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Found 466004 cases in entire database

Case Details (Sorted by Age)

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VAERS ID:375591 (history)  Vaccinated:2009-12-02
Age:48.0  Onset:2009-12-03, Days after vaccination: 1
Gender:Female  Submitted:2009-12-10, Days after onset: 7
Location:Pennsylvania  Entered:2009-12-31, Days after submission: 21
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: Diabetes; Sarcoidosis of the bones; Sleep apnea; Allergies: Compazine, FLEXERAL, Tetracycline, Morphine, PARAFORTE
Diagnostic Lab Data: Doctor tested hand grip strength and range of motion.
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU(H1N1): INFLUENZA (H1N1) (H1N1 (MONOVALENT) (SANOFI)SANOFI PASTEURUP026AA0IMRA
Administered by: Private     Purchased by: Public
Symptoms: Grip strength, Injection site discomfort, Muscular weakness, Pruritus, Rash
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Hypersensitivity (narrow)
Write-up: Patient received H1N1 vaccine on 12/2/09. Next morning at 7:30 when she woke up noticed arm discomfort in right area that received the vaccine. Arm discomfort became worse as the days progressed. Also had arm weakness and loss of range in motion. Saw family doctor to prescribed Neurontin which has made improvement.

VAERS ID:375686 (history)  Vaccinated:2010-01-02
Age:48.0  Onset:2010-01-02, Days after vaccination: 0
Gender:Male  Submitted:2010-01-03, Days after onset: 1
Location:Connecticut  Entered:2010-01-03
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
FLUX(H1N1): INFLUENZA (H1N1) (H1N1 (MONOVALENT) (UNKNOWN)UNKNOWN MANUFACTURER  IJ 
Administered by: Other     Purchased by: Private
Symptoms: Blindness, Loss of consciousness, Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), 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), Glaucoma (broad), Optic nerve disorders (broad), Cardiomyopathy (broad), Retinal disorders (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad)
Write-up: Could not see, room went dark, fainted. After about 1 minute, came back, not medical treatment, sat up and rested, left pharmacy about 5 minutes later, went home and rested for 1/2 hour.

VAERS ID:375708 (history)  Vaccinated:2009-12-22
Age:48.0  Onset:2009-12-22, Days after vaccination: 0
Gender:Female  Submitted:2009-12-31, Days after onset: 9
Location:Ohio  Entered:2010-01-04, 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:
Current Illness: Deep vein thrombosis; Pulmonary embolism; Sulfonamide allergy; Allergic reaction to antibiotics
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type': WAES0912USA03254
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLUX(H1N1): INFLUENZA (H1N1) (H1N1 (MONOVALENT) (UNKNOWN)UNKNOWN MANUFACTURER102147P1 UNLA
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.1365Y SCRA
Administered by: Other     Purchased by: Other
Symptoms: Erythema, Feeling hot, Pruritus, Swelling
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad)
Write-up: Information has been received from registered nurse concerning a 48 year old female patient with deep vein thrombosis, a pulmonary embolism, BACTRIM allergy and AUGMENTIN allergy, who on 22-DEC-2009 was vaccinated subcutaneously in the right arm with a 0.5 ml dose of PNEUMOVAX 23 (lot number 664864/1365Y). The same day the patient was vaccinated in the left arm with a dose of H1N1. Concomitant therapy included COUMADIN, TYLENOL and FLONASE. On 22-DEC-2009 the patient experienced localized red, circular, hot, itching and some swelling reaction. The nurses believed that intervention to prevent serious criteria were BENADRYL 25 mg every 6 hours, over the counter steroid creams to affected area and cold compresses. At the time of the report the patient was recovering. The patient called the nurse. No laboratory diagnostics studies were performed. Follow up information has been received from the nurse who reported that the lot # for the H1N1 was 102147P1. The nurse reported that she had spoken with the patient by phone on 28-DEC-2009. The symptoms had decreased, but the patient was still recovering. Additional information has been requested.

VAERS ID:375734 (history)  Vaccinated:2009-07-16
Age:48.0  Onset:2009-07-17, Days after vaccination: 1
Gender:Female  Submitted:2010-01-04, Days after onset: 171
Location:Michigan  Entered:2010-01-04
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: hypothyroid
Diagnostic Lab Data: x-ray
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
TTOX: TETANUS TOXOID (NO BRAND NAME)UNKNOWN MANUFACTURER    
Administered by: Private     Purchased by: Unknown
Symptoms: Pain, Periarthritis, X-ray
SMQs:, Arthritis (narrow)
Write-up: Severe long term pain that casued frozen shoulder

VAERS ID:375784 (history)  Vaccinated:2009-12-28
Age:48.0  Onset:2009-12-29, Days after vaccination: 1
Gender:Female  Submitted:2010-01-04, Days after onset: 6
Location:Vermont  Entered:2010-01-04
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: Erythromycins; Asthma; NIDDM; Allergic Rhinitis
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.0509Y0IMRA
TDAP: TDAP (ADACEL)SANOFI PASTEURC3355AA IMLA
Administered by: Private     Purchased by: Public
Symptoms: Erythema, Mobility decreased, Oedema peripheral, Pain in extremity, Skin warm
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Parkinson-like events (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad)
Write-up: C/O pain R arm, swelling, ROM decreased, redness, warmth. Iced and reaction did resolve a few days later. She did not have this evaluated nor did she call office. Her daughter works in office and reported the reaction.

VAERS ID:375840 (history)  Vaccinated:2009-12-17
Age:48.0  Onset:2009-12-19, Days after vaccination: 2
Gender:Female  Submitted:2010-01-05, Days after onset: 17
Location:North Carolina  Entered:2010-01-05
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: sjogrens,diabetes
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU(H1N1): INFLUENZA (H1N1) (H1N1 (MONOVALENT) (NOVARTIS)NOVARTIS VACCINES AND DIAGNOSTICS102145P10IJLA
Administered by: Public     Purchased by: Public
Symptoms: Pruritus, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow)
Write-up: mild hives and itching on upper thighs, torso, shoulders and underarms, no treatment, verified it was not anything else.

VAERS ID:375895 (history)  Vaccinated:2009-12-30
Age:48.0  Onset:2009-12-30, Days after vaccination: 0
Gender:Female  Submitted:0000-00-00
Location:Ohio  Entered:2010-01-05
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: None
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU(H1N1): INFLUENZA (H1N1) (H1N1 (MONOVALENT) (NOVARTIS)NOVARTIS VACCINES AND DIAGNOSTICS102126P1A0IMRA
Administered by: Private     Purchased by: Other
Symptoms: Unevaluable event
SMQs:
Write-up: Patient received H1N1 vaccine.

VAERS ID:375903 (history)  Vaccinated:2009-12-28
Age:48.0  Onset:2009-12-28, Days after vaccination: 0
Gender:Female  Submitted:2009-12-29, Days after onset: 1
Location:Rhode Island  Entered:2010-01-05, 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: Allergy to trees, mold, grass, dust, dogs, cats
Diagnostic Lab Data: None
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU(H1N1): INFLUENZA (H1N1) (H1N1 (MONOVALENT) (NOVARTIS)NOVARTIS VACCINES AND DIAGNOSTICS104041P10IMRA
Administered by: Private     Purchased by: Unknown
Symptoms: Burning sensation, Ear discomfort, Flushing, Rash, Skin warm
SMQs:, Anaphylactic reaction (broad), Peripheral neuropathy (broad), Hypersensitivity (narrow)
Write-up: 2 hours post vaccination began to feel flushed and warm. Developed rash on neck and upper chest. She went home took ZYRTEC, went to bed. This morning on awaking client felt burning sensation in chest, neck and ears. Rash at upper chest and neck. Seen by doctor-given ZYRTEC tab po, KENALOG 60 mg x 1 and Prednisone 20mg daily x 3 days.

VAERS ID:375975 (history)  Vaccinated:2009-12-17
Age:48.0  Onset:2009-12-18, Days after vaccination: 1
Gender:Female  Submitted:2010-01-05, Days after onset: 18
Location:California  Entered:2010-01-05
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: low back pain
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (ADACEL)SANOFI PASTEURC3353AA1UNLA
Administered by: Private     Purchased by: Unknown
Symptoms: Chest discomfort, Cough, Dysphonia
SMQs:, Anaphylactic reaction (broad), Parkinson-like events (broad)
Write-up: One day after vaccine pt c/o hoarse voice, followed by chest tightness and dry cough on day 3. Sxs lasted x 2 wks.

VAERS ID:375979 (history)  Vaccinated:2009-11-17
Age:48.0  Onset:2009-11-18, Days after vaccination: 1
Gender:Female  Submitted:0000-00-00
Location:South Carolina  Entered:2010-01-06
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: Hypertension
Diagnostic Lab Data:
CDC 'Split Type': SC0938Pan
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU(H1N1): INFLUENZA (H1N1) (H1N1 (MONOVALENT) (SANOFI)SANOFI PASTEURUP020AA0IMLA
Administered by: Public     Purchased by: Unknown
Symptoms: Pain in extremity, Pruritus, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow)
Write-up: On 11/18/09- Pt noticed sore arm and itching then on PM of 11/18/09 noticed hives on hands and neck (left side) and arms. Took BENADRYL and hives resolved by 11/20/09.

VAERS ID:376118 (history)  Vaccinated:2009-12-04
Age:48.0  Onset:2009-12-05, Days after vaccination: 1
Gender:Male  Submitted:2010-01-07, Days after onset: 33
Location:Puerto Rico  Entered:2010-01-07
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: HIGH BLOOD PRESSURE, RENAL COLICS
Diagnostic Lab Data:
CDC 'Split Type': PR0963
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU(H1N1): INFLUENZA (H1N1) (H1N1 (MONOVALENT) (SANOFI)SANOFI PASTEURUP017AA0IMLA
Administered by: Private     Purchased by: Public
Symptoms: Chills, Headache, Nausea, Pain, Pyrexia, Vomiting
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)
Write-up: 12/05/2009 - FEVER 12/06/2009 - NAUSEA, BODY ACHES, HEADACHE, CHILLS, FEVER 12/07/2009 - NAUSEA, VOMITING, DIARRHEA, FEVER, GENERALIZED PAIN

VAERS ID:376126 (history)  Vaccinated:2010-01-06
Age:48.0  Onset:2010-01-07, Days after vaccination: 1
Gender:Female  Submitted:2010-01-07, Days after onset: 0
Location:Minnesota  Entered:2010-01-07
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: allergies to amoxicillan, tetracycline, levoquin, erythromycin, sulpha pine trees, fragrance, cleaning products, exhaust fumes, cinnaminic aldehyde, potassium dichromate, mercapto mix
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLUX(H1N1): INFLUENZA (H1N1) (H1N1 (MONOVALENT) (UNKNOWN)UNKNOWN MANUFACTURER    
PPV: PNEUMO (NO BRAND NAME)UNKNOWN MANUFACTURER    
Administered by: Public     Purchased by: Private
Symptoms: Migraine
SMQs:
Write-up: Migraine

VAERS ID:376130 (history)  Vaccinated:2009-09-30
Age:48.0  Onset:2009-10-01, Days after vaccination: 1
Gender:Female  Submitted:2010-01-07, Days after onset: 98
Location:Indiana  Entered:2010-01-07
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) (FLUVIRIN)NOVARTIS VACCINES AND DIAGNOSTICS98441P1A0UNLA
Administered by: Public     Purchased by: Unknown
Symptoms: Musculoskeletal stiffness
SMQs:, Dystonia (broad), Parkinson-like events (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Arthritis (broad)
Write-up: Neck stiff

VAERS ID:376419 (history)  Vaccinated:2010-01-05
Age:48.0  Onset:2010-01-05, Days after vaccination: 0
Gender:Male  Submitted:2010-01-08, Days after onset: 3
Location:Virginia  Entered:2010-01-08
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Diarrhea
Preexisting Conditions: Cancer, HIV, HEP B, High Cholesterol, Acid Reflux
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.0621Y UNRA
TTOX: TETANUS TOXOID (NO BRAND NAME)SANOFI PASTEURU628BA UNLA
Administered by: Public     Purchased by: Public
Symptoms: Injection site erythema, Injection site swelling, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: Later that day following the patient''s Pneumococcal vax the patient went to the ER with high fever, redness, and swelling on his right arm in which is the injec. site. The ER has not prescribed the patient with any meds to treat reaction.

VAERS ID:376457 (history)  Vaccinated:2009-12-23
Age:48.0  Onset:2009-12-23, Days after vaccination: 0
Gender:Female  Submitted:2010-01-11, Days after onset: 19
Location:Maryland  Entered:2010-01-11
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
FLU(H1N1): INFLUENZA (H1N1) (H1N1 (MONOVALENT) (NOVARTIS)NOVARTIS VACCINES AND DIAGNOSTICSUP074AA IMLA
Administered by: Other     Purchased by: Public
Symptoms: Injection site pain, Tendonitis
SMQs:, Extravasation events (injections, infusions and implants) (broad)
Write-up: Persistent soreness and tendonitis at site of injection. 19 days post injection.

VAERS ID:376499 (history)  Vaccinated:2009-12-14
Age:48.0  Onset:2009-12-17, Days after vaccination: 3
Gender:Female  Submitted:2010-01-11, Days after onset: 25
Location:North Dakota  Entered:2010-01-11
Life Threatening? No
Died? Yes
   Date died: 2009-12-17
   Days after onset: 0
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: unknown
Preexisting Conditions: unknown.
Diagnostic Lab Data: unknown.
CDC 'Split Type': ND0938
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU(H1N1): INFLUENZA (H1N1) (H1N1 (MONOVALENT) (SANOFI)SANOFI PASTEURUP050AA0IMLA
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)SANOFI PASTEURU3377AA1IMLA
TDAP: TDAP (ADACEL)SANOFI PASTEURUF457AA0IMRA
Administered by: Public     Purchased by: Other
Symptoms: Acute myocardial infarction, Arteriogram coronary abnormal, Cardiac arrest, Coronary artery disease, Coronary artery thrombosis, Death, Diabetes mellitus, Disseminated intravascular coagulation, Echocardiogram abnormal, Electrocardiogram abnormal, Epigastric discomfort, Fibrin D dimer normal, Haematocrit decreased, Haemodilution, Haemoglobin decreased, Hypertension, Loss of consciousness, Platelet count decreased, Resuscitation, Systemic lupus erythematosus, Ventricular fibrillation
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (broad), Haematopoietic erythropenia (broad), Haematopoietic thrombocytopenia (narrow), Haemorrhage terms (excl laboratory terms) (narrow), Haemorrhage laboratory terms (broad), Hyperglycaemia/new onset diabetes mellitus (narrow), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (narrow), Myocardial infarction (narrow), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Ventricular tachyarrhythmias (narrow), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (narrow), Embolic and thrombotic events, arterial (narrow), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Gastrointestinal perforation, ulcer, haemorrhage, obstruction non-specific findings/procedures (broad), Acute central respiratory depression (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypertension (narrow), Cardiomyopathy (broad), Other ischaemic heart disease (narrow), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad)
Write-up: Unknown if symptoms occured following vaccination but patient passed away 3 days later.

VAERS ID:376506 (history)  Vaccinated:2010-01-04
Age:48.0  Onset:2010-01-07, Days after vaccination: 3
Gender:Female  Submitted:2010-01-11, Days after onset: 4
Location:Maryland  Entered:2010-01-11
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: allergic to drugs with sulfa
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU(H1N1): INFLUENZA (H1N1) (H1N1 (MONOVALENT) (NOVARTIS)NOVARTIS VACCINES AND DIAGNOSTICS102145P10 AR
Administered by: Other     Purchased by: Private
Symptoms: Dyspnoea, Erythema, Pharyngeal oedema, Pruritus, Urticaria
SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), Oropharyngeal allergic conditions (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Hypersensitivity (narrow)
Write-up: Reaction started with minor itch. Next day hives, welts, redness. Moved from one part of body, left that area, and moved to another. Controlled until Saturday with Benadryl; four tsp. every four hours. Benadryl stopped working on Sunday. Reaction spread to ears and swelling of nasal and throat passages making it difficult to breath. Went to Hospital on Sunday around 2PM. Was given a steroid shot, a pill, ranitidine, diphenhydramine and prednisone. Still having symptoms the next day.

VAERS ID:376783 (history)  Vaccinated:2010-01-12
Age:48.0  Onset:2010-01-12, Days after vaccination: 0
Gender:Female  Submitted:2010-01-13, Days after onset: 1
Location:North Carolina  Entered:2010-01-13
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None, employee took seasonal flu shot without incident.
Preexisting Conditions: None stated by employee
Diagnostic Lab Data: None, given Atarax po for itching and told to take Benadryl over the counter
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU(H1N1): INFLUENZA (H1N1) (H1N1 (MONOVALENT) (CSL)CSL LIMITED0109611A0IMRA
Administered by: Private     Purchased by: Other
Symptoms: Dyspnoea, Pruritus
SMQs:, Anaphylactic reaction (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Hypersensitivity (broad)
Write-up: 40 minutes after receiving required H1N1, employee c/o itching and little shortness of breath.

VAERS ID:376905 (history)  Vaccinated:2010-01-05
Age:48.0  Onset:2010-01-05, Days after vaccination: 0
Gender:Female  Submitted:2010-01-08, Days after onset: 3
Location:Louisiana  Entered:2010-01-14, 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:
Preexisting Conditions: Seizures; DM
Diagnostic Lab Data: Unknown
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU(H1N1): INFLUENZA (H1N1) (H1N1 (MONOVALENT) (NOVARTIS)NOVARTIS VACCINES AND DIAGNOSTICS102041P10IMLA
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURU3190AA0IMRA
Administered by: Public     Purchased by: Unknown
Symptoms: Ear pain, Erythema, Oedema peripheral, Oropharyngeal pain, Pain in extremity, Upper respiratory tract congestion
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad)
Write-up: Pt states approximately 5-6 hrs after receiving vaccine experienced pain, swelling and redness to both arms, more pronounced on the left. Also c/o sore throat, earache and congestion. Went to ER on evening of 01/7/10, given Ibuprofen and meds for congestion.

VAERS ID:376906 (history)  Vaccinated:2009-10-20
Age:48.0  Onset:2009-10-21, Days after vaccination: 1
Gender:Female  Submitted:2010-01-14, Days after onset: 85
Location:New Jersey  Entered:2010-01-14
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU(H1N1): INFLUENZA (H1N1) (H1N1 (MONOVALENT) (SANOFI)SANOFI PASTEURUP007AA0UNLA
Administered by: Public     Purchased by: Public
Symptoms: Chest pain, Lymphadenopathy, Nausea
SMQs:, Acute pancreatitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad)
Write-up: The patient stated that the next day the patient had swollen glands, chest pain and nausea. The patient told the doctor at the facility where she works and the doctor prescribed anti-biotics for reaction.

VAERS ID:376932 (history)  Vaccinated:2009-12-06
Age:48.0  Onset:2009-12-06, Days after vaccination: 0
Gender:Female  Submitted:2010-01-14, Days after onset: 39
Location:Missouri  Entered:2010-01-14
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: Lab test all good-employee returned to work same day.
CDC 'Split Type':
Vaccination
Manufacturer
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FLU(H1N1): INFLUENZA (H1N1) (H1N1 (MONOVALENT) (NOVARTIS)NOVARTIS VACCINES AND DIAGNOSTICS102136P1A0UNLA
Administered by: Other     Purchased by: Other
Symptoms: Disorientation, Laboratory test
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad)
Write-up: Employee became disoriented for a few seconds, stated legs felt tined, unable to get BP on her. Then she began to feel better. Took employee to ER-she continued to feel better. Return back to work same day.

VAERS ID:376968 (history)  Vaccinated:2009-09-11
Age:48.0  Onset:2009-09-19, Days after vaccination: 8
Gender:Female  Submitted:2010-01-07, Days after onset: 110
Location:North Carolina  Entered:2010-01-14, 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:
Current Illness:
Preexisting Conditions: Thimerosal allergy
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
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Site
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)UNKNOWN MANUFACTURER 4IJRA
Administered by: Public     Purchased by: Other
Symptoms: Injection site pain, Monoplegia, Pain, Periarthritis
SMQs:, Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Extravasation events (injections, infusions and implants) (broad), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (broad), Arthritis (narrow)
Write-up: She experienced normal soreness the same day. The pain persisted and worsened until one week later when she could no longer lift her right arm over her head. She visited and orthopedist who diagnosed her with adhesive capsulitis ("frozen shoulder") that the doctor said can be caused vaccine. The pain has continued but improved. On 10/29/09 she reported being about 90% recovered. Requested vaccine without thimerosal.

VAERS ID:377017 (history)  Vaccinated:2010-01-12
Age:48.0  Onset:2010-01-15, Days after vaccination: 3
Gender:Female  Submitted:2010-01-15, Days after onset: 0
Location:Ohio  Entered:2010-01-15
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: Seasonal hayfever; sometimes reaction to yellow jacket sting
Diagnostic Lab Data: None yet
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLUX(H1N1): INFLUENZA (H1N1) (H1N1 (MONOVALENT) (UNKNOWN)UNKNOWN MANUFACTURER2009H1N1   
Administered by: Other     Purchased by: Public
Symptoms: Eye pruritus, Eye swelling, Pruritus, Skin disorder, Swelling face
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow)
Write-up: Swelling and itching on face, eyes, around eyes, across nose, cheeks after I got out of the shower. Took Benadryl tablet, and 1 prednisone pill I had left over from a sting reaction, Elestat for the itching eyes. Swelling went down but skin still hurts and feels weird. Will go to the doctor after work (or sooner).

VAERS ID:377026 (history)  Vaccinated:2010-01-06
Age:48.0  Onset:0000-00-00
Gender:Female  Submitted:2010-01-14
Location:Florida  Entered:2010-01-15, 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:
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU(H1N1): INFLUENZA (H1N1) (H1N1 (MONOVALENT) (NOVARTIS)NOVARTIS VACCINES AND DIAGNOSTICS102125P10UNRA
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.1135Y0UNLA
Administered by: Private     Purchased by: Unknown
Symptoms: Blood calcium decreased, Blood creatinine increased, Blood culture negative, Blood osmolarity decreased, Blood potassium decreased, Blood sodium decreased, Cellulitis, Chest X-ray normal, Chills, Culture urine negative, Erythema, Fibromyalgia, Gastrooesophageal reflux disease, Haematocrit decreased, Haematoma, Haemoglobin decreased, Injection site warmth, Migraine, Nausea, Nuclear magnetic resonance imaging brain normal, Oedema peripheral, Protein total increased, Pyrexia, Red blood cell count decreased, Scan brain, Systemic lupus erythematosus, Ultrasound scan normal, Vomiting
SMQs:, Rhabdomyolysis/myopathy (broad), Acute renal failure (broad), Cardiac failure (broad), Anaphylactic reaction (broad), Acute pancreatitis (broad), Angioedema (broad), Haematopoietic erythropenia (narrow), Haemorrhage terms (excl laboratory terms) (narrow), Haemorrhage laboratory terms (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (narrow), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Gastrointestinal nonspecific dysfunction (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hyponatraemia/SIADH (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Chronic kidney disease (broad), Hypersensitivity (broad), Tumour lysis syndrome (narrow)
Write-up: L arm swelling, redness, fever and chills.

VAERS ID:377094 (history)  Vaccinated:2010-01-12
Age:48.0  Onset:2010-01-12, Days after vaccination: 0
Gender:Female  Submitted:2010-01-15, Days after onset: 3
Location:Texas  Entered:2010-01-15
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Hives; Itching
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
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Site
FLU(H1N1): INFLUENZA (H1N1) (H1N1 (MONOVALENT) (SANOFI)SANOFI PASTEURUP012AA0IMLA
Administered by: Private     Purchased by: Unknown
Symptoms: Hyperhidrosis, Hypertension, Nausea, Tachycardia, Urticaria, Vomiting
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Angioedema (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypertension (narrow), Hypersensitivity (narrow)
Write-up: Hives, high blood pressure, tachy, sweating - next day: n/v, tachy, hives.

VAERS ID:377162 (history)  Vaccinated:2009-10-13
Age:48.0  Onset:2009-10-30, Days after vaccination: 17
Gender:Female  Submitted:2010-01-15, Days after onset: 77
Location:Colorado  Entered:2010-01-15
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: NO
Diagnostic Lab Data: CBC, hemoglobin A1C, CRP, ESR all negative. Lumbar spine x-ray - negative, neurological examination -negative, Brain MRI - negative, EMG with nerve conduction study - negative, Vitamin B panel and RBC Folate - vitamin B6 low and RBC Folate low range.
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURU3271IA IMRA
FLUN(H1N1): INFLUENZA (H1N1) (H1N1 (MONOVALENT) (MEDIMMUNE)MEDIMMUNE VACCINES, INC.500751P0IN 
Administered by: Private     Purchased by: Private
Symptoms: Back pain, Blood folate decreased, Burning sensation, C-reactive protein normal, Electromyogram normal, Full blood count normal, Glycosylated haemoglobin, Hypoaesthesia, Muscular weakness, Nerve conduction studies normal, Neurological examination normal, Nuclear magnetic resonance imaging brain normal, Pain in extremity, Paraesthesia, Red blood cell sedimentation rate normal, Spinal X-ray normal, Vitamin B6 decreased
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (broad), Retroperitoneal fibrosis (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad)
Write-up: Burning feeling in left lower leg. The burning moved around to my thigh and foot the next couple of days with tingling pain and a numb feeling in my entire leg and small of my back. No rash or discoloration of leg or foot. Burning, tingling, numbness, and muscle weakness continues.

VAERS ID:377144 (history)  Vaccinated:2010-01-16
Age:48.0  Onset:2010-01-16, Days after vaccination: 0
Gender:Female  Submitted:2010-01-18, Days after onset: 2
Location:California  Entered:2010-01-18
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Neck and shoulder pain
Preexisting Conditions: Seasonal allergies
Diagnostic Lab Data: Blood pressure
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLUX(H1N1): INFLUENZA (H1N1) (H1N1 (MONOVALENT) (UNKNOWN)UNKNOWN MANUFACTURER1013302P0UNLA
Administered by: Public     Purchased by: Public
Symptoms: Asthenia, Balance disorder, Blood pressure, Diplopia, Dizziness, Headache, Hyperhidrosis, Myalgia, Nausea, Oropharyngeal pain, Rhinorrhoea, Sneezing
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad), Vestibular disorders (broad), Ocular motility disorders (broad), Hypersensitivity (broad)
Write-up: On 1/16/10 pt. went to the Health Center to receive her first dose of the H1N1 vaccination. Pt. states that 2 min later as she begin to walk to leave the facility she experienced severe weakness and felt very unbalanced, also stating that the man standing in front of her appeared to be very large. She then screamed for help and one of the nurses at the facility assisted her to a wheelchair. After sitting down she felt very faint and had severe nausea. When the nurse gave her some water, took her blood pressure and helped her to the restroom, she states that she felt better. At about 5 PM that same day she begin to have a mild sore throat. 3 AM on the 17th of January 2010, she had severe sweating and states the sore throat had gotten worse. That same day she experienced runny nose, sneezing, muscle ache and weakness. She did some salt water mouth rinse and saline drops and states she felt a little bit better. As of today 1/18/10, she complains of a mild headache.

VAERS ID:377300 (history)  Vaccinated:2010-01-15
Age:48.0  Onset:2010-01-15, Days after vaccination: 0
Gender:Female  Submitted:0000-00-00
Location:South Dakota  Entered:2010-01-19
Life Threatening? Yes
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Carpel Tunnel; Headache; Hand pain; Urinary frequency; cold sores
Diagnostic Lab Data: O2 Sat; chest x-ray
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU(H1N1): INFLUENZA (H1N1) (H1N1 (MONOVALENT) (SANOFI)SANOFI PASTEURUP089AA0IMLA
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURU3376AA1IMRA
Administered by: Private     Purchased by: Unknown
Symptoms: Chest X-ray, Cough, Dyspnoea, Full blood count, Hypersensitivity, Lip swelling, Metabolic function test, Oropharyngeal pain, Speech disorder, Throat tightness, Wheezing
SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), Asthma/bronchospasm (broad), Dementia (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Acute central respiratory depression (broad), Psychosis and psychotic disorders (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Hypersensitivity (narrow)
Write-up: 2 - 3 hr after injection abrupt onset dyspnea wheezing, throat pain, uncontrolled cough - SQ epinephrine, SOLUMEDROL, IM BENADRYL - sent to ER - stabilized there.

VAERS ID:377405 (history)  Vaccinated:2009-12-09
Age:48.0  Onset:2009-12-11, Days after vaccination: 2
Gender:Male  Submitted:2010-01-19, Days after onset: 39
Location:Puerto Rico  Entered:2010-01-19
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': PR0979
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU(H1N1): INFLUENZA (H1N1) (H1N1 (MONOVALENT) (NOVARTIS)NOVARTIS VACCINES AND DIAGNOSTICS100923P0IMLA
Administered by: Other     Purchased by: Public
Symptoms: Ear pain, Oropharyngeal pain
SMQs:, Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow)
Write-up: PATIENT REFERS: THROAT PAIN EAR PAIN (LEFT)

VAERS ID:377564 (history)  Vaccinated:2009-09-11
Age:48.0  Onset:2009-09-19, Days after vaccination: 8
Gender:Female  Submitted:2010-01-07, Days after onset: 110
Location:North Carolina  Entered:2010-01-20, 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:
Current Illness:
Preexisting Conditions: thimerosal allergy
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)UNKNOWN MANUFACTURER 4IJRA
Administered by: Public     Purchased by: Other
Symptoms: Joint range of motion decreased, Pain in extremity, Periarthritis
SMQs:, Arthritis (narrow)
Write-up: She experienced normal soreness the same day. The pain persisted and worsened until one week later when she could no longer lift her right arm over her head. She visited and orthopedist who diagnosed her with adhesive capsulitis ("frozen shoulder") that the doctor said can be caused by vaccines. The pain has continued but improved. On 10/29/09 she reported being about 90% recovered. Requested vaccine without thimerosal.

VAERS ID:377639 (history)  Vaccinated:2009-10-03
Age:48.0  Onset:2009-10-04, Days after vaccination: 1
Gender:Male  Submitted:2010-01-20, Days after onset: 108
Location:Alaska  Entered:2010-01-20
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: ESR is pending at this time.
CDC 'Split Type':
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ANTH: ANTHRAX (BIOTHRAX)EMERGENT BIOSOLUTIONSFAV2175UNUN
FLUN3: INFLUENZA (SEASONAL) (FLUMIST)MEDIMMUNE VACCINES, INC.500719P0IN 
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.0866X0UNUN
TYP: TYPHOID VI POLYSACCHARIDE (TYPHIM VI)SANOFI PASTEURBO42422UNUN
Administered by: Military     Purchased by: Other
Symptoms: Arthralgia, Immediate post-injection reaction, Myalgia
SMQs:, Rhabdomyolysis/myopathy (broad), Eosinophilic pneumonia (broad), Hypersensitivity (narrow), Arthritis (broad)
Write-up: The exact time of the administration is actually unknown, however the computer system would not let me go on without entering something in that field. Likewise the exact date and time of the onset of adverse symptoms in not known. The patient only told me that the symptoms began "right after I got the immunizations". It is worth noting that the Anthrax was the 6th in the series for this individual. The adverse reaction is subjective, diffuse arthralgias and myalgias.

VAERS ID:377781 (history)  Vaccinated:2010-01-19
Age:48.0  Onset:2010-01-21, Days after vaccination: 2
Gender:Female  Submitted:2010-01-21, Days after onset: 0
Location:Ohio  Entered:2010-01-21
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: This patient was admitted to the hospital for pyelonephritis, right renal cyst with calcification, UTI, and leukocytosis
Preexisting Conditions: history of renal stones
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURUT3175AA IMLA
Administered by: Private     Purchased by: Private
Symptoms: Injection site erythema, Injection site pain, Injection site warmth
SMQs:, Extravasation events (injections, infusions and implants) (broad)
Write-up: Left deltoid noted to be red, hot, and tender two days after the flu shot.

VAERS ID:377865 (history)  Vaccinated:2010-01-15
Age:48.0  Onset:2010-01-15, Days after vaccination: 0
Gender:Female  Submitted:2010-01-16, Days after onset: 1
Location:Wisconsin  Entered:2010-01-22, Days after submission: 6
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: none
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU(H1N1): INFLUENZA (H1N1) (H1N1 (MONOVALENT) (SANOFI)SANOFI PASTEURUP052AA0UNLA
Administered by: Other     Purchased by: Other
Symptoms: Dizziness, Myalgia, Paraesthesia
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Eosinophilic pneumonia (broad), Vestibular disorders (broad)
Write-up: Patient initially reported lightheadedness after vaccine was administered. She was then instructed to put her head between her knees which she did. Shortly after she reported intense pain in her arm muscle which radiated down her arm and also tingling. After 20 min. the tingling subsided, but the pain remained.

VAERS ID:377940 (history)  Vaccinated:2010-01-20
Age:48.0  Onset:2010-01-21, Days after vaccination: 1
Gender:Female  Submitted:2010-01-22, Days after onset: 1
Location:Virginia  Entered:2010-01-22
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: No
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
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Site
TDAP: TDAP (ADACEL)SANOFI PASTEURU3042AA IMRA
Administered by: Private     Purchased by: Private
Symptoms: Chills, Dyspnoea, Fatigue, Pain, Pyrexia
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad)
Write-up: Body aches, SOB, fatigue, chills, fever.

VAERS ID:378014 (history)  Vaccinated:2010-01-20
Age:48.0  Onset:2010-01-21, Days after vaccination: 1
Gender:Female  Submitted:2010-01-24, Days after onset: 3
Location:Hawaii  Entered:2010-01-24
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: Rheumatoid Arthritis, Asthma & Allergies
Diagnostic Lab Data: none
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU(H1N1): INFLUENZA (H1N1) (H1N1 (MONOVALENT) (SANOFI)SANOFI PASTEURUP032AA0 RA
Administered by: Military     Purchased by: Other
Symptoms: Chest discomfort, Headache, Neck pain, Pain
SMQs:, Anaphylactic reaction (broad), Arthritis (broad)
Write-up: Woke up with bad headache and pain in the neck base of the skull and body aches and tightness in trap area and shoulders.

VAERS ID:378081 (history)  Vaccinated:2009-12-04
Age:48.0  Onset:2009-12-05, Days after vaccination: 1
Gender:Female  Submitted:2010-01-07, Days after onset: 33
Location:Arkansas  Entered:2010-01-25, Days after submission: 18
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURU32673A IMRA
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.1315Y IMRA
Administered by: Other     Purchased by: Other
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: Pain, swelling at site of injection from upper right arm to almost bend of arm. Red raised are approx. 1" over same area, lasted 3 days.

VAERS ID:378141 (history)  Vaccinated:2010-01-16
Age:48.0  Onset:2010-01-16, Days after vaccination: 0
Gender:Female  Submitted:2010-01-25, Days after onset: 9
Location:Idaho  Entered:2010-01-25
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE KNOWN
Preexisting Conditions: UNKNOWN
Diagnostic Lab Data: N/A
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU(H1N1): INFLUENZA (H1N1) (H1N1 (MONOVALENT) (NOVARTIS)NOVARTIS VACCINES AND DIAGNOSTICS1021172PFS IM 
Administered by: Public     Purchased by: Other
Symptoms: Nausea, Vertigo
SMQs:, Acute pancreatitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (narrow)
Write-up: REC''D VACCINE IN AM AND BY EVENING HAD SEVERE VERTIGO AND NAUSEA, LAST ALMOST 24 HOURS. NO OTHER SYMPTOMS & FEELS FINE NOW.

VAERS ID:378203 (history)  Vaccinated:2009-12-10
Age:48.0  Onset:2009-12-10, Days after vaccination: 0
Gender:Male  Submitted:2010-01-22, Days after onset: 43
Location:Arizona  Entered:2010-01-26, Days after submission: 4
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: (Heart Patient) 20 mg Lisinopril; 50 mg CORAG; 5 mg Nitroglycerin
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
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Site
FLU(H1N1): INFLUENZA (H1N1) (H1N1 (MONOVALENT) (SANOFI)SANOFI PASTEURUP019440UNUN
Administered by: Public     Purchased by: Public
Symptoms: Asthenia, Gastric disorder, Hypertension, Influenza like illness, Insomnia, Night sweats, Weight decreased
SMQs:, Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Guillain-Barre syndrome (broad), Hypertension (narrow)
Write-up: Gastric distress, higher blood pressure, flu like symptoms, night sweats, weight loss, all with in 24 hours of vaccination. Blood pressure 130''s/80''s. Weight loss 174 lbs. down to 169 lbs! Sleeplessness first night 12/10/09. Extreme night sweat 12/11/09. Feeling weak next few days.

VAERS ID:380255 (history)  Vaccinated:2008-09-05
Age:48.0  Onset:2009-02-20, Days after vaccination: 168
Gender:Female  Submitted:2010-01-07, Days after onset: 321
Location:North Carolina  Entered:2010-01-27, Days after submission: 20
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Unknown
Preexisting Conditions: The subject had no relevant medical history.
Diagnostic Lab Data: Hepatitis B surface antibody, 20Feb2009, 2.2
CDC 'Split Type': A0778211A
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)GLAXOSMITHKLINE BIOLOGICALSAHBVB584AA0UNUN
Administered by: Public     Purchased by: Public
Symptoms: Adverse event, Hepatitis B antibody, Inappropriate schedule of drug administration, Therapeutic response decreased
SMQs:, Lack of efficacy/effect (narrow)
Write-up: This case was reported by a healthcare professional and described the occurrence of decreased therapeutic response in a 48-year-old female subject who was vaccinated with ENGERIX B (GlaxoSmithKline). There were no concurrent medications. On 5 September 2008, 3 October 2008 and 9 January 2009 the subject received 1st dose, 2nd dose and 3rd dose of ENGERIX B (20 mcg/mL, left deltoid). On 9 January 2009, the subject experienced drug dose administration interval too short. On 20 February 2009, 42 days after vaccination with the third dose of ENGERIX B, the subject experienced decreased therapeutic response. On 20 February 2009, hepatitis B surface antibody was low at 2.2. A product complaint was associated with this report. Reporter states that 5 out of 6 subjects who received dose one from the same lot, dose 2 from the same lot, and dose 3 from the same lot experienced this adverse event. The subjects received the doses on a 0, 1, and 4 month schedule. The reporter did not believe there were any physical problems with the vaccines, but was questioning the quality and content of the vaccines. This reporter felt strongly that there was something potentially wrong with one of these vaccine lots because so many subjects did not become seroprotected. This is something she has not seen and she gives these vaccinations on a routine basis. Reporter believes a quality assurance problem caused the adverse event. Please see A0778216A, A0778217A, A0778218A and A0778220A. Follow-up information was received on 14 May 2009 from Quality Assurance. Per the Quality Statement: ENGERIX vaccine lot numbers AHBVB703AA, AHBVB584AA AND AHBVB670AA met the requirements of Quality Assurance''s specifications and the batches were suitable for vaccination purposes.

VAERS ID:380296 (history)  Vaccinated:0000-00-00
Age:48.0  Onset:0000-00-00
Gender:Male  Submitted:2010-01-07
Location:Unknown  Entered:2010-01-27, Days after submission: 20
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Borderline hypertension; stress
Preexisting Conditions:
Diagnostic Lab Data: Blood pressure, 13Nov2008, 210/110; Blood pressure, 21Nov2008, 119/70
CDC 'Split Type': A0758987A
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)GLAXOSMITHKLINE BIOLOGICALS 0UNLA
Administered by: Other     Purchased by: Other
Symptoms: Accidental exposure, Anxiety, Arthralgia, Blood pressure increased, Burning sensation, Decreased appetite, Dizziness, Electrocardiogram, Fatigue, Heart rate increased, Laboratory test normal, Muscle tightness, Nausea, Panic attack, Skin warm, Wrong technique in drug usage process
SMQs:, Acute pancreatitis (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dystonia (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypertension (narrow), Vestibular disorders (broad), Arthritis (broad)
Write-up: This case was reported by a pharmacist and described the occurrence of dizziness in a 48-year-old male subject who was vaccinated with ENGERIX B (GlaxoSmithKline), FLUVIRIN (non-gsk). Concurrent medications included hydrochlorothiazide and lisinopril. On an unspecified date and 12 November 2008 the subject received 1st dose and 2nd dose of ENGERIX B (1 ml, unknown, left arm), on unspecified dates the subject draws up doses of FLUVIRIN. At an unspecified time after vaccination with ENGERIX B, the subject experienced dizziness, fatigue, elevated blood pressure, knee pain, lightheadedness and nausea. At an unspecified time after working with FLUVIRIN, the subject experienced accidental exposure to drug and inappropriate preparation of medication. The pharmacist reported he had some dizziness following the1st injection of ENGERIX B. The pharmacist reported he received the 2nd dose of ENGERIX B on 12 November 2008 and the next day went to a meeting. During the meeting he felt lightheaded and nauseous. He left the meeting, went outside and another healthcare professional checked his blood pressure and found it to be 210/110. He then went to the emergency room and had a workup that included an electrocardiogram (EKG) and lab work. He was given an oral dose of metoprolol 25 mg and intravenous dose of ATIVAN. He was told the EKG and lab work were normal and was referred to his primary care physician. He saw a nurse practitioner with his primary care physician a few days later and the diuretic was removed from his medications and a low dose of ATIVAN was added. He has continued to have fatigue. Also he notice that he had pain in his right knee on 14 November 2008 that was like a pulled ligament or tight muscle. He was out of work several days and will be returning to work this weekend. His BP today was 119/70 but he continues to have some fatigue occasionally although it has improved. He reported that he had stress as a pharmacist and he has been drawing up FLUVIRIN without gloves. He says some of the flu vaccine has gotten on his hands during the process of drawing up 500-800 doses of flu vaccine. The subject was treated with metoprolol and ATIVAN. At the time of reporting the events were unresolved. The pharmacist considered the events were probably to vaccination with ENGERIX B and FLUVIRIN. Follow-up information was received on 24 November 2008, via pharmacist who reported experiencing additional events of increased heart rate, anxiety, loss of appetite and warm burning feeling after vaccination with ENGERIX B. The pharmacist reported he ate broth and pasta this morning, he now feels okay, but he knows he will become fatigued by this afternoon. He state he continues to experience a warm burning feeling through his chest and shoulders. He wakes up every morning with this sensation. He stated his primary care physician thinks he may be having panic attacks; he is now taking CELEXA and XANAX XR. He feels these events may be a combination of receiving the ENGERIX B vaccine and stress from his job as a retail pharmacist. The pharmacist questioned whether the particular lot could be causing these adverse events, "there was nothing physically wrong with the vaccine". Follow-up information was received on 10 December 2008, via subject who is also a pharmacist, to correct several inaccuracies in the previous reports. The subject reported he was taking fosinopril instead of lisinopril in combination with hydrochlorothiazide. The initial report stated that "some of the flu vaccine had gotten on his hands while drawing up 500-800 doses, he indicated that his facility has only given about 500 vaccines since October and that he has only administered about 100 of these flu vaccines. The Flu vaccine only gotten on his hands one time". He wanted to be sure that we were aware that he personally ahs not been given the flu vaccine. He began taking CELEXA on 21 November 2008 and XANAX XR sometime after 24 November 2008. His symptoms have since let up af

VAERS ID:378862 (history)  Vaccinated:2009-09-15
Age:48.0  Onset:2009-09-16, Days after vaccination: 1
Gender:Male  Submitted:2010-01-29, Days after onset: 135
Location:Minnesota  Entered:2010-01-29
Life Threatening? Yes
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: HIV
Diagnostic Lab Data: Patient still in outpatient Physical Therapy
CDC 'Split Type':
Vaccination
Manufacturer
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Dose
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Site
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)SANOFI PASTEURU3292AA19IMLA
Administered by: Private     Purchased by: Private
Symptoms: Abdominal discomfort, Adverse drug reaction, Alanine aminotransferase increased, Amnesia, Anion gap decreased, Anorectal disorder, Areflexia, Aspartate aminotransferase increased, Back pain, Blastocystis infection, Blood bilirubin increased, Blood glucose increased, Blood sodium decreased, Blood urea nitrogen/creatinine ratio increased, CSF protein increased, Chills, Culture stool positive, Decreased vibratory sense, Demyelinating polyneuropathy, Diplopia, Disturbance in attention, Dizziness, Dysarthria, Dysphagia, Dysstasia, Electromyogram abnormal, Facial paresis, Fall, Fatigue, Gait disturbance, Guillain-Barre syndrome, Haemoglobin decreased, Haemorrhagic diathesis, Hypoaesthesia, Hyporeflexia, Hypotension, Idiopathic thrombocytopenic purpura, Immunoglobulin therapy, Inappropriate antidiuretic hormone secretion, Insomnia, Lymphocyte count decreased, Lymphocyte percentage decreased, Mean platelet volume increased, Muscular weakness, Myalgia, Nausea, Nerve conduction studies abnormal, Neutrophil percentage increased, Night sweats, Nuclear magnetic resonance imaging abnormal, Pain, Pain in extremity, Paraesthesia, Paralysis, Platelet count decreased, Quadriparesis, Red cell distribution width increased, Sensory loss, Sexual abuse, Splenomegaly, Ultrasound abdomen abnormal, Vomiting, Walking aid user, Weight decreased, White blood cell count decreased
SMQs:, Rhabdomyolysis/myopathy (broad), Acute renal failure (broad), Liver related investigations, signs and symptoms (narrow), Anaphylactic reaction (broad), Acute pancreatitis (narrow), Haematopoietic erythropenia (broad), Haematopoietic leukopenia (narrow), Haematopoietic thrombocytopenia (narrow), Peripheral neuropathy (narrow), Haemorrhage terms (excl laboratory terms) (narrow), Haemorrhage laboratory terms (broad), Hyperglycaemia/new onset diabetes mellitus (narrow), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (narrow), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Dementia (broad), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Parkinson-like events (broad), Gastrointestinal perforation, ulcer, haemorrhage, obstruction non-specific findings/procedures (broad), Biliary system related investigations, signs and symptoms (narrow), Guillain-Barre syndrome (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Accidents and injuries (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hyponatraemia/SIADH (narrow), Hostility/aggression (narrow), Demyelination (narrow), Eosinophilic pneumonia (broad), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (broad), Depression (excl suicide and self injury) (broad), Vestibular disorders (broad), Ocular motility disorders (broad), Chronic kidney disease (broad), Hypersensitivity (narrow)
Write-up: Starting having trouble walking feet hurt. Treated at ER finally admitted to another Hospital.

VAERS ID:378933 (history)  Vaccinated:0000-00-00
Age:48.0  Onset:0000-00-00
Gender:Female  Submitted:2010-01-17
Location:Rhode Island  Entered:2010-02-01, Days after submission: 15
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU(H1N1): INFLUENZA (H1N1) (H1N1 (MONOVALENT) (SANOFI)SANOFI PASTEURUP076AA0UNLA
Administered by: Other     Purchased by: Other
Symptoms: Muscle spasms, Pain
SMQs:, Dystonia (broad)
Write-up: isolated pain to site spasm.

VAERS ID:379185 (history)  Vaccinated:2010-01-27
Age:48.0  Onset:2010-01-28, Days after vaccination: 1
Gender:Male  Submitted:2010-02-03, Days after onset: 6
Location:California  Entered:2010-02-03
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: No
Preexisting Conditions: None
Diagnostic Lab Data: None as of yet as I have no medical coverage and am unemployed and broke
CDC 'Split Type':
Vaccination
Manufacturer
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FLU(H1N1): INFLUENZA (H1N1) (H1N1 (MONOVALENT) (SANOFI)SANOFI PASTEURUP062AA0IJLA
Administered by: Public     Purchased by: Private
Symptoms: Asthenia, Chills, Cough, Dizziness, Headache, Hyperhidrosis, Lacrimation increased, Pain, Upper respiratory tract congestion, Vomiting
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad), Lacrimal disorders (narrow)
Write-up: Severe headache, congestion, coughing, body aches, dizziness, weakness, chills, sweats, watery eyes, and today 02/02/2010 vomit which may or may not be related. Been trying sudafedrine hydrochloride, asprin, rest, liquids, vitamins and fruit

VAERS ID:379196 (history)  Vaccinated:2010-01-25
Age:48.0  Onset:2010-01-27, Days after vaccination: 2
Gender:Female  Submitted:2010-01-27, Days after onset: 0
Location:Michigan  Entered:2010-02-03, Days after submission: 7
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: Asthma; Eczema
Diagnostic Lab Data: None
CDC 'Split Type':
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TDAP: TDAP (ADACEL)SANOFI PASTEURU3042AA0IMLA
Administered by: Public     Purchased by: Private
Symptoms: Injection site erythema
SMQs:, Extravasation events (injections, infusions and implants) (broad)
Write-up: Patient developed large red area at injection site which was treated with KEFLEX then doxycycline - No fever - Reaction lasted over 5 days.

VAERS ID:379222 (history)  Vaccinated:2010-02-02
Age:48.0  Onset:2010-02-02, Days after vaccination: 0
Gender:Female  Submitted:2010-02-02, Days after onset: 0
Location:California  Entered:2010-02-03, 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: None known
CDC 'Split Type':
Vaccination
Manufacturer
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Dose
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FLU(H1N1): INFLUENZA (H1N1) (H1N1 (MONOVALENT) (NOVARTIS)NOVARTIS VACCINES AND DIAGNOSTICS1009222P0UNRA
Administered by: Public     Purchased by: Unknown
Symptoms: Dysphonia, Pruritus generalised, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Parkinson-like events (broad), Hypersensitivity (narrow)
Write-up: Pt c/o itchy arms, head, neck and chest. Red hives visible. Voice sounded scratchy. No SOB and V.S. stable x 3. Husband called to bring own meds. Took 25 mg/BENADRYL P.O. from own purse and another 25 mg BENADRYL when husband arrived. Dr. advised pt. via phone to also use her own inhaler x 2. *Refused EPIPEN and BENADRYL IM protocol x 3. Wanted to go home with husband. Symptoms all decreasing when she left at 4:20. Patient followed orders from her own physician by phone. Refused our protocol.

VAERS ID:379275 (history)  Vaccinated:2010-01-30
Age:48.0  Onset:2010-01-30, Days after vaccination: 0
Gender:Male  Submitted:2010-02-01, Days after onset: 2
Location:Hawaii  Entered:2010-02-03, Days after submission: 2
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None known
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU(H1N1): INFLUENZA (H1N1) (H1N1 (MONOVALENT) (SANOFI)SANOFI PASTEURUP010AA0IMLA
Administered by: Other     Purchased by: Public
Symptoms: Immediate post-injection reaction, Injection site urticaria
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow)
Write-up: Upon IM inj.-immediate wheel appeared at site - palpital for SQ fluid, none found. Pt denied any other s/s of adversity. Pt remained on site x 15 minutes - again denied adverse s/s 2/1/10 pt was phoned by Rph - still denies further s/s.

VAERS ID:379357 (history)  Vaccinated:2010-02-02
Age:48.0  Onset:2010-02-03, Days after vaccination: 1
Gender:Male  Submitted:2010-02-04, Days after onset: 1
Location:Washington  Entered:2010-02-04
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Pt with ESLD, HCV presents at hospital with increasing shortness of breath and melanotic stools.
Preexisting Conditions: NKA
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
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PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.98744080IMRA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Abdominal distension, Abdominal pain, Activated partial thromboplastin time prolonged, Alcohol abuse, Alcohol withdrawal syndrome, Amnesia, Blood albumin decreased, Blood calcium decreased, Blood chloride decreased, Blood glucose increased, Blood magnesium decreased, Blood potassium decreased, Blood sodium decreased, Blood urea decreased, Carbon dioxide increased, Chronic hepatic failure, Dyspnoea exertional, Faeces discoloured, Haematocrit decreased, Haemochromatosis, Haemoglobin decreased, Hepatic cirrhosis, Hepatitis C, Injection site cellulitis, Injection site pain, Injection site rash, International normalised ratio increased, Lipase increased, Mean cell haemoglobin concentration, Mental status changes, Myoglobin blood, Nausea, Ocular icterus, Platelet count decreased, Pleural effusion, Protein total decreased, Prothrombin time prolonged, Red blood cell count decreased, Red cell distribution width increased, Vomiting, White blood cell count decreased
SMQs:, Rhabdomyolysis/myopathy (broad), Cholestasis and jaundice of hepatic origin (narrow), Hepatic failure, fibrosis and cirrhosis and other liver damage-related conditions (narrow), Liver-related coagulation and bleeding disturbances (narrow), Liver infections (narrow), Acute pancreatitis (narrow), Haematopoietic erythropenia (narrow), Haematopoietic leukopenia (narrow), Haematopoietic thrombocytopenia (narrow), Haemorrhage laboratory terms (broad), Hyperglycaemia/new onset diabetes mellitus (narrow), Systemic lupus erythematosus (narrow), Retroperitoneal fibrosis (broad), Dementia (broad), Psychosis and psychotic disorders (broad), Pulmonary hypertension (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hyponatraemia/SIADH (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Depression (excl suicide and self injury) (broad), Chronic kidney disease (broad), Hypersensitivity (narrow), Noninfectious diarrhoea (broad), Tumour lysis syndrome (broad)
Write-up: New rash/cellulitis on pt''s right arm. Site of PIV / pneumococcal vaccination placement on 2/2/2010. Painful, but pain proportionate.

VAERS ID:379587 (history)  Vaccinated:2009-10-20
Age:48.0  Onset:2009-10-23, Days after vaccination: 3
Gender:Female  Submitted:2010-02-05, Days after onset: 105
Location:New York  Entered:2010-02-05
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: LUPUS
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU(H1N1): INFLUENZA (H1N1) (H1N1 (MONOVALENT) (SANOFI)SANOFI PASTEURUP002AA0IJUN
Administered by: Private     Purchased by: Private
Symptoms: Autoimmune hepatitis
SMQs:, Hepatitis, non-infectious (narrow)
Write-up: DIAGNOSED WITH AUTO IMMUNE HEPATITIS

VAERS ID:379722 (history)  Vaccinated:2010-01-29
Age:48.0  Onset:0000-00-00
Gender:Male  Submitted:2010-02-02
Location:North Carolina  Entered:2010-02-08, Days after submission: 6
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU(H1N1): INFLUENZA (H1N1) (H1N1 (MONOVALENT) (SANOFI)SANOFI PASTEURUP036CA UNRA
Administered by: Public     Purchased by: Unknown
Symptoms: Inappropriate schedule of drug administration, No adverse event
SMQs:
Write-up: None reported

VAERS ID:379795 (history)  Vaccinated:2010-01-08
Age:48.0  Onset:2010-01-08, Days after vaccination: 0
Gender:Male  Submitted:2010-02-09, Days after onset: 32
Location:Florida  Entered:2010-02-09
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: NONE
Diagnostic Lab Data:
CDC 'Split Type':
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ANTH: ANTHRAX (BIOTHRAX)EMERGENT BIOSOLUTIONSFAV2230IMLA
HEP: HEP B (ENGERIX-B)GLAXOSMITHKLINE BIOLOGICALSAHBVB856AA0IMLA
Administered by: Military     Purchased by: Military
Symptoms: Dizziness, Loss of consciousness, Pallor, Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), 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), Cardiomyopathy (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad)
Write-up: Pt felt dizzy, light-headed, and pale. Fainted/loss of consciousness.

VAERS ID:380060 (history)  Vaccinated:2010-02-09
Age:48.0  Onset:2010-02-09, Days after vaccination: 0
Gender:Female  Submitted:2010-02-11, Days after onset: 2
Location:New York  Entered:2010-02-11
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
FLU(H1N1): INFLUENZA (H1N1) (H1N1 (MONOVALENT) (NOVARTIS)NOVARTIS VACCINES AND DIAGNOSTICS105050P10IMLA
Administered by: Other     Purchased by: Private
Symptoms: Erythema, Inflammation, Pain, Tenderness
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (broad)
Write-up: Localized erythema and inflammation post-injection; tenderness and mild moderate pain. Pt monitored for 1 hr minimally and instructed to take BENADRYL / IBUPROFEN. No h/o adverse injection site was noted. Pt reported warm compresses to be helpful in reducing swelling.

VAERS ID:380090 (history)  Vaccinated:2009-12-03
Age:48.0  Onset:2009-12-11, Days after vaccination: 8
Gender:Male  Submitted:2010-02-12, Days after onset: 63
Location:Alabama  Entered:2010-02-12
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: Dust mite allergy, high BP and high cholesterol
Diagnostic Lab Data: Colonoscopy-see adverse events box
CDC 'Split Type':
Vaccination
Manufacturer
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Dose
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Site
FLU(H1N1): INFLUENZA (H1N1) (H1N1 (MONOVALENT) (SANOFI)SANOFI PASTEURUPO22AA IMUN
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)SANOFI PASTEURU3187AA IMUN
Administered by: Unknown     Purchased by: Private
Symptoms: Change of bowel habit, Colonoscopy normal, Culture urine positive, Diarrhoea, Erythema, Frequent bowel movements, Nausea, Pain, Urinary tract infection, Urine analysis abnormal
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypersensitivity (broad), Noninfectious diarrhoea (narrow)
Write-up: I had regular bowel movements-each morning-normal consistency until I had the H1N1. Now, I have bowel movements, about 3 or more per morning from 7AM to 10AM. It is incredibly difficult to do anything before 10AM unless it is on the occassional day when I am not realy suffering from the symptoms. I had a colonoscopy yesterday. The doctor said it showed redness likely from and infection. I am awaiting test results, but no growths seen.

VAERS ID:380375 (history)  Vaccinated:2010-02-03
Age:48.0  Onset:0000-00-00
Gender:Male  Submitted:2010-02-03
Location:Massachusetts  Entered:2010-02-15, Days after submission: 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: No
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
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Route
Site
UNK: VACCINE NOT SPECIFIED (NO BRAND NAME)UNKNOWN MANUFACTURER102130P1 UNUN
Administered by: Other     Purchased by: Other
Symptoms: No adverse event
SMQs:
Write-up: As of 2-4-10 no adverse symptoms.

VAERS ID:380427 (history)  Vaccinated:2010-01-28
Age:48.0  Onset:2010-01-29, Days after vaccination: 1
Gender:Female  Submitted:2010-02-04, Days after onset: 6
Location:Florida  Entered:2010-02-15, Days after submission: 11
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: Breast cancer
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
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Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURU3270HA0UNRA
Administered by: Military     Purchased by: Military
Symptoms: Injection site erythema, Rash macular, Wrong drug administered
SMQs:, Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (narrow)
Write-up: Pt came to clinic on 28 Jan 10 for a tetanus shot but received a flu shot. Pt states the next day she started getting red blotches around the injection site. Used BENADRYL and blotches subsided within 24 hrs.

VAERS ID:380476 (history)  Vaccinated:2009-12-02
Age:48.0  Onset:2009-12-02, Days after vaccination: 0
Gender:Male  Submitted:2009-12-03, Days after onset: 1
Location:Unknown  Entered:2010-02-16, Days after submission: 75
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: A Disorders of bursae and tendons in shoulder region, 11/02/2009; A Dermographism, 11/02/2009; A Vaccination 09/03/2008; A Impaired FASTING Glucose, 05/20/2008; A Dyslipidemia, 05/20/2008; A Dysphagia, unspecified, 05/20/2008; A unspecified gastritis and gastroduodenitis, without mention of hemorrhage; A Internal Hemorrhoid w/o comp., 06/15/2007; A obesity, 04/07/2006; A Sleep Apnea, 06/15/2005; A Urethral Stricture, 01/26/2005; A Esophageal Stenosis/Stricture, 01/13/2005; A Esophageal Reflux, 01/13/2005; A Benign neoplasm of stomach, 01/13/2005; A Gout, 12/07/2004; A Cholelithiasis, 12/07/2004
Diagnostic Lab Data: BLOOD, WBC, RBC, HGB, HCT, MCV, MCH, MCHC; Ref range low, Ref range high; K/cmm, M/cmm, g/dL, % cmu uug gm/dL; a 12/03/2009, 11-35, 12.9, 115.20, 15.6,45.4, 87.3,30.0, 34.4; PLASMA, 12/03 Reference, 2009,11-35 Units Ranges; GLUCOSE, 100 MG/DL, 70 - 100; BUN 29 H mg/dl 5 - 23, CREAT 1.0 mg/dl, .5 - 1.5; URIC AC mg/dl, 2.1 - 7.4, NA 141 MEq/L 136 -147; K, 4.2 Meq/L 3.5 - 5; CL, 107, mEq/l, 98 - 110; CO2, 23.0 mEq/L, 20 - 30; PO4, mg/dl, 2 -4.7; CA, 9.80 mg/dl, 8.4 - 10.4; PROTEIN, 8.0, G/dl, 6 - 8.2; ALUMIN, 4.3 g/dl, 3.5 - 4.6, ACID PH; ALK PHO, 58, U/L 40 - 134; AST,19 U/L 5 - 40; LDH; CPK; T, BH, 0.5 mg/dl, 0 - 1.5; D BILI, 0.2 mg/dl Ref - <=1.99; TRIGLYC mg/dl Ref - <-150; AMYLASE, 30, U/L, 13 - 98; ALT, 29, U/L 0 - 65; G-GTP, U/L 0 - 72;
CDC 'Split Type':
Vaccination
Manufacturer
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FLUX(H1N1): INFLUENZA (H1N1) (H1N1 (MONOVALENT) (UNKNOWN)UNKNOWN MANUFACTURER 0IMUN
Administered by: Unknown     Purchased by: Unknown
Symptoms: Abdominal pain, Abdominal pain upper, Alanine aminotransferase normal, Aspartate aminotransferase normal, Bilirubin conjugated, Blood acid phosphatase, Blood albumin normal, Blood alkaline phosphatase normal, Blood amylase normal, Blood bilirubin normal, Blood calcium normal, Blood chloride increased, Blood cholesterol, Blood creatine phosphokinase, Blood creatinine normal, Blood glucose normal, Blood lactate dehydrogenase, Blood magnesium, Blood phosphorus, Blood potassium normal, Blood sodium normal, Blood triglycerides, Blood urea increased, Blood uric acid, Carbon dioxide normal, Dizziness, Feeling abnormal, Gamma-glutamyltransferase, Haematocrit, Haemoglobin, Headache, High density lipoprotein, Laboratory test, Lipase, Lipase normal, Low density lipoprotein, Mean cell haemoglobin, Mean cell haemoglobin concentration, Mean cell volume, Nausea, Pain, Protein total normal, Red blood cell count, Vomiting, White blood cell count
SMQs:, Acute renal failure (broad), Acute pancreatitis (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Dementia (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad), Chronic kidney disease (broad), Tumour lysis syndrome (broad)
Write-up: I felt dizzy after the shot but I stayed at work all day. Now I''m sick and home coubled up on the floor with abdominal pain and vomiting. I was able to eat supper. I probably vomited about 1/2 cup so far. I feel so bad. My wife is here with me. I can walk fine. I don''t have any diarrhea. Yet states he received the H1N1 vaccine yesterday and felt dizzy afterwards but worked all day and this arm around 0130 he had a stomach ache and vomited 50 times. Yet states he has a headache, dizziness, nausea, and body aches. My hair even hurts. Yet denies diarrhea.

VAERS ID:380557 (history)  Vaccinated:2009-09-26
Age:48.0  Onset:2009-10-13, Days after vaccination: 17
Gender:Male  Submitted:2010-02-11, Days after onset: 121
Location:Arizona  Entered:2010-02-17, Days after submission: 6
Life Threatening? Yes
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Muscular Dystrophy
Preexisting Conditions: Muscular Dystrophy; Gout.
Diagnostic Lab Data: Cat Scans, MRI (Negative); Spinal Tap - elevated protein levels; EMG Abnormal
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)NOVARTIS VACCINES AND DIAGNOSTICS97839P1 UNUN
Administered by: Other     Purchased by: Private
Symptoms: Abdominal distension, Adrenal suppression, Alanine aminotransferase increased, Anxiety, Areflexia, Arthritis bacterial, Aspartate aminotransferase increased, Aspiration joint, Asthenia, Blood creatinine decreased, Blood glucose decreased, Blood potassium decreased, Blood potassium increased, Blood sodium decreased, Blood urea nitrogen/creatinine ratio increased, CSF protein increased, Cachexia, Clostridium difficile colitis, Computerised tomogram, Computerised tomogram abnormal, Constipation, Cough decreased, Dysphonia, Electromyogram abnormal, Gastrointestinal disorder, Gouty arthritis, Gouty tophus, Gram stain, Gram stain positive, Guillain-Barre syndrome, Haematocrit decreased, Hypoaesthesia, Hyponatraemia, Hypotonia, Immunoglobulin therapy, Immunology test abnormal, Joint swelling, Joint warmth, Lobar pneumonia, Lumbar puncture, Lung disorder, Mechanical ventilation, Muscle atrophy, Nerve conduction studies abnormal, Normochromic normocytic anaemia, Nuclear magnetic resonance imaging abnormal, Nuclear magnetic resonance imaging normal, Occult blood positive, Oedema peripheral, Pain, Paraesthesia, Paralysis, Polyarthritis, Quadriparesis, Respiratory failure, Scan brain, Synovial fluid crystal present, Walking aid user
SMQs:, Rhabdomyolysis/myopathy (broad), Acute renal failure (broad), Cardiac failure (broad), Liver related investigations, signs and symptoms (narrow), Anaphylactic reaction (broad), Acute pancreatitis (broad), Angioedema (broad), Haematopoietic erythropenia (broad), Peripheral neuropathy (narrow), Haemorrhage laboratory terms (narrow), Systemic lupus erythematosus (broad), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (broad), Torsade de pointes, shock-associated conditions (broad), Hypovolaemic shock conditions (broad), Toxic-septic shock conditions (broad), Anaphylactic/anaphylactoid shock conditions (broad), Hypoglycaemic and neurogenic shock conditions (broad), Pseudomembranous colitis (narrow), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Parkinson-like events (broad), Gastrointestinal haemorrhage (narrow), Acute central respiratory depression (narrow), Guillain-Barre syndrome (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hyponatraemia/SIADH (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Demyelination (narrow), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Chronic kidney disease (broad), Hypersensitivity (broad), Arthritis (narrow), Tumour lysis syndrome (broad)
Write-up: Ascending paralysis, numbness, tingling within 14 days of taking vaccine, completely paralyzed by Oct 22nd. Ongoing treatment with IVIG - Ongoing numbness.

VAERS ID:380559 (history)  Vaccinated:2010-01-09
Age:48.0  Onset:2010-01-10, Days after vaccination: 1
Gender:Female  Submitted:2010-02-02, Days after onset: 23
Location:Tennessee  Entered:2010-02-17, 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
FLU(H1N1): INFLUENZA (H1N1) (H1N1 (MONOVALENT) (NOVARTIS)NOVARTIS VACCINES AND DIAGNOSTICS1013260IMLA
Administered by: Military     Purchased by: Military
Symptoms: Pruritus, Rash
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow)
Write-up: Individual woke up the next morning after receiving the H1N1 immunization with itching and a rash in posterior of neck and a little on her face. NO SOB, NO N/V. Individual did not miss any work. Self medicated with BENADRYL and ice compresses to area-Rash resolved after BENADRYL tx.

VAERS ID:380683 (history)  Vaccinated:2010-01-06
Age:48.0  Onset:2010-01-07, Days after vaccination: 1
Gender:Male  Submitted:2010-02-12, Days after onset: 36
Location:Unknown  Entered:2010-02-18, Days after submission: 6
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: 1/8 DVT ruled out
CDC 'Split Type':
Vaccination
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PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.1188Y1SCUN
Administered by: Unknown     Purchased by: Unknown
Symptoms: Injection site swelling, Pneumonia
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Eosinophilic pneumonia (broad)
Write-up: Patient admitted with pneumonia, given Pneumovax on day #2 of admission and developed severe swelling and hardening of upper extremity at site of injection on day #3 and 4. Doppler ordered to that ruled out DVT. Over time symptoms improved.

VAERS ID:380816 (history)  Vaccinated:2009-11-03
Age:48.0  Onset:2009-11-03, Days after vaccination: 0
Gender:Male  Submitted:2010-02-19, Days after onset: 108
Location:Minnesota  Entered:2010-02-19
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: none reported
Preexisting Conditions: none reported
Diagnostic Lab Data: none
CDC 'Split Type':
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FLUN(H1N1): INFLUENZA (H1N1) (H1N1 (MONOVALENT) (MEDIMMUNE)MEDIMMUNE VACCINES, INC.500715P IN 
Administered by: Public     Purchased by: Public
Symptoms: Photopsia, Visual impairment
SMQs:, Optic nerve disorders (broad), Lens disorders (broad), Retinal disorders (narrow)
Write-up: 5 to 10 minutes of visual changes, saw flashing lights in peripheral vision, no headache developed, denies other symptoms

VAERS ID:381038 (history)  Vaccinated:2010-01-04
Age:48.0  Onset:2010-01-04, Days after vaccination: 0
Gender:Female  Submitted:2010-02-22, Days after onset: 49
Location:New Hampshire  Entered:2010-02-23, 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: cellulitis LLE
Preexisting Conditions: none
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
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TDAP: TDAP (ADACEL)SANOFI PASTEURC3355AA IMUN
Administered by: Private     Purchased by: Unknown
Symptoms: Injection site erythema, Injection site pain
SMQs:, Extravasation events (injections, infusions and implants) (broad)
Write-up: 7 x 5 cm area of erythema and tenderness at site of administration.

VAERS ID:381089 (history)  Vaccinated:2010-02-05
Age:48.0  Onset:2010-02-06, Days after vaccination: 1
Gender:Male  Submitted:2010-02-21, Days after onset: 15
Location:Unknown  Entered:2010-02-23, 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:
Current Illness:
Preexisting Conditions: No known drug allergies prior to this event.
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
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RAB: RABIES (RABAVERT)NOVARTIS VACCINES AND DIAGNOSTICS456011A2IMUN
Administered by: Unknown     Purchased by: Unknown
Symptoms: Chills, Dyspnoea, Myalgia, Palpitations, Pyrexia, Tachycardia, Tremor
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Parkinson-like events (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Noninfectious encephalopathy/delirium (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (broad)
Write-up: Pt is a 48 y.o. male who reported that he was bit by a dog on 1/25/10. Pt started a series of rabies vaccine and received his first 2 doses. Pt presented to the emergency dept to receive his 3rd rabies vaccine injection on 2/5/10. Rabies vaccine given 2/5/10. Pt presented to the emergency dept again on 2/6/10 with complaints of palpitations/tachycardia, myalgias, shaking chills, fever and shortness of breath. MD felt patient''s symptoms were due to an allergic reaction the rabies vaccine that patient received on 2/5/10. Pt received methylprednisolone 125 mg IV x 1 and his symptoms resolved. Pt was given a prescription for prednisone to take if symptoms returned. He was discharged from the emergency dept. with instructions to discontinue rabies vaccine injections.

VAERS ID:381181 (history)  Vaccinated:2010-01-14
Age:48.0  Onset:2010-01-15, Days after vaccination: 1
Gender:Female  Submitted:2010-02-22, Days after onset: 38
Location:New York  Entered:2010-02-24, Days after submission: 2
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: The patient had no illness at the time of the vaccination. Medical history included hypertension.
Diagnostic Lab Data:
CDC 'Split Type': 201000456
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURU3224BB IMRA
Administered by: Public     Purchased by: Public
Symptoms: Axillary pain, Injection site nodule, Injection site pain, Joint swelling, Musculoskeletal pain, Oedema peripheral
SMQs:, Rhabdomyolysis/myopathy (broad), Cardiac failure (broad), Angioedema (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Arthritis (broad)
Write-up: Initial case received 15 January 2010 from a healthcare professional. A 48 year old female patient received a right deltoid intramuscular injection of FLUZONE SV 2009-2010 (lot number U3224BB) on 14 January 2010. On 15 January 2010 the patient was seen by a nurse due to a large bump at the right deltoid (approximately the size of a golf ball). She had shoulder and axillary pain. There was swelling from the axillary area, down the arm to the wrist. She could lift her arm, but it caused pain in the shoulder. The patient had a medical history of hypertension. Concomitant medications included NORVASC and HTCZ. She had no illnesses at the time of the vaccination. At the time of the report the patient had not recovered. Follow up information was received on 12 February 2010 from a health care professional. The patient was started on methylprednisone 4 mg dose pack for 6 days on 16 January 2010. The patient recovered as a result. Based upon new information received, this case meets seriousness criteria and has been upgraded to serious. Documents held by sender: None.

VAERS ID:381212 (history)  Vaccinated:2009-12-02
Age:48.0  Onset:2009-12-02, Days after vaccination: 0
Gender:Female  Submitted:2010-02-24, Days after onset: 84
Location:New Jersey  Entered:2010-02-24
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: unknown
Preexisting Conditions: unknown
Diagnostic Lab Data: scheduled for MRI
CDC 'Split Type':
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FLU(H1N1): INFLUENZA (H1N1) (H1N1 (MONOVALENT) (NOVARTIS)NOVARTIS VACCINES AND DIAGNOSTICS102123P10IMLA
Administered by: Other     Purchased by: Other
Symptoms: Pain in extremity, Paraesthesia
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad)
Write-up: Since the administration she states she has pain and tingling down her left arm being followed by her private medical physician

VAERS ID:381222 (history)  Vaccinated:2010-01-10
Age:48.0  Onset:2010-01-10, Days after vaccination: 0
Gender:Female  Submitted:2010-02-24, Days after onset: 45
Location:Arizona  Entered:2010-02-24
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Denied
Preexisting Conditions: Not known
Diagnostic Lab Data: None known
CDC 'Split Type':
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Manufacturer
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FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)NOVARTIS VACCINES AND DIAGNOSTICS97845P1 IMRA
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.0823Y IMLA
Administered by: Other     Purchased by: Private
Symptoms: Dyskinesia, Gait disturbance
SMQs:, Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dyskinesia (narrow), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad)
Write-up: Approximately 10 minutes after injections, she returned to nurse. She was having jerking movements in arms, head, and had unsteady gait. Epinephrine given, 911 called, was taken to the hospital. After receiving immunizations, boyfriend verbalized that she had been drinking and had taken 2 pain pills earlier.

VAERS ID:381371 (history)  Vaccinated:2010-01-02
Age:48.0  Onset:2010-01-27, Days after vaccination: 25
Gender:Female  Submitted:2010-02-26, Days after onset: 30
Location:Unknown  Entered:2010-02-26
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Asthma
Preexisting Conditions:
Diagnostic Lab Data: Platelet count, 2000, Low, Unit and reference range not provided; White blood cell count, 1.5, Unit and reference range not provided
CDC 'Split Type': PHHY2010US09616
Vaccination
Manufacturer
Lot
Dose
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Site
FLU(H1N1): INFLUENZA (H1N1) (H1N1 (MONOVALENT) (NOVARTIS)NOVARTIS VACCINES AND DIAGNOSTICS102147P1 IMUN
Administered by: Other     Purchased by: Other
Symptoms: Contusion, Dyspnoea, Idiopathic thrombocytopenic purpura, Pallor, Petechiae, Platelet count decreased, Pruritus, White blood cell count decreased
SMQs:, Anaphylactic reaction (narrow), Haematopoietic leukopenia (narrow), Haematopoietic thrombocytopenia (narrow), Haemorrhage terms (excl laboratory terms) (narrow), Systemic lupus erythematosus (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Accidents and injuries (narrow), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Hypersensitivity (narrow)
Write-up: Initial consumer report received on 18 Feb 2010; this patient with a medical history of asthma, was vaccinated with H1N1 (batch no 102047P1) on 02 Jan 2010. On 24 Jan 2010, she began to experience bruising, paleness, difficulty breathing, and petechiae all over her legs. On 27 Jan 2010, she was hospitalized and diagnosed with idiopathic thrombocytopenic purpura and was hospitalized. The patient now needs to use an inhaler a couple of time a day, although she has not needed to use an inhaler in the past several years before receiving the H1N1 injection. The patient''s platelets were 2000, and white blood cells were at 1.5 (date unspecified). The patient was reported as very scratchy. The patient was currently taking prednisone.

VAERS ID:381492 (history)  Vaccinated:2010-01-29
Age:48.0  Onset:2010-02-01, Days after vaccination: 3
Gender:Female  Submitted:2010-02-28, Days after onset: 27
Location:Oregon  Entered:2010-02-28
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
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Dose
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FLUX(H1N1): INFLUENZA (H1N1) (H1N1 (MONOVALENT) (UNKNOWN)UNKNOWN MANUFACTURER    
Administered by: Public     Purchased by: Other
Symptoms: Injection site pain, Injection site vesicles, Periarthritis, Scab
SMQs:, Extravasation events (injections, infusions and implants) (broad), Arthritis (narrow)
Write-up: shoulder sore at injection site (frozen shoulder). Also, developed a blister at injection site, scab slow to heal.

VAERS ID:381704 (history)  Vaccinated:2010-03-01
Age:48.0  Onset:2010-03-01, Days after vaccination: 0
Gender:Female  Submitted:2010-03-02, Days after onset: 1
Location:North Carolina  Entered:2010-03-02
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: no
Preexisting Conditions: adhd
Diagnostic Lab Data: none
CDC 'Split Type':
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TDAP: TDAP (NO BRAND NAME)UNKNOWN MANUFACTURER  IMRA
Administered by: Unknown     Purchased by: Private
Symptoms: Asthenia, Fatigue, Heart rate increased, Palpitations
SMQs:, Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Guillain-Barre syndrome (broad), Cardiomyopathy (broad)
Write-up: By the time I got home < felt worn-out and over tired, no energy. By 6:15 resorted to sitting on the couch and noticed how hard my heart was pounding as if I''d just had too much sugar AND too much caffeine. I hadn''t. By 7:15 noticed my heart flip-flopping (for lack of a better word)- that continued until 11pm. I do not have a history of any heart problems or flip-flopping. My husband then called the dr.''s office to ask for advice. She said this had nothing to do with the shot. I slept for hrs this evening- which I understand is not a severe reaction. My concern is the heart situation. I''ve had no problems with rapid heartrate today.

VAERS ID:381730 (history)  Vaccinated:2009-12-03
Age:48.0  Onset:2009-12-03, Days after vaccination: 0
Gender:Male  Submitted:2010-03-03, Days after onset: 90
Location:Massachusetts  Entered:2010-03-03
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: I was being discharged from the hospital after bariatric surgery three days earlier. No illnesses.
Preexisting Conditions: None.
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
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FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)UNKNOWN MANUFACTURER1365J0IJRA
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.U3267MA0IJLA
Administered by: Unknown     Purchased by: Private
Symptoms: Arthralgia, Erythema, Injection site erythema, Injection site swelling, Joint range of motion decreased, Nuclear magnetic resonance imaging, Obesity surgery, 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), Hypersensitivity (broad), Arthritis (broad)
Write-up: Fever of 103 deg. F. four hours after the shot, swelling and redness at the injection site extending over 3 days from shoulder to elbow of the left arm. I was treated with intravenous antibiotics and given an MRI of the stomach to check for a stapleline leak, and to treat for a cellulitis in case the symptoms were not a vaccine reaction. The swelling and redness persisted for about a week. I am now affected by worsening joint pain in the left shoulder, and range of motion in the arm is limited.

VAERS ID:381947 (history)  Vaccinated:2010-01-17
Age:48.0  Onset:2010-02-20, Days after vaccination: 34
Gender:Female  Submitted:2010-03-05, Days after onset: 13
Location:Virginia  Entered:2010-03-05
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Celiac disease
Preexisting Conditions: glutens
Diagnostic Lab Data:
CDC 'Split Type':
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HEP: HEP B (ENGERIX-B)GLAXOSMITHKLINE BIOLOGICALSAABVB767AA0IMUN
Administered by: Other     Purchased by: Public
Symptoms: Abasia, Activities of daily living impaired, Arthralgia, Aspartate aminotransferase increased, Asthenia, Back pain, Balance disorder, Blood creatinine decreased, Blood glucose increased, Blood potassium normal, Blood sodium normal, Blood urea normal, Borrelia test negative, CSF culture negative, CSF glucose normal, CSF immunoglobulin increased, CSF protein increased, Culture urine positive, Dysarthria, Dysphagia, Dysphonia, Facial paresis, Gait disturbance, Guillain-Barre syndrome, Haematocrit normal, Haemoglobin normal, Headache, Hypoaesthesia, Hypoaesthesia facial, Hypoaesthesia oral, Immunoglobulin therapy, Insomnia, Lumbar puncture, Lymphocyte count decreased, Mastication disorder, Muscular weakness, Myalgia, Nausea, Nerve conduction studies abnormal, Neuropathy peripheral, Neutrophil count increased, Pain, Paraesthesia, Quadriparesis, Red blood cell count increased, Red blood cell sedimentation rate normal, Sensory loss, Spinal X-ray, Tachycardia, Treponema test negative, Urinary tract infection, Walking aid user, White blood cell count normal, X-ray abnormal
SMQs:, Rhabdomyolysis/myopathy (broad), Liver related investigations, signs and symptoms (narrow), Acute pancreatitis (broad), Haematopoietic leukopenia (narrow), Peripheral neuropathy (narrow), Hyperglycaemia/new onset diabetes mellitus (narrow), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Retroperitoneal fibrosis (broad), Dementia (broad), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Dystonia (broad), Parkinson-like events (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Demyelination (narrow), Eosinophilic pneumonia (broad), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (broad), Vestibular disorders (broad), Arthritis (broad)
Write-up: GBS

VAERS ID:382044 (history)  Vaccinated:2009-12-30
Age:48.0  Onset:2009-12-30, Days after vaccination: 0
Gender:Female  Submitted:2010-01-03, Days after onset: 4
Location:Kansas  Entered:2010-03-08, Days after submission: 64
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: bronchitis - COPD
Preexisting Conditions: stroke; COPD; emphysema; bronchitis; PAD; fibromyalgia; HBP; high cholesterol; 3 stents; sulfa; niacin gaba pentin; lyrea; naprolean pneumonia shot; diuretics
Diagnostic Lab Data: was given a breathing treatment, strong steroid shot and BENADRYL shot. Stayed there four hrs. Given prescriptions for steroids and BENADRYL.
CDC 'Split Type':
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FLU(H1N1): INFLUENZA (H1N1) (H1N1 (MONOVALENT) (SANOFI)SANOFI PASTEURUP050AA0IMRA
Administered by: Public     Purchased by: Private
Symptoms: Dyspnoea, Erythema, Hypertension, Pruritus, Swelling face
SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), Neuroleptic malignant syndrome (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Hypertension (narrow), Cardiomyopathy (broad), Hypersensitivity (narrow)
Write-up: Started itching 2 or 3 hrs after shot. Called dr. Started taking BENADRYL. Itching kept get worse. Face was bright red. By the 3rd night my face was swollen and had trouble breathing. Went to ER at 3:00 a.m. on Jan 2. Blood pressure was 200/93.

VAERS ID:382235 (history)  Vaccinated:2009-10-16
Age:48.0  Onset:2009-11-01, Days after vaccination: 16
Gender:Male  Submitted:2010-03-09, Days after onset: 128
Location:Maryland  Entered:2010-03-09
Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: No
Preexisting Conditions: No.
Diagnostic Lab Data: Ask the Doctor...to me it is not getting better.
CDC 'Split Type':
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TDAP: TDAP (ADACEL)SANOFI PASTEURC3248AA1UNUN
Administered by: Military     Purchased by: Military
Symptoms: Activities of daily living impaired, Injected limb mobility decreased, Musculoskeletal pain, Pain
SMQs:, Rhabdomyolysis/myopathy (broad), Dementia (broad)
Write-up: Lost mobility in my right arm. Can not throw a ball anymore. Shoulder is painful in certain positions and I cannot sleep on. Started physical therpy this month (March 2010).

VAERS ID:382242 (history)  Vaccinated:2010-03-04
Age:48.0  Onset:2010-03-05, Days after vaccination: 1
Gender:Male  Submitted:2010-03-09, Days after onset: 4
Location:Washington  Entered:2010-03-09
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: None.
Diagnostic Lab Data: None.
CDC 'Split Type':
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TDAP: TDAP (NO BRAND NAME)UNKNOWN MANUFACTURER    
Administered by: Private     Purchased by: Private
Symptoms: Fatigue, Somnolence
SMQs:, Anticholinergic syndrome (broad), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad)
Write-up: As the day went on I began to feel more tired. I felt that I just wanted to lay down and sleep.

VAERS ID:382634 (history)  Vaccinated:2010-03-03
Age:48.0  Onset:2010-03-07, Days after vaccination: 4
Gender:Female  Submitted:2010-03-15, Days after onset: 7
Location:Michigan  Entered:2010-03-15
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: none
Preexisting Conditions: none
Diagnostic Lab Data: none
CDC 'Split Type':
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FLU(H1N1): INFLUENZA (H1N1) (H1N1 (MONOVALENT) (NOVARTIS)NOVARTIS VACCINES AND DIAGNOSTICS10218P1 IMLA
TDAP: TDAP (ADACEL)SANOFI PASTEURC3352BA0IMLA
Administered by: Public     Purchased by: Public
Symptoms: Anxiety, Burning sensation, Erythema, Fatigue, Nodule, Pain, Pain in extremity
SMQs:, Anaphylactic reaction (broad), Peripheral neuropathy (broad), Hypersensitivity (broad)
Write-up: Sunday evening began to experience painful, throbbing area six inches below the injection site; Monday felt exhausted, anxious, arm became bright red, and knot in arm noted six inches below injection site; arm felt like it was on fire; pain decrease when redness developed and symptoms diminished within seven days

VAERS ID:382682 (history)  Vaccinated:2010-02-15
Age:48.0  Onset:2010-02-20, Days after vaccination: 5
Gender:Female  Submitted:2010-03-15, Days after onset: 22
Location:Iowa  Entered:2010-03-15
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC 'Split Type':
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MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.1145Y0SCLA
Administered by: Other     Purchased by: Private
Symptoms: Cough, Headache, Nasopharyngitis, Pruritus, Rash erythematous, Skin warm, Sneezing
SMQs:, Anaphylactic reaction (narrow), Hypersensitivity (narrow)
Write-up: 5 days after shot began with headache; progressed to feeling like she had a cold, sneezing and coughing - began itching et developed red, raised bumps on abdomen et arms et felt war; feels it lasted x 2 days.

VAERS ID:382759 (history)  Vaccinated:2010-03-10
Age:48.0  Onset:2010-03-11, Days after vaccination: 1
Gender:Female  Submitted:2010-03-11, Days after onset: 0
Location:Missouri  Entered:2010-03-16, 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:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC 'Split Type':
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FLU(H1N1): INFLUENZA (H1N1) (H1N1 (MONOVALENT) (NOVARTIS)NOVARTIS VACCINES AND DIAGNOSTICS1013270IMLA
Administered by: Public     Purchased by: Public
Symptoms: Rash
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow)
Write-up: Patient reports rash on both arms a day after immunization of H1N1 vaccine.

VAERS ID:383023 (history)  Vaccinated:2009-12-09
Age:48.0  Onset:2009-12-09, Days after vaccination: 0
Gender:Male  Submitted:0000-00-00
Location:Pennsylvania  Entered:2010-03-18
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: allergy: ZANTAC; indomethacin
Diagnostic Lab Data: none
CDC 'Split Type':
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FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURU3378AB2IMLA
Administered by: Other     Purchased by: Other
Symptoms: Bursitis, Pain
SMQs:
Write-up: Pain Lt subcranial 2nd since flu shot - clinically looks like subcranial bursitis.

VAERS ID:383285 (history)  Vaccinated:2010-03-20
Age:48.0  Onset:2010-03-20, Days after vaccination: 0
Gender:Male  Submitted:2010-03-23, Days after onset: 3
Location:Minnesota  Entered:2010-03-23
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: No
Diagnostic Lab Data: check buy ER Doc
CDC 'Split Type':
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HEPA: HEP A (NO BRAND NAME)UNKNOWN MANUFACTURER 1IMRA
TD: TETANUS DIPHTHERIA (NO BRAND NAME)UNKNOWN MANUFACTURER  IMLA
Administered by: Military     Purchased by: Military
Symptoms: Fatigue, Urticaria, Wheezing
SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), Asthma/bronchospasm (broad), Eosinophilic pneumonia (broad), Hypersensitivity (narrow)
Write-up: Wheezing, hives, tiredness

VAERS ID:383358 (history)  Vaccinated:0000-00-00
Age:48.0  Onset:0000-00-00
Gender:Male  Submitted:2010-03-12
Location:Puerto Rico  Entered:2010-03-23, 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: None
Preexisting Conditions: Allergic to Penicillin; High Blood Pressure
Diagnostic Lab Data:
CDC 'Split Type':
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ANTH: ANTHRAX (NO BRAND NAME)UNKNOWN MANUFACTURER  UNUN
Administered by: Military     Purchased by: Military
Symptoms: Myalgia, Pyrexia
SMQs:, Rhabdomyolysis/myopathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Eosinophilic pneumonia (broad)
Write-up: Fever and muscular pain.

VAERS ID:384262 (history)  Vaccinated:2010-03-29
Age:48.0  Onset:2010-03-31, Days after vaccination: 2
Gender:Female  Submitted:2010-04-05, Days after onset: 5
Location:Minnesota  Entered:2010-04-05
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: None
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TDAP: TDAP (ADACEL)SANOFI PASTEURC3382AA0IMLA
Administered by: Private     Purchased by: Other
Symptoms: Erythema, Fatigue, Injection site pain, Pyrexia, Skin warm, Somnolence, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (narrow)
Write-up: 3/31/10 pt called to report-Fever of 102, sore arm- inj site achiness. Hives on torso, fatigue. 4-1-10-Pt seen much worse, groggy/severe urticaria, skin very red & warm. Tx with prednisone. 4-5-10 much improved.

VAERS ID:384330 (history)  Vaccinated:2010-03-22
Age:48.0  Onset:2010-03-23, Days after vaccination: 1
Gender:Male  Submitted:2010-04-01, Days after onset: 9
Location:Indiana  Entered:2010-04-06, 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: Myalgia; fatigue (mild) after vaccine
Preexisting Conditions:
Diagnostic Lab Data: F/u visit 4/1/10 no Sx''s
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TD: TD ADSORBED (NO BRAND NAME)SANOFI PASTEURV3006EH IMRA
Administered by: Private     Purchased by: Other
Symptoms: Fatigue, Muscle spasms, Myalgia, Nausea
SMQs:, Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Dystonia (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad)
Write-up: 1 day after Td vaccine patient states developed fatigue, muscle aching arms and legs with a couple cramps in calf muscles. Slight nausea.

VAERS ID:384984 (history)  Vaccinated:2009-10-27
Age:48.0  Onset:0000-00-00
Gender:Female  Submitted:2010-03-03
Location:Kansas  Entered:2010-04-13, 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: asthma
Diagnostic Lab Data: None
CDC 'Split Type':
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FLUX(H1N1): INFLUENZA (H1N1) (H1N1 (MONOVALENT) (UNKNOWN)UNKNOWN MANUFACTURERUP005AA0IMLA
Administered by: Public     Purchased by: Public
Symptoms: Injection site atrophy
SMQs:
Write-up: Lipoatrophy at injection site. Pt reports this has slowly increased. Reporter has not seen this so no other data available.

VAERS ID:385034 (history)  Vaccinated:2010-03-29
Age:48.0  Onset:2010-03-29, Days after vaccination: 0
Gender:Female  Submitted:2010-04-13, Days after onset: 15
Location:Texas  Entered:2010-04-13
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: COPD, emphysema, which is why the Pulmonary doctor sent me for the shot. Allergic to tetracycline.
Diagnostic Lab Data: None performed
CDC 'Split Type':
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FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)UNKNOWN MANUFACTURER  IMAR
FLUX(H1N1): INFLUENZA (H1N1) (H1N1 (MONOVALENT) (UNKNOWN)UNKNOWN MANUFACTURER 0IMAR
Administered by: Military     Purchased by: Other
Symptoms: Arthralgia, Blood test, Condition aggravated, Injection site discolouration, Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Arthritis (broad)
Write-up: The area around the injection site turned white, and the area around the white turned red. It became swollen, started burning/itching and there was heat in the red area. The swelling and redness progressed to the elbow. There was pain in the elbow joint once the swelling and redness hit there. I was treated at an urgent care facility, was given a shot of antibiotics and then a prescription for a sulfa antibiotic. On the 31st I went to emergency room because the swelling and redness was not abating. I was given Augmentin. Both emergency room and the urgent care facility said it was MRSA. But there were no open wounds. No blood work was done and no one reported the reaction.

VAERS ID:385387 (history)  Vaccinated:2010-03-26
Age:48.0  Onset:2010-03-28, Days after vaccination: 2
Gender:Male  Submitted:2010-04-19, Days after onset: 22
Location:California  Entered:2010-04-19
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Pneumonia
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type':
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PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.131240IMRA
Administered by: Public     Purchased by: Other
Symptoms: Injection site pain, Injection site reaction
SMQs:, Extravasation events (injections, infusions and implants) (broad)
Write-up: 48 yo male admitted for PNA and received the pnavax on 3/26. It was noted on 3/28 am that pt had developed a large painful injection site reaction that measured approx 8 inches in diameter per MD. Pnavax was manufactured by Merck, lot # 13124, exp 2/24/11. Pain managed with APAP, Ibuprofen, and morphine as well as cold compresses. No other s/sx of allergic reaction noted.

VAERS ID:385401 (history)  Vaccinated:2010-03-26
Age:48.0  Onset:2010-03-27, Days after vaccination: 1
Gender:Female  Submitted:2010-04-19, Days after onset: 23
Location:California  Entered:2010-04-19
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: No
Preexisting Conditions: HTN controlled by MICARDIS.
Diagnostic Lab Data: Head CT.
CDC 'Split Type':
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ANTH: ANTHRAX (BIOTHRAX)EMERGENT BIOSOLUTIONSFAV2231IMUN
FLUN(H1N1): INFLUENZA (H1N1) (H1N1 (MONOVALENT) (MEDIMMUNE)MEDIMMUNE VACCINES, INC.H76P0IN 
Administered by: Military     Purchased by: Military
Symptoms: Activated partial thromboplastin time prolonged, Aspartate aminotransferase increased, Bacterial test positive, Blood albumin increased, Blood chloride decreased, Blood creatine phosphokinase MB increased, Blood creatine phosphokinase increased, Blood glucose increased, Blood sodium decreased, Central nervous system lesion, Chills, Computerised tomogram abnormal, Contusion, Diarrhoea, Disorientation, Ecchymosis, Excoriation, Haematocrit decreased, Haemoglobin decreased, Haemorrhage intracranial, Headache, Hypertension, Injury, Malaise, Mean cell haemoglobin increased, Mean cell volume increased, Myalgia, Nausea, Nuclear magnetic resonance imaging brain abnormal, Platelet count increased, Pyrexia, Red blood cell count decreased, Scab, Skin lesion, Subdural haematoma, Subgaleal haematoma, Tachycardia, Urine leukocyte esterase positive, Viral infection, Vomiting
SMQs:, Rhabdomyolysis/myopathy (broad), Liver related investigations, signs and symptoms (narrow), Acute pancreatitis (broad), Haematopoietic erythropenia (narrow), Haemorrhage terms (excl laboratory terms) (narrow), Haemorrhage laboratory terms (broad), Hyperglycaemia/new onset diabetes mellitus (narrow), Neuroleptic malignant syndrome (broad), Myocardial infarction (narrow), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Haemorrhagic cerebrovascular conditions (narrow), Dementia (broad), Pseudomembranous colitis (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Accidents and injuries (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hyponatraemia/SIADH (narrow), Hostility/aggression (broad), Hypertension (narrow), Eosinophilic pneumonia (broad), Neonatal disorders (narrow), Chronic kidney disease (broad), Noninfectious diarrhoea (narrow)
Write-up: Member was administered two immunizations on 26 MAR 2010 as part of a mobilization process. Became ill HA and vomiting 27 MAR. Ill until seeking care 3/29. Eval''d in E.R. 3/30. Discharged. SIQ, light duty, continued ill, skin lesions appeared 3/30. Cat Scan 4/8=hemorrhagic intracranial lesions. Admitted.

VAERS ID:385662 (history)  Vaccinated:2010-04-14
Age:48.0  Onset:2010-04-15, Days after vaccination: 1
Gender:Female  Submitted:2010-04-19, Days after onset: 4
Location:Tennessee  Entered:2010-04-22, Days after submission: 3
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: Diabetes; hypothyroidism; depression
Diagnostic Lab Data:
CDC 'Split Type':
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TDAP: TDAP (ADACEL)SANOFI PASTEURC3352BA IMLA
Administered by: Public     Purchased by: Public
Symptoms: Lymphadenitis, Pain, Pyrexia, Skin warm
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad)
Write-up: Woke up with fever, pain with warmness of left armpit on day after vaccine. Did not improve so saw MD on 4-17-10, treated with CID/SF antibiotics, pain medicine for infection of lymph glands. Is beginning to improve now.

VAERS ID:385966 (history)  Vaccinated:2010-04-23
Age:48.0  Onset:2010-04-24, Days after vaccination: 1
Gender:Female  Submitted:2010-04-26, Days after onset: 2
Location:Wisconsin  Entered:2010-04-26
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: n/a
CDC 'Split Type':
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TDAP: TDAP (ADACEL)SANOFI PASTEURU3049CA0IMLA
Administered by: Unknown     Purchased by: Private
Symptoms: Injection site erythema, Injection site swelling
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: Swelling to size of golf ball w/ redness to diameter of orange at vaccine site

VAERS ID:386423 (history)  Vaccinated:2010-04-28
Age:48.0  Onset:2010-04-28, Days after vaccination: 0
Gender:Female  Submitted:2010-05-02, Days after onset: 4
Location:Georga  Entered:2010-05-02
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: No. A routine blood pressure, gloucose A1C check and fasting for lab work.
Preexisting Conditions: Type 2 diabeties
Diagnostic Lab Data:
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DTAP: DTAP (NO BRAND NAME)UNKNOWN MANUFACTURER 5IJRA
Administered by: Private     Purchased by: Private
Symptoms: Asthenia, Chills, Fatigue, Headache, Heart rate increased, Inappropriate schedule of drug administration, Nausea, Pain, Pain in extremity
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)
Write-up: Soreness in arm, head-ache, tiredness, nausea, chills, head-ache all the same day of shot took Tylenol. Next day more of the same symptoms that night fast heart beat and weak the next morning. 4-30-2010 Back to doctor after research I discovered I had the Tdap last April 3, 2009. I mentioned it to Dr. they did not have it on my record. I trusted they were correct and did not question it. The main symptom last year was soreness and tiredness. Today 5/2/2010 head-ache and body-ache. Was told totake Benadryl to counter act the symptons.

VAERS ID:386459 (history)  Vaccinated:2010-04-27
Age:48.0  Onset:2010-04-28, Days after vaccination: 1
Gender:Female  Submitted:2010-04-28, Days after onset: 0
Location:Unknown  Entered:2010-05-03, Days after submission: 5
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: hx of multiple medication allergies migraine headache
Diagnostic Lab Data:
CDC 'Split Type':
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PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.1190Y UNUN
TDAP: TDAP (ADACEL)SANOFI PASTEURC3446AA UNUN
Administered by: Unknown     Purchased by: Unknown
Symptoms: Pyrexia, Rash
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Hypersensitivity (narrow)
Write-up: Fever, rash following ADACEL and PNEUMOVAX vaccine administered on 04/27/2010.

VAERS ID:386533 (history)  Vaccinated:2009-10-22
Age:48.0  Onset:2009-10-29, Days after vaccination: 7
Gender:Female  Submitted:2010-04-27, Days after onset: 180
Location:Connecticut  Entered:2010-05-03, Days after submission: 6
Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: Latex
Diagnostic Lab Data: Performed by PMD and private neurologist
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU(H1N1): INFLUENZA (H1N1) (H1N1 (MONOVALENT) (SANOFI)SANOFI PASTEURUP009AA0IMLA
Administered by: Private     Purchased by: Public
Symptoms: Amnesia, Anger, Asthma, Back pain, Blood test normal, Electromyogram abnormal, Ex-tobacco user, Fall, Fatigue, Feeling cold, Fibromyalgia, Insomnia, Joint injury, Memory impairment, Muscular weakness, Myalgia, Nuclear magnetic resonance imaging abnormal, Personality change, Pneumonia, Radiculopathy
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Asthma/bronchospasm (narrow), Peripheral neuropathy (broad), Retroperitoneal fibrosis (broad), Dementia (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Accidents and injuries (narrow), Hostility/aggression (narrow), Eosinophilic pneumonia (broad), Depression (excl suicide and self injury) (broad), Hypersensitivity (broad)
Write-up: Diffuse myalgia and muscle weakness, worst in bilat hips and lower extremities beginning 1 wk post-vaccination; pt. subsequently also complained of short term memory loss which persists.

VAERS ID:386618 (history)  Vaccinated:2010-03-15
Age:48.0  Onset:2010-03-15, Days after vaccination: 0
Gender:Male  Submitted:2010-05-04, Days after onset: 50
Location:Unknown  Entered:2010-05-04
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.9874408 IMLA
Administered by: Other     Purchased by: Unknown
Symptoms: Activities of daily living impaired, Dizziness, Fatigue, Hypersensitivity, Injection site erythema, Injection site swelling, Musculoskeletal pain, Nausea, Pain in extremity
SMQs:, Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Angioedema (broad), Anticholinergic syndrome (broad), Dementia (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Vestibular disorders (broad), Hypersensitivity (narrow)
Write-up: PT CALLS TO REPORT THAT HE HAD A PNEUMONIA VACCINE ON 3/15/10. HE HAD A SEVERE REACTION AFTER THE VACCINE. FELT NAUSEA, AND DIZZINESS OVER NIGHT. NEXT DAY HE WAS EXTREMELY TIRED AND HAS DEVELOPED SEVERE PAIN IN HIS LEFT SHOULDER RADIATING TO HIS ARM. THE SITE OF THE VACCINE IS RED, THE SIZE OF A "SILVER COIN", AND VERY PAINFUL. HE CANNOT USE HIS ARM TO HELP HIMSELF WITH ADL.

VAERS ID:386920 (history)  Vaccinated:2009-06-30
Age:48.0  Onset:2009-10-20, Days after vaccination: 112
Gender:Male  Submitted:2010-02-19, Days after onset: 122
Location:New Jersey  Entered:2010-05-06, Days after submission: 75
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: No illnesses at the time of vaccination.
Preexisting Conditions: The patient is an animal handler for a veterinarian and it was his first time being vaccinated. The first two doses of IMOVAX Rabies (lot numbers not reported) were administered on 08 June 2009 and 15 June 2009, as pre-exposure prophylaxis. The patient was not immunocompromised. He had received no other vaccines on the same day and it was unknown if he had received any other vaccinations within the four previous weeks.
Diagnostic Lab Data: 20 October 2009: Titer level less than 1:5, which was considered a sub optimal response. 25 January 2010: Repeat serum titer level was less than 0.1.
CDC 'Split Type': 201000971
Vaccination
Manufacturer
Lot
Dose
Route
Site
RAB: RABIES (IMOVAX)SANOFI PASTEUR 2UNUN
Administered by: Private     Purchased by: Unknown
Symptoms: Antibody test abnormal, Antibody test positive
SMQs:, Vasculitis (broad), Hypersensitivity (broad)
Write-up: Initial report received on 05 February 2010 from a health professional. Additional information was received on 08 February 2010. A 48 year old male patient, who is an animal handler for a veterinarian, had never received rabies vaccination in the past. He received the three dose series of IMOVAX Rabies (lot number not reported) on 08 June 2009, 15 June 2009 and 30 June 2009 as pre-exposure prophylaxis. The patient was not immunocompromised. He had no concomitant medications and no illnesses at the time of vaccination. He had received no other vaccines on the same day and it was unknown if he had received any other vaccinations within the four previous weeks. On 20 October 2009, the patient''s titer level was less than 1:5, which was considered a sub optimal response. Therefore the patient received a booster dose of IMOVAX Rabies (lot number not reported) on 30 November 2009. On 25 January 2010, a repeat serum titer level was less than 0.1.

VAERS ID:387220 (history)  Vaccinated:2010-05-05
Age:48.0  Onset:2010-05-06, Days after vaccination: 1
Gender:Female  Submitted:2010-05-11, Days after onset: 5
Location:Texas  Entered:2010-05-11
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: vaginitis; Candidal vulvovaginitis
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (ADACEL)SANOFI PASTEURU3085AA UNRA
Administered by: Private     Purchased by: Unknown
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: Developed pain swelling erythema at site of vaccine next morning.

VAERS ID:387274 (history)  Vaccinated:2010-05-10
Age:48.0  Onset:2010-05-11, Days after vaccination: 1
Gender:Male  Submitted:2010-05-12, Days after onset: 1
Location:North Carolina  Entered:2010-05-12
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: NONE
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA)SANOFI PASTEUR 0IMRA
Administered by: Unknown     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: Redness, swelling, aching right upper arm.

VAERS ID:387285 (history)  Vaccinated:2010-05-04
Age:48.0  Onset:2010-05-04, Days after vaccination: 0
Gender:Female  Submitted:2010-05-05, Days after onset: 1
Location:Iowa  Entered:2010-05-12, 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:
Current Illness: None
Preexisting Conditions: NKDA
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.1338Y IMRA
Administered by: Private     Purchased by: Private
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth, Nausea, Skin warm, Vomiting
SMQs:, Acute pancreatitis (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: Pt. presents with complaints of ( R ) arm pain/swelling at injection site area. ( R ) delt/upper arm swollen, warm to touch, lg area upper arm reddened. Pt. noted yesterday small amt redness-now has spread to lger area. Also nausea/vomiting thru night.

VAERS ID:387386 (history)  Vaccinated:2009-10-12
Age:48.0  Onset:2009-10-12, Days after vaccination: 0
Gender:Male  Submitted:2010-05-13, Days after onset: 213
Location:California  Entered:2010-05-13
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: HYPERLIPIDEMIA, DM
Preexisting Conditions: HYPERLIPIDEMIA, DM
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLULAVAL)GLAXOSMITHKLINE BIOLOGICALSAFLUA454AA1IMLA
Administered by: Private     Purchased by: Private
Symptoms: Myalgia
SMQs:, Rhabdomyolysis/myopathy (broad), Eosinophilic pneumonia (broad)
Write-up: Generalized myalgias involving, neck, chest, shoulders.

VAERS ID:387429 (history)  Vaccinated:2010-05-12
Age:48.0  Onset:2010-05-14, Days after vaccination: 2
Gender:Female  Submitted:2010-05-14, Days after onset: 0
Location:California  Entered:2010-05-14
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Epilepsy, Major Depressive Disorder, Trigeminal Neuralgia, Degenerative L5 and C5. Allergies: Hayfever, Melons, Tegretol, Dolobid, Symmetrel, Lamictal, Keppra, Mannerix.
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TETANUS DIPHTHERIA (NO BRAND NAME)UNKNOWN MANUFACTURER 4IMRA
Administered by: Private     Purchased by: Public
Symptoms: Injection site induration, Injection site pruritus, Injection site swelling, Injection site warmth, Musculoskeletal stiffness, Myalgia, Neck pain, Pruritus generalised, Swelling
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Angioedema (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), Eosinophilic pneumonia (broad), Hypersensitivity (broad), Arthritis (broad)
Write-up: Swollen, hot, hard and itchy at site. Swollen upper arm. Sore and stiff neck and arm muscles same side of the body as injection site. Slight swelling right side of the jaw. Overall itchiness.

VAERS ID:388518 (history)  Vaccinated:0000-00-00
Age:48.0  Onset:0000-00-00
Gender:Male  Submitted:2010-05-14
Location:Wisconsin  Entered:2010-05-18, Days after submission: 4
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: diagnostic laboratory, rubella titer negative
CDC 'Split Type': WAES1001USA03021
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC. 0UNUN
Administered by: Other     Purchased by: Other
Symptoms: No therapeutic response, Rubella antibody negative
SMQs:, Lack of efficacy/effect (narrow)
Write-up: Information has been received a healthcare worker concerning a 48 year old male patient who on an unspecified date was vaccinated with a dose of MMR II as an adult. Subsequently, on an unknown date the patient experienced negative rubella titer. The patient sought medical attention via office visit. At the time of the report, the patient''s status was unknown. Follow-up information has been received from a physician. It was reported that the patient did not have an adverse reaction to a dose of MMR II. It was also reported that the patient was afraid he would get an adverse reaction to MMR II because he received one dose in 1979 and the listing of serious events of the vaccine state that he is at higher risk for serious events getting a second dose. Follow-up information has been received from the healthcare worker. It was reported that the patient never completed the MMR II series and there was no adverse effect involved. Additional information is not expected.

VAERS ID:388765 (history)  Vaccinated:0000-00-00
Age:48.0  Onset:2010-03-07
Gender:Female  Submitted:2010-05-14, Days after onset: 67
Location:New York  Entered:2010-05-18, 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:
Current Illness:
Preexisting Conditions: Open heart surgery
Diagnostic Lab Data: Serum rubella IgG, 03/07/10, negative; Serum measles Ab, 03/07/10, positive; Serum mumps Ab, 03/07/10, positive
CDC 'Split Type': WAES1003USA01546
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.  UNUN
Administered by: Other     Purchased by: Other
Symptoms: Antibody test negative, Measles antibody positive, Mumps antibody test positive, Rubella antibody negative
SMQs:
Write-up: Information has been received from a physician concerning a 48 year old female patient with a history of heart surgery for stent in August 2009 and no known allergies who on an unspecified date was vaccinated with a dose of MMR II (lot number not reported). Concomitant therapy included aspirin. The physician reported that the patient was non-immune to rubella but was positive for measles and mumps as per a titer on 07-MAR-2010. The patient was told when she was college age that she needed a vaccination but she did not know if it was for MMR II. She did not receive it. She also told after giving birth that she needed a vaccination but she did not know what is was for and did not receive it. Unspecified medical attention was sought. The outcome of the patient was not reported. Additional information has been requested.

VAERS ID:389240 (history)  Vaccinated:2010-05-20
Age:48.0  Onset:2010-05-20, Days after vaccination: 0
Gender:Female  Submitted:2010-05-25, Days after onset: 5
Location:Massachusetts  Entered:2010-05-25
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: none necessary
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (BOOSTRIX)GLAXOSMITHKLINE BIOLOGICALSC3446AA1IMLA
Administered by: Unknown     Purchased by: Private
Symptoms: Erythema, Headache, Myalgia, Nausea, Oedema peripheral, Pruritus, Pyrexia
SMQs:, Rhabdomyolysis/myopathy (broad), Cardiac failure (broad), Anaphylactic reaction (broad), Acute pancreatitis (broad), Angioedema (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Eosinophilic pneumonia (broad), Hypersensitivity (broad)
Write-up: Fever $g101, myalgias, headache, mild itching, nausea, red swollen upper arm.

VAERS ID:389514 (history)  Vaccinated:2010-05-25
Age:48.0  Onset:2010-05-26, Days after vaccination: 1
Gender:Female  Submitted:2010-05-27, Days after onset: 1
Location:Michigan  Entered:2010-05-27
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: sulfa allergy
Diagnostic Lab Data: none
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAP: DTAP (NO BRAND NAME)UNKNOWN MANUFACTURER 0 LA
Administered by: Unknown     Purchased by: Other
Symptoms: Erythema, Pain, Swelling
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad)
Write-up: Redness, pain, swelling.

VAERS ID:389796 (history)  Vaccinated:2009-09-30
Age:48.0  Onset:2009-09-30, Days after vaccination: 0
Gender:Male  Submitted:2010-05-27, Days after onset: 239
Location:South Carolina  Entered:2010-06-02, Days after submission: 6
Life Threatening? Yes
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: Type II Diabetes
Diagnostic Lab Data: Confirmed by MRI
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)NOVARTIS VACCINES AND DIAGNOSTICS97842P215IMAR
Administered by: Public     Purchased by: Public
Symptoms: Aneurysm, Ataxia, Blood thyroid stimulating hormone increased, Cerebrovascular accident, Computerised tomogram abnormal, Dysarthria, Electrocardiogram, Hemiparesis, Hypertension, Hypoaesthesia, Hyporeflexia, Nuclear magnetic resonance imaging abnormal, Scan brain, Sensory loss, Type 2 diabetes mellitus
SMQs:, Peripheral neuropathy (narrow), Hyperglycaemia/new onset diabetes mellitus (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Ischaemic cerebrovascular conditions (narrow), Haemorrhagic cerebrovascular conditions (narrow), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Hypertension (narrow), Hypothyroidism (broad), Hyperthyroidism (broad), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (narrow)
Write-up: Aneurysm 6 hrs after injection.

VAERS ID:390101 (history)  Vaccinated:2010-05-21
Age:48.0  Onset:2010-05-22, Days after vaccination: 1
Gender:Female  Submitted:2010-06-01, Days after onset: 10
Location:Michigan  Entered:2010-06-07, Days after submission: 6
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Medical history of diabetes; no illness at time of vaccination
Diagnostic Lab Data:
CDC 'Split Type': 201003019
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (ADACEL)SANOFI PASTEURC3109 IMLA
Administered by: Private     Purchased by: Private
Symptoms: Injection site erythema, Injection site pain, Injection site warmth, Pain
SMQs:, Extravasation events (injections, infusions and implants) (broad)
Write-up: Initial spontaneous report received from a physician on 27 May 2010. A 48-year-old female patient with a history of diabetes received an intramuscular left arm injection of ADACEL (sanofi pasteur inc lot number UF544CA, sanofi pasteur ltd lot number C3109) on 21 May 2010. Concomitant medication included metformin. Approximately 24 hours after vaccination she began having body aches. Her left arm became red, warm and painful from the deltoid to 2 inches below the elbow. She was seen by her physician on 26 May 2010, at which time the redness extended outward on the borders, with central clearing noted. She was treated with BENADRYL and prednisone, and the event remained ongoing at the time of the report. Documents held by sender: None.

VAERS ID:390149 (history)  Vaccinated:2010-06-04
Age:48.0  Onset:2010-06-05, Days after vaccination: 1
Gender:Male  Submitted:2010-06-07, Days after onset: 2
Location:New Hampshire  Entered:2010-06-07
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: NKDA; Intolerant of statins
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (ADACEL)SANOFI PASTEURUF544CA UNLA
Administered by: Private     Purchased by: Other
Symptoms: Local reaction
SMQs:
Write-up: Local reaction.

VAERS ID:391100 (history)  Vaccinated:2010-05-10
Age:48.0  Onset:2010-05-14, Days after vaccination: 4
Gender:Male  Submitted:2010-06-21, Days after onset: 38
Location:Texas  Entered:2010-06-21
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)GLAXOSMITHKLINE BIOLOGICALSAHBVB909AB0IMLA
HEPA: HEP A (HAVRIX)GLAXOSMITHKLINE BIOLOGICALSAHAVB152AA0IMRA
Administered by: Private     Purchased by: Private
Symptoms: Lymphadenopathy, Yellow skin
SMQs:, Cholestasis and jaundice of hepatic origin (broad)
Write-up: 4 days after Hep A and Hep B vaccine developed yellowing of skin in (B) arms. (+) submandubular glands swollen.

VAERS ID:391281 (history)  Vaccinated:2010-01-19
Age:48.0  Onset:2010-01-19, Days after vaccination: 0
Gender:Female  Submitted:2010-06-23, Days after onset: 154
Location:Texas  Entered:2010-06-23
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: COCONUT FOOD ALLERGY
Diagnostic Lab Data: NONE
CDC 'Split Type': TX20100043PU
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU(H1N1): INFLUENZA (H1N1) (H1N1 (MONOVALENT) (SANOFI)SANOFI PASTEURUPO63AA0IMLA
Administered by: Other     Purchased by: Public
Symptoms: Paraesthesia, Throat tightness
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Peripheral neuropathy (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Hypersensitivity (broad)
Write-up: PATIENT REPORTED FEELING TINGLING/TIGHTNESS TO THE BACK OF THROAT. BP 146/86 HR 88, BENADRYL 50 MG PO GIVEN AT 11:30 AM.

VAERS ID:391464 (history)  Vaccinated:2010-06-14
Age:48.0  Onset:2010-06-14, Days after vaccination: 0
Gender:Female  Submitted:2010-06-25, Days after onset: 11
Location:California  Entered:2010-06-25
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: Allergies to seafood, pollens, scents
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0765Y1SCLA
Administered by: Public     Purchased by: Private
Symptoms: Pruritus, Rash erythematous, Rash pruritic
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow)
Write-up: Developed itching first on back in evening of 6/14/10, then developed red itchy rash on back only (description sounded like hives) and itching progressed to chest, abdomen and arms. All symptoms resolved on own in 2 days, gone by 6/17/10. Required no treatment.

VAERS ID:391547 (history)  Vaccinated:2010-01-20
Age:48.0  Onset:2010-02-08, Days after vaccination: 19
Gender:Female  Submitted:2010-06-12, Days after onset: 123
Location:Washington  Entered:2010-06-28, Days after submission: 16
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: No
Preexisting Conditions: No
Diagnostic Lab Data: None
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU(H1N1): INFLUENZA (H1N1) (H1N1 (MONOVALENT) (NOVARTIS)NOVARTIS VACCINES AND DIAGNOSTICS105461P1 IJUN
Administered by: Other     Purchased by: Private
Symptoms: Confusional state, Injection site pain, Non-cardiac chest pain
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)
Write-up: Soreness in left lateral upper chest. Confusion. Soreness in left arm at injection site.

VAERS ID:391595 (history)  Vaccinated:2010-06-10
Age:48.0  Onset:2010-06-14, Days after vaccination: 4
Gender:Female  Submitted:2010-06-24, Days after onset: 10
Location:Unknown  Entered:2010-06-28, 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:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTP: DTP (NO BRAND NAME)UNKNOWN MANUFACTURER 1IMRA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Injection site erythema, Injection site reaction, Injection site swelling, Skin tightness
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: Patient seen in PC due to tetanus shot - 10 years since last vaccination given. Patient given injection in right deltoid. Pt seen in hospital complaining of redness, tightness and swelling of arm at injection site. Patient treated with APAP and ice pack.

VAERS ID:391697 (history)  Vaccinated:2010-06-22
Age:48.0  Onset:0000-00-00
Gender:Female  Submitted:2010-06-22
Location:Alabama  Entered:2010-06-29, Days after submission: 7
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (ADACEL)SANOFI PASTEURU3035BA0IMRA
Administered by: Private     Purchased by: Unknown
Symptoms: Unevaluable event
SMQs:
Write-up: None. No adverse reaction was noted before she left.

VAERS ID:392189 (history)  Vaccinated:2006-11-01
Age:48.0  Onset:2006-11-01, Days after vaccination: 0
Gender:Female  Submitted:2010-06-14, Days after onset: 1320
Location:California  Entered:2010-07-02, Days after submission: 18
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: Asthma, Dystonia, Laryngospasm; No concomitant medications. The subject had previously received influenza vaccinations and no adverse events were reported. Subject reported a history of drug allergies.
Diagnostic Lab Data: UNK
CDC 'Split Type': A0761320A
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUARIX)GLAXOSMITHKLINE BIOLOGICALS  IJUN
Administered by: Other     Purchased by: Other
Symptoms: Hyperhidrosis, Nausea, Palpitations
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad)
Write-up: This case was reported by a consumer and described the occurrence of nausea in a 48-year-old female subject who was vaccinated with FLUARIX (GlaxoSmithKline). A physician or other health care professional has not verified this report. The subject''s medical history included asthma, dystonia and laryngospasm. In November 2006 the subject received unspecified dose of FLUARIX (unknown). Two hours after vaccination with FLUARIX, the subject experienced nausea, sweating and heart palpitation. The subject reported experiencing sweating, nausea and heart palpitations two hours after receiving the flu vaccine in November 2006. The subject experienced these symptoms intermittently for three to four days. At the time of reporting the events were resolved.

VAERS ID:392202 (history)  Vaccinated:2009-02-06
Age:48.0  Onset:2009-02-06, Days after vaccination: 0
Gender:Female  Submitted:2010-06-14, Days after onset: 492
Location:Connecticut  Entered:2010-07-02, Days after submission: 18
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Breast cancer; Breast implant
Preexisting Conditions: Mastectomy. The subject has a history of breast cancer and has an implant. She underwent a mastectomy in October or November 2003. It was reported that the subject experienced minimal local irritation with previous flu shots. It was not known if the subject had any adverse events following previous vaccinations.
Diagnostic Lab Data: Body temperature, 102.1. The subject underwent a Strep test and bloodwork on unspecified dates that were found to be negative. A nasal swab also performed on an unspecified date was negative.
CDC 'Split Type': A0768764A
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUARIX)GLAXOSMITHKLINE BIOLOGICALSAFLUA389BA UNUN
Administered by: Military     Purchased by: Private
Symptoms: Activities of daily living impaired, Blood test normal, Body temperature increased, Chest discomfort, Erythema, Fatigue, Headache, Influenza serology negative, Lymphadenopathy, Myalgia, Neck pain, Pyrexia, Streptococcus test negative, Swelling
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (narrow), Angioedema (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Eosinophilic pneumonia (broad), Hypersensitivity (broad), Arthritis (broad)
Write-up: This case was reported by a sales representative and described the occurrence of fever in a 48-year-old female subject (the reporter''s sister) who was vaccinated with FLUARIX (GlaxoSmithKline). A physician or other health care professional has not verified this report. The subject''s medical history included mastectomy. Concurrent medical conditions included breast cancer and breast implant. There were no concurrent medications. On 6 February 2009 at 09:00 the subject received unspecified dose of FLUARIX in the left arm. Six hours after FLUARIX injection, the subject developed fever, swelling and redness. Severe muscle pain began at an unknown time and was described as getting worse. Also reported were swollen lymph nodes under her arms and around her back, severe headache, neck pain, fatigue, chest tightness and heaviness and she was not able to get out of bed for three days. The subject contacted the clinic 24 hours after experiencing the events and was told to see her oncologist. During a follow-up visit to the clinic on an unspecified date, she had a Strep test and bloodwork which were negative. A nasal swab for flu was also negative. On the morning of reporting, the subject reported a fever of 102.1 degrees. The subject contacted her husband and was waiting to be taken to the emergency room. At the time of reporting the outcome of the events was unspecified.

VAERS ID:392124 (history)  Vaccinated:2010-06-03
Age:48.0  Onset:2010-06-07, Days after vaccination: 4
Gender:Male  Submitted:2010-07-06, Days after onset: 29
Location:Tennessee  Entered:2010-07-06
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: Acid reflux
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
ANTH: ANTHRAX (BIOTHRAX)EMERGENT BIOSOLUTIONSFAV2310IMLA
Administered by: Military     Purchased by: Military
Symptoms: Back pain, Fatigue, Grip strength decreased, Muscle spasms, Musculoskeletal stiffness, Neck pain, Oedema peripheral, Pain, Pain in extremity
SMQs:, Cardiac failure (broad), Angioedema (broad), Retroperitoneal fibrosis (broad), Dystonia (broad), Parkinson-like events (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Arthritis (broad)
Write-up: Upon waking up my upper back muscles were very tight and spasming. This also caused excrutiating pain in my lower back. I also am having pain shooting up my neck on both sides from time to time and constant neck stiffness. My hands are a little swollen and my fingers are very sore and it is very hard to grip things. This has all been going on for about three weeks now. I also feel fatigued, more than usual.

VAERS ID:392641 (history)  Vaccinated:2010-06-25
Age:48.0  Onset:2010-06-25, Days after vaccination: 0
Gender:Female  Submitted:2010-07-02, Days after onset: 7
Location:California  Entered:2010-07-12, Days after submission: 10
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTP: DTP (NO BRAND NAME)SANOFI PASTEURC3475AA0IMLA
Administered by: Private     Purchased by: Private
Symptoms: Injection site erythema, Injection site pain, Myalgia, Pain
SMQs:, Rhabdomyolysis/myopathy (broad), Extravasation events (injections, infusions and implants) (broad), Eosinophilic pneumonia (broad)
Write-up: This employee reports that she experienced soreness and redness at injection site beginning approx 5-6 hours after dose; followed by total body aches and generalized muscular pain that lasted approx 72 hours after dose. Symptoms relieved with MOTRIN 400mg p.o.

VAERS ID:392704 (history)  Vaccinated:2009-05-27
Age:48.0  Onset:2009-05-28, Days after vaccination: 1
Gender:Female  Submitted:2009-06-15, Days after onset: 18
Location:Indiana  Entered:2010-07-12, Days after submission: 392
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: The patient has a history of allergies to penicillin and fentamyl, scoliosis, osteoarthritis, and high blood pressure. At the time of the vaccination, the patient had a cat bite and was on doxycycline. Other concomitant therapy included Ultram, Pravastatin, Vicodin, Lotrel, Amitriptyline, Singulair, Zoloft, Albuterol inhaler, Allegra, Xanax, Nasonex.
Diagnostic Lab Data: None reported
CDC 'Split Type': 200902363
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (ADACEL)SANOFI PASTEURC3068AA0UNLA
Administered by: Private     Purchased by: Private
Symptoms: Abdominal pain upper, Chest pain, Fatigue, Muscular weakness, Oedema peripheral, Tremor
SMQs:, Rhabdomyolysis/myopathy (broad), Cardiac failure (broad), Acute pancreatitis (broad), Angioedema (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad)
Write-up: Initial report received on 01 June 2009 from a health care professional. A 48 year old female patient with a history of allergies to penicillin and fentamyl, scoliosis, osteoarthritis and high blood pressure received ADACEL (lot number C3068AA) in the left deltoid on 27 May 2009. On 28 May 2009 the patient developed swelling of her extremity, shaking, weakness in her left arm, fatigue, stomach pain, and chest pain. The patient was initially in the doctor''s office on 29 May 2009 for another issue but was also examined for the reactions post vaccination at that time. At the time of the vaccination, the patient had a cat bite and was on DOXYCYCLINE. Other concomitant therapy included ULTRAM, PRAVASTATIN, VICODIN, LOTREL, AMITRIPTYLINE, SINGULAIR, ZOLOFT, ALBUTEROL inhaler, ALLEGRA, XANAX, NASONEX. The patient''s recovery status was unknown at the time of the report. Follow-up information was received 12 June 2009 from a health care professional. It was unknown if the patient or their siblings had ever experienced any adverse events following previous vaccinations. According to the reporter, the patient recovered from the event on 29 May 2009. No further information was provided.

VAERS ID:392701 (history)  Vaccinated:2010-07-02
Age:48.0  Onset:2010-07-05, Days after vaccination: 3
Gender:Female  Submitted:2010-07-13, Days after onset: 8
Location:Maryland  Entered:2010-07-13
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Pre op visit for persistent / recurrent Otitis media - having surgery
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.0466Z0UNRA
Administered by: Private     Purchased by: Other
Symptoms: Body temperature increased, Lymphadenopathy, Pain, Pain in extremity
SMQs:, Neuroleptic malignant syndrome (broad)
Write-up: 7-5-10 achy arm and legs then all over. Temp 102.2. Enlarged lymph node rt axilla. Symptoms resolved after a day or two.

VAERS ID:392763 (history)  Vaccinated:2010-07-06
Age:48.0  Onset:2010-07-06, Days after vaccination: 0
Gender:Female  Submitted:2010-07-13, Days after onset: 7
Location:Texas  Entered:2010-07-13
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: diabetes
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
PPV: PNEUMO (NO BRAND NAME)UNKNOWN MANUFACTURER 1IJLA
Administered by: Public     Purchased by: Public
Symptoms: Burning sensation, Erythema, Injection site infection, Pain, Skin warm, Swelling
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Peripheral neuropathy (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad)
Write-up: Pain, swelling, redness and burning during the day next morning woke up shoulder to elbow extremely painful, swollen, red and burning hot to touch. Nurse said I had to go to emergency room. I went they told me I had an infection from the vaccine.

VAERS ID:393330 (history)  Vaccinated:2010-07-13
Age:48.0  Onset:2010-07-13, Days after vaccination: 0
Gender:Male  Submitted:2010-07-16, Days after onset: 3
Location:Pennsylvania  Entered:2010-07-22, Days after submission: 6
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Diabetes; Hepatitis B; Hepatitis C; Dyslipidemia
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.0623Y0IMRA
Administered by: Private     Purchased by: Private
Symptoms: Axillary pain, Body temperature increased, Erythema, Injection site erythema, Injection site induration, Injection site pain, Pain in extremity
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (broad)
Write-up: Patient received PNEUMOVAX 23 (Lot # 0623Y exp 12/1/10) in right deltoid intramuscular on 7/13/10. He states that 30 minutes afterwards, pain and erythema began, which increased throughout following day. Injection given at approx. 5PM 7/13/10. Came to office 7/14/10 at 5PM with tenderness, erythema and induration of right upper arm above elbow but below shoulder joint. Temperature 100.8 arm and axilla area painful. Prescribed VICODIN for pain and KEFLEX. Seen again in office 7/15/10. Arm remains red, afebrile, has follow up for 7/19/10. Merck notified

VAERS ID:393479 (history)  Vaccinated:2010-02-24
Age:48.0  Onset:2010-03-01, Days after vaccination: 5
Gender:Male  Submitted:2010-07-22, Days after onset: 142
Location:Indiana  Entered:2010-07-23, Days after submission: 1
Life Threatening? No
Died? Yes
   Date died: 2010-06-17
   Days after onset: 107
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Haemodialysis
Preexisting Conditions:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES1007USA01293
Vaccination
Manufacturer
Lot
Dose
Route
Site
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.063241IMUN
Administered by: Other     Purchased by: Other
Symptoms: Cardiac disorder, Death
SMQs:
Write-up: Information has been received from a registered nurse concerning a haemodialysis male patient who in approximately July 2005 was vaccinated with the first dose of PNEUMOVAX 23. In March 2010 the patient received the second dose of PNEUMOVAX 23 but may have possibly be given 1 ml dose instead of 0.5 ml intramuscularly. The nurse also reported that the patient was helping his son move and was lifting heavy objects when he died at the end of June 2010 (Date unknown). The registered nurse thought that the cause of death on the certificate stated cardiac problems, but was unsure since she did not have the medical records at the time of the report. Additional information has been requested.

VAERS ID:393827 (history)  Vaccinated:2010-07-15
Age:48.0  Onset:2010-07-16, Days after vaccination: 1
Gender:Male  Submitted:2010-07-19, Days after onset: 3
Location:Mississippi  Entered:2010-07-29, Days after submission: 10
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: None
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
ANTH: ANTHRAX (BIOTHRAX)EMERGENT BIOSOLUTIONSFAV2362IMUN
Administered by: Other     Purchased by: Military
Symptoms: Fatigue, Pain
SMQs:
Write-up: Marked fatigue over 3-4 days, assoc with generalized body aches.

VAERS ID:394004 (history)  Vaccinated:2010-06-02
Age:48.0  Onset:2010-06-13, Days after vaccination: 11
Gender:Male  Submitted:2010-07-30, Days after onset: 47
Location:North Carolina  Entered:2010-07-30
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: No
Preexisting Conditions: Atrial Fibrillation; Congestive Heart Failure; Hypertension; Gastroesophageal Reflux Disease; Obstructive Sleep Apnea; Morbid Obesity; Allergic Rhinitis
Diagnostic Lab Data: Elevated Cerebrospinal fluid protein
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (ADACEL)SANOFI PASTEURUF485CA IMRA
Administered by: Unknown     Purchased by: Other
Symptoms: Asthenia, CSF protein increased, Guillain-Barre syndrome
SMQs:, Peripheral neuropathy (narrow), Guillain-Barre syndrome (narrow), Demyelination (narrow)
Write-up: Progressive weakness eventually diagnosed as Guillain-Barre Syndrome.

VAERS ID:394124 (history)  Vaccinated:2010-07-26
Age:48.0  Onset:2010-07-28, Days after vaccination: 2
Gender:Female  Submitted:2010-07-28, Days after onset: 0
Location:Texas  Entered:2010-08-02, Days after submission: 5
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: none
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.0399X1IMRA
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.1288Y0SCRA
TDAP: TDAP (ADACEL)SANOFI PASTEURC3393AA0IMLA
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.1069Y0SCLA
Administered by: Public     Purchased by: Unknown
Symptoms: Injection site discomfort, Injection site erythema, Injection site induration, Injection site nodule, Injection site swelling
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: 7/28/10 Client called stating when taking off band-aid noticed red swollen bumps on left arm where both shots were given in left arm. No rash ROM - normal. Will take BENADRYL come in to clinic on 7/29. On 7/29 at 10:00 AM - 20mm knot area with no redness in the upper outer tricep area of left arm. A 40mm X 40mm red swollen area noted on the left deltoid muscle. No fever noted. Client states discomfort when sleeping on that arm. Took BENADRYL last night & will take another today and call back if not better tomorrow. 7/30/10 - client said much better after BENADRYL.

VAERS ID:394130 (history)  Vaccinated:2010-07-26
Age:48.0  Onset:2010-07-26, Days after vaccination: 0
Gender:Female  Submitted:2010-08-02, Days after onset: 7
Location:California  Entered:2010-08-02
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: Sulfa; PCN; Codeine; HTN; Hx Zoster outbreak
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARZOS: ZOSTER (ZOSTAVAX)MERCK & CO. INC.0710Z0UNRA
Administered by: Private     Purchased by: Private
Symptoms: Injection site cellulitis, Injection site erythema, Injection site pain, Injection site pruritus, Injection site vesicles, Injection site warmth
SMQs:, Extravasation events (injections, infusions and implants) (broad)
Write-up: (R) tricep hot to touch & red within 4 hrs after injection. Then cluster of blisters & expanding redness plus painful & itchy/burning x 3 days. Tenderness extends to (R) axilla with 5 x 2.5cm area of shallow blisters. Dx local rx with cellulitis Rx for KEFLEX given.

VAERS ID:394251 (history)  Vaccinated:2010-07-29
Age:48.0  Onset:2010-08-02, Days after vaccination: 4
Gender:Female  Submitted:2010-08-04, Days after onset: 2
Location:California  Entered:2010-08-04
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: unknown at this time
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (ADACEL)SANOFI PASTEURU3082CA IMLA
Administered by: Private     Purchased by: Other
Symptoms: Injection site cellulitis, Injection site erythema, Injection site swelling, Injection site warmth, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: Erythema, swelling, fever, hot to touch at area of vaccination. Appears similar to cellulitis. Sent to Occ med. opened Worker comp claim.

VAERS ID:394847 (history)  Vaccinated:2009-09-21
Age:48.0  Onset:2009-09-21, Days after vaccination: 0
Gender:Female  Submitted:2010-07-29, Days after onset: 311
Location:New York  Entered:2010-08-06, Days after submission: 8
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Sulfonamide allergy; Drug hypersensitivity
Preexisting Conditions:
Diagnostic Lab Data: None
CDC 'Split Type': WAES0909USA04830
Vaccination
Manufacturer
Lot
Dose
Route
Site
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.0024Y0IMUN
Administered by: Other     Purchased by: Other
Symptoms: Injection site haematoma, Underdose
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow)
Write-up: Information has been received from a pharmacist concerning a 48 year old female with no pertinent medical history and sulfonamide allergy and drug hypersensitivity to triptophans and codeine who on 21-SEP-2009 was vaccinated intramuscularly with a dose of PNEUMOVAX (LOT # 663152/0024Y). Concomitant therapy included CITALOPRAM. On 21-SEP-2009, after vaccination, the patient experienced bruise at the injection site. The patient also received less than recommended amount because the drug leaked during the vaccine administration. No lab diagnostic was performed. The patient sought unspecified medical attention. No further information was available at this time of the report. On 19-OCT-2009, follow-up information received from the pharmacist. It was stated that the dose received on 21-SEP-2009 was the patient''s first dose of PNEUMOVAX in "R/L". After the shot given, the patient developed a large bruise on arm. It was also stated that it seemed like some vaccine leaked/sprayed out of syringe when shot given. The patient was completely fine after shot given other than bruise. He had recovered on an unspecified date. No further information is available.

VAERS ID:395295 (history)  Vaccinated:2009-10-20
Age:48.0  Onset:2009-10-21, Days after vaccination: 1
Gender:Female  Submitted:2010-07-29, Days after onset: 281
Location:Illinois  Entered:2010-08-06, Days after submission: 8
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: Unknown
Diagnostic Lab Data: None
CDC 'Split Type': WAES0910USA03074
Vaccination
Manufacturer
Lot
Dose
Route
Site
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.0506Y0IMUN
Administered by: Other     Purchased by: Other
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: Information has been received from a registered nurse concerning a 48 year old female patient with no pertinent medical history who on 20-OCT-2009 was vaccinated intramuscularly with the first 0.5 ml dose of PNEUMOVAX 23 (lot# 663369/0506Y). There was no concomitant medication. On 21-OCT-2009 the patient experienced red, warm to touch, and swelling at the site of injection after receiving her first dose of PNEUMOVAX 23. The affected area was large. The patient also had a fever on 21-OCT-2009. The patient sought medical attention via office visit. No laboratory diagnostics studies were performed. The patient was treated with BENADRYL, ADVIL or TYLENOL as needed. At the time of the report, the patient had not recovered. Additional information has been requested.

VAERS ID:395620 (history)  Vaccinated:2009-10-28
Age:48.0  Onset:2009-10-30, Days after vaccination: 2
Gender:Female  Submitted:2010-07-29, Days after onset: 272
Location:Missouri  Entered:2010-08-06, Days after submission: 8
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Dizziness; Penicillin allergy; Allergic reaction to antibiotics
Preexisting Conditions:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0912USA00914
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURU3195AA3IMLA
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.1314Y0SCRA
Administered by: Private     Purchased by: Other
Symptoms: Erythema, Oedema peripheral, Tenderness
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad)
Write-up: Information has been received from a health professional concerning a 48 year old female patient with penicillin and doxycycline allergy who on 28-OCT-2009 was vaccinated with a first SQ dose of PNEUMOVAX 23 (665300/1314Y) in her right arm and a fourth IM dose of FLUZONE (Lot No. U3195AA) in her left arm. The patient experienced dizziness at the time of vaccination. On 30-OCT-2009 the patient experienced right arm redness, swelling and tenderness. The patient was recommended ice and BENADRYL. On an unknown date the patient recovered. This is one of several reports received from the same source. No further information is available.

VAERS ID:394931 (history)  Vaccinated:2009-06-17
Age:48.0  Onset:2009-07-03, Days after vaccination: 16
Gender:Male  Submitted:2010-08-11, Days after onset: 404
Location:California  Entered:2010-08-11
Life Threatening? Yes
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: High blood pressure
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)SANOFI PASTEURU2592HA0UNRA
Administered by: Private     Purchased by: Unknown
Symptoms: Activities of daily living impaired, Borrelia test, Cerebrovascular accident, Chest discomfort, Computerised tomogram normal, Dysarthria, Dysphagia, Dyspnoea, Electromyogram, Eyelid oedema, Eyelid ptosis, Guillain-Barre syndrome, Hypoaesthesia oral, Immunoglobulin therapy, Influenza serology, Intensive care, Mechanical ventilation, Muscular weakness, Tongue paralysis, Viral test
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (narrow), Angioedema (narrow), Peripheral neuropathy (narrow), Anticholinergic syndrome (broad), Ischaemic cerebrovascular conditions (narrow), Haemorrhagic cerebrovascular conditions (narrow), Dementia (broad), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Demyelination (narrow), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (broad), Periorbital and eyelid disorders (narrow), Ocular motility disorders (narrow), Hypersensitivity (narrow)
Write-up: July 3, 2009- I woke up at 6:30 a.m. to use the bathroom. When I turned around my wife saw that my right eye had become enlarged and drooped. I then decided to take a shower and afterwards I was feeling weakness in my right leg and left arm. At that moment I needed assistance to be dressed. My wife then took me into the emergency room at the Hospital. While being screened by the nurse, my tongue became numb and weak and started to slur. The attending emergency doctor requested for a CT scan which showed no signs of abnormality. And since it was a holiday, he advised that we see our family doctor first thing Monday morning for an MRI. And so I was released and the doctor indicated on the discharge paper as having a "probable stroke". At home the weakness, slurring, numbness and difficulty swallowing worsened. So we went back to the same emergency hospital at 7:30 p.m. At the time the attending physician requested for lab work to be done to see if I had Lyme disease, West Nile virus, and H1N1. He did mention about having symptoms of Guillian Barre. While waiting for the test results the symptoms worsened. In addition, my chest was feeling heavy. The doctor decided to have me transported to the Intensive Care Unit at Hospital. It was July 4th by the time we reached city. As soon as we arrived I advised the medical staff that my breathing was heavier and that I might not be able to breathe much longer. So they decided to put me on a ventilator. During my hospitalization in the ICU, they determined that I had Guillian Barre. IVIG was administered, EMG was conducted, Anti toxin E was also administered. July 21, 2009- Released from the ICU and transferred to the Skilled Nursing Facility at Medical Center. This unit is known for the care and maintenance of the ventilator which I was still attached to. I was then released on January 1st to Acute Rehab at Medical Center. January 1 2020-The start of acute rehab with physical, occupational, and speech therapy which extended out till my discharge on March 16, 2010. I am presently going to outpatient.

VAERS ID:395066 (history)  Vaccinated:2010-08-05
Age:48.0  Onset:2010-08-05, Days after vaccination: 0
Gender:Unknown  Submitted:0000-00-00
Location:Unknown  Entered:2010-08-12
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Laceration
Preexisting Conditions: Arthritis; GERD; NKA
Diagnostic Lab Data: Throat culture neg.
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (ADACEL)SANOFI PASTEURU3082AA UNUN
Administered by: Unknown     Purchased by: Unknown
Symptoms: Culture throat negative, Headache, Immediate post-injection reaction, Oropharyngeal pain, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Hypersensitivity (narrow)
Write-up: Headache, fever, sore throat, began immediately after ADACEL.

VAERS ID:395329 (history)  Vaccinated:2009-09-01
Age:48.0  Onset:2009-09-04, Days after vaccination: 3
Gender:Female  Submitted:2010-08-08, Days after onset: 338
Location:Rhode Island  Entered:2010-08-16, Days after submission: 8
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: Seen 9/4/09 at clinic/Rx and ice pac
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)GLAXOSMITHKLINE BIOLOGICALSAHBVB73AA2IJRA
Administered by: Other     Purchased by: Unknown
Symptoms: Inflammation, Insomnia, Joint range of motion decreased, Movement disorder, Musculoskeletal pain, Musculoskeletal stiffness, Oedema peripheral, Pain, Pain in extremity, Pyrexia
SMQs:, Rhabdomyolysis/myopathy (broad), Cardiac failure (broad), Angioedema (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Akathisia (broad), Dyskinesia (broad), Dystonia (broad), Parkinson-like events (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Arthritis (broad)
Write-up: On 9/1/09 Tues PM I received a 3rd Hep B injection in my Rt arm. It was sore and got increasing more inflamed as the week went on. Friday 9/4/09 after work I was in severe pain so I called the clinic told them of the situation and he told me to come right down. I was examined and given an anti inflammatory and an ice pac. He told me to come back Tues. I was unable to move (Labor day weekend) that weekend due to the pain. I had a fever and my entire rotator cuff was inflamed. It seemed I was on the mend (slightly) by Tues, when I went to the clinic and he seemed pleased that my ROM was slightly better. Since that day I have had pain in my shoulder, trouble sleeping on either side unless it is propped or positioned and the pain and inflammation radiate to my fingers. They get swollen with use and with overuse cannot flex my index finger and my middle finger without pain and complete stiffness. Since then I have been taking mega doses of ALEVE and the chronic pain is starting to take a toll on me.

VAERS ID:396543 (history)  Vaccinated:2009-09-18
Age:48.0  Onset:2009-09-20, Days after vaccination: 2
Gender:Female  Submitted:2009-09-21, Days after onset: 1
Location:Tennessee  Entered:2010-08-16, Days after submission: 329
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': MEDI0008915
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLUN3: INFLUENZA (SEASONAL) (FLUMIST)MEDIMMUNE VACCINES, INC.500711P IN 
Administered by: Other     Purchased by: Other
Symptoms: Nasal congestion, Sneezing
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (broad)
Write-up: A non-serious spontaneous report of stuffy nose and sneezing has been received from a registered nurse concerning herself, a 48-year-old female subsequent to FLUMIST. The patient''s medical history and concomitant medication were not provided. The patient received a total of one dose of FLUMIST on 18-Sep-2009. The patient experienced stuffy nose and sneezing on 20-Sep-2009. The outcome of the events was unknown.

VAERS ID:396575 (history)  Vaccinated:2009-09-05
Age:48.0  Onset:2009-09-05, Days after vaccination: 0
Gender:Female  Submitted:2009-09-10, Days after onset: 5
Location:Virginia  Entered:2010-08-16, Days after submission: 340
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type': MEDI0008859
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLUN3: INFLUENZA (SEASONAL) (FLUMIST)MEDIMMUNE VACCINES, INC.500685P IN 
Administered by: Other     Purchased by: Other
Symptoms: Diarrhoea, Rash, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypersensitivity (narrow), Noninfectious diarrhoea (narrow)
Write-up: A non-serious, spontaneous report of hives, rash and diarrhea has been received from a Certified Medical Assistant concerning herself, a 49-year-old female, subsequent to FLUMIST. Medical history and concomitant medications were not reported. On 05-Sep-2009, the patient received FLUMIST. On 05-Sep-2009, within a few hours after receiving FLUMIST, the patient developed hives and a rash on her trunk, scalp, arm and leg; and diarrhea. The events resolved.

VAERS ID:395518 (history)  Vaccinated:2010-08-16
Age:48.0  Onset:2010-08-17, Days after vaccination: 1
Gender:Male  Submitted:2010-08-18, Days after onset: 1
Location:Georga  Entered:2010-08-18
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: none reported
Preexisting Conditions: none
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (ADACEL)SANOFI PASTEURU3051AA  RA
Administered by: Public     Purchased by: Public
Symptoms: Hyperhidrosis, Nausea
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)
Write-up: profuse sweating, nausea was taken home by co-workers 8/18/10, co-workers contacted health department 8/18/10, RN advised to contact EMS or MD ASAP

VAERS ID:396677 (history)  Vaccinated:2010-08-25
Age:48.0  Onset:2010-08-25, Days after vaccination: 0
Gender:Female  Submitted:2010-08-27, Days after onset: 2
Location:Minnesota  Entered:2010-08-27
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.1307Y IMLA
Administered by: Public     Purchased by: Other
Symptoms: Injection site pain
SMQs:, Extravasation events (injections, infusions and implants) (broad)
Write-up: Rn called patient with lab results. Patient reported severe pain at injection site. Recommended heat pack and acetaminophen. Pain less next day.

VAERS ID:396846 (history)  Vaccinated:2010-08-25
Age:48.0  Onset:2010-08-26, Days after vaccination: 1
Gender:Male  Submitted:2010-08-30, Days after onset: 4
Location:Ohio  Entered:2010-08-30
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Lou Gehrigo Disease
Preexisting Conditions: Lou Gehrigo
Diagnostic Lab Data: None
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)NOVARTIS VACCINES AND DIAGNOSTICS111796P10IMUN
Administered by: Other     Purchased by: Other
Symptoms: Pyrexia, Rash
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Hypersensitivity (narrow)
Write-up: Fever 100.2. Rash on back- comes and goes

VAERS ID:396996 (history)  Vaccinated:2010-08-31
Age:48.0  Onset:2010-08-31, Days after vaccination: 0
Gender:Female  Submitted:2010-08-31, Days after onset: 0
Location:Massachusetts  Entered:2010-08-31
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: Allergy: Shellfish; Penicillin; Vancomycin; Levoquin
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURUH181AC0IMLA
Administered by: Private     Purchased by: Private
Symptoms: Dizziness, Feeling abnormal, Nausea, Urticaria
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Angioedema (narrow), Anticholinergic syndrome (broad), Dementia (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad), Hypersensitivity (narrow)
Write-up: Patient c/o feeling "sparkly", lightheaded, nausea 5-10 min after receiving flu vaccine. Hives on trunk, neck and lower jaw began 45-60 min. after flu vaccine. Benadryl 25mg PO given to pt @ 10:00am. Benadryl 25mg PO given @ 10:45am

VAERS ID:397239 (history)  Vaccinated:2010-08-31
Age:48.0  Onset:2010-09-01, Days after vaccination: 1
Gender:Male  Submitted:2010-09-02, Days after onset: 1
Location:North Carolina  Entered:2010-09-02
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: allergic to sulfur
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (NO BRAND NAME)UNKNOWN MANUFACTURER    
Administered by: Private     Purchased by: Private
Symptoms: Arthralgia, Body temperature increased, Chills, Heart rate increased, Hypertension, Myalgia, Tremor
SMQs:, Rhabdomyolysis/myopathy (broad), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Parkinson-like events (broad), Noninfectious encephalopathy/delirium (broad), Hypertension (narrow), Eosinophilic pneumonia (broad), Arthritis (broad)
Write-up: Woke up and was shaking with severe chills. Extreme total body muscle and joint aches. High blood pressure 159/100 and 120 heart rate. Body temperature ranging from 100 to 102 that lasted for 24 hours.

VAERS ID:397380 (history)  Vaccinated:2009-08-01
Age:48.0  Onset:2009-08-03, Days after vaccination: 2
Gender:Female  Submitted:2010-09-03, Days after onset: 396
Location:Texas  Entered:2010-09-03
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: x-ray, MRI
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARZOS: ZOSTER (ZOSTAVAX)MERCK & CO. INC.    
Administered by: Other     Purchased by: Private
Symptoms: Drug administered at inappropriate site, Nuclear magnetic resonance imaging, Periarthritis, Rotator cuff syndrome, X-ray
SMQs:, Arthritis (narrow)
Write-up: Zostavax vaccine was administered too close to the deltoid resulting in supraspinatous tendonitis and adhesive capsilitis.

VAERS ID:397541 (history)  Vaccinated:2010-08-09
Age:48.0  Onset:2010-08-10, Days after vaccination: 1
Gender:Female  Submitted:2010-08-13, Days after onset: 3
Location:North Dakota  Entered:2010-09-07, Days after submission: 25
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: Diabetes; Hx of blood clots; Allergy - ASA - grasses
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU(H1N1): INFLUENZA (H1N1) (H1N1 (MONOVALENT) (SANOFI)SANOFI PASTEURUP079AA IDLA
Administered by: Public     Purchased by: Public
Symptoms: Incorrect route of drug administration, Injection site erythema, Medication error
SMQs:, Extravasation events (injections, infusions and implants) (broad)
Write-up: On 8-9-2010 client was given H1N1 0.1ml. intradermally instead of TB - PPD in the left inner forearm. 8-11-2010 - Injection site 3.5 cm x 2 cm slightly reddened. No c/o discomfort 8-13-10 - Faded redness at injection site.

VAERS ID:397974 (history)  Vaccinated:2010-09-09
Age:48.0  Onset:2010-09-09, Days after vaccination: 0
Gender:Female  Submitted:2010-09-12, Days after onset: 3
Location:Georga  Entered:2010-09-12
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: high blood pressure
Diagnostic Lab Data: none
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)UNKNOWN MANUFACTURER 1IMLA
Administered by: Other     Purchased by: Private
Symptoms: Erythema, Formication, Paraesthesia, Pruritus, Rash macular, Skin burning sensation
SMQs:, Anaphylactic reaction (broad), Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Hypersensitivity (narrow)
Write-up: Skin on arms and legs began to tingle, like skin was crawling, then began itching and burning like sunburn. Neck area became red and blotchy like hives. Last about 2 days, took Rx Antihistamines since allegric to Benadryl.

VAERS ID:397986 (history)  Vaccinated:2010-09-12
Age:48.0  Onset:2010-09-12, Days after vaccination: 0
Gender:Female  Submitted:2010-09-12, Days after onset: 0
Location:Utah  Entered:2010-09-12
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)NOVARTIS VACCINES AND DIAGNOSTICS111770P11IMRA
Administered by: Other     Purchased by: Other
Symptoms: Haemorrhage, Injection site swelling
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: Patient start bleeding alot after the injection and the injection site swelling up. Patient was given a dose of 50 mg of diphenhydramine then send to the Emergency right after. Patient denied taking any warfarin and asprin prior.

VAERS ID:398101 (history)  Vaccinated:2010-09-08
Age:48.0  Onset:0000-00-00
Gender:Male  Submitted:2010-09-13
Location:California  Entered:2010-09-13
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:
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)GLAXOSMITHKLINE BIOLOGICALSAHBVB860AA1IMLA
Administered by: Other     Purchased by: Other
Symptoms: Myalgia, Neuralgia, No reaction on previous exposure to drug, Paraesthesia
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (narrow), Guillain-Barre syndrome (broad), Eosinophilic pneumonia (broad)
Write-up: Muscle pain deep. Tingling in fingers. More like nerve pain started 1 day after getting injection. No adverse reaction after 1st dose. This is 2nd dose of ENGERIX-B 20mcg 1 mL. Patient report this on 9/13/10.

VAERS ID:398414 (history)  Vaccinated:2010-09-13
Age:48.0  Onset:2010-09-14, Days after vaccination: 1
Gender:Female  Submitted:2010-09-15, Days after onset: 1
Location:Missouri  Entered:2010-09-15
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 PASTEURUH181AB0IMLA
Administered by: Other     Purchased by: Other
Symptoms: Hypoaesthesia, Pain in extremity
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad)
Write-up: Numbness and soreness in arm Tuesday - extremely bothersome at night-pt took some pain meds she had at home- wednesday- spoke to pharmacist- told me it was much improved- looked up s/e information b/c soreness is typical but was alarmed by "numbness". told pt to contact md.

VAERS ID:398657 (history)  Vaccinated:2010-09-15
Age:48.0  Onset:2010-09-15, Days after vaccination: 0
Gender:Female  Submitted:2010-09-17, Days after onset: 2
Location:Wisconsin  Entered:2010-09-17
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': WI
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)NOVARTIS VACCINES AND DIAGNOSTICS111798PI IMLA
Administered by: Other     Purchased by: Other
Symptoms: Cold sweat, Disturbance in attention, Flushing, Hyperhidrosis, Nervousness, Palpitations
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Noninfectious encephalopathy/delirium (broad), Cardiomyopathy (broad), Depression (excl suicide and self injury) (broad), Hypersensitivity (broad)
Write-up: Flushing, Heart racing, clammy, sweating, shaky, unable to concentrate

VAERS ID:398715 (history)  Vaccinated:2010-09-11
Age:48.0  Onset:2010-09-12, Days after vaccination: 1
Gender:Female  Submitted:2010-09-19, Days after onset: 7
Location:Maryland  Entered:2010-09-19
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: Allergic to wool & lanolin
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)NOVARTIS VACCINES AND DIAGNOSTICS111798P13IJLA
HEPA: HEP A (HAVRIX)GLAXOSMITHKLINE BIOLOGICALSAHAVB472AA1IJRA
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.0651Z0IJLA
Administered by: Public     Purchased by: Private
Symptoms: Fatigue, Headache, Influenza like illness, Injection site haematoma, Pain, Pyrexia, Swelling, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Haemorrhage terms (excl laboratory terms) (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow)
Write-up: Low Grade Fever 100.4. Flu-like symptoms - body aches, fatigue. Headache, bruise-like pain at injection sight. 9/13-16 Hives & Swelling

VAERS ID:398999 (history)  Vaccinated:2010-09-21
Age:48.0  Onset:2010-09-21, Days after vaccination: 0
Gender:Female  Submitted:2010-09-21, Days after onset: 0
Location:Florida  Entered:2010-09-21
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: DM, allergies to latex
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURU3655AA IMRA
Administered by: Public     Purchased by: Public
Symptoms: Injection site mass, 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: Swelling, lump, at site of injection, warmth and itching

VAERS ID:399121 (history)  Vaccinated:2010-09-20
Age:48.0  Onset:2010-09-21, Days after vaccination: 1
Gender:Female  Submitted:2010-09-21, Days after onset: 0
Location:California  Entered:2010-09-21
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': AFLLA580CA
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (AFLURIA)CSL LIMITEDAFLLA580CA0IJLA
Administered by: Other     Purchased by: Private
Symptoms: Abdominal discomfort, Headache
SMQs:, Gastrointestinal perforation, ulcer, haemorrhage, obstruction non-specific findings/procedures (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)
Write-up: Headache and upset stomach.

VAERS ID:399480 (history)  Vaccinated:2010-09-17
Age:48.0  Onset:2010-09-18, Days after vaccination: 1
Gender:Female  Submitted:2010-09-22, Days after onset: 4
Location:Texas  Entered:2010-09-22
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
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PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.0930Z0IMRA
Administered by: Other     Purchased by: Private
Symptoms: Oedema peripheral, Pain in extremity, Urticaria
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow)
Write-up: Patient had severe pain down arm and side and arm swelled up and developed welts.

VAERS ID:399561 (history)  Vaccinated:2010-09-06
Age:48.0  Onset:2010-09-08, Days after vaccination: 2
Gender:Male  Submitted:2010-09-22, Days after onset: 14
Location:Unknown  Entered:2010-09-22
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: None done
CDC 'Split Type':
Vaccination
Manufacturer
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DT: DT ADSORBED (DECAVAC)SANOFI PASTEURU3006DA IMUN
Administered by: Unknown     Purchased by: Unknown
Symptoms: Pain in extremity
SMQs:
Write-up: Shot administered 9-6-10 but both arms got sore and are slowly getting better (9-22-10).

VAERS ID:399649 (history)  Vaccinated:2010-09-03
Age:48.0  Onset:2010-09-22, Days after vaccination: 19
Gender:Male  Submitted:2010-09-23, Days after onset: 1
Location:South Carolina  Entered:2010-09-23
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
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FLU3: INFLUENZA (SEASONAL) (AFLURIA)CSL LIMITED09949121B IMLA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Musculoskeletal pain
SMQs:, Rhabdomyolysis/myopathy (broad)
Write-up: Radiating pain in left shoulder. Going to MD on 09-24-10.

VAERS ID:399743 (history)  Vaccinated:2010-09-22
Age:48.0  Onset:2010-09-22, Days after vaccination: 0
Gender:Female  Submitted:2010-09-23, Days after onset: 1
Location:Kentucky  Entered:2010-09-23
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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FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)NOVARTIS VACCINES AND DIAGNOSTICS111772P1 IMLA
Administered by: Other     Purchased by: Unknown
Symptoms: Pain in extremity, Paraesthesia
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad)
Write-up: TINGLING/PAIN IN ARM VACCINE WAS ADMINISTERED IN

VAERS ID:400244 (history)  Vaccinated:2010-09-23
Age:48.0  Onset:2010-09-24, Days after vaccination: 1
Gender:Female  Submitted:2010-09-24, Days after onset: 0
Location:California  Entered:2010-09-24
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
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FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURUH181AB0IMRA
Administered by: Private     Purchased by: Private
Symptoms: Arthralgia, Chest discomfort, Injection site pain, Musculoskeletal stiffness, Pain
SMQs:, Anaphylactic reaction (broad), Dystonia (broad), Parkinson-like events (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Extravasation events (injections, infusions and implants) (broad), Arthritis (broad)
Write-up: Felt stiffness and pain radiating from injection site right deltoid to trap muscle and up neck and down through chest. Felt heaviness in chest, felt achy with joint pain.

VAERS ID:400290 (history)  Vaccinated:2010-09-22
Age:48.0  Onset:2010-09-23, Days after vaccination: 1
Gender:Female  Submitted:2010-09-24, Days after onset: 1
Location:Texas  Entered:2010-09-24
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: PATIENT STATED THAT SHE HAD JUST COMPLETED A SERIES OF ANTIBIOTICS A FEW DAYS PRIOR TO RECEIVING THE INJECTION.
Diagnostic Lab Data: UNKNOWN
CDC 'Split Type':
Vaccination
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Site
FLU3: INFLUENZA (SEASONAL) (FLUARIX)GLAXOSMITHKLINE BIOLOGICALSAFLUA525AA IMLA
Administered by: Other     Purchased by: Other
Symptoms: Oedema peripheral
SMQs:, Cardiac failure (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: SWELLING IN HANDS AND FEET

VAERS ID:400373 (history)  Vaccinated:2010-09-22
Age:48.0  Onset:2010-09-22, Days after vaccination: 0
Gender:Male  Submitted:2010-09-26, Days after onset: 4
Location:Michigan  Entered:2010-09-26
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: no
Preexisting Conditions: High blood pressure
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU(H1N1): INFLUENZA (H1N1) (H1N1 (MONOVALENT) (SANOFI)SANOFI PASTEUR113651AA0 LA
Administered by: Other     Purchased by: Other
Symptoms: Eye discharge, Eye pain, Eyelid oedema, Ocular hyperaemia
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Glaucoma (broad), Periorbital and eyelid disorders (narrow), Hypersensitivity (narrow)
Write-up: Swollen eyelids, sore eyes, red eyes, eye discharge

VAERS ID:400545 (history)  Vaccinated:2010-09-17
Age:48.0  Onset:2010-09-18, Days after vaccination: 1
Gender:Female  Submitted:2010-09-22, Days after onset: 4
Location:New Jersey  Entered:2010-09-27, 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: Diabetes; CAD; (defrib, pacemaker); thyroid
Diagnostic Lab Data: Chest X-ray; bloodwork; Cat scan; EKG- all normal
CDC 'Split Type':
Vaccination
Manufacturer
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Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURU3653AA0UNLA
Administered by: Public     Purchased by: Other
Symptoms: Arthralgia, Asthenia, Back pain, Blood test normal, Chest X-ray normal, Computerised tomogram normal, Electrocardiogram normal, Gait disturbance, Muscle spasms, Musculoskeletal stiffness, Sensation of heaviness
SMQs:, Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Dystonia (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Arthritis (broad)
Write-up: While out at a restaurant experienced (L) outer knee cramp, weakness, (R) leg stiff, weak - heaviness went to ER. While - ER very heavy limbs, unsteady gait. Also c/o joint pain, back, knee, hip on 9/20/10.

VAERS ID:400841 (history)  Vaccinated:2010-09-01
Age:48.0  Onset:2010-09-04, Days after vaccination: 3
Gender:Female  Submitted:2010-09-21, Days after onset: 17
Location:South Carolina  Entered:2010-09-28, 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:
Current Illness:
Preexisting Conditions: Medical cond. - none; Aspirin allergy but had flu shot before with no problems
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
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Site
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)NOVARTIS VACCINES AND DIAGNOSTICS111774P1 UNLA
Administered by: Other     Purchased by: Other
Symptoms: Infectious mononucleosis, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad)
Write-up: Patient called pharmacy explaining she developed 104 degree fever 3 days after given flu shot & diagnosed w/mono 2 weeks after given flu shot.

VAERS ID:400860 (history)  Vaccinated:2010-09-20
Age:48.0  Onset:2010-09-20, Days after vaccination: 0
Gender:Female  Submitted:2010-09-22, Days after onset: 2
Location:Massachusetts  Entered:2010-09-28, Days after submission: 6
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: No known allergies
Diagnostic Lab Data: None
CDC 'Split Type':
Vaccination
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FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURU3570CA UNLA
Administered by: Private     Purchased by: Unknown
Symptoms: Lip swelling
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow)
Write-up: Upper lip swelling when awoke 9/21/10. 9/21 Swelling has subsided in P.M.

VAERS ID:401008 (history)  Vaccinated:2010-09-17
Age:48.0  Onset:2010-09-17, Days after vaccination: 0
Gender:Female  Submitted:2010-09-28, Days after onset: 11
Location:New York  Entered:2010-09-28
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: Unknown
Diagnostic Lab Data:
CDC 'Split Type':
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UNK: VACCINE NOT SPECIFIED (NO BRAND NAME)UNKNOWN MANUFACTURER  UNUN
Administered by: Other     Purchased by: Private
Symptoms: Body temperature normal, Erythema, Injection site erythema, Pruritus
SMQs:, Anaphylactic reaction (broad), Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (broad)
Write-up: Erythema on injection site spreading through arm, neck and face. Itching reported T=98.2F. No respiratory distress noted or reported. Symptoms appeared within 30 minutes of vaccination. Patient was given Diphenhydramine 25 mg orally. Pt reported improvement over night.

VAERS ID:401226 (history)  Vaccinated:2010-09-27
Age:48.0  Onset:2010-09-29, Days after vaccination: 2
Gender:Female  Submitted:2010-09-29, Days after onset: 0
Location:Kansas  Entered:2010-09-29
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: none reported
Preexisting Conditions: none
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURUH181AB IMUN
Administered by: Other     Purchased by: Other
Symptoms: 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 site of injection.

VAERS ID:401333 (history)  Vaccinated:2010-09-16
Age:48.0  Onset:2010-09-21, Days after vaccination: 5
Gender:Female  Submitted:2010-09-28, Days after onset: 7
Location:Illinois  Entered:2010-09-30, Days after submission: 2
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: Diabetes
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)NOVARTIS VACCINES AND DIAGNOSTICS111806P10IMLA
Administered by: Other     Purchased by: Private
Symptoms: Injection site induration, Injection site mass
SMQs:, Extravasation events (injections, infusions and implants) (broad)
Write-up: Patient developed a hard lump under skin where the flu vaccine was injected. The lump is becoming smaller over time.

VAERS ID:401389 (history)  Vaccinated:2010-09-08
Age:48.0  Onset:2010-09-08, Days after vaccination: 0
Gender:Female  Submitted:2010-09-30, Days after onset: 22
Location:California  Entered:2010-09-30
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Hypothyroidism
Preexisting Conditions: NKDA No previous adverse events with prior vaccinations.
Diagnostic Lab Data: 9/18/10 Oral Temp 36.8C CBC WNL H/H 15.2/42.8 WBC 6.8k/UL ESR 2mm/HR Chem Panel WNL AST 17 ALT 30 Alk Phos 53
CDC 'Split Type':
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TDAP: TDAP (ADACEL)SANOFI PASTEURU3051CA0IMLA
Administered by: Unknown     Purchased by: Private
Symptoms: Alanine aminotransferase normal, Aspartate aminotransferase normal, Blood alkaline phosphatase normal, Body temperature normal, Full blood count normal, Haematocrit normal, Haemoglobin normal, Injection site reaction, Laboratory test normal, Myalgia, Red blood cell sedimentation rate normal, White blood cell count normal
SMQs:, Rhabdomyolysis/myopathy (broad), Eosinophilic pneumonia (broad)
Write-up: Myalgia at the site of injection that spread to other muscle groups starting at the right arm to the back to the chest and neck. She saw sought treatment at the Emergency Department on 9/18/10. At the ED, she recieved Valium 2mg IV and 2.5mg PO as well as Roradol 30mg IV after which her symptoms improved and she was discharged. She was sent home with a prescription for ibuprofen 600mg PO TID. She has taken the ibuprofen on a regular basis since her discharge on 9/18/10. The amount of ibuprofen has decreased each day, and she states that she is starting to return to her baseline.

VAERS ID:401468 (history)  Vaccinated:2010-09-30
Age:48.0  Onset:2010-09-30, Days after vaccination: 0
Gender:Female  Submitted:2010-10-01, Days after onset: 1
Location:Texas  Entered:2010-10-01
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: none
Preexisting Conditions: none
Diagnostic Lab Data: none showed to school nurse
CDC 'Split Type':
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FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)UNKNOWN MANUFACTURER 0 LA
Administered by: Other     Purchased by: Other
Symptoms: Erythema, Pruritus, Skin warm
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (broad)
Write-up: Itching really bad, arm is very red and hot. Took Advil PM to sleep. Put ice pack on arm.

VAERS ID:401937 (history)  Vaccinated:2010-09-30
Age:48.0  Onset:2010-09-30, Days after vaccination: 0
Gender:Female  Submitted:2010-10-05, Days after onset: 5
Location:Michigan  Entered:2010-10-05
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: Asthma
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
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Dose
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FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)UNKNOWN MANUFACTURER    
FLUX(H1N1): INFLUENZA (H1N1) (H1N1 (MONOVALENT) (UNKNOWN)UNKNOWN MANUFACTURER    
Administered by: Private     Purchased by: Other
Symptoms: Diarrhoea, Injection site erythema, Injection site infection, Injection site swelling, Injection site warmth
SMQs:, 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: Swelling at injection site, hot and red injection site lasting 5 days, infection at site treated with antiobiotics, diarrhea lasting for 5 days.

VAERS ID:401961 (history)  Vaccinated:2010-09-29
Age:48.0  Onset:2010-10-01, Days after vaccination: 2
Gender:Female  Submitted:2010-10-05, Days after onset: 4
Location:New Jersey  Entered:2010-10-05
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: Right ovarian cyst; HTN
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
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TDAP: TDAP (ADACEL)SANOFI PASTEUR03422AA IMLA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Injection site pain, Swelling, Tenderness
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: On 10/1/10 started c/o pain in Lt. shoulder. On 10/3/10 noted swelling and tenderness involving left supraclavicular fossa and base of neck. Patient referred to hospital emergency department. Evaluation and treatment on 10/5/10.

VAERS ID:402151 (history)  Vaccinated:2010-09-29
Age:48.0  Onset:2010-10-01, Days after vaccination: 2
Gender:Female  Submitted:2010-10-06, Days after onset: 5
Location:Washington  Entered:2010-10-06
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: none
Preexisting Conditions: none
Diagnostic Lab Data: none
CDC 'Split Type':
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TDAP: TDAP (ADACEL)SANOFI PASTEURC3488AA IMLA
Administered by: Private     Purchased by: Private
Symptoms: Injection site erythema, Injection site swelling
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: C/O large Local redness and swelling L deltoid area

VAERS ID:402285 (history)  Vaccinated:2010-10-06
Age:48.0  Onset:2010-10-06, Days after vaccination: 0
Gender:Female  Submitted:2010-10-06, Days after onset: 0
Location:Massachusetts  Entered:2010-10-07, 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:
Current Illness: None
Preexisting Conditions: Epinephrine (reaction) heart murmur
Diagnostic Lab Data: None
CDC 'Split Type':
Vaccination
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FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURUT3565BA UNLA
Administered by: Other     Purchased by: Other
Symptoms: Chest pain, Dizziness, Hyperhidrosis, Immediate post-injection reaction, No reaction on previous exposure to drug, Pain in extremity, Palpitations
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Vestibular disorders (broad), Hypersensitivity (narrow)
Write-up: Within one minute of receiving vaccine (FLUZONE) states became sweaty, had chest pain, heart was racing, felt like she was going to pass out. Had pain radiating down arm of injection site, left arm. States symptoms were much better after a few minutes and by 10:50 "felt almost normal" - Has had flu shot in the previous years with no problems/reactions.

VAERS ID:402380 (history)  Vaccinated:2010-10-06
Age:48.0  Onset:2010-10-06, Days after vaccination: 0
Gender:Male  Submitted:2010-10-07, Days after onset: 1
Location:California  Entered:2010-10-07
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Multiple; Depression; Anxiety; Insomnia; HTN
Preexisting Conditions: None known
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
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FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURU3700AA IMLA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Impaired work ability, Inappropriate affect, Logorrhoea, Speech disorder
SMQs:, Dementia (broad), Psychosis and psychotic disorders (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad)
Write-up: Received influenza vaccination. Later in day became (according to co-workers) rambling in speech; completed a report wrong and otherwise seemed increased "happy" and very "talkative".

VAERS ID:402447 (history)  Vaccinated:2010-09-22
Age:48.0  Onset:2010-09-22, Days after vaccination: 0
Gender:Female  Submitted:2010-10-04, Days after onset: 12
Location:Connecticut  Entered:2010-10-08, Days after submission: 4
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURU3563BA IMAR
Administered by: Private     Purchased by: Private
Symptoms: Erythema, Local reaction, Pain, Skin warm
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (broad)
Write-up: Local reaction: erythema, warm, pain.

VAERS ID:402478 (history)  Vaccinated:2010-10-03
Age:48.0  Onset:2010-10-03, Days after vaccination: 0
Gender:Female  Submitted:2010-10-03, Days after onset: 0
Location:Georga  Entered:2010-10-08, Days after submission: 5
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: Food allergies to nuts and strawberries; Codeine; aspirin
Diagnostic Lab Data:
CDC 'Split Type':
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FLU3: INFLUENZA (SEASONAL) (AFLURIA)CSL LIMITEDM511071UNLA
Administered by: Military     Purchased by: Military
Symptoms: Chest discomfort, Dyspnoea, Throat tightness
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Hypersensitivity (broad)
Write-up: Throat closing, tightness on chest. Shortness of breath. EPIPEN 0.3 mg given. 15 mins to recovery.

VAERS ID:402491 (history)  Vaccinated:2010-09-22
Age:48.0  Onset:2010-09-23, Days after vaccination: 1
Gender:Female  Submitted:2010-09-29, Days after onset: 6
Location:Florida  Entered:2010-10-08, Days after submission: 9
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: No allergies; no birth defects; has been under neurologist''s care
Diagnostic Lab Data: none to date
CDC 'Split Type':
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FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURUH181AC0IMLA
Administered by: Public     Purchased by: Other
Symptoms: Arthralgia, Back pain, Condition aggravated, Headache, Neck pain, Neuralgia, Pain in extremity
SMQs:, Peripheral neuropathy (narrow), Retroperitoneal fibrosis (broad), Arthritis (broad)
Write-up: (9/23) - sore arm, headache, joint pain in knees, strong increase in nerve pain leg/feet (has a pre-existing condition with nerve type disorder, under a doctor''s care). (9/24) - same, but with pain in back as well. (9/25) through the present - continued strong nerve pain in legs and feet, and arthralgia back and neck. Saw physician for a routine appointment, that was scheduled several months ago, on 9/27/10.

VAERS ID:402661 (history)  Vaccinated:2010-10-08
Age:48.0  Onset:2010-10-08, Days after vaccination: 0
Gender:Female  Submitted:2010-10-08, Days after onset: 0
Location:Colorado  Entered:2010-10-08
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: No known
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type':
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FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)NOVARTIS VACCINES AND DIAGNOSTICS111770P1 UNLA
Administered by: Other     Purchased by: Private
Symptoms: Dizziness, Fall, Loss of consciousness
SMQs:, Torsade de pointes/QT prolongation (broad), 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), Accidents and injuries (narrow), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad)
Write-up: Pt reported that she was feeling "lightheaded" then passed-out/collapsed onto the floor. She quickly regained and sat up, against the wall. We brought over a chair for her after a few minutes of feeling better I waited for the paramedics.

VAERS ID:402800 (history)  Vaccinated:2010-09-27
Age:48.0  Onset:2010-09-27, Days after vaccination: 0
Gender:Female  Submitted:2010-10-06, Days after onset: 9
Location:Wisconsin  Entered:2010-10-11, Days after submission: 5
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data:
CDC 'Split Type':
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FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)NOVARTIS VACCINES AND DIAGNOSTICS111794P1 UNLA
Administered by: Other     Purchased by: Other
Symptoms: Erythema, Pruritus, Skin warm, Swelling
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad)
Write-up: Redness, swelling, itching warmth.

VAERS ID:402843 (history)  Vaccinated:2010-10-08
Age:48.0  Onset:2010-10-08, Days after vaccination: 0
Gender:Female  Submitted:2010-10-11, Days after onset: 3
Location:North Carolina  Entered:2010-10-11
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':
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FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURUH223AB0IJLA
Administered by: Other     Purchased by: Other
Symptoms: Myalgia, Paraesthesia
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Eosinophilic pneumonia (broad)
Write-up: Tingling in hand and foot on left side where shot was given in left arm. Muscles sore but the tingling concerns me. If not better tomorrow I plan a Dr. visit.

VAERS ID:402867 (history)  Vaccinated:2010-09-27
Age:48.0  Onset:0000-00-00
Gender:Female  Submitted:0000-00-00
Location:New Jersey  Entered:2010-10-11
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':
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FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)UNKNOWN MANUFACTURER  UNUN
Administered by: Private     Purchased by: Private
Symptoms: Burning sensation, Injection site erythema, Injection site pain, Injection site pruritus
SMQs:, Peripheral neuropathy (broad), Extravasation events (injections, infusions and implants) (broad)
Write-up: Burning sensation upon injection, itching, redness, tenderness.

VAERS ID:402900 (history)  Vaccinated:2010-10-01
Age:48.0  Onset:2010-10-01, Days after vaccination: 0
Gender:Male  Submitted:2010-10-12, Days after onset: 11
Location:Kentucky  Entered:2010-10-12
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: none
Preexisting Conditions: none
Diagnostic Lab Data: Negative for flu and strept swabs.
CDC 'Split Type': KY
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FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)UNKNOWN MANUFACTURER   LA
FLUX(H1N1): INFLUENZA (H1N1) (H1N1 (MONOVALENT) (UNKNOWN)UNKNOWN MANUFACTURER   LA
Administered by: Public     Purchased by: Other
Symptoms: Eye pruritus, Headache, Influenza virus test negative, Lacrimation increased, Nausea, Oropharyngeal pain, Pain, Pyrexia, Streptococcus test negative, Throat irritation, Viral infection
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Lacrimal disorders (narrow)
Write-up: Headache, body aches, fever, sore throat, nausea for four days. Saw doctor 10/04/2010. Negative for flu and strept. Diagnosed with virus. Treated with rest, fluids, and Ibuprofen. Still experiencing allergy type symptoms: itchy, watery eyes, scratchy throat.

VAERS ID:403380 (history)  Vaccinated:2010-10-07
Age:48.0  Onset:2010-10-08, Days after vaccination: 1
Gender:Male  Submitted:2010-10-14, Days after onset: 6
Location:New Jersey  Entered:2010-10-14
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: HTN
Preexisting Conditions: Red berries
Diagnostic Lab Data: Unknown
CDC 'Split Type':
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FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)NOVARTIS VACCINES AND DIAGNOSTICS111817P1 IMLA
Administered by: Other     Purchased by: Private
Symptoms: Cellulitis, Dyspnoea, Groin pain, Influenza like illness, Petechiae, Pharyngeal oedema, Vasculitis
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Haemorrhage terms (excl laboratory terms) (narrow), Oropharyngeal allergic conditions (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Vasculitis (narrow), Osteonecrosis (broad), Hypersensitivity (narrow)
Write-up: Received flu shot on 10/7 - Flu like symptoms 10/8 - 10/10. 10/11 started having pain in groin and proceeded to get vasculitis on one leg from knee down positive petechiae. Went to physician - diagnosed with cellulitis - KEFLEX. At midnight 10/11 drove self to hospital. Air lifted to hospital 10/12 with positive SOB, throat swelling.

VAERS ID:403429 (history)  Vaccinated:2010-10-13
Age:48.0  Onset:2010-10-14, Days after vaccination: 1
Gender:Female  Submitted:2010-10-14, Days after onset: 0
Location:Michigan  Entered:2010-10-14
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: no
Diagnostic Lab Data:
CDC 'Split Type':
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FLU3: INFLUENZA (SEASONAL) (AFLURIA)CSL LIMITED11149121A IM 
Administered by: Public     Purchased by: Private
Symptoms: Hypoaesthesia, Hypoaesthesia oral, Pharyngeal hypoaesthesia
SMQs:, Peripheral neuropathy (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad)
Write-up: Numbness in lips, then forehead, then back of throat. "it feels like novacaine"

VAERS ID:403762 (history)  Vaccinated:2010-10-13
Age:48.0  Onset:2010-10-13, Days after vaccination: 0
Gender:Male  Submitted:2010-10-14, Days after onset: 1
Location:New York  Entered:2010-10-15, 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: Denies
Preexisting Conditions: Hyperlipidemia
Diagnostic Lab Data:
CDC 'Split Type':
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FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURUH182AC IMLA
Administered by: Other     Purchased by: Private
Symptoms: Arthralgia, Asthenia, Chills, Feeling cold, Pain
SMQs:, Guillain-Barre syndrome (broad), Arthritis (broad)
Write-up: 9 pm- chills, cold, body aches, jt pain weak. Denies Temperature no treatment. Symptoms through the night. 9AM - aches, weak improved.

VAERS ID:403674 (history)  Vaccinated:2010-10-14
Age:48.0  Onset:2010-10-14, Days after vaccination: 0
Gender:Female  Submitted:2010-10-16, Days after onset: 2
Location:Utah  Entered:2010-10-16
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: Allergic to aspirin and ibuprofen, seasonal allergies
Diagnostic Lab Data:
CDC 'Split Type': UT
Vaccination
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FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURU3654AA   
TDAP: TDAP (ADACEL)SANOFI PASTEURC3353AA   
Administered by: Public     Purchased by: Public
Symptoms: Asthenia, Dizziness, Dysphonia, Dyspnoea, Eye swelling, Heart rate increased, Pharyngeal oedema, Respiratory tract congestion, Wheezing
SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), Asthma/bronchospasm (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Parkinson-like events (broad), Oropharyngeal allergic conditions (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Vestibular disorders (broad), Hypersensitivity (narrow)
Write-up: Difficulty breathing, hoarseness, wheezing, weakness, fast heart beat, dizziness, throat swelling, eye swelling. Symptoms worsened over 30 minutes. Called physician who prescribed Benadryl and Prednisone. Within 3 hrs of meds, symptoms decreased. At 48 hours still have some weakness and shortness of breath and some chest congestion, with one dose of Prednisone left.

VAERS ID:403676 (history)  Vaccinated:2010-10-11
Age:48.0  Onset:2010-10-15, Days after vaccination: 4
Gender:Female  Submitted:2010-10-16, Days after onset: 1
Location:New York  Entered:2010-10-16
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: No
Preexisting Conditions: No
Diagnostic Lab Data: Left axillary ultrasound
CDC 'Split Type':
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FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)UNKNOWN MANUFACTURER 1IJRA
TDAP: TDAP (NO BRAND NAME)UNKNOWN MANUFACTURER  IJLA
Administered by: Public     Purchased by: Other
Symptoms: Lymphadenitis, Ultrasound scan
SMQs:
Write-up: Left axillary lymphadenitis

VAERS ID:403718 (history)  Vaccinated:2010-10-11
Age:48.0  Onset:2010-10-12, Days after vaccination: 1
Gender:Female  Submitted:2010-10-17, Days after onset: 5
Location:Pennsylvania  Entered:2010-10-18, 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:
Current Illness:
Preexisting Conditions: Asthma
Diagnostic Lab Data:
CDC 'Split Type':
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FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURU3620CB10UNLA
Administered by: Other     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: Within 12 hours of receiving vaccine, arm swelled up at injection site to size of grapefruit. Swollen, hot, red. Pt advised to ice area.

VAERS ID:403733 (history)  Vaccinated:2010-10-11
Age:48.0  Onset:2010-10-13, Days after vaccination: 2
Gender:Female  Submitted:2010-10-15, Days after onset: 2
Location:California  Entered:2010-10-18, Days after submission: 3
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data:
CDC 'Split Type':
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FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURUT3580CA0IMLA
Administered by: Private     Purchased by: Private
Symptoms: Fatigue, Headache, Muscular weakness, Nausea, Syncope, Vomiting
SMQs:, Torsade de pointes/QT prolongation (broad), Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Peripheral neuropathy (broad), Arrhythmia related investigations, signs and symptoms (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad)
Write-up: 2 days post injection pt felt fatigue with H.A. Muscle weakness in legs, nausea and vomiting and syncope. Seen in ER given IV fluids. 20 ZOFRAM potassium.

VAERS ID:403981 (history)  Vaccinated:2010-10-17
Age:48.0  Onset:0000-00-00
Gender:Male  Submitted:2010-10-18
Location:Florida  Entered:2010-10-18
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Stated had a cold 2 wks ago.
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type':
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FLU3: INFLUENZA (SEASONAL) (AFLURIA)CSL LIMITEDM51107 IMRA
Administered by: Military     Purchased by: Unknown
Symptoms: Blood pressure increased, Pain in extremity, Paraesthesia oral
SMQs:, Neuroleptic malignant syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Hypertension (narrow)
Write-up: Officer was vaccinated around noon time, came back about 4 pm that his tongue was tingling he said he has slight pain to his legs. No difficulty breathing reported lungs clear, no wheezing. Increased BP VS 96 92, 24 110/80. His superior told me this morning 10/18/10 the officer went later last night to Emergency room, recd BENADRYL. He is back at work today.

VAERS ID:404050 (history)  Vaccinated:2010-09-17
Age:48.0  Onset:2010-09-17, Days after vaccination: 0
Gender:Female  Submitted:2010-10-19, Days after onset: 32
Location:Pennsylvania  Entered:2010-10-19
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: no illnesses present at time of vaccination of flu shot
Preexisting Conditions: environmental allergies, Psoriatic arthritis, severe fibromyalgia, kidney disease, high blood pressure and cholesterol, migraines, depression bipolar disorder, restless leg syndrome, sleep apnea, excessive daytime somnolence
Diagnostic Lab Data: none
CDC 'Split Type':
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FLUX(H1N1): INFLUENZA (H1N1) (H1N1 (MONOVALENT) (UNKNOWN)UNKNOWN MANUFACTURER 0IMLA
Administered by: Private     Purchased by: Other
Symptoms: Abdominal pain upper, Diarrhoea, Influenza like illness
SMQs:, Acute pancreatitis (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (narrow)
Write-up: Severe flu like symptoms, diarrhea, severe stomach cramps.

VAERS ID:404085 (history)  Vaccinated:2010-10-07
Age:48.0  Onset:2010-10-10, Days after vaccination: 3
Gender:Female  Submitted:2010-10-19, Days after onset: 9
Location:Alabama  Entered:2010-10-19
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: No
Preexisting Conditions: No
Diagnostic Lab Data:
CDC 'Split Type':
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FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)NOVARTIS VACCINES AND DIAGNOSTICS1116920IMLA
Administered by: Public     Purchased by: Private
Symptoms: Chills, Myalgia, Oropharyngeal pain, Sinus congestion
SMQs:, Rhabdomyolysis/myopathy (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Eosinophilic pneumonia (broad)
Write-up: muscle pains, sore throat, head congestion, chills

VAERS ID:404185 (history)  Vaccinated:2010-09-29
Age:48.0  Onset:2010-09-30, Days after vaccination: 1
Gender:Unknown  Submitted:0000-00-00
Location:Maine  Entered:2010-10-19
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: No - was having some dizziness/lightheadedness
Preexisting Conditions: No
Diagnostic Lab Data: No
CDC 'Split Type':
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FLU3: INFLUENZA (SEASONAL) (FLUARIX)GLAXOSMITHKLINE BIOLOGICALSAFLUA525BA0IMLA
Administered by: Private     Purchased by: Unknown
Symptoms: Chills, Dizziness, Hyperhidrosis, Nausea
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad)
Write-up: Received vaccine 9/29/10 around 4pm - patient stated she went to bed (felt fine then) woke up the next morning with sweats drenched, chills, nausea, & dizziness.

VAERS ID: