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Case Details (Sorted by Age)

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VAERS ID:268764 (history)  Vaccinated:2006-11-20
Age:43.0  Onset:2006-12-09, Days after vaccination: 19
Gender:Male  Submitted:2006-12-12, Days after onset: 3
Location:Florida  Entered:2006-12-12
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (NO BRAND NAME)UNKNOWN MANUFACTURERUNKNOWN0IMRA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Erythema, Fatigue, Pain, Pharyngolaryngeal pain, Pruritus, Pyrexia, Rash
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Hypersensitivity (narrow)
Write-up: symptoms include aching, tiredness, fever, and sore throat; Ann itchy red splotchy blister-like rashes on head(in hair), forehead, side and front of abdomen, and legs. Treatment analgesic + antihistamines.

VAERS ID:269318 (history)  Vaccinated:2006-11-02
Age:43.0  Onset:2006-11-02, Days after vaccination: 0
Gender:Female  Submitted:2006-12-19, Days after onset: 47
Location:North Carolina  Entered:2006-12-19
Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Oral contraceptive
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: A0629792A
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUARIX)GLAXOSMITHKLINE BIOLOGICALSAFLUA223AA IMLA
Administered by: Other     Purchased by: Private
Symptoms: Arthralgia, Joint range of motion decreased
SMQs:, Arthritis (broad)
Write-up: This case was reported by a healthcare professional and described the occurrence of joint pain in a 43-year-old female subject who was vaccinated with influenza virus vaccine (Fluarix) for prophylaxis. Medical history included right hand dominant and athletic. The subject had received influenza virus vaccine in previous years with no subsequent adverse events. Concurrent medications included Oral contraceptive (Oral contraceptive). On 02 November 2006 the subject received a dose of Fluarix in the left deltoid. On 02 November 2006, less than one day after vaccination with Fluarix, the subject experienced joint pain "that felt as though the injection was given in the interarticular joint". The subject was seen by a physician and referred to an orthopedic specialist for physical therapy. The subject must work at home because of the pain. The healthcare professional considered the event was disabling. At the time of reporting, 28 November 2006, the event was worse. Follow-up information received on 14 December 2006 indicated that the subject experienced joint pain in the left shoulder starting on 02 November 2006. The pain limited shoulder mobility. The events were reportedly improved at the time follow-up was provided. In the reporter''s opinion, the events were possibly related to treatment with Fluarix. It was felt that the vaccine may have been administered into a joint space.

VAERS ID:269413 (history)  Vaccinated:2006-12-13
Age:43.0  Onset:2006-12-13, Days after vaccination: 0
Gender:Female  Submitted:2006-12-13, Days after onset: 0
Location:New Mexico  Entered:2006-12-19, 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: n/a
Current Illness: none
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)AVENTIS PASTEURU2284AA1IMRA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Pruritus, Rash
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow)
Write-up: Return 2 1/2 hours after recieving Vaccine c/o itching-slight rash to neck-chest and arms. Denied SOB, difficulty breathing. AXOX3 Benadryl 50 mg PO given. Applied Caldryl lotion to areas. Advised to call PCP from Clinic which she did. F/U visit at 2PM.

VAERS ID:269681 (history)  Vaccinated:2006-12-07
Age:43.0  Onset:2006-12-07, Days after vaccination: 0
Gender:Female  Submitted:2006-12-07, Days after onset: 0
Location:Oklahoma  Entered:2006-12-27, Days after submission: 20
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Lisinopril, Avandia, Allegra, Thyroid, HCTZ, K+
Current Illness:
Preexisting Conditions: Hydrocodone rash, Diabetic.
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)AVENTIS PASTEURU2284AA IMLA
Administered by: Other     Purchased by: Public
Symptoms: Injection site hypersensitivity, Pruritus
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow)
Write-up: 0935 c/o itching at injection site left deltoid area approx 1 1/2" circle. Given Benadryl 26mg PO. 1020 redness on arm totally gone. States itching is gone. Released to go back to work.

VAERS ID:270730 (history)  Vaccinated:2006-03-28
Age:43.0  Onset:2006-03-28, Days after vaccination: 0
Gender:Female  Submitted:2007-01-11, Days after onset: 289
Location:Indiana  Entered:2007-01-17, 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: UNK
Preexisting Conditions: The subject''s medical history, concurrent conditions, and concurrent medications were not reported. The nurse reported that one other subject experienced an injection site reaction following receipt of Engerix-B from lot AHBVB185AB. Please see case A0599405A.
Diagnostic Lab Data: UNK
CDC Split Type: A0599400A
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)GLAXOSMITHKLINE BIOLOGICALSAHBVB185AB1 LA
Administered by: Public     Purchased by: Private
Symptoms: Incorrect dose administered, Injection site reaction, Medication error
SMQs:
Write-up: This subject was reported by a nurse and described the occurrence of injection site soreness in a 43-year-old female subject who was inadvertently vaccinated with the incorrect dose of Engerix-B for prophylaxis. On 28 March 2006 the subject received 2nd dose of Engerix-B in the left arm (lot AHBVB185AB). The nurse reported that the subject inadvertently received the "pediatric dose" of Engerix-B. The pediatric, 10 mcg, dose of Engerix-B is recommended for immunizing individuals 19 years of age and younger. On 28 March 2006, less than one day after vaccination with Engerix-B, the subject experienced injection site soreness. The injection site soreness resolved on or after 28 March 2006 and on or before 21 April 2006.

VAERS ID:270751 (history)  Vaccinated:2005-12-08
Age:43.0  Onset:2005-12-08, Days after vaccination: 0
Gender:Female  Submitted:2007-01-11, Days after onset: 399
Location:Iowa  Entered:2007-01-17, 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: Tuberculin, no concurrent medication
Current Illness:
Preexisting Conditions: The subject had no pre-existing medical conditions. The subject''s concurrent conditions were not reported.
Diagnostic Lab Data: UNK
CDC Split Type: A0586322A
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)GLAXOSMITHKLINE BIOLOGICALSAHBVB166AA0 LA
Administered by: Other     Purchased by: Private
Symptoms: Rash
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow)
Write-up: This case was reported by a nurse and described the occurrence of rash on lower leg in a 43 year old female subject who was vaccinated with Engerix-B for prophylaxis. The subject had no pre-existing medical conditions. There were no concurrent medications. On 08 December 2005 the subject received 1st dose of Engerix-B in an unspecified arm (lot AHBVB166AA). On 08 December 2005, the subject also received a "tuberculin skin test" at an unspecified site of administration (unknown manufacturer). On an unspecified date in December 2005, on or after 08 December 2005 and on or before 19 December 2005, less than one month after vaccination with Engerix-B, the subject experienced a rash on lower leg. The rash on lower leg resolved on an unspecified date on or after 08 December 2005 and on or before 19 December 2005. Follow up to this case was received on 06 March 2006. The nurse reported on follow up that, on 23 January 2006, the subject received the 2nd dose of Engerix-B. This is longer than the recommended interval of one month between the 1st and 2nd doses of Engerix-B. The nurse reported that the subjec, "has not had any problems" following receipt of the 2nd dose of Engerix-B. The nurse considered the rash on lower leg to not be related to vaccination with Engerix-B.

VAERS ID:270824 (history)  Vaccinated:2007-01-10
Age:43.0  Onset:2007-01-12, Days after vaccination: 2
Gender:Female  Submitted:2007-01-18, Days after onset: 6
Location:Nevada  Entered:2007-01-18
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None Known
Diagnostic Lab Data: None at this time.
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEPAB: HEP A + HEP B (TWINRIX)GLAXOSMITHKLINE BIOLOGICALSAHABB0801IMLA
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0147F1SCRA
Administered by: Public     Purchased by: Private
Symptoms: Flank pain, Headache, Hot flush, Thermal burn
SMQs:, Retroperitoneal fibrosis (broad), Accidents and injuries (narrow)
Write-up: On 01/10/07 received #2 dose of MMR (client states this was actually her #3 dose of MMR becasue she did not have documentation of the #1 dose)and #2 dose of Hepatitis A/B (Twinrix). On the same day after receiving the immunizations, the client used a tanning machine set on the lowest setting for 8 minutes. On the morning of 01/12/07 she developed a headache, occasional hot flashes and a burning type pain that is sore to the touch on her left side that extends from her abdomen to her back just below her rib area. Denies receiving a sunburn from the tanning machine, also denies skin discoloration at the pain site, rash, fever, nausea, vomiting, joint pain or joint swelling. Has a history of headaches, occasional hot flashes and chickenpox. Took Tylenol for her headache and it helped but is uncertain if it helped to relieve her side pain. The side pain continues and is not getting better. MD recommended.

VAERS ID:270922 (history)  Vaccinated:2003-12-15
Age:43.0  Onset:2004-01-07, Days after vaccination: 23
Gender:Male  Submitted:0000-00-00
Location:Unknown  Entered:2007-01-22
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: NONE
Diagnostic Lab Data: Allergy
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
ANTH: ANTHRAX (BIOTHRAX)EMERGENT BIOSOLUTIONSFAV081  RA
Administered by: Military     Purchased by: Military
Symptoms: Arthralgia, Bone pain, Hypersensitivity, Hypertension, Musculoskeletal stiffness, Myalgia, Pyrexia, Rash, Swelling
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Angioedema (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dystonia (broad), Parkinson-like events (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypertension (narrow), Eosinophilic pneumonia (broad), Osteonecrosis (broad), Hypersensitivity (narrow), Arthritis (broad)
Write-up: Swollen body, rash, fever, joint, bone and muscle pain and stiffness. Hypertension. Up to day still getting treatment in some conditions.

VAERS ID:271954 (history)  Vaccinated:2007-01-16
Age:43.0  Onset:2007-01-17, Days after vaccination: 1
Gender:Female  Submitted:2007-02-08, Days after onset: 22
Location:Michigan  Entered:2007-02-08
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: no CPK elevation, no rhabdomyolysis seen
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (ADACEL)AVENTIS PASTEURC2609AA0IMLA
Administered by: Private     Purchased by: Private
Symptoms: Blood creatine phosphokinase normal, Injection site discomfort, Swelling
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: Severe discomfort in L deltoid after injection with resultant swelling througout the deltoid, trapezius and rhomboids

VAERS ID:272074 (history)  Vaccinated:2006-01-26
Age:43.0  Onset:2006-01-26, Days after vaccination: 0
Gender:Male  Submitted:2007-01-29, Days after onset: 368
Location:Alaska  Entered:2007-02-12, Days after submission: 14
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Avandia, Atenolol, HCTZ,
Current Illness: NONE
Preexisting Conditions:
Diagnostic Lab Data: NONE
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.088050 LA
Administered by: Private     Purchased by: Other
Symptoms: Asthenia, Fall, Hyperhidrosis, Nausea
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Guillain-Barre syndrome (broad), Accidents and injuries (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)
Write-up: Felt nauseous about 2 hours after Pneumovax, went to sleep (hadn''t eaten all day, diabetes). Woke up about 4 hours later, felt weak, feel to ground, felt diaphoretic, SM BG 270.

VAERS ID:272246 (history)  Vaccinated:2007-02-12
Age:43.0  Onset:2007-02-13, Days after vaccination: 1
Gender:Female  Submitted:2007-02-13, Days after onset: 0
Location:California  Entered:2007-02-14, Days after submission: 1
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)AVENTIS PASTEURU1907DA1IMLA
Administered by: Private     Purchased by: Unknown
Symptoms: Chills, Headache, Malaise, Pain, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad)
Write-up: Patient received TD vaccine on 2/12/07 around 4:00 pm. She woke up on 2/13/07 6:00 am feeling ill. She has 101.0 fever, headache, chills, aching all over.

VAERS ID:272447 (history)  Vaccinated:2007-02-08
Age:43.0  Onset:2007-02-08, Days after vaccination: 0
Gender:Male  Submitted:2007-02-16, Days after onset: 8
Location:Wisconsin  Entered:2007-02-16
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEPA: HEP A (NO BRAND NAME)UNKNOWN MANUFACTURERAHAVB066AA5IMUN
Administered by: Military     Purchased by: Military
Symptoms: Wrong drug administered
SMQs:
Write-up: Soldier was to receive a Hepatitis B vaccine and received a Hepatitis A vaccine instead. Soldier had already completed his Hepatitis A series. Immunization record notes to Twinrix doses in the past and 3 Hep A doses.

VAERS ID:272769 (history)  Vaccinated:2006-12-06
Age:43.0  Onset:2006-12-07, Days after vaccination: 1
Gender:Female  Submitted:2007-02-20, Days after onset: 75
Location:South Carolina  Entered:2007-02-20
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Levothyroid; Fosamax; Multi-vitamin; and calcium
Current Illness: NONE
Preexisting Conditions: Hypothyroidism and osteopenia
Diagnostic Lab Data: NONE
CDC Split Type: SC0632
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUARIX)GLAXOSMITHKLINE BIOLOGICALSAFLUA240BA5IMRA
Administered by: Public     Purchased by: Public
Symptoms: Injection site pain, Musculoskeletal pain
SMQs:, Rhabdomyolysis/myopathy (broad), Extravasation events (injections, infusions and implants) (broad)
Write-up: @/14/07: Given IM injection on 12/6/06 in right deltoid. States injection site still very sore and complaint of pain in right shoulder and upper arm when doing exercises or at rest. Has not taken any OTC meds or used moist heat to arm - may have taken Advil immediately after vaccination.

VAERS ID:272972 (history)  Vaccinated:2007-02-21
Age:43.0  Onset:2007-02-23, Days after vaccination: 2
Gender:Female  Submitted:2007-02-23, Days after onset: 0
Location:Pennsylvania  Entered:2007-02-23
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: new onset diabetes
Preexisting Conditions: elevated blood pressure and cholesterol, goiter
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLULAVAL)GLAXOSMITHKLINE BIOLOGICALSAFLUA234AU IMLA
Administered by: Private     Purchased by: Private
Symptoms: Erythema, Oedema peripheral, Pain in extremity
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad)
Write-up: Pt received pneumovax in right deltoid, by next day arm was sore, swollen and red. Pt instructed to ice site and take Tylenol/Motrin, site worsened and pt bought into office 2/23/07 2:20 for an appt with dr.

VAERS ID:273044 (history)  Vaccinated:2004-06-11
Age:43.0  Onset:2004-06-15, Days after vaccination: 4
Gender:Female  Submitted:2007-01-29, Days after onset: 958
Location:Florida  Entered:2007-02-26, Days after submission: 28
Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: MVA
Preexisting Conditions: Pancreatitis / resolved with surgery
Diagnostic Lab Data: Brachial neuritis
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)UNKNOWN MANUFACTURERU1185AA   
Administered by: Private     Purchased by: Other
Symptoms: Accident at work, Excoriation, Pain in extremity, Paraesthesia, Pruritus, Radiculitis brachial, Radiculopathy, Skin burning sensation, Xerosis
SMQs:, Anaphylactic reaction (broad), Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Accidents and injuries (narrow), Hypersensitivity (broad)
Write-up: Extreme pain, burning in upper R arm/starting a couple of weeks after vaccine. Diagnosed w/brachial neuritis. Doctor said "it will not improve" expect to get worse. Pain management /Nerve blocks. 03/20/07-records received from facility for DOS 10/22/04-8/9/05.C/O rash on right arm of 8 weeks duration. Rash itchy, red, irritated, painful, bleeds and is scaly. PE:No primary lesions noted on right arm, classic triangular pick excoriation of upper right arm, several scabs from previous episodes of picking. DX: Xerosis which might cause some itching. Pruitis of unknown origin. Subsequent visit c/o burning sensation in arm and forearm, no weakness. in PMH:6/04 struck by a desk when a car broke through the window of her office and struck the desk pushing it into her. She suffered soft tissue injuries to the arm as well as pieces of glass which have been removed. DX:uncomfortable paresthesias and burning of the arm. On 8/9/05-DX: radiculopathic symptoms without definite evidence of a neurologic etiology.

VAERS ID:273062 (history)  Vaccinated:2007-02-08
Age:43.0  Onset:2007-02-14, Days after vaccination: 6
Gender:Male  Submitted:2007-02-15, Days after onset: 1
Location:Colorado  Entered:2007-02-27, Days after submission: 12
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEPA: HEP A (HAVRIX)GLAXOSMITHKLINE BIOLOGICALSAHABV107AC0IMRA
IPV: POLIO VIRUS, INACT. (IPOL)AVENTIS PASTEURY09912 SCLA
TDAP: TDAP (ADACEL)AVENTIS PASTEURC2631AA IMLA
TYP: TYPHOID VI POLYSACCHARIDE (TYPHIM VI)AVENTIS PASTEURZ066320IMRA
Administered by: Public     Purchased by: Private
Symptoms: Injection site erythema, Injection site induration, 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: 02/15/07 telephone conversation, verbal report 2/14/07 noticed L deltoid area with redness, swelling, itching and puffiness approx size of an orange. States tried heat, did not improve. 2/15/07 site unchanged. RN observed 10-12 cm red, warm indurated site L deltoid area on 2/15/07.

VAERS ID:273160 (history)  Vaccinated:2006-09-15
Age:43.0  Onset:2006-10-19, Days after vaccination: 34
Gender:Male  Submitted:2007-02-22, Days after onset: 126
Location:Iowa  Entered:2007-02-27, 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:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAP: DTAP (INFANRIX)GLAXOSMITHKLINE BIOLOGICALSAC14B033AA IMLA
HEPAB: HEP A + HEP B (TWINRIX)GLAXOSMITHKLINE BIOLOGICALSAHABB061AA IMRA
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0216F SCLA
TYP: TYPHOID VI POLYSACCHARIDE (TYPHIM VI)SANOFI PASTEURZ0211 IMLA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Inappropriate schedule of drug administration, Medication error, Wrong drug administered
SMQs:
Write-up: Due to a pharmacy substitution client received Infanrix Dtap vaccination rather than Adacel Tdap vaccination, University Drug Information Center indicated that the pediatric Infanrix version contains the same amounts of tetanus and pertussis and an increased amount of the diphtheria component. The patient should be adequately immunized. They may, however, be at an increased risk of adverse reactions due to the elevated diphtheria component. The agency was contacted per doctor name reported and they concurred with this information. The patient was contacted per the University and did not experience any serious adverse reactions. Follow-up corrective actions are being taken at the University

VAERS ID:273195 (history)  Vaccinated:2007-02-24
Age:43.0  Onset:2007-02-25, Days after vaccination: 1
Gender:Female  Submitted:2007-02-28, Days after onset: 3
Location:Pennsylvania  Entered:2007-02-28
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness: none declared
Preexisting Conditions: none reported
Diagnostic Lab Data: none to date
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
IPV: POLIO VIRUS, INACT. (IPOL)SANOFI PASTEURZ0306 IMRA
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA)SANOFI PASTEURU2144AA0IMLA
TDAP: TDAP (ADACEL)SANOFI PASTEURC2491AA0IMRA
TYP: TYPHOID VI POLYSACCHARIDE (TYPHIM VI)SANOFI PASTEURZ06640IMLA
YF: YELLOW FEVER (YF-VAX)SANOFI PASTEURUE944AA0SCRA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Influenza like illness, Pyrexia, Rash
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Hypersensitivity (narrow)
Write-up: Patient developed fever, flu like symptom abdominal rash 36 hours after receiving vaccines. Took tylenol, fluids, aspirin with some relief. Rash cleared up. Still with flu like symptoms.

VAERS ID:273290 (history)  Vaccinated:2007-01-25
Age:43.0  Onset:2007-01-27, Days after vaccination: 2
Gender:Female  Submitted:2007-01-31, Days after onset: 4
Location:Georgia  Entered:2007-03-02, Days after submission: 30
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
YF: YELLOW FEVER (YF-VAX)SANOFI PASTEURUE816AA0SCLA
Administered by: Other     Purchased by: Private
Symptoms: Injection site erythema, Injection site pain, Injection site warmth, Nausea
SMQs:, Acute pancreatitis (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)
Write-up: 1.5 days after vaccine, nausea x 1 day, area at vaccine site reddened, warm to touch, tender to touch, gradually worsened over days, 6 days from vaccine still very tender at injection site reddened 1 1/2" by 1" area.

VAERS ID:273394 (history)  Vaccinated:2007-02-12
Age:43.0  Onset:2007-02-16, Days after vaccination: 4
Gender:Female  Submitted:2007-02-27, Days after onset: 11
Location:Oregon  Entered:2007-03-05, 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: Vicodin 5/500
Current Illness:
Preexisting Conditions: History "seasonal allergies"
Diagnostic Lab Data: NONE
CDC Split Type: OR200708
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.0655F IMLA
TDAP: TDAP (ADACEL)SANOFI PASTEURC2384AA IMRA
Administered by: Public     Purchased by: Public
Symptoms: Injection site erythema, Injection site pain, Injection site warmth
SMQs:, Extravasation events (injections, infusions and implants) (broad)
Write-up: 2/12/07 Given Td and Hep B developed redness, pain, and heat in RA IM the site 4", 12/17/07 called advice nurse line for recommendations, 12/18/07 went to Urgent Care for treatment. (Antibiotics given).

VAERS ID:273558 (history)  Vaccinated:2006-11-08
Age:43.0  Onset:2006-11-09, Days after vaccination: 1
Gender:Female  Submitted:2007-03-07, Days after onset: 118
Location:Massachusetts  Entered:2007-03-07
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: rash~Measles + Mumps + Rubella (unknown mfr)~1~27~In Patient
Other Medications: none
Current Illness: no
Preexisting Conditions: seasonal allergies, lidocaine, bee stings,
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (NO BRAND NAME)UNKNOWN MANUFACTURERUNKNOWN0IMLA
HEPA: HEP A (NO BRAND NAME)UNKNOWN MANUFACTURERUNKNOWN1IMLA
Administered by: Private     Purchased by: Unknown
Symptoms: Burning sensation, Dyspnoea, Fatigue, Irritability, Muscular weakness, Palpitations, Thirst
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Peripheral neuropathy (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hostility/aggression (broad), Cardiomyopathy (broad)
Write-up: Immediatley following the shot I felt extremely tired and irritable. After the 1st shot I had weakness in my legs and general fatigue. I also had extreme thirst lasting about 1 month, heart palpitations which have not subsided. After the second shot I had the same symptoms and in addition to those above I have general shortness of breath and extreme burning in my muscles with exercise. I am a competitive swimmer and this burning feels like what one would call lactic acid build up, this is occuring without extreme exercise as when I would normally feel during a hard swimming set. I have not taken the 3 rd shot and will fight not to! It was a requirement for school.

VAERS ID:273727 (history)  Vaccinated:1970-03-05
Age:43.0  Onset:2007-03-05, Days after vaccination: 13514
Gender:Female  Submitted:2007-03-05, Days after onset: 0
Location:South Carolina  Entered:2007-03-09, Days after submission: 4
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: ECG negative
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.1303F0SCRA
Administered by: Military     Purchased by: Military
Symptoms: Blood pressure increased, Dizziness, Electrocardiogram normal, Nausea, Rash, Tachycardia, Vision blurred
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Glaucoma (broad), Hypertension (narrow), Lens disorders (broad), Retinal disorders (broad), Vestibular disorders (broad), Hypersensitivity (narrow)
Write-up: About 40 minutes after vaccine - had nauseam dizziness, fast heart beat and rash. Also had elevated blood pressure (elevated) and blurred vision.

VAERS ID:273781 (history)  Vaccinated:2007-03-06
Age:43.0  Onset:2007-03-09, Days after vaccination: 3
Gender:Female  Submitted:2007-03-12, Days after onset: 2
Location:Georgia  Entered:2007-03-12
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Diabetes
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (ADACEL)AVENTIS PASTEURC2557AA0IMLA
Administered by: Public     Purchased by: Public
Symptoms: Cold compress therapy, Musculoskeletal pain, Neck pain, Pain in extremity
SMQs:, Rhabdomyolysis/myopathy (broad), Arthritis (broad)
Write-up: Tdap given on 3-6-2007,On Friday 3-9-2007 started having pain in arm and left shoulder blade and neck area. Pain then extended down the arm.Applied cold and warm compresses without relief.Advised to seek MD care if not improvement today.

VAERS ID:274159 (history)  Vaccinated:2007-02-21
Age:43.0  Onset:2007-03-05, Days after vaccination: 12
Gender:Male  Submitted:2007-03-16, Days after onset: 10
Location:West Virginia  Entered:2007-03-16
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: none~~NULL~~In Patient|cardiomyopathy~Smallpox (NO BRAND NAME)~NULL~~In Sibling1
Other Medications: none
Current Illness: none
Preexisting Conditions: unknown
Diagnostic Lab Data: none
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.07294 SCRA
Administered by: Private     Purchased by: Private
Symptoms: Arthralgia, Joint swelling, Malaise
SMQs:, Haemodynamic oedema, effusions and fluid overload (narrow), Arthritis (broad)
Write-up: MMR vaccine given 2/21/07; reported malaise 12 days later 3/5/07, then starting on day 16 joint swelling and arthralgia particularly in knees & wrists. Treated with OTC anti-inflammatory meds. Subsiding by 3/12, and much improved by 3/14.

VAERS ID:274511 (history)  Vaccinated:2007-02-19
Age:43.0  Onset:2007-02-19, Days after vaccination: 0
Gender:Female  Submitted:2007-03-21, Days after onset: 29
Location:Unknown  Entered:2007-03-22, Days after submission: 1
Life Threatening? Yes
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Asplenia; Spherocytosis; Antiphospholipid syndrome
Diagnostic Lab Data: X-ray 02/22/07 - fluid in joint, complete blood cell 02/22/07 - results not reported, synovial fluid culture 02/22/07 - negative, synovial fluid gram 02/22/07 - negative
CDC Split Type: WAES0703USA02865
Vaccination
Manufacturer
Lot
Dose
Route
Site
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.0888F IM 
Administered by: Other     Purchased by: Other
Symptoms: Aspiration joint, Full blood count, Gram stain negative, Injected limb mobility decreased, Joint irrigation, Occupational therapy, Oedema peripheral, Pain in extremity, Skin warm, Synovial fluid analysis normal, Synovitis, X-ray abnormal
SMQs:, Cardiac failure (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Arthritis (narrow)
Write-up: Information has been received from a 43 year old female respiratory therapist with asplenia, spherocytosis and antiphospholid antibody syndrome who on 19-FEB-2007 was vaccinated IM in the left deltoid with a dose of Pneumovax 23. Concomitant therapy included COUMADIN. Thirty minutes after the injection the patient''s left arm became swollen. Her arm was extremely painful and she began taking 2 VICODIN tablets ever 2.5 hours to control the pain. The next day, 20-FEB-2007, she called the office and was referred to an orthopedic physician who examined her on 22-FEB-2007. By that date, the patient stated that the pain was so bad that she felt as though her arm was dislocated. The physician diagnosed her with synovitis and withdrew the fluid from her joint. She was prescribed steroids and BACTRIM. On 23-FEB-2007 her arm became swollen from her shoulder to her wrist and felt warm to touch. She was admitted to the hospital later that day. A joint lavage was performed. She was treated with IV LEVAQUIN and unspecified pain medication. On 26-FEB-2007 she was released from the hospital with VALIUM, LEVAQUIN, OXYCONTIN. The following week, the patient began occupational therapy and was still receiving therapy at the time of the report. The swelling in her arm had decreased but it was still very painful to move. She had some improvement and was able to move her wrist and elbow but had problems moving her shoulder. The reporter considered synovitis to be immediately life-threatening, disabling, and an other important medical event. There was no product quality complaint involved. No further information is available.

VAERS ID:274543 (history)  Vaccinated:2006-01-10
Age:43.0  Onset:2006-01-14, Days after vaccination: 4
Gender:Male  Submitted:0000-00-00
Location:Unknown  Entered:2007-03-22
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: Allergy to typhoid vaccine, anxiety disorder and previous gynecomastia.
Diagnostic Lab Data:
CDC Split Type: BERNA20060206
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (NO BRAND NAME)UNKNOWN MANUFACTURER    
HEPA: HEP A (NO BRAND NAME)UNKNOWN MANUFACTURER    
MEN: MENINGOCOCCAL (NO BRAND NAME)UNKNOWN MANUFACTURER    
TYP: TYPHOID LIVE ORAL TY21A (VIVOTIF)BERNA BIOTECH, LTD  PO 
Administered by: Other     Purchased by: Private
Symptoms: Back pain, Biopsy, Blood pressure normal, Body temperature, Granuloma, Heart rate normal, Hypersensitivity, Inflammation, Muscle spasms, Red blood cell sedimentation rate normal, X-ray abnormal
SMQs:, Angioedema (broad), Retroperitoneal fibrosis (broad), Dystonia (broad), Hypersensitivity (narrow)
Write-up: This 43-year old male was vaccinated with Vivotif (Batch no: unknown) on 10.Jan.2006. the same day he also received Hepatitis AB vaccine and Meningococcal Polysaccharide vaccine (Batch numbers and tradenames: unknown). On 14.Jan2006 the patient developed BACK SPASMS. These have been starting at 15:00 each night for the last several nights. They lasted for about 3-4 hours. He tried to take ibuprofen without much benefit. He denies recurrent fever. He has had more energy and was able to return to work day for 1/2 a day. Examination: Temp 37.0, pulse 80 bpm, BP 120/80, biopsies sent showed hypersensitivity reaction. X-ray from today showed some inflammation; there was evidence of granuloma from a previous lung infection. Sed rate has come back to normal. The patient is known to take Lexapro (escitalopram) for anxiety disorders, occasionally he has taken clonazepam. From the patient''s history an allergy to typhoid vaccine, anxiety and previous gynecomastia is known. The patient was hospitalised for 8 days. This case was downloaded from the agency reported. The case was reported to be serious.

VAERS ID:275422 (history)  Vaccinated:2007-03-28
Age:43.0  Onset:2007-03-28, Days after vaccination: 0
Gender:Female  Submitted:2007-04-02, Days after onset: 5
Location:Pennsylvania  Entered:2007-04-02
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: none~~NULL~~In Sibling2|none~~NULL~~In Sibling1|none~~NULL~~In Patient
Other Medications: None
Current Illness: None.
Preexisting Conditions: Penicillin
Diagnostic Lab Data: None.
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEPA: HEP A (HAVRIX)GLAXOSMITHKLINE BIOLOGICALSAHAVB115CA1IMLL
Administered by: Public     Purchased by: Public
Symptoms: Fatigue, Headache, Hyperhidrosis, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad)
Write-up: Patient received second dose of HAVRIX on 03/28/2007 at 11:00. Patient complained of extreme fatigue, headache unrelieved with OTC analgesics, low grade fever and diaphoresis lasting less than 24 hours. All symptoms resolved spontaneously without medical treatment. Patient had received the first dose of HAVRIX on 08/28/2006 without incident.

VAERS ID:275462 (history)  Vaccinated:2007-03-20
Age:43.0  Onset:0000-00-00
Gender:Female  Submitted:2007-03-26
Location:Connecticut  Entered:2007-04-03, 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: Betamethasone, dipropionate, Augmentin, topical 0.05%,. Nexium, ibuprofen
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (ADACEL)AVENTIS PASTEURC2610AA0IMLA
Administered by: Private     Purchased by: Private
Symptoms: Eye swelling, Pruritus
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow)
Write-up: Day after Tdap patient started itching on right supraorbital region with progressed to swelling over the weekend. Started on Prednisone 60mg x 5 days.

VAERS ID:275489 (history)  Vaccinated:2007-03-14
Age:43.0  Onset:2007-03-15, Days after vaccination: 1
Gender:Female  Submitted:2007-03-25, Days after onset: 10
Location:California  Entered:2007-04-03, Days after submission: 9
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Levoxyl
Current Illness:
Preexisting Conditions: hypothyroidism
Diagnostic Lab Data: NONE
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)AVENTIS PASTEURU1637CA IMRA
Administered by: Private     Purchased by: Private
Symptoms: Cellulitis, Inflammation
SMQs:
Write-up: Localized inflammation within 12 hours. Cellulitis, put on Keflex antibiotic

VAERS ID:275525 (history)  Vaccinated:2006-11-03
Age:43.0  Onset:0000-00-00
Gender:Female  Submitted:2007-03-21
Location:California  Entered:2007-04-03, Days after submission: 13
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: unknown
Preexisting Conditions: This subject''s medical history, concurrent conditions, and concurrent medications were not reported. The healthcare professional reported that 2 other subjects experienced injection site pain following receipt of Fluarix. Please see cases A0631984A and A0631988A.
Diagnostic Lab Data:
CDC Split Type: A0631989A
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUARIX)GLAXOSMITHKLINE BIOLOGICALS  IMRL
MEN: MENINGOCOCCAL (NO BRAND NAME)UNKNOWN MANUFACTURER    
Administered by: Private     Purchased by: Private
Symptoms: Injection site pain, Vaccine positive rechallenge
SMQs:, Extravasation events (injections, infusions and implants) (broad)
Write-up: This case was reported by a healthcare professional and describe the occurrence of injection site pain in a 43 year old female subject who was vaccinated with influenza virus vaccine (Fluarix, GlaxoSmithKline) for prophylaxis, The reporter is the subject. Concurrent medications included Thyroxine sodium (Synthroid). On an unspecified date in 2005, the subject received unspecified dose of Fluarix. On an unspecified date in 2005, less than one year after vaccination with Fluarix, the subject experienced injection site pain. The injection site pain resolved on an unspecified date before 03, November 2006. On 03, November 2006 the subject received another dose of Fluarix in the left arm. On 03, November 2006 the subject also received vaccination with meningococcal vaccine (unspecified, non-GSK manufacturer). The site of administration of the meningococcal vaccine was not provided. On an unspecified date in 2006, on or after 03, November 2006 and on or before 18, December 2006, less than one year after vaccination with Fluarix, the subject again experienced pain at the injection site of Fluarix. The injection site pain resolved on an unspecified date on or after 03, November 2006 and on or before 18, December 2006. The professional considered the events were probably related to vaccination with Fluarix.

VAERS ID:275586 (history)  Vaccinated:2007-01-04
Age:43.0  Onset:2007-01-04, Days after vaccination: 0
Gender:Female  Submitted:2007-04-02, Days after onset: 87
Location:Unknown  Entered:2007-04-04, 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:
Preexisting Conditions: None, uses ibuprofen prn
Diagnostic Lab Data: 1-4-07 Received Adacel
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (ADACEL)AVENTIS PASTEURC2631AA IM 
Administered by: Unknown     Purchased by: Unknown
Symptoms: Injection site pain, Muscular weakness, Pain
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Extravasation events (injections, infusions and implants) (broad)
Write-up: Received vaccination for Adacel. Onset of pain was later that night and was 6/10 pain. The muscle pain at the injections site. The worse pain was after 1 week, then the pain tapered off, but the patient still has pain on an off. The most pain is when patient raises her arm overhead. She also experiences weakness in the arm on which the injection occurred.

VAERS ID:275658 (history)  Vaccinated:2007-03-26
Age:43.0  Onset:2007-03-27, Days after vaccination: 1
Gender:Female  Submitted:2007-03-28, Days after onset: 1
Location:Unknown  Entered:2007-04-05, 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: Sulfa, erythromycin
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
ANTH: ANTHRAX (BIOTHRAX)EMERGENT BIOSOLUTIONSFAV1023SCLA
Administered by: Military     Purchased by: Unknown
Symptoms: Injection site erythema, Injection site warmth, Muscle strain, Musculoskeletal pain, Musculoskeletal stiffness, Pyrexia, Tension
SMQs:, Rhabdomyolysis/myopathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dystonia (broad), Parkinson-like events (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Accidents and injuries (narrow), Extravasation events (injections, infusions and implants) (broad), Arthritis (broad)
Write-up: Anthrax injection given 3-26-07 into L deltoid. 2 days later site with large area of erythema, warmth. Mild fever, L shoulder joint soreness and stiffness and L trapezius strain/tension by evening of 3-27-07.

VAERS ID:275834 (history)  Vaccinated:2007-02-05
Age:43.0  Onset:2007-02-05, Days after vaccination: 0
Gender:Female  Submitted:2007-04-02, Days after onset: 55
Location:Utah  Entered:2007-04-09, 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: Allergy to Sulfa. At the time of the vaccination, she had a urinary tract infection and was taking Orthonovum
Diagnostic Lab Data: Stool cultures and CBCs were completed, the results were not available.
CDC Split Type: 200700798
Vaccination
Manufacturer
Lot
Dose
Route
Site
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA)SANOFI PASTEURU2002AC0IN 
Administered by: Private     Purchased by: Private
Symptoms: Arthralgia, Culture stool negative, Diarrhoea, Full blood count normal, Myalgia, Rash erythematous, Rash generalised, Rash papular
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad), Hypersensitivity (narrow), Arthritis (broad), Noninfectious diarrhoea (narrow)
Write-up: Intital report received from a health care professional in the USA on 15, March 2007, A 43 year old, female patient (with an allergy to sulfa) developed joint and muscle pain, diarrhea and an erythematous papular full body rash, within 12 hours after she received Menactra ( lot # U2002AC) intramuscularly in the deltoid on 02, February 2007 - due to possible exposure. At the time of the vaccination, she had a urinary tract infection and was taking Orthonovum. She was seen and evaluated by a doctor on 04, March 2007. Stool cultures and CBCs were completed. the results were not available. At the time of the report, the symptoms still persist and the patient was not recovered. Follow-up information received on 22-June 2007 from a heThis case halth care professional. The patient had not been back to the office for follow-up as she was called in follow-up on 05-June 2007. She stated that she still had rash off and on, nausea, and tooth pain with negative exam by the dentist. She also had headaches. Stool cultures were negative and CBC and metabolic panel were essentially normal. The patient stated that she had not felt normal since the immunization. This case has the same reporter as case 2007-00799

VAERS ID:275810 (history)  Vaccinated:2007-03-16
Age:43.0  Onset:2007-03-23, Days after vaccination: 7
Gender:Male  Submitted:2007-04-10, Days after onset: 18
Location:Unknown  Entered:2007-04-10
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: no
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
ANTH: ANTHRAX (BIOTHRAX)EMERGENT BIOSOLUTIONSFAV1035SCLA
Administered by: Military     Purchased by: Military
Symptoms: Chest discomfort, Pericarditis, Pharyngeal erythema
SMQs:, Anaphylactic reaction (broad), Systemic lupus erythematosus (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Chronic kidney disease (broad)
Write-up: Throat red, tightness in chestdiagnosis perio carditis

VAERS ID:276007 (history)  Vaccinated:2007-03-26
Age:43.0  Onset:2007-03-31, Days after vaccination: 5
Gender:Male  Submitted:2007-04-02, Days after onset: 2
Location:South Carolina  Entered:2007-04-11, Days after submission: 9
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: All: Iodine
Diagnostic Lab Data: None
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
SMALL: SMALLPOX (DRYVAX)PFIZER/WYETH40200761 LA
Administered by: Military     Purchased by: Military
Symptoms: Blister, Pruritus
SMQs:, Severe cutaneous adverse reactions (broad), Anaphylactic reaction (broad), Hypersensitivity (broad)
Write-up: Patient had vesicle develop on bilateral legs, thighs, forearms, and stomach. Severe itch. He was given Atarax and used OTC anti-itch lotion.

VAERS ID:276018 (history)  Vaccinated:2007-04-05
Age:43.0  Onset:2007-04-07, Days after vaccination: 2
Gender:Female  Submitted:2007-04-11, Days after onset: 4
Location:Iowa  Entered:2007-04-11
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Motrin, Codeine, Augmentin
Diagnostic Lab Data: None
CDC Split Type:
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MMR: MEASLES + MUMPS + RUBELLA (VIRIVAC)MERCK & CO. INC.0211F1SCRA
Administered by: Public     Purchased by: Private
Symptoms: Headache, Injection site rash, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Hypersensitivity (narrow)
Write-up: MMR given. Patient felt feverish had a headache over weekend and a rash at the injection site 2 inches in diameter

VAERS ID:276035 (history)  Vaccinated:2007-03-27
Age:43.0  Onset:2007-04-07, Days after vaccination: 11
Gender:Male  Submitted:2007-04-11, Days after onset: 4
Location:Massachusetts  Entered:2007-04-11
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
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VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.1041F0SCRA
Administered by: Public     Purchased by: Unknown
Symptoms: Influenza, Rash
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow)
Write-up: Developed Flu symptoms and rash.

VAERS ID:276036 (history)  Vaccinated:2007-04-04
Age:43.0  Onset:2007-04-05, Days after vaccination: 1
Gender:Female  Submitted:2007-04-11, Days after onset: 6
Location:Illinois  Entered:2007-04-11
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Allegra,Flonase,Singulair, Albuterol prn
Current Illness: none
Preexisting Conditions: mild asthma, migraines
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
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PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.1137F0SCRA
Administered by: Private     Purchased by: Unknown
Symptoms: Chills, Headache, Injection site erythema, Injection site pain, Injection site swelling, Myalgia, Pyrexia
SMQs:, Rhabdomyolysis/myopathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Eosinophilic pneumonia (broad)
Write-up: Swelling, redness, tenderness at site. Fever, chills, myalgia, rigors, headache.

VAERS ID:276102 (history)  Vaccinated:2007-04-04
Age:43.0  Onset:2007-04-05, Days after vaccination: 1
Gender:Female  Submitted:2007-04-06, Days after onset: 1
Location:Massachusetts  Entered:2007-04-12, 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: None
Preexisting Conditions: Codeine hydrocodeine, Azithromycin, Ultram, Niacin, Menorrhagia
Diagnostic Lab Data: None
CDC Split Type:
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TD: TD ADSORBED (NO BRAND NAME)MASS. PUB HLTH BIOL LABTD166 IMLA
UNK: VACCINE NOT SPECIFIED (NO BRAND NAME)UNKNOWN MANUFACTURERC2214AB IDLA
Administered by: Private     Purchased by: Public
Symptoms: Injection site induration, Injection site swelling, Injection site warmth, Pain in extremity
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: Patient received tetanus (Td) 4/4/06. Has experienced increase arm pain (awakening her at night), induration, warmth and swelling at site of injection.

VAERS ID:277501 (history)  Vaccinated:2007-04-13
Age:43.0  Onset:2007-04-13, Days after vaccination: 0
Gender:Male  Submitted:2007-04-27, Days after onset: 14
Location:Pennsylvania  Entered:2007-04-27
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: none
Preexisting Conditions: Hep B, penicillin
Diagnostic Lab Data:
CDC Split Type:
Vaccination
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HEPAB: HEP A + HEP B (TWINRIX)GLAXOSMITHKLINE BIOLOGICALS 1  
Administered by: Military     Purchased by: Military
Symptoms: Fatigue, Pallor, Pyrexia, Sinus headache
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Hypotonic-hyporesponsive episode (broad)
Write-up: pale body, headaches (sinus), tired (slept all day Saturday) fever, on Wednesday 4/18 feels much better.

VAERS ID:277503 (history)  Vaccinated:2006-12-05
Age:43.0  Onset:2006-12-06, Days after vaccination: 1
Gender:Female  Submitted:2007-04-27, Days after onset: 141
Location:Massachusetts  Entered:2007-04-27
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
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FLU3: INFLUENZA (SEASONAL) (FLUZONE)AVENTIS PASTEURU2244AA3IMRA
HEPA: HEP A (HAVRIX)GLAXOSMITHKLINE BIOLOGICALSAHAVBO99BA0IMLA
Administered by: Public     Purchased by: Public
Symptoms: Hypoaesthesia, Pain in extremity, Paraesthesia
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad)
Write-up: C/O PAIN IN AMR,NUMBNESS AND TINGLING, BUT DID NOT PRESENT TO PHYSICIAN WITH THESE SYMPTOMS UNTIL 03/16/07 AT WHICH TIME SYMPTOMS HAD RESOLVED.THIS WHAT THE PT.STATES.

VAERS ID:277531 (history)  Vaccinated:2007-04-03
Age:43.0  Onset:2007-04-25, Days after vaccination: 22
Gender:Female  Submitted:2007-04-27, Days after onset: 2
Location:New York  Entered:2007-04-27
Life Threatening? Yes
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: LP/ MRI. Labs and Diagnostics: MRI thoracic spine(4/26/07) normal. Repeat MRI thoracic spine (4/27/07) shows discrete T5 cord lesion-thoracic myelopathy. MRI brain shows non-specific suptratentorial white matter reactive foci-potential demyelination. Lyme titre (-). CSF angiotensin Convert Enz WNL. CSF cytology shows few RBCs and inflammatory cells
CDC Split Type:
Vaccination
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HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.0039F0IM 
Administered by: Private     Purchased by: Private
Symptoms: Abdominal pain, Asthenia, Borrelia burgdorferi serology negative, CSF test abnormal, Gait disturbance, Hypoaesthesia, Lumbar puncture, Muscular weakness, Myelitis transverse, Myelopathy, Nuclear magnetic resonance imaging, Nuclear magnetic resonance imaging abnormal, Nuclear magnetic resonance imaging brain abnormal, Paraesthesia, Urinary tract infection
SMQs:, Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Peripheral neuropathy (narrow), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Demyelination (narrow)
Write-up: 22 days after receiving vaccine developed acute transverse myelitis at T6 level. 8/14/2007 MR received for DOS 4/25-5/1/2007. Initially presented with sudden onset weakness in the legs, 10/10 abdominal pain and trouble walking. Numbness and tingling of extremities as well. Admitted with DX of weakness. Discharge DX: Transverse myelitis. UTI. 1/4/10 Leg weakness to Transevere Myelitis

VAERS ID:278047 (history)  Vaccinated:2007-04-27
Age:43.0  Onset:2007-04-28, Days after vaccination: 1
Gender:Male  Submitted:2007-05-07, Days after onset: 9
Location:D.C.  Entered:2007-05-07
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Immunocompromised patient admitted to hospital prior to vaccine receipt for course of IV antibiotic therapy
Preexisting Conditions: Crohn''s; Seasonal allergies; GERD
Diagnostic Lab Data: 4/28/07, Blood and urine cultures negative after 72 hours. CBC - WBC 10.9 RBC 4.85 ; Hgb 15.1; HCT 44.4; PLT 157; NEU % 74.7; MON% 9.5; LYM% 15.4; EOS% 0.2; BAS% 0.2
CDC Split Type:
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PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.0061U1SCLA
Administered by: Military     Purchased by: Military
Symptoms: Basophil count normal, Blood culture negative, Culture urine negative, Eosinophil count, Haematocrit normal, Haemoglobin normal, Headache, Injection site erythema, Injection site oedema, Injection site pain, Injection site pruritus, Injection site reaction, Injection site warmth, Lymphocyte count decreased, Monocyte count increased, Nausea, Neutrophil count increased, Pain, Platelet count normal, Pyrexia, Red blood cell count normal, White blood cell count increased
SMQs:, Acute pancreatitis (broad), Haematopoietic leukopenia (narrow), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: On 4/26 and 4/27 pt received a total of 5 vaccines (MGC, Hep A, Hep B, in left upper arm IM on 4/26) and Pneumococcal subq in left triceps area and Tdap IM in left upper arm on 4/27/07. Early on a.m. of 4/28/07, pt experienced fever, headache, body-aches, nausea and a reaction surrounding vaccine site in left triceps. Site was painful, hot to the touch, pruritic, red and edematous. There was a knot at the site the size of a goose egg and the redness, pain and swelling went from his left upper triceps area to his elbow. Systemic symptoms resolved over next 24 hours with round the clock administration of Tylenol. No adenopathy. No paresthesias in LUE. Pt has no history of previous vaccine adverse reactions. The reaction surrounding the vaccine site diminished significantly by 2 May. Fever workup was done and reveled no evidence of infection.

VAERS ID:278091 (history)  Vaccinated:2006-02-21
Age:43.0  Onset:2006-03-08, Days after vaccination: 15
Gender:Female  Submitted:2006-09-13, Days after onset: 188
Location:Georgia  Entered:2007-05-07, Days after submission: 236
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: No illness, pre-existing medical conditions or use of other medication was reported at the time of the vaccination.
Diagnostic Lab Data:
CDC Split Type: 200600579
Vaccination
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Lot
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Site
TD: TD ADSORBED (NO BRAND NAME)SANOFI PASTEURU1617G IMLA
Administered by: Private     Purchased by: Unknown
Symptoms: Injected limb mobility decreased, Musculoskeletal stiffness, Myalgia
SMQs:, Rhabdomyolysis/myopathy (broad), Dystonia (broad), Parkinson-like events (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Eosinophilic pneumonia (broad), Arthritis (broad)
Write-up: Initial report received on 09/Mar/2006 form a health care provider. A 43-year-old female patient with no significant past medical history, had received an intra-muscular injection of DECAVAC, lot number U16176A, in the left deltoid. Fifteen days later, the patient developed muscle aches and stiffness with limited range of motion in the left arm. At the time of this report, the patient had not recovered form these events. Follow-up received on 07/Apr/2006 from the responsible physician. The patient was seen by a physician for the event on 08/Mar/2006 and has recovered. No further information expected. The reporter for this case is the same as for case 2006-00580. A corrective version for this case was created on 13/sep/2006 to correct the lot number in the narrative section to U1617GA. No new information was received.

VAERS ID:278456 (history)  Vaccinated:2006-04-04
Age:43.0  Onset:2006-04-08, Days after vaccination: 4
Gender:Female  Submitted:2007-05-13, Days after onset: 400
Location:Indiana  Entered:2007-05-13
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: none
Preexisting Conditions: none
Diagnostic Lab Data: labs and Diagnostics: CBC on 3/12/2007 with WBCs 11.0 with granulocytes 83.8%. Lymphocytes 12.0%./pc
CDC Split Type:
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ANTH: ANTHRAX (BIOTHRAX)EMERGENT BIOSOLUTIONSFAV 1043IMRA
Administered by: Military     Purchased by: Military
Symptoms: Amnesia, Autoimmune disorder, Delirium, Dysarthria, Eye swelling, Faecal incontinence, Fatigue, Full blood count, Granulocyte count increased, Immune system disorder, Insomnia, Irritability, Loose tooth, Lymphocyte percentage decreased, Malaise, Mood swings, Mouth ulceration, Muscle injury, Muscle spasms, Muscular weakness, Nerve injury, Palpitations, Pharyngitis, Protein total increased, Pyrexia, Restlessness, Social phobia, Spinal disorder, Tinnitus, Tremor, Tunnel vision, Vision blurred, White blood cell count increased
SMQs:, Rhabdomyolysis/myopathy (broad), Severe cutaneous adverse reactions (broad), Anaphylactic reaction (broad), Agranulocytosis (broad), Angioedema (narrow), Haematopoietic leukopenia (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dementia (broad), Akathisia (broad), Dystonia (broad), Parkinson-like events (broad), Oropharyngeal infections (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (narrow), Noninfectious meningitis (broad), Accidents and injuries (narrow), Hostility/aggression (broad), Glaucoma (broad), Optic nerve disorders (broad), Cardiomyopathy (broad), Lens disorders (broad), Retinal disorders (narrow), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (broad), Depression (excl suicide and self injury) (broad), Hearing impairment (narrow), Hypersensitivity (narrow), Noninfectious diarrhoea (broad)
Write-up: after 4th shot while deployed-104 fever, delirious, i.v. administered w/ multiple meds. sick for continuous 3 days after. Current nervous system disorders, weak immune system, repeated throat infections, mouth ulcers. Blood work- hi protein levels, abnormal white count. Constant muscle weakness like oxygen sucked out of blood, uncontrollable trembling, swollen eyes, extremity cramps, sudden heart palpations,constant loss of memory, severe insomnia, anxiety, restlessness-yet fatigued,slurring speech,blurred vision, constant buzzing/white noise in ears &/or hi-pitched ringing, severe mood swings, loss of bowel control, loosening of teeth, social anxiety, irritablity, tunnel vision,extreme fatigue...most symptoms continue to worsen daily, beginning 2 months after my 5th shot on 14 Feb 2007, excluding the fever in theater, after 4th shot on 04 April 2006 (as listed above). No treatment yet, fear of losing my civilian job, if they find out these issues. Nerve/muscle damage Autoimmune symptoms Spine Deterioration

VAERS ID:278584 (history)  Vaccinated:2007-05-04
Age:43.0  Onset:2007-05-04, Days after vaccination: 0
Gender:Female  Submitted:2007-05-10, Days after onset: 6
Location:California  Entered:2007-05-15, 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: Prednisone, Zyrtec, Combivent inhaler
Current Illness: None
Preexisting Conditions: Asthmatic. PMH: Asthma. Vertigo. C-sec. SAB. Hordeolum of L eye. Allergies: PCN, ASA.
Diagnostic Lab Data: Allergic reaction? Labs and Diagnostics: EKG showed PVCs initially-resolved.
CDC Split Type:
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TDAP: TDAP (ADACEL)SANOFI PASTEURC2631AA0IMRA
Administered by: Private     Purchased by: Private
Symptoms: Anaphylactic reaction, Condition aggravated, Coordination abnormal, Cough, Dyspnoea, Electrocardiogram, Fatigue, Feeling hot, Hypersensitivity, Lip swelling, Muscle tightness, Nystagmus, Somnolence, Ventricular extrasystoles, Vertigo
SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), Anticholinergic syndrome (broad), Ventricular tachyarrhythmias (narrow), Anaphylactic/anaphylactoid shock conditions (narrow), Dementia (broad), Dystonia (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Cardiomyopathy (broad), Vestibular disorders (narrow), Ocular motility disorders (narrow), Hypersensitivity (narrow)
Write-up: Patient had Tdap approximately 7am. 5 Minutes after she experienced tightness of her neck; warm feeling; started to cough; had SOB took prednisone; Zyrtec; Combivent inhaler brought to E.R. Admitted overnight. 05/17/2007 MR received for an o/n admission for c/o lip swelling following her DPT vax. She was treated for an allergic reaction and the pt. developed PVCs and acute vertigo. Pt was unable to walk after that due to vertigo and was admitted. Pt. reports fatigue and "room spinning" PE: Somnolent. Horizontal nystagmus to the right. Ataxic gait. DX: Anaphylaxis. Acute on Chronic Vertigo

VAERS ID:278638 (history)  Vaccinated:0000-00-00
Age:43.0  Onset:0000-00-00
Gender:Male  Submitted:2007-02-22
Location:Puerto Rico  Entered:2007-05-15, Days after submission: 81
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: Fatigue, asthma, blood pressure high, diabetes
CDC Split Type:
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UNK: VACCINE NOT SPECIFIED (NO BRAND NAME)UNKNOWN MANUFACTURER    
Administered by: Military     Purchased by: Unknown
Symptoms: Asthma, Diabetes mellitus, Dyspnoea, Fatigue, Hypertension, Pollakiuria, Thirst
SMQs:, Anaphylactic reaction (broad), Asthma/bronchospasm (narrow), Hyperglycaemia/new onset diabetes mellitus (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Hypertension (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Hypersensitivity (broad)
Write-up: On duty 1990-1991. Short of breathing, drinking much water, lot of urine.

VAERS ID:279030 (history)  Vaccinated:2007-05-19
Age:43.0  Onset:2007-05-19, Days after vaccination: 0
Gender:Male  Submitted:2007-05-20, Days after onset: 1
Location:Minnesota  Entered:2007-05-20
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Seasonal allergies
Preexisting Conditions: Htn, spinal stenosis
Diagnostic Lab Data: normal EKG and 98% Oxygen sat
CDC Split Type:
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MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA)SANOFI PASTEURU2236AA IMUN
Administered by: Military     Purchased by: Military
Symptoms: Dizziness, Electrocardiogram, Oxygen saturation normal, Paraesthesia, Tachycardia
SMQs:, Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Guillain-Barre syndrome (broad), Vestibular disorders (broad)
Write-up: lightheadedness, tingling, tachycardia

VAERS ID:279287 (history)  Vaccinated:2007-05-21
Age:43.0  Onset:2007-05-22, Days after vaccination: 1
Gender:Female  Submitted:2007-05-22, Days after onset: 0
Location:Texas  Entered:2007-05-22
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Acyclovir prn, Hydrocodone prn
Current Illness: None
Preexisting Conditions: Herpes simplex, arthritis
Diagnostic Lab Data: None
CDC Split Type:
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FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)NOVARTIS VACCINES AND DIAGNOSTICS706180IMLA
HEPA: HEP A (VAQTA)MERCK & CO. INC.0020U0IMLA
TDAP: TDAP (ADACEL)SANOFI PASTEURC2731AA0IMRA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Chest discomfort, Urticaria
SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), Hypersensitivity (narrow)
Write-up: Within approx. 18 hours of receiving immunizations, patient developed generalized urticaria with slight chest tightness. Patient applied Caladryl and Calamine lotion all over body. Patient given Prednisone 60-60-40 x 3 and 20 x 3. To return to clinic if no better and to avoid TDAP in the future.

VAERS ID:279957 (history)  Vaccinated:2007-05-10
Age:43.0  Onset:2007-05-12, Days after vaccination: 2
Gender:Male  Submitted:2007-05-17, Days after onset: 5
Location:Unknown  Entered:2007-05-29, 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: None
Preexisting Conditions: PCN - allergy - hives, seasonal allergies
Diagnostic Lab Data:
CDC Split Type:
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ANTH: ANTHRAX (BIOTHRAX)EMERGENT BIOSOLUTIONSFAV1081SCRA
Administered by: Military     Purchased by: Military
Symptoms: Dysaesthesia, Erythema, Oedema, Paraesthesia
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Hypersensitivity (broad)
Write-up: Erythema/ Edema/ Paresthesia/ Dysesthesia of entire right arm. At exam erythema 31cm x 5-8cm

VAERS ID:280216 (history)  Vaccinated:2007-05-29
Age:43.0  Onset:2007-05-30, Days after vaccination: 1
Gender:Female  Submitted:2007-06-01, Days after onset: 2
Location:New York  Entered:2007-06-01
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None known
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: Manufacturer is Aventis Pasteur
CDC Split Type:
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TD: TETANUS DIPHTHERIA (NO BRAND NAME)UNKNOWN MANUFACTURERU1943CA1IMLA
Administered by: Public     Purchased by: Public
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Musculoskeletal stiffness
SMQs:, Dystonia (broad), Parkinson-like events (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Extravasation events (injections, infusions and implants) (broad), Arthritis (broad)
Write-up: Soreness, stiffness, redness, swelling, induration and tenderness at injection site, developing 24 - 48 hours after injection.

VAERS ID:280407 (history)  Vaccinated:2007-05-24
Age:43.0  Onset:2007-05-24, Days after vaccination: 0
Gender:Female  Submitted:2007-06-04, Days after onset: 11
Location:Wisconsin  Entered:2007-06-04
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:
Diagnostic Lab Data: Injection reaction
CDC Split Type:
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TYP: TYPHOID VI POLYSACCHARIDE (TYPHIM VI)SANOFI PASTEURZ11021IMRA
Administered by: Other     Purchased by: Other
Symptoms: Chest discomfort, Cough, Reaction to preservatives
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow)
Write-up: Had Typhoid injection on 5/24/07 at 0830. Called clinic with symptoms of chest pressure and cough at 1150. Denied SOB. Instructed to F/U in ER and did so.

VAERS ID:283406 (history)  Vaccinated:2006-05-24
Age:43.0  Onset:2006-05-24, Days after vaccination: 0
Gender:Male  Submitted:2007-05-30, Days after onset: 371
Location:Kansas  Entered:2007-06-04, 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: None
Current Illness:
Preexisting Conditions: Penicillin allergy; Hypersensitivity
Diagnostic Lab Data: None
CDC Split Type: WAES0606USA01673
Vaccination
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Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0464R IMUN
Administered by: Other     Purchased by: Other
Symptoms: Erythema, Inflammation, Skin nodule
SMQs:, Anaphylactic reaction (broad), Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (broad)
Write-up: Information has been received from a registered pharmacist concerning a 43-year-old male with penicillin and tetanus allergies, who on 24-MAY-2006 was vaccinated intramuscularly with one dose of measles virus vaccine live (Enders-Edmonston) (+) mumps virus vaccine live (Jeryl Lynn) (+) rubella virus vaccine live (Wistar RA 27/3) (lot# 649760/0464R). There was no concomitant medication. On 26-MAY-2006 the patient noticed a bump below the injection site. It formed a knot below the injection site and moved down to the elbow of the left upper arm. On 03-JUN-2006 or 04-JUN-2006, he noticed a slight red spot on his forearm. It became a little more inflamed an swollen on 05-JUN-2006. He went to the emergency room to seek medical attention. It was reported that the patient was not recovered at the time of this report. No product quality complaint was involved. Additional information has been requested.

VAERS ID:283705 (history)  Vaccinated:2006-06-12
Age:43.0  Onset:2006-06-12, Days after vaccination: 0
Gender:Female  Submitted:2007-05-30, Days after onset: 352
Location:New York  Entered:2007-06-04, 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: Unknown
Current Illness:
Preexisting Conditions: None
Diagnostic Lab Data: serum measles Ab 03/01/07 - failed to seroconvert
CDC Split Type: WAES0703USA00594
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
SMQs:
Write-up: Information has been received from a health professional concerning a 43 year old female with no known allergies or medical history who on 12-JUN-2006 was vaccinated with MMR. On 01-Mar-2007, the patient had a titer drawn that showed that she failed to seroconvert to measles only. The health professional reported that the patient will probably get revaccinated with the MMR. Medical attention was sought. Additional information has been requested.

VAERS ID:281698 (history)  Vaccinated:2007-06-13
Age:43.0  Onset:2007-06-13, Days after vaccination: 0
Gender:Female  Submitted:2007-06-14, Days after onset: 1
Location:New Hampshire  Entered:2007-06-14
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Lexapro, multivits, and Singulair
Current Illness: none
Preexisting Conditions: environmental and food allergies
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.0379U4IMRA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Back pain, Musculoskeletal stiffness, Neck pain, Pain in extremity, Vaccine positive rechallenge
SMQs:, Retroperitoneal fibrosis (broad), Dystonia (broad), Parkinson-like events (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Arthritis (broad)
Write-up: Rec''d #5 HepB vaccine at 11am 6/13/07 in right deltoid and at 6:15pm that night had sudden onset of neck pain/stiffness, mid upper back pain and right arm pain. No fever. Brought through Fast Track/ER and evaluated by Dr. who concurred that this was indeed a vaccine reaction. Patient then remembered having a stiff neck after #4, not as severe, but had not connected it to the vaccine at the time.

VAERS ID:281738 (history)  Vaccinated:2007-06-06
Age:43.0  Onset:2007-06-06, Days after vaccination: 0
Gender:Male  Submitted:2007-06-08, Days after onset: 2
Location:New Jersey  Entered:2007-06-14, 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: An local Rxn not Systemic
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
ANTH: ANTHRAX (BIOTHRAX)EMERGENT BIOSOLUTIONSFAV1056SCLA
TYP: TYPHOID VI POLYSACCHARIDE (TYPHIM VI)SANOFI PASTEURZ11022 IMRA
Administered by: Military     Purchased by: Military
Symptoms: Injection site erythema, Injection site warmth, Local reaction
SMQs:, Extravasation events (injections, infusions and implants) (broad)
Write-up: Erythemic area about 20 cm at injection site. Warm to touch

VAERS ID:284122 (history)  Vaccinated:2007-06-01
Age:43.0  Onset:2007-06-01, Days after vaccination: 0
Gender:Female  Submitted:2007-07-09, Days after onset: 38
Location:California  Entered:2007-07-09
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: penicillin - rash
Diagnostic Lab Data: None done.
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.028441SCLA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Pruritus, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow)
Write-up: States that several hours after receiving MMR injection she 6/1/07 she developed "itchy welts" on arm and continued to develop new welts on both her arms and her leg. Continued to develop new welts until 6/15/07. Took Benadryl 50 mg once daily until 6/15/07. Denied SOB, difficulty swallowing or any swelling or fever.

VAERS ID:284313 (history)  Vaccinated:2003-12-18
Age:43.0  Onset:0000-00-00
Gender:Male  Submitted:2007-06-27
Location:North Carolina  Entered:2007-07-11, Days after submission: 14
Life Threatening? Yes
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: See hospital records records received 8/2/07-MRI brain normal. Echocardiogram, abnormal E/A ratio and or DT suggestive of abnormal relaxation pattern vs. abnormal variant related to aging. CT head normal. Complete spine x-ray paravertebral muscle spasm appeared. CXR normal Migraine headaches, bones pains, depressive disorder, also clasined as stress, sleepin condition, calcific tendonitis, osteoarthritis, hypertension, radiccion sexual.
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
ANTH: ANTHRAX (NO BRAND NAME)UNKNOWN MANUFACTURER 3  
Administered by: Military     Purchased by: Military
Symptoms: Back pain, Bone pain, Calcinosis, Chest X-ray normal, Computerised tomogram normal, Depression, Dyssomnia, Echocardiogram abnormal, Erectile dysfunction, Headache, Hernia repair, Hypercholesterolaemia, Hypertension, Hypoaesthesia, Inguinal hernia, Major depression, Migraine, Muscle spasms, Nervous system disorder, Nuclear magnetic resonance imaging brain, Osteoarthritis, Polyarthritis, Tinea infection
SMQs:, Dyslipidaemia (narrow), Peripheral neuropathy (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Retroperitoneal fibrosis (broad), Dystonia (broad), Psychosis and psychotic disorders (broad), Guillain-Barre syndrome (broad), Hypertension (narrow), Cardiomyopathy (broad), Depression (excl suicide and self injury) (narrow), Lipodystrophy (broad), Osteonecrosis (broad), Arthritis (narrow)
Write-up: Headache, migraine headaches, bone pains, nerve conditions, receiving treatment. 8/1/07-records received-DX: Tinea. Hypercholesterolemia. Back pain. Hernia, inguinal with repair. Major Depressive Disorder, Recurrent. Dyssomia. Calcium deposits in tendon and bursa. Osteoarthritis. Hypertension. Headaches. 1/11/2010 I feel with arthritis all over my body, I suffer of depression and have sexual problems (E.D). I feel numbness in my arms and hands and pain all over my body and hypertension, headaches and cholesterol.

VAERS ID:284415 (history)  Vaccinated:2007-07-02
Age:43.0  Onset:2007-07-04, Days after vaccination: 2
Gender:Female  Submitted:2007-07-12, Days after onset: 8
Location:Kansas  Entered:2007-07-12
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Prilosec, Synthroid, Multi-vitamins
Current Illness: Recently completed antibiotic therapy for URI
Preexisting Conditions: Hx of Hodgkins-''87 Breast CA ''95
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (ADACEL)SANOFI PASTEURC2632AA IMLA
Administered by: Public     Purchased by: Unknown
Symptoms: Hypoaesthesia, Hypoaesthesia facial, Paraesthesia, Tongue disorder
SMQs:, Peripheral neuropathy (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad)
Write-up: 7-4-07 Numbness started on lt side of face and progressed to entire face. Tongue felt thick. Numbness worsened with time. 7-9-07 In the middle of night, client felt prickling and numbness in both arms. Saw PCP next am. The sensation had resolved by the time of the drs visit. 7-12-07 Spoke with client this am, symptoms some better. At this time the only area affect is her chin and jaw.

VAERS ID:284604 (history)  Vaccinated:2007-05-21
Age:43.0  Onset:2007-05-21, Days after vaccination: 0
Gender:Female  Submitted:2007-07-06, Days after onset: 46
Location:Pennsylvania  Entered:2007-07-13, Days after submission: 7
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (ADACEL)SANOFI PASTEURC2730AA0IM 
Administered by: Public     Purchased by: Private
Symptoms: Erythema, Local reaction, Pruritus, Swelling
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad)
Write-up: Local reaction, itch, swelling, red

VAERS ID:284616 (history)  Vaccinated:2007-05-04
Age:43.0  Onset:2007-05-09, Days after vaccination: 5
Gender:Female  Submitted:2007-07-06, Days after onset: 58
Location:Pennsylvania  Entered:2007-07-13, Days after submission: 7
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: none
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (ADACEL)SANOFI PASTEURC2730AA0IMUN
Administered by: Public     Purchased by: Private
Symptoms: Pain, Swelling
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: Left deltoid pain, swelling resolved 5/9/07

VAERS ID:284644 (history)  Vaccinated:2007-07-03
Age:43.0  Onset:2007-07-04, Days after vaccination: 1
Gender:Female  Submitted:2007-07-13, Days after onset: 9
Location:Texas  Entered:2007-07-13
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: none
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.91045102SCRA
Administered by: Private     Purchased by: Private
Symptoms: Activities of daily living impaired, Arthralgia, Fatigue, Oral herpes, Pyrexia, Rash
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Oropharyngeal infections (narrow), Hypersensitivity (narrow), Arthritis (broad)
Write-up: States she never "felt well" after receiving vaccine but at approx 1 week, on 7/11/07, she was complaining of severe joint pain that was debilitating enough that she could not work, mild rash, fever at night, fever blister on lip, fatigue. She was seen in our ED on 7/12/07 and advised to remain home and rest for 1 week.

VAERS ID:284884 (history)  Vaccinated:2003-03-18
Age:43.0  Onset:0000-00-00
Gender:Male  Submitted:2007-07-06
Location:Puerto Rico  Entered:2007-07-17, Days after submission: 11
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: None
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
ANTH: ANTHRAX (BIOTHRAX)EMERGENT BIOSOLUTIONS  UNUN
HEP: HEP B (NO BRAND NAME)UNKNOWN MANUFACTURER  UNUN
Administered by: Military     Purchased by: Military
Symptoms: Abdominal pain, Arthralgia, Back pain, Hypertension, Pollakiuria, Sinusitis, Visual disturbance, Weight increased
SMQs:, Acute pancreatitis (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Retroperitoneal fibrosis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypertension (narrow), Optic nerve disorders (broad), Lens disorders (broad), Retinal disorders (broad), Arthritis (broad)
Write-up: high blood pressure-medication for life. vision blind-laser treatment cramps legs. joint aches/urinary frequency/weight gain abdomen cramps/pain lower back/sinusitis/

VAERS ID:284944 (history)  Vaccinated:2007-06-13
Age:43.0  Onset:2007-07-10, Days after vaccination: 27
Gender:Male  Submitted:2007-07-17, Days after onset: 7
Location:Ohio  Entered:2007-07-17
Life Threatening? Yes
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: betapace, digoxin, coumadin
Current Illness: none
Preexisting Conditions: NKDA, diagnosis of obesity, atrial fibrillation, sleep apnea records received 8/1/07-HX of atrial fibrillation, gastric bypass and coronary artery disease
Diagnostic Lab Data: EMG, MRI, spinal tap records received 8/1/07- MRI C spine mild discogenic disease. CT scan brain negative. CSF mononuclear cells seen. EMG testing confirmed Guillain-Barre or mononeuritis multiplex. Recommend repeat EMG as it may take 2-3
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (FOREIGN)MERCK & CO. INC.00400U1IMLA
HEPA: HEP A (VAQTA)MERCK & CO. INC.024601IMLA
TDAP: TDAP (ADACEL)SANOFI PASTEURC2758AA0IMRA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Atrial fibrillation, Computerised tomogram normal, Electromyogram, Electromyogram abnormal, Guillain-Barre syndrome, Lethargy, Lumbar puncture, Mononeuropathy multiplex, Muscular weakness, Nuclear magnetic resonance imaging, Pain, Pain in extremity, Respiratory disorder
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (narrow), Supraventricular tachyarrhythmias (narrow), Acute central respiratory depression (broad), Guillain-Barre syndrome (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Demyelination (narrow)
Write-up: Development of Guillain-barre syndrome 2 weeks after vaccine administration, with weakness, lethargy, pain, mild respiratory symptoms...admitted to hospital, treated with IVIG 8/1/07-records received for DOS 7/13-7/17/07- DC DX: Guillain-Barre syndrome versus mononeuritis multiplex. Atrial fibrillation. Presented to ED with C/O left hand pain in dorsum of hand worsened with attempting pincher grip. Denies numbness. C/O progressive weakness in upper and lower extremities. RX with IVIG.

VAERS ID:285251 (history)  Vaccinated:2007-07-16
Age:43.0  Onset:2007-07-17, Days after vaccination: 1
Gender:Female  Submitted:2007-07-19, Days after onset: 2
Location:Alabama  Entered:2007-07-19
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)GLAXOSMITHKLINE BIOLOGICALSAHBVB287AA0IMRA
TD: TD ADSORBED (NO BRAND NAME)MASS. PUB HLTH BIOL LABTD168 IMLA
UNK: VACCINE NOT SPECIFIED (NO BRAND NAME)UNKNOWN MANUFACTURERC2512AC IDRA
Administered by: Other     Purchased by: Other
Symptoms: Dizziness, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Vestibular disorders (broad)
Write-up: Patient received Td in left deltoid and Hepatitis B #1 in right deltoid IM on 7/16/07 at 11:20am; no local reaction after 30 minutes went. Patient called 7/17/07 at 1330 - c/o dizziness and fever of 102.2 since 0530 that AM. Denied diarrhea, vomiting or rash. Temp at 1340 = 101.7. NP advised to come to clinic for observation. Patient refused, advised patient to go to ER immediately if symptoms worsen. Patient - NP tried to call patient at 1900. Patient called back - feeling better, temp 99.0 and not dizzy. Follow-up on 7/18 no local reaction at site and no complaints per patient.

VAERS ID:285540 (history)  Vaccinated:2007-07-10
Age:43.0  Onset:2007-07-11, Days after vaccination: 1
Gender:Unknown  Submitted:0000-00-00
Location:Alaska  Entered:2007-07-23
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: Unknown
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (ADACEL)SANOFI PASTEURC2631AA1IMRA
UNK: VACCINE NOT SPECIFIED (NO BRAND NAME)UNKNOWN MANUFACTURERC2461AA IDLA
Administered by: Public     Purchased by: Public
Symptoms: Asthenia, Cold sweat, Fatigue, Headache, Injection site erythema, Injection site swelling, Injection site warmth
SMQs:, Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: Client reports gradual onset of HA, fatigue, afebrile, skin cold and clammy. Generalized weakness. Vaccination site red, swollen and hot to touch. Symptom duration 24-36 hours. Resolved at this time except left deltoid still red and swollen but subsiding.

VAERS ID:285575 (history)  Vaccinated:2007-04-30
Age:43.0  Onset:0000-00-00
Gender:Female  Submitted:0000-00-00
Location:New York  Entered:2007-07-23
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)GLAXOSMITHKLINE BIOLOGICALSAHBVB301AA1IMLA
Administered by: Private     Purchased by: Private
Symptoms: Incorrect dose administered
SMQs:
Write-up: Pediatric dose 10mcg/0.5 ml Hepatitis B vaccine (Engerix-B) administered on 4/30/07 and 6/1/07 instead of an adult dose No adverse events noted.

VAERS ID:285967 (history)  Vaccinated:2007-07-24
Age:43.0  Onset:2007-07-24, Days after vaccination: 0
Gender:Male  Submitted:2007-07-25, Days after onset: 1
Location:California  Entered:2007-07-25
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: None
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
ANTH: ANTHRAX (BIOTHRAX)EMERGENT BIOSOLUTIONSFAV110 SCRA
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.0042U IMRA
SMALL: SMALLPOX (DRYVAX)PFIZER/WYETH4020076 IDLA
Administered by: Military     Purchased by: Military
Symptoms: Throat tightness
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Hypersensitivity (broad)
Write-up: Tightness of airway, feeling of something caught in throat. Tx: Benadryl 50 mg, Solumedrol 125mg IM (1452).

VAERS ID:285971 (history)  Vaccinated:2007-07-24
Age:43.0  Onset:2007-07-24, Days after vaccination: 0
Gender:Female  Submitted:2007-07-25, Days after onset: 1
Location:Pennsylvania  Entered:2007-07-25
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: hydrochlorothiazide/albuterol
Current Illness: None
Preexisting Conditions: HTN, asthma
Diagnostic Lab Data: None
CDC Split Type:
Vaccination
Manufacturer
Lot
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Site
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.055460IMUN
Administered by: Private     Purchased by: Other
Symptoms: Cold compress therapy, Injection site erythema, Injection site induration, Injection site pain, Injection site swelling
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: red, swollen, painful (L) arm was induration vaccine site Tx Keflex/ice

VAERS ID:286119 (history)  Vaccinated:2007-07-09
Age:43.0  Onset:2007-07-18, Days after vaccination: 9
Gender:Female  Submitted:2007-07-23, Days after onset: 5
Location:Washington  Entered:2007-07-27, 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: None
Preexisting Conditions: None
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
MU: MUMPS (MUMPSVAX II)MERCK & CO. INC.1187F1SCRA
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.1506F1SCLA
Administered by: Private     Purchased by: Private
Symptoms: Cellulitis, Rash
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow)
Write-up: Titer negative. Dose #1 Varivax given 6/8/07. Dose #2 7-9-07 on 7/18 began with pox eruptions, on 7/23 more pox erupting and cellulitis on anterior neck referred to MD for evaluation. 7/23 MD started antibiotic and "salve" per patient.

VAERS ID:286302 (history)  Vaccinated:2007-07-02
Age:43.0  Onset:2007-07-02, Days after vaccination: 0
Gender:Female  Submitted:2007-07-19, Days after onset: 17
Location:Texas  Entered:2007-07-31, Days after submission: 12
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Diovan HCT 160/12.5
Current Illness: None
Preexisting Conditions: Allergic to Vancomycin, HTN
Diagnostic Lab Data: N/A
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (ADACEL)SANOFI PASTEURC2730AA0IMLA
Administered by: Public     Purchased by: Public
Symptoms: Anxiety, Dizziness, Erythema, Heart rate increased, Injection site swelling, Pain, Pyrexia, Tremor
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Parkinson-like events (broad), Noninfectious encephalopathy/delirium (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Vestibular disorders (broad), Hypersensitivity (broad)
Write-up: 7/2/07 10-15 min. after Tdap administered onset of anxiousness, lightheadedness, body shakes and increased heart rate, lasting about 5 minutes. 7/3/07 - Body aches all day - low grade fever 99.9, swelling at site. Fever increased 101 in evening. 7/4/07 2 AM fever increased 103.9 - remained 101-103 all day. Increased swelling in arm and redness. 7-5-07 Fever down 100.4-100.5. Called in sick to work. Returned to work on 7/6/07.

VAERS ID:286403 (history)  Vaccinated:2007-07-21
Age:43.0  Onset:2007-07-23, Days after vaccination: 2
Gender:Male  Submitted:2007-07-31, Days after onset: 8
Location:Maine  Entered:2007-07-31
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: hiatal hernia
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
ANTH: ANTHRAX (BIOTHRAX)EMERGENT BIOSOLUTIONSFAV1030IDRA
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.069140IMLA
Administered by: Military     Purchased by: Military
Symptoms: Diarrhoea, Dizziness, Flushing, Hyperhidrosis, Nausea
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad), Hypersensitivity (broad), Noninfectious diarrhoea (narrow)
Write-up: nausea within 48 hours of vaccination, lasting 3+ days (acerbated by heat and humidity); diarrhea within 8 days of vaccination, lasting 2+ days symptom still present; sweating within 48 hours of vaccination, lasting 7+ days (acerbated by heat and humidity); sensation of warmth within 8 days of vaccination, lasting 2+ days symptom still present; lightheadedness within 8 days of vaccination, lasting 2+ days; and flushing within 8 days of vaccination, lasting 2+ days symptom still present

VAERS ID:286664 (history)  Vaccinated:2006-08-29
Age:43.0  Onset:0000-00-00
Gender:Female  Submitted:2007-07-30
Location:Missouri  Entered:2007-08-02, 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: ALLEGRA; ibuprofen
Current Illness: Seasonal allergy
Preexisting Conditions:
Diagnostic Lab Data: None
CDC Split Type: WAES0609USA00423
Vaccination
Manufacturer
Lot
Dose
Route
Site
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC. 0SCUN
Administered by: Other     Purchased by: Other
Symptoms: Erythema, Nausea, Pyrexia, Skin warm
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypersensitivity (broad)
Write-up: Initial and follow-up information has been received from a health care worker and a medical assistant concerning a 44 year old, white female with no drug reactions, with seasonal allergies, whose reported weight was 152 pounds, who on 29-AUG-2006 at her annual physical with reportedly no illness was vaccinated subcutaneously, in the left upper arm with a 0.5 ml dose of Pneumovax 23. Concomitant therapy included ibuprofen and ALLEGRA, as needed. Subsequently the patient developed a red, raised, feverish area approximately 2 1/2 inches wide to her left upper arm. It was reported the patient ran a fever and felt nauseous times 2 days. The physician was informed. The patient sought unspecified medical attention. The patient was told to take ibuprofen, and instructed to apply ice to the affected area an if "resp" issues occurs. At the time of the report, the patient recovered. Additional information has been requested.

VAERS ID:286690 (history)  Vaccinated:2006-09-08
Age:43.0  Onset:2006-09-10, Days after vaccination: 2
Gender:Male  Submitted:2007-07-30, Days after onset: 323
Location:Tennessee  Entered:2007-08-02, Days after submission: 3
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: COREG; felodipine; glimepiride; spironolactone; DIOVAN
Current Illness: Blood pressure high; Diabetes
Preexisting Conditions:
Diagnostic Lab Data: None
CDC Split Type: WAES0609USA07529
Vaccination
Manufacturer
Lot
Dose
Route
Site
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.1036P IMUN
Administered by: Other     Purchased by: Other
Symptoms: Arthralgia, Injected limb mobility decreased, Injection site pain, Myalgia
SMQs:, Rhabdomyolysis/myopathy (broad), Extravasation events (injections, infusions and implants) (broad), Eosinophilic pneumonia (broad), Arthritis (broad)
Write-up: Information has been received from a registered nurse concerning a 43 year old male with high blood pressure and diabetes and no drug allergies who on 08-SEP-2006 was vaccinated with a dose of Pneumovax 23 (lot # 651321/1036P) (0.5 ml), intramuscularly in the deltoid. Concomitant therapy included COREG, DIOVAN, felodipine, glimepiride and spironolactone. On 10-SEP-2006 the patient experienced pain in the injection arm and joint pain from the deltoid muscle to the rotator cuff that prevented the patient from lifting his arm above his head. There was no initial injection site rash or fever noted. The muscle/joint pain lasted for 2 weeks until the office was contacted. The patient was instructed to take ALEVE two tablets every 12 hours at that point. On 27-SEP-2006 the patient had recovered his full range of motion in the arm and was feeling fine. The nurse stated that the patient''s symptoms were not serious. The patient''s symptoms "resolved on their own." Additional information is not expected.

VAERS ID:287550 (history)  Vaccinated:2007-02-27
Age:43.0  Onset:2007-02-27, Days after vaccination: 0
Gender:Female  Submitted:2007-07-30, Days after onset: 152
Location:Illinois  Entered:2007-08-02, Days after submission: 3
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0703USA00052
Vaccination
Manufacturer
Lot
Dose
Route
Site
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.  SCUN
Administered by: Private     Purchased by: Other
Symptoms: Incorrect dose administered, Incorrect route of drug administration, Injection site swelling, Injection site warmth, Oedema peripheral, Pain
SMQs:, Cardiac failure (broad), Angioedema (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: Information has been received from a registered nurse concerning a 43 year old female who on 27-FEB-2007 was administered Pneumovax 23, 0.1 ml intradermally. There was no concomitant medication. On 27-FEB-2007, within several hours of the injection, the patient experienced pain, local heat at the injection site, and swelling from her elbow to her wrist. Medical attention was sought. The patient was treated with over-the-counter (OTC) BENADRYL and ice. At the time of reporting, the patient was recovering. No other information was available at the time of reporting. Additional information has been requested. Additional information was received from the registered nurse. The patient experienced sweling at the site and forearm (minimal) which resolved completely in about 24 hours. The patient recovered in approximately 24 hours. No additional information is expected.

VAERS ID:287567 (history)  Vaccinated:1999-10-30
Age:43.0  Onset:2003-07-17, Days after vaccination: 1356
Gender:Female  Submitted:2007-08-07, Days after onset: 1482
Location:Virginia  Entered:2007-08-09, Days after submission: 2
Life Threatening? Yes
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: 1981, concussion following a head injury, History of exercise-induced asthma; rarely symptomatic; currently no treatment required, Developed GERD during chemotherapy, that resolved after chemotherapy completed, Numbness and tingling in toes bilaterally, resulting from side effect of chemotherapy, Hospitalizations-childbirth and surgeries only
Diagnostic Lab Data: WBC 4.02, Plts 241, Hgb 12.9, Hct 39.3, 5/27/03 WBC 4.7, Plts 235, Hgb 12.9, Hct 39.4, BUN 10, Cr 0.9, Na 143, K 4.1, CL 103, Co2 31, LDH 0.6, T. bili 0.8, Alk phos 66, Glucose 119, Ca 10.1, T. protein 7.0, Albumin 4.2 11/12/02, Excision right breast mass pathology report: Right breast, infiltrating duct carcinoma, grade III
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
ANTH: ANTHRAX (NO BRAND NAME)UNKNOWN MANUFACTURER 3SCUN
Administered by: Military     Purchased by: Military
Symptoms: Blood albumin normal, Blood alkaline phosphatase normal, Blood bilirubin increased, Blood chloride normal, Blood creatinine normal, Blood glucose increased, Blood lactate dehydrogenase decreased, Blood potassium normal, Blood sodium normal, Blood urea normal, Breast cancer in situ, Breast mass, Carbon dioxide increased, Chemotherapy, Haematocrit normal, Haemoglobin normal, Mastectomy, Platelet count normal, Protein total normal, Radiotherapy, White blood cell count
SMQs:, Liver related investigations, signs and symptoms (narrow), Acute pancreatitis (broad), Hyperglycaemia/new onset diabetes mellitus (narrow), Malignancy related therapeutic and diagnostic procedures (narrow), Biliary system related investigations, signs and symptoms (narrow), Malignant tumours (narrow), Breast malignant tumours (narrow)
Write-up: Diagnosed with ductal carcinoma of the right breast in October 2002-T2N0MO, ER negative, PR negative, HER-2/neu positive. Lump noted in October 2002; mammogram and ultrasound confirmed mass. A sentinel node bx was done in November and in December 2002, a right segmental mastectomy with axillary node dissection was performed. She underwent chemotherapy in January 2003 through April 2003. She also had a 5-week course of full breast radiation therapy and pinpoint radiation therapy x 1 1/2 weeks. 8/10/07 Clinical summary from VHC accompanied VAERS report along w/vax record. Will consider case closed as is. Patient developed breast cancer in 2002. Received anthrax vax 1999-2000. Underwent mastectomy, chemotherapy & radiation therapy in 2003. Continues f/u every other month w/oncologist. Per 60 day followup: Status unknown, no longer in the military.

VAERS ID:287797 (history)  Vaccinated:2007-08-06
Age:43.0  Onset:2007-08-07, Days after vaccination: 1
Gender:Female  Submitted:2007-08-09, Days after onset: 2
Location:New York  Entered:2007-08-10, Days after submission: 1
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: Seasonal allergies
Diagnostic Lab Data: N/A
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (ADACEL)SANOFI PASTEURC2771AA0IMLA
Administered by: Private     Purchased by: Private
Symptoms: Erythema, Pain in extremity
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (broad)
Write-up: Tdap given 8/6/07. Next morning: pain, redness left upper arm. Area of redness about 12cm around.

VAERS ID:288942 (history)  Vaccinated:2007-08-23
Age:43.0  Onset:2007-08-24, Days after vaccination: 1
Gender:Female  Submitted:2007-08-24, Days after onset: 0
Location:New York  Entered:2007-08-24
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: clonipin, Amitripyline, Prozac, Toprol
Current Illness: Pt. denies
Preexisting Conditions: HTN, brain tumor dx. 8 years ago
Diagnostic Lab Data: None
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
RAB: RABIES (RABAVERT)NOVARTIS VACCINES AND DIAGNOSTICS419011A2IMLA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Body temperature increased, Headache, Pain, Vomiting
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)
Write-up: Patient reports that she awoke at 0300 the day after recieving her third dose of Rabies vaccine with vomiting, a severe "unbearable" headache and a temprature of 103.1. She also reports feeling achy.

VAERS ID:288989 (history)  Vaccinated:2007-08-13
Age:43.0  Onset:2007-08-20, Days after vaccination: 7
Gender:Female  Submitted:2007-08-24, Days after onset: 4
Location:Massachusetts  Entered:2007-08-24
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: No
Preexisting Conditions: None
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
MM: MEASLES + MUMPS (MM-VAX)MERCK & CO. INC.0183U1SCRA
Administered by: Public     Purchased by: Unknown
Symptoms: Musculoskeletal pain, Neck pain, Oedema, Pain
SMQs:, Rhabdomyolysis/myopathy (broad), Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Arthritis (broad)
Write-up: right hand edema and pain, right forearm pain, right shoulder and neck pain, edema of supraclavicular region; pt given motrin 800 mg and t#3 prn. PPD placed as well, Sanofi-Pasteur, lot C2670AA, right forearm.

VAERS ID:289143 (history)  Vaccinated:2007-07-16
Age:43.0  Onset:2007-07-27, Days after vaccination: 11
Gender:Female  Submitted:2007-08-09, Days after onset: 13
Location:Florida  Entered:2007-08-27, 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: Ziac, Synthroid
Current Illness:
Preexisting Conditions: Hypothyroidism, Hypertension
Diagnostic Lab Data: 6/26/07 Rubella titer neg. 03 <.8 neg $g.99 Positive = scale for interpretation
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.1469F SCRA
Administered by: Public     Purchased by: Private
Symptoms: Fatigue, Headache, Rash
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow)
Write-up: Patient experienced mild headache, fatigue, rash pink, pinpoint over face and chest

VAERS ID:290202 (history)  Vaccinated:2007-08-22
Age:43.0  Onset:2007-08-22, Days after vaccination: 0
Gender:Female  Submitted:2007-09-04, Days after onset: 13
Location:New York  Entered:2007-09-10, 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: ASA - 81 mg; Toprol - 50 mg
Current Illness: None
Preexisting Conditions: Penicillin
Diagnostic Lab Data: None
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (ADACEL)SANOFI PASTEURC2758AA0IMRA
Administered by: Public     Purchased by: Other
Symptoms: Arthralgia, Body temperature increased, Chills, Headache, Injection site induration, Injection site pain, Malaise, Migraine, Myalgia, Nausea, Oedema peripheral
SMQs:, Rhabdomyolysis/myopathy (broad), Cardiac failure (broad), Acute pancreatitis (broad), Angioedema (broad), Neuroleptic malignant syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Eosinophilic pneumonia (broad), Arthritis (broad)
Write-up: Approximately 3 hours after receiving vaccine (Tdap) employee awoke from a nap, experiencing migraine headache, general malaise, chills, temp of 100.7, nausea. Lingering H/A following day accompanied with swollen fingers on right hand and a "grapefruit" size induration on right deltoid at site of injection. This lasted for 10 days, along with pain at the site. Right wrist pain developed and has continued to present. Employee helped by wearing supportive brace. Generalized muscle aches persisted 5-6 days after injection.

VAERS ID:291068 (history)  Vaccinated:2007-09-10
Age:43.0  Onset:2007-09-10, Days after vaccination: 0
Gender:Female  Submitted:2007-09-18, Days after onset: 8
Location:Oregon  Entered:2007-09-21, Days after submission: 3
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: No
Preexisting Conditions: Parkinson''s disease. PMH: Cervical dystonia. Hypertension. Allergic to Valium, hydrocodone, and Darvocet.
Diagnostic Lab Data: EKG, CXR, TSH, Drug Panel, ETOH, CBC, Metabolic Panel - all normal. Labs and Diagnostics: Urine drug screen (-). Beta HCG (-). Blood alcohol (-). UA WNL. CBC WNL. CMP with glucose 114 and BUN 6. TSH nomal. CXR normal. EKG with sinus tach
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEPAB: HEP A + HEP B (TWINRIX)GLAXOSMITHKLINE BIOLOGICALSAHABB080AB1UNLA
Administered by: Private     Purchased by: Unknown
Symptoms: Acute psychosis, Anxiety, Blood alcohol normal, Blood creatine phosphokinase MB, Blood creatine phosphokinase increased, Blood glucose increased, Blood human chorionic gonadotropin negative, Blood thyroid stimulating hormone normal, Blood urea, Chest X-ray normal, Delirium, Delusional perception, Drug screen negative, Dyspnoea, Electrocardiogram ST segment depression, Electrocardiogram abnormal, Electrocardiogram normal, Full blood count normal, Hallucination, Hallucination, auditory, Hallucination, tactile, Hypoaesthesia, Illusion, Irritability, Malaise, Metabolic function test normal, Paranoia, Psychotic disorder, Sinus tachycardia, Sleep disorder, Troponin, Urine analysis normal
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Peripheral neuropathy (broad), Hyperglycaemia/new onset diabetes mellitus (narrow), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Myocardial infarction (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Supraventricular tachyarrhythmias (narrow), Dementia (broad), Acute central respiratory depression (broad), Psychosis and psychotic disorders (narrow), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (narrow), Noninfectious meningitis (broad), Hostility/aggression (broad), Cardiomyopathy (broad), Other ischaemic heart disease (broad)
Write-up: Developed paranoia, delirium, hallucinations lasting 2 days after immunizations. 10/22/2007 MR received for DOS 9/12/2007for D/C Dx of Psychosis NOS, R/O pharmacologic precipitant. Pt presented to ER with the sensation of wetness on her chest. Pt was refered to Psychiatry for further eval as pt was having hallucinations. Pt reported not feeling well for several days prior to admission. The night following her Hep A&B vax pt could not sleep and began hearing things, became SOB, and c/o numbness in her arm and worsening irritability. Pt was having delusional beliefs. Admitted with dx Acute Psychosis, anxiety, HTN, cervical dystonia. Pt had a consult whose impression was that physical sx are part of the psychiatric symptom complex, maybe tactile hallucinations. Possible paranoid delusions, consider bi-polar disorder. Non-specific ECG abnormalities. Pt was recommended to remain in hospital for a full workup including an MRI, however pt signed out AMA

VAERS ID:291343 (history)  Vaccinated:2007-09-20
Age:43.0  Onset:2007-09-20, Days after vaccination: 0
Gender:Female  Submitted:2007-09-25, Days after onset: 5
Location:Connecticut  Entered:2007-09-25
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
HEPAB: HEP A + HEP B (TWINRIX)GLAXOSMITHKLINE BIOLOGICALSAHABB100AA0IMLA
Administered by: Public     Purchased by: Private
Symptoms: Chest discomfort, Dyspnoea, Hyperhidrosis, Palpitations
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad)
Write-up: Pt complained of heart palpitations, sweating, shortness of breath and chest heaviness. Sx started ~ 1 hour after vaccination. Relief after about 20-30 minutes with no treatment. She spoke with the nurse practitioner at her MD office who thought she was having an anxiety attack (no hx of same). Previous Tdap given at MD office 8/29 per patient (I do not have info regarding this asked for in question 14).

VAERS ID:291418 (history)  Vaccinated:2005-09-12
Age:43.0  Onset:2005-12-18, Days after vaccination: 97
Gender:Female  Submitted:2007-09-26, Days after onset: 646
Location:Georgia  Entered:2007-09-26
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: X-RAY, CT-SCAN
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
ANTH: ANTHRAX (BIOTHRAX)EMERGENT BIOSOLUTIONSFAV1041UNLA
HEP: HEP B (NO BRAND NAME)UNKNOWN MANUFACTURERUNK2UNRA
SMALL: SMALLPOX (DRYVAX)PFIZER/WYETH40300131OTLA
Administered by: Military     Purchased by: Military
Symptoms: Arthralgia, Computerised tomogram, Lymphadenopathy, Myalgia, Tenderness, X-ray
SMQs:, Rhabdomyolysis/myopathy (broad), Eosinophilic pneumonia (broad), Arthritis (broad)
Write-up: Muscle aches and joint aches (elbows, wrist, knees, fingers and jaw). Swelling and tenderness of lymph nodes especally underarm and neck.

VAERS ID:295998 (history)  Vaccinated:2007-07-05
Age:43.0  Onset:2007-07-05, Days after vaccination: 0
Gender:Female  Submitted:2007-09-24, Days after onset: 81
Location:Texas  Entered:2007-09-27, Days after submission: 3
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: None
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0707USA00826
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARZOS: ZOSTER (ZOSTAVAX)MERCK & CO. INC.  SCUN
Administered by: Private     Purchased by: Private
Symptoms: Wrong drug administered
SMQs:
Write-up: Information has been received from a registered nurse (R.N.) concerning a, 43-year-old female housewife with no pre-existing allergies, birth defects or medical conditions who on 05-JUL-2007 was inadvertently vaccinated with a subcutaneous dose of Zostavax (Oka/Merck) instead of Varivax (Oka/Merck). There were no illnesses at the time of vaccination. It is reported that this error was not due to product confusion but due to human error. It is unspecified if medical attention was sought. No adverse experience was related to this event. No further information is available. No product quality complaint was involved. Follow-up information received on 30-Jul-2007 via a telephone call from the registered nurse indicated that there has been no further contact from the female patient and there is no information about adverse experiences. The patient''s name was unknown, the physician involved was unavailable and the box of Zostavax (Oka/Merck) has since been emptied so the lot number could not be obtained. The nurse reported that the event happened because the nurse administering the vaccination thought she was grabbing a vile of generic varicella. The boxes were stored one in front of the other. No more information is expected.

VAERS ID:291926 (history)  Vaccinated:2007-09-19
Age:43.0  Onset:2007-09-27, Days after vaccination: 8
Gender:Female  Submitted:2007-10-01, Days after onset: 4
Location:California  Entered:2007-10-02, 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: Oxycontin ER, Gabepentin, Percocet, Adderall, Solendac, Allegra-D, Skelavix, Proventil, Serevent, Azmacort, Lexipro, Lorazepam
Current Illness: Rash
Preexisting Conditions: Atypical Rx/ inflammatory process, H/O Juvenile RA
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.AHBVB437CA0 LA
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.1218F  LA
Administered by: Other     Purchased by: Other
Symptoms: Rash macular
SMQs:, Hypersensitivity (narrow)
Write-up: Onset of rash - a few flat erythematous lesions ranging in size 3-4mm, 5 days after vaccinations.

VAERS ID:292273 (history)  Vaccinated:2007-09-28
Age:43.0  Onset:2007-09-28, Days after vaccination: 0
Gender:Female  Submitted:2007-09-28, Days after onset: 0
Location:Florida  Entered:2007-10-05, 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: Plaquenil 200 mg QD Effexor XR 75 mg QD
Current Illness: None
Preexisting Conditions: Systemic Lupus Erythematosus
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURU2439AA0UNLA
Administered by: Private     Purchased by: Private
Symptoms: Cough, Dry mouth, Dysgeusia, Dyspnoea, Feeling abnormal, Flushing, Hypoaesthesia oral, Paraesthesia oral, Throat tightness
SMQs:, Anaphylactic reaction (narrow), Angioedema (broad), Taste and smell disorders (narrow), Anticholinergic syndrome (broad), Dementia (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Cardiomyopathy (broad), Hypersensitivity (broad)
Write-up: Nursing Comments: approximately 5 minutes after receiving 1st flu shot injection started to have a metallic taste in mouth, about 2 minutes later started to feel flushed, layed pt back on table and applied ice pack, about 2 minutes later, started to c/o dry mouth and that tongue felt like it was hanging on the back of her throat, received v/o to give pt 50 mg Benadryl po, given pt benadry at 1235 p.m at 12:40 pt complains of throat feeling full, states "it feels funny" pt complains of numbness around lips, Dr. listened to lungs and looked in throat, order received to given Decadron 4 mg, given Decadron 4mg IM right deltoid at 1245 states numbness around lips wearing off, pt coughing occasionally, speaking clearly, states "I feel weird" 12:57 Dr came in to assess and listen to lungs, instructions given to pt that is she has trouble breathing to go hospital right away, pt agreeable. pt d/c''d home at 1:02 p.m.

VAERS ID:292299 (history)  Vaccinated:2007-08-06
Age:43.0  Onset:2007-08-06, Days after vaccination: 0
Gender:Male  Submitted:2007-10-05, Days after onset: 60
Location:Florida  Entered:2007-10-05
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: UNKNOWN
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAP: DTAP (NO BRAND NAME)UNKNOWN MANUFACTURERC2769AA0IMRA
Administered by: Unknown     Purchased by: Private
Symptoms: Headache, Oedema peripheral, Wrong drug administered
SMQs:, Cardiac failure (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: SWOLLEN DELTOID AREA AND HEADACHE. SWELLING IN DELTOID LASTED FOR 2 DAYS TO THE EXTENT THAT IT WAS PAINFUL TO DO DAILY ACTIVITIES. EMPLOYEE DID NOT CONTACT EMPLOYEE HEALTH FOR FOLLOW-UP.

VAERS ID:292403 (history)  Vaccinated:2007-09-20
Age:43.0  Onset:2007-09-21, Days after vaccination: 1
Gender:Female  Submitted:2007-10-02, Days after onset: 11
Location:Wisconsin  Entered:2007-10-08, 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:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (ADACEL)SANOFI PASTEURC2610AA IMLA
Administered by: Other     Purchased by: Other
Symptoms: Lymphadenopathy, Neck pain
SMQs:, Arthritis (broad)
Write-up: Received vaccine 9/20/07. 9/21/07 Developed sore neck with enlarged lymph nodes. 9/25/07 Lymph nodes decreasing in size.

VAERS ID:292461 (history)  Vaccinated:2007-08-10
Age:43.0  Onset:2007-08-11, Days after vaccination: 1
Gender:Female  Submitted:2007-09-07, Days after onset: 27
Location:Ohio  Entered:2007-10-08, Days after submission: 31
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Sinus infection
Preexisting Conditions: Food allergies in past
Diagnostic Lab Data: None
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TTOX: TETANUS TOXOID (NO BRAND NAME)SANOFI PASTEURC2771AA   
Administered by: Private     Purchased by: Private
Symptoms: Abasia, Oedema peripheral
SMQs:, Cardiac failure (broad), Angioedema (broad), Anticholinergic syndrome (broad), Dystonia (broad), Guillain-Barre syndrome (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: Less than 24hours later had severe swelling in hands and fingers. Within the next 36 -48 hours entire body inflamed all joints. Could hardly walk across the room. Then almost 3 weeks to the day of the shot felt I have all symptoms of Tetanus, very sick.

VAERS ID:292553 (history)  Vaccinated:2007-09-10
Age:43.0  Onset:2007-09-10, Days after vaccination: 0
Gender:Female  Submitted:2007-10-02, Days after onset: 22
Location:Texas  Entered:2007-10-09, 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:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAP: DTAP (DAPTACEL)SANOFI PASTEURC2607AA0UNLA
Administered by: Public     Purchased by: Public
Symptoms: Wrong drug administered
SMQs:
Write-up: Individual received single dose of DTaP instead of Tdap.

VAERS ID:292666 (history)  Vaccinated:2007-07-30
Age:43.0  Onset:2007-09-10, Days after vaccination: 42
Gender:Male  Submitted:2007-09-12, Days after onset: 2
Location:New York  Entered:2007-10-10, Days after submission: 28
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: Rash/ reactions to Hep B, viral exacerbation
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)GLAXOSMITHKLINE BIOLOGICALSAHBVB443AA2IM 
Administered by: Public     Purchased by: Military
Symptoms: Rash generalised
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow)
Write-up: Patient received Hep B #3 and PPD on 7/30/07 Lot# Hep B AHBVB443AA, he has a rash all over body, he denies taking any other meds.

VAERS ID:292961 (history)  Vaccinated:2007-10-10
Age:43.0  Onset:2007-10-11, Days after vaccination: 1
Gender:Female  Submitted:2007-10-13, Days after onset: 2
Location:West Virginia  Entered:2007-10-13
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: zoloft
Current Illness: none
Preexisting Conditions: disthymia
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (NO BRAND NAME)UNKNOWN MANUFACTURER  IMLA
Administered by: Public     Purchased by: Unknown
Symptoms: Arthralgia, Asthenia, Chills, Dizziness, Headache, Injection site pain, Injection site swelling, Nausea, Pain
SMQs:, Acute pancreatitis (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Vestibular disorders (broad), Arthritis (broad)
Write-up: The following day, severe headache, extreme dizziness, achiness, joint pain, nausea, weakness, chills, soreness at injection site. Day 2, same as day 1, less severe, except for injection site which was more tender, swollen. Day 3, nausea and injection site swelling and tenderness continues. Treated self with rest, naproxen and heat.

VAERS ID:293058 (history)  Vaccinated:2007-10-04
Age:43.0  Onset:2007-10-06, Days after vaccination: 2
Gender:Male  Submitted:2007-10-11, Days after onset: 5
Location:Georgia  Entered:2007-10-15, 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: The patient was not ill at the time of vaccination and had not received any vaccinations during the four week period period to receipt of Adacel. The patient''s medical history was unknown at the time of the report.
Diagnostic Lab Data: Not reported
CDC Split Type: 200703410
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (ADACEL)SANOFI PASTEURC2824AA0IMRA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Lymphadenopathy, Musculoskeletal pain, Radiculitis brachial
SMQs:, Rhabdomyolysis/myopathy (broad)
Write-up: Initial report received from a health care provider on 09 October 2007. A 43-year-old male patient had received an intramuscular right deltoid injection of Adacel, lot number C2824AA and two days later complained of lymphadenopathy under his right axilla and right shoulder pain radiating to the right axilla. The patient had diagnosed them self with brachial neuritis based on an Internet search and refused to be evaluated by a physician. The patient last received a dose of Tetanus and Diphtheria vaccine in 2000. No further information was provided and the patient''s recovery status was unknown at the time of the report.

VAERS ID:293758 (history)  Vaccinated:2007-10-16
Age:43.0  Onset:2007-10-17, Days after vaccination: 1
Gender:Female  Submitted:2007-10-19, Days after onset: 2
Location:Michigan  Entered:2007-10-19
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: eczema
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURV2465AA0IMRA
Administered by: Private     Purchased by: Private
Symptoms: Body temperature increased, Cough, Eye swelling, Nasal congestion
SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), Neuroleptic malignant syndrome (broad), Hypersensitivity (narrow)
Write-up: swollen left eye, temperature of 101.7 followed by cough and nasal congestion

VAERS ID:294151 (history)  Vaccinated:2007-10-08
Age:43.0  Onset:2007-10-09, Days after vaccination: 1
Gender:Female  Submitted:2007-10-19, Days after onset: 10
Location:New York  Entered:2007-10-23, 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: Percocet, Heparin, Unasyn
Current Illness: Left breast mass
Preexisting Conditions: No known allegies
Diagnostic Lab Data: None
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.97221060IMRA
Administered by: Private     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: 1.5 cm area of erythemia around injection site on right arm, area swollen and tender to elbow. Pain under axilla

VAERS ID:294165 (history)  Vaccinated:2007-10-22
Age:43.0  Onset:2007-10-22, Days after vaccination: 0
Gender:Female  Submitted:2007-10-23, Days after onset: 1
Location:Nebraska  Entered:2007-10-23
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: insulin
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: None
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.0988F0IMRA
Administered by: Private     Purchased by: Private
Symptoms: Injection site pain, Injection site swelling, Injection site warmth
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: Pain, swelling, increased warmth over site of injection (right deltoid. Seen approximately 24 hours after administration and signs improved, but present yet. Treated with ice compresses and acetaminophen.

VAERS ID:294465 (history)  Vaccinated:2007-10-15
Age:43.0  Onset:2007-10-16, Days after vaccination: 1
Gender:Female  Submitted:2007-10-25, Days after onset: 9
Location:Washington  Entered:2007-10-25
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Atenolol, Furosemide
Current Illness: None
Preexisting Conditions: Hypertension
Diagnostic Lab Data: None
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)GLAXOSMITHKLINE BIOLOGICALSAHBVB438BA0IMRA
TDAP: TDAP (ADACEL)SANOFI PASTEURC2759AA0IMLA
Administered by: Private     Purchased by: Private
Symptoms: Erythema, Injection site papule, Injection site urticaria, Pain in extremity, Swelling, Tenderness
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow)
Write-up: Employee comes in 10-17-07 @ 1630-says her arm very sore, red and puffy. 30cm x 15 cm red raised bump at injection site; then 135 cm x 100 cm red "hive" below inj site. 10-19-07 called empl. says no longer red, just tender to touch. 10-24-07 pain gone now. Resolved

VAERS ID:294479 (history)  Vaccinated:2007-10-18
Age:43.0  Onset:2007-10-18, Days after vaccination: 0
Gender:Female  Submitted:2007-10-18, Days after onset: 0
Location:Oregon  Entered:2007-10-25, 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: No
Preexisting Conditions: None Known
Diagnostic Lab Data: None
CDC Split Type: OR200742
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURU2443AA IMLA
HEP: HEP B (ENGERIX-B)GLAXOSMITHKLINE BIOLOGICALSAHBVB413AA IMLA
Administered by: Public     Purchased by: Public
Symptoms: Incorrect dose administered, Overdose
SMQs:, Drug abuse and dependence (broad)
Write-up: Patient given pediatric Hep B after consult with HD. Patient given adult Hep B vaccine approx 15 minutes after Peds dose. No adverse symptoms noted.

VAERS ID:294583 (history)  Vaccinated:2007-10-24
Age:43.0  Onset:2007-10-24, Days after vaccination: 0
Gender:Female  Submitted:2007-10-26, Days after onset: 2
Location:Georgia  Entered:2007-10-26
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: none
Preexisting Conditions: penicillin,codiene,bactrim
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)UNKNOWN MANUFACTURER   RA
Administered by: Unknown     Purchased by: Private
Symptoms: Chest discomfort, Fluid retention, Pharyngeal oedema
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Oropharyngeal allergic conditions (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow)
Write-up: Chest tightness, throat swelling,fluid around the neck area.

VAERS ID:294657 (history)  Vaccinated:2007-10-26
Age:43.0  Onset:2007-10-27, Days after vaccination: 1
Gender:Female  Submitted:2007-10-29, Days after onset: 2
Location:Florida  Entered:2007-10-29
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: No
Preexisting Conditions: No
Diagnostic Lab Data: Patient has not seen doctor yet.
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
ANTH: ANTHRAX (BIOTHRAX)EMERGENT BIOSOLUTIONSFAV1581SCRA
Administered by: Military     Purchased by: Military
Symptoms: Erythema, Oedema peripheral, Pain in extremity, Pruritus, Skin discolouration, Skin warm
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypotonic-hyporesponsive episode (broad), Hypersensitivity (broad)
Write-up: Redness, swelling, painful in the whole entire swollen area, bluish in color about the size of a half dollar, itching, hot to the touch.

VAERS ID:295130 (history)  Vaccinated:2007-10-23
Age:43.0  Onset:2007-10-24, Days after vaccination: 1
Gender:Female  Submitted:2007-10-31, Days after onset: 7
Location:California  Entered:2007-10-31
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Ritalin, Vicodin, Soma, Lorazepam, Effexor
Current Illness: None
Preexisting Conditions: Allergies, PCN, amoxicillin, erythromycin, HX toxic shock syndrome.
Diagnostic Lab Data: Orthostats, CMP, lipid panel, CBC, Sed rate, TSH, T3, T4
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLULAVAL)GLAXOSMITHKLINE BIOLOGICALSAFLLA052AA0 LA
TD: TD ADSORBED (NO BRAND NAME)SANOFI PASTEURU1923GA  RA
Administered by: Private     Purchased by: Private
Symptoms: Blood pressure orthostatic, Blood thyroid stimulating hormone, Chills, Cough, Full blood count, Laboratory test, Nausea, Pain, Pruritus generalised, Pyrexia, Thyroxine, Urticaria
SMQs:, Anaphylactic reaction (narrow), Acute pancreatitis (broad), Angioedema (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypersensitivity (narrow)
Write-up: After flu shot the next day pt c/o nausea, hives,itching "all over", Fever/chills. As of 10/31/07 c/o cough, body aches, hoarseness. Hives, itching resolved.

VAERS ID:295523 (history)  Vaccinated:2007-10-31
Age:43.0  Onset:2007-10-31, Days after vaccination: 0
Gender:Female  Submitted:2007-11-05, Days after onset: 5
Location:Michigan  Entered:2007-11-05
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:
Diagnostic Lab Data: cbc and
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (NO BRAND NAME)UNKNOWN MANUFACTURERUNSURE IM 
Administered by: Private     Purchased by: Unknown
Symptoms: Cough, Dyspnoea, Eye pruritus, Full blood count, Swelling face, Urticaria
SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Hypersensitivity (narrow)
Write-up: shot received wen am, trouble breathing and cough developed wen evening. itchy eyes on friday, hives and facial swelling on sat. cough and shortness of breath continues despite cough meds, nebulizer tx when seen in the office on Mon

VAERS ID:295550 (history)  Vaccinated:2007-10-12
Age:43.0  Onset:2007-10-15, Days after vaccination: 3
Gender:Male  Submitted:2007-10-29, Days after onset: 14
Location:Illinois  Entered:2007-11-05, Days after submission: 7
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (ADACEL)SANOFI PASTEURC2842AA0IMLA
Administered by: Private     Purchased by: Private
Symptoms: Injection site pain, Pain in extremity
SMQs:, Extravasation events (injections, infusions and implants) (broad)
Write-up: Pain in left upper arm in region of injection extending into posterior shoulder and trapezius starting 3 days after injection was given and seen in office 2 weeks later.

VAERS ID:295706 (history)  Vaccinated:2007-10-29
Age:43.0  Onset:2007-10-29, Days after vaccination: 0
Gender:Female  Submitted:2007-11-06, Days after onset: 8
Location:Texas  Entered:2007-11-06
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Plavix, Norvase, Baby Asprin, Advil
Current Illness: None
Preexisting Conditions: Chronic Cardiac problems had 2 surgeries in 2007.
Diagnostic Lab Data: No labs done. No blood drawn.
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.1175F1IMRA
Administered by: Private     Purchased by: Private
Symptoms: Headache, Injection site pain, Injection site swelling, Injection site warmth, Nausea, Pyrexia, Sleep disorder
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: Administered vaccine on 10/29/07 at 1129 to right deltoid area. Employee states she was unable to sleep due to pain/swelling at site and she also had a fever. Site was tender and warm to touch. Employee returned to work the following day but was naseated and had a headache. She was taken to the E.R. for evaluation due to several cardiac surgeries she had had during this year.

VAERS ID:295752 (history)  Vaccinated:2007-10-15
Age:43.0  Onset:2007-10-16, Days after vaccination: 1
Gender:Female  Submitted:2007-11-02, Days after onset: 17
Location:Maryland  Entered:2007-11-06, 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: Elavil
Current Illness: N/A
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)UNKNOWN MANUFACTURER  UNUN
Administered by: Public     Purchased by: Other
Symptoms: Chills, Pain
SMQs:
Write-up: Complete body aches and chills 14 hours after receiving flu shot on 10-15-07.

VAERS ID:295767 (history)  Vaccinated:2007-10-30
Age:43.0  Onset:2007-10-30, Days after vaccination: 0
Gender:Female  Submitted:2007-10-31, Days after onset: 1
Location:Nebraska  Entered:2007-11-06, 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: Unknown
Current Illness: None
Preexisting Conditions: None known
Diagnostic Lab Data: none
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURU2434AA1IMRA
Administered by: Other     Purchased by: Other
Symptoms: Pruritus, Pyrexia
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Hypersensitivity (broad)
Write-up: Reports itching (R) upper arm and shoulder and fever but not temperature actually taken.

VAERS ID:296098 (history)  Vaccinated:2007-11-01
Age:43.0  Onset:2007-11-01, Days after vaccination: 0
Gender:Male  Submitted:2007-11-07, Days after onset: 6
Location:New York  Entered:2007-11-08, 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: No
Preexisting Conditions: No
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (ADACEL)SANOFI PASTEUR2826AA0IMLA
Administered by: Private     Purchased by: Private
Symptoms: Body temperature increased
SMQs:, Neuroleptic malignant syndrome (broad)
Write-up: Vaccine given 11/1/07; Low grade temps Developed after vaccine x 5days

VAERS ID:296135 (history)  Vaccinated:2007-10-14
Age:43.0  Onset:2007-10-15, Days after vaccination: 1
Gender:Female  Submitted:2007-11-08, Days after onset: 24
Location:Alabama  Entered:2007-11-08
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: s/p TAH without complication 12/7/07-records received-status post total abdominal hysterectomy.
Preexisting Conditions: Mitral regurgitation,mitral valve prolapse 12/7/07-records received-HX of Depression.
Diagnostic Lab Data: WBC 11.0. No other pertinent data. All cultures negative. 12/7/07-records received-MRI negative for abscess. Blood, urine cultures no growth. WBC 10,000.
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)UNKNOWN MANUFACTURERUNKNOWN2IMRA
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.UNKNOWN SCRA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Blood culture negative, Cellulitis, Culture urine negative, Erythema, Induration, Lethargy, Nausea, Nuclear magnetic resonance imaging normal, Pyrexia, Swelling, White blood cell count, White blood cell count increased
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Angioedema (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad)
Write-up: Patient with uncomplicated TAH prepared for discharge given pneumococcal vaccine in right deltoid. Subsequently developed severe swelling, redness and induarted patch approximating 8-10 cm in circumference on right shoulder. Became febile, lethargic, nausea and required admission to hospital for care. Infectious Disease consult for possible cellulitis. No infectious etiology determined. 12/06/07-records received for DOS 10/15-10/17/07-Right upper extremity pain and inflammation. Discharged day prior after hysterectomy. C/O elevated temperature with cellulitis at the injection site of pneumococcal vaccine administered day before. Seen in ED on 10/14/07- and discharged home, returned on 10/15/07 with temperature greater than 103.0 and progressing cellulitis. No improvement transferred to another facility for possible worsening cellulitis versus servere allergic reaction to vaccination. 12/7/07-receiving facility records for DOS 10/17-10/20/07-DC DX: right upper arm cellulitis vesus allergic reactions fo intramuscular vaccine.

VAERS ID:296351 (history)  Vaccinated:2007-10-30
Age:43.0  Onset:2007-11-01, Days after vaccination: 2
Gender:Female  Submitted:2007-11-05, Days after onset: 4
Location:South Dakota  Entered:2007-11-09, Days after submission: 4
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Patient reports she is on Singulair daily
Current Illness: None
Preexisting Conditions: Allergies, asthma
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
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Site
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)NOVARTIS VACCINES AND DIAGNOSTICS79719 IMLA
Administered by: Public     Purchased by: Unknown
Symptoms: Injection site erythema, Injection site swelling, Pruritus
SMQs:, Anaphylactic reaction (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad)
Write-up: Redness/swelling at injection site - spreading to shoulder area, neck and roof of mouth, itches.

VAERS ID:296442 (history)  Vaccinated:2007-10-04
Age:43.0  Onset:2007-10-05, Days after vaccination: 1
Gender:Female  Submitted:2007-11-12, Days after onset: 38
Location:Virginia  Entered:2007-11-12
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Atenolol,Zyrtec
Current Illness: None
Preexisting Conditions: ASA, Macrobid
Diagnostic Lab Data: CBC
CDC Split Type:
Vaccination
Manufacturer
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Site
FLU3: INFLUENZA (SEASONAL) (FLULAVAL)GLAXOSMITHKLINE BIOLOGICALSAFFLA035AA IMRA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Full blood count, Injection site swelling, Lymphadenopathy
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: Developed extensive swelling from site of injection up into right shoulder, right side of neck with right anterior cervical, post cervical and sight supraclavicular lymphadenopathy. Pt given DepoMedrol 160 mg IM, Prednisone 40mg taper over 4 days, and Lortabs for pain.

VAERS ID:296578 (history)  Vaccinated:2007-11-02
Age:43.0  Onset:2007-11-08, Days after vaccination: 6
Gender:Male  Submitted:2007-11-12, Days after onset: 4
Location:Washington  Entered:2007-11-13, Days after submission: 1
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
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Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURU2523AA0IMLA
Administered by: Other     Purchased by: Private
Symptoms: Hypoaesthesia
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad)
Write-up: Patient is experiencing numbness from tip of thumb to forefinger of left hand (vaccine was administered to left arm).

VAERS ID:296642 (history)  Vaccinated:2007-10-02
Age:43.0  Onset:2007-10-20, Days after vaccination: 18
Gender:Male  Submitted:2007-11-13, Days after onset: 24
Location:Connecticut  Entered:2007-11-14, Days after submission: 1
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: asthma; mild intermittent
Diagnostic Lab Data: MRI of brain -; EEG -; Lumbar puncture; Lumbar Mononuclear cell/HPF 4/7/08-records received-BUN 14, creatinine 1. CPK 215 and peaked in 6000, MB of 2 and peak of 15 and troponin negative. CSF crytococcus antigen negative, Lyme negative, PCR and CMV negative. HSV negative. Blood and urine cultures negative. EEG No focal seiruze noted. CT scan unremarkable. MRI brain negative.
CDC Split Type: CT200719
Vaccination
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Site
FLU3: INFLUENZA (SEASONAL) (FLUARIX)GLAXOSMITHKLINE BIOLOGICALSAFLUA282DA0UNLA
Administered by: Other     Purchased by: Public
Symptoms: Blood creatine phosphokinase MB increased, Blood creatine phosphokinase increased, Blood culture negative, Blood urea increased, Body temperature increased, Bundle branch block left, CSF cell count normal, CSF culture negative, Computerised tomogram normal, Convulsion, Culture urine negative, Dyskinesia, Electroencephalogram normal, Endotracheal intubation, Gaze palsy, Headache, Lumbar puncture abnormal, Musculoskeletal stiffness, Nuclear magnetic resonance imaging brain normal, Photophobia, Status epilepticus, Tachycardia, Troponin, Unresponsive to stimuli
SMQs:, Rhabdomyolysis/myopathy (broad), Acute renal failure (broad), Angioedema (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (narrow), Systemic lupus erythematosus (broad), Myocardial infarction (narrow), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Conduction defects (narrow), Retroperitoneal fibrosis (broad), Convulsions (narrow), Dyskinesia (narrow), Dystonia (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (narrow), Glaucoma (broad), Corneal disorders (broad), Retinal disorders (broad), Ocular motility disorders (narrow), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (narrow), Chronic kidney disease (broad), Arthritis (broad), Tumour lysis syndrome (broad)
Write-up: Headache, Photophobia, Neck Stiffness Beginning 3 days after vaccine seizure, 10 days after vaccine 4/7/08-records received for DOS 10/27-11/03/07-DC DX: Questional aseptic menignitis vs encephalitis. New onset of left bundle branch block. Seen in ED after being found unresponsive at home. Feeling unwell, tired and weak, headache and tinnitus. Woke up screaming and found with eyes folled back, not responding. Seizures observed with jerking movements. Status epilepticus in ED, intubated. Wide complex tachycardia. Temperature increase to 102.9.

VAERS ID:296679 (history)  Vaccinated:0000-00-00
Age:43.0  Onset:0000-00-00
Gender:Female  Submitted:2007-11-14
Location:California  Entered:2007-11-14
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
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Site
UNK: VACCINE NOT SPECIFIED (NO BRAND NAME)UNKNOWN MANUFACTURER  UNUN
Administered by: Unknown     Purchased by: Unknown
Symptoms: Blood glucose increased, Diabetes mellitus, Feeling hot, Heart rate increased, Malaise, Paraesthesia oral
SMQs:, Hyperglycaemia/new onset diabetes mellitus (narrow), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad)
Write-up: Post-injection patient complained of feeling hot, ill, & that tongue was tingling & tarty. Lying supine. Patient is diabetic. She had not administered her insulin dose prior to eating lunch, but she ate a normal meal. Checked her heart rate & it was rapid at 120 bpm. Called 911 since patient kept stating feeling ill & that her tongue was tingling. Patient then mentioned that she feels like this whenever her blood sugars are high. Instructed patient to check blood sugar & her level was 329. Advised her to give insulin & she did. Her heart rate almost went down immediately to 96 bpm. She began to feel better when emergency personnel arrived. Her blood sugar decreased & her heart rate dropped to 80 bpm. Patient refused emergency treatment & signed a waiver of release & did not go to hospital. Bouts occurred around 3pm on 11-13-07.

VAERS ID:296692 (history)  Vaccinated:2007-11-05
Age:43.0  Onset:2007-11-05, Days after vaccination: 0
Gender:Female  Submitted:2007-11-14, Days after onset: 9
Location:Missouri  Entered:2007-11-14
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Estrogen
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEUR02488AA0IMLA
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.0963U0IMLA
Administered by: Unknown     Purchased by: Private
Symptoms: Axillary pain, Chills, Injection site pain, Nausea, Pain, Pain in extremity, Rash macular, Sleep disorder, Tremor
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Parkinson-like events (broad), Noninfectious encephalopathy/delirium (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypersensitivity (narrow)
Write-up: I started with chills the night of 11/05. By the time I went to bed, I was nauseated and achy. I was chilling so badly that I couldn''t stop shaking. My arm where the injections were given was sore down to my elbow and sore under my arm. It was so sore that between my other symptoms I was unable to sleep that night. The next morning the symptoms continued and my fever broke. My skin had red bloches all over. I continued to take Ibuprofen and got enough relief to go to work the next day. The same symptoms contined until 11/7. My arm was no longer tender after 11/8.

VAERS ID:296694 (history)  Vaccinated:2007-11-06
Age:43.0  Onset:2007-11-06, Days after vaccination: 0
Gender:Male  Submitted:2007-11-14, Days after onset: 8
Location:Texas  Entered:2007-11-14
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: nka
Diagnostic Lab Data: no diagnostic testing performed
CDC Split Type:
Vaccination
Manufacturer
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FLU3: INFLUENZA (SEASONAL) (FLULAVAL)GLAXOSMITHKLINE BIOLOGICALSAFLLA031AA0IMLA
Administered by: Unknown     Purchased by: Private
Symptoms: Oedema peripheral, Vaccination complication
SMQs:, Cardiac failure (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: 0800 11/06/07 Shortly after receiving flu vaccination in left deltoid. Pt described swelling in left hand unable to make a fist. No nausea, dizzness, difficulty breathing, tightness in chest or throat. Only Sx experienced was swelling in left hand. Pt. states went to personal physician who told him it was a reaction to the flu shot and gave him an "anti-inflammatory medication", P.O.. Pt. states swelling subsided by approx 2330 on the 6th and has had no other effect from the flu shot. States that he is back to normal again.

VAERS ID:299478 (history)  Vaccinated:2006-10-18
Age:43.0  Onset:0000-00-00
Gender:Female  Submitted:2007-06-05
Location:Virginia  Entered:2007-11-14, Days after submission: 162
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: The patient had a history of asthma and an allergy to peanuts.
Diagnostic Lab Data:
CDC Split Type: 200602807
Vaccination
Manufacturer
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Dose
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Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURU2273A IM 
Administered by: Private     Purchased by: Unknown
Symptoms: Erythema, Oedema peripheral, Pruritus, Skin warm
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad)
Write-up: Initial case received on 25 October 2006 from a health care professional. A 43-year old female patient, with a history of asthma and allergy to peanuts, had received a left deltoid, intramuscular injection of Fluzone SV 2006-2007, on 18 October 2006. At an unspecified time post-vaccination, the patient developed a three inch swollen red area. She complained it was hot and swollen; and, once the redness subsided, she complained of pruritus. At the time of this report, recovery status was unknown. Follow-up information received on 29 May 2007 from the patient who is a physician. The patient had no illnesses at the time of the vaccination on 08 October 2006. No relevant diagnostic tests or laboratory data were performed for the adverse events. It was reported that the patient recovered from these adverse events (date of recovery was not provided). No further information is expected.

VAERS ID:296923 (history)  Vaccinated:2007-11-06
Age:43.0  Onset:2007-11-06, Days after vaccination: 0
Gender:Female  Submitted:2007-11-06, Days after onset: 0
Location:Ohio  Entered:2007-11-15, 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 known
Preexisting Conditions:
Diagnostic Lab Data: none
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURU2505AA IMLA
Administered by: Public     Purchased by: Public
Symptoms: Headache, Hypoaesthesia, Neck pain
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Arthritis (broad)
Write-up: Client called Health Dept stating she had received flu vaccine w/i last 30 mins and now had headache, and felt numb!! also neck pain.

VAERS ID:297002 (history)  Vaccinated:2007-11-13
Age:43.0  Onset:2007-11-14, Days after vaccination: 1
Gender:Female  Submitted:2007-11-15, Days after onset: 1
Location:Nebraska  Entered:2007-11-15
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: Med Allergies to opiates
Diagnostic Lab Data: Varicella Zoster AB - Equivocal 11-2-07
CDC Split Type:
Vaccination
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HEP: HEP B (ENGERIX-B)GLAXOSMITHKLINE BIOLOGICALSAVBVB431BA1IMRA
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.9724308 SCRA
Administered by: Public     Purchased by: Other
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Malaise, Varicella zoster virus serology positive
SMQs:, Extravasation events (injections, infusions and implants) (broad)
Write-up: On 11-14-07 noticed red area to arm where varicella was given. Had arm looked at by nursing supervisor; area of induration was marked Last noc at 83mm x 40mm; today the area measures approx 85mm x 50mm. She reports pain to the induration; denies itching; resp. distress, denies Anxiety, does think she had a feeling today of "feeling under the weather."

VAERS ID:297091 (history)  Vaccinated:2007-10-31
Age:43.0  Onset:2007-10-31, Days after vaccination: 0
Gender:Female  Submitted:2007-11-16, Days after onset: 16
Location:Washington  Entered:2007-11-16
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Birth control.
Current Illness: none
Preexisting Conditions: none
Diagnostic Lab Data: None
CDC Split Type:
Vaccination
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FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)NOVARTIS VACCINES AND DIAGNOSTICS78995 UNUN
Administered by: Other     Purchased by: Unknown
Symptoms: Dizziness, Dyspnoea, Pruritus
SMQs:, Anaphylactic reaction (narrow), Anticholinergic syndrome (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Vestibular disorders (broad), Hypersensitivity (broad)
Write-up: After 45 minutes of receiving vax. symptoms were itching, shortness of breath, dizziness, light headed

VAERS ID:297108 (history)  Vaccinated:2007-10-18
Age:43.0  Onset:2007-10-18, Days after vaccination: 0
Gender:Female  Submitted:2007-11-19, Days after onset: 32
Location:Texas  Entered:2007-11-19
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 PMH: chronic seasonal allergies, previous anaphylaxis reactions, IBS.
Diagnostic Lab Data: Patient saw 3 doctors, ER, PCP, and Neurologist. At ER had x-rays and blood work done. Started physical therapy at Rehab. Neurologist diagnosis: brachial plexitis or Parsonage-Turner syndrome. LABS: CXR WNL. EMG/NCS abnormal suggesting
CDC Split Type:
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FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)NOVARTIS VACCINES AND DIAGNOSTICS800620IMRA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Autoimmune disorder, Axillary pain, Blood test, Brachial plexopathy, Chest X-ray normal, Electromyogram abnormal, Hypoaesthesia, Hyporeflexia, Immunisation reaction, Injection site pain, Injection site swelling, Insomnia, Muscular weakness, Musculoskeletal pain, Musculoskeletal stiffness, Myalgia, Nerve conduction studies abnormal, Nerve injury, Neuralgic amyotrophy, No reaction on previous exposure to drug, Pain in extremity, Radiculitis brachial, Sensory loss, Skin discolouration, X-ray
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (narrow), Dystonia (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Accidents and injuries (narrow), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Eosinophilic pneumonia (broad), Hypotonic-hyporesponsive episode (broad), Arthritis (broad)
Write-up: Dr. used these terms: brachial plexitis or acute brachial neuritis and Parsonage-Turner Syndrome. Literature on both seem to totally match up with my experience. I got my shot on Thursday, October 18. In the next hours the pain spread down my arm, worsened, and then by 1am th next morning, was severe. I went to the ER - had x-rays, blood work, given pain pills. It was predicted to lessen in a week. However, the pain persisted and made me unable to sleep, even with the pain pills. Additionally, my right pointer finger went totally numb. So after a week, I saw my PCP. He said there was nerve damage, and he wanted me to totally rest my arm in a sling to let the nerves start to heal and assess in a week more. At the next week''s appointment, I was not better and he referred me to the neurologist, Dr., who I saw the next day (November 2.) He quickly diagnosed it. He said the brachial plexus was very inflamed, causing the pain and damage. He described it as a fairly rare "auto-immune" reaction to the flu shot that required an immediate high dose of steriods, physical therapy to maintain mobility and strength and monitoring. A "nerve mapping" is scheduled for November 28. He said that some of the damage may be permanent. He said the present goal was to work through the pain, avoiding further complications of guarding a painul area, a potential of something he called RSD. I started a course of physical therapy at Rehab yesterday, November 12. 11/30/07 Reviewed medical records from neurologist which reveal patient experienced pain & sensory change in RUE x approx 3 weeks. Initially injection site had a tender bump & then pain traveled downward to distal aspect of RUE & had intractable pain & sensory loss of right index finger since then. Difficulty sleeping due to pain. Had received previous flu shots w/o problems. Had been seen in ER on 10/21. CBC, chemistry & shoulder x-ray WNL. Exam revealed stiff tender c-spine musculature; tenderness of right axilla; abduction & extension of right shoulder caused pain; & entir

VAERS ID:297215 (history)  Vaccinated:2007-11-15
Age:43.0  Onset:2007-11-19, Days after vaccination: 4
Gender:Male  Submitted:2007-11-19, Days after onset: 0
Location:New York  Entered:2007-11-19
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLUN3: INFLUENZA (SEASONAL) (FLUMIST)MEDIMMUNE VACCINES, INC.500477P0IN 
Administered by: Military     Purchased by: Military
Symptoms: Inappropriate schedule of drug administration, Medication error
SMQs:
Write-up: Smallpox given on 11/3/07, Flumist given on 11/15/07

VAERS ID:297271 (history)  Vaccinated:2007-11-13
Age:43.0  Onset:2007-11-14, Days after vaccination: 1
Gender:Female  Submitted:2007-11-19, Days after onset: 5
Location:Massachusetts  Entered:2007-11-19
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Lipitor 20mg, Zyrtec 10 mg, Singulair 10 mg
Current Illness: 10/07 respiratory illness
Preexisting Conditions: allergies, asthma, elevated cholesterol, arthritis, fibromyalgia
Diagnostic Lab Data: blood work, MRI (L) shoulder, IV antibiotics
CDC Split Type:
Vaccination
Manufacturer
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FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURU2524AA0IMRA
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.1229F0IMLA
Administered by: Private     Purchased by: Public
Symptoms: Blood test, Body temperature increased, Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth, Nuclear magnetic resonance imaging, Pain, Pain in extremity, Pruritus
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad)
Write-up: pain upper (L) arm, body aches T 102.4 F ear thermometer swollen, red, hot to touch, itchy arm painful to touch

VAERS ID:297281 (history)  Vaccinated:2007-11-06
Age:43.0  Onset:2007-11-06, Days after vaccination: 0
Gender:Female  Submitted:2007-11-07, Days after onset: 1
Location:California  Entered:2007-11-19, Days after submission: 12
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Allegra D 160mg BID; Estradlol 1mg Q Day; Singular 10mg Qday
Current Illness:
Preexisting Conditions: environmental allergies, asthma
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURU24663AA6IMRA
Administered by: Other     Purchased by: Other
Symptoms: Fatigue, Feeling abnormal, Flushing, Hot flush, Injection site discolouration, Injection site erythema, Injection site induration, Musculoskeletal pain, Neck pain, Oedema peripheral, Pain, Pain in extremity, Skin warm
SMQs:, Rhabdomyolysis/myopathy (broad), Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Dementia (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad), Arthritis (broad)
Write-up: 15 min p injection Rt arm pain, hot/face flush, felt "weird" fatigued, arm very painful. Took a darrocet that night. On 11.7.07 in am awoke arm swollen some warm to touch. area around injection site pink-red. hard/indurated. pain up neck/shoulder, pain into shoulder blade + down waist. took Advil and Benadryl/ which helped.

VAERS ID:297386 (history)  Vaccinated:2007-11-13
Age:43.0  Onset:2007-11-13, Days after vaccination: 0
Gender:Female  Submitted:2007-11-20, Days after onset: 7
Location:Michigan  Entered:2007-11-20
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Zyprexa 5 mg., vit. C, E, multi vitamin, fish oil, magnesium, bupropion 150 mg., loratadine 10 mg., Estroven, calcium
Current Illness: none
Preexisting Conditions: allergic to latex, morphine and percoset and adhesive
Diagnostic Lab Data: None
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
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PPV: PNEUMO (NO BRAND NAME)UNKNOWN MANUFACTURERUNKNOWN0UNLA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Arthralgia, Dizziness, Eye pain, Fatigue, Headache, Injected limb mobility decreased, Injection site nodule, Injection site pain, Injection site pruritus, Injection site warmth, Nausea, Pain, Paraesthesia, Pyrexia, Sleep disorder
SMQs:, Acute pancreatitis (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Glaucoma (broad), Vestibular disorders (broad), Arthritis (broad)
Write-up: I received the pneumonia vaccination at about 2:35 p.m. on 13 Nov 07 at the Health Department. I was asked to wait 10 minutes in the lobby after receiving the shot. I started to feel a little light headed and nauseaous but did not think it was that serious. There was no pain when the vaccine was administered. By 14 Nov 07 at 8 a.m. the site where the injection was given was extremely sore and felt very hot. The injection site was about the size of a quarter. By the evening of 14 Nov 07 I could barely move my left arm and there was tingling going down into my fingers on my left hand. I took 800 mg. of ibuprofen that evening. Had a difficult time sleeping because my arm was so painful. I also started itching from head to toe. On the morning of 15 Nov 07 I contacted my doctor''s office because my arm hurt so badly. I was also suffering with a headache, eye pain and my knees were hurting. The nurse at my doctor''s office said I was having a localized reaction and did not need to be seen by the doctor. By the late afternoon of 15 Nov 07 I was absolutely exhausted, was running a fever, had a headache and body aches. I had a difficult time sleeping on the night of 15 Nov 07 because of the body aches, itching and severe pain in my arm. The fever broke during the early hours of 16 Nov 07. I contacted my doctor''s office again because the injection site had more than tripled in size from the size of a quarter. It was very red, very itchy and had an extremely hard and painful lump under the skin. I saw my doctor on 16 Nov 07 and he examined the injection site. The affected area had spread to 6 cm. It did not appear to be infected so I was instructed to continue watching the area to make sure it did not grow larger. In addition to taking 800 mg. of ibuprofen every 6 hours, I was also taking 25 mg. of benadryl every 4 hours to help control the itching. The affected area grew larger than 6 cm. by 17 Nov 07 but I was not having any more fever or body aches. It has stopped getting larger however, I continue t

VAERS ID:297413 (history)  Vaccinated:2007-10-12
Age:43.0  Onset:2007-10-12, Days after vaccination: 0
Gender:Female  Submitted:2007-11-20, Days after onset: 39
Location:New York  Entered:2007-11-20
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 has not previously received flu vaccines.
Diagnostic Lab Data: UNK
CDC Split Type: A0695209A
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLULAVAL)GLAXOSMITHKLINE BIOLOGICALS053AA UNLA
Administered by: Other     Purchased by: Other
Symptoms: Burning sensation, Chest pain, Dizziness, Dyspnoea, Erythema, Eye irritation, Fatigue, Headache, Keratitis, Musculoskeletal stiffness, Myalgia, Nausea, Ocular hyperaemia, Pain, Paraesthesia, Pruritus, Vision blurred
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (narrow), Acute pancreatitis (broad), Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Dystonia (broad), Parkinson-like events (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Glaucoma (broad), Cardiomyopathy (broad), Lens disorders (broad), Corneal disorders (narrow), Eosinophilic pneumonia (broad), Retinal disorders (broad), Vestibular disorders (broad), Conjunctival disorders (narrow), Ocular infections (broad), Hypersensitivity (broad), Arthritis (broad)
Write-up: This case was reported by a consumer and described the occurrence of a burning sensation over the body in a 43-year-old female subject who was vaccinated with (Flulaval, GlaxoSmithKline) for prophylaxis. A physician or other health care professional has not verified this report. On 12 October 2007 at 15:10 the subject received unspecified dose of Flulaval in the left arm. On 12 October 2007, 10 minutes after vaccination with Flulaval, the subject experienced a burning sensation over her body. Other events reported with unspecified time to onset included dizziness, headache (described as sections of her head hurting), fatigue, tingling over the body, glands hurt, breaking out, itching, nausea, internal burning sensation (such that when she exhales she feels that heat is coming out), difficulty breathing, muscle pain, chest pain, cloudy vision and redness and burning of the eyes. The consumer reported that her opthamologist said her corneas were irritated and inflamed. The subject also reported having a stiff neck. This case was assessed as medically serious by GSK. At the time of reporting the outcome of the events was unspecified with the exception of the burning sensation over the body which was unresolved. Reportedly, the subject''s physician spoke to an infectious physician and it was noted that gentomycin is in "the drug" and that the subject could be reacting to that.

VAERS ID:297458 (history)  Vaccinated:2007-11-12
Age:43.0  Onset:2007-11-12, Days after vaccination: 0
Gender:Female  Submitted:2007-11-14, Days after onset: 2
Location:Michigan  Entered:2007-11-20, 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: None
Current Illness: No
Preexisting Conditions: Tetracycline, Compazine
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (FOREIGN)MERCK & CO. INC.0379U3UNRA
Administered by: Public     Purchased by: Unknown
Symptoms: Diarrhoea, Dizziness, Dyspnoea, Headache
SMQs:, Anaphylactic reaction (broad), Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Vestibular disorders (broad), Noninfectious diarrhoea (narrow)
Write-up: Headache - diarrhea - dizzy - heavy chest - shortness of breath 11-12-07. 9-9:30 AM vaccine given, 10-10:30 AM symptoms started.

VAERS ID:298147 (history)  Vaccinated:2007-10-29
Age:43.0  Onset:2007-10-29, Days after vaccination: 0
Gender:Male  Submitted:2007-11-29, Days after onset: 31
Location:Virginia  Entered:2007-11-29
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: No medications/ OTC nyquil afrin nasls spray for relief of symptoms of previous weeks'' illness.
Current Illness: Undiagnosed Upper respiratory Illness symptoms x 1 week prior to vaccine. symptoms were resolved at the time of vaccine.
Preexisting Conditions: food allergies: strawberries, rasberries, animal allergies: cats, guinea pigs
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURU24655A9IMLA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Pain in extremity
SMQs:
Write-up: flu vaccine was administerd by Rn of L deltoid. No bleeding or redness occured at injection site immediately post injection. Approx 3 hours post injection employee began experiencing pain of L upper arm. Pain moved to L elbow area the next day.Pain is only present when the arm is moving . No pain noted present when the arm is fully extended, or after arm is flexed . Arm hurts only on initial movement. Duration of symptoms, 37 days.Employee sought medical consult with Occupation health physician. Employee referred to private physician for further evaluation and treatment of ongoing symptoms

VAERS ID:298700 (history)  Vaccinated:2007-11-30
Age:43.0  Onset:2007-11-30, Days after vaccination: 0
Gender:Female  Submitted:2007-12-04, Days after onset: 4
Location:Illinois  Entered:2007-12-04
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Nuva Ring
Current Illness: No
Preexisting Conditions: NKDA
Diagnostic Lab Data: None
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.0489U0IMLA
HEPA: HEP A (VAQTA)MERCK & CO. INC.0939U1IMRA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Bradycardia, Dizziness, Hyperhidrosis, Injection site discomfort, Injection site erythema, Injection site nodule, Malaise
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Extravasation events (injections, infusions and implants) (broad), Vestibular disorders (broad)
Write-up: 11/30/07- At approx 1:16 pm- Hepatitis B vaccine was given in Left deltoid, within 1 minute a firm nodule was palpated at the injection site, the pt noted mild discomfort,and there was erythema noted at the location of the left deltoid. At approx 1:20 pm the Hepatitis A vaccine was given in the Right deltoid without discomfort, nodule noted, or erythema. At approx 1:21 pm the patient reported that she did not feel good and felt like she was going to pass out. The patient then leaned to the side in her chair. Pt did not loose consciousness, but became diaphoretic, hypotensive, and bradycardic. Epinephrine 0.3 mg was given and 911 was called. Pt responded to epinephrine within 5 min. Pt was taken to ER via ambulance for evaluation.

VAERS ID:298909 (history)  Vaccinated:2007-12-04
Age:43.0  Onset:2007-12-04, Days after vaccination: 0
Gender:Female  Submitted:2007-12-06, Days after onset: 2
Location:Florida  Entered:2007-12-06
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)GLAXOSMITHKLINE BIOLOGICALSAABVB443BA0IMLA
Administered by: Public     Purchased by: Private
Symptoms: Erythema, Facial pain, Pain in extremity, Tremor
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Parkinson-like events (broad), Noninfectious encephalopathy/delirium (broad), Glaucoma (broad), Hypersensitivity (broad)
Write-up: Received Hep B on 12/4/07 at 8:30 AM. She experienced a lot of pain in upper arm almost immediately. By 12 noon the pain progressed to left side of face and to fingertips, and left half of trunk area. She noted redness on right clavicle and breast area. She felt very shaky and her head was pounding. The pain persisted until the next morning. The redness continued. She saw her MD who ordered Benadryl 50 mg q4hrs for one dayand labwork.

VAERS ID:298930 (history)  Vaccinated:2007-10-26
Age:43.0  Onset:2007-10-26, Days after vaccination: 0
Gender:Female  Submitted:2007-11-27, Days after onset: 32
Location:Missouri  Entered:2007-12-06, 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: None
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)NOVARTIS VACCINES AND DIAGNOSTICS78480 IM 
Administered by: Other     Purchased by: Other
Symptoms: Injected limb mobility decreased, Injection site pain, Muscular weakness, Musculoskeletal pain, Pain in extremity
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Extravasation events (injections, infusions and implants) (broad)
Write-up: Within minutes of the injection, shoulder pain started and hasn''t resolved, now fourth week later. Symptoms: dull ache in right shoulder, twinging pain with lifting arm, inability to use arm for some daily functions due to pain/weakness, pain at night, pain with palpatations at site of injection, treatment so far - ice or heat, ROM, Ultrasound.

VAERS ID:298991 (history)  Vaccinated:2007-11-28
Age:43.0  Onset:2007-11-29, Days after vaccination: 1
Gender:Female  Submitted:2007-11-29, Days after onset: 0
Location:Washington  Entered:2007-12-06, 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: Percocet, Fentanyl, OxyContin, Temazapam, 2-pack, Albuterol, Delsym, baclofen, Celexa, Lasix, etc.
Current Illness: bronchitis
Preexisting Conditions: cerebral palsy
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.1004F SCRA
Administered by: Private     Purchased by: Private
Symptoms: Injection site erythema, Injection site oedema, Injection site warmth
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: Redness, edema, warmth at injection site 1 day following injection. Pt. called to report s/s but didn''t want to come to clinic to be seen. Being tx with Zithromax for another condition.

VAERS ID:299205 (history)  Vaccinated:2007-11-23
Age:43.0  Onset:2007-11-24, Days after vaccination: 1
Gender:Female  Submitted:2007-12-03, Days after onset: 9
Location:Michigan  Entered:2007-12-10, 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: Lisinopril; Multivitamin; Glucophage
Current Illness:
Preexisting Conditions: PCN
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAP: DTAP (INFANRIX)GLAXOSMITHKLINE BIOLOGICALSAC14B054RR IMLA
Administered by: Other     Purchased by: Public
Symptoms: Cellulitis, Injection site erythema, Injection site pain, Injection site warmth
SMQs:, Extravasation events (injections, infusions and implants) (broad)
Write-up: Pain, redness, swelling, warmth at site x 7 days - then went to MD - paced on Z-pack and Aleve for cellulitis - reaction to vaccination.

VAERS ID:299221 (history)  Vaccinated:2007-11-29
Age:43.0  Onset:2007-11-30, Days after vaccination: 1
Gender:Female  Submitted:2007-11-30, Days after onset: 0
Location:Oregon  Entered:2007-12-10, Days after submission: 10
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Atenolol
Current Illness:
Preexisting Conditions: Polio surgery legs, TAH/RSO, endometriosis, uveitis
Diagnostic Lab Data: None
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.1416U0IMLA
Administered by: Private     Purchased by: Unknown
Symptoms: Injection site induration
SMQs:, Extravasation events (injections, infusions and implants) (broad)
Write-up: Induration about 5" diameter at left deltoid injection site.

VAERS ID:299277 (history)  Vaccinated:2007-11-27
Age:43.0  Onset:2007-11-27, Days after vaccination: 0
Gender:Male  Submitted:2007-12-04, Days after onset: 7
Location:Minnesota  Entered:2007-12-11, Days after submission: 7
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Allergies: ASA, Ibuprofen, PCN, Levaquin, Medical Conditions: T II DM
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEPAB: HEP A + HEP B (TWINRIX)GLAXOSMITHKLINE BIOLOGICALSAHABB100AA0IMRA
Administered by: Private     Purchased by: Private
Symptoms: Dysphonia
SMQs:, Parkinson-like events (broad)
Write-up: Patient came to clinic complaining of a hoarse voice, that started 11/27/07. Patient came in complaining 11/28/07. Have not received further complaints or contact.

VAERS ID:299303 (history)  Vaccinated:2007-12-03
Age:43.0  Onset:2007-12-03, Days after vaccination: 0
Gender:Female  Submitted:2007-12-04, Days after onset: 1
Location:Colorado  Entered:2007-12-11, 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: None
Diagnostic Lab Data: Blood pressure checked at 7:00 pm - 129/91.
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURU2509AA IM 
Administered by: Other     Purchased by: Unknown
Symptoms: Blood pressure, Nausea, Salivary hypersecretion, Tinnitus
SMQs:, Acute pancreatitis (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hearing impairment (narrow)
Write-up: Patient left Walgreens after immunization and returned to her work. She called at 5 pm stating that she was salivating, nauseous and had ringing in her ears. No shortness of breath or swelling or itching. Told her to contact physician which she did. I called her back at 5:30 or so and nurse had told her to monitor symptoms and call 911 if much worse. She came to store at 7 pm and I checked her blood pressure which was 129/91.

VAERS ID:300663 (history)  Vaccinated:2007-12-11
Age:43.0  Onset:2007-12-13, Days after vaccination: 2
Gender:Female  Submitted:2007-12-14, Days after onset: 1
Location:Georgia  Entered:2007-12-20, 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: Rheumatoid Arthritis, IBS, Polycystic Ovary, endometriosis
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.    
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: Erythema heat, tenderness at injection site Left deltoid

VAERS ID:301009 (history)  Vaccinated:2007-12-17
Age:43.0  Onset:2007-12-17, Days after vaccination: 0
Gender:Female  Submitted:2007-12-20, Days after onset: 3
Location:North Carolina  Entered:2007-12-26, Days after submission: 6
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: hypertension
Preexisting Conditions: hypertension
Diagnostic Lab Data: none
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (ADACEL)SANOFI PASTEURG2769AA0UNRA
Administered by: Private     Purchased by: Public
Symptoms: Erythema, Injection site streaking, Pruritus
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (broad)
Write-up: NO immediate reaction occurred, pt stated she observed red streak the night of and then it started itching and redness formed a round circle and started putting lotion on it. Dr. looked at reaction and informed patient to take Benadryl and if reaction worsens to follow up in emergency room.

VAERS ID:301497 (history)  Vaccinated:2007-09-12
Age:43.0  Onset:2007-09-12, Days after vaccination: 0
Gender:Female  Submitted:2007-09-24, Days after onset: 12
Location:Colorado  Entered:2007-12-26, Days after submission: 93
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 was not ill at the time of vaccination. Her past medical history includes allergies to Vibramycin, Morphine, Vicodin and Augmentin.
Diagnostic Lab Data: Lumbar Puncture - results pending.
CDC Split Type: 200703154
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (ADACEL)SANOFI PASTEURC2788AA IMRA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Back pain, Headache, Injection site erythema, Injection site pain, Lumbar puncture, Pain in extremity
SMQs:, Retroperitoneal fibrosis (broad), Extravasation events (injections, infusions and implants) (broad)
Write-up: Initial report received from a health care provider on 14 September 2007. A 43-year-old female patient had received an intramuscular right deltoid injection of ADACEL, lot number C2788AA (lot number invalid) and three hours later complained of a headache, back ache, leg pain, and pain and redness at the injection site leading to an emergency room (ER) visit. While at the ER, a lumbar puncture was performed, results were pending at the time of the report. Darvocet and Motrin were administered as corrective treatment and the patient was discharged. The patient''s medical history includes allergies to Vibramycin, Morphine, Vicodin, and Augmentin. At the time of the report, the patient was listed as recovered from the event. This case is linked to case 2007-03155 and 20007-03156 which were received from the same reporter.

VAERS ID:301656 (history)  Vaccinated:2007-09-05
Age:43.0  Onset:2007-09-06, Days after vaccination: 1
Gender:Female  Submitted:2007-10-31, Days after onset: 55
Location:New Jersey  Entered:2007-12-26, Days after submission: 56
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: There was no illness at the time of vaccination.
Preexisting Conditions: Allergic to Levaquin; no other medical history per reporter.
Diagnostic Lab Data:
CDC Split Type: 200703433
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (ADACEL)SANOFI PASTEURC2824A IMLA
Administered by: Private     Purchased by: Private
Symptoms: Injection site pain, Muscle spasms
SMQs:, Dystonia (broad), Extravasation events (injections, infusions and implants) (broad)
Write-up: This report was received from a health professional on 10 October 2007. A 43-year-old female patient, with an allergy to Levaquin, received a left deltoid intramuscular injection of Adacel (lot number reported as C2827AA) on 05 September 2007. On 06 September 2007, she complained of muscle spasms, and soreness and tenderness at the injection site. Per the reporter, the events had been ongoing for approximately one and one-half weeks, and the patient had required a doctor visit. Other medications were "unknown"; the reporter was unsure if the patient had been ill at the time of vaccination. At the time of the report, the events had not resolved. Follow-up information received on 29 October 2007 from a health care professional. Adacel lot number was corrected to C2824AA. The case was reviewed, and there was no additional information at this time.

VAERS ID:301123 (history)  Vaccinated:2007-12-14
Age:43.0  Onset:2007-12-15, Days after vaccination: 1
Gender:Female  Submitted:2007-12-27, Days after onset: 12
Location:Indiana  Entered:2007-12-27
Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Unknown
Preexisting Conditions: No known drug allergies. No adverse events following previous vaccinations were noted.
Diagnostic Lab Data: UNK
CDC Split Type: A0700173A
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEPAB: HEP A + HEP B (TWINRIX)GLAXOSMITHKLINE BIOLOGICALSAHABB100AA1 LA
Administered by: Other     Purchased by: Other
Symptoms: Hypoaesthesia facial, Lymphadenopathy, Oedema mouth, Pharyngolaryngeal pain
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Peripheral neuropathy (broad), Oropharyngeal allergic conditions (narrow), Guillain-Barre syndrome (broad), Hypersensitivity (narrow)
Write-up: This case was reported by a healthcare professional and described the occurrence of swollen gland in a 43-year-old female subject who was vaccinated with hepatitis A inactivated and hepatitis B recombinant vaccine (Twinrix, GlaxoSmithKline) for prophylaxis. Previous and/or concurrent vaccination included hepatitis A inactivated and hepatitis B recombinant vaccine (Twinrix); GlaxoSmithKline; unknown; unknown given on an unspecified date. On 14 December 2007, the subject received 2nd dose of Twinrix (.5 ml, unknown, left arm). On 15 December 2007, 1 day after vaccination with Twinrix, the subject experienced left swollen glands, swelling under tongue on left side, sore throat and left side of face numb. The healthcare professional considered the events were disabling. The subject was treated with diphenhydramine hydrochloride (Benadryl) after contacting the health department. At the time of reporting the events were unresolved.

VAERS ID:301477 (history)  Vaccinated:2007-11-07
Age:43.0  Onset:0000-00-00
Gender:Male  Submitted:2007-12-21
Location:Unknown  Entered:2008-01-02, Days after submission: 12
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: GERD, HTN, Hyperlipidemia
Diagnostic Lab Data: None
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
ANTH: ANTHRAX (BIOTHRAX)EMERGENT BIOSOLUTIONSFAV110 SCUN
Administered by: Military     Purchased by: Military
Symptoms: Expired drug administered
SMQs:
Write-up: Anthrax Lot #FAV110 administered after expired date due to administrative oversight. No adverse reaction at this time. Report submitted per Milvax direction.

VAERS ID:302005 (history)  Vaccinated:2007-10-20
Age:43.0  Onset:2007-10-20, Days after vaccination: 0
Gender:Female  Submitted:2007-10-22, Days after onset: 2
Location:Ohio  Entered:2008-01-08, Days after submission: 78
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUARIX)GLAXOSMITHKLINE BIOLOGICALS  UNGM
Administered by: Unknown     Purchased by: Unknown
Symptoms: Incorrect route of drug administration
SMQs:
Write-up: I was told Monday (10/22/07) morning that a pharmacist may have given a flu shot in a patient''s hip rather than in the deltoid. I looked through the consent forms and found one for patient stating that the shot was administered in the hip. It is my understanding that the patient insisted she be given the shot in the hip as she could not take in the arm. No symptoms reported at this time.

VAERS ID:302645 (history)  Vaccinated:2008-01-02
Age:43.0  Onset:2008-01-03, Days after vaccination: 1
Gender:Female  Submitted:2008-01-09, Days after onset: 6
Location:Illinois  Entered:2008-01-14, 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: Nexium 20mg qd; Nizatadine 150mg qd; Ambien LR 6.25 mg qhs
Current Illness: none
Preexisting Conditions: none
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (ADACEL)SANOFI PASTEURC2842AA0IMLA
Administered by: Private     Purchased by: Private
Symptoms: Erythema, Inflammation, Oedema peripheral, Pain, Skin warm, Tenderness
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad)
Write-up: Patient complained of increasing pain after vaccine. Waited 2 days and pain continued to increase. By third day, she noticed swelling of right arm, tender to touch, erythema: area was hot/inflamed. Treatment: Rocephin 1 gram left buttock; Augmentin 875mg twice a day for 7 days

VAERS ID:303400 (history)  Vaccinated:0000-00-00
Age:43.0  Onset:0000-00-00
Gender:Female  Submitted:2008-01-08
Location:North Carolina  Entered:2008-01-16, Days after submission: 8
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Fioricet, alprazolam
Current Illness: ANXIETY DEPRESSION; CELIAC DISEASE; HEPATITIS C
Preexisting Conditions: SINUS INFECTION
Diagnostic Lab Data: UNK
CDC Split Type: A0639815A
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)GLAXOSMITHKLINE BIOLOGICALSAHBVB360CA0UNUN
Administered by: Private     Purchased by: Private
Symptoms: Chills, Sinusitis bacterial, Upper respiratory tract infection
SMQs:
Write-up: This case was reported by a healthcare professional and described the occurrence of chills in a 43-year-old female subject who was vaccinated with Engerix B (GlaxoSmithKline) for prophylaxis. The subject''s medical history included sinus infection in September 2006 treated with Avelox. Concurrent medical conditions included anxiety depression, celiac disease and hepatitis C (date of diagnosis unknown). Concurrent medications included Fioricet and Xanax. On an unspecified date the subject received the 1st dose of Engerix B (1 ml, unknown). At an unspecified time after vaccination with Engerix B, the subject experienced chills, bacterial sinusitis and upper respiratory symptoms. The upper respiratory illness was diagnosed as a bacterial sinus infection and was initially treated with penicillin. The bacterial sinus infection proved to be resistant to penicillin, and the subject was then started on Levaquin. It was unclear if the subject was responding to Levaquin. At the time of reporting the outcome of the events was unspecified.

VAERS ID:303047 (history)  Vaccinated:2007-11-09
Age:43.0  Onset:2007-11-12, Days after vaccination: 3
Gender:Male  Submitted:2008-01-18, Days after onset: 67
Location:Texas  Entered:2008-01-18
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: 12/9/2008: CBCd, ESR, CRP, C3, C4, CH50, C3D, RF, ANA, Anti-CCP negative or normal; C1Q binding slightly elevated at 11.0 mcg/mL (positive $g= 10.8)
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
ANTH: ANTHRAX (BIOTHRAX)EMERGENT BIOSOLUTIONSFAV1583SCLA
HEP: HEP B (ENGERIX-B)GLAXOSMITHKLINE BIOLOGICALS4HBV438AA0IMLA
Administered by: Military     Purchased by: Military
Symptoms: Antinuclear antibody, Arthralgia, C-reactive protein normal, Complement factor C3, Complement factor C4, Full blood count normal, Joint stiffness, Red blood cell sedimentation rate normal, Rheumatoid factor, Tremor
SMQs:, Neuroleptic malignant syndrome (broad), Parkinson-like events (broad), Noninfectious encephalopathy/delirium (broad), Arthritis (broad)
Write-up: 1st episode of localized bilateral elbow (R$gL) and left knee pain onset within 3 days following receipt of AVA #3 in Jul 1999, given in the left arm; pain was described as "arthritic"; no associated joint swelling, redness or warmth, paresthesias or paresis; unable to fully extend right elbow for several days due to stiffness; elbow pain lasted several months and gradually resolved; the left knee pain resolved within 5-7 days. No symptoms consistent with a large local reaction, or other significant systemic symptoms. 2nd episode evolved similarly following receipt of AVA #4 given with Hep B vaccine in Nov 2007, both in the left arm. He did maintain full range of motion of his right elbow, and the left knee pain resolved within 3 days. He noticed increased pain in his right elbow with right-hand shaking and internal rotation. He denied previous trauma involving his neck, shoulders, or upper extremities he did have a left knee ACL repair in 1997, but his knee was rarely bothersome since then. He has been able to perform all duty functions, and pass AFPTs despite symptoms. No underlying history of rheumatoid or connective tissue disorders, or history of adverse reactions to other vaccines received in either childhood or adulthood. The remaining ROS was negative.

VAERS ID:303333 (history)  Vaccinated:2007-12-17
Age:43.0  Onset:0000-00-00
Gender:Female  Submitted:2008-01-23
Location:Maryland  Entered:2008-01-23
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Allegra; Lo Ovral; Rhinocort; Lisinopril; antibiotic
Current Illness:
Preexisting Conditions: Allergy to iodine/shellfish
Diagnostic Lab Data: MRI with contrast 1/16/08-pos. encephalitis
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
RAB: RABIES (IMOVAX)SANOFI PASTEURA02092IMLA
Administered by: Public     Purchased by: Public
Symptoms: Anxiety, Dyspnoea, Encephalitis, Mood swings, Nuclear magnetic resonance imaging abnormal, Pyrexia
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Noninfectious encephalitis (narrow), Cardiomyopathy (broad), Depression (excl suicide and self injury) (broad)
Write-up: Client called today to report Infectious Disease doctor did MRI with contrast 1/16/08 and was diag. with encephalitis secondary to PEP series. Doctor and client will submit VAERS report. Per client report symptoms include low gr. fever, anxiety attacks, breathing diff., mood swings

VAERS ID:303357 (history)  Vaccinated:2007-11-19
Age:43.0  Onset:2007-12-04, Days after vaccination: 15
Gender:Female  Submitted:2008-01-24, Days after onset: 51
Location:Maryland  Entered:2008-01-24
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Attack from feral cat
Preexisting Conditions: Allergy to Shellfish. Von Willebrand''s disease
Diagnostic Lab Data: Magnetic Resonance Imaging of the Brain with and without contrast on 1/16/08. Impression: There is some increased signal in the region of the left posterior parietal lobe sagitally. This is not associated with any edema or any enahancement and could represent subacute or resolved prior encephalitisl. There is, though, no evidence of any acute process. There are no white matter lesions. There is no evidence of any mass effet. If patient has persistent symptomatology, the follow up MRI in 1 month to reaevaluate this area might be of benefit.
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
RAB: RABIES (IMOVAX)SANOFI PASTEUR    
Administered by: Unknown     Purchased by: Unknown
Symptoms: Anxiety, Body temperature increased, Cardiac disorder, Chills, Dizziness, Dry mouth, Dysphagia, Dyspnoea, Encephalitis, Fatigue, Feeling cold, Hot flush, Insomnia, Knee operation, Lymphadenopathy, Micturition urgency, Mood swings, Myalgia, Nausea, Nuclear magnetic resonance imaging brain abnormal, Pain, Panic attack, Vision blurred, Von Willebrand's disease
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Congenital, familial and genetic disorders (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (narrow), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Glaucoma (broad), Cardiomyopathy (broad), Lens disorders (broad), Eosinophilic pneumonia (broad), Retinal disorders (broad), Depression (excl suicide and self injury) (broad), Vestibular disorders (broad)
Write-up: Symptom history for patient following Rabies vaccination General Medical History: No health issues of any kind (other than mild, controlled high blood pressure and migraines controlled by Imitrex) prior to starting rabies vaccination cycle. I am a normally healthy, active person, and had not experienced anxiety or mood swings prior to period described above. Since migraines were typical for me, I did not start tracking them in this journal until I was diagnosed with encephalitis. I have had numerous migraine headaches that I treat with Imitrex, in conjunctions with the symptoms below. 11/19 Day 1 Rabies Shot series (following bite by possibly rabid feral cat) Administered by Emergency room doctors 11/22 Day 3 Rabies Shot 11/26 Day 7 Rabies Shot 12/3 Day 14 Rabies Shot 12/4 through 12/8 Low Grade Fever 12/7-12/12- Unusual Low Level Anxiety 12/7 Met with Primary Care Physician for pre surgery physical. Diagnosed Cardiac Right Bundle Branch Block from EKG. 12/13 Arthroscopic knee surgery, was administered DDAVP via IV for Von Willebrand's bleeding disease (prescribed for surgery by Hematologist after pre-surgical study) -- was also given scopolamine patch for nausea by Anesthesiologist 12/14 (Morning) Internal knee bleeding knee filled with blood experienced strong pain, dizziness and nausea - was seen on emergency basis by surgeon; was administered additional DDAVP (and told to take on 12/15 as well) 12/14 (Evening) High Anxiety/Panic attack, severe breathing problems, urge to urinate; Went to emergency room at 10pm problem cleared by 3AM; hospital ran multiple heart, lung and blood tests, but did not find any cause, was discharged with no follow-up. Attributed problems to reaction to Percocet, and prescribed Darvocet to help with post operative pain. 12/17 Day 28 Rabies Shot 12/18 - Insomnia, High Level Anxiety, pronounced mood swings, hot/cold flashes, trouble breathing 12/19 Anxiety, pronounced mood swings 12/20 - Insomnia, High Level Anxiety, pronounced mood swings, hot/cold flashes, trouble breathing 12/21 Hot/cold flashes, anxiety, mood swings, slight trouble breathing, blurred vision 12/22 Anxiety 12/23 - Anxiety 12/24 (night) Anxiety, Insomnia, frequent urge to urinate 12/25 - High level of Anxiety, dizziness, mood swings, nausea, hot/cold flashes, blurred vision, General feel of unwell, frequent urge to urinate 12/26 - Anxiety 12/27 (Noon to evening) Anxiety, dizziness, hot/cold flashes, anxiety, nausea, blurred vision, dried mouth, frequent urge to urinate saw Office nurse practitioner, was given 1 pill Valium 5mg, anxiety greatly eased by Valium. Was recommended to see Infectious Disease specialist for possible adverse reaction to Rabies vaccine Called Infectious Disease Specialist, obtained appointment for 1/10/08, was told by office of Infectious Disease Specialist to see primary care physician in interim. 12/28/07 Saw Primary Care Physician and was prescribed 5mg Valium to help ease anxiety. Primary Care Physician advised to see Infectious Disease Specialist. Mild anxiety, dry mouth. 12/29/07 (Morning to Evening) - Anxiety, dizziness, mild nausea, hot/cold flashes, dried mouth. Valium eased anxiety. 12/30/07 (Morning) - Mild Anxiety, hot/cold flashes, blurred vision, dried mouth. Valium eased anxiety. 12/31/07 (Noon to Evening) Mild Anxiety, mild dizziness, hot/cold flashes, blurred vision, mild nausea, urge to urinate. Valium eased anxiety. 1/1/08 (Morning to Evening) Mild anxiety, blurred vision, hot flashes. Valium eased anxiety. 1/2/08 (Noon) Mild anxiety, hot flashes. (3:00-7:00pm) High level of Anxiety, extreme dry mouth, hot flashes, blurred vision, dizziness. Valium eased anxiety after 7:00pm. 1/3/08 (Morning) Mild Anxiety, Dry mouth. Valium eased anxiety. (Evening) Mild Anxiety, Dry mouth. Valium eased anxiety. 1/4/08 (Morning) Dry Mouth. (Afternoon to Evening) Mild Anxiety, dry mouth. Valium eas

VAERS ID:303735 (history)  Vaccinated:2008-01-23
Age:43.0  Onset:2008-01-24, Days after vaccination: 1
Gender:Female  Submitted:2008-01-28, Days after onset: 4
Location:Virginia  Entered:2008-01-28
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Zoloft
Current Illness: None
Preexisting Conditions: Depression tx''d x yrs with Zoloft.
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)GLAXOSMITHKLINE BIOLOGICALSAHBVB443BA4IMRA
TDAP: TDAP (ADACEL)SANOFI PASTEURC2766AA0IMLA
Administered by: Other     Purchased by: Private
Symptoms: Abscess, Axillary pain, Body temperature, Erythema, Injection site erythema, Injection site swelling, Malaise, Nausea
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad)
Write-up: Pt developed 99 degree temp, malaise, nausea onset next day after vaccines. Also dev. redness and swelling at L arm injection site within 25 min. Well defined sterile abscess with mild overlying erythema observed. 1/2 reported to be less sore than on days prior. Also mild c/o soreness in L axilla without palpable nodes. Temp 98.4 on DOS. To f/u in 7-10 days.

VAERS ID:303824 (history)  Vaccinated:2008-01-24
Age:43.0  Onset:2008-01-25, Days after vaccination: 1
Gender:Male  Submitted:2008-01-29, Days after onset: 4
Location:California  Entered:2008-01-29
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEPAB: HEP A + HEP B (TWINRIX)GLAXOSMITHKLINE BIOLOGICALSAHABB091BA0IMLA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Abasia, Arthralgia, Rash vesicular
SMQs:, Anticholinergic syndrome (broad), Dystonia (broad), Guillain-Barre syndrome (broad), Hypersensitivity (narrow), Arthritis (broad)
Write-up: On Friday 1/25/08 at approx. 11am patient developed rash with hive-like component on both inner thighs and some on upper thighs. The rash later developed into chicken pox-looking then scabbed over. Also, developed pain in his hip joints that progressed to severe pain leading him to go to bed, unable to walk due to the pain. By approx. 4pm on Sunday 1/27/08, pain had subsided completely and patient returned to ambulatory status. By Monday, 1/28/08 at approx 1pm, only a small amount of rash is still present.

VAERS ID:303831 (history)  Vaccinated:2007-10-28
Age:43.0  Onset:2007-11-02, Days after vaccination: 5
Gender:Female  Submitted:2008-01-29, Days after onset: 88
Location:Wisconsin  Entered:2008-01-29
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Being treated for 2nd degree burns on fingers of R hand.
Preexisting Conditions: none
Diagnostic Lab Data: ESR elevated 11/2/07, MRI shows swelling at supraspinatous tendon insertion.
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (ADACEL)SANOFI PASTEURC2775AA IMRA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Joint range of motion decreased, Musculoskeletal pain, Neck pain, Nuclear magnetic resonance imaging abnormal, Pain in extremity, Red blood cell sedimentation rate increased
SMQs:, Rhabdomyolysis/myopathy (broad), Arthritis (broad)
Write-up: Patient experienced pain in R shoulder and R arm within 5 days after injection. Pain radiated to neck. No erythema or swelling noted at site. Patient continues to have pain and decreased range of motion despite physical therapy, anti-inflammatories and pain meds.

VAERS ID:304092 (history)  Vaccinated:2007-05-23
Age:43.0  Onset:2007-05-24, Days after vaccination: 1
Gender:Female  Submitted:2008-01-15, Days after onset: 236
Location:Wisconsin  Entered:2008-01-29, Days after submission: 14
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness: None
Preexisting Conditions: Unknown
Diagnostic Lab Data: None
CDC Split Type: AE0721
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)MASS. PUB HLTH BIOL LABTD155  LA
Administered by: Public     Purchased by: Other
Symptoms: Drug administered at inappropriate site, Incorrect dose administered, Injection site erythema, Injection site pruritus, Injection site swelling
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: Incorrect administration and dose of Td vaccine; 0.1mL given intradermally instead of PPD for Tb testing. Patient experienced a reaction of swelling, redness and itchiness at the injection site.

VAERS ID:304098 (history)  Vaccinated:2007-07-16
Age:43.0  Onset:2007-07-17, Days after vaccination: 1
Gender:Female  Submitted:2007-07-20, Days after onset: 3
Location:Illinois  Entered:2008-01-29, Days after submission: 193
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: Unknown
CDC Split Type: AE0729
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)GLAXOSMITHKLINE BIOLOGICALSAHB7B287AA IMRA
TD: TD ADSORBED (NO BRAND NAME)MASS. PUB HLTH BIOL LABTD168 IMLA
Administered by: Other     Purchased by: Other
Symptoms: Dizziness, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Vestibular disorders (broad)
Write-up: Patient received Td and Hepatitis B vaccines, as well as the PPD test, on 07/16/07 and on 07/17/07 experienced fever of 102.2 and dizziness. Patient noted that she always gets dizzy when she gets a fever. On 07/18/07 patient went to the doctor''s office for a follow up visit, felt much better and fever was gone.

VAERS ID:304101 (history)  Vaccinated:2007-07-30
Age:43.0  Onset:2007-07-30, Days after vaccination: 0
Gender:Female  Submitted:2007-08-07, Days after onset: 8
Location:Texas  Entered:2008-01-29, Days after submission: 175
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
CDC Split Type: AE0732
Vaccination
Manufacturer
Lot
Dose
Route
Site
BCG: BCG (MYCOBAX)SANOFI PASTEUR  UNUN
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0282U SCRA
TD: TD ADSORBED (NO BRAND NAME)MASS. PUB HLTH BIOL LABTD161 IMLA
Administered by: Other     Purchased by: Other
Symptoms: Asthenia, Injection site pain, Injection site swelling, Injection site warmth, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: Patient received Td vaccine on 7/30/07, along with MMR and PPD. Later on 7/30/07, patient experienced a fever and at the injection site experienced warmth, swelling, tenderness and weakness. The patient returned to the health care center on 8/1/07 and then again on 8/7/07 with all the reactions listed above except for the fever. The fever subsided within 24 hours of vaccination. Follow up received on 05/08/08. Lot number of MMR vaccine - 0282U. Lot number of TB test - unknown.

VAERS ID:304213 (history)  Vaccinated:2007-10-24
Age:43.0  Onset:2007-10-24, Days after vaccination: 0
Gender:Female  Submitted:2008-01-16, Days after onset: 84
Location:Mississippi  Entered:2008-01-29, Days after submission: 13
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: No concurrent medication
Current Illness:
Preexisting Conditions: It was reported that the subject has previously received flu shots and has not had any documented reactions to previous flu shots or other vaccinations.
Diagnostic Lab Data: UNK
CDC Split Type: A0691495A
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLULAVAL)GLAXOSMITHKLINE BIOLOGICALSAFLLA075AA UNLA
Administered by: Private     Purchased by: Private
Symptoms: Injection site erythema, Rash
SMQs:, Anaphylactic reaction (broad), Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (narrow)
Write-up: This case was reported by a healthcare professional and described the occurrence of a large, red ring around the injection site in a 43-year-old female subject who was vaccinated with Flulaval for prophylaxis. There were no concurrent medication. On 24 October 2007 at 14:05 the subject received unspecified dose of Flulaval at 0.5 ml in the left arm. on 24 October 2007, 1 hour after vaccination with Flulaval, the subject experienced a red ring at the injection site that was reportedly the size of a silver dollar. The following morning, on 25 October 2007, the subject developed a rash on the chest area. The subject experienced both a local and a systemic reaction to the vaccine. The subject was treated with Benadryl and Tylenol. At the time of reporting the events were unresolved. The healthcare professional considered the events were probably related to vaccination with Flulaval.

VAERS ID:304471 (history)  Vaccinated:2007-10-17
Age:43.0  Onset:2007-10-17, Days after vaccination: 0
Gender:Female  Submitted:2008-01-29, Days after onset: 104
Location:South Carolina  Entered:2008-02-06, Days after submission: 8
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURU2492AA IMLA
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.0038U IMRA
Administered by: Other     Purchased by: Private
Symptoms: Burning sensation, Chest discomfort, Chills, Cough, Erythema, Injected limb mobility decreased, Injection site erythema, Injection site induration, Injection site irritation, Injection site swelling, Myalgia, Oral mucosal blistering, Pyrexia, Skin warm, Tremor
SMQs:, Rhabdomyolysis/myopathy (broad), Severe cutaneous adverse reactions (broad), Anaphylactic reaction (narrow), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Parkinson-like events (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Noninfectious encephalopathy/delirium (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Eosinophilic pneumonia (broad), Hypersensitivity (broad)
Write-up: October 17, 2007 - Received flu shot in left arm. Received pneumonia shot in right arm. That evening, the injection site in my right arm was very red and the irritation was about the size of a quarter. October 18, 2007 - I woke up with a very small range of motion in my right arm without pain. There was a orange size raised area around the injection area in the right arm. I started having the chills. About 1:00pm I was shaking with the chills. I had 103.8 fever by 4pm. I called clinic to let them know and I went to doctor. The doctor took blood work for a CBC. That was normal. The raised red area had spread down and around my arm. Still minimal range of motion without pain. My muscles in my arm were burning. The area was hard to the touch and hot. The doctor concluded that my symptoms must be the result of the pneumonia inoculation. That night my fever was 103.8-104 even though I was taking Tylenol and Motrin every 4 hours. October 19, 2007 - Irritation on my arm had spread further with pain moving down my muscles. Fever 103.6 most of the day with 2 breaks of fever when it went down to +/-100.5 degrees. Still very little range of motion in my arm without pain. My arm was painful to the touch and was still raised and burning. I tried warm compresses. They did not help. I was still taking Motrin and Tylenol. October 20, 2007 - Irritation on my arm was still spreading, still raised and hard. I still had little range of motion. My temperature was 103 in the morning and in the late afternoon. Otherwise my temp was about 100. October 21, 2007 - Irritation on my arm looked better, some swelling had gone away. My range of motion was increasing. Still painful to the touch and there was a burning sensation in my muscles. I woke up with no temperature but it went up to about 100.6 late in the afternoon. My temp went back down after Tylenol. My chest started feeling a little tight. Started with a dry cough. October 22, 2007 - The raised irritation is gone on my arm. Range of motion is almo

VAERS ID:304554 (history)  Vaccinated:2008-01-24
Age:43.0  Onset:2008-02-04, Days after vaccination: 11
Gender:Female  Submitted:2008-02-07, Days after onset: 3
Location:Nebraska  Entered:2008-02-07
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: IBU
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data:
CDC Split Type:
Vaccination
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HEP: HEP B (NO BRAND NAME)UNKNOWN MANUFACTURER  IMLA
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0092F0SCLA
Administered by: Private     Purchased by: Other
Symptoms: Migraine, Musculoskeletal stiffness, Pain, Pruritus, Rash
SMQs:, Anaphylactic reaction (broad), Dystonia (broad), Parkinson-like events (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Hypersensitivity (narrow), Arthritis (broad)
Write-up: 1 wk 4 days after inj had body aches with moderate pain & stiffness, next day migraine. Yesterday 1 wk 6 days small raised rash in limited areas. Today rash covers 75% of body with pruritus.

VAERS ID:304619 (history)  Vaccinated:2008-02-01
Age:43.0  Onset:2008-02-01, Days after vaccination: 0
Gender:Male  Submitted:2008-02-09, Days after onset: 8
Location:New York  Entered:2008-02-09
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: none
Diagnostic Lab Data: Echocardiogram, EKG, blood tests, angiogram (cardiac catheterization), nurse observation, blood pressure, temp, cholesterol test ER LABS: Troponin I 1.79 (H). CXR WNL. HospitLABS: In ER, EKG c/w AMI. Troponin I 4.24 (H). Cardiac cath revealed LV WNL; ectatic proximal LCA & RCA, no stenosis; elevated LV end diastolic pressure at rest. Echocardiogram revealed trace mitral valve regurgitation & ejection fraction 55-60%.
CDC Split Type:
Vaccination
Manufacturer
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Site
HEPA: HEP A (VAQTA)MERCK & CO. INC.137TU0IMLA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Acute coronary syndrome, Angiogram, Blood cholesterol, Blood pressure, Blood test, Body temperature, Catheterisation cardiac abnormal, Chest X-ray normal, Chest discomfort, Chest pain, Chills, Dyspnoea, Echocardiogram abnormal, Ejection fraction decreased, Electrocardiogram abnormal, Fatigue, Hyperhidrosis, Influenza like illness, Left ventricular end-diastolic pressure increased, Mitral valve incompetence, Myalgia, Myocardial infarction, Nausea, Pain, Pain in jaw, Palpitations, Peripheral coldness, Pyrexia, Troponin I increased
SMQs:, Rhabdomyolysis/myopathy (broad), Cardiac failure (narrow), Anaphylactic reaction (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Myocardial infarction (narrow), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Embolic and thrombotic events, arterial (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (narrow), Eosinophilic pneumonia (broad), Osteonecrosis (broad)
Write-up: Fri 2/1 heart racing, tired Sat. 2/2 achiness, fever, chills, sweating that soaked sheets. Sun. 2/3 Dr. told me it wasn''t a reaction to the vaccine--that it must be the flu. Mon 2/4 stayed home from work, more flu-like symptoms. Tues. 2/5 fever subsides but still cold hands and feet. 7 PM Heart Attack. 2/12/08 Reviewed medical records from 2nd hospital which reveal patient experienced flu like s/s including muscle aches, fever, chills, midsternal chest pressure w/SOB. Seen at outlying ER, tx w/anti-clot med & transferred to higher level of care for emergent coronary angiography. Admitted 2/5-2/8/2008. FINAL DX: acute coronary syndrome, unclear whether vasospasm or clot disolved. 2/14/08 Reviewed ER medical records of 2/5/08 which reveal patient experienced substernal chest pressure, heaviness & pain which radiated to both jaws with diaphoresis, nausea & flu-like symptoms x 3 days. Tx w/meds including anti-clot med & transferred to higher level of care. FINAL ER Dx: myocardial infarction.

VAERS ID:304868 (history)  Vaccinated:2008-01-29
Age:43.0  Onset:2008-01-29, Days after vaccination: 0
Gender:Female  Submitted:0000-00-00
Location:Unknown  Entered:2008-02-13
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions:
Diagnostic Lab Data: None
CDC Split Type:
Vaccination
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ANTH: ANTHRAX (BIOTHRAX)EMERGENT BIOSOLUTIONSFAV1733UNLA
Administered by: Military     Purchased by: Military
Symptoms: Erythema, Oedema peripheral, Urticaria
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow)
Write-up: Patient reported and brought photographic documentation of red/swollen hands, flushing/urticaria on injected extremity and anterior chest. This occurred despite pre-medication with Tylenol/dipendhydrate

VAERS ID:304970 (history)  Vaccinated:2008-02-12
Age:43.0  Onset:2008-02-14, Days after vaccination: 2
Gender:Female  Submitted:2008-02-15, Days after onset: 1
Location:Guam  Entered:2008-02-15
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: unknown~ ()~~0.00~Patient|unknown~ ()~~0.00~Sibling|unknown~ ()~~0.00~Sibling
Other Medications: unknown
Current Illness: none
Preexisting Conditions: unknown
Diagnostic Lab Data:
CDC Split Type:
Vaccination
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FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURU2490AA IMRA
TD: TETANUS DIPHTHERIA (TENIVAC)SANOFI PASTEURU1880CA IMLA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Injected limb mobility decreased, Myalgia, Tenderness
SMQs:, Rhabdomyolysis/myopathy (broad), Eosinophilic pneumonia (broad)
Write-up: Since flu vaccination right arm tender. Few hours later gnawing ache right deltoid "Like someone punched arm" no fever. By Thursday 02/14/08 late PM increase pain, woke up Friday AM increase pain/unable to stretch right arm. Took Tylenol. Referral given for evaluation at pvt. MD.

VAERS ID:305390 (history)  Vaccinated:2008-02-04
Age:43.0  Onset:2008-02-04, Days after vaccination: 0
Gender:Male  Submitted:2008-02-06, Days after onset: 2
Location:Tennessee  Entered:2008-02-21, Days after submission: 15
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC Split Type:
Vaccination
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ANTH: ANTHRAX (BIOTHRAX)EMERGENT BIOSOLUTIONSFAV1637IMLA
Administered by: Military     Purchased by: Military
Symptoms: Erythema, Musculoskeletal discomfort, Musculoskeletal pain, Oedema peripheral
SMQs:, Rhabdomyolysis/myopathy (broad), Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad)
Write-up: Patient reported of swollen, red shoulder after receiving what appears to be an IM injection 2 days ago. Joint pain in shoulder. Patient states it feels as if his shoulder has been pulled out of socket.

VAERS ID:305402 (history)  Vaccinated:2007-10-29
Age:43.0  Onset:0000-00-00
Gender:Female  Submitted:2008-02-21
Location:Illinois  Entered:2008-02-21
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
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FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURU2499AA IMLA
Administered by: Other     Purchased by: Private
Symptoms: Asthenia, Pain in extremity
SMQs:, Guillain-Barre syndrome (broad)
Write-up: Patient received flu shot 10-29-07. On 2-6-08 patient called me to complain her arm was still sore. She has noticed loss of strength. She said she tried both IBU and APAP. She said she does not have PCP to follow up with, even though I referred her to her MD.

VAERS ID:306461 (history)  Vaccinated:2007-09-17
Age:43.0  Onset:2007-09-17, Days after vaccination: 0
Gender:Female  Submitted:2008-01-30, Days after onset: 135
Location:Michigan  Entered:2008-02-26, Days after submission: 27
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Nortriptyline; Depo-Provera
Current Illness: Recently recovered from a bad cold
Preexisting Conditions: Blood cholesterol increased
Diagnostic Lab Data: None
CDC Split Type: 07AV00470SP
Vaccination
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ANTH: ANTHRAX (BIOTHRAX)EMERGENT BIOSOLUTIONSFAV1087SCLA
Administered by: Other     Purchased by: Private
Symptoms: Diarrhoea, Dizziness, Fatigue, Headache
SMQs:, Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad), Noninfectious diarrhoea (narrow)
Write-up: 2 hours after immunization developed major headache, with fatigue and diarrhea. Treatment with Motrin 800 mg po and sleep. 9/18/07: Headache, fatigue & diarrhea continues. Stayed home from work to rest and recover. 9/19/07 Diarrhea resolved. Returned to work with decreasing headache and fatigue. Noted light headedness with bending over. Recovered as of 9/21/07.

VAERS ID:306197 (history)  Vaccinated:2008-02-21
Age:43.0  Onset:2008-02-27, Days after vaccination: 6
Gender:Male  Submitted:2008-02-29, Days after onset: 2
Location:Utah  Entered:2008-02-29
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
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YF: YELLOW FEVER (YF-VAX)SANOFI PASTEURUF1399AA SCLA
Administered by: Public     Purchased by: Private
Symptoms: Rash pruritic
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow)
Write-up: Presented to the clinic with an itchy, rash on the feet and legs. (mostly on the feet)

VAERS ID:306512 (history)  Vaccinated:2008-02-20
Age:43.0  Onset:2008-02-25, Days after vaccination: 5
Gender:Female  Submitted:2008-03-05, Days after onset: 9
Location:Texas  Entered:2008-03-05
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Denies
Preexisting Conditions: N/A
Diagnostic Lab Data: N/A
CDC Split Type:
Vaccination
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MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.1483U SCLA
TD: TD ADSORBED (NO BRAND NAME)SANOFI PASTEURC2805AA IDRA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Eyelid oedema, Rash pruritic, Sinus operation, Throat tightness, Urticaria
SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Periorbital and eyelid disorders (narrow), Hypersensitivity (narrow)
Write-up: MMR given on 2/20/08. On 2/26/08, Pt reports that she starting experiencing sinus drainage, sore throat, swollen eyelids, and an itchy rash that spread all over her trunk, arms, and thighs starting evening of 2/25/08. She states that she took Benadryl 50mg PO for tightness in throat. Denies fever. She stated that her airway was "fine." Informed Pt that she needed to emergency treatment if problems with airway developed. Pt states that she will see her private physician. On 2/26/08 she provides documentation from her medical provider that states that she "has hives" and is "not contagious." The doctor prescribes Allegra 180mg/day and Prednisone 60mg x3 days, 40mg x3 days, then 20mg/day until gone.

VAERS ID:306790 (history)  Vaccinated:2008-02-05
Age:43.0  Onset:0000-00-00
Gender:Male  Submitted:2008-03-04
Location:Oregon  Entered:2008-03-10, 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: Laceration to scalp mild
Preexisting Conditions: None
Diagnostic Lab Data:
CDC Split Type:
Vaccination
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TD: TD ADSORBED (NO BRAND NAME)MASS. PUB HLTH BIOL LABTD169 IMLA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Injection site erythema, Injection site warmth, Pain in extremity
SMQs:, Extravasation events (injections, infusions and implants) (broad)
Write-up: Redness at injection site with warmth reported 1 wk after injection. Now complain of intermittent sharp pain in left upper arm

VAERS ID:307109 (history)  Vaccinated:2008-02-23
Age:43.0  Onset:2008-02-24, Days after vaccination: 1
Gender:Male  Submitted:2008-03-12, Days after onset: 16
Location:Kentucky  Entered:2008-03-14, 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: None
Current Illness: None
Preexisting Conditions: Allergies
Diagnostic Lab Data: None
CDC Split Type:
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RAB: RABIES (RABAVERT)NOVARTIS VACCINES AND DIAGNOSTICS438011C1IMLA
Administered by: Other     Purchased by: Private
Symptoms: Nausea, Vomiting
SMQs:, Acute pancreatitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)
Write-up: Nausea and vomiting lasting 10-15 minutes, 8 hours after vaccination.

VAERS ID:307140 (history)  Vaccinated:2008-03-06
Age:43.0  Onset:2008-03-06, Days after vaccination: 0
Gender:Female  Submitted:2008-03-14, Days after onset: 7
Location:Colorado  Entered:2008-03-14
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: breast pain
Preexisting Conditions: back pain
Diagnostic Lab Data: Pending
CDC Split Type:
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FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURU2453AA0IMRA
TD: TD ADSORBED (NO BRAND NAME)MASS. PUB HLTH BIOL LABTD1670IDLA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Diarrhoea, Dyspepsia, Laboratory test, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific dysfunction (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (narrow)
Write-up: Began with fever, then noted diarrhea, dyspepsia. Symptoms onset after vaccine and persisted today. Seen and labs sent for evaluation.

VAERS ID:307529 (history)  Vaccinated:2008-03-17
Age:43.0  Onset:2008-03-17, Days after vaccination: 0
Gender:Male  Submitted:2008-03-20, Days after onset: 3
Location:Arizona  Entered:2008-03-20
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: CBC with differential, Basic Chem panel, chest xray PA & Lateral
CDC Split Type:
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HEPA: HEP A (HAVRIX)GLAXOSMITHKLINE BIOLOGICALSAHAVB224BA0IMRA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Arthralgia, Chest X-ray, Cough, Differential white blood cell count, Dizziness, Full blood count, Laboratory test, Malaise, Myalgia, Paranasal sinus hypersecretion, Pyrexia, Respiratory tract congestion, Sinus congestion, Vision blurred
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Glaucoma (broad), Lens disorders (broad), Eosinophilic pneumonia (broad), Retinal disorders (broad), Vestibular disorders (broad), Arthritis (broad)
Write-up: General arthralgia/myalgia, fever up to 103, dizziness, sinus & chest congestion/drainage w/ dry cough, dfficulty focusing, general malaise.

VAERS ID:307534 (history)  Vaccinated:2008-02-04
Age:43.0  Onset:2008-02-07, Days after vaccination: 3
Gender:Male  Submitted:2008-03-20, Days after onset: 41
Location:Florida  Entered:2008-03-20
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: Penicillin allergy only
Diagnostic Lab Data:
CDC Split Type:
Vaccination
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VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.0855U1SCLA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Grip strength decreased, Injection site pain, Injection site swelling, Pain in extremity
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: C/O Soreness & Swelling around injection site and pain radiating down to Left hand. Starting 3 days after immunization. Also C/O inability to hold objects in Left Hand.

VAERS ID:308108 (history)  Vaccinated:2008-03-17
Age:43.0  Onset:2008-03-18, Days after vaccination: 1
Gender:Female  Submitted:2008-03-19, Days after onset: 1
Location:Ohio  Entered:2008-03-25, Days after submission: 6
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: Allergy to Zithromax
Diagnostic Lab Data: Urine sample, possible blood work.
CDC Split Type:
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HEPAB: HEP A + HEP B (TWINRIX)GLAXOSMITHKLINE BIOLOGICALSAHABB163AA2IMLA
Administered by: Public     Purchased by: Unknown
Symptoms: Dysphagia, Rash, Urine analysis
SMQs:, Anaphylactic reaction (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Hypersensitivity (narrow)
Write-up: Client describes rash on face, chest, abdomen on Tuesday, Wednesday morning, difficulty swelling. IV fluids administered at hospital. IV Benadryl and "steroids" administered by ER doctors. Rx''s for Prednisone 20mg BID for 5 days given.

VAERS ID:308452 (history)  Vaccinated:2007-11-01
Age:43.0  Onset:2007-11-10, Days after vaccination: 9
Gender:Female  Submitted:2008-03-18, Days after onset: 128
Location:New Jersey  Entered:2008-03-27, Days after submission: 9
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: Allergy; Allergy to walnuts
Diagnostic Lab Data: CBC 05Dec2007 normal; Chemistry normal 05Dec2007 normal; Erythrocyte sedimentation rate 05Dec2007 normal
CDC Split Type: A0698420A
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FLU3: INFLUENZA (SEASONAL) (FLUARIX)GLAXOSMITHKLINE BIOLOGICALSAFLUA319AA UNUN
Administered by: Other     Purchased by: Private
Symptoms: Full blood count normal, Haemorrhage, Hypersensitivity, Laboratory test normal, Pruritus, Red blood cell sedimentation rate normal, Scratch, Spirometry abnormal, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Haemorrhage terms (excl laboratory terms) (narrow), Accidents and injuries (narrow), Hypersensitivity (narrow)
Write-up: This case was reported by a physician and described the occurrence of hives in a 43-year-old female subject who was vaccinated with Fluarix (GlaxoSmithKline). In early November 2007 the subject received unspecified dose of Fluarix at 0.5 ml. At an unspecified time after vaccination with Fluarix, the subject experienced hives with itching to the point of producing blood. This has occurred three times since receiving Fluarix. In addition, the subject underwent a spirometry test for respirator use and she did not pass. At the time of reporting the events of hives, itching and the abnormal spirometry test were unresolved. The outcome of bleeding skin was not specified. Follow-up received on 25 January 2008 via the physician. Relevant history included an allergy to walnuts. She reported that on 10 November 2007 the subject experienced hives, itching, abnormal spirometry and skin bleeding. The subject was diagnosed with an allergic reaction of unknown etiology. On 05 December 2007, results of a CBC, chemistry screen and sedimentation rate were all normal. On 13 December 2007, all the hives, itching, abnormal spirometry, skin bleeding and the allergic reaction of unknown etiology had improved. The physician considered that the events were not serious and possibly related to the use of Fluarix. A separate summary for the events was provided by the physician which included the following information. 04 December 2007. It was noted that the influenza injection was received and a week or so after that itching which got to the point that the subject would scratch herself to the point of bleeding. Symptoms were noted to include perfuse itching especially at night, no shortness of breath or feeling of throat closing. Subject did not increased nasal congestion and post nasal drip. On 04 December 2007, the subject was without symptoms. Blood work was ordered and subject advised to see physician and an allergies. 05 December 2007: Blood work was performed. CBC with differential, chemistry screen and sedimentation rate were all nor

VAERS ID:308630 (history)  Vaccinated:2008-02-29
Age:43.0  Onset:2008-03-01, Days after vaccination: 1
Gender:Male  Submitted:2008-03-31, Days after onset: 29
Location:New Jersey  Entered:2008-03-31
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: NKDA
Diagnostic Lab Data:
CDC Split Type:
Vaccination
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TDAP: TDAP (ADACEL)SANOFI PASTEURC2888AA IMLA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Erythema, Pruritus
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (broad)
Write-up: Patient states that arm had redness and was itchy for 2 weeks after Adacel Vaccination. Patient reported event 1 month after vaccination.

VAERS ID:308694 (history)  Vaccinated:2008-03-18
Age:43.0  Onset:2008-03-20, Days after vaccination: 2
Gender:Female  Submitted:2008-03-31, Days after onset: 11
Location:Minnesota  Entered:2008-04-01, Days after submission: 1
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: CA++/vit D, Ferrous gluconate, gabapentin, ibuprofen, lantus, novolog, paroxetine, ranitidine
Current Illness: Type II DM
Preexisting Conditions: None
Diagnostic Lab Data:
CDC Split Type:
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TDAP: TDAP (ADACEL)SANOFI PASTEURC2904AA1IMRA
Administered by: Public     Purchased by: Public
Symptoms: Hypoaesthesia, Neuropathy peripheral, Radial nerve palsy, Sensory disturbance
SMQs:, Peripheral neuropathy (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad)
Write-up: Right radial nerve neuropathy with decreased sensation dorsum of right hand and right wrist drop. Numbness noted the evening of the day of vaccination and wrist drop noted the next morning. Treatment: oral prednisone, physical therapy and wrist splint.

VAERS ID:309129 (history)  Vaccinated:2008-03-27
Age:43.0  Onset:2008-03-31, Days after vaccination: 4
Gender:Female  Submitted:2008-04-01, Days after onset: 1
Location:Texas  Entered:2008-04-08, 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: Flonase, Clarinex D
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data:
CDC Split Type:
Vaccination
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TDAP: TDAP (ADACEL)SANOFI PASTEURC2889AA IMLA
Administered by: Private     Purchased by: Private
Symptoms: Erythema, Induration, Injection site erythema, Pain, Skin warm
SMQs:, Anaphylactic reaction (broad), Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (broad)
Write-up: Normal soreness days 2-4 after injection. Erythema left deltoid day 5. Increased redness w/ induration, warmth & increased pain day 6. Given Xyzal, Medrol dose pack & Keflex day 6.

VAERS ID:309140 (history)  Vaccinated:2008-03-30
Age:43.0  Onset:2008-03-28, Days after vaccination: -2
Gender:Male  Submitted:2008-03-30, Days after onset: 2
Location:Texas  Entered:2008-04-08, Days after submission: 9
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: HRIG, Talecris Biotherapeutics Inc., RUOQ x2/LUOQ x2
Current Illness: Reflux
Preexisting Conditions:
Diagnostic Lab Data: None
CDC Split Type:
Vaccination
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RAB: RABIES (RABAVERT)NOVARTIS VACCINES AND DIAGNOSTICS417011C UNLA
Administered by: Private     Purchased by: Other
Symptoms: Hypoaesthesia
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad)
Write-up: L hand numbness started 3-28-08. In ER 3-30-08; vaccine given.

VAERS ID:309208 (history)  Vaccinated:2008-02-27
Age:43.0  Onset:2008-02-29, Days after vaccination: 2
Gender:Female  Submitted:2008-03-05, Days after onset: 5
Location:Kansas  Entered:2008-04-09, Days after submission: 34
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
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TDAP: TDAP (ADACEL)SANOFI PASTEURC2863AA IMRA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Lymphadenopathy, Pain in extremity
SMQs:
Write-up: Reports 2 days after vaccine given, arm very sore radiating to shoulder, swollen lymph node above clavicle, not resolved, very painful.

VAERS ID:309214 (history)  Vaccinated:2008-03-28
Age:43.0  Onset:2008-03-28, Days after vaccination: 0
Gender:Female  Submitted:2008-04-09, Days after onset: 12
Location:Minnesota  Entered:2008-04-09
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
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PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.0990U0IMLA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Neck pain, Pain in extremity, Skin warm, Swelling
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Arthritis (broad)
Write-up: Patient states extreme pain in arm, warmth and swelling stated the night she received the vaccination. Her whole arm and into her neck were extremely painful. Patient states the Advil helped.

VAERS ID:309453 (history)  Vaccinated:2007-11-22
Age:43.0  Onset:2007-11-22, Days after vaccination: 0
Gender:Female  Submitted:2008-04-14, Days after onset: 143
Location:West Virginia  Entered:2008-04-14
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
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PPV: PNEUMO (NO BRAND NAME)UNKNOWN MANUFACTURER    
Administered by: Unknown     Purchased by: Unknown
Symptoms: Bedridden, Burning sensation mucosal, Cough, Eye irritation, Lacrimation increased, Sneezing, Wheezing
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Asthma/bronchospasm (broad), Corneal disorders (broad), Eosinophilic pneumonia (broad), Lacrimal disorders (narrow), Hypersensitivity (broad)
Write-up: I was very sick within hours of getting the vaccine. I was sneezing repeatedly, my nose was burning severely, my eyes were watering and burning. I was wheezing and coughing. I was too sick to get out of bed for about 24 hours. It went away quickly and I was perfectly well after about 30 hours. It was like I had been poisoned. I am severely allergic to cats, mold, mushrooms, and rabbits.

VAERS ID:309548 (history)  Vaccinated:2008-03-31
Age:43.0  Onset:2008-04-04, Days after vaccination: 4
Gender:Female  Submitted:0000-00-00
Location:Illinois  Entered:2008-04-15
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
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Site
TDAP: TDAP (ADACEL)SANOFI PASTEURC2767AA0IMLA
Administered by: Private     Purchased by: Private
Symptoms: Culture wound negative, Incisional drainage, Injection site abscess
SMQs:
Write-up: Sterile abscess at site of injection. Began few days after shot. Wound cultures x2 both negative. Had I&D. Given Bactrim.

VAERS ID:310516 (history)  Vaccinated:2008-04-01
Age:43.0  Onset:2008-04-04, Days after vaccination: 3
Gender:Male  Submitted:2008-04-15, Days after onset: 11
Location:Florida  Entered:2008-04-22, 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: No
Preexisting Conditions: No known drug allergies - Eczema - Keloid
Diagnostic Lab Data: No
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
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TDAP: TDAP (ADACEL)SANOFI PASTEURC2826AA0UNLA
Administered by: Military     Purchased by: Military
Symptoms: Dermatitis atopic, Injection site pruritus, Local reaction, Skin exfoliation, Skin hyperpigmentation
SMQs:, Severe cutaneous adverse reactions (broad), Hypersensitivity (narrow)
Write-up: Local reaction due to atopic dermatitis with hyperpigmentation and slight scaling/itch in are 4x6cm surrounding injection site.

VAERS ID:310525 (history)  Vaccinated:2008-04-16
Age:43.0  Onset:2008-04-16, Days after vaccination: 0
Gender:Female  Submitted:2008-04-18, Days after onset: 2
Location:Massachusetts  Entered:2008-04-22, 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:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
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TDAP: TDAP (ADACEL)SANOFI PASTEURC2766AA IMRA
Administered by: Public     Purchased by: Private
Symptoms: Muscular weakness, Skin induration, Vomiting
SMQs:, Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)
Write-up: Patient has 5cm induration other symptoms are vomiting and weakness in arm.

VAERS ID:310716 (history)  Vaccinated:2008-04-21
Age:43.0  Onset:2008-04-22, Days after vaccination: 1
Gender:Male  Submitted:2008-04-22, Days after onset: 0
Location:Virginia  Entered:2008-04-23, Days after submission: 1
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
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Route
Site
TDAP: TDAP (ADACEL)SANOFI PASTEURC2826AA IMLA
Administered by: Military     Purchased by: Other
Symptoms: Arthralgia, Body temperature increased, Influenza like illness, Pain, Pharyngolaryngeal pain, Pyrexia, Vaccination complication
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arthritis (broad)
Write-up: Complained of low grade temp. 99.4, flu like symptoms, body aches, sore throat, and achy joints; The patient had a mild to moderate reaction to a Tdap

VAERS ID:311048 (history)  Vaccinated:2007-11-14
Age:43.0  Onset:2007-11-14, Days after vaccination: 0
Gender:Female  Submitted:2007-11-19, Days after onset: 5
Location:Arkansas  Entered:2008-04-28, Days after submission: 160
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: 400mg Topamax (about 1 1/2 yr)
Current Illness: None
Preexisting Conditions: Latex; PCN; Talwin; Tetracycline; Delandid; Codeine; Bees. Seizures related to cervical disk injury/head injury.
Diagnostic Lab Data:
CDC Split Type: AR0816
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0418U1SCLA
TDAP: TDAP (ADACEL)SANOFI PASTEURC2771AA0IMRA
Administered by: Public     Purchased by: Public
Symptoms: Bronchospasm, Dyspnoea, Hypersensitivity, Pruritus
SMQs:, Anaphylactic reaction (narrow), Angioedema (broad), Asthma/bronchospasm (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Hypersensitivity (narrow)
Write-up: Reports was at health office around 11:00 AM - received Tdap and MMR - around 3:00 PM started itching and felt like would seizure. Went to MD complaining of shortness of breath. Vitals = 156/84, P = 72. Diagnosis: Systemic allergic reaction with bronchoconstriction. Given epi .2cc subq (L) arm at 1540 - Given epi .2cc SQ (R) arm at 1550 - Kenalog and Decadron given IM (R) hip. Patient given Benadryl PO 50mg every 4 hours after and was discharged to home from MD office.

VAERS ID:312025 (history)  Vaccinated:2007-03-13
Age:43.0  Onset:2007-03-19, Days after vaccination: 6
Gender:Male  Submitted:2007-08-30, Days after onset: 164
Location:Pennsylvania  Entered:2008-04-28, Days after submission: 242
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: Allergic to cherry. Had Td over 10 years ago with no adverse reactions. Denied illness and medical conditions at vaccination time. Denied other vaccinations and other medications at vaccination time.
Diagnostic Lab Data:
CDC Split Type: 200700899
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)SANOFI PASTEURU1923H IMUN
Administered by: Unknown     Purchased by: Unknown
Symptoms: Injected limb mobility decreased, Injection site erythema, Injection site swelling, Local reaction, 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: Cluster of 3 cases out of an unspecified number of vaccinees who received DECAVAC lot# U1923HA. Initial report received on 23 March 2007 from a healthcare professional. A 43 year old male patient, received on 13 March 2007 a dose of DECAVAC (lot # U1923HA), intra-muscular into the left deltoid, (needle size - 25 gauge). No other vaccines were given at that time. On 15 March 2007, approximately 2 days post vaccination, the patient experienced fever and local reaction. On 19 March 2007, he was seen in the clinic with a 2x2 cm circumference area of erythema and swelling at injection site. Lump was palpitated. Resistant range of motion to left shoulder. He required a doctor visit. Treatment included ice and MOTRIN. The patient''s outcome was unknown. Medical history included allergic to therapy. Had Td over 10 years ago with no adverse reactions. Denied illness, medical conditions, other vaccinations and other medications at vaccination time. Follow-up information received on 16 July 2007 from a health care professional. The case was reviewed by the reporter, and there was no additional information at this time. The reporter is the same as in case 2007-00900 and 2007-00901.

VAERS ID:311313 (history)  Vaccinated:2008-04-24
Age:43.0  Onset:2008-04-24, Days after vaccination: 0
Gender:Male  Submitted:2008-04-30, Days after onset: 6
Location:Pennsylvania  Entered:2008-04-30
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: Unknown
Diagnostic Lab Data:
CDC Split Type:
Vaccination
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HEPA: HEP A (HAVRIX)GLAXOSMITHKLINE BIOLOGICALSAHAVB2556AA1IMLA
Administered by: Private     Purchased by: Unknown
Symptoms: Accidental exposure, Dyspnoea
SMQs:, Anaphylactic reaction (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad)
Write-up: His daughter was receiving a Hep A vaccine and the needle hub was cracked and it squirted on dad. Dad called 4/30/08 and said he was having shortness of breath since the vaccine was squirted at him.

VAERS ID:311755 (history)  Vaccinated:2008-04-21
Age:43.0  Onset:2008-04-21, Days after vaccination: 0
Gender:Female  Submitted:2008-05-06, Days after onset: 15
Location:Arizona  Entered:2008-05-06
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: CAT
CDC Split Type:
Vaccination
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HEP: HEP B (ENGERIX-B)GLAXOSMITHKLINE BIOLOGICALSAHBVB438AA0IMLA
Administered by: Public     Purchased by: Public
Symptoms: Computerised tomogram, Head injury, Hyperhidrosis, Immediate post-injection reaction, Loss of consciousness, Nausea, Vomiting
SMQs:, Torsade de pointes/QT prolongation (broad), Acute pancreatitis (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), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Hypersensitivity (narrow)
Write-up: It appeared as if the patient had syncope within one minute of injection completion. She had a loss of consciousness for approx. 10-15 seconds. The patient became extremely diaphoretic with nausea and vomiting. While unconscious, her head fell back hitting a wall quite hard.

VAERS ID:312313 (history)  Vaccinated:2007-11-07
Age:43.0  Onset:2007-11-07, Days after vaccination: 0
Gender:Male  Submitted:2008-05-14, Days after onset: 188
Location:Unknown  Entered:2008-05-14
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: None 7/21/08-records received-PMH: reaction to flu vaccine developed epididymitis.
Diagnostic Lab Data: 7/21/08-records received-Treadmill test and stress ECHO normal.
CDC Split Type:
Vaccination
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FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURU2501AA IMLA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Angina pectoris, Asthenia, Back pain, Blood pressure increased, Cardiac pharmacologic stress test, Chest pain, Dysphagia, Echocardiogram normal, Epididymitis, Fatigue, Feeling abnormal, Guillain-Barre syndrome, Headache, Hypoaesthesia, Muscular weakness, Neck pain, Pain in extremity, Polyneuropathy chronic, Radiculitis brachial, Tachycardia, Tic, Tremor, Vaccine positive rechallenge
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Retroperitoneal fibrosis (broad), Dementia (broad), Dyskinesia (broad), Dystonia (broad), Parkinson-like events (broad), Guillain-Barre syndrome (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Hypertension (narrow), Cardiomyopathy (broad), Demyelination (narrow), Other ischaemic heart disease (narrow), Arthritis (broad)
Write-up: Developed tachycardia, weakness in the lower extremities, followed by elevated blood pressure and left arm, chest, arm, neck, and back pain. Pain and weakness continue today as well as elevated blood pressure. I have been diagnosed with Brachial Neuritis as a result of receiving the flu shot. I continue treatment at another facility. 7/21/08-records received for DOS 11/27/07-After flu vaccine on 11/7/07-C/O feeling bad, chest pain, back pain and left sided neck pain. Cramp like pain across chest. Dysphagia. Assessment:atypical chest pain. 12/3/07-C/O tremor and tic of temporal muscles eye, epididymitis. Follow-up Information 12-JUN-2009: Numbness in the left leg and arm. Headaches daily. Upper left chest and back pain. Fatigue and weakness. Lacking stamina. A rise in blood pressure. I have been to specialists who have run test and determined that I have chronic polyneuropathy as a result of Guillain-Barre Syndrome from receiving flu shots.

VAERS ID:312356 (history)  Vaccinated:2008-05-13
Age:43.0  Onset:2008-05-14, Days after vaccination: 1
Gender:Female  Submitted:2008-05-15, Days after onset: 1
Location:Minnesota  Entered:2008-05-15
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: egg allergy~Vaccine not specified (no brand name)~1~5~In Patient
Other Medications: SYNTHROID
Current Illness: None
Preexisting Conditions: Allergy to sulfa drugs, Hashimoto''s disease
Diagnostic Lab Data:
CDC Split Type: