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| VAERS ID: | 331526 | Vaccinated: | 2008-11-05 | | Age: | 40.0 | Onset: | 2008-11-05, Days after vaccination: 0 | | Gender: | Male | Submitted: | 2008-11-06, Days after onset: 1 | | Location: | Texas | Entered: | 2008-11-06, Days after submission: 0 | |
| Life Threatening Illness? No |
| Died? No |
| Disability? No |
| Recovered? No | | ER or Doctor Visit? No |
| Hospitalized? No | | Current Illness: | | Diagnostic Lab Data: | | Previous Vaccinations: | | Other Medications: | | Preexisting Conditions: | | CDC 'Split Type': | |
| Vaccination | Manufacturer | Lot | Dose | Route | Site | | FLU | UNKNOWN MANUFACTURER | | | | RA | |
| Administered by: Private Purchased by: Private | | Symptoms: Chills, Headache, Pain, Pyrexia | | Write-up: 6 hours after vaccine administered patient began suffering from high fever, headaches, severe chills, severe body aches...all of which continued for the next 12 hours at least |
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| VAERS ID: | 331527 | Vaccinated: | 2008-10-29 | | Age: | 39.0 | Onset: | 2008-10-30, Days after vaccination: 1 | | Gender: | Female | Submitted: | 2008-11-06, Days after onset: 7 | | Location: | Michigan | Entered: | 2008-11-06, Days after submission: 0 | |
| Life Threatening Illness? No |
| Died? No |
| Disability? No |
| Recovered? Yes | | ER or Doctor Visit? No |
| Hospitalized? No | | Current Illness: None | | Diagnostic Lab Data: | | Previous Vaccinations: | | Other Medications: | | Preexisting Conditions: None | | CDC 'Split Type': | |
| Vaccination | Manufacturer | Lot | Dose | Route | Site | | FLU | UNKNOWN MANUFACTURER | | | | LA | |
| Administered by: Private Purchased by: Unknown | | Symptoms: Asthenia, Diarrhoea, Dizziness, Fatigue, Nausea, Pyrexia | | Write-up: Approx. 24 hrs after vaccine, had symptoms that included fever, diarrhea, dizziness, weakness, fatigue, nausea. |
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| VAERS ID: | 331528 | Vaccinated: | 2008-10-30 | | Age: | 62.0 | Onset: | 2008-10-31, Days after vaccination: 1 | | Gender: | Female | Submitted: | 2008-11-06, Days after onset: 6 | | Location: | Unknown | Entered: | 2008-11-06, Days after submission: 0 | |
| Life Threatening Illness? No |
| Died? No |
| Disability? No |
| Recovered? Yes | | ER or Doctor Visit? No |
| Hospitalized? No | | Current Illness: none | | Diagnostic Lab Data: none | | Previous Vaccinations: | | Other Medications: Permarin, Centrium Silver | | Preexisting Conditions: hay fever, rag weeds, dust, dirt, roses, strawberries. | | CDC 'Split Type': | |
| Vaccination | Manufacturer | Lot | Dose | Route | Site | | FLU | GLAXOSMITHKLINE BIOLOGICALS | AFLUA350CA | 5 | IM | LA | |
| Administered by: Public Purchased by: Private | | Symptoms: Pruritus generalised, Rash | | Write-up: Starting having itching over entire body next day after taking flu vaccine, acompanied by fine rash. Lasted 5 days resolved with using bebnadryl around clock. No history of allergic reaction to flu vaccine in the past. |
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| VAERS ID: | 331529 | Vaccinated: | 2008-11-04 | | Age: | 8.0 | Onset: | 2008-11-05, Days after vaccination: 1 | | Gender: | Female | Submitted: | 2008-11-06, Days after onset: 1 | | Location: | Nebraska | Entered: | 2008-11-06, Days after submission: 0 | |
| Life Threatening Illness? No |
| Died? No |
| Disability? No |
| Recovered? Yes | | ER or Doctor Visit? No |
| Hospitalized? No | | Current Illness: NONE | | Diagnostic Lab Data: NONE | | Previous Vaccinations: | | Other Medications: NONE | | Preexisting Conditions: NONE | | CDC 'Split Type': | |
| Vaccination | Manufacturer | Lot | Dose | Route | Site | | FLU | SANOFI PASTEUR | U2739AA | 2 | IM | LL | | VARCEL | MERCK & CO. INC. | 0171X | 1 | SC | LA | |
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| VAERS ID: | 331530 | Vaccinated: | 2008-10-29 | | Age: | 30.0 | Onset: | 2008-10-29, Days after vaccination: 0 | | Gender: | Female | Submitted: | 2008-11-06, Days after onset: 8 | | Location: | Utah | Entered: | 2008-11-06, Days after submission: 0 | |
| Life Threatening Illness? Yes |
| Died? No |
| Disability? No |
| Recovered? Yes | | ER or Doctor Visit? Yes |
| Hospitalized? No | | Current Illness: none | | Diagnostic Lab Data: EKG, pulse/oxygen saturation, glucose test, blood pressure, lungs and throat checked multiple times. | | Previous Vaccinations: | | Other Medications: gabapentin, zoloft, seroquel, zenchent, ativan (only as needed) | | Preexisting Conditions: compazine, phenergan, bactrim, septra, grapefruit. PMH: Septoplasty, breast reduction, pneumonia. allergies: Phenergan, Compazine. Septra | | CDC 'Split Type': | |
| Vaccination | Manufacturer | Lot | Dose | Route | Site | | FLU | SANOFI PASTEUR | U284AC | 0 | IM | LA | |
| Administered by: Unknown Purchased by: Unknown | | Symptoms: Blood glucose, Blood pressure fluctuation, Delirium, Dissociation, Dizziness, Dyspnoea, Electrocardiogram, Heart rate abnormal, Immediate post-injection reaction, Immunisation reaction, Malaise, Oxygen saturation, Pallor, Throat tightness | | Write-up: Felt disconnected and dizzy immediately after shot. Within 15 minutes max. labored breathing. Reported to nurse. She gave me 2 chlortimaton, no affect, gave 2 more, still no affect. Within 30 minutes of shot throat was almost completely closed and I was white, erratic blood pressure and heart rate, delirious, they gave me shot of .3 epinephrine and I could then breathe. Ems came and stabilized me. Went to ER where they watched me for a few hours. Released that night. Had to take almost a week off work to recover. Have had 2 follow-ups with primary md and 1 with Workcare since this happened on my job site. 12/4/08 ER note received for DOS 10/29/08 with DX: Reaction to flu shot. Pt presented to ER following episode of lightheadedness, dizziness, SOB, feeling unwell and feeling like throat was closing up. BP high for pt 130/80s. Received epi with improvement noted. PE WNL. D/C to f/u with PCP. |
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| VAERS ID: | 331531 | Vaccinated: | 2008-11-05 | | Age: | 27.0 | Onset: | 2008-11-05, Days after vaccination: 0 | | Gender: | Male | Submitted: | 2008-11-06, Days after onset: 1 | | Location: | New Jersey | Entered: | 2008-11-06, Days after submission: 0 | |
| Life Threatening Illness? No |
| Died? No |
| Disability? No |
| Recovered? Yes | | ER or Doctor Visit? No |
| Hospitalized? No | | Current Illness: Infectious Mononucleosis 6 weeks ago. | | Diagnostic Lab Data: | | Previous Vaccinations: | | Other Medications: | | Preexisting Conditions: | | CDC 'Split Type': | |
| Vaccination | Manufacturer | Lot | Dose | Route | Site | | FLU | UNKNOWN MANUFACTURER | ? | 0 | IM | LA | |
| Administered by: Unknown Purchased by: Unknown | | Symptoms: Cough, Eye discharge, Heart rate increased, Nasal congestion, Ocular hyperaemia, Wheezing | | Write-up: Vaccine given at 6:45pm. Approximately 3 hours later, began experiencing cough/wheezing. This progressed through the night until around 4am, both eyes were very bloodshot and fluid discharge. Also head congestion and rapid heart beat. Took loratadine 10mg at 10:30pm. Symptoms resolved upon waking in the morning. This is the first time that I have had the flu vaccine. |
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| VAERS ID: | 331532 | Vaccinated: | 2008-10-30 | | Age: | 40.0 | Onset: | 2008-11-03, Days after vaccination: 4 | | Gender: | Female | Submitted: | 2008-11-06, Days after onset: 3 | | Location: | New Jersey | Entered: | 2008-11-06, Days after submission: 0 | |
| Life Threatening Illness? No |
| Died? No |
| Disability? No |
| Recovered? No | | ER or Doctor Visit? No |
| Hospitalized? No | | Current Illness: None | | Diagnostic Lab Data: | | Previous Vaccinations: | | Other Medications: | | Preexisting Conditions: Allergies, Sinus | | CDC 'Split Type': | |
| Vaccination | Manufacturer | Lot | Dose | Route | Site | | FLU | UNKNOWN MANUFACTURER | | | | | |
| Administered by: Public Purchased by: Unknown | | Symptoms: Chills, Diarrhoea, Dizziness, Hyperhidrosis, Irritability, Pyrexia | | Write-up: Diarhea, fever, chills, sweating, change of behavior (irritable), and dizziness. |
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| VAERS ID: | 331534 | Vaccinated: | 2008-11-05 | | Age: | 12.0 | Onset: | 2008-11-05, Days after vaccination: 0 | | Gender: | Female | Submitted: | 2008-11-06, Days after onset: 1 | | Location: | West Virginia | Entered: | 2008-11-06, Days after submission: 0 | |
| Life Threatening Illness? No |
| Died? No |
| Disability? No |
| Recovered? Yes | | ER or Doctor Visit? No |
| Hospitalized? No | | Current Illness: None | | Diagnostic Lab Data: | | Previous Vaccinations: | | Other Medications: Zyrtec, nightly for allergies | | Preexisting Conditions: None | | CDC 'Split Type': | |
| Vaccination | Manufacturer | Lot | Dose | Route | Site | | FLU | SANOFI PASTEUR | | | UN | UN | |
| Administered by: Unknown Purchased by: Unknown | | Symptoms: Dizziness, Loss of consciousness, Nausea, Pallor, Tremor, Vision blurred, Visual impairment, Vomiting | | Write-up: Approximately 10 - 15 minutes after receiving her flu vaccine, which she has had yearly for at least 6 years, my daughter "blacked out" in the car while we were driving. She wasn't out very long, but then reported feeling dizzy and said the trees "looked blurry". She lost all her color and became very shaky and after about 5 minutes said she was nauseous. Within a few minutes she threw up. We returned to the health department, where they gave her some orange juice and had her sit in a chair for about 10 minutes. They were very kind and reassuring, but this has shaken patient up quite a bit. She was not ill, nor was she feeling very nervous about getting a shot. A nurse at our church said there had been a report about this happening to teenagers, so I thought you should be aware of it. |
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| VAERS ID: | 331536 | Vaccinated: | 2008-10-22 | | Age: | 11.0 | Onset: | 2008-10-22, Days after vaccination: 0 | | Gender: | Male | Submitted: | 2008-11-06, Days after onset: 15 | | Location: | New Mexico | Entered: | 2008-11-06, Days after submission: 0 | |
| Life Threatening Illness? No |
| Died? No |
| Disability? No |
| Recovered? Yes | | ER or Doctor Visit? Yes |
| Hospitalized? No | | Current Illness: None | | Diagnostic Lab Data: | | Previous Vaccinations: | | Other Medications: Zyrtec and singulair | | Preexisting Conditions: Asthma. Allergic to Augmentin | | CDC 'Split Type': | |
| Vaccination | Manufacturer | Lot | Dose | Route | Site | | FLU | SANOFI PASTEUR | U2833AA | 3 | IM | LA | | HEPA | GLAXOSMITHKLINE BIOLOGICALS | AHAVB246AA | 0 | IM | RA | | MNQ | SANOFI PASTEUR | U2683AA | 0 | IM | RA | | TDAP | SANOFI PASTEUR | C2899AA | 0 | IM | LA | |
| Administered by: Unknown Purchased by: Unknown | | Symptoms: Erythema, Feeling cold, Feeling hot, Hot flush, Injection site pruritus, Injection site warmth, Malaise | | Write-up: Patient said he did not feel good around 4pm the day of vaccination. Around 9pm patient said he was hot. His face, ears, neck and shoulders were very red and hot to the touch. He was then saying he was having hot/cold flashes. He said his arms around the injections sites were hot and itching. |
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| VAERS ID: | 331538 | Vaccinated: | 2008-11-04 | | Age: | 67.0 | Onset: | 2008-11-04, Days after vaccination: 0 | | Gender: | Female | Submitted: | 2008-11-06, Days after onset: 2 | | Location: | Florida | Entered: | 2008-11-06, Days after submission: 0 | |
| Life Threatening Illness? No |
| Died? No |
| Disability? No |
| Recovered? No | | ER or Doctor Visit? Yes |
| Hospitalized? No | | Current Illness: | | Diagnostic Lab Data: | | Previous Vaccinations: | | Other Medications: | | Preexisting Conditions: | | CDC 'Split Type': | |
| Vaccination | Manufacturer | Lot | Dose | Route | Site | | FLU | GLAXOSMITHKLINE BIOLOGICALS | | | | | | PPV | UNKNOWN MANUFACTURER | | | | | |
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