

VAERS ID:273925 (history)  Vaccinated:2006-11-22
Age:20.0  Onset:2006-11-29, Days after vaccination: 7
Gender:Female  Submitted:2007-03-08, Days after onset: 99
Location:New York  Entered:2007-03-14, Days after submission: 5
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Birth Control
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.0961F0 LA
Administered by: Private     Purchased by: Private
Symptoms: Oedema peripheral
SMQs:, Cardiac failure (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: Patient c/o arm swelling 7 days after 1st injection.

VAERS ID:274014 (history)  Vaccinated:2007-02-23
Age:20.0  Onset:2007-02-23, Days after vaccination: 0
Gender:Female  Submitted:2007-03-09, Days after onset: 14
Location:Arizona  Entered:2007-03-15, 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: No Known Allergies
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.0655F1 LA
UNK: VACCINE NOT SPECIFIED (NO BRAND NAME)UNKNOWN MANUFACTURER    
Administered by: Public     Purchased by: Public
Symptoms: Chest discomfort, Dizziness, Dyspnoea, Hypoaesthesia, Nausea, Oedema peripheral, Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Cardiac failure (broad), Anaphylactic reaction (broad), Acute pancreatitis (broad), Angioedema (broad), Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad)
Write-up: Within 2 hours after receiving Hep B vaccine patient reported to hospital emergency room complaining of being faint, dizzy, left side numbness, problem breathing, chest tight and heavy. Rash on chest, left upper arm swelling and nausea. Patient given Prednisone, Fomatodine. Home within 3 hours.

VAERS ID:274118 (history)  Vaccinated:2006-12-22
Age:20.0  Onset:2006-12-22, Days after vaccination: 0
Gender:Female  Submitted:2007-03-14, Days after onset: 81
Location:California  Entered:2007-03-16, Days after submission: 2
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Postpartum state; Shellfish allergy
Preexisting Conditions: UNK
Diagnostic Lab Data: UNK; vital sign, 12/22/06, normal; blood sugar, 12/22/06, 110
CDC Split Type: WAES0702USA00572
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.0454F0IMUN
Administered by: Private     Purchased by: Other
Symptoms: Blood glucose normal, Dizziness, Gait disturbance
SMQs:, Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Vestibular disorders (broad)
Write-up: Information has been received from a nurse practitioner, via a company representative, concerning an approximately 22 year old female who was 6 weeks post partum and had completed a pelvic exam followed by the vaccination of the first dose (dose unspecified) of Gardasil. The nurse reported that 45 minutes after the appointment, the patient began to experience dizziness. The sensation of movement/dizziness" made it difficult for the patient to walk and persisted for about four hours, then abruptly resolved with no lingering effects. The patient sought unspecified medical treatment. Additional information has been requested. This is in follow-up to report(s) previously submitted on 3/14/2007. Initial and follow up information has been received from a nurse practitioner, concerning a 21 year old female patient, with a shellfish allergy who was 6 weeks post partum who on 23-DEC-2006 had completed a pelvic exam at the visit, who was then vaccinated, IM at 3:30pm, with the first dose of GARDASIL (Lot # 653938/0954F). The nurse reported that at 4:00 pm (previously reported as 45 minutes after the appointment), the patient began to experienced dizziness. The patient was observed in the nurse''s clinic and was then sent to the same day clinic for observation. The patient''s vital signs were reported to be normal, and a random blood sugar was 110 (units not specified). The sensation of movement/dizziness" made it difficult for the patient to walk and persisted for about four hours, then abruptly resolved with no lingering effects. No further information was expected.

VAERS ID:274129 (history)  Vaccinated:2006-12-01
Age:20.0  Onset:2006-12-01, Days after vaccination: 0
Gender:Female  Submitted:2007-03-14, Days after onset: 102
Location:Illinois  Entered:2007-03-16, Days after submission: 2
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: Drug hypersensitivity
Diagnostic Lab Data: UNK
CDC Split Type: WAES0702USA00905
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC. 0  
Administered by: Other     Purchased by: Other
Symptoms: Hypoaesthesia, Paraesthesia oral
SMQs:, Peripheral neuropathy (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad)
Write-up: Information has been received from a physician concerning a 20 year old female with allergy to unspecified medications who in approximately December 2006, around 2 months ago, was vaccinated with the first dose of HPV (lot #not reported). Concomitant medications were unspecified. In approximately December 2006, five minutes after receiving the first dose of the vaccine, the patient experienced tingling around her mouth and numbness that lasted for 20 minutes. The patient sought medical attention. The patient was then sent home and had no further problems. The patient did not continue the vaccination series because of the reaction. At the time of reporting, the patient had recovered. No further information was available at the time of reporting. Additional information has been requested.

VAERS ID:274150 (history)  Vaccinated:2007-03-14
Age:20.0  Onset:2007-03-14, Days after vaccination: 0
Gender:Female  Submitted:2007-03-16, Days after onset: 2
Location:Washington  Entered:2007-03-16
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
ANTH: ANTHRAX (BIOTHRAX)EMERGENT BIOSOLUTIONSFAV1030SCLA
Administered by: Military     Purchased by: Military
Symptoms: Injection site induration, Injection site oedema, Injection site reaction, Injection site warmth, Rash maculo-papular
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow)
Write-up: She had moderate local reaction at vaccine site consisting of approxmimately 60x80mm indurated, edema with heat and erythema, regional and generalized whole body maculopapular rash.

VAERS ID:274207 (history)  Vaccinated:2006-12-27
Age:20.0  Onset:2006-12-27, Days after vaccination: 0
Gender:Female  Submitted:2007-03-14, Days after onset: 76
Location:California  Entered:2007-03-16, Days after submission: 2
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Penicillin allergy; Hypersensitivity
Preexisting Conditions:
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0702USA01781
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.1425F0UNUN
Administered by: Other     Purchased by: Other
Symptoms: Sensation of heaviness, Sensory disturbance
SMQs:, Peripheral neuropathy (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad)
Write-up: Information has been received from a nursing supervisor concerning a 20 year old female who has an allergy to penicillin and minoglycine who on 27-Dec-2008 at 12:15 was vaccinated with GARDASIL (lot# 695165/1425F). On 27-DEC-2006 at 12:15, the patient reported that "when she was given the shot she felt it go down her arm and her arm felt heavy all day long. "The next day her arm was better. No product quality complaint was involved. Subsequently, the patient reported that her arm felt dead. At the time of this report, the outcome of the event was unknown. Additional information has been requested.

VAERS ID:274301 (history)  Vaccinated:2007-02-19
Age:20.0  Onset:2007-02-19, Days after vaccination: 0
Gender:Female  Submitted:2007-03-14, Days after onset: 22
Location:Michigan  Entered:2007-03-16, Days after submission: 2
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: UNK
Diagnostic Lab Data: UNK
CDC Split Type: WAES0702USA03530
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.0013U IM 
Administered by: Other     Purchased by: Other
Symptoms: Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad)
Write-up: Information has been received from a nurse concerning a 20 year old female who on 19-FEB-2007 was vaccinated IM with a dose of Gardasil (Lot # 654741/0013U). On 19-FEB-2007, the patient fainted after receiving the Gardasil injection. The patient was known by the provider to be squeamish with injections. After the fainting episode, the patient was observed for a brief period of the time and then was discharged from the physician''s office. On 19-FEB-2007, the patient recovered. No product quality complaint was involved. Additional information has been requested.

VAERS ID:274577 (history)  Vaccinated:2006-11-07
Age:20.0  Onset:2006-11-07, Days after vaccination: 0
Gender:Female  Submitted:2007-03-14, Days after onset: 126
Location:California  Entered:2007-03-16, Days after submission: 2
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0702USA03997
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.0955F0UNUN
Administered by: Private     Purchased by: Private
Symptoms: Sensory disturbance
SMQs:, Peripheral neuropathy (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad)
Write-up: Information has been received from a nursing supervisor concerning a female (age not reported) who on an unspecified date was vaccinated with HPV. Subsequently, the patient reported that her "arm felt dead". At the time of this report, the outcome of the event was unknown. Additional information has been requested. This is in follow-up to report (s) previously submitted on 3/14/2007. Follow up information confirmed that the patient had recovered on approximately 05-Nov-2007 ("next day") and felt fine. On 07-Feb-2007, the patient was vaccinated with the second dose of GARDASIL, and "was fine." Additional information is not expected.

VAERS ID:274721 (history)  Vaccinated:2007-02-21
Age:20.0  Onset:2007-02-22, Days after vaccination: 1
Gender:Female  Submitted:2007-03-14, Days after onset: 19
Location:Tennessee  Entered:2007-03-16, 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: Polycystic kidney; Blood pressure high
Preexisting Conditions: Hives
Diagnostic Lab Data: None
CDC Split Type: WAES0702USA04636
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.0186U0IM 
Administered by: Private     Purchased by: Other
Symptoms: Urticaria, Vomiting
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Angioedema (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypersensitivity (narrow)
Write-up: Information has been received from a Physician Assistant (P.A.) concerning a 20 year old female with a history of hives once a year who on 21-FEB-2007 was vaccinated IM with a dose of HPV, lot # 655618/0786U. On 22-FEB-2007 the patient developed hives over her entire body and vomiting. The reporter also noted that in addition to her history of hives, members of her family had a stomach virus with vomiting so it was unclear if her symptoms were from the vaccine. BENADRYL was ordered for the hives. The patient''s outcome was unknown. Additional information has been requested.

VAERS ID:274730 (history)  Vaccinated:2007-02-22
Age:20.0  Onset:2007-02-22, Days after vaccination: 0
Gender:Female  Submitted:2007-04-06, Days after onset: 42
Location:Florida  Entered:2007-03-16, Days after submission: 21
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Drug hypersensitivity
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0703USA00058
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.0011U0IMUN
Administered by: Other     Purchased by: Other
Symptoms: Nausea, Oedema peripheral, Pain in extremity, Pyrexia, Vomiting
SMQs:, Cardiac failure (broad), Acute pancreatitis (broad), Angioedema (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: Information has been received from a physician, via a company representative concerning a female patient who on approximately 21 Feb 2007 ("last week") was vaccinated with the first dose of Gardasil. The physician reported that the "patient came back a few days after first dose of (Gardasil) and complained arm pain, swelling, fever and nausea" (approximately 23 Feb 2007). The physician confirmed that the patient had recovered "after a few days" (approximately 26 Feb 2007). The patient sought unspecified medical attention. Additional information has been requested. This is in follow-up to report (s) previously submitted on 03/14/2007. Initial and follow up information has been received from a physician, concerning a 20 year old female student with allergies to ZITHROMAX and CLARITIN who on 22-FEB-2007 (previously reported as approximately 21-FEB-2007) was vaccinated with the first dose, 0.5ml. IM, of GARDASIL (Lot # 654702/0011U). The physician reported 10 hours after injection the patient developed a swollen left arm then fever, nausea and vomiting. The physician clarified that the "patient did not seek medical care for these problems," but that she reported them to him at the next visit (28-FEB-2007) (previously reported as the "patient came back a few days afte first dose"). The physician confirmed that the patient had recovered from the swollen arm, fever, neausea and vomiting on 28-FEB-2007 (originally reported as recovered "after a few day," approximately 26-FEB-2007). No further informaton is expected.

VAERS ID:274741 (history)  Vaccinated:0000-00-00
Age:20.0  Onset:0000-00-00
Gender:Female  Submitted:2007-03-14
Location:California  Entered:2007-03-16, Days after submission: 2
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0703USA00741
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.   UN
Administered by: Other     Purchased by: Other
Symptoms: Musculoskeletal stiffness, Neck pain
SMQs:, Dystonia (broad), Parkinson-like events (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Arthritis (broad)
Write-up: Information has been received from a physician via a company representative concerning a female in her early 20''s who, on an unspecified date, was vaccinated with a dose of Gardasil. It was reported that the patient experienced neck pain and stiffness after the injection. The pain was reported to have lasted much longer than expected. Additional information has been requested.

VAERS ID:274178 (history)  Vaccinated:2007-03-09
Age:20.0  Onset:2007-03-09, Days after vaccination: 0
Gender:Female  Submitted:2007-03-11, Days after onset: 2
Location:Arizona  Entered:2007-03-19, 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: NONE
Current Illness: NONE
Preexisting Conditions: Allergy to Phenergan
Diagnostic Lab Data: NONE
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)GLAXOSMITHKLINE BIOLOGICALSAHBVB287BA1IMLA
Administered by: Other     Purchased by: Private
Symptoms: Hot flush, Injection site erythema, Rash, Stomach discomfort
SMQs:, Anaphylactic reaction (broad), Gastrointestinal perforation, ulcer, haemorrhage, obstruction non-specific findings/procedures (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypersensitivity (narrow)
Write-up: Employee reports, having a upset stomach starting about 3 pm and was having hot flashes. Employee reports waking on 3/10/07 still with upset stomach and developed a rash to both arms and chest. Employee noticed the injection site was raised and red. Slight rash to arms noted today on 3/11/07 but no itching.

VAERS ID:274235 (history)  Vaccinated:2007-02-05
Age:20.0  Onset:2007-02-05, Days after vaccination: 0
Gender:Female  Submitted:2007-07-06, Days after onset: 150
Location:Texas  Entered:2007-03-19, 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:
Current Illness:
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC Split Type: WAES0703USA01354
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.0702F0IMUN
Administered by: Other     Purchased by: Other
Symptoms: Chest discomfort, Hypersensitivity, Injection site erythema, Injection site pruritus, Injection site rash, Rash
SMQs:, Anaphylactic reaction (narrow), Angioedema (broad), Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (narrow)
Write-up: Information has been received from a health professional concerning a 20 year old female with no pertinent medical history who on 05-FEB-2007 was vaccinated intramuscularly with a 0.5 ml dose of Gardasil (lot #653650/0702F). There was no concomitant medication. In February 2007, after the vaccination, the patient experienced an "allergic type reaction." The patient developed red raised bumps and itching at the injection site. It was reported that a rash spread to her arms, trunk and legs and the patient experienced a tight chest (she was able to breathe). Medical attention was sought and the patient was treated with a MEDROL DOSEPAK. There were no laboratory or diagnostic tests performed. On 14-FEB-2007, the patient fully recovered. The registered nurse considered red raised bumps and itching at the injection site, rash spread to her arms, trunk and legs and tight chest to be other important medical events. Additional information has been requested.

VAERS ID:274533 (history)  Vaccinated:2000-05-23
Age:20.0  Onset:0000-00-00
Gender:Male  Submitted:2007-03-15
Location:Unknown  Entered:2007-03-22, Days after submission: 7
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
ANTH: ANTHRAX (BIOTHRAX)EMERGENT BIOSOLUTIONSFAV0314SC 
Administered by: Military     Purchased by: Unknown
Symptoms: Rash
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow)
Write-up: Skin rash. I began having a skin rash since my active duty around 2000. Everytime I wear a necklace, watch or wrist bands, I break out. If the climate is too hot or humid I break out as well. Until this day.

VAERS ID:274608 (history)  Vaccinated:2005-01-18
Age:20.0  Onset:2005-01-18, Days after vaccination: 0
Gender:Female  Submitted:2007-03-22, Days after onset: 792
Location:Wisconsin  Entered:2007-03-23, Days after submission: 1
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness: Pregnancy NOS (LMP = 12/7/2004)
Preexisting Conditions:
Diagnostic Lab Data: Beta human chorionic 01/??/05 tested positive for pregnancy, serum varicella zoster 01/04/05 negative.
CDC Split Type: WAES0501USA03575
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.0712N  UN
Administered by: Other     Purchased by: Other
Symptoms: Drug exposure during pregnancy, Pregnancy test positive, Premature baby, Viral test negative
SMQs:, Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow), Neonatal disorders (narrow), Normal pregnancy conditions and outcomes (narrow)
Write-up: Information has been received from a physician through the pregnancy registry concerning a 20 year old female who on -18-JAN-2005 was vaccinated with a dose of Varivax (lot # 646665/0712N). Subsequently the patient has since tested positive for pregnancy, her LMP was 07-DEC-2004. No symptoms were noted. Unspecified medical attention was sought. There was no product quality complaint involved. Additional information from the physician indicated that the patient was tested for varicella antibodies on 04-JAN-2005 before vaccination and the result was negative. It was reported that the patient did not experience varicella or herpes zoster symptoms post vaccination. On 20-JUN-2005 the patient gave birth to a male infant who was born 27 6/7 weeks from LMP was considered an other important medical event. Additional information has been requested.

VAERS ID:274637 (history)  Vaccinated:2007-03-20
Age:20.0  Onset:2007-03-21, Days after vaccination: 1
Gender:Female  Submitted:2007-03-23, Days after onset: 2
Location:Massachusetts  Entered:2007-03-23
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: Allergies:PCN-rash, Peanuts-hives
Diagnostic Lab Data: none
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.0011U0IMLA
Administered by: Private     Purchased by: Private
Symptoms: Dizziness, Headache, Nausea, Pyrexia
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad)
Write-up: Patient called office with complaints of feeling feverish,dizziness,headache, and nausea. Onset 24-28 hours after injection. Symptoms lasted approx 24 hours. Patient used Tylenol with good effect.

VAERS ID:275125 (history)  Vaccinated:2006-06-14
Age:20.0  Onset:2006-06-14, Days after vaccination: 0
Gender:Female  Submitted:2007-03-01, Days after onset: 260
Location:Pennsylvania  Entered:2007-03-26, 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: Fluticasone+salmeterol
Current Illness: Unknown
Preexisting Conditions: PENICILLIN ALLERGY The subject''s concurrent conditions were not reported.
Diagnostic Lab Data: Unknown
CDC Split Type: A0609593A
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEPA: HEP A (HAVRIX)GLAXOSMITHKLINE BIOLOGICALS 0 UN
Administered by: Other     Purchased by: Other
Symptoms: Arterial disorder, Pain in extremity, Swelling
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: This case was reported by a physician and described the occurrence of swelling of arteries in neck in a 20-year-old female subject who was vaccinated with Havrix, for prophylaxis. The reporter is the parent of the subject. The subject''s medical history included penicillin allergy. Concurrent medications included Advair. On 14 June 2006 the subject received 1st dose of Havrix in the left arm. On an unspecified date on or after 14 June 2006 and on or before 16 June 2006, less than one week after vaccination with Havrix, the subject experienced carotid artery swelling, "cervical puffiness" and arm pain. The subject was seen at a physician''s office. At the time of initial reporting, 16 June 2006, the events were ongoing. The physician considered the events were possibly related to vaccination with Havrix.

VAERS ID:275262 (history)  Vaccinated:2006-02-02
Age:20.0  Onset:2006-02-02, Days after vaccination: 0
Gender:Female  Submitted:2007-03-07, Days after onset: 398
Location:Missouri  Entered:2007-03-26, Days after submission: 18
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0602USA02301
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.0864P IM 
Administered by: Other     Purchased by: Other
Symptoms: Fatigue, Malaise
SMQs:
Write-up: Information has been received from a health professional concerning a 20 year old female who on 02-FEB-2006 was vaccinated IM with a dose of Recombivax HB (lot # 648211/0864P). Subsequently the patient experienced "not feeling well" and fatigue. Unspecified medical attention was sought. At the time of the report, the patient had not recovered. There was no product quality complaint involved. Additional information has been requested.

VAERS ID:275276 (history)  Vaccinated:0000-00-00
Age:20.0  Onset:0000-00-00
Gender:Female  Submitted:2007-03-07
Location:Unknown  Entered:2007-03-26, Days after submission: 18
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0605USA01650
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC. 1 UN
Administered by: Other     Purchased by: Other
Symptoms: Injection site cellulitis, Injection site pain
SMQs:, Extravasation events (injections, infusions and implants) (broad)
Write-up: Information has been received from a registered nurse concerning a 20 year old female who in approximately 1986 was vaccinated with a first and second dose of Recombivax (manufacturer unknown). Subsequently, the patient developed injection site cellulitis and pain. The outcome of the event was unknown. The patient also developed injections site cellulitis and pain post vaccination with pneumococcal vaccine (WAES# 0603USA03128). No further information is available.

VAERS ID:274938 (history)  Vaccinated:2007-01-11
Age:20.0  Onset:2007-01-11, Days after vaccination: 0
Gender:Female  Submitted:2007-03-26, Days after onset: 73
Location:Georgia  Entered:2007-03-27, Days after submission: 1
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness: Pregnancy NOS (LMP = Unknown) Drug hypersensitivity
Preexisting Conditions: Miscarriage
Diagnostic Lab Data: urine beta-human 01/11/07 - Not pregnant
CDC Split Type: WAES0703USA02391
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC. 0 UN
Administered by: Other     Purchased by: Other
Symptoms: Abortion spontaneous, Drug exposure during pregnancy, Urine human chorionic gonadotropin negative
SMQs:, Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow), Termination of pregnancy and risk of abortion (narrow)
Write-up: Information has been received from a 20 year old female with an allergy to Zomig and a history of multiple miscarriages. On 11-JAN-2007 the patient was vaccinated with her first dose of Gardasil when she was 4 and a half weeks pregnant. The patient took a urine Human chorionic gonadotropin (HCG) test in the doctor''s office that said she was not pregnant, and they administered the vaccination on day. On 17-JAN-2007 the patient discovered she was pregnant. On 21-JAN-2007 she had a miscarriage. Medical attention was sought. Her outcome was unknown. Upon internal review, miscarriage was considered to be an other important medical event. Additional information has been requested. Additional information has been requested.

VAERS ID:275145 (history)  Vaccinated:2007-03-26
Age:20.0  Onset:2007-03-26, Days after vaccination: 0
Gender:Female  Submitted:2007-03-26, Days after onset: 0
Location:Maine  Entered:2007-03-29, Days after submission: 3
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.018841IMLA
Administered by: Private     Purchased by: Private
Symptoms: Hypoaesthesia, Paraesthesia
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad)
Write-up: Elbows bilateral tingling and numb. No shortness of breath, respiratory distress

VAERS ID:275245 (history)  Vaccinated:2007-03-24
Age:20.0  Onset:2007-03-24, Days after vaccination: 0
Gender:Female  Submitted:2007-03-24, Days after onset: 0
Location:Oklahoma  Entered:2007-03-30, 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: Lexapro 10mg 4 times a day
Current Illness: NONE
Preexisting Conditions: Anxiety
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TTOX: TETANUS TOXOID, ADSORBED (NO BRAND NAME)AVENTIS PASTEURU1624BA0IMLA
Administered by: Other     Purchased by: Private
Symptoms: Abdominal pain, Anxiety, Deafness, Dizziness, Hyperhidrosis, Hypoaesthesia oral, Nausea, Pallor, Vision blurred
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Glaucoma (broad), Lens disorders (broad), Retinal disorders (broad), Hearing impairment (narrow), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad)
Write-up: 10 minutes after immunization patient described feeling dizzy and nauseated, having abdominal pain and blurred vision also numbness in lips and hearing loss for 3 minutes. Patient diaphoretic, pale and anxious. Completed donating 825cc plasma prior to vaccination.

VAERS ID:275427 (history)  Vaccinated:2007-02-15
Age:20.0  Onset:0000-00-00
Gender:Female  Submitted:2007-04-02
Location:Texas  Entered:2007-04-02
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: negative pregnancy test on 30 JAN 07, IUD removed on 31 JAN 07
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
ANTH: ANTHRAX (NO BRAND NAME)UNKNOWN MANUFACTURERUNK  UN
Administered by: Military     Purchased by: Military
Symptoms: Drug exposure during pregnancy, Pregnancy test negative
SMQs:, Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow)
Write-up: Became pregnant 21 FEB 2007 with quantitative hCG of 29 (urine hCG neg)

VAERS ID:275544 (history)  Vaccinated:2007-02-16
Age:20.0  Onset:2007-02-16, Days after vaccination: 0
Gender:Female  Submitted:2007-04-03, Days after onset: 45
Location:California  Entered:2007-04-03
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: fever~Pertussis, Adsorbed~~0~In Patient
Other Medications:
Current Illness: None
Preexisting Conditions: Allergy to Pertussis vaccine
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEPA: HEP A (VAQTA)MERCK & CO. INC.0744F0IMRA
TD: TD ADSORBED (NO BRAND NAME)MASS. PUB HLTH BIOL LABTD1432IMLA
Administered by: Other     Purchased by: Private
Symptoms: Loss of consciousness, Syncope, Syncope vasovagal, Urinary incontinence
SMQs:, Torsade de pointes/QT prolongation (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad)
Write-up: within 10 seconds after received both vaccines pt experienced syncopal episode which included bladder incontinence, loc of 5-10S. After pt was oriented x 3. Transferred to local ER. CT scan of head nl and pt dx''ed with vasovagal rxn.

VAERS ID:275851 (history)  Vaccinated:2007-04-05
Age:20.0  Onset:2007-04-06, Days after vaccination: 1
Gender:Male  Submitted:2007-04-09, Days after onset: 3
Location:Virginia  Entered:2007-04-09
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
HEP: HEP B (ENGERIX-B)GLAXOSMITHKLINE BIOLOGICALSAHABVA403AA1IMLA
Administered by: Other     Purchased by: Other
Symptoms: Abdominal pain, Chills, Cold sweat, Dizziness, Feeling abnormal, Flushing, Headache, Vomiting
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Dementia (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad), Hypersensitivity (broad)
Write-up: Received injection 4-5-07 at 7:45 am states he didn''t feel well that night 4-6-07 woke up with a headache, chills, cold sweat, face flushes. Vomited once, dizziness and abd pain LVQ. Treatment-Phenergan 25 mg I PO q 4-6 hours prn. BP 124/69, P 80, 98 deg

VAERS ID:276128 (history)  Vaccinated:0000-00-00
Age:20.0  Onset:0000-00-00
Gender:Female  Submitted:2007-04-06
Location:Illinois  Entered:2007-04-09, Days after submission: 3
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness: Unknown
Preexisting Conditions: Unknown
Diagnostic Lab Data:
CDC Split Type: WAES0703USA00447
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.  IMUN
Administered by: Other     Purchased by: Other
Symptoms: Herpes zoster
SMQs:
Write-up: Information has been received from a pharmacist concerning a 20 year old female with pertinent medical history not reported and drug reactions/allergies reported as none who on an unspecified date was vaccinated with HPV rL1 6 11 18 VLP vaccine (yeast), 0.5 ml, IM. Concomitant medication was not reported. Approximately on week after vaccination, the patient reported that she experienced shingles. The outcome and causality of the event was not reported. Additional information has been requested.

VAERS ID:276140 (history)  Vaccinated:0000-00-00
Age:20.0  Onset:0000-00-00
Gender:Female  Submitted:2007-04-06
Location:Unknown  Entered:2007-04-09, Days after submission: 3
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0703USA00668
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC. 0UNUN
Administered by: Other     Purchased by: Other
Symptoms: Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad)
Write-up: Information has been received from a Nurse Practitioner (N.P.) concerning a female patient in her early 20''s who on an unspecified date was vaccinated with her first dose of Gardasil. Five minutes after receiving the injection, the painted fainted. She was given fruit juice. Her outcome was unknown. Additional information has been requested.

VAERS ID:276161 (history)  Vaccinated:2007-01-03
Age:20.0  Onset:2007-02-23, Days after vaccination: 51
Gender:Female  Submitted:2007-04-06, Days after onset: 41
Location:Maryland  Entered:2007-04-09, Days after submission: 3
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness:
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC Split Type: WAES0703USA01048
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC. 1IM 
Administered by: Other     Purchased by: Other
Symptoms: Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow)
Write-up: Information has been received from a licensed practical nurse, concerning a 20 year old female patient, who on 03-JAN-2007 was vaccinated with the first dose, 0.5 ml, IM, of Gardasil (Lot # 654389/0961F). There was no concomitant medication. On approximately 23-FEB-2007, the patient developed "hives that started approximately 1 week before her appointment for the second dose (02-MAR-2007). The nurse added that the patient''s "primary physician gave her an analgesic" (name unknown). The nurse stated that the patient"still had the hives when she came to the office" for her appointment and reported "the hives were mostly on both arms." The patient "received the second dose" of Gardasil on 02-MAR-2007. Additional information has been requested.

VAERS ID:276248 (history)  Vaccinated:2006-12-21
Age:20.0  Onset:2006-12-21, Days after vaccination: 0
Gender:Female  Submitted:2007-04-06, Days after onset: 105
Location:Illinois  Entered:2007-04-09, Days after submission: 3
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: None
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0703USA04432
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.0637F0IMLA
Administered by: Private     Purchased by: Other
Symptoms: Dizziness, Hot flush, Immediate post-injection reaction, Injection site pain, Nausea
SMQs:, Acute pancreatitis (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad), Hypersensitivity (narrow)
Write-up: Information has been received from a registered nurse concerning a 20 year old female student who on 21-DEC-2006, at 2:00PM, was vaccinated IM, into the left deltoid, with a first dose of Gardasil (Lot# 653937/0637F). There was no illness at the time of vaccination. On 21-DEC-2006, after the injection, at 2:00PM, the patient became lightheaded and nauseated, "approximately 15 minutes". The nurse also reported the injection was very painful when vaccine contents injected into muscle and the patient had a hot flash. On 23-FEB-2007, at 3:15PM, the patient was vaccinated IM, into the left deltoid, with a second dose of Gardasil (Lot# 654389/0961F). There was no illness at the time of vaccination. The nurse reported that the patient felt a hot flash immediately post injection . The second injection was also said to be very painful when vaccine contents injected into the muscle (not from needle placement), for "five minutes". No further information is expected.

VAERS ID:276317 (history)  Vaccinated:2006-11-13
Age:20.0  Onset:2006-11-14, Days after vaccination: 1
Gender:Female  Submitted:2007-04-13, Days after onset: 149
Location:Unknown  Entered:2007-04-16, Days after submission: 3
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Lexapro
Current Illness: Drug hypersensitivity; Asthma
Preexisting Conditions: Pneumonia
Diagnostic Lab Data: blood culture 11/16/06, body temp 11/15/06 102 f - fever, complete blood cell 11/16/06, full blood chemistry 11/15/06, WBC count 11/16/06 15000, WBC count 11/15/06 20000,
CDC Split Type: WAES0704USA00784
Vaccination
Manufacturer
Lot
Dose
Route
Site
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.  IM 
Administered by: Other     Purchased by: Other
Symptoms: Back pain, Blood culture, Body temperature increased, Cellulitis, Erythema, Full blood count, Headache, Hypokinesia, Injected limb mobility decreased, Joint range of motion decreased, Laboratory test, Pain, Pain in extremity, Pyrexia, White blood cell count increased
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Hypotonic-hyporesponsive episode (broad), Hypersensitivity (broad), Arthritis (broad)
Write-up: Information has been received from a nurse practitioner concerning a 20 year old female with a prednisolone allergy, asthma and a history of pneumonia who on 13-NOV-2006 was vaccinated IM into the left arm with a dose of Pneumovax 23. Concomitant therapy included Lexapro. That evening at 19:00, the patient presented to the physician office and complained of achiness in her left arm. On 15-NOV-2007, the patient began to experience prodromal symptoms including: generalised body aches, fever of 102 F, low back pain, headaches, inability to extend her arm without pain, cellulitis and erythema of the left arm. The patient was treated with IV Rocephin. It was reported that they were not sure if the patient experienced an allergic reaction or cellulitis. On 15-NOV-2006, a CBC was performed and WBC was 20,000 and a chem panel was performed (results not provided). On 16-NOV-2006, a CBC and blood cultures were performed (results not provided), and a WBC of 15,0000. On 18-NOV-2006 the patient was seen with minimal erythema. On 20-NOV-2006, the patient recovered. No product quality complaint was involved. Achiness in arm, body aches, fever of 102 F, back pain, headaches, cellulitis, inability to extend arm and erythema of the left arm were considered to be other important medical events. Additional information has been requested.

VAERS ID:276448 (history)  Vaccinated:2007-03-30
Age:20.0  Onset:2007-03-31, Days after vaccination: 1
Gender:Male  Submitted:2007-04-06, Days after onset: 6
Location:Arizona  Entered:2007-04-16, 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: none
Diagnostic Lab Data: none
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
RAB: RABIES (IMOVAX)AVENTIS PASTEURZ090512IMLA
Administered by: Other     Purchased by: Private
Symptoms: Headache
SMQs:
Write-up: On 3/31/07 pt started having headaches approx 7:30 pm-Headaches over left eye-no other s/s-duration of headache until approx 9 pm 4-5-07 (as stated by doctor)

VAERS ID:276652 (history)  Vaccinated:2007-03-08
Age:20.0  Onset:2007-03-10, Days after vaccination: 2
Gender:Female  Submitted:2007-04-13, Days after onset: 33
Location:Unknown  Entered:2007-04-16, 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: KEFLEX
Current Illness: Acne
Preexisting Conditions:
Diagnostic Lab Data: unknown
CDC Split Type: WAES0703USA01896
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.  UNUN
Administered by: Other     Purchased by: Other
Symptoms: Chills, Headache, Malaise, Myalgia, Nausea, Pyrexia, Vision blurred
SMQs:, Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Glaucoma (broad), Lens disorders (broad), Eosinophilic pneumonia (broad), Retinal disorders (broad)
Write-up: Information has been received from a dermatologist concerning her 20 year old "otherwise healthy" daughter with acne who on 08-MAR-2007 was vaccinated with a dose of Gardasil. Concomitant therapy included cephalexin (KEFLEX). On 10-MAR-2007, the patient developed a headache, "not feeling right", nausea, and fever. On 11-MAR-2007, the patient complained of generalized headache with "blurry vision" possibly attributed to the headache per the mother, chills, myalgias, and nausea. At the time of this report, the outcome was unknown. Additional information is expected.

VAERS ID:276660 (history)  Vaccinated:2007-01-03
Age:20.0  Onset:2007-02-27, Days after vaccination: 55
Gender:Female  Submitted:2007-04-13, Days after onset: 44
Location:Arkansas  Entered:2007-04-16, Days after submission: 3
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Allergic reaction to antibiotics
Preexisting Conditions: Allergic reaction to antibiotics
Diagnostic Lab Data: None
CDC Split Type: WAES0703USA02305
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC. 0IMUN
Administered by: Other     Purchased by: Other
Symptoms: Hypoaesthesia
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad)
Write-up: This is in follow-up to report (s) previously submitted on 4/13/2007. Information has been received from a Dentist concerning a 20 year old female with a history of a drug allergy to cephalosporin who on 13-JAN-2007, at 5:00PM (previously reported as 03-JAN-2007) was vaccinated IM 0.5 ml first dose with Gardasil. There was no concomitant medication. On 27-FEB-2007 the patient experienced numbness hands and feet. Subsequently, the patient recovered form numbness hands and feet on 01-Mar-2007. The patient sought unspecified medical attention. In follow up information the reporter indicated that on 25-FEB-2007 in AM "my daughter called me from college reporting "numbness" of her right arm and slightly in her right foot." The patient was dropping her fork at dinner and being frightned and calling the reporter. The reporter was talking with her each day thereafter. On 10-MAR-2007 (previously reported as 01-MAR-2007) her symptoms never worsened and resolved with no therapy. Her second dose resulted in less symptoms lasting less than 2 weeks. On 25-MAY-2007 complete recovery was noted. Additional information is not expected.

VAERS ID:276665 (history)  Vaccinated:2007-03-08
Age:20.0  Onset:2007-03-10, Days after vaccination: 2
Gender:Female  Submitted:2007-04-13, Days after onset: 33
Location:Florida  Entered:2007-04-16, Days after submission: 3
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unk
Current Illness:
Preexisting Conditions: Unk
Diagnostic Lab Data: Unk
CDC Split Type: WAES0703USA02352
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.  UNUN
Administered by: Other     Purchased by: Other
Symptoms: Menorrhagia
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow)
Write-up: Information has been received from a physician concerning a 20 year old female who on 08-MAR-2007 was vaccinated with a 0.5 mL dose of Gardasil. On 10-MAR-2007, the patient experienced excessive vaginal bleeding and her period was a week early after receiving Gardasil. The patient sought unspecified medical attention. At the time of this report, the outcome was unknown. Additional information has been requested.

VAERS ID:276678 (history)  Vaccinated:2007-03-12
Age:20.0  Onset:2007-03-12, Days after vaccination: 0
Gender:Female  Submitted:2007-04-13, Days after onset: 32
Location:Florida  Entered:2007-04-16, Days after submission: 3
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC Split Type: WAES0703USA02840
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.0013U IMUN
Administered by: Unknown     Purchased by: Unknown
Symptoms: Nausea, Vomiting
SMQs:, Acute pancreatitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)
Write-up: Information has been received from a registered nurse concerning a 20 year old female, with no medical history or history of drug reactions/allergies who on 12-MAR-2007 was vaccinated with 0.5 ml intramuscular Gardasil (lot# 654741/0013U). Concomitant therapy included Alesse. Subsequently the patient experienced nausea and vomiting. Patient outcome was unknown. No lab testing was performed. Additional information has been requested. The registered nurse reported that 3 other patients'' experiences after Gardasil administration (WAES 0703USA02859, WAES 0703USA02797, WAES0703USA02815). This is in follow-up to report (s) previously submittedon 4/13/2007. The records of testing prior to release of the lot in question, have been rechecked and found to be satisfactory. The lot complies with the standards of the Center for Biological Evaluation & Research, and was released.

VAERS ID:276682 (history)  Vaccinated:2007-03-12
Age:20.0  Onset:2007-03-12, Days after vaccination: 0
Gender:Female  Submitted:2007-04-13, Days after onset: 32
Location:Florida  Entered:2007-04-16, Days after submission: 3
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Tourette''s disorder
Preexisting Conditions: Tourette''s disorder
Diagnostic Lab Data: None
CDC Split Type: WAES0703USA02894
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.0013U0IMUN
Administered by: Other     Purchased by: Other
Symptoms: Diarrhoea, Nausea, Vomiting
SMQs:, Acute pancreatitis (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (narrow)
Write-up: Information has been received from a Registered Nurse concerning a 20 year old female with tourette''s disorder who on 12-MAR-2007 was vaccinated IM 0.5 ml first dose with Gardasil (yeast) (lot # 654741/0013U). Concomitant therapy included clonidine HC1 (CATAPRES), sertraline HC1 (ZOLOFT) and ethinyl estradiol/norethindrone acetate (MICROGESTIN). On 12-MAR-2007 the patient experienced nausea, vomiting and diarrhea 2 hours after receiving Gardasil (yeast). The physician prescribed ondansetron hydrochloride (ZOFRAN) and loperamide hydrochloride (IMODIUM). The nurse is requesting a lot check. The patient sought unspecified medical attention. No lab diagnostics were performed. Additional information has been requested. This is in follow-up to report (s) previously submitted on 4/13/2007. Initial and follow up information has been received from a registered nurse concerning a 20 year old female with Tourette''s disorder and no known drug allergies, who on 12-MAR-2007 was vaccinated IM 0.5ml, with the first dose of GARDASIL (lot# 654741/0013U). Concomitant therapy included CATAPRES, ZOLOFT and MICROGESTIN. There was no illness at the time of vaccination. On 12-MAR-2007 the patient experienced nausea, vomiting and diarrhea 2 hours after receiving GARDASIL. The physician prescribed ZOFRAN and IMODIUM. The nurse is requesting a lot check. The patient sought unspecified medical attention. No Lab diagnostics were performed. Follow up information fromthe nurse confirmed that the patient had recovered from the nausea, vomiting and diarrhea. The records of testing prior to release of the lot in question, have been rechecked and found to be satisfactory. The lot complies with the standard of the health regulatory agency, and was released. No further information is expected.

VAERS ID:276823 (history)  Vaccinated:2007-01-01
Age:20.0  Onset:2007-01-01, Days after vaccination: 0
Gender:Female  Submitted:2007-04-13, Days after onset: 101
Location:Unknown  Entered:2007-04-16, Days after submission: 3
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unk
Current Illness:
Preexisting Conditions: Unk
Diagnostic Lab Data: Unk
CDC Split Type: WAES0703USA03725
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC. 1IMUN
Administered by: Other     Purchased by: Other
Symptoms: Injection site pain, Underdose
SMQs:, Extravasation events (injections, infusions and implants) (broad)
Write-up: Information has been received from a pharmacist concerning her daughter, a female "in her early 20''s," who in January 2007, was vaccinated with the second dose, 0.5ml, IM, of Gardasil. The pharmacist reported she did not think her daughter received the full 0.5ml dose, and stated there was "some of the suspension remaining" in the vial. In additional, the pharmacist reported her daughter developed a sore arm, which she believed was "from the nurse''s administration technique and not from the product." The patient sought unspecified medical attention. No further information is available.

VAERS ID:276861 (history)  Vaccinated:2007-03-06
Age:20.0  Onset:2007-03-06, Days after vaccination: 0
Gender:Female  Submitted:2007-04-13, Days after onset: 37
Location:New York  Entered:2007-04-16, Days after submission: 3
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: None
CDC Split Type: WAES0703USA04153
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.0011U0IMLA
Administered by: Private     Purchased by: Private
Symptoms: Abdominal pain, Dizziness, Feeling abnormal, Loss of consciousness, Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Acute pancreatitis (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Retroperitoneal fibrosis (broad), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad)
Write-up: Information has been received from a nurse, concerning a 20 year old female student, who on 06-MAR-2007 at 11:00 am, was vaccinated with the first dose, 0.5ml, IM in the left deltoid, of Gardasil (Lot # 654702/0011U). The nurse reported that "approximately 5 minutes after" the vaccination (time reported as 11:15am), the patient "felt lightheaded and fainted, lost consciousness for approximately less than a minute." The nurse stated that the patient complained of feeling "strange in her head" and experienced abdominal cramps" that lasted for approximately 20 minutes. The nurse indicated that the patient had not had breakfast that morning and felt better after drinking some orange juice. The patient recovered from the events on 07-MAR-2007. No further information is expected.

VAERS ID:276865 (history)  Vaccinated:2007-02-16
Age:20.0  Onset:0000-00-00
Gender:Female  Submitted:2007-04-13
Location:New York  Entered:2007-04-16, Days after submission: 3
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0703USA04175
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.1447F IM 
Administered by: Other     Purchased by: Other
Symptoms: Injection site mass
SMQs:, Extravasation events (injections, infusions and implants) (broad)
Write-up: Information has been received from a Registered Nurse (R.N.) concerning a 20 year old female patient who on 16-FEB-2007 was vaccinated IM in the deltoid muscle with a dose of Gardasil vaccine (yeast), lot # 655617/1447F. The patient recently noted a small lump in her deltoid muscle at the injection site, also described as a bump in her arm at injection site. Unspecified medical attention was sought. The patient was recovering as of the report day. Additional information has been requested.

VAERS ID:276887 (history)  Vaccinated:2007-03-19
Age:20.0  Onset:2007-03-19, Days after vaccination: 0
Gender:Female  Submitted:2007-04-13, Days after onset: 25
Location:North Carolina  Entered:2007-04-16, Days after submission: 3
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Papanicolaou smear abnormal
Diagnostic Lab Data: Blood glucose 03/19/2007 110
CDC Split Type: WAES0703USA04616
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC. 1IMGM
Administered by: Unknown     Purchased by: Unknown
Symptoms: Blood glucose, Drug administered at inappropriate site, Pallor, Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad)
Write-up: Information has been received from a nurse, via a company representative, concerning a 20 year old female with a history of an abnormal papanicolaou smear, who on 19-MAR-2007 was vaccinated, iM in the buttocks, with the second dose of Gardasil. There was no concomitant medication. The nurse reported that on 19-MAR-2007, a few minutes after the vaccination, the patient "turned pale and fainted for a few seconds." The nurse reported the patient''s blood sugar was 110 (units not specified). Subsequently, the patient recovered on the same day. additional information has been requested.

VAERS ID:276919 (history)  Vaccinated:2007-03-21
Age:20.0  Onset:2007-03-21, Days after vaccination: 0
Gender:Female  Submitted:2007-04-13, Days after onset: 23
Location:Oregon  Entered:2007-04-16, Days after submission: 3
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Unk
Diagnostic Lab Data: Unk
CDC Split Type: WAES0703USA05325
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.  UNUN
Administered by: Other     Purchased by: Other
Symptoms: Condition aggravated, Headache, Pruritus, Skin irritation, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow)
Write-up: Information has been received from a receptionist in the physician''s office and a Certified Nurse Midwife (CNM) concerning a 20 year old female patient with a history of prior contact dermatitis, hive reaction who on 26-FEB-2007, at 11:00 AM was vaccinated with a first dose of Gardasil. On 26-FEB-2007 at 11:15 AM she broke out in hives after the injection. The patient came back to office within about 15 minutes after getting the injection with some itchiness, some small red hive areas, with rubbing, the hives then extended. They were on both of patient''s wrists, on her neck, and her right chest wall, patient had no papules and she appeared coherent. She was given immediately 50mg of liquid BENADRYL. The patient came back to the office in one hour and she had no hives. She had a residual headache from the experience that was persisting at the time of this report. The patien planned to go home early and stated her boy friend would be home in the afternoon to check on her periodically to monitor for any signs of reaction. The reporter plan to contact the vaccine adverse event reporting system, to get some recommendation on whether or not they should continue the second and third injection. The reporter thought that hives and itchiness were other important medical event. Additional information is not expected.

VAERS ID:276955 (history)  Vaccinated:0000-00-00
Age:20.0  Onset:0000-00-00
Gender:Female  Submitted:2007-04-13
Location:Pennsylvania  Entered:2007-04-16, 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: Unk
Current Illness:
Preexisting Conditions: Unk
Diagnostic Lab Data: Unk
CDC Split Type: WAES0704USA00637
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC. 0IMUN
Administered by: Other     Purchased by: Other
Symptoms: Pruritus
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (broad)
Write-up: Information has been received from a physician concerning an 20 year old female who was vaccinated IM, first dose, with Gardasil. Subsequently the patient experienced itching both arms after receiving the vaccine. Additional information has been requested.

VAERS ID:276786 (history)  Vaccinated:2007-04-16
Age:20.0  Onset:2007-04-16, Days after vaccination: 0
Gender:Female  Submitted:2007-04-18, Days after onset: 2
Location:North Carolina  Entered:2007-04-18
Life Threatening? Yes
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? Yes, 2 days
    Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: Peanut allergy (anaphylaxis if exposed) Uses "Epi-Pen" to treat prn. PMH: murmur. Allergies: peanuts, Ceclor, EES
Diagnostic Lab Data: Labs: unremarkable.
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
JEV: JAPANESE ENCEPHALITIS (JE-VAX)SANOFI PASTEURENJ228A0SCRA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Abdominal pain, Allergy to vaccine, Anaphylactic reaction, Choking sensation, Dizziness, Dysphagia, Dyspnoea, Food allergy, Laboratory test normal, Lip swelling, Nausea, Pharyngeal oedema, Pruritus, Pulmonary valve stenosis, Rash pruritic, Urticaria
SMQs:, Anaphylactic reaction (narrow), Acute pancreatitis (broad), Angioedema (narrow), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Anaphylactic/anaphylactoid shock conditions (narrow), Oropharyngeal allergic conditions (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Vestibular disorders (broad), Hypersensitivity (narrow)
Write-up: Approximately 45 minutes after receiving vaccine patient developed urticaria. This progress over one hour to swelling of the throat, difficulty breathing, dizziness. Patient self treated with epinephrine (Epi-Pen) which she keeps for known peanut allergy. Had excellent response to epinephrine. She called EMS and was transported to Emergency Room. Observed overnight with minimal symptoms (itchy rash) on night of 4-16-07. Only treatment in ER/hospital was Benedryl 50 mg IV. Discharged on 4-17-07 and had no further symptoms until morning of 4-18-07 when awoke with swollen lips, itching of face and ears, dizziness, nausea, mild abdominal pain. Came to Student Heatlh Service for evaluation. Developed throat swelling while at Student Health. Treated with .3 mg epinephrine sq. with good response. Infectious Disease consultant recommended close inpatient observation until steroids or other treatment could be initiated to stop reaction. 05/09/2007 Mr received for 2 ER o/n admits (4/16-1707 and 4/18-19/07) for c/o allergic reaction to JE vaccine. Pt reports 2 hours after vaccine she developed a "choking" sensation, difficulty breathing, and trouble swallowing with rash. Self-injected with epi-pen with relief and evaluated in ER. Discharge DX; Allergic reaction/anaphylaxis status post JE vaccination. Pulmonary stenosis. Returned to ER 1 day after D/C with c/o facial swelling (lips and tongue). Used Epi-pen and Benadryl en route to hospital with some resolution. Admitted for observation. Discharge DX: Resolved angioedema, allergic reaction/anaphylaxis related japanese Encephalitis vaccination immunization. Doing well. No symptons at this reaction since May 2007. Last seen by my office on 4-14-08 for an unrelated problem.

VAERS ID:277092 (history)  Vaccinated:2007-04-19
Age:20.0  Onset:2007-04-19, Days after vaccination: 0
Gender:Female  Submitted:2007-04-20, Days after onset: 1
Location:Florida  Entered:2007-04-20
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
HEPA: HEP A (HAVRIX)SMITHKLINE BEECHAMAHAVB115CA0IMRA
TYP: TYPHOID VI POLYSACCHARIDE (TYPHIM VI)AVENTIS PASTEURPMC Z0663-20IMLA
Administered by: Public     Purchased by: Private
Symptoms: Diarrhoea, Stomach discomfort, Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Arrhythmia related investigations, signs and symptoms (broad), Pseudomembranous colitis (broad), Gastrointestinal perforation, ulcer, haemorrhage, obstruction non-specific findings/procedures (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Noninfectious diarrhoea (narrow)
Write-up: The patient complained of syncope, upset stomach and diarrhea. Her symptoms started approximately two hours after receiving the vaccines and persisted all night. She states she took Pepto Bismol with no relief. She states she was not ill prior to receiving the vaccines and has no health problems. She has not sought medical attention as of this time. Her symptoms still persist as of 4/20/07 at 8:45 AM.

VAERS ID:277196 (history)  Vaccinated:2007-04-17
Age:20.0  Onset:2007-04-18, Days after vaccination: 1
Gender:Female  Submitted:2007-04-18, Days after onset: 0
Location:Indiana  Entered:2007-04-23, Days after submission: 5
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Sudafed, Allegra, Loestrin, Flonase
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEPA: HEP A (HAVRIX)GLAXOSMITHKLINE BIOLOGICALSAHAVB114AN0IMLA
TDAP: TDAP (ADACEL)AVENTIS PASTEURC2610AA0IMLA
Administered by: Private     Purchased by: Private
Symptoms: Injection site swelling, Pain, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: Fever, body aches swelling at site treated with Advil with relief

VAERS ID:277241 (history)  Vaccinated:2007-03-28
Age:20.0  Onset:2007-03-28, Days after vaccination: 0
Gender:Female  Submitted:2007-04-16, Days after onset: 19
Location:California  Entered:2007-04-23, Days after submission: 7
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Biaxin
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.1874U0IMLA
Administered by: Private     Purchased by: Private
Symptoms: Depressed mood, Fatigue
SMQs:, Depression (excl suicide and self injury) (narrow)
Write-up: Depressed mood and fatigue started evening of vaccine lasted 4 days.

VAERS ID:277338 (history)  Vaccinated:2007-04-17
Age:20.0  Onset:2007-04-19, Days after vaccination: 2
Gender:Female  Submitted:2007-04-24, Days after onset: 5
Location:Texas  Entered:2007-04-24
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Aderal
Current Illness: none listed
Preexisting Conditions: none listed
Diagnostic Lab Data: none
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
RAB: RABIES (IMOVAX)AVENTIS PASTEURZ08770IMRA
Administered by: Public     Purchased by: Public
Symptoms: Pruritus, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow)
Write-up: Reports she had hives on her neck and trunk 2 days after vaccine which has not completely resolved but is improving. She states it is "itchy". She has no history of hives. She denies any fever.

VAERS ID:277376 (history)  Vaccinated:2007-04-11
Age:20.0  Onset:0000-00-00
Gender:Male  Submitted:2007-04-25
Location:Washington  Entered:2007-04-25
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: no
Preexisting Conditions: no
Diagnostic Lab Data: n/a
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
SMALL: SMALLPOX (NO BRAND NAME)UNKNOWN MANUFACTURER   LA
Administered by: Military     Purchased by: Unknown
Symptoms: Rash papular, Rash pustular
SMQs:, Hypersensitivity (narrow)
Write-up: satellite pustules and papules over upper torso and upper arms developed after smallpox vaccine administered 11 Apr 2007

VAERS ID:277425 (history)  Vaccinated:2007-04-16
Age:20.0  Onset:2007-04-16, Days after vaccination: 0
Gender:Female  Submitted:2007-04-19, Days after onset: 3
Location:Maryland  Entered:2007-04-26, 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: Orthotryclin Lo
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: EKG/ Chest X-ray both normal
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
UNK: VACCINE NOT SPECIFIED (NO BRAND NAME)UNKNOWN MANUFACTURER    
Administered by: Private     Purchased by: Unknown
Symptoms: Chest X-ray normal, Chest pain, Electrocardiogram normal, Migraine
SMQs:, Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad)
Write-up: Approximately 30 minutes after injection got migraine then began experiencing chest pains that began moderately progressively worse.

VAERS ID:278040 (history)  Vaccinated:2007-03-03
Age:20.0  Onset:2007-03-03, Days after vaccination: 0
Gender:Male  Submitted:2007-04-25, Days after onset: 52
Location:Illinois  Entered:2007-05-07, Days after submission: 12
Life Threatening? Yes
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Headaches, fevers
Preexisting Conditions: See attached notes
Diagnostic Lab Data: Cardiac echo 20%. Labs and Diagnostics: EKG (4/3/07) revealed A-fib with RVR up to 190''s. Echocardiogram showed an EF of 30% with LV systolic dysfunction. Flu swab (+). EF down to 10% by 4/6/07 with severe MR. CBC and CMP WNL.
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
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Site
TYP: TYPHOID VI POLYSACCHARIDE (TYPHIM VI)SANOFI PASTEUR  UNUN
Administered by: Military     Purchased by: Unknown
Symptoms: Atrial fibrillation, Cardiac failure, Cardiomyopathy, Cardioversion, Dyspnoea, Echocardiogram abnormal, Ejection fraction decreased, Electrocardiogram abnormal, Fatigue, Full blood count, Headache, Influenza serology positive, Laboratory test normal, Mitral valve incompetence, Pyrexia
SMQs:, Cardiac failure (narrow), Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Supraventricular tachyarrhythmias (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (narrow)
Write-up: briefly: cardiomyopathy, confirmed with echocardiogram. 05/09/2007 Additional records received from reporter. ID consult reveals pt reported for military duty with c/o fever x 2. Typhoid vax given at that time. That pm c/o worsening H/A and fatigue. ER visit that night (03/03/2007) where pt. was febrile (101.7-102''F). Pt. developed worsening dyspnea and fatigue. Pt was hospitalized again on 4/6/07 for new onset heart failure, cardioverted and worked up for a heart transplant. Otherwise txd medically. PMH: None. Flu shot x 2 this year. Allergies: NKDA. Assessment: New onset cardiomyopathy. 06/18/2007 MR received for hospitalization 4/6-19/2007 as above. No new codes.

VAERS ID:278126 (history)  Vaccinated:2006-08-20
Age:20.0  Onset:0000-00-00
Gender:Female  Submitted:2006-11-17
Location:New York  Entered:2007-05-07, Days after submission: 170
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: injection site redness~Rabies (Imovax)~~0~In Patient
Other Medications:
Current Illness:
Preexisting Conditions: Bat exposure, no medications or pre-existing medical conditions.
Diagnostic Lab Data:
CDC Split Type: 200602767
Vaccination
Manufacturer
Lot
Dose
Route
Site
RAB: RABIES (IMOVAX)SANOFI PASTEUR 1IMRA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Headache, Injection site erythema, Injection site swelling, Migraine, Nausea, Pyrexia, Similar reaction on previous exposure to drug
SMQs:, 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)
Write-up: Initial information received on 23 October 2006 from the patient''s parent. A 20 year old female patient received a first dose of Imovax Rabies, lot number not reported, intramuscularly in the left deltoid on 20 August 2006 following exposure to a bat. Four hours post vaccination, the patient developed redness and swelling at the injection site. She also had a fever of 102 degrees Fahrenheit, headache and nausea. The symptoms at the injection site were treated with ice packs. The patient subsequently received a second dose of Imovax Rabies, lot number reported, administered intramuscualry in the left deltoid on 23 August 2006. She received a third dose of Imovac Rabies, lot number Z0316-2, administered intramuscularly in the right deltoid on 27 August 2006. On 03 September 2006, ,the patient received a fifth dose of Imovax rabies, lot number Z0316-2, administered intramuscularly on 17 September 2006 in the left deltoid. The patient developed the same signs and symptoms after each subsequent dose as she experienced following dose one. The patient recovered from the events. Follow-up information received from the patient''s mother on 12 December 2006. In additions to the previously aforementioned vaccines, the patient received a dose of Rabies Immunoglobulin (manufacture and lot number not reported) on 20 August 2006. As per the patient''s mother, the patient is "suffering from chronic migraine headaches (daily basis)". The patient''s recovery status has been changed to not recovered. No other information was provided at this time. The reported of this case is the same as for case 2006-02768.

VAERS ID:278128 (history)  Vaccinated:2007-05-03
Age:20.0  Onset:0000-00-00
Gender:Female  Submitted:2007-05-07
Location:Pennsylvania  Entered:2007-05-07
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: Depression
Diagnostic Lab Data: + pregnancy test 5/7/07
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.0960F1 LA
Administered by: Private     Purchased by: Other
Symptoms: Drug exposure during pregnancy, Pregnancy test positive
SMQs:, Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow), Normal pregnancy conditions and outcomes (narrow)
Write-up: Unknown pregnancy at time of vaccine about 6 weeks pregnant. See form - Pt. unknown pregnant at time vaccine given. Pt. didn''t have an adverse reaction.

VAERS ID:278141 (history)  Vaccinated:2007-04-12
Age:20.0  Onset:2007-04-23, Days after vaccination: 11
Gender:Male  Submitted:2007-04-25, Days after onset: 2
Location:Unknown  Entered:2007-05-08, Days after submission: 13
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? Yes, 4 days
    Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: Increased troponin (elevated)
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
ANTH: ANTHRAX (BIOTHRAX)EMERGENT BIOSOLUTIONSFAV1080SC 
SMALL: SMALLPOX (DRYVAX)PFIZER/WYETH40200760  
Administered by: Military     Purchased by: Military
Symptoms: Chest pain, Dyspnoea, Myocarditis, Troponin increased
SMQs:, Anaphylactic reaction (broad), Myocardial infarction (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad)
Write-up: Chest pain, Diff breathing. 05/31/2007 MR received from overseas hospital written in German. DX: Myocarditis nach Pocken-und Milzbrandimpfung.

VAERS ID:278142 (history)  Vaccinated:2007-04-12
Age:20.0  Onset:2007-04-20, Days after vaccination: 8
Gender:Male  Submitted:2007-04-26, Days after onset: 6
Location:Unknown  Entered:2007-05-08, Days after submission: 12
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? Yes, 3 days
    Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: Increased troponin (3.5) DX: myocarditis
CDC Split Type:
Vaccination
Manufacturer
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Dose
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Site
ANTH: ANTHRAX (BIOTHRAX)EMERGENT BIOSOLUTIONSFAV1080SC 
SMALL: SMALLPOX (DRYVAX)PFIZER/WYETH40200760  
Administered by: Military     Purchased by: Military
Symptoms: Chest pain, Dyspnoea, Myalgia, Myocarditis, Troponin increased
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Myocardial infarction (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (broad)
Write-up: Pt complains of chest pain difficulty breathing, myalgias. 05/31/2007 MR received from overseas hospital written in German. DX: Myokarditis. Massive lokale Impfreaktion nach Pocken-und Milzbrandimpfung am rechten Oberarm.

VAERS ID:278284 (history)  Vaccinated:2007-04-13
Age:20.0  Onset:2007-04-15, Days after vaccination: 2
Gender:Female  Submitted:2007-05-04, Days after onset: 19
Location:Minnesota  Entered:2007-05-09, Days after submission: 5
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.1508F1SCLA
Administered by: Private     Purchased by: Private
Symptoms: Cellulitis, Injection site erythema
SMQs:, Extravasation events (injections, infusions and implants) (broad)
Write-up: Left arm cellulitis, 6x6 area of erythema noted to L elbow and upper arm.

VAERS ID:278663 (history)  Vaccinated:2006-11-03
Age:20.0  Onset:2006-11-06, Days after vaccination: 3
Gender:Female  Submitted:2007-05-15, Days after onset: 189
Location:California  Entered:2007-05-15
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.0637F0IMLA
Administered by: Private     Purchased by: Military
Symptoms: Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow)
Write-up: Broke out with hives 3 days after vaccination which lasted for approximately 3 weeks

VAERS ID:278806 (history)  Vaccinated:2007-04-04
Age:20.0  Onset:2007-04-04, Days after vaccination: 0
Gender:Male  Submitted:2007-05-14, Days after onset: 40
Location:Maine  Entered:2007-05-16, Days after submission: 2
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Asthma; Acne; Rhinitis
Diagnostic Lab Data: diagnostic laboratory, 03/22/07 - varicella titer: negative
CDC Split Type: WAES0704USA00788
Vaccination
Manufacturer
Lot
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Site
VARZOS: ZOSTER (ZOSTAVAX)MERCK & CO. INC.0622F SC 
Administered by: Other     Purchased by: Other
Symptoms: No adverse effect, Viral test negative, Wrong drug administered
SMQs:
Write-up: Information has been received from a licensed practical nurse concerning a 20 year old male with asthma, acne, rhinitis, and no allergies who on 04-APR-2007 was vaccinated SC with a dose of zoster vaccine (Oka/Merck) (lot # 652965/0622F) instead of a dose of varicella virus vaccine (Oka/Merck) (MSD). There was no concomitant medication. It was noted that the patient had a negative varicella titer on 22-MAR-2007. The patient picked up the zoster vaccine (Oka/Merck) from the pharmacy thinking that it was varicella virus vaccine (Oka/Merck) (MSD). The nurse did not check the vaccine prior to administration. The pharmacy informed the nurse later that zoster vaccine (Oka/Merck) and varicella virus vaccine (Oka/Merck) (MSD) are "interchangeable." Unspecified medical attention was sought. No symptoms were reported. A product quality complaint was not involved. Additional information has been requested.

VAERS ID:279045 (history)  Vaccinated:2007-01-14
Age:20.0  Onset:2007-01-15, Days after vaccination: 1
Gender:Female  Submitted:2007-05-14, Days after onset: 118
Location:South Carolina  Entered:2007-05-17, Days after submission: 3
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data:
CDC Split Type: WAES0704USA00422
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.0961F0IJLA
Administered by: Private     Purchased by: Other
Symptoms: Hot flush, Vaccine positive rechallenge
SMQs:
Write-up: Information has been received from a nurse practitioner concerning a teenage female (age not reported) who on unspecified dates was vaccinated with the first and second doses of Gardasil. Concomitant medication was not reported. Subsequently on an unspecified dates, the patient developed hot flashes after her first and second doses of Gardasil. The onset of the hot flashes began within 24 hours post vaccination and the hot flashes lasted for a couple of days. The patient sought unspecified medical attention. The outcome and action taken with regards to therapy with Gardasil was not reported. Additional information has been requested. 10/08/07 This is in follow-up to report(s) previously submitted on 5/17/2007. Information has been received from a nurse practitioner concerning a 20 year old female with no illness at the time of being vaccinated who on 14-JAN-2007 was vaccinated with the first dose of GARDASIL (lot # 654389/0961F) injection in the left deltoid at 4:30 PM. On 06-MAR-2007, the patient was vaccinated with the second dose of GARDASIL (lot # 654741/0013U) injection in the left deltoid at 11:30 AM. The patient was not on concomitant medication. On 15-JAN-2007 and 07-MAR-2007, the patient developed hot flashes after her first and second dose of GARDASIL respectively. The onset of the hot flashes began within 24 hours post vaccination and the hot flashes lasted for a couple of days. The patient sought unspecified medical attention. On unspecified dates, the patient recovered from the hot flashes. No additional information is expected.

VAERS ID:279052 (history)  Vaccinated:2007-03-29
Age:20.0  Onset:2007-03-29, Days after vaccination: 0
Gender:Female  Submitted:2007-05-14, Days after onset: 46
Location:Unknown  Entered:2007-05-17, Days after submission: 3
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: ORTHO TRI-CYCLEN
Current Illness: Sulfonamide allergy; House dust allergy; Mycotic allergy
Preexisting Conditions: Mitral value prolapse; Mitral regurgitation; Cardiac disorder; Syncope; Migraine
Diagnostic Lab Data: blood pressure 03/30/07 117/8
CDC Split Type: WAES0704USA00593
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.0243U IMLA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Abdominal discomfort, Blood pressure decreased, Dizziness, Hypotension, Nausea
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal perforation, ulcer, haemorrhage, obstruction non-specific findings/procedures (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad)
Write-up: Information has been received from a nurse concerning a 20 year old female student with sulfonamide allergy, house dust allergy and mycotic allergy and a history of mitral value prolapse, mitral value regurgitation, "other episodes" of syncope, cardiac disorder and migraines who on 29-MAR-2007 was vaccinated with Gardasil IM in the left deltoid. Concomitant therapy included Ortho-Tri-Cyclen. On 29-MAR-2007, immediately following vaccination, the patient felt faint and nauseous. The patient''s blood pressure was 117/86. The patient was treated with smelling salts, cool compress, food and cranberry juice. The patient went home after feeling better. On 30-Mar-2007 the patient visited the physician in the student health center at school where the patient complained of nauseousness and dizziness. The physician''s diagnosis was hypotension and GI upset. On 03-Apr-2007 the nurse contacted the patient who was fully recovered from the events. The patient will continue the series of vaccinations. Additional information has been requested.

VAERS ID:279062 (history)  Vaccinated:2007-01-23
Age:20.0  Onset:2007-01-23, Days after vaccination: 0
Gender:Female  Submitted:2007-05-14, Days after onset: 110
Location:Unknown  Entered:2007-05-17, Days after submission: 3
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: hormonal contraceptives
Current Illness:
Preexisting Conditions: Depression
Diagnostic Lab Data: Unk
CDC Split Type: WAES0704USA00752
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.  UNUN
MEN: MENINGOCOCCAL (NO BRAND NAME)UNKNOWN MANUFACTURER  UNUN
Administered by: Other     Purchased by: Other
Symptoms: Anorexia, Chills, Hyperhidrosis, Immediate post-injection reaction, Loss of consciousness, Movement disorder, Nausea, Pyrexia, Vomiting
SMQs:, Torsade de pointes/QT prolongation (broad), Acute pancreatitis (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Akathisia (broad), Dyskinesia (broad), Dystonia (broad), Parkinson-like events (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Hypersensitivity (narrow)
Write-up: Information has been received from a Physician Assistant (P.A.) concerning a 20 year old female with a history of depression who on 23-JAN-2007 was vaccinated with a first dose of Gardasil. Concomitant therapy included possible meningococcal vaccine, and hormonal contraceptives (unspecified). On 23-JAN-2007 immediately post vaccination the patient "blacked out and then threw up." The patient arrived home and she felt like she "passed out or fell right to sleep", when awoke she developed chills, low grade fever, sweating, nausea, no appetite, and felt like she "could not move." This happened two or three times all night between sleeping, and waking cycles with symptoms. However, at 4:00AM all symptoms stopped. Unspecified medical attention was sought. On 24-JAN-2007 patient recovered. Additional information has been requested.

VAERS ID:279069 (history)  Vaccinated:2007-03-08
Age:20.0  Onset:2007-03-08, Days after vaccination: 0
Gender:Female  Submitted:2007-05-14, Days after onset: 66
Location:Minnesota  Entered:2007-05-17, Days after submission: 3
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Asthma; allergic reaction to antibiotics
Preexisting Conditions:
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0704USA00928
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC. 1UNUN
Administered by: Other     Purchased by: Other
Symptoms: Chills, Condition aggravated, Hyperhidrosis, Pyrexia, Rash, Tremor, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Parkinson-like events (broad), Noninfectious encephalopathy/delirium (broad), Hypersensitivity (narrow)
Write-up: This is in follow-up to report (s) previously submitted on 5/14/2007. Information has been received from a Registered Nurse (R.N.) concerning a 12 year old female patient who on 08-MAR-2007 was vaccinated with a second dose of Gardasil. Patient had a rash before getting the vaccination. On 08-MAR-2007 the patient''s rash (on her chest and neck) became worse and she was shaking, had fever and sweating. Unspecified medical attention was sought. The patient recovered. Additional information has been requested. Initial and follow up information has been received from a Registered Nurse (R.N.) concerning a 20 year old (previously mentioned as 12 year old) female student with asthma and rash, hives to amoxicillin(+) clavulante potassium who on 08-MAR-2007 was vaccinated IM in left deltoid with a second dose of GARDASIL. Concomitant therapy included TRINESSA., montelukast sodium (MSD) and ZYRTEC. Patient had a rash before getting the vaccination. On 08-MAR-2077 the patient''s rash ( on her chest and neck) became worse and she was shaking, had fever and sweating. Unspecified medical attention was sought. In follow up it was reported that on 09-MAR-2007 patient woke up at 01:00AM shaking shivering for 1 1/4 hour. At 4:30AM she broke out sweating with fever. On 11-MAR-2007 patient''s mother reported that she recovered. Additional information is not expected.

VAERS ID:279171 (history)  Vaccinated:2007-03-29
Age:20.0  Onset:2007-03-29, Days after vaccination: 0
Gender:Female  Submitted:2007-05-14, Days after onset: 46
Location:Unknown  Entered:2007-05-17, Days after submission: 3
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness: Sulfonamide allergy; House dust allergy; Mycotic allergy
Preexisting Conditions:
Diagnostic Lab Data: blood pressure 03/29/07 117/8 total heartbeat count 03/29/07 63
CDC Split Type: WAES0704USA01288
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.0243U0IMLA
Administered by: Private     Purchased by: Private
Symptoms: Blood pressure, Dizziness, Drug administered at inappropriate site, Stomach discomfort
SMQs:, Anticholinergic syndrome (broad), Gastrointestinal perforation, ulcer, haemorrhage, obstruction non-specific findings/procedures (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad)
Write-up: Information has been received from a registered nurse concerning a 20 year old female patient with allergies to Sulfa, dust and mold who on 29-MAR-2007 was vaccinated IM into the left deltoid (previously reported as gluteus) with a first dose of Gardasil (lot # 656372/0243U). The patient became faint after the injection, but did not lose consciousness. The patient put her head down, used a cool cloth, spirits of ammonia and laid down in the exam table. The patient was give apple juice. The patient''s blood pressure was 117/86 with a pulse of 63. On 30-MAR-2007, the patient returned to the office and stated that she had felt woosy and experienced a sensitive stomach the 24 hours following the vaccination. The patient recovered from her experience on 30-MAR-2007. No product quality complaint was involved. Additional information is not expected.

VAERS ID:279172 (history)  Vaccinated:2007-03-29
Age:20.0  Onset:2007-04-03, Days after vaccination: 5
Gender:Female  Submitted:2007-05-14, Days after onset: 41
Location:Massachusetts  Entered:2007-05-17, Days after submission: 3
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Sulfonamide allergy
Preexisting Conditions:
Diagnostic Lab Data: Oral T, 04/03/2007, 99.6degree
CDC Split Type: WAES0704USA01327
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.0011U IMLA
Administered by: Other     Purchased by: Other
Symptoms: Burning sensation, Hypersensitivity, Hypoaesthesia, Injection site erythema, Pain in extremity
SMQs:, Angioedema (broad), Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (narrow)
Write-up: Information has been received from a registered nurse, concerning a 19 year old female patient with an Bactrim allergy, who on 29-MAR-2007 was vaccinated IM in the left deltoid, with a dose, 0.5ml, of Gardasil (Lot #654702/0011U). Concomitant therapy included Yasmin. On 03-APR-2007, five days after the vaccine was administered, the patient was seen in the office as she had developed an "allergic reaction to (Gardasil)," with redness around the injection site. Treatment included ice and an antihistamine (unspecified). On 05-APR-2007, the nurse stated the patient was seen again, and the redness had not changed, but the patient then complained of burning in her lower arm, and "numbness past and below her elbow." The nurse reported that Gardasil had been discontinued. At the time of this report, it was unknown if the patient had recovered. Additional information has been requested.

VAERS ID:279173 (history)  Vaccinated:2007-01-03
Age:20.0  Onset:2007-01-03, Days after vaccination: 0
Gender:Female  Submitted:2007-05-14, Days after onset: 130
Location:Minnesota  Entered:2007-05-17, Days after submission: 3
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0704USA01334
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)UNKNOWN MANUFACTURER  UNUN
HPV4: HPV (GARDASIL)MERCK & CO. INC. 0UNUN
TTOX: TETANUS TOXOID (NO BRAND NAME)UNKNOWN MANUFACTURER  UNUN
Administered by: Other     Purchased by: Other
Symptoms: Pain in extremity
SMQs:
Write-up: Information has been received from a Registered Nurse (R.N.) concerning her 20 year old daughter who on 03-JAN-2007 was vaccinated with a first dose 0.5 mL of Gardasil. Concomitant therapy included influenza virus vaccine (unspecified) and tetanus toxoid given in opposite arm where the Gardasil was given. On 03-JAN-2007 the patient experienced pain in the arm (which arm unknown) after receiving the first injection. As of 09-APR-2007 the patient had not received the second dose of Gardasil. Unspecified medical attention was sought. On 04-JAN-2007 the patient recovered. Additional information has been requested.

VAERS ID:279229 (history)  Vaccinated:2007-01-25
Age:20.0  Onset:2007-02-03, Days after vaccination: 9
Gender:Female  Submitted:2007-05-14, Days after onset: 99
Location:Tennessee  Entered:2007-05-17, Days after submission: 3
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Epilepsy; Muscle spasms; Simple partial seizures
Diagnostic Lab Data: ears, nose, and throat - Normal; neurological - Normal; magnetic resonance, 03/12/07, Normal; chest x-ray, 03/12/07, Normal; electroencephalography, Normal
CDC Split Type: WAES0704USA03117
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.0011U0IM 
Administered by: Public     Purchased by: Other
Symptoms: Chest X-ray normal, Cough, Ear, nose and throat examination normal, Electroencephalogram normal, Laryngospasm, Neurological examination normal, Nuclear magnetic resonance imaging normal, Vaccine positive rechallenge
SMQs:, Anaphylactic reaction (broad), Dystonia (broad), Hypersensitivity (narrow)
Write-up: Information has been received from an advanced practice nurse (APN), concerning a 20 year old female student, who on 25-JAN-2007 was vaccinated with the first dose, 0.5ml, IM, of Gardasil (Lot #654702/0011U). On 03-FEB-2007, nine days after the vaccination was administered, the patient developed a paroxysmal cough, described by th APN as "almost laryngeal spasms, lasting 5 to 120 minutes, 4 days per week." The patient visited the ER three times, and treatment included Lortab 10mg, Phenergan 25mg, epinephrine SQ twice, breathing treatment with albuterol three times daily, Valium, Xanax, Ativan, with no reported relief of the symptoms. An ear, nose and throat exam and a neurological exam were both normal (date unspecified). The APN stated the symptoms lasted for "6 weeks" and then resolved (approximately 17-MAR-2007). On 26-MAR-2007, the patient was vaccinated with the second dose, 0.5ml, IM, of Gardasil (Lot #654702/0011U). The APN reported that once again, 9 days after the vaccine was administered (04-APR-2007), the patient experienced paroxysmal cough. At the time of this report, the patient has not recovered, and was still receiving treatment (unspecified). Additional information has been requested. 07/06/07 This is in follow-up to report(s) previously submitted on 5/14/2007. Initial and follow up information has been received from an advanced practice nurse (APN) and a licensed practical nurse (LPN), concerning the LPN''s daughter, a 20 year old female, with a history of epilepsy as a baby and muscle spasms ("also described as small seizures") when she was in fifth grade, who on 25-JAN-2007 was vaccinated with the first dose, 0.5ml, of GARDASIL (Lot #654702/0011U). On 03-FEB-2007, nine days after the vaccination was administered, the patient developed a paroxysmal cough, described by the APN as "almost laryngeal spasms, lasting 5 to 120 minutes, 4 days per week". The patient visited the ER three times, and treatment included LORTAB 10 mg, PHENERGAN 25mg, epinephrine SQ twice, breathing treatment with albuterol three times daily, VALIUM, XANAX, ATIVAN, with no reported relief of the symptoms. An ear, nose and throat exam and a neurological exam were both normal (date unspecified). The APN stated the symptoms lasted for "6 weeks" and then resolved (approximately 17-MAR-2007). On 26-MAR-2007, the patient was vaccinated with the second dose, 0.5ml, IM, of GARDASIL (Lot #654702/0011U). The APN reported that once again, 9 days after the vaccine was administered (04-APR-2007), the patient experienced paroxysmal cough. The LPN reported that the coughing would "subsequently resolve when her daughter went to sleep". The patient had not recovered, and was still receiving treatment (unspecified). Follow up information from the LPN (patient''s mother), confirmed that her daughter''s coughing had "calmed down", but she is still occasionally awakened at night from the coughing. She confirmed that her daughter was never admitted to the hospital, but only seen in the ER. The LPN reported that her daughter had an EEG, and stated the neurologist "felt that the coughing was related to GARDASIL". Her daughter is now "pending the third vaccination", and the LPN indicated she would report any further events. Additional information has been requested.

VAERS ID:279504 (history)  Vaccinated:2007-02-02
Age:20.0  Onset:2007-02-02, Days after vaccination: 0
Gender:Female  Submitted:2007-05-14, Days after onset: 100
Location:Maryland  Entered:2007-05-17, Days after submission: 3
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Allergic reaction to antibiotics
Preexisting Conditions:
Diagnostic Lab Data: electrocardiogram, 04/20/07, within normal limits; chest computed axial, 04/20/07, within normal limits
CDC Split Type: WAES0704USA04293
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.0013U0IM 
Administered by: Other     Purchased by: Other
Symptoms: Chest pain, Computerised tomogram normal, Dyspnoea, Electrocardiogram normal, Muscle spasms, Pain in extremity
SMQs:, Anaphylactic reaction (broad), Dystonia (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad)
Write-up: Information has been received from an office receptionist concerning a 20 year old female patient with family history of heart disease, allergic reaction to antibiotics, who on 02-FEB-2007 was vaccinated IM with a first dose of Gardasil lot #654741/0013U. Concomitant therapy included Ortho Tri-Cyclean Lo. On 02-FEB-2007 the patient developed arm soreness but otherwise felt fine. On 16-APR-2007, the patient was vaccinated IM with the second dose of Gardasil lot #657621/0387U. Within one to one and half hours after the second injection patient developed muscle spasm in chest area which radiated from left chest to center. She described pain as sharp intermittent and took her breath away. On 18-APR-2007 she took Advil for something else (not specified) and it helped pain a little but was not relieved. The physician instructed patient to go the emergency room (ER). Patient was planning to go to the ER on 19-APR-2007. At the time of this report the patient had not recovered. Additional information has been requested.

VAERS ID:279512 (history)  Vaccinated:2007-01-02
Age:20.0  Onset:2007-02-09, Days after vaccination: 38
Gender:Female  Submitted:2007-05-14, Days after onset: 93
Location:Wisconsin  Entered:2007-05-17, Days after submission: 3
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0704USA05015
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.  UNUN
Administered by: Private     Purchased by: Private
Symptoms: Anogenital warts
SMQs:
Write-up: Information has been received from a Nurse Practitioner (N.P.) concerning a patient who was vaccinated with a dose of Gardasil. Subsequently the patient developed genital warts. The outcome of the patient was unknown. The NP reported that two other patients developed genital warts after receiving the Gardasil. She verbalized concern that she seen three episodes of genital warts developing soon after Gardasil. She believed the patient''s immune systems can not handle the viral load. Additional information has been requested. 07/06/07 This is in follow-up to report(s) previously submitted on 5/14/2007. In follow up it was indicated that on 09-FEB-2007 patient was seen at planned parenthood clinic and advised she had visible Candyloma (as previous history). She was treated x2 with TCA 80% on 10-MAR-2007 and on 24-MAY-2007. The outcome was unknown for the events at the time of this report. Additional information is not expected.

VAERS ID:279525 (history)  Vaccinated:2006-08-01
Age:20.0  Onset:2006-08-01, Days after vaccination: 0
Gender:Female  Submitted:2007-05-14, Days after onset: 286
Location:Texas  Entered:2007-05-17, Days after submission: 3
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0704USA04711
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC. 0IMUN
Administered by: Private     Purchased by: Private
Symptoms: Scar, Skin discolouration
SMQs:, Hypotonic-hyporesponsive episode (broad)
Write-up: Information has been received from a nurse concerning a 20 year old white female student who in August 2006, was vaccinated with a first dose of Gardasil. In August 2006, the patient developed discoloration and circular scarring. In November 2006, the patient was vaccinated with a second dose of Gardasil. At the time of the report, the patient''s outcome was unknown. No further information is available.

VAERS ID:279538 (history)  Vaccinated:2007-04-23
Age:20.0  Onset:2007-04-23, Days after vaccination: 0
Gender:Female  Submitted:2007-05-14, Days after onset: 21
Location:Missouri  Entered:2007-05-17, Days after submission: 3
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC Split Type: WAES0704USA05003
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.0319U IMUN
Administered by: Private     Purchased by: Other
Symptoms: Vomiting
SMQs:, Acute pancreatitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)
Write-up: This is in follow-up to report(s) previously submitted on 5/14/2007. Initial and follow information has been received from a registered nurse and a healthcare professional, concerning a 20 year old female patient, who also initiated therapy with YASMIN on the morning of 23-APR-2007, and on 23-APR-2007, at 9:30am, was vaccinated with a dose, 0.5ml, IM, of GARDASIL (Lot #654272/0319U). There was no illness at the time of vaccination. The nurse reported that the patient "vomited 3 times within the first hour of vaccination," and the healthcare worker clarified that the vomiting started at 10:30am, 1 hour after vaccination, and continued with 3-4 more episodes before she recovered at 2:30pm. The healthcare worker confirmed that a visit to the physician or ER was not required. At the time of this report, the patient had recovered. No further information is expected.

VAERS ID:279553 (history)  Vaccinated:2007-02-25
Age:20.0  Onset:0000-00-00
Gender:Female  Submitted:2007-05-14
Location:New Jersey  Entered:2007-05-17, Days after submission: 3
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0704USA05631
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.  UNUN
Administered by: Other     Purchased by: Other
Symptoms: Amenorrhoea
SMQs:, Fertility disorders (broad)
Write-up: Information has been received from a physician concerning an approximately 20 year old female who on approximately 25-FEB-2007 was vaccinated with a first dose of Gardasil. Subsequently the patient developed amenorrhea. Unspecified medical attention was sought. It was reported that the patient planned to discontinue the series of injections. At the time of the report, the patient''s outcome was unknown. Additional information has been requested.

VAERS ID:279635 (history)  Vaccinated:2007-02-25
Age:20.0  Onset:2007-02-25, Days after vaccination: 0
Gender:Female  Submitted:2007-05-14, Days after onset: 77
Location:Unknown  Entered:2007-05-17, Days after submission: 3
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data:
CDC Split Type: WAES0704USA06257
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.    
Administered by: Other     Purchased by: Other
Symptoms: Dizziness, Headache, Hypoaesthesia, Myalgia
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Eosinophilic pneumonia (broad), Vestibular disorders (broad)
Write-up: Information has been received from a physician concerning a 20 year old female who on approximately 25-FEB-2007 was vaccinated with Gardasil. On approximately 25-FEB-2007 the patient experienced numbness, headache, dizziness and muscle tenderness. After one week, the patient recovered. On 24-APR-2007 the second vaccination with Gardasil was given. Additional information has been requested.

VAERS ID:279645 (history)  Vaccinated:2007-03-01
Age:20.0  Onset:0000-00-00
Gender:Female  Submitted:2007-05-14
Location:Unknown  Entered:2007-05-17, Days after submission: 3
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data:
CDC Split Type: WAES0704USA06706
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.    
Administered by: Other     Purchased by: Other
Symptoms: Alopecia
SMQs:
Write-up: Information has been received from a physician concerning a 20 year old female who in March 2007 was vaccinated with Gardasil. Subsequently the patient experienced hair loss. The patient''s hair loss persisted. Additional information has been requested.

VAERS ID:279666 (history)  Vaccinated:2007-04-16
Age:20.0  Onset:2007-04-16, Days after vaccination: 0
Gender:Female  Submitted:2007-05-14, Days after onset: 28
Location:Colorado  Entered:2007-05-17, Days after submission: 3
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: hormonal contraceptives, VALTREX
Current Illness:
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC Split Type: WAES0705USA00168
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC. 0IMRA
Administered by: Other     Purchased by: Other
Symptoms: Injection site mass, Pain in extremity
SMQs:, Extravasation events (injections, infusions and implants) (broad)
Write-up: Information has been received from a registered nurse, concerning a 20 year old female who on approximately 16-APR-2007 was vaccinated with the first dose, IM in the right deltoid, 0.5ml, of Gardasil. Concomitant therapy included Valtrex and hormonal contraceptives (unspecified). Immediately after the injection (approximately 16-APR-2007), the patient''s arm was sore. On 30-APR-2007, two weeks later, the nurse confirmed the soreness continued and the patient complained her arm with any pressure applied; in addition, a small lump was present under the skin at the injection site. At the time of this report, the patient had not recovered. The patient sought unspecified medical attention. Additional information has been requested.

VAERS ID:279673 (history)  Vaccinated:2007-04-30
Age:20.0  Onset:2007-04-30, Days after vaccination: 0
Gender:Female  Submitted:2007-05-14, Days after onset: 14
Location:New Jersey  Entered:2007-05-17, Days after submission: 3
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC Split Type: WAES0705USA00433
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.0187U0UNUN
Administered by: Private     Purchased by: Other
Symptoms: Dizziness, Immediate post-injection reaction, Loss of consciousness, Nausea
SMQs:, Torsade de pointes/QT prolongation (broad), Acute pancreatitis (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Hypersensitivity (narrow)
Write-up: Information has been received from a physician, via a company representative, concerning a 19 year old female patient who on 30-APR-2007 was vaccinated with the first dose of Gardasil. The physician reported that the patient "passed out immediately after receiving first dose of Gardasil; "she added that that patient had not eaten all day prior to receiving the vaccination. The patient recovered on 30-APR-2007, the same day of vaccination. The patient sought unspecified medical attention. Additional information has been requested. 07/06/07 This is in follow-up to report(s) previously submitted on 5/14/2007. Initial and follow up information has been received from a physician and a healthcare worker, concerning a 20 year old (previously reported as 19 year old) female patient, with no known drug allergies, who on 30-APR-2007, at 11:45am, was vaccinated with the first dose of GARDASIL (Lot #656049/0187U). There was no illness at the time of vaccination. The physician originally reported that the patient "passed out immediately after receiving first dose of GARDASIL" but the healthcare worker (who administered the vaccination), clarified that at 11:55am, the patient "felt dizzy and complained of nausea, she dropped to the floor, but was conscious". The patient''s blood pressure was reported as normal, and she was helped to a chair, given water, and was then okay. The physician added that the patient had not eaten all day prior to receiving the vaccination. The patient recovered on 30-APR-2007, the same day of vaccination. No further information is expected.

VAERS ID:279109 (history)  Vaccinated:2006-12-07
Age:20.0  Onset:0000-00-00
Gender:Female  Submitted:2007-05-17
Location:Arizona  Entered:2007-05-21, Days after submission: 4
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 10 days
    Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: records received 6/20/07-One year history of significant recurrent arrhythmia with heart pounding especially when laying flat or bending forward.
Diagnostic Lab Data: EEG, EPS negative, EKG positive, ECG negative, tilt table positive, ARS negative records received 6/20/07-Normal 2D ec ehocardiogram.Normal EEG. CT head normal. s 1/1/10 follow up - syncope, fast heart rate, headaches, fatigue,weak immune system, dizziness, lightheadness; due to the syncope episodes my cardiologist implanted a pacemaker and still being treated for postural orthostatic tachycardia syndrome brought on from vaccine.
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC. 2IM 
Administered by: Private     Purchased by: Private
Symptoms: Cardiac electrophysiologic study normal, Chest pain, Computerised tomogram normal, Constipation, Dizziness, Echocardiogram normal, Electrocardiogram abnormal, Electrocardiogram normal, Electroencephalogram, Electroencephalogram normal, Headache, Insomnia, Orthostatic hypotension, Palpitations, Postural orthostatic tachycardia syndrome, Syncope, Tachycardia paroxysmal, Tilt table test, Vision blurred
SMQs:, Torsade de pointes/QT prolongation (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Glaucoma (broad), Cardiomyopathy (broad), Lens disorders (broad), Retinal disorders (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad)
Write-up: Dizziness, syncope, headaches, blurred vision, constipation, insomnia, racing heart, chest pain 12/06 to present. Treatment: Florinef, Midrodone, Mestinon 6/7/07-records received from facility for DOS 5/10-5/15/07-Impression:orthostatic intolerance. EEG, somewhat disorganized occipital dominant rhythm. CT head unremarkable. CBC WNL. Echocardiogram normal. Tilt table test with electrophysiologic study no orthostatic hypotension with head-up tile but a prominent tachycardia. Apparent stimulation of A-V nodal pathway showed no evidence of an A-V nodal re-entrant tachycarida. HX of recurrent syncope. Onset of occasional chest pain and a fleeting sensation of palpitations. Without any other symptoms until January of this year. C/O being dizzy a lot. PE WNL except for some palmar hyperhidrosis. 6/20/07-record received fro DOS 1/9-5/29/07. One year history of significant recurrent arrhythmia with heart pounding especially when laying flat or bending forward. No syncope during exercise. Possible mitral valve prolapse. DC DX: from 1/9-1/11/07-Orthostatic paroxysmal tachycardia. DC DX for DOS 3/15-3/20/07-Postural orthostatic tachycardia syndrome. Recurrent syncope. Orthostatic hypotension.

VAERS ID:279123 (history)  Vaccinated:2007-05-11
Age:20.0  Onset:2007-05-12, Days after vaccination: 1
Gender:Female  Submitted:2007-05-15, Days after onset: 3
Location:New Mexico  Entered:2007-05-21, Days after submission: 6
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: Insomnia
Diagnostic Lab Data: none
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (ADACEL)SANOFI PASTEURC2632AA0IMRA
Administered by: Private     Purchased by: Private
Symptoms: Chest discomfort, Erythema, Headache, Induration, Musculoskeletal discomfort, Skin warm
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (narrow), Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (broad)
Write-up: 3CM induration with erythema and warm to touch. Also c/o headache, chest and neck discomfort

VAERS ID:279295 (history)  Vaccinated:2003-12-04
Age:20.0  Onset:2004-05-12, Days after vaccination: 160
Gender:Male  Submitted:2007-05-22, Days after onset: 1105
Location:Unknown  Entered:2007-05-22
Life Threatening? Yes
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE. PMH: Chronic Lumbago, Chronic headaches. NKDA.
Diagnostic Lab Data: Migraine, lower back pain and joint pain, lower back pain and joint pain. Labs and Diagnostics: X-rays of Lumbosacral spine 3/2/06-normal. Lumbar MRI 5/8/06 shows discogenic and degenerative disease.
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
ANTH: ANTHRAX (BIOTHRAX)EMERGENT BIOSOLUTIONSFAV0833IMRA
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)UNKNOWN MANUFACTURERU0905FA2IMUN
SMALL: SMALLPOX (NO BRAND NAME)UNKNOWN MANUFACTURERUNK0IDLA
TTOX: TETANUS TOXOID (NO BRAND NAME)UNKNOWN MANUFACTURERUNK0IMUN
TYP: TYPHOID VI POLYSACCHARIDE (NO BRAND NAME)UNKNOWN MANUFACTURERUNK0IMUN
Administered by: Military     Purchased by: Military
Symptoms: Arthralgia, Back pain, Headache, Hypertension, Intervertebral disc disorder, Migraine, Nuclear magnetic resonance imaging abnormal, Overweight, Spinal X-ray, Spinal osteoarthritis, Swelling, Tenderness
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Retroperitoneal fibrosis (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypertension (narrow), Arthritis (narrow)
Write-up: Migraine after shots for treatment they give me valproic acid. Lower back pain and joint pain treatment. Lower back pain and joint pain sometime treatment nothing. 05/2007 MR received for several OVs betweem 3/2/06 and 2/9/07. Initial ER visit for c/o worsening back pain and headaches. Sx began while pt. was overseas. PE WNL except for pt. being overweight, tenderness at the R low back area and some swelling to the muscles of the low back noted. Weight-loss and excercise suggested. Multiple F/Us for same. Refered to PT. Problem list: Osteoarthritis involving the spine. Discogenic Disease. Chronic Headache. Obesity. Hypertension. Addendum: Pt. states that the "life threatening illness" is that he will have these problems for life.

VAERS ID:279400 (history)  Vaccinated:2007-05-10
Age:20.0  Onset:2007-05-11, Days after vaccination: 1
Gender:Female  Submitted:2007-05-11, Days after onset: 0
Location:Ohio  Entered:2007-05-23, Days after submission: 12
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: allergic rhinitis
Diagnostic Lab Data: none
CDC Split Type:
Vaccination
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TYP: TYPHOID VI POLYSACCHARIDE (TYPHIM VI)SANOFI PASTEURZ0443 IMLA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Nausea, Nystagmus, Pyrexia, Vertigo
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (narrow), Ocular motility disorders (narrow)
Write-up: Mild vertigo, nausea and fever. Exam: mild mystagmus. Rx: meclyin

VAERS ID:279467 (history)  Vaccinated:2007-02-21
Age:20.0  Onset:2007-02-22, Days after vaccination: 1
Gender:Female  Submitted:2007-04-25, Days after onset: 61
Location:California  Entered:2007-05-24, Days after submission: 29
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: none
Diagnostic Lab Data: none
CDC Split Type:
Vaccination
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HPV4: HPV (GARDASIL)MERCK & CO. INC.0387U0UNLA
Administered by: Other     Purchased by: Unknown
Symptoms: Headache, Malaise, Nausea
SMQs:, Acute pancreatitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)
Write-up: Stated temp-(not taken) nausea headache-felt ill all over-

VAERS ID:279577 (history)  Vaccinated:2007-05-23
Age:20.0  Onset:2007-05-23, Days after vaccination: 0
Gender:Female  Submitted:2007-05-24, Days after onset: 1
Location:Colorado  Entered:2007-05-24
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: No Illness at time of vaccination
Preexisting Conditions: 1. Latex allergy 2. Eczema
Diagnostic Lab Data: ER visit: "IV & Benadryl via IV"
CDC Split Type:
Vaccination
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Site
ANTH: ANTHRAX (BIOTHRAX)EMERGENT BIOSOLUTIONSFAV1060SCRA
TYP: TYPHOID LIVE ORAL TY21A (VIVOTIF)BERNA BIOTECH, LTD3000011600PO 
Administered by: Military     Purchased by: Military
Symptoms: Chest pain, Hyperventilation, Paralysis, Urticaria, Vision blurred, Vomiting
SMQs:, Anaphylactic reaction (narrow), Acute pancreatitis (broad), Angioedema (narrow), Asthma/bronchospasm (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Glaucoma (broad), Cardiomyopathy (broad), Lens disorders (broad), Eosinophilic pneumonia (broad), Retinal disorders (broad), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (broad), Hypersensitivity (narrow)
Write-up: "Heavy Breathing/Paralysis, Hives, Blurry Vision, Chest Pain, vomiting.

VAERS ID:281016 (history)  Vaccinated:0000-00-00
Age:20.0  Onset:2006-06-01
Gender:Female  Submitted:2007-05-16, Days after onset: 349
Location:Unknown  Entered:2007-05-24, 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: Unknown
Current Illness:
Preexisting Conditions: None
Diagnostic Lab Data: serum varicella zoster 06?/??/06 - negative
CDC Split Type: WAES0607USA05771
Vaccination
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VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC. 1UNUN
Administered by: Other     Purchased by: Other
Symptoms: Antibody test negative
SMQs:
Write-up: Information has been received from a female pharmacist in her 20''s with no pertinent medical history or allergies who in 2000 was vaccinated with a first and second dose of Varivax. "About one month ago" in approximately June 2006, an antibody titer was drawn and the patient filed to seroconvert. Unspecified medical attention was sought. There was no product quality complaint involved. No further information is available.

VAERS ID:281796 (history)  Vaccinated:1992-01-01
Age:20.0  Onset:2006-11-16, Days after vaccination: 5433
Gender:Female  Submitted:2007-05-16, Days after onset: 180
Location:Unknown  Entered:2007-05-24, 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: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: serum varicella zoster 11/16/06 low or negative
CDC Split Type: WAES0611USA05408
Vaccination
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VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC. 1UNUN
Administered by: Other     Purchased by: Other
Symptoms: Antibody test negative, Herpes zoster
SMQs:
Write-up: Information has been received from a pharmacist concerning a 20 year old female nursing student who was part of a study, who on unspecified dates in 1992 was vaccinated with a first and second dose of Varivax. on 16-NOV-2006 the patient was found to have a low or negative titer. Unspecified medical attention was sought. There was no product quality complaint involved. No further information was provided. Additional information has been requested.

VAERS ID:279692 (history)  Vaccinated:0000-00-00
Age:20.0  Onset:2007-05-10
Gender:Male  Submitted:2007-05-24, Days after onset: 14
Location:Oklahoma  Entered:2007-05-25, Days after submission: 1
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? Yes, 5 days
    Extended hospital stay? Yes
Previous Vaccinations:
Other Medications: Cyclosporine, Cardizem, Protonix, Prednisone, Sirolimus
Current Illness: Drug hypersensitivity
Preexisting Conditions: Heart transplant
Diagnostic Lab Data: serum varicella zoster - Positive, VZV strain - Positive
CDC Split Type: WAES0705USA03581
Vaccination
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Lot
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VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.  UNUN
Administered by: Other     Purchased by: Other
Symptoms: Blister, Erythema, Excoriation, Herpes zoster disseminated, Pruritus, Rash papular, Tongue ulceration, Vaccination failure, Varicella, Varicella zoster virus serology positive
SMQs:, Severe cutaneous adverse reactions (broad), Anaphylactic reaction (broad), Lack of efficacy/effect (narrow), Systemic lupus erythematosus (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Accidents and injuries (broad), Hypersensitivity (broad)
Write-up: Information has been received from a physician concerning a 20 year old male with drug hypersensitivity to Vancomycin and a medical history of heart transplant, in "June 2004" who on an unknown date, was vaccinated with a dose of Varivax. Concomitant therapy included: prednisone, sirolimus, pantoprazole sodium (PROTONIX), Cyclosporin and diltiazem hydrochloride (CARDIZEM). It was reported that "the first week of May, the patient developed disseminated Zoster". The first signs were scalp discomfort and itching. The patient presented to the physician on 10-MAY-2007 the first day of hospitalization with zoster of the dermatome C-2 distribution that was right sided and several (5-6) ulcercerations on the right side of the tongue. The lesions were described as red, excoriated lesions, 3-4 mm in diameter. On the second day of hospitalization, 11-May-2007, the patient developed vesicles 1-2 mm in diameter described as papules in an erythematous base 1.5 to 2cm in diameter. The vesicles were spread bilaterally through out the anterior and posterior trunk and neck. The patient was treated with intravenous acyclovi (ZOVIRAX) and discharged from the hospital in the morning of 14-MAY-2007. The Flourescent antibody test was positive for varicella and positive culture of varicella. The patient status is recovering. No product quality complaint was involved. Additional information has been requested.

VAERS ID:280094 (history)  Vaccinated:2007-05-10
Age:20.0  Onset:0000-00-00
Gender:Female  Submitted:2007-05-31
Location:Ohio  Entered:2007-05-31
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: No other outbreaks
CDC Split Type:
Vaccination
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Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.0388U2IMLA
Administered by: Private     Purchased by: Private
Symptoms: Anogenital warts
SMQs:
Write-up: Reports she developed 1st outbreak of genital warts, treated after vaccine #1 (few external lesions, treated by her GYN). A more severe outbreak (extended intravaginally) occurred 1-2 weeks after #2. No or mild outbreak occurred after #3.

VAERS ID:280233 (history)  Vaccinated:2007-04-19
Age:20.0  Onset:2007-04-26, Days after vaccination: 7
Gender:Female  Submitted:2007-06-01, Days after onset: 36
Location:Indiana  Entered:2007-06-04, Days after submission: 3
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? Yes, 1 days
    Extended hospital stay? Yes
Previous Vaccinations:
Other Medications: Unknown
Current Illness: Allergic reaction to antibiotics; Sulfonamide allergy
Preexisting Conditions: records received 6/6/07-HX:possible hypertension, seasonal allergies, dysmenorrhea and possible diabetes. Prescribed metformin but does not take it.
Diagnostic Lab Data: angiography 04/29?/07 - within normal limits, diagnostic laboratory 04/29?/07 - within normal limits, diagnostic laboratory 04/29?/07 - Sarcoidosis: within normal limits, magnetic resonance 04/29?/07 - within normal limits, visual acuity te
CDC Split Type: WAES0705USA04014
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC. 0IMUN
Administered by: Private     Purchased by: Other
Symptoms: Angiogram normal, Antinuclear antibody, Borrelia burgdorferi serology negative, CSF culture negative, Cardiolipin antibody, Chest X-ray normal, Diagnostic procedure, Diplopia, Full blood count normal, Headache, Lumbar puncture normal, Nuclear magnetic resonance imaging normal, Red blood cell sedimentation rate normal, Sinusitis, Syphilis test negative, Tensilon test normal, VIth nerve paralysis, Vision blurred, Visual acuity tests normal
SMQs:, Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Glaucoma (broad), Lens disorders (broad), Retinal disorders (broad), Ocular motility disorders (narrow)
Write-up: Information has been received from a physician and a 20 year old female consumer with Ceclor and sulfonamide allergy who on 19-APR-2007 was vaccinated with the first dose of Gardasil, IM. Concomitant medication was not reported. On approximately 26-APR-2007 ("within a week of receiving the vaccination), the patient reported that she had continued blurred vision "MS type symptoms" and had a 3 day hospital stay. A physician reported that on 29-APR-2007, the patient developed double vision which became progressively worse. The patient was diagnosed with sixth cranial nerve palsy. The patient had numerous diagnostic tests performed which included MRI''s, an angiogram, lumbar puncture, visual tests and blood tests including a complete blood count, metabolic profile, antinuclear antibody (ANA) test, anticardiolipin antibody, sedimentation rate and blood test to rule out syphilis, Myasthenia Gravis, Sarcoidosis and Lyme disease. All of these test results were within normal limits. The patient was treated with steroids and was improving. Additional information has been requested. 06/06/07-records received from facility for DOS 5/1-5/2/07-DC DX: Left cranial nerve VI palsey on left. Mild hypertension. On 4/29/07 while watching TV noticed double vision on looking to left. Gradual onset. On 4/30/07 woke with double vision when looking in all directions. Double vision is with one image side by side to the other image. MRI brain showed right hemispheric lesion. Ophthamologist noted optic nerve lesion. Headache come on after having double vision. No eye pain no numbness or weakness.

VAERS ID:280239 (history)  Vaccinated:0000-00-00
Age:20.0  Onset:0000-00-00
Gender:Female  Submitted:2007-06-01
Location:California  Entered:2007-06-04, Days after submission: 3
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0705USA05252
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMRV: MEASLES + MUMPS + RUBELLA + VARICELLA (PROQUAD)MERCK & CO. INC. 1SC 
Administered by: Other     Purchased by: Other
Symptoms: Inappropriate schedule of drug administration, Pharyngeal oedema
SMQs:, Angioedema (narrow), Oropharyngeal allergi