|
| VAERS ID: | 331611 | Vaccinated: | 2008-09-01 | | Age: | 34.0 | Onset: | 2008-09-13, Days after vaccination: 12 | | Gender: | Female | Submitted: | 2008-10-28, Days after onset: 45 | | Location: | Illinois | Entered: | 2008-11-07, Days after submission: 10 | |
| Life Threatening Illness? No |
| Died? No |
| Disability? No |
| Recovered? Yes | | ER or Doctor Visit? No |
| Hospitalized? No | | Current Illness: Unknown | | Diagnostic Lab Data: Body temperature - Sep2008 - 102+ degrees Fahr | | Previous Vaccinations: | | Other Medications: | | Preexisting Conditions: A0748888A was one of two cases reported by the same healthcare professional. A nurse reported that two female subjects in their 40's received Flulaval, Pneumovax, and tetanus diphteria vaccines during the same office visit. Both subjects experienced fevers of over 102 degrees Fahrenheit in the next five days following the vaccinations. Both subjects treated their symptoms at home, | | CDC 'Split Type': A074888A | |
| Vaccination | Manufacturer | Lot | Dose | Route | Site | | FLU | GLAXOSMITHKLINE BIOLOGICALS | AFLLA171AA | | UN | LA | | PPV | MERCK & CO. INC. | 1960U | | UN | UN | |
| Administered by: Private Purchased by: Private | | Symptoms: Body temperature increased, Pyrexia | | Write-up: This case was reported by a healthcare professional and described the occurrence of fever in a female subject aged between 40 and 49 years old who was vaccinated with influenza vaccine TRIVALENT (FLULAVAL, GlaxoSmithKline), pneumococcal vaccine, unspecified (Pneumovax, Merck) and tetanus and diphtheria toxoids adsorbed (Tetanus diphteria vaccine, Sanofi Pasteur) for prophylaxis. On an unspecified date in September 2008, the subject received an unspecified dose of FLULAVAL (.5 unknown, unknown), an unspecified dose of Pneumovax (unknown), and an unspecified dose of Tetanus diphteria vaccine (unknown). At an unspecified time after vaccination with Flulaval, Pneumovax and Tetanus diphteria vaccine, the subject experienced fevers of over 102 degrees Fahrenheit during the next five days. The subject treated her symptoms at home, but was seen in the physician's office for a follow-up. At the time of reporting, the event was improved. Follow-up information received on 07 October 2009 indicated that the subject was 34 years old at the time of event. Onset of fever was 13 September 2008 and on an unspecified date, the event resolved. The subject never received Tetanus diphteria vaccine, it was recorded in error, and Flulaval and Pneumovax were given in the same unknown arm. |
|
|
| VAERS ID: | 331646 | Vaccinated: | 2008-10-22 | | Age: | 6.0 | Onset: | 2008-10-23, Days after vaccination: 1 | | Gender: | Male | Submitted: | 2008-10-27, Days after onset: 4 | | Location: | North Carolina | Entered: | 2008-11-07, Days after submission: 11 | |
| Life Threatening Illness? No |
| Died? No |
| Disability? No |
| Recovered? Yes | | 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 | SANOFI PASTEUR | U2848AA | 4 | IM | RL | | HEPA | GLAXOSMITHKLINE BIOLOGICALS | AHAVB291AA | 1 | IM | LL | |
| Administered by: Private Purchased by: Public | | Symptoms: Injection site erythema, Injection site swelling, Injection site warmth | | Write-up: Large local reaction - Red, swollen, warm area involving entire R anterior thigh from just below hip to just above knee. Treated with cool compresses and BENADRYL, resolved approximately in 72 hours. All began approximately 2-3 hr after receiving flu vaccine at that location. |
|
|
| VAERS ID: | 331649 | Vaccinated: | 2008-10-27 | | Age: | 64.0 | Onset: | 2008-10-27, Days after vaccination: 0 | | Gender: | Female | Submitted: | 2008-11-04, Days after onset: 8 | | Location: | Virginia | Entered: | 2008-11-07, Days after submission: 3 | |
| 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: Crestor, Allegra-D, Ditropan | | Preexisting Conditions: None | | CDC 'Split Type': | |
| Vaccination | Manufacturer | Lot | Dose | Route | Site | | FLU | SANOFI PASTEUR | U2765AA | 0 | IM | LA | | PPV | MERCK & CO. INC. | 1679U | 0 | IM | RA | |
|
|
|
| VAERS ID: | 331655 | Vaccinated: | 2008-10-23 | | Age: | 66.0 | Onset: | 2008-10-24, Days after vaccination: 1 | | Gender: | Male | Submitted: | 2008-10-31, Days after onset: 7 | | Location: | California | Entered: | 2008-11-07, Days after submission: 7 | |
| 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: Lisinapril, Coreg, Ritalin, Lipitor, Trasadone, Tranadol, Warfarin, Colestid, Tylenol, Effexor-SR | | Preexisting Conditions: | | CDC 'Split Type': | |
| Vaccination | Manufacturer | Lot | Dose | Route | Site | | FLU | UNKNOWN MANUFACTURER | | | UN | UN | |
| Administered by: Other Purchased by: Other | | Symptoms: Abasia, Back pain, Depression, Walking aid user | | Write-up: One day after flu shot I became very depressed not even being able to respond to any questions my wife asked me. This lasted most of that day. Two days after shot, I was nearly unable to walk for several days due to severe back pain. I had to walk with two canes. |
|
|
| VAERS ID: | 331657 | Vaccinated: | 2008-10-28 | | Age: | 61.0 | Onset: | 2008-11-03, Days after vaccination: 6 | | Gender: | Female | Submitted: | 2008-11-03, Days after onset: 0 | | Location: | Massachusetts | Entered: | 2008-11-07, Days after submission: 4 | |
| 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: Allergies to ace inhibitors | | CDC 'Split Type': | |
| Vaccination | Manufacturer | Lot | Dose | Route | Site | | FLU | GLAXOSMITHKLINE BIOLOGICALS | AFLLA154AA | | IM | LA | | PPV | MERCK & CO. INC. | 0555U | | IM | LA | |
|
|
|
| VAERS ID: | 331658 | Vaccinated: | 2008-10-23 | | Age: | 48.0 | Onset: | 2008-10-24, Days after vaccination: 1 | | Gender: | Female | Submitted: | 2008-11-03, Days after onset: 10 | | Location: | Massachusetts | Entered: | 2008-11-07, Days after submission: 4 | |
| 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: allergies to sulfa and codeine | | CDC 'Split Type': | |
| Vaccination | Manufacturer | Lot | Dose | Route | Site | | FLU | GLAXOSMITHKLINE BIOLOGICALS | AFLLA154AA | | IM | RA | |
|
|
|
| VAERS ID: | 331660 | Vaccinated: | 2008-10-06 | | Age: | 48.0 | Onset: | 2008-10-16, Days after vaccination: 10 | | Gender: | Male | Submitted: | 2008-10-30, Days after onset: 14 | | Location: | Unknown | Entered: | 2008-11-07, Days after submission: 8 | |
| 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: Kidney stones, migraine headaches | | CDC 'Split Type': | |
| Vaccination | Manufacturer | Lot | Dose | Route | Site | | FLU | UNKNOWN MANUFACTURER | | | UN | UN | |
| Administered by: Unknown Purchased by: Unknown | | Symptoms: Hypoaesthesia, Sleep disorder | | Write-up: Left arm feels numb like asleep, lasts for minutes 10-12 times a day. dorsal arm, multiple denuatunes treatments wait & watch |
|
|
| VAERS ID: | 331662 | Vaccinated: | 2008-10-28 | | Age: | 6.0 | Onset: | 2008-10-28, Days after vaccination: 0 | | Gender: | Male | Submitted: | 2008-10-31, Days after onset: 3 | | Location: | North Carolina | Entered: | 2008-11-07, Days after submission: 7 | |
| 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: grass allergies | | CDC 'Split Type': | |
| Vaccination | Manufacturer | Lot | Dose | Route | Site | | FLU | SANOFI PASTEUR | U2809AA | | UN | LL | |
|
|
|
| VAERS ID: | 331663 | Vaccinated: | 2008-10-31 | | Age: | 0.7 | Onset: | 2008-10-31, Days after vaccination: 0 | | Gender: | Male | Submitted: | 2008-11-03, Days after onset: 3 | | Location: | North Carolina | Entered: | 2008-11-07, Days after submission: 4 | |
| Life Threatening Illness? No |
| Died? No |
| Disability? No |
| Recovered? Yes | | 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 | SANOFI PASTEUR | UT2797FA | 0 | IM | RL | |
| Administered by: Public Purchased by: Public | | Symptoms: Urticaria | | Write-up: Child presented to clinic 4 days after getting flu vaccine with hives 4 hours after vaccine was administered. Nurse practitioner gave child Zyrtec and Zantac and told to take until hives go away. |
|
|
| VAERS ID: | 331664 | Vaccinated: | 2008-10-28 | | Age: | 36.0 | Onset: | 0000-00-00 | | Gender: | | Submitted: | 0000-00-00 | | Location: | Massachusetts | Entered: | 2008-11-07 | |
| Life Threatening Illness? No |
| Died? No |
| Disability? No |
| Recovered? No | | ER or Doctor Visit? No |
| Hospitalized? No | | Current Illness: Depression with SI | | Diagnostic Lab Data: | | Previous Vaccinations: | | Other Medications: | | Preexisting Conditions: Allergic to latex | | CDC 'Split Type': | |
| Vaccination | Manufacturer | Lot | Dose | Route | Site | | FLU | SANOFI PASTEUR | B22494A | | IM | LA | | PPV | MERCK & CO. INC. | 9722106 | | IM | LA | |
| Administered by: Private Purchased by: Unknown | | Symptoms: Body temperature increased, Rash, Skin warm | | Write-up: Received flu vac received 10/28/08 1912 L deltoid T max 38.5 red, warm to touch, rash that came to expand x 24 hours. PO keflex d/c, then Vancomycin x 2 doses then Bactrim DS. |
|
|