MedAlerts Home
  Read the MedAlerts Blog Subscribe to the MedAlerts Blog 

Found 573164 cases in entire database

Case Details (Sorted by Age)

This is page 378 out of 574

Result pages: prev   1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100 101 102 103 104 105 106 107 108 109 110 111 112 113 114 115 116 117 118 119 120 121 122 123 124 125 126 127 128 129 130 131 132 133 134 135 136 137 138 139 140 141 142 143 144 145 146 147 148 149 150 151 152 153 154 155 156 157 158 159 160 161 162 163 164 165 166 167 168 169 170 171 172 173 174 175 176 177 178 179 180 181 182 183 184 185 186 187 188 189 190 191 192 193 194 195 196 197 198 199 200 201 202 203 204 205 206 207 208 209 210 211 212 213 214 215 216 217 218 219 220 221 222 223 224 225 226 227 228 229 230 231 232 233 234 235 236 237 238 239 240 241 242 243 244 245 246 247 248 249 250 251 252 253 254 255 256 257 258 259 260 261 262 263 264 265 266 267 268 269 270 271 272 273 274 275 276 277 278 279 280 281 282 283 284 285 286 287 288 289 290 291 292 293 294 295 296 297 298 299 300 301 302 303 304 305 306 307 308 309 310 311 312 313 314 315 316 317 318 319 320 321 322 323 324 325 326 327 328 329 330 331 332 333 334 335 336 337 338 339 340 341 342 343 344 345 346 347 348 349 350 351 352 353 354 355 356 357 358 359 360 361 362 363 364 365 366 367 368 369 370 371 372 373 374 375 376 377 378 379 380 381 382 383 384 385 386 387 388 389 390 391 392 393 394 395 396 397 398 399 400 401 402 403 404 405 406 407 408 409 410 411 412 413 414 415 416 417 418 419 420 421 422 423 424 425 426 427 428 429 430 431 432 433 434 435 436 437 438 439 440 441 442 443 444 445 446 447 448 449 450 451 452 453 454 455 456 457 458 459 460 461 462 463 464 465 466 467 468 469 470 471 472 473 474 475 476 477 478 479 480 481 482 483 484 485 486 487 488 489 490 491 492 493 494 495 496 497 498 499 500 501 502 503 504 505 506 507 508 509 510 511 512 513 514 515 516 517 518 519 520 521 522 523 524 525 526 527 528 529 530 531 532 533 534 535 536 537 538 539 540 541 542 543 544 545 546 547 548 549 550 551 552 553 554 555 556 557 558 559 560 561 562 563 564 565 566 567 568 569 570 571 572 573 574   next


VAERS ID:43571 (history)  Vaccinated:1992-06-24
Age:28.8  Onset:1992-06-26, Days after vaccination: 2
Gender:Female  Submitted:1992-06-29, Days after onset: 3
Location:Nevada  Entered:1992-07-20, Days after submission: 21
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: pt exp heavy vaginal bleeding @ 28 y/o w/Hep B vax #1 dose;
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: urine preg test;
CDC Split Type: NV92013
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.0104V1IMLA
Administered by: Public     Purchased by: Public
Symptoms: Vaginal haemorrhage
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow)
Write-up: Hep B vax given 20MAY92; started heavy vaginal bleeding on 21MAY-30MAY given Estrogen shot; menstrual period not due to start; Hep b shot given 24JUN92 started vaginal bleeding 26JUN92;

VAERS ID:43882 (history)  Vaccinated:1992-06-14
Age:28.9  Onset:1992-06-16, Days after vaccination: 2
Gender:Female  Submitted:1992-06-29, Days after onset: 13
Location:South Dakota  Entered:1992-08-03, Days after submission: 35
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Motrin & APAP
Current Illness: foreign body in eye;
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: SD92011
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)CONNAUGHT LABORATORIES1L31017  LA
Administered by: Public     Purchased by: Other
Symptoms: Injection site hypersensitivity, Injection site pain, Skin discolouration, Vasodilatation
SMQs:, Extravasation events (injections, infusions and implants) (broad), Hypotonic-hyporesponsive episode (broad), Hypersensitivity (narrow)
Write-up: lt upper arm w/3 in diam circle of redness; area darkened & warm to touch; c/o aching @ site;

VAERS ID:44122 (history)  Vaccinated:1992-06-25
Age:28.0  Onset:1992-06-26, Days after vaccination: 1
Gender:Female  Submitted:0000-00-00
Location:Unknown  Entered:1992-08-11
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? Yes, ? days
    Extended hospital stay? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions:
Diagnostic Lab Data: MRI of brain & spine; no meds;
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM922A4   
Administered by: Unknown     Purchased by: Unknown
Symptoms: Neuropathy, Paraesthesia
SMQs:, Peripheral neuropathy (narrow), Guillain-Barre syndrome (broad)
Write-up: acute transient neuropathy beginning 24 hrs p/vax w/numbness in toes gradually spreading to feet & lower legs to knees; 4 days later also had numbness inface & hands & was hospitalized for observation overnight;

VAERS ID:44148 (history)  Vaccinated:1992-07-30
Age:28.6  Onset:1992-07-30, Days after vaccination: 0
Gender:Male  Submitted:1992-08-04, Days after onset: 5
Location:Illinois  Entered:1992-08-13, Days after submission: 9
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? Yes, 1 days
    Extended hospital stay? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: Lacerated toe
Preexisting Conditions: NONE
Diagnostic Lab Data: CBC, CSR, UA, Chem 20, Sed rate;
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)SCLAVOA108A  RA
Administered by: Other     Purchased by: Other
Symptoms: Dyspnoea, Urticaria
SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: SOB, hives pt given Epi x 3; 3 different ER visits; also given Decadron, Pred, SOlu Medrol, DPH;

VAERS ID:44456 (history)  Vaccinated:1991-02-15
Age:28.0  Onset:1991-02-15, Days after vaccination: 0
Gender:Female  Submitted:1992-08-20, Days after onset: 551
Location:Tennessee  Entered:1992-08-24, Days after submission: 4
Life Threatening? No
Died? No
Permanent Disability? Yes
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: WAES92080092
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0695S1  
Administered by: Other     Purchased by: Other
Symptoms: Hypokinesia, Injection site pain, Myalgia, Pain
SMQs:, Rhabdomyolysis/myopathy (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Eosinophilic pneumonia (broad), Hypotonic-hyporesponsive episode (broad), Tendinopathies and ligament disorders (broad)
Write-up: pt recvd booster dose MMR on 15FEB91 & following vax exp pain in deltoid muscle & shoulder; pt was seen by surgeons who dx impingement synd; unable to raise arm above head; tenderness @ inject site;

VAERS ID:44581 (history)  Vaccinated:1992-07-15
Age:28.7  Onset:1992-07-16, Days after vaccination: 1
Gender:Female  Submitted:1992-08-20, Days after onset: 35
Location:Michigan  Entered:1992-08-27, 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: NA
Current Illness: cold
Preexisting Conditions: allergy to seafood
Diagnostic Lab Data: poss allergic reaction per MD;
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM877A40IMA
Administered by: Other     Purchased by: Private
Symptoms: Anorexia, Chills, Diarrhoea, Dizziness, Dyspepsia, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific dysfunction (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad), Noninfectious diarrhoea (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: 16 hrs p/inject had t102, stomach feeling funny, diarrhea, chills, no appetite, temp fluctuated over entire time; seconday day had dizziness, diarrhea; sx lasted 3 days;

VAERS ID:44582 (history)  Vaccinated:1992-07-13
Age:28.4  Onset:1992-07-13, Days after vaccination: 0
Gender:Female  Submitted:1992-08-19, Days after onset: 37
Location:Michigan  Entered:1992-08-27, Days after submission: 8
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NA
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE IV-iodine contrast
Diagnostic Lab Data: NA
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM877A40IMA
Administered by: Other     Purchased by: Private
Symptoms: Abdominal pain, Chills, Diarrhoea, Flatulence, Nausea
SMQs:, Acute pancreatitis (broad), Retroperitoneal fibrosis (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (narrow)
Write-up: 24 hrs p/recvd vax had upper abdominal cramps, excessive flatulence, some diarrhea, chills, sl nausea; lasted approx 6 hrs; following day had 2 episodes of abdominal cramping; no temp; no one in family w/similar sx;

VAERS ID:44594 (history)  Vaccinated:1992-05-21
Age:28.4  Onset:1992-05-21, Days after vaccination: 0
Gender:Female  Submitted:1992-08-25, Days after onset: 96
Location:Washington  Entered:1992-08-28, Days after submission: 3
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: NONE
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC Split Type: WA92763
Vaccination
Manufacturer
Lot
Dose
Route
Site
IPV: POLIO VIRUS, INACT. (NO BRAND NAME)PASTEUR MERIEUX INST.G01032SCRA
TD: TD ADSORBED (NO BRAND NAME)CONNAUGHT LABORATORIES1K311451IMLA
Administered by: Public     Purchased by: Public
Symptoms: Hypertonia, Hypokinesia, Myalgia, Myositis, Pain
SMQs:, Rhabdomyolysis/myopathy (broad), Neuroleptic malignant syndrome (broad), Parkinson-like events (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Eosinophilic pneumonia (broad), Hypotonic-hyporesponsive episode (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: stiffness @ inject site lt deltoid following vax which cont until AUG92 in the evening when extreme pain & soreness occurred & impaired use of arm; seen by MD 24AUG92 dx post inject myositis;

VAERS ID:47938 (history)  Vaccinated:1992-05-23
Age:28.0  Onset:0000-00-00
Gender:Female  Submitted:1992-09-03
Location:Colorado  Entered:1992-09-03
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Oral contraceptives;
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: EBU921883
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM814A42IMLA
Administered by: Private     Purchased by: Private
Symptoms: Drug ineffective
SMQs:, Lack of efficacy/effect (narrow)
Write-up: Pt recvd 3 doses of Engerix-B & had neg titer;

VAERS ID:44926 (history)  Vaccinated:1992-08-14
Age:28.2  Onset:1992-08-15, Days after vaccination: 1
Gender:Female  Submitted:1992-08-31, Days after onset: 16
Location:Rhode Island  Entered:1992-09-14, 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: PPD
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC Split Type: RI9208
Vaccination
Manufacturer
Lot
Dose
Route
Site
DT: DT ADSORBED (NO BRAND NAME)CONNAUGHT LABORATORIES1L31017 IMLA
MER: MEASLES + RUBELLA (MR-VAX II)MERCK & CO. INC.0903T SCRA
Administered by: Public     Purchased by: Other
Symptoms: Injection site hypersensitivity, Injection site pain, Vasodilatation
SMQs:, Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (narrow)
Write-up: @ site of DT lt deltoid has 3" diameter red area warm to touch & tender; no fever;

VAERS ID:45019 (history)  Vaccinated:1992-08-20
Age:28.4  Onset:1992-08-20, Days after vaccination: 0
Gender:Female  Submitted:1992-08-20, Days after onset: 0
Location:California  Entered:1992-09-15, Days after submission: 26
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: Pt exp sl h/a @ 28 y/o w/Hep vax #1 2JUL92;
Other Medications:
Current Illness: denied
Preexisting Conditions: inflammatory bowel disease per MD
Diagnostic Lab Data: NONE
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM975A41IMRA
Administered by: Private     Purchased by: Private
Symptoms: Dizziness, Headache
SMQs:, Anticholinergic syndrome (broad), Vestibular disorders (broad)
Write-up: States h/a started about 1 hr p/receiving vax (1545) while working dizziness started about 1600; states h/a & dizziness cont @ this time;

VAERS ID:45534 (history)  Vaccinated:1992-08-28
Age:28.1  Onset:1992-08-28, Days after vaccination: 0
Gender:Female  Submitted:1992-09-04, Days after onset: 7
Location:Rhode Island  Entered:1992-09-24, 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 fatigue, nausea, dizziness @ 27 y/o w/Hep B vax #1;
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC Split Type: RI9210
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (FOREIGN)MERCK & CO. INC.0789V1IMLA
Administered by: Public     Purchased by: Public
Symptoms: Asthenia, Dizziness, Nausea
SMQs:, Acute pancreatitis (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad)
Write-up: Recombivax #1 fatigue x 24 hrs, nausea, dizziness, resolved p/#2 same sx occurred;

VAERS ID:45844 (history)  Vaccinated:1992-07-13
Age:28.7  Onset:1992-07-29, Days after vaccination: 16
Gender:Female  Submitted:1992-09-02, Days after onset: 35
Location:New York  Entered:1992-09-28, Days after submission: 26
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: rheumatoid factor & sed rate;
CDC Split Type: NY92046
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0228V1SCLA
Administered by: Public     Purchased by: Public
Symptoms: Arthralgia, Arthritis, Hypokinesia, Osteoarthritis, Pain
SMQs:, Systemic lupus erythematosus (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Hypotonic-hyporesponsive episode (broad), Arthritis (narrow)
Write-up: 2 1/2 wks p/MMR devel swollen lt knee, pain, inability to bend; resolved in 3-4 days then started in rt knee & resolved 3-4 days; seen MD 3 wks p/MMR; 3AUG dx arthritis; 4AUG92 devel pain, swelling wrists & ankle;

VAERS ID:45967 (history)  Vaccinated:1992-09-22
Age:28.1  Onset:0000-00-00
Gender:Male  Submitted:1992-09-28
Location:Ohio  Entered:1992-10-01, Days after submission: 3
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: UNK
Preexisting Conditions: pt states NONE
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)PFIZER/WYETH49280371 LA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Injection site oedema, Injection site reaction, Rash
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: swollen lt central deltoid & tender small local flat rash 2x2 cm over infection site;

VAERS ID:46147 (history)  Vaccinated:1992-09-29
Age:28.0  Onset:1992-09-29, Days after vaccination: 0
Gender:Female  Submitted:1992-09-30, Days after onset: 1
Location:Texas  Entered:1992-10-13, Days after submission: 13
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC Split Type: TX92192
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.1473T1IMRA
Administered by: Public     Purchased by: Public
Symptoms: Asthenia, Malaise, Pyrexia, Vomiting
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: fever 101, fatigue 24 hrs, weakness generalized for 24 hrs; vomiting 2 hrs p/vax; malaise;

VAERS ID:46181 (history)  Vaccinated:1992-09-22
Age:28.8  Onset:1992-10-05, Days after vaccination: 13
Gender:Male  Submitted:1992-10-06, Days after onset: 1
Location:Maryland  Entered:1992-10-13, 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: NONE
Current Illness:
Preexisting Conditions: measles like
Diagnostic Lab Data: WBC-3.1; MCHC-35.1; SGPT-48; BU/CR ratio 5.7; Triglyceride-327;
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
MEA: MEASLES (ATTENUVAX)MERCK & CO. INC.  IMA
Administered by: Private     Purchased by: Unknown
Symptoms: Alanine aminotransferase increased, Hyperlipidaemia, Infection, Laboratory test abnormal, Leukopenia, Lymphocytosis, Pyrexia, Rash maculo-papular
SMQs:, Liver related investigations, signs and symptoms (narrow), Dyslipidaemia (narrow), Haematopoietic leukopenia (narrow), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Lipodystrophy (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (narrow)
Write-up: devel mesles like rash, fever 5OCT92; poss infectious mononucleosis;

VAERS ID:46469 (history)  Vaccinated:0000-00-00
Age:28.0  Onset:0000-00-00
Gender:Female  Submitted:1992-10-15
Location:Maryland  Entered:1992-10-26, Days after submission: 11
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: pt exp swollen shoulder @ 9yrs old w/Tetanus probably 5th dose
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: CBC, x-ray & arthritis profile were ordered & results are pending;
CDC Split Type: MD92073
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM1034A40IMLA
Administered by: Public     Purchased by: Public
Symptoms: Back pain, Hypertonia, Myalgia, Neck pain, Nuchal rigidity
SMQs:, Rhabdomyolysis/myopathy (broad), Neuroleptic malignant syndrome (broad), Retroperitoneal fibrosis (broad), Parkinson-like events (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Eosinophilic pneumonia (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad)
Write-up: soreness & stiffness in lt shoulder, back & neck for 3 wks;

VAERS ID:47032 (history)  Vaccinated:1992-05-26
Age:28.0  Onset:1992-05-26, Days after vaccination: 0
Gender:Female  Submitted:1992-08-03, Days after onset: 69
Location:Delaware  Entered:1992-11-03, Days after submission: 92
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: allergy talwyn;
Diagnostic Lab Data:
CDC Split Type: EBU921501
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM 1IMA
Administered by: Private     Purchased by: Private
Symptoms: Pruritus
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: pt recvd 1 dose of Engerix-B & more than 6 hrs later devel severe itching which was generalized from head to toe; tx DPH; lasted 2 days;

VAERS ID:47051 (history)  Vaccinated:1991-08-15
Age:28.0  Onset:1992-02-20, Days after vaccination: 189
Gender:Female  Submitted:1992-07-07, Days after onset: 137
Location:West Virginia  Entered:1992-11-03, Days after submission: 119
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: 20FEB92 titer result seronegative for antibody to HBSAG;
CDC Split Type: EBU921521
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM630A42  
Administered by: Private     Purchased by: Private
Symptoms: Drug ineffective
SMQs:, Lack of efficacy/effect (narrow)
Write-up: pt recvd 3 doses of Engerix-B & did not respond when titer was checked; booster vax will be offered;

VAERS ID:47056 (history)  Vaccinated:1992-05-13
Age:28.0  Onset:1992-05-14, Days after vaccination: 1
Gender:Female  Submitted:1992-08-05, Days after onset: 83
Location:New York  Entered:1992-11-03, Days after submission: 90
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: EBU921527
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM857A4 IMA
Administered by: Private     Purchased by: Private
Symptoms: Injection site pain, Pain
SMQs:, Extravasation events (injections, infusions and implants) (broad)
Write-up: Pt recvd 1 dose of Engerix-B & the next day exp pain @ inject going down arm;

VAERS ID:47922 (history)  Vaccinated:1992-06-08
Age:28.0  Onset:1992-07-14, Days after vaccination: 36
Gender:Female  Submitted:1992-08-31, Days after onset: 48
Location:Florida  Entered:1992-11-03, Days after submission: 64
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: EBU921867
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM 2  
Administered by: Other     Purchased by: Other
Symptoms: Drug ineffective
SMQs:, Lack of efficacy/effect (narrow)
Write-up: Pt recvd 3 doses of Engerix-B; 14JUL92 pt was tested for Hep B Antibody & tested neg;

VAERS ID:47947 (history)  Vaccinated:1992-07-13
Age:28.0  Onset:1992-07-14, Days after vaccination: 1
Gender:Female  Submitted:1992-09-04, Days after onset: 52
Location:Michigan  Entered:1992-11-03, Days after submission: 60
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: EBU921893
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM877A4 IMA
Administered by: Other     Purchased by: Private
Symptoms: Abdominal pain, Chills, Diarrhoea, Flatulence, Nausea
SMQs:, Acute pancreatitis (broad), Retroperitoneal fibrosis (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (narrow)
Write-up: Pt recvd Engerix-B 24 hrs later had upper abdo cramps, excessive flatulence, diarrhea, chills, nausea that lasted for approx 6 hrs; following day had 2 episodes of upper abdo cramping; no temp;

VAERS ID:47969 (history)  Vaccinated:1992-07-02
Age:28.0  Onset:1992-07-04, Days after vaccination: 2
Gender:Female  Submitted:1992-08-24, Days after onset: 51
Location:Missouri  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: Beconase Nasal inhaler, Potassium;
Current Illness:
Preexisting Conditions: allergies sulfa, proventil, PCN, Cleocin;
Diagnostic Lab Data:
CDC Split Type: EBU921809
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM876A41IMA
Administered by: Private     Purchased by: Private
Symptoms: Arthralgia, Chills, Malaise, Myalgia, Pyrexia
SMQs:, Rhabdomyolysis/myopathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Eosinophilic pneumonia (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Pt recvd 2 doses of Engerix-B & on 4JUL92 devel chills, fever, malaise & achiness which have resolved; also devel joint involvement of the knees, legs & shoulder which persist;

VAERS ID:47992 (history)  Vaccinated:1992-07-15
Age:28.0  Onset:1992-07-15, Days after vaccination: 0
Gender:Female  Submitted:1992-09-04, Days after onset: 51
Location:Michigan  Entered:1992-11-03, Days after submission: 60
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: EBU921900
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM877A4 IM 
Administered by: Other     Purchased by: Private
Symptoms: Anorexia, Chills, Diarrhoea, Dizziness, Dyspepsia, Hypersensitivity, Pyrexia, Vomiting
SMQs:, Acute pancreatitis (broad), Angioedema (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific dysfunction (narrow), 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: Pt recvd Engerix-B & w/in 16 hrs had t102, stomach feeling funny, diarrhea, chills, no appetite, didn''t work for 3 days; 2nd day dizziness, diarrhea, vomiting;

VAERS ID:48013 (history)  Vaccinated:1992-05-07
Age:28.0  Onset:1992-06-01, Days after vaccination: 25
Gender:Female  Submitted:1992-09-17, Days after onset: 108
Location:Missouri  Entered:1992-11-03, Days after submission: 47
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:
Diagnostic Lab Data:
CDC Split Type: EBU921926
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM 1IMA
Administered by: Public     Purchased by: Other
Symptoms: Asthenia, Chills, Diarrhoea, Dizziness, Ear pain, Pyrexia, Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Pseudomembranous colitis (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Noninfectious diarrhoea (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)
Write-up: Pt recvd 2 doses of Engerix-B 4-5 wks p/2nd dose had earache, dizziness, weakness, diarrhea, fainting, chills, fever; had 4 MD visits; recvd ATB;

VAERS ID:48090 (history)  Vaccinated:1992-07-31
Age:28.0  Onset:1992-07-31, Days after vaccination: 0
Gender:Female  Submitted:1992-08-26, Days after onset: 26
Location:Missouri  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: Motrin, APAP
Current Illness:
Preexisting Conditions: tooth abscess
Diagnostic Lab Data:
CDC Split Type: EBU921939
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM1014A40IMLA
Administered by: Other     Purchased by: Other
Symptoms: Nausea, Oedema peripheral, Paraesthesia, Pyrexia, Vomiting
SMQs:, Cardiac failure (broad), Acute pancreatitis (broad), Angioedema (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: 1PM 31JUL92 recvd Engerix-B & 1-2 hrs later devel a t101, nausea, vomiting, numbness, tingling & swelling of hands; ER or MD visit was required;

VAERS ID:48284 (history)  Vaccinated:1992-07-06
Age:28.5  Onset:1992-07-07, Days after vaccination: 1
Gender:Female  Submitted:1992-08-26, Days after onset: 50
Location:Tennessee  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: Tagamet
Current Illness:
Preexisting Conditions: allergic to PCN; pancreatitis;
Diagnostic Lab Data:
CDC Split Type: EBU921640
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM918A4 IMLA
Administered by: Public     Purchased by: Public
Symptoms: Asthenia, Chest pain, Dizziness, Dyspnoea, Headache
SMQs:, Anaphylactic reaction (broad), Anticholinergic syndrome (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Vestibular disorders (broad)
Write-up: Pt recvd 1 dose of Engerix-B & 6JUL92 exp difficulty breathing; 7JUL92 also exp exertion on standing, tightness of breath, substernal pain, h/a, dizziness, felt faint & was unable to work; seen in ER; lungs were checked, & EKG was neg;

VAERS ID:48513 (history)  Vaccinated:1992-02-13
Age:28.0  Onset:1992-05-14, Days after vaccination: 91
Gender:Male  Submitted:1992-08-20, Days after onset: 98
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: 14MAY92 titer result neg;
CDC Split Type: EBU921687
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM832A42  
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/the 3rd dose;

VAERS ID:48543 (history)  Vaccinated:1992-07-02
Age:28.0  Onset:1992-07-04, Days after vaccination: 2
Gender:Female  Submitted:1992-09-16, Days after onset: 74
Location:Illinois  Entered:1992-11-03, Days after submission: 48
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: EBU921717
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM950A4 IMA
Administered by: Private     Purchased by: Private
Symptoms: Abdominal pain, Asthenia, Diarrhoea, Hepatomegaly, Myalgia, Pyrexia
SMQs:, Rhabdomyolysis/myopathy (broad), Liver related investigations, signs and symptoms (narrow), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Pseudomembranous colitis (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Noninfectious diarrhoea (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: pt recvd 1 dose of Engerix-B on 4JUL92 & devel diarrhea, fever, weakness & felt achy; resolved; 6JUL92 felt like having a gall bladder attack; abdo pain & an enlarged liver devel on 8JUL92;

VAERS ID:48790 (history)  Vaccinated:0000-00-00
Age:28.0  Onset:1992-07-07
Gender:Female  Submitted:1992-08-03, Days after onset: 27
Location:North Carolina  Entered:1992-11-03, Days after submission: 92
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: thyroid condition
Diagnostic Lab Data:
CDC Split Type: EBU921776
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM840A42IMA
Administered by: Other     Purchased by: Other
Symptoms: Hepatic function abnormal
SMQs:, Liver related investigations, signs and symptoms (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Pt recvd Engerix-B & exp elevated liver function tests;

VAERS ID:48794 (history)  Vaccinated:1992-06-26
Age:28.0  Onset:1992-06-26, Days after vaccination: 0
Gender:Female  Submitted:1992-09-11, Days after onset: 77
Location:Michigan  Entered:1992-11-03, Days after submission: 53
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: EBU921781
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM838A4 IMA
Administered by: Private     Purchased by: Private
Symptoms: Hypertension, Pruritus, Rash
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Hypertension (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Pt recvd Engerix-B & w/in 3 days exp red rash & itching;

VAERS ID:48868 (history)  Vaccinated:1992-08-07
Age:28.0  Onset:1992-08-08, Days after vaccination: 1
Gender:Female  Submitted:1992-09-01, Days after onset: 24
Location:New York  Entered:1992-11-03, Days after submission: 63
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Minocycline, Retin-A
Current Illness:
Preexisting Conditions: acne
Diagnostic Lab Data:
CDC Split Type: EBU921990
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM950A40IMLA
Administered by: Private     Purchased by: Private
Symptoms: Dyspepsia, Face oedema, Injection site pain, Palpitations, Pruritus
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Arrhythmia related investigations, signs and symptoms (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific dysfunction (narrow), Cardiomyopathy (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: 7AUG92 pt recvd Engerix-B & 8AUG92 devel generalized itching, swollen upper lip, feeling of palpitations, heartburn & pain @ site; 10AUG92 seen by MD; prescribed Hydroxyzine;

VAERS ID:48890 (history)  Vaccinated:1992-08-13
Age:28.0  Onset:1992-08-13, Days after vaccination: 0
Gender:Female  Submitted:1992-09-04, Days after onset: 22
Location:Minnesota  Entered:1992-11-03, Days after submission: 60
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: EBU922013
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM975A41IMLA
Administered by: Other     Purchased by: Private
Symptoms: Chest pain, Ear pain
SMQs:, Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad)
Write-up: Pt recvd 2 doses of Engerix-B & 30 mins p/2nd inject devel twinges of sharp pressure to lt ear & intermittent tightness of lt chest;

VAERS ID:48905 (history)  Vaccinated:1992-07-31
Age:28.0  Onset:1992-07-31, Days after vaccination: 0
Gender:Male  Submitted:1992-08-26, Days after onset: 26
Location:West Virginia  Entered:1992-11-03, Days after submission: 69
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: EBU922029
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM 0IMA
Administered by: Other     Purchased by: Public
Symptoms: Dizziness, Gait disturbance, Influenza, Pyrexia
SMQs:, Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Vestibular disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)
Write-up: 31JUL92 pt recvd 1st dose of Engerix-B & that noc devel flu-like sx, high fever, dizzy & stumbling; took APAP & had recovered by the evening of 1AUG92;

VAERS ID:48941 (history)  Vaccinated:0000-00-00
Age:28.0  Onset:0000-00-00
Gender:Female  Submitted:1992-08-28
Location:North Carolina  Entered:1992-11-03, Days after submission: 67
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Birth /control
Current Illness: NONE
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: EBU922066
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM 3IMA
Administered by: Private     Purchased by: Private
Symptoms: Drug ineffective
SMQs:, Lack of efficacy/effect (narrow)
Write-up: Pt recvd 3 doses of Engerix-B & did not convert; pt recvd 4th dose of booster & still had a neg titer;

VAERS ID:48973 (history)  Vaccinated:1992-08-04
Age:28.0  Onset:0000-00-00
Gender:Male  Submitted:1992-09-16
Location:Unknown  Entered:1992-11-03, Days after submission: 48
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: pt exp fever @ 28 yrs old w/Engerix-B #1 dose;
Other Medications:
Current Illness:
Preexisting Conditions: Epstein-Barr synd in JUN89;
Diagnostic Lab Data: Alk Phos 12AUG92 125; 18AUG92 187; GGPT 12AUG92 120; 18AUG92 276; SGOT 12AUG92 606; 18AUG92 326; LDH 12AUG92 573; 18AUG92 411; Triglycerides 12AUG92 207; 18AUG92 198;
CDC Split Type: EBU922103
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM986A41  
Administered by: Other     Purchased by: Other
Symptoms: Anorexia, Aspartate aminotransferase increased, Asthenia, Blood alkaline phosphatase increased, Blood lactate dehydrogenase increased, Gamma-glutamyltransferase increased, Hyperlipidaemia, Malaise
SMQs:, Liver related investigations, signs and symptoms (narrow), Dyslipidaemia (narrow), Hyperglycaemia/new onset diabetes mellitus (broad), Biliary system related investigations, signs and symptoms (broad), Guillain-Barre syndrome (broad), Lipodystrophy (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: pt recvd 2nd dose of vax on 4AUG92 & exp gen malaise, low grade fever, weakness, nausea, loss of appetite & elevated liver enzymes;

VAERS ID:49012 (history)  Vaccinated:1992-08-13
Age:28.0  Onset:1992-08-13, Days after vaccination: 0
Gender:Female  Submitted:1992-09-04, Days after onset: 22
Location:New York  Entered:1992-11-03, Days after submission: 60
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: contraceptives
Current Illness: NONE
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: EBU922144
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM973A41  
Administered by: Public     Purchased by: Other
Symptoms: Headache, Vomiting
SMQs:, Acute pancreatitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)
Write-up: pt recvd 2 doses of Engerix-B & 13AUg92 had h/a & vomiting; lasted aprpox 12 hrs;

VAERS ID:49014 (history)  Vaccinated:1992-08-13
Age:28.0  Onset:1992-08-17, Days after vaccination: 4
Gender:Female  Submitted:1992-09-04, Days after onset: 18
Location:New York  Entered:1992-11-03, Days after submission: 60
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: EBU922146
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM973A41  
Administered by: Public     Purchased by: Other
Symptoms: Back pain, Chest pain, Lymphadenopathy
SMQs:, Retroperitoneal fibrosis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: pt recvd 2 doses of Engerix-B & 17AUG92 had swelling of glands, chest & back pain; seen by MD; recvd ATB treatment;

VAERS ID:47366 (history)  Vaccinated:1992-10-02
Age:28.9  Onset:1992-10-02, Days after vaccination: 0
Gender:Male  Submitted:1992-10-05, Days after onset: 3
Location:Maryland  Entered:1992-11-20, Days after submission: 46
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: denies
Preexisting Conditions: denies
Diagnostic Lab Data:
CDC Split Type: MD92077
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)PFIZER/WYETH4928146 IMRA
Administered by: Public     Purchased by: Public
Symptoms: Dizziness, Pain, Vasodilatation
SMQs:, Anticholinergic syndrome (broad), Vestibular disorders (broad)
Write-up: 318PM c/o dizziness & flushed feeling in face; stated feel like my face is burning up; BP 320PM 128/84, P80; 337PM 118/72;

VAERS ID:47449 (history)  Vaccinated:1992-10-27
Age:28.4  Onset:1992-10-29, Days after vaccination: 2
Gender:Female  Submitted:1992-11-18, Days after onset: 20
Location:Texas  Entered:1992-11-23, Days after submission: 5
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: hypertension, migraine cedhalgia
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)CONNAUGHT LABORATORIES2F31143  LA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Dizziness, Dyspnoea, Injection site hypersensitivity, Malaise, Myalgia, Somnolence
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Anticholinergic syndrome (broad), Dementia (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Vestibular disorders (broad), Hypersensitivity (narrow), Tendinopathies and ligament disorders (broad), Hypoglycaemia (broad)
Write-up: erythma @ inject site; SOB, myalgia, malaise;

VAERS ID:47516 (history)  Vaccinated:1992-11-18
Age:28.0  Onset:1992-11-20, Days after vaccination: 2
Gender:Female  Submitted:1992-11-23, Days after onset: 3
Location:Maine  Entered:1992-11-30, Days after submission: 7
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:
Diagnostic Lab Data: NONE
CDC Split Type: ME92022
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)CONNAUGHT LABORATORIES2F31156 IMA
Administered by: Public     Purchased by: Unknown
Symptoms: Abdominal pain, Dizziness, Nausea, Pyrexia, Vomiting
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: dizzy, faint, fever not high; 24 hrs duration vomiting every 1/2 hr; stomach pains from vomiting; (mom sick @ home today w/sx of chill, cold etc); took compazine for nausea; called MD for tx;

VAERS ID:47550 (history)  Vaccinated:1992-07-08
Age:28.0  Onset:1992-07-20, Days after vaccination: 12
Gender:Male  Submitted:1992-11-23, Days after onset: 126
Location:Pennsylvania  Entered:1992-11-30, Days after submission: 7
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: hayfever
Diagnostic Lab Data: SGOT 151; SGPT 117; LDH 282;
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM973A40IMLA
Administered by: Other     Purchased by: Private
Symptoms: Alanine aminotransferase increased, Aspartate aminotransferase increased, Blood lactate dehydrogenase increased
SMQs:, Liver related investigations, signs and symptoms (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: asymptomatic liver enzyme elevations for 2 wks p/inject;

VAERS ID:47662 (history)  Vaccinated:1992-10-02
Age:28.0  Onset:1992-10-02, Days after vaccination: 0
Gender:Female  Submitted:1992-10-05, Days after onset: 3
Location:Mississippi  Entered:1992-12-03, Days after submission: 59
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: NA
Other Medications:
Current Illness: NA
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: MS9250
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0671V1SCLA
Administered by: Other     Purchased by: Public
Symptoms: Somnolence, Stupor
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hypoglycaemia (broad)
Write-up: immediately p/receiving MMR vax pt became very sluggish & unresponsive taken to urgent care immediate facility on 2OCT92; pt back to work on 5OCT92;

VAERS ID:47777 (history)  Vaccinated:1992-09-24
Age:28.0  Onset:1992-10-03, Days after vaccination: 9
Gender:Female  Submitted:1992-10-13, Days after onset: 10
Location:Maryland  Entered:1992-12-07, Days after submission: 55
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: pt exp swollen arm, flu sx, in grade school w/Tetanus
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: CBC & other blood work; CXR scheduled 14OCT92;
CDC Split Type: MD92078
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM1034A40IMLA
Administered by: Public     Purchased by: Public
Symptoms: Back pain, Hypokinesia, Injection site pain, Neck pain, Pain
SMQs:, Retroperitoneal fibrosis (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Hypotonic-hyporesponsive episode (broad), Arthritis (broad)
Write-up: c/o tenderness @ site lt deltoid following IM inject; 3OOCT92 began w/pain in shoulder, neck & between shoulder blades off to the lt side; unable to lift arm, cannot turn neck completely; limited ROM; seen by MD 13OCT92;

VAERS ID:48047 (history)  Vaccinated:1992-11-03
Age:28.3  Onset:1992-11-04, Days after vaccination: 1
Gender:Female  Submitted:1992-12-03, Days after onset: 29
Location:Minnesota  Entered:1992-12-14, Days after submission: 11
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC Split Type: MN92051
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)PFIZER/WYETH9282130 RA
TD: TD ADSORBED (NO BRAND NAME)CONNAUGHT LABORATORIES1C31020  LA
Administered by: Public     Purchased by: Public
Symptoms: Hypokinesia, Paraesthesia
SMQs:, Peripheral neuropathy (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Hypotonic-hyporesponsive episode (broad)
Write-up: numbness down whole arm, inability to use arm & squeeze hand-started to improve p/3 wks; went to MD & no treatment;

VAERS ID:49173 (history)  Vaccinated:1992-03-07
Age:28.2  Onset:1992-03-07, Days after vaccination: 0
Gender:Male  Submitted:1992-03-18, Days after onset: 11
Location:West Virginia  Entered:1992-12-17, Days after submission: 274
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: 892116015L
Vaccination
Manufacturer
Lot
Dose
Route
Site
TYP: TYPHOID VI POLYSACCHARIDE (NO BRAND NAME)PFIZER/WYETH4908074 IM 
Administered by: Military     Purchased by: Military
Symptoms: Myalgia
SMQs:, Rhabdomyolysis/myopathy (broad), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad)
Write-up: pt exp soreness of the injected arm p/receiving Typhoid vax; the reaction lasted 3-4 days;

VAERS ID:49238 (history)  Vaccinated:1991-11-15
Age:28.6  Onset:0000-00-00
Gender:Male  Submitted:1992-02-11
Location:Florida  Entered:1992-12-22, Days after submission: 315
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: CO4160
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)CONNAUGHT LABORATORIES1F21209   
Administered by: Unknown     Purchased by: Unknown
Symptoms: Myalgia
SMQs:, Rhabdomyolysis/myopathy (broad), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad)
Write-up: sore arm-6 mon p/flu shot; @ time of shot no local rxn-no swelling-no induration; seen by pvt MD was given sterioids & ATB;

VAERS ID:49255 (history)  Vaccinated:1992-10-26
Age:28.9  Onset:1992-10-27, Days after vaccination: 1
Gender:Female  Submitted:1992-10-30, Days after onset: 3
Location:Pennsylvania  Entered:1992-12-22, Days after submission: 53
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions: no allergies
Diagnostic Lab Data:
CDC Split Type: CO4509
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)CONNAUGHT LABORATORIES2F311500  
Administered by: Unknown     Purchased by: Unknown
Symptoms: Diarrhoea, Dyspnoea, Nausea, Rash, Vomiting
SMQs:, Anaphylactic reaction (narrow), Acute pancreatitis (broad), Pseudomembranous colitis (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Hypersensitivity (narrow), Noninfectious diarrhoea (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: started w/rash on neck & then vomited & diarrhea w/some resp problem; seen in ER given DPH; 29OCT92 still feeling nauseated; prescribed Medrol dose pak;

VAERS ID:48388 (history)  Vaccinated:1992-09-04
Age:28.2  Onset:1992-09-17, Days after vaccination: 13
Gender:Female  Submitted:1992-09-17, Days after onset: 0
Location:Georgia  Entered:1992-12-23, Days after submission: 97
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: Not allergic to eggs;
Diagnostic Lab Data:
CDC Split Type: GA92183
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0259V0SC 
Administered by: Public     Purchased by: Public
Symptoms: Drug ineffective, Ear pain, Infection, Pharyngitis, Sialoadenitis
SMQs:, Agranulocytosis (broad), Lack of efficacy/effect (narrow), Oropharyngeal infections (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Sore throat, earache, parotitis left neck, referred to MD;

VAERS ID:44346 (history)  Vaccinated:1992-09-29
Age:28.0  Onset:1992-09-29, Days after vaccination: 0
Gender:Female  Submitted:1992-12-23, Days after onset: 85
Location:South Carolina  Entered:1992-12-29, 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:
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM1037A41IM 
Administered by: Unknown     Purchased by: Unknown
Symptoms: Back pain
SMQs:, Retroperitoneal fibrosis (broad)
Write-up: extreme lower back pain 1 day p/vax;

VAERS ID:48608 (history)  Vaccinated:1992-07-23
Age:28.7  Onset:1992-07-23, Days after vaccination: 0
Gender:Male  Submitted:1992-08-10, Days after onset: 18
Location:Michigan  Entered:1993-01-04, Days after submission: 147
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: MI92121
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (FOREIGN)MERCK & CO. INC.0412V0IMRA
Administered by: Public     Purchased by: Private
Symptoms: Dizziness, Headache, Injection site mass, Injection site oedema, Injection site pain
SMQs:, Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Vestibular disorders (broad)
Write-up: site was raised & swollen in a 3x3 area wk p/vax; pt c/o pain & tenderness @ site also h/a, dizziness occurred p/inject 1-2 hrs or so;

VAERS ID:49273 (history)  Vaccinated:1992-12-21
Age:28.8  Onset:1992-12-21, Days after vaccination: 0
Gender:Male  Submitted:1993-01-20, Days after onset: 30
Location:New York  Entered:1993-01-22, Days after submission: 2
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: Xanax
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: No relevant data;
CDC Split Type: WAES93010169
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0844V1SC 
Administered by: Other     Purchased by: Other
Symptoms: Cellulitis, Lymphadenopathy, Paraesthesia, Pyrexia, Rash, Sepsis, Skin nodule
SMQs:, Anaphylactic reaction (broad), Agranulocytosis (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (narrow)
Write-up: pt recvd 2nd dose of MMR 21DEC92 & 29DEC92 pt exp localized cellulitis of the rt deltoid; 30DEC92 pt was hospitalized & may have been treated w/IV ATB;

VAERS ID:49318 (history)  Vaccinated:1991-10-08
Age:28.0  Onset:1992-10-12, Days after vaccination: 370
Gender:Male  Submitted:0000-00-00
Location:Washington  Entered:1993-01-25
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? Yes, 7 days
    Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: WA92737
Vaccination
Manufacturer
Lot
Dose
Route
Site
PLAGUE: PLAGUE (NO BRAND NAME)MILES LABORATORIES 0IMRA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Injection site abscess, Injection site mass, Injection site oedema, Injection site pain, Pyrexia, Urticaria, Vasodilatation
SMQs:, 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), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: pt exp fever, pain, swelling, inc warmth, induration or lump w/o abscess, abscess formation-required drainage, hives-poison ivy; surgery on rt arm 24OCT91;

VAERS ID:49322 (history)  Vaccinated:1992-08-04
Age:28.7  Onset:1992-09-07, Days after vaccination: 34
Gender:Female  Submitted:1992-11-04, Days after onset: 58
Location:Washington  Entered:1993-01-25, Days after submission: 82
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: WA92808
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0303V0SCLA
TYP: TYPHOID LIVE ORAL TY21A (VIVOTIF)BERNA BIOTECH, LTD124442A0PO 
Administered by: Public     Purchased by: Public
Symptoms: Alopecia, Arthralgia, Arthropathy, Coordination abnormal, Ecchymosis, Menstrual disorder, Paraesthesia
SMQs:, Peripheral neuropathy (broad), Haemorrhage terms (excl laboratory terms) (narrow), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Arthritis (broad), Hypoglycaemia (broad)
Write-up: pt recvd vax 4AUG92 7 1 1/2 mo later began stiff, popping joints, unco-ordinated & pins/needles feeling in hands; now w/numbness, achey elbows & wrists; Nov menses 1 wk early, lasted 17 days, bruised easily, hair loss;

VAERS ID:49353 (history)  Vaccinated:1992-10-28
Age:28.3  Onset:1992-10-28, Days after vaccination: 0
Gender:Female  Submitted:1992-11-06, Days after onset: 9
Location:Washington  Entered:1993-01-25, Days after submission: 80
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONEdenies allergies
Preexisting Conditions:
Diagnostic Lab Data: NONE
CDC Split Type: WA93840
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM 0IMLA
Administered by: Public     Purchased by: Public
Symptoms: Chest pain, Dermatitis bullous, Urticaria
SMQs:, Severe cutaneous adverse reactions (narrow), Anaphylactic reaction (broad), Angioedema (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: phone call 1 hr p/vax, hives & blisters on back of arms, tight chest; sent to ER immed; denies any allergies; denies allergy to yeast;

VAERS ID:49516 (history)  Vaccinated:1991-03-19
Age:28.4  Onset:1991-09-13, Days after vaccination: 178
Gender:Female  Submitted:0000-00-00
Location:Wisconsin  Entered:1993-01-29
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: 13SEP91 Titer neg measles;
CDC Split Type: WAES91120461
Vaccination
Manufacturer
Lot
Dose
Route
Site
MEA: MEASLES (ATTENUVAX)MERCK & CO. INC.1652R1SC 
Administered by: Public     Purchased by: Private
Symptoms: Drug ineffective
SMQs:, Lack of efficacy/effect (narrow)
Write-up: pt recvd measles vax 19MAR91 & on 13SEP91 lab eval showed no immunity; No further details were provided;

VAERS ID:50009 (history)  Vaccinated:1992-04-13
Age:28.6  Onset:1992-04-24, Days after vaccination: 11
Gender:Male  Submitted:1992-05-08, Days after onset: 14
Location:New Hampshire  Entered:1993-01-29, Days after submission: 266
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Yellow fever vax Connaught and Typhoid vax given w/in 6 wks of 13APR92;
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: WBC 2.7; N42; M19; E4; CPK 50; SMA nl; HGB 14.7; HCT 43;
CDC Split Type: CO4231
Vaccination
Manufacturer
Lot
Dose
Route
Site
RAB: RABIES (IMOVAX ID)PASTEUR MERIEUX INST. 1  
Administered by: Other     Purchased by: Unknown
Symptoms: Leukopenia, Myalgia
SMQs:, Rhabdomyolysis/myopathy (broad), Haematopoietic leukopenia (narrow), Systemic lupus erythematosus (broad), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: myalgias for 5 days; started 1 wk p/2nd dose of vax;

VAERS ID:50021 (history)  Vaccinated:1992-06-29
Age:28.2  Onset:1992-06-29, Days after vaccination: 0
Gender:Female  Submitted:1992-11-04, Days after onset: 128
Location:Texas  Entered:1993-01-29, Days after submission: 86
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: IMOGAM, RIG Merieux lot# G0086L
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC Split Type: CO4353
Vaccination
Manufacturer
Lot
Dose
Route
Site
RAB: RABIES (IMOVAX)PASTEUR MERIEUX INST.G03300  
Administered by: Unknown     Purchased by: Unknown
Symptoms: Unevaluable event
SMQs:
Write-up: overdose of vax; pt administered 5-1.0ml of vax around wound & also 2ml of RIG in arm on day 0; on day 3 & also day 7 given 2ml of RIG; no adverse event noted; serum drawn on 5AUG92 for RFFIT test; pending;

VAERS ID:50036 (history)  Vaccinated:1992-08-24
Age:28.7  Onset:1992-08-24, Days after vaccination: 0
Gender:Male  Submitted:1992-12-22, Days after onset: 120
Location:Connecticut  Entered:1993-01-29, Days after submission: 38
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC Split Type: CO4424
Vaccination
Manufacturer
Lot
Dose
Route
Site
RAB: RABIES (IMOVAX ID)PASTEUR MERIEUX INST.G06070  
Administered by: Unknown     Purchased by: Unknown
Symptoms: Diarrhoea, Flatulence
SMQs:, Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (narrow)
Write-up: severe bloating, then diarrhea; 23SEP92 f/u sx lasted 1 wk, unk recovery status;

VAERS ID:49578 (history)  Vaccinated:1992-11-20
Age:28.3  Onset:0000-00-00
Gender:Female  Submitted:1993-01-27
Location:Massachusetts  Entered:1993-02-01, 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:
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.0304V  LA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Unevaluable event
SMQs:
Write-up: pt vaxed 20NOV92; pregnancy test 11JAN93 consistant w/4-5 wks pregnant; LMP 7DEC92; unable to comment on adverse reaction to the fetus until @ the time of delivery which is 13SEP93 @ that time congenital Rubella Synd can be checked for;

VAERS ID:49726 (history)  Vaccinated:1992-12-15
Age:28.2  Onset:1992-12-16, Days after vaccination: 1
Gender:Female  Submitted:1992-12-22, Days after onset: 6
Location:South Carolina  Entered:1993-02-08, Days after submission: 48
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Seldane
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NA
CDC Split Type: SC93004
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.2024T0IMLA
Administered by: Public     Purchased by: Other
Symptoms: Diarrhoea, Infection, Nausea, Pharyngitis, Pruritus, Rash, Vomiting
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Agranulocytosis (broad), Pseudomembranous colitis (broad), Oropharyngeal infections (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypersensitivity (narrow), Noninfectious diarrhoea (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: 16DEC92 began having rash on stomach, back & shoulder fine bumps w/itching; 17DEC92 began having nausea & vomiting; no fever was seen by MD who said had stomach virus; also exp diarrhea & sore throat;

VAERS ID:49834 (history)  Vaccinated:1992-04-27
Age:28.6  Onset:1992-04-28, Days after vaccination: 1
Gender:Female  Submitted:1992-04-30, Days after onset: 2
Location:California  Entered:1993-02-08, Days after submission: 284
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Birth Control Pill
Current Illness: cold
Preexisting Conditions: heart murmur, allergic to sulfa;
Diagnostic Lab Data:
CDC Split Type: BER10052
Vaccination
Manufacturer
Lot
Dose
Route
Site
TYP: TYPHOID LIVE ORAL TY21A (VIVOTIF)BERNA BIOTECH, LTD122401A PO 
Administered by: Unknown     Purchased by: Unknown
Symptoms: Diarrhoea, Pain
SMQs:, Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (narrow)
Write-up: cramping for about 2 1/2 hrs & it is diminishing; had a little bit of diarrhea;

VAERS ID:49844 (history)  Vaccinated:1992-08-13
Age:28.7  Onset:1992-08-13, Days after vaccination: 0
Gender:Female  Submitted:1992-08-18, Days after onset: 5
Location:North Carolina  Entered:1993-02-08, Days after submission: 174
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Hydrocodone taken 10 days prior;
Current Illness: 2 wks prior surgery
Preexisting Conditions:
Diagnostic Lab Data: NONE
CDC Split Type: BER10062
Vaccination
Manufacturer
Lot
Dose
Route
Site
TYP: TYPHOID LIVE ORAL TY21A (VIVOTIF)BERNA BIOTECH, LTD124442A0PO 
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: has taken 3 capsules; on the first day started w/skin reaction on rt leg & since then has moved up body & on to rt arm;

VAERS ID:49850 (history)  Vaccinated:1992-10-12
Age:28.7  Onset:1992-10-12, Days after vaccination: 0
Gender:Female  Submitted:1992-10-13, Days after onset: 1
Location:California  Entered:1993-02-08, Days after submission: 118
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Uniphyl, Aerobid inhaler;
Current Illness: sinus infection
Preexisting Conditions: asthma, allergic to polin
Diagnostic Lab Data: NONE
CDC Split Type: BER10068
Vaccination
Manufacturer
Lot
Dose
Route
Site
TYP: TYPHOID LIVE ORAL TY21A (VIVOTIF)BERNA BIOTECH, LTD125541A1PO 
Administered by: Unknown     Purchased by: Unknown
Symptoms: Chills, Diarrhoea, Pain, 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: 12 hrs p/2nd capsule devel severe cramping & had diarrhea & vomited; believes pt had fever because has chills; no skin reaction;

VAERS ID:49823 (history)  Vaccinated:1992-06-12
Age:28.2  Onset:1992-06-13, Days after vaccination: 1
Gender:Female  Submitted:1992-07-09, Days after onset: 26
Location:South Carolina  Entered:1993-02-10, Days after submission: 216
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 BEECHAM918A40IMA
Administered by: Public     Purchased by: Public
Symptoms: Influenza
SMQs:
Write-up: flu-like symptoms;

VAERS ID:50123 (history)  Vaccinated:1992-10-20
Age:28.9  Onset:1992-10-20, Days after vaccination: 0
Gender:Female  Submitted:1992-10-21, Days after onset: 1
Location:North Carolina  Entered:1993-02-18, Days after submission: 120
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Demulen
Current Illness: NONE
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: 892310002K
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)PFIZER/WYETH4928232 IMRA
Administered by: Private     Purchased by: Other
Symptoms: Dry mouth, Headache, Paraesthesia
SMQs:, Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad)
Write-up: pt recvd flu vax & exp h/a, dry mouth & numbness on the rt side of the face approx 8PM that evening; the next day sx had resolved x/some residual numbness in the lip & chin for 48 hrs;

VAERS ID:50595 (history)  Vaccinated:1991-04-18
Age:28.0  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: Prenatal vitamins;
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: No relevant data;
CDC Split Type: WAES91031428
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC. 1  
Administered by: Other     Purchased by: Other
Symptoms: Orthostatic hypotension
SMQs:, Cardiomyopathy (broad)
Write-up: pt recvd Hep B vax & was noted that pt was pregnant, LMP was 13JAN91; pt recvd 2nd & 3rd doses of HEp B on 18APR91 & 24SEP91; 9SEP91 34 wks gestation pt devel orthostatic dizziness; 22OCT91 @ 40 wks gestation pt delivered 8lb 11oz baby;

VAERS ID:50637 (history)  Vaccinated:1992-01-20
Age:28.1  Onset:1992-01-21, Days after vaccination: 1
Gender:Male  Submitted:0000-00-00
Location:Connecticut  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: 1992 ESR-60; ESR-11;
CDC Split Type: WAES92020399
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.0784T2IM 
Administered by: Public     Purchased by: Other
Symptoms: Asthenia, Chills, Hyperhidrosis, Malaise, Pyrexia, Red blood cell sedimentation rate increased
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)
Write-up: pt recvd 3 doses of Hep B vax & recvd 3rd vax on 20JAN92 & the next day devel malaise, fatigue, noc sweats, chills, temp 100.7 to 101.5; seen by MD; lab eval revealed inc ESR;

VAERS ID:50700 (history)  Vaccinated:1992-02-06
Age:28.0  Onset:1992-02-20, Days after vaccination: 14
Gender:Female  Submitted:0000-00-00
Location:Texas  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: hormone imbalance, achiness
Diagnostic Lab Data: culture-throat-pos for strep;
CDC Split Type: WAES92021143
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.1687T0IM 
Administered by: Private     Purchased by: Private
Symptoms: Condition aggravated, Infection, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: pt recvd 1st dose of Hep B vax on 6FEB92 & On 20FEB92 pt exp achiness around shoulders; pt''s nurse noted that pt exp achiness @ other times even a/receiving vax; pt devel fever & body aches; presented to MD & throat cult was pos for strep ;

VAERS ID:50922 (history)  Vaccinated:1992-03-24
Age:28.0  Onset:1992-03-26, Days after vaccination: 2
Gender:Female  Submitted:0000-00-00
Location:Arizona  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: WAES92031271
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.1250T2  
Administered by: Unknown     Purchased by: Unknown
Symptoms: Asthenia, Condition aggravated, Myalgia, Pharyngitis, Pyrexia
SMQs:, Rhabdomyolysis/myopathy (broad), Agranulocytosis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (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 3 doses of vax p/3rd dose 26MAR92 pt had fatigue, low grade fever, sore throat & myalgia which were a recurrence of previous sxs of JAN92;

VAERS ID:50932 (history)  Vaccinated:1991-12-01
Age:28.0  Onset:0000-00-00
Gender:Female  Submitted:0000-00-00
Location:Tennessee  Entered:1993-03-08
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: pt recvd vax & exp arm pain @ 28 y/o w/Recombivax #1 dose;
Other Medications: NONE
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: No relevant data;
CDC Split Type: WAES92040087
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC. 2  
Administered by: Other     Purchased by: Other
Symptoms: Drug ineffective
SMQs:, Lack of efficacy/effect (narrow)
Write-up: Pt recvd 2nd dose of vax & exp some arm pain & recovered the next day; pt recvd 3rd dose of vax & lab eval revealed neg titer for anti-HBS; No further details were provided;

VAERS ID:51059 (history)  Vaccinated:1992-05-04
Age:28.9  Onset:1992-05-11, Days after vaccination: 7
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? Yes
Hospitalized? No
Previous Vaccinations: pt exp discomfort, tachycardia @ 28 y/o Recombivax #1 dose;
Other Medications: NONE
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: MAY92 Echocardiogram nl; Anti-HBs pos p/2nd dose;
CDC Split Type: WAES92050661
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC. 1  
Administered by: Other     Purchased by: Private
Symptoms: Chest pain
SMQs:, Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad)
Write-up: Pt recvd 2nd dose of vax approx 1 wk following exp chest discomfort; presented to ER & underwent an echocardiogram which was nl;

VAERS ID:51225 (history)  Vaccinated:1992-06-18
Age:28.0  Onset:1992-06-18, Days after vaccination: 0
Gender:Female  Submitted:0000-00-00
Location:Arkansas  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: WAES92060679
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.0684V0IM 
Administered by: Private     Purchased by: Private
Symptoms: Chest pain, Dizziness, Headache, Influenza, Nausea, Nervousness, Pharyngitis, Rash
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Agranulocytosis (broad), Anticholinergic syndrome (broad), Oropharyngeal infections (narrow), 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 Hep B vax on 18JUN92 & 30 mins later exp dry, raw throat; tight chest; h/a w/pressure behind eyes; dizziness; flushing; hot sensation; nervousness & nausea; devel rash, felt like had flu;

VAERS ID:51497 (history)  Vaccinated:1992-08-07
Age:28.1  Onset:1992-08-07, Days after vaccination: 0
Gender:Female  Submitted:0000-00-00
Location:Florida  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: WAES92080230
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.0931V0  
Administered by: Private     Purchased by: Private
Symptoms: Chest pain, Dyspnoea, Nausea, Pruritus, Urticaria, Vasodilatation
SMQs:, Anaphylactic reaction (narrow), Acute pancreatitis (broad), Angioedema (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (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 1st dose of vax 7AUG92 & several hrs following vax pt devel nausea, red itchy skin, hives, heaviness in chest, sl SOB; presented to MD office & treated w/DPH;

VAERS ID:51671 (history)  Vaccinated:1992-08-10
Age:28.6  Onset:1992-08-11, Days after vaccination: 1
Gender:Female  Submitted:0000-00-00
Location:Michigan  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: WAES92080794
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.0941V   
Administered by: Private     Purchased by: Private
Symptoms: Rash
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Pt recvd vax 10AUG92 & on 11AUG92 devel generalized rash; seen by MD & treated w/Hismanal & DPH; pt later recovered; No further details were provided;

VAERS ID:51677 (history)  Vaccinated:1992-07-30
Age:28.0  Onset:1992-08-04, Days after vaccination: 5
Gender:Male  Submitted:0000-00-00
Location:North Carolina  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: Thyroid med, nos
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: No relevant data;
CDC Split Type: WAES92080813
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC. 0  
Administered by: Other     Purchased by: Other
Symptoms: Infection, Myalgia, Myasthenic syndrome, Nausea, Pain, Pelvic pain, Vomiting
SMQs:, Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Malignancy related conditions (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad)
Write-up: Pt recvd vax on 30JUL92 & 4AUG92 devel nausea & vomiting; seen by MD dx viral illness; devel muscle weakness & pain in lt leg; virus infection is settled in muscle of leg;

VAERS ID:51754 (history)  Vaccinated:1992-07-23
Age:28.9  Onset:1992-07-23, Days after vaccination: 0
Gender:Female  Submitted:0000-00-00
Location:North Carolina  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: WAES92090052
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.0679V1IM 
Administered by: Private     Purchased by: Private
Symptoms: Dizziness, Myalgia
SMQs:, Rhabdomyolysis/myopathy (broad), Anticholinergic syndrome (broad), Eosinophilic pneumonia (broad), Vestibular disorders (broad), Tendinopathies and ligament disorders (broad)
Write-up: Pt recvd vax 23JUL92 & later that day exp dizziness & arm soreness which persisted for 3 wks; pt later recovered; No further details were provided;

VAERS ID:52070 (history)  Vaccinated:1992-09-21
Age:28.0  Onset:1992-09-21, Days after vaccination: 0
Gender:Female  Submitted:0000-00-00
Location:Mississippi  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 relvan data;
CDC Split Type: WAES92090749
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.0858V1IM 
Administered by: Other     Purchased by: Other
Symptoms: Asthenia, Injection site pain, Malaise, Myalgia
SMQs:, Rhabdomyolysis/myopathy (broad), Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad)
Write-up: Pt recvd 1st dose of vax on 8SEP92 & 21SEP92 recvd 2nd dose of vax & exp some muscle discomfort; 21SEP92 pt exp tiredness, felt bad & exp sore arm @ the inject site;

VAERS ID:52463 (history)  Vaccinated:1992-10-20
Age:28.5  Onset:1992-10-20, Days after vaccination: 0
Gender:Female  Submitted:0000-00-00
Location:Tennessee  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: Tetracycline, Delsym;
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: No relevant data;
CDC Split Type: WAES92100952
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC. 0IM 
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 20OCT92 & 12 hrs following vax on 20OCT92 pt devel urticaria & pruritus; report indicated that the pt had recvd med @ work; pt had not been examined by MD;

VAERS ID:52880 (history)  Vaccinated:1992-07-14
Age:28.4  Onset:1992-07-16, Days after vaccination: 2
Gender:Female  Submitted:0000-00-00
Location:Michigan  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: shunt, biliary
Diagnostic Lab Data: No relevant data;
CDC Split Type: WAES92111242
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.0752V0IM 
Administered by: Other     Purchased by: Other
Symptoms: Abdominal pain, Asthenia, Chills, Ear pain, Myalgia, Nausea, Nuchal rigidity, Pyrexia
SMQs:, Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), 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: Pt recvd vax 14JUL92 & 16JUL92 devel nausea, weakness, chills, fever, ear pain, body aches, tenderness in rt upper quadrant, stiff neck;

VAERS ID:53014 (history)  Vaccinated:1992-12-01
Age:28.3  Onset:1992-12-01, Days after vaccination: 0
Gender:Female  Submitted:0000-00-00
Location:Wisconsin  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: Prinivil
Current Illness:
Preexisting Conditions: allergy, morphine
Diagnostic Lab Data: No relevant data;
CDC Split Type: WAES92121233
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.0842V2IMLA
Administered by: Other     Purchased by: Other
Symptoms: Dizziness, Injection site pain
SMQs:, Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Vestibular disorders (broad)
Write-up: Pt recvd vax 1DEC92 & exp burning during inject; that day inject site ached, as well as entire upper arm; 15mins following inject exp lightheadedness;

VAERS ID:53099 (history)  Vaccinated:1992-05-27
Age:28.0  Onset:1992-05-27, Days after vaccination: 0
Gender:Male  Submitted:1992-06-01, Days after onset: 5
Location:Oklahoma  Entered:1993-03-17, Days after submission: 289
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: NONE
Diagnostic Lab Data:
CDC Split Type: 892177003R
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)PFIZER/WYETH4916004 IM 
Administered by: Other     Purchased by: Other
Symptoms: Injection site mass, Injection site pain
SMQs:, Extravasation events (injections, infusions and implants) (broad)
Write-up: Pt recvd Td & devel pain & a nodule @ the inject site;

VAERS ID:53106 (history)  Vaccinated:1992-04-09
Age:28.0  Onset:1992-04-09, Days after vaccination: 0
Gender:Female  Submitted:1992-07-27, Days after onset: 109
Location:Illinois  Entered:1993-03-17, Days after submission: 233
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: NONE
Other Medications: UNK
Current Illness: laceration of finger
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: 892226028K
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)PFIZER/WYETH4917021 IMLA
Administered by: Private     Purchased by: Public
Symptoms: Injection site abscess, Injection site hypersensitivity, Injection site oedema
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow)
Write-up: Pt recvd Td vax & immed p/inject site became red & swollen; 10 days later pt returned to ER & was found to have an abscess;

VAERS ID:51072 (history)  Vaccinated:1993-01-14
Age:28.6  Onset:1993-01-21, Days after vaccination: 7
Gender:Female  Submitted:1993-03-17, Days after onset: 55
Location:Minnesota  Entered:1993-03-23, 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: Ortho-Novum 777 28d
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: elevated sed rate 27JAN93 51; 4FEB93 92; 9FEB93 75; CBC/ESR/UA/SMA12, LDH219;
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM1039A40IMLA
IPV: POLIO VIRUS, INACT. (NO BRAND NAME)PASTEUR MERIEUX INST.G0125 SCLA
TYP: TYPHOID LIVE ORAL TY21A (VIVOTIF)BERNA BIOTECH, LTD 0PO 
Administered by: Other     Purchased by: Other
Symptoms: Arthralgia, Blood lactate dehydrogenase increased, Erythema nodosum, Iritis, Neck pain, Pyrexia, Red blood cell sedimentation rate increased
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Ocular infections (broad), Hypersensitivity (narrow), Arthritis (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: 26NOV93 bil hip joint pain, shoulder & neck pain, t101.2 intermittent h/a & dizziness; seen by MD 26JAN93; tx w/Ibuprofen & seldane; 29JAN93 heart murmur, e. nodosum, knee pain, iritis; seen in ER:

VAERS ID:52948 (history)  Vaccinated:1993-05-11
Age:28.6  Onset:1993-05-11, Days after vaccination: 0
Gender:Female  Submitted:1993-05-12, Days after onset: 1
Location:Tennessee  Entered:1993-05-20, Days after submission: 8
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Keflex
Current Illness: NONE
Preexisting Conditions:
Diagnostic Lab Data: NA
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)CONNAUGHT LABORATORIES2D410700IMRA
Administered by: Private     Purchased by: Private
Symptoms: Injection site hypersensitivity, Injection site mass, Injection site pain
SMQs:, Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (narrow)
Write-up: 2.5 x 3.5 cm are induration, & local redness w/tenderness @ site of inject rt deltoid muscle; no fever, or neuro sx;

VAERS ID:53212 (history)  Vaccinated:1993-05-12
Age:28.7  Onset:1993-05-13, Days after vaccination: 1
Gender:Female  Submitted:0000-00-00
Location:California  Entered:1993-05-24
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: laceration rt index;
Preexisting Conditions: NONE
Diagnostic Lab Data: NA
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)LEDERLE LABORATORIES334913  RA
Administered by: Private     Purchased by: Private
Symptoms: Chest pain, Dyspnoea, Myalgia
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad)
Write-up: Body aching, chest tightness w/ sl SOB; no rash, no wheeze;

VAERS ID:54327 (history)  Vaccinated:1992-02-28
Age:28.1  Onset:1992-03-23, Days after vaccination: 24
Gender:Female  Submitted:0000-00-00
Location:New Jersey  Entered:1993-06-03
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Lo/ovral
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: platelet count 300,000;
CDC Split Type: WAES92040763
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.1155T1SC 
Administered by: Private     Purchased by: Private
Symptoms: Eye haemorrhage, Petechiae, Vasculitis
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Retinal disorders (broad), Vasculitis (narrow)
Write-up: Pt recvd vax 28FEB92 & 23MAR92 pt presented to MD w/complaint of having petechiae in the area of the body where clothing would be constrictive; hemorrhage in lt eye & presented to MD; dx vasculitis;

VAERS ID:55323 (history)  Vaccinated:1992-11-11
Age:28.1  Onset:1993-02-18, Days after vaccination: 99
Gender:Female  Submitted:0000-00-00
Location:Ohio  Entered:1993-06-03
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: WAES93011250
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0872V0SC 
Administered by: Public     Purchased by: Other
Symptoms: Face oedema, Pain, Pyrexia
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: Pt recvd vax 11FEB92 approx 1 wk p/vax devel parotitis w/fever which lasted only a few days & resolved;

VAERS ID:53889 (history)  Vaccinated:1993-06-06
Age:28.2  Onset:1993-06-07, Days after vaccination: 1
Gender:Female  Submitted:1993-06-08, Days after onset: 1
Location:California  Entered:1993-06-11, Days after submission: 3
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: puncture wound rt thigh;
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
DT: DT ADSORBED (NO BRAND NAME)LEDERLE LABORATORIES6469491095 IMRA
Administered by: Private     Purchased by: Private
Symptoms: Malaise, 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: malaise, body aches, temp to 101.9;

VAERS ID:53957 (history)  Vaccinated:1993-05-12
Age:28.2  Onset:1993-05-14, Days after vaccination: 2
Gender:Female  Submitted:1993-05-25, Days after onset: 11
Location:Utah  Entered:1993-06-14, Days after submission: 20
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: recurrent x 3 strep endocarditis; PSVT during pregnancy;
Diagnostic Lab Data: CBC, u/a, ESR nl;
CDC Split Type: UT932919
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)LEDERLE LABORATORIES344914 IMLA
Administered by: Military     Purchased by: Military
Symptoms: Arthralgia, Injection site abscess, Malaise, Rash maculo-papular, Serum sickness
SMQs:, Hypersensitivity (narrow), Arthritis (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: sterile abscess @ inject site; serum sickness-arthralgia, macular rash on extremities, malaise; treated w/Atarax then Pred;

VAERS ID:54182 (history)  Vaccinated:1993-05-27
Age:28.1  Onset:1993-05-27, Days after vaccination: 0
Gender:Female  Submitted:1993-05-27, Days after onset: 0
Location:New York  Entered:1993-06-25, 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: Thyroxin
Current Illness: NONE
Preexisting Conditions: thyroid
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM881A41IMA
Administered by: Other     Purchased by: Private
Symptoms: Asthenia, Chills, Dizziness, Dyspnoea, Headache, Hypersensitivity, Pallor, Vomiting
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Angioedema (broad), Anticholinergic syndrome (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: approx 1 1/2 hrs p/vax given pt began vomiting & c/o severe h/a, SOB, lightheadedness, generalized weakness, shaking & chills; color very pale; BP 98/60, 80, 20; given EPi; nausea;

VAERS ID:54275 (history)  Vaccinated:1993-05-03
Age:28.8  Onset:1993-05-04, Days after vaccination: 1
Gender:Male  Submitted:1993-06-23, Days after onset: 50
Location:Georgia  Entered:1993-06-29, Days after submission: 6
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: ear laceration;
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
DT: DT ADSORBED (NO BRAND NAME)LEDERLE LABORATORIES  IMA
Administered by: Private     Purchased by: Public
Symptoms: Abdominal pain, Chills, Injection site hypersensitivity, Injection site pain, Myalgia, Pyrexia
SMQs:, Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad), Hypersensitivity (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: 24 hrs p/vax, pt c/o temp to 104, chills, abdo cramping, myalgias; also c/o red, sore area around inject site; sx lasted about 3 days;

VAERS ID:54480 (history)  Vaccinated:1993-05-04
Age:28.1  Onset:1993-05-06, Days after vaccination: 2
Gender:Female  Submitted:1993-06-04, Days after onset: 29
Location:California  Entered:1993-07-06, Days after submission: 32
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: NA
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC Split Type: CA93056
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0986 IMLA
Administered by: Other     Purchased by: Public
Symptoms: Encephalopathy, Hyperreflexia, Neuropathy
SMQs:, Peripheral neuropathy (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (narrow), Noninfectious meningitis (broad), Chronic kidney disease (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: 2 days post MMR vax 4MAY93 pt devel course of ascending sensory & motor neuropathy, including mild transient involvement of resp musculature;clinical picture included some features of upper motor neuron sx hyperreflexia;prob encephalopathy;

VAERS ID:54714 (history)  Vaccinated:1992-09-24
Age:28.8  Onset:1992-09-25, Days after vaccination: 1
Gender:Female  Submitted:1992-10-01, Days after onset: 6
Location:California  Entered:1993-07-12, Days after submission: 284
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: NONE
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC Split Type: 920339101
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAP: DTAP (ACEL-IMUNE)LEDERLE LABORATORIES320974 SCA
Administered by: Private     Purchased by: Private
Symptoms: Asthenia, Injection site mass, Injection site oedema
SMQs:, Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: pt was inadvertently immunized w/DTAP SC on 24SEp92 following day exp inject site react of swelling & induration; As of 1OCt92 local reaction, size of a quarter & pt feeling very tired;

VAERS ID:54796 (history)  Vaccinated:1993-07-14
Age:28.8  Onset:1993-07-14, Days after vaccination: 0
Gender:Female  Submitted:1993-07-19, Days after onset: 5
Location:Florida  Entered:1993-07-22, 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: NONE
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
MEA: MEASLES (ATTENUVAX)MERCK & CO. INC.0769V1SCLA
Administered by: Private     Purchased by: Private
Symptoms: Dizziness, Malaise, Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Hypoglycaemia (broad)
Write-up: 1 1/2 hrs p/shot pt called occupational hlth & said was not feeling well; pt was advised to go to ER, but pt did not do @ that time; later, around 9PM pt felt dizzy; pt passed out & then went to ER; pt given DPH & sent home; pt recovered;

VAERS ID:55279 (history)  Vaccinated:1993-07-30
Age:28.7  Onset:1993-07-30, Days after vaccination: 0
Gender:Female  Submitted:1993-08-10, Days after onset: 11
Location:Texas  Entered:1993-08-17, 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: Ortho Novum BC; pt recvd Rubeola by MDS lot# 0222U SC lt deltoid 28JUN93;
Current Illness: NA
Preexisting Conditions: NA
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM1078A41IMRA
Administered by: Public     Purchased by: Unknown
Symptoms: Hypertension, Rash maculo-papular, Tachycardia, Vasodilatation
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Hypertension (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: 15 mins p/vax adm, broke out in raised areas that looked like mosquito bites on rt upper chest c/o feeling flushed-BP 140/78, P96, R20, T98; rash cont to spread under breast & on rt leg over next hr;

VAERS ID:55374 (history)  Vaccinated:1993-06-17
Age:28.0  Onset:1993-06-23, Days after vaccination: 6
Gender:Male  Submitted:1993-07-23, Days after onset: 30
Location:California  Entered:1993-08-19, 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: NONE
Diagnostic Lab Data: bloodwork done 6JUL93; CBC-WNL, Sed rate -1, ANA-less than 1:40;
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0965V SC 
Administered by: Other     Purchased by: Public
Symptoms: Arthralgia
SMQs:, Arthritis (broad)
Write-up: pt devel knee pain approx 5 days p/receiving MMR; examined 3 wks p/MMR @ that time had no joint swelling or clinical evidence of arthritis; recommended course of Ibuprofen; pt reports persistence of knee pain by phone 23JUL93;

VAERS ID:55381 (history)  Vaccinated:1993-07-16
Age:28.1  Onset:1993-07-17, Days after vaccination: 1
Gender:Male  Submitted:1993-08-16, Days after onset: 30
Location:New Jersey  Entered:1993-08-19, Days after submission: 3
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NA
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM1059A40IMRA
Administered by: Other     Purchased by: Public
Symptoms: Anxiety, Nausea, Vomiting
SMQs:, Acute pancreatitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypoglycaemia (broad)
Write-up: pt states that 24 hrs p/vax awake w/c/o nausea, vomiting 203x; denies fever, loose Bm or inject site tenderness; pt admits to anxiety & heavy alcohol sonsumpton on the nite a/; sx self limiting;

VAERS ID:55529 (history)  Vaccinated:1993-06-29
Age:28.5  Onset:1993-06-30, Days after vaccination: 1
Gender:Female  Submitted:1993-07-02, Days after onset: 2
Location:New York  Entered:1993-08-26, Days after submission: 55
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: PPD by Connaught lt# 235121;
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM1090A40IMLA
Administered by: Private     Purchased by: Private
Symptoms: Anorexia, Myalgia, Nausea, Pyrexia, Somnolence, Vasodilatation
SMQs:, Rhabdomyolysis/myopathy (broad), 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), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)
Write-up: pt recvd immun on 29JUN93; 30JUN93 @ 130-2PM the following sx nausea, w/o vomiting, lack of appetite, very lethargic, aching muscles, dec temp to 101.6, no diarrhea; 1JUL93 @ 7AM none of the sx were present; inject site was warm-hard to tou

VAERS ID:56001 (history)  Vaccinated:1992-08-31
Age:28.0  Onset:1992-09-02, Days after vaccination: 2
Gender:Male  Submitted:1993-07-14, Days after onset: 315
Location:California  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: CO4693
Vaccination
Manufacturer
Lot
Dose
Route
Site
RAB: RABIES (IMOVAX)PASTEUR MERIEUX INST.G03304IMA
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: hives on arms w/generalized itching 2 days p/2nd booster dose; On day 3 & 4 post 2nd booster had hives on groins, ankles & flanks;

VAERS ID:56020 (history)  Vaccinated:0000-00-00
Age:28.4  Onset:1985-06-21
Gender:Female  Submitted:1993-07-15, Days after onset: 2946
Location:Texas  Entered:1993-09-10, Days after submission: 57
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: CO4752
Vaccination
Manufacturer
Lot
Dose
Route
Site
RAB: RABIES (IMOVAX)PASTEUR MERIEUX INST.    
Administered by: Unknown     Purchased by: Unknown
Symptoms: Abdominal distension, Abdominal pain, Enzyme abnormality, Gastrointestinal disorder, Laboratory test abnormal, Neuropathy, Pancreatitis, Vomiting
SMQs:, Acute pancreatitis (narrow), Peripheral neuropathy (narrow), Retroperitoneal fibrosis (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: nausea, vomiting, abdo pain p/vax; problems began in 1985 p/receiving series of inject; chronic abdo pain, n,v, abdo distension, early satiety; elevated lipase suggesting acute pancreatitis; tranit time was prolonged @ 120min;

VAERS ID:56496 (history)  Vaccinated:1993-06-10
Age:28.1  Onset:1993-06-11, Days after vaccination: 1
Gender:Female  Submitted:1993-10-07, Days after onset: 118
Location:Washington  Entered:1993-10-12, Days after submission: 5
Life Threatening? No
Died? Yes
   Date died: 1993-09-13
   Days after onset: 94
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: mental illness
Preexisting Conditions: mental illness
Diagnostic Lab Data: pt died from self inflicted gunshot wound;
CDC Split Type: WAES93061208
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.1427V0  
Administered by: Private     Purchased by: Other
Symptoms: Anxiety, Dizziness, Intentional overdose, Lymphadenopathy, Nausea, Paraesthesia, Suicide attempt
SMQs:, Acute pancreatitis (broad), Peripheral neuropathy (broad), Suicide/self-injury (narrow), Anticholinergic syndrome (broad), Drug abuse and dependence (narrow), Guillain-Barre syndrome (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 vax 10JUN93 & 11JUN93 pt exp numbness, tingling, swollen lymph nodes, lightheadedness w/dizziness, nausea & some rather weird & vague reaction; MD felt these reactions could have been due to anxiety react; pt ingested 100 pills;

VAERS ID:56497 (history)  Vaccinated:1993-09-25
Age:28.0  Onset:1993-09-25, Days after vaccination: 0
Gender:Female  Submitted:1993-10-07, Days after onset: 12
Location:Virginia  Entered:1993-10-12, Days after submission: 5
Life Threatening? Yes
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? Yes, ? days
    Extended hospital stay? No
Previous Vaccinations:
Other Medications: Epidural
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: No relevant data;
CDC Split Type: WAES93091151
Vaccination
Manufacturer
Lot
Dose
Route
Site
RUB: RUBELLA (MERUVAX II)MERCK & CO. INC. 0IM 
Administered by: Private     Purchased by: Other
Symptoms: Meningitis
SMQs:, Noninfectious meningitis (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: pt recvd vax 27SEP93 pt was hospitalized w/meningitis; pharmacist felt that pt exp was life threatening & reported that condition was not good;

VAERS ID:56578 (history)  Vaccinated:1993-08-27
Age:28.2  Onset:1993-08-27, Days after vaccination: 0
Gender:Female  Submitted:1993-08-31, Days after onset: 4
Location:Connecticut  Entered:1993-10-13, 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: Ortho Novum 777; pt recvd Hep B vax 23JUL93 lot# 0640W;
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.0640W1IMLA
Administered by: Other     Purchased by: Other
Symptoms: Pruritus, Rash
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: hospital employee started to have skin rash @ upper back 2-3 hrs p/2nd dose of vax; erythematous skin rash became generalized in 3 days & associated w/itching;

VAERS ID:56629 (history)  Vaccinated:1993-08-30
Age:28.2  Onset:1993-08-31, Days after vaccination: 1
Gender:Female  Submitted:1993-09-01, Days after onset: 1
Location:Kansas  Entered:1993-10-18, Days after submission: 47
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: pt exp redness in arm & soreness where shot given @ 6 w/DTP #4 does;
Other Medications: Premarin, Zoioft; Tuberculin, PPD by Parke Davis lot# 00663P;
Current Illness: NONE
Preexisting Conditions: allergy to sulfa & iodine- no chronic medical problems;
Diagnostic Lab Data:
CDC Split Type: KS93050
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.1847W0IMRA
TD: TD ADSORBED (NO BRAND NAME)LEDERLE LABORATORIES348909 IMLA
Administered by: Public     Purchased by: Public
Symptoms: Ecchymosis, Hyperhidrosis, Injection site hypersensitivity, Injection site mass, Myalgia, Neck pain, Pyrexia, Somnolence
SMQs:, Rhabdomyolysis/myopathy (broad), Haemorrhage terms (excl laboratory terms) (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Extravasation events (injections, infusions and implants) (broad), 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: pt recvd vax 30AUG93 & on 31AUG93 approx 730AM achy & drowsy small bruise noted lt deltoid area; no redness; bruise size of nickel; approx 5 PM 31AUG93; started having chills, pain in lt arm & neck area; t103; arm sore; redness noted lt arm

VAERS ID:56677 (history)  Vaccinated:1993-10-08
Age:28.7  Onset:1993-10-08, Days after vaccination: 0
Gender:Female  Submitted:1993-10-13, Days after onset: 5
Location:Missouri  Entered:1993-10-19, Days after submission: 6
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)CONNAUGHT LABORATORIES3J41146 IMRA
Administered by: Other     Purchased by: Other
Symptoms: Asthenia, Nausea, Pyrexia, Vomiting
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: fever, nausea, vomiting, weakness onset; approx 6 hrs p/inject; duration 48 hrs; no treatment;

VAERS ID:56834 (history)  Vaccinated:1993-10-18
Age:28.0  Onset:1993-10-18, Days after vaccination: 0
Gender:Male  Submitted:1993-10-21, Days after onset: 3
Location:Unknown  Entered:1993-10-28, Days after submission: 7
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TYP: TYPHOID LIVE ORAL TY21A (VIVOTIF)BERNA BIOTECH, LTD127994B1PO 
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: urticaria approx 2 hrs p/dose; resolved by following morning; no treatment; resolved prior to seeing MD:

VAERS ID:56937 (history)  Vaccinated:1993-10-01
Age:28.0  Onset:1993-10-01, Days after vaccination: 0
Gender:Female  Submitted:1993-10-26, Days after onset: 25
Location:Missouri  Entered:1993-11-01, 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: lower intestinal cramps/diarrhea
Preexisting Conditions: UNK
Diagnostic Lab Data: NA
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)PFIZER/WYETH4938150 IMA
Administered by: Private     Purchased by: Private
Symptoms: Dizziness, Hyperhidrosis
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Vestibular disorders (broad), Hypoglycaemia (broad)
Write-up: about 10 mins p/vax had profuse diaphoresis & felt like was going to faint;

VAERS ID:58484 (history)  Vaccinated:0000-00-00
Age:28.0  Onset:0000-00-00
Gender:Female  Submitted:1993-03-04
Location:Massachusetts  Entered:1993-11-03, Days after submission: 244
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: EBU922248
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM    
Administered by: Private     Purchased by: Other
Symptoms: Hypersensitivity
SMQs:, Angioedema (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: pt recvd vax & exp severe allergic response & was seen by MD; responsible MD indicates pt has been skin tested to thiomersal & found to be pos;

VAERS ID:59002 (history)  Vaccinated:1992-11-02
Age:28.0  Onset:1992-11-03, Days after vaccination: 1
Gender:Female  Submitted:1992-12-08, Days after onset: 35
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: Chlortrimeton
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC Split Type: EBU922853
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM843A41IMA
Administered by: Private     Purchased by: Private
Symptoms: Asthenia, Myalgia, Nausea, Pyrexia, Rhinitis
SMQs:, Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), 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: Pt recvd vax & 1 day p/vax exp fever, achiness, anusea, fatigue & nasal congestion;

VAERS ID:59006 (history)  Vaccinated:1992-11-05
Age:28.0  Onset:1992-11-12, Days after vaccination: 7
Gender:Female  Submitted:1993-01-18, Days after onset: 67
Location:New York  Entered:1993-11-03, Days after submission: 289
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: pt has had sz disorder for 2 yrear;
Diagnostic Lab Data:
CDC Split Type: EBU922858
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM1002B20IMA
Administered by: Private     Purchased by: Private
Symptoms: Condition aggravated, Convulsion, Infection, Pharyngitis, Rash, Rash maculo-papular, Rhinitis
SMQs:, Anaphylactic reaction (broad), Agranulocytosis (broad), Systemic lupus erythematosus (broad), Convulsions (narrow), Oropharyngeal infections (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Generalised convulsive seizures following immunisation (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)
Write-up: Pt recvd vax 5NOV92 & had a sz 1 hrs p/inject; 12NOV92 devel rash on neck, torso & extremities; also c/o head cold; treated w/DPh; pt''s mom indicated that pt did not improve & was seen @ ER & dx w/chicken pos; also dx w/pityriasis rosea;

VAERS ID:59040 (history)  Vaccinated:1992-09-30
Age:28.0  Onset:1992-09-30, Days after vaccination: 0
Gender:Female  Submitted:1992-12-09, Days after onset: 70
Location:New York  Entered:1993-11-03, Days after submission: 329
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: EBU922917
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM923A41IMA
Administered by: Other     Purchased by: Private
Symptoms: Headache, Oedema, Paraesthesia
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad)
Write-up: Pt recvd vax & 1hr p/vax exp swelling, arm numbness & severe h/a;

VAERS ID:59453 (history)  Vaccinated:1992-12-14
Age:28.0  Onset:1992-12-16, Days after vaccination: 2
Gender:Male  Submitted:1993-02-23, Days after onset: 69
Location:Illinois  Entered:1993-11-03, Days after submission: 253
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: pt exp sl rash @ 28 y/o w/Engerix-B doses 1 & 2;
Other Medications: Tagamet, Rowasa;
Current Illness: paratitis;
Preexisting Conditions: NKA;
Diagnostic Lab Data:
CDC Split Type: EBU923014
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM1037A42IMA
Administered by: Private     Purchased by: Private
Symptoms: Dermatitis bullous, Rash
SMQs:, Severe cutaneous adverse reactions (narrow), Anaphylactic reaction (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Pt recvd vax & devel rash between fingers, blistery onto palm of hands & behind knees;

VAERS ID:59476 (history)  Vaccinated:1991-10-20
Age:28.0  Onset:1991-10-21, Days after vaccination: 1
Gender:Male  Submitted:1993-10-12, Days after onset: 722
Location:Unknown  Entered:1993-11-03, Days after submission: 22
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: pt exp itching, urticaira, raised papular rash, sore throat, pale, SOB, chest pa
Other Medications: Hep B immune globulin;
Current Illness:
Preexisting Conditions: arthroscopy for knee in 1981 and 1983.
Diagnostic Lab Data:
CDC Split Type: EBU922650
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM 6  
Administered by: Unknown     Purchased by: Unknown
Symptoms: Hypersensitivity, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: pt recvd 3rd dose of vax & exp hives & allergic react;

VAERS ID:59531 (history)  Vaccinated:1993-06-14
Age:28.0  Onset:0000-00-00
Gender:Female  Submitted:1993-08-02
Location:Utah  Entered:1993-11-03, Days after submission: 93
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: the manufacturing and quality assurance records for Engerix-B LOT NEG 1070A4 have been reviewed. The product meets all specifications for product release.
CDC Split Type: 930002541
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM1070A41IMRA
Administered by: Other     Purchased by: Public
Symptoms: Asthenia, Headache, Injection site pain
SMQs:, Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad)
Write-up: pt recvd 2nd dose of vax & exp severe h/a for 3 days as well as weakness, fatigue & local tenderness @ inject site; treatment none;

VAERS ID:59541 (history)  Vaccinated:1993-01-25
Age:28.0  Onset:1993-01-25, Days after vaccination: 0
Gender:Male  Submitted:1993-10-21, Days after onset: 268
Location:Unknown  Entered:1993-11-03, 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 lightheaded, numb lips w/Engerix-B #1 dose;
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC Split Type: 930004921
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM1039A41IMA
Administered by: Private     Purchased by: Private
Symptoms: Dizziness, Paraesthesia, Paraesthesia oral
SMQs:, Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Vestibular disorders (broad)
Write-up: pt recvd vax & exp lightheadedness, & numb lips & face;

VAERS ID:59551 (history)  Vaccinated:1993-06-22
Age:28.0  Onset:1993-06-22, Days after vaccination: 0
Gender:Female  Submitted:1993-08-02, Days after onset: 41
Location:Oklahoma  Entered:1993-11-03, Days after submission: 93
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: 930005811
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM 0IMA
Administered by: Private     Purchased by: Private
Symptoms: Asthenia, Headache, Vasodilatation
SMQs:, Guillain-Barre syndrome (broad)
Write-up: pt revd vax & exp fatigue, h/a, flushed feeling;

VAERS ID:59608 (history)  Vaccinated:1993-08-09
Age:28.0  Onset:1993-08-09, Days after vaccination: 0
Gender:Male  Submitted:1993-08-11, Days after onset: 2
Location:New York  Entered:1993-11-03, Days after submission: 84
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: 930011231
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM1060A40IMA
Administered by: Other     Purchased by: Other
Symptoms: Dizziness, Hyperhidrosis, Tachycardia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Vestibular disorders (broad), Hypoglycaemia (broad)
Write-up: Pt recvd vax & w/in 5 mins p/vax was faint, clammy & had a racing pulse; pt was sent to ER;

VAERS ID:59646 (history)  Vaccinated:1993-08-19
Age:28.0  Onset:1993-08-20, Days after vaccination: 1
Gender:Female  Submitted:1993-09-07, Days after onset: 18
Location:New Hampshire  Entered:1993-11-03, Days after submission: 57
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC Split Type: 930015531
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM1096A40IMA
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 vax & 24 hrs p/dose exp a rash;

VAERS ID:59685 (history)  Vaccinated:1992-11-20
Age:28.0  Onset:1992-11-21, Days after vaccination: 1
Gender:Female  Submitted:1993-02-03, Days after onset: 74
Location:Virginia  Entered:1993-11-03, Days after submission: 273
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: allergies PCN
Diagnostic Lab Data:
CDC Split Type: EBU930001
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM1042A41IMA
Administered by: Other     Purchased by: Private
Symptoms: Lymphadenopathy
SMQs:, Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Pt recvd vax & 24 hrs later devel moderate ipsilateral adenopathy;

VAERS ID:60224 (history)  Vaccinated:1993-01-01
Age:28.0  Onset:1993-01-01, Days after vaccination: 0
Gender:Female  Submitted:1993-02-09, Days after onset: 39
Location:Unknown  Entered:1993-11-03, Days after submission: 267
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: Gilberts synd
Diagnostic Lab Data:
CDC Split Type: EBU930254
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM  IMA
Administered by: Other     Purchased by: Other
Symptoms: Chills, Dizziness, Hyperhidrosis, Hypotension
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Vestibular disorders (broad), Hypoglycaemia (broad)
Write-up: pt recvd vax JAN93 & 20 mins post vax pt exp dec BP & felt cold, clammy & faint;

VAERS ID:60499 (history)  Vaccinated:1993-05-19
Age:28.0  Onset:1993-05-20, Days after vaccination: 1
Gender:Male  Submitted:1993-06-04, Days after onset: 15
Location:Pennsylvania  Entered:1993-11-03, Days after submission: 152
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: EBU930883
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM1060A4 IMA
Administered by: Other     Purchased by: Other
Symptoms: Asthma, Hypersensitivity, Urticaria
SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), Asthma/bronchospasm (narrow), Eosinophilic pneumonia (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Pt recvd vax & exp a delayed allergic react w/hives & wheezing; treated w/DPH; Epi & suspren;

VAERS ID:60593 (history)  Vaccinated:0000-00-00
Age:28.0  Onset:0000-00-00
Gender:Male  Submitted:1993-03-23
Location:New York  Entered:1993-11-03, Days after submission: 225
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: pt exp hand sweating w/Engerix-B dose 1;
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC Split Type: EBU930491
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM1111A21IMLA
Administered by: Private     Purchased by: Public
Symptoms: Influenza, Paraesthesia, Tremor, Vasodilatation
SMQs:, Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Hypoglycaemia (broad)
Write-up: pt recvd vax & exp flu-like sx, hot sensation in hands, tingling in both arms, hot flash in spine (every 3-5 days) & bilateral arm tremor;

VAERS ID:57210 (history)  Vaccinated:1993-07-09
Age:28.0  Onset:1993-07-28, Days after vaccination: 19
Gender:Male  Submitted:1993-08-11, Days after onset: 14
Location:Washington  Entered:1993-11-09, Days after submission: 90
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NA
CDC Split Type: WA93941
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0425W0 RA
Administered by: Private     Purchased by: Public
Symptoms: Arthralgia, Arthritis, Pain
SMQs:, Systemic lupus erythematosus (broad), Arthritis (narrow)
Write-up: inflamation & pain in lt knee & hand 10 days p/vax;

VAERS ID:57615 (history)  Vaccinated:1993-10-19
Age:28.5  Onset:1993-10-20, Days after vaccination: 1
Gender:Female  Submitted:1993-11-10, Days after onset: 21
Location:Vermont  Entered:1993-11-22, Days after submission: 12
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: BCP''s;
Current Illness: NONE
Preexisting Conditions: endometrosis
Diagnostic Lab Data: NONE
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)UNKNOWN MANUFACTURER    
Administered by: Other     Purchased by: Other
Symptoms: Nausea, Palpitations, Tachycardia, Vasodilatation
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad)
Write-up: nausea, flushed, palpitats/tachycardia;

VAERS ID:57728 (history)  Vaccinated:1993-05-13
Age:28.2  Onset:0000-00-00
Gender:Female  Submitted:1993-11-05
Location:Georgia  Entered:1993-11-26, Days after submission: 21
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: spontaneous abortion 1992; hypertensive 162/96, 4MAY93 & 156/90 7MAY93;
Diagnostic Lab Data: 4MAY93 mumps virus IGG AB (EIA) <0.80 (non-immune); Rubeola virus IGG AB (EIA) <0.80 (non-immune);
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.1507V SCLA
Administered by: Private     Purchased by: Private
Symptoms: Abortion
SMQs:, Termination of pregnancy and risk of abortion (narrow)
Write-up: pt was about 5 wks pregnant p/having recvd vax; consulted OB/GYN & was advised to not take the measles booster until p/delivery; had elevated BP of 162/96 @ time of hire; had spontaneous miscarriage 20OCT93;

VAERS ID:61425 (history)  Vaccinated:1992-02-01
Age:28.0  Onset:1992-12-26, Days after vaccination: 329
Gender:Female  Submitted:0000-00-00
Location:Indiana  Entered:1993-12-02
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Vistaril
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: no relevant data;
CDC Split Type: WAES92060105
Vaccination
Manufacturer
Lot
Dose
Route
Site
RUB: RUBELLA (MERUVAX II)MERCK & CO. INC. 0  
Administered by: Other     Purchased by: Other
Symptoms: Hypertension
SMQs:, Neuroleptic malignant syndrome (broad), Hypertension (narrow)
Write-up: pt recvd vax & was found to be pregnant; LMP 16MAR92; 26DEC92 went into labor & devel hypertension; underwent a ceasarean section & gave birth to an 8lb 4 oz nl female;

VAERS ID:61428 (history)  Vaccinated:1990-08-01
Age:28.4  Onset:1990-08-01, Days after vaccination: 0
Gender:Female  Submitted:0000-00-00
Location:Florida  Entered:1993-12-02
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: ANA-1:320
CDC Split Type: WAES92110644
Vaccination
Manufacturer
Lot
Dose
Route
Site
RUB: RUBELLA (MERUVAX II)MERCK & CO. INC.    
Administered by: Other     Purchased by: Other
Symptoms: Antinuclear antibody, Arthralgia, Arthritis, Asthenia, Paraesthesia
SMQs:, Peripheral neuropathy (broad), Systemic lupus erythematosus (broad), Guillain-Barre syndrome (broad), Arthritis (narrow)
Write-up: pt recvd vax & AUG90 following vax pt devel arthritis, arthralgias, paresthesia & fatigue; lab eval revealed a pos ANA of 1:320; ESR was nl; Other SLE teste were neg; pt was placed on therapy w/unspecified steroid meds;

VAERS ID:61434 (history)  Vaccinated:0000-00-00
Age:28.0  Onset:1992-10-26
Gender:Female  Submitted:0000-00-00
Location:Virginia  Entered:1993-12-02
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Antihistamine, nos
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: 26OCT92 Rubella antibody neg;
CDC Split Type: WAES92121371
Vaccination
Manufacturer
Lot
Dose
Route
Site
RUB: RUBELLA (MERUVAX II)MERCK & CO. INC. 0  
Administered by: Public     Purchased by: Public
Symptoms: Drug ineffective
SMQs:, Lack of efficacy/effect (narrow)
Write-up: pt recvd vax in 1990 & 26OCT92 lab eval showed a neg rubella antibody; No further details were provided;

VAERS ID:61441 (history)  Vaccinated:1993-04-14
Age:28.5  Onset:1993-04-14, Days after vaccination: 0
Gender:Female  Submitted:0000-00-00
Location:Indiana  Entered:1993-12-02
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: WAES93041101
Vaccination
Manufacturer
Lot
Dose
Route
Site
RUB: RUBELLA (MERUVAX II)MERCK & CO. INC.1368V0IM 
Administered by: Other     Purchased by: Other
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 vax & 23APR93 pt devel malaise, low grade fever & generalized fine rash; presented to a hospital where a MD felt had rubella;

VAERS ID:57940 (history)  Vaccinated:1993-10-26
Age:28.1  Onset:1993-10-28, Days after vaccination: 2
Gender:Female  Submitted:1993-11-01, Days after onset: 4
Location:Michigan  Entered:1993-12-06, Days after submission: 35
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Hismanal
Current Illness: NONE
Preexisting Conditions: dust, animals, pollen; allergy to keflex, PCN, Sulfa;
Diagnostic Lab Data: Blood tests all nl;
CDC Split Type: MI93166
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)CONNAUGHT LABORATORIES3F41033  LA
Administered by: Public     Purchased by: Public
Symptoms: Pain, Skin nodule
SMQs:, Extravasation events (injections, infusions and implants) (broad)
Write-up: pt recvd flu vax 26OCT93; lump in lt axilla 2 days later w/fluid; more painful now w/pain down arm & fingers;

VAERS ID:58143 (history)  Vaccinated:1993-10-06
Age:28.4  Onset:0000-00-00
Gender:Female  Submitted:1993-10-15
Location:Alaska  Entered:1993-12-13, Days after submission: 59
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: NONE
Other Medications: Inderal, Amitriptiline
Current Illness: NONE
Preexisting Conditions: prolapsed miltral valve
Diagnostic Lab Data: NONE
CDC Split Type: AK93028
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)PFIZER/WYETH49382260IMRA
PPV: PNEUMO (PNU-IMUNE)LEDERLE LABORATORIES3249540IMLA
Administered by: Public     Purchased by: Public
Symptoms: Hypertonia, Hypokinesia, Myalgia, Nuchal rigidity, Pyrexia
SMQs:, Rhabdomyolysis/myopathy (broad), 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), Eosinophilic pneumonia (broad), Hypotonic-hyporesponsive episode (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: 1 hr p/vax c/o bodyaches & fever (did not take temp); next morning 6OCT93 c/o stiff nick on lt side by 1130AM was unable to move head stiffness extended down shoulder & lt arm; c/o muscle spasm; seen by MD;

VAERS ID:58185 (history)  Vaccinated:1993-11-15
Age:28.4  Onset:1993-11-17, Days after vaccination: 2
Gender:Male  Submitted:1993-12-06, Days after onset: 19
Location:California  Entered:1993-12-13, 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: bio allers gtts
Current Illness: NONE
Preexisting Conditions: allergic to dogs takin bio allers gtts for sx;
Diagnostic Lab Data: 6DEC93 rabies titer drawn for immune response results pending;
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
RAB: RABIES (IMOVAX)PASTEUR MERIEUX INST.J04291 LA
Administered by: Public     Purchased by: Public
Symptoms: Dermatitis exfoliative, Dry skin, Pruritus, Rash, Vasodilatation
SMQs:, Severe cutaneous adverse reactions (narrow), Anaphylactic reaction (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Pt recvd vax 17NOV93 jaw line itching-spread to ears & eyebrows by end of day; 18NOV93 face red like sunburn from neck up; 19NOV93 above areas had small bumps on them; drying more; 3DEC93 sx dec skin began to flake off;

VAERS ID:58363 (history)  Vaccinated:1991-12-06
Age:28.0  Onset:1991-12-18, Days after vaccination: 12
Gender:Female  Submitted:1993-11-23, Days after onset: 706
Location:Ohio  Entered:1993-12-22, Days after submission: 29
Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness: unk
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: 893336014J
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUOGEN)PARKE-DAVIS  IMRA
Administered by: Other     Purchased by: Other
Symptoms: Deafness
SMQs:, Hearing impairment (narrow)
Write-up: pt recvd vax 6DEC91 & 18DEC91 devel hearing loss in lt ear; 27JAN93 dx w/profound sensorineural hearing loss of the lt ear; hearing loss cont to the date of this report;

VAERS ID:61495 (history)  Vaccinated:0000-00-00
Age:28.0  Onset:0000-00-00
Gender:Female  Submitted:1993-08-25
Location:Utah  Entered:1994-01-06, Days after submission: 134
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: unk
Current Illness: NONE
Preexisting Conditions: PCN allergy
Diagnostic Lab Data: Test results on inspection conducted on in-house retention samples & returned package of lot# 4938046 were satisfactory & w/in current compendial specifications;
CDC Split Type: 893243003C
Vaccination
Manufacturer
Lot
Dose
Route
Site
TYP: TYPHOID VI POLYSACCHARIDE (NO BRAND NAME)PFIZER/WYETH4938046 IMA
Administered by: Military     Purchased by: Military
Symptoms: Hypokinesia, Injection site oedema, Injection site pain, Vasodilatation
SMQs:, Parkinson-like events (broad), Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypotonic-hyporesponsive episode (broad)
Write-up: Pt recvd vax & devel soreness, swelling & heat @ the inject site which limited ROM; react lasted several days;

VAERS ID:58867 (history)  Vaccinated:1993-11-04
Age:28.0  Onset:1993-11-13, Days after vaccination: 9
Gender:Male  Submitted:1993-11-29, Days after onset: 16
Location:Arizona  Entered:1994-01-07, Days after submission: 39
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: CBC w/diff nl;
CDC Split Type: AZ9344
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0970V1SCRA
Administered by: Private     Purchased by: Public
Symptoms: Hyperhidrosis, Injection site abscess, Injection site hypersensitivity, Injection site mass, Injection site oedema, Injection site pain, Vasodilatation
SMQs:, Neuroleptic malignant syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow), Hypoglycaemia (broad)
Write-up: c/o pain, heat & swelling rt arm; diaphorectic most of the time; rt upper arm rest, hard, round, swelling @ site of inject; around tender to touch; abscess;

VAERS ID:59152 (history)  Vaccinated:1994-01-03
Age:28.6  Onset:1994-01-03, Days after vaccination: 0
Gender:Female  Submitted:1994-01-06, Days after onset: 3
Location:Maryland  Entered:1994-01-18, Days after submission: 12
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NONE
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: allergic to sulfa, ASA, Dilantin
Diagnostic Lab Data: NONE
CDC Split Type: MD94001
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)LEDERLE LABORATORIES348909 IMLA
Administered by: Public     Purchased by: Public
Symptoms: Face oedema, Injection site hypersensitivity, Injection site mass, Myalgia, Oedema peripheral, Palpitations, Pruritus, Urticaria
SMQs:, Rhabdomyolysis/myopathy (broad), Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (narrow), Arrhythmia related investigations, signs and symptoms (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Hypersensitivity (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Itching began 6PM on 3JAN93; heart began fluttering & pt felt odd woke up, itching fiercely w/hives all over body @ MN; noticed swelling of hands, feet, nose, lips & earlobes & eyes; whole body throbbed; site was red, swollen w/hard lump;

VAERS ID:59207 (history)  Vaccinated:1993-10-05
Age:28.8  Onset:1993-10-05, Days after vaccination: 0
Gender:Female  Submitted:1993-12-20, Days after onset: 76
Location:California  Entered:1994-01-24, Days after submission: 35
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NONE
Other Medications:
Current Illness: mild sore throat, fever, malaise
Preexisting Conditions: 1 wk prior seen by MD for sinusitis-Vantin
Diagnostic Lab Data: NONE
CDC Split Type: CA93120
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)PFIZER/WYETH44381421IMLA
PPV: PNEUMO (PNU-IMUNE)LEDERLE LABORATORIES3589580IMRA
Administered by: Other     Purchased by: Public
Symptoms: Chills, Condition aggravated, Ear pain, Hypertonia, Myalgia, Pyrexia, Vasodilatation, Vomiting
SMQs:, Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Parkinson-like events (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: fever 102, earache, sore throat, chills, malaise, aching muscles, red stiff arm, vomiting; pt states felt ill for 2 wks but did not seek care;

VAERS ID:59294 (history)  Vaccinated:1993-10-05
Age:28.3  Onset:1993-10-06, Days after vaccination: 1
Gender:Female  Submitted:1994-01-17, Days after onset: 103
Location:California  Entered:1994-01-27, Days after submission: 10
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: known mild react (localized rash) w/PPD (Mantoux);
Diagnostic Lab Data: NONE
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)PFIZER/WYETH49381560 LA
Administered by: Other     Purchased by: Other
Symptoms: Hypersensitivity, Injection site hypersensitivity, Pruritus
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: erythema/rash upper lt arm w/clear drainage; Itching of affected area; Onset 24 hrs p/administration of vaccine; dx by MD as acute allergic dermatitis;

VAERS ID:61561 (history)  Vaccinated:1992-10-01
Age:28.1  Onset:1992-11-01, Days after vaccination: 31
Gender:Female  Submitted:0000-00-00
Location:Connecticut  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: Sudafed; Actifed;
Current Illness:
Preexisting Conditions: allergies, seasonal;
Diagnostic Lab Data: Rubeola antibody NOV92 neg; Rubeola antibody DEC92 neg;
CDC Split Type: WAES92121427
Vaccination
Manufacturer
Lot
Dose
Route
Site
MEA: MEASLES (ATTENUVAX)MERCK & CO. INC. 0IM 
Administered by: Other     Purchased by: Other
Symptoms: Drug ineffective
SMQs:, Lack of efficacy/effect (narrow)
Write-up: Pt recvd vax & lab eval revealed was neg for rubeola antibody; repeat testing in DEC92 showed the same results; No further details were provided;

VAERS ID:62539 (history)  Vaccinated:1992-12-18
Age:28.2  Onset:0000-00-00
Gender:Male  Submitted:0000-00-00
Location:Florida  Entered:1994-03-14
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: pt exp bronchitis, t100, anorexia, fatigue & malaise, wgt loss of 28 lbs w/dose1
Other Medications: Xana, Bellergal;
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: 17DEC92 GGT 89;
CDC Split Type: WAES93010594
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC. 1  
Administered by: Other     Purchased by: Other
Symptoms: Condition aggravated, Migraine
SMQs:
Write-up: pt recvd vax & exp inc in the severity & frequency of migraine h/a; pt treated fever w/APAP; had no liver enlargement or jaundice; No further details were provided;

VAERS ID:62548 (history)  Vaccinated:1992-07-03
Age:28.6  Onset:1992-07-03, Days after vaccination: 0
Gender:Female  Submitted:0000-00-00
Location:Missouri  Entered:1994-03-14
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: WAES93010763
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC. 0IM 
Administered by: Public     Purchased by: Other
Symptoms: Arthralgia, Myalgia
SMQs:, Rhabdomyolysis/myopathy (broad), Eosinophilic pneumonia (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad)
Write-up: pt recvd vax 3JUL92 & exp immed myalgia & arthralgia; seen by MD who felt that pt should discontinue the vax series; MAR93 it was reported that pt sx persisted; No further details were provided;

VAERS ID:62586 (history)  Vaccinated:1993-01-04
Age:28.5  Onset:0000-00-00
Gender:Female  Submitted:0000-00-00
Location:Missouri  Entered:1994-03-14
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: pt exp swollen lymph nodes in supraclavicular area on the side of the inject;
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: No relevant data;
CDC Split Type: WAES93011431
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC. 2SC 
Administered by: Private     Purchased by: Private
Symptoms: Lymphadenopathy
SMQs:, Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: pt recvd vax 4JAN93 & exp a recurrence of the sx; It resolved w/in 8 wks; No further details were provided;

VAERS ID:62641 (history)  Vaccinated:1993-02-01
Age:28.2  Onset:1993-02-01, Days after vaccination: 0
Gender:Female  Submitted:0000-00-00
Location:California  Entered:1994-03-14
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: WAES93020362
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.1617V0IM 
Administered by: Private     Purchased by: Private
Symptoms: Abdominal pain, Anorexia, Asthenia, Diarrhoea, Headache, Hypoxia, Insomnia, Pyrexia
SMQs:, Acute pancreatitis (broad), Asthma/bronchospasm (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Pseudomembranous colitis (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad), Noninfectious diarrhoea (narrow), Respiratory failure (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: pt recvd vax; pt exp nausea & headache in eve; intestine & stomach cramping, diarrhea; lack of oxygen; fever; hot & cold flashes; insomnia;

VAERS ID:62693 (history)  Vaccinated:1993-02-15
Age:28.9  Onset:1993-02-15, Days after vaccination: 0
Gender:Female  Submitted:0000-00-00
Location:Texas  Entered:1994-03-14
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: WAES93021066
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.1650V0IM 
Administered by: Other     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: pt recvd vax; few min following inject; pt exp itching; following morning pt devel red welts over trunk & legs; pt treated w/ diphenhydramine HC1;

VAERS ID:62903 (history)  Vaccinated:1992-11-16
Age:28.7  Onset:1992-11-17, Days after vaccination: 1
Gender:Male  Submitted:0000-00-00
Location:Wisconsin  Entered:1994-03-14
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: WAES93031486
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.0842V1IM 
Administered by: Other     Purchased by: Private
Symptoms: Dizziness, 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), Vestibular disorders (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: pt recvd vax 16NOV92 & 17NOV92 exp lightheadedness, nausea, fever w/aching of the injected arm;

VAERS ID:63552 (history)  Vaccinated:1992-10-07
Age:28.1  Onset:1992-12-25, Days after vaccination: 79
Gender:Male  Submitted:0000-00-00
Location:Wisconsin  Entered:1994-03-14
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: WAES93041387
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.0944V2IM 
Administered by: Public     Purchased by: Public
Symptoms: Condition aggravated, Drug ineffective, Hepatocellular damage, Pharyngitis
SMQs:, Hepatic failure, fibrosis and cirrhosis and other liver damage-related conditions (narrow), Agranulocytosis (broad), Lack of efficacy/effect (narrow), Oropharyngeal infections (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: pt rcvd vax; pt was dx w/ mononucleosis; w/ 3rd dose pt devel relapse of mononucleosis w/ tonsillitis, swollen glands & there was a concern w/ liver damage; lab evaluation revealed pt was anti-HBs neg;

VAERS ID:63649 (history)  Vaccinated:1993-04-27
Age:28.2  Onset:0000-00-00
Gender:Female  Submitted:0000-00-00
Location:Connecticut  Entered:1994-03-14
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: pt exp cold-like symptoms; head & nasal congestion; cough w/ greenish drainage;
Other Medications: triphasil;
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: WBC count 05apr93 12900; eosinophils 05apr93 0%;
CDC Split Type: WAES93051305
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC. 1IM 
Administered by: Other     Purchased by: Private
Symptoms: Asthenia, Cough, Pharyngitis, Pyrexia, Rhinitis
SMQs:, Anaphylactic reaction (broad), Agranulocytosis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Oropharyngeal infections (narrow), Guillain-Barre syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: pt rcvd vax; pt devel injection, respiratory, upper; congestion, respiratory; cough; fever; asthenia/fatigue; dysuria; WBC inc; nausea; vomiting; pain, abdominal; eosinophils decreased; injection, urinary tract; sinus disorder, chronic;

VAERS ID:63700 (history)  Vaccinated:1993-05-24
Age:28.0  Onset:1993-05-27, Days after vaccination: 3
Gender:Male  Submitted:0000-00-00
Location:Texas  Entered:1994-03-14
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: 20MAY93 HBsAg neg; 27MAY93 HBsAg pos; 31MAY93 HBsAg neg; 7JUN93 HBsAg neg;
CDC Split Type: WAES93060886
Vaccination
Manufacturer
Lot
Dose
Route
Site
HIBV: HIB (PEDVAXHIB)MERCK & CO. INC. 0IM 
Administered by: Other     Purchased by: Other
Symptoms: Hepatitis B surface antigen
SMQs:
Write-up: pt recvd vax 24MAY93 & 27MAY93 lab eval was pos for hep b surface antigen; 31MAY93 & 7JUN93 lab eval was neg for hep b surface antigen; No further details were provided;

VAERS ID:64084 (history)  Vaccinated:1993-03-01
Age:28.0  Onset:1993-03-01, Days after vaccination: 0
Gender:Female  Submitted:0000-00-00
Location:Pennsylvania  Entered:1994-03-14
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: WAES93080193
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC. 1IM 
Administered by: Other     Purchased by: Other
Symptoms: Asthenia, Malaise, Rash maculo-papular
SMQs:, Guillain-Barre syndrome (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: pt recvd vax; w/in 4 hrs following vax, pt devel macular rash, severe malaise, & fatigue;

VAERS ID:64099 (history)  Vaccinated:1993-07-01
Age:28.0  Onset:1993-07-01, Days after vaccination: 0
Gender:Female  Submitted:0000-00-00
Location:Florida  Entered:1994-03-14
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: birth control pills
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: no relevant data;
CDC Split Type: WAES93080534
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC. 2IM 
Administered by: Other     Purchased by: Other
Symptoms: Arthritis, Rash
SMQs:, Anaphylactic reaction (broad), Systemic lupus erythematosus (broad), Hypersensitivity (narrow), Arthritis (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: pt recvd vax; pt devel rash & later arthritis symptoms;

VAERS ID:64134 (history)  Vaccinated:0000-00-00
Age:28.0  Onset:1993-06-01
Gender:Male  Submitted:0000-00-00
Location:Pennsylvania  Entered:1994-03-14
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: JUN93 SGOT 152 IU/L;
CDC Split Type: WAES93081001
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC. 1  
Administered by: Other     Purchased by: Other
Symptoms: Aspartate aminotransferase increased
SMQs:, Liver related investigations, signs and symptoms (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: pt recvd vax; lab tests evaluated an elevated SGOT 152 IU/L;

VAERS ID:64150 (history)  Vaccinated:1993-08-12
Age:28.6  Onset:1993-08-15, Days after vaccination: 3
Gender:Male  Submitted:0000-00-00
Location:California  Entered:1994-03-14
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: vomiting
Preexisting Conditions: hiv pos;
Diagnostic Lab Data: serum bilirubin 16.1; SGOT 3110; LDH 495; prothrombin time 3000; serum bilirubin 2.2; SGOT 315;LDH 227; prothrombin time 472;serum bilirubin .7;SGOT 29; prothrombin time 50; hepatitis B surface antigen pos;
CDC Split Type: WAES93081378
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.1616V0IM 
Administered by: Public     Purchased by: Other
Symptoms: Aspartate aminotransferase increased, Hepatitis, Hyperbilirubinaemia, Infection, Jaundice, Prothrombin level increased, Thinking abnormal, Urine analysis abnormal
SMQs:, Liver related investigations, signs and symptoms (narrow), Cholestasis and jaundice of hepatic origin (narrow), Hepatitis, non-infectious (narrow), Acute pancreatitis (narrow), Anticholinergic syndrome (broad), Dementia (broad), Psychosis and psychotic disorders (broad), Biliary system related investigations, signs and symptoms (narrow), Biliary tract disorders (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: pt recvd vax & went to ER w/ nausea & a fever of 104 & was incoherent; pt had dark urine & clay colored stools & was jaundiced; lab tests revealed pos hepatitis B surface antigen; SGOT 3110;LDH 495;& bilirubin 16.2;prothromin time was 3000;

VAERS ID:64168 (history)  Vaccinated:1993-03-18
Age:28.0  Onset:1993-03-19, Days after vaccination: 1
Gender:Female  Submitted:0000-00-00
Location:Ohio  Entered:1994-03-14
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Epilepsy; ashtma
Preexisting Conditions:
Diagnostic Lab Data: no relevant data;
CDC Split Type: WAES93090218
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.1523V2IM 
Administered by: Public     Purchased by: Other
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: A pharmacist reported that a 28-year old female with epilepsy and asthma, was vaccinated with her second dose of RECOMBIVAX HB vaccine IM on 18MAR93. Concomitant medications included TEGRETOL, THEO-DUR, ACTIFED, and enalapril maleate HCTZ. On the evening of 19MAR93, she had a grand mal seizure for approximately 5 minutes. The seizure was followed by fifteen to twenty minutes of drowsiness. On 25AUG93, the patient was vaccinated with her third dose of vaccine IM. Additonal concomitant medication included MYSOLINE. On 25AUG93, the patient had a grand mal seizure that lasted for two minutes. The experiences necessitated a visit to a physicians. At the time of the report, the patient had recovered.

VAERS ID:64260 (history)  Vaccinated:1993-09-29
Age:28.8  Onset:1993-09-30, Days after vaccination: 1
Gender:Male  Submitted:0000-00-00
Location:Pennsylvania  Entered:1994-03-14
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: WAES93100195
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.0679W2IM 
Administered by: Private     Purchased by: Private
Symptoms: Diarrhoea, Headache, Malaise, Nausea, Pharyngitis, Vomiting
SMQs:, Acute pancreatitis (broad), Agranulocytosis (broad), Pseudomembranous colitis (broad), Oropharyngeal infections (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: pt recvd vax & exp n, general malaise, headache, sore throat & devel d & v; pt felt "quite ill" for 4 days;

VAERS ID:64336 (history)  Vaccinated:1993-09-16
Age:28.7  Onset:1993-09-26, Days after vaccination: 10
Gender:Female  Submitted:0000-00-00
Location:North Carolina  Entered:1994-03-14
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: pt exp migraine headache after 1st dose of vax;
Other Medications:
Current Illness:
Preexisting Conditions: headache, migraine; allergy, yeast;
Diagnostic Lab Data: no relevant data;
CDC Split Type: WAES93110718
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC. 1IM 
Administered by: Other     Purchased by: Other
Symptoms: Condition aggravated, Migraine
SMQs:
Write-up: pt recvd vax & exp migraine headache; pt exp recurrence of migraine w/ 2nd dose of vax;

VAERS ID:64376 (history)  Vaccinated:0000-00-00
Age:28.0  Onset:0000-00-00
Gender:Female  Submitted:0000-00-00
Location:Montana  Entered:1994-03-14
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: No relevant data
CDC Split Type: WAES93120370
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 vax in 1992 & exp pain @ the inject site that occurred on a monthly basis; No further details were provided;

VAERS ID:64413 (history)  Vaccinated:1993-12-10
Age:28.0  Onset:1993-12-18, Days after vaccination: 8
Gender:Male  Submitted:0000-00-00
Location:Oregon  Entered:1994-03-14
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: hayfever
Diagnostic Lab Data: No relevant data;
CDC Split Type: WAES94010126
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.0861W IM 
Administered by: Other     Purchased by: Other
Symptoms: Pruritus, Rash, Rash maculo-papular
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Pt recvd vax 10DEC93 & on 18DEC93 devel pityriasis rosea; rash had cont to spread; PA also reported 2 other pts;

VAERS ID:60701 (history)  Vaccinated:1994-02-23
Age:28.3  Onset:1994-02-23, Days after vaccination: 0
Gender:Male  Submitted:1994-03-01, Days after onset: 6
Location:New Jersey  Entered:1994-03-15, Days after submission: 14
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: NA
CDC Split Type: NJ948
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.1688W0IMLA
Administered by: Public     Purchased by: Public
Symptoms: Arthralgia, Headache, Injection site pain, Pain, Rash
SMQs:, Anaphylactic reaction (broad), Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (narrow), Arthritis (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: rash on forearms 23FEB94 to present; h/a 23FEB94-25FEB94; soreness of lt arms (site of inject( 23FEB to now under lt arm ax soreness 23FEB94-25FEB94 joint pain of entire lt arm 23FEB to present;

VAERS ID:60790 (history)  Vaccinated:1993-10-29
Age:28.2  Onset:1993-11-02, Days after vaccination: 4
Gender:Female  Submitted:1993-11-03, Days after onset: 1
Location:Massachusetts  Entered:1994-03-16, Days after submission: 133
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: unk
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: 893314016J
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)PFIZER/WYETH  IMLA
Administered by: Private     Purchased by: Other
Symptoms: Influenza, Lymphadenopathy
SMQs:, Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: pt recvd flu vax & devel flu-like sx & supraclavicular lymphadenopathy on the side of the inject;

VAERS ID:60940 (history)  Vaccinated:1994-01-29
Age:28.2  Onset:1994-02-26, Days after vaccination: 28
Gender:Female  Submitted:1994-02-28, Days after onset: 2
Location:New Mexico  Entered:1994-03-22, Days after submission: 22
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONEstrep throat
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC Split Type: NV94005
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.1416W2IMRA
Administered by: Public     Purchased by: Public
Symptoms: Injection site mass, Injection site pain
SMQs:, Extravasation events (injections, infusions and implants) (broad)
Write-up: soreness & reported lump in rt deltoid; no sx until 26FEB94; sl thickening in area noted; c/o tenderness to touch;

VAERS ID:61532 (history)  Vaccinated:1994-03-02
Age:28.6  Onset:1994-03-11, Days after vaccination: 9
Gender:Female  Submitted:1994-03-22, Days after onset: 11
Location:Mississippi  Entered:1994-04-04, Days after submission: 12
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: NA
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC Split Type: MS94011
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0534W0SCLA
Administered by: Public     Purchased by: Public
Symptoms: Dermatitis exfoliative, Injection site hypersensitivity, Injection site mass, Injection site oedema, Injection site pain, Myalgia, Pyrexia, Skin discolouration
SMQs:, Rhabdomyolysis/myopathy (broad), Severe cutaneous adverse reactions (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Eosinophilic pneumonia (broad), Hypotonic-hyporesponsive episode (broad), Hypersensitivity (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: pt recvd vax & 2MAR93 3-4 days later noted lt arm inject site w/redness edema, inc soreness & red rasied areas just around site; clinic notified to put heat on site; 9MAR94 arm cont to hurt, inc swelling & muscle aching; t101.6;

VAERS ID:64546 (history)  Vaccinated:1993-10-13
Age:28.1  Onset:1993-10-13, Days after vaccination: 0
Gender:Female  Submitted:1993-10-15, Days after onset: 2
Location:Massachusetts  Entered:1994-04-04, Days after submission: 171
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: Allergic to penicillin;
Diagnostic Lab Data:
CDC Split Type: 893299016C
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)PFIZER/WYETH4938084 IMLA
Administered by: Private     Purchased by: Other
Symptoms: Myalgia, Pain
SMQs:, Rhabdomyolysis/myopathy (broad), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad)
Write-up: pt recvd vax & exp pain; became numb & felt tingling down to the hand;

VAERS ID:61698 (history)  Vaccinated:1993-05-11
Age:28.2  Onset:1993-05-12, Days after vaccination: 1
Gender:Female  Submitted:1993-05-14, Days after onset: 2
Location:Michigan  Entered:1994-04-11, Days after submission: 332
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: denied illness
Preexisting Conditions: denied allergies
Diagnostic Lab Data:
CDC Split Type: MI93068
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.0456W0IMLA
Administered by: Public     Purchased by: Public
Symptoms: Asthenia, Dizziness, Nausea, Paraesthesia, Rash
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: 11MAY93 pt recvd vax & 12MAY93 called & reported rash on face, nausea, dizziness, tingling arms & legs, very tired; denies fever; 14MAY pt reports feeling better; sx subsiding; rested all day 13MAY;

VAERS ID:63627 (history)  Vaccinated:1990-11-21
Age:28.8  Onset:1993-03-09, Days after vaccination: 839
Gender:Male  Submitted:0000-00-00
Location:Florida  Entered:1994-04-14
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: 9MAR93 Anti-HBs 13; 12ARP93 Anti-HBs 29.8RU; 9MAR93 Anti-HBc pos; 12APR93 Anti-HBc neg;
CDC Split Type: WAES93050811
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC. 2IM 
Administered by: Other     Purchased by: Other
Symptoms: Unevaluable event
SMQs:
Write-up: pt recvd 3 doses of vax & was found to be anti-HBc neg in SEP90 & JAN91; In MAY91 testing revealed anti-HBS 44; AUG91 was found to be anti-HBc neg; MAY92 testing revealed anti-HBS antibody & an anti-HBS of 13;

VAERS ID:61909 (history)  Vaccinated:1994-04-11
Age:28.6  Onset:1994-04-12, Days after vaccination: 1
Gender:Male  Submitted:1994-04-12, Days after onset: 0
Location:Texas  Entered:1994-04-18, Days after submission: 6
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NA
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.1405W1IMLA
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 exp urticarial (hives) rash over entire body; on presentation rash had dissipated on extremities but was still present from waist up; no SOB, no wheezing or resp compromise;

VAERS ID:62005 (history)  Vaccinated:1994-03-25
Age:28.6  Onset:1994-03-25, Days after vaccination: 0
Gender:Female  Submitted:1994-04-13, Days after onset: 18
Location:Massachusetts  Entered:1994-04-21, Days after submission: 8
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NA
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM1309A40IMLA
Administered by: Private     Purchased by: Private
Symptoms: Diarrhoea, Headache, Vomiting
SMQs:, Acute pancreatitis (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (narrow)
Write-up: pt devel a sl h/a & started vomiting 630PM approx 20 times; states also had diarrhea; sx resolved by 27MAR94;

VAERS ID:62020 (history)  Vaccinated:1993-12-29
Age:28.3  Onset:1994-01-13, Days after vaccination: 15
Gender:Female  Submitted:1994-01-27, Days after onset: 14
Location:Georgia  Entered:1994-04-22, Days after submission: 84
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 1 days
    Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: GA94008
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0427W1SCRA
TD: TD ADSORBED (NO BRAND NAME)CONNAUGHT LABORATORIES3D410701IMRA
Administered by: Public     Purchased by: Public
Symptoms: Hypersensitivity, Oedema peripheral, Pruritus, Rash, Tremor, Visual disturbance
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Neuroleptic malignant syndrome (broad), Parkinson-like events (broad), Noninfectious encephalopathy/delirium (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Optic nerve disorders (broad), Lens disorders (broad), Retinal disorders (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)
Write-up: 13JAN93 hands started swelling to itching; 14JAN93 AM had rash on hands, feet, & stomach, poor vision, trembling; Epi x 2 injects given in MD office; was later adm to hosp for overnoc;

VAERS ID:62028 (history)  Vaccinated:1994-01-10
Age:28.3  Onset:1994-01-28, Days after vaccination: 18
Gender:Male  Submitted:1994-01-28, Days after onset: 0
Location:Georgia  Entered:1994-04-22, Days after submission: 83
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: GA94017
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0890W0SCLA
Administered by: Public     Purchased by: Public
Symptoms: Injection site mass, Injection site pain
SMQs:, Extravasation events (injections, infusions and implants) (broad)
Write-up: arm very hard & sore around inject site 18 days p/MMR;

VAERS ID:62139 (history)  Vaccinated:1994-02-06
Age:28.9  Onset:1994-02-15, Days after vaccination: 9
Gender:Female  Submitted:1994-03-08, Days after onset: 21
Location:Washington  Entered:1994-04-26, Days after submission: 48
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 5 days
    Extended hospital stay? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: codeine-GI upset, exercised induced asthma;
Diagnostic Lab Data:
CDC Split Type: WA941023
Vaccination
Manufacturer
Lot
Dose
Route
Site
MEA: MEASLES (ATTENUVAX)MERCK & CO. INC.1117W1SCRA
Administered by: Public     Purchased by: Other
Symptoms: Headache, Infection, Meningitis, Photophobia, Pneumonia, Pyrexia, Rash, Vomiting
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Noninfectious meningitis (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Glaucoma (broad), Corneal disorders (broad), Eosinophilic pneumonia (broad), Retinal disorders (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: 15FEB94 nausea, vomiting, fever, rash, h/a, photophobia over the next 2 wks; 4MAR94 adm w/viral sx & meningitis; now has pneumonia-ATB; 8MAR94 discharged-needs MRI as outpatient;

VAERS ID:62188 (history)  Vaccinated:1994-03-03
Age:28.4  Onset:1994-03-03, Days after vaccination: 0
Gender:Female  Submitted:1994-03-10, Days after onset: 7
Location:Minnesota  Entered:1994-04-29, Days after submission: 49
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Ortho Novum
Current Illness: no
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: MN94009
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM1280A41 LA
Administered by: Other     Purchased by: Public
Symptoms: Paraesthesia
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad)
Write-up: Numbness in rt eyelid reported by pt to nurse approx 4.5 hrs p/hep B vax injection; lasted approx 56 hrs;

VAERS ID:62271 (history)  Vaccinated:1994-04-12
Age:28.8  Onset:1994-04-14, Days after vaccination: 2
Gender:Male  Submitted:1994-04-25, Days after onset: 11
Location:Wisconsin  Entered:1994-05-02, Days after submission: 7
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: hospitaized in past x 2 w/allergic react to poison ivy;
Diagnostic Lab Data: Urinalysis, CBc;
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM12474A  LA
Administered by: Other     Purchased by: Private
Symptoms: Asthenia, Dizziness, Ecchymosis, Injection site oedema, Myalgia, Paraesthesia, Pharyngitis, Rash maculo-papular
SMQs:, Rhabdomyolysis/myopathy (broad), Agranulocytosis (broad), Peripheral neuropathy (broad), Haemorrhage terms (excl laboratory terms) (narrow), Anticholinergic syndrome (broad), Oropharyngeal infections (narrow), Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad), 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: fatigue, bodyaches, mild sore throat, numbness & tingling lt arm, inject site swelling, ecchymosis, papular scattered areas, vague dizziness, nausea sxs; started a few days p/inject; pt began taking Ibuprofen for severe discomfort;

VAERS ID:63118 (history)  Vaccinated:1991-11-22
Age:28.4  Onset:1991-11-22, Days after vaccination: 0
Gender:Male  Submitted:1994-05-11, Days after onset: 900
Location:Arizona  Entered:1994-05-27, Days after submission: 16
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: NONE
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: C-spine nl; CT scan no evidence of blood;
CDC Split Type: AZ9414
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLU-IMUNE)LEDERLE LABORATORIES3149630IMLA
Administered by: Private     Purchased by: Public
Symptoms: Confusional state, Myasthenic syndrome, Speech disorder, Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dementia (broad), Malignancy related conditions (narrow), Psychosis and psychotic disorders (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Hypoglycaemia (broad)
Write-up: pt recvd vax & exp syncopal episode, falling backwards & striking occiput of head LOC lasted less than 10 sec but was disoriented exp some slurred speech & rt sided weakness w/in 30 mins had returned to nl & was transported to hosp;

VAERS ID:63119 (history)  Vaccinated:1994-03-17
Age:28.5  Onset:1994-03-17, Days after vaccination: 0
Gender:Female  Submitted:1994-04-21, Days after onset: 34
Location:Louisiana  Entered:1994-05-27, Days after submission: 36
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NA
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NA
CDC Split Type: LA940502
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0721W0 RA
TD: TD ADSORBED (NO BRAND NAME)LEDERLE LABORATORIES3569060 LA
Administered by: Public     Purchased by: Public
Symptoms: Injection site hypersensitivity, Injection site oedema, 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), Hypersensitivity (narrow)
Write-up: pt came in today for booster MMR & stated that w/MMR given in MAR94 lt upper arm became very red & swollen traveling down to ax & upper breast; did not resolved until 2 wks p/;

VAERS ID:65507 (history)  Vaccinated:1993-04-19
Age:28.6  Onset:1993-04-19, Days after vaccination: 0
Gender:Male  Submitted:0000-00-00
Location:Illinois  Entered:1994-06-03
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: WAES93040813
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.1139V SC 
YF: YELLOW FEVER (YF-VAX)CONNAUGHT LABORATORIES2M310790SC 
Administered by: Other     Purchased by: Private
Symptoms: Dizziness, Hyperhidrosis, Hypotension, Pallor, Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Hypoglycaemia (broad)
Write-up: pt recvd vax 19APR93 & 1 min p/yellow fever vax pt became dizzy &lightheaded; pt was sitting down, placed head between knees & fainted; color was pale & was diaphoretic; BP dropped to 80/40 & was lightheaded;

VAERS ID:66412 (history)  Vaccinated:1993-12-02
Age:28.3  Onset:1993-12-02, Days after vaccination: 0
Gender:Female  Submitted:1994-04-19, Days after onset: 137
Location:New Jersey  Entered:1994-06-03, Days after submission: 45
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: WAES94031452
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.1134W SC 
Administered by: Other     Purchased by: Unknown
Symptoms: Drug ineffective
SMQs:, Lack of efficacy/effect (narrow)
Write-up: pt recvd vax 12DEC93 & pt seroconverted for mumps & rubella; however there was a lack of response for measles; No further details were provided;

VAERS ID:63400 (history)  Vaccinated:1994-04-20
Age:28.2  Onset:1994-04-21, Days after vaccination: 1
Gender:Female  Submitted:1994-05-25, Days after onset: 34
Location:Massachusetts  Entered:1994-06-13, Days after submission: 19
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: laceration
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC Split Type: MA9414
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)MASS. PUB HLTH BIOL LABTD51  LA
Administered by: Private     Purchased by: Public
Symptoms: Pain, Rash, Skin nodule
SMQs:, Anaphylactic reaction (broad), Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: local severe erythema, tenderness, large nodule;

VAERS ID:63892 (history)  Vaccinated:1994-06-07
Age:28.0  Onset:1994-06-09, Days after vaccination: 2
Gender:Female  Submitted:1994-06-13, Days after onset: 4
Location:Ohio  Entered:1994-06-28, Days after submission: 15
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: OH94059
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)LEDERLE LABORATORIES348909 IMLA
Administered by: Public     Purchased by: Public
Symptoms: Injection site hypersensitivity, Injection site oedema, Injection site pain, Oedema, Pyrexia
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: 48 hrs p/vax pt exp redness, swelling & tenderness over 3"x3" area where inject was given; swelling spread to lt armpit & up into area above lt clavicle; pt called MD who stated it was pos side effect rom shot; t99;

VAERS ID:64682 (history)  Vaccinated:1994-05-16
Age:28.6  Onset:1994-05-17, Days after vaccination: 1
Gender:Female  Submitted:1994-05-19, Days after onset: 2
Location:Colorado  Entered:1994-07-13, Days after submission: 55
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions:
Diagnostic Lab Data: NONE
CDC Split Type: CO94040
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.1734W1SCLA
Administered by: Public     Purchased by: Public
Symptoms: Injection site hypersensitivity, Vasodilatation
SMQs:, Hypersensitivity (narrow)
Write-up: 17MAY94 lt arm red, warm w/rash 1/2 dollar size @ site of inject; 18MAY94 arm better; 19MAY94 arm almost nl today;

VAERS ID:64815 (history)  Vaccinated:1994-07-08
Age:28.6  Onset:1994-07-08, Days after vaccination: 0
Gender:Female  Submitted:1994-07-13, Days after onset: 5
Location:North Carolina  Entered:1994-07-19, Days after submission: 6
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: none;
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)PFIZER/WYETH   LA
Administered by: Public     Purchased by: Private
Symptoms: Paraesthesia, Rash maculo-papular
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: pt recvd vax & devel splotchy rash & numbness lt throat area w/in 10-15 mins p/vax

VAERS ID:65952 (history)  Vaccinated:1994-06-17
Age:28.4  Onset:1994-06-17, Days after vaccination: 0
Gender:Female  Submitted:1994-06-21, Days after onset: 4
Location:Georgia  Entered:1994-08-19, Days after submission: 59
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: denies
Other Medications: denies any
Current Illness: deneis
Preexisting Conditions: stated had neg rubella titer-wanted to get preg p/inc
Diagnostic Lab Data: done @ hosp
CDC Split Type: GA94069
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0079A0SCLA
TD: TD ADSORBED (NO BRAND NAME)CONNAUGHT LABORATORIES3D510790IMRA
Administered by: Public     Purchased by: Other
Symptoms: Convulsion, Malaise, Muscle twitching, Stupor, Syncope, Tremor
SMQs:, Torsade de pointes/QT prolongation (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Convulsions (narrow), Dyskinesia (broad), Dystonia (broad), Parkinson-like events (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (narrow), Hypoglycaemia (broad)
Write-up: pt recvd vax & approx 1 min later pt stated "I dont'' feel right - given NH3, however pt lost consciousness (approx 5 mins) & appeared to have petite mal sz;

VAERS ID:66642 (history)  Vaccinated:1993-10-05
Age:28.0  Onset:1993-10-06, Days after vaccination: 1
Gender:Female  Submitted:1993-10-08, Days after onset: 2
Location:Arizona  Entered:1994-08-30, Days after submission: 326
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NA
Other Medications: unk
Current Illness: unk
Preexisting Conditions: unk
Diagnostic Lab Data: NONE
CDC Split Type: 930214001
Vaccination
Manufacturer
Lot
Dose
Route
Site
PPV: PNEUMO (PNU-IMUNE)LEDERLE LABORATORIES  IM 
Administered by: Other     Purchased by: Other
Symptoms: Injection site hypersensitivity, Injection site pain, Vasodilatation
SMQs:, Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (narrow)
Write-up: pt recvd vax & w/in 24 hrs pt devel erythema, tenderness & warmth approx 1" below inject site; size of react 2" x 2";

VAERS ID:66693 (history)  Vaccinated:1993-10-14
Age:28.0  Onset:1993-10-14, Days after vaccination: 0
Gender:Female  Submitted:1993-11-02, Days after onset: 19
Location:New York  Entered:1994-09-09, Days after submission: 310
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:
Preexisting Conditions: carpal tunnel synd
Diagnostic Lab Data: NONE
CDC Split Type: 930229101
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLU-IMUNE)LEDERLE LABORATORIES3619230IMA
Administered by: Private     Purchased by: Private
Symptoms: Dizziness, Hyperhidrosis, Hypotension, Stupor
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Vestibular disorders (broad), Hypoglycaemia (broad)
Write-up: pt recvd vax 14OCT93 & approx 15 mins later pt lightheaded & hypotensive; Epi administered; pt transferred to ER: pt exp low BP, clammy, difficult to arouse;

VAERS ID:66828 (history)  Vaccinated:1993-12-01
Age:28.5  Onset:1994-08-16, Days after vaccination: 258
Gender:Female  Submitted:1994-09-15, Days after onset: 30
Location:South Carolina  Entered:1994-09-20, 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:
Preexisting Conditions: abortion
Diagnostic Lab Data: No relevant data
CDC Split Type: WAES93120962
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.1233W0IM 
Administered by: Other     Purchased by: Other
Symptoms: Abnormal labour
SMQs:, Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow)
Write-up: pt recvd vax 1DEC93 & was found to be pregnant (LMP 4NOV93); 39 wks gestation pt went into labor; exp a slow progression of labor & it was felt that baby was too large for vaginal delivery; 16AUG94 pt delivered an 8lb 15 oz healthy baby boy

VAERS ID:66985 (history)  Vaccinated:1994-02-26
Age:28.5  Onset:1994-03-01, Days after vaccination: 3
Gender:Female  Submitted:1994-03-31, Days after onset: 30
Location:Tennessee  Entered:1994-09-30, 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: for sinus infect;
Current Illness: sinus infection;
Preexisting Conditions: none except sinus infect;
Diagnostic Lab Data: blood work was nl;
CDC Split Type: TN94124
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0810V0SC 
Administered by: Public     Purchased by: Public
Symptoms: Arthralgia, Dyspnoea, Hypertonia, Oedema, Parotid gland enlargement, Pruritus, Rash, Urticaria
SMQs:, Cardiac failure (broad), Anaphylactic reaction (narrow), Angioedema (narrow), Neuroleptic malignant syndrome (broad), Parkinson-like events (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Hypersensitivity (narrow), Arthritis (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: pt recvd vax & devel rash, swelling & whelps on face; itching; difficulty breathing & was taken to ER; t 102; devel swelling like mumps;pt devel muscle stiffness & joint pain;

VAERS ID:67021 (history)  Vaccinated:1994-06-16
Age:28.2  Onset:1994-06-16, Days after vaccination: 0
Gender:Female  Submitted:1994-08-29, Days after onset: 74
Location:Georgia  Entered:1994-10-03, Days after submission: 35
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 eggs;
Diagnostic Lab Data: none;
CDC Split Type: GA94129
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0079A0SCRA
Administered by: Public     Purchased by: Public
Symptoms: Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: pt recvd vax & broke out welts; allergic to eggs; did not admit this to nurse;

VAERS ID:67022 (history)  Vaccinated:1994-08-25
Age:28.0  Onset:1994-08-29, Days after vaccination: 4
Gender:Female  Submitted:1994-08-30, Days after onset: 1
Location:Georgia  Entered:1994-10-03, Days after submission: 34
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: none;
Other Medications: none;
Current Illness: none;
Preexisting Conditions: none;
Diagnostic Lab Data: none;
CDC Split Type: GA94139
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0079A1SCRA
Administered by: Public     Purchased by: Public
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 & devel hive like rash on face; was itching & red in color;

VAERS ID:67118 (history)  Vaccinated:1994-09-15
Age:28.8  Onset:1994-09-15, Days after vaccination: 0
Gender:Female  Submitted:1994-09-15, Days after onset: 0
Location:Texas  Entered:1994-10-05, Days after submission: 20
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM1433B22IMRA
Administered by: Private     Purchased by: Private
Symptoms: Skin disorder, Vasodilatation
SMQs:
Write-up: 2 small areas 1/3-1/2 inch diameter of red & rough skin noted;

VAERS ID:67124 (history)  Vaccinated:1994-09-09
Age:28.2  Onset:1994-09-09, Days after vaccination: 0
Gender:Female  Submitted:1994-09-14, Days after onset: 5
Location:Ohio  Entered:1994-10-06, 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:
Current Illness: none;
Preexisting Conditions: allergic ceclor & sulfa, grass; deaf L ear & R ear;
Diagnostic Lab Data: neurological exam done at md office;
CDC Split Type: OH94087
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.0445A  LA
Administered by: Other     Purchased by: Unknown
Symptoms: Hypotonia, Paraesthesia
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad)
Write-up: pt recvd vax & c/o numbness & tingling on left side of body; also dropping of L side of her mouth; examined by MD; given meds;

VAERS ID:67137 (history)  Vaccinated:1994-09-24
Age:28.8  Onset:1994-09-25, Days after vaccination: 1
Gender:Male  Submitted:1994-10-03, Days after onset: 8
Location:Florida  Entered:1994-10-06, 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:
Current Illness: tinea curis;
Preexisting Conditions: none;
Diagnostic Lab Data: none;
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0192A1IMRA
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 & dev urticaria; 24 hrs later meds given;

VAERS ID:67307 (history)  Vaccinated:1994-10-04
Age:28.1  Onset:1994-10-05, Days after vaccination: 1
Gender:Female  Submitted:1994-10-11, Days after onset: 6
Location:Massachusetts  Entered:1994-10-14, 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:
Current Illness: splinter in finger;
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)MASS. PUB HLTH BIOL LAB378905  LA
Administered by: Public     Purchased by: Other
Symptoms: Oedema peripheral, Pain, Vasodilatation
SMQs:, Cardiac failure (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: pt recvd vax & devel area of swelling; redness; tenderness of left arm; tx w/ atb & meds; resolved in 3 days;

VAERS ID:67369 (history)  Vaccinated:1994-08-10
Age:28.7  Onset:1994-08-17, Days after vaccination: 7
Gender:Female  Submitted:1994-10-12, Days after onset: 56
Location:Connecticut  Entered:1994-10-17, Days after submission: 5
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: PPD by connaught;
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
MEA: MEASLES (ATTENUVAX)MERCK & CO. INC.0493A2IMLA
Administered by: Private     Purchased by: Private
Symptoms: Cellulitis, Injection site haemorrhage, Injection site hypersensitivity
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Hypersensitivity (narrow)
Write-up: pt recvd vax & had 8 cm erythema - hematoma; cellulitis at inject site;

VAERS ID:67406 (history)  Vaccinated:1994-09-26
Age:28.0  Onset:1994-09-26, Days after vaccination: 0
Gender:Female  Submitted:1994-10-07, Days after onset: 11
Location:Unknown  Entered:1994-10-18, Days after submission: 11
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? Yes, ? days
    Extended hospital stay? No
Previous Vaccinations:
Other Medications: none;
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (NO BRAND NAME)UNKNOWN MANUFACTURER    
TD: TD ADSORBED (NO BRAND NAME)LEDERLE LABORATORIES362914   
Administered by: Unknown     Purchased by: Unknown
Symptoms: Anaphylactoid reaction, Bradycardia, Hypotension, Nausea, Shock, Vomiting
SMQs:, Anaphylactic reaction (narrow), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (narrow), Hypovolaemic shock conditions (narrow), Toxic-septic shock conditions (narrow), Anaphylactic/anaphylactoid shock conditions (narrow), Hypoglycaemic and neurogenic shock conditions (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypotonic-hyporesponsive episode (broad), Hypersensitivity (narrow)
Write-up: pt recvd vax & mins later collapsed; dec pulse; B/P approx 100 systolic; began to have n; v; epi given; systolic BP 70; 1 hr later, v, n reoccured; given epi; admitted to hosp; MD believes anaphylaxis secondary to vax;

VAERS ID:67524 (history)  Vaccinated:1994-10-11
Age:28.0  Onset:1994-10-12, Days after vaccination: 1
Gender:Female  Submitted:1994-10-17, Days after onset: 5
Location:Virginia  Entered:1994-10-21, 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: takes birth control pills daily
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)CONNAUGHT LABORATORIES4B61052 IMRA
Administered by: Public     Purchased by: Private
Symptoms: Chills, Injection site hypersensitivity, Injection site oedema, Pyrexia, Vasodilatation
SMQs:, 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: pt recvd vax 11OCT93 4PM rt deltoid; 12OCT93 devel t101 & chills @ 430PM; given rx of Amoxicillin by MD on 13OCT93 awakened discovered rt deltoid area edematous & hot to touch red areas present;

VAERS ID:67575 (history)  Vaccinated:1994-09-30
Age:28.1  Onset:0000-00-00
Gender:Male  Submitted:0000-00-00
Location:Maryland  Entered:1994-10-24
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: NA
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TTOX: TETANUS TOXOID (NO BRAND NAME)PFIZER/WYETH4948107  LA
Administered by: Private     Purchased by: Private
Symptoms: Headache, Paraesthesia
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad)
Write-up: severe h/a numbness lt side of body;

VAERS ID:68619 (history)  Vaccinated:1993-09-30
Age:28.2  Onset:1993-10-01, Days after vaccination: 1
Gender:Female  Submitted:1994-08-23, Days after onset: 326
Location:Ohio  Entered:1994-10-26, Days after submission: 64
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: no allergy history
Diagnostic Lab Data:
CDC Split Type: CO5002
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)CONNAUGHT LABORATORIES    
Administered by: Military     Purchased by: Military
Symptoms: Back pain, Myalgia, Pyrexia, Rash, Tremor
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Parkinson-like events (broad), Noninfectious encephalopathy/delirium (broad), Eosinophilic pneumonia (broad), Hypersensitivity (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)
Write-up: uncontrollable shaking & fever of 102, back pain, rash on back w/aches all over body; prev flu inject w/o problem; 2DEC93 No response to request for recovery status;

VAERS ID:68747 (history)  Vaccinated:1993-10-12
Age:28.4  Onset:1993-10-12, Days after vaccination: 0
Gender:Male  Submitted:1994-08-23, Days after onset: 315
Location:Tennessee  Entered:1994-10-26, Days after submission: 64
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: cerebral palsy
Diagnostic Lab Data:
CDC Split Type: CO5276
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)CONNAUGHT LABORATORIES3F411410IMLA
Administered by: Private     Purchased by: Private
Symptoms: Injection site hypersensitivity, Injection site inflammation, Injection site mass, 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: inflammation @ site day of vax; 28MAR94 f/u raised red, itchy hot area; swollen from shoulder to elbow; lasted 6-8 hrs;

VAERS ID:67788 (history)  Vaccinated:1994-10-21
Age:28.3  Onset:1994-10-22, Days after vaccination: 1
Gender:Female  Submitted:1994-10-24, Days after onset: 2
Location:Wisconsin  Entered:1994-10-28, 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: codeine;
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)PFIZER/WYETH4948007 IMLA
Administered by: Private     Purchased by: Private
Symptoms: Arthralgia, Depersonalisation, Ecchymosis, Gait disturbance, Myalgia, Oedema peripheral, Pain, Vasodilatation
SMQs:, Rhabdomyolysis/myopathy (broad), Cardiac failure (broad), Angioedema (broad), Peripheral neuropathy (broad), Haemorrhage terms (excl laboratory terms) (narrow), Anticholinergic syndrome (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Eosinophilic pneumonia (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad), Hypoglycaemia (broad)
Write-up: pt recvd vax & had Lt Arm discomfort; aching pain from hips down; had difficulty to walk; feeling weird; Lt Arm swollen; red & bruised looking;

VAERS ID:69109 (history)  Vaccinated:1993-07-26
Age:28.8  Onset:1993-08-02, Days after vaccination: 7
Gender:Female  Submitted:1994-06-28, Days after onset: 330
Location:Georgia  Entered:1994-10-31, Days after submission: 125
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: pt exp h/a coughing, sneezing; 28 yo with Rabies vax, 1st dose
Other Medications: none
Current Illness: none
Preexisting Conditions: no known allergies
Diagnostic Lab Data: cbc: wbc 9.21, 74p, 22l, 4m. h/h=14/42.7, platelets 296, esr 8gm/hr;normal neurological exam
CDC Split Type: CO4909
Vaccination
Manufacturer
Lot
Dose
Route
Site
RAB: RABIES (IMOVAX ID)PASTEUR MERIEUX INST.H02571 A
Administered by: Public     Purchased by: Other
Symptoms: Eye pain, Headache, Nausea
SMQs:, Acute pancreatitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Glaucoma (broad)
Write-up: pounding, throbbing headache w/ nausea and occular pain after 2nd dose in series. 3 days after 1st vax - h/a w/ coughing and sneezing. Diarrhea for 18-24 hrs. h/a 5 nights p/ 2nd dose. The day, gateral gaze painful; on 8/1,2 nausea,queezie

VAERS ID:69140 (history)  Vaccinated:1993-01-28
Age:28.0  Onset:0000-00-00
Gender:Female  Submitted:1994-06-28
Location:Virginia  Entered:1994-10-31, Days after submission: 125
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: pt exp n/v, abdo pain, redness, pain, swelling, warmth, itching p/#1dos
Other Medications: NONE
Current Illness:
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC Split Type: CO5262
Vaccination
Manufacturer
Lot
Dose
Route
Site
RAB: RABIES (IMOVAX)PASTEUR MERIEUX INST.H07711  
Administered by: Other     Purchased by: Other
Symptoms: Injection site hypersensitivity, Injection site oedema, Injection site pain, Myalgia, Pruritus, Pyrexia, Vasodilatation
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic 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), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: redness, pain swelling, warmth, itching @ site p/dose 1 & 2;

VAERS ID:69143 (history)  Vaccinated:1993-01-28
Age:28.0  Onset:1993-01-28, Days after vaccination: 0
Gender:Female  Submitted:1994-06-28, Days after onset: 515
Location:Virginia  Entered:1994-10-31, Days after submission: 125
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: none;
Current Illness:
Preexisting Conditions: none;
Diagnostic Lab Data:
CDC Split Type: CO5265
Vaccination
Manufacturer
Lot
Dose
Route
Site
RAB: RABIES (IMOVAX)PASTEUR MERIEUX INST.H07711  
Administered by: Other     Purchased by: Other
Symptoms: Asthenia, Injection site hypersensitivity
SMQs:, Guillain-Barre syndrome (broad), Hypersensitivity (narrow)
Write-up: pt recvd vax; fatigue; redness at site w/ dose 2;

VAERS ID:69200 (history)  Vaccinated:1994-03-21
Age:28.4  Onset:1994-03-21, Days after vaccination: 0
Gender:Female  Submitted:1994-06-28, Days after onset: 98
Location:Ohio  Entered:1994-10-31, Days after submission: 125
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: imitrex;
Current Illness: none;
Preexisting Conditions: migraines; allergy to pcn;
Diagnostic Lab Data:
CDC Split Type: CO5326
Vaccination
Manufacturer
Lot
Dose
Route
Site
RAB: RABIES (IMOVAX)PASTEUR MERIEUX INST.J04991 LA
Administered by: Public     Purchased by: Unknown
Symptoms: Abdominal pain, Asthenia, Dizziness, Nausea, Paraesthesia, Urticaria
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Angioedema (narrow), Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: pt recvd vax; n, abdo pain, dizziness, urticaria, fatigue, tingling sensation upper body; no tx; recovered in 12 hrs;

VAERS ID:69813 (history)  Vaccinated:1994-04-26
Age:28.0  Onset:1994-05-04, Days after vaccination: 8
Gender:Male  Submitted:1994-07-25, Days after onset: 82
Location:New York  Entered:1994-10-31, Days after submission: 98
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: No
Other Medications: NONE
Current Illness: No
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC Split Type: CO5403
Vaccination
Manufacturer
Lot
Dose
Route
Site
RAB: RABIES (IMOVAX)PASTEUR MERIEUX INST.J08133 A
Administered by: Public     Purchased by: Public
Symptoms: Face oedema, Oedema peripheral, Urticaria
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: Hives w/swelling of face & hands; treated in ER w/Epi & steroids & givenscript for DPH & Medrol dose pack; resolving;

VAERS ID:70114 (history)  Vaccinated:1993-04-21
Age:28.0  Onset:1993-04-22, Days after vaccination: 1
Gender:Female  Submitted:1994-04-05, Days after onset: 348
Location:New York  Entered:1994-10-31, Days after submission: 209
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: pt exp soreness @ inject site, malaise w/Engerix-B dose 1
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC Split Type: 930030091
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM1053A41IMRA
Administered by: Private     Purchased by: Private
Symptoms: Asthenia, Influenza, Injection site pain, Neuropathy, Palpitations, Paraesthesia, Vomiting
SMQs:, Acute pancreatitis (broad), Peripheral neuropathy (narrow), Arrhythmia related investigations, signs and symptoms (broad), Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad)
Write-up: pt recvd vax & exp soreness @ inject site & fatigue, flu-like sx, vomiting, palpitations, & neuropathy of the rt hand & rt anterior thigh (no feeling); tx Cortisone inject x 2

VAERS ID:70176 (history)  Vaccinated:1993-09-27
Age:28.0  Onset:1993-09-28, Days after vaccination: 1
Gender:Female  Submitted:1994-01-11, Days after onset: 105
Location:Illinois  Entered:1994-10-31, Days after submission: 293
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 hx of eczema
Diagnostic Lab Data:
CDC Split Type: 930042801
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM1098A40IM 
Administered by: Public     Purchased by: Public
Symptoms: Dermatitis bullous, Rash
SMQs:, Severe cutaneous adverse reactions (narrow), Anaphylactic reaction (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: pt recvd vax,next day exp rash & water blisters on neck & upper shoulders; events lasted 2 days & resolved w/out tx;

VAERS ID:70226 (history)  Vaccinated:1993-12-03
Age:28.0  Onset:1993-12-03, Days after vaccination: 0
Gender:Female  Submitted:1994-02-03, Days after onset: 62
Location:California  Entered:1994-10-31, Days after submission: 270
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: 930052111
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM1195B40IMA
Administered by: Private     Purchased by: Private
Symptoms: Petechiae, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Haemorrhage terms (excl laboratory terms) (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: pt recvd vax & exp urticaria & petechiae p/dose 1 the same day; no react was reported p/dose 2;

VAERS ID:70359 (history)  Vaccinated:1992-11-12
Age:28.0  Onset:1992-12-04, Days after vaccination: 22
Gender:Male  Submitted:1994-01-17, Days after onset: 409
Location:California  Entered:1994-10-31, Days after submission: 287
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: 4DEC92 SGPT 122
CDC Split Type: 940004541
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM 0IMA
Administered by: Other     Purchased by: Other
Symptoms: Alanine aminotransferase increased
SMQs:, Liver related investigations, signs and symptoms (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: pt recvd vax & had an elevated ALT (SGPT);

VAERS ID:70503 (history)  Vaccinated:1994-03-18
Age:28.0  Onset:1994-03-18, Days after vaccination: 0
Gender:Male  Submitted:1994-03-24, Days after onset: 6
Location:Michigan  Entered:1994-10-31, Days after submission: 221
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: 940024821
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM1308B20IMLA
Administered by: Public     Purchased by: Public
Symptoms: Injection site hypersensitivity, Injection site oedema, Paraesthesia
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow)
Write-up: pt recvd vax & w/in 5 mins p/inject exp injection site redness, swelling & welting; addtly exp tingling in hand; tx Adrenaline;

VAERS ID:70927 (history)  Vaccinated:1994-07-19
Age:28.0  Onset:1994-07-19, Days after vaccination: 0
Gender:Female  Submitted:1994-08-16, Days after onset: 28
Location:Florida  Entered:1994-10-31, Days after submission: 76
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: t99.6F;
CDC Split Type: 940072081
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM1354A40IMA
Administered by: Other     Purchased by: Other
Symptoms: Chills, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: pt recvd vax & a few hrs later exp fever & chills which last for approx 2 days;

VAERS ID:67957 (history)  Vaccinated:1994-06-17
Age:28.9  Onset:1994-07-01, Days after vaccination: 14
Gender:Male  Submitted:1994-10-14, Days after onset: 105
Location:California  Entered:1994-11-03, 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: none;
Current Illness: none;
Preexisting Conditions: tick bite; sore throat at time of joint pain;
Diagnostic Lab Data: sed rate 20; CBC, ASANG, Lyme Scrn neg;
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.D0176A  LA
Administered by: Other     Purchased by: Public
Symptoms: Arthropathy, Pain, Red blood cell sedimentation rate increased
SMQs:, Arthritis (broad)
Write-up: pt recvd vax & c/o joint stiffness; pain intermitent; rx''d w/ motrin & po pcn; joint pain resolved;

VAERS ID:67965 (history)  Vaccinated:1994-09-12
Age:28.0  Onset:1994-09-12, Days after vaccination: 0
Gender:Female  Submitted:1994-10-24, Days after onset: 42
Location:New York  Entered:1994-11-04, Days after submission: 11
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: allergic to alcohol
Diagnostic Lab Data: NONE
CDC Split Type: BA94020
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0614A1SCLA
Administered by: Public     Purchased by: Public
Symptoms: Asthenia, Oedema peripheral, Pain, Pruritus, Rash, Rash maculo-papular, Vasodilatation
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Guillain-Barre syndrome (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: index was itching on lt arm; pain, swelling & inc warmth occurred on the lt arm on 12SEP94; index also stated that a rash appeared on the same arm & it was papular; rash also on the trunk of the body; fatigued; rash lasted x 2 wks

VAERS ID:68084 (history)  Vaccinated:1994-10-20
Age:28.5  Onset:1994-10-20, Days after vaccination: 0
Gender:Male  Submitted:1994-10-20, Days after onset: 0
Location:Missouri  Entered:1994-11-07, Days after submission: 18
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.0795A1IMLA
Administered by: Public     Purchased by: Private
Symptoms: Hypertension, Nausea, Skin nodule, Vasodilatation
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypertension (narrow)
Write-up: pt back to clinic approx 15 mins p/vax posterior aspect of lt arm w/numerous dime sized white raised bumps; pt c/o feeling nauseated; c/o arm lt feeling warm BP 152/94;

VAERS ID:68126 (history)  Vaccinated:1994-10-20
Age:28.7  Onset:1994-10-22, Days after vaccination: 2
Gender:Female  Submitted:1994-10-31, Days after onset: 9
Location:Connecticut  Entered:1994-11-07, Days after submission: 7
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: Neg
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)CONNAUGHT LABORATORIES4F511290IMRA
Administered by: Other     Purchased by: Private
Symptoms: Headache, Malaise, Myalgia, Nuchal rigidity, 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: in the morning of 22OCT93 pt felt hot, oral t103, body aches, h/a, stiff neck, malaise; illness subsided gradually until PM of 23OCT; morning of 24OCT 94 pt had no residual sx & felt well;

VAERS ID:69164 (history)  Vaccinated:1994-07-20
Age:28.0  Onset:0000-00-00
Gender:Male  Submitted:1994-11-29
Location:Unknown  Entered:1994-12-02, Days after submission: 3
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? Yes, ? days
    Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: minor hives
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: CO5717
Vaccination
Manufacturer
Lot
Dose
Route
Site
YF: YELLOW FEVER (YF-VAX)CONNAUGHT LABORATORIES4L41015   
Administered by: Military     Purchased by: Military
Symptoms: Condition aggravated, Urticaria, Vasculitis
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Vasculitis (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: urticarial vasculitis since vaccine receipt; has been hospitalized on several occasions;

VAERS ID:69190 (history)  Vaccinated:1994-11-16
Age:28.4  Onset:1994-11-17, Days after vaccination: 1
Gender:Male  Submitted:1994-11-28, Days after onset: 11
Location:New York  Entered:1994-12-02, Days after submission: 4
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: na;
Other Medications: none;
Current Illness: none;
Preexisting Conditions: none;
Diagnostic Lab Data: na;
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD)PFIZER/WYETH49481140IMRA
PPV: PNEUMO (PNU-IMUNE)LEDERLE LABORATORIES3809570IMLA
Administered by: Private     Purchased by: Private
Symptoms: Injection site inflammation, Injection site oedema, Oedema peripheral, Pain
SMQs:, Cardiac failure (broad), Angioedema (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: pt recvd vax; on 17nov94 pt called & c/o swelling & discomfort in Lt arm; had swelling & inflammation of upper & lower Lt arm; resolved w/ NSAID in 48 hrs;

VAERS ID:71668 (history)  Vaccinated:1993-12-23
Age:28.3  Onset:1993-12-25, Days after vaccination: 2
Gender:Female  Submitted:1994-01-22, Days after onset: 28
Location:Pennsylvania  Entered:1994-12-02, Days after submission: 314
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Globulin by Armour lot# J2503; Ortho NOvum 777;
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC Split Type: BER10078
Vaccination
Manufacturer
Lot
Dose
Route
Site
CHOL: CHOLERA (USP)PFIZER/WYETH4928051   
IPV: POLIO VIRUS, INACT. (POLIOVAX)CONNAUGHT LTD.G0100   
MEN: MENINGOCOCCAL (MENOMUNE)CONNAUGHT LABORATORIES2E41079   
TYP: TYPHOID LIVE ORAL TY21A (VIVOTIF)BERNA BIOTECH, LTD125541A PO 
YF: YELLOW FEVER (YF-VAX)CONNAUGHT LABORATORIES2H31153   
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: pt devel nausea & abdo pain; also had vomiting; no diarrhea & no fever; will restart vax on 22JAN93;

VAERS ID:71684 (history)  Vaccinated:0000-00-00
Age:28.0  Onset:0000-00-00
Gender:Female  Submitted:1993-05-16
Location:California  Entered:1994-12-02, Days after submission: 565
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Seldane, allergy shots
Current Illness: NONE
Preexisting Conditions:
Diagnostic Lab Data: NONE
CDC Split Type: BER10094
Vaccination
Manufacturer
Lot
Dose
Route
Site
TYP: TYPHOID LIVE ORAL TY21A (VIVOTIF)BERNA BIOTECH, LTD127994B1PO 
Administered by: Unknown     Purchased by: Unknown
Symptoms: Abdominal pain, Diarrhoea
SMQs:, Acute pancreatitis (broad), Retroperitoneal fibrosis (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (narrow)
Write-up: On 2nd cpsule devel stomache cramping & diarrhea; has cont to take the 3rd capsule;

VAERS ID:71708 (history)  Vaccinated:1993-10-28
Age:28.7  Onset:1993-10-30, Days after vaccination: 2
Gender:Female  Submitted:1993-11-01, Days after onset: 2
Location:California  Entered:1994-12-02, Days after submission: 396
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: 10 days a/took vax had h/a
Preexisting Conditions: szs 5 yrs ago;
Diagnostic Lab Data:
CDC Split Type: BER10119
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)UNKNOWN MANUFACTURER356904   
TYP: TYPHOID LIVE ORAL TY21A (VIVOTIF)BERNA BIOTECH, LTD1306116 PO 
YF: YELLOW FEVER (NO BRAND NAME)UNKNOWN MANUFACTURER3641170   
Administered by: Private     Purchased by: Unknown
Symptoms: Dizziness, Paraesthesia, Pyrexia
SMQs:, Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Vestibular disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: felt dizzy, skin was cold; couple of hrs later had fever 102.8; Monday temp is back to nl; This happened w/1st odse;

VAERS ID:69240 (history)  Vaccinated:1994-11-07
Age:28.0  Onset:1994-11-07, Days after vaccination: 0
Gender:Female  Submitted:1994-11-08, Days after onset: 1
Location:Idaho  Entered:1994-12-05, Days after submission: 27
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: naprosyn; amoxicillin; ampicillin;
Current Illness: cold; no fever;
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: ID94073
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)CONNAUGHT LABORATORIES4F510720IMLA
Administered by: Public     Purchased by: Public
Symptoms: Asthenia, Chest pain, Cough, Dysphagia, Dyspnoea, Lymphadenopathy, Pyrexia, Speech disorder
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Acute central respiratory depression (broad), Psychosis and psychotic disorders (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: pt recvd vax;3 hrs p/inject coughing,chest pain,swelling of neck glands;SOB; diff swallowing & talking;given epi & steroid;during noc felt like burning up & sweating;no inc t;8nov very tired & sweating;took antihist

VAERS ID:69333 (history)  Vaccinated:1994-11-28
Age:28.2  Onset:1994-11-29, Days after vaccination: 1
Gender:Male  Submitted:1994-11-30, Days after onset: 1
Location:Alabama  Entered:1994-12-05, 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: APAP #3
Current Illness: NONE
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD)PFIZER/WYETH4948057 IM 
Administered by: Private     Purchased by: Private
Symptoms: Headache, Pruritus, Rash maculo-papular
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: macular erythema on hands (dorsal & palmar) feet (dorsal) w/minimal out break on arms legs; rash is pruritic; also c/o h/a; doubt this is related to vax since no react @ inject site & took codeine day of vax;

VAERS ID:69368 (history)  Vaccinated:1994-10-06
Age:28.9  Onset:1994-10-20, Days after vaccination: 14
Gender:Female  Submitted:1994-11-08, Days after onset: 19
Location:Oregon  Entered:1994-12-06, Days after submission: 28
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: in pt, same sxs but much milder after flu shot 1 yr ago;
Other Medications: nk;
Current Illness: none;
Preexisting Conditions: none;
Diagnostic Lab Data: none;
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUOGEN)PARKE-DAVIS01664P  A
Administered by: Other     Purchased by: Private
Symptoms: Arthralgia, Injection site pain, Neck pain, Pain, Pharyngitis
SMQs:, Agranulocytosis (broad), Oropharyngeal infections (narrow), Extravasation events (injections, infusions and implants) (broad), Arthritis (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: pt recvd vax; 2 wks later devel severe joint pain; mild sore throat; shooting pain from inject site, neck, lower arm; sxs began resolving 4-5 days after onset; now resolved;

VAERS ID:69524 (history)  Vaccinated:1994-10-19
Age:28.2  Onset:1994-10-19, Days after vaccination: 0
Gender:Female  Submitted:1994-11-15, Days after onset: 27
Location:California  Entered:1994-12-12, Days after submission: 27
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: NONE
Other Medications: Motrin
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUOGEN)PARKE-DAVIS00474P0  
PPV: PNEUMO (PNU-IMUNE)LEDERLE LABORATORIES3769670  
Administered by: Other     Purchased by: Other
Symptoms: Injection site hypersensitivity, Injection site oedema, Lymphadenopathy, Myalgia
SMQs:, Rhabdomyolysis/myopathy (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), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: devel swelling $g3cm @ site w/erythema, mod-marked swelling & tenderness of axillary nodes & marked generalized myalgia; was seen by local urgent care & given symptomatic treatment;

VAERS ID:69594 (history)  Vaccinated:1994-11-16
Age:28.1  Onset:1994-11-16, Days after vaccination: 0
Gender:Female  Submitted:1994-11-28, Days after onset: 12
Location:Massachusetts  Entered:1994-12-14, Days after submission: 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: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)CONNAUGHT LABORATORIES4F10590SCLA
Administered by: Public     Purchased by: Public
Symptoms: Influenza
SMQs:
Write-up: flu like sx occurred & lasted approx 24 hrs & then sx resolved;

VAERS ID:70022 (history)  Vaccinated:1994-12-13
Age:28.1  Onset:1994-12-13, Days after vaccination: 0
Gender:Female  Submitted:1994-12-20, Days after onset: 7
Location:Wisconsin  Entered:1995-01-04, Days after submission: 15
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
TD: TD ADSORBED (NO BRAND NAME)CONNAUGHT LABORATORIES4H61118 IMLA
Administered by: Private     Purchased by: Private
Symptoms: Lymphadenopathy
SMQs:, Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: pt recvd vax; lymphadenopathy; swelling lt axilla

VAERS ID:70714 (history)  Vaccinated:1994-11-22
Age:28.9  Onset:1994-11-27, Days after vaccination: 5
Gender:Female  Submitted:1994-11-30, Days after onset: 3
Location:Nevada  Entered:1995-01-23, Days after submission: 54
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Ortho 77-birth controls
Current Illness: NA
Preexisting Conditions: allergic to PCN-Rheumatic fever as child
Diagnostic Lab Data:
CDC Split Type: NV94032
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0730A0IMLA
Administered by: Public     Purchased by: Public
Symptoms: Arthralgia, Asthenia, Back pain, Chest pain, Hypertonia, Myalgia, Neck pain, Pain
SMQs:, Rhabdomyolysis/myopathy (broad), Neuroleptic malignant syndrome (broad), Retroperitoneal fibrosis (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 (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad)
Write-up: hands stiff & thumbs hurt to squeeze things-spine achy, also neck (where spine is) rib cage kind of hurts)- no fever- fatigue-feet & hips ache-advised to seek medical care if sx persist; pts son had OPV vax same day;

VAERS ID:70779 (history)  Vaccinated:1994-11-10
Age:28.2  Onset:1994-11-10, Days after vaccination: 0
Gender:Female  Submitted:1994-11-17, Days after onset: 7
Location:Georgia  Entered:1995-01-25, Days after submission: 69
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: GA94174
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)CONNAUGHT LABORATORIES4F610580IMLA
Administered by: Public     Purchased by: Unknown
Symptoms: Dyspnoea, Laryngitis, Pruritus, Urticaria
SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: pt recvd vax;to er & c/o itching all over;SOB,whelps;tightness in throat;had TD approx 5 1/2 hrs earlier;dph IV,solumedrol IV given;condition improved & pt discharged from er;

VAERS ID:71195 (history)  Vaccinated:1994-11-09
Age:28.0  Onset:1994-11-10, Days after vaccination: 1
Gender:Female  Submitted:1994-12-19, Days after onset: 39
Location:North Carolina  Entered:1995-01-31, Days after submission: 43
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:
Vaccination
Manufacturer
Lot
Dose
Route
Site
PPV: PNEUMO (PNU-IMUNE)LEDERLE LABORATORIES3769690SC 
Administered by: Public     Purchased by: Unknown
Symptoms: Cellulitis, Myalgia, Oedema peripheral, Urticaria, Vasodilatation
SMQs:, Rhabdomyolysis/myopathy (broad), Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (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: 2 days p/vax pt arm became red, sore & swollen; pt put on ATB as MD treating thought could be cellulitis or urticaria;

VAERS ID:72321 (history)  Vaccinated:1994-11-08
Age:28.1  Onset:1994-11-08, Days after vaccination: 0
Gender:Female  Submitted:1994-12-02, Days after onset: 24
Location:North Dakota  Entered:1995-02-07, Days after submission: 67
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: unk
Current Illness: unk
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: 894346009S
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD)PFIZER/WYETH4948108 IMRA
Administered by: Other     Purchased by: Other
Symptoms: Hypokinesia, Injection site pain, Myalgia, Pain
SMQs:, Rhabdomyolysis/myopathy (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Eosinophilic pneumonia (broad), Hypotonic-hyporesponsive episode (broad), Tendinopathies and ligament disorders (broad)
Write-up: pt recvd vax & w/in 48 hrs pt devel soreness @ the inj site; pain had not resolved as of 5 wks p/inj & pt is unable to raise the lt arm above the head as a result of the pain; reporter indicated inj was given w/21 gauge, 1 in needle

VAERS ID:71392 (history)  Vaccinated:1995-01-09
Age:28.6  Onset:1995-01-09, Days after vaccination: 0
Gender:Female  Submitted:1995-01-19, Days after onset: 10
Location:Missouri  Entered:1995-02-09, 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: MO95012
Vaccination
Manufacturer
Lot
Dose
Route
Site
IPV: POLIO VIRUS, INACT. (NO BRAND NAME)PASTEUR MERIEUX INST.J03120 LA
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0406A1 RA
TD: TD ADSORBED (NO BRAND NAME)CONNAUGHT LABORATORIES3D510790 LA
Administered by: Public     Purchased by: Public
Symptoms: Anaphylactoid reaction, Dyspnoea, Nausea, Somnolence, Urticaria, Vomiting
SMQs:, Anaphylactic reaction (narrow), Acute pancreatitis (broad), Angioedema (narrow), Anticholinergic syndrome (broad), Anaphylactic/anaphylactoid shock conditions (narrow), Dementia (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)
Write-up: pt recvd vax;pt in car & mom reported hives over face, difficulty w/ breathing, n, v;returned to med unit; client awoke & oriented x 3; allergic rxn to vax; lehtargy, vomited; pt went into anaphylatic shock;

VAERS ID:71418 (history)  Vaccinated:1995-01-26
Age:28.3  Onset:1995-01-26, Days after vaccination: 0
Gender:Female  Submitted:1995-01-27, Days after onset: 1
Location:Louisiana  Entered:1995-02-13, Days after submission: 17
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: NA
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC Split Type: LA950203
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)CONNAUGHT LABORATORIES4B610521IMLA
Administered by: Public     Purchased by: Public
Symptoms: Asthenia, Dizziness, Hyperhidrosis, Injury, Myasthenic syndrome, Nausea, Pain, Vasodilatation
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Malignancy related conditions (narrow), Guillain-Barre syndrome (broad), Accidents and injuries (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hostility/aggression (broad), Vestibular disorders (broad), Hypoglycaemia (broad)
Write-up: throbbing pain in arm, no edema, sl redness (very small) arm felt heavy, whole body felt weak, dizziness, perspiration became nauseated, fell & lacerated rt side of forehead;

VAERS ID:72427 (history)  Vaccinated:1994-02-04
Age:28.2  Onset:1994-02-08, Days after vaccination: 4
Gender:Male  Submitted:1994-12-09, Days after onset: 304
Location:Unknown  Entered:1995-02-14, Days after submission: 67
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: none
Preexisting Conditions: none
Diagnostic Lab Data:
CDC Split Type: CO5273
Vaccination
Manufacturer
Lot
Dose
Route
Site
MEN: MENINGOCOCCAL (MENOMUNE)CONNAUGHT LABORATORIES 0SCLA
Administered by: Private     Purchased by: Other
Symptoms: Back pain, Headache, Pain, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: pt recvd vax; pain in lt arm extending down lt side of body; onset 4days p/ vax;tx w/ analgesics; 17may94 f/u:lower back pain & HA w/ fever; recovered;

VAERS ID:71776 (history)  Vaccinated:1995-01-31
Age:28.5  Onset:1995-02-01, Days after vaccination: 1
Gender:Female  Submitted:1995-02-07, Days after onset: 6
Location:Virginia  Entered:1995-02-23, 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:
Current Illness: beginning of a cold
Preexisting Conditions: aspirin as a child;
Diagnostic Lab Data:
CDC Split Type: VA95004
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM1399A41IMLA
Administered by: Public     Purchased by: Public
Symptoms: Dyspnoea, Face oedema, Laryngospasm, Oedema peripheral, Pain, Pruritus, Urticaria, Vasodilatation
SMQs:, Cardiac failure (broad), Anaphylactic reaction (narrow), Angioedema (narrow), Dystonia (broad), Acute central respiratory depression (broad), Pulmonary hypertension (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;hives,itching,burning of entire body;face,eyes swollen;took Nyquil & returned to bed;in am,redness,hives dec;to er;feet,hands,face,eyes extremely swollen;said throat felt thick,breathing sounded raspy;adrenaline,solumedrol give

VAERS ID:71850 (history)  Vaccinated:1995-02-03
Age:28.4  Onset:1995-02-03, Days after vaccination: 0
Gender:Female  Submitted:1995-02-10, Days after onset: 7
Location:California  Entered:1995-03-01, Days after submission: 19
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: none
Diagnostic Lab Data:
CDC Split Type: CA95026
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)LEDERLE LABORATORIES3569041 LA
Administered by: Public     Purchased by: Public
Symptoms: Dyspnoea, Oedema peripheral, Pain, Pyrexia, Vasodilatation
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: pt recvd vax; pt reported pain, redness, swelling & fever in arm & generalized fever lasting to present time (6 days later); also reporting shortness of breath;

VAERS ID:72845 (history)  Vaccinated:1994-07-11
Age:28.7  Onset:1994-07-12, Days after vaccination: 1
Gender:Female  Submitted:1994-08-23, Days after onset: 42
Location:New Hampshire  Entered:1995-03-01, Days after submission: 190
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: unk
CDC Split Type: 940179503
Vaccination
Manufacturer
Lot
Dose
Route
Site
TTOX: TETANUS TOXOID, ADSORBED (NO BRAND NAME)LEDERLE LABORATORIES374994 IM 
Administered by: Private     Purchased by: Private
Symptoms: Facial palsy, Injection site hypersensitivity, Paraesthesia
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Hearing impairment (broad), Hypersensitivity (narrow)
Write-up: 1 of 4 pts vaxed during the last yr (different lots) who exp large hives @ inj site; hives described as red mound-not abscessed, quarter to 1/2 dollar size; pt also devel sx of Bell''s Palsy-numbness & tingling of 1/2 of face; sx subsided;

VAERS ID:73125 (history)  Vaccinated:1992-11-18
Age:28.0  Onset:0000-00-00
Gender:Female  Submitted:0000-00-00
Location:New Hampshire  Entered:1995-03-17
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Tylenol
Current Illness:
Preexisting Conditions: allergy, alcohol
Diagnostic Lab Data: No relevant data;
CDC Split Type: WAES92120273
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC. 0IM 
Administered by: Other     Purchased by: Other
Symptoms: Atrial fibrillation, Complication of pregnancy
SMQs:, Supraventricular tachyarrhythmias (narrow), Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow)
Write-up: pt recvd vax 18NOV92 & devel a pregnancy complication of atrial fibrillation; 8AUG93 pt delivered a full term nine pound, 11 oz nl male; pt vaxed w/2nd & 3rd dose of vax 12OCT93 & 17DEC93;

VAERS ID:73153 (history)  Vaccinated:1994-01-11
Age:28.0  Onset:1994-01-14, Days after vaccination: 3
Gender:Male  Submitted:0000-00-00
Location:Massachusetts  Entered:1995-03-17
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: WAES94011296
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.1416W0IM 
Administered by: Public     Purchased by: Public
Symptoms: Rash
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: pt recv vax 11JAN94 & 14JAN94 pt devel a poison-ivy like rash on shoulders, wrists, ankles & ears; 27JAN94 presented to MD & had rash;

VAERS ID:73476 (history)  Vaccinated:1992-07-13
Age:28.0  Onset:0000-00-00
Gender:Female  Submitted:0000-00-00
Location:Ohio  Entered:1995-03-17
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: pt exp ankle pain @ 28yrs old w/Recombivax #1 dose
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: 27NOV92 Anti-HBs pos
CDC Split Type: WAES94030345
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC. 1  
Administered by: Other     Purchased by: Other
Symptoms: Arthralgia, Similar reaction on previous exposure to drug
SMQs:, Arthritis (broad)
Write-up: Pt recv vax 13JUL92 & exp recurrence of severe ankle pain; lab eval on 27NOV92 revealed that pt was anti-HBs pos; No further details were provided;

VAERS ID:73518 (history)  Vaccinated:1993-08-17
Age:28.2  Onset:1994-01-20, Days after vaccination: 156
Gender:Female  Submitted:0000-00-00
Location:Connecticut  Entered:1995-03-17
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: in pt, pain, sweat, fatigue w/ 2nd dose of recombivax;
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: anti HBs <10 on 20jan94;
CDC Split Type: WAES94031173
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.0858W2  
Administered by: Other     Purchased by: Other
Symptoms: Asthenia, Drug ineffective, Hyperhidrosis, Pain, Similar reaction on previous exposure to drug
SMQs:, Lack of efficacy/effect (narrow), Neuroleptic malignant syndrome (broad), Guillain-Barre syndrome (broad), Hypoglycaemia (broad)
Write-up: pt recv vax;p/ 2nd dose,exp pain in lt arm;sweating & fatigue;w/ 3rd dose,lab tests showed anti HBs<10;c/o pain, sweats & fatigue;MD felt exp not related to vax but pt felt sx related to vax;pt refused booster dose;by dec94 recovered;

VAERS ID:73706 (history)  Vaccinated:1994-02-11
Age:28.0  Onset:1994-03-21, Days after vaccination: 38
Gender:Female  Submitted:0000-00-00
Location:Oregon  Entered:1995-03-17
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: birth control pills
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: no relevant data
CDC Split Type: WAES94040012
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.    
Administered by: Other     Purchased by: Other
Symptoms: Arthralgia, Hypertonia, Nuchal rigidity, Oedema, Pyrexia
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Parkinson-like events (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Arthritis (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: pt recv vax; on 21mar94, exp fever, neck stiffness, joint pain & devel swelling;

VAERS ID:74599 (history)  Vaccinated:1995-01-06
Age:28.0  Onset:1995-01-06, Days after vaccination: 0
Gender:Male  Submitted:0000-00-00
Location:Texas  Entered:1995-03-17
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: WAES95010199
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC. 1SC 
Administered by: Other     Purchased by: Other
Symptoms: Myalgia
SMQs:, Rhabdomyolysis/myopathy (broad), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad)
Write-up: pt recv vax; exp diffuse soreness throughout body;

VAERS ID:72126 (history)  Vaccinated:1995-02-28
Age:28.8  Onset:1995-03-03, Days after vaccination: 3
Gender:Female  Submitted:1995-03-03, Days after onset: 0
Location:North Carolina  Entered:1995-03-20, Days after submission: 17
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: septra-rash
Diagnostic Lab Data:
CDC Split Type: NC95029
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM1314A42IMRA
Administered by: Public     Purchased by: Unknown
Symptoms: Myalgia,