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Found 593491 cases in entire database

Case Details (Sorted by Age)

This is page 378 out of 594

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VAERS ID:27966 (history)  Vaccinated:1990-08-15
Age:25.0  Onset:1990-08-15, Days after vaccination: 0
Gender:Female  Submitted:0000-00-00
Location:Michigan  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:
Diagnostic Lab Data:
CDC Split Type: EBU900416
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM618A42IM 
Administered by: Unknown     Purchased by: Unknown
Symptoms: Injection site hypersensitivity, Oedema, Vasodilatation
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Hypersensitivity (narrow)
Write-up: 2-3 days p/ 1st dose, reporter informed that pt had a red, 50 cent size mark on lt arm, paled in about a wk. 3 days p/2nd dose reporter informed lt arm swollen, red & warm to hot fr shoulder to elbow. Subsided in few days.

VAERS ID:28014 (history)  Vaccinated:1990-09-07
Age:25.0  Onset:1990-09-07, 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? No
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: EBU900376
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM  IM 
Administered by: Unknown     Purchased by: Unknown
Symptoms: Dizziness, Headache, Hyperhidrosis, Nausea
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad), Hypoglycaemia (broad)
Write-up: Events occurred 15 to 30 min p/vaccinee rec''d a 2nd Engerix-B dose 7SEP90; Put under observation ( ? emergency room). sx were still persisting 2 hrs post inject;Diaphoresis;dizziness;nausea;severe headache;

VAERS ID:27650 (history)  Vaccinated:1991-01-11
Age:25.0  Onset:1991-01-18, Days after vaccination: 7
Gender:Male  Submitted:1991-01-24, Days after onset: 6
Location:D.C.  Entered:1991-01-30, Days after submission: 6
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Has been taking Decongestents/Antihistamine
Current Illness:
Preexisting Conditions: Chronic sinisitis since SEP90.
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
DT: DT ADSORBED (NO BRAND NAME)PFIZER/WYETH4908043 IMLA
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.1890S SCRA
Administered by: Other     Purchased by: Public
Symptoms: Headache, Lymphadenopathy, Rhinitis
SMQs:, Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: One wk following MMR developed nasal congestion, mild headache & subauricular lymphadenopathy physical exam small lt post cervical node. Lt axillary node. Otherwise nl exam. sx are mild.

VAERS ID:28114 (history)  Vaccinated:0000-00-00
Age:25.0  Onset:0000-00-00
Gender:Female  Submitted:0000-00-00
Location:New York  Entered:1991-02-11
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Greater than 10 yrs since last tetanus shot
Diagnostic Lab Data:
CDC Split Type: 900114701
Vaccination
Manufacturer
Lot
Dose
Route
Site
TTOX: TETANUS TOXOID (NO BRAND NAME)LEDERLE LABORATORIES  IM 
Administered by: Unknown     Purchased by: Unknown
Symptoms: Arthralgia, Erythema nodosum, Osteoarthritis
SMQs:, Hypersensitivity (narrow), Arthritis (narrow)
Write-up: W/in 24-48 hrs post vax experienced arthralgias of the elbows & knees & swelling of the rt ankle. In addition, developed erythema nodosum approx 1 wk p/immunization.

VAERS ID:28458 (history)  Vaccinated:1991-02-08
Age:25.0  Onset:1991-02-08, Days after vaccination: 0
Gender:Female  Submitted:1991-02-11, Days after onset: 3
Location:Pennsylvania  Entered:1991-02-25, Days after submission: 14
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: none
Other Medications: other vax given as a baby;Measels;MSD;one dose, Polymox, EntexLA
Current Illness: ear infection
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: PA9143
Vaccination
Manufacturer
Lot
Dose
Route
Site
MER: MEASLES + RUBELLA (MR-VAX II)MERCK & CO. INC.1012S2 LA
Administered by: Public     Purchased by: Public
Symptoms: Diarrhoea, Dizziness, Nausea, Rash, Vomiting
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad), Hypersensitivity (narrow), Noninfectious diarrhoea (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: between 2-6 hrs /p vax /w MR, pt had nausea, vomiting, diarrhea, dizziness, rash all body

VAERS ID:29554 (history)  Vaccinated:1989-12-12
Age:25.0  Onset:0000-00-00
Gender:Female  Submitted:0000-00-00
Location:Virginia  Entered:1991-03-12
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: Chem profile including liver enzymes was negative;
CDC Split Type: WAES90010486
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC. 0  
Administered by: Unknown     Purchased by: Unknown
Symptoms: Glossitis, Influenza, Nausea, Scleritis
SMQs:, Acute pancreatitis (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Scleral disorders (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Experienced flu-like sx w/nausea, transient "scleric changes" & an ulcer under her tongue; Seen in ER; Was vaccinated w/second dose of HepatitisB (Recomb);

VAERS ID:29560 (history)  Vaccinated:1990-01-18
Age:25.0  Onset:1990-01-18, 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: pt allergic to yeast
Diagnostic Lab Data: NA
CDC Split Type: WAES90010888
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.0185R IM 
Administered by: Unknown     Purchased by: Unknown
Symptoms: Diarrhoea, Nausea, Urticaria, Vasodilatation, Vomiting
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Angioedema (narrow), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypersensitivity (narrow), Noninfectious diarrhoea (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: 18jan90 pt vax hepta B. Pt exposed to influenza virus that week. w/i 2hrs pt developed flushing, esp. on neck, w/ 2inch splotches. There was no pain or itching.w/i 24-36hrs pt developed n/v/d. pt recovered w/i 72-96 hrs w/o sequalae.

VAERS ID:29621 (history)  Vaccinated:1990-02-08
Age:25.0  Onset:1990-02-08, Days after vaccination: 0
Gender:Female  Submitted:0000-00-00
Location:Georgia  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: pt allergic to pollen
Diagnostic Lab Data: NA
CDC Split Type: WAES90020559
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.0341R1IM 
Administered by: Unknown     Purchased by: Unknown
Symptoms: Dyspnoea, Headache, Malaise, Nausea, Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (broad), Acute pancreatitis (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), Hypotonic-hyporesponsive episode (broad), Hypoglycaemia (broad)
Write-up: 08feb90 pt vax hepta B. 2hrs later pt became dyspneic and unconscious for apprx. 8hrs. pt awoke early morning w/ a frontal h/a and nausea. Pt ex malaise which persisted through the following day. pt recovered.

VAERS ID:29662 (history)  Vaccinated:1990-01-18
Age:25.0  Onset:1990-01-21, Days after vaccination: 3
Gender:Female  Submitted:0000-00-00
Location:Connecticut  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: WAES90030441
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC. 0  
Administered by: Unknown     Purchased by: Unknown
Symptoms: Hyperaesthesia, Movement disorder, Myasthenic syndrome, Paraesthesia
SMQs:, Peripheral neuropathy (broad), Malignancy related conditions (narrow), Akathisia (broad), Dyskinesia (broad), Dystonia (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad)
Write-up: Pt given 1st dose of vax 3days later developed muscle weakenss, numbness & a burning sensation in her lt arm; Also dec ROM in her lt shoulder;

VAERS ID:29681 (history)  Vaccinated:1990-02-02
Age:25.0  Onset:1990-02-03, 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? 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: WAES90030769
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC. 2  
Administered by: Unknown     Purchased by: Unknown
Symptoms: Headache, Myalgia, Pyrexia
SMQs:, Rhabdomyolysis/myopathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: 36hrs post 3rd dose of vax experienced severe rxn including myalgia, fever & h/a;

VAERS ID:30530 (history)  Vaccinated:0000-00-00
Age:25.0  Onset:0000-00-00
Gender:Female  Submitted:0000-00-00
Location:North Carolina  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: WAES90050798
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC. 1  
Administered by: Unknown     Purchased by: Unknown
Symptoms: Rash maculo-papular
SMQs:, Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: 3 days post 2nd vax developed a maculopapular rash; No adverse experience w/1st dose;

VAERS ID:30536 (history)  Vaccinated:1990-05-10
Age:25.0  Onset:1990-05-11, Days after vaccination: 1
Gender:Male  Submitted:0000-00-00
Location:Connecticut  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: NONE
Current Illness: UNK
Preexisting Conditions: No relevant hx
Diagnostic Lab Data: No relevant data
CDC Split Type: WAES90050969
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.0787R1  
Administered by: Unknown     Purchased by: Unknown
Symptoms: Abdominal pain, Diarrhoea, Vomiting
SMQs:, Acute pancreatitis (broad), Retroperitoneal fibrosis (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (narrow)
Write-up: Pt rec''d 2nd dose of vax & developed abd cramping, v,d; sx remitted spontaneously in 9 days; Vaccinated w/1st dose of Hepatitis B vax w/out adverse experience;

VAERS ID:30537 (history)  Vaccinated:1990-05-15
Age:25.0  Onset:1990-05-15, Days after vaccination: 0
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: BCP, Dimetapp
Current Illness:
Preexisting Conditions: Allergy to PCN
Diagnostic Lab Data: No relevant data
CDC Split Type: WAES90051036
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.1421R0  
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: Approx 10min p/receiving the inject pt developed painful, blotchy, warm, local rxn 3in diameter @ inject site; Sx subsequently resolved;

VAERS ID:30548 (history)  Vaccinated:1990-05-29
Age:25.0  Onset:1990-05-29, Days after vaccination: 0
Gender:Female  Submitted:0000-00-00
Location:Oregon  Entered:1991-03-12
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 hx
Diagnostic Lab Data: No relevant data
CDC Split Type: WAES90060091
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.1733R0  
Administered by: Unknown     Purchased by: Unknown
Symptoms: Hypertonia, Vomiting
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Parkinson-like events (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)
Write-up: Pt vaccinated w/1st dose of Hep B vax later that evening she experienced severe muscle spasms in arm & neck which radiated to middle back & severe vomiting; Seen in ER; 31MAY90 sx improved;

VAERS ID:30549 (history)  Vaccinated:1990-05-30
Age:25.0  Onset:1990-05-30, Days after vaccination: 0
Gender:Female  Submitted:0000-00-00
Location:Oregon  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: No relevant data
CDC Split Type: WAES90060092
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.1773R0  
Administered by: Unknown     Purchased by: Unknown
Symptoms: Injection site hypersensitivity, Nausea, Oedema, Pain, Paraesthesia, Vasodilatation, Vomiting
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Acute pancreatitis (broad), Angioedema (broad), Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Hypersensitivity (narrow)
Write-up: On 30MAY90 pt vaccinated 1st dose of vax later that evening experience nausea, vomiting, & severe pain in her arm; 31MAY90 numbness of the arm, & swelling, tenderness & induration over deltoid muscle; Area was red & warm to touch;

VAERS ID:31077 (history)  Vaccinated:1990-04-02
Age:25.0  Onset:0000-00-00
Gender:Female  Submitted:0000-00-00
Location:New York  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: allergy to erythromycin
Diagnostic Lab Data: chest x-ray-Sarcoidosis
CDC Split Type: WAES90090610
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.1380R   
Administered by: Unknown     Purchased by: Unknown
Symptoms: Erythema nodosum, Sarcoidosis
SMQs:, Interstitial lung disease (broad), Hypersensitivity (narrow)
Write-up: pt. vax''d w/1st & 2nd dose of hepatitis B vac on 7MAR90 & 2APR90 & on 6APR90 developed erythema nodosum subsequent CXR revealed sarcoidosis;

VAERS ID:31243 (history)  Vaccinated:0000-00-00
Age:25.0  Onset:0000-00-00
Gender:Female  Submitted:0000-00-00
Location:North Carolina  Entered:1991-03-12
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: after 1 vax pt exp right inguinal adenitis and right-sided pelvic pain.
Other Medications:
Current Illness:
Preexisting Conditions: No relevant hx
Diagnostic Lab Data: No relevant data
CDC Split Type: WAES90100266
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC. 1  
Administered by: Unknown     Purchased by: Unknown
Symptoms: Lymphadenopathy, Lymphoedema, Pelvic pain
SMQs:, Retroperitoneal fibrosis (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: 01Aug90 pt vax w/ hepta B. Pt exp right inguinal adenitis and right-sided pelvic pain. 04Sep90 pt vax w/ 2nd hepta B. 3 wks later pt exp more prominent reaction accom. by more widespread lymphadenopathy. TOR pt sx improved - under tx.

VAERS ID:31253 (history)  Vaccinated:1990-09-17
Age:25.0  Onset:1990-10-02, Days after vaccination: 15
Gender:Female  Submitted:0000-00-00
Location:Massachusetts  Entered:1991-03-12
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness:
Preexisting Conditions: Retinoblastoma
Diagnostic Lab Data: WBC,neutrophils,lymphocytes,,basophils WNL;monocytes decreased; ESR slightly inc; Anti-HB''s - positive.
CDC Split Type: WAES90100822
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.2213R0IM 
Administered by: Unknown     Purchased by: Unknown
Symptoms: Chills, Headache, Pain, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: pt. vax''d w/ 1st dose of hepatitis B vac. & developed T of 102,muscle aches,headache,& chills.

VAERS ID:31888 (history)  Vaccinated:1990-10-01
Age:25.0  Onset:1990-11-01, Days after vaccination: 31
Gender:Male  Submitted:0000-00-00
Location:Connecticut  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 history
Diagnostic Lab Data: No relevant data
CDC Split Type: WAES90111124
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC. 0  
Administered by: Unknown     Purchased by: Unknown
Symptoms: Cough, 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), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Pt vaxed w/1st dose of Hep B (recomb) OCT90; W/in a few days devl URI which consisted of a cough, congestion, fever & myalgias; tx erythromycin & gradually recovered;

VAERS ID:31784 (history)  Vaccinated:0000-00-00
Age:25.0  Onset:0000-00-00
Gender:Female  Submitted:0000-00-00
Location:Texas  Entered:1991-03-13
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: No relevant hx
Diagnostic Lab Data: No relevant data
CDC Split Type: WAES90110588
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.0790S0  
Administered by: Unknown     Purchased by: Unknown
Symptoms: Injection site hypersensitivity, Injection site oedema, Pruritus, Vasodilatation
SMQs:, Anaphylactic reaction (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Pt vax w/ hepta B; 20 min after vax exp heat, redness, and raised area at inject site. tx w/ Benadryl. Reporter felt exp related to vax.

VAERS ID:29338 (history)  Vaccinated:1991-02-27
Age:25.0  Onset:1991-02-28, Days after vaccination: 1
Gender:Female  Submitted:1991-03-11, Days after onset: 11
Location:Wisconsin  Entered:1991-03-25, 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:
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC Split Type: WI91011
Vaccination
Manufacturer
Lot
Dose
Route
Site
TTOX: TETANUS TOXOID (NO BRAND NAME)CONNAUGHT LABORATORIES0G21150 IMLA
Administered by: Public     Purchased by: Public
Symptoms: Injection site hypersensitivity, Injection site oedema, Movement disorder, Pain, Paraesthesia
SMQs:, Peripheral neuropathy (broad), Akathisia (broad), Dyskinesia (broad), Dystonia (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow)
Write-up: Red swollen area around immun site, soreness under lt arm; could not lift arm because of pain numbness in lt arm;

VAERS ID:29364 (history)  Vaccinated:1991-03-08
Age:25.0  Onset:1991-03-10, Days after vaccination: 2
Gender:Female  Submitted:0000-00-00
Location:Illinois  Entered:1991-03-25
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Triphasal, Rynatan
Current Illness: cold
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
MEA: MEASLES (ATTENUVAX)MERCK & CO. INC.1518S SCRA
Administered by: Other     Purchased by: Private
Symptoms: Cellulitis, Hypersensitivity, Injection site oedema, Injection site pain, Pyrexia
SMQs:, Angioedema (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: 10MAR developed swelling, soreness rt upper arm inject site; 12MAR developed fever $g101; 18MAR temp down to 98.9 personal MD dx = cellulitis vs allergic reaction;

VAERS ID:32110 (history)  Vaccinated:1989-10-04
Age:25.0  Onset:1989-10-04, Days after vaccination: 0
Gender:Female  Submitted:0000-00-00
Location:Virginia  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: Ativan
Current Illness:
Preexisting Conditions: Pt under a lot of stress + gastroenteritis.
Diagnostic Lab Data: No relevant data
CDC Split Type: WAES89100197
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC. 1  
Administered by: Unknown     Purchased by: Unknown
Symptoms: Abdominal pain, Nausea, Vomiting
SMQs:, Acute pancreatitis (broad), Retroperitoneal fibrosis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)
Write-up: 04OCT89 pt vax 2nd hepta B; devel stomach cramps, queasiness, n/ & vomited 3x. Tx w/pres. drug.

VAERS ID:32127 (history)  Vaccinated:0000-00-00
Age:25.0  Onset:0000-00-00
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: No relevant data
CDC Split Type: WAES89110358
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.  IM 
Administered by: Unknown     Purchased by: Unknown
Symptoms: Injection site hypersensitivity, Injection site oedema, Pruritus
SMQs:, Anaphylactic reaction (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Pt vax w/ hepta B; devel redness, itching + swelling at inject site for 20 minutes. MD felt that reaction not related to vax.

VAERS ID:32128 (history)  Vaccinated:1989-11-13
Age:25.0  Onset:1989-11-13, Days after vaccination: 0
Gender:Female  Submitted:0000-00-00
Location:Ohio  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: Prednisone, Hydroxyzine, + Maxitrol.
Current Illness:
Preexisting Conditions: Allergies to Motrin, penicillin, Inderal, sulfa, Furadantin + glove powder. Hx of depression, bronchitis, + cholelithiasis.
Diagnostic Lab Data: No relevant data
CDC Split Type: WAES89110427
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.0959R1SC 
Administered by: Unknown     Purchased by: Unknown
Symptoms: Cough, Face oedema, Pruritus, Rash, Vasodilatation
SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: 13Nov89 pt vax 2nd hepta B; devel cough, face warm to touch. 14Nov89 pt exp warm feeling in face + itchy feeling in ears + throat, red blotches on face, neck + ears w/ facial flushing + slightly puffy appearance under eyes and lip. see worm

VAERS ID:32141 (history)  Vaccinated:0000-00-00
Age:25.0  Onset:0000-00-00
Gender:Female  Submitted:0000-00-00
Location:New York  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: none
CDC Split Type: WAES89120176
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.1801R0  
Administered by: Unknown     Purchased by: Unknown
Symptoms: Facial palsy
SMQs:, Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Hearing impairment (broad)
Write-up: Pt recvd 1st dose of Hep B vax & later devel Bell''s Palsy. Tx w/unspecified steroids.

VAERS ID:32475 (history)  Vaccinated:1990-06-14
Age:25.0  Onset:1990-10-01, Days after vaccination: 109
Gender:Male  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:
Diagnostic Lab Data: Anti- HBs - neg
CDC Split Type: EBU910172
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 testing for anti- HBS. (see EBU910168 - EBU910171 - EBU910173 - EBU910177)

VAERS ID:29433 (history)  Vaccinated:1991-02-28
Age:25.0  Onset:1991-03-03, Days after vaccination: 3
Gender:Female  Submitted:1991-03-13, Days after onset: 10
Location:Tennessee  Entered:1991-03-29, Days after submission: 16
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: none
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.1707S0SCLA
Administered by: Private     Purchased by: Private
Symptoms: Injection site abscess, Injection site hypersensitivity, Injection site mass
SMQs:, Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (narrow)
Write-up: large-golf-ball sized of injection, red, hot knot at site of injection;described as an "abcess" by MD

VAERS ID:31175 (history)  Vaccinated:0000-00-00
Age:25.0  Onset:0000-00-00
Gender:Female  Submitted:0000-00-00
Location:Pennsylvania  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: UNK
Current Illness:
Preexisting Conditions: No relevant hx
Diagnostic Lab Data: No relevant data
CDC Split Type: WAES90100502
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (FOREIGN)MERCK & CO. INC.    
Administered by: Unknown     Purchased by: Unknown
Symptoms: Rash, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Pt vaccinated w/1st dose of vax developed severe rash w/broken skin, scaling & raised welts on the inside of both calves of legs; Rash persisted a couple of months until seen by allergist; tx Pred & unspecified topical ointments;

VAERS ID:30094 (history)  Vaccinated:1989-04-21
Age:25.0  Onset:0000-00-00
Gender:Female  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:
Current Illness:
Preexisting Conditions: Obese
Diagnostic Lab Data: 4DEC90 neg AntiHbs; 23JAN91 - positive Anti HBs
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 negative for Anti-HBs 4DEC90 approx 1yr, 2 months p/series completed;Given 4 dose 21APR89, 31MAY89, 23OCT89, 14DEC90 lot #s 1893P, & 0302S 3rd dose not given;

VAERS ID:30095 (history)  Vaccinated:1988-11-02
Age:25.0  Onset:0000-00-00
Gender:Female  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:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: 28MAR91 Anti-HBs negative
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC. 0IMRA
Administered by: Public     Purchased by: Other
Symptoms: Drug ineffective
SMQs:, Lack of efficacy/effect (narrow)
Write-up: Less than 2 yrs p/initial series completed pt not immune to HBV B according to test results; Given 3 doses 2NOV88, 7DEC88, 19MAY89 lot #1893P 1 & 2nd dose not recorded To be given 4th & 5th dose;

VAERS ID:30967 (history)  Vaccinated:1991-01-29
Age:25.0  Onset:1991-01-30, Days after vaccination: 1
Gender:Female  Submitted:1991-05-10, Days after onset: 99
Location:Rhode Island  Entered:1991-06-03, Days after submission: 24
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: NONE
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM630A40IMLA
Administered by: Private     Purchased by: Private
Symptoms: Arthralgia, Paraesthesia
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Arthritis (broad)
Write-up: Numbness in joints, arms & aching for 3 days;

VAERS ID:33512 (history)  Vaccinated:0000-00-00
Age:25.0  Onset:0000-00-00
Gender:Female  Submitted:0000-00-00
Location:California  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: NONE
Current Illness:
Preexisting Conditions: poss allergy to eggs
Diagnostic Lab Data: No relevant data
CDC Split Type: WAES90100828
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.    
Administered by: Unknown     Purchased by: Unknown
Symptoms: Drug ineffective
SMQs:, Lack of efficacy/effect (narrow)
Write-up: Pt recvd MMR vax; 2 wks later, lab tests revealed non-protective antibody titers to MMR;

VAERS ID:33530 (history)  Vaccinated:0000-00-00
Age:25.0  Onset:0000-00-00
Gender:Male  Submitted:0000-00-00
Location:New York  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: UNK
Current Illness:
Preexisting Conditions: No relevant hx
Diagnostic Lab Data: Titer-neg for measles; Titer-positive for rubella
CDC Split Type: WAES90101400
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.    
Administered by: Unknown     Purchased by: Unknown
Symptoms: Drug ineffective
SMQs:, Lack of efficacy/effect (narrow)
Write-up: Pt recvd 2nd dose of MMR; Lab eval revealed a positive titer for rubella & a neg titer for measles; pt''s titer for mumps was not tested;

VAERS ID:31140 (history)  Vaccinated:1991-06-06
Age:25.0  Onset:1991-06-06, Days after vaccination: 0
Gender:Female  Submitted:1991-06-09, Days after onset: 3
Location:Arkansas  Entered:1991-06-10, Days after submission: 1
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: N/A
Other Medications: N/A
Current Illness: N/A
Preexisting Conditions: N/A
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)PFIZER/WYETH4908126 IMLA
Administered by: Military     Purchased by: Military
Symptoms: Face oedema
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: 2hrs post vax c/o facial swelling on lt side where inject given; Instructed to go to ER for tx;

VAERS ID:31844 (history)  Vaccinated:1991-04-26
Age:25.0  Onset:1991-04-28, Days after vaccination: 2
Gender:Male  Submitted:1991-06-25, Days after onset: 58
Location:Alabama  Entered:1991-06-28, Days after submission: 3
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: CBC, SMA, UA-all nl
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM637A4  LA
Administered by: Private     Purchased by: Private
Symptoms: Asthenia, Face oedema, Myalgia, Vasodilatation
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Angioedema (narrow), Guillain-Barre syndrome (broad), Eosinophilic pneumonia (broad), Hypersensitivity (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Myalgias, fatigue, flushing, eye puffy;

VAERS ID:34117 (history)  Vaccinated:1991-04-26
Age:25.0  Onset:1991-04-28, Days after vaccination: 2
Gender:Male  Submitted:0000-00-00
Location:Alabama  Entered:1991-07-28
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:
Diagnostic Lab Data:
CDC Split Type: EBU910439
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM637A4 IM 
Administered by: Private     Purchased by: Private
Symptoms: Asthenia, Dizziness, Face oedema, Hypertonia, Myalgia, Nausea, Pyrexia, Vasodilatation
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Acute pancreatitis (broad), Angioedema (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Parkinson-like events (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad), Vestibular disorders (broad), Hypersensitivity (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: 26Apr91 pt vax; 28Apr exp stiffness in joints, eye swelling, flushed feeling, fever, & vomited once. CBC & UA ordered. Events persisting slightly.

VAERS ID:34119 (history)  Vaccinated:1991-02-21
Age:25.0  Onset:1991-03-21, Days after vaccination: 28
Gender:Female  Submitted:0000-00-00
Location:Texas  Entered:1991-07-28
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: Obesity
Diagnostic Lab Data: HBSAB - neg
CDC Split Type: EBU910441
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: 21Aug91, 21Sep90, 21Feb91 pt vax; Titers revealed pt did not serconvert

VAERS ID:34055 (history)  Vaccinated:1991-04-17
Age:25.0  Onset:1991-04-19, Days after vaccination: 2
Gender:Male  Submitted:0000-00-00
Location:Florida  Entered:1991-07-29
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: EBU910419
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM631A40IMA
Administered by: Public     Purchased by: Private
Symptoms: Influenza, Nausea, Pyrexia, Vomiting
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Pt recvd 1st dose of Engerix-B 17APR91; On 19APR91 pt exp flu-like sx; pt seen in ER;

VAERS ID:33722 (history)  Vaccinated:1991-07-25
Age:25.0  Onset:1991-07-28, Days after vaccination: 3
Gender:Female  Submitted:1991-08-05, Days after onset: 8
Location:Tennessee  Entered:1991-08-16, Days after submission: 11
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: NONE
Other Medications:
Current Illness: amoxicillin
Preexisting Conditions:
Diagnostic Lab Data: NONE
CDC Split Type: TN91134
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0572T1SCLA
Administered by: Public     Purchased by: Unknown
Symptoms: Asthenia, Lymphadenopathy, Pharyngitis, Pyrexia
SMQs:, Agranulocytosis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Oropharyngeal infections (narrow), Guillain-Barre syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (narrow)
Write-up: Swollen lymph gland, tiredness, sore throat, t99.4; seen by MD 29JUL;

VAERS ID:33916 (history)  Vaccinated:1991-07-29
Age:25.0  Onset:1991-07-30, Days after vaccination: 1
Gender:Female  Submitted:1991-08-02, Days after onset: 3
Location:Georgia  Entered:1991-08-19, Days after submission: 17
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: CBC 41%, 6,600 (71P, 8BD, 13L, 7M, 1EO) vincent''s prep-neg
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0768T2 LA
Administered by: Other     Purchased by: Private
Symptoms: Chills, Lymphadenopathy, Pain, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Fever, chills, inc tenderness at nodes, sore gums p/ vax given;

VAERS ID:34231 (history)  Vaccinated:1990-06-01
Age:25.0  Onset:1990-06-02, Days after vaccination: 1
Gender:Unknown  Submitted:0000-00-00
Location:Massachusetts  Entered:1991-08-19
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:
Diagnostic Lab Data: WBC: 16,000-18,000; Blood culture - Staph Epi
CDC Split Type: 900101301
Vaccination
Manufacturer
Lot
Dose
Route
Site
PPV: PNEUMO (PNU-IMUNE)LEDERLE LABORATORIES2659620IM 
Administered by: Unknown     Purchased by: Unknown
Symptoms: Cellulitis, Chills, Injection site abscess, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Pt seen in clinic w/in 24 hrs p/immun w/fever, rigors; dx cellulitis; tx Oxacillin IV followed by Dicloxacillin PO 5 days p/immun; abscess devel @ inject site;

VAERS ID:34477 (history)  Vaccinated:1991-08-05
Age:25.0  Onset:1991-08-05, Days after vaccination: 0
Gender:Female  Submitted:1991-08-14, Days after onset: 9
Location:Louisiana  Entered:1991-09-03, Days after submission: 20
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: Pt exp severe local rxn age 6 w/DTP #5;
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE- pt refused to see MD
CDC Split Type: LA910812
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.1904S1SCRA
TD: TD ADSORBED (NO BRAND NAME)CONNAUGHT LABORATORIES1B310135IMLA
Administered by: Public     Purchased by: Public
Symptoms: Injection site mass, Injection site oedema, Lymphadenopathy, Pain, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Devel lump & swelling in inject site, lump in neck, pain (extreme) in lt arm where vax given, fever (degree unk); From several hrs p/vax gradually relieved by APAP & cold compresses over next 2-3 days;

VAERS ID:34490 (history)  Vaccinated:1991-06-27
Age:25.0  Onset:1991-07-02, Days after vaccination: 5
Gender:Female  Submitted:1991-08-28, Days after onset: 57
Location:New Jersey  Entered:1991-09-03, Days after submission: 6
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 6 days
    Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: spinal tap, CAT scan, lung x-rays.
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0861T1SCLA
Administered by: Private     Purchased by: Private
Symptoms: Headache, Meningitis
SMQs:, Noninfectious meningitis (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Severe h/a, viral meningitis.

VAERS ID:34518 (history)  Vaccinated:1991-04-15
Age:25.0  Onset:1991-04-16, Days after vaccination: 1
Gender:Male  Submitted:1991-06-13, Days after onset: 58
Location:Oklahoma  Entered:1991-09-03, Days after submission: 82
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: NONE
CDC Split Type: 891205009J
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)PFIZER/WYETH49081400IM 
Administered by: Private     Purchased by: Private
Symptoms: Diarrhoea, Dyspnoea, Hypokinesia, Neuropathy
SMQs:, Anaphylactic reaction (broad), Peripheral neuropathy (narrow), Pseudomembranous colitis (broad), Parkinson-like events (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Noninfectious diarrhoea (narrow)
Write-up: Pt presented to ER & claimed neurological damage following DT peds; no further info available;

VAERS ID:34693 (history)  Vaccinated:1991-01-08
Age:25.0  Onset:1991-01-08, Days after vaccination: 0
Gender:Male  Submitted:0000-00-00
Location:Hawaii  Entered:1991-09-12
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: Leukopenia; systemic lupus erythematosus
Diagnostic Lab Data: No relevant data
CDC Split Type: WAES91010347
Vaccination
Manufacturer
Lot
Dose
Route
Site
MU: MUMPS (MUMPSVAX I)MERCK & CO. INC.    
Administered by: Unknown     Purchased by: Unknown
Symptoms: Unevaluable event
SMQs:
Write-up: Pt recvd mumps virus vac live ID instead of mumps skin test on 08JAN91; @ time of report there were no noted problems;

VAERS ID:34829 (history)  Vaccinated:1991-08-26
Age:25.0  Onset:1991-09-13, Days after vaccination: 18
Gender:Male  Submitted:1991-09-16, Days after onset: 3
Location:Georgia  Entered:1991-09-19, Days after submission: 3
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: NONE
Other Medications: Seldane
Current Illness: states felt achey
Preexisting Conditions: allergies
Diagnostic Lab Data:
CDC Split Type: GA91248
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0769T1SCLA
Administered by: Public     Purchased by: Public
Symptoms: Back pain, Chills, Myalgia, Pyrexia
SMQs:, Rhabdomyolysis/myopathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Friend called reported pt exp inc temp since nite p/vax, chills, achey feeling all over; t103.7 to ER poss virus or rxn to MMR; 30AUG91 back pain, fever seems to be going down;

VAERS ID:34835 (history)  Vaccinated:1991-05-31
Age:25.0  Onset:1991-06-10, Days after vaccination: 10
Gender:Female  Submitted:1991-08-08, Days after onset: 59
Location:Georgia  Entered:1991-09-19, Days after submission: 42
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NA
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: Blood test-neg;
CDC Split Type: GA91256
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.2265S0SCLA
TD: TD ADSORBED (NO BRAND NAME)CONNAUGHT LABORATORIES0K210460IMRA
Administered by: Public     Purchased by: Public
Symptoms: Face oedema, Headache, Lymphadenopathy, Mouth ulceration, Pain, Rash
SMQs:, Severe cutaneous adverse reactions (broad), Anaphylactic reaction (broad), Angioedema (narrow), Systemic lupus erythematosus (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: 10JUN91 knot behind lt ear tender noticed; 11JUN91, 2nd knot arose below lt ear; a knot also rt & lt side of neck; c/o h/a''s 13JUN91, To MD who did neg blood tests; Facial rash; lymph glands gone; has swollen lips & fever blisters;

VAERS ID:35147 (history)  Vaccinated:1990-08-14
Age:25.0  Onset:1991-02-01, Days after vaccination: 171
Gender:Female  Submitted:1991-06-11, Days after onset: 129
Location:Mississippi  Entered:1991-09-30, Days after submission: 111
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: 1FEB91 HBSAB - negative
CDC Split Type: EBU910549
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM606A42IMA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Drug ineffective
SMQs:, Lack of efficacy/effect (narrow)
Write-up: PT recd a series of 3 Engerix-B vaxs, 1cc, IM, deltoid, on 6FEB90, 5MAR90, & 14AUG90; PT did not develop antibodies p/3 injects;

VAERS ID:35962 (history)  Vaccinated:1991-04-17
Age:25.0  Onset:1991-06-25, Days after vaccination: 69
Gender:Male  Submitted:1991-10-24, Days after onset: 121
Location:Colorado  Entered:1991-11-01, Days after submission: 8
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: Sister exp abscess @ inject site following DT shot;
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: Culture of abscess-no growth @ 24hrs;
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)PFIZER/WYETH  IMA
Administered by: Private     Purchased by: Unknown
Symptoms: Injection site abscess
SMQs:
Write-up: An abcess devel @ inject site in a brother & sister who recvd DT vax @ different times & different places & from different packages;

VAERS ID:36094 (history)  Vaccinated:1991-09-23
Age:25.0  Onset:1991-09-23, Days after vaccination: 0
Gender:Male  Submitted:1991-09-24, Days after onset: 1
Location:Washington  Entered:1991-11-05, Days after submission: 42
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC Split Type: WA91632
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM715A42IMRA
Administered by: Public     Purchased by: Public
Symptoms: Injection site hypersensitivity, Injection site pain, Lymphadenopathy
SMQs:, Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: c/o swollen glands under rt arm, redness & sorness @ inject site;

VAERS ID:36597 (history)  Vaccinated:1991-10-15
Age:25.0  Onset:1991-10-15, Days after vaccination: 0
Gender:Female  Submitted:1991-10-23, Days after onset: 8
Location:Arkansas  Entered:1991-11-25, Days after submission: 33
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: NKA
Diagnostic Lab Data:
CDC Split Type: AR9169
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.1140T1SCLA
TD: TD ADSORBED (NO BRAND NAME)CONNAUGHT LABORATORIES1F310581IMRA
Administered by: Public     Purchased by: Public
Symptoms: Asthenia, Dyspnoea, Headache, Myalgia, Rash, Tachycardia, Tremor, Vomiting
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (narrow), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Parkinson-like events (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Hypersensitivity (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)
Write-up: Rash-LUA, body aches, weakness, shakes, h/a; BP 130/80;

VAERS ID:36674 (history)  Vaccinated:1991-10-01
Age:25.0  Onset:1991-10-12, Days after vaccination: 11
Gender:Male  Submitted:1991-10-12, Days after onset: 0
Location:Michigan  Entered:1991-11-25, Days after submission: 44
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: NKDA
Diagnostic Lab Data: NONE
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
MER: MEASLES + RUBELLA (MR-VAX II)MERCK & CO. INC.1658S SC 
Administered by: Public     Purchased by: Other
Symptoms: Rash maculo-papular
SMQs:, Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: systemic macular/papular rash over entire body x/palms/soles 12 days post MR vax; no fever/no arthralgias; no kopliks spots

VAERS ID:36740 (history)  Vaccinated:1991-08-26
Age:25.0  Onset:1991-08-27, Days after vaccination: 1
Gender:Female  Submitted:1991-10-09, Days after onset: 43
Location:New York  Entered:1991-12-02, Days after submission: 54
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: paraplegia secondary to motor vehicle accid 1974;
Diagnostic Lab Data: NONE
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0708T0  
Administered by: Unknown     Purchased by: Unknown
Symptoms: Headache, Influenza, Myalgia, Rash maculo-papular
SMQs:, Rhabdomyolysis/myopathy (broad), Eosinophilic pneumonia (broad), Hypersensitivity (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Body aches, "felt like flu" x 2 wks; intermittent h/a, fine papular red rash;

VAERS ID:37788 (history)  Vaccinated:1991-06-13
Age:25.0  Onset:1991-07-01, Days after vaccination: 18
Gender:Male  Submitted:1991-07-26, Days after onset: 25
Location:D.C.  Entered:1991-12-05, Days after submission: 132
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: hay fever
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.   LA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Chills, Dizziness, Drug ineffective, Infection, Pyrexia, Rash
SMQs:, Anaphylactic reaction (broad), Lack of efficacy/effect (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Vestibular disorders (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Pt had fever on 22JUN & 23 then had over again 27-29JUN; had chills & dizziness; 10JUL broke out in a rash; dx measles;

VAERS ID:37890 (history)  Vaccinated:1991-11-09
Age:25.0  Onset:1991-11-09, Days after vaccination: 0
Gender:Male  Submitted:1991-11-22, Days after onset: 13
Location:New York  Entered:1991-12-12, Days after submission: 20
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? Yes, 4 days
    Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.1156T  A
Administered by: Other     Purchased by: Public
Symptoms: Asthenia, Cellulitis, Chest pain, Hypokinesia, Myalgia, Oedema, Pyrexia, Somnolence
SMQs:, Rhabdomyolysis/myopathy (broad), Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Hypotonic-hyporesponsive episode (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)
Write-up: Pt recvd MMR vax 9NOV91 & on 13NOV exp sore arm, lethargic; 15NOV tired achy, inc temp 102; 17NOV arm immobile, red, swollen elbow, pain now also to chest area, pt started on ATB; 18NOV adm to hosp dx cellulitis;

VAERS ID:37992 (history)  Vaccinated:1991-11-20
Age:25.0  Onset:1991-11-29, Days after vaccination: 9
Gender:Male  Submitted:1991-12-06, Days after onset: 7
Location:Wisconsin  Entered:1991-12-16, Days after submission: 10
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: 2DEC WBC 4.8;11-S;28-B;5-E,25-L;21-ATYP;9-M,PH-193000; Monospot neg x 2, 2DEC, 6DEC, CBC, diff; 6DEC WBC 10.3, 27-S, 9-B, 4-E, 0-B, 20-L, 33-ATXP, 7-M, PH-257000;
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
IPV: POLIO VIRUS, INACT. (NO BRAND NAME)CONNAUGHT LTD.C1144 SCLA
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.1154T SCRA
Administered by: Other     Purchased by: Unknown
Symptoms: Lymphadenopathy, Pyrexia, Rash maculo-papular
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (narrow)
Write-up: Fever, rash (diffuse, morbilliform), cervical adenopathy; t39C 29NOV; rash 1DEC resolved spontaneously;

VAERS ID:38039 (history)  Vaccinated:1991-10-07
Age:25.0  Onset:1991-10-07, Days after vaccination: 0
Gender:Male  Submitted:1991-10-15, Days after onset: 8
Location:Texas  Entered:1991-12-19, Days after submission: 65
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC Split Type: TX91127
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME)PFIZER/WYETH49181690 LA
Administered by: Public     Purchased by: Public
Symptoms: Chills, Influenza, Mouth ulceration, Muscle spasms, Myalgia, Pyrexia, Vomiting
SMQs:, Rhabdomyolysis/myopathy (broad), Severe cutaneous adverse reactions (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Dystonia (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad), Hypersensitivity (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Fever blisters, chills, fever, aching vomiting, leg cramps-flu like sx;

VAERS ID:38071 (history)  Vaccinated:1991-11-22
Age:25.0  Onset:1991-11-23, Days after vaccination: 1
Gender:Female  Submitted:1991-11-25, Days after onset: 2
Location:Texas  Entered:1991-12-19, Days after submission: 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: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC Split Type: TX91159
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)CONNAUGHT LABORATORIES0J210132 LA
Administered by: Public     Purchased by: Public
Symptoms: Anorexia, Back pain, Chest pain, Headache, Myalgia, Nausea
SMQs:, Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Retroperitoneal fibrosis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad)
Write-up: Pt recvd TD 22NOV91 on Saturday 23NOV91 pt devel arm soreness chest/back pain (no cough), anorexia, h/a & nausea; chest pain abated but the anorexia, nausea & h/a persisted; pt refused MD for eval/advise;

VAERS ID:38258 (history)  Vaccinated:1991-05-02
Age:25.0  Onset:1991-05-05, Days after vaccination: 3
Gender:Female  Submitted:1991-12-11, Days after onset: 220
Location:Washington  Entered:1991-12-23, Days after submission: 12
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Chicken pox in 1990;
Diagnostic Lab Data:
CDC Split Type: EBU910911
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM630A4 IM 
Administered by: Private     Purchased by: Private
Symptoms: Arthralgia, Chest pain, Pain, Rhinitis
SMQs:, Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Arthritis (broad)
Write-up: Pt recvd 1st Engerix-B vax 2MAY91 & exp chest tightness & stuffy head in the evening p/the dose; events lasted a couple hrs; on the 3rd day post vax had generalized ache in joints, specifically hips & more pain; talked to MD;

VAERS ID:38707 (history)  Vaccinated:1991-11-14
Age:25.0  Onset:1991-11-14, Days after vaccination: 0
Gender:Female  Submitted:1991-11-25, Days after onset: 11
Location:South Carolina  Entered:1991-12-23, Days after submission: 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: EBU911269
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM826A42IMA
Administered by: Private     Purchased by: Private
Symptoms: Drug ineffective, Paraesthesia
SMQs:, Lack of efficacy/effect (narrow), Peripheral neuropathy (broad), Guillain-Barre syndrome (broad)
Write-up: Pt recvd a series of 3 inject of Engerix-B 14NOV91 30 min following 3rd dose c/o arm feeling dead or not there; This feeling lasted 8-12 hrs; As of 15NOV91 pt had normal feeling again; no tx required; pt found to be neg when needle stuck;

VAERS ID:39146 (history)  Vaccinated:1991-08-22
Age:25.0  Onset:1991-08-23, Days after vaccination: 1
Gender:Female  Submitted:0000-00-00
Location:New York  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:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: No relevant data;
CDC Split Type: WAES91090486
Vaccination
Manufacturer
Lot
Dose
Route
Site
MEA: MEASLES (ATTENUVAX)MERCK & CO. INC.0513T0  
Administered by: Other     Purchased by: Other
Symptoms: Headache
SMQs:
Write-up: Pt recvd measles vax on 22AUG91 & the following day pt exp h/a which persisted for one day; No further details were provided;

VAERS ID:43922 (history)  Vaccinated:1990-09-27
Age:25.0  Onset:1990-10-09, Days after vaccination: 12
Gender:Female  Submitted:0000-00-00
Location:New Jersey  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: NONE
Current Illness:
Preexisting Conditions: allergy Percocet; allergy Augmentin; allergy PNC:
Diagnostic Lab Data: No relevant data;
CDC Split Type: WAES90100607
Vaccination
Manufacturer
Lot
Dose
Route
Site
MEA: MEASLES (ATTENUVAX)MERCK & CO. INC.1721S   
Administered by: Unknown     Purchased by: Unknown
Symptoms: Pruritus, Pyrexia, Rash maculo-papular
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Pt recvd measles vax on 27SEP90 & on 9OCT90 exp fever 102; Next day devel a generalized red raised pruritic rash;

VAERS ID:39055 (history)  Vaccinated:1992-01-07
Age:25.0  Onset:1992-01-08, Days after vaccination: 1
Gender:Female  Submitted:1992-01-17, Days after onset: 9
Location:North Carolina  Entered:1992-01-27, Days after submission: 10
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: NA
Other Medications: Pt recvd Immune Globulin by Michigan Dept of PH lot I098; Contact cold med
Current Illness: cold
Preexisting Conditions: ASA, Motrin, Keflex
Diagnostic Lab Data: NONE
CDC Split Type: NC92003
Vaccination
Manufacturer
Lot
Dose
Route
Site
CHOL: CHOLERA (USP)PFIZER/WYETH49180950IMLA
TYP: TYPHOID VI POLYSACCHARIDE (NO BRAND NAME)PFIZER/WYETH49081270SCRA
Administered by: Public     Purchased by: Public
Symptoms: Hypersensitivity, Oedema, Pruritus, Rash, Tachycardia
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Pt recvd vax 7JAN92 & on 8JAN92 pt had swelling in rt arm that AM; On 9JAN92 pt had rash, bumps, & itching on rt arm also stated heart was beating fast; Went to ER that day was tx for allergic rxn to vax;

VAERS ID:39193 (history)  Vaccinated:1991-08-13
Age:25.0  Onset:1991-08-14, Days after vaccination: 1
Gender:Female  Submitted:1991-08-26, Days after onset: 12
Location:Connecticut  Entered:1992-01-28, Days after submission: 155
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:
CDC Split Type: CO3942
Vaccination
Manufacturer
Lot
Dose
Route
Site
RAB: RABIES (IMOVAX ID)PASTEUR MERIEUX INST.G01532  
Administered by: Private     Purchased by: Other
Symptoms: Injection site hypersensitivity, Pruritus, Vasodilatation
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Erythema half dollar in size, receding; itchiness, mild heat, no pain;

VAERS ID:39194 (history)  Vaccinated:1991-08-13
Age:25.0  Onset:1991-08-14, Days after vaccination: 1
Gender:Female  Submitted:1991-08-26, Days after onset: 12
Location:Connecticut  Entered:1992-01-28, Days after submission: 155
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:
CDC Split Type: CO3943
Vaccination
Manufacturer
Lot
Dose
Route
Site
RAB: RABIES (IMOVAX ID)PASTEUR MERIEUX INST.G01532  
Administered by: Private     Purchased by: Other
Symptoms: Injection site hypersensitivity, Injection site pain, Pruritus
SMQs:, Anaphylactic reaction (broad), Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Itchiness, local pain & redness, size of twenty five cent piece;

VAERS ID:39204 (history)  Vaccinated:1990-12-07
Age:25.0  Onset:1990-12-07, Days after vaccination: 0
Gender:Female  Submitted:0000-00-00
Location:Unknown  Entered:1992-01-28
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:
CDC Split Type: CO3765
Vaccination
Manufacturer
Lot
Dose
Route
Site
RAB: RABIES (IMOVAX)PASTEUR MERIEUX INST.D09851  
Administered by: Unknown     Purchased by: Unknown
Symptoms: Headache, Lymphadenopathy
SMQs:, Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: h/a for 3-4 days & local lymphadenopathy 1-2 day p/2nd dose; 1st dose given on 29NOV90;

VAERS ID:39310 (history)  Vaccinated:1991-12-12
Age:25.0  Onset:1991-12-12, Days after vaccination: 0
Gender:Female  Submitted:1992-01-08, Days after onset: 27
Location:Maine  Entered:1992-02-03, Days after submission: 26
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: pts brother exp vomiting, aches @ 35 w/flu vax;
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: asthma, allergic to mold, feathers,Niacin, Ampicillin
Diagnostic Lab Data: NONE
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)CONNAUGHT LABORATORIES1F21213  LA
Administered by: Other     Purchased by: Unknown
Symptoms: Chest pain, Conjunctivitis, Dyspnoea, Face oedema, Laryngospasm, Myalgia, Pharyngitis, Pyrexia
SMQs:, Rhabdomyolysis/myopathy (broad), Severe cutaneous adverse reactions (broad), Anaphylactic reaction (narrow), Agranulocytosis (broad), Angioedema (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dystonia (broad), Oropharyngeal infections (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Conjunctival disorders (narrow), Ocular infections (broad), Hypersensitivity (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: 2 hrs p/vax pt exp stuffy nose, scratchy throat; 3.5 hrs chest tight, dyspnea, throat tight used proventil inhaler, went to ER fever 101, nausea, fever, aching x 36 hrs; bad aches & pain all over; eyes were swollen, burning, bloodshot;

VAERS ID:39565 (history)  Vaccinated:1991-11-05
Age:25.0  Onset:1991-11-05, Days after vaccination: 0
Gender:Female  Submitted:1991-11-05, Days after onset: 0
Location:California  Entered:1992-02-18, Days after submission: 105
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness: NONE
Preexisting Conditions: UNK
Diagnostic Lab Data: NONE
CDC Split Type: CA9209
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME)PFIZER/WYETH4918169 IM 
Administered by: Private     Purchased by: Public
Symptoms: Asthenia, Myasthenic syndrome, Paraesthesia
SMQs:, Peripheral neuropathy (broad), Malignancy related conditions (narrow), Guillain-Barre syndrome (broad)
Write-up: Approx 45 min p/inject of vax into rt deltoid, c/o tingling, weakness, & loss of strength in rt arm;

VAERS ID:40251 (history)  Vaccinated:1991-03-06
Age:25.0  Onset:1991-03-06, Days after vaccination: 0
Gender:Female  Submitted:0000-00-00
Location:Michigan  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: No relevant hx
Diagnostic Lab Data: No relevant data;
CDC Split Type: WAES91030798
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.0671S0IM 
Administered by: Unknown     Purchased by: Unknown
Symptoms: Dyspnoea, Ear pain, Hypertension, Vasodilatation
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Hypertension (narrow), Cardiomyopathy (broad)
Write-up: Pt recvd 1st dose of vax 6MAR91 & 15 minutes p/vax pt devel flushing, difficulty breathing; w/in another 15 minutes pt exp inc BP 160/110 & ears burned; BP to 160/120 ten minutes later; Pt was given DPH by ER MD; pt recovered;

VAERS ID:40292 (history)  Vaccinated:1991-02-20
Age:25.0  Onset:0000-00-00
Gender:Female  Submitted:0000-00-00
Location:Idaho  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: UNK
Current Illness:
Preexisting Conditions: Allergy, beer
Diagnostic Lab Data: No relevant data;
CDC Split Type: WAES91040532
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC. 0  
Administered by: Unknown     Purchased by: Unknown
Symptoms: Injection site oedema, Oedema
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad)
Write-up: Pt recvd 1st dose of Hep B vax approx 20FEB91; Pt devel a very swollen arm starting @ inject site;

VAERS ID:40336 (history)  Vaccinated:1991-03-28
Age:25.0  Onset:1991-03-29, Days after vaccination: 1
Gender:Female  Submitted:0000-00-00
Location:Wisconsin  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: no relevant hx
Diagnostic Lab Data: No relevant data;
CDC Split Type: WAES91041262
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.1252S0IM 
Administered by: Unknown     Purchased by: Unknown
Symptoms: Rash
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Pt recvd 1st dose of Hep B vax 28MAR91 & on 29MAR91 devel generalized rash; pt noted that had been lying in the sun; ER MD suggested that pt receive no further vax; pt recovered;

VAERS ID:40658 (history)  Vaccinated:1991-10-22
Age:25.0  Onset:1991-10-22, Days after vaccination: 0
Gender:Female  Submitted:0000-00-00
Location:Illinois  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: Hismanal, Proventil, Vancenase AQ Nasal;
Current Illness:
Preexisting Conditions: allergy Ceclor; hayfever
Diagnostic Lab Data: No relevant data;
CDC Split Type: WAES91101451
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.0957T2  
Administered by: Other     Purchased by: Private
Symptoms: Bone pain, Pain
SMQs:, Osteonecrosis (broad)
Write-up: Pt recvd 3rd dose of Hep B vax on 22OCT91 & about 20 minutes following vax pt exp rt arm pain; pt stated that pain felt deep like it hit the bone; On a scale of 1 to 10, rated the pain as 7; exam of inject site nl;

VAERS ID:40682 (history)  Vaccinated:1991-05-01
Age:25.0  Onset:1991-05-01, Days after vaccination: 0
Gender:Male  Submitted:0000-00-00
Location:New Jersey  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:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: No relevant data;
CDC Split Type: WAES91090703
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC. 1  
Administered by: Other     Purchased by: Other
Symptoms: Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Pt recvd 1st & 2nd dose of Hep B vax in APR91 & mAY91 & 1 hr following 2nd dose of vax pt devel hives; No further details were provided;

VAERS ID:40684 (history)  Vaccinated:1991-05-02
Age:25.0  Onset:0000-00-00
Gender:Female  Submitted:0000-00-00
Location:Ohio  Entered:1992-03-02
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: pt exp hair loss @ 24y/o w/REcombivax HB 1st & 2nd doses;
Other Medications: Birth control pills
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: No relevant data;
CDC Split Type: WAES91090713
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC. 2  
Administered by: Public     Purchased by: Other
Symptoms: Alopecia
SMQs:
Write-up: Pt recvd 1st dose of Hep B vax on 30OCT90 & about 1 to 2 wks following vax pt exp severe hair loss; pt recvd 2nd dose of vax on 30NOV90 & hair loss was most severe from DEC90 to MAR91; On 2MAY91 pt recvd a 3rd dose of vax & noted relapse;

VAERS ID:40694 (history)  Vaccinated:0000-00-00
Age:25.0  Onset:0000-00-00
Gender:Male  Submitted:0000-00-00
Location:Michigan  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:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: anti-HBc-pos;
CDC Split Type: WAES91091098
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.    
Administered by: Other     Purchased by: Other
Symptoms: Hepatitis, Infection
SMQs:, Hepatitis, non-infectious (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Pt recvd Hep B vax & lab eval revealed pos Hep B core antibody equivalent to Hep C; No further details were reported;

VAERS ID:40740 (history)  Vaccinated:1991-09-09
Age:25.0  Onset:1991-09-28, Days after vaccination: 19
Gender:Male  Submitted:0000-00-00
Location:Connecticut  Entered:1992-03-02
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: pt exp cough, fever @ 24 y/o w/Recomvivax HB #2 dose;
Other Medications:
Current Illness:
Preexisting Conditions: hx of recurrent bronchitis
Diagnostic Lab Data: No relevant data;
CDC Split Type: WAES91100291
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.0098S2IM 
Administered by: Other     Purchased by: Other
Symptoms: Bronchitis, Chills, Cough, Dysphonia, Ear pain, Malaise, Myalgia, Pyrexia
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Parkinson-like events (broad), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Pt recvd 3 doses of Hep B vax & 3rd dose given 9SEP91 & on 28SEP91 pt devel hoarseness; On 1OCT91 devel fever, chills, cough, myalgia, & malaise; Pt dx bronchitis; tx meds; 2wks later to MD c/o earache;

VAERS ID:40742 (history)  Vaccinated:1991-08-10
Age:25.0  Onset:0000-00-00
Gender:Female  Submitted:0000-00-00
Location:California  Entered:1992-03-02
Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: pt exp nausea, vomiting, fatigue @ 25 y/o w/Recombivax HB #1 dose;
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: No relevant data;
CDC Split Type: WAES91100373
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC. 1  
Administered by: Other     Purchased by: Other
Symptoms: Abdominal pain, Asthenia, Diarrhoea, Dizziness, Hepatic function abnormal, Nausea, Vomiting
SMQs:, Liver related investigations, signs and symptoms (narrow), Acute pancreatitis (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Pseudomembranous colitis (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad), Noninfectious diarrhoea (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Pt recvd 2 doses Hep B vax 10JUL91 & 10AUG91 following 2nd dose exp nausea, vomiting, fatigue, dizziness, diarrhea & gastorintestinal cramps; lab eval revealed elevated liver enzyme of 36; sonogram of gallbladder, kidney & liver was neg;

VAERS ID:40877 (history)  Vaccinated:1991-11-20
Age:25.0  Onset:1991-11-21, Days after vaccination: 1
Gender:Female  Submitted:0000-00-00
Location:Illinois  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: WAES91120671
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.0784T0  
Administered by: Other     Purchased by: Other
Symptoms: Abdominal pain, Infection, Influenza, Nausea, Pyrexia, Vomiting
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Pt recvd 1st dose of Hep B vax 20NOV91 & the next day devel a flu-like illness w/fever & abd tenderness due to nausea & vomiting; MD was not suure whether or not sx were due to viral infect or vax;

VAERS ID:40892 (history)  Vaccinated:1991-11-12
Age:25.0  Onset:1991-11-13, Days after vaccination: 1
Gender:Female  Submitted:0000-00-00
Location:Ohio  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: WAES91120094
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.0957T0  
Administered by: Other     Purchased by: Other
Symptoms: Dizziness, Headache, Influenza, Malaise, Nausea, Pyrexia, Somnolence
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)
Write-up: Pt recvd 1st dose of Hep B vax on 12NOV91 & on 13NOV91 pt devel flu-like sx, h/a, temp, nausea, & dizziness; @ the time of report pt had recovered;

VAERS ID:36882 (history)  Vaccinated:1991-12-18
Age:25.0  Onset:1992-02-20, Days after vaccination: 64
Gender:Male  Submitted:1992-03-17, Days after onset: 26
Location:New York  Entered:1992-04-02, Days after submission: 16
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 2OCT91 & 1NOV91;
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: 20FEB92 antibody titer level results were neg;
CDC Split Type: EBU920487
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM837A42IMA
Administered by: Public     Purchased by: Public
Symptoms: Drug ineffective
SMQs:, Lack of efficacy/effect (narrow)
Write-up: Pt recvd 3 doses of Engerix-B vax & was determined to be a non-responder;

VAERS ID:42380 (history)  Vaccinated:1991-08-13
Age:25.0  Onset:1991-12-17, Days after vaccination: 126
Gender:Female  Submitted:1992-03-09, Days after onset: 83
Location:Kentucky  Entered:1992-04-02, Days after submission: 24
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: pt is very thin
Diagnostic Lab Data: 17DEC91 antibody titer-neg;
CDC Split Type: EBU920027
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM 3  
Administered by: Public     Purchased by: Public
Symptoms: Drug ineffective
SMQs:, Lack of efficacy/effect (narrow)
Write-up: Pt recvd 3 doses of Hep B vax 4FEB91, 11APR91, & 13AUG91 & 17DEC91 it was determined that the titer was neg; booster dose was given 2JAN92 outcome of booster dose is pending as of 3JAN92;

VAERS ID:43012 (history)  Vaccinated:1991-05-10
Age:25.0  Onset:1991-11-25, Days after vaccination: 199
Gender:Female  Submitted:1992-02-27, Days after onset: 94
Location:North Carolina  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: Pt recvd Engerix-B vax 1NOV90 & 30NOV90 lot# 618A4;
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: EBU920343
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 & 25NOV91 it was determined that pt did not respond to the vax series;

VAERS ID:43038 (history)  Vaccinated:0000-00-00
Age:25.0  Onset:0000-00-00
Gender:Female  Submitted:1992-03-13
Location:Unknown  Entered:1992-04-02, Days after submission: 20
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: allergy to PCN;
Diagnostic Lab Data:
CDC Split Type: EBU920369
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM6814A4 IM 
Administered by: Other     Purchased by: Other
Symptoms: Conjunctivitis, Face oedema, Injection site hypersensitivity, Injection site oedema, Lacrimal disorder, Pyrexia, Rash
SMQs:, Severe cutaneous adverse reactions (broad), Anaphylactic reaction (broad), Angioedema (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Conjunctival disorders (narrow), Lacrimal disorders (narrow), Ocular infections (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Following Engerix B vax- pt exp blood shot eyes w/ tearing & swelling @ site of injection w/ redness & was erythematous. Was accompanied by T of 101 which lasted for 24 hrs.

VAERS ID:41029 (history)  Vaccinated:1992-03-25
Age:25.0  Onset:1992-03-25, Days after vaccination: 0
Gender:Female  Submitted:1992-03-27, Days after onset: 2
Location:Pennsylvania  Entered:1992-04-03, Days after submission: 7
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NA
Other Medications: UNK
Current Illness:
Preexisting Conditions: mitral valve prolapse
Diagnostic Lab Data: NONE
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.0230V0IM 
Administered by: Private     Purchased by: Private
Symptoms: Injection site reaction
SMQs:
Write-up: Local reaction to inject of vax;

VAERS ID:36938 (history)  Vaccinated:1991-11-06
Age:25.0  Onset:1991-11-06, Days after vaccination: 0
Gender:Male  Submitted:1991-11-06, Days after onset: 0
Location:Connecticut  Entered:1992-04-08, Days after submission: 153
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: ~ ()~ ~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: pt recvd 2 previous doses of flu vax; unk if rxn occurred;
Diagnostic Lab Data:
CDC Split Type: 891343038L
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME)PFIZER/WYETH4918177 IM A 
Administered by: Military     Purchased by: Military
Symptoms: Injection site mass, Pyrexia, Vasodilatation
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: 1 hrs p/receiving the flu vax pt devel a 3mm induration w/inc warmth @ the deltoid inject site; t99.4; pt required ER/MD visit; recovery occurred w/in 24 hrs;

VAERS ID:41197 (history)  Vaccinated:1992-03-28
Age:25.0  Onset:1992-03-28, Days after vaccination: 0
Gender:Female  Submitted:1992-03-30, Days after onset: 2
Location:Pennsylvania  Entered:1992-04-10, Days after submission: 10
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NONE
Other Medications: Seldane, Nordettes, AZT; pt recvd Hep B immune globulin by miles lot# 16U07C & immune globulin by Gammar lot# H19403;
Current Illness: NONE
Preexisting Conditions: Compazine (muscle contracture) seasonal allergies
Diagnostic Lab Data: NONE
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
DT: DT ADSORBED (NO BRAND NAME)CONNAUGHT LABORATORIES1L31017 IMRA
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.1117T0IMRA
Administered by: Private     Purchased by: Private
Symptoms: Cellulitis, Injection site hypersensitivity, Vasodilatation
SMQs:, Hypersensitivity (narrow)
Write-up: Pt recvd DT/HEP B/immune globulin on 28MAR92 following neddle stick & on 27MAR92 pt was seen in office on 30MAR92 w/cellullitis @ inject site (firm, reddened area warm to touch) vax rxn to serum; antibiotic, warm soaks prescribed;

VAERS ID:37028 (history)  Vaccinated:1991-03-23
Age:25.0  Onset:0000-00-00
Gender:Male  Submitted:1991-03-28
Location:Florida  Entered:1992-04-13, Days after submission: 381
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: punture wound to rt foot
Preexisting Conditions: APAP
Diagnostic Lab Data:
CDC Split Type: CO3880
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)CONNAUGHT LABORATORIES0K21046 IMLA
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: Localized pain swelling & redness;

VAERS ID:41218 (history)  Vaccinated:1992-03-23
Age:25.0  Onset:1992-04-02, Days after vaccination: 10
Gender:Female  Submitted:1992-04-08, Days after onset: 5
Location:Ohio  Entered:1992-04-13, Days after submission: 5
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Synthroid, Modrion
Current Illness: NONE
Preexisting Conditions: Sulfa, Ceclor
Diagnostic Lab Data: NONE
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
RAB: RABIES (IMOVAX)PASTEUR MERIEUX INST.G03304IMLA
Administered by: Other     Purchased by: Public
Symptoms: Pruritus, Rash, Rash maculo-papular
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Pruritic rash on legs, buttocks; exam revealed raised, erythematous patches; tx symptomaticallyw/antihistamine & topical steroid cream;

VAERS ID:41249 (history)  Vaccinated:1992-03-31
Age:25.0  Onset:1992-03-31, Days after vaccination: 0
Gender:Female  Submitted:1992-04-15, Days after onset: 14
Location:Wisconsin  Entered:1992-04-20, Days after submission: 5
Life Threatening? Yes
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC Split Type: EBU920835
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM840A4 IMA
Administered by: Private     Purchased by: Private
Symptoms: Asthenia, Dry mouth, Dyspnoea, Hypersensitivity, Hyperventilation, Hypokinesia, Laryngeal oedema, Paraesthesia
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Asthma/bronchospasm (broad), Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Parkinson-like events (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Hypotonic-hyporesponsive episode (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Pt recvd 1 dose Engerix-B 31MAR92 @ 1130AM & 30mins post vax, pt felt blood rushing to head, felt hot & cold, mouth dry, felt windpipe swelling, hyperventilating, tingling in hands, couldn''t walk; Pt seen by MD who felt was allerg react;

VAERS ID:41561 (history)  Vaccinated:1992-04-07
Age:25.0  Onset:1992-04-08, Days after vaccination: 1
Gender:Female  Submitted:1992-04-21, Days after onset: 13
Location:Kansas  Entered:1992-04-27, Days after submission: 6
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: stepped on nail
Preexisting Conditions: NKA
Diagnostic Lab Data: NA
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
DT: DT ADSORBED (NO BRAND NAME)LEDERLE LABORATORIES306915 IMLA
Administered by: Private     Purchased by: Unknown
Symptoms: Injection site mass, Oedema, Vasodilatation
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad)
Write-up: swollen area lt arm, red approx 3 cm w/induration;

VAERS ID:41723 (history)  Vaccinated:0000-00-00
Age:25.0  Onset:0000-00-00
Gender:Male  Submitted:1992-04-21
Location:Pennsylvania  Entered:1992-05-04, 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: wound
Preexisting Conditions: unk
Diagnostic Lab Data: NA
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)PFIZER/WYETH4917503  A
Administered by: Private     Purchased by: Private
Symptoms: Injection site reaction
SMQs:
Write-up: Severe local rxn;

VAERS ID:41916 (history)  Vaccinated:1992-03-26
Age:25.0  Onset:1992-03-26, Days after vaccination: 0
Gender:Female  Submitted:1992-03-31, Days after onset: 5
Location:Oregon  Entered:1992-05-12, Days after submission: 41
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Orthonovum; Hep B Recombivax MSD; lot # K50T IM; lt deltoid; 24FEB92;
Current Illness: NONE
Preexisting Conditions: allergic to codeine
Diagnostic Lab Data: NONE
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM840A41IMLA
Administered by: Private     Purchased by: Private
Symptoms: Headache, Influenza, Insomnia, Malaise, Pharyngitis, Pyrexia
SMQs:, Agranulocytosis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Oropharyngeal infections (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Initially, on 26MAR92 mild h/a & insomnia lasted two nights; 28MAR & 29MAR92 devel flu sx, sore throat, fever, malaise;

VAERS ID:37191 (history)  Vaccinated:1991-06-05
Age:25.0  Onset:1991-06-05, Days after vaccination: 0
Gender:Female  Submitted:1991-06-18, Days after onset: 13
Location:Maryland  Entered:1992-05-18, Days after submission: 335
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: NONE
Other Medications: oral contraceptives
Current Illness: NONE
Preexisting Conditions: reporting MD assessment is that this was not a case of cellulitis;
Diagnostic Lab Data: NONE
CDC Split Type: 910120901
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)LEDERLE LABORATORIES268926 IM 
Administered by: Private     Purchased by: Private
Symptoms: Dermatitis bullous, Injection site hypersensitivity, Injection site reaction, Skin nodule, Vasodilatation
SMQs:, Severe cutaneous adverse reactions (narrow), Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: w/in 12 hrs p/vax, pt exp redness, induration & blistering; tx w/Medrol dose pack; seen in office; had 4cm of redness; 3mm of blistering @ inject site which was an improvement compared to prev day;

VAERS ID:37222 (history)  Vaccinated:1991-11-04
Age:25.0  Onset:1991-11-05, Days after vaccination: 1
Gender:Male  Submitted:1992-01-10, Days after onset: 66
Location:Iowa  Entered:1992-05-20, Days after submission: 130
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: pt recvd flu vax the prev yr w/no reaction; allergic to tumbleweed;
Diagnostic Lab Data:
CDC Split Type: 892064004L
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME)PFIZER/WYETH4918123 IMLA
Administered by: Other     Purchased by: Private
Symptoms: Injection site hypersensitivity, Injection site oedema, Oedema, Pruritus, Vasodilatation
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: pt exp pruritus, erythema, swelling, & warmth @ inject site p/recvd flu vax; 3 days, swelling had incr to cover an area of 10 cm; rxn resolved p/1 & 1/2 wks;

VAERS ID:42088 (history)  Vaccinated:1992-01-02
Age:25.0  Onset:1992-01-04, Days after vaccination: 2
Gender:Male  Submitted:1992-02-11, Days after onset: 38
Location:Michigan  Entered:1992-05-21, Days after submission: 99
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: PCN
Diagnostic Lab Data:
CDC Split Type: MI92031
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (FOREIGN)MERCK & CO. INC.0891T0 LA
Administered by: Public     Purchased by: Other
Symptoms: Rash
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Pt seen by MD 6JAN92; had rash for 2 days that was spreading & getting worse; Hismanal prescribed;

VAERS ID:37243 (history)  Vaccinated:1991-10-01
Age:25.0  Onset:1991-10-13, Days after vaccination: 12
Gender:Male  Submitted:0000-00-00
Location:Michigan  Entered:1992-05-28
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Amoxicillin;
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: No relevant data;
CDC Split Type: WAES91100889
Vaccination
Manufacturer
Lot
Dose
Route
Site
MER: MEASLES + RUBELLA (MR-VAX II)MERCK & CO. INC.    
Administered by: Other     Purchased by: Other
Symptoms: Rash maculo-papular
SMQs:, Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: pt recvd MR vax on 1OCT91 & 12 days following vax pt devel a maculopapular rash; no further details were provided;

VAERS ID:42277 (history)  Vaccinated:1992-05-18
Age:25.0  Onset:1992-05-19, Days after vaccination: 1
Gender:Male  Submitted:1992-05-19, Days after onset: 0
Location:Illinois  Entered:1992-05-29, 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: NONE
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: NONE
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.1635T1 RA
TD: TD ADSORBED (NO BRAND NAME)CONNAUGHT LABORATORIES1G310881 LA
Administered by: Other     Purchased by: Public
Symptoms: Cellulitis, Oedema, Pyrexia, Vasodilatation
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Pt recvd 2nd in series of DT vax on 18MAY92; pt recvd 1st vax 13APR92; arm became red, swollen, tense, warm; pt was febrile that noc; Seen @ clinic on 19MAY92 dx cellulitis secondary to vax; tx meds;

VAERS ID:37495 (history)  Vaccinated:1990-11-25
Age:25.0  Onset:1990-11-25, Days after vaccination: 0
Gender:Female  Submitted:0000-00-00
Location:Texas  Entered:1992-06-09
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: no relevant data;
CDC Split Type: WAES91090985
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC. 1IMLA
Administered by: Other     Purchased by: Other
Symptoms: Injection site atrophy, Injection site necrosis
SMQs:, Extravasation events (injections, infusions and implants) (broad)
Write-up: Pt recvd MMR vax on 25NOV90 & following vax devel 1-1/2 to 2 inch depression @ inject site; MD felt that it was a fat necrosis & scarring from the vax; tx w/an unspecified prescription drug; @ time of report pt remained under tx;

VAERS ID:37523 (history)  Vaccinated:1991-09-21
Age:25.0  Onset:1991-09-21, Days after vaccination: 0
Gender:Female  Submitted:0000-00-00
Location:Iowa  Entered:1992-06-09
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: allergy feathers; allergy grass; allergy codeine; allergy PCN; asthma;
Diagnostic Lab Data: no relevant data;
CDC Split Type: WAES91101044
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.    
Administered by: Public     Purchased by: Public
Symptoms: Pruritus, Rash
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Pt recvd MMR vax on 21SEP91 & 5 hrs p/vax pt devel a pruritic rash on face & bax; pt taken to ER;

VAERS ID:37569 (history)  Vaccinated:1991-12-10
Age:25.0  Onset:1991-12-10, Days after vaccination: 0
Gender:Male  Submitted:0000-00-00
Location:Texas  Entered:1992-06-09
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: WAES92010664
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC. 1IM 
Administered by: Private     Purchased by: Private
Symptoms: Anxiety, Dizziness, Headache, Nervousness, Vertigo
SMQs:, Anticholinergic syndrome (broad), Vestibular disorders (narrow), Hypoglycaemia (broad)
Write-up: Pt recvd MMR vax on 29OCT91; 10DEC91 recvd booster dose & w/in 5 to 10 mins following vax exp dizziness & vertigo; 20 mins later exp h/a; also nervousness & a feeling of impending doom;

VAERS ID:37602 (history)  Vaccinated:1992-03-04
Age:25.0  Onset:1992-03-04, Days after vaccination: 0
Gender:Female  Submitted:0000-00-00
Location:Colorado  Entered:1992-06-09
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: No relevant data;
CDC Split Type: WAES92031119
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.1640T1SC 
Administered by: Private     Purchased by: Private
Symptoms: Myalgia, Pharyngitis, Rash
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Agranulocytosis (broad), Oropharyngeal infections (narrow), Eosinophilic pneumonia (broad), Hypersensitivity (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Pt recvd MMR vax on 3FEB92 & recvd 2nd dose 4MAR92 & on 7MAR92 pt exp sore throat, myalgias & devel rash; pt went to ER:

VAERS ID:42872 (history)  Vaccinated:1992-06-06
Age:25.0  Onset:1992-06-06, Days after vaccination: 0
Gender:Female  Submitted:1992-06-08, Days after onset: 2
Location:New Jersey  Entered:1992-06-15, Days after submission: 7
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)SCLAVO138A1 IMLA
Administered by: Private     Purchased by: Private
Symptoms: Stupor
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hypoglycaemia (broad)
Write-up: 14 hrs post inject, pt was found unresponsive on floor;

VAERS ID:43977 (history)  Vaccinated:1991-09-11
Age:25.0  Onset:0000-00-00
Gender:Male  Submitted:1992-05-14
Location:Connecticut  Entered:1992-06-29, Days after submission: 46
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 4MAR91 & 9APR91 lot# 631A4, 638A4;
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: Hep B surface antibody titer=4.00;
CDC Split Type: EBU920615
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM813A42IMA
Administered by: Other     Purchased by: Private
Symptoms: Drug ineffective
SMQs:, Lack of efficacy/effect (narrow)
Write-up: Pt recvd 3 doses of Engerix-B Hep B surface antibody titer was borderline-subtherapeutic; was advised to recvd 4th dose & be retested;

VAERS ID:44896 (history)  Vaccinated:1991-11-12
Age:25.0  Onset:0000-00-00
Gender:Male  Submitted:1992-06-22
Location:Wisconsin  Entered:1992-06-29, Days after submission: 7
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: EBU920746
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM 4IM 
Administered by: Other     Purchased by: Other
Symptoms: Drug ineffective
SMQs:, Lack of efficacy/effect (narrow)
Write-up: Pt recvd 3 doses of Engerix-B & did not seroconvert; Booster doses were administered; No tx was given;

VAERS ID:45287 (history)  Vaccinated:0000-00-00
Age:25.0  Onset:1992-04-28
Gender:Female  Submitted:1992-06-08, Days after onset: 41
Location:Georgia  Entered:1992-06-29, Days after submission: 21
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: EBU920993
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM    
Administered by: Public     Purchased by: Private
Symptoms: Ecchymosis
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow)
Write-up: pt recd 1 dose of Engerix-B & exp bruising @ inject site involving neck & arm;

VAERS ID:45301 (history)  Vaccinated:1992-04-25
Age:25.0  Onset:1992-04-25, Days after vaccination: 0
Gender:Female  Submitted:1992-05-19, Days after onset: 24
Location:Iowa  Entered:1992-06-29, Days after submission: 41
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: pt exp bilateral hand numbness w/#1 dose of Engerix-B
Other Medications: UNK
Current Illness: NONE
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: EBU921008
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM843A41IMLA
Administered by: Public     Purchased by: Other
Symptoms: Injection site oedema, Paraesthesia, Vomiting
SMQs:, Acute pancreatitis (broad), Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: Pt recvd 2 doses of Engerix-B & 2 hrs p/1st dose exp bilateral hand numbness which lasted for 6-7 hrs & resolved; p/2nd inject felt strange, then 1 hr later exp numbness face, hands; vomited & swollen @ site 1st day;

VAERS ID:45397 (history)  Vaccinated:1991-04-16
Age:25.0  Onset:1991-04-16, Days after vaccination: 0
Gender:Male  Submitted:1992-06-11, Days after onset: 422
Location:Illinois  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: Kolyum, Monopril
Current Illness:
Preexisting Conditions: high BP, asthma
Diagnostic Lab Data:
CDC Split Type: EBU921045
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM 3  
Administered by: Private     Purchased by: Private
Symptoms: Drug ineffective
SMQs:, Lack of efficacy/effect (narrow)
Write-up: Pt recvd 3 doses of Engerix-B in 1989; Titer tested 16APR91 & found to be a non-responder; given a booster dose; titer tested again OCT91 remained a non-responder; 2nd booster is being considered;

VAERS ID:45462 (history)  Vaccinated:1992-01-25
Age:25.0  Onset:1992-03-31, Days after vaccination: 66
Gender:Male  Submitted:1992-06-15, Days after onset: 75
Location:Oregon  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:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: 31MAR92 titer results showed nonseroconversion;
CDC Split Type: EBU921106
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM838A42IM 
Administered by: Other     Purchased by: Other
Symptoms: Drug ineffective
SMQs:, Lack of efficacy/effect (narrow)
Write-up: Pt recvd Engerix-B on 15JUL91, 19AUG91 & 25JAN92 & 31MAR92 titer levels revealed pt had not seroconverted;

VAERS ID:45558 (history)  Vaccinated:1992-05-08
Age:25.0  Onset:1992-05-14, Days after vaccination: 6
Gender:Female  Submitted:1992-06-16, Days after onset: 33
Location:Missouri  Entered:1992-06-29, Days after submission: 13
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: pt exp diarrhea @ 25 y/o w/Engerix-B #1 dose;
Other Medications: Contraceptives
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: EBU921162
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM 1IMA
Administered by: Private     Purchased by: Private
Symptoms: Abdominal pain, Flatulence, Gastrointestinal disorder, Nausea, Pain, Urinary tract infection
SMQs:, Acute pancreatitis (broad), Retroperitoneal fibrosis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)
Write-up: pt exp pain upper lt back under scapula & lt rib cage, some nausea, felt a little feverish & both arms feel like going to sleep;

VAERS ID:43365 (history)  Vaccinated:1992-06-17
Age:25.0  Onset:1992-06-18, Days after vaccination: 1
Gender:Female  Submitted:1992-06-30, Days after onset: 12
Location:D.C.  Entered:1992-07-06, 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: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)SCLAVO144A1  LA
Administered by: Private     Purchased by: Private
Symptoms: Ecchymosis, Injection site mass, Injection site pain, Injection site reaction
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Extravasation events (injections, infusions and implants) (broad)
Write-up: On 24JUN92 pt was seen in clinic, knot on lt arm (deltoid area) black & blue area, sore to touch;

VAERS ID:37611 (history)  Vaccinated:1991-06-23
Age:25.0  Onset:1991-06-24, Days after vaccination: 1
Gender:Male  Submitted:0000-00-00
Location:California  Entered:1992-07-20
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC Split Type: BER10021
Vaccination
Manufacturer
Lot
Dose
Route
Site
CHOL: CHOLERA (NO BRAND NAME)UNKNOWN MANUFACTURER    
OPV: POLIO VIRUS, ORAL (NO BRAND NAME)UNKNOWN MANUFACTURER    
TTOX: TETANUS TOXOID (NO BRAND NAME)UNKNOWN MANUFACTURER    
TYP: TYPHOID LIVE ORAL TY21A (VIVOTIF)BERNA BIOTECH, LTD119003A PO 
Administered by: Public     Purchased by: Private
Symptoms: Arrhythmia, Asthenia, Dyspnoea
SMQs:, Anaphylactic reaction (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Cardiomyopathy (broad), Cardiac arrhythmia terms, nonspecific (narrow)
Write-up: difficulty breathing, irregular heart beat, very weak, very tired; sx occured p/taking the 1st dose;

VAERS ID:37618 (history)  Vaccinated:1991-10-02
Age:25.0  Onset:1991-10-02, Days after vaccination: 0
Gender:Female  Submitted:0000-00-00
Location:Maryland  Entered:1992-07-20
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Birth Control, Immunoglublin, Norfloxicin, Mefloquine;
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC Split Type: BER10028
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0905T   
OPV: POLIO VIRUS, ORAL (NO BRAND NAME)UNKNOWN MANUFACTURER300455   
TD: TD ADSORBED (NO BRAND NAME)CONNAUGHT LABORATORIES1G31088   
TYP: TYPHOID LIVE ORAL TY21A (VIVOTIF)BERNA BIOTECH, LTD119003A PO 
Administered by: Unknown     Purchased by: Unknown
Symptoms: Myalgia, Pain, Pyrexia
SMQs:, Rhabdomyolysis/myopathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: pt felt like had cramps, fever & body ache during all four capsules;

VAERS ID:37638 (history)  Vaccinated:1992-01-27
Age:25.0  Onset:1992-01-27, Days after vaccination: 0
Gender:Male  Submitted:1992-02-04, Days after onset: 8
Location:Oregon  Entered:1992-07-20, Days after submission: 166
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Pt recvd Immune Globulin by Armer lot# 419002 27JAN92;
Current Illness:
Preexisting Conditions: sensitive to tetracycline & sulfa;
Diagnostic Lab Data: NNE
CDC Split Type: BER10048
Vaccination
Manufacturer
Lot
Dose
Route
Site
OPV: POLIO VIRUS, ORAL (ORIMUNE)LEDERLE LABORATORIES308960   
TYP: TYPHOID LIVE ORAL TY21A (VIVOTIF)BERNA BIOTECH, LTD119003A PO 
Administered by: Public     Purchased by: Unknown
Symptoms: Abdominal pain, Face oedema, Headache, Pruritus, Urticaria
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Angioedema (narrow), Retroperitoneal fibrosis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: 1st dose then exp itching, stomache & back hives, swelling on face & eyes puffy; had it for 4 days; dull h/a; suspect poison oak & cats; discontinued vax;

VAERS ID:43943 (history)  Vaccinated:1992-06-23
Age:25.0  Onset:1992-06-23, Days after vaccination: 0
Gender:Female  Submitted:1992-07-28, Days after onset: 35
Location:Ohio  Entered:1992-08-05, Days after submission: 8
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: pt exp aching, fatigue, d/v @ 25y/o w/Recombivax #1;
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: Hep B surface antibody 139.9; titer drawn on 28JUL92;
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC. 0 LA
Administered by: Private     Purchased by: Private
Symptoms: Diarrhoea, Vomiting
SMQs:, Acute pancreatitis (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (narrow)
Write-up: Pt recvd vax & devel aching, fatigue, mild diarrhea/vomiting 24 hrs seen by MD & for 48 hrs p/inject; severe vomiting, diarrhea;

VAERS ID:44518 (history)  Vaccinated:1992-07-22
Age:25.0  Onset:1992-07-25, Days after vaccination: 3
Gender:Female  Submitted:1992-08-20, Days after onset: 26
Location:Missouri  Entered:1992-08-25, Days after submission: 5
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? Yes, 3 days
    Extended hospital stay? Yes
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: EBU921911
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM   A
Administered by: Public     Purchased by: Public
Symptoms: Abnormal dreams, Back pain, Haematuria, Hepatic function abnormal, Malaise, Paraesthesia
SMQs:, Liver related investigations, signs and symptoms (narrow), Peripheral neuropathy (broad), Haemorrhage terms (excl laboratory terms) (narrow), Retroperitoneal fibrosis (broad), Guillain-Barre syndrome (broad), Tubulointerstitial diseases (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Pt recvd Engerix-B; 3 days later on 25JUL92 had sharp pains in back; by 5 days later had blood in urine; seen by MD; 8 day later numbness in entire body, nightmares; elevated liver enzymes; feels poopy;

VAERS ID:45037 (history)  Vaccinated:1992-05-12
Age:25.0  Onset:1992-05-13, Days after vaccination: 1
Gender:Female  Submitted:1992-08-19, Days after onset: 98
Location:Arkansas  Entered:1992-09-15, Days after submission: 27
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: pt exp weakness & numbness in arm @ 21 y/o w/MMR
Other Medications: Triphasil-28
Current Illness: NONE
Preexisting Conditions: insect stings, DPH, laundry detergents & soaps
Diagnostic Lab Data: NONE
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM856A40IMA
Administered by: Other     Purchased by: Other
Symptoms: Headache, Myalgia, Nausea, Pyrexia
SMQs:, Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: aching, fever, nausea, h/a for 3 days;

VAERS ID:46059 (history)  Vaccinated:1992-08-03
Age:25.0  Onset:1992-08-03, Days after vaccination: 0
Gender:Male  Submitted:1992-08-11, Days after onset: 8
Location:North Carolina  Entered:1992-10-07, 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: PPD by Sclavo lot# 211
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC Split Type: NC92046
Vaccination
Manufacturer
Lot
Dose
Route
Site
PLAGUE: PLAGUE (NO BRAND NAME)MILES LABORATORIES10J042IM 
Administered by: Military     Purchased by: Military
Symptoms: Abdominal pain, Back pain, Dizziness, Headache, Nausea
SMQs:, Acute pancreatitis (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad)
Write-up: c/o headache, lightheadedness, stomach cramping, nausea, low back pain beginning 4 hrs p/vax; no specific signs; afebrile;

VAERS ID:46388 (history)  Vaccinated:1992-07-06
Age:25.0  Onset:1992-07-12, Days after vaccination: 6
Gender:Female  Submitted:1992-07-13, Days after onset: 1
Location:Washington  Entered:1992-10-23, Days after submission: 102
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC Split Type: WA92747
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)CONNAUGHT LABORATORIES1L31017 IMRA
Administered by: Public     Purchased by: Public
Symptoms: Hypersensitivity, Oedema, Pain, Pruritus, Urticaria, Vasodilatation
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: pt recvd Td 16JUL92 redness & swelling started 12JUN92 & c/o itching but tender to touch; appears to be an allergic reaction-raised, but not to a point; urticaria; rx advil, DPH, hot/cold;

VAERS ID:46393 (history)  Vaccinated:1992-06-19
Age:25.0  Onset:1992-06-20, Days after vaccination: 1
Gender:Female  Submitted:1992-07-20, Days after onset: 30
Location:Washington  Entered:1992-10-23, Days after submission: 95
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: NONE
Other Medications: Pt recvd IPV by Connaught lot# G0103;
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC Split Type: WA92752
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM843A40IMLA
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0228V1SCLA
Administered by: Public     Purchased by: Unknown
Symptoms: Chills, Pruritus, Pyrexia, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: 24 hrs p/receiving MMR/Hep B, broke out in hive-like rash from head to toe; fever, chills, itching; lasting approx 1 wk; called clinc seen by pvt MD;

VAERS ID:46394 (history)  Vaccinated:1992-07-16
Age:25.0  Onset:1992-07-17, Days after vaccination: 1
Gender:Female  Submitted:1992-07-20, Days after onset: 3
Location:Washington  Entered:1992-10-23, Days after submission: 95
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: hx of allergic rhinitis & asthma
Diagnostic Lab Data: NONE
CDC Split Type: WA92753
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)CONNAUGHT LABORATORIES1L3101  LA
Administered by: Private     Purchased by: Public
Symptoms: Anorexia, Headache, Injection site hypersensitivity, Injection site oedema, Injection site pain, Myalgia, Nausea, Pyrexia
SMQs:, Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Eosinophilic pneumonia (broad), Hypersensitivity (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: myalgias & fever 24 hrs p/inject; later nausea, h/a, poor appetite, swelling & aching & erythema @ inject site; fever persisted 48 hrs myalgias persisted 5 days;

VAERS ID:46632 (history)  Vaccinated:1992-10-22
Age:25.0  Onset:1992-10-22, Days after vaccination: 0
Gender:Female  Submitted:1992-10-26, Days after onset: 4
Location:Alabama  Entered:1992-11-02, Days after submission: 7
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 1 days
    Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: EBU922649
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM1014A41IMA
Administered by: Other     Purchased by: Private
Symptoms: Asthenia, Hyperhidrosis, Hypotension, Injection site pain, Nausea, Vomiting
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypoglycaemia (broad)
Write-up: Pt recvd 2 doses of Engerix-B 22OCT92 15-20 mins p/vax feeling bad, arm hurt, had nausea, vomiting, diaphoresis, systolic BP 94, chest pain, h/a, arthralgia, muscle pains, t-wave inversion; Reporter indicated poss allerg react;

VAERS ID:46897 (history)  Vaccinated:1992-08-05
Age:25.0  Onset:0000-00-00
Gender:Female  Submitted:1992-09-14
Location:California  Entered:1992-11-03, Days after submission: 50
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NONE
Other Medications:
Current Illness: NONE
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: EBU921312
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM877A41 A
Administered by: Other     Purchased by: Other
Symptoms: Unevaluable event
SMQs:
Write-up: pt recvd 2 doses of Engerix-B & the 1st dose was given 2 wks a/became pregnant; 2nd dose was given 2 wks p/became pregnant; pt was unaware of pregnancy @ time of 2nd dose;

VAERS ID:46916 (history)  Vaccinated:0000-00-00
Age:25.0  Onset:0000-00-00
Gender:Male  Submitted:1992-07-30
Location:Unknown  Entered:1992-11-03, Days after submission: 96
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: EBU921335
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM837A40IMA
Administered by: Other     Purchased by: Other
Symptoms: Diarrhoea, Headache, Injection site reaction, Myalgia, Vomiting
SMQs:, Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad), Noninfectious diarrhoea (narrow), Tendinopathies and ligament disorders (broad)
Write-up: a paramedic exp vomiting & diarrhea following a 1st dose of Engerix-B; the events resolved later in the day;

VAERS ID:46952 (history)  Vaccinated:1992-04-29
Age:25.0  Onset:1992-04-29, Days after vaccination: 0
Gender:Female  Submitted:1992-07-31, Days after onset: 93
Location:Illinois  Entered:1992-11-03, Days after submission: 95
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: EBU921392
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM  IMA
Administered by: Private     Purchased by: Private
Symptoms: Chills, Hyperhidrosis, Hypersensitivity, Injection site hypersensitivity, Injection site oedema, Injection site pain, Pain, Vasodilatation
SMQs:, Angioedema (broad), Neuroleptic malignant syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)
Write-up: Pt recvd 1 dose of Engerix-B & had an allergic reaction, swelling, red, hot, painful @ inject site; also had burning sensation in spine, chills, sweating & pain in jaw; seen by MD who prescribed rest & fluid; sx subsided in about 3 days;

VAERS ID:47926 (history)  Vaccinated:1992-07-23
Age:25.0  Onset:1992-07-27, Days after vaccination: 4
Gender:Female  Submitted:1992-08-19, Days after onset: 23
Location:Minnesota  Entered:1992-11-03, Days after submission: 76
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: EBU921871
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM877A40IMLA
Administered by: Other     Purchased by: Private
Symptoms: Chills, Injection site hypersensitivity, Injection site pain, Nausea, Pyrexia
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: 23JUL92 pt recvd 1 dose of Engerix-B & 96 hrs later during the evening of 27JUL92 devel nausea, chills, lowgrade fever, soreness/redness @ inject site; 28JUL92 was feeling better but still had some sx;

VAERS ID:48004 (history)  Vaccinated:1992-05-11
Age:25.0  Onset:1992-05-11, Days after vaccination: 0
Gender:Female  Submitted:1992-08-26, Days after onset: 107
Location:Maine  Entered:1992-11-03, Days after submission: 69
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: EBU921915
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM 2  
Administered by: Other     Purchased by: Other
Symptoms: Injection site pain
SMQs:, Extravasation events (injections, infusions and implants) (broad)
Write-up: 11MAY92 pt recvd 3rd dose of Engerix-B & exp a few days of local inject site pain; almost 3 months later, pain is recurrent; no erythema, redness, swelling or fever; pt went to ER; x-ray & CBC findings pendings;

VAERS ID:48011 (history)  Vaccinated:0000-00-00
Age:25.0  Onset:0000-00-00
Gender:Female  Submitted:1992-08-24
Location:Ohio  Entered:1992-11-03, 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:
CDC Split Type: EBU921923
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM 1IMA
Administered by: Private     Purchased by: Private
Symptoms: Influenza, Injection site pain, Neck pain, Pain, Vomiting
SMQs:, Acute pancreatitis (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Arthritis (broad)
Write-up: approx 10% of the 95 pts who recvd 2nd dose of Engerix-B c/o sore arms; arm swelled up to neck; some rxn occurred immed & some had delayed rxns; c/o muscle soreness @ inject site;

VAERS ID:48282 (history)  Vaccinated:0000-00-00
Age:25.0  Onset:0000-00-00
Gender:Female  Submitted:1992-08-26
Location:Michigan  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: pt exp fever, h/a, nausea, vomit, diarrhea @ 25 y/o w/Engerix-B #1 dose;
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: EBU921638
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM 1 A
Administered by: Other     Purchased by: Other
Symptoms: Diarrhoea, Headache, Nausea, Pyrexia, Vomiting
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Pt recvd 2 dose of Engerix-B following 2nd dose exp high fever, h/a, nausea, vomiting, & diarrhea;

VAERS ID:48507 (history)  Vaccinated:1991-04-29
Age:25.0  Onset:1992-03-20, Days after vaccination: 326
Gender:Female  Submitted:1992-08-20, Days after onset: 152
Location:North Carolina  Entered:1992-11-03, 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:
Preexisting Conditions:
Diagnostic Lab Data: 30MAr92 titer result neg;
CDC Split Type: EBU921681
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM637A42  
Administered by: Other     Purchased by: Other
Symptoms: Drug ineffective
SMQs:, Lack of efficacy/effect (narrow)
Write-up: Pt recvd 3 doses of Engerix-B & exp a neg titer result p/3rd dose;

VAERS ID:48548 (history)  Vaccinated:1992-06-11
Age:25.0  Onset:1992-06-11, Days after vaccination: 0
Gender:Male  Submitted:1992-08-25, Days after onset: 75
Location:Michigan  Entered:1992-11-03, Days after submission: 70
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: EBU921723
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM893A4 IMA
Administered by: Private     Purchased by: Private
Symptoms: Diarrhoea, Dizziness, Headache, Nausea, Pyrexia, Vomiting
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad), Noninfectious diarrhoea (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Pt recvd 1 dose of Engerix-B & exp nausea, vomiting, dizziness, fever, h/a & diarrhea 2-6 hrs p/recvd vax;

VAERS ID:48787 (history)  Vaccinated:1992-05-18
Age:25.0  Onset:1992-06-29, Days after vaccination: 42
Gender:Female  Submitted:1992-09-11, Days after onset: 74
Location:North Carolina  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: pt exp redness @ site @ 25 y/o w/Engerix-B # 1 dose
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: EBU921772
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM857A41 A
Administered by: Private     Purchased by: Private
Symptoms: Erythema nodosum
SMQs:, Hypersensitivity (narrow)
Write-up: Pt recvd 2 doses of Engerix-B & approx 1 wk following exp redness @ site sx resolved; approx 6 wk following dose 2 exp erythema nodosum; seen by MD;

VAERS ID:48963 (history)  Vaccinated:1990-08-07
Age:25.0  Onset:0000-00-00
Gender:Unknown  Submitted:1992-09-01
Location:Ohio  Entered:1992-11-03, Days after submission: 63
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: EBU922092
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM 2  
Administered by: Public     Purchased by: Public
Symptoms: Drug ineffective
SMQs:, Lack of efficacy/effect (narrow)
Write-up: pt recvd 3 doses of Engerix-B & failed to seroconvert;

VAERS ID:48987 (history)  Vaccinated:1992-08-21
Age:25.0  Onset:1992-08-22, Days after vaccination: 1
Gender:Female  Submitted:1992-09-03, Days after onset: 12
Location:North Carolina  Entered:1992-11-03, Days after submission: 61
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness: NONE
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: EBU922119
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM 0IMA
Administered by: Private     Purchased by: Private
Symptoms: Abdominal pain, Face oedema, Nausea
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Angioedema (narrow), Retroperitoneal fibrosis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Pt recvd 1st dose of Engerix-B 21AUG92 & 22AUG92 pt exp extreme nausea, rt upper quad pain, facial edema around eyes & abdo discomfort;

VAERS ID:46723 (history)  Vaccinated:1992-10-26
Age:25.0  Onset:1992-10-28, Days after vaccination: 2
Gender:Male  Submitted:1992-11-02, Days after onset: 5
Location:Michigan  Entered:1992-11-05, 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: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
MEA: MEASLES (ATTENUVAX)MERCK & CO. INC.0564V  A
Administered by: Military     Purchased by: Private
Symptoms: Arthritis, Hypokinesia, Oedema peripheral, Paraesthesia, Pruritus, Rash maculo-papular, Vasodilatation
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Peripheral neuropathy (broad), Systemic lupus erythematosus (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypotonic-hyporesponsive episode (broad), Hypersensitivity (narrow), Arthritis (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: 28OCT92 3AM hands itchy, red, swollen, tingling; 6AM states hands were hard to close, arthritic; PM red feet up to ankles; 29OCT92 redness on bilateral arms, went to ER & started on DPH; 31OCT92 face splotchy red;

VAERS ID:46727 (history)  Vaccinated:1992-10-22
Age:25.0  Onset:1992-10-23, Days after vaccination: 1
Gender:Female  Submitted:1992-11-02, Days after onset: 10
Location:North Dakota  Entered:1992-11-05, Days after submission: 3
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: 2nd degree burns to hand
Preexisting Conditions: NKA-good hlth
Diagnostic Lab Data: NONE
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)LEDERLE LABORATORIES3369940IMLA
Administered by: Private     Purchased by: Private
Symptoms: Hypertonia, Injection site hypersensitivity, Injection site oedema, Pain, Vasodilatation
SMQs:, 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), Hypersensitivity (narrow)
Write-up: pt recvd DT in ER on 22OCT92; pt returned to clinic on 23OCT92 to have burn rechecked it was noted that pt had a large area which was swollen it was approx 9cm in diameter w/sl redness extending to the elbow on the lt arm; pt stated sore

VAERS ID:47152 (history)  Vaccinated:1992-10-09
Age:25.0  Onset:1992-10-09, Days after vaccination: 0
Gender:Female  Submitted:1992-10-14, Days after onset: 5
Location:Wisconsin  Entered:1992-11-12, Days after submission: 29
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 getting over a cold
Preexisting Conditions: adenoma on pituitary gland
Diagnostic Lab Data: CBC10-14; HG 14.9, HCT 47.5, WBC 8,700, Grans 69%, L/M 31%, UA 10-16, PH6, Bili 1+, mod ketone;
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.0842V0IMLA
Administered by: Other     Purchased by: Private
Symptoms: Abdominal pain, Chest pain, Nausea, Urine analysis abnormal, Vomiting
SMQs:, Acute pancreatitis (broad), Retroperitoneal fibrosis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad)
Write-up: chest tightness on 9OCT92; DPH abd pain, nausea & vomiting; 16OCT92 not much better-on Zantac, bland diet; 21OCT92 gradually improved & feeling better;

VAERS ID:47301 (history)  Vaccinated:1992-10-22
Age:25.0  Onset:1992-10-22, Days after vaccination: 0
Gender:Female  Submitted:1992-11-06, Days after onset: 15
Location:Alabama  Entered:1992-11-17, Days after submission: 11
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? Yes, ? days
    Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: EBU922648
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM1014A41IM 
Administered by: Other     Purchased by: Other
Symptoms: Chest pain, Headache, Hyperhidrosis, Hypersensitivity, Myalgia, Vomiting
SMQs:, Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Angioedema (broad), Neuroleptic malignant syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Hypersensitivity (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)
Write-up: Pt recvd 2 doses of Engerix-B 22OCT92 & 20 mins p/vax vomited, had diaphoresis, h/a, muscle pains & sl chest pain; reporter indicated pt may have allergic reactions; pt taken to ER;

VAERS ID:47477 (history)  Vaccinated:1992-10-23
Age:25.0  Onset:1992-11-03, Days after vaccination: 11
Gender:Female  Submitted:1992-11-14, Days after onset: 11
Location:Texas  Entered:1992-11-25, Days after submission: 11
Life Threatening? Yes
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? Yes, ? days
    Extended hospital stay? Yes
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: AG GBS on 9NOV92, CFS taken;
CDC Split Type: CO4527
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)CONNAUGHT LABORATORIES2F31156   
Administered by: Unknown     Purchased by: Unknown
Symptoms: Dyspnoea, Guillain-Barre syndrome, Laboratory test abnormal, Paraesthesia, Urinary tract disorder
SMQs:, Anaphylactic reaction (broad), Peripheral neuropathy (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (narrow), Cardiomyopathy (broad), Demyelination (narrow)
Write-up: numbness in both feet on 3NOV92, then on 5NOV92 was out of work for kidney infection & hospitalized on 8NOV92; in critical condition now in hosp w/resp assistance through tracheostomy;

VAERS ID:47736 (history)  Vaccinated:1991-12-18
Age:25.0  Onset:1991-12-24, Days after vaccination: 6
Gender:Female  Submitted:1992-11-18, Days after onset: 330
Location:New York  Entered:1992-12-04, Days after submission: 16
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 2 days
    Extended hospital stay? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: RH factor/lyme titre/Hep titer; CBC/Panel/IgE/TSH/CH50/ANA/Sed rate
CDC Split Type: WA92799
Vaccination
Manufacturer
Lot
Dose
Route
Site
RAB: RABIES (IMOVAX)PASTEUR MERIEUX INST.   A
Administered by: Other     Purchased by: Unknown
Symptoms: Angioneurotic oedema, Asthma, Hypersensitivity, Pain, Rash maculo-papular, Urticaria
SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), Asthma/bronchospasm (narrow), Oropharyngeal allergic conditions (narrow), Eosinophilic pneumonia (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: 6 days post vax delayed type hypersensitivity w/hives plaques extensive over entire body; uncontrolled w/Pred; devel bronchoconstiction & angioedema & was treated w/Adrenalin in ER; papular eruptions-painful;

VAERS ID:48211 (history)  Vaccinated:1992-12-02
Age:25.0  Onset:1992-12-02, Days after vaccination: 0
Gender:Female  Submitted:1992-12-10, Days after onset: 8
Location:Pennsylvania  Entered:1992-12-17, 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: Phenbarbital, Phenytoin
Current Illness:
Preexisting Conditions: mentally retarded;
Diagnostic Lab Data: phenobarbital levels: WNL; Phenytoin approx 6-7MG/ML;
CDC Split Type: EBU922949
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM1026A4 IMA
Administered by: Private     Purchased by: Private
Symptoms: Condition aggravated, Grand mal convulsion
SMQs:, Systemic lupus erythematosus (broad), Convulsions (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Generalised convulsive seizures following immunisation (narrow), Hypoglycaemia (broad)
Write-up: pt recvd 1 dose of Engerix-B @ 3PM & exp a grand mal seizure from 6-7PM; the event resolved;

VAERS ID:49230 (history)  Vaccinated:1992-01-14
Age:25.0  Onset:1992-01-14, Days after vaccination: 0
Gender:Female  Submitted:1992-01-16, Days after onset: 2
Location:California  Entered:1992-12-22, Days after submission: 341
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: excercise induced asthma;
Diagnostic Lab Data: NONE
CDC Split Type: CO4097
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)CONNAUGHT LABORATORIES1F212170  
Administered by: Private     Purchased by: Private
Symptoms: Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: fever, spiking 103, 3 hrs post inject; 2nd day feeling better; 3rd day no fever or h/a;

VAERS ID:48736 (history)  Vaccinated:1992-12-04
Age:25.0  Onset:1992-12-04, Days after vaccination: 0
Gender:Female  Submitted:1992-12-09, Days after onset: 5
Location:New York  Entered:1993-01-08, Days after submission: 30
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: augmentum;
Diagnostic Lab Data: NONE
CDC Split Type: NYS92076
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0455V1SCRA
Administered by: Private     Purchased by: Other
Symptoms: Dizziness, Injection site hypersensitivity, Injection site mass, Paraesthesia
SMQs:, Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Vestibular disorders (broad), Hypersensitivity (narrow)
Write-up: 10 mins p/vax pt arm became numb from shoulder to fingers; 7 1/2 cm area around inject site became red & indurated; pt also became lightheaded;

VAERS ID:49117 (history)  Vaccinated:1993-01-11
Age:25.0  Onset:1993-01-11, Days after vaccination: 0
Gender:Female  Submitted:1993-01-14, Days after onset: 3
Location:New York  Entered:1993-01-19, Days after submission: 5
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NONE
Other Medications: Nordette OCP''s
Current Illness: NONE
Preexisting Conditions: turner''s synd
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)UNKNOWN MANUFACTURER    
Administered by: Other     Purchased by: Other
Symptoms: Headache, Malaise, Myalgia, Pyrexia, Vasodilatation
SMQs:, Rhabdomyolysis/myopathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: onset fever, malaise, aches, h/a''s 11JAN PM & cont w/elevated fever to max of 104 by 13JAN PM w/flushing assoc;

VAERS ID:49520 (history)  Vaccinated:1991-08-22
Age:25.0  Onset:0000-00-00
Gender:Female  Submitted:0000-00-00
Location:New York  Entered:1993-01-29
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: No relevant data;
CDC Split Type: WAES92010206
Vaccination
Manufacturer
Lot
Dose
Route
Site
MEA: MEASLES (ATTENUVAX)MERCK & CO. INC.0513T0  
Administered by: Private     Purchased by: Private
Symptoms: Headache
SMQs:
Write-up: pt recvd measles vax 22AUG91; pt devel h/a which persisted for 24 hrs; pt later recovered; No further details were provided;

VAERS ID:49522 (history)  Vaccinated:1991-09-16
Age:25.0  Onset:1991-09-22, Days after vaccination: 6
Gender:Female  Submitted:0000-00-00
Location:New Jersey  Entered:1993-01-29
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: allergy ibuprofen
Current Illness:
Preexisting Conditions: allergy ibuprofen
Diagnostic Lab Data: No relevant data;
CDC Split Type: WAES92020102
Vaccination
Manufacturer
Lot
Dose
Route
Site
MEA: MEASLES (ATTENUVAX)MERCK & CO. INC.0513T   
Administered by: Unknown     Purchased by: Unknown
Symptoms: Drug ineffective, Infection, Malaise, Pyrexia, Rash
SMQs:, Anaphylactic reaction (broad), Lack of efficacy/effect (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: pt recvd measles vax on 16SEP91 & on 22SEP91 pt devel a red pin-sized rash on upper extremities & torso; rash was noted to be non-pruritic & heat sensitive; 12DEC91 exp fever, malaise; MD felt pt had a hypersensitivity reaction to the vax;

VAERS ID:49526 (history)  Vaccinated:1992-01-13
Age:25.0  Onset:1992-01-13, Days after vaccination: 0
Gender:Male  Submitted:0000-00-00
Location:Georgia  Entered:1993-01-29
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: allergy PCN;
Diagnostic Lab Data: No relevant data;
CDC Split Type: WAES92020109
Vaccination
Manufacturer
Lot
Dose
Route
Site
MEA: MEASLES (ATTENUVAX)MERCK & CO. INC. 0  
Administered by: Private     Purchased by: Private
Symptoms: Oedema, Pain, Skin nodule
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad)
Write-up: pt recvd measles vax on 13JAN92 & following vax devel sl pain & swelling which persisted; On 19JAN92 exp inc pain & swelling w/ 6 cm muscle swelling & induration; there was no erythema;

VAERS ID:49543 (history)  Vaccinated:1992-11-02
Age:25.0  Onset:1992-11-04, Days after vaccination: 2
Gender:Female  Submitted:0000-00-00
Location:New York  Entered:1993-01-29
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: No relevant data;
CDC Split Type: WAES92120046
Vaccination
Manufacturer
Lot
Dose
Route
Site
MEA: MEASLES (ATTENUVAX)MERCK & CO. INC.0769V SC 
Administered by: Other     Purchased by: Other
Symptoms: Diplopia
SMQs:, Ocular motility disorders (broad), Hypoglycaemia (broad)
Write-up: pt recvd measles vax on 2NOV92 & on 4NOV92 devel double vision; pt was seen by neurologist & an ophthamologist; no further details were provided;

VAERS ID:49639 (history)  Vaccinated:1992-02-05
Age:25.0  Onset:1992-02-05, Days after vaccination: 0
Gender:Male  Submitted:1992-06-18, Days after onset: 133
Location:Tennessee  Entered:1993-01-29, Days after submission: 225
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: CO4331
Vaccination
Manufacturer
Lot
Dose
Route
Site
RAB: RABIES (IMOVAX)PASTEUR MERIEUX INST.    
Administered by: Unknown     Purchased by: Unknown
Symptoms: Injection site hypersensitivity, Injection site oedema, Pruritus, Vasodilatation
SMQs:, Anaphylactic reaction (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: redness, swelling, warmth & itching @ inject site for 12-24 hrs p/booster dose; treated w/DPH;

VAERS ID:49650 (history)  Vaccinated:1992-07-31
Age:25.0  Onset:1992-08-01, Days after vaccination: 1
Gender:Male  Submitted:1992-08-25, Days after onset: 24
Location:Connecticut  Entered:1993-01-29, Days after submission: 157
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: CO4392
Vaccination
Manufacturer
Lot
Dose
Route
Site
RAB: RABIES (IMOVAX ID)PASTEUR MERIEUX INST. 0  
Administered by: Unknown     Purchased by: Unknown
Symptoms: Injection site hypersensitivity, Injection site pain, Pruritus
SMQs:, Anaphylactic reaction (broad), Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: sore arm @ inject site, red & itchy;

VAERS ID:49659 (history)  Vaccinated:1992-07-31
Age:25.0  Onset:1992-08-01, Days after vaccination: 1
Gender:Male  Submitted:1992-10-16, Days after onset: 76
Location:Connecticut  Entered:1993-01-29, 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: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC Split Type: CO4462
Vaccination
Manufacturer
Lot
Dose
Route
Site
RAB: RABIES (IMOVAX ID)PASTEUR MERIEUX INST.G06071  
Administered by: Private     Purchased by: Public
Symptoms: Injection site hypersensitivity, Injection site mass
SMQs:, Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (narrow)
Write-up: reddened, raised area from prev inject;

VAERS ID:49991 (history)  Vaccinated:1992-02-06
Age:25.0  Onset:0000-00-00
Gender:Female  Submitted:1992-12-28
Location:North Carolina  Entered:1993-01-29, Days after submission: 32
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: pt exp numbness, redness of 4cm @ inject site, black out spells;
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC Split Type: CO4126
Vaccination
Manufacturer
Lot
Dose
Route
Site
RAB: RABIES (IMOVAX ID)PASTEUR MERIEUX INST. 2  
Administered by: Public     Purchased by: Private
Symptoms: Paraesthesia
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad)
Write-up: numbness, redness of 4cm @ inject site p/1st inject on 16JAN92; 23JAN92 2nd inject had black out spells; 6JUN92 had 3rd dose & exp numbness; 5MAR92 f/u recovered; blood draw for titer; no results given;

VAERS ID:49596 (history)  Vaccinated:1993-01-06
Age:25.0  Onset:1993-01-08, Days after vaccination: 2
Gender:Female  Submitted:1993-01-14, Days after onset: 6
Location:Texas  Entered:1993-02-01, Days after submission: 18
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: pt exp swelling w/Td
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: pts arm had swollen w/last TD
Diagnostic Lab Data: C&S drainage;
CDC Split Type: TX93002
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)CONNAUGHT LABORATORIES0D410661IMRA
Administered by: Public     Purchased by: Public
Symptoms: Injection site abscess, Injection site haemorrhage, Injection site oedema, Injection site pain
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: pt recvd Td 6JAN93 pt noticed swelling & pain 8JAN93; cont hurting & started draining bloody pus 13JAN93;

VAERS ID:50153 (history)  Vaccinated:1992-09-25
Age:25.0  Onset:1992-10-23, Days after vaccination: 28
Gender:Male  Submitted:1992-10-28, Days after onset: 5
Location:Oregon  Entered:1993-02-18, Days after submission: 113
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: weekly allergy injections, prednisone for asthma;
Current Illness:
Preexisting Conditions: pt has asthma & had upper resp infect on 14SEP92;
Diagnostic Lab Data: NONE
CDC Split Type: 892317005E
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME)PFIZER/WYETH4928221 IM 
Administered by: Other     Purchased by: Other
Symptoms: Lymphadenopathy
SMQs:, Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: pt devel axillary lymphadenopathy coincident w/administration of flu vax;

VAERS ID:50158 (history)  Vaccinated:1992-10-26
Age:25.0  Onset:1992-10-27, Days after vaccination: 1
Gender:Female  Submitted:1992-10-28, Days after onset: 1
Location:South Dakota  Entered:1993-02-18, Days after submission: 113
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: 892328003K
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME)PFIZER/WYETH49281142IM 
Administered by: Other     Purchased by: Other
Symptoms: Injection site hypersensitivity, Injection site inflammation, Injection site mass, Injection site oedema, Injection site pain
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow)
Write-up: pt exp erythema, induration, inflammation, & swelling @ the inject site p/recvd flu vax;

VAERS ID:50509 (history)  Vaccinated:1993-02-08
Age:25.0  Onset:1993-02-08, Days after vaccination: 0
Gender:Female  Submitted:1993-02-25, Days after onset: 17
Location:Alabama  Entered:1993-03-05, Days after submission: 8
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: unk
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: sensitivity to sund/sunburn w/whelps, rash & itching
Diagnostic Lab Data: HGB 13.3 8FEB93; 8FEB93 AS;
CDC Split Type: AL93008
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)CONNAUGHT LABORATORIES2D410660IMLA
Administered by: Public     Purchased by: Other
Symptoms: Injection site pain, Myalgia, Oedema peripheral, Vasodilatation
SMQs:, Rhabdomyolysis/myopathy (broad), Cardiac failure (broad), Angioedema (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad)
Write-up: c/o arm being sore x 2 wks 8FEB93) since last Td; arm aches when exposed to cold; arm did not hurt prior to Td; redness & swelling noted for a couple of days p/shot; main concern is arm is aching all over starting from TD site;

VAERS ID:50571 (history)  Vaccinated:1992-11-19
Age:25.0  Onset:1992-11-19, Days after vaccination: 0
Gender:Female  Submitted:1993-02-25, Days after onset: 98
Location:Nevada  Entered:1993-03-08, 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: allergic to magnolia trees, heart murmur
Diagnostic Lab Data: NONE
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM10202B0IM 
Administered by: Public     Purchased by: Other
Symptoms: Oedema peripheral, Pruritus, Urticaria, Vasodilatation
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: arm felt tight & itchy, had little bumps like hives which lasted couple of days; same arm as inject was given; inject area warm to touch OK next day; itch & tightness for approx 2 days; not too swollen;

VAERS ID:50629 (history)  Vaccinated:1992-01-21
Age:25.0  Onset:1992-01-21, Days after vaccination: 0
Gender:Female  Submitted:0000-00-00
Location:New Jersey  Entered:1993-03-08
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: 25JAN92 Pregnancy-pos;
CDC Split Type: WAES92020006
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC. 2  
Administered by: Other     Purchased by: Other
Symptoms: Injection site pain
SMQs:, Extravasation events (injections, infusions and implants) (broad)
Write-up: pt recvd Hep B vax on 21JAN92; pt exp soreness @ inject site; On 25JAN92 lab eval revealed a pos test for pregnancy;

VAERS ID:51008 (history)  Vaccinated:1992-03-19
Age:25.0  Onset:1992-04-10, Days after vaccination: 22
Gender:Female  Submitted:0000-00-00
Location:Tennessee  Entered:1993-03-08
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: allergy, PCN; allergy, ASA; Allergy, Codeine;
Diagnostic Lab Data: No relevant data;
CDC Split Type: WAES92050001
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.1251T0  
Administered by: Private     Purchased by: Private
Symptoms: Dermatitis bullous, Herpes zoster, Pain, Rash maculo-papular
SMQs:, Severe cutaneous adverse reactions (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Pt recvd Hep B dose on 19MAR92 & on 10APR92 & devel herpes zoster in the lumbar area; lesions were painful; described as a prickly feeling along lumbar sacral area; tender to touch; devel red macules, clear papules & vesicles;

VAERS ID:51014 (history)  Vaccinated:1992-04-23
Age:25.0  Onset:1992-04-25, Days after vaccination: 2
Gender:Female  Submitted:0000-00-00
Location:Ohio  Entered:1993-03-08
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: No relevant data;
CDC Split Type: WAES92050075
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.0103V1IM 
Administered by: Other     Purchased by: Private
Symptoms: Diarrhoea, Nausea, Vomiting
SMQs:, Acute pancreatitis (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (narrow)
Write-up: Pt recvd vax on 23APR92 & 25APR92 devel brief episode of nausea, vomiting & diarrhea; pt recovered in less than 24 hrs; No further details were provided;

VAERS ID:51024 (history)  Vaccinated:1992-04-10
Age:25.0  Onset:1992-04-11, Days after vaccination: 1
Gender:Female  Submitted:0000-00-00
Location:Texas  Entered:1993-03-08
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: No relevant data;
CDC Split Type: WAES92050195
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.0103V0  
Administered by: Other     Purchased by: Other
Symptoms: Dysuria, Haematuria, Urinary tract infection
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Tubulointerstitial diseases (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: pt recvd vax on 10APR92 & on 11APR92 pt devel some dysuria & urethral bleeding; pt to be evaluated by MD 6MAY92; MD stated that UTI was found to be the source of the hematuria;

VAERS ID:51126 (history)  Vaccinated:1992-05-22
Age:25.0  Onset:0000-00-00
Gender:Female  Submitted:0000-00-00
Location:Massachusetts  Entered:1993-03-08
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: No relevant data;
CDC Split Type: WAES92050972
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.0409V0  
Administered by: Other     Purchased by: Other
Symptoms: Influenza, Myalgia, Pruritus, Rash, Somnolence, Vasodilatation
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Anticholinergic syndrome (broad), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Eosinophilic pneumonia (broad), Hypersensitivity (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)
Write-up: pt recvd Hep B vax on 22MAY92 & devel a flu-like illness characterized by lethargy, hot flashes & an aching sensation; also devel heat-like that itched throughout entire body;

VAERS ID:51127 (history)  Vaccinated:1992-05-22
Age:25.0  Onset:0000-00-00
Gender:Female  Submitted:0000-00-00
Location:Massachusetts  Entered:1993-03-08
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: No relevant data;
CDC Split Type: WAES92050973
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.0409V0  
Administered by: Other     Purchased by: Other
Symptoms: Influenza, Myalgia, Pruritus, Rash, Somnolence, Vasodilatation
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Anticholinergic syndrome (broad), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Eosinophilic pneumonia (broad), Hypersensitivity (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)
Write-up: Pt recvd Hep B vax on 22MAY92 & devel flu-like illness characterized by lethargy, hot flashes & an aching also devel heat-like rash that itched;

VAERS ID:51143 (history)  Vaccinated:1992-05-18
Age:25.0  Onset:1992-05-18, Days after vaccination: 0
Gender:Female  Submitted:0000-00-00
Location:Minnesota  Entered:1993-03-08
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? 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: WAES92060060
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.0429V0  
Administered by: Other     Purchased by: Other
Symptoms: Chest pain, Dyspnoea, Nausea, Pain
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad)
Write-up: Pt recvd Hep B vax on 18MAY92 & w/in 45 mins of inject pt devel lt arm pain that radiated into shoulder & into lt chest; SOB, nausea;

VAERS ID:51145 (history)  Vaccinated:0000-00-00
Age:25.0  Onset:0000-00-00
Gender:Female  Submitted:0000-00-00
Location:Minnesota  Entered:1993-03-08
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: No relevant data;
CDC Split Type: WAES92060062
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.0429V   
Administered by: Other     Purchased by: Other
Symptoms: Diarrhoea, Nausea, Pyrexia
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Pt recvd vax & devel nausea, diarrhea & fever approx 5 hrs following vax w/Hep B vax; sx persisted for approx 4 days; pt missed several days of work; No further details;

VAERS ID:51198 (history)  Vaccinated:1992-05-18
Age:25.0  Onset:1992-05-18, Days after vaccination: 0
Gender:Female  Submitted:0000-00-00
Location:Minnesota  Entered:1993-03-08
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: No relevant data;
CDC Split Type: WAES92060539
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.0429V0  
Administered by: Other     Purchased by: Other
Symptoms: Asthenia, Somnolence
SMQs:, Anticholinergic syndrome (broad), Dementia (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hypoglycaemia (broad)
Write-up: Pt recvd Hep B vax on 18MAY92 & w/in a few hrs, pt noted extreme fatigue & lethargy; pt subsequently slept for next forty-eight hrs;

VAERS ID:51379 (history)  Vaccinated:1992-07-08
Age:25.0  Onset:1992-07-09, Days after vaccination: 1
Gender:Male  Submitted:0000-00-00
Location:Virginia  Entered:1993-03-08
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: No relevant data;
CDC Split Type: WAES92070332
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.0104V0IM 
Administered by: Other     Purchased by: Public
Symptoms: Asthenia, Headache, Lymphadenopathy, Malaise, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Pt recvd vax 8JUL92 & the next day seen in clinic w/fever, enlarged cervical lymphnode, malaise, weakness & h/a; then seen in local ER w/fever of 103 & was told may be reaction to vax;

VAERS ID:51434 (history)  Vaccinated:1992-07-13
Age:25.0  Onset:1992-07-13, Days after vaccination: 0
Gender:Female  Submitted:0000-00-00
Location:New Hampshire  Entered:1993-03-08
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions: fatigue, chronic; asthma;
Diagnostic Lab Data: No relevant data;
CDC Split Type: WAES92070523
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.0238V0  
Administered by: Other     Purchased by: Other
Symptoms: Dizziness, Headache, Hypertension, Malaise, Myasthenic syndrome, Nausea, Tachycardia, Vasodilatation
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Malignancy related conditions (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypertension (narrow), Vestibular disorders (broad)
Write-up: Pt recvd vax 13JUL92 & on the same day few mins later devel flushing, lightheadedness, muscle weakenss, h/a, malaise, nausea & diarrhea;

VAERS ID:51437 (history)  Vaccinated:0000-00-00
Age:25.0  Onset:0000-00-00
Gender:Female  Submitted:0000-00-00
Location:Georgia  Entered:1993-03-08
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: No relevant data;
CDC Split Type: WAES92070578
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC. 0  
Administered by: Other     Purchased by: Other
Symptoms: Headache
SMQs:
Write-up: Pt recvd vax & approx 30 mins following the vax exp a severe h/a;

VAERS ID:51506 (history)  Vaccinated:1992-07-30
Age:25.0  Onset:1992-08-09, Days after vaccination: 10
Gender:Female  Submitted:0000-00-00
Location:Massachusetts  Entered:1993-03-08
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Ortho-Novum
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: No relevant data;
CDC Split Type: WAES92080307
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.0937V1  
Administered by: Other     Purchased by: Other
Symptoms: Pain, Pruritus, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Pt recvd vax on 30JUL92 & approx 10 days following 2nd vax pt devel pruritic hives all over body involving scalp, arms, hands, & feet; also c/o hands & feet felt as though they were on fire;

VAERS ID:51660 (history)  Vaccinated:1992-07-28
Age:25.0  Onset:1992-07-29, Days after vaccination: 1
Gender:Male  Submitted:0000-00-00
Location:California  Entered:1993-03-08
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: CBC, Glucose, Thyroid function tests all WNL;
CDC Split Type: WAES92080701
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.0930V0IM 
Administered by: Other     Purchased by: Private
Symptoms: Asthenia, Cough, Headache, Malaise, Myalgia, Pharyngitis
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Agranulocytosis (broad), Oropharyngeal infections (narrow), Guillain-Barre syndrome (broad), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Pt recvd vax 28JUL92 & 24 hrs following vax pt devel URI w/h/a, dry cough & myalgia; also devel pharyngitis, extreme fatigue, weakness, & malaise;

VAERS ID:52202 (history)  Vaccinated:1992-10-06
Age:25.0  Onset:1992-10-06, Days after vaccination: 0
Gender:Female  Submitted:0000-00-00
Location:Maine  Entered:1993-03-08
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: No relevant data;
CDC Split Type: WAES92100445
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC. 0  
Administered by: Other     Purchased by: Private
Symptoms: Diarrhoea, Dizziness, Dysphagia, Headache, Lymphadenopathy, Myalgia, Myasthenic syndrome, Vasodilatation
SMQs:, Rhabdomyolysis/myopathy (broad), Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Malignancy related conditions (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad), Vestibular disorders (broad), Noninfectious diarrhoea (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Pt recd vax on 6OCT92 & following vax pt devel diarrhea; No further details were provided;

VAERS ID:52444 (history)  Vaccinated:0000-00-00
Age:25.0  Onset:1992-10-14
Gender:Male  Submitted:0000-00-00
Location:New Jersey  Entered:1993-03-08
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: No relevant data;
CDC Split Type: WAES92100684
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.0858V1IM 
Administered by: Other     Purchased by: Other
Symptoms: Headache, Myalgia, Pyrexia
SMQs:, Rhabdomyolysis/myopathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: PT recvd vax & on 14OCT92 pt exp aches, h/a & a fever; No further details were provided;

VAERS ID:52823 (history)  Vaccinated:1992-10-21
Age:25.0  Onset:1992-10-21, Days after vaccination: 0
Gender:Female  Submitted:0000-00-00
Location:New York  Entered:1993-03-08
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: No relevant data;
CDC Split Type: WAES92110680
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC. 0  
Administered by: Other     Purchased by: Other
Symptoms: Asthma, Dyspepsia
SMQs:, Anaphylactic reaction (broad), Asthma/bronchospasm (narrow), Gastrointestinal nonspecific dysfunction (narrow), Eosinophilic pneumonia (broad), Hypersensitivity (broad)
Write-up: Pt recvd vax 21OCT92 & several hrs following vax pt exp GI upset & distress; pt also exp mild asthma attack; seen in ER & treated w/Donnatal, Proventil & Epi;

VAERS ID:53112 (history)  Vaccinated:1992-09-06
Age:25.0  Onset:1992-09-07, Days after vaccination: 1
Gender:Male  Submitted:1992-09-10, Days after onset: 3
Location:Pennsylvania  Entered:1993-03-17, Days after submission: 188
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Erythromycin
Current Illness: small stab wound, lt deltoid;
Preexisting Conditions:
Diagnostic Lab Data: 7SEP92 urine dip-stick pos for blood; 9SEP92 urinalysis pos for macroscopic hematuria & trace pos for protein;
CDC Split Type: 892364003E
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)PFIZER/WYETH  IMRA
Administered by: Private     Purchased by: Private
Symptoms: Albuminuria, Chills, Haematuria, Myalgia, Pyrexia
SMQs:, Rhabdomyolysis/myopathy (broad), Acute renal failure (broad), Haemorrhage terms (excl laboratory terms) (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Eosinophilic pneumonia (broad), Chronic kidney disease (broad), Proteinuria (narrow), Tubulointerstitial diseases (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Pt recvd Td vax & the next day presented to ER c/o fever, chills, myalgias; routine dip-stick exam was pos for blood in the urine; 2 days later pt returned to the clinic had macroscopic hematuria & trace protein in urine;

VAERS ID:51717 (history)  Vaccinated:1993-03-29
Age:25.0  Onset:1993-03-30, Days after vaccination: 1
Gender:Female  Submitted:0000-00-00
Location:California  Entered:1993-04-09
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Motrin
Current Illness: laceration
Preexisting Conditions:
Diagnostic Lab Data: NONE
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
DT: DT ADSORBED (NO BRAND NAME)CONNAUGHT LABORATORIES25410150IMLA
Administered by: Other     Purchased by: Private
Symptoms: Injection site hypersensitivity, Injection site oedema, Lymphadenopathy, Pain, Vasodilatation
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: awoke next morning w/pain supraclavicular area, next day pain in axilla & swelling/heat @ site of inject afebrile; swollen glands; erythema, warmth, lt deltoid;

VAERS ID:52154 (history)  Vaccinated:1993-04-20
Age:25.0  Onset:1993-04-20, Days after vaccination: 0
Gender:Female  Submitted:0000-00-00
Location:Florida  Entered:1993-04-26
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)PFIZER/WYETH49287971IMLA
Administered by: Other     Purchased by: Other
Symptoms: Paraesthesia
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad)
Write-up: numbness dorsal lt arm, forearm;

VAERS ID:52159 (history)  Vaccinated:1993-03-23
Age:25.0  Onset:1993-03-23, Days after vaccination: 0
Gender:Female  Submitted:1993-04-23, Days after onset: 30
Location:Texas  Entered:1993-04-26, Days after submission: 3
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: back injury
Preexisting Conditions: allergy to codeine
Diagnostic Lab Data: NONE
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)PFIZER/WYETH49280920IMLA
Administered by: Private     Purchased by: Other
Symptoms: Injection site mass
SMQs:, Extravasation events (injections, infusions and implants) (broad)
Write-up: c/o knot forming lt upper arm @ inject site of adult;

VAERS ID:52260 (history)  Vaccinated:1993-03-05
Age:25.0  Onset:1993-03-06, Days after vaccination: 1
Gender:Female  Submitted:1993-04-21, Days after onset: 45
Location:Louisiana  Entered:1993-04-30, Days after submission: 9
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: NONE
Other Medications: Pt also recvd Hep B vax by SmithKline Beecham lot# 1054A4 9APR93
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM1948A40IMA
Administered by: Other     Purchased by: Other
Symptoms: Hypokinesia, Nausea, Neck pain, Oedema, Pain, Vasodilatation, Vomiting
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Acute pancreatitis (broad), Angioedema (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Arthritis (broad)
Write-up: PM nausea/vomiting, swelling, fever in deltoid, burning sensation to area from shoulder to neck; stiffness in shoulder; 415PM visited ER was given Phenergan sx later subsided;

VAERS ID:52361 (history)  Vaccinated:1993-04-27
Age:25.0  Onset:1993-04-28, Days after vaccination: 1
Gender:Female  Submitted:1993-04-29, Days after onset: 1
Location:Michigan  Entered:1993-05-03, 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: Advil
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)MICHIGAN DEPT PUB HLTHTD6129B  LA
Administered by: Private     Purchased by: Public
Symptoms: Oedema, Pruritus, Vasodilatation
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: itching, redness, swelling (size 1/2 fifty cents piece);

VAERS ID:52604 (history)  Vaccinated:1993-04-08
Age:25.0  Onset:1993-04-08, Days after vaccination: 0
Gender:Male  Submitted:1993-04-15, Days after onset: 7
Location:Michigan  Entered:1993-05-14, Days after submission: 29
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: allergy cats
Diagnostic Lab Data: influenza test, CXR neg;
CDC Split Type: MI93058
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.0024W0IMRA
Administered by: Public     Purchased by: Private
Symptoms: Dizziness, Hypokinesia, Myasthenic syndrome, Nausea, Pyrexia
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Malignancy related conditions (narrow), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: 4 hrs post vax pt devel fever 103, muscle weakness, nausea, dizziness; weakness worsened over next 24 hrs so that pt could not walk; temp would not reduce w/APAP or cool baths; pt taken to ER 9APR93; MD in ER stated poss reaction to vax;

VAERS ID:52741 (history)  Vaccinated:1993-05-12
Age:25.0  Onset:1993-05-14, Days after vaccination: 2
Gender:Female  Submitted:1993-05-14, Days after onset: 0
Location:California  Entered:1993-05-18, Days after submission: 4
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)CONNAUGHT LABORATORIES2J41015 IMRA
Administered by: Private     Purchased by: Private
Symptoms: Injection site hypersensitivity, Injection site oedema, Lymphadenopathy
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: localized swelling w/redness; 2 day p/shot c/o swollen lymph node on neck, same side as shot;

VAERS ID:53669 (history)  Vaccinated:1993-05-20
Age:25.0  Onset:1993-05-31, Days after vaccination: 11
Gender:Male  Submitted:1993-06-03, Days after onset: 3
Location:Ohio  Entered:1993-06-07, Days after submission: 4
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NONE
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
RAB: RABIES (IMOVAX)PASTEUR MERIEUX INST.G05883IMLA
Administered by: Other     Purchased by: Private
Symptoms: Arthralgia, Face oedema, Oedema peripheral, Urticaria
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow), Arthritis (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: onset of facial edema, urticaria, lower extremity joint pain; also some lower extremity edema; pt seen 1JUN93, treated w/12 day tapering course; pt is leaving town 4JUN93 will f/u w/own MD;

VAERS ID:53955 (history)  Vaccinated:1993-05-13
Age:25.0  Onset:1993-05-21, Days after vaccination: 8
Gender:Female  Submitted:1993-05-25, Days after onset: 4
Location:Nevada  Entered:1993-06-14, Days after submission: 20
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Ortho Novum 77
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC Split Type: NV93021
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0062W1IMRA
TD: TD ADSORBED (NO BRAND NAME)CONNAUGHT LABORATORIES1K311454IMLA
Administered by: Other     Purchased by: Private
Symptoms: Asthenia, Myalgia, Pharyngitis, Pyrexia, Rash
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Agranulocytosis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Oropharyngeal infections (narrow), Guillain-Barre syndrome (broad), Eosinophilic pneumonia (broad), Hypersensitivity (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: fever, sore throat, fatigue, upper body rash muscle aches;

VAERS ID:54097 (history)  Vaccinated:1993-03-22
Age:25.0  Onset:1993-03-22, Days after vaccination: 0
Gender:Female  Submitted:1993-06-16, Days after onset: 85
Location:New York  Entered:1993-06-21, Days after submission: 5
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: hist of skin test pos for mild all to carroway seeds & eggs;
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM1071A40IM 
Administered by: Private     Purchased by: Private
Symptoms: Pruritus, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: several hrs p/vax pt devel hives w/itching on the face & torso; there was no SOB nor shock sx; pt cont to exp same sx w/gradual diminuition over 3-5 days;

VAERS ID:54229 (history)  Vaccinated:1993-05-13
Age:25.0  Onset:1993-05-13, Days after vaccination: 0
Gender:Female  Submitted:1993-05-25, Days after onset: 12
Location:Louisiana  Entered:1993-06-28, Days after submission: 34
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC Split Type: LA930601
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)LEDERLE LABORATORIES3269852 RA
Administered by: Public     Purchased by: Public
Symptoms: Injection site hypersensitivity, Injection site oedema, Neck pain, Oedema, Pain
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Hypersensitivity (narrow), Arthritis (broad)
Write-up: pt states that arm became red & swollen @ site of vax; also states that had pain & swelling of rt armpit; pt was seen @ ER on 15MAY93; pt states that ER mD gave a sling for rt arm to use for 5 days; burning of rt neck & shoulder area;

VAERS ID:54253 (history)  Vaccinated:1993-06-08
Age:25.0  Onset:1993-06-09, Days after vaccination: 1
Gender:Male  Submitted:1993-06-10, Days after onset: 1
Location:Virginia  Entered:1993-06-28, 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:
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC Split Type: VA93049
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0338W SCRA
TD: TD ADSORBED (NO BRAND NAME)LEDERLE LABORATORIES334901 IMRA
Administered by: Public     Purchased by: Public
Symptoms: Arthralgia, Malaise, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arthritis (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: pt described onset of elevated temp 100-103, aching of joints & general malaise reported; condition cont even w/use of APPA;

VAERS ID:54426 (history)  Vaccinated:1993-06-22
Age:25.0  Onset:1993-06-24, Days after vaccination: 2
Gender:Female  Submitted:1993-06-28, Days after onset: 4
Location:Maine  Entered:1993-07-01, Days after submission: 3
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: allergic to PCN
Diagnostic Lab Data: NONE
CDC Split Type: ME93024
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)LEDERLE LABORATORIES2J41015 IMA
Administered by: Private     Purchased by: Private
Symptoms: Injection site hypersensitivity, Myalgia, Pain, Vasodilatation
SMQs:, Rhabdomyolysis/myopathy (broad), Eosinophilic pneumonia (broad), Hypersensitivity (narrow), Tendinopathies and ligament disorders (broad)
Write-up: On Thursday noc pt arm became sore & pt had a red spot about the size of quarter @ the site of inject; By Friday the red spot grew to about 4" in diameter & pt arm was tender & warm to touch;

VAERS ID:54546 (history)  Vaccinated:1992-11-06
Age:25.0  Onset:1992-11-08, Days after vaccination: 2
Gender:Female  Submitted:1992-11-12, Days after onset: 4
Location:Louisiana  Entered:1993-07-07, Days after submission: 236
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM10174A0IMA
Administered by: Private     Purchased by: Private
Symptoms: Chills, Headache, Hyperhidrosis, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)
Write-up: fever 102.1; h/a, chills, sweating;

VAERS ID:54833 (history)  Vaccinated:1993-07-19
Age:25.0  Onset:1993-07-20, Days after vaccination: 1
Gender:Male  Submitted:1993-07-20, Days after onset: 0
Location:Missouri  Entered:1993-07-26, Days after submission: 6
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: nauseated/joint pain for 2 wks;
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC Split Type: MO93052
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)LEDERLE LABORATORIES3349010IMLA
Administered by: Public     Purchased by: Public
Symptoms: Chills, Headache, Hyperhidrosis, Injection site hypersensitivity, Injection site oedema, Insomnia, Myalgia
SMQs:, Rhabdomyolysis/myopathy (broad), Neuroleptic malignant syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Eosinophilic pneumonia (broad), Hypersensitivity (narrow), Tendinopathies and ligament disorders (broad), Hypoglycaemia (broad)
Write-up: awoke approx 2AM 20JUL93 w/cold sweat, states slept restlessly rest of noc; states felt cold, clammy, achy all day 20JUL; h/a & lt arm soreness all day treated w/ASA; swollen, reddened lt upper arm 20JUL;

VAERS ID:54863 (history)  Vaccinated:0000-00-00
Age:25.0  Onset:1992-07-25
Gender:Female  Submitted:1992-08-07, Days after onset: 13
Location:Missouri  Entered:1993-07-26, Days after submission: 353
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: NONE
Current Illness: NONE
Preexisting Conditions: MVP
Diagnostic Lab Data: elevated liver enzymes; severe, severe back pain; h/a;
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
UNK: VACCINE NOT SPECIFIED (NO BRAND NAME)UNKNOWN MANUFACTURER    
Administered by: Unknown     Purchased by: Unknown
Symptoms: Asthenia, Back pain, Headache, Hepatic function abnormal, Hypokinesia, Myalgia, Pain
SMQs:, Rhabdomyolysis/myopathy (broad), Liver related investigations, signs and symptoms (narrow), Retroperitoneal fibrosis (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Eosinophilic pneumonia (broad), Hypotonic-hyporesponsive episode (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: pt recvd vax on 20JUL; On 25JUL 830AM started having upper back pain; 29JUL could hardly walk; severe pain; hurt to ride in cars because of bumps; h/a; liver enzymes elevated; hospitalized for 3 days; fatigues easy;

VAERS ID:54911 (history)  Vaccinated:1993-07-15
Age:25.0  Onset:1993-07-17, Days after vaccination: 2
Gender:Male  Submitted:1993-07-20, Days after onset: 3
Location:Maine  Entered:1993-07-29, Days after submission: 9
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: NA
Preexisting Conditions: NA
Diagnostic Lab Data: NA
CDC Split Type: ME93027
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.0634W0IMLA
Administered by: Public     Purchased by: Public
Symptoms: Arthralgia, Asthenia, Back pain, Chills, Hyperhidrosis, Myalgia, Rash, Vomiting
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Retroperitoneal fibrosis (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad), Hypersensitivity (narrow), Arthritis (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)
Write-up: 17JUL93 PM achy, pains in back & knees tired, cold sweats, chills, vomiting; rash on stomach, chest;

VAERS ID:55110 (history)  Vaccinated:1993-06-16
Age:25.0  Onset:1993-06-16, Days after vaccination: 0
Gender:Female  Submitted:1993-06-24, Days after onset: 8
Location:New York  Entered:1993-08-06, Days after submission: 43
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: NONE
Other Medications: oth
Current Illness: Denied by pt
Preexisting Conditions: hayfever
Diagnostic Lab Data: NONE
CDC Split Type: NYS93049
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.1518V0IMRA
Administered by: Public     Purchased by: Public
Symptoms: Blindness, Cough, Deafness, Dyspnoea, Injection site pain, Pallor, Tremor, Vasodilatation
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Parkinson-like events (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Noninfectious encephalopathy/delirium (broad), Extravasation events (injections, infusions and implants) (broad), Glaucoma (broad), Optic nerve disorders (broad), Cardiomyopathy (broad), Retinal disorders (broad), Hearing impairment (narrow), Hypotonic-hyporesponsive episode (broad), Hypoglycaemia (broad)
Write-up: 10 mins p/recvd vax exp dyspnea, couldn''t catch breath, shakiness, nausea, did not vomit, episodes of hot flashes; states lost all vision & lost all hearing; husband described as pale & no color in lips; taken to ER; pains shooting; cough

VAERS ID:55259 (history)  Vaccinated:1993-08-05
Age:25.0  Onset:1993-08-05, Days after vaccination: 0
Gender:Female  Submitted:1993-08-13, Days after onset: 8
Location:Florida  Entered:1993-08-17, Days after submission: 4
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: NKA
Diagnostic Lab Data:
CDC Split Type: CO4918
Vaccination
Manufacturer
Lot
Dose
Route
Site
RAB: RABIES (IMOVAX ID)PASTEUR MERIEUX INST.G05880IMA
Administered by: Public     Purchased by: Unknown
Symptoms: Chest pain, Dysphagia, Laryngospasm
SMQs:, Anaphylactic reaction (broad), Anticholinergic syndrome (broad), Dystonia (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Hypersensitivity (narrow)
Write-up: choking sensation & throat closed; chest felt tight; given Epi; sx did not resolve; transported to ER; treated w/more medication; clinically stable in 2 hrs;

VAERS ID:55496 (history)  Vaccinated:1993-07-27
Age:25.0  Onset:1993-07-28, Days after vaccination: 1
Gender:Male  Submitted:1993-07-29, Days after onset: 1
Location:Illinois  Entered:1993-08-25, Days after submission: 27
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: hay fever, food allergies
Diagnostic Lab Data: NA
CDC Split Type: IL93086
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)LEDERLE LABORATORIES349909 IMRA
Administered by: Public     Purchased by: Public
Symptoms: Infection, Injection site reaction, Pyrexia, Skin striae
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: onset of fever (101.6 oral) on 28JUL93; later devel red streaks from site toward armpit; seen @ hosp ER on 29JUL93; infect present treated w/Duracef;

VAERS ID:55990 (history)  Vaccinated:1993-02-09
Age:25.0  Onset:1993-02-09, Days after vaccination: 0
Gender:Female  Submitted:1993-07-14, Days after onset: 154
Location:Vermont  Entered:1993-09-10, Days after submission: 58
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC Split Type: CO4671
Vaccination
Manufacturer
Lot
Dose
Route
Site
RAB: RABIES (IMOVAX ID)PASTEUR MERIEUX INST. 0 A
Administered by: Unknown     Purchased by: Unknown
Symptoms: Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: wheal about the size of half dollar;

VAERS ID:56005 (history)  Vaccinated:1991-11-20
Age:25.0  Onset:0000-00-00
Gender:Male  Submitted:1993-07-14
Location:Virginia  Entered:1993-09-10, Days after submission: 58
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: CO4697
Vaccination
Manufacturer
Lot
Dose
Route
Site
RAB: RABIES (IMOVAX ID)PASTEUR MERIEUX INST.G02261  
Administered by: Unknown     Purchased by: Unknown
Symptoms: Injection site hypersensitivity, Injection site oedema, Injection site pain, Malaise, Nausea, Pruritus, Pyrexia, Vasodilatation
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Fever of 101 w/malaise for 4 days; sl nausea for 2 days & local reaction characterized by redness, painful to touch, swelling, warmth & itching for 72 hrs;

VAERS ID:56007 (history)  Vaccinated:1991-11-13
Age:25.0  Onset:0000-00-00
Gender:Male  Submitted:1993-07-15
Location:Virginia  Entered:1993-09-10, 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:
Preexisting Conditions: prior hx of allergy to pollen;
Diagnostic Lab Data:
CDC Split Type: CO4699
Vaccination
Manufacturer
Lot
Dose
Route
Site
RAB: RABIES (IMOVAX ID)PASTEUR MERIEUX INST.G02260  
Administered by: Unknown     Purchased by: Unknown
Symptoms: Injection site hypersensitivity, Injection site oedema, Injection site pain, Pruritus, Vasodilatation
SMQs:, Anaphylactic reaction (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: local reaction w/each inject characterized by redness, pain, swelling, warmth & itching;

VAERS ID:56011 (history)  Vaccinated:1991-11-20
Age:25.0  Onset:0000-00-00
Gender:Female  Submitted:1993-07-15
Location:Virginia  Entered:1993-09-10, Days after submission: 57
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: pt exp h/a, dizziness, joint pains, muscles aches, local react w/redness, pain;
Other Medications:
Current Illness:
Preexisting Conditions: hx of allergy to Tetracycline;
Diagnostic Lab Data:
CDC Split Type: CO4703
Vaccination
Manufacturer
Lot
Dose
Route
Site
RAB: RABIES (IMOVAX ID)PASTEUR MERIEUX INST. 1  
Administered by: Unknown     Purchased by: Unknown
Symptoms: Arthralgia, Diarrhoea, Headache, Injection site hypersensitivity, Lymphadenopathy, Myalgia, Pruritus, Vomiting
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Acute pancreatitis (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad), Hypersensitivity (narrow), Arthritis (broad), Noninfectious diarrhoea (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: pt recvd vax & exp h/a, dizziness, joint pains, muscle aches, local reaction characterized by redness, pain swelling, warmth & itching also fever, lymphadenopathy;

VAERS ID:56052 (history)  Vaccinated:1993-08-27
Age:25.0  Onset:1993-08-27, Days after vaccination: 0
Gender:Female  Submitted:1993-09-01, Days after onset: 5
Location:Pennsylvania  Entered:1993-09-13, Days after submission: 12
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: NONE
Other Medications: pvt
Current Illness: NONE
Preexisting Conditions: poss Hep B, asthma, hx eating disorder;
Diagnostic Lab Data: oximetry 100% during respty; Monitor-SUT strips not nl;
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM1073A42IMLA
Administered by: Other     Purchased by: Other
Symptoms: Cough, Electrocardiogram abnormal, Hypertonia, Injection site oedema, Laryngospasm, Tremor, Vasodilatation
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dystonia (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), Hypoglycaemia (broad)
Write-up: about 2 hrs p/inject, arm became swollen & warm @ inject site; began coughing, shakey & throat tight; arms became stiff & hands clenched; treated w/Epi, monitor, IV d5W, Decadron IV, Volium

VAERS ID:56176 (history)  Vaccinated:1993-08-30
Age:25.0  Onset:1993-09-06, Days after vaccination: 7
Gender:Female  Submitted:1993-09-15, Days after onset: 9
Location:Michigan  Entered:1993-09-20, Days after submission: 5
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: pt exp rxn w/childhood DPT 2 doses;
Other Medications: Norptant
Current Illness: NONE
Preexisting Conditions: allergy to kidney medicine unsure name, DTP allergy
Diagnostic Lab Data: NONE
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM1200B20 LA
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.1502V  RA
Administered by: Other     Purchased by: Other
Symptoms: Chest pain, Malaise, Nausea, Pyrexia, Rash, Vomiting
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: pt recvd vax 30AUG93 1 wk later felt funny on 6SEP93; high fever 103.7 on 9SEP93; down to 99.0 w/APAP several days a/reporting; on & off nausea & vomiting; chest aches, rash beginning 12SEP93 over chest & face;

VAERS ID:56206 (history)  Vaccinated:1993-07-14
Age:25.0  Onset:0000-00-00
Gender:Female  Submitted:1993-08-31
Location:California  Entered:1993-09-22, Days after submission: 22
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: NONE
Other Medications: Zantac
Current Illness: rt armaceration
Preexisting Conditions: allergies PCn
Diagnostic Lab Data: NONE
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
DT: DT ADSORBED (NO BRAND NAME)CONNAUGHT LABORATORIES3C51048 IM 
Administered by: Private     Purchased by: Private
Symptoms: Unevaluable event
SMQs:
Write-up: recvd DT test 14JUL93;

VAERS ID:56376 (history)  Vaccinated:0000-00-00
Age:25.0  Onset:0000-00-00
Gender:Female  Submitted:1993-09-30
Location:Connecticut  Entered:1993-10-04, Days after submission: 4
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: No relevant data;
CDC Split Type: WAES92081028
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.    
Administered by: Other     Purchased by: Other
Symptoms: Abortion
SMQs:, Termination of pregnancy and risk of abortion (narrow)
Write-up: pt recvd vax during 4th wk of pregnancy; f/u info revealed that pt underwent an elective abortion; No further details were provided;

VAERS ID:57071 (history)  Vaccinated:1993-05-03
Age:25.0  Onset:1993-05-03, Days after vaccination: 0
Gender:Female  Submitted:1993-06-08, Days after onset: 36
Location:Georgia  Entered:1993-10-29, Days after submission: 143
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: CO4797
Vaccination
Manufacturer
Lot
Dose
Route
Site
JEV: JAPANESE ENCEPHALITIS (J-VAX)CONNAUGHT LABORATORIES    
Administered by: Unknown     Purchased by: Unknown
Symptoms: Laryngospasm
SMQs:, Anaphylactic reaction (broad), Dystonia (broad), Hypersensitivity (narrow)
Write-up: Tightness in throat 45 mins p/vax; no other sx; resolved spontaneously;

VAERS ID:56933 (history)  Vaccinated:1993-10-11
Age:25.0  Onset:1993-10-14, Days after vaccination: 3
Gender:Female  Submitted:1993-10-27, Days after onset: 13
Location:Pennsylvania  Entered:1993-11-01, Days after submission: 5
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: occasional sl arthr sx in hips;
Preexisting Conditions: occasional sl arthr sx in hips;
Diagnostic Lab Data: lyme AB-neg;
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME)PFIZER/WYETH49381584 LA
Administered by: Military     Purchased by: Unknown
Symptoms: Arthralgia, Arthritis, Condition aggravated, Diarrhoea, Headache, Hypokinesia, Oedema peripheral, Osteoarthritis
SMQs:, Cardiac failure (broad), Angioedema (broad), Systemic lupus erythematosus (broad), Pseudomembranous colitis (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Hypotonic-hyporesponsive episode (broad), Arthritis (narrow), Noninfectious diarrhoea (narrow)
Write-up: pt recvd vax & arm swollen, red & sore for 3rd day; severe h/a upon awakining, lasted all day; severe diarrhea until 21:15; severe arthritic sx in hips, could not walk; all joints hurt bad, elbows esp swollen, red, & warm;

VAERS ID:56981 (history)  Vaccinated:1993-10-18
Age:25.0  Onset:1993-10-19, Days after vaccination: 1
Gender:Male  Submitted:1993-10-21, Days after onset: 2
Location:Nevada  Entered:1993-11-03, Days after submission: 13
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: pt exp flu like sx x 2 days @ 21 w/MMR booster;
Other Medications: Nasal Spray-Afrin
Current Illness: tired, rundown past 2 wks;
Preexisting Conditions: hiatal hernia; nasal allergies;
Diagnostic Lab Data: NONE
CDC Split Type: NV93031
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME)PFIZER/WYETH49381561IMRA
PPV: PNEUMO (PNU-IMUNE)LEDERLE LABORATORIES3369431IMRA
Administered by: Public     Purchased by: Public
Symptoms: Dizziness, Headache, Injection site hypersensitivity, Injection site oedema, Myalgia, Nausea, Pyrexia, Vomiting
SMQs:, Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Eosinophilic pneumonia (broad), Vestibular disorders (broad), Hypersensitivity (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: 19OCT93 vomiting, fever (100), achiness, dizziness, nausea to present 21OCT93 820AM; states redness & swelling below inject sites dec; area has 5 blotchy red areas no longer swollen; muscle aches, h/a, n/v dec;

VAERS ID:58508 (history)  Vaccinated:1992-06-01
Age:25.0  Onset:1992-08-30, Days after vaccination: 90
Gender:Female  Submitted:1992-09-30, Days after onset: 31
Location:North Carolina  Entered:1993-11-03, Days after submission: 399
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: EBU922301
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM 3IMA
Administered by: Private     Purchased by: Private
Symptoms: Arthralgia, Arthropathy, Asthenia, Diarrhoea, Drug ineffective
SMQs:, Lack of efficacy/effect (narrow), Pseudomembranous colitis (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Arthritis (broad), Noninfectious diarrhoea (narrow)
Write-up: Pt recvd vax & still did not respond; 30AUG92 devel fatigue, diarrhea, joints hurt & could not bend wrists; seen in ER;

VAERS ID:58526 (history)  Vaccinated:1992-09-10
Age:25.0  Onset:1992-09-10, Days after vaccination: 0
Gender:Female  Submitted:1992-11-10, Days after onset: 61
Location:New York  Entered:1993-11-03, Days after submission: 358
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: EBU922334
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM1035A40IMLA
Administered by: Other     Purchased by: Private
Symptoms: Myasthenic syndrome, Paraesthesia
SMQs:, Peripheral neuropathy (broad), Malignancy related conditions (narrow), Guillain-Barre syndrome (broad)
Write-up: Pt recvd vax & exp numbness & heaviness in the lt arm; no treatment given;

VAERS ID:58611 (history)  Vaccinated:1992-08-24
Age:25.0  Onset:1992-09-24, Days after vaccination: 31
Gender:Female  Submitted:1992-12-08, Days after onset: 75
Location:New York  Entered:1993-11-03, Days after submission: 330
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: pt was tested as surface antigen pos 1 month p/4th dose;
CDC Split Type: EBU922371
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM 3IMA
Administered by: Other     Purchased by: Other
Symptoms: Hepatitis B surface antigen
SMQs:
Write-up: Pt recvd vax & 24AUG92 1 month p/4th dose pt tested as surface antigen pos;

VAERS ID:58665 (history)  Vaccinated:1992-09-28
Age:25.0  Onset:1992-09-29, Days after vaccination: 1
Gender:Female  Submitted:1993-02-23, Days after onset: 147
Location:Pennsylvania  Entered:1993-11-03, Days after submission: 253
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions: hx of strong allergies to milk & milk products; had to be treated w/Epi & DPH p/using sulfa & Erythromycin; was on TOlectin for 1 yr 7 1 day had anaphylactic react;
Diagnostic Lab Data:
CDC Split Type: EBU922469
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM1037A40IMLA
Administered by: Other     Purchased by: Other
Symptoms: Pruritus, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Pt recvd vax & 7 hrs later devel generalized itching; the next morning exp a sprinkle of hives on neck & back; pt was seen by nurse in nursing school; pt recvd 2nd dose of vax w/o any side effects;

VAERS ID:58697 (history)  Vaccinated:1992-09-21
Age:25.0  Onset:1992-09-22, Days after vaccination: 1
Gender:Female  Submitted:1992-12-04, Days after onset: 73
Location:Florida  Entered:1993-11-03, Days after submission: 334
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Contraceptives;
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: EBU922638
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM   A
Administered by: Private     Purchased by: Private
Symptoms: Cough, Influenza, Pharyngitis, Pyrexia, Rhinitis
SMQs:, Anaphylactic reaction (broad), Agranulocytosis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Oropharyngeal infections (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: pt recvd vax & 1 day p/vax exp flu (fever, coughing, cold); seen by MD prescribed Cipro for 5 days; sx resolved;

VAERS ID:59523 (history)  Vaccinated:1993-05-14
Age:25.0  Onset:1993-05-15, Days after vaccination: 1
Gender:Female  Submitted:1993-07-26, Days after onset: 72
Location:Utah  Entered:1993-11-03, Days after submission: 100
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Zoloft
Current Illness:
Preexisting Conditions: allergy PCN;
Diagnostic Lab Data: The manufacturing and quality assurance records for Engerix-B lot# ENG1070A4 have been reviewed. The product meets all specifications for product release.
CDC Split Type: 930002461
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM1070A40IMLA
Administered by: Other     Purchased by: Public
Symptoms: Nausea
SMQs:, Acute pancreatitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)
Write-up: pt recvd vax & exp nausea the next morning which resolved p/eating; treatment: none; pt recvd 2nd dose of vax 14JUN93 8AM w/no complaints;

VAERS ID:59540 (history)  Vaccinated:1993-06-18
Age:25.0  Onset:1993-06-19, Days after vaccination: 1
Gender:Male  Submitted:1993-10-21, Days after onset: 124
Location:New Jersey  Entered:1993-11-03, Days after submission: 13
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC Split Type: 930004911
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM1151A21IMLA
Administered by: Private     Purchased by: Private
Symptoms: Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: pt recvd vax & 24 hrs p/2nd dose exp hives, which were treated w/DPH tablets & resolved;

VAERS ID:59656 (history)  Vaccinated:1993-07-23
Age:25.0  Onset:1993-07-24, Days after vaccination: 1
Gender:Female  Submitted:1993-09-07, Days after onset: 45
Location:New York  Entered:1993-11-03, 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: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC Split Type: 930016861
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM1198A20IMA
Administered by: Private     Purchased by: Private
Symptoms: Hypertonia, Neck pain, Nuchal rigidity, Pain
SMQs:, Neuroleptic malignant syndrome (broad), Parkinson-like events (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Arthritis (broad)
Write-up: pt recvd vax & 1-2 days p/vax exp pain & stiffness of lt shoulder & lt side of neck for 2 1/2 wks;

VAERS ID:59682 (history)  Vaccinated:1993-08-24
Age:25.0  Onset:0000-00-00
Gender:Female  Submitted:1993-09-03
Location:Maryland  Entered:1993-11-03, Days after submission: 61
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: pt exp fever, malaise, inject site soreness w/Engerix-B dose #1;
Other Medications:
Current Illness:
Preexisting Conditions: anemic, chicken pox, measles;
Diagnostic Lab Data:
CDC Split Type: 930018431
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM1098A41IMLA
Administered by: Private     Purchased by: Private
Symptoms: Chills, Injection site pain, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Pt recvd vax & exp low grade fever, chills, & inject site pain;

VAERS ID:59686 (history)  Vaccinated:1992-12-18
Age:25.0  Onset:1992-12-28, Days after vaccination: 10
Gender:Female  Submitted:1993-01-11, Days after onset: 14
Location:California  Entered:1993-11-03, Days after submission: 296
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: pt has had hives in the past;
Diagnostic Lab Data:
CDC Split Type: EBU930008
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM1049A40IMLA
Administered by: Private     Purchased by: Private
Symptoms: Oedema peripheral, Pyrexia, Urticaria
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: pt recvd vax & exp fever & hives 10 days p/1st inject;

VAERS ID:60141 (history)  Vaccinated:1992-12-18
Age:25.0  Onset:1993-01-01, Days after vaccination: 14
Gender:Female  Submitted:1993-02-11, Days after onset: 41
Location:New York  Entered:1993-11-03, Days after submission: 265
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: EBU930033
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM1034A41 LA
Administered by: Other     Purchased by: Other
Symptoms: Rash
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: pt recvd 2 doses of Engerix-B & about 2 wks p/2nd shot devel a rash on chest, abdo, back & arms;

VAERS ID:60223 (history)  Vaccinated:1992-12-17
Age:25.0  Onset:1992-12-19, Days after vaccination: 2
Gender:Male  Submitted:1993-02-09, Days after onset: 52
Location:New Jersey  Entered:1993-11-03, Days after submission: 267
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Cortisone acetate
Current Illness:
Preexisting Conditions: Addison''s disease
Diagnostic Lab Data:
CDC Split Type: EBU930253
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM1038A41IMA
Administered by: Private     Purchased by: Private
Symptoms: Agitation, Lymphadenopathy, Pharyngitis, Pyrexia
SMQs:, Agranulocytosis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Oropharyngeal infections (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hostility/aggression (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (narrow), Hypoglycaemia (broad)
Write-up: pt recvd vax & 2 days p/vax pt exp fever 104, restlessness, swollen glands & pharyngitis; dx w/lymphadenopathy;

VAERS ID:60507 (history)  Vaccinated:1993-02-24
Age:25.0  Onset:1993-02-24, Days after vaccination: 0
Gender:Female  Submitted:1993-06-23, Days after onset: 118
Location:Pennsylvania  Entered:1993-11-03, Days after submission: 133
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: anaprox
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC Split Type: EBU930387
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM1059A40  
Administered by: Private     Purchased by: Private
Symptoms: Paraesthesia
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad)
Write-up: 25 mins post vax pt devel numbness in lt arm;

VAERS ID:60547 (history)  Vaccinated:1993-01-29
Age:25.0  Onset:1993-01-29, Days after vaccination: 0
Gender:Male  Submitted:1993-03-09, Days after onset: 39
Location:Utah  Entered:1993-11-03, Days after submission: 239
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: EBU930419
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM1050A4 IM 
Administered by: Private     Purchased by: Private
Symptoms: Nausea, Vomiting
SMQs:, Acute pancreatitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)
Write-up: Pt recvd vax & that noc exp 1 episode of nausea & vomiting;

VAERS ID:60560 (history)  Vaccinated:1993-03-05
Age:25.0  Onset:1993-03-05, Days after vaccination: 0
Gender:Female  Submitted:1993-05-05, Days after onset: 60
Location:Louisiana  Entered:1993-11-03, Days after submission: 182
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC Split Type: EBU930445
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM1948A4 IMA
Administered by: Other     Purchased by: Other
Symptoms: Injection site oedema, Nausea, Neck pain, Pain, Pyrexia
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Arthritis (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Pt exp burning sensation from neck to shoulder, nausea, fever & swelling @ inject site; treated w/Phenergan & events subsided p/treatment;

VAERS ID:60585 (history)  Vaccinated:1993-03-09
Age:25.0  Onset:1993-03-09, Days after vaccination: 0
Gender:Male  Submitted:1993-03-24, Days after onset: 15
Location:New Jersey  Entered:1993-11-03, Days after submission: 224
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: NONE
Diagnostic Lab Data:
CDC Split Type: EBU930482
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM1059A41 A
Administered by: Other     Purchased by: Private
Symptoms: Coordination abnormal, Dizziness, Headache
SMQs:, Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Vestibular disorders (broad), Hypoglycaemia (broad)
Write-up: Pt recvd vax & exp lightheadedness, ataxia, h/a;

VAERS ID:57187 (history)  Vaccinated:1993-09-21
Age:25.0  Onset:1993-09-22, Days after vaccination: 1
Gender:Male  Submitted:1993-09-24, Days after onset: 2
Location:Unknown  Entered:1993-11-08, Days after submission: 45
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
JEV: JAPANESE ENCEPHALITIS (J-VAX)CONNAUGHT LABORATORIES 1  
Administered by: Unknown     Purchased by: Unknown
Symptoms: Face oedema, Pruritus
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: 1 day p/vax pt reported itchy skin & swollen eyes;

VAERS ID:57261 (history)  Vaccinated:1993-10-27
Age:25.0  Onset:1993-10-27, Days after vaccination: 0
Gender:Male  Submitted:0000-00-00
Location:Minnesota  Entered:1993-11-09
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NONE
Other Medications: Mefloquine
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NA
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
DT: DT ADSORBED (NO BRAND NAME)CONNAUGHT LABORATORIES3G511535IMLA
TYP: TYPHOID VI POLYSACCHARIDE (NO BRAND NAME)PFIZER/WYETH49380511SCLA
Administered by: Private     Purchased by: Private
Symptoms: Angioneurotic oedema, Asthenia, Dysuria, Face oedema, Injection site pain, Myalgia, Pollakiuria, Scrotal oedema
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Angioedema (narrow), Oropharyngeal allergic conditions (narrow), Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Eosinophilic pneumonia (broad), Hypersensitivity (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: 3 hrs p/inject pt exp faituge & generalized muscle ache which progressed to angioedema of lips & scrotum, urinary frequency, painful urination; site very painful;

VAERS ID:57934 (history)  Vaccinated:1993-09-15
Age:25.0  Onset:1993-10-02, Days after vaccination: 17
Gender:Female  Submitted:1993-10-13, Days after onset: 11
Location:Michigan  Entered:1993-12-06, Days after submission: 54
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: pt exp rxn @ 24 w/Rubella #1 dose;
Other Medications: Triphasal, Anaprox, Xanax;
Current Illness: NONE
Preexisting Conditions: bee stings, hayfever, snythetic fibers;
Diagnostic Lab Data:
CDC Split Type: MI93160
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0272V1 RA
TD: TD ADSORBED (NO BRAND NAME)LEDERLE LABORATORIESTD6129B4 LA
Administered by: Public     Purchased by: Unknown
Symptoms: Arthralgia, Osteoarthritis, Rash
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow), Arthritis (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: severe joint pain/swelling; rash;

VAERS ID:57947 (history)  Vaccinated:1993-10-04
Age:25.0  Onset:1993-10-04, Days after vaccination: 0
Gender:Female  Submitted:0000-00-00
Location:Minnesota  Entered:1993-12-06
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: MN93060
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME)PFIZER/WYETH49381410IMA
Administered by: Public     Purchased by: Public
Symptoms: Chills, Tremor
SMQs:, Neuroleptic malignant syndrome (broad), Parkinson-like events (broad), Noninfectious encephalopathy/delirium (broad), Hypoglycaemia (broad)
Write-up: had chills 7 hrs p/flu shot; was shaky lasting until the next morning;

VAERS ID:58103 (history)  Vaccinated:1993-11-29
Age:25.0  Onset:1993-11-29, Days after vaccination: 0
Gender:Male  Submitted:1993-12-07, Days after onset: 8
Location:Indiana  Entered:1993-12-09, Days after submission: 2
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: pt exp dizzy, perspiring w/Hep B vax #1;
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: Sulfa medication
Diagnostic Lab Data: NONE
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.1232W1IMRA
Administered by: Other     Purchased by: Other
Symptoms: Dizziness, Hyperhidrosis
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Vestibular disorders (broad), Hypoglycaemia (broad)
Write-up: pt exp dizzy, perspiring p/inject;

VAERS ID:58218 (history)  Vaccinated:1993-10-29
Age:25.0  Onset:1993-10-29, Days after vaccination: 0
Gender:Female  Submitted:1993-10-29, Days after onset: 0
Location:California  Entered:1993-12-13, Days after submission: 45
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: Unk
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME)PFIZER/WYETH49381580IMLA
Administered by: Public     Purchased by: Private
Symptoms: Dizziness, Headache, Hyperhidrosis, Hypotension, Tachycardia, Vasodilatation
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Vestibular disorders (broad), Hypoglycaemia (broad)
Write-up: began to get dizzy & sweaty, warm skin, immediately upon receiving vax; assisted to lie down VS BP 76/54, P100, T97.4; c/o mild h/a;

VAERS ID:58240 (history)  Vaccinated:1993-10-29
Age:25.0  Onset:1993-10-30, Days after vaccination: 1
Gender:Male  Submitted:1993-11-01, Days after onset: 2
Location:South Dakota  Entered:1993-12-14, 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:
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC Split Type: SD93032
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME)PFIZER/WYETH49381800IMLA
Administered by: Public     Purchased by: Public
Symptoms: Pain, Skin nodule
SMQs:, Extravasation events (injections, infusions and implants) (broad)
Write-up: Sat AM lump under lt arm (large marble size) gotten worse tender to touch-no redness, or warmth;

VAERS ID:58361 (history)  Vaccinated:1993-11-15
Age:25.0  Onset:1993-11-30, Days after vaccination: 15
Gender:Male  Submitted:1993-12-13, Days after onset: 13
Location:Pennsylvania  Entered:1993-12-22, Days after submission: 9
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? Yes, ? days
    Extended hospital stay? No
Previous Vaccinations: NS
Other Medications: NA
Current Illness: NS
Preexisting Conditions: NS
Diagnostic Lab Data: 30NOV93 sed rate 100; CPk 14,000; Hematocrit 29;
CDC Split Type: 27907
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)CONNAUGHT LABORATORIES  IM 
Administered by: Military     Purchased by: Other
Symptoms: Anaemia, Blood creatine phosphokinase increased, Myalgia, Myositis, Pain, Red blood cell sedimentation rate increased
SMQs:, Rhabdomyolysis/myopathy (broad), Haematopoietic erythropenia (broad), Neuroleptic malignant syndrome (broad), Myocardial infarction (broad), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: rhabdomyalgia & myositis are reported in a pt NOV93 & approx 3 wks p/vax exp onset of myositis affecting muscles of arms, legs & back; 30NOV93 sed rate=100, CPK=14,000 & hematocrit=29; pt was hospitalized on 30NOV93

VAERS ID:58384 (history)  Vaccinated:1993-10-13
Age:25.0  Onset:1993-11-29, Days after vaccination: 47
Gender:Female  Submitted:0000-00-00
Location:North Dakota  Entered:1993-12-27
Life Threatening? No
Died? Yes
   Date died: 1993-11-29
   Days after onset: 0
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: ~ ()~ ~~In patient
Other Medications:
Current Illness: none
Preexisting Conditions: none
Diagnostic Lab Data: waiting on drug screen
CDC Split Type: CO5196
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)CONNAUGHT LABORATORIES3J41148 IM 
Administered by: Military     Purchased by: Military
Symptoms: Endocarditis, Haematemesis, Haemorrhage, Infection, Leukopenia, Lymphadenopathy, Necrosis, Pneumonia
SMQs:, Haematopoietic leukopenia (narrow), Haemorrhage terms (excl laboratory terms) (narrow), Systemic lupus erythematosus (broad), Gastrointestinal haemorrhage (narrow), Eosinophilic pneumonia (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (narrow)
Write-up: found dead in apartment, no suspicious circumstances. Autopsy results: lymphoma; no known cause of death.

VAERS ID:59379 (history)  Vaccinated:1993-10-25
Age:25.0  Onset:1993-10-31, Days after vaccination: 6
Gender:Female  Submitted:1993-11-04, Days after onset: 4
Location:Tennessee  Entered:1994-01-31, Days after submission: 88
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: (mood stabilizer) Wellbutrim & BCP''s;
Current Illness: NONE
Preexisting Conditions: environmental allergies;
Diagnostic Lab Data:
CDC Split Type: TN94006
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME)PFIZER/WYETH49381810 LA
Administered by: Public     Purchased by: Public
Symptoms: Anorexia, Asthenia, Myalgia, Pyrexia, Sinusitis
SMQs:, Rhabdomyolysis/myopathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: low grade fever (not ck''d), generalized aching, weak, dec appetite, sinus problems, did not miss work, sx lasted 4 days;

VAERS ID:61572 (history)  Vaccinated:0000-00-00
Age:25.0  Onset:0000-00-00
Gender:Female  Submitted:0000-00-00
Location:New York  Entered:1994-02-03
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: allergy, PCN; allergy, sulfa;
Diagnostic Lab Data: No relevant data;
CDC Split Type: WAES93110759
Vaccination
Manufacturer
Lot
Dose
Route
Site
MEA: MEASLES (ATTENUVAX)MERCK & CO. INC.    
Administered by: Other     Purchased by: Other
Symptoms: Drug ineffective
SMQs:, Lack of efficacy/effect (narrow)
Write-up: Pt recvd vax in 1988 or 1989 & did not seroconvert; No further details were provided;

VAERS ID:59702 (history)  Vaccinated:1993-10-08
Age:25.0  Onset:1993-10-10, Days after vaccination: 2
Gender:Female  Submitted:1993-11-12, Days after onset: 33
Location:California  Entered:1994-02-07, Days after submission: 87
Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? No
Hospitalized? Yes, ? days
    Extended hospital stay? No
Previous Vaccinations: NA~ ()~~0.00~Patient
Other Medications: NA
Current Illness: healthy; pt has no hx of neuro porblems
Preexisting Conditions:
Diagnostic Lab Data: NA
CDC Split Type: 9400123
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLU-IMUNE)PFIZER/WYETHE2243GC0IMLA
Administered by: Unknown     Purchased by: Unknown
Symptoms: CSF test abnormal, Guillain-Barre syndrome, Malaise
SMQs:, Peripheral neuropathy (narrow), Guillain-Barre syndrome (narrow), Demyelination (narrow)
Write-up: On the 3rd day following vax pt felt very ill; went to hosp; LP pos for GBS; pt hospitalized; discharged & transferred to rehab unit;

VAERS ID:59738 (history)  Vaccinated:1993-11-16
Age:25.0  Onset:1993-11-26, Days after vaccination: 10
Gender:Male  Submitted:1993-12-06, Days after onset: 10
Location:New York  Entered:1994-02-07, Days after submission: 63
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (NO BRAND NAME)UNKNOWN MANUFACTURER    
Administered by: Military     Purchased by: Private
Symptoms: Pyrexia, Rash, Tinnitus
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Hearing impairment (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: generalized rash, ringing in ears, t104;

VAERS ID:62316 (history)  Vaccinated:1993-08-05
Age:25.0  Onset:1993-08-09, Days after vaccination: 4
Gender:Female  Submitted:1993-08-16, Days after onset: 7
Location:Maryland  Entered:1994-03-04, Days after submission: 200
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: unk
Current Illness: abrasion
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: 893237004C
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)PFIZER/WYETH4938050 IMA
Administered by: Private     Purchased by: Private
Symptoms: Hypersensitivity, Injection site hypersensitivity, Injection site oedema, Injection site pain
SMQs:, Angioedema (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: pt recvd vax & pt exp redness, swelling, tenderness @ the inject site; It is uncertain if the pt had an allerg react;

VAERS ID:62319 (history)  Vaccinated:1993-08-24
Age:25.0  Onset:1993-08-27, Days after vaccination: 3
Gender:Female  Submitted:1993-08-31, Days after onset: 4
Location:Tennessee  Entered:1994-03-04, Days after submission: 185
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: TD lot# 4938027 was examined & found to be satisfactory;
CDC Split Type: 893250001J
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)PFIZER/WYETH4938027 IM 
Administered by: Private     Purchased by: Other
Symptoms: Cellulitis
SMQs:
Write-up: pt recvd vax & devel a react dx as cellulitis; pt treated w/Duricef;

VAERS ID:60407 (history)  Vaccinated:1994-02-13
Age:25.0  Onset:1994-02-14, Days after vaccination: 1
Gender:Male  Submitted:1994-02-24, Days after onset: 10
Location:Minnesota  Entered:1994-03-10, 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: NONE
Current Illness: NONE
Preexisting Conditions:
Diagnostic Lab Data: Bilirubin 1.1 (lipemic ); WBC 9600, 70% segs, 4 EOS, 4 MONO, 22 lymphocytes; urinanalysis-trace protein, PH 5.0;
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
YF: YELLOW FEVER (YF-VAX)CONNAUGHT LABORATORIES3L41108   
Administered by: Military     Purchased by: Military
Symptoms: Abdominal pain, Asthenia, Headache, Hyperbilirubinaemia, Myalgia, Paraesthesia, Pyrexia, Vasodilatation
SMQs:, Rhabdomyolysis/myopathy (broad), Liver related investigations, signs and symptoms (narrow), Cholestasis and jaundice of hepatic origin (narrow), Acute pancreatitis (narrow), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Biliary system related investigations, signs and symptoms (narrow), Biliary tract disorders (narrow), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: fever, ache, epigastric discomfort, moderately severe h/a, generalized fatigue almost immediately p/vax 5FEB94; also red palms w/sandy gritty tactile sensation beneath skin;

VAERS ID:60430 (history)  Vaccinated:1994-03-01
Age:25.0  Onset:1994-03-01, Days after vaccination: 0
Gender:Female  Submitted:1994-03-09, Days after onset: 8
Location:Wisconsin  Entered:1994-03-11, Days after submission: 2
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: NONE
Other Medications:
Current Illness: NONE
Preexisting Conditions: allergic to sulfa
Diagnostic Lab Data: NONE
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)PFIZER/WYETH4938229 IMLA
Administered by: Other     Purchased by: Private
Symptoms: Dizziness, Dyspnoea, Nausea, Pruritus, Rash, Tachycardia, Tremor, Urticaria
SMQs:, Anaphylactic reaction (narrow), Acute pancreatitis (broad), Angioedema (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Parkinson-like events (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Vestibular disorders (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)
Write-up: pt recvd vax & felt flushed, lightheaded, dizzy & shakey; denied resp difficulty; chest, neck, head, & arms bilateral-patches of erythema; c/o pruritis, R24, P110 & regular Epi;

VAERS ID:62596