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Case Details (Sorted by Age)

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VAERS ID:514122 (history)  Vaccinated:2013-10-26
Age:30.0  Onset:0000-00-00
Gender:Female  Submitted:2013-11-20
Location:South Carolina  Entered:2013-11-20
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Intractible nausea; Vomiting
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)NOVARTIS VACCINES AND DIAGNOSTICS13393P IMRA
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.J001180 IMLA
Administered by: Private     Purchased by: Other
Symptoms: Injection site pain, Swelling
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: Patient was given pneumonia vaccine on 2nd shift. Patient complained of pain in deltoid. Swelling was noted. No redness or heat.

VAERS ID:514456 (history)  Vaccinated:2013-11-22
Age:30.0  Onset:2013-11-23, Days after vaccination: 1
Gender:Female  Submitted:2013-11-23, Days after onset: 0
Location:Wisconsin  Entered:2013-11-23
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: No
Preexisting Conditions: No
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAP: DTAP (NO BRAND NAME)UNKNOWN MANUFACTURER  UNUN
Administered by: Unknown     Purchased by: Private
Symptoms: Chills, Dizziness, Headache, Lymphadenopathy, Pain, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Vestibular disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Dizziness, body ache (especially back and neck) lasting a full day, fever/chills overnight, headache, swollen glands.

VAERS ID:514560 (history)  Vaccinated:2013-09-01
Age:30.0  Onset:2013-09-23, Days after vaccination: 22
Gender:Female  Submitted:2013-11-25, Days after onset: 63
Location:New Jersey  Entered:2013-11-25
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: No other medications
Current Illness: Unknown
Preexisting Conditions: 08/02/2013, Pregnancy; 06/1984, Varicella at 13 months; 08/02/2013, Caesarean section
Diagnostic Lab Data:
CDC Split Type: WAES1311USA002865
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARZOS: ZOSTER (ZOSTAVAX)MERCK & CO. INC.  SCUN
Administered by: Other     Purchased by: Other
Symptoms: Blister, Burning sensation, Herpes zoster, Secondary transmission
SMQs:, Severe cutaneous adverse reactions (broad), Peripheral neuropathy (broad), Hypersensitivity (broad)
Write-up: This spontaneous report as received from an office manager (healthcare worker) via a company representative refers to a 30 year old female patient. The patient''s medical history included chicken pox (in June 1984 as about 13 months) and delivery of a baby girl via C-section on 02-AUG-2013. The consumer (the mother of the patient) received ZOSTAVAX (lot # reported as J003399, EXP date 21-JUN-2014, route not reported) 0.5 ml on 29-AUG-2013. The consumer saw her daughter after received ZOSTAVAX on the following dates: 01-SEP-2013, 06-SEP-2013, 07-SEP-2013, 12-SEP-2013, 13-SEP-2013, 14-SEP-2013, 19-SEP-2013, 25-SEP-2013 and 29-SEP-2013. At all times her arms and the immunization site was covered by long sleeved clothing and her daughter likely hugged her when she arrived and left. Her typical visit would have been for perhaps 2 hours. And shortly after her receiving the ZOSTAVAX, her 30 year old daughter developed symptoms of shingles and she was convinced that she transmitted the shingles due to receiving the ZOSTAVAX. Her daughter experienced a burning sensation on her hip where the seatbelt was when returning home on 23-SEP-2013 from a weekend trip (6 hours drive) with a "clear, circular area about 2-3 inches in diameter on the front of her hip which was densely and finely blistered with raised white blisters". Her daughter noticed the burning sensation when wearing the seatbelt and the blisters came later. When she saw the blistered area, it did not look like the pictures of shingles she had seen on the Internet (bands, red). it was in a very specific round shape, almost like a contact dermatitis. The patient sought medical attention by seeing physician which time the blisters were healing. Her daughter was diagnosed with the shingles by the doctor on 08-OCT-2013. She stated that her daughter no longer had a rash. The outcome of patient was unknown. Lot number J003399 is an invalid lot number for zoster vaccine live. Additional information has been requested.

VAERS ID:514624 (history)  Vaccinated:0000-00-00
Age:30.0  Onset:0000-00-00
Gender:Unknown  Submitted:2013-11-25
Location:Unknown  Entered:2013-11-25
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: No other medications
Current Illness: Unknown
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: WAES1310USA007739
Vaccination
Manufacturer
Lot
Dose
Route
Site
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.  SYRUN
Administered by: Other     Purchased by: Other
Symptoms: Drug administered to patient of inappropriate age, No adverse event
SMQs:, Medication errors (narrow)
Write-up: Information was received company representative. On an unspecified date, a patient in the 30''s with multiple unspecified comorbid diseases received PNEUMOVAX 23. No adverse effect reported. No further information was provided. Additional information has been requested.

VAERS ID:514961 (history)  Vaccinated:2013-11-26
Age:30.0  Onset:2013-11-26, Days after vaccination: 0
Gender:Female  Submitted:2013-11-27, Days after onset: 1
Location:Tennessee  Entered:2013-11-27
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: No
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEUR 0UNLA
Administered by: Public     Purchased by: Private
Symptoms: Pruritus
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Severe itching of palms and fingers.

VAERS ID:515343 (history)  Vaccinated:2013-11-08
Age:30.0  Onset:2013-11-08, Days after vaccination: 0
Gender:Female  Submitted:2013-12-02, Days after onset: 24
Location:Oregon  Entered:2013-12-02
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Combined oral contraceptives
Current Illness: No
Preexisting Conditions: Interstitial cystitis
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURU4790AA0IMLA
Administered by: Public     Purchased by: Public
Symptoms: Injected limb mobility decreased, Injection site pain
SMQs:, Extravasation events (injections, infusions and implants) (broad)
Write-up: Patient has had persistent pain and soreness in her L deltoid. She has difficulty abducting her arm. exam reveals tenderness diffusely along deltoid, no e/o cellulitis or abscess, no induration or erythema.

VAERS ID:515503 (history)  Vaccinated:2013-11-07
Age:30.0  Onset:2013-11-08, Days after vaccination: 1
Gender:Female  Submitted:2013-12-04, Days after onset: 26
Location:Colorado  Entered:2013-12-04
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: Tests to come after doctor appointment 11/5/13.
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)UNKNOWN MANUFACTURER    
Administered by: Other     Purchased by: Other
Symptoms: Asthenia, Chest discomfort, Dizziness, Headache, Night sweats, Pyrexia
SMQs:, Anaphylactic reaction (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: Fever, dizziness, headache, weakness, night sweats persisting for 4 weeks now and beginning to include chest tightness.

VAERS ID:515590 (history)  Vaccinated:2013-09-19
Age:30.0  Onset:2013-09-20, Days after vaccination: 1
Gender:Female  Submitted:2013-12-04, Days after onset: 75
Location:New Hampshire  Entered:2013-12-04
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: injection site red, warm, itchy~Varicella (Varivax)~1~29.92~Patient
Other Medications: None
Current Illness: No
Preexisting Conditions: No
Diagnostic Lab Data: None
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.H0184550SCLA
Administered by: Private     Purchased by: Private
Symptoms: Injection site erythema, Injection site pruritus, Injection site warmth, Rash, Rash macular, Rash pruritic
SMQs:, Anaphylactic reaction (broad), Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Rt upper arm region 4.5x 4.5mm--injection site is red, itchy, warm--no systemic symptoms, lasted 1 week. On 10/1/2013 itchy, macular rash developed on rt upper arm, armpit extending into side of torso. Side effects ended about 2 weeks ago--the week of November 17, 2013.

VAERS ID:515855 (history)  Vaccinated:2013-12-04
Age:30.0  Onset:2013-12-05, Days after vaccination: 1
Gender:Female  Submitted:2013-12-07, Days after onset: 2
Location:North Carolina  Entered:2013-12-07
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: No
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURUH910AA0IMLA
Administered by: Other     Purchased by: Other
Symptoms: Injection site reaction, Local reaction
SMQs:
Write-up: Pt had a localized reaction at the site of the injection.

VAERS ID:516022 (history)  Vaccinated:2013-12-06
Age:30.0  Onset:2013-12-07, Days after vaccination: 1
Gender:Female  Submitted:2013-12-09, Days after onset: 2
Location:Rhode Island  Entered:2013-12-09
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: No
Preexisting Conditions: None
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (ADACEL)SANOFI PASTEURU4618AA0 LA
Administered by: Public     Purchased by: Other
Symptoms: Induration, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: 3 inch diameter welt with induration.

VAERS ID:516074 (history)  Vaccinated:2013-11-21
Age:30.0  Onset:2013-11-22, Days after vaccination: 1
Gender:Female  Submitted:2013-12-09, Days after onset: 17
Location:New York  Entered:2013-12-09
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: "A cold": runny nose, sore throat, headache. No fever
Preexisting Conditions: None
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)UNKNOWN MANUFACTURER    
Administered by: Unknown     Purchased by: Unknown
Symptoms: Injection site pain, Injection site swelling, Lymph node pain, Lymphadenopathy, Muscular weakness
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Pain and swelling at injection site, weakness in injected arm, slight pain and some swelling of under-arm lymph nodes.

VAERS ID:516230 (history)  Vaccinated:2013-12-02
Age:30.0  Onset:2013-12-04, Days after vaccination: 2
Gender:Male  Submitted:2013-12-04, Days after onset: 0
Location:Virginia  Entered:2013-12-11, 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: None
Preexisting Conditions: None
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLULAVAL)GLAXOSMITHKLINE BIOLOGICALST3959 IMRA
Administered by: Other     Purchased by: Private
Symptoms: Injection site erythema, Local swelling, Pruritus
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: 12/2/13 vaccine administered. 12/4/13 itching, swollen arm. Noticed this morning redness around vaccination site approximately 3 inches in diameter.

VAERS ID:516304 (history)  Vaccinated:2013-11-19
Age:30.0  Onset:2013-12-11, Days after vaccination: 22
Gender:Female  Submitted:2013-12-11, Days after onset: 0
Location:Texas  Entered:2013-12-11
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: No
Preexisting Conditions: No
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLUC3: INFLUENZA (SEASONAL) (FLUCELVAX)NOVARTIS VACCINES AND DIAGNOSTICS004021A IMLA
Administered by: Other     Purchased by: Private
Symptoms: Hypoaesthesia
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad)
Write-up: Arm numbness. Patient''s agent stated the patient was fine after the immunization. Onset of symptoms were 2.5 weeks later.

VAERS ID:516424 (history)  Vaccinated:2011-05-06
Age:30.0  Onset:2011-05-06, Days after vaccination: 0
Gender:Female  Submitted:2013-12-12, Days after onset: 951
Location:California  Entered:2013-12-12
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: No
Preexisting Conditions: No
Diagnostic Lab Data: I have had all possible causes of my pain checked out- MRI, CT Scan, blood tests. No tests have been able to explain my pain symptoms.
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (ADACEL)SANOFI PASTEURU3554CA UNLA
Administered by: Unknown     Purchased by: Private
Symptoms: Blood test, Computerised tomogram, Cough, Facial pain, Fatigue, Neck pain, Nuclear magnetic resonance imaging, Oropharyngeal pain, Paraesthesia
SMQs:, Anaphylactic reaction (broad), Peripheral neuropathy (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Glaucoma (broad), Arthritis (broad)
Write-up: Sore throat, followed by coughing and fatigue for two weeks. Three weeks after the vaccine, I developed facial pain, arm tingling, and neck pain.

VAERS ID:516431 (history)  Vaccinated:0000-00-00
Age:30.0  Onset:0000-00-00
Gender:Female  Submitted:2013-12-12
Location:Georgia  Entered:2013-12-12
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)NOVARTIS VACCINES AND DIAGNOSTICS1310301 UNLA
Administered by: Military     Purchased by: Military
Symptoms: Unevaluable event
SMQs:
Write-up: None stated.

VAERS ID:516551 (history)  Vaccinated:2013-12-07
Age:30.0  Onset:2013-12-07, Days after vaccination: 0
Gender:Male  Submitted:2013-12-07, Days after onset: 0
Location:Mississippi  Entered:2013-12-13, Days after submission: 6
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)NOVARTIS VACCINES AND DIAGNOSTICS005031A IMLA
Administered by: Military     Purchased by: Military
Symptoms: Asthenia, Blood pressure increased, Chills, Dizziness, Dyspnoea, Headache, Hyperhidrosis, Tremor
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Parkinson-like events (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Hypertension (narrow), Cardiomyopathy (broad), Vestibular disorders (broad), Hypoglycaemia (broad)
Write-up: 11:00A received flu vaccination. 11:50A pt presents to vaccination table w/ c/o: SOB, dizziness, weakness, diaphoretic, headache, shaky hands, chills, "can''t breathe good". VS 162/100 P 76 R 24. 12:07P 150/86 P 70 R20. 12:15P 148/88 P 72 R20. 12:20P Spoke to someone: instructed to give EPI PEN. Notify POC for transport to hospital. 12:22P EPI PEN given. 12:30P Spoke to someone else. 12:45P transport per EMS to hospital.

VAERS ID:516632 (history)  Vaccinated:2013-10-11
Age:30.0  Onset:2013-10-12, Days after vaccination: 1
Gender:Female  Submitted:2013-12-15, Days after onset: 64
Location:Illinois  Entered:2013-12-16, Days after submission: 1
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: Sulfa Allergy
Diagnostic Lab Data: Allergy tests to be performed when all symptoms have cleared.
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEUR 0IMLA
Administered by: Other     Purchased by: Public
Symptoms: Allergy test, Chills, Delusion, Pyrexia, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Psychosis and psychotic disorders (narrow), Noninfectious encephalopathy/delirium (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Hives covering most of body, accompanied by fever, chills, delusion.

VAERS ID:518073 (history)  Vaccinated:2013-12-17
Age:30.0  Onset:2013-12-17, Days after vaccination: 0
Gender:Female  Submitted:2013-12-31, Days after onset: 14
Location:North Carolina  Entered:2013-12-31
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.J011651 SCRA
TDAP: TDAP (BOOSTRIX)GLAXOSMITHKLINE BIOLOGICALS3752B IMRA
Administered by: Public     Purchased by: Private
Symptoms: Chills, Dizziness, Feeling cold, Injection site erythema, Nausea
SMQs:, Acute pancreatitis (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad)
Write-up: Light headed next day, nausea, freezing/chills; some reddness at site.

VAERS ID:518243 (history)  Vaccinated:2013-09-12
Age:30.0  Onset:2013-09-12, Days after vaccination: 0
Gender:Female  Submitted:2014-01-02, Days after onset: 112
Location:California  Entered:2014-01-02
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:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURUH896AB IMLA
Administered by: Public     Purchased by: Private
Symptoms: Bruxism, Headache
SMQs:
Write-up: Clenching of her jaw, headache (started within an hour of injection, lasted less than an hour).

VAERS ID:518295 (history)  Vaccinated:2013-12-27
Age:30.0  Onset:2013-12-28, Days after vaccination: 1
Gender:Female  Submitted:2014-01-02, Days after onset: 5
Location:California  Entered:2014-01-02
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: None done
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (ADACEL)SANOFI PASTEURC4426AA IMLA
Administered by: Private     Purchased by: Private
Symptoms: Headache, Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth, Lymphadenopathy, Malaise, Myalgia, Neck pain, Pyrexia, Swelling
SMQs:, Rhabdomyolysis/myopathy (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), Eosinophilic pneumonia (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Day following vaccine she developed malaise, myalgias swelling, redness, heat, pain at injection site and fever to 101 orally. The next day neck pain; head pain and cervical and axillary lymphadenopathy. Sx all resolving on day 6.

VAERS ID:518981 (history)  Vaccinated:2014-01-11
Age:30.0  Onset:2014-01-11, Days after vaccination: 0
Gender:Male  Submitted:2014-01-11, Days after onset: 0
Location:Alabama  Entered:2014-01-11
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
ANTH: ANTHRAX (BIOTHRAX)EMERGENT BIOSOLUTIONSFAV341A0IMRA
TYP: TYPHOID VI POLYSACCHARIDE (TYPHIM VI)SANOFI PASTEURH14820IMRA
Administered by: Military     Purchased by: Military
Symptoms: Balance disorder, Dizziness, Fall, Pallor
SMQs:, Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Accidents and injuries (narrow), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad)
Write-up: At 08:20, member was administered 0.5mL of Anthrax to right deltoid. About 20 seconds later, member became pale, light-headed, lost his balance and started to fall backwards. Member was caught and guided to the floor in a safely manner. Member''s feet were elevated and member immediately "came to." He was alert and oriented. Vital Signs were stable. Physician Assistant and Nurse at member''s side. Member was given an apple and some water. Pt remained in clinic for 30 minutes after vaccinations to make sure he had no reactions. No issues noted.

VAERS ID:519125 (history)  Vaccinated:2014-01-08
Age:30.0  Onset:2014-01-08, Days after vaccination: 0
Gender:Female  Submitted:2014-01-13, Days after onset: 5
Location:Ohio  Entered:2014-01-13
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Pulmicort Flexhaler; Nasacort; Alavert; Albuterol HFA; Prenatal Folic acid; B6
Current Illness: None
Preexisting Conditions: Asthma
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAP: DTAP (INFANRIX)GLAXOSMITHKLINE BIOLOGICALS    
FLU3: INFLUENZA (SEASONAL) (FLUARIX)GLAXOSMITHKLINE BIOLOGICALS    
Administered by: Other     Purchased by: Private
Symptoms: Exposure during pregnancy, Musculoskeletal stiffness, Pain
SMQs:, Dystonia (broad), Parkinson-like events (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow), Arthritis (broad)
Write-up: I experience extreme pain and shoulder stiffness on my right side that very evening of vaccination. Went to my doctor on 1/9/2014 at 9:30am. My doctor believes I was injured as a result of the vaccination being administrated too high on my right shoulder, causing injury to the bursa. I am pregnant so treatment is restricted. I''ve been using a sling, taking Tylenol regularly along with icing my right shoulder. Today on 1/13/2014, I called my doctor again for another option since my pain and stiffness has made little improvement.

VAERS ID:519338 (history)  Vaccinated:0000-00-00
Age:30.0  Onset:0000-00-00
Gender:Female  Submitted:2013-12-23
Location:Iowa  Entered:2014-01-15, Days after submission: 23
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Unknown
Preexisting Conditions: No other vaccines were given on the same date.
Diagnostic Lab Data: Hepatitis B antibody, 200 see text; Hepatitis B test negative, negative for hep The subject explained that she was vaccinated in 1983 or 1984 and had a titer done on unspecified date and the "normal was supposed to be less than 10 and hers was 200". The subject explained that the physician screened her for a hepatitis infection but "there was none and no explanation as to why the titers were so high".
CDC Split Type: A1002560B
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (NO BRAND NAME)UNKNOWN MANUFACTURER 2UNRA
Administered by: Other     Purchased by: Other
Symptoms: Asthenia, Chest pain, Dyspnoea, Headache, Heart rate increased, Heart rate irregular, Hepatitis B antibody abnormal, Hyperhidrosis, Myalgia, Nausea, Photophobia, Vertigo
SMQs:, Rhabdomyolysis/myopathy (broad), Liver infections (narrow), Anaphylactic reaction (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Noninfectious meningitis (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Glaucoma (broad), Cardiomyopathy (broad), Corneal disorders (broad), Eosinophilic pneumonia (broad), Retinal disorders (broad), Cardiac arrhythmia terms, nonspecific (narrow), Vestibular disorders (narrow), Tendinopathies and ligament disorders (broad), Hypoglycaemia (broad)
Write-up: This case was reported by a consumer (also the subject) and described the occurrence of nausea in a 30-year-old female subject who was vaccinated with Hepatitis B vaccine (manufacturer unspecified). A physician or other health care professional has not verified this report. Concurrent vaccination included hepatitis B vaccine recombinant ;manufacturer unspecified;unknown;right arm given in 1983. In 1983 or 1984 the subject received 3rd dose of Hepatitis B vaccine (unknown route, right arm). In 1983 or 1984, 1 month after vaccination with the 3rd dose of Hepatitis B vaccine, the subject experienced nausea, headache, muscle pain, vertigo, eye sensitive to light, shortness of breath, chest pain, irregular heartbeat, rapid heartbeat, weakness, sweating and at an unknown time after vaccination with the 3rd dose of Hepatitis B vaccine, the subject experienced hepatitis b antibody abnormal. The subject reported that she received the Hepatitis B vaccine series in 1983 or 1984 as a requirement for work. She did not know the manufacturer of the vaccine. She reported that her "symptoms resolved, but it took 20 years". She explained that the events occurred approximately one month after the third dose in series. She stated that she treated the events with "massage and chiropractic care and nutritional help". She indicated that she had a titer done and the "normal was supposed to be less than 10 and hers was 200" (hepatitis b antibody abnormal). The subject explained that the physician screened her for a hepatitis infection, but "there was none and no explanation as to why the titers were so high". At the time of reporting the events were resolved. The subject explained that the symptoms resolved, but "came back with a vengeance" when she received FLUARIX. See case A1002560A for details regarding the events with FLUARIX.

VAERS ID:519352 (history)  Vaccinated:2013-07-08
Age:30.0  Onset:0000-00-00
Gender:Female  Submitted:2013-12-23
Location:Minnesota  Entered:2014-01-15, Days after submission: 23
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Unknown
Preexisting Conditions: Concomitant vaccinations were unknown. There were no concomitant medications and no relevant medical history.
Diagnostic Lab Data: UNK
CDC Split Type: A1040132A
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)GLAXOSMITHKLINE BIOLOGICALS 2SYRLA
Administered by: Other     Purchased by: Other
Symptoms: No therapeutic response
SMQs:, Lack of efficacy/effect (narrow)
Write-up: This case was reported by a healthcare professional and described the occurrence of not responding to therapy in a 30-year-old female subject who was vaccinated with ENGERIX B (GlaxoSmithKline). On unspecified date, the subject received 1st dose and 2nd dose of ENGERIX B (details unknown). On 8 July 2013 the subject received 3rd dose of ENGERIX B (20 mcg, unknown route, left arm). The subject experienced not responding to therapy. At an unspecified time after completing the ENGERIX B series, the subject was found to have no response to the vaccination.

VAERS ID:519536 (history)  Vaccinated:2014-01-09
Age:30.0  Onset:2014-01-11, Days after vaccination: 2
Gender:Female  Submitted:0000-00-00
Location:Washington  Entered:2014-01-16
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
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)NOVARTIS VACCINES AND DIAGNOSTICS13472P1IMLA
Administered by: Private     Purchased by: Private
Symptoms: Pruritus, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Patient reported urticaria (hives) and pruritus several days after vaccination. No site irritation, inflammation, or swelling was observed when pt came in for consultation.

VAERS ID:519645 (history)  Vaccinated:2014-01-11
Age:30.0  Onset:2014-01-11, Days after vaccination: 0
Gender:Female  Submitted:2014-01-17, Days after onset: 6
Location:Virginia  Entered:2014-01-17
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:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURUH922AB0IMLA
Administered by: Other     Purchased by: Private
Symptoms: Flushing, Musculoskeletal stiffness, Pain in extremity
SMQs:, Anaphylactic reaction (broad), Dystonia (broad), Parkinson-like events (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Hypersensitivity (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad)
Write-up: Flushing of face, stiffness of neck and arm, pain in arm (left side). Patient took BENADRYL for symptoms of reaction.

VAERS ID:519731 (history)  Vaccinated:0000-00-00
Age:30.0  Onset:0000-00-00
Gender:Female  Submitted:2014-01-17
Location:Unknown  Entered:2014-01-17
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: No other medications
Current Illness: Unknown
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: WAES1401USA007141
Vaccination
Manufacturer
Lot
Dose
Route
Site
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.  SYRRA
Administered by: Other     Purchased by: Other
Symptoms: Blood culture, Incisional drainage, Joint range of motion decreased, Pain, Pyrexia, Swelling, Thrombosis
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Thrombophlebitis (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Arthritis (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Information was received from medical records from a case in litigation (MARRS#1307USA014180) regarding a 30 year old female. The patient was hospitalized on 04-SEP-2012 for PE (MARRS# 1307USA014180). It was noted that she recently received a "pneumonia shot" (manufacturer not specified), date was not specified. The patient reported that she had experienced restrictive range of motion, pain and swelling. The patient spiked a fever and infectious disease was consulted. An incision and drainage was done in the right upper arm, anterior deltoid area. Blood cultures were drawn. The patient was started on empiric vancomycin and her right arm was elevated. The swelling and pain subsequently improved within 24 hours and the patient was changed to oral doxycycline. The patient was discharged from hospital on 09-SEP-2012 when her PE and blood clot was noted to be resolving. All available medical records will be provided upon request. Additional information is not expected.

VAERS ID:520277 (history)  Vaccinated:2014-01-22
Age:30.0  Onset:2014-01-22, Days after vaccination: 0
Gender:Male  Submitted:2014-01-22, Days after onset: 0
Location:Massachusetts  Entered:2014-01-22
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Pt. stated not currently taking medications
Current Illness: Aprox. time of administration 11:45 am, Pt denied illness at time of administration
Preexisting Conditions: Pt stated no know drug or food allergies, and no known medical conditions at time of administration
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEPAB: HEP A + HEP B (TWINRIX)GLAXOSMITHKLINE BIOLOGICALS4E37E0IMLA
TYP: TYPHOID VI POLYSACCHARIDE (TYPHIM VI)SANOFI PASTEURJ12011 IMLA
Administered by: Other     Purchased by: Other
Symptoms: Hyperhidrosis, Pallor
SMQs:, Neuroleptic malignant syndrome (broad), Hypotonic-hyporesponsive episode (broad), Hypoglycaemia (broad)
Write-up: Pt became pale and diaphoretic after immunization, patient was assisted to a reclining chair with their legs elevated and a cool compress applied to face, Vital signs were stable 110/80 bp, 76 pulse, Respirations 17, no s/sx of respiratory distress, no hives or uticaria. Pt remained conscious, was alert and oriented. 911 was called and pt was evaluated by the Woburn fire department, the patient refused hospitialization. Pt stated he was feeling better and went home.

VAERS ID:521349 (history)  Vaccinated:2013-12-13
Age:30.0  Onset:2013-12-14, Days after vaccination: 1
Gender:Female  Submitted:2014-01-30, Days after onset: 47
Location:Hawaii  Entered:2014-01-30
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Celexa, MVI
Current Illness: No.
Preexisting Conditions: Allergic to Sulfa, no birth defects or medical conditions at time of vaccination.
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAP: DTAP (INFANRIX)GLAXOSMITHKLINE BIOLOGICALSU4689AA0IMLA
HEPA: HEP A (HAVRIX)GLAXOSMITHKLINE BIOLOGICALS793JR0IMRA
Administered by: Unknown     Purchased by: Private
Symptoms: Injection site pain, Pain in extremity
SMQs:, Extravasation events (injections, infusions and implants) (broad), Tendinopathies and ligament disorders (broad)
Write-up: Pain at injection with radiation down to forearm. Patient seen in office again on 12/19/2013, given NSAIDS and hydrocodone/APAP to use as needed for pain.

VAERS ID:521342 (history)  Vaccinated:2014-01-09
Age:30.0  Onset:2014-01-09, Days after vaccination: 0
Gender:Female  Submitted:2014-01-30, Days after onset: 21
Location:Rhode Island  Entered:2014-01-31, Days after submission: 1
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: Eczema
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURUH904AA IMAR
Administered by: Other     Purchased by: Private
Symptoms: Pruritus
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Extremely itchy scalp, not normal for patient.

VAERS ID:521613 (history)  Vaccinated:2014-01-17
Age:30.0  Onset:2014-01-26, Days after vaccination: 9
Gender:Female  Submitted:2014-01-29, Days after onset: 3
Location:Texas  Entered:2014-02-03, 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: NUVARING
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.H0158240SCRA
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.J0070220SCLA
Administered by: Private     Purchased by: Private
Symptoms: Injection site pain, Injection site rash, Injection site swelling, Rash, Rash maculo-papular, Scab, Skin lesion
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: Developed lt upper arm pain and swelling on1/26/14. Lt upper arm rash 1/28/14. Maculopapular rash to abdomen and chest 1/29/14. 1/31/14 states abd rash resolved, chest lesions crusted over lt arm improving.

VAERS ID:521893 (history)  Vaccinated:0000-00-00
Age:30.0  Onset:2014-01-01
Gender:Female  Submitted:2014-02-05, Days after onset: 35
Location:New Mexico  Entered:2014-02-05
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: No other medications
Current Illness: Asthma
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: WAES1402USA000439
Vaccination
Manufacturer
Lot
Dose
Route
Site
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.  SYRUN
TDAP: TDAP (NO BRAND NAME)UNKNOWN MANUFACTURER  UNUN
Administered by: Other     Purchased by: Other
Symptoms: Erythema, Local swelling
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: This spontaneous report as received from a physician via a company representative refers to a 30 year old female patient who was asthmatic. The patient was not pregnant. On 25-JAN-2014, the patient was vaccinated with PNEUMOVAX 23 (lot # not provided) dose and route as directed recommended due to history of asthma. Concomitant therapies included TDAP vaccine administered on the same day. In 2014, the patient developed a localized reaction on the right side of her arm that included swelling and redness of the size of a golf ball. At the time of the report, the outcome of the events was unknown. Additional information has been requested.

VAERS ID:521943 (history)  Vaccinated:2014-02-04
Age:30.0  Onset:2014-02-05, Days after vaccination: 1
Gender:Female  Submitted:2014-02-05, Days after onset: 0
Location:Louisiana  Entered:2014-02-05
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: N/a
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)NOVARTIS VACCINES AND DIAGNOSTICS    
Administered by: Public     Purchased by: Private
Symptoms: Local swelling, Oral discomfort, Pain in extremity
SMQs:, Angioedema (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Tendinopathies and ligament disorders (broad)
Write-up: Swollen painful hands, mouth feels strange.

VAERS ID:522083 (history)  Vaccinated:2014-02-03
Age:30.0  Onset:2014-02-03, Days after vaccination: 0
Gender:Female  Submitted:2014-02-06, Days after onset: 3
Location:Texas  Entered:2014-02-07, Days after submission: 1
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:
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.J0070220SCRA
Administered by: Other     Purchased by: Other
Symptoms: Erythema, Injection site warmth, Pain
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Site felt "hot" since Monday. Pain 1/10- slight redness 70 mm on underside of rigth arm.

VAERS ID:522131 (history)  Vaccinated:2014-02-05
Age:30.0  Onset:2014-02-05, Days after vaccination: 0
Gender:Unknown  Submitted:2014-02-07, Days after onset: 2
Location:Unknown  Entered:2014-02-07
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: No other medications
Current Illness: Unknown
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: WAES1402USA002958
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC. 1IMUN
Administered by: Other     Purchased by: Other
Symptoms: Inappropriate schedule of drug administration, No adverse event
SMQs:, Medication errors (narrow)
Write-up: This spontaneous report as received from a physician refers to a 30 year old patient (gender unspecified). Patients concurrent conditions and historical conditions were unspecified. Approximately in 2012 (two years ago), the patient has received first dose of GARDASIL Intramuscular Injection. On 05-FEB-2013, the patient was vaccinated with GARDASIL dose 2, Intramuscular Injection. Concomitant therapy unspecified. No adverse event effect reported. The physician queried when patient should receive third dose of GARDASIL. Product quality complaint was not involved. The outcome of event was unknown. No further information was provided.

VAERS ID:522400 (history)  Vaccinated:2014-01-14
Age:30.0  Onset:2014-01-14, Days after vaccination: 0
Gender:Female  Submitted:2014-02-04, Days after onset: 21
Location:Iowa  Entered:2014-02-11, Days after submission: 7
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU4: INFLUENZA (SEASONAL) (FLULAVAL QUADRIVALENT)GLAXOSMITHKLINE BIOLOGICALST39590IMLA
Administered by: Other     Purchased by: Unknown
Symptoms: Myalgia
SMQs:, Rhabdomyolysis/myopathy (broad), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad)
Write-up: Pt experiencing sharp pain in the muscle w/ stretching movements. Started at onset of flu shot and has continued since.

VAERS ID:522817 (history)  Vaccinated:2014-01-10
Age:30.0  Onset:2014-02-05, Days after vaccination: 26
Gender:Female  Submitted:2014-02-17, Days after onset: 12
Location:Unknown  Entered:2014-02-17
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: No other medications
Current Illness: Asthma and allergic rhinitis; Food allergy
Preexisting Conditions: BETADINE, Rash
Diagnostic Lab Data:
CDC Split Type: WAES1402USA007643
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.J0037091UNUN
Administered by: Other     Purchased by: Other
Symptoms: Arthralgia, Chest pain, Pruritus, Serum sickness, Swelling, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (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: This spontaneous report was received from a physician refers to a 30 year old female patient. The patient pertinent medical history included asthma and allergic rhinitis. The patient had drug reaction or allergic history of BETADINE by using BETADINE, the patient developed a rash from topical use and patient had unspecified food allergies. On 10-JAN-2014 the patient was vaccinated with second dose of VARIVAX (merck) lot # J003709 (Expiry: 27-MAR-2015) (dose, route and frequency was not reported). On 05-FEB-2014, the patient experienced generalized hives, itching and swelling as well as generalized joint pain and chest pain. The patient sought medical attention and visited the physician office. The Physician thinks the patient might have serum sickness. The patient was treated with prednisone, hydroxyzine and ibuprofen. It was also reported that on 28-MAR-1985, the patient had received the first dose of VARIVAX (merck) (dose, route, lot number, expiry and frequency was not reported). The outcome of the events generalized hives, itching and swelling as well as generalized joint pain, chest pain and serum sickness was reported as not recovered. The reporter did not provide the causality between the events and the suspect drug. Additional information has been requested.

VAERS ID:523061 (history)  Vaccinated:2013-11-19
Age:30.0  Onset:0000-00-00
Gender:Male  Submitted:2014-02-19
Location:North Carolina  Entered:2014-02-19
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
TDAP: TDAP (BOOSTRIX)GLAXOSMITHKLINE BIOLOGICALSAC52B073BA0IMLA
Administered by: Other     Purchased by: Military
Symptoms: Expired drug administered, Incorrect dose administered, No adverse event
SMQs:, Medication errors (narrow)
Write-up: Pt was administered Tdap Vaccine on 19NOV13 after it expired on 20OCT13. Pt educated no signs or symptoms. Vaccine readministered.

VAERS ID:523062 (history)  Vaccinated:2013-11-19
Age:30.0  Onset:0000-00-00
Gender:Male  Submitted:2014-02-19
Location:North Carolina  Entered:2014-02-19
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
HPV4: HPV (GARDASIL)MERCK & CO. INC.H0169602IMRA
TDAP: TDAP (BOOSTRIX)GLAXOSMITHKLINE BIOLOGICALSAC52B073BA0IMLA
YF: YELLOW FEVER (YF-VAX)SANOFI PASTEURUH598941SCLA
Administered by: Military     Purchased by: Military
Symptoms: Expired drug administered
SMQs:, Medication errors (narrow)
Write-up: Patient was administered a vaccine of Tdap. Expiration 10/20/2013 and was administered on 11/19/2013.

VAERS ID:523103 (history)  Vaccinated:2014-02-17
Age:30.0  Onset:2014-02-17, Days after vaccination: 0
Gender:Male  Submitted:2014-02-19, Days after onset: 2
Location:Pennsylvania  Entered:2014-02-19
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Albuterol inhaler; FLONASE
Current Illness: None
Preexisting Conditions: Asthma; Seasonal allergies
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
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Site
TDAP: TDAP (BOOSTRIX)GLAXOSMITHKLINE BIOLOGICALST25E6 IMLA
Administered by: Private     Purchased by: Private
Symptoms: Diarrhoea, Nausea, Pyrexia, Vomiting
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Nausea, vomiting, diarrhea, fever (100 degrees F). Clear liquids and OTC pain/fever reliever.

VAERS ID:523116 (history)  Vaccinated:2014-02-14
Age:30.0  Onset:2014-02-15, Days after vaccination: 1
Gender:Female  Submitted:2014-02-19, Days after onset: 4
Location:Mississippi  Entered:2014-02-19
Life Threatening? Yes
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? Yes, 2 days
    Extended hospital stay? No
Previous Vaccinations:
Other Medications: NYQUIL; DAYQUIL
Current Illness: Had sinus drainage
Preexisting Conditions: None; NKDA
Diagnostic Lab Data: Chest x-ray; Blood work (unkown what one)
CDC Split Type:
Vaccination
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Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE INTRADERMAL)SANOFI PASTEURUT4723AA0IDLA
TDAP: TDAP (BOOSTRIX)GLAXOSMITHKLINE BIOLOGICALSYJ4750IMRA
Administered by: Public     Purchased by: Private
Symptoms: Blood test, Chest X-ray, Dyspnoea, Rash generalised, Swelling face, 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: Rash and hives to left and right arms, neck, back, trunk, and inner thighs. Swelling in face and then had trouble breathing. Went to ER, received steroids and put in hospital (1) day observation.

VAERS ID:523374 (history)  Vaccinated:2013-09-11
Age:30.0  Onset:2013-09-11, Days after vaccination: 0
Gender:Female  Submitted:2014-01-30, Days after onset: 141
Location:Unknown  Entered:2014-02-21, 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:
Current Illness: Unknown
Preexisting Conditions: The current pregnancy was by normal conception and the mother was not using contraception. There was no evidence of a defect on prenatal testing. There was no maternal or paternal history which may have impact on the outcome of the pregnancy. The subject had no concomitant medications.
Diagnostic Lab Data: UNK
CDC Split Type: A1042646A
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLULAVAL)GLAXOSMITHKLINE BIOLOGICALS  SYRLA
Administered by: Other     Purchased by: Other
Symptoms: Exposure during pregnancy, Injection site pain
SMQs:, Extravasation events (injections, infusions and implants) (broad), Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow)
Write-up: This prospective pregnancy case was reported by a consumer and described the occurrence of sore arm (injection site) in a 30-year-old female subject who was vaccinated with FLULAVAL (GlaxoSmithKline) during pregnancy. A physician or other health care professional has not verified this report. The current pregnancy was by normal conception and the subject was not using contraception. There was no evidence of a defect on prenatal testing. There was no maternal or paternal history which may have an impact on the outcome of the pregnancy. The subject had no concomitant medications. On 11 September 2013 the subject received a dose of FLULAVAL (unknown, left arm) and experienced vaccine exposure during the second trimester of pregnancy. The gestational age was calculated as 22 5/7 weeks at the time of vaccination. The date of last menstrual period was 05 April 2013 and the estimated delivery date was 10 January 2014. On 11 September 2013, less than one day after vaccination with FLULAVAL, the subject experienced sore arm (injection site). At the time of reporting the event was resolved. The subject considered the event related to the vaccination. At the time of the report, the pregnancy was ongoing.

VAERS ID:523716 (history)  Vaccinated:2013-10-01
Age:30.0  Onset:2013-11-25, Days after vaccination: 55
Gender:Female  Submitted:2013-12-03, Days after onset: 8
Location:Unknown  Entered:2014-02-24, Days after submission: 83
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Concomitant Drug(s) Not Reported
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: 2013SE88461
Vaccination
Manufacturer
Lot
Dose
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Site
FLUN4: INFLUENZA (SEASONAL) (FLUMIST QUADRIVALENT)MEDIMMUNE VACCINES, INC.  IN 
Administered by: Other     Purchased by: Other
Symptoms: Influenza A virus test positive
SMQs:
Write-up: A report has been received from a Health Professional concerning a 30 year old, female subject, who had been receiving FLUMIST (Intranasal). FLUMIST (Intranasal) started on an unknown date. The patient experienced positive influenza A. The patient recovered from the event of tested positive for influenza A on an unspecified date. The report was considered to be non-serious.

VAERS ID:523918 (history)  Vaccinated:2014-02-11
Age:30.0  Onset:2014-02-15, Days after vaccination: 4
Gender:Female  Submitted:2014-02-25, Days after onset: 10
Location:Pennsylvania  Entered:2014-02-25
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: CVAE0092014
Vaccination
Manufacturer
Lot
Dose
Route
Site
TYP: TYPHOID LIVE ORAL TY21A (VIVOTIF)BERNA BIOTECH, LTD 2PO 
Administered by: Other     Purchased by: Other
Symptoms: Abdominal pain, Diarrhoea, Nausea
SMQs:, Acute pancreatitis (broad), Retroperitoneal fibrosis (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (narrow)
Write-up: Patient experienced nausea, soft stools, abdominal pain.

VAERS ID:524409 (history)  Vaccinated:2014-02-24
Age:30.0  Onset:2014-02-27, Days after vaccination: 3
Gender:Male  Submitted:2014-02-28, Days after onset: 1
Location:Michigan  Entered:2014-03-03, 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; 3-3-14 12:30 with client - some tenderness but redness, warmth almost gone he will continue with oral antibiotics.
CDC Split Type:
Vaccination
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FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURUH900AA0IMRA
TDAP: TDAP (BOOSTRIX)GLAXOSMITHKLINE BIOLOGICALS4T7EA IMLA
Administered by: Public     Purchased by: Private
Symptoms: Erythema, Skin warm, Tenderness
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: On 2-24-2014 3:20 pm patient received a Tdap in his left deltoid area; he noticed 2-27-14 area below vaccine site red, warm, tender - to doctor''s office - evaluated - to return if area expands - 2-28-14 back to office - area expanded below vaccine site - continues to be red, warm, tender antibiotics started 2-28-14.

VAERS ID:524991 (history)  Vaccinated:2014-01-27
Age:30.0  Onset:2014-01-27, Days after vaccination: 0
Gender:Male  Submitted:2014-03-06, Days after onset: 38
Location:Tennessee  Entered:2014-03-06
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:
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.J003535 UNUN
Administered by: Public     Purchased by: Public
Symptoms: Injection site erythema
SMQs:, Extravasation events (injections, infusions and implants) (broad)
Write-up: Later on the day of injection a red ring developed around injection site approximately the size of the pts tricep. Pt states no pain.

VAERS ID:525277 (history)  Vaccinated:2014-02-25
Age:30.0  Onset:2014-02-25, Days after vaccination: 0
Gender:Female  Submitted:2014-03-07, Days after onset: 10
Location:California  Entered:2014-03-07
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None known
Preexisting Conditions: None
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (ADACEL)SANOFI PASTEURU4668AA0IMLA
Administered by: Other     Purchased by: Other
Symptoms: Hypoaesthesia, Muscular weakness, Pain, Paraesthesia, Swelling
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Angioedema (broad), Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: Initially painful and swollen, then noticed numbness and tingling. States she feels like arm is weaker than the other.

VAERS ID:525278 (history)  Vaccinated:2014-03-06
Age:30.0  Onset:2014-03-07, Days after vaccination: 1
Gender:Female  Submitted:2014-03-07, Days after onset: 0
Location:Illinois  Entered:2014-03-07
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: No
Preexisting Conditions: None
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (NO BRAND NAME)UNKNOWN MANUFACTURER   LA
Administered by: Private     Purchased by: Private
Symptoms: Arthralgia, Asthenia, Influenza like illness, Injection site pain, Joint range of motion decreased, Musculoskeletal disorder, Neck pain, Pain, Pain in extremity, Tenderness
SMQs:, Rhabdomyolysis/myopathy (broad), Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad)
Write-up: I received the Tdap vaccine on 03/06/2014 as a requirement for work. Within hours I had pain in the left shoulder where I received the vaccine. I had anticipated being sore and thus requested that the shot be given on the left side in my non-dominant arm. Tenderness was greater than anticipated but by the next morning had progressed to excruciating pain. In addition, I had flu like symptoms with whole body aches and joint pain. I took 400mg ibuprofen twice with only minimal improvement of symptoms. I felt feverish and tympanic membrane temperature was 100.5 F. This was after having taken Motrin about an hour prior so Tmax is unknown. The alarming symptom was the excruciating 8/10 pain in left arm. I have limited range of motion on that side d/t both pain and weakness. I cannot raise the left arm greater than 30 degrees in any direction and if I try to I get pain that radiates up my neck and down the ulnar side of my arm. I have pain from the slightest bump to my body which is nearly unbearable and I am completely unable to lay on that side, use it for support or pick my son up with the left arm. This is both scary and concerning as I am an ICU nurse and will not be able to fulfill all the requirements of my job if this persists.

VAERS ID:525435 (history)  Vaccinated:2014-03-08
Age:30.0  Onset:2014-03-08, Days after vaccination: 0
Gender:Female  Submitted:2014-03-10, Days after onset: 1
Location:Washington  Entered:2014-03-10
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Prednisone, amitriptyline, Lyrica, omeprazole, Colcrys, diclofenac.
Current Illness: No
Preexisting Conditions: Undefined autoinflammatory perdiodic fever disorder--2 genetic mutations; Crohn''s. Allergies: Zithromax, Codeine.
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
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VARZOS: ZOSTER (ZOSTAVAX)MERCK & CO. INC. 0SCRA
Administered by: Other     Purchased by: Other
Symptoms: Cold sweat, Disorientation, Dizziness, Pharyngeal oedema, Swollen tongue, Urticaria
SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Oropharyngeal allergic conditions (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Vestibular disorders (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)
Write-up: Hives, clammy, dizziness, tongue/throat swelling, facial swelling, disoriented.

VAERS ID:525700 (history)  Vaccinated:2014-02-28
Age:30.0  Onset:0000-00-00
Gender:Male  Submitted:2014-03-07
Location:Virginia  Entered:2014-03-13, 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
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VARZOS: ZOSTER (ZOSTAVAX)MERCK & CO. INC.J0084360SCLA
Administered by: Other     Purchased by: Other
Symptoms: Paraesthesia, Swelling face
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Tingling, swelling left side of face and jaw (as reported by patient).

VAERS ID:525842 (history)  Vaccinated:2013-11-14
Age:30.0  Onset:2013-11-24, Days after vaccination: 10
Gender:Female  Submitted:2014-02-27, Days after onset: 95
Location:Texas  Entered:2014-03-14, Days after submission: 14
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: ALESSE
Current Illness: Unknown
Preexisting Conditions: Per the reporter, there were no relevant allergies and no medical history documented. It was unknown if the subject had adverse events following previous vaccinations.
Diagnostic Lab Data: UNK
CDC Split Type: A1052946A
Vaccination
Manufacturer
Lot
Dose
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Site
HEPA: HEP A (HAVRIX)GLAXOSMITHKLINE BIOLOGICALSAHAVB642GA1SYRLA
Administered by: Private     Purchased by: Private
Symptoms: Chills, Influenza, Pain, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: This case was reported by a healthcare professional (nurse) and described the occurrence of flu-virus in a 30-year-old female subject who was vaccinated with HAVRIX (GlaxoSmithKline). Concurrent vaccination included influenza vaccine unspecified; non-GSK manufacturer; CSL Biotherapies; unknown; unknown given in October 2013. Concurrent medications included ALESSE. On 14 November 2013 at 12:00 the subject received 2nd dose of HAVRIX (a "unit dose syringe", unknown details, left arm). On 24 November 2013, 10 days after vaccination with HAVRIX, the subject experienced flu-virus, fever, chills and body pain. The nurse reported that the subject woe up on 24 November 2013 with fever, chills and body aches. The subject "continued to feel worse during 25 November 2013" and sought medical attention at an urgent care facility. Per the nurse "urgent care confirmed the flu" but the nurse was unsure if "that was based upon symptoms or lab tests." The subject was treated with TAMIFLU on 25 November 2013. At the time of reporting the events were worse.

VAERS ID:525851 (history)  Vaccinated:2014-03-11
Age:30.0  Onset:2014-03-12, Days after vaccination: 1
Gender:Female  Submitted:2014-03-14, Days after onset: 2
Location:Illinois  Entered:2014-03-14
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Triamterene and hydrochlorothiazide
Current Illness: NONE
Preexisting Conditions: HIGH BLOOD PRESSURE (DIURETIC PREVIOUSLY PRESCRIBED)
Diagnostic Lab Data: STILL KEEPING WATCH ON SYMPTOMS
CDC Split Type:
Vaccination
Manufacturer
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Dose
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Site
DTAP: DTAP (NO BRAND NAME)UNKNOWN MANUFACTURER    
Administered by: Private     Purchased by: Private
Symptoms: Lymphadenopathy
SMQs:, Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: SWOLLEN LYMPH NODES AT BASE OF NECK IN THE BACK AND AT THE BACK OF THE NECK AT BASE OF HEAD.

VAERS ID:526028 (history)  Vaccinated:2014-03-10
Age:30.0  Onset:2014-03-11, Days after vaccination: 1
Gender:Female  Submitted:2014-03-18, Days after onset: 7
Location:Indiana  Entered:2014-03-18
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: The day after receiving vaccine red bumps occurred, very itchy with welting. This was the second dose of the Hepatitis B vaccine.
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)GLAXOSMITHKLINE BIOLOGICALSHE2971IMRA
Administered by: Unknown     Purchased by: Private
Symptoms: Pruritus, Rash erythematous, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Hives, red raised bumps very itchy. Medrol Dose pack prescribed by physician.

VAERS ID:526282 (history)  Vaccinated:2011-11-01
Age:30.0  Onset:2011-11-02, Days after vaccination: 1
Gender:Female  Submitted:2014-03-20, Days after onset: 869
Location:Florida  Entered:2014-03-20
Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Loestrin
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: Labwork, MRI-negative, nerve study-positive for small fiber neuropathy, skin biopsy-positive for small fiber neuropathy.
CDC Split Type:
Vaccination
Manufacturer
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Dose
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Site
FLU3: INFLUENZA (SEASONAL) (AFLURIA)CSL LIMITEDN533060IMLA
Administered by: Unknown     Purchased by: Other
Symptoms: Biopsy skin abnormal, Hypoaesthesia, Laboratory test normal, Nerve conduction studies abnormal, Nuclear magnetic resonance imaging normal, Paraesthesia, Small fibre neuropathy
SMQs:, Peripheral neuropathy (narrow), Malignancy related therapeutic and diagnostic procedures (narrow), Guillain-Barre syndrome (broad), Skin tumours of unspecified malignancy (broad)
Write-up: Received the flu shot for the first time ever on 11/1/2001. Night of 11/2/2001, woke up from sleeping feeling ascending numbness and tingling in my feet and legs. Felt my arms randomly falling "completely" asleep". went to the emergency room at around 2 am after symptoms did not resolve, for evaluation.

VAERS ID:526680 (history)  Vaccinated:2014-02-26
Age:30.0  Onset:2014-02-26, Days after vaccination: 0
Gender:Female  Submitted:2014-03-25, Days after onset: 26
Location:Idaho  Entered:2014-03-25
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: Reactive Airway Disease
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TTOX: TETANUS TOXOID (NO BRAND NAME)UNKNOWN MANUFACTURER 0IMLA
Administered by: Private     Purchased by: Other
Symptoms: Mobility decreased, Myalgia
SMQs:, Rhabdomyolysis/myopathy (broad), Parkinson-like events (broad), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad)
Write-up: Pain in muscle at top of shoulder that did not go away and has become worse with passing weeks. Mobility is now limited.

VAERS ID:526913 (history)  Vaccinated:2014-03-24
Age:30.0  Onset:2014-03-24, Days after vaccination: 0
Gender:Female  Submitted:2014-03-27, Days after onset: 3
Location:Washington  Entered:2014-03-27
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: No
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAP: DTAP (NO BRAND NAME)UNKNOWN MANUFACTURER   LA
Administered by: Military     Purchased by: Unknown
Symptoms: Chills, Eye pain, Migraine, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Glaucoma (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Severe migraine, fever, chills, couldn''t open left eye without extreme pain to the point of almost passing out.

VAERS ID:527013 (history)  Vaccinated:2014-03-26
Age:30.0  Onset:2014-03-27, Days after vaccination: 1
Gender:Male  Submitted:2014-03-28, Days after onset: 1
Location:Michigan  Entered:2014-03-28
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? Yes, 2 days
    Extended hospital stay? No
Previous Vaccinations:
Other Medications: Insulin, citalopram, Bactrim, cephalexin, lisinopril
Current Illness: No
Preexisting Conditions: Type I Diabetes, poorly controlled; Depression; Psoriasis
Diagnostic Lab Data: Hyponatremia of 132 on admission; WBC count of 11.2.
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
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Site
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.J011799 SCLA
Administered by: Unknown     Purchased by: Other
Symptoms: Blood sodium decreased, Cellulitis, Chest pain, Dizziness, Hyponatraemia, Injection site erythema, Injection site pain, Injection site swelling, Malaise, Myalgia, Pyrexia, Tachycardia, White blood cell count increased
SMQs:, Rhabdomyolysis/myopathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Hyponatraemia/SIADH (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Vestibular disorders (broad), Chronic kidney disease (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Injection site erythema, swelling, and pain radiating from site across chest. Fevers to 102 F, myalgias, malaise, dizziness. Presented to ED with febrile with tachycardia, was admitted overnight due to concern for cellulitis with 2/4 SIRS criteria. Treated with Tylenol, toradol, and discharged home with supportive measures.

VAERS ID:527418 (history)  Vaccinated:2014-02-02
Age:30.0  Onset:2014-04-02, Days after vaccination: 59
Gender:Male  Submitted:2014-04-02, Days after onset: 0
Location:Louisiana  Entered:2014-04-02
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Sore throat and some minor cough
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)NOVARTIS VACCINES AND DIAGNOSTICS1308701 IMRA
Administered by: Public     Purchased by: Private
Symptoms: Cough, Dyspnoea, Fatigue, Headache, Nausea, Throat irritation
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad)
Write-up: Uncontrollable cough, some minor headaches, fatigue, itchy throat, some nausea symptom, and some difficulties taken deep breaths.

VAERS ID:527420 (history)  Vaccinated:2014-03-31
Age:30.0  Onset:2014-04-01, Days after vaccination: 1
Gender:Female  Submitted:2014-04-02, Days after onset: 1
Location:Washington  Entered:2014-04-02
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: Substance abuse recovery on Methadone maintenance therapy
Diagnostic Lab Data: Pending CBC w/diff.
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURUH896AB1IMLA
Administered by: Private     Purchased by: Other
Symptoms: Differential white blood cell count, Erythema, Feeling hot, Full blood count, Swelling
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Redness, swelling, warmth that worsened over 48 hours. Treated with ibuprofen, Tylenol, Benadryl, ice.

VAERS ID:527719 (history)  Vaccinated:0000-00-00
Age:30.0  Onset:0000-00-00
Gender:Female  Submitted:2014-04-07
Location:Unknown  Entered:2014-04-07
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: No other medications
Current Illness: Unknown
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: WAES1404USA004047
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC. 2SCUN
Administered by: Other     Purchased by: Other
Symptoms: Inappropriate schedule of drug administration, No adverse event
SMQs:, Medication errors (narrow)
Write-up: This spontaneous report was received from a 30 year old female patient who is a registered nurse regarding herself. On an unknown date, the patient was vaccinated with 2 doses of MMR II when she was child. On an unknown date she had received a third dose of MMR II when she was 30 years of age because one or both of her doses of MMR II when administered as a child could not be verified. No adverse effect reported with the third dose of MMR II. This is one of several reports received from the same reporter. Additional information is not expected.

VAERS ID:527985 (history)  Vaccinated:2014-04-08
Age:30.0  Onset:2014-04-09, Days after vaccination: 1
Gender:Female  Submitted:2014-04-09, Days after onset: 0
Location:California  Entered:2014-04-09
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: No.
Preexisting Conditions: No
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (BOOSTRIX)GLAXOSMITHKLINE BIOLOGICALS    
Administered by: Public     Purchased by: Public
Symptoms: Abdominal pain upper, Arthralgia, Chills, Diarrhoea, Fatigue, Headache, Injection site pain, Injection site swelling, Nausea, Pain, Pyrexia
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Arthritis (broad), Noninfectious diarrhoea (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Took Tdap vaccine at around 10:30am on 04/08/2014. Symptoms: pain and swelling where the shot was given. Fever up to 101.5 F. Headache, tiredness, nausea, stomach ache, diarrhea. Chill, body aches and sore joints.

VAERS ID:528172 (history)  Vaccinated:2014-01-14
Age:30.0  Onset:2014-02-04, Days after vaccination: 21
Gender:Female  Submitted:2014-02-25, Days after onset: 21
Location:Georgia  Entered:2014-04-11, Days after submission: 44
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None - Allergy medication occasionally
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.J0037901SCLA
Administered by: Public     Purchased by: Unknown
Symptoms: Rash
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Approximately 3 weeks ago developed rash on face, no itching - stopped using acne medication cream from dermatologist. Has been applying baby powder to face. No fever and no rash, exception face and chin. Took to Dr to see rash, told to apply hydrocortisone 1% ointment and call dermatologist. 4/3/2014 Td to client, states she used ointment for few days and rash disappeared.

VAERS ID:528304 (history)  Vaccinated:2014-04-11
Age:30.0  Onset:2014-04-11, Days after vaccination: 0
Gender:Male  Submitted:2014-04-14, Days after onset: 3
Location:Maryland  Entered:2014-04-14
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Ventolin, Ranitidine, Lorazepam
Current Illness: No
Preexisting Conditions: Amoxicillin, Sulfa, Bactrim, Erythromycin, Doxycycline
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)GLAXOSMITHKLINE BIOLOGICALS35F270IMRA
Administered by: Unknown     Purchased by: Other
Symptoms: Back pain, Diarrhoea, Headache, Nausea, Neck pain
SMQs:, Acute pancreatitis (broad), Retroperitoneal fibrosis (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Arthritis (broad), Noninfectious diarrhoea (narrow)
Write-up: Neck and back pain, headache, nausea and diarrhea.

VAERS ID:528903 (history)  Vaccinated:2014-04-09
Age:30.0  Onset:2014-04-09, Days after vaccination: 0
Gender:Female  Submitted:2014-04-21, Days after onset: 12
Location:Texas  Entered:2014-04-21
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Pt had stuffy nose from allergies in morning and otherwise felt fine.
Preexisting Conditions: Seasonal allergies. Asthma. Allergic to Sulfa
Diagnostic Lab Data: 4/10/14: WBC 13.9 with neutrophilia; 4/11/14: WBC 21.65 with neutrophilia; 4/12/14: WBC 14.44 with neutrophilia
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEPA: HEP A (HAVRIX)GLAXOSMITHKLINE BIOLOGICALS9E2GN0IMRA
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.J0098270IMLA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Asthenia, Chills, Ecchymosis, Fatigue, Headache, Hypoaesthesia, Injection site erythema, Injection site induration, Injection site pain, Injection site reaction, Injection site warmth, Leukocytosis, Nausea, Neutrophilia, Pain, Pain in extremity, Pyrexia, Rash macular, Skin discolouration, White blood cell count increased
SMQs:, Acute pancreatitis (broad), Peripheral neuropathy (broad), Haemorrhage terms (excl laboratory terms) (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypotonic-hyporesponsive episode (broad), Hypersensitivity (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (narrow)
Write-up: 4/9/14 Pt had stuffy nose from allergies in morning and otherwise felt fine. Had immunizations at 10 am. Felt fine until 5 pm when she felt tired and weak. Temp was 101 around 7 pm. Left arm throbbing and numbing at around 7 pm, resolved in 30 minutes. Fever peaked at 102.3 at 9 pm. Took Advil. Woke up at 2 a.m. with 102 temp and chills and took more Advil. 4/10/14 Temp 8:30 am 101. Took Advil 400 mg. Seen by MD at 9:30 am. Feels tired, slightly achy. Temp 102.4. Left arm sore to raise arm and to palpate but not painful at rest. WBC 13.9 with neutrophilia, no bands. Mild tenderness and induration for 3-4 cm around left deltoid injection site. Took Advil alternating with Tylenol at 2pm, 6 pm and at 12 midnight. 4/11/14 Temp reported by patient: 101.6 Took Tylenol. Left deltoid: 10 cm erythema and warmth, tenderness, no streaking. This is location of pneumococcal vaccine. Due to progression of erythema around injection site, and leukocytosis and continued fever, will treat for possibility of injection site infection. Start Keflex TID. 4/12/14 L upper arm with 8 x 7 cm area of induration deltoid area. 3 blotchy areas of redness over lower deltoid extending to 10 cm above elbow ( 8 x 5, 7 x 4 and 7 x 5 cm each). Entire area mod tender and mod warm to touch. 4 cm area of ecchymosis just distal to area of erythema. 4/15/14 Left arm discoloration has stopped advancing and started fading. No paresthesias or numbness. Presumed cellulitis after pneumococcal vaccine vs severe immunologic reaction causing severe local and also systemic sx (fever, malaise, headache, nausea, leukocytosis). All sx resolving.

VAERS ID:529585 (history)  Vaccinated:0000-00-00
Age:30.0  Onset:0000-00-00
Gender:Unknown  Submitted:2014-04-29
Location:Unknown  Entered:2014-04-29
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: No other medications
Current Illness: Unknown
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: WAES1404USA014485
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC. 2SYRUN
Administered by: Other     Purchased by: Other
Symptoms: Drug administered to patient of inappropriate age, No adverse event
SMQs:, Medication errors (narrow)
Write-up: This spontaneous report as received from a nurse refers to a patient of unknown age and gender. Nurse reported that the patient was not a patient of the office but called to the office for medical advice. On an unknown date, the patient was vaccinated with two doses of GARDASIL injection, (dose and route of administration not provided), over the age of twenty six. No concomitant medications were reported. No adverse effects reported. Nurse asked if there was any data regarding the efficacy of GARDASIL after only two doses, what was the long term efficacy and if they should administer the third dose to a patient who was 30 years old. No Product quality complaint was involved. The outcome of events was unknown. No further information was provided. Additional information has been requested.

VAERS ID:529679 (history)  Vaccinated:2014-04-26
Age:30.0  Onset:2014-04-26, Days after vaccination: 0
Gender:Male  Submitted:2014-04-29, Days after onset: 3
Location:Illinois  Entered:2014-04-29
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.  IMLA
Administered by: Unknown     Purchased by: Private
Symptoms: Contusion, Headache, Injection site swelling, Malaise, Pruritus
SMQs:, Anaphylactic reaction (broad), Haemorrhage terms (excl laboratory terms) (narrow), Accidents and injuries (narrow), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Swelling at the site of injection, headache, brusing, itching, feeling ill.

VAERS ID:529688 (history)  Vaccinated:2014-03-13
Age:30.0  Onset:0000-00-00
Gender:Female  Submitted:2014-04-29
Location:New York  Entered:2014-04-29
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: No other medications
Current Illness: No adverse event; Immunisation
Preexisting Conditions:
Diagnostic Lab Data: Urine and serum HCG test (date unknown) results: negative; Serum HCG test (date unknown) results: Pregnant
CDC Split Type: WAES1404USA003125
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.J000200 SCLA
Administered by: Private     Purchased by: Other
Symptoms: Exposure during pregnancy, Human chorionic gonadotropin negative, Human chorionic gonadotropin positive
SMQs:, Tumour markers (narrow), Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow), Normal pregnancy conditions and outcomes (narrow)
Write-up: This spontaneous pregnancy report as received from a other health professional refers to a female patient of unknown age with vaccination. On 13-MAR-2014 the patient was vaccinated with M-M-R II, .5 ml, subcutaneous. No relevant medical history was reported. Concomitant therapies included Tdap. After a negative urine HCG test, but has been subsequently determined to be pregnant by serum HCG test. The consumer became pregnant with LMP of 18-FEB-2014 and EDD of 25-NOV-2014. Initial exposure to M-M-R II was at 3 week(s). On an unknown date the patient experienced pregnant. No treatment information was reported. The outcome of pregnant is unknown. The reporter considered pregnant to be not related to M-M-R II. No further information is available.

VAERS ID:529843 (history)  Vaccinated:2014-03-14
Age:30.0  Onset:2014-04-26, Days after vaccination: 43
Gender:Female  Submitted:2014-05-01, Days after onset: 5
Location:New York  Entered:2014-05-01
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: No other medications
Current Illness: Unknown
Preexisting Conditions:
Diagnostic Lab Data: Urine pregnancy test (14-MAR-2014): negative; Serum pregnancy test (16-MAR-2014): positive; Sonogram (26-APR-2014): the fetus had not grown anymore and was dead
CDC Split Type: WAES1404USA014513
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.  UNUN
Administered by: Other     Purchased by: Other
Symptoms: Abdominal pain upper, Dizziness, Exposure during pregnancy, Fatigue, Foetal disorder, Pregnancy test positive, Pregnancy test urine negative, Ultrasound antenatal screen abnormal, Vomiting
SMQs:, Acute pancreatitis (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad), Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow), Foetal disorders (narrow), Normal pregnancy conditions and outcomes (narrow)
Write-up: This spontaneous retrospective pregnancy report as received from a consumer (patient''s husband) refers to a 30 year old female patient with no medical history or concurrent conditions reported. On 14-MAR-2014 the patient was given a urine pregnancy test which came out negative for pregnancy. The patient''s husband reported that his wife was send to health department on 14-MAR-2014 to be given M-M-R II vaccine. Before the vaccine was given, the female was given a urine pregnancy test. The husband protested, stating that urine pregnancy tests are not 100% accurate. Both the husband and the patient were reassured that the test was accurate. On 14-MAR-2014 the patient was vaccinated with unspecified dose of M-M-R II (dose number, frequency and lot number not reported). Concomitant medications were not reported. The date of conception was approximately on 14-FEB-2014. On 16-MAR-2014 the patient started throwing up and feeling dizzy, was taken to her primary care physician''s (PCP) office and a serum pregnancy test was done which was positive for pregnancy. It was reported that it was determined that the patient was a month and a half pregnant (approximately 6 weeks) at the time of vaccination on 14-MAR-2014. The patient became pregnant with Last Menstrual Period (LMP) of 31-JAN-2014 and Estimated Delivery Date (EDD) of 07-NOV-2014. On 26-APR-2014 the patient was at hospital where she was undergoing sonogram which showed that the fetus had not grown anymore and was dead. It was not known if any additional laboratory work was done confirming this. The reporter stated that the nurse gave them info to return to emergency room if the patient starts experiencing any bleeding or fever. The reporter stated that his wife was at home and is feeling tired and experienced pains in her stomach. The reporter stated as of 27-APR-2014, his wife has not started passing the products of conception. The outcomes of feeling tired, started throwing up, feeling dizzy and pains in her stomach were unknown. The relatedness between the events and M-M-R II was not reported. The reporter considered fetus had not grown anymore and was dead to be medically significant. Additional information has been requested.

VAERS ID:529897 (history)  Vaccinated:2014-04-23
Age:30.0  Onset:2014-04-23, Days after vaccination: 0
Gender:Female  Submitted:2014-05-01, Days after onset: 8
Location:Unknown  Entered:2014-05-01
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: No other medications
Current Illness: Unknown
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: WAES1404USA013676
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.  UNUN
Administered by: Other     Purchased by: Other
Symptoms: Exposure during pregnancy, Incorrect route of drug administration, No adverse event, Wrong drug administered
SMQs:, Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow), Medication errors (narrow)
Write-up: This spontaneous prospective pregnancy report as received from a pharmacist refers to a 30 year old female patient. The patient had no pertinent medical history or drug allergies. The pharmacist reported this pregnant patient in labor with 39 weeks pregnant gestation, in an unspecified hospital, received RECOMBIVAX HB (strength reported as 10mcg/ml, lot# and dose not reported) intravenously instead of intravenous (IV) PEPCID (manufacturer unknown) on 23-APR-2014. There were no concomitant medications. The pharmacist mentioned the nurse administered the wrong medication. Last menstrual period (LMP) was approximately on 24-JUL-2013 and estimated date of delivery (EDD) would be 30-APR-2014. No adverse symptoms were reported. Pregnancy outcome was not reported. Additional information has been requested.

VAERS ID:529905 (history)  Vaccinated:2013-10-15
Age:30.0  Onset:2013-10-19, Days after vaccination: 4
Gender:Male  Submitted:2014-05-01, Days after onset: 194
Location:California  Entered:2014-05-01
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: No
Preexisting Conditions: None
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (ADACEL)SANOFI PASTEURU4689BA0IMLA
Administered by: Private     Purchased by: Other
Symptoms: Erythema, Swelling, Tenderness
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Redness and swelling and tender axilla of vaccinated arm.

VAERS ID:529938 (history)  Vaccinated:2014-04-29
Age:30.0  Onset:2014-04-30, Days after vaccination: 1
Gender:Male  Submitted:2014-05-02, Days after onset: 2
Location:Unknown  Entered:2014-05-02
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Doxycycline 100mg daily
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
ANTH: ANTHRAX (BIOTHRAX)EMERGENT BIOSOLUTIONSFAV365A IMLA
Administered by: Military     Purchased by: Military
Symptoms: Injection site erythema, Injection site pruritus
SMQs:, Extravasation events (injections, infusions and implants) (broad)
Write-up: Mild local erythema and pruritis left deltoid area.

VAERS ID:530350 (history)  Vaccinated:2014-04-25
Age:30.0  Onset:2014-05-07, Days after vaccination: 12
Gender:Male  Submitted:2014-05-07, Days after onset: 0
Location:California  Entered:2014-05-07
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: Blood test was ordered by physician. An anti-histamine tablets and cream were also prescribed.
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)GLAXOSMITHKLINE BIOLOGICALSAHBVC20BA0IMLL
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.J0133150SCRA
Administered by: Unknown     Purchased by: Private
Symptoms: Blood test, Fatigue, Headache, Rash
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Patient had rash on his neck and face. Patient also reported fatigue and headaches.

VAERS ID:530772 (history)  Vaccinated:2014-05-05
Age:30.0  Onset:2014-05-06, Days after vaccination: 1
Gender:Female  Submitted:2014-05-07, Days after onset: 1
Location:North Carolina  Entered:2014-05-13, 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: Penicillin; sulfa; mango; raw onions
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.J0125200IMLA
TDAP: TDAP (ADACEL)SANOFI PASTEURC4430BA IMRA
Administered by: Public     Purchased by: Private
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: VARIVAX vaccine given in (R) subcutaneous tissue on 5/5/14 and employee reported redness, pain, swelling at site on 5/6/14. She followed up on 5/7/14 with PA at office and was given BENADRYL PO, ibuprofen, and steroid cream (topical). T-98.6 orally. Measures 70x40 mm.

VAERS ID:530929 (history)  Vaccinated:2013-05-02
Age:30.0  Onset:2014-05-03, Days after vaccination: 366
Gender:Male  Submitted:2014-05-15, Days after onset: 12
Location:Georgia  Entered:2014-05-15
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: Localized swelling~Anthrax (Biothrax)~8~31.00~Patient
Other Medications: Doxycycline 100mg daily for malaria prophylaxis
Current Illness: Dysuria
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
ANTH: ANTHRAX (BIOTHRAX)EMERGENT BIOSOLUTIONSFAV365A8IMRA
Administered by: Military     Purchased by: Military
Symptoms: Induration, Local swelling, Tenderness
SMQs:, Angioedema (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: Significant swelling with firm area of induration measuring 6cmX4cm, no erythema, no discharge. Mild TTP, no radicular component, no gross motor weakness.

VAERS ID:531179 (history)  Vaccinated:2014-05-14
Age:30.0  Onset:2014-05-15, Days after vaccination: 1
Gender:Female  Submitted:2014-05-19, Days after onset: 4
Location:Michigan  Entered:2014-05-19
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Prenatal vitamins.
Current Illness: None. 30 weeks pregnant.
Preexisting Conditions: None known.
Diagnostic Lab Data: It was determined by the emergency room doctor that I had experienced an allergic reaction to the tetanus in the tdap vaccination I received at 30.5 weeks pregnant. Because I am pregnant it was determined that they would not have me take any Benadryl. I was scheduled a follow up appointment with an allergist.
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (ADACEL)SANOFI PASTEURU4870BA1IMLA
Administered by: Public     Purchased by: Other
Symptoms: Exposure during pregnancy, Hypersensitivity, Injection site inflammation, Injection site pain, Pain, Rash, Rash erythematous, Rash macular
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Extravasation events (injections, infusions and implants) (broad), Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Approximately 12 hours after the Tdap injection of the vaccination I began having extreme pain in my neck, back, arm and hand. It was a deep soreness and inflammation at the injection site. A short time later I acquired a red rash and blotchiness on my entire upper arm. I was then seen by an Urgent Care Doctor as well as a Doctor at the Emergency Room on 05/16/2014 around 8:00 PM.

VAERS ID:531329 (history)  Vaccinated:2014-05-13
Age:30.0  Onset:2014-05-13, Days after vaccination: 0
Gender:Female  Submitted:2014-05-20, Days after onset: 7
Location:Pennsylvania  Entered:2014-05-20
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Unknown patient was seen by workforce wellness
Preexisting Conditions:
Diagnostic Lab Data: Call received from PCP
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAP: DTAP (INFANRIX)GLAXOSMITHKLINE BIOLOGICALSB5X7M IMUN
Administered by: Public     Purchased by: Other
Symptoms: Dizziness, Nausea, Pyrexia
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Onset reported to occur within a few hours. Fever dizziness lightheadedness and nausea.

VAERS ID:531536 (history)  Vaccinated:2013-10-25
Age:30.0  Onset:2013-10-25, Days after vaccination: 0
Gender:Female  Submitted:2014-05-21, Days after onset: 208
Location:California  Entered:2014-05-21
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Unknown
Preexisting Conditions: Allergies: PHENERGAN, latex, compazine; Medical conditions: Type 1 IDDM
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (AFLURIA)CSL LIMITED  UNUN
Administered by: Private     Purchased by: Unknown
Symptoms: Erythema, Pruritus generalised
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Patient received influenza vaccine at hospital employee health (she is a student nurse). Traveled by car to health services. Once on campus noted severe whole body pruritus and redness to left arm/chest. No other rash or urticaria, no anaphylaxis, no breathing difficulties or mouth/eye edema. Treated with diphenhydramine and monitored. Relieved a great deal. Sent back to vaccine administrator and PCP for follow-up.

VAERS ID:531655 (history)  Vaccinated:2014-05-11
Age:30.0  Onset:2014-05-13, Days after vaccination: 2
Gender:Male  Submitted:2014-05-22, Days after onset: 9
Location:North Carolina  Entered:2014-05-22
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown - not something we ask. Did state no reactions to previous doses.
Current Illness: Unknown
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown at this time
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)GLAXOSMITHKLINE BIOLOGICALSBT24B4IMLA
Administered by: Other     Purchased by: Private
Symptoms: Headache, Pain in extremity
SMQs:, Tendinopathies and ligament disorders (broad)
Write-up: Employee states two days after Hepatitis B shot, she had a headache and her blood pressure was 140/108. She states that is better, but her arm remains sore. Sent to facility to be seen by MD.

VAERS ID:532286 (history)  Vaccinated:2014-05-27
Age:30.0  Onset:2014-05-28, Days after vaccination: 1
Gender:Male  Submitted:2014-05-29, Days after onset: 1
Location:Maryland  Entered:2014-05-29
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NO
Preexisting Conditions: NO
Diagnostic Lab Data: N/A
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
ANTH: ANTHRAX (BIOTHRAX)EMERGENT BIOSOLUTIONSFAV371A6IMLA
Administered by: Military     Purchased by: Military
Symptoms: Induration, Injection site erythema, Injection site oedema, Local swelling, Pain, Pruritus
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Erythema and edema to left arm between the shoulder and elbow. Arm is swollen and firm to touch. Mild pain and mild itching. Benadryl and ice used.

VAERS ID:532571 (history)  Vaccinated:2014-05-29
Age:30.0  Onset:2014-05-29, Days after vaccination: 0
Gender:Male  Submitted:2014-05-30, Days after onset: 1
Location:Wisconsin  Entered:2014-05-30
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Clonazepam, Fluoxetine
Current Illness: No
Preexisting Conditions: None
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (ADACEL)SANOFI PASTEURU4700BA0IMLA
Administered by: Private     Purchased by: Other
Symptoms: Arthralgia, Chills, Fatigue, Headache, Pain
SMQs:, Arthritis (broad)
Write-up: Chills, headache, tired, chills, body aches, sore joints.

VAERS ID:532638 (history)  Vaccinated:2014-05-28
Age:30.0  Onset:2014-05-29, Days after vaccination: 1
Gender:Female  Submitted:2014-05-30, Days after onset: 1
Location:Delaware  Entered:2014-05-30
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: Diverticulosis; IVDU; Supervision of high risk pregnancy
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (ADACEL)SANOFI PASTEURU4869AA0IMRA
Administered by: Public     Purchased by: Unknown
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Injection site pruritus, Injection site swelling, Injection site warmth
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: Patients right upper arm, at injection site, appears red, swollen, and warm and hard to touch. Swelling induration of 5 cm round. Patient stated area is painful to touch and itchy.

VAERS ID:533332 (history)  Vaccinated:2014-06-04
Age:30.0  Onset:2014-06-05, Days after vaccination: 1
Gender:Female  Submitted:2014-06-10, Days after onset: 5
Location:Colorado  Entered:2014-06-10
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Citalopram
Current Illness: None
Preexisting Conditions: NKA
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (NO BRAND NAME)UNKNOWN MANUFACTURER  IMRA
Administered by: Unknown     Purchased by: Other
Symptoms: Erythema, Infection, Skin warm, Swelling
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Upon waking up a red dot the size of a dime appeared. Was hot and there was round raised bump underneath. By 3pm the size had spread to about 1 inch in diameter with increased temperature. On 6/6 it had expanded 1/2 inch upon waking. By 3pm it had expanded another 1/4". Going in for a follow up my doctor looked at the arm and indicated that it was infected and prescribed antibiotics.

VAERS ID:533721 (history)  Vaccinated:2014-05-29
Age:30.0  Onset:2014-05-29, Days after vaccination: 0
Gender:Female  Submitted:2014-06-12, Days after onset: 14
Location:Arizona  Entered:2014-06-12
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Prenatal vitamins, ferrous sulfate, calcium carbonate
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (BOOSTRIX)GLAXOSMITHKLINE BIOLOGICALSC4519AA IMRA
Administered by: Public     Purchased by: Unknown
Symptoms: Influenza like illness, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Fever and Flu-like symptoms for 2 days.

VAERS ID:533747 (history)  Vaccinated:2014-06-12
Age:30.0  Onset:2014-06-12, Days after vaccination: 0
Gender:Female  Submitted:2014-06-12, Days after onset: 0
Location:Florida  Entered:2014-06-12
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Pt reported she received Tdap vaccine in right arm last week, I do not have information on the Tdap vaccine- it was not given to pt at clinic
Current Illness: No known
Preexisting Conditions: Allergic rx to coconut/ has Epipen but reports she has never used. She has never received Hep A vaccine in the past.
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEPA: HEP A (HAVRIX)GLAXOSMITHKLINE BIOLOGICALS793JR0IMLA
Administered by: Other     Purchased by: Other
Symptoms: Feeling abnormal
SMQs:, Dementia (broad)
Write-up: Pt left clinic and shopped in the store, she returned to the clinic approx 10 minutes and reported that her face felt "weird" like when she has allergic rx to coconut in the past. I had pt come to clinic and lay down, took vital signs, I called my medical director and followed his recommendation to give pt 50 mg of oral Benadryl. I called 911 and they came to examine pt. Pt declined transportation by EMS to ER but stated she was going to the ER and waited in the clinic until her friend could drive her to the ER which was approx 20 minutes after EMS left clinic.

VAERS ID:534268 (history)  Vaccinated:2014-06-12
Age:30.0  Onset:2014-06-13, Days after vaccination: 1
Gender:Female  Submitted:2014-06-18, Days after onset: 5
Location:North Carolina  Entered:2014-06-18
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: Got sick with flu like symptoms for a week after the shot~Influenza (Seasonal) (no brand name)~UN~20.00~Patient
Other Medications: Metformin 500mg twice a day; Prenatal vitamin 1 a day
Current Illness: No illness at the time of vaccination. I received the Tdap vaccine because I was bit by a student in which the bite broke the skin.
Preexisting Conditions: Pre-existing Allergies: Gluten, Lobster, Loracet, Darvacet, Dexamethasone; Pre-existing Medical Conditions: PCOS, Anaovulation, Infertility
Diagnostic Lab Data: No diagnostic tests have been done at this point.
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (NO BRAND NAME)UNKNOWN MANUFACTURER  IMRA
Administered by: Other     Purchased by: Other
Symptoms: Diarrhoea, Fatigue, Headache, Injection site swelling, Injection site warmth, Nausea
SMQs:, Acute pancreatitis (broad), Pseudomembranous colitis (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Noninfectious diarrhoea (narrow)
Write-up: Arm swollen at injection sight (6 days), arm felt hot in the area swollen (3 days), nausea, diarrhea (for 3 days), extreme fatigue and tiredness (6 days) and headache (6 days). The symptoms have improved but have not completely subsided as of 6/18/14. I still feel very tired, nauseated and my arm is still swollen at the injection site on 6/18/14.

VAERS ID:534286 (history)  Vaccinated:2014-05-05
Age:30.0  Onset:2014-06-02, Days after vaccination: 28
Gender:Female  Submitted:2014-06-18, Days after onset: 16
Location:Ohio  Entered:2014-06-18
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NO
Preexisting Conditions: NO
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.J0071550SCLA
Administered by: Public     Purchased by: Public
Symptoms: Injection site induration, Injection site mass, Injection site pain
SMQs:, Extravasation events (injections, infusions and implants) (broad)
Write-up: HARD LUMP IN ARM WHERE SHOT WAS GIVEN, SORE TO TOUCH. BEEN BOTHERING HER PAST WEEK.

VAERS ID:534816 (history)  Vaccinated:2014-06-23
Age:30.0  Onset:0000-00-00
Gender:Male  Submitted:2014-06-24
Location:Georgia  Entered:2014-06-24
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: None
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.J0097061UNRA
TDAP: TDAP (BOOSTRIX)GLAXOSMITHKLINE BIOLOGICALSLF4440UNRA
VARZOS: ZOSTER (ZOSTAVAX)MERCK & CO. INC.J0148510UNLA
Administered by: Private     Purchased by: Private
Symptoms: Wrong drug administered
SMQs:, Medication errors (narrow)
Write-up: Dr ordered Varicella vaccine. Nurse administered Zoster vaccine in error.

VAERS ID:535106 (history)  Vaccinated:0000-00-00
Age:30.0  Onset:0000-00-00
Gender:Unknown  Submitted:2014-06-06
Location:Unknown  Entered:2014-06-27, Days after submission: 21
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Unknown
Preexisting Conditions:
Diagnostic Lab Data: UNK
CDC Split Type: A1046613A
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU4: INFLUENZA (SEASONAL) (FLUARIX QUADRIVALENT)GLAXOSMITHKLINE BIOLOGICALS2PG5L UNUN
Administered by: Other     Purchased by: Other
Symptoms: Headache, Pain, Pyrexia, Vomiting
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: This case was reported by a healthcare professional (nurse) via sales representative and described the occurrence of headache in a 30-year-old subject of unspecified gender who was vaccinated with FLUARIX (GlaxoSmithKline). On an unspecified date in 2013, the subject received dose of FLUARIX (.5 ml, details unknown). On an unspecified date in 2013, within months of vaccination with FLUARIX, the subject experienced headache, fever, vomiting and body pain. At the time of reporting the outcome of the events were unspecified. The healthcare professional also reported that two other patients experienced headache, fever, vomiting, and body pain following vaccination with FLUARIX (see case ids A1046610A and A1046612A for more details).

VAERS ID:535192 (history)  Vaccinated:2014-06-25
Age:30.0  Onset:2014-06-25, Days after vaccination: 0
Gender:Male  Submitted:2014-06-27, Days after onset: 2
Location:Oregon  Entered:2014-06-27
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: No
Preexisting Conditions: Occasional migraines
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (BOOSTRIX)GLAXOSMITHKLINE BIOLOGICALSU4875AA0IMLA
Administered by: Other     Purchased by: Private
Symptoms: Arthralgia, Asthenia, Chills, Decreased appetite, Fatigue, Hot flush, Migraine, Myalgia
SMQs:, Rhabdomyolysis/myopathy (broad), Guillain-Barre syndrome (broad), Eosinophilic pneumonia (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad)
Write-up: Aching joints, muscle aches, hot flashes, shivering, migraines, no appetite, weak, tired, continuing thru Friday morning.

VAERS ID:535872 (history)  Vaccinated:2014-05-16
Age:30.0  Onset:2014-06-06, Days after vaccination: 21
Gender:Male  Submitted:2014-07-04, Days after onset: 28
Location:Unknown  Entered:2014-07-04
Life Threatening? Yes
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? Yes, ? days
    Extended hospital stay? No
Previous Vaccinations:
Other Medications: No other medications
Current Illness: Drug hypersensitivity
Preexisting Conditions: Stem cell transplant; Penicillin (unspecified), rash; KEFLEX, Rash; BACTRIM, Rash
Diagnostic Lab Data: 2014, Computerised tomogram, Pneumonitis diagnose
CDC Split Type: WAES1407USA000846
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.  SCUN
Administered by: Other     Purchased by: Other
Symptoms: Computerised tomogram thorax abnormal, Lower respiratory tract inflammation, Pneumonitis, Rash morbilliform
SMQs:, Interstitial lung disease (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: This spontaneous report as received from a pharmacist refers to a 30 year old male patient. The patient medical history included allergy to BACTRIM, allergy to KEFLEX and allergy to penicillin (manufacturers unspecified) and post stem cell transplantation. On 16-MAY-2014, the patient was vaccinated with M-M-R II (injection, subcutaneously, dose and frequency: not reported) (lot #, exp date: unknown). On approximately 06-JUN-2014 (reported as about 3 weeks after receiving M-M-R II, the patient developed pneumonitis and a measles like rash. The reporter stated that the patient had significant disability which was inflammation to the lung tissue. On an unknown date in 2014, computerized tomogram (CT) to diagnose pneumonitis was performed. The patient sought medical attention. He contacted physician (date unknown). On 01-JUL-2014, the patient was admitted to hospital. The outcome of inflammation to the lung tissue/pneumonitis and a measles like rash was unknown. Relatedness between inflammation to the lung tissue/pneumonitis and a measles like rash and M-M-R II was not reported. Inflammation to the lung tissue/pneumonitis and measles like rash were considered to be life-threatening and disabling by the reporter. Additional information has been requested.

VAERS ID:535880 (history)  Vaccinated:2014-06-17
Age:30.0  Onset:2014-06-17, Days after vaccination: 0
Gender:Female  Submitted:2014-07-07, Days after onset: 20
Location:Georgia  Entered:2014-07-07
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Ciprofloxacin 500mg (2x/day)
Current Illness: No.
Preexisting Conditions: None.
Diagnostic Lab Data: EKG, check up (temperature, blood pressure, etc)
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
ANTH: ANTHRAX (BIOTHRAX)EMERGENT BIOSOLUTIONSFAV400A0IMRA
Administered by: Other     Purchased by: Other
Symptoms: Electrocardiogram, Fatigue, Headache, Injected limb mobility decreased, Injection site erythema, Injection site induration, Injection site mass, Injection site nodule, Injection site pain, Injection site pruritus, Injection site warmth, Myalgia, Palpitations
SMQs:, Rhabdomyolysis/myopathy (broad), Arrhythmia related investigations, signs and symptoms (broad), Extravasation events (injections, infusions and implants) (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad)
Write-up: Reactions on the arm at injection site: Tenderness, Redness, Warmth, Itching, Hard Nodular Lump, Muscle aches and temporary limitation of arm movement; Headaches; Fatigue; Heart Palpitations.

VAERS ID:536177 (history)  Vaccinated:2014-07-07
Age:30.0  Onset:2014-07-07, Days after vaccination: 0
Gender:Female  Submitted:2014-07-09, Days after onset: 2
Location:Unknown  Entered:2014-07-09
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: No other medications
Current Illness: Unknown
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: WAES1407USA003972
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.J009788 IMUN
Administered by: Other     Purchased by: Other
Symptoms: Exposure during pregnancy, No adverse event
SMQs:, Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow)
Write-up: This spontaneous prospective pregnancy report was received from a medical assistant refers to a 30 year old female patient. On 07-JUL-2014, the pregnant patient was inadvertently vaccinated with GARDASIL lot # J009788, 0.5 ml, intramuscular. The patient sought medical attention in the office. The patient became pregnant with LMP of 23-NOV-2013 and EDD of 30-AUG-2014. No adverse effects reported. No further information provided. Additional information has been requested.

VAERS ID:536456 (history)  Vaccinated:2011-03-22
Age:30.0  Onset:2011-03-23, Days after vaccination: 1
Gender:Male  Submitted:2014-07-11, Days after onset: 1206
Location:New York  Entered:2014-07-11
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: My heart started beating faster than ususally, desperation during that night. Since couple days I got my vaccine my ears started to hurt me, and it went on until now that sometimes I can''t hear well and I have pain almost every day.
Preexisting Conditions: N/A
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMRV: MEASLES + MUMPS + RUBELLA + VARICELLA (PROQUAD)MERCK & CO. INC.025H22SYRRA
Administered by: Public     Purchased by: Public
Symptoms: Depressed level of consciousness, Ear pain, Hypoacusis
SMQs:, Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hearing impairment (narrow), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Hypoglycaemia (broad)
Write-up: I have a constant pain in my ears that doesn''t go away since my vaccines, I don''t hear good. My conscious is very low.

VAERS ID:536717 (history)  Vaccinated:2014-07-09
Age:30.0  Onset:2014-07-09, Days after vaccination: 0
Gender:Male  Submitted:2014-07-15, Days after onset: 6
Location:Florida  Entered:2014-07-15
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: Denies
Preexisting Conditions: Denies
Diagnostic Lab Data: None
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)GLAXOSMITHKLINE BIOLOGICALSL5MN2 IMLA
HEPA: HEP A (HAVRIX)GLAXOSMITHKLINE BIOLOGICALS59D74X IMRA
Administered by: Public     Purchased by: Private
Symptoms: Oropharyngeal pain, Pyrexia, Rash generalised
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Client states that she started having a rash on face, neck, torso, and right upper leg. Also report of fever and sore throat. Did not seek medical treatment, used over the counter Benadryl.

VAERS ID:536809 (history)  Vaccinated:2014-07-12
Age:30.0  Onset:2014-07-13, Days after vaccination: 1
Gender:Male  Submitted:2014-07-13, Days after onset: 0
Location:Maryland  Entered:2014-07-16, 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:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (ADACEL)SANOFI PASTEURU4875AA0IMLA
Administered by: Private     Purchased by: Private
Symptoms: Body temperature increased, Feeling of body temperature change, Headache, Nausea, Vomiting
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Rec''d Tdap 7/12/14 at 11:35 am. 7/13 - Awake at 04:30 am c/o HA, hot/cold, T 100.4, nausea, vomiting x 4.

VAERS ID:537082 (history)  Vaccinated:2014-07-16
Age:30.0  Onset:2014-07-16, Days after vaccination: 0
Gender:Male  Submitted:2014-07-18, Days after onset: 2
Location:Arizona  Entered:2014-07-18
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (BOOSTRIX)GLAXOSMITHKLINE BIOLOGICALSLF4440IMLA
Administered by: Other     Purchased by: Private
Symptoms: Chills, Eye swelling, Headache, Neck pain, Pyrexia, Vomiting
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Angioedema (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypersensitivity (narrow), Arthritis (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Fever 103/chills/headache/vomiting/swollen eye sockets/pain in neck - started about 8 hours post administration. Treated with acetaminophen and ibuprofen symptoms mostly resolved about 40 hours post administration.

VAERS ID:537816 (history)  Vaccinated:0000-00-00
Age:30.0  Onset:0000-00-00
Gender:Female  Submitted:2014-07-27
Location:Unknown  Entered:2014-07-27
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: No other medications
Current Illness: Unknown
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: WAES1407USA010839
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARZOS: ZOSTER (ZOSTAVAX)MERCK & CO. INC.  UNUN
Administered by: Other     Purchased by: Other
Symptoms: Herpes zoster
SMQs:
Write-up: This spontaneous report as received from a nurse practitioner via sales representative refers to a 30 year (reported as patient in her 30''s) old female patient. On an unknown date the patient was vaccinated with ZOSTAVAX (therapy start dates, strength, route was not reported). The reporter stated that on an unknown date the patient broke out with shingles after receipt of the vaccine. The outcome of broke out with shingles is unknown. No product quality complaint was involved. Additional information has been requested.

VAERS ID:537927 (history)  Vaccinated:2014-07-23
Age:30.0  Onset:2014-07-25, Days after vaccination: 2
Gender:Female  Submitted:2014-07-29, Days after onset: 4
Location:Texas  Entered:2014-07-29
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None noted
Preexisting Conditions: None noted
Diagnostic Lab Data: None
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)GLAXOSMITHKLINE BIOLOGICALS99B321IMLA
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.J0102080SCRA
Administered by: Public     Purchased by: Public
Symptoms: Abdominal discomfort, Diarrhoea, Dry mouth
SMQs:, Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Gastrointestinal perforation, ulcer, haemorrhage, obstruction non-specific findings/procedures (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (narrow)
Write-up: Dry mouth, upset stomach and several bouts of diarrhea. Visit with Doctor on 7/25/14. Monitor diet and adequate fluids. Return to clinic if symptoms worsen.

VAERS ID:538072 (history)  Vaccinated:2013-09-30
Age:30.0  Onset:2013-09-30, Days after vaccination: 0
Gender:Male  Submitted:2013-10-21, Days after onset: 21
Location:Unknown  Entered:2014-07-29, Days after submission: 281
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.H0219411UNRA
Administered by: Other     Purchased by: Other
Symptoms: Skin irritation
SMQs:
Write-up: Skin irritation.

VAERS ID:540212 (history)  Vaccinated:2014-03-28
Age:30.0  Onset:2014-03-28, Days after vaccination: 0
Gender:Female  Submitted:2014-08-18, Days after onset: 143
Location:Unknown  Entered:2014-08-18
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: No other medications
Current Illness: Unknown
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: WAES1407USA007698
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC. 0IMUN
Administered by: Other     Purchased by: Other
Symptoms: Drug administered to patient of inappropriate age, No adverse event
SMQs:, Medication errors (narrow)
Write-up: This spontaneous report was received from a healthcare worker and refers to a 30 year old female patient. On 28-MAR-2014, the patient was vaccinated with GARDASIL dose 1, 0.5 ml, intramuscular. No adverse effect was reported. The outcome of the inappropriate schedule of vaccination is unknown. Additional information has been requested.

VAERS ID:540237 (history)  Vaccinated:2013-06-21
Age:30.0  Onset:2013-06-21, Days after vaccination: 0
Gender:Male  Submitted:2014-08-06, Days after onset: 411
Location:Arizona  Entered:2014-08-18, Days after submission: 12
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
ANTH: ANTHRAX (BIOTHRAX)EMERGENT BIOSOLUTIONSFAV322A2IMLA
Administered by: Military     Purchased by: Military
Symptoms: Induration, Local swelling, Skin warm
SMQs:, Angioedema (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: Arm severely swollen, skin was hot and hard to the touch from shoulder almost to wrist. Heat had no effect, cold press had no effect, had to take max daily dose of BENADRYL to reduce swelling.

VAERS ID:540830 (history)  Vaccinated:2014-08-20
Age:30.0  Onset:2014-08-21, Days after vaccination: 1
Gender:Male  Submitted:2014-08-22, Days after onset: 1
Location:D.C.  Entered:2014-08-22
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: N/A
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (ADACEL)SANOFI PASTEURU4939AA IMRA
Administered by: Other     Purchased by: Private
Symptoms: Chills, Malaise, Pain, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Woke up with fever, chills, body aches, and overall feeling of malaise.

VAERS ID:540862 (history)  Vaccinated:2014-08-20
Age:30.0  Onset:2014-08-20, Days after vaccination: 0
Gender:Male  Submitted:2014-08-22, Days after onset: 2
Location:Missouri  Entered:2014-08-22
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: No.
Preexisting Conditions: No.
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE HIGH-DOSE)SANOFI PASTEURU5015BA0IMLA
Administered by: Other     Purchased by: Private
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: Swelling and pain at injection site. Excess redness. Patient took diphenhydramine and ibuprofen. Redness decreased and so did swelling and pain.

VAERS ID:540946 (history)  Vaccinated:2014-08-12
Age:30.0  Onset:2014-08-12, Days after vaccination: 0
Gender:Female  Submitted:2014-08-20, Days after onset: 8
Location:Ohio  Entered:2014-08-22, Days after submission: 2
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: same symptoms~Hep A (no brand name)~0~29.00~Patient
Other Medications: Multi vitamins; PATANOL solution; Loratadine; PROVENTIL HFA; Fish oil
Current Illness: None
Preexisting Conditions: Allergies: Aspirin; Bees; Morphine; Nickel (rash); Sulfa
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEPA: HEP A (VAQTA)MERCK & CO. INC.00064841411IMLA
Administered by: Private     Purchased by: Private
Symptoms: Chills, Decreased appetite, Diarrhoea, Dizziness, Nausea, Vaccine positive rechallenge
SMQs:, Acute pancreatitis (broad), Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad), Noninfectious diarrhoea (narrow)
Write-up: Lightheaded about 10 minutes after had Hepatitis A. Then got nauseated about 1/2 hour after vaccine. Nausea continued presently 8/20/14. 8/17 thought she was going to throw up, but did not. 8/13 had diarrhea. Has had chills; states: like adrenalin chills not fever chills. Does not feel like eating normally. Not getting worse but still nauseated. These symptoms happened also with first Hepatitis A 9/4/14 but still having nausea. Patient did not report until 8/12/13 when for 2nd Hepatitis A.

VAERS ID:540957 (history)  Vaccinated:2014-08-20
Age:30.0  Onset:2014-08-20, Days after vaccination: 0
Gender:Female  Submitted:2014-08-22, Days after onset: 2
Location:Unknown  Entered:2014-08-22
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: No other medications
Current Illness: Unknown
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: WAES1408USA012976
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARZOS: ZOSTER (ZOSTAVAX)MERCK & CO. INC.  UNUN
Administered by: Other     Purchased by: Other
Symptoms: Exposure during pregnancy, Exposure via direct contact, Eye irrigation, No adverse event
SMQs:, Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow), Medication errors (narrow)
Write-up: This spontaneous report was received from a 30 year old female pharmacist who is also the patient regarding on herself. On 20-AUG-2014 one drop of ZOSTAVAX (lot # reported as K007548; expiration date: 23-AUG-2015) splashed in her left eye and she ws 35 weeks pregnant. Pharmacist stated she was wearing her contacts and gloves at the time of administration. Pharmacist stated she flushed her ye with water after incident. She was not experiencing any symptoms and her eye was not red. The patient was 35 weeks pregnant on 21-AUG-2014 with last menstrual period (LMP) of 19 DEC-2013 and Estimated Date of Delivery (EDD) of 25-SEP-2014. The pregnancy outcome was pending. The outcome of one drop of ZOSTAVAX splashed in her left eye when she was administering the vaccine to the patient, she was not experiencing any symptoms and she was 35 weeks pregnant and drop of ZOSTAVAX splashed in her eye was unknown. This case was related to the patient who also experienced adverse events MARRS1408USA013266. Additional information has been requested.

VAERS ID:542319 (history)  Vaccinated:2013-10-01
Age:30.0  Onset:2013-12-01, Days after vaccination: 61
Gender:Female  Submitted:2013-12-31, Days after onset: 30
Location:Unknown  Entered:2014-08-25, Days after submission: 236
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Concomitant Drug(s) Not Reported
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: 2014SE00124
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLUN4: INFLUENZA (SEASONAL) (FLUMIST QUADRIVALENT)MEDIMMUNE VACCINES, INC.  IN 
Administered by: Other     Purchased by: Other
Symptoms: Influenza
SMQs:
Write-up: A report has been received from a physician via medical representative concerning a 30 years old female patient. Medical history, concurrent diseases and concomitant medications of the patient were not provided. During Oct-2013, FLUMIST QUADRIVALENT (intranasal) received. During Dec-2013, the patient was diagnosed with the flu. The outcome of the event of type A influenza/ a patient received FLUMIST QUAD in October and was diagnosed with the flu two weeks ago was unknown. The report was considered to be non-serious by the reporter.

VAERS ID:541216 (history)  Vaccinated:2014-08-21
Age:30.0  Onset:2014-08-25, Days after vaccination: 4
Gender:Male  Submitted:2014-08-26, Days after onset: 1
Location:Wyoming  Entered:2014-08-26
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? Yes, 4 days
    Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: Vaccine given in shot line. Member not sick at time of admin.
Preexisting Conditions: None
Diagnostic Lab Data: WBC 16.5 given per RN
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
ANTH: ANTHRAX (BIOTHRAX)EMERGENT BIOSOLUTIONSFAV381A0IMRA
Administered by: Military     Purchased by: Military
Symptoms: Abdominal pain, Arthralgia, Blood bilirubin increased, Blood creatinine increased, Blood lactic acid increased, C-reactive protein increased, Chills, Diarrhoea, Dizziness, Dyspnoea, Injection site erythema, Lactic acidosis, Lymphadenopathy, Malaise, Myalgia, Nausea, Neutrophil percentage increased, Oropharyngeal pain, Pain, Paraesthesia, Pyrexia, Respiratory distress, Retching, Sepsis, Syncope, Upper-airway cough syndrome, Vomiting, White blood cell count increased
SMQs:, Torsade de pointes/QT prolongation (broad), Rhabdomyolysis/myopathy (broad), Acute renal failure (broad), Liver related investigations, signs and symptoms (narrow), Anaphylactic reaction (broad), Acute pancreatitis (narrow), Agranulocytosis (broad), Lactic acidosis (narrow), Peripheral neuropathy (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Retroperitoneal fibrosis (broad), Pseudomembranous colitis (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Acute central respiratory depression (broad), Biliary system related investigations, signs and symptoms (narrow), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Chronic kidney disease (broad), Hypersensitivity (broad), Arthritis (broad), Noninfectious diarrhoea (narrow), Tumour lysis syndrome (broad), Respiratory failure (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (narrow), Hypoglycaemia (broad)
Write-up: Shortness of breath, severe N/V/D, Sore throat, WBC 16.5. Slight redness at injection site-per RN at hospital.

VAERS ID:541705 (history)  Vaccinated:2014-08-04
Age:30.0  Onset:2014-08-04, Days after vaccination: 0
Gender:Female  Submitted:2014-08-29, Days after onset: 25
Location:New York  Entered:2014-08-29
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Junel Fe 1/20
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: I have notified the office where I received the vaccination and was simply told to take Motrin, despite explaining that my various methods of attempting to alleviate the pain have failed (ice, heat, massage, medication, stretches, etc.).
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (ADACEL)SANOFI PASTEURU4853AA0IMLA
Administered by: Private     Purchased by: Other
Symptoms: Immediate post-injection reaction, Initial insomnia, Injection site pain, Pain in extremity
SMQs:, Dementia (broad), Extravasation events (injections, infusions and implants) (broad), Depression (excl suicide and self injury) (broad), Hypersensitivity (narrow), Tendinopathies and ligament disorders (broad)
Write-up: My arm hurt immediately after receiving the TDAP vaccination, which was expected, but the pain continues to this day nearly one month later. The pain is in my left shoulder and continues down my left arm, stopping at the elbow. It is noticeable throughout the entire day and causes problems for me when I try to sleep; I have problems falling asleep and often wake up in the middle of the night. I have just started my first week of graduate school and am extremely concerned at the difficulties this pain is causing me, especially in my inability to receive adequate rest.

VAERS ID:542129 (history)  Vaccinated:2014-09-01
Age:30.0  Onset:2014-09-01, Days after vaccination: 0
Gender:Male  Submitted:2014-09-03, Days after onset: 2
Location:North Carolina  Entered:2014-09-03
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)NOVARTIS VACCINES AND DIAGNOSTICS14110010IMLA
Administered by: Other     Purchased by: Private
Symptoms: Injection site reaction, Injection site swelling, Paraesthesia
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: Starting evening of shot (approximately 6 hours later) tingling in arm from inj site to fingers. Swelling of arm at inj site and surrounding areas. As of 9 AM 9/3/14 tingling still from inj site to wrist. No fingers. Swelling better. Ice, BENADRYL.

VAERS ID:542229 (history)  Vaccinated:2014-08-20
Age:30.0  Onset:2014-08-20, Days after vaccination: 0
Gender:Female  Submitted:2014-08-28, Days after onset: 8
Location:Michigan  Entered:2014-09-03, 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: Magnesium Chl 71-5 1QD
Current Illness: Syncope and Insomina
Preexisting Conditions: None
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.K0059570IMRA
TDAP: TDAP (ADACEL)SANOFI PASTEURU4939AA0IMLA
Administered by: Public     Purchased by: Public
Symptoms: Burning sensation, Dysphagia, Dyspnoea, Erythema, Immediate post-injection reaction, Injection site erythema, Injection site swelling, Local reaction, Pain in extremity, Throat tightness
SMQs:, Anaphylactic reaction (narrow), Angioedema (broad), Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Hypersensitivity (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: History of present illness from office of 8/22/14: Concerned for possible reaction to PPV23 vaccine (given on 8/20/14). The arm was sore immediately after injections; reports that the R upper anterior biceps region became swollen and red 2 hours later. No fever or chills. Felt short of breath, hard to swallow- feels like throat is clogged. No hives/rash. No difficulty swallowing, facial edema, wheezing or stridor. Went to ER last night (report not available). Does have Rx with her for NORCO 5-325 and Clindamycin (from ER). POC: Advised not to fill Clindamycin or NORCO prescriptions. This does not appear to be cellulitis but instead a localized reaction to the injection. SOLU MEDROL injection today. Cold compressess the area. May take acetaminophen as directed. BENADRYL as directed for itching. Advised if develop shortness of breath, stridor, face, eyes, or mouth/tongue swelling or hives to go to ER. Hospital ED 8/21/14 (just before midnight to early morning): This is a 30 yr old...She states by the time she got home she noticed some localized redness around the area and seemed to progress by getting larger and larger and tracking further down the arm. Because she is having quite a bit of a burning sensation and the redness there, she was concerned and came to in for evaluation. She denies any itching, fever, chills. 8/28/14 @ 2:25 I called patient and asked how her arm is doing. She said that after that shot (SOLU MEDROL) her arm was better by the time she go home. The swelling and redness went away. The soreness lingered till the next day.

VAERS ID:542778 (history)  Vaccinated:2013-04-23
Age:30.0  Onset:2013-07-01, Days after vaccination: 69
Gender:Male  Submitted:0000-00-00
Location:Wisconsin  Entered:2014-09-08
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? Yes, 1 days
    Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (ADACEL)SANOFI PASTEURC4344AB0SYRAR
Administered by: Public     Purchased by: Public
Symptoms: Injection site mass, Mass excision
SMQs:, Extravasation events (injections, infusions and implants) (broad)
Write-up: Surgical removal of mass at injection site.

VAERS ID:542981 (history)  Vaccinated:2014-09-05
Age:30.0  Onset:2014-09-05, Days after vaccination: 0
Gender:Female  Submitted:2014-09-09, Days after onset: 4
Location:Michigan  Entered:2014-09-09
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: No
Preexisting Conditions: None
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU4: INFLUENZA (SEASONAL) (FLUZONE QUADRIVALENT)SANOFI PASTEURUI187AA0IMLA
Administered by: Other     Purchased by: Private
Symptoms: Chest discomfort, Injection site inflammation, Injection site swelling, Pyrexia
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Inflammation and swelling on 5 inch diameter surrounding injection site. Mild fever, chest tightness.

VAERS ID:543124 (history)  Vaccinated:2014-04-16
Age:30.0  Onset:2014-04-17, Days after vaccination: 1
Gender:Male  Submitted:2014-08-27, Days after onset: 132
Location:Florida  Entered:2014-09-09, Days after submission: 13
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: Radiology imaging attached
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (ADACEL)SANOFI PASTEURC4543A IMLA
Administered by: Private     Purchased by: Private
Symptoms: Arthroscopic surgery, Imaging procedure, Joint injection, Musculoskeletal pain
SMQs:, Rhabdomyolysis/myopathy (broad), Tendinopathies and ligament disorders (broad)
Write-up: Persistent shoulder pain. Ended up receiving shoulder injection and later shoulder arthroscopic surgery.

VAERS ID:543200 (history)  Vaccinated:2014-08-25
Age:30.0  Onset:2014-08-26, Days after vaccination: 1
Gender:Male  Submitted:2014-09-09, Days after onset: 14
Location:California  Entered:2014-09-09
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (ADACEL)SANOFI PASTEURU4939AA0IMLA
Administered by: Other     Purchased by: Private
Symptoms: Generalised erythema, Injection site urticaria, Rash generalised, Urticaria, Vaccination site rash
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: 8-25-14 Adacel shot given, 8-26-14 rashes/redness on body and feet/legs. Rashes/hives on left arm and hands where vaccine was administered. 9-2-14 grand mother called pharmacy to report incident/called patient. 9-5-14 pt. went to ER and was prescribed Prednisone 20g and Benadryl 25g. 9-8-14 Follow-up call. Pt rashes/hives greatly diminished.

VAERS ID:543297 (history)  Vaccinated:2014-09-10
Age:30.0  Onset:2014-09-10, Days after vaccination: 0
Gender:Female  Submitted:2014-09-10, Days after onset: 0
Location:Illinois  Entered:2014-09-10
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: No
Preexisting Conditions: None
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)UNKNOWN MANUFACTURER  IM 
Administered by: Private     Purchased by: Public
Symptoms: Activities of daily living impaired, Asthenia, Cough, Dizziness, Dysphonia, Dysstasia, Fatigue, Headache, Injection site pain, Pyrexia
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Extravasation events (injections, infusions and implants) (broad), Vestibular disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Dizziness, fatigue, fever, aches around the injection, weakness. Cough, headache, hoarseness. Resulted in me leaving work 4 hours early, due to not being able to stand up.

VAERS ID:543339 (history)  Vaccinated:2014-09-09
Age:30.0  Onset:2014-09-10, Days after vaccination: 1
Gender:Female  Submitted:2014-09-10, Days after onset: 0
Location:Wisconsin  Entered:2014-09-10
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURU173AB IMRA
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.K005957 IMRA
TDAP: TDAP (ADACEL)SANOFI PASTEURU4886AA IMLA
Administered by: Private     Purchased by: Other
Symptoms: Injection site pain, Neck pain, Pain in extremity
SMQs:, Extravasation events (injections, infusions and implants) (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad)
Write-up: Right arm pain from site of injections down to fingertips, and up to neck. Pain rated 7/10.

VAERS ID:543446 (history)  Vaccinated:2014-09-11
Age:30.0  Onset:2014-09-11, Days after vaccination: 0
Gender:Female  Submitted:2014-09-11, Days after onset: 0
Location:Florida  Entered:2014-09-11
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Zoloft, Composine, Afrin Nasal Spray, Tylenol PM, Hydromet Cough Syrup (taken the night before).
Current Illness: Recovering from stomach flu two days prior to vaccaine
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLUC3: INFLUENZA (SEASONAL) (FLUCELVAX)NOVARTIS VACCINES AND DIAGNOSTICS 2SCRA
Administered by: Unknown     Purchased by: Other
Symptoms: Dysarthria, Dysphagia, Hypoaesthesia, Jaw disorder, Muscular weakness, Swollen tongue
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Angioedema (narrow), Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Oropharyngeal allergic conditions (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)
Write-up: Swelling of tounge, problems with jaw muscles, weakness and numbness in arms and hands and difficulty swallowing and slurred speech.

VAERS ID:543558 (history)  Vaccinated:2014-09-04
Age:30.0  Onset:2014-09-05, Days after vaccination: 1
Gender:Female  Submitted:2014-09-11, Days after onset: 6
Location:New Mexico  Entered:2014-09-11
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:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)GLAXOSMITHKLINE BIOLOGICALSEA3Z22IMRA
Administered by: Other     Purchased by: Public
Symptoms: Discomfort, Injection site urticaria, Rash, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Pt got 3rd Hep B injection 1.0 mL IM (R) deltoid on 9/4/14 AM. She states she woke up at 4 AM 9/5/14 uncomfortable with a rash. Pt called the clinic and was advised to come into the clinic. Pt arrived at 1600. At that time face, nose and cheeks had hives. (R) arm from injection site to hand had multiple hives. She had hives on chest, neck, back, both arms and legs. No hives on palms.

VAERS ID:543566 (history)  Vaccinated:2014-08-25
Age:30.0  Onset:2014-08-25, Days after vaccination: 0
Gender:Female  Submitted:2014-08-28, Days after onset: 3
Location:New York  Entered:2014-09-11, Days after submission: 14
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (ADACEL)SANOFI PASTEURU4837AB1UNLA
Administered by: Private     Purchased by: Unknown
Symptoms: Injection site pain, Mobility decreased, Pain in extremity
SMQs:, Parkinson-like events (broad), Extravasation events (injections, infusions and implants) (broad), Tendinopathies and ligament disorders (broad)
Write-up: Received Tdap left arm and PPD R forearm on 8/23/14 at 4PM. 5 hours later B/L upper arm pain. Left arm pain resolved by 8/26/14. R upper arm pain persisted, associated with progressive pain and inability to raise right upper arm. Pt. received previous Tdap 3/24/09/.

VAERS ID:543591 (history)  Vaccinated:2014-09-10
Age:30.0  Onset:2014-09-12, Days after vaccination: 2
Gender:Female  Submitted:2014-09-12, Days after onset: 0
Location:Tennessee  Entered:2014-09-12
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: No
Preexisting Conditions: N/a
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)NOVARTIS VACCINES AND DIAGNOSTICS1411901 IMAR
Administered by: Unknown     Purchased by: Private
Symptoms: Hypoaesthesia
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad)
Write-up: ARM THAT VACCINE WAS GIVEN IN IS NUMB.

VAERS ID:543709 (history)  Vaccinated:2014-09-08
Age:30.0  Onset:2014-09-09, Days after vaccination: 1
Gender:Female  Submitted:2014-09-12, Days after onset: 3
Location:New Hampshire  Entered:2014-09-12
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Multiple meds
Current Illness: None
Preexisting Conditions: AUGMENTIN, Penicillin
Diagnostic Lab Data: None
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.J0143990IMUN
Administered by: Other     Purchased by: Public
Symptoms: Injection site swelling
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: Injection site swelling. Patient was given BACTRIM 400-80mg one twice daily for 3 days on 9-9-14.

VAERS ID:543968 (history)  Vaccinated:2014-09-04
Age:30.0  Onset:2014-09-04, Days after vaccination: 0
Gender:Female  Submitted:2014-09-17, Days after onset: 13
Location:Unknown  Entered:2014-09-17
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? Yes, 2 days
    Extended hospital stay? No
Previous Vaccinations:
Other Medications: No other medications
Current Illness: Asthma
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: WAES1409USA007197
Vaccination
Manufacturer
Lot
Dose
Route
Site
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.  SYRUN
Administered by: Other     Purchased by: Other
Symptoms: Feeling abnormal, Headache, Injection site erythema, Musculoskeletal pain, Musculoskeletal stiffness, Pain
SMQs:, Rhabdomyolysis/myopathy (broad), Dementia (broad), Dystonia (broad), Parkinson-like events (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Extravasation events (injections, infusions and implants) (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad)
Write-up: This spontaneous report as received from a medical assistant via field representative refers to a 30 year old female patient. The patient''s medical history included "has severe asthma". "A week ago" (approximately on 04-SEP-2014), the patient was vaccinated with a dose of PNEUMOVAX 23, 1 shot, (route: unspecified if subcutaneous or intramuscular (IM), lot # and expired date were not reported) due to "high risk for pneumonia". Concomitant therapy was not reported. The reporter reported that "A patient received PNEUMOVAX 23, and called on the same day (approximately on 04-SEP-2014) reporting injection-site redness, sore shoulder, stiff neck and said she felt terrible, and was in a lot of pain, including a headache." The patient was hospitalized for 2 days at an unspecified location. The patient sought medical attention. The outcome of adverse events was reported as recovered on an unspecified date. The relationship between adverse events and PNEUMOVAX 23 was not reported. Additional information has been requested.

VAERS ID:544140 (history)  Vaccinated:2014-09-15
Age:30.0  Onset:2014-09-17, Days after vaccination: 2
Gender:Female  Submitted:2014-09-17, Days after onset: 0
Location:Massachusetts  Entered:2014-09-17
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Yes, viral illness with cough and wheeze.
Preexisting Conditions: PMHX: Exercise induced ashthma. Allergies to azithromycin.
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (AFLURIA)CSL LIMITEDT597107 IMLA
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.H0222800IMRA
Administered by: Other     Purchased by: Other
Symptoms: Erythema, Pain in extremity, Pyrexia, Tenderness
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Hypersensitivity (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Patient with severe pain to right arm, redness, tender to touch. Also with fever.

VAERS ID:544553 (history)  Vaccinated:2014-09-17
Age:30.0  Onset:2014-09-19, Days after vaccination: 2
Gender:Female  Submitted:2014-09-20, Days after onset: 1
Location:South Carolina  Entered:2014-09-20
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Ibuprofen, Benadryl, Doc-Q-Lace, Percocet, and Tylenol (All administered by Medical Center during stay from 9/15/2014-9/18/2014)
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAP: DTAP (NO BRAND NAME)UNKNOWN MANUFACTURER  SYR 
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)UNKNOWN MANUFACTURER  SYR 
PPV: PNEUMO (NO BRAND NAME)UNKNOWN MANUFACTURER  SYR 
Administered by: Unknown     Purchased by: Other
Symptoms: Chills, Injection site erythema, Injection site pain, Injection site swelling, Pain, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Chills, low-grade fever, aches/pains, area of injection red/swollen/tender.. Administered cephalexin 500mg oral capsule on 9/20/2014.

VAERS ID:544904 (history)  Vaccinated:2014-09-23
Age:30.0  Onset:2014-09-23, Days after vaccination: 0
Gender:Female  Submitted:2014-09-24, Days after onset: 1
Location:Iowa  Entered:2014-09-24
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Synthroid, Albuterol, Zyrtec, Benadryl.
Current Illness: No
Preexisting Conditions: Environmental allergies (trees, grasses, molds, etc.), asthma, thyroid disease.
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)UNKNOWN MANUFACTURER  UNLA
Administered by: Private     Purchased by: Private
Symptoms: Dysphonia, Dyspnoea, Headache, Heart rate increased, Myalgia, Throat tightness, Wheezing
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Angioedema (broad), Asthma/bronchospasm (broad), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Parkinson-like events (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Hypersensitivity (broad), Tendinopathies and ligament disorders (broad)
Write-up: Sudden shortness of breath, hoarseness, constricting of throat, wheezing, increased heart rate. A few hours later, around 2:00 am on 9/24/14, I experienced a severe headache and severe muscle pain. I was alone and could not drive to the hospital so I treated it my reaction as I would any allergic reaction, with OTC antihistamines and Albuterol to help with my shortness of breath.

VAERS ID:544965 (history)  Vaccinated:2014-09-22
Age:30.0  Onset:2014-09-22, Days after vaccination: 0
Gender:Female  Submitted:2014-09-23, Days after onset: 1
Location:South Carolina  Entered:2014-09-24, Days after submission: 1
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: None
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)NOVARTIS VACCINES AND DIAGNOSTICS14515P1IMUN
Administered by: Other     Purchased by: Unknown
Symptoms: Injection site erythema, Injection site swelling
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: Pt received flu shot on 9/13 given by RPh. She came to pharmacy the next day with red raised spot at injection site. She did not break out in a rash. Shot not given in muscle per pt.

VAERS ID:545146 (history)  Vaccinated:2014-06-04
Age:30.0  Onset:2014-06-06, Days after vaccination: 2
Gender:Male  Submitted:2014-09-25, Days after onset: 111
Location:Texas  Entered:2014-09-25
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 23 days
    Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: Lesion pos for vaccinia PCR
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
SMALL: SMALLPOX (ACAM2000)SANOFI PASTEUR  IDUN
Administered by: Military     Purchased by: Military
Symptoms: Burning sensation, Infection transmission via personal contact, Paraesthesia, Polymerase chain reaction, Scar, Skin lesion, Vaccinia test positive
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Multiple lesions to chin and neck area, Pos for vaccinia PCR. SPV contact transmission. CDC aware. Has scarring, and reports tingling/burning sensation in area.

VAERS ID:545243 (history)  Vaccinated:2014-09-25
Age:30.0  Onset:2014-09-25, Days after vaccination: 0
Gender:Female  Submitted:2014-09-26, Days after onset: 1
Location:New York  Entered:2014-09-26
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU4: INFLUENZA (SEASONAL) (FLUZONE QUADRIVALENT)SANOFI PASTEURUI158AA0IMLA
Administered by: Public     Purchased by: Other
Symptoms: Injection site pain, Malaise, Myalgia, Pyrexia
SMQs:, Rhabdomyolysis/myopathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Mild fever, malaise, myalgias lasting more than 16 hours, mostly responding to antipyretic medication (alternately taking acetaminophen and ibuprofen). Also tenderness and soreness with movement at the injection site (like most vaccinations).

VAERS ID:545426 (history)  Vaccinated:2014-09-19
Age:30.0  Onset:2014-09-19, Days after vaccination: 0
Gender:Male  Submitted:2014-09-26, Days after onset: 7
Location:Virginia  Entered:2014-09-26
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) (AFLURIA)CSL LIMITED    
Administered by: Other     Purchased by: Private
Symptoms: Chills, Decreased appetite, Fatigue, Insomnia, Pain, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Sudden onset of aches, fever and chills at indicated time resulting in sleeplessness. Moderate to high amount of fatigue and some loss of appetite. Symptoms subsided Sunday evening (9/21/2014). Took Ibuprofen to control the fever and body aches.

VAERS ID:545467 (history)  Vaccinated:2014-09-12
Age:30.0  Onset:2014-09-26, Days after vaccination: 14
Gender:Female  Submitted:2014-09-28, Days after onset: 2
Location:Washington  Entered:2014-09-28
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: Rash, lesion~ ()~~0.00~Patient
Other Medications: NONE
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (NO BRAND NAME)UNKNOWN MANUFACTURER    
Administered by: Private     Purchased by: Unknown
Symptoms: Injection site erythema, Injection site pain, Injection site rash, Pruritus, Rash generalised
SMQs:, Anaphylactic reaction (broad), Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Rash, redness, tenderness at injection site. Small lesion like rash across the body. Not very itchy.

VAERS ID:545576 (history)  Vaccinated:2014-09-29
Age:30.0  Onset:2014-09-29, Days after vaccination: 0
Gender:Male  Submitted:2014-09-29, Days after onset: 0
Location:Oklahoma  Entered:2014-09-29
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: Seasonal Allergies
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLUN4: INFLUENZA (SEASONAL) (FLUMIST QUADRIVALENT)MEDIMMUNE VACCINES, INC.CH20214IN 
Administered by: Military     Purchased by: Military
Symptoms: Flushing, Hyperhidrosis, Palpitations, Throat irritation
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Cardiomyopathy (broad), Hypersensitivity (broad), Hypoglycaemia (broad)
Write-up: ITCHY THROAT/FLUSHING OF THE SKIN/HEART PALPATION, SWEATING.

VAERS ID:545615 (history)  Vaccinated:2014-09-22
Age:30.0  Onset:2014-09-23, Days after vaccination: 1
Gender:Male  Submitted:2014-09-29, Days after onset: 6
Location:Connecticut  Entered:2014-09-29
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLUN4: INFLUENZA (SEASONAL) (FLUMIST QUADRIVALENT)MEDIMMUNE VACCINES, INC.CH2061 IN 
Administered by: Military     Purchased by: Unknown
Symptoms: Influenza like illness, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Flu like symptom, and hives throughout body.

VAERS ID:546339 (history)  Vaccinated:2014-09-03
Age:30.0  Onset:2014-09-26, Days after vaccination: 23
Gender:Female  Submitted:2014-10-03, Days after onset: 7
Location:Tennessee  Entered:2014-10-03
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: No
Preexisting Conditions: No
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)UNKNOWN MANUFACTURER 0  
Administered by: Other     Purchased by: Private
Symptoms: Alopecia, Alopecia areata
SMQs:
Write-up: Bald spot on head. Alopecia aereata. No treatment.

VAERS ID:547234 (history)  Vaccinated:2014-09-30
Age:30.0  Onset:2014-09-30, Days after vaccination: 0
Gender:Female  Submitted:2014-10-03, Days after onset: 3
Location:New York  Entered:2014-10-03
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Oral
Current Illness: No
Preexisting Conditions:
Diagnostic Lab Data: No, seen MD
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (AFLURIA)CSL LIMITEDT51608 IMUN
Administered by: Other     Purchased by: Other
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: Dizziness, nausea, lightheaded, weak for a couple days. Patient better now.

VAERS ID:546448 (history)  Vaccinated:2014-10-02
Age:30.0  Onset:2014-10-04, Days after vaccination: 2
Gender:Female  Submitted:2014-10-04, Days after onset: 0
Location:Minnesota  Entered:2014-10-04
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: No
Preexisting Conditions: No
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU4: INFLUENZA (SEASONAL) (FLULAVAL QUADRIVALENT)GLAXOSMITHKLINE BIOLOGICALS579G30IMLA
Administered by: Other     Purchased by: Private
Symptoms: Injection site swelling, Injection site warmth
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: Patient noticed 2 days after the shot that she had a large (approx 2-3" in diameter) round bump where shot was administered. Patient reported that it was hot to the touch.

VAERS ID:546751 (history)  Vaccinated:2014-10-04
Age:30.0  Onset:2014-10-04, Days after vaccination: 0
Gender:Female  Submitted:2014-10-06, Days after onset: 2
Location:Arkansas  Entered:2014-10-06
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: Patient was pregnant and received the flumist live virus. The patient explained to the nurse that she was pregnant and should not be receiving the mist. The nurse stated that the rules have changed and conferred with two other nurses who agreed and administered the vaccine to her.
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLUN4: INFLUENZA (SEASONAL) (FLUMIST QUADRIVALENT)MEDIMMUNE VACCINES, INC.CJ2127 IN 
Administered by: Military     Purchased by: Military
Symptoms: Exposure during pregnancy
SMQs:, Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow)
Write-up: Patient was pregnant and received the flumist live virus. The patient explained to the nurse that she was pregnant and should not be receiving the mist. The nurse stated that the rules have changed and conferred with two other nurses who agreed and administered the vaccine to her.

VAERS ID:547587 (history)  Vaccinated:2014-09-22
Age:30.0  Onset:2014-09-22, Days after vaccination: 0
Gender:Male  Submitted:2014-09-30, Days after onset: 8
Location:Kansas  Entered:2014-10-06, Days after submission: 6
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: Allergies: Aspirin, penicillin
Diagnostic Lab Data: None
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)NOVARTIS VACCINES AND DIAGNOSTICS14120010IMRA
Administered by: Public     Purchased by: Private
Symptoms: Injection site erythema, Injection site pruritus
SMQs:, Extravasation events (injections, infusions and implants) (broad)
Write-up: 1355 - Vaccine administered. 1413 - Itching and redness at injection site. 1417 - Epinephrine administered. 1428 - EMS transported to ER. 1530 - Given BENADRYL at ER and discharged.

VAERS ID:548267 (history)  Vaccinated:2014-10-02
Age:30.0  Onset:2014-10-02, Days after vaccination: 0
Gender:Female  Submitted:2014-10-07, Days after onset: 5
Location:New York  Entered:2014-10-07
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
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)UNKNOWN MANUFACTURER  IMRA
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC. 0IMLA
Administered by: Other     Purchased by: Other
Symptoms: Chest pain, Dizziness, Feeling hot, Injection site erythema, Injection site pain, Injection site warmth, Nausea, Neck pain, Pain in extremity
SMQs:, Acute pancreatitis (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Vestibular disorders (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad)
Write-up: Pt presents today for an acute visit. Pt received a influenza vaccine in her right deltoid and a pneumococcal 23 vaccine in her left deltoid on 10/2/14. Pt states that approx 1 hour after the injection she had increasing pain. This morning pt has increased pain radiating to her left neck, left chest wall, and left arm. Pt c/o dizziness, feeling "hot", and nausea. Pt noted to have a baseball sized erythemic area on her left upper arm which is very tender to touch and warm. Pt is unsure if she has had this vaccine in the past.

VAERS ID:548313 (history)  Vaccinated:2014-10-02
Age:30.0  Onset:2014-10-02, Days after vaccination: 0
Gender:Female  Submitted:2014-10-03, Days after onset: 1
Location:Indiana  Entered:2014-10-07, Days after submission: 4
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: No
Current Illness: None
Preexisting Conditions:
Diagnostic Lab Data: BP 110/80 Hear monitor. BG normal
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)NOVARTIS VACCINES AND DIAGNOSTICS1413201 IMLA
Administered by: Other     Purchased by: Private
Symptoms: Blood glucose normal, Cardiac monitoring normal, Dizziness, Head injury, Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Accidents and injuries (narrow), Cardiomyopathy (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Hypoglycaemia (broad)
Write-up: Pt received flu vaccine at her employer and within 20-30 minutes felt lightheaded and fainted hitting her head on the floor. When pharmacist arrived she was conscious, alert, aware. BP was normal, no sign of allergic reaction. 911 had been called and arrived.

VAERS ID:548467 (history)  Vaccinated:2014-09-22
Age:30.0  Onset:2014-09-22, Days after vaccination: 0
Gender:Female  Submitted:2014-09-23, Days after onset: 1
Location:Missouri  Entered:2014-10-08, 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:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURUI189AA IMLA
Administered by: Other     Purchased by: Other
Symptoms: Immediate post-injection reaction, Injection site pruritus
SMQs:, Hypersensitivity (narrow)
Write-up: Pt reported itching at injection site immediately following injection. Pt was given 50mg BENADRYL to be safe. Pt reported no further itching that day or next day.

VAERS ID:547328 (history)  Vaccinated:2014-10-08
Age:30.0  Onset:2014-10-09, Days after vaccination: 1
Gender:Female  Submitted:2014-10-09, Days after onset: 0
Location:Massachusetts  Entered:2014-10-09
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: No
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (AFLURIA)CSL LIMITED    
Administered by: Public     Purchased by: Private
Symptoms: Dizziness, Vertigo
SMQs:, Anticholinergic syndrome (broad), Vestibular disorders (narrow)
Write-up: Vertigo, feeling that I may fall down. Lasted approximately an hour.

VAERS ID:547341 (history)  Vaccinated:2014-10-08
Age:30.0  Onset:2014-10-08, Days after vaccination: 0
Gender:Female  Submitted:2014-10-09, Days after onset: 1
Location:California  Entered:2014-10-09
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: No
Preexisting Conditions: No
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)NOVARTIS VACCINES AND DIAGNOSTICS14108010IMLA
Administered by: Other     Purchased by: Private
Symptoms: Exposure during pregnancy, No adverse event
SMQs:, Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow)
Write-up: Patient didn''t have an adverse event. Clinical Coordinator wants the pharmacist to fill out a VAERS because Fluvirin 2014-2015 with preservative was administered to a pregnant woman.

VAERS ID:547349 (history)  Vaccinated:2014-10-03
Age:30.0  Onset:2014-10-03, Days after vaccination: 0
Gender:Female  Submitted:2014-10-09, Days after onset: 6
Location:California  Entered:2014-10-09
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Topamax
Current Illness: None
Preexisting Conditions: Positive ANA: Autoimmune disorder
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)NOVARTIS VACCINES AND DIAGNOSTICS1463040IMRA
Administered by: Unknown     Purchased by: Private
Symptoms: Pain, Rash, Rash pruritic
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Light rash on trunk, breasts and back developed that was itchy and stinging. The rash resoved by the next day.

VAERS ID:550120 (history)  Vaccinated:2014-10-06
Age:30.0  Onset:2014-10-07, Days after vaccination: 1
Gender:Female  Submitted:2014-10-09, Days after onset: 2
Location:Illinois  Entered:2014-10-09
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURUI169AB0UNLA
Administered by: Private     Purchased by: Private
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: There is a red, warm and raised red area about 2-3 in from where I received the shot.

VAERS ID:549532 (history)  Vaccinated:0000-00-00
Age:30.0  Onset:0000-00-00
Gender:Female  Submitted:2014-10-09
Location:Michigan  Entered:2014-10-10, Days after submission: 1
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURUI189AB IMLA
PNC13: PNEUMO (PREVNAR13)PFIZER/WYETHH866750IMRA
Administered by: Private     Purchased by: Private
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: Reddened, slightly swollen, itchy area around site x 3 days. Slightly larger than a quarter.

VAERS ID:547677 (history)  Vaccinated:2014-06-17
Age:30.0  Onset:2014-06-19, Days after vaccination: 2
Gender:Male  Submitted:2014-09-03, Days after onset: 76
Location:New York  Entered:2014-10-13, Days after submission: 40
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Unknown
Preexisting Conditions:
Diagnostic Lab Data: UNK
CDC Split Type: A1078145A
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (BOOSTRIX)GLAXOSMITHKLINE BIOLOGICALS7K9N70UNLA
Administered by: Private     Purchased by: Private
Symptoms: Axillary mass, Local swelling, Tenderness
SMQs:, Angioedema (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: This case was reported by a physician and described the occurrence of lump under armpit in a 30-year-old male subject who was vaccinated with BOOSTRIX (GlaxoSmithKline). The subject had no known drug allergies. On 17 June 2014, the subject received an unspecified dose of BOOSTRIX (route unknown, left arm). On 19 June 2014, 2 days after vaccination with BOOSTRIX, the subject experienced a tender swollen lump under armpit on the same arm the vaccination was given. At the time of reporting, the events were unresolved. The physician considered the events were probably related to vaccination with BOOSTRIX.

VAERS ID:547824 (history)  Vaccinated:2014-03-31
Age:30.0  Onset:2014-03-31, Days after vaccination: 0
Gender:Female  Submitted:2014-09-03, Days after onset: 156
Location:Unknown  Entered:2014-10-13, Days after submission: 40
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Unknown
Preexisting Conditions:
Diagnostic Lab Data: UNK
CDC Split Type: A1069871A
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (BOOSTRIX)GLAXOSMITHKLINE BIOLOGICALS4327T SYRLA
Administered by: Other     Purchased by: Other
Symptoms: Immediate post-injection reaction, Injection site pain, Injection site swelling
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow)
Write-up: This case was reported by a pharmacist and described the occurrence of swelling injection site in a 30-year-old female subject who was vaccinated with BOOSTRIX, (GlaxoSmithKline). Concomitant medication was not reported. The subject had no reactions to other vaccines. No allergies to medication. On 31 March 2014, the subject received an unspecified dose of BOOSTRIX (route unknown, left arm). On 31 March 2014, immediately after vaccination with BOOSTRIX, the subject experienced swelling injection site. Then, symptoms went away. After that, she started getting injection site pain when she exercised or moved the arm. At the time of reporting, injection site pain was unresolved. Follow-up information received on 29 May 2014: At the time of reporting, injection site pain was resolved.

VAERS ID:547819 (history)  Vaccinated:2014-10-08
Age:30.0  Onset:2014-10-08, Days after vaccination: 0
Gender:Female  Submitted:2014-10-14, Days after onset: 6
Location:Florida  Entered:2014-10-14
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Levothyroxine 137mcg once daily.
Current Illness: No
Preexisting Conditions: Medical diagnosis: hypothyroidism. Allergic to Reglan.
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)NOVARTIS VACCINES AND DIAGNOSTICS145904 IMLA
Administered by: Military     Purchased by: Military
Symptoms: Eye swelling, Eyelid ptosis, Lymph node pain, Lymphadenopathy, Muscle tightness, Rash, Rash erythematous
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Dystonia (broad), Periorbital and eyelid disorders (narrow), Ocular motility disorders (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Right eye drooping and swelling. Red rash on right cheek. Right sided jaw tightness. Right cervical lymph node swelling and discomfort.

VAERS ID:550728 (history)  Vaccinated:2014-10-10
Age:30.0  Onset:2014-10-10, Days after vaccination: 0
Gender:Female  Submitted:2014-10-14, Days after onset: 4
Location:Ohio  Entered:2014-10-14
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~Measles + Mumps + Rubella (no brand name)~UN~9.00~Patient
Other Medications: WELLBUTRIN XR; BCP
Current Illness: No
Preexisting Conditions: MMR allergy
Diagnostic Lab Data: None
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURUI189AC0IMLA
Administered by: Public     Purchased by: Unknown
Symptoms: Eye irritation, Headache, Lip swelling, Myalgia, Paraesthesia oral, Swelling face
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Angioedema (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Corneal disorders (broad), Eosinophilic pneumonia (broad), Hypersensitivity (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: 3 hr after vaccine, H/A, eyes burning, muscle achy, tingling lips, swelling lips and face. Sx continued x 3 days.

VAERS ID:547994 (history)  Vaccinated:2014-10-06
Age:30.0  Onset:2014-10-07, Days after vaccination: 1
Gender:Female  Submitted:2014-10-15, Days after onset: 8
Location:Colorado  Entered:2014-10-15
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: No
Preexisting Conditions: None
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
PPV: PNEUMO (NO BRAND NAME)UNKNOWN MANUFACTURER    
Administered by: Other     Purchased by: Private
Symptoms: Pain in extremity, Pyrexia, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Hypersensitivity (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Started with severe arm pain the day before. A fever of 101 spiked at 11:00 am. Hives developed on that arm at 8:00 pm that evening.

VAERS ID:552169 (history)  Vaccinated:2014-10-08
Age:30.0  Onset:0000-00-00
Gender:Male  Submitted:2014-10-08
Location:Wisconsin  Entered:2014-10-15, Days after submission: 7
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)NOVARTIS VACCINES AND DIAGNOSTICS145623 SYRLA
Administered by: Military     Purchased by: Military
Symptoms: Unevaluable event
SMQs:
Write-up: None noted

VAERS ID:552294 (history)  Vaccinated:2014-10-02
Age:30.0  Onset:2014-10-02, Days after vaccination: 0
Gender:Female  Submitted:2014-10-03, Days after onset: 1
Location:Tennessee  Entered:2014-10-15, Days after submission: 12
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: LORTAB; clonidine; lisinopril; cholesterol rx
Current Illness: C/o UTI back pain
Preexisting Conditions: Ibuprofen; naproxen; nutmeg; "kidney problems" stones; tramadol; metocarbamol; mayo; HTN; Anxiety; elevated cholesterol
Diagnostic Lab Data:
CDC Split Type: TN14008
Vaccination
Manufacturer
Lot
Dose
Route
Site
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.J0133450IMLA
Administered by: Public     Purchased by: Public
Symptoms: Axillary pain, Chest discomfort, Cough, Injected limb mobility decreased, Injection site pain, Lymph node pain, Lymphadenopathy, Pruritus
SMQs:, Anaphylactic reaction (narrow), Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Pt here, c/o pain to (L) upper arm, decreased mobility, pain at arm pit itching last night with cough and chest tightness last night after receiving pneumococcal vaccine polyvalent (PNEUMOVAX 23) in (L) arm 10/2/14. Pt c/o enlarged, painful lymph nodes (L) under arm. Pt reports had influenza vaccine 1 month before this date. No HA; Afebrile at 97.5 today. Decreased mobility to (L) arm. Pt exhibited decreased mobility (L)(L) arm; no enlarged lymph nodes palpated upon exam.

VAERS ID:548126 (history)  Vaccinated:2014-10-15
Age:30.0  Onset:2014-10-15, Days after vaccination: 0
Gender:Female  Submitted:2014-10-16, Days after onset: 1
Location:North Carolina  Entered:2014-10-16
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) (FLUVIRIN)NOVARTIS VACCINES AND DIAGNOSTICS14131010IMRA
Administered by: Public     Purchased by: Private
Symptoms: Rash
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Rash on face arms and chest. No treatment given.

VAERS ID:552417 (history)  Vaccinated:2014-09-23
Age:30.0  Onset:0000-00-00
Gender:Male  Submitted:2014-10-16
Location:California  Entered:2014-10-16
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (BOOSTRIX)GLAXOSMITHKLINE BIOLOGICALSJYN25 IMLA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Hypoaesthesia
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad)
Write-up: Patient complaint of numbness on left arm after vaccination, continues until today.

VAERS ID:548440 (history)  Vaccinated:2014-10-13
Age:30.0  Onset:2014-10-13, Days after vaccination: 0
Gender:Female  Submitted:2014-10-17, Days after onset: 4
Location:Maryland  Entered:2014-10-17
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Apri- birth control
Current Illness: No
Preexisting Conditions: No
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)UNKNOWN MANUFACTURER    
Administered by: Public     Purchased by: Other
Symptoms: Chills, Diarrhoea, Dizziness, Malaise, Nausea, Pyrexia
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad), Noninfectious diarrhoea (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Fever, chills, malaise, nausea, diarrhea, dizziness.

VAERS ID:548486 (history)  Vaccinated:2014-09-18
Age:30.0  Onset:2014-09-19, Days after vaccination: 1
Gender:Female  Submitted:2014-10-08, Days after onset: 19
Location:Virginia  Entered:2014-10-17, Days after submission: 9
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness:
Preexisting Conditions: None
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
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Site
FLU3: INFLUENZA (SEASONAL) (AFLURIA)CSL LIMITED09749221A IMLA
Administered by: Private     Purchased by: Public
Symptoms: Muscle twitching, Neck pain
SMQs:, Dyskinesia (broad), Dystonia (broad), Arthritis (broad)
Write-up: Reported muscle twitching 24h. after received vaccine. progressed to L side, hip and outer thigh, 3 days after vaccine- sharp pain and muscle twitching to L neck. By 10/7/14- Pt is asymptomatic. No treatment received.

VAERS ID:548911 (history)  Vaccinated:2014-09-25
Age:30.0  Onset:0000-00-00
Gender:Female  Submitted:2014-10-18
Location:Pennsylvania  Entered:2014-10-18
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness: Unknown
Preexisting Conditions: Unknown
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU4: INFLUENZA (SEASONAL) (FLUZONE QUADRIVALENT)SANOFI PASTEURUI187AA IMUN
Administered by: Other     Purchased by: Other
Symptoms: Bursitis, Tendonitis
SMQs:, Tendinopathies and ligament disorders (narrow)
Write-up: Patient went to doctor after receiving flu shot. Tendonitis and bursitis was reported from flu shot. Pt recovered.

VAERS ID:549021 (history)  Vaccinated:2014-10-08
Age:30.0  Onset:2014-10-08, Days after vaccination: 0
Gender:Female  Submitted:2014-10-19, Days after onset: 11
Location:New Jersey  Entered:2014-10-19
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
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)NOVARTIS VACCINES AND DIAGNOSTICS146604 UNRA
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.K009106 UNRA
TDAP: TDAP (ADACEL)SANOFI PASTEURU4879BA UNLA
Administered by: Other     Purchased by: Unknown
Symptoms: Body temperature increased, Feeling abnormal, Pain, Vomiting
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Dementia (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Received FLUVIRIN, ADACEL, PNEUMOVAX. Went home. About 6PM started to vomit. Felt bad and sore. Went to work Thur. Felt worse. Went back to work Fri. Went home sick with 101 temp. Went to MD office temp 104. MD put her on antibiotics monitored and sent home. She was sick all weekend.

VAERS ID:548758 (history)  Vaccinated:2014-10-17
Age:30.0  Onset:2014-10-18, Days after vaccination: 1
Gender:Female  Submitted:2014-10-20, Days after onset: 2
Location:Massachusetts  Entered:2014-10-20
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (NO BRAND NAME)UNKNOWN MANUFACTURER  IMRA
Administered by: Private     Purchased by: Other
Symptoms: Injection site erythema, Injection site rash, Injection site swelling
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow)
Write-up: Swelling, redness, rash surrounding administration site.

VAERS ID:549146 (history)  Vaccinated:2014-10-06
Age:30.0  Onset:2014-10-07, Days after vaccination: 1
Gender:Female  Submitted:2014-10-10, Days after onset: 3
Location:Missouri  Entered:2014-10-20, Days after submission: 10
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: No
Preexisting Conditions: No
Diagnostic Lab Data: None
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)NOVARTIS VACCINES AND DIAGNOSTICS14137010IMLA
Administered by: Other     Purchased by: Other
Symptoms: Injection site pain, Joint range of motion decreased
SMQs:, Extravasation events (injections, infusions and implants) (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad)
Write-up: Pain in (L) shoulder, loss of ROM for 1 wk.

VAERS ID:549100 (history)  Vaccinated:2014-10-15
Age:30.0  Onset:2014-10-15, Days after vaccination: 0
Gender:Female  Submitted:2014-10-21, Days after onset: 6
Location:New Mexico  Entered:2014-10-21
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: No
Preexisting Conditions: No
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLUR3: INFLUENZA (SEASONAL) (FLUBLOK)PROTEIN SCIENCES CORPORATION440503F0IMRA
Administered by: Private     Purchased by: Private
Symptoms: Lip swelling
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Bottom lip began to start to swell 2 1/2 hours after receiving vaccine. Took 50 mg Benadryl and swelling resolved after 3 hours.

VAERS ID:549272 (history)  Vaccinated:2014-10-20
Age:30.0  Onset:2014-10-21, Days after vaccination: 1
Gender:Female  Submitted:2014-10-22, Days after onset: 1
Location:California  Entered:2014-10-22
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Seasonale; Probiotic; Biotin
Current Illness: No
Preexisting Conditions: Sleep Apnea
Diagnostic Lab Data: None
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
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Site
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)UNKNOWN MANUFACTURER 0SYRLA
Administered by: Other     Purchased by: Other
Symptoms: Injection site erythema, Injection site reaction, Injection site swelling, Injection site warmth, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), 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: Red, swollen, hot welt about 1" in diameter on the upper arm below the injection site.

VAERS ID:549328 (history)  Vaccinated:2014-10-14
Age:30.0  Onset:0000-00-00
Gender:Female  Submitted:2014-10-14
Location:Colorado  Entered:2014-10-22, Days after submission: 8
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Naproxen
Current Illness:
Preexisting Conditions: Ibuprofen; Ondansetron HCL; Preservative Free; Pseudoephedrine HCL; Anemia NEC; Dizziness; Menorrhagia; Mitral regurgitation; Obesity (BMI 30-39.9); Tachycardia, paroxysmal atrial; TMJ dysfunction
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU4: INFLUENZA (SEASONAL) (FLUZONE QUADRIVALENT)SANOFI PASTEURUI212AA4IMUN
Administered by: Private     Purchased by: Unknown
Symptoms: Incorrect dose administered
SMQs:, Medication errors (narrow)
Write-up: Received lower dose than recommended by manufacturer.

VAERS ID:549386 (history)  Vaccinated:2014-10-21
Age:30.0  Onset:2014-10-22, Days after vaccination: 1
Gender:Female  Submitted:2014-10-23, Days after onset: 1
Location:New Jersey  Entered:2014-10-23
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: MICROGESTIN FE 1/20, TOBRAMYCIN SOL. 0.3% OP, HCTZ 25MG, ALPRAZOLAM 0.5MG , VENTOLIN HFA, HYDROXYZINE 10MG
Current Illness: NO
Preexisting Conditions: ASTHMA
Diagnostic Lab Data: NONE
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
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Site
FLU3: INFLUENZA (SEASONAL) (FLUARIX)GLAXOSMITHKLINE BIOLOGICALSLY2F5 IM 
Administered by: Other     Purchased by: Private
Symptoms: Hypoaesthesia, Pain in extremity
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Tendinopathies and ligament disorders (broad)
Write-up: ARM HURTS AND NUMBS ALL DAY.

VAERS ID:549395 (history)  Vaccinated:2014-10-20
Age:30.0  Onset:2014-10-20, Days after vaccination: 0
Gender:Female  Submitted:2014-10-23, Days after onset: 3
Location:Colorado  Entered:2014-10-23
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Levothyroxine 200 mcg PO daily; Citalopram Hydrobromide 40mg PO daily; Esomeprazole 20mg PO daily
Current Illness: No
Preexisting Conditions: No known allergies; Hypothyroidism; Depression
Diagnostic Lab Data: None
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
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Site
FLU3: INFLUENZA (SEASONAL) (AFLURIA)CSL LIMITEDT595070IMRA
Administered by: Military     Purchased by: Military
Symptoms: Dysphagia, Dyspnoea, Pharyngeal oedema, Swelling face, Swollen tongue
SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), Anticholinergic syndrome (broad), Oropharyngeal allergic conditions (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Throat swelled. Tongue swelled. Facial swelling. Difficulty swallowing. Hard to breathe. Went to Emergency Room after Benadryl 50 mg did not relieve symptoms.

VAERS ID:549440 (history)  Vaccinated:2014-10-13
Age:30.0  Onset:2014-10-14, Days after vaccination: 1
Gender:Male  Submitted:2014-10-23, Days after onset: 9
Location:Arizona  Entered:2014-10-23
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: No
Preexisting Conditions: Anxiety
Diagnostic Lab Data: N/A
CDC Split Type:
Vaccination
Manufacturer
Lot
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FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)UNKNOWN MANUFACTURER    
Administered by: Public     Purchased by: Private
Symptoms: Middle insomnia, Panic attack
SMQs:, Depression (excl suicide and self injury) (broad)
Write-up: Woke up with acute, irrational panic attack in the middle of the night. No previous history of panic attacks, no anxiety about receiving injection, not particularly stressful day.

VAERS ID:549944 (history)  Vaccinated:2014-10-22
Age:30.0  Onset:2014-10-22, Days after vaccination: 0
Gender:Female  Submitted:2014-10-24, Days after onset: 2
Location:Tennessee  Entered:2014-10-24
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: Numbness and hospitalization~HPV (Gardasil)~1~24.83~Patient
Other Medications: Valtrex; Zyrtec
Current Illness: Yes ear infection with low grade fever
Preexisting Conditions: Penicillin, shellfish, seasonal, hay fever
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
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Dose
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Site
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)UNKNOWN MANUFACTURER 0IMLA
PPV: PNEUMO (NO BRAND NAME)UNKNOWN MANUFACTURER 0IMRA
Administered by: Public     Purchased by: Other
Symptoms: Injection site erythema, Injection site swelling, Mobility decreased, Musculoskeletal stiffness, Pain, Pain in extremity, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dystonia (broad), Parkinson-like events (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Arthritis (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: High fever, pain in arm and unable to move it much. Red swollen patches around injection site. Stiff neck and body aches.

VAERS ID:550000 (history)  Vaccinated:2014-10-08
Age:30.0  Onset:2014-10-08, Days after vaccination: 0
Gender:Female  Submitted:2014-10-08, Days after onset: 0
Location:Minnesota  Entered:2014-10-24, 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:
Current Illness: None
Preexisting Conditions: No
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLULAVAL)GLAXOSMITHKLINE BIOLOGICALS634A40IMUN
Administered by: Other     Purchased by: Other
Symptoms: Eye swelling, Lip swelling, Paraesthesia
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Patient eyes and upper lip became swollen and face was tingly. Dr. gave pt. prednisone and clear after 2 days.

VAERS ID:550009 (history)  Vaccinated:2014-10-08
Age:30.0  Onset:2014-10-21, Days after vaccination: 13
Gender:Female  Submitted:2014-10-25, Days after onset: 4
Location:New Hampshire  Entered:2014-10-25
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 4 days
    Extended hospital stay? Yes
Previous Vaccinations:
Other Medications: Synthroid; Cymbalta
Current Illness: None
Preexisting Conditions: Hypothyroidism
Diagnostic Lab Data: Abnormal EMG studies. Normal spine MRI.
CDC Split Type:
Vaccination
Manufacturer
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FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)NOVARTIS VACCINES AND DIAGNOSTICS1451 IMRA
Administered by: Private     Purchased by: Other
Symptoms: Electromyogram abnormal, Guillain-Barre syndrome, Muscular weakness, Nuclear magnetic resonance imaging spinal normal, Pain in extremity
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (narrow), Guillain-Barre syndrome (narrow), Noninfectious encephalopathy/delirium (broad), Demyelination (narrow), Tendinopathies and ligament disorders (broad)
Write-up: Lower extremity muscle weakness, thigh pain. Admitted to hospital with presumed Guillain Barre Syndrome. EMG''s suggestive of GBS. No progression of symptoms. Treated with prednisone.

VAERS ID:550122 (history)  Vaccinated:2014-10-09
Age:30.0  Onset:2014-10-11, Days after vaccination: 2
Gender:Male  Submitted:2014-10-27, Days after onset: 16
Location:Maryland  Entered:2014-10-27
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
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Dose
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Site
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)UNKNOWN MANUFACTURER 0IMLA
Administered by: Unknown     Purchased by: Private
Symptoms: Cough, Fatigue, Hypersomnia, Myalgia, Oropharyngeal pain, Rhinorrhoea, Sinusitis
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Eosinophilic pneumonia (broad), Depression (excl suicide and self injury) (broad), Tendinopathies and ligament disorders (broad)
Write-up: Started with sore throat, then runny nose, then dry cough, then sinusitis, along with myalgia, fatigue, and excessive sleep.

VAERS ID:550252 (history)  Vaccinated:2014-10-14
Age:30.0  Onset:2014-10-14, Days after vaccination: 0
Gender:Female  Submitted:2014-10-14, Days after onset: 0
Location:Texas  Entered:2014-10-27, Days after submission: 13
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU4: INFLUENZA (SEASONAL) (FLUZONE QUADRIVALENT)SANOFI PASTEURUI159AB UNRA
Administered by: Private     Purchased by: Private
Symptoms: Chest discomfort, Dyspnoea, Local swelling, Swollen tongue
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Oropharyngeal allergic conditions (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (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: Patient c/o SOB, chest tightness and swelling of hands and tongue. XOPENEX breathing treatment given and ZYRTEC 10 mg po.

VAERS ID:550259 (history)  Vaccinated:2014-10-24
Age:30.0  Onset:2014-10-24, Days after vaccination: 0
Gender:Female  Submitted:2014-10-26, Days after onset: 2
Location:West Virginia  Entered:2014-10-27, Days after submission: 1
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Gabapentin; Amoxicillin; Cephalexin
Current Illness: None
Preexisting Conditions:
Diagnostic Lab Data: None
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
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FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)NOVARTIS VACCINES AND DIAGNOSTICS1464022UNRA
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.K0098740UNLA
Administered by: Other     Purchased by: Other
Symptoms: Erythema, Flushing, Injection site erythema, Injection site urticaria, Pruritus, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Redness that spread from shoulder to jawline - right arm. Hives were present on shoulder and neck. Experienced itching and some flushing. Patient took some BENADRYL to treat itching and hives. Last almost 24 hours.

VAERS ID:550602 (history)  Vaccinated:2014-10-08
Age:30.0  Onset:2014-10-08, Days after vaccination: 0
Gender:Female  Submitted:2014-10-28, Days after onset: 20
Location:Georgia  Entered:2014-10-28
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None known
Preexisting Conditions: None known
Diagnostic Lab Data: FOLLOWED UP WITH MD-
CDC Split Type:
Vaccination
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FLU4: INFLUENZA (SEASONAL) (FLUZONE QUADRIVALENT)SANOFI PASTEURUI192AB IMRA
Administered by: Public     Purchased by: Other
Symptoms: Hemiparesis, Paraesthesia, Vertigo, Vomiting projectile
SMQs:, Acute pancreatitis (broad), Peripheral neuropathy (broad), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Gastrointestinal perforation, ulcer, haemorrhage, obstruction non-specific findings/procedures (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (narrow), Vestibular disorders (narrow)
Write-up: PROJECTILE VOMITING, SPINNING, LEFT SIDE TINGLING AND WEAK.

VAERS ID:550960 (history)  Vaccinated:2014-09-24
Age:30.0  Onset:2014-09-24, Days after vaccination: 0
Gender:Female  Submitted:2014-10-02, Days after onset: 8
Location:Michigan  Entered:2014-10-28, Days after submission: 26
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: TYSABIN
Current Illness: None
Preexisting Conditions: Multiple sclerosis
Diagnostic Lab Data: None
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
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Site
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)NOVARTIS VACCINES AND DIAGNOSTICS145002 IMLA
Administered by: Public     Purchased by: Unknown
Symptoms: Pyrexia, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Hives, fever, majority of hives on trunk and face. Took BENADRYL until hives subsided.

VAERS ID:550862 (history)  Vaccinated:2014-10-21
Age:30.0  Onset:2014-10-21, Days after vaccination: 0
Gender:Female  Submitted:2014-10-29, Days after onset: 8
Location:Arizona  Entered:2014-10-29
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Birth control
Current Illness: No
Preexisting Conditions: No
Diagnostic Lab Data: Allergic reaction, cellulitis of the arm, and tension headache
CDC Split Type:
Vaccination
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FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)UNKNOWN MANUFACTURER 0SYRLA
PPV: PNEUMO (NO BRAND NAME)UNKNOWN MANUFACTURER 0SYRLA
Administered by: Military     Purchased by: Military
Symptoms: Cellulitis, Chills, Chromaturia, Dehydration, Fatigue, Headache, Hypersensitivity, Influenza like illness, Injection site pain, Injection site swelling, Local swelling, Mobility decreased, Neck pain, Pain, Pyrexia, Skin warm, Tenderness, Tension headache
SMQs:, Rhabdomyolysis/myopathy (broad), Angioedema (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Parkinson-like events (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow), Arthritis (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: I received both the flu and pneumonia shots on my left arm a couple inches apart. After a few hours I had a very sore shot sight and very sore neck pain. Later that night I had flu like symptoms such as; headache, body aches, chills, fever, fatigue that lasted for two days. I was also very dehydrated and my urine was a dark brown color. I also had a swollen arm/shoulder and could not move my arm. The swelling moved down my arm about three inches. It was painful to touch and very warm. It is now 8 days later and I still have a sore bump where the injection sight is. I called the clinic and they suggested I go to the ER where I could possibly get an IV for the dehydration. At the ER they released me with the diagnoses of cellulitis of the arm and an allergic reaction. I went home with pain killers and an antibiotic. On 10/22/2014 I woke up with a terrible headache and neck pain. I was seen at the ER because I thought it was because of the shot. I was diagnosed with a tension headache caused from all the stress my body was under.

VAERS ID:551038 (history)  Vaccinated:2014-10-23
Age:30.0  Onset:2014-10-24, Days after vaccination: 1
Gender:Male  Submitted:2014-10-30, Days after onset: 6
Location:New Jersey  Entered:2014-10-30
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None.
Current Illness: None.
Preexisting Conditions: None.
Diagnostic Lab Data: (Can provide this information at a later date)
CDC Split Type:
Vaccination
Manufacturer
Lot
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Site
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)UNKNOWN MANUFACTURER   LA
Administered by: Other     Purchased by: Other
Symptoms: Insomnia, Joint range of motion decreased, Musculoskeletal pain, Pain
SMQs:, Rhabdomyolysis/myopathy (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad)
Write-up: Severe shoulder pain and limited range of motion. Trouble sleeping. Pain eminates. Have been taking ibuprofen and resting shoulder, yet pain continues a week later.

VAERS ID:551083 (history)  Vaccinated:2014-10-24
Age:30.0  Onset:2014-10-25, Days after vaccination: 1
Gender:Female  Submitted:2014-10-30, Days after onset: 5
Location:Florida  Entered:2014-10-30
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE INTRADERMAL)SANOFI PASTEURUI193AA1IDLA
Administered by: Public     Purchased by: Private
Symptoms: Injection site discomfort, Injection site erythema, Injection site inflammation, Injection site swelling
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: Noticed large, red, inflammed area to left deltoid. Area had some swelling and discomfort. Over the counter pain killer taker one time only. Area faded and went away after four days.

VAERS ID:551103 (history)  Vaccinated:2014-10-29
Age:30.0  Onset:2014-10-29, Days after vaccination: 0
Gender:Female  Submitted:2014-10-30, Days after onset: 1
Location:Georgia  Entered:2014-10-30
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: No
Preexisting Conditions: No
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)UNKNOWN MANUFACTURER1004922150IMRA
Administered by: Other     Purchased by: Other
Symptoms: Chills, Cough, Dyspnoea, Fatigue, Headache, Pain, Pharyngeal oedema
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Oropharyngeal allergic conditions (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Difficult breathing, swelling of the throat, chills, cough, headache, bodyache, fatigue.

VAERS ID:551435 (history)  Vaccinated:2014-10-29
Age:30.0  Onset:2014-10-29, Days after vaccination: 0
Gender:Female  Submitted:2014-11-02, Days after onset: 4
Location:Massachusetts  Entered:2014-11-02
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Levothroxine Tylenol Cold Mucinex Vitamin Antihistamine
Current Illness: Cold
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURUI186AB  LA
Administered by: Public     Purchased by: Unknown
Symptoms: Erythema, Pruritus, Skin discolouration, Skin warm
SMQs:, Anaphylactic reaction (broad), Hypotonic-hyporesponsive episode (broad), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: After flu shot, a large rectangular red area formed which was itchy and hot to touch and remained like this for 48 hours. After 48 hours, the area became black and blue.

VAERS ID:551523 (history)  Vaccinated:2014-10-22
Age:30.0  Onset:2014-10-22, Days after vaccination: 0
Gender:Female  Submitted:2014-11-03, Days after onset: 12
Location:Nevada  Entered:2014-11-03
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Multivitamin, pantothenic acid, free and easy wanderer herbal supplement
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (AFLURIA)CSL LIMITED  IMLA
Administered by: Other     Purchased by: Other
Symptoms: Asthenia, Mobility decreased, Pain
SMQs:, Parkinson-like events (broad), Guillain-Barre syndrome (broad), Tendinopathies and ligament disorders (broad)
Write-up: Noticed injection was high. Experienced progressive immobility of shoulder, weakness, and extreme pain. Problem persists.

VAERS ID:551847 (history)  Vaccinated:2014-10-24
Age:30.0  Onset:2014-10-24, Days after vaccination: 0
Gender:Male  Submitted:2014-10-27, Days after onset: 3
Location:Wisconsin  Entered:2014-11-03, Days after submission: 7
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: Chronic neck pain and headaches
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU4: INFLUENZA (SEASONAL) (FLUZONE QUADRIVALENT)SANOFI PASTEURUF200AB IMLA
Administered by: Private     Purchased by: Private
Symptoms: Herpes zoster
SMQs:
Write-up: Developed herpes zoster one day after receiving influenza vaccine. Concern for herpes zoster ophthalmicus. He presented for care 10/27/14.

VAERS ID:551837 (history)  Vaccinated:2014-11-03
Age:30.0  Onset:2014-11-03, Days after vaccination: 0
Gender:Female  Submitted:2014-11-04, Days after onset: 1
Location:Pennsylvania  Entered:2014-11-04
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Not taking any other meds
Current Illness:
Preexisting Conditions: Being followed for Eustachian Tube Dysfunction
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURUI205AC IMLA
Administered by: Private     Purchased by: Unknown
Symptoms: Dizziness, Flushing, Heart rate increased, Rash macular
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Vestibular disorders (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Appx 4 PM pt was given vaccine and about 20 minutes later facial flushing, blotchy, rapid heartbeat/lightheaded. Dr escorted pt to exam room administered 50 mg Diphenhydramine IM. Vitals were taken pre and post vaccine. Pt fully recovered and returned to her work post at front desk.

VAERS ID:551931 (history)  Vaccinated:2014-11-04
Age:30.0  Onset:2014-11-05, Days after vaccination: 1
Gender:Male  Submitted:2014-11-05, Days after onset: 0
Location:Ohio  Entered:2014-11-05
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Carbamazepine
Current Illness: None.
Preexisting Conditions: Bi-polar disorder, probable general and social anxiety disorders.
Diagnostic Lab Data: None
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)UNKNOWN MANUFACTURER    
Administered by: Unknown     Purchased by: Private
Symptoms: Ataxia, Chest discomfort, Dyspnoea
SMQs:, Anaphylactic reaction (broad), Anticholinergic syndrome (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Cardiomyopathy (broad)
Write-up: Tightness in chest, mild difficulty breathing, mild ataxia.

VAERS ID:551974 (history)  Vaccinated:2014-10-29
Age:30.0  Onset:2014-10-30, Days after vaccination: 1
Gender:Female  Submitted:2014-10-31, Days after onset: 1
Location:Puerto Rico  Entered:2014-11-05, 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:
Current Illness: None
Preexisting Conditions:
Diagnostic Lab Data: Cellulitis - cephalexin 500 mg per diagnosis
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (AFLURIA)CSL LIMITEDT57806 UNLA
Administered by: Unknown     Purchased by: Private
Symptoms: Cellulitis, Erythema, Oedema peripheral, Skin warm
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: It was observed, left arm red edematous and warm to the touch.

VAERS ID:552268 (history)  Vaccinated:2014-11-05
Age:30.0  Onset:2014-11-05, Days after vaccination: 0
Gender:Female  Submitted:2014-11-06, Days after onset: 1
Location:California  Entered:2014-11-06
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Levothyroxin
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU4: INFLUENZA (SEASONAL) (FLUZONE QUADRIVALENT)SANOFI PASTEURUI187AB0IMLA
Administered by: Private     Purchased by: Private
Symptoms: Eye pruritus, Eye swelling, Injection site pain, Lacrimation increased, Local swelling, Pruritus, Throat irritation
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Lacrimal disorders (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: I got flu shot yesterday at 1000. I was fine all day until when at the end of the day at around 5:00 pm, I noticed my eyes were itching, teary, and swollen, my hands & feet were swollen and itchy, the injection site was sore, and my throat was also itchy. I took Benadryl right away & fell asleep. When I woke up, my eyes are still swollen & itchy and my hands are swollen. My feet are fine. I was sent by charge nurse to Employee Health.

VAERS ID:554923 (history)  Vaccinated:2014-11-03
Age:30.0  Onset:2014-11-03, Days after vaccination: 0
Gender:Female  Submitted:2014-11-06, Days after onset: 3
Location:California  Entered:2014-11-07, Days after submission: 1
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NUVARING
Current Illness: None
Preexisting Conditions: Cervical cancer/(Remission)
Diagnostic Lab Data: None
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)GLAXOSMITHKLINE BIOLOGICALSAHBVC209BA1IMUN
Administered by: Other     Purchased by: Other
Symptoms: Dizziness, Dry mouth, Feeling hot, Visual impairment
SMQs:, Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Optic nerve disorders (broad), Lens disorders (broad), Retinal disorders (broad), Vestibular disorders (broad), Hypoglycaemia (broad)
Write-up: I felt dizzy, hot, dry cotton mouth. I saw little stars but then it got better.

VAERS ID:553024 (history)  Vaccinated:0000-00-00
Age:30.0  Onset:0000-00-00
Gender:Female  Submitted:2014-11-10
Location:New Jersey  Entered:2014-11-10
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: Diabetes
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUARIX)GLAXOSMITHKLINE BIOLOGICALSCA7750UNLA
Administered by: Private     Purchased by: Private
Symptoms: Pruritus, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Client received flu shot and developed hives to arm and left side of face. C/o itching hx of allergied (not eggs). RN adm. BENADRYL 50 mg IM (L) arm, Resolved in 15 min.

VAERS ID:555634 (history)  Vaccinated:2014-11-06
Age:30.0  Onset:2014-11-08, Days after vaccination: 2
Gender:Female  Submitted:2014-11-11, Days after onset: 3
Location:Michigan  Entered:2014-11-11
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness: Unknown
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.K0078221IMUN
Administered by: Other     Purchased by: Unknown
Symptoms: Cellulitis, Erythema, Pain
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Redness, pain on 11/8/`4. Approx 1 inch below injection site. Diagnosis by dr. Cellulitis.

VAERS ID:553139 (history)  Vaccinated:2014-10-07
Age:30.0  Onset:2014-10-18, Days after vaccination: 11
Gender:Female  Submitted:2014-11-12, Days after onset: 25
Location:Delaware  Entered:2014-11-12
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 7 days
    Extended hospital stay? No
Previous Vaccinations:
Other Medications: Spironolactone
Current Illness: No
Preexisting Conditions: No
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (AFLURIA)CSL LIMITEDTS7505 IMLA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Feeling hot, Hypoaesthesia, Hypoaesthesia oral, Paraesthesia
SMQs:, Peripheral neuropathy (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad)
Write-up: 10/18/14 warm sensation to right foot. 10/19/14 pins and needles and numbness both feet. 10/20 progression of paresthesia. 10/21 progression upwards involving legs, thighs, abdomen, arms, hands. 10/23 perioral and facial numbness.

VAERS ID:553462 (history)  Vaccinated:2014-11-03
Age:30.0  Onset:2014-11-04, Days after vaccination: 1
Gender:Male  Submitted:2014-11-13, Days after onset: 9
Location:Washington  Entered:2014-11-13
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
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)UNKNOWN MANUFACTURER    
Administered by: Other     Purchased by: Public
Symptoms: Activities of daily living impaired, Injection site pain, Insomnia, Mobility decreased, Pain in extremity
SMQs:, Dementia (broad), Parkinson-like events (broad), Extravasation events (injections, infusions and implants) (broad), Tendinopathies and ligament disorders (broad)
Write-up: I noticed that I was extremely sore the day after receiving the flu shot, I could barely use my left arm. As the week progressed the soreness started to taper off and seemed to be getting better until I woke up on November 10th finding my left arm to be extremely painful. It is now November 13th and the pain is a 7 out of 10. I am unable to use my left arm to assist in driving my car, lifting my purse, opening doors, and even getting dressed. The area around where the nurse delivered the shot is tender and my range of motion with my left arm is extremely limited. I can''t get through the night and rest fully due to the pain that radiates in my arm.

VAERS ID:553566 (history)  Vaccinated:2014-11-03
Age:30.0  Onset:2014-11-03, Days after vaccination: 0
Gender:Female  Submitted:2014-11-11, Days after onset: 8
Location:Rhode Island  Entered:2014-11-13, Days after submission: 2
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Not known
Current Illness: No
Preexisting Conditions: No
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUARIX)GLAXOSMITHKLINE BIOLOGICALS24747 UNLA
Administered by: Other     Purchased by: Other
Symptoms: Injected limb mobility decreased, Injection site pain
SMQs:, Extravasation events (injections, infusions and implants) (broad)
Write-up: Patient received flu shot 11/3/14 5:30PM. Painful going in and hurt the night thru. Patient had difficulty moving arm across chest and range of motion was diminished without pain. Patient said is better than originally was but still hurts.

VAERS ID:553826 (history)  Vaccinated:2014-11-15
Age:30.0  Onset:2014-11-15, Days after vaccination: 0
Gender:Male  Submitted:2014-11-15, Days after onset: 0
Location:Maryland  Entered:2014-11-15
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: NPMH. NKA.
Diagnostic Lab Data: Blood Glucose Level per Emergency Room was 103
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
ANTH: ANTHRAX (BIOTHRAX)EMERGENT BIOSOLUTIONSFAV381A0IMLA
Administered by: Military     Purchased by: Military
Symptoms: Blood glucose normal, Heart rate decreased, Presyncope, Slow response to stimuli
SMQs:, Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hypotonic-hyporesponsive episode (broad), Hypoglycaemia (broad)
Write-up: IMMUNIZATION CLINIC IS OPERATED IN THE MAIN HOSPITAL. PT WAS ADMINISTERED ANTHRAX VACCINATION IN L DELTOID AND AS ANOTHER VACCINE WAS BEING PREPARED (NOT ADMINISTERED) PT BECAME PRE-SYNCOPAL. PT WAS LOWERED TO FLOOR AND, ALTHOUGH SLOW TO RESPOND INITIALLY, WAS ALERT AND ORIENTED x 3 UPON BEING PLACED SUPINE. PT WAS KEPT SUPINE UNTIL EMERGENCY ROOM PERSONNEL ARRIVED ON SCENE. PT''S VITAL SIGNS IMMEDIATELY FOLLOWING EPISODE WERE AS FOLLOWS: BP 120/71, SPO2 98% RA, HR INITIALLY 41 IMPROVED TO 63 WITHIN 3-5 MINUTES. PT DENIED ANY COMPLAINT AND ADMITTED AFTERWARD THAT HE HAS HAD EPISODES OF SYNCOPE/PRE-SYNCOPE UPON RECEIVING VACCINES IN THE PAST, THE LAST EPISODE BEING APPROX 10 YEARS AGO. PT DID NOT ADMIT THIS HISTORY DURING INTERVIEW PRIOR TO VACCINATION. PT IS CURRENTLY BEING EVALUATED IN THE EMERGENCY ROOM.

VAERS ID:553838 (history)  Vaccinated:2014-11-15
Age:30.0  Onset:2014-11-15, Days after vaccination: 0
Gender:Male  Submitted:2014-11-15, Days after onset: 0
Location:Idaho  Entered:2014-11-15
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: No
Preexisting Conditions: None
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)NOVARTIS VACCINES AND DIAGNOSTICS14136010IMRA
Administered by: Public     Purchased by: Private
Symptoms: Headache, Injection site pruritus, Pruritus, Visual impairment
SMQs:, Anaphylactic reaction (broad), Optic nerve disorders (broad), Lens disorders (broad), Retinal disorders (broad), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)
Write-up: Severe frontal headache impairing vision, entire head itching profusely radiating down to R shoulder at site of injection.

VAERS ID:554008 (history)  Vaccinated:2014-11-14
Age:30.0  Onset:2014-11-14, Days after vaccination: 0
Gender:Female  Submitted:2014-11-17, Days after onset: 3
Location:Washington  Entered:2014-11-17
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:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)UNKNOWN MANUFACTURER  IM 
Administered by: Unknown     Purchased by: Unknown
Symptoms: Injection site swelling
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: Injection site swelling.

VAERS ID:556400 (history)  Vaccinated:2014-10-08
Age:30.0  Onset:2014-10-08, Days after vaccination: 0
Gender:Female  Submitted:2014-11-17, Days after onset: 40
Location:Ohio  Entered:2014-11-17
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Minocycline; LOESTRIN FE
Current Illness: None
Preexisting Conditions: NKA
Diagnostic Lab Data: To be determined
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.97222022IMRA
Administered by: Other     Purchased by: Private
Symptoms: Injection site pain, Pain, Paraesthesia
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad)
Write-up: Pt. experienced pain originally just with lifting and backwards motion and tingling sensation. Pt. received prednisone therapy, which helped, but pain returned post therapy. Pain is now present (at injection site) with all motion; primary CNP is referring her to musculoskeletal specialist and further testing.

VAERS ID:554247 (history)  Vaccinated:2014-11-12
Age:30.0  Onset:2014-11-12, Days after vaccination: 0
Gender:Male  Submitted:2014-11-17, Days after onset: 5
Location:Michigan  Entered:2014-11-18, Days after submission: 1
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: WELLBUTRIN; CYMBALTA; fish oil
Current Illness: None
Preexisting Conditions: Ankylosing spondylitis; Depression
Diagnostic Lab Data: None
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURUI199AB0IMUN
Administered by: Private     Purchased by: Private
Symptoms: Back pain, Diarrhoea, Headache, Nausea
SMQs:, Acute pancreatitis (broad), Retroperitoneal fibrosis (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (narrow)
Write-up: Several hours after receiving flu vaccine, developed headache, then back ache, a feeling being close to vomiting. On 11/16, developed diarrhea.

VAERS ID:554926 (history)  Vaccinated:2014-11-05
Age:30.0  Onset:2014-11-06, Days after vaccination: 1
Gender:Female  Submitted:2014-11-07, Days after onset: 1
Location:Texas  Entered:2014-11-20, Days after submission: 13
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (ADACEL)SANOFI PASTEURU4825AA0IMRA
Administered by: Private     Purchased by: Private
Symptoms: Erythema, Hypersensitivity, Induration, Peripheral swelling, Skin warm, Upper extremity mass
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: (R) arm with 4 cm red, swollen, warm, indurated mass c/w low allergic rxn to TDAP. Txt with steroid oral, antihistamine, TYLENOL.

VAERS ID:555236 (history)  Vaccinated:2013-06-17
Age:30.0  Onset:2013-06-18, Days after vaccination: 1
Gender:Female  Submitted:2014-11-22, Days after onset: 522
Location:California  Entered:2014-11-22
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (ADACEL)SANOFI PASTEURC4250AA UNRA
Administered by: Public     Purchased by: Other
Symptoms: Anxiety, Deafness unilateral, Erythema, Headache, Hypoaesthesia, Impaired work ability, Injected limb mobility decreased, Injection site erythema, Injection site induration, Injection site mass, Injection site pain, Injection site swelling, Injection site warmth, Insomnia, Joint range of motion decreased, Limb discomfort, Muscle spasms, Muscle tightness, Muscular weakness, Myalgia, Nerve injury, Pain, Pain in extremity, Peripheral swelling, Skin discolouration, Skin warm, Wrong drug administered
SMQs:, Rhabdomyolysis/myopathy (broad), Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Peripheral neuropathy (broad), Dystonia (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Accidents and injuries (narrow), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Eosinophilic pneumonia (broad), Hearing impairment (narrow), Hypotonic-hyporesponsive episode (broad), Hypersensitivity (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad), Medication errors (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)
Write-up: On June 17th 2013 I was sent to facility to have a routine TB test before I could begin my work as a volunteer. I met with a P.A. who gave me a brief medical exam and then a Medical Assistant who said she would administer my vaccine. Shortly after I was given a vaccination in the right forearm and told to come back for a follow up reading for my TB test. About an hour after I had left I received a call. I was told that the vaccination I was given was incorrect. She stated that in error I was given the Tdap vaccine instead of a TB test. I was told that I would be fine but to come back tomorrow for the proper vaccine. I immediately called facility and spoke with volunteer coordinator to inform him of the error. He stated that he was unaware of the incident and that “nothing like this had ever happened before” and agreed to meet me at the clinic for my follow up the next day. The next day June 18th 2013 I awoke with my right arm swollen and red around the injection area which was forming a small, hot, hard lump. I called facility and spoke with volunteer coordinator to inform him of the swelling and pain in my right arm he suggested that I come in as soon as possible that day instead of the late afternoon scheduled time. On June 18th 2013 I went back to facility and asked for volunteer coordinator and he was not available. I began working the medical assistant that gave me the wrong vaccine and Physician Assistant. Medical assistant stated “that she had given me the Tdap because she thought the T in Tdap was for TB.” I was told by the P.A. that the injection for Tdap should not have been applied in my forearm at all and that it was also applied incorrectly under the skin in the manner of a TB that should have been given. The P.A. examined my arm in the Lobby and stated that “the hard lump may need to be cut out if it continued to spread around my forearm.” I was not comfortable with the information I was given and asked to speak with a supervisor and waited in the Lobby for 30 minutes. I met with Dr. who took me into a patient room and examined my arm. I was told to put ice to reduce swelling and given Tylenol and Aleve and told to come back the next day for a follow up. The following day I awoke with extreme pain and my arm even more swollen. The area of injection was hot and painful and had become even more of a solid mass. I returned to facility on June 19th 2013 my arm was examined by the P.A. and Dr. I informed them of the increasing pain from my entire hand up to neck on the right side, numbness and lack of function/movement. My entire right limb was red, swollen and hot. I waited in the exam room for nearly an hour and was given a bottle of prescribed antibiotics and more Tylenol by Dr. He said that I should take the prescription he had filled for me along with the Tylenol and I would be fine by weeks end. Later that same day June 19th I returned to facility to speak with Dr. again about the pain in my neck and arm. I asked for blood work and an ultrasound/ X-ray to be given but Dr. only tried to assure me the pain would be relieved with the antibiotics and Tylenol he had given me. He stated “he had more than 20 years' experience and that by weeks end I would be fine.” He asked me to trust him and I was then sent to be attended to by a nurse whom I had not worked with. She applied a topical ointment to my arm because the injection area was increasingly swollen and red/purple. The area of injection was covered it with a bandage and I was told to come back with any further issues or concerns. On June 20th 2013 I returned to facility. At this point my entire right arm up to my neck was swollen and in pain. My right arm felt very hot and heavy. The swelling had moved to the entire forearm, hand, thumb, index and middle fingers. I was having trouble moving my entire right arm and pain was at a constant 8 – 10. I expressed my concern with the lack of progress, extreme pain and frustration of

VAERS ID:555299 (history)  Vaccinated:2014-10-15
Age:30.0  Onset:0000-00-00
Gender:Male  Submitted:2014-11-22
Location:Ohio  Entered:2014-11-23, Days after submission: 1
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
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)NOVARTIS VACCINES AND DIAGNOSTICS1412401 UNUN
Administered by: Unknown     Purchased by: Unknown
Symptoms: Joint injury, Periarthritis
SMQs:, Accidents and injuries (narrow), Arthritis (narrow)
Write-up: SIRVA. Adhesive capsulitis. Doctors visits. Physical therapy.

VAERS ID:555539 (history)  Vaccinated:2014-11-13
Age:30.0  Onset:2014-11-14, Days after vaccination: 1
Gender:Female  Submitted:2014-11-17, Days after onset: 3
Location:Tennessee  Entered:2014-11-24, Days after submission: 7
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: Penicillin allergy; Environmental allergies
Diagnostic Lab Data: None
CDC Split Type:
Vaccination
Manufacturer
Lot
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FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURUI190AA0UNRA
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.K0072620UNRA
TDAP: TDAP (BOOSTRIX)GLAXOSMITHKLINE BIOLOGICALS34CB5 UNLA
Administered by: Private     Purchased by: Unknown
Symptoms: Injection site erythema, Injection site oedema, Injection site rash, Nausea, Pain, Pyrexia, Vomiting
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Feverish, body aches, nausea/vomiting, rash, erythema, site edema and erythema x 3 days.

VAERS ID:556796 (history)  Vaccinated:2014-09-28
Age:30.0  Onset:2014-09-29, Days after vaccination: 1
Gender:Male  Submitted:2014-12-03, Days after onset: 65
Location:Oregon  Entered:2014-12-03
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (AFLURIA)CSL LIMITEDT58006 IMLA
Administered by: Private     Purchased by: Private
Symptoms: Mobility decreased, Myalgia
SMQs:, Rhabdomyolysis/myopathy (broad), Parkinson-like events (broad), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad)
Write-up: Following flu shot developed deltoid pain/deep aching, usually 2-3/10 on pain scale, some movement 6-7/10/ Declined medical treatment.

VAERS ID:556724 (history)  Vaccinated:2014-12-03
Age:30.0  Onset:2014-12-03, Days after vaccination: 0
Gender:Female  Submitted:2014-12-04, Days after onset: 1
Location:Missouri  Entered:2014-12-04
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: No
Preexisting Conditions: No
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
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FLU3: INFLUENZA (SEASONAL) (FLULAVAL)GLAXOSMITHKLINE BIOLOGICALS195150893071IMLA
Administered by: Unknown     Purchased by: Other
Symptoms: Injection site pain, Insomnia, Pain in extremity, Sleep disorder
SMQs:, Extravasation events (injections, infusions and implants) (broad), Tendinopathies and ligament disorders (broad)
Write-up: Severe aching pain in arm and shoulder of injection site (left arm). As the day progressed, so did the pain. Unable to sleep on left side or use arm without the pain worsening. Unable to sleep due to pain. Ibuprofen used for pain.

VAERS ID:556739 (history)  Vaccinated:2014-05-14
Age:30.0  Onset:2014-05-14, Days after vaccination: 0
Gender:Female  Submitted:2014-12-04, Days after onset: 204
Location:Michigan  Entered:2014-12-04
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Multivitamin
Current Illness: No
Preexisting Conditions: Asthma, Overweight, Low HDL, Seasonal allergies. Allergic to penicillin, rxn unknown.
Diagnostic Lab Data: None
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
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Site
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.J0143990IMLA
Administered by: Private     Purchased by: Private
Symptoms: Chills, Myalgia
SMQs:, Rhabdomyolysis/myopathy (broad), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad)
Write-up: Diffuse myalgia and chills for 3 days, all subsided as soon as she took a Benadryl on day 3.

VAERS ID:557076 (history)  Vaccinated:2014-10-20
Age:30.0  Onset:2014-10-20, Days after vaccination: 0
Gender:Female  Submitted:2014-12-01, Days after onset: 42
Location:Nevada  Entered:2014-12-04, 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: No
Preexisting Conditions: Allergy = Penicillin
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUARIX)GLAXOSMITHKLINE BIOLOGICALSLM55C0IMLA
Administered by: Public     Purchased by: Unknown
Symptoms: Asthenia, Immediate post-injection reaction, Joint range of motion decreased, Pain
SMQs:, Guillain-Barre syndrome (broad), Hypersensitivity (narrow), Arthritis (broad), Tendinopathies and ligament disorders (broad)
Write-up: Soreness immediately after shot was given, increasing over the course of a month, decreased range of motion, weakness. Treatment: cortisone injection on 11/20/14, Dr.

VAERS ID:557212 (history)  Vaccinated:2009-11-12
Age:30.0  Onset:2009-11-12, Days after vaccination: 0
Gender:Male  Submitted:2014-12-06, Days after onset: 1850
Location:Minnesota  Entered:2014-12-06
Life Threatening? Yes
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: No
Preexisting Conditions: Allergy to penicillin
Diagnostic Lab Data: None
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)UNKNOWN MANUFACTURER    
Administered by: Unknown     Purchased by: Unknown
Symptoms: Pyrexia, Rash, Vomiting
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Rash developed on left side of body covering neck and torso; fever around 102 for 3 days and fits of vomiting. I probably should have gone to the doctor but I suffered through it with fluids and ibuprofen.

VAERS ID:557252 (history)  Vaccinated:2014-12-07
Age:30.0  Onset:2014-12-07, Days after vaccination: 0
Gender:Female  Submitted:2014-12-08, Days after onset: 1
Location:Georgia  Entered:2014-12-08
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: N/a
Preexisting Conditions: Bicuspid aortic valve and aortic dysfunction
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)UNKNOWN MANUFACTURER    
Administered by: Public     Purchased by: Public
Symptoms: Arthralgia, Asthenia, Dyspnoea, Pyrexia
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Cardiomyopathy (broad), Arthritis (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: Joints on the pain. Shortness of breath. Fever. Weakness.

VAERS ID:557347 (history)  Vaccinated:2014-10-29
Age:30.0  Onset:0000-00-00
Gender:Male  Submitted:2014-12-08
Location:Puerto Rico  Entered:2014-12-08
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: No
Preexisting Conditions: No
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
ANTH: ANTHRAX (BIOTHRAX)EMERGENT BIOSOLUTIONSFAV365A3SYRLA
Administered by: Military     Purchased by: Military
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: Place where vaccine was injected turned red, a little swollen and itchy. It disappeared in about a week and a half.

VAERS ID:557488 (history)  Vaccinated:2013-10-23
Age:30.0  Onset:2014-10-23, Days after vaccination: 365
Gender:Female  Submitted:2014-12-09, Days after onset: 47
Location:Illinois  Entered:2014-12-09
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Pantoprazole 40mg 1 tab po daily Hydrocodone-apap 10/325 1 tab q 6hrs prn
Current Illness: None
Preexisting Conditions: Acid Reflux
Diagnostic Lab Data: MRI 12/11/13 - tendonitis and bursitis; Surgery 6/10/2014 - subacromial decompression and biceps tendonesis; arthrogram MRI - pending
CDC Split Type:
Vaccination
Manufacturer
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Dose
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FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)UNKNOWN MANUFACTURER  IMLA
Administered by: Other     Purchased by: Private
Symptoms: Bursitis, Drug administered at inappropriate site, Injection site reaction, Musculoskeletal stiffness, Nuclear magnetic resonance imaging abnormal, Pain, Rotator cuff repair, Surgery, Tendonitis, Tenodesis
SMQs:, Dystonia (broad), Parkinson-like events (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Arthritis (broad), Tendinopathies and ligament disorders (narrow), Medication errors (narrow)
Write-up: First, I would like to state that prior to vaccination, I did not have any left shoulder pain or injuries. I was given the flu shot into my left shoulder by the pharmacist. It was given too high on the shoulder. It was administered approximately 2cm below the acromion. I began to have pain and stiffness within one hour of the injection. When the symptoms continued to get worse, I went to the urgent care two days after vaccination, and despite requesting a steroid, I was given Meloxicam and sent home. When the pain continued to persist and get worse, I went to see my primary physician on November 13, 2013. She prescribed prednisone. It worked while I was taking it, but once I discontinued it, the symptoms returned soon after. I saw a pain management physician on December 9th, who ordered an MRI. The MRI was performed on December 11, 2013. This showed bursitis and tendonitis of the left shoulder. He ordered physical therapy, which I did in January 2014. I then began seeing an orthopedic surgeon on February 21, 2014. He ordered more physical therapy. When that wasn''t helping, he gave me a steroid shot into the left shoulder. We proceeded with more physical therapy. When that still was not helping, we opted for surgery. I had a subacromial decompression and biceps tendonesis on June 10, 2014. I began more physical therapy after surgery. The pain continued to persist. He gave me another steroid injection into the left shoulder on October 3, 2014. The symptoms have continued through all of this treatment. The orthopedic surgeon recommended in November 2014 that I get a second opinion. I am currently doing this and have a new orthopedic surgeon who has ordered an arthrogram MRI of my left shoulder because he believes there may be more damage in the shoulder.

VAERS ID:557818 (history)  Vaccinated:2014-11-19
Age:30.0  Onset:2014-11-26, Days after vaccination: 7
Gender:Female  Submitted:2014-12-11, Days after onset: 15
Location:North Carolina  Entered:2014-12-11
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: ~Influenza (Seasonal) (no brand name)~UN~18.00~Patient
Other Medications: Client states she does not remember taking anything the day of vaccination (11-19-14), but states if she took anything, it would have been ibuprofen.
Current Illness: None
Preexisting Conditions: Sulfa (unsure of reaction), Azithromycin (Rash), Doxycycline (rash, erythema) allergies, mild asthma
Diagnostic Lab Data: Client states had bloodwork done on 12-8-14 for anemia which yielded normal results. Client states unsure if any other labs were ordered with her bloodwork.
CDC Split Type:
Vaccination
Manufacturer
Lot
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TYP: TYPHOID VI POLYSACCHARIDE (TYPHIM VI)SANOFI PASTEURK024811IMRA
YF: YELLOW FEVER (YF-VAX)SANOFI PASTEURUI081AB0SCRA
Administered by: Public     Purchased by: Private
Symptoms: Blood test normal, Fatigue, Headache, Migraine, Musculoskeletal stiffness, Nausea, Photophobia, Visual impairment
SMQs:, Acute pancreatitis (broad), Dystonia (broad), Parkinson-like events (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Glaucoma (broad), Optic nerve disorders (broad), Lens disorders (broad), Corneal disorders (broad), Retinal disorders (broad), Arthritis (broad), Hypoglycaemia (broad)
Write-up: Client states that on 11-26-14 she began to feel "run down" These symptoms progressed to fatigue, headache, nausea, light sensitivity, vision disturbances, stiff muscles, stiff neck for which she has taken Ibuprofen and that have since worsened. Client also reports having had a migraine on 12-7-14. Client states she was seen by her Dr. on 12-8-14 and had blood work done for anemia which yielded normal results. Advised client that a VAERS report will be made and that she should return to her Dr. as her symptoms are worsening. Client states "My Dr. said they have done all they can do". Advised client to seek new Dr. if necessary as worsening neck stiffness and vision disturbances are concerning and need to be evaluated soon. Client states she was experiencing the above symptoms when evaluated by her Dr. Client verbalized understanding.

VAERS ID:558396 (history)  Vaccinated:2014-12-03
Age:30.0  Onset:2014-12-03, Days after vaccination: 0
Gender:Female  Submitted:2014-12-11, Days after onset: 8
Location:New Jersey  Entered:2014-12-15, 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: Thyroid tablets
Current Illness: Unknown
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: US2014GSK032041
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEPA: HEP A (HAVRIX)GLAXOSMITHKLINE BIOLOGICALS 0UNUN
Administered by: Other     Purchased by: Private
Symptoms: Abdominal pain, Muscle spasms, Nausea, Underdose, Vomiting
SMQs:, Acute pancreatitis (broad), Retroperitoneal fibrosis (broad), Dystonia (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Medication errors (broad)
Write-up: This case was reported by a pharmacist and described the occurrence of nausea in a 30-year-old female patient who received HAVRIX 360 Junior. Co-suspect products included Thyroid Tablets for an unknown indication. On 3rd December 2014, the patient received the 1st dose of HAVRIX 360 Junior. On 2nd December 2014, the patient started Thyroid Tablets (oral) at an unknown dose and frequency. On 3rd December 2014, less than an hour after receiving HAVRIX 360 Junior, the patient experienced nausea (serious criteria disability), vomiting, cramp, abdominal pain and underdose. The patient was treated with invert sugar, EMETROL. On an unknown date, the outcome of the nausea, vomiting, cramp and abdominal pain were not recovered/not resolved and the outcome of the underdose was unknown. It was unknown if the reporter considered the nausea, vomiting, cramp and abdominal pain to be related to HAVRIX 360 Junior. Additional details provided: The pharmacist who reported the incident was also the patient. The events required medical attention at the doctor''s office. The reporter was not aware of any adverse events following previous vaccinations.

VAERS ID:558534 (history)  Vaccinated:2014-11-30
Age:30.0  Onset:2014-11-30, Days after vaccination: 0
Gender:Female  Submitted:2014-12-16, Days after onset: 16
Location:Ohio  Entered:2014-12-16
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Prenatal vitamins and vitamin C
Current Illness: No
Preexisting Conditions: None
Diagnostic Lab Data: My primary physician referred me to a physical therapist who is treating me for the frozen shoulder. I am hoping I recover, but I haven''t yet.
CDC Split Type:
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FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)UNKNOWN MANUFACTURER 0IMLA
Administered by: Other     Purchased by: Other
Symptoms: Immediate post-injection reaction, Periarthritis
SMQs:, Hypersensitivity (narrow), Arthritis (narrow)
Write-up: I am currently being treated for a frozen shoulder that occurred immediately following what I believe was an incorrectly administered flu shot.

VAERS ID:559825 (history)  Vaccinated:2014-11-17
Age:30.0  Onset:2014-11-17, Days after vaccination: 0
Gender:Male  Submitted:2014-12-20, Days after onset: 33
Location:Unknown  Entered:2014-12-24, Days after submission: 4
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: No other medications
Current Illness: Unknown
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: WAES1412USA009485
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMRV: MEASLES + MUMPS + RUBELLA + VARICELLA (PROQUAD)MERCK & CO. INC.  SCUN
Administered by: Other     Purchased by: Other
Symptoms: Drug administered to patient of inappropriate age, No adverse event
SMQs:, Medication errors (narrow)
Write-up: This spontaneous report as received from a health professional refers to a 30 year old male patient. On 17-NOV-2014, the patient was inadvertently vaccinated with a dose of (Merck) PROQUAD (lot#, expiration date and site of administration were not reported), subcutaneously. No adverse effects were reported. Additional information has been requested.

VAERS ID:559707 (history)  Vaccinated:2014-09-01
Age:30.0  Onset:2014-09-02, Days after vaccination: 1
Gender:Female  Submitted:2014-12-25, Days after onset: 114
Location:New Jersey  Entered:2014-12-25
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: No
Preexisting Conditions: No
Diagnostic Lab Data: no
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE INTRADERMAL)SANOFI PASTEUR 0IDUN
Administered by: Other     Purchased by: Public
Symptoms: Rash pruritic
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Write-up: My daughter got Sanofi Pasteur''s intradermal flu vaccine as part of a pilot program. She hated it. She got an itchy rash that lasted for days. They gave participants a survey immediately after the shot, before she was aware of this reaction. So she could not give accurate feedback. They were only interested in positive feedback. They also "bribed" participants with a gift card.

VAERS ID:560006 (history)  Vaccinated:2014-12-19
Age:30.0  Onset:2014-12-20, Days after vaccination: 1
Gender:Female  Submitted:2014-12-22, Days after onset: 2
Location:Ohio  Entered:2014-12-29, Days after submission: 7
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (AFLURIA)CSL LIMITEDT53109 UNRA
Administered by: Public     Purchased by: Public
Symptoms: