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Case Details (Sorted by Age)

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VAERS ID:472714 (history)  Vaccinated:2012-10-01
Age:47.0  Onset:2012-10-01, Days after vaccination: 0
Gender:Female  Submitted:2012-11-02, Days after onset: 32
Location:Texas  Entered:2012-11-02
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: No
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURUH745AA0IMRA
Administered by: Public     Purchased by: Other
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: Patient states: Sore arm, bruised, red area around injection site, swollen, pain that travels to upper shoulder.

VAERS ID:473206 (history)  Vaccinated:2012-10-25
Age:47.0  Onset:2012-10-26, Days after vaccination: 1
Gender:Female  Submitted:2012-10-31, Days after onset: 5
Location:Florida  Entered:2012-11-02, Days after submission: 2
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: Anxiety; Depression; Seasonal allergies; Pre-diabetes; H/O Thyroid disease
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLULAVAL)GLAXOSMITHKLINE BIOLOGICALSAFLLA733AA UNRA
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.H016283 UNRA
TDAP: TDAP (ADACEL)SANOFI PASTEURC4170AA UNLA
Administered by: Private     Purchased by: Other
Symptoms: Dyspnoea, Heart rate increased, Pyrexia, Rash
SMQs:, Anaphylactic reaction (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Hypersensitivity (narrow)
Write-up: About 1 day s/p Tdap, Flu vaccine & ZOSTAVAX, pt developed fever to 102 degrees F, mild dyspnea & rash over face, neck & chest. Pt also appreciated rapid heart rate. She did not seek or take any treatment until 3 days later when symptoms nearly spontaneously resolved except for faint rash on neck & chest. Rec''d BENADRYL or loratadine per itching.

VAERS ID:473466 (history)  Vaccinated:2012-10-15
Age:47.0  Onset:2012-10-15, Days after vaccination: 0
Gender:Female  Submitted:2012-11-01, Days after onset: 17
Location:Illinois  Entered:2012-11-05, Days after submission: 4
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUARIX)GLAXOSMITHKLINE BIOLOGICALSAFLUA708AB IMAR
Administered by: Private     Purchased by: Private
Symptoms: Neck pain
SMQs:, Arthritis (broad)
Write-up: Within 30 minutes after Flu shot she experienced ipsilateral neck pain that lasted 1 week. Treated with Naproxen.

VAERS ID:473144 (history)  Vaccinated:2012-11-02
Age:47.0  Onset:2012-11-03, Days after vaccination: 1
Gender:Male  Submitted:2012-11-06, Days after onset: 3
Location:Illinois  Entered:2012-11-06
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: No
Preexisting Conditions: No
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAP: DTAP (CERTIVA)BAXTER HEALTHCARE CORP.    
FLU3: INFLUENZA (SEASONAL) (FLUARIX)GLAXOSMITHKLINE BIOLOGICALS    
Administered by: Unknown     Purchased by: Private
Symptoms: Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad)
Write-up: High fever that reached 103 for 2 days.

VAERS ID:474120 (history)  Vaccinated:2012-09-11
Age:47.0  Onset:2012-09-12, Days after vaccination: 1
Gender:Male  Submitted:2012-09-21, Days after onset: 9
Location:Oklahoma  Entered:2012-11-09, Days after submission: 49
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: Latex and unknown if other allergies. Concomitant medications not reported.
Diagnostic Lab Data: Not reported.
CDC 'Split Type': 201208498
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE INTRADERMAL)SANOFI PASTEURUT4470BA0IDLA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Dermatitis contact, Injection site discharge, Injection site irritation, Injection site vesicles, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (narrow)
Write-up: Initial report received from a healthcare professional on 12 September 2012. A 47-year-old male patient received first dose of FLUZONE intradermal (batch number: UT4470BA) in the left deltoid on 11 September 2012. The patient''s medical history included latex and unknown if other allergies. Concomitant medications were not reported. It was reported that it was not sure whether the patient received full dose or some vaccine leaked out. On 12 September 2012, the patient developed wheal. The patient took the band aid off the next day and dabbed with a towel, the "blister" was seeping and when he wiped it off the skin came off. There was irritation in the shape of the band aid which was latex free. The corrective treatment and lab investigations were not reported. At the time of this report, the outcome was not recovered. Documents held by sender: none.

VAERS ID:475851 (history)  Vaccinated:2011-10-05
Age:47.0  Onset:2011-10-05, Days after vaccination: 0
Gender:Female  Submitted:2012-03-07, Days after onset: 154
Location:North Carolina  Entered:2012-11-09, Days after submission: 247
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: NKA (no known allergies). The patient has had flu vaccines in the past, but it was not reported whether the patient had experienced any adverse events after those vaccinations. Follow-up information was received on 09 January 2012 and reported the patient had no illness at the time of vaccination and took no concomitant medications. Follow-up information was received on 23 February 2012 and reported the patient had no adverse events after previous flu shots.
Diagnostic Lab Data: Not reported
CDC 'Split Type': 201109782
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURUH477AB IMLA
Administered by: Public     Purchased by: Unknown
Symptoms: Chills, Rash generalised
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow)
Write-up: Initial report received on 07 October 2011 from a healthcare professional. This case involves 1 of a cluster of 2 patients with the same reporter, same vaccine FLUZONE and same lot number UH477AB. Information regarding the other patient is captured in case number 2011-09783. A female patient with NKA (No known allergies) had received an intramuscular injection of FLUZONE on 05 October 2011 and within approximately 6 hours later complained of chills and also noticed a rash on her torso which subsequently spread to her neck, arms, back and thigh requiring evaluated by her physician. Per the reporter, more information will be provided on follow-up. At the time of this report, the patient had not recovered. Follow-up information was received on 09 January 2012 from a health care professional. The patient was a 47-year-old female. The patient had received the injection in the left deltoid. The patient was seen at a doctor''s office on 07 October 2011. The patient had no illness at the time of vaccination and took no concomitant medications. The patient''s outcome was reported as recovered. Follow-up information was received on 23 February 2012 from a health care professional. The patient had no adverse events after previous flu shots. The patient''s outcome remained recovered. Documents held by sender: None.

VAERS ID:473998 (history)  Vaccinated:2012-10-25
Age:47.0  Onset:2012-10-25, Days after vaccination: 0
Gender:Female  Submitted:2012-11-13, Days after onset: 19
Location:Texas  Entered:2012-11-13
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None reported.
Preexisting Conditions: None reported.
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (AFLURIA)CSL LIMITEDP50108 IMLA
Administered by: Other     Purchased by: Private
Symptoms: Injection site reaction, Musculoskeletal stiffness, Pain in extremity
SMQs:, Dystonia (broad), Parkinson-like events (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Arthritis (broad)
Write-up: Patient states that as of 11/13/12 (19 days post-vaccination) she is still having signficant arm pain and stiffness at injection site.

VAERS ID:474453 (history)  Vaccinated:2012-10-09
Age:47.0  Onset:2012-10-09, Days after vaccination: 0
Gender:Female  Submitted:2012-10-26, Days after onset: 17
Location:Maryland  Entered:2012-11-14, Days after submission: 19
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUARIX)GLAXOSMITHKLINE BIOLOGICALS12245P IMRA
Administered by: Public     Purchased by: Other
Symptoms: Bone pain, Pain in extremity
SMQs:, Osteonecrosis (broad)
Write-up: C/o sore arm that has not resolved "hurts to the bone" reported on 10/23/12 anti-inflammatory pain meds & ice ordered.

VAERS ID:474474 (history)  Vaccinated:2012-09-28
Age:47.0  Onset:0000-00-00
Gender:Female  Submitted:2012-10-01
Location:California  Entered:2012-11-14, Days after submission: 44
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: COPD
Diagnostic Lab Data: None
CDC 'Split Type': CA12006
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURUH719AA1IMRA
TDAP: TDAP (ADACEL)SANOFI PASTEURC3922AA0IMRA
Administered by: Other     Purchased by: Public
Symptoms: Incorrect dose administered
SMQs:
Write-up: Patient had been prescreened by volunteer. Patient had answered not to have received any vaccines in the last 4 weeks. Nurse (I) asked patient if she was ok and reason for her oxygen tank. Pt says she is ok but has COPD and not tired. I ask if she is here for the flu & Tdap vaccines as to what pt said: "Yes". Pt realized she had received flu 9/17/12. Pt was observed for 20 minutes and she was AAO x 4 and a nurse business card was provided.

VAERS ID:474537 (history)  Vaccinated:2012-11-08
Age:47.0  Onset:2012-11-08, Days after vaccination: 0
Gender:Female  Submitted:2012-11-14, Days after onset: 6
Location:Alaska  Entered:2012-11-15, Days after submission: 1
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: Hypothyroidism
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURUH759AB UNLA
Administered by: Public     Purchased by: Other
Symptoms: Drug administered at inappropriate site, Immediate post-injection reaction, Injected limb mobility decreased, Pain
SMQs:, Hypersensitivity (narrow)
Write-up: Vaccine inadvertently administered into the shoulder (instead of the deltoid) too high. Immediate pain with shoulder movement especially internal rotation and abduction. Better for a few hours then increasingly worse/very limited ROM x 72 hrs. Some improvement now at approximately 6 days. Seems to be gradually getting better.

VAERS ID:474407 (history)  Vaccinated:2012-11-14
Age:47.0  Onset:2012-11-14, Days after vaccination: 0
Gender:Female  Submitted:2012-11-16, Days after onset: 2
Location:Ohio  Entered:2012-11-16
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: Allergies: NSAIDS, all narcotics
Diagnostic Lab Data: None
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURUH714AA10IMLA
Administered by: Public     Purchased by: Public
Symptoms: Rash, Rash macular
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow)
Write-up: Erythematous non-pruritic, non-burning macular rash located on abdomen (above the naval), chest and neck. Occurred that evening (received vaccine during the day), and is still there but resolving on 11/16/12. No treatments.

VAERS ID:474558 (history)  Vaccinated:2012-10-02
Age:47.0  Onset:2012-10-10, Days after vaccination: 8
Gender:Female  Submitted:2012-11-16, Days after onset: 37
Location:Texas  Entered:2012-11-16
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: Blood work and biopsy
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLULAVAL)GLAXOSMITHKLINE BIOLOGICALSAFLLA735A0IMLA
Administered by: Other     Purchased by: Private
Symptoms: Biopsy, Blister, Blood test, Furuncle
SMQs:, Severe cutaneous adverse reactions (broad), Hypersensitivity (broad)
Write-up: Blisters/boils that developed on arm and legs and a few on her torso.

VAERS ID:474559 (history)  Vaccinated:2012-11-16
Age:47.0  Onset:2012-11-16, Days after vaccination: 0
Gender:Female  Submitted:2012-11-16, Days after onset: 0
Location:Utah  Entered:2012-11-16
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (ADACEL)SANOFI PASTEURC4278AA IMLA
Administered by: Unknown     Purchased by: Private
Symptoms: Grand mal convulsion, Pallor
SMQs:, Systemic lupus erythematosus (broad), Convulsions (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (narrow)
Write-up: Tonic-Clonic Seizure lasting 3 min. face went pale. Treatment: lowered new hire to ground on left side supported head with pillow and monitored breathing, vital signs taken after seizure 125/68. 911 called at beginning of seizure paramedic arrived and transported new hire to Medical Center.

VAERS ID:474757 (history)  Vaccinated:2012-11-07
Age:47.0  Onset:2012-11-07, Days after vaccination: 0
Gender:Female  Submitted:2012-11-19, Days after onset: 12
Location:Indiana  Entered:2012-11-19
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Feeling well day of vaccination per vaccinated''s verbal statement
Preexisting Conditions: Medication allergies, Keflex, steroids oral, Decadron, morphine, alupent, pneumonia vaccine, asthma, food allergies, hemorrhoids, stomach condition, genitourinary condition, varicose veins, muscle/joint/spine pain condition, depression
Diagnostic Lab Data: 11/13/12 seen in a local ED, diagnosed with cellulitis, placed on clindamycin antibiotic and remains painful today.
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (ADACEL)SANOFI PASTEURC4196AA IMRA
Administered by: Public     Purchased by: Other
Symptoms: Axillary pain, Cellulitis, Lymph node pain
SMQs:
Write-up: Began with pain under vaccinated arm with pain into lymph nodes across chest and breast bilaterally.

VAERS ID:475235 (history)  Vaccinated:2012-10-10
Age:47.0  Onset:2012-10-10, Days after vaccination: 0
Gender:Female  Submitted:2012-11-10, Days after onset: 31
Location:Oregon  Entered:2012-11-20, Days after submission: 10
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Penicillin; oxycodone; latex; High Blood pressure; Asthma
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEUR 0IMUN
Administered by: Other     Purchased by: Public
Symptoms: Erythema, Feeling abnormal, Hypersensitivity, Lacrimation increased, Lip swelling, Pain, Rhinorrhoea, Skin warm, Swelling, Swelling face, Wheezing
SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), Asthma/bronchospasm (broad), Dementia (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Eosinophilic pneumonia (broad), Lacrimal disorders (narrow), Hypersensitivity (narrow)
Write-up: 1-2 hrs later - wheezing - (inhaler not helping). 10-12-12 - Woke up arm sore to move - noticed red lump - hot to touch - size of silver dollar. 10-13-12 - Lump even larger - 7 inches wide & 5 inches down called Emergency Dr on call who advised me to take BENADRYL. Before started taking BENADRYL on late 10-13-12 my head & body started getting really hot also (like arm). The BENADRYL worked great. (Instantly was able to breathe) no more wheezing & redness & swollenness started to come down. On 10-15-12 stopped BENDARYL but wheezing came back & had to start it again. Had to take it on & off for about 2 weeks in order to breathe. 10-22-12 My lips & face (eyes) swelled up (but not tongue) & I started getting sick - nose - not able to breathe thru nose. Now 11-10-2012 I''m very sick w/ allergy symptoms, watery eyes, runny nose, etc. miserable. Haven''t gotten out of bed much in last month. And am afraid to continue taking BENADRYL constantly since it is the only thing that relieves allergic reactions, so don''t want to become immune to it so that it doesn''t work for me in future if I have a serious allergic reaction to something. I feel that they have injected me with straight poison. I want to dissolve it (get it out of me). I know I am hypersensitive to most medications. It''s like they injected me with some kind of toxin. And I''m still feeling the effects of it. Has it did this to other people? I feel they should at least compensate for all the BENADRYL I have had to buy.

VAERS ID:475183 (history)  Vaccinated:0000-00-00
Age:47.0  Onset:0000-00-00
Gender:Male  Submitted:2012-11-20
Location:Unknown  Entered:2012-11-26, Days after submission: 6
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: The patient had "no significant past medical history" and no "known trauma or preexisting pathological condition to his neck, shoulder, or arms".
Diagnostic Lab Data: "MRI was significant for findings consistent with a brachial plexus injury (likely Parsonage-Turner Syndrome)."
CDC 'Split Type': 201210725
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)UNKNOWN MANUFACTURER  UNUN
Administered by: Unknown     Purchased by: Unknown
Symptoms: Brachial plexus injury, Hypoaesthesia, Muscular weakness, Musculoskeletal pain, Nerve stimulation test abnormal, Neuralgic amyotrophy, Nuclear magnetic resonance imaging abnormal, Pain, Pain in extremity
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Accidents and injuries (narrow)
Write-up: This case was retrieved via a search of the scientific literature on 13 November 2012. The following is verbatim from the aforementioned article: "Case Description: A 47-year-old man with no significant past medical history presented to clinic 2 days after awakening with pain (left shoulder, posterior aspect of upper left arm, medial aspect of left forearm), numbness (over left 5th finger & posterior lateral aspect of left arm), and muscle weakness (left arm & left hand). He also described shooting pain down his left arm with any movement of the left shoulder most prominently with arm abduction. He reported similar symptoms of shooting pain with palpation of the anterior aspect of his left shoulder. The patient was without any known trauma or preexisting pathological condition to his neck, shoulder, or arms. The only significant recent event was receiving a flu shot 12 days prior to the start of his symptoms. Setting: Tertiary care hospital. Results or Clinical Course: Physical examination revealed no cervical spinal tenderness. Motor testing revealed weakness in his left biceps, left deltoid, and with external shoulder rotation on the left. Adson''s sign was positive on the left. Neural tension stretch testing was positive on the left when specifically stretching the median nerve. The patient was prescribed a prednisone taper and pain medication (ULTRACET). Subsequent MRI was significant for findings consistent with a brachial plexus injury (likely Parsonage-Turner Syndrome) considering the patient''s symptoms, history, and physical examination findings." It was not reported that patient was hospitalized. The patient''s outcome was not reported. Documents held by sender: None.

VAERS ID:478600 (history)  Vaccinated:2011-09-01
Age:47.0  Onset:2011-11-01, Days after vaccination: 61
Gender:Female  Submitted:2012-11-26, Days after onset: 391
Location:Tennessee  Entered:2012-11-26
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Herpes zoster
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type': WAES1211USA008103
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARZOS: ZOSTER (ZOSTAVAX)MERCK & CO. INC. 0SCUN
Administered by: Public     Purchased by: Other
Symptoms: Burning sensation, Condition aggravated, Herpes zoster, Nasopharyngitis, Pain, Photophobia, Pyrexia, Visual acuity reduced
SMQs:, Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Noninfectious meningitis (narrow), Glaucoma (broad), Optic nerve disorders (broad), Lens disorders (broad), Corneal disorders (broad), Retinal disorders (broad)
Write-up: This spontaneous report as received from a consumer refers to a 47 years old female patient with prevent shingles. The patient was vaccinated with ZOSTAVAX on SEP-2011. No other co-suspects were reported. No concomitant medications were reported. On NOV-2011 the patient experienced shingles outbreaks 6 times since being vaccinated. The patient reported each time it is progressively more painful. The patient reported that before the outbreaks she had cold type symptoms, ran a fever, and got a feeling similar to burning in her legs. The patient also experienced eyesight is diminished and she wears sunglasses due to the sensitivity to light. Treatment information was with antivirals. The outcome of shingles outbreaks, sensitivity to light and eyesight diminished is unknown. The relatedness for shingles outbreaks, sensitivity to light and eyesight diminish is unknown for ZOSTAVAX. Additional information has been requested.

VAERS ID:475335 (history)  Vaccinated:0000-00-00
Age:47.0  Onset:0000-00-00
Gender:Male  Submitted:2012-11-26
Location:Unknown  Entered:2012-11-27, Days after submission: 1
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type': 2012033956
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)UNKNOWN MANUFACTURER  UNUN
Administered by: Unknown     Purchased by: Unknown
Symptoms: Brachial plexus injury, Hypoaesthesia, Muscular weakness, Musculoskeletal pain, Nerve conduction studies abnormal, Neuralgic amyotrophy, Nuclear magnetic resonance imaging abnormal, Pain, Pain in extremity, Radial pulse decreased
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Accidents and injuries (narrow)
Write-up: This literature report (initial receipt: 13-Nov-2012) concerns a 47-year-old male patient, who had no significant past medical history. On an unknown date the patient received a flu shot (manufacturer, brand name and batch number were not provided). On an unknown date, the patient experienced symptoms 12 days after receiving the flu shot. The patient presented to clinic 2 days after awakening with pain (left shoulder, posterior aspect of upper left arm, medial aspect of left forearm), numbness (over left 5th finger and posterior lateral aspect of left arm), and muscle weakness (left arm and left hand). He also described shooting pain down his left arm with any movement of the left shoulder most prominently with arm abduction. He reported similar symptoms of shooting pain with palpation of the anterior aspect of his left shoulder. The patient was without any known trauma or preexisting pathological conditions to his neck, shoulder, or arms. The only significant recent event was receiving a flu shot 12 days prior to the start of his symptoms. Physical examination revealed no cervical spinal tenderness. Motor testing revealed weakness in his left biceps, left deltoid, and with external shoulder rotation on the left. Adson''s sign was positive on the left. Neural tension stretch testing was positive on the left when specifically stretching the median nerve. The patient was prescribed a prednisone taper and pain medication (ULTRACET). Subsequent MRI (magnetic resonance imaging) scan was significant for findings consistent with a brachial plexus injury (likely Parsonage-Turner Syndrome) considering the patient''s symptoms, history, and physical examination findings.

VAERS ID:475838 (history)  Vaccinated:2012-11-26
Age:47.0  Onset:2012-11-26, Days after vaccination: 0
Gender:Female  Submitted:2012-11-30, Days after onset: 4
Location:Michigan  Entered:2012-11-30
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: Animal dander
Diagnostic Lab Data: None
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURUH756AA0IMLA
Administered by: Public     Purchased by: Private
Symptoms: Dysphonia, Dyspnoea, Stridor, Throat irritation
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Parkinson-like events (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Hypersensitivity (broad)
Write-up: Voice changes, scratchy throat, difficulty in breathing, stridor.

VAERS ID:475880 (history)  Vaccinated:2012-10-19
Age:47.0  Onset:2012-10-20, Days after vaccination: 1
Gender:Female  Submitted:2012-11-30, Days after onset: 41
Location:Wyoming  Entered:2012-11-30
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: CBC, Chest x-ray, whooping cough and flu
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURUH733AD2IMLA
Administered by: Public     Purchased by: Private
Symptoms: Chest X-ray, Chills, Cough, Fatigue, Full blood count, Generalised oedema, Influenza, Malaise, Myalgia, Pertussis, Pyrexia, Respiratory disorder, Swelling face, Urticaria
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (narrow), Angioedema (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Acute central respiratory depression (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Eosinophilic pneumonia (broad), Hypersensitivity (narrow)
Write-up: Fever, malaise, chills, muscle aches, extreme fatigue, cough, hives, generalized body edema, airway tightness, facial swelling.

VAERS ID:476121 (history)  Vaccinated:2012-10-12
Age:47.0  Onset:2012-10-15, Days after vaccination: 3
Gender:Female  Submitted:2012-12-03, Days after onset: 49
Location:Pennsylvania  Entered:2012-12-03
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: Thyroid condition, treated with Synthroid, seasonal allergies treated with Zyrtec, medical allergy to Zofran
Diagnostic Lab Data: Spinal tap, blood tests, MRI of Brain and spinal canal, MRA of Brain
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUARIX)GLAXOSMITHKLINE BIOLOGICALSAFLUA702BA IMRA
Administered by: Other     Purchased by: Other
Symptoms: Blood test, Gait disturbance, Headache, Hypoaesthesia, Lumbar puncture, Nuclear magnetic resonance imaging brain, Nuclear magnetic resonance imaging spinal, Paraesthesia
SMQs:, Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad)
Write-up: Began w/numbness and tingling in right arm, seen at urgent care, no diagnosis made, worsening symptoms with numbness and tingling on left side, stumbling gait, headache, went to ED on 10/31/2012.

VAERS ID:479683 (history)  Vaccinated:2011-09-26
Age:47.0  Onset:2011-09-29, Days after vaccination: 3
Gender:Female  Submitted:2012-11-05, Days after onset: 403
Location:Washington  Entered:2012-12-03, Days after submission: 28
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Anemia; Cystic Acne
Preexisting Conditions:
Diagnostic Lab Data: Hepatitis B positive, 29Sep2011, positive
CDC 'Split Type': A0950907A
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEPAB: HEP A + HEP B (TWINRIX)GLAXOSMITHKLINE BIOLOGICALS 0UNLA
Administered by: Other     Purchased by: Private
Symptoms: Hepatitis B, Hepatitis B virus test positive
SMQs:, Liver infections (narrow)
Write-up: This case was reported by a consumer and described the occurrence of hepatitis B in a 47-year-old female subject who was vaccinated with TWINRIX (GlaxoSmithKline). This report has not been medically confirmed by a healthcare professional. Concurrent medical conditions included anemia and cystic acne. Concurrent medications included Iron salt and Spironolactone. On 26 September 2011 at 12:00 the subject received 1st dose of TWINRIX in the left arm. On 29 September 20111, 3 days after vaccination with TWINRIX, the subject tested positive for hepatitis B after giving blood. At the time of reporting the event was unresolved.

VAERS ID:476331 (history)  Vaccinated:2012-10-05
Age:47.0  Onset:2012-10-07, Days after vaccination: 2
Gender:Male  Submitted:2012-11-26, Days after onset: 50
Location:New York  Entered:2012-12-04, 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: Patient has had neck issues in past - fusion
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (AFLURIA)CSL LIMITEDP58406 IMRA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Neuralgia
SMQs:, Peripheral neuropathy (narrow)
Write-up: Nerve pain from neck to arm MD feels this is unrelated, pt feels it is related (has had a fusion in the discs of the neck).

VAERS ID:476503 (history)  Vaccinated:2012-10-03
Age:47.0  Onset:2012-10-03, Days after vaccination: 0
Gender:Female  Submitted:2012-11-01, Days after onset: 29
Location:North Carolina  Entered:2012-12-05, Days after submission: 34
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: Thimerosal
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURUH718AA IMRA
Administered by: Public     Purchased by: Private
Symptoms: Dysphagia, Eye swelling, Flushing, Hypoaesthesia oral, Paraesthesia, Pruritus, Swelling, Throat irritation, Vaccination complication
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow)
Write-up: 10-3 face flushed, c/o upper lip numbness, tingling and throat scratchy. BENADRYL given as ordered. 10-3-12 after going home went to E.R. with c/o swelling worse - fluids and more BENADRYL given. 10-4-12 - back to E.R. x 2 with c/o severe itching, eyes swelling and difficulty swallowing. Treated and released. 10-5-12 visit to allergist and family doctor- both in agreeance reaction to flu shot. Patient stated on 10/3/12 during visit at time of reaction she was allergic to thermisol but had received flu vaccines before without problems patient did not report this on vaccine questionnaire. Patient has fully recovered.

VAERS ID:476616 (history)  Vaccinated:2012-12-04
Age:47.0  Onset:2012-12-04, Days after vaccination: 0
Gender:Female  Submitted:2012-12-05, Days after onset: 1
Location:Massachusetts  Entered:2012-12-05
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: No
Preexisting Conditions: Amoxicillin, Cipro, metaprolol allergies; Reactions with Asmanex, epinephrine; Arrhythmia
Diagnostic Lab Data: Seeing primary doctor today. Not feeling normal still today - jaw discomfort, heavy chest, weakness, slight dizziness and shakiness still.
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE INTRADERMAL)SANOFI PASTEUR 25IDLA
Administered by: Other     Purchased by: Other
Symptoms: Asthenia, Blood pressure increased, Chest discomfort, Chills, Discomfort, Dizziness, Feeling cold, Oropharyngeal discomfort, Pharyngeal oedema, Tachycardia, Tremor
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Parkinson-like events (broad), Oropharyngeal allergic conditions (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Hypertension (narrow), Vestibular disorders (broad), Hypersensitivity (narrow)
Write-up: Tachycardia, shakiness, shivering from cold, jaw discomfort, throat feeling of swelling, elevated BP, dizziness - given food and water, uncomfortable laying down, when symtoms did not subside after one hour was given 25mg Benadryl which helps relieve fast heartbeat and throat discomfort.

VAERS ID:476767 (history)  Vaccinated:2012-11-29
Age:47.0  Onset:2012-11-30, Days after vaccination: 1
Gender:Female  Submitted:2012-12-04, Days after onset: 4
Location:North Carolina  Entered:2012-12-06, Days after submission: 2
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Coronary atherosclerosis; hyperlipidemia
Preexisting Conditions:
Diagnostic Lab Data: None
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE INTRADERMAL)SANOFI PASTEURUT4467AA0SCLA
Administered by: Private     Purchased by: Private
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: At site of injection had 50 cent size redness & raised area, and itching. Sx started day after injection. On 12/4/12 called clinic & instructed per Dr. ZYRTEC 10mg nightly for several days. Pt notified had taken a CLARITIN that day & it had helped.

VAERS ID:476889 (history)  Vaccinated:2012-12-04
Age:47.0  Onset:2012-12-04, Days after vaccination: 0
Gender:Male  Submitted:2012-12-06, Days after onset: 2
Location:Virginia  Entered:2012-12-06
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: Allergic to Sulfur based medicine
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEUR  IMLA
Administered by: Unknown     Purchased by: Other
Symptoms: Chills, Headache, Neck pain, Pain, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arthritis (broad)
Write-up: Chills, High Fever (102 Degrees), body aches especially head and neck, headache. Took Ibuprofen (800 mg), Nyquil. Fever stayed at 100+ degrees the following day.

VAERS ID:476900 (history)  Vaccinated:2012-11-09
Age:47.0  Onset:2012-11-09, Days after vaccination: 0
Gender:Female  Submitted:2012-12-06, Days after onset: 27
Location:Colorado  Entered:2012-12-06
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: HAD JUST GOTTEN OVER A SINUS INFECTION
Preexisting Conditions: PENICILLIN & ONION, SYNVISC INJECTION
Diagnostic Lab Data: NONE
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (AFLURIA)CSL LIMITEDP503080IMLA
Administered by: Public     Purchased by: Public
Symptoms: Chills, Diarrhoea, Pharyngeal oedema, Pyrexia, Rhinitis, Sensation of foreign body, Sinus congestion
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Oropharyngeal allergic conditions (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypersensitivity (narrow), Noninfectious diarrhoea (narrow)
Write-up: NO INITIAL REACTION IN FIRST 20 MINUTES AFTER HER FIRST EVER FLU SHOT. HOWEVER, ABOUT 40 MINUTES LATER, SHE NOTICED SWELLING IN HER THROAT. SHE TOOK A BENADRYL PILL & 15 MIN LATER THE LUMP IN HER THROAT STAYED, BUT DID NOT WORSEN- THEN IT DECREASED TO NORMAL WITHIN 1-2 HOURS. ON MONDAY, 11/12/12, SHE DEVELOPED CHILLS, FEVERISH, SINUS CONGESTION & PURULENT DRAINAGE WHICH LASTED FOR 2 WEEKS & THEN SPORADIC. THE NEXT DAY 11/13/12, SHE HAD SEVERE DIARRHEA WHICH LASTED 12 DAYS.

VAERS ID:476984 (history)  Vaccinated:0000-00-00
Age:47.0  Onset:2012-11-28
Gender:Female  Submitted:2012-11-30, Days after onset: 2
Location:Unknown  Entered:2012-12-07, Days after submission: 7
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
PPV: PNEUMO (NO BRAND NAME)UNKNOWN MANUFACTURER  SYRUN
Administered by: Unknown     Purchased by: Unknown
Symptoms: Discomfort, Injection site erythema, Injection site pain, Injection site swelling, Malaise, Myalgia
SMQs:, Rhabdomyolysis/myopathy (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Eosinophilic pneumonia (broad)
Write-up: My insurance company encouraged me to get the PNEUMOVAX vaccine. My husband had received it earlier this year and had no adverse effect from it. However, I had swelling, tenderness and redness at the injection site. A sore muscle like feeling which starts at my axillae and extends down almost to my elbow and malaise. Today it is better. I am taking BUFFERIN for the discomfort with some degree of relief. To rate the pain, I would say a 5 on a scale of 1 to 10. This is the first time I have ever had this type of reaction to any injections. Flu shots do not bother me at all. I was told this is the only one I will have to have.

VAERS ID:477400 (history)  Vaccinated:2012-11-27
Age:47.0  Onset:2012-12-03, Days after vaccination: 6
Gender:Female  Submitted:2012-12-10, Days after onset: 7
Location:Wisconsin  Entered:2012-12-10
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: Rheumatoid arthritis
Diagnostic Lab Data: None
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0411AE SCLA
Administered by: Private     Purchased by: Private
Symptoms: Chills, Pain, Rash
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow)
Write-up: Soreness all over this past week (today 12/10). Over weekend, developed a rash to face, neck, shoulders, and chest - FRI - rash noted to face. C/O chills this weekend.

VAERS ID:477612 (history)  Vaccinated:2012-11-28
Age:47.0  Onset:2012-11-29, Days after vaccination: 1
Gender:Female  Submitted:0000-00-00
Location:New Mexico  Entered:2012-12-11
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (BOOSTRIX)GLAXOSMITHKLINE BIOLOGICALSAC52B097CA0IMLA
Administered by: Other     Purchased by: Other
Symptoms: Chills, Dizziness, Malaise, Nausea, Pain
SMQs:, Acute pancreatitis (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad)
Write-up: Day after vaccine was given had chills, body aches & felt sick x 3 days. 4th days started feeling better has nausea & dizziness & that is decreasing.

VAERS ID:477615 (history)  Vaccinated:2012-11-28
Age:47.0  Onset:2012-11-28, Days after vaccination: 0
Gender:Female  Submitted:2012-12-11, Days after onset: 13
Location:Illinois  Entered:2012-12-11
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Lovastatin; Phentermine; Clonazepam; Methocarbamol; Diphenhydramine; Carisoprodol; Topiramate; PENNSAID Topical Solution; Midodrine; Hydroxyzine pamoate; Hydrocodone/APAP; Promethazine; Ketorolac; Sertraline; Orphenadrine; Ropinirole
Current Illness: None
Preexisting Conditions: Migraines; Chronic pain; depression/anx.
Diagnostic Lab Data: Blood culture (-); Abscess in left arm - dx per ultrasound
CDC 'Split Type':
Vaccination
Manufacturer
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Dose
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FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)NOVARTIS VACCINES AND DIAGNOSTICS1206901 IMLA
Administered by: Other     Purchased by: Private
Symptoms: Abscess limb, Anaphylactic reaction, Blood culture negative, Chest pain, Dyspnoea, Erythema, Oedema peripheral, Pain, Pyrexia, Streptococcal infection, Surgery, Throat tightness, Ultrasound scan abnormal
SMQs:, Cardiac failure (broad), Anaphylactic reaction (narrow), Angioedema (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Anaphylactic/anaphylactoid shock conditions (narrow), Malignancy related therapeutic and diagnostic procedures (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Hypersensitivity (narrow)
Write-up: Patient called pharmacy at approximately 2 pm on 12/9/12 to report the following events: 11/28/12: Received flu shot at approximately 8:40pm and per pharmacist instructions she remained in store 15-20 minutes after vaccination, due to unspecified adverse rxn to flu shot 20 years ago. She was fine when she left the store, upon arriving home she was experiencing an "anaphylactic reaction". Symptoms: SOB and her throat was closing. She self-administered injectable diphenhydramine in her right arm and called 911. Paramedics administered oxygen and she refused transport to hospital. She says her arm was red and swollen at this time. I spoke with pharmacist on 12/10/12 that administered flu shot, he recalls that patient called pharmacy after she returned home to report red/swollen arm. He confirmed that she did not have SOB and suggested she take a BENADRYL and explained this is common. She did not mention 911 call. Patient did not report this phone call to me. Her arm got progressively worse and on 12/8/12 she sought treatment at immediate care clinic because the pain was so severe, there were red streaks on her arm, she had a high fever plus she was experiencing chest pains. On 12/9/12 she was admitted to hospital with strep infection in arm. 12/10/12: patient called to report that she was still awaiting test results but her blood culture was negative and ultrasound had confirmed abscess in left arm. Treatment includes surgery and IV antibiotics. This is patient account of events, pharmacy personnel has not verified with physician, 911 report.

VAERS ID:477686 (history)  Vaccinated:2012-10-30
Age:47.0  Onset:2012-11-10, Days after vaccination: 11
Gender:Male  Submitted:2012-12-05, Days after onset: 25
Location:Illinois  Entered:2012-12-12, Days after submission: 7
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Acid reflux
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)NOVARTIS VACCINES AND DIAGNOSTICS1204701A SCLA
Administered by: Other     Purchased by: Other
Symptoms: Guillain-Barre syndrome
SMQs:, Peripheral neuropathy (narrow), Guillain-Barre syndrome (narrow), Demyelination (narrow)
Write-up: Patient states he got Guillain Barre syndrome after receiving the vaccine and was hospitalized for 10 days.

VAERS ID:477936 (history)  Vaccinated:2012-12-11
Age:47.0  Onset:2012-12-11, Days after vaccination: 0
Gender:Female  Submitted:2012-12-13, Days after onset: 2
Location:Virginia  Entered:2012-12-13
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: Asthma; Allergy to PPD, Bee sting, ASA, PCN, Ibuprofen
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.40121321SCLA
Administered by: Private     Purchased by: Private
Symptoms: Chills, Injection site induration, Injection site swelling, Lymphadenopathy, Malaise, 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: Night of immunization approx. 6 PM, feeling very will, swollen glands, chills, large red indurated area at site. Fever range 99-101.0. Next day, swelling at site large than borders marked. Tx: Urgent Care. Rx: BACTRIM, ATARAX. General malaise continues to be resolving.

VAERS ID:478031 (history)  Vaccinated:2012-09-24
Age:47.0  Onset:2012-12-08, Days after vaccination: 75
Gender:Female  Submitted:2012-12-13, Days after onset: 5
Location:Florida  Entered:2012-12-13
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: No
Preexisting Conditions: No
Diagnostic Lab Data: UNKNOWN
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEUR 0UNLA
Administered by: Unknown     Purchased by: Private
Symptoms: Hypoaesthesia, Hypoaesthesia oral, Panic attack, Paralysis
SMQs:, Peripheral neuropathy (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (broad)
Write-up: NUMBNESS IN ALL LIMBS, THEN PARALYSIS IN HANDS FOR APPROX 5 MINS, NUMBNESS IN LIPS, THEN SUBSIDED, BUT THE NUMBNESS CONTINUED, WENT TO THE HOSPITAL, THYEY STATED IT WAS A PANIC ATTACK AND PRESCRIBED ATIVAN.

VAERS ID:478706 (history)  Vaccinated:2012-09-04
Age:47.0  Onset:2012-09-04, Days after vaccination: 0
Gender:Female  Submitted:2012-12-19, Days after onset: 106
Location:Pennsylvania  Entered:2012-12-19
Life Threatening? Yes
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Prophylaxis; Drug hypersensitivity; Anxiety; Asthma
Preexisting Conditions: Doxycycline, Drug hypersensitivity; Codeine, Drug hypersensitivity
Diagnostic Lab Data: 09/11/2012, Computerised tomogram abdomen
CDC 'Split Type': WAES1212USA005195
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUARIX)GLAXOSMITHKLINE BIOLOGICALSAFLUA707AP IMLA
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.0492AE0IMGM
Administered by: Other     Purchased by: Other
Symptoms: Activities of daily living impaired, Body temperature increased, Chills, Computerised tomogram abdomen abnormal, Computerised tomogram abnormal, Gait disturbance, Inflammation, Influenza like illness, Injection site cellulitis, Injection site pain, Injection site swelling, Nausea
SMQs:, Acute pancreatitis (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Dementia (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: This spontaneous report was received from a registered nurse concerning to a 47 years old female patient with asthma, anxiety, codeine allergy and doxycycline allergy. On 04-SEP-2012, the patient was vaccinated intramuscularly in the gluteus maximus, left side with lot # (672673/0492AE; expiration date 22-AUG-2013), first dose of, 0.5 ml PNEUMOVAX23. No other co-suspects were reported. Concomitant medications included influenza virus vaccine (GSK), fluticasone propionate, ADVAIR, XANAX, albuterol (manufacturer unspecified), albuterol sulfate, DUONEB, NEXIUM and ibuprofen. The nurse reported that the patient developed a cellulitis that required hospitalization following vaccination with PNEUMOVAX23. The patient had flu like symptoms, nausea, elevated temperature (unspecified) and a swollen, tender and painful area described as a cellulitis at the injection site of the PNEUMOVAX23 with rigors and limp. The exact development of the flu like symptoms, nausea, elevated temperatures (unspecified) and a swollen, tender and painful area described as a cellulitis at the injection of the PNEUMOVAX23 with rigors and limp was unspecified. The patient went to the office on 06-SEP-2012 and then went to the emergency room and was admitted to the hospital on 06-SEP-2012 for treatment of the cellulitis. The patient was discharged from the hospital on 09-SEP-2012, but went back to the physician office and emergency room on 11-SEP-2012 with symptoms of nausea, increased swelling, pain and tenderness at the injection site. The patient was given a computed tomography (CT) scan of the pelvis and abdomen on 11-SEP-2012 which indicated inflammation, but no abscesses or hematoma. The patient was sent to home after treatment with ZOFRAN, intravenous (IV) fluids generic (KEFLEX) and PERCOCET on 11-SEP-2012. The patient was reported to be recovered on 24-SEP-2012. The patient missed work (unspecified number of days) and could not walk right, limped. The relatedness for the events were unknown for PNEUMOVAX23. This is one report of several reports from the same source. Cellulitis, missed work and could not walk right, limped were considered to be life threatening by the registered nurse. Cellulitis was considered to be disabling by the registered nurse. Additional information has been requested.

VAERS ID:479285 (history)  Vaccinated:2012-12-17
Age:47.0  Onset:2012-12-19, Days after vaccination: 2
Gender:Female  Submitted:2012-12-26, Days after onset: 7
Location:Florida  Entered:2012-12-26
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURUH721AB IMLA
Administered by: Public     Purchased by: Public
Symptoms: Dyspnoea, Productive cough, Throat irritation, Vomiting
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad)
Write-up: Scratchy throat, Vomiting, Shortness of breath, Cough with copious mucus.

VAERS ID:479346 (history)  Vaccinated:2012-12-19
Age:47.0  Onset:2012-12-19, Days after vaccination: 0
Gender:Female  Submitted:2012-12-24, Days after onset: 5
Location:Texas  Entered:2012-12-26, 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: No
Preexisting Conditions: No
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)NOVARTIS VACCINES AND DIAGNOSTICS1204101 IMAR
Administered by: Other     Purchased by: Unknown
Symptoms: Axillary pain, Injection site pain
SMQs:, Extravasation events (injections, infusions and implants) (broad)
Write-up: On 12/24/12 patient reported that her arm hurts at the injection site as well as under her arm. She said she was going to see a Dr. On 12/26/12 I called her and she said she was better - no pain or discomfort.

VAERS ID:479782 (history)  Vaccinated:2012-09-21
Age:47.0  Onset:2012-09-21, Days after vaccination: 0
Gender:Female  Submitted:2012-12-29, Days after onset: 99
Location:Pennsylvania  Entered:2012-12-29
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: No tests. Doctor told me to take Benadryl and ride it out.
CDC 'Split Type':
Vaccination
Manufacturer
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Dose
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Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE INTRADERMAL)SANOFI PASTEUR 2IDLA
Administered by: Other     Purchased by: Other
Symptoms: Erythema, Rash papular, Rash pruritic
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow)
Write-up: The evening of my injection I noticed a red spot on the arm of injection, by morning I had a trail of raised, itchy, patches. Right arm, forearm, right leg on lower thigh and top of knee.

VAERS ID:479792 (history)  Vaccinated:2012-12-03
Age:47.0  Onset:2012-12-03, Days after vaccination: 0
Gender:Female  Submitted:2012-12-30, Days after onset: 27
Location:North Carolina  Entered:2012-12-30
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: I had been recovering from strep throat/swollen lymph nodes. Time of vaccine is approximate.
Preexisting Conditions: Glaucoma suspect, retinal bleed right eye in 2007
Diagnostic Lab Data: Have taken anti-virals, L-Lysine, done multiple chiropractice and medical massage in attempt to combat whatever this problem is .... Correlation with the HepB shot was remarkable -
CDC 'Split Type':
Vaccination
Manufacturer
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Site
HEP: HEP B (NO BRAND NAME)UNKNOWN MANUFACTURER    
Administered by: Military     Purchased by: Public
Symptoms: Neck pain, Neuralgia, Pain
SMQs:, Peripheral neuropathy (narrow), Arthritis (broad)
Write-up: Nerve pain left side of face/left eye, left occipital pain, pain C-1-2. Shot given deltoid right under left shoulder bone.

VAERS ID:479992 (history)  Vaccinated:2012-12-27
Age:47.0  Onset:2012-12-30, Days after vaccination: 3
Gender:Female  Submitted:2013-01-01, Days after onset: 2
Location:Massachusetts  Entered:2013-01-01
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE INTRADERMAL)SANOFI PASTEUR  IDLA
Administered by: Other     Purchased by: Private
Symptoms: Asthenia, Fatigue, Malaise, Migraine, Myalgia, Nausea
SMQs:, Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad)
Write-up: Migraine headache, nausea, muscle aches, weakness, fatigue, malaise.

VAERS ID:480054 (history)  Vaccinated:2012-11-01
Age:47.0  Onset:2012-11-01, Days after vaccination: 0
Gender:Female  Submitted:2013-01-02, Days after onset: 62
Location:California  Entered:2013-01-02
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
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Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURUH719AD IMLA
Administered by: Public     Purchased by: Public
Symptoms: Immediate post-injection reaction, Injected limb mobility decreased, Injection site pain, Muscular weakness
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (narrow)
Write-up: DEVELOPED PAIN LEFT DELTOID AREA IMMEDIATELY AFTER VACCINATION. PAIN PROGRESSED SAME AREA AND NOW CAN''T LIFT HER LEFT ARM AND HAS WEAKNESS IN LEFT HAND. NO SENSORY DEFICIT. NO PAIN RADIATION. TOOK IBUPROFEN, NOT HELPING.

VAERS ID:480252 (history)  Vaccinated:2012-10-03
Age:47.0  Onset:2012-10-10, Days after vaccination: 7
Gender:Male  Submitted:2013-01-03, Days after onset: 85
Location:California  Entered:2013-01-04, Days after submission: 1
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: DITROPAN - drowsiness; shellfish - pruritus, anaphylaxis
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)NOVARTIS VACCINES AND DIAGNOSTICS12059011UNLA
Administered by: Other     Purchased by: Other
Symptoms: Cough, Rash, Wheezing
SMQs:, Anaphylactic reaction (narrow), Angioedema (broad), Asthma/bronchospasm (broad), Eosinophilic pneumonia (broad), Hypersensitivity (narrow)
Write-up: Cough, wheeze & rash. Cephalexin 500 mg BID, Diphenhydramine 25 mg PRN.

VAERS ID:480341 (history)  Vaccinated:2013-01-05
Age:47.0  Onset:2013-01-05, Days after vaccination: 0
Gender:Female  Submitted:2013-01-05, Days after onset: 0
Location:California  Entered:2013-01-05
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None reported
Preexisting Conditions: None reported
Diagnostic Lab Data: BP 133/101, HR 98 at time of onset.
CDC 'Split Type':
Vaccination
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FLU3: INFLUENZA (SEASONAL) (AFLURIA)CSL LIMITED07049221A16IMRA
Administered by: Military     Purchased by: Military
Symptoms: Dizziness, Dysstasia, Respiratory rate increased, Tremor
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Vestibular disorders (broad)
Write-up: Pt became light headed and unable to stand upright. Increased respiratory rate and generalized shaking noted. No rales/stridor/wheezing noted.

VAERS ID:480379 (history)  Vaccinated:2012-08-22
Age:47.0  Onset:0000-00-00
Gender:Female  Submitted:2012-10-31
Location:Kansas  Entered:2013-01-07, Days after submission: 68
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: Allergic to Penicillins, Sulfa drugs
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE INTRADERMAL)SANOFI PASTEURUT4464AA IDLA
Administered by: Other     Purchased by: Other
Symptoms: Pigmentation disorder
SMQs:
Write-up: Loss of pigmentation where the ID vaccine was given. Noticed 4 weeks after shot was given.

VAERS ID:480497 (history)  Vaccinated:2012-12-13
Age:47.0  Onset:2012-12-13, Days after vaccination: 0
Gender:Female  Submitted:2013-01-07, Days after onset: 25
Location:North Carolina  Entered:2013-01-07
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Had a cold
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
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Dose
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FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)UNKNOWN MANUFACTURER    
Administered by: Unknown     Purchased by: Private
Symptoms: Bursitis, Mobility decreased
SMQs:, Parkinson-like events (broad)
Write-up: Could not lift arm, been to doctor 3 times since, now they say it is bursitis of shoulder, never lifted or injured or had any problem with shoulder till this shot, on prednisone now.

VAERS ID:480901 (history)  Vaccinated:2013-01-04
Age:47.0  Onset:2013-01-05, Days after vaccination: 1
Gender:Female  Submitted:2013-01-10, Days after onset: 5
Location:Oregon  Entered:2013-01-10
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: Seasonal hay fever (spring allergies)
Diagnostic Lab Data: None yet
CDC 'Split Type':
Vaccination
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FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)UNKNOWN MANUFACTURER  SYRLA
Administered by: Unknown     Purchased by: Other
Symptoms: Cough, Fatigue, Headache, Oropharyngeal pain, Pain, Pyrexia, Respiratory tract congestion
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow)
Write-up: Sore throat, cough, slight fever; followed the next morning (01/06/2013) by fever, body aches, headache, fatigue which persisted 72 hours. By 01/10/2013 no fever, but congestion, cough, fatigue.

VAERS ID:480909 (history)  Vaccinated:2012-12-26
Age:47.0  Onset:2012-12-27, Days after vaccination: 1
Gender:Female  Submitted:2013-01-10, Days after onset: 14
Location:Arizona  Entered:2013-01-10
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: No
Preexisting Conditions: No
Diagnostic Lab Data: None
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)UNKNOWN MANUFACTURER    
Administered by: Other     Purchased by: Other
Symptoms: Nausea
SMQs:, Acute pancreatitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)
Write-up: Extreme nausea, lasted well into bedtime (approx 10:00pm).

VAERS ID:481070 (history)  Vaccinated:0000-00-00
Age:47.0  Onset:0000-00-00
Gender:Male  Submitted:2012-11-30
Location:Unknown  Entered:2013-01-10, Days after submission: 41
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Unspecified immunodeficiency.
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type': 2012033322
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)UNKNOWN MANUFACTURER  UNUN
Administered by: Unknown     Purchased by: Unknown
Symptoms: Dysuria, Oedema peripheral
SMQs:, Cardiac failure (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: This consumer report (initial receipt 27-Aug-2012) concerns a 47-year-old male patient. On an unspecified date, the patient received an unspecified influenza vaccine (batch number not specified). On the same day, the patient also received HIZENTRA (Immune Globulin Subcutaneous (Human)) via subcutaneous route, at a dose of 9 grams per week for immunodeficiency (see WAVES 2012033226). On an unspecified date the patient experienced dysuria and bilateral swelling of the feet. The outcome of the event was unknown. Reporter''s comment: The reporter did not provide serious criteria or causality statement. The patient did not experience an adverse event with six prior weeks of therapy with HIZENTRA.

VAERS ID:481305 (history)  Vaccinated:0000-00-00
Age:47.0  Onset:0000-00-00
Gender:Female  Submitted:2013-01-11
Location:Pennsylvania  Entered:2013-01-11
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Unknown
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type': WAES1301USA004135
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.  UNUN
Administered by: Other     Purchased by: Other
Symptoms: No therapeutic response
SMQs:, Lack of efficacy/effect (narrow)
Write-up: This spontaneous report as received from a physician refers to a 47 years old female patient. The physician mentioned the patient did not respond to RECOMBIVAX HB therapy (therapy date, dose and route not reported). The patient did not seek medical attention. At the time of this report the patient''s status was not known. Additional information is not expected.

VAERS ID:481426 (history)  Vaccinated:2013-01-14
Age:47.0  Onset:2013-01-15, Days after vaccination: 1
Gender:Female  Submitted:2013-01-15, Days after onset: 0
Location:Texas  Entered:2013-01-15
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: No
Preexisting Conditions: Breast cancer 2003/chemo 2004; Allergies: penicillin, Sulfa & Bactrim (get rash); Healthy at time of vaccine
Diagnostic Lab Data: Flu shot Lot UH718AA expires 06/2013
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURUH718AA0SYRLA
Administered by: Public     Purchased by: Private
Symptoms: Dizziness, Feeling abnormal
SMQs:, Anticholinergic syndrome (broad), Dementia (broad), Vestibular disorders (broad)
Write-up: Got dizzy. Had to sit down on floor. I ''awoke'' and was still sitting on the floor, but was making a kind of funny noise. I sat their for a few seconds kinda dazed as I couldn''t remember what I was doing on the floor. Then I remember and got up. I was still a bit dizzy. I am fine now. I hope it doesn''t happen again.

VAERS ID:481490 (history)  Vaccinated:2012-12-20
Age:47.0  Onset:2012-12-21, Days after vaccination: 1
Gender:Female  Submitted:2013-01-15, Days after onset: 25
Location:Oregon  Entered:2013-01-16, Days after submission: 1
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: MRI as above; Sed Rate, CBC, CMP normal
CDC 'Split Type':
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TYP: TYPHOID LIVE ORAL TY21A (VIVOTIF)BERNA BIOTECH, LTD30002610PO 
Administered by: Unknown     Purchased by: Unknown
Symptoms: Central nervous system inflammation, Full blood count normal, Hypoaesthesia, Metabolic function test normal, Nuclear magnetic resonance imaging brain abnormal, Pain, Red blood cell sedimentation rate normal, Trigeminal neuralgia
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Demyelination (broad)
Write-up: Developed (L) facial numbness and pain beginning one day after typhoid vaccine. Seen in ED and MRI showed inflammation in (L) cerebellar peduncle. Seen by neurologist. DX: Trigeminal neuralgia.

VAERS ID:481673 (history)  Vaccinated:2013-01-16
Age:47.0  Onset:2013-01-16, Days after vaccination: 0
Gender:Female  Submitted:2013-01-16, Days after onset: 0
Location:Illinois  Entered:2013-01-16
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
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Site
FLU3: INFLUENZA (SEASONAL) (AFLURIA)CSL LIMITED06949211A IMLA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Asthenia, Dizziness, Flushing, Nausea
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad), Hypersensitivity (broad)
Write-up: Upon tending to her daughter, mom reported dizziness, weakness, need to vomit. I helped mom to floor to lie down. She was flushed but spoke with me until EMT arrived.

VAERS ID:481890 (history)  Vaccinated:2012-12-31
Age:47.0  Onset:2013-01-01, Days after vaccination: 1
Gender:Male  Submitted:2013-01-19, Days after onset: 18
Location:Michigan  Entered:2013-01-19
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Simvastatin 40 mg
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
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Site
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)NOVARTIS VACCINES AND DIAGNOSTICS665210115020SYRLA
Administered by: Other     Purchased by: Other
Symptoms: Bone pain, Pain in extremity
SMQs:, Osteonecrosis (broad)
Write-up: Sore arm, sore to the bone, from shoulder to elbow, worse when laying down.

VAERS ID:481930 (history)  Vaccinated:2013-01-18
Age:47.0  Onset:2013-01-18, Days after vaccination: 0
Gender:Female  Submitted:2013-01-21, Days after onset: 3
Location:Maine  Entered:2013-01-21
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Benicar (20mg); Fluoxetine (20mg); multivitamin; vitamin E (400IU)
Current Illness: No
Preexisting Conditions: Amoxicillin
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
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Site
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)UNKNOWN MANUFACTURER 0  
Administered by: Private     Purchased by: Other
Symptoms: Chest discomfort, Cough, Dyspnoea
SMQs:, Anaphylactic reaction (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad)
Write-up: Chest increasingly tightening, uncontrollable cough, problem breathing.

VAERS ID:481972 (history)  Vaccinated:2013-01-18
Age:47.0  Onset:2013-01-18, Days after vaccination: 0
Gender:Female  Submitted:2013-01-21, Days after onset: 3
Location:South Carolina  Entered:2013-01-21
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: Lupus
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (AFLURIA)CSL LIMITED06949211A1SYRRA
Administered by: Other     Purchased by: Private
Symptoms: Loss of consciousness
SMQs:, Torsade de pointes/QT prolongation (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad)
Write-up: A few minutes after pt given flu shot came back to pharmacy saying "somebody help me" asked her if she was having difficulty breathing stated no and passed out. Pt came to a few minutes later. EMS was called and took her to hospital. Called to ck on pt and was fine. Stated this happen sometime when nervous.

VAERS ID:482019 (history)  Vaccinated:2013-01-07
Age:47.0  Onset:2013-01-07, Days after vaccination: 0
Gender:Female  Submitted:2013-01-11, Days after onset: 4
Location:Michigan  Entered:2013-01-22, Days after submission: 11
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: CELEBREX; Hydrochlorothiazide; LEXAPRO; Black cohash; REQUIP; TYLENOL; VICODIN PRN; Vit C/Rose hips; Ultra mega vitamin
Current Illness: None
Preexisting Conditions: "Mild HTN - on meds"; No other illnesses The following information was obtained through follow-up and/or provided by the government. PMH: HTN, depression.
Diagnostic Lab Data: CBC, Met Profile all basically WNL. EKG - Normal S.R.; Neutrophils, 70.8; Stress test, Echo WNL. The following information was obtained through follow-up and/or provided by the government. 2/5/2013 lab/diagnostic records received for DOS 1/7-8/2013. Stress test, echo WNL. Blood: WBC 7.8 K/uL (N), neutros 70.8% (H), lymphs 19.9% (L), osmolality 270 mOsm/kg (L), LDH 394 U/L (H).
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (BOOSTRIX)GLAXOSMITHKLINE BIOLOGICALSAC52B102AA1IMLA
Administered by: Public     Purchased by: Unknown
Symptoms: Blood lactate dehydrogenase increased, Blood osmolarity decreased, Cardiac stress test normal, Chest discomfort, Chest pain, Dizziness, Dyspnoea, Echocardiogram normal, Electrocardiogram normal, Feeling abnormal, Feeling hot, Flushing, Full blood count normal, Hypersensitivity, Lymphocyte percentage decreased, Metabolic function test normal, Nausea, Neutrophil percentage increased, Paraesthesia, Rash, Throat irritation, Throat tightness, White blood cell count normal
SMQs:, Anaphylactic reaction (narrow), Acute pancreatitis (broad), Angioedema (broad), Haematopoietic leukopenia (broad), Peripheral neuropathy (broad), 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), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hyponatraemia/SIADH (broad), Cardiomyopathy (broad), Vestibular disorders (broad), Hypersensitivity (narrow)
Write-up: Rec''d Tdap 1/7/13 at 10 a.m. Ret to work. 12:00 ate lunch. 12:30 - Felt lightheaded, flushed, nauseated "not right". Told to lie down. Sys BP $g90. 1255 - felt "throat full & burning". Taken to ER. Also c/o some chest pain. Rx: BENADRYL & SOLU-MEDROL & IV fluid not much change. Approx 3:30 p.m. kept for overnite observation as cont. to complain of fullness & burning in throat. No SOB noted. Some mild chest discomfort. The following information was obtained through follow-up and/or provided by the government. 2/5/2013 hospital records received for DOS 1/7-8/2013. Dx: allergic reaction. Pt c/o throat fullness, lightheadedness, dizziness, chest pain, warm feeling of extremities, SOB after eating s/p vaccination. PE: small rash. Tx''t: antihistamine, steroids. Pt c/o feeling worse, IV started. Pt c/o tingling in hands. Admitted. Condition improving. Pt d/c''d home in stable condition w/ Rx, care, & f/u instructions.

VAERS ID:482504 (history)  Vaccinated:2013-01-24
Age:47.0  Onset:2013-01-24, Days after vaccination: 0
Gender:Male  Submitted:2013-01-24, Days after onset: 0
Location:New York  Entered:2013-01-25, Days after submission: 1
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (AFLURIA)CSL LIMITED08249611A IMAR
Administered by: Unknown     Purchased by: Unknown
Symptoms: Dizziness, Presyncope
SMQs:, Anticholinergic syndrome (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad)
Write-up: Pt became lightheaded & came close to passing out. 911 was called pt did not lose consciousness.

VAERS ID:482601 (history)  Vaccinated:2013-01-20
Age:47.0  Onset:2013-01-21, Days after vaccination: 1
Gender:Female  Submitted:2013-01-26, Days after onset: 5
Location:Missouri  Entered:2013-01-26
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Metformin, sertraline, naproxen, levothyroxin, trazodone, hbp
Current Illness: None
Preexisting Conditions: Gabapentin, statins, fibromyalgia, high blood pressure, diabetes
Diagnostic Lab Data: Bloodwork done, CT scan
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)NOVARTIS VACCINES AND DIAGNOSTICS 0 LA
Administered by: Other     Purchased by: Private
Symptoms: Blood test, Computerised tomogram, Headache
SMQs:
Write-up: Persistent. Severe headache.

VAERS ID:482757 (history)  Vaccinated:2013-01-16
Age:47.0  Onset:2013-01-16, Days after vaccination: 0
Gender:Female  Submitted:2013-01-28, Days after onset: 12
Location:Rhode Island  Entered:2013-01-28
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: Patient released from hospital returned home.
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
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Site
FLU3: INFLUENZA (SEASONAL) (FLULAVAL)GLAXOSMITHKLINE BIOLOGICALSAFLLA726AB IMLA
Administered by: Public     Purchased by: Public
Symptoms: Dizziness, Hyperhidrosis, Irritability, Pallor
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hostility/aggression (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad)
Write-up: 6:45 c/o pale, sweaty & lightheaded. BP 130/70 P. 60 Ice to neck, cool water, laid on table. BENADRYL 50 mg given. 6:55 BP 82/40 & 911 called. 6:55 BP 120/80 P 60. 7 pm feeling & looking better. BP 125/95 P 60. 7:05 pm sitting up & rescue arrived. Transferred to hosp,

VAERS ID:482771 (history)  Vaccinated:2013-01-07
Age:47.0  Onset:2013-01-08, Days after vaccination: 1
Gender:Male  Submitted:2013-01-28, Days after onset: 20
Location:Illinois  Entered:2013-01-28
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
Preexisting Conditions: None
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE INTRADERMAL)SANOFI PASTEUR 1IDLA
Administered by: Public     Purchased by: Private
Symptoms: Nausea
SMQs:, Acute pancreatitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)
Write-up: Hint of nausea for the past 3 weeks, every day.

VAERS ID:482915 (history)  Vaccinated:2012-12-14
Age:47.0  Onset:2012-12-14, Days after vaccination: 0
Gender:Female  Submitted:2013-01-29, Days after onset: 46
Location:New York  Entered:2013-01-29
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: N/A
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
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FLU3: INFLUENZA (SEASONAL) (FLUZONE INTRADERMAL)SANOFI PASTEUR  ID 
Administered by: Public     Purchased by: Other
Symptoms: Injection site pain, Pain
SMQs:, Extravasation events (injections, infusions and implants) (broad)
Write-up: Patient complained of burning and stinging during administration of Fluzone intradermal injection.

VAERS ID:483198 (history)  Vaccinated:2013-01-23
Age:47.0  Onset:2013-01-23, Days after vaccination: 0
Gender:Female  Submitted:2013-01-30, Days after onset: 7
Location:New Jersey  Entered:2013-02-01, Days after submission: 2
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (AFLURIA)CSL LIMITEDP59407A0IMLA
Administered by: Other     Purchased by: Other
Symptoms: Headache, Oral herpes, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Oropharyngeal infections (narrow)
Write-up: Fever 102 degrees 5 hrs post vaccine. Fever blisters on up & lower lips on 1/25. Headache on 1/23.

VAERS ID:483309 (history)  Vaccinated:2013-01-17
Age:47.0  Onset:0000-00-00
Gender:Female  Submitted:2013-02-04
Location:Unknown  Entered:2013-02-04
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: No other medications
Current Illness: Unknown
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type': WAES1302USA000513
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARZOS: ZOSTER (ZOSTAVAX)MERCK & CO. INC.H0187980SCUN
Administered by: Other     Purchased by: Other
Symptoms: Drug administered to patient of inappropriate age, No adverse event
SMQs:
Write-up: This spontaneous report was received from a pharmacist refers to a 49 year old female patient. The patient was vaccinated with ZOSTAVAX, (lot number, expiration date and route was not reported) on 17-JAN-2013. No concomitant medications were reported. No adverse event was reported. Additional information has been requested.

VAERS ID:483985 (history)  Vaccinated:0000-00-00
Age:47.0  Onset:2013-01-12
Gender:Female  Submitted:2013-01-19, Days after onset: 7
Location:Unknown  Entered:2013-02-08, Days after submission: 20
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)UNKNOWN MANUFACTURER 1UNUN
Administered by: Unknown     Purchased by: Unknown
Symptoms: Headache, Nausea, Pain, Pyrexia, Vomiting
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)
Write-up: Pt developed these symptoms the evening of 1/12/13 and they continued all day through 1/13/13. Pt''s symptoms resolved. Headache, fever, nausea vomiting & body aches.

VAERS ID:483881 (history)  Vaccinated:2013-02-08
Age:47.0  Onset:2013-02-09, Days after vaccination: 1
Gender:Female  Submitted:2013-02-09, Days after onset: 0
Location:Florida  Entered:2013-02-09
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None reported
Current Illness: None reported
Preexisting Conditions: None Reported
Diagnostic Lab Data: None at this time
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
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Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE INTRADERMAL)SANOFI PASTEURUT4472BA IDRA
Administered by: Public     Purchased by: Other
Symptoms: Injection site erythema, Injection site swelling, Lymph node pain, Lymphadenopathy
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: Patient returned to clinic with reports of redness and swelling at the site of injection, but also complained that she woke up with the swollen nodes. On exam, patient was noted to have very swollen and tender supraclavicular lymph nodes. Advised patient to treat symptomatically with cool compresses and ibuprofen and to follow-up with primary care physician for worsening symptoms or persistent swollen nodes.

VAERS ID:483941 (history)  Vaccinated:2013-01-17
Age:47.0  Onset:2013-01-26, Days after vaccination: 9
Gender:Male  Submitted:2013-02-08, Days after onset: 13
Location:Tennessee  Entered:2013-02-11, Days after submission: 3
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type': 2013034649
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (AFLURIA)CSL LIMITED06949211A SYRUN
Administered by: Unknown     Purchased by: Unknown
Symptoms: VIIth nerve paralysis
SMQs:, Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad)
Write-up: This spontaneous consumer report (initial receipt 28-Jan-2013) concerns a 47 year old male patient. On 17-Jan-2013, the patient received one injection of AFLURIA (batch 06949211A). On 26-Jan-2013, the patient developed Bell''s Palsy. The patient''s entire left side of his face is paralysed. The patient went to the ER (emergency room) and was treated with steroids and anti-virals. The event outcome was recovering.

VAERS ID:484066 (history)  Vaccinated:2012-09-18
Age:47.0  Onset:2012-09-18, Days after vaccination: 0
Gender:Male  Submitted:2013-01-24, Days after onset: 128
Location:Virginia  Entered:2013-02-11, Days after submission: 18
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Zolpidem tartrate; Atorvastatin calcium; Atorvastatin calcium
Current Illness: Unknown
Preexisting Conditions: No relevant medical history. The subject had previously received influenza vaccinations and no adverse events were reported. No adverse events were reported with previous immunizations.
Diagnostic Lab Data: UNK
CDC 'Split Type': A0995174A
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLULAVAL)GLAXOSMITHKLINE BIOLOGICALSAFLLA736AA SYRRA
Administered by: Other     Purchased by: Public
Symptoms: Generalised erythema, Product quality issue, Pruritus generalised, Swelling
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad)
Write-up: This case was reported by a healthcare professional and described the occurrence of pruritus all over body in a 47-year-old male subject who was vaccinated with FLULAVAL (GlaxoSmithKline). Concurrent medications included AMBIEN, Atorvastatin and LIPITOR. On 18 September 2012 the subject received unspecified dose of FLULAVAL (.5 unknown, unknown, right arm). On 18 September 2012, 1 hour after vaccination with FLULAVAL, the subject experienced pruritus all over body, erythema all over body, swelling all over body and pharmaceutical product complaint. The subject received FLULAVAL injection on 18 September 2012. Approximately one hour later, the subject began to experience redness, swelling and itching all over their body. The symptoms resolved the next day on 19 September 2012. The healthcare professional considered the events were probably related to vaccination with FLUVALAL. A product complaint was filed, due to "the symptoms are unlike any flu vaccine she (the reporter) has ever seen occur". These subjects were "three in a row, which prompted her to call. The reporter was not sure 100 percent if the vial was suspect or not, and requested that a Quality complaint be submitted, and the vial to be returned for analysis." This is third of three reports made by the healthcare professional, please also see A0995170A and A0995173A. On 09 October 2012, follow-up information was received from the healthcare professional. It was reported that the pruritus all over body, erythema all over body, and swelling all over body had resolved. The reporter considered that the events were not serious. It was also reported that the immunization series with FLULAVAL was discontinued and was not delayed. According to product complaint investigation results reported by GSK Biologicals quality assurance on 09 October 2012, the product complaint was assessed to be unsubstantiated.

VAERS ID:484392 (history)  Vaccinated:2013-01-30
Age:47.0  Onset:2013-01-30, Days after vaccination: 0
Gender:Female  Submitted:2013-02-13, Days after onset: 14
Location:Florida  Entered:2013-02-13
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: HTN
Diagnostic Lab Data: None
CDC 'Split Type':
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Manufacturer
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Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.H0125690UNLA
Administered by: Private     Purchased by: Unknown
Symptoms: Activities of daily living impaired, Decreased appetite, Headache, Lymphadenopathy, Musculoskeletal stiffness, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Dystonia (broad), Parkinson-like events (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Arthritis (broad)
Write-up: Rec''d MMR vaccine 1/30/13. Hours later had headache, fever & decrease appetite. Took ADVIL that moment. Had to be in bed all next day & then began feeling better. A week later had stiff neck headache. 2/12/2013 noticed enlarged lymph nodes to neck & behind (R) ear.

VAERS ID:484496 (history)  Vaccinated:2012-10-18
Age:47.0  Onset:2012-10-18, Days after vaccination: 0
Gender:Female  Submitted:2013-02-14, Days after onset: 119
Location:Unknown  Entered:2013-02-14
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness: NO
Preexisting Conditions: UNKNOWN
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLULAVAL)GLAXOSMITHKLINE BIOLOGICALSAFLLA735BA IMRA
Administered by: Public     Purchased by: Other
Symptoms: Feeling hot, Rash
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow)
Write-up: Participant reported warm feeling & had rash on left arm/ no epi administered/ after monitoring participant for several minutes, symptoms decreased.

VAERS ID:485533 (history)  Vaccinated:2013-02-18
Age:47.0  Onset:2013-02-19, Days after vaccination: 1
Gender:Female  Submitted:2013-02-25, Days after onset: 6
Location:Texas  Entered:2013-02-25
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: swelling at site~Tetanus Toxoid (no brand name)~3~21.00~Patient
Other Medications: Vytorin, metformin, Victoza, Zyrtec, Celexa, Nuvigil, ramipril, Lyrica, vit D, B complex, iron, glimeperide, ibuprofen
Current Illness: No
Preexisting Conditions: Latex, PCN, Sudafed, lisinopril-allergies. DM, Bell''s Palsy, peripheral nerve pain
Diagnostic Lab Data: PCP assessment that it was adverse event and should not receive another.
CDC 'Split Type':
Vaccination
Manufacturer
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Dose
Route
Site
HEP: HEP B (NO BRAND NAME)UNKNOWN MANUFACTURER 1IMLA
MMR: MEASLES + MUMPS + RUBELLA (NO BRAND NAME)UNKNOWN MANUFACTURER 2IMRA
Administered by: Public     Purchased by: Other
Symptoms: Choking, Facial pain, Injection site erythema, Injection site pain, Muscle contractions involuntary, Neck pain, Swelling face, Vaccination site swelling, Vaccination site warmth
SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), Dystonia (broad), Extravasation events (injections, infusions and implants) (broad), Glaucoma (broad), Hypersensitivity (narrow), Arthritis (broad)
Write-up: Site of vaccination swollen, red and hot size 2 inches x 1 inch, pain in right shoulder right neck and face with muscle in right cheek involuntarily contracting, next day site swelling doubled, face swelling, some choking.

VAERS ID:485608 (history)  Vaccinated:2013-02-25
Age:47.0  Onset:2013-02-25, Days after vaccination: 0
Gender:Female  Submitted:2013-02-26, Days after onset: 1
Location:New York  Entered:2013-02-26
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Flonase, Flovent, Lyrica, Prempro, Ursidiol, Metformin, Omeprazole, Narco, Amlodipine, Benazapril, Zofran
Current Illness: None
Preexisting Conditions: High blood pressure, Vasovagal syncope, GERD, IBS/IBD, enlarged fatty liver, permanent nerve root damage, dengerative disc disease (lumbar & cervical)
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
PPV: PNEUMO (NO BRAND NAME)UNKNOWN MANUFACTURER 0 LA
Administered by: Private     Purchased by: Unknown
Symptoms: Heart rate increased, Palpitations
SMQs:, Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad)
Write-up: Rapid heartbeat, pounding heart beat.

VAERS ID:485620 (history)  Vaccinated:2012-11-13
Age:47.0  Onset:2012-11-28, Days after vaccination: 15
Gender:Female  Submitted:2013-02-26, Days after onset: 90
Location:Texas  Entered:2013-02-26
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Synthroid and Celexa
Current Illness: Hypothyroidism, Neuropathy, former Hodgkin''s Lymphoma patient
Preexisting Conditions: Scoliosis, Raynaud''s; Allergies---Penicillin, sulfa drugs
Diagnostic Lab Data: X-ray of arm by physician failed to reveal any abnormalties.
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)UNKNOWN MANUFACTURER  SYRLA
Administered by: Other     Purchased by: Public
Symptoms: Injected limb mobility decreased, Injection site anaesthesia, Injection site pain, Injection site reaction, Pain, Paraesthesia, X-ray limb normal
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad)
Write-up: Pain, tingling and numbness in left arm where vaccine was administered; pain has worsened considerably over past three months; difficulty raising and using arm without excrutiating pain.

VAERS ID:486163 (history)  Vaccinated:2013-01-08
Age:47.0  Onset:2013-01-09, Days after vaccination: 1
Gender:Male  Submitted:2013-02-13, Days after onset: 35
Location:Indiana  Entered:2013-03-05, Days after submission: 20
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUARIX)GLAXOSMITHKLINE BIOLOGICALSAFLUA710BA0UNLA
HEPAB: HEP A + HEP B (TWINRIX)GLAXOSMITHKLINE BIOLOGICALSAHABB244AA0UNRA
TDAP: TDAP (BOOSTRIX)GLAXOSMITHKLINE BIOLOGICALSAC52B103AA UNLA
TYP: TYPHOID LIVE ORAL TY21A (VIVOTIF)BERNA BIOTECH, LTD30002610PO 
Administered by: Private     Purchased by: Private
Symptoms: Pruritus, Rash, Rash erythematous
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow)
Write-up: Red rash on torso - itching. Lasted 3-4 days - required no treatment.

VAERS ID:486978 (history)  Vaccinated:2013-03-11
Age:47.0  Onset:2013-03-12, Days after vaccination: 1
Gender:Male  Submitted:2013-03-15, Days after onset: 3
Location:D.C.  Entered:2013-03-15
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: NORVASC 5 Mg tabs; Ca with Vit D
Current Illness: None
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC 'Split Type':
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TDAP: TDAP (NO BRAND NAME)UNKNOWN MANUFACTURER    
Administered by: Public     Purchased by: Other
Symptoms: Asthenia, Cough, Dizziness, Dyspnoea, Headache, Pain, Respiratory tract congestion, Rhinorrhoea
SMQs:, Anaphylactic reaction (broad), Anticholinergic syndrome (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Cardiomyopathy (broad), Vestibular disorders (broad)
Write-up: Congestion, runny nose, cough, head ache, body ache, dizziness, difficulty breathing, weakness.

VAERS ID:487184 (history)  Vaccinated:2013-03-13
Age:47.0  Onset:2013-03-14, Days after vaccination: 1
Gender:Male  Submitted:2013-03-18, Days after onset: 4
Location:Texas  Entered:2013-03-18
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: Red at site~Tdap (no brand name)~UN~0.00~Patient
Other Medications: AZOR; Allopurinol; Metoprolol; Pravastatin; Aspirin
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data:
CDC 'Split Type':
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MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA)SANOFI PASTEURU4348AA0SCLA
Administered by: Public     Purchased by: Other
Symptoms: Headache, Injection site bruising, Injection site erythema, Myalgia, Pyrexia
SMQs:, Rhabdomyolysis/myopathy (broad), Haemorrhage terms (excl laboratory terms) (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Eosinophilic pneumonia (broad)
Write-up: Fever 101.7 3-14-13, headache, muscle pain, bruise/redness on injection site.

VAERS ID:487806 (history)  Vaccinated:2013-03-04
Age:47.0  Onset:2013-03-05, Days after vaccination: 1
Gender:Female  Submitted:2013-03-26, Days after onset: 20
Location:Illinois  Entered:2013-03-26
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Insulin 70/30, current med at time of visit. Pravastatin prescribed at same visit.
Current Illness: None
Preexisting Conditions: Allergies: none; Birth defects: none; Medical conditions: Diabetes Type II, obesity
Diagnostic Lab Data: CXR PA & Lat (3/25/13): "The heart and great vessels appear stable and within normal limits. There are fine interstitial opacities throughout the lungs compatible with early degenerative pneumonia or fluid overload. (clinic exam not c/w fluid overload). They were not apparent on the previous study. There is no consolidation. Complete thick bridging across the lower thoracic spine interspaces is compatible with DISH.
CDC 'Split Type':
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PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.H0189440IMRA
TDAP: TDAP (BOOSTRIX)GLAXOSMITHKLINE BIOLOGICALSAC52B103BA0IMRA
Administered by: Public     Purchased by: Other
Symptoms: Blood glucose increased, Chest X-ray abnormal, Chest pain, Exostosis, Fluid overload, Headache, Lung infiltration, Malaise, Nasal congestion, Pneumonia, Productive cough, Rhonchi, Sputum discoloured, Tachypnoea
SMQs:, Anaphylactic reaction (broad), Asthma/bronchospasm (broad), Hyperglycaemia/new onset diabetes mellitus (narrow), Interstitial lung disease (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (broad)
Write-up: Onset of malaise day following vaccinations. Nasal congestion, persistent nagging cough productive of greenish sputum, pleuritic chest pain, headache. Unclear if fever d/t self-administered NSAIDs for headache. Presence of one child with prolonged respiratory clinic on same date as patient vaccination visit. Presented 3/25/13 with tachypnea, rhonchi on exam, +scattered (nonlobar) infiltrates on CXR. Pulse ox 96% RA. Sugars 200s. PORT criteria OK for outpatient management. Started on course of macrolide. F/u pending. Had to defer planned airline flight.

VAERS ID:487829 (history)  Vaccinated:2013-01-17
Age:47.0  Onset:2013-01-18, Days after vaccination: 1
Gender:Female  Submitted:2013-03-26, Days after onset: 66
Location:Texas  Entered:2013-03-26
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NO
Preexisting Conditions: NO
Diagnostic Lab Data:
CDC 'Split Type':
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FLU3: INFLUENZA (SEASONAL) (AFLURIA)CSL LIMITED11681 IMLA
Administered by: Public     Purchased by: Other
Symptoms: Diarrhoea, Fatigue, Herpes zoster, Malaise, Pain in extremity, Vomiting
SMQs:, Acute pancreatitis (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (narrow)
Write-up: Vaccination was administered in left upper arm, 01/18/2013 pain in left arm and on left side, feeling of fatigue during the next few days, I got sick in the night from 01/25/2013 to 01/26/2013 - had diarrhea and had to throw up (at same time), mild diarrhea lasted for the better part of a week, had shingles the beginning of February, first symptoms around 02/01/2013, was treated with antivial drug (Zostex), visited Doctor 02/06/2013, started treatment with Zostex 02/06/2013.

VAERS ID:487859 (history)  Vaccinated:2013-01-28
Age:47.0  Onset:2013-01-31, Days after vaccination: 3
Gender:Male  Submitted:2013-03-26, Days after onset: 53
Location:Florida  Entered:2013-03-26
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Scheduled primary care follow up for the following conditions: Knee: arthralgia; Shoulder: arthralgia; Asthma NOS; Hyperlipidemia; Guillain-Barre Syndrome; Sleep Apnea
Preexisting Conditions: Penicillin - rash
Diagnostic Lab Data:
CDC 'Split Type':
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DTP: DTP (NO BRAND NAME)SANOFI PASTEURC4278AA1UNLA
Administered by: Public     Purchased by: Unknown
Symptoms: Asthma, Condition aggravated, Cough
SMQs:, Anaphylactic reaction (broad), Asthma/bronchospasm (narrow), Eosinophilic pneumonia (broad), Hypersensitivity (broad)
Write-up: (L) upper arm vacc site. Asthma exac w/ST, cough, 3 days later. Per physician.

VAERS ID:489145 (history)  Vaccinated:2013-04-03
Age:47.0  Onset:2013-04-03, Days after vaccination: 0
Gender:Female  Submitted:2013-04-12, Days after onset: 9
Location:Kansas  Entered:2013-04-12
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: No
Preexisting Conditions: Penicillin, Lisinopril
Diagnostic Lab Data:
CDC 'Split Type':
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TDAP: TDAP (NO BRAND NAME)UNKNOWN MANUFACTURER 0IMLA
Administered by: Unknown     Purchased by: Other
Symptoms: Diarrhoea, Influenza like illness, Pain in extremity, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (narrow)
Write-up: Severe arm pain, fever 101, diarrhea, flu like symptoms.

VAERS ID:489159 (history)  Vaccinated:2013-01-14
Age:47.0  Onset:2013-01-14, Days after vaccination: 0
Gender:Female  Submitted:2013-04-14, Days after onset: 89
Location:Michigan  Entered:2013-04-14
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Lisinopril; Gemfibrozil; ranitidine; Celexa; ibuprofen
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data:
CDC 'Split Type':
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FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)UNKNOWN MANUFACTURERQ2038 UNLA
Administered by: Public     Purchased by: Other
Symptoms: Pruritus, Throat irritation, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Hypersensitivity (narrow)
Write-up: Started with itching, arms, legs, torso. Hives developed. Itchy throat all within approx. 45min to 1 hour. Took a antihistamine.

VAERS ID:489571 (history)  Vaccinated:2012-11-16
Age:47.0  Onset:2013-01-18, Days after vaccination: 63
Gender:Male  Submitted:2013-04-18, Days after onset: 89
Location:Massachusetts  Entered:2013-04-18
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Lisinopril
Current Illness:
Preexisting Conditions: Hypertension The following information was obtained through follow-up and/or provided by the government. PMH: HTN, hyperthyroidism, anxiety w/ panic attacks, rt ACL repair w/ knee brace use. Former smoker.
Diagnostic Lab Data: Negative for HIV, CMV, meningitis (per LP), MS. MRI showed hypodense region suspicious for CVA v glioma v demyelinating lesion. Biopsy revealed demyelinating process. The following information was obtained through follow-up and/or provided by the government. 5/14/2013 lab/diagnostic records received for DOS 1/28-3/1/2013. Blood: WBC 12.8 K/uL (H), neutros 46.7% (L), lymphs 45.3% (H), RBC 4.42 M/uL (L), Hgb 13.5 g/dL (L), Hct 40% (L), BUN 22 mg/dL (H), creatinine 1.2 mg/dL (N), Na 132 mEq/L (L), Cl 107-95 mEq/L (H-L), Ca 8.5 mg/dL (L), Mg 2.2 mg/dL (H), ALT 87 U/L (H), AST 50 U/L (H), NMO 3.25 U/mL (H). Brain bx''s c/w demyelination. HSV, CMV, VZV, toxoplasmosis, CSF gram stain, HIV, tox screen, JC virus, cryptococcal (-). UA WNL. CSF: RB
CDC 'Split Type':
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FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURUH715AB1IMLA
Administered by: Private     Purchased by: Unknown
Symptoms: Abasia, Abdominal X-ray, Abdominal pain, Acute disseminated encephalomyelitis, Alanine aminotransferase increased, Albumin CSF increased, Angiogram abnormal, Anxiety, Aspartate aminotransferase increased, Asthenia, Balance disorder, Biopsy brain, Biopsy brain abnormal, Blood calcium decreased, Blood chloride decreased, Blood chloride increased, Blood creatinine normal, Blood magnesium increased, Blood sodium decreased, Blood urea increased, Body temperature increased, Brain oedema, CSF glucose decreased, CSF immunoglobulin increased, CSF lymphocyte count abnormal, CSF monocyte count decreased, CSF neutrophil count increased, CSF oligoclonal band absent, CSF protein increased, CSF white blood cell count increased, Calculus urinary, Cerebellar syndrome, Computerised tomogram abdomen abnormal, Cryptococcus test, Cytomegalovirus test negative, Deep vein thrombosis, Demyelination, Dizziness, Echocardiogram abnormal, Electrocardiogram abnormal, Fatigue, Gait disturbance, Gram stain, Gram stain negative, Groin pain, HIV test negative, Haematocrit decreased, Haemoglobin decreased, Headache, Hemianopia, Hemiparesis, Hemiplegia, Herpes simplex serology negative, Hyporeflexia, Influenza like illness, JC virus test, Lymphocyte percentage increased, Micturition urgency, Nausea, Neurological decompensation, Neurological symptom, Neuromyelitis optica, Neutrophil percentage decreased, Nuclear magnetic resonance imaging abnormal, Nuclear magnetic resonance imaging brain abnormal, Nuclear magnetic resonance imaging spinal abnormal, Pain, Red blood cell count decreased, Red blood cells CSF positive, Rhinorrhoea, Sneezing, Toxicologic test normal, Toxoplasma serology negative, Ultrasound Doppler abnormal, Urinary incontinence, Urine analysis normal, VIIth nerve paralysis, Varicella virus test negative, Viral test negative, Viral upper respiratory tract infection, Vision blurred, Visual field defect, Walking aid user, White blood cell count increased, X-ray abnormal
SMQs:, Rhabdomyolysis/myopathy (broad), Acute renal failure (broad), Liver related investigations, signs and symptoms (narrow), Anaphylactic reaction (broad), Acute pancreatitis (broad), Haematopoietic erythropenia (narrow), Haematopoietic leukopenia (broad), Peripheral neuropathy (broad), Haemorrhage laboratory terms (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Retroperitoneal fibrosis (broad), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Embolic and thrombotic events, venous (narrow), Malignancy related therapeutic and diagnostic procedures (narrow), Dystonia (broad), Parkinson-like events (broad), Thrombophlebitis (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (narrow), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hyponatraemia/SIADH (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Glaucoma (broad), Optic nerve disorders (narrow), Cardiomyopathy (broad), Demyelination (narrow), Lens disorders (broad), Retinal disorders (broad), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (narrow), Vestibular disorders (broad), Osteonecrosis (broad), Chronic kidney disease (broad), Hypersensitivity (broad), Malignant lymphomas (broad), Tumour lysis syndrome (narrow)
Write-up: Pt is a 49 y/o male who presented to facility for his yearly flu shot on 11/16/2012. He had received a flu shot in the previous year without incident. He presented to his PCP on 1/18/2013 with a chief complaint of visual field deficits and headache for the past 5 days. His PCP referred him to an emergent visit with the ophthalmology department. He was referred from there to the emergency department with concern for a neurological process versus an ophthalmologic one. In the ED he was extensively worked up for neurological processes and found to be negative for HIV, CMV, meningitis, MS and at this time was not experiencing nausea, vomiting, or gait disturbances. He also received a gadolinium-enhanced MRI at this time. The MRI revealed a hypodense lesion in posterior limb of the right internal capsule surrounded by slight edema, suspicious for glioma or possible cerebrovascular accident. He was admitted to the hospital for further management on 1/18 and was continually followed by neurology through to his discharge on 2/6. After further investigation it was also discovered that he had recently had symptoms consistent with an upper respiratory viral illness prior to the onset of his neurologic symptoms. The timeline of this illness is unclear per the notes but is described as “flu-like symptoms” and were present before the onset of his neurological symtoms. During his hospitalization he experienced progressive loss of his visual field as well as neurologic decompensation presenting as left-sided hemiplegia and facial droop as well as gait disturbance. On 1/25 the lesion was biopsied and he was started on dexamethasone. This biopsy revealed a demyelinating process and neurology determined that this was likely a tumefactive demyelinating lesion, more specifically acute disseminated encephalomyelitis (ADEM). This is an exceptionally rare side effect of vaccinations but it has been reported in the literature and has been associated with previous influenza vaccinations. Given the timeline of onset after administration of the vaccine, it is difficult to determine whether the vaccine or the possible viral illness was the cause of the ADEM. In correspondence between doctors it was stated that this could be related to the influenza vaccine given in November. Based on an assessment with the Naranjo scale this would be classified as a possible adverse event associated with the administration of the influenza vaccine. Pt was initially treated with dexamethasone but was switched over to a 5 day course of intravenous methylprednisolone after diagnosis of a demyelinating disorder. This was followed up with prednisone taper and aggressive physical therapy. He continues to improve per the notes and has progressed to being able to walk with a cane. The following information was obtained through follow-up and/or provided by the government. 5/14/2013 hospital records received for DOS 1/18-2/6/2013. D/c Dx''s: 1) lt sided hemiparesis caused by a tumefactive demyelinating lesion; 2) HTN; 3) anxiety w/ panic attacks. Pt c/o 3 day hx runny nose, sneezing, retro-orbital headache, nausea, feeling like was going to pass out, unable to see things down & to lt, unsteady on feet. Blurry vision that worsens as day progresses. PCP referred to neuro-ophthalmologist. Inferior lt quadrantanopsia noted, sent to ER for further evaluation. PE: anxious, temperature increased, inferior lt quadrantanopsia, mild dysmetria on lt, cautious steps w/ lt foot w/ toes extended & slow heel to toe motion, leans to lt, unsteady w/ pivot, rt knee brace. Admitted. Developed lt DVT, lt facial droop, lt hemianopsia, lt hemiplegia. Tx''t: ASA, steroids, anticoagulants. Neuro function improving. D/c''d to rehab facility, unable to walk. 5/14/2013 neuro consultant records received for DOS 2/28/2013. Assessment: likely ADEM a/w tumefactive mass like MS lesion & severe residual, no evidence of MS @ present. Pt evaluated for concern of developing MS. C/o continuing blurry vision, weakness distal LUE, fatigue, urinary incontinence w/ severe urgency, walking w/ cane. PE: LUE/LLE weakne

VAERS ID:490970 (history)  Vaccinated:2013-04-26
Age:47.0  Onset:2013-04-27, Days after vaccination: 1
Gender:Female  Submitted:2013-04-30, Days after onset: 3
Location:Massachusetts  Entered:2013-05-06, 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:
Preexisting Conditions:
Diagnostic Lab Data: None
CDC 'Split Type':
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Dose
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Site
TDAP: TDAP (ADACEL)SANOFI PASTEURC4365AA0IMLA
Administered by: Private     Purchased by: Unknown
Symptoms: Injection site erythema, Injection site oedema, Injection site pain, 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: 2 day hx of left deltoid pain and hyperemia, fever. Exam: 6 cm hyperemic and edematous patch of skin with sharp edematous demarcation. Plan supportive care, ice compresses, MOTRIN.

VAERS ID:490989 (history)  Vaccinated:2013-01-23
Age:47.0  Onset:2013-01-23, Days after vaccination: 0
Gender:Female  Submitted:2013-05-06, Days after onset: 102
Location:Washington  Entered:2013-05-06
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: No
Preexisting Conditions: Corticosteroids; Macrolides; Opioids; PROGRAF; RAPAMUNE
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
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Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE INTRADERMAL)SANOFI PASTEURUT4473BA IDLA
Administered by: Other     Purchased by: Unknown
Symptoms: Influenza like illness, Mass
SMQs:
Write-up: On 01/23/13, we administered a FLUZONE INTRADERMAL. Patient came back on 05/01/13 and informed me that there is a lump which is 3-4 mm wide which comes and goes and also associated with flu like symptoms.

VAERS ID:491168 (history)  Vaccinated:2006-03-06
Age:47.0  Onset:2006-03-06, Days after vaccination: 0
Gender:Male  Submitted:2013-05-06, Days after onset: 2617
Location:Unknown  Entered:2013-05-06
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: PPD
Current Illness: None
Preexisting Conditions: 1979 chronic right knee pain; 1997 bilateral neuropathy to LE/toes secondary to frostbite; 1994 left snapping hip; 2000 left palm knife wound; 2001 right palm arrow accident; 2003 HTN; 2006 hyperlipidemia, tinnitus left ear, dermatitis face (2/06), melanoma chest (9/06); 2007 DJD
Diagnostic Lab Data: None listed; Shave biopsies of right chest in March 2007 had histopathologic findings consistent with basal cell carcinoma (BCC). 3 shave biopsies on 3/10/2011 with following results: shave biopsy right leg: papulosquamous dermatitis; right temple: hypertrophic actinic keratosis; and upper back: papulosquamous dermatitis
CDC 'Split Type':
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ANTH: ANTHRAX (BIOTHRAX)EMERGENT BIOSOLUTIONSFAV0960UNUN
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURU1936AA IMUN
HEPAB: HEP A + HEP B (TWINRIX)GLAXOSMITHKLINE BIOLOGICALSAHABB030BA UNUN
SMALL: SMALLPOX (DRYVAX)PFIZER/WYETH4020072  UN
TD: TD ADSORBED (NO BRAND NAME)UNKNOWN MANUFACTURERU1347AA UNUN
TYP: TYPHOID VI POLYSACCHARIDE (TYPHIM VI)SANOFI PASTEURZ0042 UNUN
Administered by: Military     Purchased by: Military
Symptoms: Actinic keratosis, Arthralgia, Asthenia, Back pain, Basal cell carcinoma, Biopsy skin abnormal, Blister, Chest discomfort, Chills, Condition aggravated, Cough, Dermatitis, Diarrhoea, Eye discharge, Eyelids pruritus, Fatigue, Folliculitis, Headache, Hyperventilation, Injection site pain, Irritability, Joint stiffness, Macule, Melanocytic naevus, Muscle spasms, Muscle tightness, Myalgia, Neck pain, Ocular hyperaemia, Oral disorder, Pain, Papule, Pruritus, Psoriasis, Purulence, Pyrexia, Rash, Rash erythematous, Rash papulosquamous, Rash pruritic, Seborrhoeic keratosis, Skin discolouration, Skin irritation, Skin lesion, Skin plaque, Xerosis
SMQs:, Rhabdomyolysis/myopathy (broad), Severe cutaneous adverse reactions (broad), Anaphylactic reaction (narrow), Asthma/bronchospasm (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Pseudomembranous colitis (broad), Skin premalignant disorders (narrow), Malignancy related therapeutic and diagnostic procedures (narrow), Dystonia (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hostility/aggression (broad), Glaucoma (broad), Eosinophilic pneumonia (broad), Periorbital and eyelid disorders (narrow), Malignant tumours (narrow), Skin malignant tumours (narrow), Skin tumours of unspecified malignancy (broad), Hypotonic-hyporesponsive episode (broad), Hypersensitivity (narrow), Arthritis (broad), Noninfectious diarrhoea (narrow)
Write-up: This patient reported receipt of AVA #1 (FAV096), Td (U1347AA), IM influenza (U1936AA), DRYVAX (4020072), Typhoid ViCP (Z0042-2), Hep A/B (AHABB030BA), and TST-PPD (C2155AA) on 3/06/2006. Less than 24 hours later he recalls the white portion of left eye turned bright red, upper and lower lids itched, and eye drained clear watery fluid. He also noted brown skin patch to left side of forehead. He went to office and was placed on steroid eye drops and given cortisone cream to use about eye which helped. He recalls being told he had psoriasis on forehead. He reported it took about 6 months for redness in left eye to resolve; however the itching continued. A review of medical records documented 12 skin evaluations from August 2006 to 2008 including evaluation by Chief Dermatology for flesh colored plaques to right temple; scaling tan macules to left temple; numerous tan macules to trunk 2-3 mm in size with 3 mm flesh colored papule on right lower back; and complaints of "black dots under the skin" to his left foot. Shave biopsies of right chest in March 2007 had histopathologic findings consistent with basal cell carcinoma (BCC). Diagnoses given included seborrheic keratosis (SK), actinic keratosis (AK), nevi, and intradermal nevus (IDN) with unknown rash to left foot (had resolved so no rash to review). Orthopedic evaluations were identified in April 2008 for chronic pain down medial aspect of right knee. He reported a long history of right knee problems of NSAIDS, brace and various pain medications since 1979 when fractured femur with spine compression following a parachute accident. Provider gave diagnosis of DJD-trauma. On 11/4/2008 prior to trip as contractor, he received TIV influenza (AP lot # not reported), typhoid ViCP (AP B03472), Hep A/B (GSK AHABB132AC), and TST-PPD Intradermal (PMC C1812AA) On day 4 (Saturday 11/7/2008) he reported onset of a skin rash to his left collar bone as small red bumps that itched. His right shoulder was sore from the shots. He advised in an email correspondence to clinic on 11/29/2008 that he had not gone for any medical care but self treated with anti-itch medication which did improve skin redness stating it "just itches under the skin". His medical records document on 7/3/2009 he reported being in a mortar attack which resulted in sweats, headaches and "thought I was having a MI with tight ball on chest". He reported going to bed with a fever, palpitation, myalgia, joint pain-stiffness, fatigue and was hyperventilating. He awoke the next morning with 3 chest blisters that itched badly and this aching continued for 2-3 days with exhaustion. He reported these 3 lesions had pus on top and they went away in 2 weeks. He also had non pustular macular lesions on his legs. These blisters returned 8/20/2009 but were dry. On 8/20/2009 he reported lesions inside his mouth that would come and go for 2-3 days at a time. Patient advised a "physician told him (8/28/2009) it was an auto immune response and that they saw a lot of this in the area". An interpretation of the provided note documented complaints of a painful, itchy rash to arms and chest for 1 week. Exam listed microvesicles, papules from scratching and furnicles. He was diagnosed with osteofolliculitis. He was treated with alcohol solution 1x/day, doxicaine ointment x 5 days, given prescription for multi -complex vitamin B and to bathe in diluted K-permanganate solution. He advised another provider placed him on doxycycline that cleared up the "psoriasis" on his forehead but it had no effect on abdominal lesions. He questions whether this rash is related to prior "vaccine rash in 2006". On 2/9/2010 patient reported to Internal Medicine at hospital complaining of pruritic rash with severe joint aches. His wife stated he has a dry hacking cough, chronic fatigue and had intermittent diarrhea. Provider documented normal exam with skin showing 1 mm erythematous dry lesions without central ulcerations to his abdomen, arms, chest, shoulders, and nec

VAERS ID:491223 (history)  Vaccinated:1994-10-01
Age:47.0  Onset:0000-00-00
Gender:Female  Submitted:2013-05-08
Location:Unknown  Entered:2013-05-08
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Strabismic amblyopia
Preexisting Conditions:
Diagnostic Lab Data: Anti-DNA antibody, no abnormalities; Anticardiolipin antibodies, no abnormalities; Antineutrophil cytoplasmic ant, no abnormalities; Antinuclear antibody, no abnormalities; Blood glucose, normal; Blood test, normal; CSF test, normal; Cryoglobulins, no abnormalities; Elevated sedimentation rate, 44mm/h; Folate, normal; Lumbar puncture, normal; Nuclear magnetic resonance ima, normal; Rheumatoid factor, no abnormalities; Serum protein electrophoresis, see text; Treponema pallidum antibody, normal; Urine analysis, normal; Vitamin B12, normal
CDC 'Split Type': B0889610A
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)UNKNOWN MANUFACTURER  UNUN
Administered by: Other     Purchased by: Other
Symptoms: Antineutrophil cytoplasmic antibody negative, Antinuclear antibody negative, Blood folate normal, Blood glucose normal, Blood test normal, CSF test normal, Cardiolipin antibody negative, Cryoglobulins absent, DNA antibody negative, Electrophoresis protein abnormal, Eye pain, Hypergammaglobulinaemia, Lumbar puncture normal, Nuclear magnetic resonance imaging normal, Optic atrophy, Optic disc haemorrhage, Optic ischaemic neuropathy, Papilloedema, Red blood cell sedimentation rate increased, Retinal exudates, Rheumatoid factor negative, Splinter haemorrhages, Treponema test, Treponema test negative, Urine analysis normal, Vision blurred, Visual acuity reduced, Visual field defect, Visual field tests abnormal, Vitamin B12 normal
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Glaucoma (narrow), Optic nerve disorders (narrow), Lens disorders (broad), Retinal disorders (narrow)
Write-up: This case was reported in a literature article and described the occurrence of ischemic optic neuropathy in a 47-year-old female subject who was vaccinated with Influenza vaccine ((unspecified), manufacturer unspecified). This case corresponds to case 1 in the literature article. Concurrent medical conditions included mild strabismic amblyopia in her right eye. In October 1994, the subject received an unspecified dose of Influenza vaccine (unknown) (administration site and route unspecified, batch number not provided). 1 week after vaccination with Influenza vaccine (unspecified), the subject experienced decreased vision with transient eye pain. 5 days later, she developed blurriness in her left eye and optic disc atrophy. This case was assessed as medically serious by GSK. On examination, her visual acuity was 20/20 in both eyes, but Goldman perimetry showed a superior arcuate defect in right eye and an inferior altitudinal defect in left eye. There was no relative afferent pupillary defect. Both optic discs were moderately edematous with splinter hemorrhages and cotton-wool spots. The serum protein electrophoresis with immunofixation showed a nonspecific polyclonal hypergammaglobulinemia. The subject was treated with methylprednisolone and prednisone. The final diagnosis was bilateral anterior ischemic optic neuropathy rather than demyelinative optic neuritis due to the close temporal relationship to influenza vaccination and the bilateral involvement. According the authors, it might be an immune complex -mediated vasculopathy. This presumptive mechanism might also account for abnormal serum markers (elevated sedimentation rate and polyclonal hypergammaglobulinemia). The visual field defects in either eye didn''t improve and eventually, segmental disc atrophy appeared. At the time of reporting, the events were unresolved. Summary of the literature article: Optic neuritis is an occasional complication of vaccination. Visual loss can be unilateral or bilateral and most subjects recover substantially without treatment. The presumptive mechanism is an immune-mediated demyelinating injury of the optic nerve. The authors report 2 subjects who had permanent visual loss following influenza vaccination. Their pattern of visual loss, segmental optic disc changes and failure of visual recovery were atypical for demyelinating optic neuritis and reminiscent of a primary ischemic injury to the optic nerve. The authors speculate that an immune complex-mediated vasculopathy following vaccination can cause anterior ischemic optic neuropathy. Clinicians should be aware of this entity because of the less favorable prognosis for visual recovery in these cases.

VAERS ID:491486 (history)  Vaccinated:2013-04-30
Age:47.0  Onset:2013-04-30, Days after vaccination: 0
Gender:Female  Submitted:2013-05-03, Days after onset: 3
Location:Florida  Entered:2013-05-13, Days after submission: 10
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: VALTREX; ABILIFY; ADDERALL; KLONOPIN
Current Illness: No
Preexisting Conditions: Genital herpes
Diagnostic Lab Data: None
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.H0158590UNGM
Administered by: Private     Purchased by: Private
Symptoms: Fatigue, Nausea
SMQs:, Acute pancreatitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)
Write-up: C/O nausea and fatigue.

VAERS ID:491698 (history)  Vaccinated:2013-05-15
Age:47.0  Onset:2013-05-15, Days after vaccination: 0
Gender:Female  Submitted:2013-05-15, Days after onset: 0
Location:Georga  Entered:2013-05-15
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Multivitamin with folic acid oxycodone immediate release 10mg
Current Illness:
Preexisting Conditions: Sickle Cell, HB-SS
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.H0117801SCLA
Administered by: Private     Purchased by: Private
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: Patient called office at ~12:50 stating she was having a reaction to the pneumococcal vaccine, possibly an allergic reaction. She stated the arm where injection was given was swollen and itchy. She denied SOB or chest pain. At that time, she was instructed to take Benadryl and come in if desired. She came to the office this afternoon at about 14:00 with localized swelling around the injection site, approx. 6-7 inches in diameter. The skin is raised and has red edges. The swelling has increased in size since her initial call, but is limited to the injection site only. Patient was given cold compresses to apply to site and a dose of Diphenhydramine 25 mg PO liquid. She was also instructed to take OTC ibuprofen for discomfort. This is her second dose of the pneumococcal vaccine. Her first was in 2006; the manufacturer of that dose is unknown. She was given Pneumovax-23 subcutaneously today; that information is logged into the State Registry of Immunization Transactions and Services. The patient is to follow up with us later today.

VAERS ID:491888 (history)  Vaccinated:2013-05-01
Age:47.0  Onset:2013-05-09, Days after vaccination: 8
Gender:Female  Submitted:0000-00-00
Location:Michigan  Entered:2013-05-17
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: Pre VARIVAX varicella zoster Ab 23 (negative)
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.H0136420SCLA
Administered by: Private     Purchased by: Private
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Injection site warmth, Local reaction
SMQs:, Extravasation events (injections, infusions and implants) (broad)
Write-up: Localized reaction, redness, warmth, pain, induration around injection site. Appx 1 week later.

VAERS ID:491988 (history)  Vaccinated:2013-05-16
Age:47.0  Onset:2013-05-17, Days after vaccination: 1
Gender:Male  Submitted:2013-05-20, Days after onset: 3
Location:Indiana  Entered:2013-05-20
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Blood pressure medication, Lipitor
Current Illness: None reported
Preexisting Conditions: Consult with wife via phone she indicated he was on cholesterol and blood pressure medication, he answered no to all questions on screening
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
TYP: TYPHOID VI POLYSACCHARIDE (TYPHIM VI)SANOFI PASTEURG154210IMLA
YF: YELLOW FEVER (YF-VAX)SANOFI PASTEURUH596AA0SCLA
Administered by: Public     Purchased by: Private
Symptoms: Dysphonia, Dyspnoea, Fatigue, Headache
SMQs:, Anaphylactic reaction (broad), Parkinson-like events (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad)
Write-up: Shortness of breath, headache, tired feeling, hoarseness; states took ibuprofen and it helped some. Told to called doctor on 5-20-13.

VAERS ID:492166 (history)  Vaccinated:2013-05-14
Age:47.0  Onset:2013-05-14, Days after vaccination: 0
Gender:Female  Submitted:2013-05-20, Days after onset: 6
Location:Massachusetts  Entered:2013-05-20
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: HTN; Hypercholesterolemia; Obesity
Diagnostic Lab Data: None
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (ADACEL)SANOFI PASTEURC4366AA0IMLA
Administered by: Public     Purchased by: Unknown
Symptoms: Erythema, Pain, Swelling
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad)
Write-up: Erythema, swelling, pain.

VAERS ID:492351 (history)  Vaccinated:2013-05-18
Age:47.0  Onset:2013-05-19, Days after vaccination: 1
Gender:Female  Submitted:2013-05-22, Days after onset: 3
Location:Puerto Rico  Entered:2013-05-23, Days after submission: 1
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Td given in a public clinic 2 weeks prior; Lorazapam; BENADRYL; Enalapril; Gemfibrozil; Metformin; Insulin HUMULOG 70/30; SEROQUEL; Acidophilus
Current Illness: No
Preexisting Conditions: No
Diagnostic Lab Data: Not at the time of this report
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (AFLURIA)CSL LIMITED8149211A IMUN
Administered by: Public     Purchased by: Unknown
Symptoms: Asthenia, Dizziness, Heart rate increased, Tachycardia, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Guillain-Barre syndrome (broad), Vestibular disorders (broad), Hypersensitivity (narrow)
Write-up: (No strength), hives in the face, dizziness, accelerated heart beats. These events started the next day after the administration of the vaccine, Sunday 19 of May of 2013 in the afternoon. To this day, I have not been able to get a general doctor. Tachycardia continues.

VAERS ID:492587 (history)  Vaccinated:2013-05-16
Age:47.0  Onset:2013-05-17, Days after vaccination: 1
Gender:Female  Submitted:2013-05-20, Days after onset: 3
Location:North Carolina  Entered:2013-05-28, Days after submission: 8
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Vitamins
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)SANOFI PASTEURU4173AA UNRA
Administered by: Private     Purchased by: Other
Symptoms: Fatigue, Injection site erythema, Injection site pain, Injection site swelling, Nausea, Tenderness
SMQs:, Acute pancreatitis (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: Thursday evening I was fine; woke to soreness in (R) shoulder on Friday a.m. Began feeling nauseated with extreme fatigue throughout day. Significant redness puffiness(2in. in diameter around injection sight). Ice & ibuprofen helped but these symptoms lasted for 3 days. Tenderness persists today-day # 4.

VAERS ID:492781 (history)  Vaccinated:2013-05-22
Age:47.0  Onset:2013-05-23, Days after vaccination: 1
Gender:Female  Submitted:2013-05-29, Days after onset: 6
Location:Virginia  Entered:2013-05-29
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: Allergies-Bleach; Sulfa; Chocolate; Poinsettia flowers
Diagnostic Lab Data: None
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEPAB: HEP A + HEP B (TWINRIX)GLAXOSMITHKLINE BIOLOGICALSAHABB225AA0IMLA
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.1883AA SCRA
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.H0110860SCLA
Administered by: Private     Purchased by: Private
Symptoms: Erythema, Oedema peripheral, Skin warm, Swelling
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad)
Write-up: Varicella vaccine given 5/22/13 and 0n 5/23/13 noticed swollen and red in PM and by noon on 5/24/13 it had extended to her elbow and around her arm and was red, swollen and warm. Saw PMD and was started on AUGMENTIN and improved each day with minimal redness by 5/28.

VAERS ID:492789 (history)  Vaccinated:2013-05-26
Age:47.0  Onset:2013-05-27, Days after vaccination: 1
Gender:Female  Submitted:2013-05-30, Days after onset: 3
Location:Missouri  Entered:2013-05-30
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Augmentin 875 mg; Toviaz, Flexeril, Neurontin, Vitamin D, Prevacid, Flonase, Vitamin B12 injection, Cymbalta
Current Illness: Dog bite-no other acute illnesses noted
Preexisting Conditions: Allergies: Azithromycin (GI upset), Arava (GI upset), Codeine (hyperactivity)
Diagnostic Lab Data: No lab tests or Diagnostic imaging performed at ER visit.
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (ADACEL)SANOFI PASTEURC4347AA IMRA
Administered by: Military     Purchased by: Other
Symptoms: Injection site erythema, Injection site swelling
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: TDAP administered on 5/26. Swelling and redness locally at injection site. Reaction was not immediate and occurred 24 or more hours later. No systemic sx, no fever, lip, face, or throat swelling; no wheezing. Mild/Moderate severity.

VAERS ID:493222 (history)  Vaccinated:2013-05-23
Age:47.0  Onset:2013-05-25, Days after vaccination: 2
Gender:Female  Submitted:2013-05-29, Days after onset: 4
Location:Michigan  Entered:2013-06-03, Days after submission: 5
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: Surgical tape; Leeches
Diagnostic Lab Data: None
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (ADACEL)SANOFI PASTEURC4418BA IMLA
Administered by: Private     Purchased by: Private
Symptoms: Injection site erythema, Injection site induration
SMQs:, Extravasation events (injections, infusions and implants) (broad)
Write-up: Day 6: 5-29-13 30 mm induration at site of immunization. 40 mm redness at site of immunization. Symptoms improving last 24 hours per patient. Patient reassured.

VAERS ID:493283 (history)  Vaccinated:0000-00-00
Age:47.0  Onset:0000-00-00
Gender:Male  Submitted:2013-06-04
Location:Unknown  Entered:2013-06-04
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Asthma; Lung infection; Muscle pain in back; Neck pain
Preexisting Conditions:
Diagnostic Lab Data: UNK
CDC 'Split Type': A1025364A
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)UNKNOWN MANUFACTURER  UNUN
Administered by: Other     Purchased by: Other
Symptoms: Back pain, Condition aggravated, Drug withdrawal syndrome, Lung infection, Myalgia, Neck pain, Pain, Sputum culture
SMQs:, Rhabdomyolysis/myopathy (broad), Retroperitoneal fibrosis (broad), Drug withdrawal (narrow), Eosinophilic pneumonia (broad), Arthritis (broad)
Write-up: This case was reported by a consumer and described the occurrence of lung infection in a 47-year-old male subject who was vaccinated with Influenza vaccine (manufacturer unspecified) and FLOVENT 44 mcg hfa-cfc inhaler for asthma. A physician or other health care professional has not verified this report. Concurrent medical conditions included asthma, lung infection, muscle pain in back and neck pain. Historic medications included Prednisone and AUGMENTIN. On an unspecified date in 2013 the subject received unspecified dose of Influenza vaccine (unknown). In 2013, at an unspecified time after vaccination with Influenza vaccine, the subject experienced "getting worse quickly" with lung infection, muscle pain in back, neck pain exacerbation. The subject was hospitalised. The subject was treated with prednisone. In March 2013 the subject was re-hospitalized because he continued to be sick. He started Fluticasone propionate at 2 puff (s) twice per day and also received prednisone. In 2013, at an unspecified time after reducing Fluticasone propionate, the subject experienced withdrawal symptoms, the return of muscle back pain and neck pain. At the time of reporting, the outcome of the aggravated lung condition and sick were unknown; the aggravated muscle pain in back, neck pain exacerbation and withdrawal symptoms were unresolved. Patient stated that he''s always had asthma. He had a bad lung infection in November 2012 with pain in his muscles in the back and the back of his neck. He went to the physician''s office and he had prednisone and AUGMENTIN to try to kill his infection. He got better with this treatment, but the symptoms came back when he went off these medications. At an unknown date, he was still sick with the same symptoms and patient stated that he should not have had the flu shot under those conditions. However, at an unknown date he received the flu shot, he got worse quickly and was hospitalized. At the hospital he was given prednisone. He continued being sick and was hospitalized again in March 2013. At the hospital he got more prednisone as well as FLOVENT HFA prescriptions. He was also seeing by some respiratory physicians and was asked to cough up to take a culture and examine it. He has to make an appointment with the clinic to find out the results. Patient said that he discontinued taking prednisone in March 2013 after being on prednisone for three months. He weaned off the prednisone well and did not have any side effects from taking prednisone. Patient said that FLOVENT helped him with his symptoms. However, he''s been trying to wean off the medication since it''s so expensive and he has no insurance. At an unknown date patient has been taking one puff once a day. Patient said that every time he skips the medication his symptoms of having pain in the muscles of his back and the back of his neck come back. As soon as he takes one puff of FLOVENT, these symptoms go away. Patient believes he is having symptoms from withdrawing the FLOVENT treatment.

VAERS ID:493774 (history)  Vaccinated:2013-05-31
Age:47.0  Onset:2013-05-31, Days after vaccination: 0
Gender:Female  Submitted:2013-06-10, Days after onset: 10
Location:Virginia  Entered:2013-06-10
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Levatiracetam, montelukast, vitamin D, super B complex, Centrum Silver
Current Illness: No.
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
PPV: PNEUMO (NO BRAND NAME)UNKNOWN MANUFACTURER000064943000IMLA
Administered by: Other     Purchased by: Other
Symptoms: Myalgia
SMQs:, Rhabdomyolysis/myopathy (broad), Eosinophilic pneumonia (broad)
Write-up: Severe muscle soreness - entire left arm, front of underarm and left front of chest.

VAERS ID:493853 (history)  Vaccinated:2013-06-03
Age:47.0  Onset:0000-00-00
Gender:Male  Submitted:2013-06-10
Location:Massachusetts  Entered:2013-06-10
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (ADACEL)SANOFI PASTEURU4617AA IMLA
Administered by: Public     Purchased by: Private
Symptoms: Immediate post-injection reaction, Injection site pain
SMQs:, Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (narrow)
Write-up: Pt received Tdap injection 6/3/2013 (L) deltoid. Immediately had pain in (L) upper arm that has worsened. Exam c/w rotator cuff involvement. Referred to sports med. Ibuprofen for pain.

VAERS ID:493999 (history)  Vaccinated:2013-06-05
Age:47.0  Onset:2013-06-05, Days after vaccination: 0
Gender:Female  Submitted:2013-06-12, Days after onset: 7
Location:California  Entered:2013-06-12
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: Adviced to go to urgent care.
CDC 'Split Type':
Vaccination
Manufacturer
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Dose
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TYP: TYPHOID VI POLYSACCHARIDE (TYPHIM VI)SANOFI PASTEURH14821 IMLA
Administered by: Public     Purchased by: Unknown
Symptoms: Headache, Oropharyngeal pain, Pain, Swelling face
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Hypersensitivity (narrow)
Write-up: Per patient, she started having throat pain and soreness, headache, and right face swelling in the night. She feels it is getting worse.

VAERS ID:494035 (history)  Vaccinated:2013-06-11
Age:47.0  Onset:2013-06-12, Days after vaccination: 1
Gender:Female  Submitted:2013-06-12, Days after onset: 0
Location:Missouri  Entered:2013-06-12
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: Gastroenteritis.~Influenza (Seasonal) (no brand name)~UN~0.00~Patient
Other Medications: Glipizide; Metformin; SYNTHROID; Vitamin C
Current Illness: None
Preexisting Conditions: Diabetes; Hypothyroidism; Allergy to BACTRIM and Lisinopril
Diagnostic Lab Data: Elevated neutrophils and lymphocytes on CBC
CDC 'Split Type':
Vaccination
Manufacturer
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Dose
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Site
TDAP: TDAP (ADACEL)SANOFI PASTEURU4586AA0IMLA
Administered by: Other     Purchased by: Private
Symptoms: Cough, Dyspnoea, Full blood count abnormal, Hypersensitivity, Lymphadenopathy, Lymphocyte count increased, Neutrophil count increased, Pallor
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Haematopoietic leukopenia (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Hypersensitivity (narrow)
Write-up: She experienced swelling of lymph nodes to left side of body, cough, paleness, and shortness of breath. Less than 24 hours after injection. She was seen in ER and it was determined she was having an allergic reaction.

VAERS ID:494232 (history)  Vaccinated:2013-05-21
Age:47.0  Onset:2013-05-21, Days after vaccination: 0
Gender:Male  Submitted:0000-00-00
Location:Virginia  Entered:2013-06-14
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: CBC
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (ADACEL)SANOFI PASTEURC4418BA UNUN
Administered by: Private     Purchased by: Private
Symptoms: Full blood count, Injection site cellulitis, 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: Cellulitis. Severe pain and swelling w/red hard knot at site.

VAERS ID:494594 (history)  Vaccinated:2013-06-18
Age:47.0  Onset:2013-06-18, Days after vaccination: 0
Gender:Female  Submitted:2013-06-19, Days after onset: 1
Location:California  Entered:2013-06-19
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: No
Preexisting Conditions: None
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
PPV: PNEUMO (NO BRAND NAME)UNKNOWN MANUFACTURER  SYRLA
TDAP: TDAP (NO BRAND NAME)UNKNOWN MANUFACTURER  SYRLA
Administered by: Private     Purchased by: Private
Symptoms: Injection site pain, Mobility decreased, Pain
SMQs:, Parkinson-like events (broad), Extravasation events (injections, infusions and implants) (broad)
Write-up: Excruciating pain in left arm at injection site, unable to move arm because any movement of muscle caused extreme pain. As of 6/19 at 1:38 PM, still having trouble moving the arm, and when I do I have moderate pain.

VAERS ID:494709 (history)  Vaccinated:2013-06-14
Age:47.0  Onset:2013-06-15, Days after vaccination: 1
Gender:Female  Submitted:2013-06-20, Days after onset: 5
Location:Texas  Entered:2013-06-20
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Crohn''s disease tmt w/ HUMIRA; ENBREL.
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.H0157491IMLA
Administered by: Other     Purchased by: Private
Symptoms: Injection site pain, Lethargy, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Extravasation events (injections, infusions and implants) (broad)
Write-up: Admin dose 6/14/13 in PM. Pt reported fever (< 101 degrees F) on 6/15 and 6/16/13 with injection site pain. Remained in bed all day 6/15 with lethargy. Returned to normal on Tues 6/8/13. Still some arm soreness.

VAERS ID:494832 (history)  Vaccinated:2013-06-17
Age:47.0  Onset:2013-06-20, Days after vaccination: 3
Gender:Male  Submitted:2013-06-21, Days after onset: 1
Location:Massachusetts  Entered:2013-06-21
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (ADACEL)SANOFI PASTEURC4311AA0IMRA
Administered by: Military     Purchased by: Military
Symptoms: Chills, Fatigue, Headache, Muscular weakness, Pain
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad)
Write-up: Headache, tiredness, chills, body aches, muscle weakness.

VAERS ID:494888 (history)  Vaccinated:2013-06-19
Age:47.0  Onset:2013-06-20, Days after vaccination: 1
Gender:Male  Submitted:2013-06-22, Days after onset: 2
Location:California  Entered:2013-06-24, Days after submission: 2
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
MNQ: MENINGOCOCCAL CONJUGATE (MENVEO)NOVARTIS VACCINES AND DIAGNOSTICSX1107710IMLA
Administered by: Other     Purchased by: Private
Symptoms: Injection site erythema, Injection site swelling
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: Pt described red raised erythematous patch on arm inferior to site/area of injection. Pt has no fever or pain. But left arm has patch of raised skin - this appeared about 24 hrs after injection given at pharmacy. Pt will wait and see, if area gets more swollen or pt has temperature his primary MD instructed him to seek further medical attention.

VAERS ID:495286 (history)  Vaccinated:2013-06-27
Age:47.0  Onset:2013-06-27, Days after vaccination: 0
Gender:Male  Submitted:2013-06-27, Days after onset: 0
Location:California  Entered:2013-06-27
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEPAB: HEP A + HEP B (TWINRIX)GLAXOSMITHKLINE BIOLOGICALSAHABB244AA0IMAR
Administered by: Private     Purchased by: Private
Symptoms: Blood pressure decreased, Dizziness, Heart rate decreased
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Vestibular disorders (broad)
Write-up: Around 910 AM he got 1st dose of TWINRIX and felt dizzy his BP dropped to 80/60 pulse 40, IV started.

VAERS ID:497016 (history)  Vaccinated:2013-07-10
Age:47.0  Onset:2013-07-12, Days after vaccination: 2
Gender:Female  Submitted:2013-07-18, Days after onset: 6
Location:Connecticut  Entered:2013-07-18
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: Eggs; Wheat; Pollen; Mold; Dust mites; Alfalfa; Asthma
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (ADACEL)SANOFI PASTEURC4278AA0IMRA
Administered by: Private     Purchased by: Private
Symptoms: Injection site induration, Injection site mass, Limb discomfort, Pain
SMQs:, Extravasation events (injections, infusions and implants) (broad)
Write-up: Local discomfort in (R) arm - applied ice. Felt hard lump at site. No fever. Discomfort when raising arm. Resolved after 6 days.

VAERS ID:497074 (history)  Vaccinated:2013-06-05
Age:47.0  Onset:0000-00-00
Gender:Female  Submitted:2013-07-18
Location:Michigan  Entered:2013-07-18
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (ADACEL)SANOFI PASTEURU4567AA IMLA
Administered by: Private     Purchased by: Private
Symptoms: Joint range of motion decreased, Pain in extremity
SMQs:, Arthritis (broad)
Write-up: Pt states arm pain over one month later. She also states limited ROM.

VAERS ID:497570 (history)  Vaccinated:2012-11-15
Age:47.0  Onset:2012-11-15, Days after vaccination: 0
Gender:Female  Submitted:2013-07-24, Days after onset: 250
Location:New York  Entered:2013-07-24
Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Daily multi-vitamin/Vitamin B12 and Calcium supplements.
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: Blood tests performed showed normal results. X-Ray, CT scan/MRI pending as per doctor''s advice.
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUARIX)GLAXOSMITHKLINE BIOLOGICALSAFLUA733BA1IMLA
Administered by: Public     Purchased by: Other
Symptoms: Blood test normal, Computerised tomogram, Cough, Headache, Immediate post-injection reaction, Influenza like illness, Injected limb mobility decreased, Injection site pain, Muscular weakness, Nasopharyngitis, Nuclear magnetic resonance imaging, Pain, Pyrexia, Rhinorrhoea, X-ray
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (narrow)
Write-up: Lot of pain at injection site immediately after the IM Flu shot in upper arm. Around 11/25/2012, severe flu like syndrome developed with low grade fever, cough, cold, running nose, body-ache and headache. It lasted for two weeks. Gradual development of intense pain in right shoulder and arm and restriction of movements of right arm and shoulder akin to frozen shoulder from 11/15/2012 until 07/24/2013. Extreme pain and disability and weakness of the arm persists.

VAERS ID:498496 (history)  Vaccinated:2013-07-31
Age:47.0  Onset:2013-07-31, Days after vaccination: 0
Gender:Female  Submitted:2013-08-05, Days after onset: 5
Location:Virginia  Entered:2013-08-05
Life Threatening? Yes
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: No
Preexisting Conditions: Allergic to Penicillin, Erythromycin, Phenergan
Diagnostic Lab Data: White count of 17000, Ultrasound, X-rays, IV''s, fluids, Solu-Medrol, Benadryl, Clindamycin IV.
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.H0221721IMRA
Administered by: Private     Purchased by: Other
Symptoms: Back pain, Cellulitis, Erythema, Hypersensitivity, Induration, Local reaction, Lymphadenopathy, Mobility decreased, Musculoskeletal pain, Neck pain, Oedema peripheral, Pain in extremity, Swelling, Ultrasound scan, White blood cell count increased, X-ray
SMQs:, Rhabdomyolysis/myopathy (broad), Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Neuroleptic malignant syndrome (broad), Retroperitoneal fibrosis (broad), Parkinson-like events (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow), Arthritis (broad)
Write-up: My arm became hard, painful and red, during the night and I lost my mobility. I went to employee health at 7:30 am on 8/1/2013 and was seen they told me to monitor it use ice that it was a severve local reaction. I monitored it and spoke with several MD''s on my unit. At approximately 12:00 it continued to swell and become redder and spread. I had marked it with marking pen to keep track. Spoke with DR and she call in antibiotic because I was told by one of the MD''s that it looked like cellulitis. I left work at 3:30 pm picked up my med and went home. Took picture at home to seen to my husband who is an emergency room physician. The redness had continued down my arm to my forearm and had completely wrapped itself around my arm. My arm was now 2 times the size normally. The swelling and pain had also spread to my back and shoulder and up my neck, which caused swelling of my lymph nodes. My husband told me to go to the emergency room at his hospital and he called ahead to tell them I was on my way I leave 3 minutes from the hospital. I was taken straight back and treated for a severe allergic reaction and for rapid spreading cellulitis. I was kept in the emergency room and monitored until approximately 3:00 am on Friday 8/2/2013. I was prescribed Clindamycin and Prednisone to continue taking at home. I was then released into my husbands care. I have contacted employee health, my primary care physician''s office, and Risk Management at work.

VAERS ID:498665 (history)  Vaccinated:2013-07-31
Age:47.0  Onset:2013-08-01, Days after vaccination: 1
Gender:Female  Submitted:2013-08-06, Days after onset: 5
Location:Texas  Entered:2013-08-06
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: No allergies h/o RA.
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.J0011800IMLA
Administered by: Private     Purchased by: Private
Symptoms: Erythema, Local swelling
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad)
Write-up: Reddness and swelling in arm from shoulder to elbow. Started day after admin, 3 days after she went to urgent care, given antibiotic and steroids.

VAERS ID:500294 (history)  Vaccinated:2013-08-20
Age:47.0  Onset:2013-08-21, Days after vaccination: 1
Gender:Male  Submitted:2013-08-22, Days after onset: 1
Location:Massachusetts  Entered:2013-08-22
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (ADACEL)SANOFI PASTEURU4655AA1IMRA
Administered by: Private     Purchased by: Unknown
Symptoms: Injection site erythema, Injection site induration, Injection site swelling
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: Redness, swelling and induration at site 5x3.5 cm.

VAERS ID:500329 (history)  Vaccinated:2013-07-18
Age:47.0  Onset:2013-07-20, Days after vaccination: 2
Gender:Female  Submitted:2013-08-16, Days after onset: 27
Location:California  Entered:2013-08-23, Days after submission: 7
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: Unknown
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARZOS: ZOSTER (ZOSTAVAX)MERCK & CO. INC.J0010050UNLA
Administered by: Other     Purchased by: Other
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth, Skin lesion
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: Patient had redness and hot sensations in arm below injection site 2-3 days later. 3-4 days after injection went to Walk-In Clinic and stated she had several egg shape bumps in arm below site with hot and painful sensations. Day six, pt. stated she had a lesion on her leg and got a prescription for Valacyclovir.

VAERS ID:500477 (history)  Vaccinated:2013-08-19
Age:47.0  Onset:2013-08-19, Days after vaccination: 0
Gender:Unknown  Submitted:2013-08-23, Days after onset: 4
Location:Unknown  Entered:2013-08-23
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: No other medications
Current Illness: Unknown
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type': WAES1308USA010002
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)UNKNOWN MANUFACTURER  UNUN
VARZOS: ZOSTER (ZOSTAVAX)MERCK & CO. INC.  UNUN
Administered by: Other     Purchased by: Other
Symptoms: Drug administered to patient of inappropriate age
SMQs:
Write-up: This spontaneous report was received from a physician regarding a 47 year old patient with no pertinent medical history reported who on 19-AUG-2013 was vaccinated with ZOSTAVAX (lot number and expiration date not reported) (dose and route not specified). Concomitant medications included an unspecified influenza virus vaccine (manufacturer unknown) administered on 19-AUG-2013. Additional information has been requested.

VAERS ID:500914 (history)  Vaccinated:2013-08-20
Age:47.0  Onset:2013-08-20, Days after vaccination: 0
Gender:Female  Submitted:2013-08-29, Days after onset: 9
Location:Missouri  Entered:2013-08-29
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: No
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE INTRADERMAL)SANOFI PASTEURUT4468BA0IDLA
Administered by: Other     Purchased by: Private
Symptoms: Unevaluable event
SMQs:
Write-up: Old version of vaccine received.

VAERS ID:501098 (history)  Vaccinated:2013-09-02
Age:47.0  Onset:2013-09-02, Days after vaccination: 0
Gender:Male  Submitted:0000-00-00
Location:Pennsylvania  Entered:2013-09-03
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None known
Preexisting Conditions: None given; None known
Diagnostic Lab Data: At hospital - unknown
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (AFLURIA)CSL LIMITEDR53107 IMLA
Administered by: Other     Purchased by: Other
Symptoms: Abdominal discomfort, Lacrimation increased, Ocular hyperaemia, Pruritus, Throat tightness
SMQs:, Anaphylactic reaction (narrow), Angioedema (broad), Gastrointestinal perforation, ulcer, haemorrhage, obstruction non-specific findings/procedures (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Glaucoma (broad), Lacrimal disorders (narrow), Hypersensitivity (broad)
Write-up: Itchy ear, throat tightening, red watery eyes, upset stomach, BENADRYL given at 5:50 pm shot given at 3:15 pm. 30 minutes later taken to hospital - overnight stay - still in hospital as of 9/3/13 9:30 AM.

VAERS ID:501702 (history)  Vaccinated:2013-08-14
Age:47.0  Onset:2013-08-15, Days after vaccination: 1
Gender:Male  Submitted:2013-09-06, Days after onset: 22
Location:California  Entered:2013-09-06
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: Urticaria~Anthrax (Biothrax)~9~46.50~Patient
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
ANTH: ANTHRAX (BIOTHRAX)EMERGENT BIOSOLUTIONSFAV323A9IMLA
Administered by: Military     Purchased by: Military
Symptoms: Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow)
Write-up: Urticaria (rash all over upper body, front and back, arms, thighs, buttocks). Rash onset 8/15, worsened 8/16, on 8/17 took Allegra and used Witch Hazel. Symptoms started to abate 8/18 and were gone by 8/19.

VAERS ID:502222 (history)  Vaccinated:2013-09-09
Age:47.0  Onset:2013-09-11, Days after vaccination: 2
Gender:Female  Submitted:2013-09-12, Days after onset: 1
Location:Unknown  Entered:2013-09-12
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: LEVAQUIN (Rash); REGLAN (Dystonic reaction)
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)UNKNOWN MANUFACTURER  UNLA
Administered by: Public     Purchased by: Other
Symptoms: Rash pruritic
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow)
Write-up: Significant, pruritic rash on trunk and extremities.

VAERS ID:502418 (history)  Vaccinated:2013-09-06
Age:47.0  Onset:2013-09-07, Days after vaccination: 1
Gender:Female  Submitted:2013-09-12, Days after onset: 5
Location:North Carolina  Entered:2013-09-13, 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:
Current Illness: None known
Preexisting Conditions: Penicillin allergy
Diagnostic Lab Data: None
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.J0035330SCLA
Administered by: Public     Purchased by: Private
Symptoms: Myalgia, Pyrexia, Respiratory disorder
SMQs:, Rhabdomyolysis/myopathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Acute central respiratory depression (broad), Eosinophilic pneumonia (broad)
Write-up: Fever, muscle aches, upper respiratory symptoms within 24 hours after dose administered. Symptoms have continued 6 days.

VAERS ID:502459 (history)  Vaccinated:2013-09-12
Age:47.0  Onset:2013-09-13, Days after vaccination: 1
Gender:Female  Submitted:2013-09-13, Days after onset: 0
Location:Indiana  Entered:2013-09-13
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: None
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)NOVARTIS VACCINES AND DIAGNOSTICS13078010IMLA
Administered by: Other     Purchased by: Other
Symptoms: Injection site swelling
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: Area of swelling at injection site approximately 4 in by 1 in.

VAERS ID:502531 (history)  Vaccinated:2013-09-11
Age:47.0  Onset:2013-09-11, Days after vaccination: 0
Gender:Female  Submitted:2013-09-14, Days after onset: 3
Location:Mississippi  Entered:2013-09-15, Days after submission: 1
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Maybe a cold
Preexisting Conditions: Hayfever; Cats; Dust
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)NOVARTIS VACCINES AND DIAGNOSTICS1307601 UNLA
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.H022280 UNLA
Administered by: Other     Purchased by: Other
Symptoms: Cough, Injection site reaction, Pain, Pain in extremity, Pruritus, Pyrexia, Urticaria
SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Hypersensitivity (narrow)
Write-up: Fever 101 degrees, coughing, aching. 6x4 inch welt at injection site. Very sore and itchy arm.

VAERS ID:503054 (history)  Vaccinated:2013-09-13
Age:47.0  Onset:2013-09-13, Days after vaccination: 0
Gender:Female  Submitted:2013-09-16, Days after onset: 3
Location:Florida  Entered:2013-09-19, Days after submission: 3
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURUH898AC8IMLA
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.H0145611SCRA
Administered by: Public     Purchased by: Other
Symptoms: Blood pressure increased, Dizziness, Erythema, Headache, Nausea, Pyrexia
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypertension (narrow), Vestibular disorders (broad), Hypersensitivity (broad)
Write-up: I got a headache was dizzy lightheaded sick to my stomach shaking blood pressure went up, fever, redness on back of right arm.

VAERS ID:503445 (history)  Vaccinated:2013-09-20
Age:47.0  Onset:2013-09-20, Days after vaccination: 0
Gender:Female  Submitted:2013-09-20, Days after onset: 0
Location:North Carolina  Entered:2013-09-20
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: None
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (AFLURIA)CSL LIMITEDR521060IMLA
Administered by: Other     Purchased by: Private
Symptoms: Injection site anaesthesia, Injection site reaction, Paraesthesia
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad)
Write-up: Patient experienced numbness and tingling down left arm, from injection site to fingers. No swelling or redness at injection site. Patient has tried heating pad, MOTRIN, and cold pack with no change.

VAERS ID:503688 (history)  Vaccinated:2013-01-11
Age:47.0  Onset:0000-00-00
Gender:Female  Submitted:2013-01-16
Location:Pennsylvania  Entered:2013-09-20, Days after submission: 246
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': 2013SE03633
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLUN3: INFLUENZA (SEASONAL) (FLUMIST)MEDIMMUNE VACCINES, INC.AJ2143 IN 
Administered by: Other     Purchased by: Other
Symptoms: Expired drug administered, Throat irritation
SMQs:, Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow)
Write-up: A report has been received from a Health Professional concerning a 47 year old, Female subject, who had been receiving FLUMIST. FLUMIST started on 11-Jan-2013. The patient experienced GAVE EXPIRED FLUMIST which was started on 11-Jan-2013 and SCRATCHY THROAT. The outcome of the event of SCRATCHY THROAT and GAVE EXPIRED FLUMIST is unknown. The report was considered to be non-serious. The reporter considered that there was no causal relationship between SCRATCHY THROAT and FLUMIST. Summary of follow-up information received by AstraZeneca/MedImmune 05-Mar-2013 from consumer: New event of scratchy throat was added. Corrected report 15-Mar-2013: start date of FLUMIST was added.

VAERS ID:503593 (history)  Vaccinated:2013-08-29
Age:47.0  Onset:2013-08-29, Days after vaccination: 0
Gender:Female  Submitted:2013-09-13, Days after onset: 15
Location:Colorado  Entered:2013-09-23, Days after submission: 10
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: No
Preexisting Conditions: Skin cancer (8 years ago)
Diagnostic Lab Data: None
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLUN4: INFLUENZA (SEASONAL) (FLUMIST QUADRIVALENT)MEDIMMUNE VACCINES, INC.BH20261IN 
Administered by: Military     Purchased by: Military
Symptoms: Balance disorder, Dizziness, Paraesthesia, Respiratory tract congestion
SMQs:, Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Vestibular disorders (broad)
Write-up: Patient had vaccine 29 Aug 13, 4 days later she contacted (MD) to report a reaction. Patient reported being off balance for 2 days, lightheadedness, some congestion, and a feeling of being sunburned on her left side of her face. Patient reported all signs disappeared 2 days after the vaccination (31 Aug 13).

VAERS ID:503845 (history)  Vaccinated:2013-09-10
Age:47.0  Onset:2013-09-12, Days after vaccination: 2
Gender:Female  Submitted:2013-09-13, Days after onset: 1
Location:Florida  Entered:2013-09-24, Days after submission: 11
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)NOVARTIS VACCINES AND DIAGNOSTICS13077010IMRA
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.H0133940IMLA
Administered by: Other     Purchased by: Private
Symptoms: Injection site erythema, Injection site rash, Pain in extremity
SMQs:, Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (narrow)
Write-up: About 48 hrs after vaccine administered, patient complained about a sore arm. She said it felt pain like a tetanus shot. She 2 red rash around the injection site. I checked on her the next day and the pain was better and rash cleared.

VAERS ID:503910 (history)  Vaccinated:2013-09-12
Age:47.0  Onset:2013-09-12, Days after vaccination: 0
Gender:Female  Submitted:2013-09-24, Days after onset: 12
Location:Washington  Entered:2013-09-24
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: Banana allergy
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE INTRADERMAL)SANOFI PASTEURUT4723AA0IDLA
Administered by: Other     Purchased by: Private
Symptoms: Chest pain, Headache, Hyperhidrosis, Hypoaesthesia oral, Local swelling, Neck pain, Pain in extremity
SMQs:, Angioedema (broad), Neuroleptic malignant syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Arthritis (broad)
Write-up: Severe headache, aching arm, numb lips, pain in neck, swollen arm, chest pains, sweating.

VAERS ID:504292 (history)  Vaccinated:2013-09-20
Age:47.0  Onset:2013-09-21, Days after vaccination: 1
Gender:Male  Submitted:2013-09-26, Days after onset: 5
Location:Illinois  Entered:2013-09-26
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEUR    
Administered by: Unknown     Purchased by: Other
Symptoms: Dizziness
SMQs:, Anticholinergic syndrome (broad), Vestibular disorders (broad)
Write-up: Dizziness that lessens after a few seconds.

VAERS ID:504512 (history)  Vaccinated:2013-09-24
Age:47.0  Onset:2013-09-25, Days after vaccination: 1
Gender:Female  Submitted:2013-09-27, Days after onset: 2
Location:New Jersey  Entered:2013-09-27
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: No
Preexisting Conditions: All kinds of nuts, chocolate
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURUH900AB0SCLA
Administered by: Public     Purchased by: Public
Symptoms: Dyspnoea, Fatigue, Mobility decreased, Urticaria
SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), Parkinson-like events (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Hypersensitivity (narrow)
Write-up: Severe fatigue could not get out of bed, massive shortness of breath, massive hives all over body. Similiar to large reactions I get when I accidently eat nuts. I did not eat any nuts or had the chance that any of my food had nuts in it. I had to use 200 mg of Benadryl and my 2 Epipens to get myself back to normal. I did not go to ER, but almost did. I hate going to ER, takes too long and they give you so many steroids and meds when you have bad reactions that I did not want to go again. I would have gone if the symptoms did not get better with my Benadryl and Epi Pen.

VAERS ID:504622 (history)  Vaccinated:2013-09-20
Age:47.0  Onset:2013-09-20, Days after vaccination: 0
Gender:Female  Submitted:2013-09-27, Days after onset: 7
Location:Massachusetts  Entered:2013-09-27
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: Fibromyalgia; APS; SULFA allergy
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUARIX)GLAXOSMITHKLINE BIOLOGICALSG7BL90IMLA
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.H0133940IMLA
Administered by: Other     Purchased by: Private
Symptoms: Injection site oedema, Injection site rash, Injection site warmth, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow)
Write-up: Fever, 2" rash around injection site, left upper arm edema and warmth.

VAERS ID:504607 (history)  Vaccinated:2013-09-20
Age:47.0  Onset:2013-09-22, Days after vaccination: 2
Gender:Male  Submitted:2013-09-29, Days after onset: 7
Location:California  Entered:2013-09-29
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: Pituitary tumor; Cardiomyopathy; Heart failure
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURUH905AB IMLA
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.J009833 IMRA
Administered by: Other     Purchased by: Public
Symptoms: Infection, Injection site erythema, Injection site swelling, Pain, Swelling
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: Patient reported swelling, redness (erythremia) of entire injection site Did not reduce with ice treatment. Pain and swelling lead patient to visit his doctor. He was prescribed Cephalexin for it. Suspected local infection. Reaction occurred only with Pneumovax, flu vaccine she was fine.

VAERS ID:504611 (history)  Vaccinated:2013-09-25
Age:47.0  Onset:0000-00-00
Gender:Female  Submitted:0000-00-00
Location:New York  Entered:2013-09-29
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (AFLURIA)CSL LIMITEDR53707 UNLA
Administered by: Other     Purchased by: Private
Symptoms: Pruritus, Rash
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow)
Write-up: 9/25/13 pt received AFLURIA at 10:10AM. Pt came back at approx. 7:00PM with raised bumps approx. 8mm in diameter on forearms and 1 one neck. Pt stated itching on head and back as well. Pt went to (on 9/26/13) immediate care, received Rx for prednisone and ZYRTEC (filled on 9/27/13).

VAERS ID:504730 (history)  Vaccinated:2013-09-14
Age:47.0  Onset:2013-09-14, Days after vaccination: 0
Gender:Female  Submitted:2013-09-20, Days after onset: 6
Location:Louisiana  Entered:2013-09-30, Days after submission: 10
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)NOVARTIS VACCINES AND DIAGNOSTICS1308601 UNRA
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.H012972 UNRA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Pain, Swelling
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: Swelling - soreness. Patient followed up with Urgent Care Walk-in clinic.

VAERS ID:504766 (history)  Vaccinated:2013-09-20
Age:47.0  Onset:2013-09-20, Days after vaccination: 0
Gender:Female  Submitted:0000-00-00
Location:Pennsylvania  Entered:2013-09-30
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: Unknown
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (AFLURIA)CSL LIMITEDR53107 UNLA
Administered by: Other     Purchased by: Private
Symptoms: Chills, Feeling cold, Pyrexia, Tremor, Vomiting
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Parkinson-like events (broad), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)
Write-up: Sx occurred 11:00pm uncontrolled shaking, feeling cold, chills. Used aspirin x2 doses. Vomited. Fever - unknown temp.

VAERS ID:504976 (history)  Vaccinated:2013-09-24
Age:47.0  Onset:2013-09-25, Days after vaccination: 1
Gender:Female  Submitted:2013-10-01, Days after onset: 6
Location:California  Entered:2013-10-01
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Mild cold virus
Preexisting Conditions: Asthma
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC. 1SCLA
Administered by: Private     Purchased by: Other
Symptoms: Drug administered to patient of inappropriate age
SMQs:
Write-up: Sending in separate email.

VAERS ID:505291 (history)  Vaccinated:2013-09-24
Age:47.0  Onset:2013-09-27, Days after vaccination: 3
Gender:Male  Submitted:2013-10-02, Days after onset: 5
Location:California  Entered:2013-10-02
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: No
Preexisting Conditions: No
Diagnostic Lab Data: None
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU4: INFLUENZA (SEASONAL) (FLUARIX QUADRIVALENT)GLAXOSMITHKLINE BIOLOGICALSUNKNOWN IMLA
Administered by: Other     Purchased by: Other
Symptoms: Asthenia, Dizziness, Headache, Injection site pain, Mobility decreased, Myalgia, Pain in extremity
SMQs:, Rhabdomyolysis/myopathy (broad), Anticholinergic syndrome (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Eosinophilic pneumonia (broad), Vestibular disorders (broad)
Write-up: Woke up with total body weakness, muscle aches and pain, dizziness, headache and excruciating pain in my left elbow, left forearm and left hand. Unable to hold my head up and get out of bed. I called my doctor and he told me that I may be developing antibodies to the flu vaccine and that I''m experiencing a immune response to the vaccine and that I will get better in time.

VAERS ID:505315 (history)  Vaccinated:2013-09-28
Age:47.0  Onset:2013-09-29, Days after vaccination: 1
Gender:Female  Submitted:2013-10-02, Days after onset: 3
Location:Virginia  Entered:2013-10-02
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: Migraine headaches, depression, arthritis, reflux, low Vit D
Diagnostic Lab Data: None-did not go to doctor
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)NOVARTIS VACCINES AND DIAGNOSTICS09149211A0SYRLA
Administered by: Public     Purchased by: Private
Symptoms: Axillary pain, Lymphadenopathy
SMQs:
Write-up: Lymph gland swollen (size and shape of chicken egg) under left arm. Same arm as received flu shot. Extremely sore. Took Tylenol for pain. As of this filing, still swollen, not as sore.

VAERS ID:505650 (history)  Vaccinated:2013-03-26
Age:47.0  Onset:2013-03-26, Days after vaccination: 0
Gender:Female  Submitted:2013-09-18, Days after onset: 176
Location:Michigan  Entered:2013-10-02, Days after submission: 14
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Unknown
Preexisting Conditions: At the time of reporting, there were no concomitant medications or relevant medical history. There were no reported adverse events following previous vaccinations.
Diagnostic Lab Data: UNK
CDC 'Split Type': A1021183A
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (BOOSTRIX)GLAXOSMITHKLINE BIOLOGICALSAC52B100CA SYRLA
Administered by: Private     Purchased by: Private
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling, Product quality issue
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: This case was reported by a healthcare professional (office manager) and described the occurrence of injection site pain in a 47-year-old female subject who was vaccinated with BOOSTRIX (GlaxoSmithKline). On 26 March 2013 the subject received a dose of BOOSTRIX (.5 ml, unknown route, left deltoid). On 29 March 2013, 3 days after vaccination with BOOSTRIX, the subject experienced injection site pain (also described as "under arm pain"), injection site pruritus, swelling injection site, and injection site redness. This case was associated with a product quality complaint. The subject was seen by a physician and "diagnosed with erythema of about 3-4 centimeters in size." At the time of reporting the events were unresolved. The healthcare professional considered the events were probably related to vaccination with BOOSTRIX. The reporter documented 2 other cases with BOOSTRIX. See cases A1021182A and A1021180A for details on the other cases. Quality Assurance (QA) follow up was received on 23 May 2013. Based on the currently available safety information and the nature of the complaint, it can be concluded that there is no evidence for a safety signal concern for the batch AC52B100CA of BOOSTRIX and its similar batches. The OC investigation performed on the received samples shows that the complaint samples are conform to the specification for the description. GlaxoSmithKline Biologicals considers this complaint to be unsubstantiated.

VAERS ID:505379 (history)  Vaccinated:2013-09-09
Age:47.0  Onset:2013-09-09, Days after vaccination: 0
Gender:Male  Submitted:2013-10-01, Days after onset: 22
Location:Kentucky  Entered:2013-10-03, Days after submission: 2
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (AFLURIA)CSL LIMITEDR530071SYRLA
Administered by: Other     Purchased by: Other
Symptoms: Fatigue, Pain in extremity
SMQs:
Write-up: Fatigue, sore arm.

VAERS ID:505412 (history)  Vaccinated:2013-10-02
Age:47.0  Onset:2013-10-02, Days after vaccination: 0
Gender:Female  Submitted:2013-10-03, Days after onset: 1
Location:Pennsylvania  Entered:2013-10-03
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: No
Preexisting Conditions: High blood pressure
Diagnostic Lab Data: CT scan; Blood work
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURUH905AA0IMLA
Administered by: Unknown     Purchased by: Private
Symptoms: Blood pressure increased, Blood test, Computerised tomogram, Face oedema, Fatigue, Nausea, Ocular hyperaemia
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Angioedema (narrow), Neuroleptic malignant syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Glaucoma (broad), Hypertension (narrow), Hypersensitivity (narrow)
Write-up: After lunch, patient developed nausea, fatigue, elevated B/P, blood shot eyes, facial edema. EPI PEN administered and instructed to go to ER. Husband came and transported to hospital.

VAERS ID:505473 (history)  Vaccinated:2013-10-02
Age:47.0  Onset:2013-10-02, Days after vaccination: 0
Gender:Male  Submitted:2013-10-03, Days after onset: 1
Location:D.C.  Entered:2013-10-03
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURUH905AB IMRA
Administered by: Other     Purchased by: Other
Symptoms: Body temperature increased, Dizziness, Nausea, Pain
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad)
Write-up: Elevated temperature, body aches, nausea and dizziness.

VAERS ID:505677 (history)  Vaccinated:0000-00-00
Age:47.0  Onset:0000-00-00
Gender:Female  Submitted:2013-09-29
Location:Idaho  Entered:2013-10-03, Days after submission: 4
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
TDAP: TDAP (NO BRAND NAME)UNKNOWN MANUFACTURER932Z90UNLA
Administered by: Private     Purchased by: Private
Symptoms: Arthralgia, Injection site pain, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Arthritis (broad)
Write-up: Pain at injection site, generalized arthralgias, fever. Symptoms began hrs after. At day 4 after symptoms improving.

VAERS ID:505680 (history)  Vaccinated:2013-10-01
Age:47.0  Onset:2013-10-01, Days after vaccination: 0
Gender:Male  Submitted:2013-10-01, Days after onset: 0
Location:Colorado  Entered:2013-10-03, Days after submission: 2
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)GLAXOSMITHKLINE BIOLOGICALSAHBVC113AB1UNUN
Administered by: Public     Purchased by: Private
Symptoms: Rash, Swollen tongue
SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), Oropharyngeal allergic conditions (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Hypersensitivity (narrow)
Write-up: Rash. Swollen tongue.

VAERS ID:505761 (history)  Vaccinated:2013-09-12
Age:47.0  Onset:2013-09-12, Days after vaccination: 0
Gender:Female  Submitted:2013-10-04, Days after onset: 22
Location:New Jersey  Entered:2013-10-04
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: No
Preexisting Conditions: Hypothyroidism, Lyme
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)UNKNOWN MANUFACTURER 12IMLA
Administered by: Other     Purchased by: Private
Symptoms: Diarrhoea, Fatigue, Migraine, Nausea, Pyrexia
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (narrow)
Write-up: Fever, severe migraine, nausea, diarrhea, fatigue, treated with Reglan and fluids at ER, on 09/16/2013.

VAERS ID:505831 (history)  Vaccinated:2013-10-04
Age:47.0  Onset:2013-10-04, Days after vaccination: 0
Gender:Female  Submitted:2013-10-04, Days after onset: 0
Location:Wisconsin  Entered:2013-10-04
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: No
Preexisting Conditions: No
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (AGRIFLU)NOVARTIS VACCINES AND DIAGNOSTICS    
Administered by: Unknown     Purchased by: Private
Symptoms: Diarrhoea, Dizziness, Headache, Nausea, Oropharyngeal pain, Pyrexia, Respiratory tract congestion
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad), Noninfectious diarrhoea (narrow)
Write-up: Headache, nausea, fever, dizziness, congestion, sore throat, diarrhea.

VAERS ID:505996 (history)  Vaccinated:2013-10-04
Age:47.0  Onset:2013-10-04, Days after vaccination: 0
Gender:Male  Submitted:2013-10-05, Days after onset: 1
Location:Illinois  Entered:2013-10-05
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLULAVAL)GLAXOSMITHKLINE BIOLOGICALS455XM0IMRA
Administered by: Other     Purchased by: Private
Symptoms: Dizziness, Fear of injection, Hyperhidrosis, Hypotension, Loss of consciousness, Presyncope, Unresponsive to stimuli
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad)
Write-up: About 1 minute after the flu shot was administered, patient stated that he felt dizzy. He sat down on a chair with a glass of fluid in his hand. After a few minutes, he became unresponsive. 911 was called. Within a minute, he awoke with no knowledge of his blackout. We laid him down on the floor with his feet elevated on a chair, and he stated that he felt much better. He remained on the floor until the ambulance arrived. He was then seated in a chair and he starting sweating profusely and his BP was low. He was carted and taken to the ER where he was diagnosed with a vagal response possibly due to being afraid of needles. He was fine the next day around 10 AM when I talked to him.

VAERS ID:506332 (history)  Vaccinated:2013-09-20
Age:47.0  Onset:2013-09-22, Days after vaccination: 2
Gender:Female  Submitted:2013-10-08, Days after onset: 16
Location:Indiana  Entered:2013-10-08
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None. Healthy
Preexisting Conditions: None
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (AGRIFLU)NOVARTIS VACCINES AND DIAGNOSTICS13082010IMLA
Administered by: Unknown     Purchased by: Private
Symptoms: Cough, Diarrhoea, Gastrointestinal disorder, Nasopharyngitis, Pain in extremity, Pyrexia
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (narrow)
Write-up: Sore arm on 9/22/13. On 9/29/13 developed GI symptoms diarrhea, cough, cold, fever.

VAERS ID:506486 (history)  Vaccinated:2013-09-30
Age:47.0  Onset:2013-09-30, Days after vaccination: 0
Gender:Female  Submitted:2013-10-02, Days after onset: 2
Location:Pennsylvania  Entered:2013-10-08, 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: Ibuprofen - Rash, hives, swelling
Diagnostic Lab Data: None
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURUH900AB1IMUN
Administered by: Public     Purchased by: Other
Symptoms: Eye swelling, Ocular hyperaemia
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Glaucoma (broad), Hypersensitivity (narrow)
Write-up: Left eye swelled red and puffy. Gave patient 2 - BENADRYL 25 mg capsules told her to take one every 4 hours and she called her primary care doctor. She had taken EXCEDRIN 15 minutes prior to flu shot. She has allergy to ibuprofen.

VAERS ID:506679 (history)  Vaccinated:2013-10-07
Age:47.0  Onset:2013-10-09, Days after vaccination: 2
Gender:Female  Submitted:2013-10-09, Days after onset: 0
Location:Virginia  Entered:2013-10-09
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (AFLURIA)CSL LIMITED08449221A IMLA
Administered by: Unknown     Purchased by: Private
Symptoms: Erythema, Injection site erythema, Injection site warmth, Local swelling, Pain
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad)
Write-up: Localized redness/swelling (10.5 cm x 13.5), hot/red at site, localized pain all started this morning. Recommended to alternate heat/ice to site. Recommended to Tylenol or Advil as needed.

VAERS ID:506693 (history)  Vaccinated:2013-10-01
Age:47.0  Onset:2013-10-04, Days after vaccination: 3
Gender:Female  Submitted:2013-10-09, Days after onset: 5
Location:New York  Entered:2013-10-09
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: Chest x-ray; blood work; urinanalysis
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURUH902AA1IMRA
Administered by: Other     Purchased by: Other
Symptoms: Blood test, Chest X-ray, Chills, Diarrhoea, Headache, Nausea, Oral herpes, Pain, Pyrexia, Tremor, Urine analysis
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Parkinson-like events (broad), Oropharyngeal infections (narrow), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (narrow)
Write-up: Uncontrollable chills/shaking (first 12 hours), high fever (up to 102 (up and down over 72 hour period), headache (4 days), nausea (first 24 hours), diarrhea (on day 2), body aches (day 3), fever blisters (day 3).

VAERS ID:506870 (history)  Vaccinated:2013-10-08
Age:47.0  Onset:2013-10-09, Days after vaccination: 1
Gender:Female  Submitted:2013-10-10, Days after onset: 1
Location:Michigan  Entered:2013-10-10
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUARIX)GLAXOSMITHKLINE BIOLOGICALS2T4JT IMRA
Administered by: Public     Purchased by: Other
Symptoms: Dizziness, Lip swelling, Oedema mouth, Oral discomfort, Paraesthesia, Swelling face
SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Oropharyngeal allergic conditions (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Vestibular disorders (broad), Hypersensitivity (narrow)
Write-up: Upon waking up next am, +facial swelling, +swelling of lips and around mouth, +facial tingling, +dizziness, +burning of lips. Treated self with acetaminophen and subsequent Benadryl.

VAERS ID:507587 (history)  Vaccinated:2013-10-09
Age:47.0  Onset:2013-10-09, Days after vaccination: 0
Gender:Female  Submitted:2013-10-11, Days after onset: 2
Location:New York  Entered:2013-10-11
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: Known allergy to AMBIEN, CELEBREX; Medical history of hypothyroidism, asthma, depression
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.J006082 IMRA
Administered by: Public     Purchased by: Other
Symptoms: Chills, Erythema, Local swelling, Pyrexia, Swelling
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad)
Write-up: Within 1 hour of administration had swelling of corresponding arm (left arm), subsequent redness: 1 day later fever, chills, swelling slightly improved.

VAERS ID:507197 (history)  Vaccinated:2013-10-12
Age:47.0  Onset:2013-10-13, Days after vaccination: 1
Gender:Male  Submitted:2013-10-14, Days after onset: 1
Location:Virginia  Entered:2013-10-14
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: Heart attack, prior heart surgery, diabetes, sinus surgery, seizures as a child, thyroid
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)NOVARTIS VACCINES AND DIAGNOSTICS13391P IMLA
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.J006242 IMRA
Administered by: Other     Purchased by: Private
Symptoms: Headache, Injection site erythema, Injection site warmth, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad)
Write-up: Started at midnight 10/13/2013, redness at injection site, warmth, fever 98-102 degrees, headache. Patient taking Tylenol for fever and will take Benadryl for warmth and redness and apply cold compresses.

VAERS ID:507346 (history)  Vaccinated:2013-10-10
Age:47.0  Onset:2013-10-10, Days after vaccination: 0
Gender:Female  Submitted:2013-10-16, Days after onset: 6
Location:Tennessee  Entered:2013-10-16
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: N/A
Preexisting Conditions: N/A
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (AFLURIA)CSL LIMITEDR557080IMLA
Administered by: Other     Purchased by: Other
Symptoms: Dizziness, Headache, Hyperhidrosis, Injection site pain, Musculoskeletal pain, Nausea, Neck pain, Ocular hyperaemia, Paraesthesia, Pharyngeal oedema
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Acute pancreatitis (broad), Angioedema (narrow), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Oropharyngeal allergic conditions (narrow), Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Glaucoma (broad), Vestibular disorders (broad), Hypersensitivity (narrow), Arthritis (broad)
Write-up: Throat swelling, blood shot eyes, neck/shoulder pain, tingling in arms/upper body, nausea, dizziness, sweating profusely, injection site pain (throbbing). Severe headache after reaction.

VAERS ID:507379 (history)  Vaccinated:2013-10-02
Age:47.0  Onset:2013-10-02, Days after vaccination: 0
Gender:Male  Submitted:2013-10-16, Days after onset: 14
Location:Utah  Entered:2013-10-16
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Ventricular tachycardia
Preexisting Conditions: Afib
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURU4767AA IMRA
Administered by: Public     Purchased by: Other
Symptoms: Drug administered to patient of inappropriate age
SMQs:
Write-up: Pediatric vaccine given to adult.

VAERS ID:507418 (history)  Vaccinated:2013-01-14
Age:47.0  Onset:2013-01-20, Days after vaccination: 6
Gender:Female  Submitted:2013-10-16, Days after onset: 268
Location:California  Entered:2013-10-16
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NO
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)UNKNOWN MANUFACTURER    
TD: TETANUS DIPHTHERIA (TENIVAC)SANOFI PASTEUR    
Administered by: Public     Purchased by: Other
Symptoms: Joint crepitation, Mobility decreased, Musculoskeletal pain, Myalgia, Neck pain, Neuralgia, Paraesthesia
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (narrow), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Eosinophilic pneumonia (broad), Arthritis (broad)
Write-up: Intense Muscle/Nerve Pain. Pain spread to neck and unable to move neck, pain in shoulder blades and clicking noise when shoulders are moved in circular motion. Tingling in fingertips.

VAERS ID:507720 (history)  Vaccinated:2013-10-15
Age:47.0  Onset:2013-10-15, Days after vaccination: 0
Gender:Male  Submitted:2013-10-17, Days after onset: 2
Location:Michigan  Entered:2013-10-17
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: No
Preexisting Conditions: No
Diagnostic Lab Data: None
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLULAVAL)GLAXOSMITHKLINE BIOLOGICALS45BL3 IMLA
Administered by: Private     Purchased by: Private
Symptoms: Dysphonia
SMQs:, Parkinson-like events (broad)
Write-up: Developed hoarseness in evening 10/16 next day. No other symptom. Improved on 10/16.

VAERS ID:507738 (history)  Vaccinated:2013-10-16
Age:47.0  Onset:2013-10-17, Days after vaccination: 1
Gender:Male  Submitted:2013-10-17, Days after onset: 0
Location:Illinois  Entered:2013-10-17
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None identified
Preexisting Conditions: Asthma, sinus allergies
Diagnostic Lab Data: None
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURUH895AA IMRA
Administered by: Other     Purchased by: Other
Symptoms: Vertigo
SMQs:, Vestibular disorders (narrow)
Write-up: Vertigo, significant for 3 hours theen graduallly improved.

VAERS ID:507763 (history)  Vaccinated:2009-03-25
Age:47.0  Onset:0000-00-00
Gender:Female  Submitted:2013-10-17
Location:Unknown  Entered:2013-10-17
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Unknown
Preexisting Conditions:
Diagnostic Lab Data: UNK
CDC 'Split Type': B0926734A
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)UNKNOWN MANUFACTURER  SYRUN
Administered by: Other     Purchased by: Other
Symptoms: Palpitations
SMQs:, Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad)
Write-up: This is a spontaneous report received from a consumer (via a specialty pharmacy, additional information from a physician) that described a 53 year old female patient (race not specified) who commenced LETAIRIS 10 mg once daily on 25 March 2009 for idiopathic pulmonary hypertension. Co-suspect medication included influenza vaccine. Concomitant medications reported were TYVASO and ADCIRCA. Medical history was not reported. The patient was hospitalized on 20 September 2013 for severe palpitations (onset date not reported). The patient reported that she thought the palpitations were a reaction to a flu shot. The patient was discharged on 22 September 2013. Ambrisentan was continued. At the time of this report, the outcome of palpitations was reported as unknown. On 11 October 2013, in response to query, the patient''s physician confirmed the event of palpitations. The physician assessed the event as not related to ambrisentan. The initial report was received on 26 September 2013.

VAERS ID:507922 (history)  Vaccinated:2013-10-09
Age:47.0  Onset:2013-10-09, Days after vaccination: 0
Gender:Female  Submitted:2013-10-15, Days after onset: 6
Location:New York  Entered:2013-10-18, Days after submission: 3
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (AFLURIA)CSL LIMITED09249211A0IMUN
Administered by: Other     Purchased by: Other
Symptoms: Eye irritation, Lacrimation increased, Sensation of foreign body, Swelling face, Throat tightness
SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Corneal disorders (broad), Lacrimal disorders (narrow), Hypersensitivity (narrow)
Write-up: About an hour after the flu shot, I felt like a lump in my throat, it felt more like air was closing off down there, my eyes were burning and running a lot of water. This went away after about 30 mins or so. I went to sleep, after waking up, I notice my face was swollen.

VAERS ID:508096 (history)  Vaccinated:2013-10-16
Age:47.0  Onset:2013-10-16, Days after vaccination: 0
Gender:Female  Submitted:2013-10-18, Days after onset: 2
Location:New York  Entered:2013-10-18
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (AFLURIA)CSL LIMITEDR544070UNRA
Administered by: Other     Purchased by: Unknown
Symptoms: Dyspnoea, Hypersensitivity, Lip swelling, Pharyngeal oedema, Swelling face
SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), Oropharyngeal allergic conditions (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Hypersensitivity (narrow)
Write-up: Allergic reaction started about 4 hours after administration. Per patient lips swelled, then face and throat swelled and she took BENADRYL and prednisone trouble breathing and called 911 and to ambulance hospital.

VAERS ID:508464 (history)  Vaccinated:2013-10-16
Age:47.0  Onset:2013-10-16, Days after vaccination: 0
Gender:Female  Submitted:2013-10-21, Days after onset: 5
Location:North Carolina  Entered:2013-10-21
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: Hypertension; Abn. kidney function; rash to amlodipine; fluoride; erythromycin
Diagnostic Lab Data: Elevated liver enzymes
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURUH898AC1IMRA
Administered by: Other     Purchased by: Private
Symptoms: Dysgeusia, Flushing, Hepatic enzyme increased, Influenza like illness, Lethargy, Nausea, Oropharyngeal pain, Pruritus, Serum sickness, Thirst
SMQs:, Liver related investigations, signs and symptoms (narrow), Anaphylactic reaction (broad), Acute pancreatitis (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Taste and smell disorders (narrow), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypersensitivity (narrow)
Write-up: Immediate metallic taste, increased thirst, throat sore, itchy ears, face flushed, flu like symptoms 10-16-13, 10-17-13. 10-18-13 BP 200/114, nausea, continued with itching, lethargy flu-like symptoms. 10-19-13 Went to ER was given Clonidine, diagnosed with serum sickness and sent home to follow up in 3-5d for repeat lab work.

VAERS ID:508850 (history)  Vaccinated:2013-10-17
Age:47.0  Onset:2013-10-18, Days after vaccination: 1
Gender:Male  Submitted:2013-10-22, Days after onset: 4
Location:Georga  Entered:2013-10-22
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLULAVAL)GLAXOSMITHKLINE BIOLOGICALS35GY310IMRA
Administered by: Other     Purchased by: Public
Symptoms: Erythema, Feeling hot, Pain
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (broad)
Write-up: Redness, Hot, Soreness.

VAERS ID:508851 (history)  Vaccinated:2013-10-21
Age:47.0  Onset:2013-10-21, Days after vaccination: 0
Gender:Female  Submitted:2013-10-22, Days after onset: 1
Location:Texas  Entered:2013-10-22
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.J0040580IMRA
Administered by: Military     Purchased by: Other
Symptoms: Injection site nodule
SMQs:, Extravasation events (injections, infusions and implants) (broad)
Write-up: As soon as the needle was withdrawn a knot the size of a dime formed at the injection site.

VAERS ID:508916 (history)  Vaccinated:2013-09-30
Age:47.0  Onset:2013-10-01, Days after vaccination: 1
Gender:Female  Submitted:2013-10-11, Days after onset: 10
Location:Michigan  Entered:2013-10-22, Days after submission: 11
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: DILAUDID; PHENERGAN; Sulfa
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUARIX)GLAXOSMITHKLINE BIOLOGICALS7SE5S1IMLA
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.J0060821IMLA
TDAP: TDAP (ADACEL)SANOFI PASTEURU4688BA1IMRA
Administered by: Private     Purchased by: Other
Symptoms: Chills, Gait disturbance, Headache
SMQs:, Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad)
Write-up: Spoke with pt. on 10-9-13. Pt. states on Mon. after rec. imms she remembers going to bed that night and waking up the next AM with a "violent" headache. So she went back to bed. Pt. states she doesn''t remember anything until Friday. Pt. states her boyfriend, a paramedic, was with her the whole time and boyfriend stated she had cold chills and was unsteady on her feet. Pt. was not taken to ER/urgent care. On 10-9-13 pt. stated all symptoms had resolved.

VAERS ID:508939 (history)  Vaccinated:2013-10-17
Age:47.0  Onset:2013-10-18, Days after vaccination: 1
Gender:Male  Submitted:2013-10-22, Days after onset: 4
Location:Arkansas  Entered:2013-10-22
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: No
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)UNKNOWN MANUFACTURER    
Administered by: Military     Purchased by: Military
Symptoms: Fatigue, Mental impairment, Myalgia, Parosmia
SMQs:, Rhabdomyolysis/myopathy (broad), Taste and smell disorders (narrow), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Eosinophilic pneumonia (broad)
Write-up: Muscle pain, fatigue, altered sense of smell, decreased mental focus.

VAERS ID:509093 (history)  Vaccinated:2013-07-26
Age:47.0  Onset:2013-07-27, Days after vaccination: 1
Gender:Female  Submitted:2013-10-23, Days after onset: 88
Location:Kentucky  Entered:2013-10-23
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: Blood work; CT-scan; Lumbar puncture; X-rays; MRI
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)GLAXOSMITHKLINE BIOLOGICALSAHBVC207AB1UNRA
Administered by: Public     Purchased by: Other
Symptoms: Arthropathy, Blood test, Computerised tomogram, Influenza like illness, Joint effusion, Joint fluid drainage, Lumbar puncture, Nuclear magnetic resonance imaging, X-ray
SMQs:, Haemodynamic oedema, effusions and fluid overload (narrow), Arthritis (broad)
Write-up: Reaction in all my joints with flu-like symptoms, settling predominantly in my left knee resulting in 80 cc''s of fluid being drained in an 18 hr period.

VAERS ID:509277 (history)  Vaccinated:2013-09-02
Age:47.0  Onset:2013-09-02, Days after vaccination: 0
Gender:Female  Submitted:2013-09-03, Days after onset: 1
Location:Unknown  Entered:2013-10-23, Days after submission: 50
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': 2013SE67532
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLUN4: INFLUENZA (SEASONAL) (FLUMIST QUADRIVALENT)MEDIMMUNE VACCINES, INC.  IN 
Administered by: Other     Purchased by: Other
Symptoms: Underdose
SMQs:
Write-up: A report has been received from a Pharmacist concerning a 47 year old, Female subject, who had been receiving Nasal FLUMIST QUADRIVALENT. FLUMIST QUADRIVALENT started on 02-Sep-2013. The reporter stated that revaccination after vaccine dripped out of nose of the patient which started on 02-Sep-2013. The outcome of the event of REVACCINATION AFTER VACCINE DRIPPED OUT OF NOSE is unknown. The report was considered to be non-serious.

VAERS ID:509368 (history)  Vaccinated:2013-10-15
Age:47.0  Onset:2013-10-16, Days after vaccination: 1
Gender:Female  Submitted:2013-10-17, Days after onset: 1
Location:Missouri  Entered:2013-10-24, Days after submission: 7
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: Sulfamethoxazole; Tramadol; Trimethoprim; Hepatitis C, chronic; Partial seizure disorder
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE INTRADERMAL)SANOFI PASTEURUT4723AA0IDUN
Administered by: Private     Purchased by: Other
Symptoms: Injection site cellulitis
SMQs:
Write-up: Cellulitis at injection site received antibiotics and steroids and pain relievers.

VAERS ID:509530 (history)  Vaccinated:2013-10-23
Age:47.0  Onset:2013-10-23, Days after vaccination: 0
Gender:Female  Submitted:2013-10-24, Days after onset: 1
Location:Tennessee  Entered:2013-10-24
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: Hepatitis; Cirrhosis; enlarged liver
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURUH893AA IMRA
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.H0105151IMLA
Administered by: Other     Purchased by: Private
Symptoms: Erythema, Mobility decreased, Nodule, Rash, Skin warm
SMQs:, Anaphylactic reaction (broad), Parkinson-like events (broad), Hypersensitivity (narrow)
Write-up: PNEUMOVAX left arm. 1 hour later had knot in arm, later in evening redness started, couldn''t straighten arm, "red band", rash on skin wrapping around to the inside from the front, hot to touch, next day knot still there, pt has not taken anything PO or topical for pn. PCP contacted recommended to go to ER.

VAERS ID:509653 (history)  Vaccinated:2013-10-23
Age:47.0  Onset:2013-10-24, Days after vaccination: 1
Gender:Female  Submitted:2013-10-25, Days after onset: 1
Location:Arkansas  Entered:2013-10-25
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: None at this time
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURU4698CB IMLA
Administered by: Public     Purchased by: Public
Symptoms: Injection site erythema, Injection site nodule, Injection site warmth
SMQs:, Extravasation events (injections, infusions and implants) (broad)
Write-up: Raised knot on upper L arm approximately 5 cm in diameter, skin warm to touch, redness around raised area, hydrocortisone cream given to pt to apply to area as needed.

VAERS ID:509729 (history)  Vaccinated:2013-10-26
Age:47.0  Onset:2013-10-26, Days after vaccination: 0
Gender:Female  Submitted:2013-10-27, Days after onset: 1
Location:Colorado  Entered:2013-10-27
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: No
Preexisting Conditions: None
Diagnostic Lab Data: No.
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
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FLU3: INFLUENZA (SEASONAL) (AFLURIA)CSL LIMITED    
Administered by: Public     Purchased by: Private
Symptoms: Crying, Dizziness, Dysarthria, Fatigue, Hyperhidrosis, Muscular weakness, Pain, Throat tightness
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Angioedema (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (broad), Depression (excl suicide and self injury) (broad), Vestibular disorders (broad), Hypersensitivity (broad)
Write-up: Dizziness. Extreme muscle weakness. Slurred speech. Giddy laughing replaced by crying. (I always cry when I get a fever, for some reason, so this might be an indication of one.) Sweating. All of this lasted 10-15 minutes. For the rest of the day felt tired, achy, had a constricted throat.

VAERS ID:509884 (history)  Vaccinated:2013-10-18
Age:47.0  Onset:2013-10-18, Days after vaccination: 0
Gender:Female  Submitted:2013-10-23, Days after onset: 5
Location:Washington  Entered:2013-10-28, Days after submission: 5
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (AFLURIA)CSL LIMITEDR54607 IMAR
Administered by: Public     Purchased by: Private
Symptoms: Asthenia, Chest discomfort, Dyspnoea
SMQs:, Anaphylactic reaction (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Cardiomyopathy (broad)
Write-up: Difficulty breathing, tightness in lungs - weakness: treated with 50 mg BENADRYL symptoms resolved.

VAERS ID:509936 (history)  Vaccinated:2013-09-29
Age:47.0  Onset:2013-09-30, Days after vaccination: 1
Gender:Female  Submitted:2013-10-03, Days after onset: 3
Location:Virginia  Entered:2013-10-28, Days after submission: 25
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: Heart disease
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)NOVARTIS VACCINES AND DIAGNOSTICS13096010IMLA
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.H0219410IMRA
Administered by: Other     Purchased by: Private
Symptoms: Cellulitis, Erythema, Local swelling
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad)
Write-up: Arm red, swollen, dr thinks might be cellulitis so gave her antibiotic.

VAERS ID:510362 (history)  Vaccinated:2013-10-21
Age:47.0  Onset:2013-10-23, Days after vaccination: 2
Gender:Female  Submitted:2013-10-30, Days after onset: 7
Location:Nebraska  Entered:2013-10-30
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: Allergy; Ibuprofen (NSAIDS); LEVAQUIN; DILAUDID; Narcotics; Codeine; Diabetes; HTN
Diagnostic Lab Data: Pt didn''t go to dr.
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURUH736AA UNLA
Administered by: Other     Purchased by: Private
Symptoms: Pharyngeal oedema
SMQs:, Angioedema (narrow), Oropharyngeal allergic conditions (narrow), Hypersensitivity (narrow)
Write-up: On 10/21 patient received flu shot and on 10/23 developed (L) side swelling of the throat with no other symptoms. Pt took BENADRYL 25 mg po and sx subsided.

VAERS ID:510408 (history)  Vaccinated:2013-10-24
Age:47.0  Onset:2013-10-25, Days after vaccination: 1
Gender:Female  Submitted:2013-10-30, Days after onset: 5
Location:Georga  Entered:2013-10-30
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None known
Preexisting Conditions: Seasonal pollen NKDA
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURU47568A1IMRA
Administered by: Public     Purchased by: Private
Symptoms: Head discomfort, Headache, Neck pain, Pain
SMQs:, Arthritis (broad)
Write-up: C/O Top of head & back of neck pain with heaviness. Whole body was hurting with body aches. Saturday was worse. Gradually getting better each passing day. Took Tylenol for 48hrs after flu injection then when not better took Alkseltzer plus & continues taking it thru 10/30/2013. Also taking Motrin.

VAERS ID:510464 (history)  Vaccinated:2013-10-19
Age:47.0  Onset:2013-10-26, Days after vaccination: 7
Gender:Female  Submitted:2013-10-30, Days after onset: 4
Location:New York  Entered:2013-10-30
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: No
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (AFLURIA)CSL LIMITED  IMLA
Administered by: Other     Purchased by: Private
Symptoms: Mobility decreased, Pain
SMQs:, Parkinson-like events (broad)
Write-up: Patient reports sharp pain with onset of approximately one week after vaccination which impairs her motility.

VAERS ID:510550 (history)  Vaccinated:2013-10-15
Age:47.0  Onset:2013-10-19, Days after vaccination: 4
Gender:Male  Submitted:2013-10-31, Days after onset: 12
Location:D.C.  Entered:2013-10-31
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: NKDA, hyperlipidemia
Diagnostic Lab Data: None. Symptoms began 19 Oct and may continue for several weeks longer.
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURUH894AB0IMRA
Administered by: Military     Purchased by: Military
Symptoms: Injection site pain, Neuritis, Pain, Pain in extremity
SMQs:, Peripheral neuropathy (narrow), Extravasation events (injections, infusions and implants) (broad)
Write-up: Sharp burning pain radiating from the right deltoid to the 2nd/3rd digit fingertips, diagnosed with C7 neuritis and started on gabapentin for pain.

VAERS ID:510647 (history)  Vaccinated:2013-09-25
Age:47.0  Onset:2013-09-25, Days after vaccination: 0
Gender:Female  Submitted:2013-10-24, Days after onset: 29
Location:Michigan  Entered:2013-10-31, 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: No
Preexisting Conditions: Lymes disease
Diagnostic Lab Data: None
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURUH896AA UNUN
Administered by: Public     Purchased by: Private
Symptoms: Injection site pain, Mobility decreased, Pain
SMQs:, Parkinson-like events (broad), Extravasation events (injections, infusions and implants) (broad)
Write-up: Soreness at injection site, difficulty lifting lingering painfulness $g3 weeks. Physical therapy.

VAERS ID:510691 (history)  Vaccinated:2013-09-26
Age:47.0  Onset:2013-10-10, Days after vaccination: 14
Gender:Male  Submitted:2013-10-31, Days after onset: 21
Location:California  Entered:2013-10-31
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: Normal labs
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU4: INFLUENZA (SEASONAL) (FLUZONE QUADRIVALENT)SANOFI PASTEURU4771AA0IMLA
Administered by: Unknown     Purchased by: Private
Symptoms: Blood pressure increased, Confusional state, Headache, Laboratory test normal, Malaise
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hypertension (narrow)
Write-up: Headaches, mild confusion, elevated blood pressure, malaise- began about a week after.

VAERS ID:510740 (history)  Vaccinated:2013-10-15
Age:47.0  Onset:2013-10-17, Days after vaccination: 2
Gender:Female  Submitted:2013-10-21, Days after onset: 4
Location:Delaware  Entered:2013-10-31, Days after submission: 10
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLULAVAL)GLAXOSMITHKLINE BIOLOGICALS45BL31UNLA
Administered by: Other     Purchased by: Private
Symptoms: Rash, Swelling
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow)
Write-up: Developed rash on extremities 2 days after getting flu shot. Rash present today (10/21/) started BENADRYL P.O. To medical aid on unit 10/22 for rash/swelling, Took steroid dose pack and improved.

VAERS ID:510713 (history)  Vaccinated:0000-00-00
Age:47.0  Onset:0000-00-00
Gender:Female  Submitted:2013-11-01
Location:Unknown  Entered:2013-11-01
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: Sulfa allergy
Diagnostic Lab Data:
CDC 'Split Type': 2013038667
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)UNKNOWN MANUFACTURER  UNAR
Administered by: Unknown     Purchased by: Unknown
Symptoms: Local swelling
SMQs:, Angioedema (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: This medically confirmed report (initial receipt: 22-Oct-2013) concerns a 47-year old female patient with an allergy to Sulfa. On an unreported date in 2012, the patient received an unspecified influenza virus vaccine (batch number and manufacturer not reported). After vaccination, the arm that it (the vaccine) was administered to became swollen. The patient was hospitalised for two days. Outcome was reported as recovered.

VAERS ID:511039 (history)  Vaccinated:2013-10-25
Age:47.0  Onset:2013-10-25, Days after vaccination: 0
Gender:Female  Submitted:2013-11-01, Days after onset: 7
Location:California  Entered:2013-11-01
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: Diabetes type 2
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUARIX)GLAXOSMITHKLINE BIOLOGICALSTR5ME3UNLA
Administered by: Public     Purchased by: Other
Symptoms: Blood pressure increased, Burning sensation, Chest discomfort, Cough, Dizziness, Dysphonia, Erythema, Fatigue, Headache, Hyperhidrosis, Lymphadenopathy, Nausea, Pain, Pruritus, Rash, Swelling
SMQs:, Anaphylactic reaction (narrow), Acute pancreatitis (broad), Angioedema (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Parkinson-like events (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Hypertension (narrow), Vestibular disorders (broad), Hypersensitivity (narrow)
Write-up: Soreness, burning, swelling, redness, itching, aches, headache, fatigue, hoarseness, nausea, sweating, cough, tightness in chest, rash, light-headedness, BP increase, lymph node swelling.

VAERS ID:510996 (history)  Vaccinated:2013-10-29
Age:47.0  Onset:2013-10-30, Days after vaccination: 1
Gender:Male  Submitted:2013-11-03, Days after onset: 4
Location:Texas  Entered:2013-11-03
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Was almost recovered from sore throat
Preexisting Conditions: Hayfever
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME)UNKNOWN MANUFACTURER    
Administered by: Private     Purchased by: Private
Symptoms: Dizziness, Impaired driving ability, Loss of consciousness, Nausea, Vertigo
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), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (narrow), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad)
Write-up: Still lying in bed (had worked until 5 AM, work nights a lot) started noticing dizziness when turning on my side. When I got out of bed almost fell down because I blacked out, had extreme dizziness, vertigo, nausea that lasted about 5 days, gradually getting better as time went by. Had a total of about 5 micro blackouts (one while driving, pulled over to let my wife drive it was so frightening).

VAERS ID:511175 (history)  Vaccinated:2013-10-18
Age:47.0  Onset:2013-10-25, Days after vaccination: 7
Gender:Male  Submitted:2013-11-04, Days after onset: 10
Location:New York  Entered:2013-11-04
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: Hypothyroidism; Hypertension
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (AFLURIA)CSL LIMITEDR55608 UNRA
Administered by: Other     Purchased by: Private
Symptoms: Arthralgia, Rash generalised
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow), Arthritis (broad)
Write-up: Bumpy rash over entire body (including mouth) and joint pain - started about 1 wk after vaccine.

VAERS ID:511188 (history)  Vaccinated:2013-09-23
Age:47.0  Onset:0000-00-00
Gender:Female  Submitted:2013-09-23
Location:Illinois  Entered:2013-11-04, Days after submission: 42
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)NOVARTIS VACCINES AND DIAGNOSTICS1308501 IMRA
Administered by: Other     Purchased by: Unknown
Symptoms: Pain in extremity
SMQs:
Write-up: Patient continues to have soreness in injection arm.

VAERS ID:511390 (history)  Vaccinated:2013-10-28
Age:47.0  Onset:2013-10-30, Days after vaccination: 2
Gender:Female  Submitted:2013-10-31, Days after onset: 1
Location:Illinois  Entered:2013-11-05, Days after submission: 5
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)NOVARTIS VACCINES AND DIAGNOSTICS1307601 IMLA
Administered by: Other     Purchased by: Private
Symptoms: Erythema, Local swelling
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad)
Write-up: Red and swollen upper arm to elbow.

VAERS ID:511729 (history)  Vaccinated:2013-11-04
Age:47.0  Onset:2013-11-05, Days after vaccination: 1
Gender:Female  Submitted:2013-11-06, Days after onset: 1
Location:Colorado  Entered:2013-11-06
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: not as far as i know. pharmacy manager administered vaccine on monday. she had electronic rx to receive it from her dr.
Preexisting Conditions: unknow
Diagnostic Lab Data:
CDC 'Split Type':
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VARZOS: ZOSTER (ZOSTAVAX)MERCK & CO. INC.J001002 IMUN
Administered by: Other     Purchased by: Other
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: Per patient site is itchy, swolllen, red, feverish arm, firm, size of a softball. marked the margins. went to urgent care today, on bactrim, goes back to urgent care in 24 hours unless worsens before then

VAERS ID:511756 (history)  Vaccinated:2013-10-31
Age:47.0  Onset:2013-11-02, Days after vaccination: 2
Gender:Male  Submitted:2013-11-05, Days after onset: 3
Location:North Carolina  Entered:2013-11-06, Days after submission: 1
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
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Dose
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FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURUH900AD1IMUN
Administered by: Private     Purchased by: Private
Symptoms: Erythema, Nodule, Tenderness
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (broad)
Write-up: Received vaccine Thursday afternoon, Friday noticed a little knot. Saturday morning had erythema and tenderness. Went to ER. Received prednisone x one dose and Rx for CLARITIN and antihistamine cream. Reaction resolved by Monday morning. Pt never filled either prescription but is doing well now.

VAERS ID:511959 (history)  Vaccinated:2013-10-28
Age:47.0  Onset:2013-10-28, Days after vaccination: 0
Gender:Female  Submitted:2013-11-07, Days after onset: 10
Location:California  Entered:2013-11-07
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: Sulfa
Diagnostic Lab Data: CBC, BMP normal, allergy panel no egg allergy
CDC 'Split Type':
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FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)NOVARTIS VACCINES AND DIAGNOSTICS 7IMRA
Administered by: Private     Purchased by: Private
Symptoms: Allergy test negative, Dyspnoea, Full blood count normal, Metabolic function test normal, Palpitations, Pharyngeal oedema
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Arrhythmia related investigations, signs and symptoms (broad), Oropharyngeal allergic conditions (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Hypersensitivity (narrow)
Write-up: Shortness of breath, palpitations, throat swelling.

VAERS ID:511999 (history)  Vaccinated:2013-10-24
Age:47.0  Onset:2013-10-24, Days after vaccination: 0
Gender:Male  Submitted:2013-11-07, Days after onset: 14
Location:California  Entered:2013-11-07
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: NKDA; DM; HTN; Hyperlipidemia; Obesity; Increased LFT''s
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
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FLU4: INFLUENZA (SEASONAL) (FLUZONE QUADRIVALENT)SANOFI PASTEURU4788AA IMRA
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.J0103320IMLA
Administered by: Private     Purchased by: Private
Symptoms: Rash pruritic, Rash vesicular
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow)
Write-up: 10/24/13 pt received PNEUMOVAX vaccine and flu vaccine. 5 hours later developed pruritic vesicular rash on extremities and face. Treated with prednisone 11/7 - will follow up with dermatology.

VAERS ID:512132 (history)  Vaccinated:2013-10-31
Age:47.0  Onset:2013-10-31, Days after vaccination: 0
Gender:Female  Submitted:2013-11-08, Days after onset: 8
Location:Colorado  Entered:2013-11-08
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: No
Preexisting Conditions: Environmental allergies (dust, mold, cat dander); depression; GERD
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
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FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURUH896AA4IMLA
Administered by: Public     Purchased by: Other
Symptoms: Erythema, Fatigue, Headache, Local swelling, Pain, Pain in extremity, Pyrexia, Skin warm
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad)
Write-up: Arm became red, hot to touch, swollen and painful. By the following day it had progressed passed my elbow and was over my shoulder (front and back). I also developed a fever of 103.6, severe headache, fatigue and body aches. I took Benadryl, Motrin, and Tylenol to treat the symptoms which lasted about 5 days.

VAERS ID:512355 (history)  Vaccinated:2013-11-08
Age:47.0  Onset:2013-11-09, Days after vaccination: 1
Gender:Male  Submitted:2013-11-11, Days after onset: 2
Location:New York  Entered:2013-11-11
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: Unknown - had open heart surgery previous
Diagnostic Lab Data:
CDC 'Split Type':
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FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)NOVARTIS VACCINES AND DIAGNOSTICS1310101 IMLA
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.H0219410IMRA
Administered by: Unknown     Purchased by: Private
Symptoms: Insomnia, Local swelling, Pain in extremity, Skin warm
SMQs:, Angioedema (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: Patient called pharmacy stated his arm was swollen and sore. He was unable to sleep on it and he stated it was warm to the touch he was going to call his primary physician.

VAERS ID:512397 (history)  Vaccinated:2013-10-29
Age:47.0  Onset:2013-10-30, Days after vaccination: 1
Gender:Female  Submitted:2013-11-04, Days after onset: 5
Location:Alabama  Entered:2013-11-12, Days after submission: 8
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: Poison ivy allergy
Diagnostic Lab Data: No known allergies to eggs or latex. PCP trying to get her in to see allergist today
CDC 'Split Type':
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FLU3: INFLUENZA (SEASONAL) (FLUARIX)GLAXOSMITHKLINE BIOLOGICALSZ9F32 IMRA
Administered by: Other     Purchased by: Private
Symptoms: Dyspnoea, Eye swelling, Pruritus, Skin burning sensation, Skin plaque, Urticaria
SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), Peripheral neuropathy (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Hypersensitivity (narrow)
Write-up: Receive flu injection on 10-29-13. Starting Wed. morning burning and itching of skin. Also "some trouble breathing". Went to ER Thursday night and Friday morning. Has hives/whelps "all over" "plaque-like", swelling eyes. Currently on BENADRYL, Prednisone, PEPCID. SOLUMEDROL given at ER. To try to see allergist.

VAERS ID:512547 (history)  Vaccinated:2013-10-21
Age:47.0  Onset:2013-10-21, Days after vaccination: 0
Gender:Male  Submitted:2013-11-12, Days after onset: 22
Location:Arizona  Entered:2013-11-12
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: Bilateral benign adrenal adenomas Primary Biliary cirrhosis Hypothyroidism Gluten sensitivity Allergic Rhinitis
Diagnostic Lab Data: N/A
CDC 'Split Type':
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FLU3: INFLUENZA (SEASONAL) (AFLURIA)CSL LIMITEDR562080IMLA
Administered by: Other     Purchased by: Private
Symptoms: Dyspnoea, Feeling abnormal, Nausea, Vomiting
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Dementia (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad)
Write-up: Acute sob and difficulty breathing the evening after she rec''d her flu shot. Used the albuterol inhaler, which helped alot, but states she would have had to go to the ER if she hadn''t had the inhaler. SOB resolved, but pt had nausea and vomiting that entire night, felt miserable. No hx of egg allergy. Has done well with flu shots in the past.

VAERS ID:512723 (history)  Vaccinated:2013-11-12
Age:47.0  Onset:2013-11-12, Days after vaccination: 0
Gender:Female  Submitted:2013-11-13, Days after onset: 1
Location:Florida  Entered:2013-11-13
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type':
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PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.J010332 SCUN
Administered by: Public     Purchased by: Other
Symptoms: Cellulitis, Erythema, Induration, Tenderness
SMQs:, Anaphylactic reaction (broad), Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (broad)
Write-up: Red, indurated, tender, resembling cellulitis.

VAERS ID:512826 (history)  Vaccinated:2013-11-05
Age:47.0  Onset:2013-11-06, Days after vaccination: 1
Gender:Female  Submitted:2013-11-07, Days after onset: 1
Location:Connecticut  Entered:2013-11-13, Days after submission: 6
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
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Dose
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FLU3: INFLUENZA (SEASONAL) (FLUVIRIN)NOVARTIS VACCINES AND DIAGNOSTICS13414P2IMLA
PPV: PNEUMO (PNEUMOVAX)MERCK & CO. INC.J0070591IMLA
Administered by: Military     Purchased by: Military
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: Redness, soreness, and slight swelling at injection site.

VAERS ID:513024 (history)  Vaccinated:2013-11-12
Age:47.0  Onset:2013-11-12, Days after vaccination: 0
Gender:Female  Submitted:2013-11-14, Days after onset: 2
Location:Texas  Entered:2013-11-14
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: Seen by a doctor. Flu test was negative, urine test normal.
CDC 'Split Type':
Vaccination
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FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURUH907AA UNRA
TDAP: TDAP (ADACEL)SANOFI PASTEURC4472AA UNLA
Administered by: Public     Purchased by: Private
Symptoms: Back pain, Fatigue, Gait disturbance, Grip strength decreased, Headache, Influenza virus test negative, Muscular weakness, Neck pain, Pain, Pain in extremity, Pyrexia, Urine analysis normal
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Arthritis (broad)
Write-up: Severe body aches, fever, weakness in hands and legs, fatigue, headache, pain in right leg, right arm, neck and lower back. Difficulty holding objects or walking.

VAERS ID:513094 (history)  Vaccinated:2013-10-23
Age:47.0  Onset:2013-10-24, Days after vaccination: 1
Gender:Male  Submitted:0000-00-00
Location:Illinois  Entered:2013-11-14
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions:
Diagnostic Lab Data: Audiology exams; MRI of brain
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
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Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)SANOFI PASTEURUH900AA1UNRA
TDAP: TDAP (BOOSTRIX)GLAXOSMITHKLINE BIOLOGICALSN435Z0UNLA
Administered by: Private     Purchased by: Private
Symptoms: Audiogram, Deafness unilateral,