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Found 551189 cases in entire database

Case Details (Sorted by Age)

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VAERS ID:26001 (history)  Vaccinated:0000-00-00
Age:32.0  Onset:1990-04-01
Gender:Female  Submitted:0000-00-00
Location:Tennessee  Entered:1990-09-20
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
RUB: RUBELLA (MERUVAX II)MERCK & CO. INC.    
Administered by: Private     Purchased by: Unknown
Symptoms: Convulsion, Cough, Rhinitis
SMQs:, Anaphylactic reaction (broad), Systemic lupus erythematosus (broad), Convulsions (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Generalised convulsive seizures following immunisation (narrow)
Write-up: PT VACCINATED WITH RUBELLA VACCINE C/O COLD LIKE SYMPTOMS & ONE CONVULSION; RESULTS UNKNOWN; PT GIVEN COMPENSATION PROGRAM ADDRESS.

VAERS ID:26143 (history)  Vaccinated:1990-09-06
Age:32.7  Onset:1990-09-15, Days after vaccination: 9
Gender:Female  Submitted:1990-09-19, Days after onset: 4
Location:New York  Entered:1990-10-01, 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:
Current Illness: Hypercholesterolemia
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
RUB: RUBELLA (MERUVAX II)MERCK & CO. INC.0485S0SCLA
Administered by: Private     Purchased by: Private
Symptoms: Asthenia, Myalgia, Rash, Rhinitis
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Guillain-Barre syndrome (broad), Eosinophilic pneumonia (broad), Hypersensitivity (narrow), Tendinopathies and ligament disorders (broad)
Write-up: Pt vaccinated with Rubella develooped german measles type rash preceded by myalgias, fatigue & coryza.

VAERS ID:26160 (history)  Vaccinated:1986-10-30
Age:32.0  Onset:1986-11-06, Days after vaccination: 7
Gender:Female  Submitted:0000-00-00
Location:Unknown  Entered:1990-10-02
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: WBC Count 27NOV86 12.2; Urinalysis 27NOV86 Ketones
CDC Split Type: WAES90070804
Vaccination
Manufacturer
Lot
Dose
Route
Site
RUB: RUBELLA (MERUVAX II)MERCK & CO. INC.    
Administered by: Private     Purchased by: Unknown
Symptoms: Affect lability, Asthenia, Coordination abnormal, Headache, Hostility, Lymphadenopathy, Pain, Paraesthesia, Peripheral vascular disorder, Pyrexia, Rash maculo-papular, Speech disorder, Visual disturbance
SMQs:, Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Psychosis and psychotic disorders (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hostility/aggression (narrow), Optic nerve disorders (broad), Lens disorders (broad), Retinal disorders (broad), Depression (excl suicide and self injury) (broad), Hypersensitivity (narrow)
Write-up: Pt vaccinated w/ Rubella Approx 1 wk later developed a fever, rash described as pink patches w/macules on upper chest & neck, & headaches behind eyes with problems focusing her vision. Rash spreaded to face, back & developed swollen glands.

VAERS ID:26364 (history)  Vaccinated:1990-03-30
Age:32.0  Onset:0000-00-00
Gender:Female  Submitted:0000-00-00
Location:South Carolina  Entered:1990-10-04
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: EBU900200
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM    
Administered by: Unknown     Purchased by: Unknown
Symptoms: Asthenia, Influenza, Myalgia, Nausea, Pyrexia, Rhinitis, Somnolence
SMQs:, Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad)
Write-up: Pt vaccinated with Engerix-B drowsiness, fatigue, fever, myalgias, nausea, sinusitis, flu-like symptoms, congestion.

VAERS ID:26436 (history)  Vaccinated:1989-11-21
Age:32.0  Onset:0000-00-00
Gender:Female  Submitted:0000-00-00
Location:West Virginia  Entered:1990-10-04
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: EBU900261
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM  IM 
Administered by: Private     Purchased by: Unknown
Symptoms: Deafness
SMQs:, Hearing impairment (narrow)
Write-up: PT VACCINATED W/ENGERIX-B DEVELOPED 70% DEAF RT EAR.

VAERS ID:26351 (history)  Vaccinated:1990-05-08
Age:32.0  Onset:0000-00-00
Gender:Female  Submitted:0000-00-00
Location:Oregon  Entered:1990-10-26
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: WAES90051037
Vaccination
Manufacturer
Lot
Dose
Route
Site
MER: MEASLES + RUBELLA (MR-VAX II)MERCK & CO. INC.    
Administered by: Private     Purchased by: Unknown
Symptoms: Vestibular disorder
SMQs:, Vestibular disorders (narrow)
Write-up: Pt vaccinated with MRVAX developed labyrinthitis and was hospitalized. Pt recovered. A consulting otolaryngologist did not attribute the pt experience to vaccination w/MR.

VAERS ID:26447 (history)  Vaccinated:1990-10-23
Age:32.0  Onset:0000-00-00
Gender:Female  Submitted:1990-10-29
Location:New York  Entered:1990-11-02, 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
DT: DT ADSORBED (NO BRAND NAME)PFIZER/WYETH4898258  A
Administered by: Private     Purchased by: Private
Symptoms: Haemorrhage
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow)
Write-up: Pt vaccinated with DT developed 7 X 5 CM area there is area of size largly heamous under skin.

VAERS ID:26693 (history)  Vaccinated:1989-01-05
Age:32.0  Onset:1989-01-19, Days after vaccination: 14
Gender:Female  Submitted:0000-00-00
Location:Wisconsin  Entered:1990-11-20
Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? No
Hospitalized? Yes, ? days
    Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: no previous problems
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.0142P IM 
Administered by: Unknown     Purchased by: Unknown
Symptoms: Hyperreflexia, Hyporeflexia, Multiple sclerosis, Optic neuritis, Pain, Paraesthesia
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Optic nerve disorders (narrow), Demyelination (narrow), Ocular infections (broad)
Write-up: Pt vaccinated with Recombivax developed progressive demyelinizing disease.

VAERS ID:26828 (history)  Vaccinated:1990-06-06
Age:32.0  Onset:1990-06-07, Days after vaccination: 1
Gender:Female  Submitted:0000-00-00
Location:Massachusetts  Entered:1990-11-27
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: Neg chest x-ray, positive titer
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.1667R SC 
Administered by: Unknown     Purchased by: Unknown
Symptoms: Ear pain, Headache, Lymphadenopathy, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad)
Write-up: Pt vax /w MMR developed Headache, Earache, Swollen cervical glands, low grade fevers.

VAERS ID:26832 (history)  Vaccinated:0000-00-00
Age:32.0  Onset:0000-00-00
Gender:Female  Submitted:0000-00-00
Location:North Carolina  Entered:1990-11-27
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:
Diagnostic Lab Data: Arteriography OCT90 cerebral vasculitis.
CDC Split Type: WAES90101403
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.    
Administered by: Unknown     Purchased by: Unknown
Symptoms: Headache, Vasculitis
SMQs:, Vasculitis (narrow)
Write-up: Pt vaccinated with Recombivax in 1987 or 88 in Oct90 was hospitalized with headache. Cerebral arteriography revealed diffuse cerebral vasculitis. At the time of the report the pt headache had resolved.

VAERS ID:27010 (history)  Vaccinated:1989-12-22
Age:32.0  Onset:1989-12-30, Days after vaccination: 8
Gender:Female  Submitted:0000-00-00
Location:California  Entered:1990-12-10
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: WAES90010103
Vaccination
Manufacturer
Lot
Dose
Route
Site
RUB: RUBELLA (MERUVAX II)MERCK & CO. INC.42601   
Administered by: Private     Purchased by: Unknown
Symptoms: Asthenia, Headache, Lymphadenopathy, Osteoarthritis, Pyrexia, Rash
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Hypersensitivity (narrow), Arthritis (narrow)
Write-up: Pt vaccinated with Meruvax II developed sore & swollen glands, a slight fever & a feeling of tiredness. Developed palpable but invisible rash. Experienced headache which lasted until the following day, swelling of the fingers & hand joints.

VAERS ID:27017 (history)  Vaccinated:1989-11-28
Age:32.0  Onset:1989-11-30, Days after vaccination: 2
Gender:Female  Submitted:0000-00-00
Location:California  Entered:1990-12-10
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: WAES90020753
Vaccination
Manufacturer
Lot
Dose
Route
Site
RUB: RUBELLA (MERUVAX II)MERCK & CO. INC.42601   
Administered by: Unknown     Purchased by: Unknown
Symptoms: Arthralgia, Rash
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow), Arthritis (broad)
Write-up: Pt vaccinated with meruvax II developed rash, generalized arthralgia & joint pain. Serological eval for arthritis negative; Treated w/Naproxen.

VAERS ID:27044 (history)  Vaccinated:1990-06-24
Age:32.0  Onset:1990-06-29, Days after vaccination: 5
Gender:Female  Submitted:0000-00-00
Location:Connecticut  Entered:1990-12-10
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: WAES90070056
Vaccination
Manufacturer
Lot
Dose
Route
Site
RUB: RUBELLA (MERUVAX II)MERCK & CO. INC.    
Administered by: Unknown     Purchased by: Unknown
Symptoms: Lymphadenopathy
SMQs:
Write-up: Pt vaccinated with Meruvax II developed swollen lymph glands in the area of the injection site & on the occiput and in the posterior cervical region.

VAERS ID:27051 (history)  Vaccinated:1989-07-10
Age:32.0  Onset:1989-07-10, Days after vaccination: 0
Gender:Female  Submitted:0000-00-00
Location:Wisconsin  Entered:1990-12-10
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: Prophylaxis.
Diagnostic Lab Data:
CDC Split Type: WAES89080454
Vaccination
Manufacturer
Lot
Dose
Route
Site
RUB: RUBELLA (MERUVAX II)MERCK & CO. INC.34579   
Administered by: Private     Purchased by: Unknown
Symptoms: Arthralgia, Eye pain, Lymphadenopathy, Malaise, Osteoarthritis, Skin nodule
SMQs:, Extravasation events (injections, infusions and implants) (broad), Glaucoma (broad), Arthritis (narrow)
Write-up: Pt vaccinated developed swollen glands under axilla & generalized malaise. Developed small lumps under her chin, bilateral knee & wrist pain w/swelling of lt knee. Also redness of rt eye w/slight ocular pain.

VAERS ID:27288 (history)  Vaccinated:1990-11-05
Age:32.5  Onset:1990-11-08, Days after vaccination: 3
Gender:Male  Submitted:1990-11-29, Days after onset: 21
Location:Colorado  Entered:1991-01-03, Days after submission: 35
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: CO9003
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.2125R   
Administered by: Public     Purchased by: Public
Symptoms: Arthralgia, Asthenia, Pain
SMQs:, Guillain-Barre syndrome (broad), Arthritis (broad)
Write-up: Pt vaccinated with MMR developed pain in elbow & weakness of arm. Unable to fully flex or extend limb. Aches 24 hrs a day. Still has deep joint pain.

VAERS ID:27520 (history)  Vaccinated:1990-10-26
Age:32.0  Onset:0000-00-00
Gender:Female  Submitted:0000-00-00
Location:Missouri  Entered:1991-01-22
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: hx of rxn to DTP
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM618A40  
Administered by: Unknown     Purchased by: Unknown
Symptoms: Asthenia, Chills, Nausea, Pharyngitis, Vasodilatation
SMQs:, Acute pancreatitis (broad), Agranulocytosis (broad), Oropharyngeal infections (narrow), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)
Write-up: 2 hrs after vax began having hot & cold flashes, mild stomach discomfort & nausea, fatigue & full feeling in throat.

VAERS ID:27898 (history)  Vaccinated:1990-03-11
Age:32.0  Onset:1990-07-11, Days after vaccination: 122
Gender:Female  Submitted:0000-00-00
Location:Iowa  Entered:1991-01-29
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: 11JUL90: Hepatitis B surface antibody test - negative.
CDC Split Type: EBU900494
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM  IM 
Administered by: Unknown     Purchased by: Unknown
Symptoms: Drug ineffective
SMQs:, Lack of efficacy/effect (narrow)
Write-up: Vaccinee tested negative for Hepatitis B Surface Antibodies p/a series of 3 inject (IM deltoid).

VAERS ID:27960 (history)  Vaccinated:1990-09-28
Age:32.0  Onset:1990-09-28, Days after vaccination: 0
Gender:Female  Submitted:0000-00-00
Location:New Jersey  Entered:1991-01-29
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: no illness
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: EBU900461
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM618A4   
Administered by: Unknown     Purchased by: Unknown
Symptoms: Arthralgia, Asthenia, Myalgia, Pain, Somnolence, Vasodilatation
SMQs:, Rhabdomyolysis/myopathy (broad), Anticholinergic syndrome (broad), Dementia (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Eosinophilic pneumonia (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad)
Write-up: 28Sep90 pt (/p 2nd dose in series) developed heaviness in ankles in both feet (1st rt then lt) 10 min /p vax, couple days later developed pain in legs, then felt warm, Next day pain all over body lethargic, pt now "feels better".

VAERS ID:27986 (history)  Vaccinated:1990-08-30
Age:32.0  Onset:1990-08-30, Days after vaccination: 0
Gender:Female  Submitted:0000-00-00
Location:Vermont  Entered:1991-01-29
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC Split Type: EBU900427
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM600A4 IM 
Administered by: Unknown     Purchased by: Unknown
Symptoms: Injection site reaction, Oedema, Vasodilatation
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad)
Write-up: W/in 12 hrs of receiving Engerix-B in lt deltoid, experienced pain in arms x 3 days, induration, hot, & swelling; Events resolved

VAERS ID:28394 (history)  Vaccinated:1990-12-19
Age:32.0  Onset:1990-12-19, Days after vaccination: 0
Gender:Male  Submitted:0000-00-00
Location:Ohio  Entered:1991-02-21
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? Yes, ? days
    Extended hospital stay? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions: NO relevant history
Diagnostic Lab Data: NO relevant data.
CDC Split Type: WAES91020458
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.2213R   
Administered by: Unknown     Purchased by: Unknown
Symptoms: Asthma, Dizziness, Dysphagia, Dyspnoea, Headache, Malaise, Vasodilatation
SMQs:, Anaphylactic reaction (broad), Asthma/bronchospasm (narrow), Anticholinergic syndrome (broad), 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 (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Vestibular disorders (broad), Hypersensitivity (broad)
Write-up: 40min p/vax exp a gradual onset of "severe" headache, flushing & dysphagia. Tx unspecified prescription medication. Later recovered. Additional info requested. F/U 1MAR91: BP = 160/90, ALSO HAD THROAT TIGHTNESS, DYSPHAGIA, AUDIBLE BR SOUND

VAERS ID:28475 (history)  Vaccinated:1990-11-02
Age:32.9  Onset:1990-11-23, Days after vaccination: 21
Gender:Female  Submitted:1991-02-15, Days after onset: 84
Location:Washington  Entered:1991-02-25, Days after submission: 10
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: WA91510
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.1492S0SCRA
Administered by: Unknown     Purchased by: Public
Symptoms: Arthralgia, Arthritis, Neuralgia, Paraesthesia, Pyrexia
SMQs:, Peripheral neuropathy (narrow), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Arthritis (narrow)
Write-up: had T 99.6, pain in joints, inflammation of joints (redness, swelling, tenderness), Seen by MD, neuritis, neuralgia, paresthesias

VAERS ID:28862 (history)  Vaccinated:1991-01-28
Age:32.7  Onset:1991-01-29, Days after vaccination: 1
Gender:Female  Submitted:1991-02-25, Days after onset: 27
Location:Ohio  Entered:1991-03-07, Days after submission: 10
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: UNKNOWN
Current Illness: NONE
Preexisting Conditions: allergic to Penicillin
Diagnostic Lab Data: Blood sugar 130; NA -decreased; 1st fainted @ tachycardia.
CDC Split Type: OH91015
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM600840 LA
Administered by: Other     Purchased by: Private
Symptoms: Asthenia, Nausea
SMQs:, Acute pancreatitis (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)
Write-up: Nausea, tired;

VAERS ID:28901 (history)  Vaccinated:1991-02-23
Age:32.9  Onset:1991-02-23, Days after vaccination: 0
Gender:Male  Submitted:1991-02-28, Days after onset: 5
Location:Pennsylvania  Entered:1991-03-08, Days after submission: 8
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: NONE
Other Medications: Prozac 20 mg qd
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC Split Type: PA9158
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.1897S0 LA
Administered by: Public     Purchased by: Public
Symptoms: Dizziness, Eye pain, Headache, Malaise, Myalgia
SMQs:, Rhabdomyolysis/myopathy (broad), Anticholinergic syndrome (broad), Glaucoma (broad), Eosinophilic pneumonia (broad), Vestibular disorders (broad), Tendinopathies and ligament disorders (broad)
Write-up: Dizzy, muscle aches, malaise, headache, eyes hurt.

VAERS ID:28913 (history)  Vaccinated:1991-02-28
Age:32.8  Onset:1991-03-01, Days after vaccination: 1
Gender:Female  Submitted:1991-03-04, Days after onset: 3
Location:Texas  Entered:1991-03-08, Days after submission: 4
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: NA
Other Medications: Soma for TMJ PRN
Current Illness: NONE
Preexisting Conditions: Erythromycin, PCN, Ampicillin & Codeine
Diagnostic Lab Data: NONE
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)CONNAUGHT LABORATORIES0E21103 IMLA
Administered by: Public     Purchased by: Unknown
Symptoms: Injection site reaction, Nausea, Vasodilatation
SMQs:, Acute pancreatitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)
Write-up: Lt upper arm - tenderness, redness, warmth noted 1MAR91 area 5" long, 3" wide nausea, 0 vomiting, weakness, fatigue, dizziness,temp. 3MAR91 ER dept Benadryl & Tylenol 4MAR91 dec red, dec swelling, itching all sx less today

VAERS ID:29633 (history)  Vaccinated:1990-01-28
Age:32.0  Onset:1990-01-28, Days after vaccination: 0
Gender:Female  Submitted:0000-00-00
Location:New Jersey  Entered:1991-03-12
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: NA
Diagnostic Lab Data: NA
CDC Split Type: WAES90020708
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.  IM 
Administered by: Unknown     Purchased by: Unknown
Symptoms: Chills, Influenza, Nausea, Pyrexia, Vomiting
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)
Write-up: 28jan90 pt vax hepta B. for an accidental needle stick. 6 hrs later, pt ex chills, temp of 101 F., nausea, vomiting, and flu-like sx. 29jan90 vomiting resolved. pt recovered.

VAERS ID:29655 (history)  Vaccinated:1990-02-06
Age:32.0  Onset:1990-02-07, Days after vaccination: 1
Gender:Female  Submitted:0000-00-00
Location:Virginia  Entered:1991-03-12
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: nONE
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NA
CDC Split Type: WAES90030321
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.1380R IM 
Administered by: Unknown     Purchased by: Unknown
Symptoms: Hypoaesthesia
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad)
Write-up: 24hrs p/vax noted facial numbness that persisted for 4 days; Administered 2nd dose of Hep B reported numbness on one side of her nose;

VAERS ID:29660 (history)  Vaccinated:1990-03-05
Age:32.0  Onset:1990-03-05, Days after vaccination: 0
Gender:Female  Submitted:0000-00-00
Location:North Carolina  Entered:1991-03-12
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NONE
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: Allergy sulfa drugs
Diagnostic Lab Data: NA
CDC Split Type: WAES90030398
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.0342R IM 
Administered by: Unknown     Purchased by: Unknown
Symptoms: Angioneurotic oedema, Dysphagia, Dyspnoea, Tongue oedema
SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), Anticholinergic syndrome (broad), 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 (broad), Cardiomyopathy (broad), Hypersensitivity (narrow)
Write-up: Pt vaccinated w/Recombinant 1 hr later developed angioneurotic edema of her tongue & neck; Also difficulty w/breathing & swallowing;

VAERS ID:29712 (history)  Vaccinated:1989-06-01
Age:32.0  Onset:1989-07-01, Days after vaccination: 30
Gender:Female  Submitted:0000-00-00
Location:Ohio  Entered:1991-03-12
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: NA
Diagnostic Lab Data: NA
CDC Split Type: WAES90040420
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC. 1  
Administered by: Unknown     Purchased by: Unknown
Symptoms: Gait disturbance, Multiple sclerosis, Myasthenic syndrome, Neuropathy peripheral, Paraesthesia
SMQs:, Peripheral neuropathy (narrow), Anticholinergic syndrome (broad), Malignancy related conditions (narrow), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Optic nerve disorders (broad), Demyelination (narrow)
Write-up: jul89 pt vax 2nd hepta B. pt ex paresthesia in extremities and weakness in her gait. MD made provisional dx of multiple sclerosis. susequent info indicated pt was dx w/ peripheral neuropathy. pt recovered.

VAERS ID:29719 (history)  Vaccinated:1990-03-27
Age:32.0  Onset:1990-03-28, Days after vaccination: 1
Gender:Male  Submitted:0000-00-00
Location:California  Entered:1991-03-12
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: NA
Diagnostic Lab Data: NA
CDC Split Type: WAES90040548
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.1647R IM 
Administered by: Unknown     Purchased by: Unknown
Symptoms: Arthralgia, Myalgia, Pyrexia
SMQs:, Rhabdomyolysis/myopathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Eosinophilic pneumonia (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad)
Write-up: 27mar90 pt vax hepta B. next day pt vax w/ measles, mumps and rubella virus vax live due to a measles epidemic. same day pt devel aching in joints and back muscles and a fever of 102.9 F. which lasted 8 to 10 hrs. pt recovered.

VAERS ID:30542 (history)  Vaccinated:1990-05-22
Age:32.0  Onset:1990-05-22, Days after vaccination: 0
Gender:Female  Submitted:0000-00-00
Location:Oklahoma  Entered:1991-03-12
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: No relevant hx
Diagnostic Lab Data: PPD-positive
CDC Split Type: WAES90051206
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.1651R1  
Administered by: Unknown     Purchased by: Unknown
Symptoms: Asthenia, Influenza, Malaise, Nausea, Pyrexia
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)
Write-up: W/in 1hrs of receiving vax, pt developed flu-like sx w/malaise, fatigue, nausea & fever; Tx included isonicotinic acid hydrazide; Lab testing revealed PPD positive; Pt rec''d 1st dose w/out adverse experience;

VAERS ID:30573 (history)  Vaccinated:1989-11-10
Age:32.0  Onset:1989-11-11, Days after vaccination: 1
Gender:Female  Submitted:0000-00-00
Location:Minnesota  Entered:1991-03-12
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: allergy codeine
Diagnostic Lab Data: NA
CDC Split Type: WAES90060507
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.1595R IM 
Administered by: Unknown     Purchased by: Unknown
Symptoms: Asthenia, Nausea, Vasodilatation, Vomiting
SMQs:, Acute pancreatitis (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)
Write-up: 10nov89 pt vax hepta B. pt ex n/v flushing and warm feeling for 24 hrs. 13nov89 pt noted feeling weak.

VAERS ID:30577 (history)  Vaccinated:1990-01-25
Age:32.0  Onset:0000-00-00
Gender:Male  Submitted:0000-00-00
Location:Virginia  Entered:1991-03-12
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: NA
Diagnostic Lab Data: NA
CDC Split Type: WAES90060522
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.    
Administered by: Unknown     Purchased by: Unknown
Symptoms: Arthralgia, Pain
SMQs:, Arthritis (broad)
Write-up: 25jan90 pt vax hepta B. pt ex joint pain in fingers of both hands that persisted for 2 weeks. 20feb90 2nd vax. same sx for 6 weeks.

VAERS ID:30654 (history)  Vaccinated:1990-03-26
Age:32.0  Onset:1990-03-30, Days after vaccination: 4
Gender:Female  Submitted:0000-00-00
Location:New Jersey  Entered:1991-03-12
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: NA
Diagnostic Lab Data: NA
CDC Split Type: WAES90070371
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.1595R IM 
Administered by: Unknown     Purchased by: Unknown
Symptoms: Chills, Hyperhidrosis, Pyrexia, Somnolence, Vasodilatation
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad)
Write-up: 26mar90 pt vax hepta B. 30mar90 pt ex lethargy, night sweats, chills and hot flashes. 2 week later sx resolved and pt devel low grade fever which lasted 24-48 hrs.

VAERS ID:30772 (history)  Vaccinated:0000-00-00
Age:32.0  Onset:0000-00-00
Gender:Male  Submitted:0000-00-00
Location:Missouri  Entered:1991-03-12
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: NA
Diagnostic Lab Data: NA
CDC Split Type: WAES90080304
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.1801R1  
Administered by: Unknown     Purchased by: Unknown
Symptoms: Asthenia, Chills, Confusional state, Dyspnoea, Pyrexia
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Cardiomyopathy (broad)
Write-up: pt vax hepta B. pt ex shortness of breath, chills, fever, disorientation, and weakness. Pt seen in er.

VAERS ID:30784 (history)  Vaccinated:1990-07-25
Age:32.0  Onset:1990-07-29, Days after vaccination: 4
Gender:Female  Submitted:0000-00-00
Location:Maryland  Entered:1991-03-12
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: Na
Diagnostic Lab Data: NA
CDC Split Type: WAES90080513
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.1884R   
Administered by: Unknown     Purchased by: Unknown
Symptoms: Abdominal pain, Insomnia, Nausea
SMQs:, Acute pancreatitis (broad), Retroperitoneal fibrosis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)
Write-up: 25jul90 pt vax hepta B. 29jul90 pt ex severe stomach cramps, feelings of nausea, and insomnia. 03sep90 pt vax 2nd hepta B w/o reaction.

VAERS ID:30982 (history)  Vaccinated:1990-07-16
Age:32.0  Onset:0000-00-00
Gender:Female  Submitted:0000-00-00
Location:Maryland  Entered:1991-03-12
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: NA
Diagnostic Lab Data: WBC count - 1500; WBC count - 1800.
CDC Split Type: WAES90080713
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.1648R1  
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.1022S   
Administered by: Unknown     Purchased by: Unknown
Symptoms: Rash
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow)
Write-up: 16jul90 pt vax hepta B. w/ m-m-r II. pt devel flulike illness w/ fatigue, cough, and neutropenia, w/ white blood cell count bet. 1500-1800. sx remitted in 5 days. 17aug90 pt vax 2nd hepta B. pt devel erythematous butterfly rash on face.

VAERS ID:31068 (history)  Vaccinated:1990-07-27
Age:32.0  Onset:0000-00-00
Gender:Female  Submitted:0000-00-00
Location:California  Entered:1991-03-12
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:
Diagnostic Lab Data: none
CDC Split Type: WAES90090190
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.1884R   
Administered by: Unknown     Purchased by: Unknown
Symptoms: Asthenia, Pain, Pyrexia, Urticaria, Vasodilatation
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Hypersensitivity (narrow)
Write-up: pt vax''d w/hepatitis B and developed wheal, arm soreness & fatigue. after 2nd dose pt developed fatigue, fever & wheal, hot to the touch @ injection site.

VAERS ID:31250 (history)  Vaccinated:1990-09-13
Age:32.0  Onset:1990-09-20, Days after vaccination: 7
Gender:Female  Submitted:0000-00-00
Location:Utah  Entered:1991-03-12
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: No relevant hx
Diagnostic Lab Data: No relevant data.
CDC Split Type: WAES90100570
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.0940R   
Administered by: Unknown     Purchased by: Unknown
Symptoms: Diarrhoea, Nausea, Pruritus, Rash, Serum sickness
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypersensitivity (narrow), Noninfectious diarrhoea (narrow)
Write-up: 12Sep90 pt vax w/ measles live virus and on 13Sep90 pt vax w/ hepta B. 20Sep90 pt exp itchy rash over entire body. Dx as serum sickness. Pt exp nausea and diarrhea. 5-6 days later; sx resolved.

VAERS ID:31297 (history)  Vaccinated:1990-09-20
Age:32.0  Onset:1990-09-21, Days after vaccination: 1
Gender:Female  Submitted:0000-00-00
Location:Wisconsin  Entered:1991-03-12
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: after 1st vax pt ex h/a
Other Medications:
Current Illness:
Preexisting Conditions: No relevant hx
Diagnostic Lab Data: No relevant data
CDC Split Type: WAES90100975
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.0761S1  
Administered by: Unknown     Purchased by: Unknown
Symptoms: Headache, Migraine
SMQs:
Write-up: 20Sep90 pt vax w/ hepta B; exp moderate bilateral migraine-like h/a. Tx APAP; h/a resolved in 4 days. 16Oct90 vax w/ 2nd hepta B; exp h/a which woke pt out of sleep. Tx w/ APAP + Davron. Sx resolved.

VAERS ID:31301 (history)  Vaccinated:1990-09-07
Age:32.0  Onset:1990-09-07, Days after vaccination: 0
Gender:Female  Submitted:0000-00-00
Location:California  Entered:1991-03-12
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: No relevant hx
Diagnostic Lab Data: No relevant data
CDC Split Type: WAES90100988
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.1886R IM 
Administered by: Unknown     Purchased by: Unknown
Symptoms: Chest pain, Dizziness, Dyspnoea, Influenza, Malaise, Nausea, Palpitations, Rash
SMQs:, Anaphylactic reaction (narrow), Acute pancreatitis (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Vestibular disorders (broad), Hypersensitivity (narrow)
Write-up: 07Sep90 pt vax w/ hepta B; exp severe chest tightness + dyspnea. next day devel rash on right forearm, exp n/, spinning sensation, malaise, flulike achiness, heart flutter. 4 days sx remitted and recovered.

VAERS ID:31873 (history)  Vaccinated:1990-12-10
Age:32.0  Onset:1990-12-10, Days after vaccination: 0
Gender:Male  Submitted:0000-00-00
Location:Massachusetts  Entered:1991-03-12
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: No relevant hx
Diagnostic Lab Data: No relevant data
CDC Split Type: WAES90120579
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC. 2  
Administered by: Unknown     Purchased by: Unknown
Symptoms: Unevaluable event
SMQs:
Write-up: Pt adm Hep B vax (recombinant) on 4SEP90 & 4OCT90; 10DEC90 recvd third dose of vax which does not follow the six month protocol; @ time of the report there were no other adverse exp; No further details were provided;

VAERS ID:31925 (history)  Vaccinated:1990-11-28
Age:32.0  Onset:1990-11-29, Days after vaccination: 1
Gender:Male  Submitted:0000-00-00
Location:Pennsylvania  Entered:1991-03-12
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness:
Preexisting Conditions: no relevant hx
Diagnostic Lab Data: none
CDC Split Type: WAES90120923
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.0359S1  
Administered by: Unknown     Purchased by: Unknown
Symptoms: Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow)
Write-up: pt recvd 2nd dose of Hep B vax on 28NOV90 & later devel urticaria. Pt tx w/ Epi & DPH

VAERS ID:31928 (history)  Vaccinated:1990-11-03
Age:32.0  Onset:0000-00-00
Gender:Male  Submitted:0000-00-00
Location:Texas  Entered:1991-03-12
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: no relevant hx
Diagnostic Lab Data: none
CDC Split Type: WAES90120960
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.1256S1  
Administered by: Unknown     Purchased by: Unknown
Symptoms: Asthenia, Dermatitis bullous, Pruritus, Skin discolouration
SMQs:, Severe cutaneous adverse reactions (narrow), Anaphylactic reaction (broad), Guillain-Barre syndrome (broad), Hypotonic-hyporesponsive episode (broad), Hypersensitivity (narrow)
Write-up: pt recvd 2 doses of Hep B vax dialysis formulation 1ml instead of Hep B vax 1ml on 03OCT90 & 03NOV90. P/ 2nd dose,pt devel h/a & fever blisters thought to be infection w/ herpes simplex.

VAERS ID:29206 (history)  Vaccinated:1991-02-04
Age:32.0  Onset:1991-02-05, Days after vaccination: 1
Gender:Male  Submitted:1991-03-14, Days after onset: 37
Location:Oregon  Entered:1991-03-19, Days after submission: 5
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NONE KNOWN
Other Medications: NONE
Current Illness: Puncture wound in foot from nail
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TTOX: TETANUS TOXOID, ADSORBED (NO BRAND NAME)SCLAVO095A11 RA
Administered by: Private     Purchased by: Private
Symptoms: Injection site hypersensitivity
SMQs:, Hypersensitivity (narrow)
Write-up: TTOX given 4FEB91 w/in 24 hrs dev lg area of erythema on the rt upper arm measuring 11 x 8 cm; Advised rptr that it had come on slowly overnight following the inject; Appeared rxn subsiding & no treatment was given.

VAERS ID:29276 (history)  Vaccinated:1991-02-04
Age:32.1  Onset:1991-02-19, Days after vaccination: 15
Gender:Female  Submitted:0000-00-00
Location:New Jersey  Entered:1991-03-22
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: Na
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
RUB: RUBELLA (MERUVAX II)MERCK & CO. INC.1076S0SCLA
Administered by: Public     Purchased by: Private
Symptoms: Rash
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow)
Write-up: Vaccinated on 4FEB91; Rash onset on 19FEB91;

VAERS ID:29370 (history)  Vaccinated:1991-02-06
Age:32.3  Onset:1991-02-08, Days after vaccination: 2
Gender:Female  Submitted:1991-02-22, Days after onset: 14
Location:Texas  Entered:1991-03-25, Days after submission: 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: NONE
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)PFIZER/WYETH4908219 IMRA
Administered by: Private     Purchased by: Private
Symptoms: Injection site hypersensitivity, Injection site mass, Injection site oedema
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow)
Write-up: Hard-raised lump @ inject site; 2-3CM size noted 8FEB91 minimal reddness 18FEB91 less sore sm amt of swelling - 1cm

VAERS ID:32059 (history)  Vaccinated:1990-05-08
Age:32.0  Onset:1990-06-06, Days after vaccination: 29
Gender:Female  Submitted:0000-00-00
Location:Ohio  Entered:1991-03-28
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: no relevant hx
Diagnostic Lab Data: 06JUN90 Titer - 1.7 RU; 10JUL90 Titer - 10.3
CDC Split Type: EBU900612
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM  IM 
Administered by: Unknown     Purchased by: Unknown
Symptoms: Unevaluable event
SMQs:
Write-up: pt. recvd. 1st dose of Engerix-B 08NOV89,2nd vax 08DEC89 & 3rd on 08MAY90.Titer indicated pt. non-responder,p/ booster seroconverted.

VAERS ID:32067 (history)  Vaccinated:1990-05-09
Age:32.0  Onset:1990-06-18, Days after vaccination: 40
Gender:Female  Submitted:0000-00-00
Location:Ohio  Entered:1991-03-28
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness:
Preexisting Conditions: None
Diagnostic Lab Data: 3 titers - 18Jun90 - 1.5RU, 10Aug90 - 1.4RU, 28Sep90 - 4.5RU.
CDC Split Type: EBU900620
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM587A42IM 
Administered by: Unknown     Purchased by: Unknown
Symptoms: Drug ineffective
SMQs:, Lack of efficacy/effect (narrow)
Write-up: 14Nov89, 12Dec89, 09May90 pt vax w/ hepta B; 18Jun90 titer indicated non responder. 27Jun, 14Aug, 1990 recv booster vax . Titer indicated non responder.

VAERS ID:32076 (history)  Vaccinated:1990-11-14
Age:32.0  Onset:1990-11-14, Days after vaccination: 0
Gender:Female  Submitted:0000-00-00
Location:New Jersey  Entered:1991-03-28
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness:
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC Split Type: EBU900629
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM629A41IM 
Administered by: Unknown     Purchased by: Unknown
Symptoms: Tachycardia, Urticaria, Vasodilatation
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Hypersensitivity (narrow)
Write-up: 14NOV90 pt vax w/2nd hep B; exp gen hives; Sx resolved. Felt warm, had flushed skin on face & arms w/o wheezing, tachycardia, blood pressure of 130/90. Tx w/ benadryl. Sx resolved.

VAERS ID:32088 (history)  Vaccinated:0000-00-00
Age:32.0  Onset:0000-00-00
Gender:Female  Submitted:0000-00-00
Location:North Carolina  Entered:1991-03-28
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness:
Preexisting Conditions: None
Diagnostic Lab Data: Titer - 3.9
CDC Split Type: EBU900642
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM591A42IMA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Drug ineffective
SMQs:, Lack of efficacy/effect (narrow)
Write-up: Pt recv 2 doses of Recombivax & 1 dose of Engerix-B; also given booster Engerix-B and titer is still 3.9.

VAERS ID:32108 (history)  Vaccinated:1989-04-17
Age:32.0  Onset:1989-04-17, Days after vaccination: 0
Gender:Female  Submitted:0000-00-00
Location:Colorado  Entered:1991-03-28
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: No adverse reaction after 1st 2 vax.
Other Medications:
Current Illness:
Preexisting Conditions: No relevant hx
Diagnostic Lab Data: No relevant data
CDC Split Type: WAES89100013
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.1890P2  
Administered by: Unknown     Purchased by: Unknown
Symptoms: Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow)
Write-up: 17Apr89 pt vax w/ 3rd hepta B; devel large wheal at inject site, axillary + trunk hives accom. by urticaria that lasted 1 week. Tx w/ Topicort + Chlor-trimeton.

VAERS ID:32120 (history)  Vaccinated:1989-08-24
Age:32.0  Onset:1989-08-24, Days after vaccination: 0
Gender:Female  Submitted:0000-00-00
Location:California  Entered:1991-03-28
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Thyroidectomy, allergies to aspirin, pollen, + perfumes.
Diagnostic Lab Data: No relevant data
CDC Split Type: WAES89100867
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.0787R   
Administered by: Unknown     Purchased by: Unknown
Symptoms: Headache, Influenza, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow)
Write-up: 24AUG89 pt vax w/hepta B; exp h/a, flu-like illness, general hives on back & legs w/welts & itching. Hives resolved & reoccurred then resolved again.

VAERS ID:32139 (history)  Vaccinated:0000-00-00
Age:32.0  Onset:0000-00-00
Gender:Male  Submitted:0000-00-00
Location:Michigan  Entered:1991-03-28
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: no relevant hx
Diagnostic Lab Data: none
CDC Split Type: WAES89120172
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.0027R1  
Administered by: Unknown     Purchased by: Unknown
Symptoms: Pruritus, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow)
Write-up: Pt recvd 2nd vax of Hep B & later exp itching w/ hives under arms & down sides.Pt tx w/ meds & sx abated slightly,w/ recurrences of hives & itching.

VAERS ID:32252 (history)  Vaccinated:1991-02-01
Age:32.0  Onset:1991-02-01, Days after vaccination: 0
Gender:Female  Submitted:0000-00-00
Location:Michigan  Entered:1991-03-28
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: none
CDC Split Type: EBU910136
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM631A40IM 
Administered by: Unknown     Purchased by: Unknown
Symptoms: Amnesia, Dizziness, Headache, Nausea, Palpitations, Tachycardia, Vertigo
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dementia (broad), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Vestibular disorders (narrow)
Write-up: Pt recvd 1st dose of Hep B vax 01FEB91 & later exp lightheadedness,dizziness,nausea & tachycardia.

VAERS ID:32473 (history)  Vaccinated:1990-06-14
Age:32.0  Onset:1990-10-01, Days after vaccination: 109
Gender:Female  Submitted:0000-00-00
Location:Minnesota  Entered:1991-03-28
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: No relevant hx
Diagnostic Lab Data: Anti-HBs - borderline/weakly reactive
CDC Split Type: EBU910170
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM597A42IM 
Administered by: Unknown     Purchased by: Unknown
Symptoms: Drug ineffective
SMQs:, Lack of efficacy/effect (narrow)
Write-up: In Oct90 10 out of 59 pts were found to have insuff or neg antibody levels during post serology testing for anti HBs. (see EBU910168 - EBU910169 - EBU910171 - EBU910177)

VAERS ID:32957 (history)  Vaccinated:1990-02-09
Age:32.0  Onset:1990-02-10, Days after vaccination: 1
Gender:Female  Submitted:0000-00-00
Location:Oklahoma  Entered:1991-03-28
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Hives due to nerves
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC Split Type: EBU900332
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM 0IM 
Administered by: Unknown     Purchased by: Unknown
Symptoms: Oedema, Paraesthesia, Pyrexia
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad)
Write-up: Pt exp fever< side body swelled following vax;1st&2nd dose given FEB90&MAR90 respectively;SX occurred less than 24 hrs /p vax&resolved; reporter indicated p/2nd vax pt exp tingling&swelling of lt arm fr shoulder to fingertips 2 hrs /p vax

VAERS ID:31063 (history)  Vaccinated:1989-11-01
Age:32.0  Onset:0000-00-00
Gender:Female  Submitted:0000-00-00
Location:New Jersey  Entered:1991-04-03
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: none
CDC Split Type: WAES90060499
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (FOREIGN)MERCK & CO. INC.    
Administered by: Unknown     Purchased by: Unknown
Symptoms: Hepatic function abnormal
SMQs:, Liver related investigations, signs and symptoms (narrow)
Write-up: pt. vax''d /w 3rd dose of hepatitis B vaccine in Nov ''89, subsequent lab evaluation revealed liver function "twice normal".

VAERS ID:31172 (history)  Vaccinated:1990-08-06
Age:32.0  Onset:1990-08-07, Days after vaccination: 1
Gender:Female  Submitted:0000-00-00
Location:Virginia  Entered:1991-04-03
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: No relevant history
Diagnostic Lab Data: No relevant data
CDC Split Type: WAES90080762
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (FOREIGN)MERCK & CO. INC. 0IM 
Administered by: Unknown     Purchased by: Unknown
Symptoms: Dysphagia, Dyspnoea, Pruritus, Rash
SMQs:, Anaphylactic reaction (narrow), Anticholinergic syndrome (broad), 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 (broad), Cardiomyopathy (broad), Hypersensitivity (narrow)
Write-up: One hr & fifteen min p/vax developed total body rash, difficulty in swallowing, SOB, & itching; Seen in ER tx epinephrine & DPH;

VAERS ID:29832 (history)  Vaccinated:1991-03-25
Age:32.3  Onset:1991-03-25, Days after vaccination: 0
Gender:Female  Submitted:1991-03-27, Days after onset: 2
Location:New York  Entered:1991-04-09, Days after submission: 12
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: In pt: T&T; 9yo; T&T; #1 dose
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: allergic to Tetanus toxoid
Diagnostic Lab Data: poss allergic rxn vs susceptible response; hypertension prene
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.1890S1 LA
Administered by: Military     Purchased by: Public
Symptoms: Amblyopia, Dizziness, Headache, Hypertension
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Hypertension (narrow), Optic nerve disorders (broad), Vestibular disorders (broad)
Write-up: Approx 10mins p/ vax developed h/a, dizziness, blurring vision, elevated BP;

VAERS ID:29954 (history)  Vaccinated:1991-03-12
Age:32.8  Onset:1991-03-13, Days after vaccination: 1
Gender:Female  Submitted:1991-04-11, Days after onset: 28
Location:Delaware  Entered:1991-04-17, Days after submission: 6
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NONE
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.2340S0IMLA
Administered by: Private     Purchased by: Private
Symptoms: Arthralgia, Back pain, Breast pain, Lymphadenopathy, Paraesthesia, Vasodilatation
SMQs:, Peripheral neuropathy (broad), Retroperitoneal fibrosis (broad), Guillain-Barre syndrome (broad), Lipodystrophy (broad), Arthritis (broad)
Write-up: Reported that had back pain w/in 24 hrs, episodes of breast tenderness rt w/poss nodes enlarged on lateral aspect of rt breast, facial flushing, pain anticubital areas both arms, & in both knees-no swelling in areas; Also c/o numbness toes;

VAERS ID:30069 (history)  Vaccinated:1991-01-29
Age:32.9  Onset:1991-02-15, Days after vaccination: 17
Gender:Male  Submitted:1991-04-16, Days after onset: 59
Location:Connecticut  Entered:1991-04-22, Days after submission: 6
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.1707S0IMLA
Administered by: Unknown     Purchased by: Private
Symptoms: Arthralgia, Osteoarthritis, Pharyngitis
SMQs:, Agranulocytosis (broad), Oropharyngeal infections (narrow), Arthritis (narrow)
Write-up: 2 1/2 wks p/1st MMR experienced bilateral wrist, finger & knee joint swelling, stiffness, aching; Also mild URI sx;

VAERS ID:30076 (history)  Vaccinated:1988-10-05
Age:32.5  Onset:0000-00-00
Gender:Male  Submitted:0000-00-00
Location:Iowa  Entered:1991-04-23
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Given 2&3 Recombivax 2NOV88 & 21APR89 lots #1893P & 0435P
Current Illness:
Preexisting Conditions: Smoker, extremely thin
Diagnostic Lab Data: Anti-HBs - negative 20MAR91
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.1893P0IMLA
Administered by: Public     Purchased by: Other
Symptoms: Drug ineffective
SMQs:, Lack of efficacy/effect (narrow)
Write-up: Pt not immune about 2 yrs after vax series;

VAERS ID:30494 (history)  Vaccinated:0000-00-00
Age:32.0  Onset:0000-00-00
Gender:Male  Submitted:0000-00-00
Location:Ohio  Entered:1991-05-09
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: UNK
Diagnostic Lab Data: NA
CDC Split Type: 900107801
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)LEDERLE LABORATORIES247953 IM 
Administered by: Unknown     Purchased by: Unknown
Symptoms: Injection site hypersensitivity, Injection site pain, Vasodilatation
SMQs:, Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (narrow)
Write-up: One of four pt''s who were immun fr the same vial developed local rxn, size of a quarter or fifty cent coin; The site of inject was red, hot to touch & pt c/o tenderness;

VAERS ID:30441 (history)  Vaccinated:1991-03-07
Age:32.7  Onset:1991-04-05, Days after vaccination: 29
Gender:Male  Submitted:0000-00-00
Location:Kansas  Entered:1991-05-13
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: Verapamil
Current Illness:
Preexisting Conditions: NONE
Diagnostic Lab Data: Urine RBC - 4+
CDC Split Type: WAES91042028
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.0412T0  
Administered by: Unknown     Purchased by: Unknown
Symptoms: Alanine aminotransferase increased, Aspartate aminotransferase increased, Blood lactate dehydrogenase increased, Haematemesis, Haematuria, Leukopenia, Monocytosis, Pyrexia
SMQs:, Liver related investigations, signs and symptoms (narrow), Haematopoietic leukopenia (narrow), Haemorrhage terms (excl laboratory terms) (narrow), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Gastrointestinal haemorrhage (narrow), Tubulointerstitial diseases (broad)
Write-up: Developed malaise, generalized pain, particularly in the back, & temp of 105F, also developed hematemesis, hematuria, & leukopenia w/monocytosis;

VAERS ID:30628 (history)  Vaccinated:1991-04-07
Age:32.1  Onset:1991-04-17, Days after vaccination: 10
Gender:Female  Submitted:1991-05-13, Days after onset: 26
Location:Missouri  Entered:1991-05-17, 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: Extra strength APAP, syntocinon
Current Illness: post delivery <6hrs
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
RUB: RUBELLA (MERUVAX II)MERCK & CO. INC. 0SCRA
Administered by: Public     Purchased by: Other
Symptoms: Unevaluable event
SMQs:
Write-up: Pt was givn immun immediately prior to discharge; Adverse rxn was not reported back to DTP;

VAERS ID:30735 (history)  Vaccinated:1991-03-29
Age:32.4  Onset:1991-04-10, Days after vaccination: 12
Gender:Male  Submitted:1991-04-22, Days after onset: 12
Location:Maryland  Entered:1991-05-21, Days after submission: 29
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: NA
Other Medications:
Current Illness: NA
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: MD91036
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0573T1SC 
Administered by: Public     Purchased by: Public
Symptoms: Chills, Lymphadenopathy, Pyrexia, Rash
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Hypersensitivity (narrow)
Write-up: Rash first appeared on forehead then generalized; fever 101F, chills, cervical adenopathy;

VAERS ID:33375 (history)  Vaccinated:1990-07-17
Age:32.0  Onset:1990-08-03, Days after vaccination: 17
Gender:Male  Submitted:0000-00-00
Location:New Jersey  Entered:1991-06-03
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: No relevant hx
Diagnostic Lab Data: No relevant data.
CDC Split Type: WAES90080470
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.    
Administered by: Unknown     Purchased by: Unknown
Symptoms: Arthralgia, Headache, Lymphadenopathy, Myalgia, Neck pain, Nuchal rigidity, Pyrexia
SMQs:, Rhabdomyolysis/myopathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Eosinophilic pneumonia (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad)
Write-up: Pt recvd vax on 17JUL90 & on 03AUG90 devel T-102,submandibular adenitis,arthralgia,myalgia,h/a w/ neck pain & stiffness.Tx w/ ketoprofen.Lab eval revealed no measle titer.

VAERS ID:33497 (history)  Vaccinated:1990-09-13
Age:32.0  Onset:1990-09-21, Days after vaccination: 8
Gender:Female  Submitted:0000-00-00
Location:New Jersey  Entered:1991-06-03
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: ear, throat infect, rt cervical adenopathy
Diagnostic Lab Data: X-ray - Chest normal
CDC Split Type: WAES90100092
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.    
Administered by: Unknown     Purchased by: Unknown
Symptoms: Lymphadenopathy, Malaise, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad)
Write-up: 13Sep90 pt vax; 21Sep90 noted bilateral cervical, axillary & inquinal lymphadenopathy accomp. by malaise & low-grade fever. Seen by Md who saw no infection. Lab tests normal. 08Oct90 cervical & axillary nodes were smaller. See worm....

VAERS ID:33515 (history)  Vaccinated:1990-09-17
Age:32.0  Onset:1990-10-18, Days after vaccination: 31
Gender:Female  Submitted:0000-00-00
Location:North Dakota  Entered:1991-06-03
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: No relevant hx
Diagnostic Lab Data: 18OCT90 Pregnancy tests-positive; 22OCT90 pathology report-endometrium degenerative change
CDC Split Type: WAES90100987
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC. 1  
Administered by: Unknown     Purchased by: Unknown
Symptoms: Abortion
SMQs:, Termination of pregnancy and risk of abortion (narrow)
Write-up: Pt recvd 2nd dose of MMR vax 17SEP90; 18OCT90 lab eval revealed pos preg test; 20OCT90 exp heavy bleeding; Pathology report small tissue sample on 22OCT90 revealed decidual tissue & endometrium; Dx intrauterine preg w/spontaneous abortion;

VAERS ID:31091 (history)  Vaccinated:1991-05-23
Age:32.4  Onset:1991-05-23, Days after vaccination: 0
Gender:Female  Submitted:1991-05-29, Days after onset: 6
Location:Washington  Entered:1991-06-07, 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: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC Split Type: WA91563
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (FOREIGN)MERCK & CO. INC.2352R0IMLA
Administered by: Private     Purchased by: Private
Symptoms: Diarrhoea, Headache, Laryngitis, Malaise, Nausea
SMQs:, Acute pancreatitis (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (narrow)
Write-up: Generalized malaise p/6 hrs; nausea, diarrhea 36hrs p/; 2 days post vax, nausea, diarrhea, laryngitis, h/a lasting 5 days;

VAERS ID:31375 (history)  Vaccinated:1991-06-06
Age:32.1  Onset:1991-06-06, Days after vaccination: 0
Gender:Female  Submitted:1991-06-07, Days after onset: 1
Location:California  Entered:1991-06-17, Days after submission: 10
Life Threatening? Yes
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: none
Other Medications: prenatal vits (nursing mother)
Current Illness: none
Preexisting Conditions: erythromycin allergy-$ghives, swelling
Diagnostic Lab Data: measles titer-neg 27Mar90
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
MEA: MEASLES (ATTENUVAX)MERCK & CO. INC.1079S0SCA
Administered by: Other     Purchased by: Private
Symptoms: Dyspnoea, Hyperkinesia, Nausea, Oedema, Urticaria
SMQs:, Cardiac failure (broad), Anaphylactic reaction (narrow), Acute pancreatitis (broad), Angioedema (narrow), Neuroleptic malignant syndrome (broad), Akathisia (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Hypersensitivity (narrow)
Write-up: Measles vax @ 1145am; shellfish @ lunch onset 220pm approx of nausea; 245 hands red swollen, felt hyper, SOB. "hives" on arms-to ER. D/C to home w/meds

VAERS ID:31971 (history)  Vaccinated:1991-05-09
Age:32.8  Onset:1991-05-23, Days after vaccination: 14
Gender:Female  Submitted:1991-06-24, Days after onset: 32
Location:California  Entered:1991-07-01, 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: NONE
Diagnostic Lab Data: NONE
CDC Split Type: CA9162
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTP: DTP (TRI-IMMUNOL)LEDERLE LABORATORIES306929   
RUB: RUBELLA (MERUVAX II)MERCK & CO. INC.5340295179 IM 
Administered by: Public     Purchased by: Public
Symptoms: Arthralgia, Asthenia, Conjunctivitis, Face oedema, Headache, Oedema, Pyrexia, Rash maculo-papular
SMQs:, Cardiac failure (broad), Severe cutaneous adverse reactions (broad), Anaphylactic reaction (broad), Angioedema (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Conjunctival disorders (narrow), Ocular infections (broad), Hypersensitivity (narrow), Arthritis (broad)
Write-up: Red, scaly, maculopapular rash on face, neck chest, upper thigh & back; pt also had fever, h/a & arthralgias w/swelling & loss of strength in hands; In addition, eyes became swollen, red & itchy;

VAERS ID:33320 (history)  Vaccinated:1990-10-18
Age:32.0  Onset:1991-01-08, Days after vaccination: 82
Gender:Female  Submitted:0000-00-00
Location:South Carolina  Entered:1991-07-01
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: allergic to PCN
Diagnostic Lab Data: 8JAN91 HBSAB- none detected
CDC Split Type: EBU910200
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM0620A43IMLA
Administered by: Private     Purchased by: Private
Symptoms: Drug ineffective
SMQs:, Lack of efficacy/effect (narrow)
Write-up: Pt recvd 4 doses of Hep B vax, 3rd given 22AUG90 & 4th given 18OCT90; It was determined that the pt was not immune to Hep B;

VAERS ID:33321 (history)  Vaccinated:1990-07-25
Age:32.0  Onset:1990-08-14, Days after vaccination: 20
Gender:Male  Submitted:0000-00-00
Location:South Carolina  Entered:1991-07-01
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: 14SEP90 HBSAB- none detected
CDC Split Type: EBU910201
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM1380R2IMLA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Drug ineffective
SMQs:, Lack of efficacy/effect (narrow)
Write-up: Pt recvd 3 doses of Hep B vax; 3rd dose given 25JUL90; It was determined that pt was not immune to Hep B;

VAERS ID:33654 (history)  Vaccinated:1990-07-22
Age:32.0  Onset:1990-09-27, Days after vaccination: 67
Gender:Female  Submitted:0000-00-00
Location:New Hampshire  Entered:1991-07-01
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: 27Sep90 titer neg; HBSAB ratio - .80.
CDC Split Type: EBU910334
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM620A43IMA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Drug ineffective
SMQs:, Lack of efficacy/effect (narrow)
Write-up: 22Jul90 pt vax 3rd dose; neg titer. 04Oct90 vax 4th dose. titer still neg.

VAERS ID:33740 (history)  Vaccinated:1990-05-17
Age:32.0  Onset:1991-02-13, Days after vaccination: 272
Gender:Female  Submitted:0000-00-00
Location:Alabama  Entered:1991-07-01
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: Allergy to pollen.
Diagnostic Lab Data: Hepatitis B surface antibody test = 0.014 (cutoff value = 0.060)
CDC Split Type: EBU910239
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM 2IMA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Drug ineffective
SMQs:, Lack of efficacy/effect (narrow)
Write-up: Pt recvd 3 doses of hep B vax on 0,1 & 6 months schedule.Hepatitis B surface antibody test indicated lack of immunity.

VAERS ID:33769 (history)  Vaccinated:1991-01-03
Age:32.0  Onset:1991-01-03, Days after vaccination: 0
Gender:Female  Submitted:0000-00-00
Location:California  Entered:1991-07-01
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: Titer drawn p/1st series & p/ 1st vax of 2nd series MAR91 did not reveal antibodies;
CDC Split Type: EBU910270
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM 2IMGM
Administered by: Private     Purchased by: Private
Symptoms: Drug ineffective
SMQs:, Lack of efficacy/effect (narrow)
Write-up: Pt recvd 3rd dose of Engerix B & was a non-responder; 4th dose was recvd on 25FEB91 & vax again was a non-responder;started 2nd series of vax.

VAERS ID:33786 (history)  Vaccinated:1991-03-15
Age:32.0  Onset:1991-03-15, Days after vaccination: 0
Gender:Female  Submitted:0000-00-00
Location:Vermont  Entered:1991-07-01
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: allergies pollen, animal hair
Diagnostic Lab Data:
CDC Split Type: EBU910286
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM631A42IMA
Administered by: Private     Purchased by: Private
Symptoms: Injection site oedema, Injection site reaction, Pharyngitis, Pruritus, Rash, Urticaria
SMQs:, Anaphylactic reaction (broad), Agranulocytosis (broad), Angioedema (narrow), Oropharyngeal infections (narrow), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow)
Write-up: Pt recvd 3 doses Engerix-B, 3rd given 15MAR91; About 6 hrs p/3rd inject pt exp itching, swelling @ site, erythema 6in diameter, lt palm red, itching, swollen, throat itching & hives on lt thigh & local induration; Pt went to ER & tx DPH;

VAERS ID:33792 (history)  Vaccinated:1991-01-25
Age:32.0  Onset:1991-01-25, Days after vaccination: 0
Gender:Female  Submitted:0000-00-00
Location:New Jersey  Entered:1991-07-01
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: hx of rxn to Demerol
Diagnostic Lab Data:
CDC Split Type: EBU910277
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM 1IM 
Administered by: Private     Purchased by: Unknown
Symptoms: Rash
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow)
Write-up: Pt recvd 2nd dose of Engerix-B on 25JAN91 & 3-4 hrs later devel a rash; Visited ER & was treated w/DPH & Decadron;

VAERS ID:33797 (history)  Vaccinated:1990-09-13
Age:32.0  Onset:1990-10-01, Days after vaccination: 18
Gender:Female  Submitted:0000-00-00
Location:Ohio  Entered:1991-07-01
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: Pos for EBV
CDC Split Type: EBU910289
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM618A41IMA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Asthenia, Infection
SMQs:, Guillain-Barre syndrome (broad)
Write-up: 12Oct90 pt vax 2nd dose; exp tiredness. Pt undergoing testing for Epstein-Barr. Results positive.

VAERS ID:33808 (history)  Vaccinated:1990-11-20
Age:32.0  Onset:1991-02-19, Days after vaccination: 91
Gender:Male  Submitted:0000-00-00
Location:New Hampshire  Entered:1991-07-01
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: Allergies to bee stings
Diagnostic Lab Data:
CDC Split Type: EBU910301
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM597A42IMLA
Administered by: Other     Purchased by: Public
Symptoms: Unevaluable event
SMQs:
Write-up: Pt vax 63 doses; titer indicated no seroprotection. Recv 4th dose 22Apr91.

VAERS ID:33814 (history)  Vaccinated:1991-03-18
Age:32.3  Onset:1991-03-19, Days after vaccination: 1
Gender:Female  Submitted:0000-00-00
Location:Georgia  Entered:1991-07-01
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: allergies to PCN
Diagnostic Lab Data: PE-WNL; CBC-WNL
CDC Split Type: EBU910307
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM629A4 IMLA
Administered by: Private     Purchased by: Private
Symptoms: Cellulitis, Injection site hypersensitivity, Injection site mass, Injection site oedema, Injection site pain, Lymphadenopathy
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow)
Write-up: Pt recvd Engerix-B vax on 18MAR91, & on 19MAR91 exp induration, erythema, lymph node enlargement, & tenderness; Pt seen in ER; Considered to be cellulitis;

VAERS ID:33816 (history)  Vaccinated:1991-02-26
Age:32.0  Onset:1991-03-19, Days after vaccination: 21
Gender:Female  Submitted:0000-00-00
Location:Missouri  Entered:1991-07-01
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: NKA
Diagnostic Lab Data: Titer=0.4 MIU/ML
CDC Split Type: EBU910309
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM631A42IMA
Administered by: Private     Purchased by: Private
Symptoms: Drug ineffective
SMQs:, Lack of efficacy/effect (narrow)
Write-up: Pt recvd 3 doses of Engerix-B, 3rd dose given 26FEB91 & it was determined that pt exp non-response;

VAERS ID:33817 (history)  Vaccinated:1990-09-17
Age:32.0  Onset:1990-09-18, Days after vaccination: 1
Gender:Female  Submitted:0000-00-00
Location:Pennsylvania  Entered:1991-07-01
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Disalcid, Inderal, Plaquenil
Current Illness:
Preexisting Conditions: Lupus, NKA
Diagnostic Lab Data:
CDC Split Type: EBU910310
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM 0IM 
Administered by: Other     Purchased by: Other
Symptoms: Arthralgia, Condition aggravated, Myalgia, Pyrexia
SMQs:, Rhabdomyolysis/myopathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Eosinophilic pneumonia (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad)
Write-up: Pt recvd 1st dose of Engerix-B vax 17SEP90 & exp exacerbation of Lupus the following day 18SEP90; Also exp fever 101, joint pain & muscle aches x 2 days; No treatment given;

VAERS ID:34161 (history)  Vaccinated:0000-00-00
Age:32.0  Onset:0000-00-00
Gender:Female  Submitted:0000-00-00
Location:New York  Entered:1991-07-01
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: EBU910471
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM 4  
Administered by: Unknown     Purchased by: Unknown
Symptoms: Drug ineffective
SMQs:, Lack of efficacy/effect (narrow)
Write-up: 4 doses of Engerix-B required due to negative result;

VAERS ID:34263 (history)  Vaccinated:1991-05-09
Age:32.0  Onset:1991-05-09, Days after vaccination: 0
Gender:Female  Submitted:0000-00-00
Location:Missouri  Entered:1991-07-01
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NONE
Other Medications: NONE
Current Illness:
Preexisting Conditions: functional heart murmur as a child but has never been dx w/any cardiac problems as adult;
Diagnostic Lab Data:
CDC Split Type: EBU910485
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM  IMA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Palpitations, Tachycardia, Ventricular extrasystoles
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Ventricular tachyarrhythmias (narrow), Cardiomyopathy (broad)
Write-up: Pt recvd Engerix-B vax 09MAY91; Soon p/exp palpitations, resting tachycardia & PVC''s; As of 20MAY91 no tx had been given; sx are now subsiding & are intermittent;

VAERS ID:34281 (history)  Vaccinated:1990-06-13
Age:32.0  Onset:1990-08-01, Days after vaccination: 49
Gender:Male  Submitted:0000-00-00
Location:California  Entered:1991-07-01
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: Aug 90 serology - non responder.
CDC Split Type: EBU910505
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM1651R2IMA
Administered by: Unknown     Purchased by: Private
Symptoms: Drug ineffective
SMQs:, Lack of efficacy/effect (narrow)
Write-up: 13Jun90 pt vax; serology indicated non responder. 08Apr91 booster dose given - still non responder.

VAERS ID:32613 (history)  Vaccinated:1991-06-19
Age:32.5  Onset:1991-06-30, Days after vaccination: 11
Gender:Female  Submitted:1991-07-10, Days after onset: 10
Location:Florida  Entered:1991-07-15, Days after submission: 5
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: NONE
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: Low WBC unk etiology
Diagnostic Lab Data: WBC dec 2.2 then WBC 3.0
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.009ES1 LA
RUB: RUBELLA (MERUVAX II)MERCK & CO. INC.1762S0 RA
Administered by: Public     Purchased by: Other
Symptoms: Leukopenia, Lymphadenopathy, Pain, Somnolence
SMQs:, Haematopoietic leukopenia (narrow), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad)
Write-up: Swollen lymph glands behind ears, neck, groin area; pain under both arms; lethargy; pain in both knees, ankles & lt foot;

VAERS ID:35856 (history)  Vaccinated:0000-00-00
Age:32.0  Onset:1990-08-14
Gender:Male  Submitted:0000-00-00
Location:Colorado  Entered:1991-07-29
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: allergies: lactose, mold allergies
Diagnostic Lab Data:
CDC Split Type: BER10002
Vaccination
Manufacturer
Lot
Dose
Route
Site
TYP: TYPHOID LIVE ORAL TY21A (VIVOTIF)BERNA BIOTECH, LTD115371A PO 
Administered by: Unknown     Purchased by: Unknown
Symptoms: Dyspnoea, Hyperhidrosis, Tachycardia
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad)
Write-up: 3 hrs sweating, SOB & pulse 110; duratin was 4 to 5 hrs;

VAERS ID:33191 (history)  Vaccinated:1991-02-14
Age:32.4  Onset:1991-02-15, Days after vaccination: 1
Gender:Female  Submitted:1991-06-13, Days after onset: 117
Location:Michigan  Entered:1991-08-05, Days after submission: 53
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: MI9157
Vaccination
Manufacturer
Lot
Dose
Route
Site
DT: DT ADSORBED (NO BRAND NAME)MICHIGAN DEPT PUB HLTH0885   
Administered by: Public     Purchased by: Public
Symptoms: Arthralgia, Pain, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arthritis (broad)
Write-up: 10JUN91 pt reports since DT inject c/o joint pain of armpits, elbow, & all joints; inc temp first 2 days p/inject of 101-102; Called MD;

VAERS ID:33142 (history)  Vaccinated:1991-03-14
Age:32.8  Onset:1991-03-21, Days after vaccination: 7
Gender:Female  Submitted:1991-04-12, Days after onset: 21
Location:Florida  Entered:1991-08-28, Days after submission: 138
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NONE
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC Split Type: FL91021
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.1341S SCLA
Administered by: Public     Purchased by: Public
Symptoms: Arthralgia, Arthritis, Pain
SMQs:, Systemic lupus erythematosus (broad), Arthritis (narrow)
Write-up: 3 wks post vax pt devel swelling of joint, joint pains, h/a, pain occurring in hands back, knees like true arthritis; pain on ankles;

VAERS ID:34366 (history)  Vaccinated:1991-07-15
Age:32.0  Onset:1991-08-01, Days after vaccination: 17
Gender:Male  Submitted:1991-08-23, Days after onset: 22
Location:Texas  Entered:1991-08-29, 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:
Diagnostic Lab Data: ALT-2430; AST-1530; Bilirubin-8.2; HIV-neg; Hep A serology-neg; HBS-pos; anti HBS-undetectable;
CDC Split Type: EBU910767
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM638A41IMA
Administered by: Public     Purchased by: Private
Symptoms: Abdominal pain, Alanine aminotransferase increased, Aspartate aminotransferase increased, Hepatitis, Hepatitis B surface antigen, Hyperbilirubinaemia, Infection, Jaundice
SMQs:, Liver related investigations, signs and symptoms (narrow), Cholestasis and jaundice of hepatic origin (narrow), Hepatitis, non-infectious (narrow), Acute pancreatitis (narrow), Retroperitoneal fibrosis (broad), Biliary system related investigations, signs and symptoms (narrow), Biliary tract disorders (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)
Write-up: Pt recvd 2 doses of Engerix-B 15JUN91 & 15JUL91; 01AUG pt exp jaundice & reporter indicated "Hep A serology is negative"; In addition, Hep B surface was positive & anti-Hepa B surface was undetectable; Pt is probably in acute hepatitis;

VAERS ID:34824 (history)  Vaccinated:1991-08-29
Age:32.3  Onset:1991-08-30, Days after vaccination: 1
Gender:Female  Submitted:1991-09-03, Days after onset: 4
Location:Georgia  Entered:1991-09-19, Days after submission: 16
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NONE
Other Medications:
Current Illness: NONE
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: GA91243
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0045T SCLA
Administered by: Public     Purchased by: Public
Symptoms: Abdominal pain, Ear pain, Headache, Influenza, Pyrexia
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)
Write-up: On 30AUG91 awake w/h/a, sore neck; On 2SEP91 had stomache even when drinking H20; c/o h/a, pressure in ears, t101; flu-like virus;

VAERS ID:34877 (history)  Vaccinated:1991-07-24
Age:32.8  Onset:1991-07-24, Days after vaccination: 0
Gender:Male  Submitted:1991-07-25, Days after onset: 1
Location:Arizona  Entered:1991-09-20, Days after submission: 57
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: infected tooth on lt
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC Split Type: AZ9121
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0767T  LA
Administered by: Public     Purchased by: Public
Symptoms: Facial palsy, Paraesthesia
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad)
Write-up: 24JUL91 @9PM noticed "couldn''t smoke right", noticed lt side face "droopy"; States has "bad tooth on lt"; "had funny feeling tongue for 2 days" a/received MMR vax; MD felt may have "Bell''s Palsy";

VAERS ID:34901 (history)  Vaccinated:1991-08-09
Age:32.1  Onset:1991-08-09, Days after vaccination: 0
Gender:Female  Submitted:1991-08-12, Days after onset: 3
Location:Iowa  Entered:1991-09-23, Days after submission: 42
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? Yes, 1 days
    Extended hospital stay? No
Previous Vaccinations:
Other Medications: Demulen 1-35
Current Illness:
Preexisting Conditions: One previous seizure age 12-13; no cause found
Diagnostic Lab Data: EEG-normal, Electrolytes, Blood sugar, CA, MG, all WN x/K 3.6; MRI of head w/ & w/o gadolinium-subarachnoid cyst floor of lt ant temporal lobe; no enhance w/gadolinium;
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)LEDERLE LABORATORIES289908 IMLA
Administered by: Private     Purchased by: Private
Symptoms: Convulsion, Pyrexia, Tinnitus, Tremor
SMQs:, Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Convulsions (narrow), Parkinson-like events (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hearing impairment (narrow), Generalised convulsive seizures following immunisation (narrow)
Write-up: Pt exp 2-witnessed seizures lasting 30sec & 1min about 10min p/DT given (felt hot, ringing in ears, then eyes to lt head down to lt then generalized arms, legs & body shaking; No loss of bowel or bladder continence;

VAERS ID:35059 (history)  Vaccinated:1991-07-19
Age:32.1  Onset:1991-07-19, Days after vaccination: 0
Gender:Female  Submitted:1991-07-19, Days after onset: 0
Location:Alabama  Entered:1991-09-30, 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: none
Preexisting Conditions:
Diagnostic Lab Data: CXR
CDC Split Type: AL91024
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)CONNAUGHT LABORATORIES0K21046 IMLA
Administered by: Public     Purchased by: Public
Symptoms: Convulsion, Dizziness, Hypertonia, Pallor, Pruritus, Stupor, Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Convulsions (narrow), Parkinson-like events (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Cardiomyopathy (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (narrow), Hypersensitivity (broad)
Write-up: 1100AM recd vax; 1101AM c/o dizziness; 1102AM collapsed; 1103AM collapsed again; skin white, flushed cheeks, tonic-clonic activity trunk & arms; returned to alert; suddenly unresponsive; BP 54/12; 1112AM Epi & Benadryl; c/o itching;

VAERS ID:35154 (history)  Vaccinated:1991-05-16
Age:32.0  Onset:1991-05-16, Days after vaccination: 0
Gender:Female  Submitted:0000-00-00
Location:Alabama  Entered:1991-09-30
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: allergy to Darvocet
Diagnostic Lab Data: PR 128, Respiration 20 & BP 104/60; WBC-10.3;
CDC Split Type: EBU910557
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM638A42  
Administered by: Unknown     Purchased by: Unknown
Symptoms: Abscess, Ecchymosis, Oedema, Pain, Pyrexia, Skin discolouration, Tachycardia
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Haemorrhage terms (excl laboratory terms) (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad)
Write-up: Pt recvd a 3rd dose of Engerix-B on 16MAY91 & 4th hrs later exp pain in rt arm, swelling, discoloration, t102, abscess, bruising; Pt missed 7 working days, 60 hrs due to rxn; PCN, pain meds, ice & heat were used to treat the events;

VAERS ID:35367 (history)  Vaccinated:1991-07-05
Age:32.0  Onset:1991-07-07, Days after vaccination: 2
Gender:Female  Submitted:0000-00-00
Location:California  Entered:1991-09-30
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: H-BIG 5JUL91
Current Illness:
Preexisting Conditions: has mild asthma; allergic to sulfa;
Diagnostic Lab Data:
CDC Split Type: EBU910674
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM  IM 
Administered by: Unknown     Purchased by: Unknown
Symptoms: Pruritus, Rash, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow)
Write-up: Pt recvd Engerix-B on 05JUL91 & on 07JUL91 & exp hives; tx DPH; sx resolved;

VAERS ID:35389 (history)  Vaccinated:1990-06-15
Age:32.0  Onset:1990-12-02, Days after vaccination: 170
Gender:Male  Submitted:1991-08-05, Days after onset: 245
Location:Unknown  Entered:1991-09-30, Days after submission: 56
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: 02DEC90-no titers;
CDC Split Type: EBU910697
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM 2IMA
Administered by: Other     Purchased by: Other
Symptoms: Drug ineffective
SMQs:, Lack of efficacy/effect (narrow)
Write-up: Pt recvd 3 doses of Hep B vax, the 1st two doses were Heptavax given 02DEC89 & 02JAN90 & the 3rd w/Engerix-B 15JUN90 & it was determined that pt did not have titers; A booster dose of Engerix-B was administered 16JUL91;

VAERS ID:35393 (history)  Vaccinated:1990-10-18
Age:32.5  Onset:1991-06-26, Days after vaccination: 251
Gender:Female  Submitted:1991-08-05, Days after onset: 40
Location:Unknown  Entered:1991-09-30, Days after submission: 56
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: HBSAB-neg;
CDC Split Type: EBU910701
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM 2IMRA
Administered by: Other     Purchased by: Other
Symptoms: Drug ineffective
SMQs:, Lack of efficacy/effect (narrow)
Write-up: Pt did not convert p/a series of 3 Engerix-B vax on 13MAR90, 13APR90, & 18OCT90, respectively; Each inject recvd was 1 adult dose; Pt was advised of need for further inject & testing;

VAERS ID:35578 (history)  Vaccinated:1991-07-12
Age:32.0  Onset:1991-08-01, Days after vaccination: 20
Gender:Female  Submitted:1991-09-05, Days after onset: 35
Location:Texas  Entered:1991-09-30, Days after submission: 25
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: Anti HBS-neg; Anti HBC-pos; Hepatitis Surface Antigen-pos;
CDC Split Type: EBU910790
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM638A41IM 
Administered by: Private     Purchased by: Other
Symptoms: Abdominal pain, Anorexia, Drug ineffective, Hepatitis, Infection, Jaundice, Urine analysis abnormal
SMQs:, Cholestasis and jaundice of hepatic origin (narrow), Hepatitis, non-infectious (narrow), Acute pancreatitis (broad), Lack of efficacy/effect (narrow), Retroperitoneal fibrosis (broad), Biliary system related investigations, signs and symptoms (narrow), Biliary tract disorders (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)
Write-up: Pt recvd 1 dose of Engerix-B on 12JUN91 & 12JUL91 for vax against Hep B; 2 wks p/2nd dose pt exp anorexia, dark urine, epigastric pain & jaundice; Pt referred to MD & is under a MD care;

VAERS ID:35753 (history)  Vaccinated:1990-08-21
Age:32.5  Onset:0000-00-00
Gender:Male  Submitted:1990-10-31
Location:Mississippi  Entered:1991-10-07, Days after submission: 340
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: UNK
Preexisting Conditions: UNK
Diagnostic Lab Data:
CDC Split Type: 890303003B
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)PFIZER/WYETH4908020 IM 
Administered by: Private     Purchased by: Other
Symptoms: Injection site hypersensitivity, Injection site oedema, Injection site pain
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow)
Write-up: Shortly p/receiving a dose of Td, pt exp edema, redness, & soreness @ inject site;

VAERS ID:33097 (history)  Vaccinated:1990-10-23
Age:32.3  Onset:1990-10-23, Days after vaccination: 0
Gender:Male  Submitted:1991-01-28, Days after onset: 97
Location:New Mexico  Entered:1991-10-15, Days after submission: 259
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: 890360001B
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)PFIZER/WYETH49082080IMRA
Administered by: Other     Purchased by: Other
Symptoms: Anaphylactoid reaction, Convulsion, Cyanosis, Dizziness, Pallor, Stupor
SMQs:, Anaphylactic reaction (narrow), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Anaphylactic/anaphylactoid shock conditions (narrow), Convulsions (narrow), Acute central respiratory depression (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (narrow), Hypersensitivity (narrow)
Write-up: w/in five minutes of receiving a dose of Influenza vax, pt devel an anaphylactic rxn; Became light-headed, pale, unresponsive, cyanotic & began to convulse; tx Epi & regained consciousness immediately; Sent to ER where observed;

VAERS ID:36187 (history)  Vaccinated:0000-00-00
Age:32.0  Onset:0000-00-00
Gender:Female  Submitted:0000-00-00
Location:California  Entered:1991-11-07
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: No relevant data
CDC Split Type: WAES90101313
Vaccination
Manufacturer
Lot
Dose
Route
Site
RUB: RUBELLA (MERUVAX II)MERCK & CO. INC.    
Administered by: Unknown     Purchased by: Unknown
Symptoms: Arthralgia, Lymphadenopathy
SMQs:, Arthritis (broad)
Write-up: 9 days following vax pt devel lymphadenopathy; 29 days following vax pt began to exp migratory arthralgia;

VAERS ID:36194 (history)  Vaccinated:0000-00-00
Age:32.0  Onset:0000-00-00
Gender:Male  Submitted:0000-00-00
Location:Michigan  Entered:1991-11-07
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Tenormin
Current Illness:
Preexisting Conditions: No relevant hx
Diagnostic Lab Data: No relevant data
CDC Split Type: WAES90120205
Vaccination
Manufacturer
Lot
Dose
Route
Site
RUB: RUBELLA (MERUVAX II)MERCK & CO. INC.0379S   
Administered by: Unknown     Purchased by: Unknown
Symptoms: Rash
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow)
Write-up: Pt recvd rubella vax & 10 days later devel rash which remitted in 3 to 7 days;

VAERS ID:38604 (history)  Vaccinated:1986-08-08
Age:32.2  Onset:1986-08-20, Days after vaccination: 12
Gender:Female  Submitted:0000-00-00
Location:Wisconsin  Entered:1991-11-07
Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: family showed strong hx of rheumatoid arthritis
Diagnostic Lab Data:
CDC Split Type: WAES86100283
Vaccination
Manufacturer
Lot
Dose
Route
Site
RUB: RUBELLA (MERUVAX II)MERCK & CO. INC. 0  
Administered by: Other     Purchased by: Other
Symptoms: Arthralgia, Arthritis, Gait disturbance, Headache, Hypertonia, Myalgia, Post vaccination syndrome, Rash maculo-papular
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Parkinson-like events (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Eosinophilic pneumonia (broad), Hypersensitivity (narrow), Arthritis (narrow), Tendinopathies and ligament disorders (broad)
Write-up: Pt recvd Rubella vax 08AUG86 & on 20AUG86 devel generalized morbilliform rash; wrist & lt ankle were painful; 22AUG86 could barely walk; devel arthritis, h/a, muscle pain; MD felt poss Rubella vax synd; swelling & stiffness noticed;

VAERS ID:36377 (history)  Vaccinated:1991-04-15
Age:32.2  Onset:1991-04-26, Days after vaccination: 11
Gender:Male  Submitted:1991-04-26, Days after onset: 0
Location:Arkansas  Entered:1991-11-14, Days after submission: 202
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: UNK
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC Split Type: AR9127
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.2233S  RA
Administered by: Military     Purchased by: Public
Symptoms: Lymphadenopathy, Pyrexia, Rash
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Hypersensitivity (narrow)
Write-up: Swollen neck glands, rash, low grade fever;

VAERS ID:36699 (history)  Vaccinated:1991-11-06
Age:32.3  Onset:1991-11-11, Days after vaccination: 5
Gender:Female  Submitted:1991-11-20, Days after onset: 9
Location:Minnesota  Entered:1991-12-02, 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: "heart condition"
Diagnostic Lab Data: + strep from throat swab 15NOV91;
CDC Split Type: MN91049
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)PFIZER/WYETH4918201 IMLA
Administered by: Public     Purchased by: Public
Symptoms: Infection, Pharyngitis
SMQs:, Agranulocytosis (broad), Oropharyngeal infections (narrow)
Write-up: Strep throat treated w/PCN x 10 days;

VAERS ID:37855 (history)  Vaccinated:1991-11-20
Age:32.2  Onset:1991-11-20, Days after vaccination: 0
Gender:Female  Submitted:1991-11-27, Days after onset: 7
Location:New York  Entered:1991-12-09, Days after submission: 12
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: eggs & hives
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.1117T0IMRA
Administered by: Private     Purchased by: Private
Symptoms: Arthralgia, Back pain, Pyrexia, Rash
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Hypersensitivity (narrow), Arthritis (broad)
Write-up: Low grade fever 100.0 oral-104; arthralgias & back ache then rash;

VAERS ID:37864 (history)  Vaccinated:1991-11-13
Age:32.2  Onset:1991-11-15, Days after vaccination: 2
Gender:Female  Submitted:1991-11-26, Days after onset: 11
Location:Maryland  Entered:1991-12-09, Days after submission: 13
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NA
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NA
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)PFIZER/WYETH491820 IMLA
Administered by: Private     Purchased by: Private
Symptoms: Injection site hypersensitivity, Injection site mass, Injection site oedema, Pain, Vasodilatation
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow)
Write-up: 4x4 swollen, reddened hot & hard around inject site lt deltoid area painful upon palpation & movement;

VAERS ID:37977 (history)  Vaccinated:1991-10-29
Age:32.9  Onset:1991-11-02, Days after vaccination: 4
Gender:Female  Submitted:0000-00-00
Location:Minnesota  Entered:1991-12-16
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NONE
Other Medications: NONE
Current Illness:
Preexisting Conditions: NONE
Diagnostic Lab Data: Bilirubin, total-1.6;
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)PFIZER/WYETH49181430IMLA
Administered by: Public     Purchased by: Other
Symptoms: Hepatic function abnormal, Nausea
SMQs:, Liver related investigations, signs and symptoms (narrow), Acute pancreatitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)
Write-up: Elevated liver enzymes, nausea;

VAERS ID:38056 (history)  Vaccinated:1991-08-21
Age:32.7  Onset:1991-08-21, Days after vaccination: 0
Gender:Female  Submitted:1991-10-23, Days after onset: 63
Location:Texas  Entered:1991-12-19, Days after submission: 57
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC Split Type: TX91144
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.1497S  RA
Administered by: Public     Purchased by: Public
Symptoms: Hypertonia, Malaise, Muscle twitching, Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dyskinesia (broad), Dystonia (broad), Parkinson-like events (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad)
Write-up: Pt was administered MMR & approx 1-2 hrs later pt did not feel well, lost consciousness; Pt was lowered to floor, entire body stiffened & upper extremities jerked; Pt then immediately became responsive; MD present @ time;

VAERS ID:38135 (history)  Vaccinated:1991-10-16
Age:32.5  Onset:1991-10-20, Days after vaccination: 4
Gender:Male  Submitted:1991-12-19, Days after onset: 60
Location:New York  Entered:1991-12-23, Days after submission: 4
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: none
Other Medications: Sulfasalazine 500 TID, Prednisone 5mg QD.
Current Illness: none
Preexisting Conditions: Stable Crohn''s disease
Diagnostic Lab Data: none
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)CONNAUGHT LABORATORIES1F212130 A
Administered by: Private     Purchased by: Private
Symptoms: Facial palsy
SMQs:, Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad)
Write-up: Pt received vaccine 16Oct91, devel Bell''s Palsy 20Oct91 lt, palsy worsened 20Oct-$g24Oct. Palsy stable 24Oct-$g28Oct. Palsy improved 28Oct-$gpresent.

VAERS ID:38299 (history)  Vaccinated:1991-09-09
Age:32.0  Onset:1991-09-18, Days after vaccination: 9
Gender:Female  Submitted:1991-09-25, Days after onset: 7
Location:Tennessee  Entered:1991-12-23, Days after submission: 89
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: EBU910953
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM  IMA
Administered by: Public     Purchased by: Public
Symptoms: Rash
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow)
Write-up: Pt recvd 1st Engerix-B vax 9SEP91 & exp neck rash on 18SEP91; treated w/DPH; rash has improved;

VAERS ID:38354 (history)  Vaccinated:1990-07-13
Age:32.0  Onset:1991-08-01, Days after vaccination: 384
Gender:Female  Submitted:1991-11-06, Days after onset: 97
Location:South Carolina  Entered:1991-12-23, Days after submission: 47
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Pt recvd 2 prev doses of Engerix-B vax 26JAN90 & 20APR90 lot# 585A4;
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: AUG91 titers did not convert antibody;
CDC Split Type: EBU910976
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM585A42IMA
Administered by: Private     Purchased by: Private
Symptoms: Drug ineffective
SMQs:, Lack of efficacy/effect (narrow)
Write-up: Pt recvd 3 doses of Engerix-B 26JAN90, 20APR90 & 13JUL90 & AUG91 titers tested & it was discovered that the pt did not convert antibody;

VAERS ID:38529 (history)  Vaccinated:1991-07-02
Age:32.0  Onset:1991-09-09, Days after vaccination: 69
Gender:Male  Submitted:1991-09-09, Days after onset: 0
Location:Unknown  Entered:1991-12-23, Days after submission: 105
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: 9SPE91 titer-neg;
CDC Split Type: EBU911129
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM637A42IMA
Administered by: Other     Purchased by: Other
Symptoms: Drug ineffective
SMQs:, Lack of efficacy/effect (narrow)
Write-up: Pt recvd 3 doses of Engerix-B 10NOV90, 7DEC90 & 2JUL91 & 9SEP91 it was determined tha tpts titer was neg p/3 doses of Engerix-B;

VAERS ID:38541 (history)  Vaccinated:1991-04-30
Age:32.0  Onset:1991-09-07, Days after vaccination: 130
Gender:Female  Submitted:1991-11-05, Days after onset: 59
Location:Unknown  Entered:1991-12-23, Days after submission: 48
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: 7SPE91 titer-neg;
CDC Split Type: EBU911141
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM629A42IMA
Administered by: Other     Purchased by: Other
Symptoms: Unevaluable event
SMQs:
Write-up: Pt recvd 3 doses of Engerix-B 6NOV90, 4DEC90, & 30APR91 & 7SEP91 it was determined that pts titer was negative p/3 doses of Engerix-B;

VAERS ID:38549 (history)  Vaccinated:1991-10-15
Age:32.2  Onset:0000-00-00
Gender:Female  Submitted:1991-12-09
Location:Texas  Entered:1991-12-23, Days after submission: 14
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:
Diagnostic Lab Data:
CDC Split Type: EBU911149
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM 1IMA
Administered by: Private     Purchased by: Private
Symptoms: Arthralgia, Arthropathy, Cough, Hypertonia, Lung disorder, Neck pain, Nuchal rigidity, Rhinitis
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Parkinson-like events (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Arthritis (broad)
Write-up: Pt recvd 2 doses of Engerix-B 17SEP91, 15OCT91 2nd dose was uneventful; p/1st dose pt exp severe malaise, pain & stiffness in shoulders, legs, neck & hips; As of 24OCT91 pt still has joint pain;

VAERS ID:38669 (history)  Vaccinated:1990-10-24
Age:32.0  Onset:0000-00-00
Gender:Male  Submitted:1991-11-15
Location:Michigan  Entered:1991-12-23, Days after submission: 38
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: EBU911229
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM597A42IMA
Administered by: Other     Purchased by: Other
Symptoms: Unevaluable event
SMQs:
Write-up: Pt recvd Engerix-B on 4MAY90, 31MAY90 & 24OCT90 subsequently was found neg anti-HBS p/3 doses @ 1mo, 2mo & 6mo intervals;

VAERS ID:38848 (history)  Vaccinated:1991-06-05
Age:32.0  Onset:0000-00-00
Gender:Female  Submitted:1991-12-04
Location:Maryland  Entered:1991-12-23, Days after submission: 19
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: Pt indicated exp mild fatigue for 2 wks following administration of 1st dose;
Other Medications:
Current Illness: NONE
Preexisting Conditions:
Diagnostic Lab Data: NONE
CDC Split Type: EBU911280
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM638A41IMA
Administered by: Private     Purchased by: Private
Symptoms: Asthenia, Dizziness, Headache, Nausea
SMQs:, Acute pancreatitis (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad)
Write-up: Pt recvd 2 doses of Engerix-B on 8MAY91 & 5JUN91 & pt called reporter on 8JUL91 c/o of prolonged fatigue, dizziness, nausea, & h/a which occurred off & on for several wks p/2nd dose; no tx required; all c/o resolved;

VAERS ID:38863 (history)  Vaccinated:1991-11-07
Age:32.0  Onset:1991-11-09, Days after vaccination: 2
Gender:Female  Submitted:1991-12-03, Days after onset: 24
Location:Tennessee  Entered:1991-12-23, Days after submission: 20
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: EBU911295
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM638A42IMA
Administered by: Other     Purchased by: Private
Symptoms: Rash
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow)
Write-up: Pt recvd a dose of Engerix-B on 7NOV91 & 9NOV91 devel rash, bumps & pimples on neck (no pain); pt visited a dermatologist; tx w/prescription meds (not specified); tx reported not to have any effect;

VAERS ID:38344 (history)  Vaccinated:1991-11-06
Age:32.9  Onset:1991-11-13, Days after vaccination: 7
Gender:Female  Submitted:1991-12-26, Days after onset: 43
Location:Wisconsin  Entered:1992-01-06, Days after submission: 11
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NONE
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: culture of vax 6 samples-no growth p/48 hrs;
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)CONNAUGHT LABORATORIES1F31058 IMRA
Administered by: Private     Purchased by: Private
Symptoms: Injection site hypersensitivity, Injection site inflammation, Injection site pain, Pruritus, Vasodilatation
SMQs:, Anaphylactic reaction (broad), Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (narrow)
Write-up: 2cm area of inflammation red, itchy tender warm to touch;

VAERS ID:38959 (history)  Vaccinated:1991-07-26
Age:32.7  Onset:1991-07-26, Days after vaccination: 0
Gender:Male  Submitted:1991-07-29, Days after onset: 3
Location:Alabama  Entered:1992-01-13, Days after submission: 168
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NONE
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: BP 30 mins post vax 110/60;
CDC Split Type: 891238006H
Vaccination
Manufacturer
Lot
Dose
Route
Site
CHOL: CHOLERA (USP)PFIZER/WYETH    
TTOX: TETANUS TOXOID (NO BRAND NAME)UNKNOWN MANUFACTURER    
Administered by: Public     Purchased by: Other
Symptoms: Dizziness, Hyperhidrosis, Paraesthesia, Pharyngitis, Syncope, Tinnitus
SMQs:, Torsade de pointes/QT prolongation (broad), Agranulocytosis (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Oropharyngeal infections (narrow), Guillain-Barre syndrome (broad), Cardiomyopathy (broad), Hearing impairment (narrow), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad)
Write-up: W/in 1/2 hr of receiving vax pt exp lightheadedness, dizziness, sweating & had a BP of 110/60; rxn was felt to be vagal response; Also exp tingling in both arms & hands, tingling of lips, itchy throat, ringing in ears; MD felt neurogenic rx

VAERS ID:39101 (history)  Vaccinated:1990-12-27
Age:32.0  Onset:1991-01-04, Days after vaccination: 8
Gender:Female  Submitted:0000-00-00
Location:New York  Entered:1992-01-16
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions: No relevant hx
Diagnostic Lab Data: No relevant data;
CDC Split Type: WAES91010385
Vaccination
Manufacturer
Lot
Dose
Route
Site
MEA: MEASLES (ATTENUVAX)MERCK & CO. INC.1464S   
Administered by: Unknown     Purchased by: Unknown
Symptoms: Diarrhoea, Photophobia, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Noninfectious meningitis (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Glaucoma (broad), Corneal disorders (broad), Retinal disorders (broad), Noninfectious diarrhoea (narrow)
Write-up: Pt recvd Hep B vax OCT90 & on 27DEC90 pt recvd measles vax then 4JAN91 pt exp fever of 103, photophobia & diarrhea; No further details were provided;

VAERS ID:39112 (history)  Vaccinated:1991-04-08
Age:32.0  Onset:1991-04-08, Days after vaccination: 0
Gender:Male  Submitted:0000-00-00
Location:Massachusetts  Entered:1992-01-16
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: No relevant hx
Diagnostic Lab Data: No relevant data;
CDC Split Type: WAES91040584
Vaccination
Manufacturer
Lot
Dose
Route
Site
MEA: MEASLES (ATTENUVAX)MERCK & CO. INC.  IM 
Administered by: Unknown     Purchased by: Unknown
Symptoms: Injection site pain
SMQs:, Extravasation events (injections, infusions and implants) (broad)
Write-up: Pt recvd 1st dose of measles vax w/no adverse effect; On 8APR91 pt recvd 2nd dose of vax & exp pain @ inject site; pt recovered; No further details were provided;

VAERS ID:39120 (history)  Vaccinated:1991-03-26
Age:32.0  Onset:1991-06-26, Days after vaccination: 92
Gender:Female  Submitted:0000-00-00
Location:California  Entered:1992-01-16
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Amoxicillin
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: No relevant data;
CDC Split Type: WAES91050943
Vaccination
Manufacturer
Lot
Dose
Route
Site
MEA: MEASLES (ATTENUVAX)MERCK & CO. INC.    
Administered by: Other     Purchased by: Other
Symptoms: Abortion
SMQs:, Termination of pregnancy and risk of abortion (narrow)
Write-up: Pt recvd measles vax 26MAR91 & it was later discovered that pt was pregnant; LMP 5APR91; On 26JUN91 pt spontaneously aborted;

VAERS ID:38879 (history)  Vaccinated:1991-12-12
Age:32.7  Onset:1991-12-17, Days after vaccination: 5
Gender:Female  Submitted:1991-12-23, Days after onset: 6
Location:Minnesota  Entered:1992-01-17, Days after submission: 25
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: 11NOV91 MMR given MSD; Lot #0859t;SC;lt arm and OPV Lederle;298956;po
Current Illness: NONE
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: MN92001
Vaccination
Manufacturer
Lot
Dose
Route
Site
YF: YELLOW FEVER (YF-VAX)CONNAUGHT LABORATORIES1J211440IMLA
Administered by: Public     Purchased by: Public
Symptoms: Agitation, Diarrhoea, Headache, Nausea, Pyrexia
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Pseudomembranous colitis (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hostility/aggression (broad), Noninfectious diarrhoea (narrow)
Write-up: t99.6 on 17DEC nausea, diarrhea, h/a, irritable the diarrhea & irritability has persisted still present 23DEC;

VAERS ID:39184 (history)  Vaccinated:1991-05-20
Age:32.0  Onset:1991-05-20, Days after vaccination: 0
Gender:Female  Submitted:1991-06-21, Days after onset: 32
Location:California  Entered:1992-01-28, Days after submission: 221
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: pt exp h/a w/Imovax #1 dose;
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: allergic to pollens, hair & feathers;
Diagnostic Lab Data:
CDC Split Type: CO3868
Vaccination
Manufacturer
Lot
Dose
Route
Site
RAB: RABIES (IMOVAX ID)PASTEUR MERIEUX INST. 1  
Administered by: Other     Purchased by: Other
Symptoms: Headache, Myalgia, Nausea, Pyrexia, Vomiting
SMQs:, Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad)
Write-up: Pt exp h/a w/fever of 100 & muscles aches, nausea & vomiting p/2nd dose given 20MAY91; Deferred 3rd inject & will have antibody titer in 2 mos;

VAERS ID:39209 (history)  Vaccinated:1991-02-07
Age:32.5  Onset:1991-02-09, Days after vaccination: 2
Gender:Male  Submitted:0000-00-00
Location:New York  Entered:1992-01-28
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: CO3788
Vaccination
Manufacturer
Lot
Dose
Route
Site
RAB: RABIES (IMOVAX)PASTEUR MERIEUX INST.E03363IMLA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Asthenia, Paraesthesia
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad)
Write-up: Generalized weakness, weakness along radial nerve pathway, parathesia; no soreness vax given in lt arm; pt did not have a bit only worked w/animals in the barn;

VAERS ID:39217 (history)  Vaccinated:1991-03-01
Age:32.0  Onset:0000-00-00
Gender:Female  Submitted:1991-05-24
Location:Tennessee  Entered:1992-01-28, Days after submission: 249
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: CO3853
Vaccination
Manufacturer
Lot
Dose
Route
Site
RAB: RABIES (IMOVAX)PASTEUR MERIEUX INST.E0525   
Administered by: Unknown     Purchased by: Unknown
Symptoms: Injection site hypersensitivity, Injection site oedema, Injection site pain, Pruritus, Pyrexia, Vasodilatation
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow)
Write-up: Fever of 100 4 days post booster dose; lasted 24 hrs; local rxn characterized by pain, redness, swelling, warmth & itchiness x 24-72 hrs p/inject;

VAERS ID:39289 (history)  Vaccinated:1991-11-15
Age:32.7  Onset:1991-11-16, Days after vaccination: 1
Gender:Female  Submitted:1991-11-27, Days after onset: 11
Location:Wisconsin  Entered:1992-01-31, Days after submission: 65
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: Pt exp aches in 1989 w/flu vax
Other Medications: NONE
Current Illness: Denies
Preexisting Conditions: NONE
Diagnostic Lab Data: Throat culture-neg; infectious Mononucleosis neg;
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)PFIZER/WYETH4918131 IMLA
Administered by: Public     Purchased by: Public
Symptoms: Cough, Infection, Myalgia, Pharyngitis, Pyrexia
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Agranulocytosis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Oropharyngeal infections (narrow), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad)
Write-up: temp of 102, sore throat, cough w/greenish mucuous, body aches;

VAERS ID:39511 (history)  Vaccinated:0000-00-00
Age:32.0  Onset:0000-00-00
Gender:Male  Submitted:1991-01-29
Location:Florida  Entered:1992-02-07, Days after submission: 374
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: NA
Other Medications: NA
Current Illness: Not known
Preexisting Conditions: Not known
Diagnostic Lab Data: Not known;
CDC Split Type: 910021601
Vaccination
Manufacturer
Lot
Dose
Route
Site
TTOX: TETANUS TOXOID (NO BRAND NAME)LEDERLE LABORATORIES  IM 
Administered by: Private     Purchased by: Other
Symptoms: Convulsion
SMQs:, Systemic lupus erythematosus (broad), Convulsions (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Generalised convulsive seizures following immunisation (narrow)
Write-up: 32yo pt went to ER w/a cut finger; no sutures required but was given TTOX & six hrs later had a seizure (observed by family member); required ER visit;

VAERS ID:39704 (history)  Vaccinated:1991-07-29
Age:32.6  Onset:1991-07-29, Days after vaccination: 0
Gender:Female  Submitted:1991-07-30, Days after onset: 1
Location:New York  Entered:1992-02-24, Days after submission: 209
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:
CDC Split Type: 891238004K
Vaccination
Manufacturer
Lot
Dose
Route
Site
TYP: TYPHOID VI POLYSACCHARIDE (NO BRAND NAME)PFIZER/WYETH49081280  
Administered by: Other     Purchased by: Other
Symptoms: Chills, Headache, Hypersensitivity, Hypotension, Pallor, Syncope, Tachycardia
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (broad), Angioedema (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Hypersensitivity (narrow)
Write-up: Pt exp a h/a 2 hrs p/recvd an inject of Typhoid vax; 1 hr later, pt blacked out; pt also devel chills, BP dropped, had a rapid pulse; pt tx w/adrenalin for this rxn;

VAERS ID:40237 (history)  Vaccinated:1991-02-20
Age:32.0  Onset:1991-02-21, Days after vaccination: 1
Gender:Female  Submitted:0000-00-00
Location:Texas  Entered:1992-03-02
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Nitrobid, Caridzem
Current Illness:
Preexisting Conditions: mitral valve prolapse
Diagnostic Lab Data: chicken pox, strep throat;
CDC Split Type: WAES91030243
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.2191S IM 
Administered by: Unknown     Purchased by: Unknown
Symptoms: Chest pain, Diarrhoea, Herpes zoster, Infection, Laryngitis, Pharyngitis, Rash maculo-papular, Vomiting
SMQs:, Acute pancreatitis (broad), Agranulocytosis (broad), Pseudomembranous colitis (broad), Oropharyngeal infections (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Hypersensitivity (narrow), Noninfectious diarrhoea (narrow)
Write-up: Pt recvd vax 20FEB91 & on 21FEB91 pt exp itchiness on back w/clusters of red, raised areas & mild achiness; second day following vax, devel n,v,d & coughing; 3rd day, sx worsened w/chest pain, upper resp sx, laryingitis; spots, shingles;

VAERS ID:40269 (history)  Vaccinated:1991-03-08
Age:32.0  Onset:1991-03-08, Days after vaccination: 0
Gender:Female  Submitted:0000-00-00
Location:Texas  Entered:1992-03-02
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: Diabetes mellitus; allergy, codeine; allergy, Demerol; Allergy, Percodan
Diagnostic Lab Data: No relevant data;
CDC Split Type: WAES91031252
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.2191S0IM 
Administered by: Unknown     Purchased by: Unknown
Symptoms: Depersonalisation, Hyperventilation, Vomiting
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Asthma/bronchospasm (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad)
Write-up: Pt recvd 1st dose of vax on 8MAR91 @ approx 830AM & @ 11PM on the day of the vax pt went to ER c/o feeling "out of control" & rapid breathing; vomited twice; given meds; pt recvd 2nd dose of vax w/no problems;

VAERS ID:40283 (history)  Vaccinated:1991-01-23
Age:32.0  Onset:1991-01-24, Days after vaccination: 1
Gender:Female  Submitted:0000-00-00
Location:Texas  Entered:1992-03-02
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions: psoriasis
Diagnostic Lab Data: No relevant data;
CDC Split Type: WAES91031530
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.2191S   
Administered by: Unknown     Purchased by: Unknown
Symptoms: Condition aggravated, Hypersensitivity, Influenza, Nausea, Vomiting
SMQs:, Acute pancreatitis (broad), Angioedema (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypersensitivity (narrow)
Write-up: Pt recvd Hep B vax 23JAN91 & 24 hrs post vax devel flu-like sx including nausea & vomiting; sx resolved w/in 1 day; 1wk p/vax psoriasis flaired up; MD felt skin condition could have been an allergic rxn to yeast in vax; tx meds;

VAERS ID:40474 (history)  Vaccinated:1990-10-26
Age:32.7  Onset:1990-11-01, Days after vaccination: 6
Gender:Female  Submitted:0000-00-00
Location:California  Entered:1992-03-02
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? Yes, ? days
    Extended hospital stay? No
Previous Vaccinations: pt exp urticarial rash, h/a, facial swelling & had difficulty breathing w/Hep B
Other Medications: Folic acid, Motrin, Beta blocker, nos, Iron
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: No relevant data;
CDC Split Type: WAES91071007
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC. 0  
Administered by: Other     Purchased by: Other
Symptoms: Dyspnoea, Face oedema, Headache, Urticaria
SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Hypersensitivity (narrow)
Write-up: Pt recvd 3 doses of Hep B vax 3rd dose on 2MAY92, & on 20MAY91 sx recurred but were worse than w/the prev 2 doses; tx in ER w/Steroids, Seldane, Hismanal, Atarax, Axid; later seen by allergist;

VAERS ID:40631 (history)  Vaccinated:1991-09-20
Age:32.9  Onset:0000-00-00
Gender:Female  Submitted:0000-00-00
Location:New York  Entered:1992-03-02
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: pt exp mild rxn @ 32 y/o w/Recombivax HB #1 dose;
Other Medications: NONE
Current Illness:
Preexisting Conditions: hayfever; allergy, diary products;
Diagnostic Lab Data: No relevant data;
CDC Split Type: WAES91100793
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.0680T1IM 
Administered by: Public     Purchased by: Other
Symptoms: Asthenia, Cough, Diarrhoea, Hypotension, Myalgia, Pollakiuria, Pyrexia, Rash
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad), Hypersensitivity (narrow), Noninfectious diarrhoea (narrow), Tendinopathies and ligament disorders (broad)
Write-up: Pt recvd 2nd dose of Hep B vax 20SEP91 devel a rash on arms, body, & legs, fatigue, a cough, body aches & pains, nasal congestion, diarrhea, nausea, fever, frequent urination, & hypotension; pt later recovered;

VAERS ID:40634 (history)  Vaccinated:1991-07-30
Age:32.3  Onset:1991-08-01, Days after vaccination: 2
Gender:Female  Submitted:0000-00-00
Location:Pennsylvania  Entered:1992-03-02
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: No relevant data;
CDC Split Type: WAES91100797
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.0538T0  
Administered by: Private     Purchased by: Private
Symptoms: Influenza, Migraine
SMQs:
Write-up: Pt recvd 1st dose of Hep B vax 30JUL91 & on 1AUG91 exp migraine h/a & flu-like sx; By 2AUG91 pt recovered; On 15NOV92 pt recvd 2nd dose of vax w/no adverse rxn;

VAERS ID:40639 (history)  Vaccinated:1991-06-12
Age:32.7  Onset:1991-06-14, Days after vaccination: 2
Gender:Male  Submitted:0000-00-00
Location:Hawaii  Entered:1992-03-02
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: No relevant data;
CDC Split Type: WAES91100802
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.0538T1IM 
Administered by: Private     Purchased by: Other
Symptoms: Arthralgia, Asthenia, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Arthritis (broad)
Write-up: Pt recvd 2nd dose of Hep B vax on 12JUN91 & 2 days following vax pt exp weakness, joint pain, & devel a fever; tx w/rest & acetaminophen; pt missed unspecified amt of work;

VAERS ID:40743 (history)  Vaccinated:1990-10-19
Age:32.5  Onset:1990-10-19, Days after vaccination: 0
Gender:Female  Submitted:0000-00-00
Location:New York  Entered:1992-03-02
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: No relevant data;
CDC Split Type: WAES91100431
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.0761S2IM 
Administered by: Private     Purchased by: Other
Symptoms: Rash maculo-papular
SMQs:, Hypersensitivity (narrow)
Write-up: Pt recvd 3 doses of Hep B vax on 19OCT90 & 1 hr following vax pt devel a raised, red rash on face & arms; pt presented to ER tx w/Epi;

VAERS ID:40210 (history)  Vaccinated:1992-02-25
Age:32.9  Onset:1992-02-28, Days after vaccination: 3
Gender:Female  Submitted:1992-03-05, Days after onset: 6
Location:New Mexico  Entered:1992-03-16, Days after submission: 11
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: pt exp allergic rxn w/diptheria in past;
Other Medications: Pepsid, multivitamin
Current Illness: denied
Preexisting Conditions: anorexia; migraines; fibrocystic breasts, ?kidnwy problems;
Diagnostic Lab Data:
CDC Split Type: NM92001
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)CONNAUGHT LABORATORIES1F310580IMLA
Administered by: Public     Purchased by: Public
Symptoms: Injection site hypersensitivity, Injection site pain, Myalgia, Vasodilatation
SMQs:, Rhabdomyolysis/myopathy (broad), Extravasation events (injections, infusions and implants) (broad), Eosinophilic pneumonia (broad), Hypersensitivity (narrow), Tendinopathies and ligament disorders (broad)
Write-up: 26FEB92 c/o soreness lt arm; 28FEB92 c/o lt arm pink & tender 4.5" x 2 1/4 erythemia on lt deltoid, warm to touch & tender on palpation;

VAERS ID:41038 (history)  Vaccinated:0000-00-00
Age:32.0  Onset:0000-00-00
Gender:Male  Submitted:0000-00-00
Location:Pennsylvania  Entered:1992-03-16
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Pepcide
Current Illness:
Preexisting Conditions: no relevant hx
Diagnostic Lab Data: Diag test- anti-HBc Mar91-pos, anti-HBs Mar91-pos, HBsAg Mar91-neg
CDC Split Type: WAES91021042
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (FOREIGN)MERCK & CO. INC.    
Administered by: Unknown     Purchased by: Unknown
Symptoms: Drug ineffective, Hepatitis, Infection
SMQs:, Hepatitis, non-infectious (narrow), Lack of efficacy/effect (narrow)
Write-up: Pt reported vax w/ Hep B vax in 1984, @ that time hepatitis B surface Ab was pos, but was unaware if any other Ab''s or Ag were tested.Mar91 test showed pos for HBCAb & HBSAb & neg for HBSAg.Pt recovered.

VAERS ID:41066 (history)  Vaccinated:1991-10-08
Age:32.1  Onset:1991-10-08, Days after vaccination: 0
Gender:Female  Submitted:0000-00-00
Location:Minnesota  Entered:1992-03-16
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: No relevant data;
CDC Split Type: WAES91101678
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (FOREIGN)MERCK & CO. INC. 0  
Administered by: Private     Purchased by: Other
Symptoms: Vasodilatation
SMQs:
Write-up: Pt recvd Hep B vax on 8OCT91 & about 20 mins following vax exp flushing of the face, arms, chest, & back which resolved p/a short while;

VAERS ID:40579 (history)  Vaccinated:1991-07-26
Age:32.4  Onset:1991-08-03, Days after vaccination: 8
Gender:Female  Submitted:1991-08-06, Days after onset: 3
Location:New York  Entered:1992-03-25, Days after submission: 232
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Pt recvd MMR by MSD lot# 0765l IM deltoid & TD by Connaught lot# 0K21046 on 25JUN91;
Current Illness: NONE
Preexisting Conditions: allergic to dust-mold-animal dander
Diagnostic Lab Data: NA
CDC Split Type: NYS92010
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0860J1IMA
Administered by: Public     Purchased by: Public
Symptoms: Arthralgia, Back pain, Headache, Lymphadenopathy, Myalgia, Neck pain, Pharyngitis, Rhinitis
SMQs:, Rhabdomyolysis/myopathy (broad), Agranulocytosis (broad), Retroperitoneal fibrosis (broad), Oropharyngeal infections (narrow), Eosinophilic pneumonia (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad)
Write-up: 3AUG91 sore throat-glands/parotid ached joint & muscle pain neck, fingers back, head & all extremities sneezing, URI;

VAERS ID:40814 (history)  Vaccinated:1992-03-24
Age:32.7  Onset:1992-03-24, Days after vaccination: 0
Gender:Female  Submitted:1992-03-26, Days after onset: 2
Location:Indiana  Entered:1992-03-31, 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: itching lt deltoid
Preexisting Conditions: all sulfa, compazine, tetanus, mercury
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM840A40IMLA
Administered by: Private     Purchased by: Private
Symptoms: Hypersensitivity, Injection site hypersensitivity, Injection site oedema, Pruritus, Vasodilatation
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow)
Write-up: Pt recvd vax 24MAR92 lt deltoid on 25MAR92 pt came to clinic lt deltoid swollen, red, hot, itching; Taken to ER; dx allergic rxn;

VAERS ID:36841 (history)  Vaccinated:1991-04-24
Age:32.0  Onset:1991-10-14, Days after vaccination: 173
Gender:Female  Submitted:1992-03-03, Days after onset: 141
Location:Virginia  Entered:1992-04-02, Days after submission: 30
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Pt recvd Engerix-B 23OCT90 & 29NOV90
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: 14OCT91 HBSAB to surface antigen titer=0.6;
CDC Split Type: EBU920445
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM 2IMA
Administered by: Other     Purchased by: Other
Symptoms: Drug ineffective
SMQs:, Lack of efficacy/effect (narrow)
Write-up: Pt recvd 3 doses of Engerix-B vax & 14OCT91 found to be a non-seroconverter;

VAERS ID:36880 (history)  Vaccinated:1992-01-15
Age:32.0  Onset:1992-02-12, Days after vaccination: 28
Gender:Female  Submitted:1992-03-17, Days after onset: 34
Location:Georgia  Entered:1992-04-02, Days after submission: 16
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Synthroid;
Current Illness:
Preexisting Conditions: hx of hypothyroidism, obesity (315-322) lbs, cardiac arrhythmia & asthma;
Diagnostic Lab Data: 12FEB92 liver function tests (enzymes) are elevated;
CDC Split Type: EBU920485
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM    
Administered by: Private     Purchased by: Private
Symptoms: Abdominal pain, Alanine aminotransferase increased, Aspartate aminotransferase increased, Blood lactate dehydrogenase increased, Gamma-glutamyltransferase increased, Hepatic function abnormal, Hepatitis, Nausea
SMQs:, Liver related investigations, signs and symptoms (narrow), Hepatitis, non-infectious (narrow), Acute pancreatitis (broad), Retroperitoneal fibrosis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)
Write-up: Pt recvd 1 dose of Engerix-B & 4 wks p/1st dose had elevated liver function tests (enzymes), abdominal pain & nausea; pt was treated w/analgesics & antiemetics; Reporting MD stated pt feels better, but still checking;

VAERS ID:36887 (history)  Vaccinated:1991-04-03
Age:32.0  Onset:1991-05-09, Days after vaccination: 36
Gender:Female  Submitted:1992-03-18, Days after onset: 314
Location:Texas  Entered:1992-04-02, Days after submission: 15
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Pt recvd Engerix-B vax 21SEP90 & 24OCT90 & 3APR91;
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: 9MAY91 antibody test was neg;
CDC Split Type: EBU920492
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM 3  
Administered by: Other     Purchased by: Other
Symptoms: Unevaluable event
SMQs:
Write-up: Pt recvd 3 doses of Engerix-B vax & antibody test was neg; pt recvd a booster dose of Engerix-B on 6AUG91 & antibody levels will be rechecked;

VAERS ID:42374 (history)  Vaccinated:1991-06-10
Age:32.0  Onset:1991-08-22, Days after vaccination: 73
Gender:Female  Submitted:1992-01-22, Days after onset: 153
Location:Kentucky  Entered:1992-04-02, Days after submission: 71
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: 22AUG91 antibody titer-neg; 4OCT91 antibody titer-neg;
CDC Split Type: EBU920021
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM 4  
Administered by: Public     Purchased by: Public
Symptoms: Unevaluable event
SMQs:
Write-up: Pt recvd 3 doses of Hep B vax 4OCT90; 5NOV90 & 10JUN91 & 22AUG91 titer was neg; booster dose was given 29AUG91; 4OCT91 titer was neg; 2nd booster given 10OCT91 outcome pending as of 3JAN92;

VAERS ID:42512 (history)  Vaccinated:1991-09-30
Age:32.0  Onset:0000-00-00
Gender:Female  Submitted:1992-01-29
Location:Indiana  Entered:1992-04-02, Days after submission: 64
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:
Diagnostic Lab Data:
CDC Split Type: EBU920094
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM813A42IMA
Administered by: Other     Purchased by: Other
Symptoms: Asthenia, Face oedema, Laryngospasm, Myalgia, Pruritus, Urticaria
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (narrow), Angioedema (narrow), Dystonia (broad), Guillain-Barre syndrome (broad), Eosinophilic pneumonia (broad), Hypersensitivity (narrow), Tendinopathies and ligament disorders (broad)
Write-up: Pt recvd 3 doses of Engerix-B on 19MAR91, 7MAY91 & 30SEP91 & devel swollen eyes, tight swollen throat, hives, itching, aching of muscles & became tired; took Hydroxine for itching; sx gone w/in 3 days;

VAERS ID:42555 (history)  Vaccinated:1990-10-01
Age:32.4  Onset:0000-00-00
Gender:Female  Submitted:1992-02-26
Location:Alabama  Entered:1992-04-02, Days after submission: 36
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Pt recvd Engerix-B vax 27APR90 & 22MAY90 & lot# 591A4, 620A4;
Current Illness: NONE
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: EBU920142
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM600A42IMA
Administered by: Public     Purchased by: Public
Symptoms: Drug ineffective
SMQs:, Lack of efficacy/effect (narrow)
Write-up: Pt recvd 3 doses of Engerix-B on 27APR90, 22MAY90, & 1OCT90 & was found to be a non-responder;

VAERS ID:42701 (history)  Vaccinated:1991-09-03
Age:32.0  Onset:0000-00-00
Gender:Female  Submitted:1992-02-24
Location:Florida  Entered:1992-04-02, Days after submission: 38
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:
Diagnostic Lab Data:
CDC Split Type: EBU920210
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM 1  
Administered by: Private     Purchased by: Private
Symptoms: Injection site hypersensitivity, Oedema
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Hypersensitivity (narrow)
Write-up: Pt recvd 2 doses of Engerix-B vax 30JUL91 & 3SEP91 & 3-4 days p/2nd inject pt exp a large red raised area @ the inject site; Reporter indicated further skin testing is being done;

VAERS ID:42703 (history)  Vaccinated:1992-01-22
Age:32.0  Onset:1992-01-24, Days after vaccination: 2
Gender:Female  Submitted:1992-02-27, Days after onset: 34
Location:Michigan  Entered:1992-04-02, Days after submission: 35
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: pt exp redness radiating fr inject site & inject site very itchy @ 32 y/o w/#2
Other Medications:
Current Illness: NONE
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: EBU920212
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM 2IMA
Administered by: Public     Purchased by: Public
Symptoms: Injection site hypersensitivity, Pruritus, Vasodilatation
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow)
Write-up: Pt recvd 3 doses of Engerix-B vax 12JUL91, 12AUG91 & 22JAN92 & pt did not exp any events following 1st dose; following both 2nd & 3rd dose exp redness radiating from the inject site to the upper arm (almost to shoulder) which was very itchy

VAERS ID:42959 (history)  Vaccinated:1991-11-07
Age:32.2  Onset:0000-00-00
Gender:Unknown  Submitted:1992-02-27
Location:Wisconsin  Entered:1992-04-02, Days after submission: 35
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: 20JUL91 HBSAB neg (repeat also neg); 26JUL91 HBSAB neg; 6NOV91 HBSAB neg;
CDC Split Type: EBU920273
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM814A44IMA
Administered by: Other     Purchased by: Other
Symptoms: Drug ineffective
SMQs:, Lack of efficacy/effect (narrow)
Write-up: Pt recvd 3 doses of Engerix-B & was determined to be a non-responder by repeat tests; pt recvd booster or 1st dose of second series 12AUG91 & still was determined to be a non-responder 6NOV91; recvd booster dose on 7NOV91;

VAERS ID:42987 (history)  Vaccinated:0000-00-00
Age:32.0  Onset:0000-00-00
Gender:Female  Submitted:1992-03-20
Location:Missouri  Entered:1992-04-02, Days after submission: 13
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: EBU920317
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM 2  
Administered by: Other     Purchased by: Other
Symptoms: Drug ineffective
SMQs:, Lack of efficacy/effect (narrow)
Write-up: 11 pts who recvd a series of 3 doses of Engerix-B reported to have not responded;

VAERS ID:44262 (history)  Vaccinated:1991-05-10
Age:32.0  Onset:1991-09-26, Days after vaccination: 139
Gender:Female  Submitted:1992-01-08, Days after onset: 104
Location:Unknown  Entered:1992-04-02, Days after submission: 85
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: 26SEP titer neg;
CDC Split Type: EBU911305
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM637A42IMA
Administered by: Other     Purchased by: Other
Symptoms: Drug ineffective
SMQs:, Lack of efficacy/effect (narrow)
Write-up: Pt recvd 3 doses of Engerix-B vax on 5NOV90, 7JAN91, & 10MAY91 & 26SEP91 it was determined that pts titer was neg p/3 doses of Engerix-B;

VAERS ID:44289 (history)  Vaccinated:1991-10-24
Age:32.0  Onset:1991-11-25, Days after vaccination: 32
Gender:Male  Submitted:1992-02-05, Days after onset: 72
Location:New Hampshire  Entered:1992-04-02, Days after submission: 57
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:
Diagnostic Lab Data:
CDC Split Type: EBU911335
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM715A42IMRA
Administered by: Private     Purchased by: Private
Symptoms: Drug ineffective
SMQs:, Lack of efficacy/effect (narrow)
Write-up: Pt recvd a series of Engerix-B on 23APR91, 23MAY91, 24OCT91 & was a non-responder;

VAERS ID:44443 (history)  Vaccinated:1991-12-13
Age:32.0  Onset:1991-12-13, Days after vaccination: 0
Gender:Male  Submitted:1992-01-10, Days after onset: 28
Location:California  Entered:1992-04-02, Days after submission: 83
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:
Diagnostic Lab Data:
CDC Split Type: EBU911396
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM813A4 IMA
Administered by: Private     Purchased by: Private
Symptoms: Dizziness, Dyspnoea, Pruritus, Urticaria, Vasodilatation
SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), Anticholinergic syndrome (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Vestibular disorders (broad), Hypersensitivity (narrow)
Write-up: Pt recvd 1st dose of Engerix-B 13DEC91 & 1 hrs post vax pt exp hive (?), was flushed, felt warm on trunk & limbs & became itchy;

VAERS ID:41028 (history)  Vaccinated:0000-00-00
Age:32.6  Onset:1992-03-08
Gender:Female  Submitted:1992-03-25, Days after onset: 17
Location:California  Entered:1992-04-03, Days after submission: 9
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NONE
Other Medications: Ampicillin; PPD skin test by Connaught
Current Illness: URI
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM837A40IMRA
Administered by: Public     Purchased by: Other
Symptoms: Face oedema, Rash
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow)
Write-up: Rash to entire body began Sunday 8MAR92 periorbital & facial edema 10MAR92;

VAERS ID:36956 (history)  Vaccinated:1991-10-23
Age:32.0  Onset:0000-00-00
Gender:Female  Submitted:1991-12-10
Location:New Jersey  Entered:1992-04-08, Days after submission: 119
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:
Diagnostic Lab Data:
CDC Split Type: 892008013L
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)PFIZER/WYETH 0  
Administered by: Private     Purchased by: Private
Symptoms: Hypertonia, Myasthenic syndrome, Paraesthesia
SMQs:, Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Malignancy related conditions (narrow), Parkinson-like events (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad)
Write-up: Pt devel intermittent paresthesias in both arms, hands, & fingers p/recvd flu vax; pt also exp soreness, achiness, & a heavy feeling in both arms as well as the shaking of 1 hand from time to time;

VAERS ID:41216 (history)  Vaccinated:1992-04-09
Age:32.0  Onset:1992-04-09, Days after vaccination: 0
Gender:Female  Submitted:1992-04-10, Days after onset: 1
Location:Indiana  Entered:1992-04-13, 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: BC Motrin
Current Illness: NONE
Preexisting Conditions: back problems
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM821A40 LA
Administered by: Public     Purchased by: Unknown
Symptoms: Asthenia, Dizziness, Dyspnoea, Paraesthesia, Urticaria
SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Cardiomyopathy (broad), Vestibular disorders (broad), Hypersensitivity (narrow)
Write-up: SOB, weakness/faint, lt arm numbness, tired, rash blotching; pt recvd DPH, Solumedrol;

VAERS ID:41368 (history)  Vaccinated:1992-04-04
Age:32.7  Onset:1992-04-04, Days after vaccination: 0
Gender:Female  Submitted:1992-04-08, Days after onset: 3
Location:Indiana  Entered:1992-04-22, Days after submission: 14
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE refused
CDC Split Type: IN9219
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.1557T SCLA
Administered by: Public     Purchased by: Public
Symptoms: Dizziness, Injury, Nausea, Pain, Paraesthesia, Urinary incontinence, Vasodilatation
SMQs:, Acute pancreatitis (broad), Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Accidents and injuries (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hostility/aggression (broad), Vestibular disorders (broad)
Write-up: Shortly p/inject, arm felt hot & hurt, tingly from head to toe; felt faint, nauseous, incontinent-voided; fell out of chair onto face-light abrasions; pt taken to ER by ambulance, refused x-ray or rx MD released;

VAERS ID:41398 (history)  Vaccinated:1992-04-14
Age:32.1  Onset:1992-04-14, Days after vaccination: 0
Gender:Male  Submitted:1992-04-16, Days after onset: 2
Location:Massachusetts  Entered:1992-04-22, 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: NONE
Current Illness: just got over gastroenteritis
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)MASS. PUB HLTH BIOL LABTD473IMRA
TYP: TYPHOID VI POLYSACCHARIDE (NO BRAND NAME)PFIZER/WYETH49082320SCLA
Administered by: Private     Purchased by: Other
Symptoms: Injection site oedema, Injection site pain
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: Swollen, painful area locally around vax site (Typhoid);

VAERS ID:41642 (history)  Vaccinated:1992-03-05
Age:32.1  Onset:1992-03-05, Days after vaccination: 0
Gender:Male  Submitted:1992-03-16, Days after onset: 11
Location:Colorado  Entered:1992-04-29, Days after submission: 43
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: pt recvd Recomb MSD lot# 1198T
Current Illness: NONE
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
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Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.1687T1IMRA
Administered by: Private     Purchased by: Private
Symptoms: Abdominal pain, Diarrhoea, Nausea, Pyrexia
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (narrow)
Write-up: 12 hrs p/recvd vax pt exp low grade fever, nausea, diarrhea & cramping abd pain; sx lasted 24 hrs;

VAERS ID:37190 (history)  Vaccinated:1991-05-06
Age:32.7  Onset:1991-05-08, Days after vaccination: 2
Gender:Female  Submitted:1991-05-09, Days after onset: 1
Location:Pennsylvania  Entered:1992-05-18, Days after submission: 375
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NONE
Other Medications: Feldene, Calcium
Current Illness: foreign body left second finger
Preexisting Conditions: questionable allergy to Bactrim; osteoporosis, hypercholesterolemia, hepatomegaly, smokes cigarettes;
Diagnostic Lab Data: CBC
CDC Split Type: 910097202
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)LEDERLE LABORATORIES291962 IM 
Administered by: Private     Purchased by: Other
Symptoms: Injection site hypersensitivity, Injection site oedema, Vasodilatation
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow)
Write-up: pt devel a swollen, red, hot, blotchy area @ the inject site;

VAERS ID:37221 (history)  Vaccinated:1992-01-16
Age:32.5  Onset:1992-01-22, Days after vaccination: 6
Gender:Female  Submitted:1992-02-04, Days after onset: 13
Location:North Carolina  Entered:1992-05-20, Days after submission: 105
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: 892064003L
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)PFIZER/WYETH4918221 IMRA
Administered by: Other     Purchased by: Other
Symptoms: Pruritus, Rash maculo-papular
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow)
Write-up: pt devel a maculopapular rash p/receiving flu vax; rash which was assoc w/pruritus began on the abdomen, spread to extremities, but did not involve the head;

VAERS ID:42149 (history)  Vaccinated:1992-02-25
Age:32.0  Onset:1992-03-04, Days after vaccination: 8
Gender:Female  Submitted:1992-03-11, Days after onset: 7
Location:New York  Entered:1992-05-22, Days after submission: 71
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: hayfever
Diagnostic Lab Data: NONE
CDC Split Type: NYS92022
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.1754T   
Administered by: Public     Purchased by: Public
Symptoms: Chills, Injection site reaction, Lymphadenopathy, Myalgia, Pain, Pyrexia
SMQs:, Rhabdomyolysis/myopathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad)
Write-up: Pt recvd vax 25FEB92 & 4MAR92 pt devel ache in arm; 6MAR92 fever 101 through 9MAR92 lymph glands in neck swollen, cold, body aches pain, infect @ vax site;

VAERS ID:42157 (history)  Vaccinated:1992-05-07
Age:32.0  Onset:1992-05-07, Days after vaccination: 0
Gender:Female  Submitted:1992-05-19, Days after onset: 12
Location:Connecticut  Entered:1992-05-26, Days after submission: 7
Life Threatening? Yes
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? Yes, 1 days
    Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: EBU921120
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM844A4 IMA
Administered by: Private     Purchased by: Private
Symptoms: Anaphylactoid reaction, Asthenia, Chest pain, Deafness, Dysphagia, Dyspnoea, Laryngospasm, Paraesthesia
SMQs:, Anaphylactic reaction (narrow), Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Anaphylactic/anaphylactoid shock conditions (narrow), Dystonia (broad), 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 (broad), Cardiomyopathy (broad), Hearing impairment (narrow), Hypersensitivity (narrow)
Write-up: 7MAY92 pt recvd vax & 25 min later exp anaphylaxis, felt like head underwater, throat tight. Events reported as immediately life threatening. Tx meds.Events abated immed p/ meds admin & recurred 1.5 hrs later. Pt hospitalized-over night ICU

VAERS ID:42223 (history)  Vaccinated:1991-11-07
Age:32.1  Onset:1991-11-07, Days after vaccination: 0
Gender:Female  Submitted:1991-11-08, Days after onset: 1
Location:Wyoming  Entered:1992-05-28, Days after submission: 201
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: NONE
Other Medications: NONE
Current Illness: denied
Preexisting Conditions: allergy PCN-rash, SOB, Codeine-rash under armpits, Darvon-same rxn, Talwin-swelling of hands & feet, nausea, bee stings
Diagnostic Lab Data: NONE
CDC Split Type: WY9118
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLU-IMUNE)LEDERLE LABORATORIES3149630IMLA
Administered by: Other     Purchased by: Private
Symptoms: Asthenia, Chills, Dizziness, Dysgeusia, Nausea, Vasodilatation
SMQs:, Acute pancreatitis (broad), Taste and smell disorders (narrow), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad)
Write-up: 10 mins p/recvd vax, pt c/o feeling hot/cold flashes, weak, lightheaded & nauseated like walking on a cloud; described strange bitter taste in mouth w/in seconds of inject; given Adrenalin & observed another 20-30 mins;

VAERS ID:37277 (history)  Vaccinated:1991-04-23
Age:32.3  Onset:1991-05-04, Days after vaccination: 11
Gender:Female  Submitted:0000-00-00
Location:Delaware  Entered:1992-06-09
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: BCP;
Current Illness:
Preexisting Conditions: Depression;
Diagnostic Lab Data: APR91: HBsAg positive, Anti-HBc positive;
CDC Split Type: WAES91050654
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC. 0SC 
Administered by: Public     Purchased by: Other
Symptoms: Angioneurotic oedema, Arthralgia, Diarrhoea, Hepatitis, Infection, Jaundice, Pyrexia, Rash
SMQs:, Cholestasis and jaundice of hepatic origin (narrow), Hepatitis, non-infectious (narrow), Anaphylactic reaction (broad), Acute pancreatitis (broad), Angioedema (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Oropharyngeal allergic conditions (narrow), Biliary system related investigations, signs and symptoms (narrow), Biliary tract disorders (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypersensitivity (narrow), Arthritis (broad), Noninfectious diarrhoea (narrow)
Write-up: Pt recvd MMR vax on 23APR91 & 4MAY91 devel arthralgia, fever, rash, angioedema of lips; pt also devel diarrhea, pruritus, jaundice; lab eval revealed HBsAg pos for acute Hep B; MD felt pt condition was not related vax;

VAERS ID:37317 (history)  Vaccinated:1991-03-19
Age:32.0  Onset:1991-05-16, Days after vaccination: 58
Gender:Female  Submitted:0000-00-00
Location:New York  Entered:1992-06-09
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: 16MAY91 measles antibody-no seroconversion for rubeola;
CDC Split Type: WAES91051733
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.    
Administered by: Other     Purchased by: Other
Symptoms: Drug ineffective
SMQs:, Lack of efficacy/effect (narrow)
Write-up: pt recvd MMR vax on 19MAR91 & on 16MAY91 was tested & found to have seroconverted for rubella but not rubeola; no further details were provided;

VAERS ID:37499 (history)  Vaccinated:1991-07-19
Age:32.0  Onset:1991-10-04, Days after vaccination: 77
Gender:Female  Submitted:0000-00-00
Location:New York  Entered:1992-06-09
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Tetracycline; Grifulvin V;
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: 4OCT91 Titer-1:8 measles; 22OCT91 titer-neg measles;
CDC Split Type: WAES91091093
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC. 0  
Administered by: Other     Purchased by: Other
Symptoms: Drug ineffective
SMQs:, Lack of efficacy/effect (narrow)
Write-up: pt recvd 1st MMR vax on 19JUL91 & on 16AUG91 recvd booster dose of MMR & did not seroconvert (WAES92031269); On 21AUG91 placed on therapy w/Griseofulvin microsize; 4OCT91 titer for measles was 1:8; 22OCT91 a 2nd titer was neg for measles;

VAERS ID:42630 (history)  Vaccinated:1992-05-18
Age:32.1  Onset:0000-00-00
Gender:Female  Submitted:1992-05-22
Location:California  Entered:1992-06-09, 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: Lomotil, Synthroid
Current Illness: Lumbar deg; colitis; plantar fas
Preexisting Conditions: hayfever, Iodine
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)CONNAUGHT LABORATORIES300904 IMLA
Administered by: Private     Purchased by: Private
Symptoms: Injection site hypersensitivity, Injection site mass, Injection site pain, Vasodilatation
SMQs:, Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (narrow)
Write-up: Hot, painful, raised pink patch @ site of inject;

VAERS ID:42825 (history)  Vaccinated:0000-00-00
Age:32.0  Onset:0000-00-00
Gender:Female  Submitted:1992-06-12
Location:New York  Entered:1992-06-15, Days after submission: 3
Life Threatening? Yes
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: No relevant data;
CDC Split Type: WAES92060325
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.    
Administered by: Other     Purchased by: Other
Symptoms: Dyspnoea, Hypersensitivity, Urticaria
SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Hypersensitivity (narrow)
Write-up: Pt recvd MMR vax in 1990 & w/in 2 hrs of receiving vax pt exp dyspnea & devel hives, which were felt to be life-threatening; pt responded to tx w/Adrenalin &/or DPH; 4 addtl pts exp potenially life-threatening allergic rxns;

VAERS ID:42856 (history)  Vaccinated:1992-04-28
Age:32.5  Onset:1992-04-30, Days after vaccination: 2
Gender:Female  Submitted:1992-06-10, Days after onset: 41
Location:Texas  Entered:1992-06-15, Days after submission: 5
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: NONE
Other Medications: Rocephin
Current Illness: squirrel bite
Preexisting Conditions: NKA
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
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Site
TTOX: TETANUS TOXOID (NO BRAND NAME)PFIZER/WYETH49091641IM 
Administered by: Private     Purchased by: Private
Symptoms: Injection site hypersensitivity, Injection site oedema, Injection site pain
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow)
Write-up: Tetanus Tox given 28APR92 pt returned & c/o swollen, painful, reddened site of inject the AM of 30APR92; pt given Rocephin & cephalexin; 30APR rx Seldane; apply heat locally PRN;

VAERS ID:42861 (history)  Vaccinated:1992-06-02
Age:32.5  Onset:1992-06-04, Days after vaccination: 2
Gender:Female  Submitted:1992-06-11, Days after onset: 7
Location:New Jersey  Entered:1992-06-15, Days after submission: 4
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: NONE
Other Medications: APAP, Zantac, Tagament, Annaprox, Phentermine
Current Illness: NONE
Preexisting Conditions: allergic to erythromycin & surgical sutures; duodenol ulcers/obesity
Diagnostic Lab Data: NONE
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TTOX: TETANUS TOXOID (NO BRAND NAME)LEDERLE LABORATORIES2939024 LA
Administered by: Other     Purchased by: Other
Symptoms: Arthralgia, Ecchymosis, Injection site hypersensitivity, Injection site oedema, Pruritus, Vasodilatation
SMQs:, Anaphylactic reaction (broad), Haemorrhage terms (excl laboratory terms) (narrow), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow), Arthritis (broad)
Write-up: Inject site warm, red & edematous; stated joint pain, bruising on lt amr, itching on head, neck & arms; t98; Decadron, ice applied on inj site; DPH given;

VAERS ID:43047 (history)  Vaccinated:1992-05-20
Age:32.0  Onset:1992-05-20, Days after vaccination: 0
Gender:Female  Submitted:1992-06-16, Days after onset: 27
Location:Georgia  Entered:1992-06-19, Days after submission: 3
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? Yes, 1 days
    Extended hospital stay? No
Previous Vaccinations:
Other Medications: Anaprox, Bellergal, Contraceptives, Marplan, Monoamine-oxidase inhibitors; APAP w/codeine, Vitamin B12;
Current Illness:
Preexisting Conditions: Gastropathy; 1988-gastrointestinal bypass; depression; osteoarthritis; rt carpal tunnel synd; urethral surgery; migraines; smokes 1 pack/day;
Diagnostic Lab Data: 22MAY92 stool, hemoglobin=7.9 (nl for pt);
CDC Split Type: EBU921231
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM849A4 IMA
Administered by: Public     Purchased by: Other
Symptoms: Arrhythmia, Gastrointestinal haemorrhage, Hypocalcaemia, Hypoproteinaemia, Malabsorption, Petechiae, Serum sickness, Vasculitis
SMQs:, Rhabdomyolysis/myopathy (broad), Haemorrhage terms (excl laboratory terms) (narrow), Gastrointestinal haemorrhage (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Ischaemic colitis (broad), Cardiomyopathy (broad), Cardiac arrhythmia terms, nonspecific (narrow), Vasculitis (narrow), Chronic kidney disease (broad), Hypersensitivity (narrow), Tumour lysis syndrome (broad)
Write-up: 20MAY92 pt recvd Engerix-B & same day pt exp swelling of feet; rash in lower legs; dizziness; 22MAY92 exp petechia in inner part of groin; pt hospitalized overnight;

VAERS ID:37772 (history)  Vaccinated:0000-00-00
Age:32.0  Onset:1992-02-03
Gender:Male  Submitted:1992-03-16, Days after onset: 42
Location:Texas  Entered:1992-06-29, Days after submission: 104
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: 3FEB92 titer level=3;
CDC Split Type: EBU920610
Vaccination
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HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM 2IMA
Administered by: Other     Purchased by: Other
Symptoms: Drug ineffective
SMQs:, Lack of efficacy/effect (narrow)
Write-up: Pt recvd 3 doses of Engerix-B & upon completion of series was determined to be a non-responder;

VAERS ID:44858 (history)  Vaccinated:0000-00-00
Age:32.0  Onset:0000-00-00
Gender:Female  Submitted:1992-03-30
Location:Massachusetts  Entered:1992-06-29, Days after submission: 90
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness: UNK
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: EBU920720
Vaccination
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HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM 2  
Administered by: Public     Purchased by: Other
Symptoms: Drug ineffective
SMQs:, Lack of efficacy/effect (narrow)
Write-up: 3 out of 13 pts who recvd 3 doses of Engerix-B failed to convert; titers were tested 6 months p/last dose of vax;

VAERS ID:44897 (history)  Vaccinated:1990-11-20
Age:32.0  Onset:0000-00-00
Gender:Male  Submitted:1992-04-16
Location:Wisconsin  Entered:1992-06-29, Days after submission: 74
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: EBU920747
Vaccination
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HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM 4IMA
Administered by: Other     Purchased by: Other
Symptoms: Drug ineffective
SMQs:, Lack of efficacy/effect (narrow)
Write-up: Pt recvd 3 doses of Engerix-B vax & did not seroconvert; Booster doses were administered; no tx was given;

VAERS ID:44903 (history)  Vaccinated:1992-03-20
Age:32.0  Onset:1992-03-20, Days after vaccination: 0
Gender:Female  Submitted:1992-05-06, Days after onset: 46
Location:Indiana  Entered:1992-06-29, Days after submission: 54
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: allergic to Demerol (hives); rt lower lobectomy JUN91 as a result of TB; allergy hx: Vistaril;
Diagnostic Lab Data: t99.3; Resp20; HR88; BP110/60;
CDC Split Type: EBU920753
Vaccination
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HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM832A40IMLA
Administered by: Private     Purchased by: Other
Symptoms: Hypersensitivity, Injection site hypersensitivity, Injection site oedema, Injection site pain, Oedema, Pruritus, Pyrexia, Vasodilatation
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Hypersensitivity (narrow)
Write-up: 20MAR92 pt recvd 1 dose of Engerix-B & 10 mins post inject c/o pruritus, local swelling, heat @ inject site, mild redness & swelling; transient swelling, erythema & pain around inject site, shoulder mildly tender, swollen dx allergic rxn;

VAERS ID:44956 (history)  Vaccinated:1992-03-17
Age:32.0  Onset:1992-03-18, Days after vaccination: 1
Gender:Female  Submitted:1992-06-02, Days after onset: 75
Location:North Carolina  Entered:1992-06-29, Days after submission: 27
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Voltaren
Current Illness: NONE
Preexisting Conditions:
Diagnostic Lab Data: All lab work was neg;
CDC Split Type: EBU920783
Vaccination
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HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM 1IMA
Administered by: Other     Purchased by: Private
Symptoms: Abnormal faeces, Chills, Diarrhoea, Influenza, Jaundice, Pyrexia, Urine analysis abnormal, Vomiting
SMQs:, Cholestasis and jaundice of hepatic origin (narrow), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Biliary system related investigations, signs and symptoms (narrow), Biliary tract disorders (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (narrow)
Write-up: Pt recvd 2 doses of Engerix-B & devel diarrhea, fever, (jaundiced) yellow skin, chills, dark urine, light stools, vomiting; flu or flu like rxn;

VAERS ID:45080 (history)  Vaccinated:1990-07-02
Age:32.0  Onset:0000-00-00
Gender:Male  Submitted:1992-04-13
Location:Florida  Entered:1992-06-29, Days after submission: 77
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:
Diagnostic Lab Data:
CDC Split Type: EBU920819
Vaccination
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Lot
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HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM585A42IMA
Administered by: Other     Purchased by: Public
Symptoms: Drug ineffective
SMQs:, Lack of efficacy/effect (narrow)
Write-up: Pt recvd 1 dose of Recombivax & 2 doses of Engerix-B & did not respond;

VAERS ID:45085 (history)  Vaccinated:1990-07-03
Age:32.0  Onset:0000-00-00
Gender:Female  Submitted:1992-04-13
Location:Florida  Entered:1992-06-29, Days after submission: 77
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:
Diagnostic Lab Data: titer result-unk;
CDC Split Type: EBU920824
Vaccination
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HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM585A42IMA
Administered by: Other     Purchased by: Public
Symptoms: Drug ineffective
SMQs:, Lack of efficacy/effect (narrow)
Write-up: Pt recvd 1 dose of Hepatavax/Recombivax & 2 doses of Engerix-B & did not respond;

VAERS ID:45090 (history)  Vaccinated:1990-03-30
Age:32.0  Onset:0000-00-00
Gender:Male  Submitted:1992-04-15
Location:Florida  Entered:1992-06-29, Days after submission: 75
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions:
Diagnostic Lab Data: titer result-unk;
CDC Split Type: EBU920829
Vaccination
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HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM585A44IMA
Administered by: Other     Purchased by: Public
Symptoms: Drug ineffective
SMQs:, Lack of efficacy/effect (narrow)
Write-up: Pt recvd 3 doses of Heptavax & 2 doses of engerix-B & did not respond;

VAERS ID:45095 (history)  Vaccinated:1992-03-31
Age:32.9  Onset:1992-03-31, Days after vaccination: 0
Gender:Male  Submitted:1992-04-16, Days after onset: 15
Location:Wisconsin  Entered:1992-06-29, Days after submission: 74
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions: hx of back pain, depression;
Diagnostic Lab Data:
CDC Split Type: EBU920834
Vaccination
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HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM840A4 IM 
Administered by: Private     Purchased by: Private
Symptoms: Dyspnoea, Hypersensitivity, Laryngospasm, Urticaria
SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), Dystonia (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Hypersensitivity (narrow)
Write-up: Pt recvd 1 dose of Engerix-B 31MAR92; same day @ 9PM exp hives, felt throat closing, difficulty breathing, acute allergic reaction to Hep vax; events resolved p/tx in ER w/DPH & Solu-Medrol;

VAERS ID:45108 (history)  Vaccinated:1992-04-01
Age:32.0  Onset:1992-04-03, Days after vaccination: 2
Gender:Male  Submitted:1992-06-17, Days after onset: 74
Location:Florida  Entered:1992-06-29, 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:
Diagnostic Lab Data:
CDC Split Type: EBU920851
Vaccination
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HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM 0IMLA
Administered by: Private     Purchased by: Private
Symptoms: Asthenia, Face oedema, Hyperhidrosis, Malaise, Myalgia, Pyrexia, Urticaria
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Angioedema (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Eosinophilic pneumonia (broad), Hypersensitivity (narrow), Tendinopathies and ligament disorders (broad)
Write-up: 1APR92 PM pt recvd 1 dose of Engerix-B & 3ARP92 devel fever, hives, face swollen & body aching resolved w/o treatment;

VAERS ID:45205 (history)  Vaccinated:0000-00-00
Age:32.0  Onset:0000-00-00
Gender:Female  Submitted:1992-06-16
Location:California  Entered:1992-06-29, Days after submission: 13
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: EBU920937
Vaccination
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HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM 2  
Administered by: Other     Purchased by: Other
Symptoms: Drug ineffective
SMQs:, Lack of efficacy/effect (narrow)
Write-up: Pt recvd Hep B vax series & it was determined that pt did not respond to vax series; reporter inidcated that the booster doses were given elsewhere;

VAERS ID:45211 (history)  Vaccinated:0000-00-00
Age:32.0  Onset:0000-00-00
Gender:Female  Submitted:1992-05-12
Location:Florida  Entered:1992-06-29, Days after submission: 48
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:
Diagnostic Lab Data:
CDC Split Type: EBU920944
Vaccination
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HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM    
Administered by: Other     Purchased by: Other
Symptoms: Amblyopia, Visual disturbance
SMQs:, Optic nerve disorders (broad), Lens disorders (broad), Retinal disorders (broad)
Write-up: pt recvd 1 dose of Engerix-B immed following vax devel blurred vision; MD visit was required;

VAERS ID:45466 (history)  Vaccinated:0000-00-00
Age:32.0  Onset:1992-04-23
Gender:Female  Submitted:1992-06-12, Days after onset: 50
Location:California  Entered:1992-06-29, Days after submission: 17
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: EBU921110
Vaccination
Manufacturer
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HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM    
Administered by: Other     Purchased by: Other
Symptoms: Influenza, Nuchal rigidity
SMQs:
Write-up: pt exp severe flu-like sx following dose 1 of Engerix-B;

VAERS ID:45573 (history)  Vaccinated:1992-03-12
Age:32.0  Onset:0000-00-00
Gender:Female  Submitted:1992-06-11
Location:Texas  Entered:1992-06-29, 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: NONE
Current Illness: NONE
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: EBU921180
Vaccination
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HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM821A42IMA
Administered by: Private     Purchased by: Private
Symptoms: Drug ineffective
SMQs:, Lack of efficacy/effect (narrow)
Write-up: Pt recvd 3 doses of Engerix-B & did not respond;

VAERS ID:45593 (history)  Vaccinated:1991-12-18
Age:32.0  Onset:1992-03-25, Days after vaccination: 98
Gender:Female  Submitted:1992-05-29, Days after onset: 64
Location:Unknown  Entered:1992-06-29, Days after submission: 31
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: Titer report date-25MAR92; titer result: none detected;
CDC Split Type: EBU921201
Vaccination
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HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM 4  
Administered by: Other     Purchased by: Other
Symptoms: Drug ineffective
SMQs:, Lack of efficacy/effect (narrow)
Write-up: pt recvd 3 doses of Engerix-B; titer test indicated did not respond;

VAERS ID:45631 (history)  Vaccinated:1992-03-17
Age:32.0  Onset:1992-05-12, Days after vaccination: 56
Gender:Female  Submitted:1992-06-15, Days after onset: 34
Location:Pennsylvania  Entered:1992-06-29, Days after submission: 14
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Medication for szs
Current Illness: NONE
Preexisting Conditions:
Diagnostic Lab Data: 12MAY92 antibody titer results were neg;
CDC Split Type: EBU921248
Vaccination
Manufacturer
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HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM 2IMA
Administered by: Private     Purchased by: Private
Symptoms: Drug ineffective
SMQs:, Lack of efficacy/effect (narrow)
Write-up: Pt recvd Engerix-B on 9SEP91, 17OCT91, 17MAY92 & 12MAY92 pt''s antibody titer results were neg;

VAERS ID:43311 (history)  Vaccinated:1992-06-12
Age:32.9  Onset:1992-06-14, Days after vaccination: 2
Gender:Male  Submitted:1992-06-24, Days after onset: 10
Location:Washington  Entered:1992-07-02, Days after submission: 8
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: UNK
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NKA
Diagnostic Lab Data: NONE
CDC Split Type:
Vaccination
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HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM918A41IMLA
Administered by: Private     Purchased by: Private
Symptoms: Pruritus, Pyrexia, Rash, Rash maculo-papular
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Hypersensitivity (narrow)
Write-up: Fine red itchy rash on trunk, arms, thighs; 14JUN92 spreading, neck, behind ear, arms 14JUN92; t100, rash worse 17JUN92; vacular papular rash arms, back, chest, legs 23JUN to see skin specialist on 24JUN92;

VAERS ID:37620 (history)  Vaccinated:1991-10-10
Age:32.8  Onset:1991-10-10, Days after vaccination: 0
Gender:Male  Submitted:0000-00-00
Location:Maryland  Entered:1992-07-20
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Immunoglobulin;
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC Split Type: BER10030
Vaccination
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TYP: TYPHOID LIVE ORAL TY21A (VIVOTIF)BERNA BIOTECH, LTD119003A PO 
Administered by: Unknown     Purchased by: Unknown
Symptoms: Abdominal pain, Insomnia
SMQs:, Acute pancreatitis (broad), Retroperitoneal fibrosis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)
Write-up: Severe stomach cramps p/1st capsule; missed work & could not sleep;

VAERS ID:43680 (history)  Vaccinated:1992-06-29
Age:32.5  Onset:1992-07-01, Days after vaccination: 2
Gender:Female  Submitted:1992-07-01, Days after onset: 0
Location:Maine  Entered:1992-07-23, Days after submission: 22
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: NA
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC Split Type: ME92014
Vaccination
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Site
DTP: DTP (TRI-IMMUNOL)LEDERLE LABORATORIES318906  RA
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.1371T  LA
Administered by: Public     Purchased by: Public
Symptoms: Headache, Malaise, Nuchal rigidity
SMQs:
Write-up: stiff neck, h/a, malaise;

VAERS ID:45729 (history)  Vaccinated:1991-08-21
Age:32.0  Onset:1991-08-21, Days after vaccination: 0
Gender:Male  Submitted:0000-00-00
Location:New Jersey  Entered:1992-07-24
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: No relevant data;
CDC Split Type: WAES91081258
Vaccination
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PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC. 0  
Administered by: Other     Purchased by: Other
Symptoms: Injection site oedema
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: pt recvd vax 21AUG91 immed following vax, pt devel swelling w/o pain @ inject site; no further detials were provided;

VAERS ID:43868 (history)  Vaccinated:1992-03-09
Age:32.8  Onset:1992-03-23, Days after vaccination: 14
Gender:Female  Submitted:1992-07-30, Days after onset: 128
Location:Pennsylvania  Entered:1992-08-03, Days after submission: 4
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: Calan, Slo-Bid, Lasix;
Current Illness:
Preexisting Conditions: asthma; allergy PCN; allergy Capoten; allergy Organidin; allergy dust; allergy pollen; allergy cats; allergy grass; rash, drug;
Diagnostic Lab Data: No relevant data;
CDC Split Type: WAES92070136
Vaccination
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HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.1251T1  
Administered by: Public     Purchased by: Other
Symptoms: Arthralgia, Myasthenic syndrome, Pain, Paraesthesia
SMQs:, Peripheral neuropathy (broad), Malignancy related conditions (narrow), Guillain-Barre syndrome (broad), Arthritis (broad)
Write-up: Pt recvd Recombivax HB 6FEB92 & 2nd dose 9MAR92; pt hospitalized early MAR92; On 4MAY92 pt seen by MD & stated that for about 6 wks been experiencing rt elbow pain which radiated to shoulder, numbness & tingling; hands feels not strong;

VAERS ID:43917 (history)  Vaccinated:1992-05-21
Age:32.5  Onset:1992-06-11, Days after vaccination: 21
Gender:Female  Submitted:1992-07-28, Days after onset: 47
Location:California  Entered:1992-08-04, 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: UNK
Current Illness: NONE
Preexisting Conditions: bee sting allergy
Diagnostic Lab Data: NA
CDC Split Type:
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HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM715A40IMLA
Administered by: Other     Purchased by: Public
Symptoms: Optic neuritis
SMQs:, Optic nerve disorders (narrow), Demyelination (narrow), Ocular infections (broad)
Write-up: dx w/optic neuritis 3 wks p/vax;

VAERS ID:44173 (history)  Vaccinated:1992-07-09
Age:32.5  Onset:1992-07-20, Days after vaccination: 11
Gender:Female  Submitted:1992-08-06, Days after onset: 17
Location:Florida  Entered:1992-08-14, Days after submission: 8
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: NONE
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
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MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0761T1SCLA
Administered by: Private     Purchased by: Private
Symptoms: Lymphadenopathy, Pharyngitis, Pyrexia, Rash, Rhinitis
SMQs:, Anaphylactic reaction (broad), Agranulocytosis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Oropharyngeal infections (narrow), Hypersensitivity (narrow)
Write-up: sore throat, rhinitis, t102-104 on 27JUL; rash, enlarged cervical lymph glands;

VAERS ID:44253 (history)  Vaccinated:1992-06-01
Age:32.2  Onset:1992-06-24, Days after vaccination: 23
Gender:Female  Submitted:1992-08-13, Days after onset: 50
Location:Florida  Entered:1992-08-19, Days after submission: 6
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NONE
Other Medications: Pt recvd MMR/TD lot# 0048T & 1H31127 on 26MAR92;
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: LDH-240; SGOT-96; CBC-WBC-2.8; SGPT63; RBC 3.94; HGB11.9; Hepatitis profile nl;
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM813A40IMRA
Administered by: Private     Purchased by: Private
Symptoms: Alanine aminotransferase increased, Aspartate aminotransferase increased, Asthenia, Blood lactate dehydrogenase increased, Hepatic function abnormal, Leukopenia, Myalgia
SMQs:, Rhabdomyolysis/myopathy (broad), Liver related investigations, signs and symptoms (narrow), Haematopoietic leukopenia (narrow), Systemic lupus erythematosus (broad), Guillain-Barre syndrome (broad), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad)
Write-up: Generalized muscle pain-evolved into extreme fatigue; inc in liver enzymes; leucopenia;

VAERS ID:44606 (history)  Vaccinated:1992-08-07
Age:32.0  Onset:1992-08-07, Days after vaccination: 0
Gender:Female  Submitted:1992-08-26, Days after onset: 19
Location:Texas  Entered:1992-08-31, Days after submission: 5
Life Threatening? Yes
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: EBU921964
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM989A41IMA
Administered by: Other     Purchased by: Private
Symptoms: Anaphylactoid reaction, Asthenia, Confusional state, Dysphagia, Dyspnoea, Electrocardiogram abnormal, Paraesthesia, Somnolence
SMQs:, Anaphylactic reaction (narrow), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (narrow), Arrhythmia related investigations, signs and symptoms (broad), Anaphylactic/anaphylactoid shock conditions (narrow), Dementia (broad), 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 (broad), Cardiomyopathy (broad), Hypersensitivity (narrow)
Write-up: Pt recvd 2 doses of Engerix-B vax & had tingling rt arm & leg down rt side, dusky color, tingling spread to lt side, weakness, lightheaded, difficulty breathing, confused, disoriented; seen by MD;

VAERS ID:44612 (history)  Vaccinated:1992-06-11
Age:32.3  Onset:1992-06-13, Days after vaccination: 2
Gender:Female  Submitted:1992-07-22, Days after onset: 39
Location:Michigan  Entered:1992-08-31, Days after submission: 40
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: NONE
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: client reports: hypoglycemia; allergy to catgut sutures;
Diagnostic Lab Data: NONE
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM849A41IMLA
Administered by: Public     Purchased by: Private
Symptoms: Hyperaesthesia, Myalgia, Neuritis, Pain, Paraesthesia
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (narrow), Guillain-Barre syndrome (broad), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad)
Write-up: 2 days p/2nd HIB vax devel hypersensitivity, paresthesias, soreness & burning in supraclavicular area; hypersensitivity, paresthesias, soreness & burning in supraclavicular, pain, neuritis secondary to Hep b vax;

VAERS ID:44762 (history)  Vaccinated:1992-08-21
Age:32.6  Onset:1992-08-21, Days after vaccination: 0
Gender:Female  Submitted:1992-08-24, Days after onset: 3
Location:Texas  Entered:1992-09-08, Days after submission: 15
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: UNK
Other Medications: PPD by Tuberculin Parke-Davis lot#4525G143
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC Split Type: TX92162
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)CONNAUGHT LABORATORIES1C310201 LA
Administered by: Public     Purchased by: Public
Symptoms: Headache, Hypertonia, Injection site hypersensitivity, Injection site pain, Neck pain, Oedema
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Neuroleptic malignant syndrome (broad), Parkinson-like events (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Hypersensitivity (narrow), Arthritis (broad)
Write-up: soreness, redness in area of infection, approx 60mm stiff on entire lt side of body, neck down to legs & feet; c/o sharp pain radiating fr lt side of neck to head; lt arm swelling fr humerus to lt hand;

VAERS ID:44923 (history)  Vaccinated:1992-07-23
Age:32.5  Onset:1992-07-23, Days after vaccination: 0
Gender:Female  Submitted:1992-08-10, Days after onset: 18
Location:Oklahoma  Entered:1992-09-14, Days after submission: 35
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: NA
Other Medications: Lodine, Zantac, Deconamine SR
Current Illness: NONE
Preexisting Conditions: ulcer hx, cervical dysfunction r/t car wrecks; esophageal ulcer caused by med that med dc''d began Zantac;
Diagnostic Lab Data: CBC 30JUL; PLT 32.0; MONO8; WBC 16.6; HGB 12.2; MCV 31.5; MCH 27.9; SEG65; ESONO3; RBC 4.37; HCT 35.6;
CDC Split Type: OK9234
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)SCLAVO136A22 LA
TYP: TYPHOID VI POLYSACCHARIDE (NO BRAND NAME)PFIZER/WYETH49180740 RA
Administered by: Public     Purchased by: Public
Symptoms: Anaemia, Ecchymosis, Haematuria, Laboratory test abnormal, Pyrexia, Rectal haemorrhage, Vaginal haemorrhage
SMQs:, Haematopoietic erythropenia (broad), Haemorrhage terms (excl laboratory terms) (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal haemorrhage (narrow), Ischaemic colitis (broad), Tubulointerstitial diseases (broad)
Write-up: Fever to 104 onset 8 hrs p/vax pesist 12 hrs & as of 10AUG92 conts 99-101; blood (red from rectum, brown fr vagina & urine) noted 25AUG92 on 30JUL found to be anemic, Pred started; bleeding stopped in 3 days-continues to bruise easily;

VAERS ID:45059 (history)  Vaccinated:1992-09-10
Age:32.6  Onset:1992-09-10, Days after vaccination: 0
Gender:Female  Submitted:1992-09-11, Days after onset: 1
Location:New York  Entered:1992-09-16, 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: sl heart murmur w/no prev problem
Diagnostic Lab Data: vasal vagal reaction;
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM974A40IMLA
Administered by: Public     Purchased by: Private
Symptoms: Nausea, Pallor, Syncope, Vasodilatation, Vomiting
SMQs:, Torsade de pointes/QT prolongation (broad), Acute pancreatitis (broad), Arrhythmia related investigations, signs and symptoms (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad)
Write-up: immed felt hot esp head-became pale-placed on stretcher nauseated w/vomiting p/1hr felt better; fainted on way to work station; ER-monitor;

VAERS ID:45988 (history)  Vaccinated:1992-09-01
Age:32.6  Onset:1992-09-03, Days after vaccination: 2
Gender:Male  Submitted:1992-09-21, Days after onset: 18
Location:California  Entered:1992-10-05, Days after submission: 14
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Acropent, 3TC, Acyclner
Current Illness: asym HIV pos
Preexisting Conditions: CDY-100
Diagnostic Lab Data: NA
CDC Split Type: CA92103
Vaccination
Manufacturer
Lot
Dose
Route
Site
PPV: PNEUMO (PNU-IMUNE)LEDERLE LABORATORIES3149130IMRA
Administered by: Public     Purchased by: Public
Symptoms: Pruritus, Rash
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow)
Write-up: 2 days p/vax pt had rash, pruritic;

VAERS ID:46200 (history)  Vaccinated:1992-10-05
Age:32.1  Onset:1992-10-05, Days after vaccination: 0
Gender:Female  Submitted:1992-10-06, Days after onset: 1
Location:Washington  Entered:1992-10-13, Days after submission: 7
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NONE
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM    
Administered by: Private     Purchased by: Unknown
Symptoms: Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow)
Write-up: urticaria secondary to Engerix-B vax

VAERS ID:46320 (history)  Vaccinated:1992-09-25
Age:32.6  Onset:1992-10-06, Days after vaccination: 11
Gender:Female  Submitted:0000-00-00
Location:Arizona  Entered:1992-10-20
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NA
Other Medications: NONE
Current Illness: NA
Preexisting Conditions: PCN-hives
Diagnostic Lab Data: CBC-H/H 16.6/47/6; WBC9.2 SMAC phos2.4/trig/230;
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.1663T0SCRA
Administered by: Private     Purchased by: Public
Symptoms: Hyperlipidaemia, Myalgia, Oedema, Urinary tract infection
SMQs:, Rhabdomyolysis/myopathy (broad), Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Dyslipidaemia (narrow), Hyperglycaemia/new onset diabetes mellitus (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Lipodystrophy (broad), Tendinopathies and ligament disorders (broad)
Write-up: 3 days post vax onset neck swelling/achiness w/complete resolution reoccurred approx 15 days p/similar sx w/clinical UTI & delayed institution of tx w/Bactrim DS; SMAC/CBC neg;

VAERS ID:46396 (history)  Vaccinated:1992-07-08
Age:32.5  Onset:1992-07-08, Days after vaccination: 0
Gender:Female  Submitted:1992-07-10, Days after onset: 2
Location:Washington  Entered:1992-10-23, Days after submission: 105
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NONE
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC Split Type: WA92757
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM857A40 LA
Administered by: Public     Purchased by: Private
Symptoms: Arthralgia, Diarrhoea, Headache, Myalgia, Nausea, Vomiting
SMQs:, Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad), Arthritis (broad), Noninfectious diarrhoea (narrow), Tendinopathies and ligament disorders (broad)
Write-up: inject 1200 by 1900 n/v, h/a, no fever, body aches esp joints, diarrhea; lasted until next AM; h/a the next day by 3rd day sx gone;

VAERS ID:46417 (history)  Vaccinated:1992-10-14
Age:32.3  Onset:1992-10-14, Days after vaccination: 0
Gender:Female  Submitted:1992-10-19, Days after onset: 5
Location:New Jersey  Entered:1992-10-23, Days after submission: 4
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 2 days
    Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: dec platelets 100,000; LFT''s;
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TYP: TYPHOID VI POLYSACCHARIDE (NO BRAND NAME)PFIZER/WYETH49280541SCRA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Asthenia, Dyspnoea, Face oedema, Hepatic function abnormal, Rash maculo-papular, Thrombocytopenia
SMQs:, Liver related investigations, signs and symptoms (narrow), Anaphylactic reaction (narrow), Angioedema (narrow), Haematopoietic thrombocytopenia (narrow), Systemic lupus erythematosus (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Cardiomyopathy (broad), Hypersensitivity (narrow)
Write-up: periorbital edema, weakness, macular rash, diffuse, SOB;

VAERS ID:46457 (history)  Vaccinated:1992-10-08
Age:32.7  Onset:1992-10-08, Days after vaccination: 0
Gender:Female  Submitted:1992-10-14, Days after onset: 6
Location:Illinois  Entered:1992-10-26, Days after submission: 12
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NONE
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC Split Type: IL9295
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)LEDERLE LABORATORIES3269851IMLA
Administered by: Public     Purchased by: Public
Symptoms: Abdominal pain, Anorexia, Flatulence, Myalgia, Nausea, Pyrexia, Tremor
SMQs:, Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Parkinson-like events (broad), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad)
Write-up: severe nausea, abdominal pain, gas, felt feverish, aching all over, nausea 2 hrs p/vax; next day abd pain & gas, shaking (tremors) next few days severe nausea, gas & abdo pain; feel hot, loss of appetite;

VAERS ID:46461 (history)  Vaccinated:1992-09-24
Age:32.6  Onset:1992-09-24, Days after vaccination: 0
Gender:Female  Submitted:1992-10-13, Days after onset: 19
Location:Kansas  Entered:1992-10-26, Days after submission: 13
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: Hepatitis B surface antibody 133.0;
CDC Split Type: KS93022
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (FOREIGN)MERCK & CO. INC.1162V1 LA
Administered by: Public     Purchased by: Public
Symptoms: Dizziness, Influenza, Nausea, Pyrexia, Vomiting
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad)
Write-up: pt recvd 2nd dose of vax pt devel fever 104, vomiting for 24 hrs;

VAERS ID:46779 (history)  Vaccinated:0000-00-00
Age:32.9  Onset:0000-00-00
Gender:Unknown  Submitted:1992-09-22
Location:New York  Entered:1992-11-02, Days after submission: 41
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: 892279004K
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)PFIZER/WYETH49281301IMA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Injection site pain
SMQs:, Extravasation events (injections, infusions and implants) (broad)
Write-up: pt recvd flu vax & devel erythema @ the site of inject which persisted for 24 to 48 hrs;

VAERS ID:46909 (history)  Vaccinated:1992-05-01
Age:32.0  Onset:1992-05-01, Days after vaccination: 0
Gender:Female  Submitted:1992-08-06, Days after onset: 97
Location:Missouri  Entered:1992-11-03, Days after submission: 89
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: allergy PCN; severe case of poison ivy in FEB92;
Diagnostic Lab Data:
CDC Split Type: EBU921328
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM  IM 
Administered by: Private     Purchased by: Private
Symptoms: Herpes zoster, Pruritus, Rash
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow)
Write-up: pt recvd 1 dose of Engerix-B & 3 wks later herpes/shingles appeared;

VAERS ID:46923 (history)  Vaccinated:1991-09-20
Age:32.0  Onset:1992-01-08, Days after vaccination: 110
Gender:Male  Submitted:1992-06-23, Days after onset: 166
Location:North Carolina  Entered:1992-11-03, Days after submission: 133
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: 8JAN92 titer neg;
CDC Split Type: EBU921344
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM813A42  
Administered by: Other     Purchased by: Other
Symptoms: Drug ineffective
SMQs:, Lack of efficacy/effect (narrow)
Write-up: Pt recvd 3 doses of Engerix-B & was found to have a neg titer;

VAERS ID:46929 (history)  Vaccinated:1991-11-08
Age:32.0  Onset:1992-02-11, Days after vaccination: 95
Gender:Female  Submitted:1992-06-23, Days after onset: 132
Location:North Carolina  Entered:1992-11-03, Days after submission: 133
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: 11FEB92 titer neg;
CDC Split Type: EBU921350
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM814A42  
Administered by: Other     Purchased by: Other
Symptoms: Drug ineffective
SMQs:, Lack of efficacy/effect (narrow)
Write-up: Pt recvd 3 doses of Engerix-B & was found to have a neg titer;

VAERS ID:46932 (history)  Vaccinated:1992-02-24
Age:32.0  Onset:0000-00-00
Gender:Female  Submitted:1992-08-21
Location:North Carolina  Entered:1992-11-03, Days after submission: 74
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: 16FEB92 titer neg; 2JUN92 titer result pos;
CDC Split Type: EBU921353
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM832A43  
Administered by: Other     Purchased by: Other
Symptoms: Unevaluable event
SMQs:
Write-up: Pt recvd 3 doses of Engerix-B & was found to have a neg titer; recvd 4th dose 24FEB92 & now has pos titer;

VAERS ID:46939 (history)  Vaccinated:1992-01-30
Age:32.0  Onset:0000-00-00
Gender:Female  Submitted:1992-08-21
Location:North Carolina  Entered:1992-11-03, Days after submission: 74
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: 30OCT91 titer neg; 8MAY92 titer result pos;
CDC Split Type: EBU921360
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM832A43  
Administered by: Other     Purchased by: Other
Symptoms: Unevaluable event
SMQs:
Write-up: Pt recvd 3 doses of Engerix-B & was found to have a neg titer; pt recvd a 4th dose of Engerix-B 30JAN92 & now had a pos titer result;

VAERS ID:46970 (history)  Vaccinated:1992-05-29
Age:32.1  Onset:1992-05-29, Days after vaccination: 0
Gender:Female  Submitted:1992-09-11, Days after onset: 105
Location:Michigan  Entered:1992-11-03, Days after submission: 53
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: EBU921410
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM832A4 IMA
Administered by: Private     Purchased by: Other
Symptoms: Chest pain, Dizziness, Hypersensitivity, Injection site pain, Palpitations, Pruritus, Tachycardia
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Vestibular disorders (broad), Hypersensitivity (narrow)
Write-up: pt recvd Hep B vax 29MAY92 & 1330 & devel dizziness, palpitations, chest pain, chest tightness, sl tachycardia, racing pulse, soreness & itching @ site of inject; dx as a probable allergic reaction;

VAERS ID:46986 (history)  Vaccinated:1992-05-13
Age:32.0  Onset:1992-05-20, Days after vaccination: 7
Gender:Female  Submitted:1992-08-06, Days after onset: 78
Location:Mississippi  Entered:1992-11-03, Days after submission: 89
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: EBU921428
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM856A4 IMA
Administered by: Private     Purchased by: Private
Symptoms: Arthralgia, Myalgia, Pain, Pyrexia, Serum sickness
SMQs:, Rhabdomyolysis/myopathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Eosinophilic pneumonia (broad), Hypersensitivity (narrow), Arthritis (broad), Tendinopathies and ligament disorders (broad)
Write-up: pt recvd 1 dose of Engerix-B approx 1 month ago; about 1 wk later p/inject devel joint pain, aches & pains, low grade temp; seen by MD who said it looked like mild serum sickness; still has aches & pains;

VAERS ID:47016 (history)  Vaccinated:1990-11-07
Age:32.5  Onset:1991-09-13, Days after vaccination: 310
Gender:Male  Submitted:1992-07-29, Days after onset: 320
Location:Florida  Entered:1992-11-03, Days after submission: 97
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: 13SEP91 neg seroconversion;
CDC Split Type: EBU921464
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM629A42 RA
Administered by: Private     Purchased by: Private
Symptoms: Drug ineffective
SMQs:, Lack of efficacy/effect (narrow)
Write-up: approx 1/3 of pts treated w/Engerix-B failed to respond or had borderline titer levels produced p/the 3rd dose; 60 to 70 pts have been treated to date;

VAERS ID:47019 (history)  Vaccinated:1990-11-07
Age:32.2  Onset:0000-00-00
Gender:Female  Submitted:1992-07-29
Location:Florida  Entered:1992-11-03, Days after submission: 97
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: 1991 neg immunity;
CDC Split Type: EBU921478
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM629A42 RA
Administered by: Private     Purchased by: Private
Symptoms: Drug ineffective
SMQs:, Lack of efficacy/effect (narrow)
Write-up: approx 1/3 of the pts treated w/Engerix-B failed to respond or had borderline titer levels produced p/the 3rd dose; 60 to 70 pts have been treated to date;

VAERS ID:47022 (history)  Vaccinated:1990-11-08
Age:32.9  Onset:0000-00-00
Gender:Female  Submitted:1992-07-29
Location:Florida  Entered:1992-11-03, Days after submission: 97
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: 1991 neg immunity;
CDC Split Type: EBU921483
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM629A42 LA
Administered by: Private     Purchased by: Private
Symptoms: Drug ineffective
SMQs:, Lack of efficacy/effect (narrow)
Write-up: approx 1/3 of the pts treated to date w/Engerix-B failed to respond or had borderline titer levels produced p/the 3rd dose; 60 to 70 pts have been treated to date;

VAERS ID:47606 (history)  Vaccinated:1992-06-24
Age:32.0  Onset:1992-06-24, Days after vaccination: 0
Gender:Female  Submitted:1992-07-10, Days after onset: 16
Location:Texas  Entered:1992-11-03, Days after submission: 116
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:
Diagnostic Lab Data:
CDC Split Type: EBU921557
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM 1IMA
Administered by: Private     Purchased by: Private
Symptoms: Back pain, Diarrhoea, Influenza, Neck pain, Palpitations, Paraesthesia, Somnolence, Tachycardia
SMQs:, Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Retroperitoneal fibrosis (broad), Dementia (broad), Pseudomembranous colitis (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Arthritis (broad), Noninfectious diarrhoea (narrow)
Write-up: Pt recvd 2 doses of Engerix-B 2 hrs p/2nd dose exp h/a, dizziness, flu like sx, nausea, vomiting, diarrhea, neck & back pain, somnolence, tachycardia, palpitation & legs were numb @ noc;

VAERS ID:47899 (history)  Vaccinated:1992-06-17
Age:32.0  Onset:1992-06-17, Days after vaccination: 0
Gender:Female  Submitted:1992-09-16, Days after onset: 91
Location:Unknown  Entered:1992-11-03, Days after submission: 48
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC Split Type: EBU921844
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM882A41 LA
Administered by: Other     Purchased by: Other
Symptoms: Anorexia, Headache, Laryngospasm, Lymphadenopathy, Nausea, Pain, Paraesthesia, Vasodilatation
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Peripheral neuropathy (broad), Dystonia (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypersensitivity (narrow)
Write-up: Pt recvd 2 doses of Engerix-B & immediately following dose 2 exp burning & numbness in the lt arm, severe h/a, hot flashes; next morning glands were swollen, throat closed, nausea, upper resp & sinus pressure & could not eat or drink;

VAERS ID:47936 (history)  Vaccinated:1992-06-25
Age:32.0  Onset:1992-07-13, Days after vaccination: 18
Gender:Female  Submitted:1992-09-17, Days after onset: 66
Location:Florida  Entered:1992-11-03, Days after submission: 47
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: EBU921881
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM918A41IMA
Administered by: Public     Purchased by: Other
Symptoms: Arthritis, Hypersensitivity, Serum sickness
SMQs:, Angioedema (broad), Systemic lupus erythematosus (broad), Hypersensitivity (narrow), Arthritis (narrow)
Write-up: Pt recvd 2 doses of Engerix-B & 13JUL92 exp allergic arthritic reaction & serum sickness; seen by 2 MD''s; sx still persisting;

VAERS ID:47952 (history)  Vaccinated:1992-07-16
Age:32.0  Onset:1992-07-16, Days after vaccination: 0
Gender:Female  Submitted:1992-09-11, Days after onset: 57
Location:Maryland  Entered:1992-11-03, Days after submission: 53
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: EBU921792
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM814A41IMA
Administered by: Private     Purchased by: Private
Symptoms: Injection site oedema, Oedema peripheral, Osteoarthritis, Pruritus, Urticaria
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (narrow), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow), Arthritis (narrow)
Write-up: Pt recvd 2 doses of Engerix-B & exp swelling @ inject site, arms, hands & wrists swollen, hives, itching & hives covering wrists, ankles & mouth same day all sx had cleared by 18JUL92;

VAERS ID:48005 (history)  Vaccinated:1992-06-25
Age:32.0  Onset:1992-06-26, Days after vaccination: 1
Gender:Male  Submitted:1992-08-25, Days after onset: 60
Location:Michigan  Entered:1992-11-03, Days after submission: 70
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:
Diagnostic Lab Data:
CDC Split Type: EBU921916
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM  IMA
Administered by: Other     Purchased by: Other
Symptoms: Asthenia, Dyspnoea, Headache, Hyperhidrosis, Insomnia, Lymphadenopathy, Pharyngitis, Pyrexia
SMQs:, Anaphylactic reaction (broad), Agranulocytosis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Oropharyngeal infections (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Cardiomyopathy (broad)
Write-up: breathing problems, fatigue, headaches, low grade fever lymphadenopathy, pain shoulder, sleeplessness, sore throat, sweating weakness;

VAERS ID:48128 (history)  Vaccinated:1992-07-15
Age:32.0  Onset:0000-00-00
Gender:Male  Submitted:1992-08-28
Location:California  Entered:1992-11-03, Days after submission: 67
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: EBU921980
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM  IMA
Administered by: Private     Purchased by: Private
Symptoms: Myalgia, Myasthenic syndrome
SMQs:, Rhabdomyolysis/myopathy (broad), Malignancy related conditions (narrow), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad)
Write-up: 15JUL92 recvd Engerix-B & devel muscle aches in biceps that progressed to weakness in both arms & loss of strength in fingers;

VAERS ID:48141 (history)  Vaccinated:1992-06-24
Age:32.0  Onset:1992-06-26, Days after vaccination: 2
Gender:Male  Submitted:1992-08-26, Days after onset: 61
Location:California  Entered:1992-11-03, Days after submission: 69
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: EBU921607
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM923A4 IMA
Administered by: Other     Purchased by: Other
Symptoms: Dizziness, Vertigo
SMQs:, Anticholinergic syndrome (broad), Vestibular disorders (narrow)
Write-up: pt recvd Engerix-B & 30 mins later was lightheaded;

VAERS ID:48293 (history)  Vaccinated:1992-06-04
Age:32.0  Onset:1992-06-05, Days after vaccination: 1
Gender:Female  Submitted:1992-09-11, Days after onset: 98
Location:New York  Entered:1992-11-03, Days after submission: 53
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: Pt exp fever, stuffy nose @ 32 y/o w/Engerix/DTP #1 dose;
Other Medications: NONE
Current Illness:
Preexisting Conditions: allergic to PCN, Darvon, Demerol;
Diagnostic Lab Data:
CDC Split Type: EBU921652
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM876A41IMA
Administered by: Private     Purchased by: Private
Symptoms: Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad)
Write-up: w/in 24 hrs of 2nd dose had fever (104 degrees fahrenheit) for 3 days, no rash or redness; resolved; treated by MD;

VAERS ID:48526 (history)  Vaccinated:1992-05-06
Age:32.0  Onset:0000-00-00
Gender:Female  Submitted:1992-09-08
Location:Unknown  Entered:1992-11-03, Days after submission: 56
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: 17APR92 Anti HBS 5;
CDC Split Type: EBU921700
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM 3  
Administered by: Other     Purchased by: Other
Symptoms: Drug ineffective
SMQs:, Lack of efficacy/effect (narrow)
Write-up: nonresponse;

VAERS ID:48884 (history)  Vaccinated:0000-00-00
Age:32.0  Onset:0000-00-00
Gender:Female  Submitted:1992-09-08
Location:Iowa  Entered:1992-11-03, Days after submission: 56
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: pt exp severe abdo pain @ 32 y/o w/ Recomibvax #1 dose;
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: EBU922007
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM 1  
Administered by: Private     Purchased by: Other
Symptoms: Abdominal pain, Hyperbilirubinaemia
SMQs:, Liver related investigations, signs and symptoms (narrow), Cholestasis and jaundice of hepatic origin (narrow), Acute pancreatitis (narrow), Retroperitoneal fibrosis (broad), Biliary system related investigations, signs and symptoms (narrow), Biliary tract disorders (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)
Write-up: Pt recvd vax & devel severe abdo pain; liver function tests were performed & all were nl x/Bilirubin which was 2 times nl values;

VAERS ID:48936 (history)  Vaccinated:0000-00-00
Age:32.9  Onset:1992-08-03
Gender:Male  Submitted:1992-08-31, Days after onset: 28
Location:New Mexico  Entered:1992-11-03, Days after submission: 64
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Zovirax
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: EBU922061
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM 0IMA
Administered by: Other     Purchased by: Other
Symptoms: Amblyopia, Arthralgia, Blood urea increased, Face oedema, Headache, Hypertension, Tongue oedema, Urticaria
SMQs:, Acute renal failure (broad), Anaphylactic reaction (narrow), Angioedema (narrow), Neuroleptic malignant syndrome (broad), Retroperitoneal fibrosis (broad), Oropharyngeal allergic conditions (narrow), Hypertension (narrow), Optic nerve disorders (broad), Chronic kidney disease (broad), Hypersensitivity (narrow), Arthritis (broad), Tumour lysis syndrome (broad)
Write-up: Pt recvd 1st dose of Engerix-B & devel hives, facial swelling & lip & tongue swelling; reaction required ER visit;

VAERS ID:48969 (history)  Vaccinated:0000-00-00
Age:32.0  Onset:0000-00-00
Gender:Female  Submitted:1992-09-01
Location:Pennsylvania  Entered:1992-11-03, Days after submission: 63
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: EBU922098
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM986A4 IM 
Administered by: Unknown     Purchased by: Unknown
Symptoms: Pain
SMQs:
Write-up: multiple pts recvd 2 or 3 doses of Engerix-B & p/inject had pain in the arm; resolved in 1 wk;

VAERS ID:49018 (history)  Vaccinated:1992-08-17
Age:32.0  Onset:1992-08-17, Days after vaccination: 0
Gender:Female  Submitted:1992-09-09, Days after onset: 23
Location:Maine  Entered:1992-11-03, Days after submission: 55
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: EBU922150
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM975A40IMLA
Administered by: Private     Purchased by: Private
Symptoms: Amblyopia, Dizziness, Headache, Hypotension, Nausea
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Optic nerve disorders (broad), Vestibular disorders (broad)
Write-up: pt recvd Engerix-B & 15 mins p/inject devel sl dizziness, nausea, h/a, blurred vision & BP was 100/70; seen in ER & released;

VAERS ID:47094 (history)  Vaccinated:1992-10-23
Age:32.0  Onset:0000-00-00
Gender:Female  Submitted:0000-00-00
Location:Unknown  Entered:1992-11-10
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: NA
Current Illness:
Preexisting Conditions: NA
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)PFIZER/WYETH4928246 IM 
Administered by: Unknown     Purchased by: Unknown
Symptoms: Face oedema, Tongue oedema
SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), Oropharyngeal allergic conditions (narrow), Hypersensitivity (narrow)
Write-up: swelling of tongue & lt cheek;

VAERS ID:47327 (history)  Vaccinated:1992-09-25
Age:32.1  Onset:1992-09-25, Days after vaccination: 0
Gender:Female  Submitted:1992-10-27, Days after onset: 32
Location:Idaho  Entered:1992-11-18, Days after submission: 22
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: NA
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NA
CDC Split Type: ID92070
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (FOREIGN)MERCK & CO. INC.1063V0IMLA
Administered by: Public     Purchased by: Public
Symptoms: Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad)
Write-up: approx 30-45" p/inject, passed out 2x''s; no forewarning;

VAERS ID:47768 (history)  Vaccinated:1992-11-10
Age:32.5  Onset:1992-11-10, Days after vaccination: 0
Gender:Female  Submitted:1992-11-13, Days after onset: 3
Location:Idaho  Entered:1992-12-07, Days after submission: 24
Life Threatening? Yes
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: codeine, Morphine, Percodan, Erythromycin, Bee stings
Diagnostic Lab Data: NONE
CDC Split Type: ID92077
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (FOREIGN)MERCK & CO. INC.1063V0IMRA
Administered by: Public     Purchased by: Public
Symptoms: Laryngospasm
SMQs:, Anaphylactic reaction (broad), Dystonia (broad), Hypersensitivity (narrow)
Write-up: Pt recvd Hep B vax 415PM @ 440 pt driving 1mil from clinic felt throat closing up; pt presented @ clinic & was given Epi & DPH; pt taken to hosp by ambulance & observed;

VAERS ID:47778 (history)  Vaccinated:1992-09-24
Age:32.2  Onset:1992-09-25, Days after vaccination: 1
Gender:Female  Submitted:1992-10-13, Days after onset: 18
Location:Maryland  Entered:1992-12-07, Days after submission: 55
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: blood work-results unk;
CDC Split Type: MD92079
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM1034A40IMLA
Administered by: Public     Purchased by: Public
Symptoms: Hypertonia, Injection site pain, Insomnia, Myalgia, Nuchal rigidity, Pain, Paraesthesia
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Parkinson-like events (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Extravasation events (injections, infusions and implants) (broad), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad)
Write-up: c/o soreness @ site 24SEP92; next am c/o lt side pain w/stiffness in neck & back; progressed to numbness & tingling in hand; @ times interrupting sleep; 2OCT92 seen by MD for constant ache; 9OCT92 MD visit c/o dull pain;

VAERS ID:47837 (history)  Vaccinated:1992-11-09
Age:32.1  Onset:1992-11-10, Days after vaccination: 1
Gender:Male  Submitted:1992-11-20, Days after onset: 10
Location:Texas  Entered:1992-12-07, Days after submission: 17
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: DDC, Hivid, Paprone, Diflvcour, Acycord, Seldane
Current Illness: AIDS
Preexisting Conditions: allergic Augmentin, Cipro, Bactrim, Clindacin-dx AIDS
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
PPV: PNEUMO (PNU-IMUNE)LEDERLE LABORATORIES3229250 LA
Administered by: Private     Purchased by: Private
Symptoms: Lymphadenopathy, Pyrexia, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Hypersensitivity (narrow)
Write-up: urticaria, lymphadenitis lt axilla, fever;

VAERS ID:48038 (history)  Vaccinated:1992-08-18
Age:32.4  Onset:1992-08-18, Days after vaccination: 0
Gender:Female  Submitted:1992-09-22, Days after onset: 35
Location:Minnesota  Entered:1992-12-14, Days after submission: 83
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NONE
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: SUlfa
Diagnostic Lab Data: NONE
CDC Split Type: MN92042
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (FOREIGN)MERCK & CO. INC.0429V0 RA
Administered by: Public     Purchased by: Public
Symptoms: Pruritus, Rash, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow)
Write-up: pt recvd 1st Hep B vax & broke out w/small hives sometime during the noc; rash was itchy, was on the arms, chest & neck, & lasted about 2 days;

VAERS ID:48365 (history)  Vaccinated:1992-07-02
Age:32.7  Onset:1992-07-02, Days after vaccination: 0
Gender:Female  Submitted:1992-07-10, Days after onset: 8
Location:Georgia  Entered:1992-12-23, Days after submission: 166
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: N/a;
Other Medications: NONE
Current Illness: Stepped on nail 01JUL92;
Preexisting Conditions: Amoxicillin -$g rash; allergic to sulfa;
Diagnostic Lab Data: NONE
CDC Split Type: GA92159
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)LEDERLE LABORATORIES1G31088 IMLA
Administered by: Public     Purchased by: Public
Symptoms: Ecchymosis, Injection site hypersensitivity, Injection site mass, Injection site oedema, Injection site pain, Paraesthesia, Vasodilatation
SMQs:, Peripheral neuropathy (broad), Haemorrhage terms (excl laboratory terms) (narrow), Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow)
Write-up: Swelling @ site w/bruising (bruising noted immediately p/vax); tingling; swelling, pain, erythema @ site; indurated nodule w/faint well demarcated surrounding erythema; inc warmth; very tender; to ER; Rx: Keflex 500mg q 6hrs x 10 days ;

VAERS ID:48393 (history)  Vaccinated:1992-08-31
Age:32.6  Onset:1992-09-12, Days after vaccination: 12
Gender:Female  Submitted:1992-09-30, Days after onset: 18
Location:Georgia  Entered:1992-12-23, Days after submission: 84
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NONE
Other Medications: Stelagine, Cogentin
Current Illness: NONE
Preexisting Conditions: hx mental illness (nervous condition)
Diagnostic Lab Data: NONE
CDC Split Type: GA92188
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0259V SCLA
Administered by: Public     Purchased by: Public
Symptoms: Malaise, Myalgia, Rash maculo-papular
SMQs:, Rhabdomyolysis/myopathy (broad), Eosinophilic pneumonia (broad), Hypersensitivity (narrow), Tendinopathies and ligament disorders (broad)
Write-up: pt noticed small papular pimple to body chest, back, arm, thigh, legs & neck; also c/o not feeling well & aching in legs;

VAERS ID:48605 (history)  Vaccinated:1992-07-09
Age:32.9  Onset:1992-07-10, Days after vaccination: 1
Gender:Female  Submitted:1992-07-10, Days after onset: 0
Location:Michigan  Entered:1993-01-04, Days after submission: 178
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NA
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: hx of allergies in summer-last med 2JUL92;
Diagnostic Lab Data:
CDC Split Type: MI92118
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0301V1SCLL
TD: TD ADSORBED (NO BRAND NAME)MICHIGAN DEPT PUB HLTHTD6129B5IMRL
Administered by: Public     Purchased by: Public
Symptoms: Influenza, Nausea, Vomiting
SMQs:, Acute pancreatitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)
Write-up: pt became nauseous & vomited @ 3AM on 10JUL92; there was no local reaction from either vax; MD dx flu;

VAERS ID:48741 (history)  Vaccinated:1992-10-20
Age:32.1  Onset:1992-10-22, Days after vaccination: 2
Gender:Female  Submitted:1992-10-27, Days after onset: 5
Location:Ohio  Entered:1993-01-08, 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: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC Split Type: OH92094
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)PFIZER/WYETH4928244 IMA
Administered by: Public     Purchased by: Public
Symptoms: Oedema, Oedema peripheral, Osteoarthritis, Rash
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Hypersensitivity (narrow), Arthritis (narrow)
Write-up: pt states has had the flu vax a/ w/o any reaction; this time approx 48 hrs p/recvd vax devel rash w/swelling on ankles, thighs, wrists, & neck; seen by MD;

VAERS ID:48760 (history)  Vaccinated:1992-12-08
Age:32.7  Onset:1992-12-17, Days after vaccination: 9
Gender:Female  Submitted:1992-12-21, Days after onset: 4
Location:California  Entered:1993-01-08, Days after submission: 18
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: pt "felt crummy" late 20''s unk military vax;
Other Medications: NONE
Current Illness: sl cold, no fever
Preexisting Conditions: congential hearing loss lt ear
Diagnostic Lab Data: NONE
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
MER: MEASLES + RUBELLA (MR-VAX II)MERCK & CO. INC.1181V SCL
Administered by: Private     Purchased by: Private
Symptoms: Chills, Myalgia, Pyrexia, Rash
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Eosinophilic pneumonia (broad), Hypersensitivity (narrow), Tendinopathies and ligament disorders (broad)
Write-up: onset rash 17DEC92 hands & face 19DEC92 w/fever undocumented, ache, chills-no lymph enlargement; no nodes;

VAERS ID:49046 (history)  Vaccinated:1992-06-04
Age:32.0  Onset:1992-06-19, Days after vaccination: 15
Gender:Female  Submitted:0000-00-00
Location:Unknown  Entered:1993-01-13
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 3 days
    Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: Sed rat 104; WBC 18,000;
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (NO BRAND NAME)UNKNOWN MANUFACTURER0573T   
Administered by: Unknown     Purchased by: Unknown
Symptoms: Dehydration, Diarrhoea, Leukocytosis, Oedema peripheral, Rash, Red blood cell sedimentation rate increased, Tenosynovitis, Vomiting
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Acute pancreatitis (broad), Angioedema (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow), Noninfectious diarrhoea (narrow), Tendinopathies and ligament disorders (narrow)
Write-up: hospitalized, 18 days p/MMR vax acute fever, progressive nausea, anorexia, vomiting & diarrhea; acute tenosynovitis of ankles & feet w/edema & toxic chemical; t100-104; dehydration, erythema;

VAERS ID:49058 (history)  Vaccinated:1992-11-30
Age:32.7  Onset:1992-11-30, Days after vaccination: 0
Gender:Male  Submitted:1993-01-05, Days after onset: 36
Location:Iowa  Entered:1993-01-14, Days after submission: 9
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: unk
Other Medications:
Current Illness:
Preexisting Conditions: NKA
Diagnostic Lab Data:
CDC Split Type: IA93002
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (FOREIGN)MERCK & CO. INC.1468V0IMLA
Administered by: Other     Purchased by: Public
Symptoms: Anxiety, Dizziness, Hypersensitivity, Hypotension, Laryngospasm, Nervousness, Tachycardia, Tremor
SMQs:, Anaphylactic reaction (narrow), Angioedema (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dystonia (broad), Parkinson-like events (broad), Noninfectious encephalopathy/delirium (broad), Vestibular disorders (broad), Hypersensitivity (narrow)
Write-up: restlessness, tightness in throat, nausea, shaky, dizzy, BP dec, inc pulse, anxious & apprehensive, poss allergic reaction; light headed, pale;

VAERS ID:49272 (history)  Vaccinated:1992-06-04
Age:32.0  Onset:1992-06-06, Days after vaccination: 2
Gender:Female  Submitted:1993-01-20, Days after onset: 228
Location:Maryland  Entered:1993-01-22, Days after submission: 2
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 3 days
    Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: 22JUN92 ESR-104; WBC Count-18000;
CDC Split Type: WAES93010474
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0573T IM 
Administered by: Other     Purchased by: Other
Symptoms: Infection, Leukocytosis, Oedema peripheral, Osteoarthritis, Red blood cell sedimentation rate increased,